"The Times They Are A-Changin” There are many practice opportunities for physicians to consider for the future. Will you remain in solo practice? Merge with others to form a bigger single specialty, multi-specialty group or ACO? Join a Foundation or University Affiliation? This workshop will present a balanced discussion of options and issues for physicians to consider before making these important practice decisions. This workshop has been presented for the California Medical Association /Western Leadership Academy for the last three years.
WHY SHOULD YOU ATTEND?
This workshop will be presented by experienced consultant, Debra Phairas, President Practice & Liability Consultants, LLC who has advised physicians in making these critical transitions including shoring up solo/small groups, merging practices, consulting on being acquired and negotiating compensation for physicians. She has worked with over 1,800 practices since 1985. Debra has also performed due diligence for acquisitions and devised physician compensation formulas for Foundations and Universities.
AREA COVERED
Topics Include:
- Is solo or small group practice viable for the future?
- How to survive and thrive by savvy management and marketing
- Merger Mania – Should you merge with others?
- Single Specialty or Multi-Specialty – pros and cons
- Joining a Foundation, University Affiliation or Hospital Outpatient Clinic Model
- When to consider an offer and How to assess an offer
- Will goodwill or intangible asset value be included or excluded and how will this be valued?
- How will tangible assets including equipment be valued?
- How many years should the contract be guaranteed?
- New models such as affiliation with Universities – Private Practice but with University Contract Rates
- Governance and decision making ability?
- Compensation models including base salary and $ per WorkRVU – How this works
- What will it be like being an employee?
- What if I want to leave?
- Will I be restricted from advocating for my patient? Malpractice Risks for Physicians
LEARNING OBJECTIVES
- Attendees will learn how to compare “apples to apples” with present compensation versus WRVU formula offers
- Attendees will learn how to negotiate the sale of the practice to a hospital
- Attendees will learn important elements to negotiate in contracts to avoid malpractice conflicts of interest
WHO WILL BENEFIT?
Physicians, Clinics, hospital executives, Medical practice administrators
This workshop will be presented by experienced consultant, Debra Phairas, President Practice & Liability Consultants, LLC who has advised physicians in making these critical transitions including shoring up solo/small groups, merging practices, consulting on being acquired and negotiating compensation for physicians. She has worked with over 1,800 practices since 1985. Debra has also performed due diligence for acquisitions and devised physician compensation formulas for Foundations and Universities.
Topics Include:
- Is solo or small group practice viable for the future?
- How to survive and thrive by savvy management and marketing
- Merger Mania – Should you merge with others?
- Single Specialty or Multi-Specialty – pros and cons
- Joining a Foundation, University Affiliation or Hospital Outpatient Clinic Model
- When to consider an offer and How to assess an offer
- Will goodwill or intangible asset value be included or excluded and how will this be valued?
- How will tangible assets including equipment be valued?
- How many years should the contract be guaranteed?
- New models such as affiliation with Universities – Private Practice but with University Contract Rates
- Governance and decision making ability?
- Compensation models including base salary and $ per WorkRVU – How this works
- What will it be like being an employee?
- What if I want to leave?
- Will I be restricted from advocating for my patient? Malpractice Risks for Physicians
- Attendees will learn how to compare “apples to apples” with present compensation versus WRVU formula offers
- Attendees will learn how to negotiate the sale of the practice to a hospital
- Attendees will learn important elements to negotiate in contracts to avoid malpractice conflicts of interest
Physicians, Clinics, hospital executives, Medical practice administrators
Speaker Profile

Debra Phairas, MBA, is President of Practice & Liability Consultants, LLC a nationally recognized firm specializing in practice management and malpractice prevention. Her background includes medical clinic administration and loss prevention management for NORCAL Mutual, a physician malpractice insurance carrier in Northern California. Her BS is from Michigan State University and her graduate work at Golden Gate University, San Francisco MBA Health Services Administration program. Her consulting experience includes over 1,800 practices of all sizes and specialties. Typical engagements include: practice start-ups, practice assessments, mergers, financial analysis, revenue enhancement, overhead reduction, personnel management, over 380 practice valuations, expert witness, partnership issues …
Upcoming Webinars

The Importance of the first 5 seconds when presenting

Project Management for administrative professionals

How to Reduce Human Error in a GMP Manufacturing Floor

Trump’s Executive Orders on DEI and Disparate Impact, and t…

How Accountants Can Use Chat GPT Effectively


The OBBBA Era & Beyond: Your 2025 Playbook for Compliance a…

Pivot tables beginner to advanced + 20 advanced Pivot table…

Changing Behavior: Why Rewards and Punishments Often Aren't…

Launch Your Career: The Ultimate Guide for Emerging Profess…

ChatGPT Unlocked: A Beginner’s Guide to AI and ChatGPT

Managing Toxic & Other Employees Who Have Attitude Issues

Data Integrity – In compliance with CSA, 21 CFR Part 11, Sa…

Effectively Handle Toxic People for Better Productivity and…

Re-imagine Finance & Accounting Made Simple. Three Webinars…

Employee Handbooks: 2025 Critical Issues

Better Business Writing-How to Write Right

The five qualities every successful leader must develop



How to Lead and Manage a Narcissistic Employee

Use of AI and GPT for Finance Professionals

ChatGPT and Project Management: Leveraging AI for Project M…

Analytical Method Validation Under Good Laboratory Practic…

Harassment, Bullying, Gossip, Confrontational and Disruptiv…

Excel What-If-Analysis Decision-Making Tools

How to Write Contracts for Procurement Professionals

Maximizing Productivity with ChatGPT: AI Solutions for HR, …

I-9 Audits: Strengthening Your Immigration Compliance Strat…

Dealing With Difficult People: At Work & In Life

Excel - Reporting Simplified - Learn Pivot Tables from Scra…



Retention Starts Here: Stop Losing Your Critical Talent and…

Turning Workplace Conflict into Positive Connection

Project Management for Non-Project Managers - How to commun…


The Business Case for LGBTQIA+ Inclusion in the Workplace: …

Conquer Toxic People - Learn To Protect Yourself And Get Yo…


AI-Powered Change Leadership Operationalizing AI: Practical…

AI and Human Resources: The Great Opportunity!

Cyber Security Incident Response Team Training Program

Transforming Anger And Conflict Into Collaborative Problem …


The Courage to Speak: Overcoming Fear and Owning the Room

Finance & Accounting 101 Simplified

6-Hour Virtual Boot Camp on Microsoft Power BI