Cover of Taking The Cut

Taking The Cut

Taking The Cut

By: Dr. T
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In the OR, "taking the cut" demands absolute precision. In the business of medicine, it means betting everything on yourself.

One year into practice, two orthopedic hand surgeons walked away from the guaranteed safety of a hospital contract to do the unthinkable: start a private practice from scratch. No corporate safety net. No MBA. Just two surgeons, a massive mountain of overhead, and a vision for true medical autonomy.

Taking the Cut is a raw, bi-weekly dispatch from the trenches of medical entrepreneurship. We’re pulling back the sterile drape on everything they never taught us in residency—from wrestling with insurance giants and securing multi-million dollar loans, to marketing a new clinic and managing the daily chaos of a healthcare startup. Whether you’re a physician starving for independence, a resident planning your future, or an entrepreneur addicted to the build, tune in for the unfiltered, unscripted truth of what it actually takes to own your craft.

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Economics Hygiene & Healthy Living Leadership Management & Leadership Physical Illness & Disease
Episodes
  • Does Orthopedic Call Actually Build a Private Practice? My Honest Experience So Far
    4 Aug 2026

    Is taking orthopedic call worth it when you're building a brand-new private practice? In this episode of Taking the Cut, I share my experience during the early months of launching an orthopedic hand surgery practice and discuss whether hospital call is actually helping grow the business—or simply adding more work, stress, and after-hours responsibilities. I break down the types of patients call generates, whether they become long-term patients, the opportunity cost of taking call, and how I'm thinking about balancing practice growth with quality of life.

    If you're an orthopedic surgeon, hand surgeon, resident, fellow, or physician interested in private practice, this episode offers an honest look at one of the biggest questions facing new practice owners.

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    9 min
  • Starting a Medical Practice: Week 2 Update - Our First Major Setback
    21 Jul 2026

    Two weeks into starting a private medical practice, reality is already testing us. In this episode of Taking the Cut, I share an honest update on building a practice from scratch, the excitement of early momentum, and an unexpected setback.

    If you're interested in private practice medicine, physician entrepreneurship, healthcare business, orthopedic surgery, or the realities of starting a medical practice, this episode offers a transparent look at the highs and lows so far.

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    8 min
  • Leaving the Safe Path: Why I Bet on Myself
    30 Jun 2026

    Episode 3: In this episode of Taking the Cut, I share the story behind one of the biggest decisions of my career: leaving my employed position as a hand surgeon to open a new private practice. I talk about what wasn’t working, what I was afraid of, and the uncertainty that came with walking away from something secure before I felt fully “ready.”

    This episode is about the tension between comfort and autonomy, the anxiety that comes with taking a professional risk, and how that fear slowly gave way to confidence once I started building something of my own. If you’re a physician thinking about private practice, entrepreneurship, or making a major career pivot, this one’s for you.

    Email us at takingthecut@gmail.com

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    13 min
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