The Money PA

Rating advice for clinicians dreaming of fixing the system based on how much of it is actually useful:

Knowing you can do it better: 10/10
Because you probably can.
You’re the one in the room seeing what’s broken every single day.

Realizing clinicians are the BEST people to fix it: 10/10
Not consultants who have never practiced medicine.
Not executives removed from the bedside.
Not app developers and tech people (at least not alone).
You!

Identifying a gap and solving it with a product: 9/10
Complaining doesn’t change the system.
Solutions do.

Seeing the system as broken: 9/10
You have to name the problem before you can solve it.

Learning to translate clinical skills into business skills: 8/10
You already know how to problem-solve, communicate, and lead.
Now you just need to apply it differently.

Confidence in selling: 7/10
If you don’t talk about your solution…
no one benefits from it.

Feeling like “who am I to do this?”: 7/10
Normal. Expected.
Not a reason to stop.

Doubting yourself: 2/10
It will slow you down, not protect you.

Letting others earn your piece of the action: 1/10
If you don’t build it… someone else will.
And they’ll profit from the problems you identified.

Your ideas die with you: 0/10
The system stays the same when you stay silent.
You don’t have to fix healthcare overnight.
But you can start building something better.

Inside the Clinician Entrepreneur Collective, we take the ideas in your head and turn them into real, revenue-generating businesses—without burning you out in the process.

Join the waitlist → www.tracybingaman.com/waitlist

There’s something about travel that makes me read differently.

Slower.
Deeper.
More honestly.

Here are four books currently shaping the way I think about life, relationships, ambition, addiction, identity, and becoming:

📚 Rich Relationships [https://amzn.to/3R7qnHC] by Selena Soo
I’m only in the introduction and already highlighting like a maniac. This book feels like a masterclass in generosity, connection, and becoming the kind of person people feel deeply seen by. I want to be Selena Soo when I grow up… with the heart of the best connector I know, Patrick O'Malley.

If you’re investing more intentionally in people instead of subscriptions, things, and endless tech… put this on your list.

📚 Instructions for Traveling West [https://amzn.to/4uREO1c] by Joy Sullivan

I’m not typically a poetry girl… but wow. This collection felt like someone cracked open the complicated inner world of womanhood, ambition, safety, reinvention, and truth.

A MUST READ for women questioning the way it’s always been done. Especially if you’re navigating change, identity shifts, or new frontiers.

📚 Dopamine Nation: Finding Balance in the Age of Indulgence [https://amzn.to/4tSPADv] by Anna Lembke

I read this cover to cover while traveling yesterday to and could not put it down. I felt devastated, enlightened, convicted, hopeful… and then all of those things again.

This book fundamentally changed the way I think about reward, pleasure, addiction, phones, social media, parenting, achievement, and being human in modern society.

A must read for parents, clinicians, anyone navigating addiction, or anyone craving a deeper and more present human experience.

📚 The House in the Cerulean Sea [https://amzn.to/438FWBs] by TJ Klune

An out-of-the-box pick for book club this month and I’m unexpectedly obsessed. Thought-provoking, whimsical, tender, and fascinating. I’m listening on Audible and genuinely cannot wait to hit play again to see what happens next.

Your turn:
What’s the best thing you’ve read lately?

It's been a good run, iPhone headshot.

Taken in the basement of our house, ring light, self-timer, edited in Canva. Shadow-y background removed and replaced.

It's served me well, but it's time for an upgrade.

Thrilled to be reconnecting with Zack Smith Photography today and taking a new headshot!

Just a friendly reminder that you don't need a fancy website to run a business. You have an iPhone. You don't NEED professional headshots (I haven't had one in years!)

Most people don’t have a sales problem.

They have a misdiagnosis.

They expect marketing to close deals.

And they expect sales to scale.

Marketing and sales aren’t interchangeable.

They’re sequential.

Marketing earns attention.

Sales converts attention into customers.

Marketing says: “This might be for you.”

Sales asks: “Is this actually right for you?”

When you blur the two:

→ You attract the wrong people

→ You have awkward conversations

→ You blame “pricing” or “the market”

When you separate them:

→ Better-fit clients

→ Cleaner conversations

→ Higher conversions (without being pushy)

Unpopular opinion:

If your sales feel hard… your marketing probably isn’t doing its job.

You might be confusing people in your marketing messaging.

Different roles. Same mission. Better outcomes.

Rating popular advice for clinical entrepreneurs based on how much of it is actually useful:

Being aware of the risk: 10/10
This isn’t a hobby. It’s a business.
Know what’s at stake.

Taking risks anyway: 10/10
You cannot build something different while playing it completely safe.

Not being afraid to innovate: 9/10
Healthcare is behind.
That’s your opportunity.

Following evidence-based business practices: 9/10
Hope is not a strategy.
Data > vibes.

Connecting with other entrepreneurs: 8/10
You need people who think differently than your clinical peers. Consider joining ShiftChange or the next cohort of my group the Clinician Entrepreneur Collective (we start June 1st!)

Rebranding again (and again and again): 4/10
Clarity comes from consistency, not constant reinvention.

Unclear mission: 3/10
If you can’t explain what you do… you don’t have a business yet.

Unclear who you serve: 3/10
Trying to help everyone = helping no one.

All the ideas but no products: 2/10
Ideas don’t make money.
Ex*****on does.
(Honestly, my integrator and COO Sarah Miller, MS, PA-C is the only reason I'm swimming in dollars and not only ideas without executing any of 'em)

Changing direction every 10 minutes: 2/10
Pivoting is strategic.
Chaos is not.
Beware the 360 degree pivot in business.

