In this episode of Better Skills. Better Doctors. I'm making the case that high volume is not the only legitimate shape of a successful practice, and that the framing saying otherwise is doing real damage to this profession.
I introduce the concept I've been calling "scale down to scale up": narrowing your focus, building specialized programs around specific outcomes, and growing your revenue without growing your patient load. I also use Tara Tonini's story as a real-world example of what this actually looks like in practice.
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