In this episode of Voices of Otolaryngology, Rajesh S. Kakani, MD, shares his journey from international training to building a solo private practice in the U.S., offering candid insights for early-career physicians navigating today's consolidating landscape. He covers strategic practice location, calculated risk-taking, hybrid employment models, and the operational discipline needed to thrive independently. Dr. Kakani also reflects on workforce challenges, team culture, and his commitment to funding scholarships for future otolaryngologists. 

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