It's Not Just You with Dr. Kara Pepper

 in today's episode, we talk about the  patient arc -  the mental pathway by which patients recognize they have a problem, they identify you as the solution to that problem, how they build trust before meeting you for the first time, and how they engage with your practice    I also share the very low dopamine work of getting your forms together so that patie...

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...

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 J...

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 fo...

What got you here (hard work, managing every detail, longer hours, and self sacrifice) is not whawt will make you a successful entrepreneur.  Discerning which tasks truly require your time and energy will move your business forward effectively.   The decision matrix of Do/Decide/Delegate/Delete will filter your never ending to-do list into manageable goal-driven...

Most physicians starting a private practice ask the wrong question first. They want to know how much to charge, which model to use, or whether they should offer memberships, packages, or fee for service. Those are not the right starting points. In this episode, I explain the real questions you must answer before you choose a business model for your private practice. You will learn how to...

I hired a new physician for the practice who walked into a full schedule.  How did I do that?  I explain eight ways to fill your panel in today's episode.    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 ex...

Resentment is a compass that points you towards exactly what you need.  It can be a powerful tool to direct you in entrepreneurship.  I discuss today how we can live in reciprocity with the energy we put into our practice and not burnout.    How to build a practice in 4 days   - free crash course on how to build a practice - yes there is a checklist!. &...

I am hiring a physician to join my solo practice, and this year has been a lot of work in preparation for her arrival in November.  How did I know I was ready?  I go through five key elements of this decision today.    How to build a practice in 4 days   - free workshop October 13-16, 2025.  Crash course on how to build a practice - yes there is a check...

Dr. Scott Korotkin shares how his company AutonomyMD is disrupting the malpractice insurance industry, making it more affordable for private practice doctors to launch solo practices.  Dr. Korotkin is a Family Medicine physician, and you can contact him through his website .  How to build a practice in 4 days   - free workshop October 13-16, 2025.  Cras...

How to build a practice in 4 days   - free workshop October 13-16, 2025.  Crash course on how to build a practice - yes there will be a checklist!.   Need real-time support as you build or grow your practice? With   Coach in My Pocket , you’ll have weekday access to me through Voxer—a walkie-talkie style app that lets you send voice or text messages anytime. No scheduling,...

How to build a practice in 4 days - free workshop October 13-16, 2025.  Crash course on how to build a practice - yes there will be a checklist!.   Need real-time support as you build or grow your practice? With   Coach in My Pocket , you’ll have weekday access to me through Voxer—a walkie-talkie style app that lets you send voice or text messages anytime. No scheduling, no wai...

 Need real-time support as you build or grow your practice? With   Coach in My Pocket , you’ll have weekday access to me through Voxer—a walkie-talkie style app that lets you send voice or text messages anytime. No scheduling, no waiting. Just practical coaching, pep talks, and problem-solving right when you need it. Micropractice Mastermind   - a vetted, expert roadmap to start you...

Need real-time support as you build or grow your practice? With   Coach in My Pocket , you’ll have weekday access to me through Voxer—a walkie-talkie style app that lets you send voice or text messages anytime. No scheduling, no waiting. Just practical coaching, pep talks, and problem-solving right when you need it. Micropractice Mastermind   - a vetted, expert roadmap to start your own...

Need real-time support as you build or grow your practice? With Coach in My Pocket , you’ll have weekday access to me through Voxer—a walkie-talkie style app that lets you send voice or text messages anytime. No scheduling, no waiting. Just practical coaching, pep talks, and problem-solving right when you need it. Micropractice Mastermind - a vetted, expert roadmap to start your own practice. Join...

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 October 2025. Dr. Tom Davis is a family physician, author, and pioneer in value-based care, but his path to success started in a tiny practice with a bold contract. In this episode, Tom shar...

Dr. Mark Shrime is a surgeon, coach, author, and decision science expert, but his career wasn’t always this aligned. In this episode, he shares how he went from burnout and uncertainty to building a life and practice that reflect his values. Dr. Shrime opens up about the 10-year journey between his first moment of doubt and finally stepping away from traditional medicine. He talks about the import...

The so-called “Big Beautiful Bill” was passed by both houses of congress and signed into law by the president on July 4th, 2025. This bill will have a sweeping impact on the already declining healthcare landscape in America. Physicians who view reform not as a threat, but as a catalyst for reinvention, will be best positioned. Those clinging to the old model risk being commoditized; those who adap...

Before paying for google ads or any other marketing, you must be able to articulate a clear message. Caroline Harbin of COR Marketing met with the Micropractice Mastemind and provided a clear framework for digital advertising.  Whether you are starting a private practice, or you want to tailor your current practice, understanding these principles will save you time and money. ...

In this episode, I’m joined by Dr. Brittney Anderson, a board-certified family physician and founder of a thriving private practice in Alabama. Dr. Anderson shares the deeply personal and incredibly practical journey that led her from burnout in academic medicine to building a mission-driven, insurance-based solo practice that now has a waitlist of patients. Dr. Anderson didn’t just...

Today I share seven ways to burnout-proof entrepreneurship - especially for physicians building medical practices.     1. Start with a Lean Model 2. Prioritize Revenue-Generating Activities 3. Work in 90-Day Cycles 4. Theme Your Days to Reduce Decision Fatigue 5. Set “Enough” Metrics 6. Automate + Delegate Early 7. Schedule White Space - on Purpose     Takeaway: You c...

When the excitement of launching a practice wears off and the messy middle begins, many new entrepreneurs feel overwhelmed with what feels like an insurmountable journey ahead.  I talk about how to break this large task in to smaller achievable actions, and the short list of must-do items in building a practice.   Micropractice Mastermind  - a vetted, expert road...

The number one questions I am asked about how to build a practice, is "How much is this going to cost?" In cliff notes from the Mastermind, we review the top five items to consider when financially planning for a practice and growing your practice.   Micropractice Mastermind  - a vetted, expert roadmap to start your own practice. Join this physician communit...

I had no idea what I was doing and no community for support when I launched my medical practice.  It was scary and overwhelming.  Today, I walk through the naive mistakes I made when I launched my medical practice - so you don't have to make them.  Micropractice Mastermind  - a vetted, expert roadmap to start your own practice. Join this physician community as we...

I walk through the fundamentals of starting your own private practice, from the basic information needed to get started, malpractice insurance, business plans, startup costs, community support, and much more.   Micropractice Mastermind  - a vetted, expert roadmap to start your own practice. Join this physician community as we change the future of medicine.&n...