I have been consulting doctors on where to practice for more than 30 years and I have learned a few things that you may want to know: 1. Your marital status will influence where you want to practice. 2. Your likelihood of wanting to marry another doctor, regardless of their practice type or profession, is going to matter, 3. Finding someone is getting harder than ever.

This episode takes briefly about these issues and what to do about your situation.

Pediatric Practices are not the only ones put at risk by a declining birthrate.  Through direct and non-direct means, all practices and businesses can be hurt when there are declining rates of birth.  This episode talks a little about why this is happening and hints are where the most impact will be felt.

I know that there are some serious advocates for you becoming an "employee doctor."  I suppose that works for some.  But if you want to make "serious money" you are going to haver to consider being an owner and you have to consider what makes a "reasonable risk" in terms of location.  That is what we are here to tell you.  I am sorry to say but the marketplace is dividing.  Some places look better and better while others are looking worse and worse.

Every year about this time I produce a list of locations that are showing the best potential sites for a start-up practice in the U.S.  I have tried to get less specific this year than in the beginning.  When I first started, there was a rush of folks trying to get to these sites first.  Now, I am describing locations that are broad enough to support several offices being created at one time.  These locations are widely distributed as well.  Enjoy!