How to Start Your Own Practice, From Practitioner to Entrepreneur

A Strategic Guide for Aspiring Dermatologists to Become Entrepreneurs

For many physicians, the decision to open their own practice stems from a growing desire for freedom—freedom to practice medicine on their own terms, to build a team they trust, to control their schedule, and to create an environment that reflects their values. After years of working within large healthcare systems or private equity-backed groups, it’s common to feel stifled by bureaucracy, disconnected from operational decisions, and frustrated by a lack of transparency around compensation and performance expectations. Many dermatologists find themselves unable to choose who they work with, limited in their clinical decision-making, and overwhelmed by inefficient systems, frequent no-shows, or noncompliant patients, with little ability to offer feedback or affect change.

Owning a practice offers an alternative. Some physicians know from the start that entrepreneurship is their path. Others discover it over time as they gain experience, pay off student loans, and realize they want more control over their careers. While not everyone sees themselves as a business owner, practice ownership doesn’t require you to have all the answers; it requires a willingness to lead and to grow into the role.

Going out on your own comes with tremendous opportunity: financial independence, autonomy over staff and operations, the ability to shape your own schedule and patient experience, and long-term options like selling your practice, bringing on a partner, or building a legacy that supports your retirement goals. But there are real challenges too. It takes investment, commitment, and a shift in mindset. If you’re uncomfortable making decisions or prefer to remain hands-off, ownership may not be the right fit. You have to want the responsibility that comes with the reward.

At the end of the day, both working within large healthcare systems and owning a practice each come with their own challenges to overcome. You can work for someone else and accept limited autonomy, or you can take the leap into ownership and build something of your own. Whether you’re just starting to explore the idea or you’re ready to begin right now, Solutions Maven Consulting is here to guide you through every step of the practice startup process—from vision to execution—so you can move forward with clarity, confidence, and the support you need to succeed.