Physicians are navigating significant changes in how care is paid for and delivered. In this Doctors Eyes Only episode, Vestia Partner and CEO Lauren Oschman, CFP®, CDFA®, talks with Ian M. Thompson III, MD, MBA, a third-generation urologist and founder of Urology Locums, about the business mechanics behind medicine. They discuss why understanding RVUs, the Medicare physician fee schedule, and the split between professional fees and facility fees is important for maintaining autonomy, income stability, and quality patient care.

The conversation covers financial planning for physicians and wealth management for doctors, including the tradeoffs among hospital employment, private practice, and private equity. They also discuss aligning incentives with patient care, managing overhead, and using models like direct primary care to support access and sustainability. Additional topics include physician advocacy, contract strategy, innovation in practice structure, and physician retirement planning with a long-term focus and greater control.

For physicians who want to better understand the financial and operational systems that shape their work, this episode provides a clear look at the business of medicine and how to connect career decisions with Wealth That Matters®.

Thinking about locum tenens but not sure where to start? In this Doctors Eyes Only episode, Vestia Partner & CEO Lauren Oschman, CFP®, CDFA® sits down with Ian M. Thompson III, MD, MBA, a third-generation urologist and founder of Urology Locums, to demystify how locums really works for physicians. They cover when locums makes sense, how contracts are structured (flat day rates vs. base plus callback), what hospitals actually pay, and how to protect your value when agencies insert big margins. Dr. Thompson also shares the administrative realities he sees on the hospital side and why the best programs are designed for physician autonomy.

You will hear practical guidance for financial planning for physicians: treating 1099 income like a real business, lining up malpractice and an LLC, understanding AR and collections timelines, and partnering with the right tax and financial team. The conversation explores how locums can help physicians pay down medical school debt faster, test markets before a permanent move, bridge a job gap, and even reshape physician retirement planning by reclaiming time now instead of deferring all joy to “someday.”

If you have wondered whether you need an agency, what “name-clearing” traps to avoid, or how to negotiate confidently, this episode is your field guide. Learn how a physician-led locums model can improve access to care and pay doctors fairly from a urologist-founder who built it.
To find more information about Ian M. Thompson MD and Urology Locums, https://www.urologylocums.com/about-us

Welcome to the Doctors Eyes Only podcast, where this week we are continuing right where we left off in our last episode, “Doctors & The New Tax Bill: What Actually Changes?” In that conversation, Vestia Partner and CEO Lauren Oschman, CFP®, CDFP®, and Partner and Chief Growth Officer Kameron Helmuth, CFP®, ChFC®, reviewed key highlights of the OBBBA tax legislation and how those changes could impact physicians. This week, after a brief introduction from Lauren, Kameron takes a deeper dive into one of the most physician-relevant areas of the law: depreciation strategies.

He walks through the return of 100 percent bonus depreciation, how cost segregation studies can support more precise tax planning, and when physicians might consider using these tools. The conversation is especially helpful for private practice owners, real estate investors, and physicians seeking to manage taxable income while aligning financial decisions with long-term goals.

Subscribe to Doctors Eyes Only on your favorite podcast app or on YouTube to stay up to date on financial strategies built specifically for physicians.

Keywords: financial planning for physicians, private equity for doctors, physician retirement planning, financial planning for women physicians, tax planning for doctors, bonus depreciation, cost segregation, wealth management for doctors.