Physicians Hanging a Shingle | Start a Private Medical Practice

This is the final episode of 2025, and we’re ending the year with a practical look at why 2026 may be the right time to start a private medical practice.
In this episode, I share six real-world reasons physicians are choosing private practice—not for hype, but for sustainability, autonomy, and better patient care.
In This Episode, You’ll Learn:
Why patients are actively seeking a medical home outside large health systems
How private practice restores physician autonomy
The truth about controlling your income as a practice owner
Why independent physicians play a key role in combating medical misinformation
How small practices adapt faster in a changing healthcare landscape
How to define success on your own terms as a physician
Key Takeaway
Private practice isn’t about escaping medicine—it’s about practicing medicine with intention.
If you want something different by the end of 2026, the planning starts now.
📌 Resources:
If you want step-by-step guidance to build your practice business plan, check out my new digital course: Plan to Practice. It's a short course designed to take you from scattered practice ideas to a detailed, individualized business plan. Learn more about the course by going to hangingashingle.com/ptp
----
If you’re building your own private practice and want step-by-step guidance from someone who’s done it successfully—I’d love to help.
Click here to learn more about 1:1 coaching.
----
Want weekly emails with insightful tips for starting your private practice? Click here to subscribe!
----
Social Media Communities:
Private Facebook Group: Physicians Starting Private Practices
Instagram: @hanging_a_shingle
LinkedIn: www.linkedin.com/in/drbrittneyanderson

Payroll is one of those things physicians are never taught — but getting it wrong can cost you time, money, and stress.
In this episode of Physicians Hanging a Shingle, I walk through what physicians need to know about setting up payroll in private practice, including when you need it, common mistakes to avoid, and key decisions to make before you ever run payroll.
I also share the payroll service I recommend for physicians and how you can save money as you’re getting started.
In This Episode
What payroll really includes
When you need to set it up
Common payroll mistakes physicians make
How payroll fits into your practice finances
Resource Mentioned
SurePayroll👉 Use my referral link to get 9 months of payroll free
----------
If you want step-by-step guidance to build your practice business plan, check out my new digital course: Plan to Practice. It's a short course designed to take you from scattered practice ideas to a detailed, individualized business plan. Learn more about the course by going to hangingashingle.com/ptp
----
If you’re building your own private practice and want step-by-step guidance from someone who’s done it successfully—I’d love to help.
Click here to learn more about 1:1 coaching.
----
Want weekly emails with insightful tips for starting your private practice? Click here to subscribe!
----
Social Media Communities:
Private Facebook Group: Physicians Starting Private Practices
Instagram: @hanging_a_shingle
LinkedIn: www.linkedin.com/in/drbrittneyanderson
 

If you’re thinking about opening a private practice next year but keep telling yourself you’ll “see how things go,” this episode is for you.
In this Mindset Shift, I talk about why private practice doesn’t happen by accident — it happens by intention. We explore the difference between thinking like an employed physician and thinking like a practice owner, and why the doctors who open practices aren’t braver… they’re earlier.
This episode will help you shift from waiting for clarity to building momentum.
Physicians thinking about opening a private practice
Employed docs craving autonomy but unsure where to start
Doctors who want to move from “maybe someday” to intentional planning
------
📌 Resources:
If you want step-by-step guidance to build your practice marketing plan, check out my new digital course: Plan to Practice. It's a short course designed to take you from scattered practice ideas to a detailed, individualized business plan. Learn more about the course by going to hangingashingle.com/ptp
----
If you’re building your own private practice and want guidance from someone who’s done it successfully—I’d love to help.
Click here to learn more about 1:1 coaching.
----
Want weekly emails with insightful tips for starting your private practice? Click here to subscribe!
----
Social Media Communities:
Private Facebook Group: Physicians Starting Private Practices
Instagram: @hanging_a_shingle
LinkedIn: www.linkedin.com/in/drbrittneyanderson

