Independent doctors in San Diego are becoming a thing of the past. Unless you are with Kaiser, Sharp or Scripps, it may be difficult to sustain a reasonable practice. Even if you are with those health systems, you may be struggling to build a practice due to the oversupply of GIs in the region. As you know, it takes approximately 40K patient lives to support one GI, and in San Diego, I suspect we have at least one GI for every 10K-15K patient lives. Prior to accepting a position in San Diego, ask yourself the following:How busy will you really be? Will you be able to support your life style? Will you be able to afford a reasonable home based on the income you earn? Will you be able to enroll your children in private schools? Will you be able to travel with your family?If you cant get clear answers to all of the above, consider the following option:General GI with/without ERCP. Group practice/shared call. Endoscopy center ancillary revenue opportunity. Described by some as a young Irvin...