Medical Practice case Study #2
Weakness 5 Failing to recognise the economic factors affecting Your Practice
The way that the market place will view your Practice value may change in line with trends and needs that you service. Staying abreast of market and patient demand can allow you to update your Practice model, and taking those changes into account will be every bit as important as re-evaluating your Practice value.
Practices operating in country and outback areas, where there is a sparse population, may have fewer potential succession options and eventual buyers. This is because many of the younger GPs are reluctant to set themselves up for what they reckon will be a life of isolation and a lack of social facilities. The loss of essential medical services to our nation’s population will surely mean poorly serviced country areas, with continued rising costs to the health system, as the supply of doctors in those regions shrinks.
CASE STUDY # 2 Continuity Strategy used for a remotely operated Practice
We can learn a lot by considering the strategy that one GP named Dr Richard had implemented, to overcome the burden of the difficulties involved in being remotely located. Dr Richard took it upon himself to sponsor a talented student named Ian from his community through medical school. This student, having strong family ties to the local area, was more likely than most others to want to return to the region if he could be assured of career prospects there. Dr Richard seized the opportunity to build his succession plan, and secured an agreement with Ian to join his Practice, after all the required qualifications and training had been obtained. Both parties benefited from the agreement, with Ian receiving substantial financial support throughout his study time at medical school, and with Dr Richard gaining the assistance and continuity which he required, via a legal commitment plan from Ian to work in his practice.
There is nothing to prevent GPs from any area to develop a similar strategy to assure a potential candidate for their Practice. There are a number of students who will graduate with significant HECS debts who may be equally attracted to the possibility of commencing their career with a clean financial slate.
It is noteworthy that the Australian government has put in place a scholarship program available for medical students, to encourage more GPs in regional areas.
The Bonded Medical Places (BMP) Scheme allows up to 6 00 students to receive HECS reimbursements, in exchange for a commitment requiring them to work in districts where there are shortages of general practitioners. They must do so for a minimum of six years after gaining the general practitioner fellowship.
In addition, the Medical Rural Bonded Scholarship (MRBS) enables up to 1 00 students who are prepared to commit themselves to working in rural locations for a minimum of six consecutive years, after completing fellowship studies as general practitioners, to receive (from 2 01 0) $24,2 07 per annum, tax-free, and indexed annually, while they study.
To understand the full details of these scholarships, go to the website at:
http://www.health.gov.au/internet/main/publishing.nsf/Content/D65FB9AE1592BA45CA25774A0007
The cost of failing to identify the economic factors that affect your practice:
Your practice valuation may change in line with economic trends, the needs of the community that you service, and the general perception of the value of your service to its community.
Staying abreast of market and patient demand can allow you to update your practice model, and taking those changes into account will be every bit as important as re-evaluating your practice value when seeking a buyer for your practice succession.
Practices operating in country and outback areas may have fewer potential succession options and eventual buyers, because many younger or up and coming GPs are reluctant to set themselves up for what they believe will be a life of isolation and a lack of social facilities frequently experienced in country areas. This results in multiple forms of loss – to the medical practitioner who is keen to sell the practice for a a fair profit, and to the communities of our nation’s country areas, due to the loss of essential medical services. With continued rising costs to the health system, the supply of doctors in remote regions slowly shrinks.
There are however win-win solutions that could help to turn around this dilemma…

CASE STUDY #2 – Practice succession strategy for a country GP
Dr Richard, a GP in a small country community, implemented a well constructed succession plan to overcome the difficulties he faced in selling a remotely located general practice. Here are the main features of his continuity strategy:
- Dr Richard sponsored Ian, a talented student from his community, through medical school.
- Ian, having strong family ties to the local area, was more likely than most to want to return to the region if he could be assured of career prospects there.
- Dr Richard seized the opportunity to build his succession plan, and secured an agreement with Ian to join his practice as soon as Ian was fully qualified.
- Both parties benefited from the agreement, with Ian receiving substantial financial support during his studies at medical school, and with Dr Richard gaining the assistance and continuity which he required, via a legal commitment from Ian to work in the practice.
There is nothing to prevent GPs in any location from developing a similar strategy to assure a potential candidate for their practice. Many Medical students will graduate with significant HECS debts, so may be attracted to the possibility of commencing their career with a clean financial slate, by accepting a similar arrangement as offered by Dr Richard to Ian.
Government incentives that may assist your practice succession
The Australian Government has instituted a scholarship program for medical students with the specific purpose of encouraging more GPs to practice in regional areas.
The Bonded Medical Places (BMP) Scheme allows up to 600 students to receive HECS reimbursements, in exchange for a commitment to work in districts where there are shortages of general practitioners. They must do so for a minimum of six years after gaining the general practitioner fellowship.
In addition, the Medical Rural Bonded Scholarship (MRBS) enables up to 100 students who are prepared to commit themselves to working in rural locations for a minimum of six consecutive years, after completing fellowship studies as general practitioners, to receive (from 2010) $24,207 per annum, tax-free, and indexed annually, while they study.
You can read more about the details of these scholarships my latest book, “Your Practice Succession: How to Leave a Legacy and Reap the Rewards of a Lifetime of Service to Your Community”
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To Your Profitable Practice Exit,
Leigh Riley
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