Conduct peer reviews. Review your monthly statistical reports. Review each other's chart notes. If they are not, you should work to change that now, rather than several years from now when an insurance company or Medicaid inspector finds the same problem and assesses a large fine against your practice. Add several nurse practitioners to your practice.
Many people are quick to point out the differences between large and small offices.
Conventional wisdom tells us, of course, that it is much easier to make major decisions in a small office than in a large office because fewer people have to approve of and work with the decision. The politics in a small office can be just as hair-raising as large office politics. Whether you work in a large office or a small office, you should take time to agree on a set of goals for your practice. These goals should be shared with everyone who works for you. Once you have these goals in place, it will be much easier for everyone to make the correct decisions.