Real Talk: Running A Practice — Session 1
One attendee's question said it plainly: fourteen employees in two years, and still nobody kept the schedule full. Front desk turnover, no-shows, and staff who need constant oversight are the parts of running a practice nobody covers in training, and they're the parts that quietly burn physicians out.
Dr. Jyothi Juarez has run her endocrinology practice solo in the Houston suburbs for ten years, with no NPs or PAs on staff. In this Ask Me Anything, she walks through the exact systems she built instead: how she landed on two and a half staff members per physician, why she doesn't schedule a patient until insurance and paperwork are confirmed, and how she stopped micromanaging her front desk almost entirely. Watch the recording if you're staffing your practice by trial and error.
Our speaker
Dr. Jyothi Mamidi Juarez
Founder & Owner, Partners in Endocrinology
Dr. Juarez is a board-certified endocrinologist who founded Partners in Endocrinology in 2016 after roles in academic medicine and private practice, including endocrinology clinical faculty at UTMB and time in private endocrinology practice in Houston. She manages the full range of general endocrinology, with a particular focus on diabetes care, and has additional training in thyroid ultrasound, performing ultrasounds and biopsies in-office. She's also the founder of a private Facebook group of over 3,500 endocrinologists and has spoken at national endocrinology meetings on social media and private practice — bringing that same hands-on, no-nonsense perspective to how she staffs and runs her own clinic.
Highlights
- Why one solo physician landed on two and a half staff members per provider, and how she decides when it's time to add another team member
- The insurance verification workflow that gets patients a cost estimate before they walk in the door, so billing arguments at the front desk are a thing of the past
- Her no-show policy: the exact 48-hour window and $50 fee that keeps her schedule from clogging up with late cancellations
- Why she stopped micromanaging her front desk almost entirely, and what she watches for instead
- Her honest take on credentialing by region, working with Medicaid and Medicare, and figuring out realistic weekly patient volume without burning out