Giving your product away for free: 1/10
Free doesn’t build a sustainable business.
It builds an exhausted founder, no revenue, and the feeling of failure.

Borrowing money to launch day 1: 0/10
You don’t need debt.
You need proof of concept.

Which one of these did you have to learn the hard way?

Most people think sales is about persuasion.

Convincing someone to purchase.

Sales, is nothing like that.

It's actually just like medicine...

It’s about first making the diagnosis.

In medicine, we don’t treat before we understand the problem.

In business, people do it all the time. (See every cold message selling you with the assumption they can solve a problem they have not yet identified if you actually have yet!)

That’s why sales feels uncomfortable—

you’re being asked to prescribe without a history and physical.

There are only two parts to any effective sales conversation:

Part 1. The Consultation → Diagnosis

Ask better questions.

Listen closely.

Use the skills you use in the exam room on your next sales call.

At the end of the consultation you should be able to answer one question:

Does this person have the problem I solve?

If the answer is no— you don’t sell.

You thank them for their time.

You inquire about possible referrals and how you can help them.

Part 2. The Informed Consent

If the answer is yes— they DO have the problem that your product helps, then you move on to the Informed Consent Sales Framework.

You outline

– The problem

– The solution

– The plan

– The stakes

– The next step

The best salespeople don’t convince.

They guide.

And clinicians?

You’re already trained to do this.

You've done it 7,000 times with patients in your career and likely 72 times this week.

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→ Follow for more on building income beyond clinical medicine

→ Join the Clinician Entrepreneur Collective waitlist: www.tracybingaman.com/waitlist

Most clinicians don’t need more information.
They need a plan that actually works in real life.

Because right now?

You’re smart. Capable. Experienced.
And still trying to Google your way through building a business between patients, pickups, and charting.

That’s exhausting.

The Clinician Entrepreneur Collective changes that.

Inside CEC, you get:
→ A community of clinicians who get it (no explaining required)
→ Coaching that actually moves the needle
→ A way to translate your clinical brain into CEO decisions
→ Systems that make your business feel… sustainable

Not chaotic. Not confusing. Not like a second full-time job.

This is how you stop guessing
…and start building something that gives you time, energy, and options.

Because your business shouldn’t burn you out.
It should buy your freedom.

—

If you’ve been thinking about it… this is your sign.

📅 Book a call: https://calendly.com/the-pa-is-in/gen-call

Let’s map out what this could look like for you.

A healthy business has systems.

A struggling business has symptoms.

If something feels off—

it probably is.

Let’s biopsy, diagnose and treat it.

→ Book a call to see if Clinician Entrepreneur Collective is right for you [https://calendly.com/the-pa-is-in/gen-call]

Most clinician entrepreneurs don’t fail because they aren’t smart enough.

They fail because they build something nobody actually asked for.

Here's the deal:

Healthcare trains us to be excellent clinicians… not necessarily excellent business owners.

In this week’s episode of The PA Is In, I sat down with entrepreneur, consultant, former dermatology PA, and absolute powerhouse Kasey D'Amato to talk about what actually makes businesses work.

Kasey shares her journey from practicing dermatology in California and managing celebrity patients… to building and exiting a global skincare company after raising millions in capital.

Now she advises companies doing $10M–$100M+ annually, and this conversation felt like getting a backstage pass to the realities of entrepreneurship.

We talked about:

- Why “if you build it, they will come” is terrible business advice

- The difference between owning a business vs. owning a job

- Why clinicians often struggle with sales and marketing

- The myth of “freedom entrepreneurship”

- How to validate an idea before wasting time, money, and energy

- Why mentorship and community matter more than trying to “figure it out alone”

- The emotional intelligence entrepreneurship forces you to develop

- Why failure is often the fastest path to growth

One of my favorite takeaways?

Entrepreneurship isn’t just about creating more income.

It’s about creating options.

The ability to practice medicine by choice, not obligation.

The ability to build something aligned with your values, your lifestyle, and your vision for your future.

If you’ve been dreaming about starting something outside the exam room… this episode is for you.

iTunes: https://podcasts.apple.com/us/podcast/371-biz-why-most-businesses-fail-before-they-ever-start/id1534076810?i=1000766594537

Spotify: https://open.spotify.com/episode/7d8C8Zov8cXypetVViOo8i?si=3NsH9JtWRFKVAAHBilu7Aw

Links:

Kasey D’Amato https://www.kaseydamato.com/

Connect with Kasey on LinkedIn Kasey D'Amato

Resources & Next Steps:

Join the Clinician Entrepreneur Collective waitlist: www.tracybingaman.com/waitlist

Book a call: https://calendly.com/the-pa-is-in/gen-call

Most sales conversations fail for one reason:

They skip straight to the pitch.

No questions asked.

No time spent on the history and physical.

No diagnosis & treatment plan recommendations.

No time spent making a diagnosis, building rapport or trust.

In medicine, we’d never presume to treat before diagnosing the problem.

So why are we doing it in business?

The best sales conversations follow a familiar framework:

If this sounds a lot like Informed Consent Conversations, you're not alone...

Diagnose the problem

Offer the solution

Outline the plan

Explain the stakes

Ask for the next step

That’s not pushy.

That’s informed consent.

You’re not convincing.

You’re guiding.

Clients or patients.

Same skills.

Different application.

→ Follow for more clinician-to-CEO strategies

→ Join the waitlist for Clinician Entrepreneur Collective (we start June 1st): www.tracybingaman.com/waitlist