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[FamousLinen]

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What are the odds you could do a residency and open a wellness/health clinic after? Doing things like laser skin treatments, hormone therapy, small procedures, botox, minimally invasive lipo, laser services, tattoo removal, chemical peels, varicose vein removal, all of this kind of stuff. If so, what would be the best residency to do so? How difficult is it/legal to do these things with only being trained in one specialty? I'm guessing family med would probably be the easiest/make the most sense? Idk. I imagine you'd have to practice a few years before having the money/resources/understanding to open such a place.

No, it's not about the money. I want to go into a low paying specialty, and it's my understanding most docs at these clinics make on the lower end (~250-275k based on the ones I've talked to).

 

[Dr G Oogle]

I know a few people that do this, if you own the clinic there’s a lot of overhead and you maybe be negatively perceived by other doctors in the community if you actually work there as someone who’s in it for the money and not doing medically indicated things or things you are trained to do like by deem, plastics, urogyn (if you’re offering vaginal rejuvenation). Therefore won’t get many referrals and it would mostly be business from self-referral. If you’re a simply an owner and also work in a reputable medical practice then you will be perceived as a savvy business person.
also in most “low paying” specialties you can find a job that pays at least that much with possible exception of pediatrics minus the headaches of running a business.

 

[Staphylococcus Aureus]

More of a business hurdle than a medical/legal one, everyone in academia thinks you can only look at a mole if you’re a Mohs trained BC dermatologist but in practice there are many clinics as you describe (though maybe not men only) run by a FM/IM/GS doc.

 

[InvestingDoc]

You can totally open this type of practice but money is going to be an issue. Just a heads up, the machines that do tattoo removal, laser, certain types of cosmetic procedures on the skin range anywhere from $80,000 on the low into half a mil on the high end.

Monthly payment plans on the machine alone is going to rune $3,000 per machine. Then you have rent, employee salary, and start up costs. You'll have to have the clinic look nice Because anything aesthetic related always has that nice appearance or at least it seems.

I would expect to spent about 1-2 million dollars to start up this type of practice.

 

[FamousLinen]

I know a few people that do this, if you own the clinic there’s a lot of overhead and you maybe be negatively perceived by other doctors in the community if you actually work there as someone who’s in it for the money and not doing medically indicated things or things you are trained to do like by deem, plastics, urogyn (if you’re offering vaginal rejuvenation). Therefore won’t get many referrals and it would mostly be business from self-referral. If you’re a simply an owner and also work in a reputable medical practice then you will be perceived as a savvy business person.
also in most “low paying” specialties you can find a job that pays at least that much with possible exception of pediatrics minus the headaches of running a business.

To your last point, I know. I wanna do psych, which would pay around the range I gave. Aka saying I’m not doing this so I can do a 3 year residency in FM then hope to make 500k a year. I would want it to not be sketchy/weird also, would try to focus on legit stuff.

 

[FamousLinen]

You can totally open this type of practice but money is going to be an issue. Just a heads up, the machines that do tattoo removal, laser, certain types of cosmetic procedures on the skin range anywhere from $80,000 on the low into half a mil on the high end.

Monthly payment plans on the machine alone is going to rune $3,000 per machine. Then you have rent, employee salary, and start up costs. You'll have to have the clinic look nice Because anything aesthetic related always has that nice appearance or at least it seems.

I would expect to spent about 1-2 million dollars to start up this type of practice.

Yeah I know a guy who does this. I don’t think it’s as much as you said but the cost is definitely steep. I think most of his machines he just leases, yeah over 30 years it’s more expensive, but it’s cheaper right now and in 30 years the machines will be two generations old and outdated anyways so who wants to own them.

 

[FamousLinen]

More of a business hurdle than a medical/legal one, everyone in academia thinks you can only look at a mole if you’re a Mohs trained BC dermatologist but in practice there are many clinics just as you describe run by a FM/IM/GS doc, even psych.

cool, thats good to hear. I know it’d be difficult to do the business/logistics side of things, but just wanted to know how much of a legal hurdle it was. I don’t wanna do sketchy things though, avoid as much as possible. And yeah, I wanna do psych so was hoping to have a focus on that aspect of it. Thanks.

 

[Pepe18]

cool, thats good to hear. I know it’d be difficult to do the business/logistics side of things, but just wanted to know how much of a legal hurdle it was. I don’t wanna do sketchy things though, avoid as much as possible. And yeah, I wanna do psych so was hoping to have a focus on that aspect of it. Thanks.

It's sketchy for a psychiatrist to be doing lipo, varicose vein removal, hormone therapy, and botox.

Plastics with a focus on cosmetics, derm, or any surgical field will give you the skill to do a lot of those things. You can do urology and focus on men's health treatments that are clinically indicated. Most men's health clinics have clinicians from differently specialties who cover different aspects of health

 

[FamousLinen]

It's sketchy for a psychiatrist to be doing lipo, varicose vein removal, hormone therapy, and botox.

Plastics with a focus on cosmetics, derm, or any surgical field will give you the skill to do a lot of those things. You can do urology and focus on men's health treatments that are clinically indicated. Most men's health clinics have clinicians from differently specialties who cover different aspects of health

Yeah, I wasn’t exactly set on those specific things, just kind of spit balling. Ideally yeah you’d have 3-4 docs each who can do their own things, but that just means you need more patients etc etc

 

[deleted393595]

You'll have to have the clinic look nice

Come on. It's a clinic catering to men. We don't care about aesthetics. Function matters to us more than form.

As long as it's safe and gets the job done, we don't care how stock the office decor looks

I mean, how many men buy store brand shampoo simply because it says shampoo on it? (Or maybe that's just me)

 

[Westcoaststudent95]

Come on. It's a clinic catering to men. We don't care about aesthetics. Function matters to us more than form.

As long as it's safe and gets the job done, we don't care how stock the office decor looks

I mean, how many men buy store brand shampoo simply because it says shampoo on it? (Or maybe that's just me)

I don't imagine the men getting botox and laser skin treatments are the same ones buying store brand shampoo. Feels like you gotta play the part for your desired clientele.

 

[InvestingDoc]

Yeah I know a guy who does this. I don’t think it’s as much as you said but the cost is definitely steep. I think most of his machines he just leases, yeah over 30 years it’s more expensive, but it’s cheaper right now and in 30 years the machines will be two generations old and outdated anyways so who wants to own them.

Build out alone for my clinic was 560k for 3,000 sq ft. Nothing super premium at all in it. Just walls, exam tables, flooring, counter tops, sinks and such. To be fair 80k of that was HVAC which they wont have to pay.

Then again construction costs in Austin are sky high for commercial real estate.

 

[Dr G Oogle]

The way I’ve seen this done is that docs like uro, ortho, even psych set these up and then hire and IM/FM doc to be the medical director. Then it becomes a business investment and a passive income stream. As a psych do you really want to be doing Botox and varicose vein stripping yourself? Is the impetus to open this clinic financial or desire to do these procedures?

 

[FamousLinen]

The way I’ve seen this done is that docs like uro, ortho, even psych set these up and then hire and IM/FM doc to be the medical director. Then it becomes a business investment and a passive income stream. As a psych do you really want to be doing Botox and varicose vein stripping yourself? Is the impetus to open this clinic financial or desire to do these procedures?

Honestly, yeah I'd like to do that stuff. It's both. Not specifically any type of procedure though.