When I talk with physicians about staffing, one role comes up again and again: the front office. And too often, it’s underestimated.
Your front office is not just answering phones. They are the first voice your patients hear, the gatekeepers of your schedule, and often the ones protecting—or quietly draining—your revenue.
In this episode of Physicians Hanging a Shingle, I walk through the key skills I believe front office staff need to be successful in a private practice. Instead of focusing on job titles or years of experience, I’m sharing how I think about hiring for skills, mindset, and fit, especially in small or growing practices.
If you’re planning to open your own practice, hiring your first front office staff member, or feeling the strain of a misaligned hire, this episode will help you think more strategically about one of the most important decisions you’ll make as a practice owner.
📌 Resources:
If you want step-by-step guidance to build your practice business plan, check out my new digital course: Plan to Practice. It's a short course designed to take you from scattered practice ideas to a detailed, individualized business plan. Learn more about the course by going to hangingashingle.com/ptp
----
If you’re building your own private practice and want step-by-step guidance from someone who’s done it successfully—I’d love to help.
Click here to learn more about 1:1 coaching.
----
Want weekly emails with insightful tips for starting your private practice? Click here to subscribe!
----
Social Media Communities:
Private Facebook Group: Physicians Starting Private Practices
Instagram: @hanging_a_shingle
LinkedIn: www.linkedin.com/in/drbrittneyanderson

If you’ve ever thought, “I want my own practice, but I don’t have the personality to run a business,” this episode will shift everything.
In this Thursday Shift, we’re breaking down where that belief comes from, why it’s completely false, and what actually makes someone a strong practice owner. (Hint: it’s not being extroverted, loud, or “naturally business-minded.”)
 
You’ll learn why business ownership is a skill set — not a personality type — and how the same qualities that make you a great physician already make you a strong leader.
🎧 Listen for a quick mindset reset that will remind you: you don’t need a new personality… you just need a new belief about what’s possible for you.
------
📌 Resources:
If you want step-by-step guidance to build your practice marketing plan, check out my new digital course: Plan to Practice. It's a short course designed to take you from scattered practice ideas to a detailed, individualized business plan. Learn more about the course by going to hangingashingle.com/ptp
----
If you’re building your own private practice and want guidance from someone who’s done it successfully—I’d love to help.
Click here to learn more about 1:1 coaching.
----
Want weekly emails with insightful tips for starting your private practice? Click here to subscribe!
----
Social Media Communities:
Private Facebook Group: Physicians Starting Private Practices
Instagram: @hanging_a_shingle
LinkedIn: www.linkedin.com/in/drbrittneyanderson

Hiring for your medical office is one of the most important decisions you’ll make — and one of the hardest, because no one ever taught us how to do it.
In this episode, I’m sharing 10 questions and considerations that go far beyond checking a resume. We’ll talk about how to evaluate mindset, communication, culture fit, and emotional intelligence — the things that truly determine whether someone will thrive in your practice.
I also share a powerful reminder from the Millions Were Made podcast:It’s easier to NOT hire someone who feels wrong from the beginning than to hire them, retrain them, and fire them later.
If you’re building your team or getting ready to start interviewing, this episode will give you clarity, confidence, and a simple blueprint to follow.
🎧 Listen now to learn how to hire for skill and for culture — and build a team that supports the practice you’re dreaming of.
📌 Resources:
If you want step-by-step guidance to build your practice business plan, check out my new digital course: Plan to Practice. It's a short course designed to take you from scattered practice ideas to a detailed, individualized business plan. Learn more about the course by going to hangingashingle.com/ptp
----
If you’re building your own private practice and want step-by-step guidance from someone who’s done it successfully—I’d love to help.
Click here to learn more about 1:1 coaching.
----
Want weekly emails with insightful tips for starting your private practice? Click here to subscribe!
----
Social Media Communities:
Private Facebook Group: Physicians Starting Private Practices
Instagram: @hanging_a_shingle
LinkedIn: www.linkedin.com/in/drbrittneyanderson

If you feel alone in your dream of starting a private practice, this episode is for you.
In this Thursday Shift, I’m talking about what it’s like to be the first in your family or your circle to pursue something big. I share my own experience as a first-generation college graduate and the first physician in my family — and what it felt like to make decisions that no one around me fully understood.
You’ll learn why this journey can feel isolating, how to stop expecting everyone to “get it,” and why it’s crucial to surround yourself with people who share your vision.
Plus, I share practical ways to find community, mentorship, and support as you build your practice.
🎧 Listen now for a mindset shift that reminds you: you’re not alone — you’re just early.
------
📌 Resources:
If you want step-by-step guidance to build your practice marketing plan, check out my new digital course: Plan to Practice. It's a short course designed to take you from scattered practice ideas to a detailed, individualized business plan. Learn more about the course by going to hangingashingle.com/ptp
----
If you’re building your own private practice and want guidance from someone who’s done it successfully—I’d love to help.
Click here to learn more about 1:1 coaching.
----
Want weekly emails with insightful tips for starting your private practice? Click here to subscribe!
----
Social Media Communities:
Private Facebook Group: Physicians Starting Private Practices
Instagram: @hanging_a_shingle
LinkedIn: www.linkedin.com/in/drbrittneyanderson

