Like most growing businesses, mine reached a breaking point -- it was becoming a pain in the neck! I recognized the need to add support, and so a few weeks ago I added an online business manager. Here are the secrets I've learned from reaching this critical juncture in the growth of my entrepreneurial physician business.

The Entrepreneurial MD's December newsletter is out, and in it I tackle the issue of physicians creativity. I address what it means to "let go," because it is only by the inner act of letting go that one can truly engage in the outer act of creating. So here's your challenge for 2011: Figure out what you need to let go ... and then do it.

Physicians in solo or small practices face a major fork in the road: Either you will seek a "Sugar Daddy" to buy or take over your practice, or you will go it alone and eschew any payment other than cash or plastic. This has the makings of a Morton's fork dilemma for those who just want to be left alone to practice medicine.