Micropractice Mastermind - a vetted, expert roadmap to start your own practice. Join this physician community as we change the future of medicine. You can actually enjoy practicing medicine. Next cohort starts January 2026.

How to build a practice in 4 days - free crash course on how to build a practice - yes there is a checklist!.

Need real-time support as you build or grow your practice? Individualized expert coaching is available for physicians.

In this episode, I reflect on four years of building a solo, values-aligned medical practice and share why regulation, identity change, and capacity expansion matter just as much as strategy and systems.

The most under-rated skill in entrepreneurship is nervous system regulation.

I walk through the neuroscience and mindset shifts that allowed me to grow a sustainable, profitable practice without sacrificing autonomy or well-being, and why doing this work in community changes everything.

This episode is for physicians who are still employed and quietly planning, as well as those who have already launched and want to build the next phase without burning out.

Thank you for nominating "It's Not Just You" as the Best Career Transformation Podcast in the 2026 Doctor Podcast Awards. I’m deeply honored. If you’ve listened to the podcast and found it helpful, I’d be so grateful if you’d take a minute to vote. Here’s the voting form When you open it, please scroll to the second nomination and select “It’s Not Just You.”

Micropractice Mastermind - a vetted, expert roadmap to start your own practice. Join this physician community as we change the future of medicine. You can actually enjoy practicing medicine. Next cohort starts January 2026.

How to build a practice in 4 days - free crash course on how to build a practice - yes there is a checklist!.

Need real-time support as you build or grow your practice? Individualized expert coaching is available for physicians.

Today's podcast:
Many physicians expect burnout to resolve once the stressor is gone. New job. Private practice. Time off.

In this episode, we explore why exhaustion persists after major changes and how to design entrepreneurship that actually supports recovery. Stress cycle completion cannot be an afterthought. If work is scheduled first, recovery disappears.

Entrepreneurship only heals burnout if it is designed around:
• Non negotiable recovery time
• Rhythms instead of constant push
• Reduced unnecessary stressors
• Built in connection
• Regulation as a leadership skill
• Business models aligned with human capacity
• Maintenance as a valid and valuable phase

Entrepreneurship does not automatically heal burnout, It simply gives you the power to design differently. When recovery is structural, not optional, careers last longer and feel better. Listen to the full episode to learn how to build work that supports your nervous system instead of draining it.

Micropractice Mastermind - a vetted, expert roadmap to start your own practice. Join this physician community as we change the future of medicine. You can actually enjoy practicing medicine. Next cohort starts January 2026.

Thinking about starting your own practice but feeling overwhelmed by everything involved? In this episode, Kara shares a practical framework to help doctors move forward when starting a private practice feels too big to tackle. You will learn how to decide what tasks actually require your expertise, what can be delegated or outsourced, and when hiring help is a strategic decision rather than a luxury. Kara also explains how to break down the process of starting your own practice into manageable steps, regulate overwhelm, and create a realistic plan that fits your life.

If you are a physician considering private practice, navigating a career change, or looking for real-world guidance beyond surface-level business advice, this episode of the doctor podcast will give you clarity, momentum, and next steps you can use immediately.

Resources:

How to build a practice in 4 days - free crash course on how to build a practice - yes there is a checklist!.

Need real-time support as you build or grow your practice? Individualized expert coaching is available for physicians.