Starting a Practice A practical approach Dr Florin

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Starting a Practice A practical approach Dr. Florin T. Padeanu

Starting a Practice A practical approach Dr. Florin T. Padeanu

Disclosure �I am a clinic owner �I trained as a lawyer prior to being

Disclosure �I am a clinic owner �I trained as a lawyer prior to being a physician

Your clinic? �Physical location: • Space requirements • Parking • Location as a determinant

Your clinic? �Physical location: • Space requirements • Parking • Location as a determinant of your patient population • Lease or Own • Neighbours

Your clinic? �Partners or Colleagues: • Expectations • Skills • Capital

Your clinic? �Partners or Colleagues: • Expectations • Skills • Capital

Your clinic? �Personnel: • • Manager Front end staff Billing Other team members

Your clinic? �Personnel: • • Manager Front end staff Billing Other team members

Costs �Capital investment – leashold improvements, equipment, downpayment �Staff costs �Lease costs, Mortgage costs

Costs �Capital investment – leashold improvements, equipment, downpayment �Staff costs �Lease costs, Mortgage costs �Ongoing equipement costs

Return on investment �Independence �Choosing who you practice with � 5 to 10 years

Return on investment �Independence �Choosing who you practice with � 5 to 10 years for any financial benefits

Contracts �Why? �Usual • • • terms: How paid What hours you need to

Contracts �Why? �Usual • • • terms: How paid What hours you need to put in What will the clinic provide for you How do you terminate the relationship Any administrative duties Enforcement

Leases �Get to know your landlord �What is included in the lease payment: heat,

Leases �Get to know your landlord �What is included in the lease payment: heat, electricity, taxes, etc. (net v. triple net) �Common areas �Additional costs �Exclusivity of use �Term and right of renewal

Conclusion �Choose partners well �Location determines your practice population �Think long term �Choose independence

Conclusion �Choose partners well �Location determines your practice population �Think long term �Choose independence of practice