Episode 168: Buying Back Your Autonomy: When—and How—to Leave the Hospital System or Large Group
Tue Feb 03 2026
Send us a text
There was a time when hospital or large group employment felt like the safe choice. Predictable income. Built-in infrastructure. Someone else worrying about staffing, compliance, billing, and contracts. For many physicians, it felt like a reasonable trade—give up some control in exchange for stability.
But over the past several years, something has shifted.
More and more physicians are realizing that while hospital or large group employment may reduce certain risks, it often introduces a different kind of cost. Less autonomy. Less flexibility. Less influence over how medicine is practiced day to day. Schedules are set by committees. Compensation models feel disconnected from effort or quality. Decisions that directly impact patient care are increasingly made far away from the exam room.
That’s why today we’re talking about buying back your autonomy. Specifically, when—and how—to leave the hospital system and build your own independent practice.
Please Follow or Subscribe to get new episodes delivered to you as soon as they drop!
Visit Jill’s company, Health e Practices’ website: https://healtheps.com/
Subscribe to our newsletter, Health e Connections: https://share.hsforms.com/1FMup6xLPSpeA8hB77caYQwd32sx?hsCtaAttrib=171926995377
Want more formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 32.5 hours of online, on-demand CME-accredited training tailored just for busy physicians. Promo pricing available now: https://education.healtheps.com/offers/Ry3zfLYp/checkout?coupon_code=PHYSEDGE3000
Purchase your copy of Jill’s book here: Physician Heal Thy Financial Self
Join our Medical Money Matters Facebook Group here: https://www.facebook.com/groups/3834886643404507/
Original Musical Score by: Craig Addy at https://www.underthepiano.ca/ Visit Craig’s website to book your Once in a Lifetime music experience
Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven https://www.communicationtwentyfourseven.com/
More
Send us a text There was a time when hospital or large group employment felt like the safe choice. Predictable income. Built-in infrastructure. Someone else worrying about staffing, compliance, billing, and contracts. For many physicians, it felt like a reasonable trade—give up some control in exchange for stability. But over the past several years, something has shifted. More and more physicians are realizing that while hospital or large group employment may reduce certain risks, it often introduces a different kind of cost. Less autonomy. Less flexibility. Less influence over how medicine is practiced day to day. Schedules are set by committees. Compensation models feel disconnected from effort or quality. Decisions that directly impact patient care are increasingly made far away from the exam room. That’s why today we’re talking about buying back your autonomy. Specifically, when—and how—to leave the hospital system and build your own independent practice. Please Follow or Subscribe to get new episodes delivered to you as soon as they drop! Visit Jill’s company, Health e Practices’ website: https://healtheps.com/ Subscribe to our newsletter, Health e Connections: https://share.hsforms.com/1FMup6xLPSpeA8hB77caYQwd32sx?hsCtaAttrib=171926995377 Want more formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 32.5 hours of online, on-demand CME-accredited training tailored just for busy physicians. Promo pricing available now: https://education.healtheps.com/offers/Ry3zfLYp/checkout?coupon_code=PHYSEDGE3000 Purchase your copy of Jill’s book here: Physician Heal Thy Financial Self Join our Medical Money Matters Facebook Group here: https://www.facebook.com/groups/3834886643404507/ Original Musical Score by: Craig Addy at https://www.underthepiano.ca/ Visit Craig’s website to book your Once in a Lifetime music experience Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven https://www.communicationtwentyfourseven.com/