In this week’s solo episode, we step away from interviews to talk candidly about what’s happening behind the scenes in our own careers. Lucas shares how his plan to move to Puerto Rico fell through, how he handled leaving his job without a clear next step, and why he chose to pivot into locums while also starting a company through an accelerator. Miguel walks through how he’s structured his practice differently, building relationships with hospital teams, expanding into multiple sites, and figuring out how to grow without losing control of quality or culture.
03:15 Why the Puerto Rico plan fell through and what changed
05:54 Transition into locums and securing short-term opportunities
09:42 Breaking down new compensation models and earning potential
17:44 Miguel explains building a hybrid model with hospital integration
27:14 Expanding into multiple sites and new service models
37:41 The long-term vision for growth, partnerships, and eventual exit
54:24 Closing thoughts on building, risk, and reaching out
Who Should Listen
Physicians exploring different ways to structure their careers, and anyone thinking about combining clinical work with building something on the side.
Follow Life of Flow
📲 Instagram: @LifeofFlowPodcast
👍 Facebook: Life of Flow Podcast
💼 LinkedIn: Life of Flow Podcast
🐦 X: @VascularPodcast
If this episode made you rethink how to navigate career pivots, uncertainty, and the trade-offs between stability and building something of your own, share it with a colleague who’s figuring out their next move. And if you’re enjoying Life of Flow, a quick review helps more physicians find conversations like this.