In this episode, I’m sharing the five things I did on my own planning retreat this past weekend — the same steps I recommend for any physician who’s building a private practice.
I talk about the very first retreat I ever took to dream up my clinic (in Honolulu!) and why you don’t need an airplane or a beach to get clarity. You just need space to think.
I break down exactly what to do during your retreat, including:
How to choose a distraction-free environment
Why you should start with your vision, not logistics
What foundations to map out for your practice
How to make the math math
And how to leave with a clear 90-day action plan
Whether you take one day or a whole weekend, this retreat will give you direction, momentum, and the clarity you’ve been waiting for.
📌 Resources:
If you want step-by-step guidance to build your practice business plan, check out my new digital course: Plan to Practice. It's a short course designed to take you from scattered practice ideas to a detailed, individualized business plan. Learn more about the course by going to hangingashingle.com/ptp
----
If you’re building your own private practice and want step-by-step guidance from someone who’s done it successfully—I’d love to help.
Click here to learn more about 1:1 coaching.
----
Want weekly emails with insightful tips for starting your private practice? Click here to subscribe!
----
Social Media Communities:
Private Facebook Group: Physicians Starting Private Practices
Instagram: @hanging_a_shingle
LinkedIn: www.linkedin.com/in/drbrittneyanderson

In this Thursday Shift, we’re tackling a mindset block almost every physician has when they start thinking about private practice:
“I’ll figure out the business plan later.”
Today, I’m walking you through why this belief keeps you stuck — and why your business plan isn’t just paperwork. It’s clarity. It’s protection. It’s your first real act of ownership.
Inside the episode, we cover:
What You’ll Learn
Why avoiding a business plan leads to more overwhelm, not less
How a business plan protects you from building a practice that burns you out
The role of clarity in shifting from “employed mindset” to “owner mindset”
Why your business plan becomes your compass when the process feels chaotic
How planning actually creates freedom instead of limiting it
The Mindset Shift
Your business plan doesn’t have to be perfect before you start.It just needs to exist.
Creating it forces you to think like a CEO — not an employee hoping everything works out.
Want Help Building Yours?
If you're ready to stop circling the idea of your practice and actually put a plan on paper, my digital course Plan to Practice walks you step-by-step through building your entire business plan — from vision, to services, to finances, to operations.
You don’t have to figure this out alone.
Learn more about the Plan to Practice course here
Tune in now to learn how planning becomes your first freedom tool in private practice.

One of the biggest mistakes new practice owners make is believing that marketing starts on opening day. It doesn’t.It starts long before you ever turn in your resignation.
In this episode, I’m sharing how to ethically and legally build a warm audience before you open your clinic — even if you’re still employed and under a non-compete.
You’ll learn why creating a social media presence early is the smartest move you can make, how to show up online without mentioning your future practice, and how this protects you from solicitation violations.
We’ll talk through the platforms you can use (Facebook, IG, TikTok, YouTube), what kind of content to share, and how this sets you up so that when you finally announce your practice, people already know where to find you — without you ever reaching out to them directly.
🎧 Listen in to learn how to stay compliant AND build demand for the practice you’re creating.
📌 Resources:
If you want step-by-step guidance to build your practice business plan, check out my new digital course: Plan to Practice. It's a short course designed to take you from scattered practice ideas to a detailed, individualized business plan. Learn more about the course by going to hangingashingle.com/ptp
----
If you’re building your own private practice and want step-by-step guidance from someone who’s done it successfully—I’d love to help.
Click here to learn more about 1:1 coaching.
----
Want weekly emails with insightful tips for starting your private practice? Click here to subscribe!
----
Social Media Communities:
Private Facebook Group: Physicians Starting Private Practices
Instagram: @hanging_a_shingle
LinkedIn: www.linkedin.com/in/drbrittneyanderson