Your income has a ceiling
You trade hours for a capped salary, and the cap isn't moving.
Training for licensed clinicians
Build the practice insurance won't let you have.
Dr. Adam Sewell, MD trains physicians, NPs, PAs, and nurses to launch profitable cash-pay services — IV therapy, peptides, and regenerative medicine — using the license you already hold.
3 of 6 programs are free. No card required to start.
6training programs
3completely free
200+podcast episodes
MDboard-certified instructor
Why clinicians end up here
You didn't spend a decade in training
to bill someone else's codes.
Reimbursements fall every year. Documentation eats your evenings. Your RVU target goes up while your take-home stays flat. And the services patients actually want — and will pay cash for — are the ones your employer won't let you offer.
Someone else owns your calendar
Call, clinic, and charting decide your week before you do.
You build it, they keep it
You generate the revenue. The system keeps the margin.
The clinicians getting out of this aren't leaving medicine. They're adding one cash-pay service line to the license they already have.
The framework
The Freedom Through Prosperity method
Most physician business courses teach entrepreneurship in the abstract. These don't. Every program is built on one idea: monetize clinical skill you can deploy in weeks, not a startup you have to invent from scratch.
Pick a cash-pay modality
IV therapy, peptides, chelation, or regenerative medicine. Real patient demand, no insurance gatekeeper.
Get clinically competent
Protocols, dosing, contraindications, documentation. Certification you can stand behind.
Build the business layer
Entity structure, scope of practice, medical direction, pricing, and consent.
Fill the schedule
Patient acquisition built for a clinical practice, not a Shopify store.
The catalog
Six programs. Three are free.
Every program is self-paced with lifetime access. Start with a free one and move up when you're ready.
Start here
Free
Free Peptide Training Course
Safely prescribe and dose the peptide protocols your patients are already asking about.
- Core peptide classes and clinical indications
- Dosing, cycling, and contraindications
- Sourcing and compounding pharmacy relationships
FreeNo card required
Get access
Overview
Free
Free Regenerative Masterclass
An honest intro to regenerative medicine as a cash-pay service line.
- Where regenerative medicine fits in a modern practice
- Realistic revenue and patient volume expectations
- What to build first — and what to skip
FreeSeats are limited
Reserve a seat
Foundations
Under $30
Regenerative Medicine 101
The clinical foundation to get right before you invest in equipment or inventory.
- Mechanisms and the current evidence base
- Patient selection and screening
- Consent and documentation standards
$27Lifetime access
Enroll
Clinical skill
Under $30
MTHFR Gene Course
Interpret MTHFR variants and build a methylation protocol you can actually defend.
- Variant interpretation — and what it doesn't mean
- Methylation support protocols
- Explaining results without overclaiming
$27Lifetime access
Enroll
Certification
Under $50
IV Chelation Therapy Program
Protocols, safety, and monitoring to offer chelation as a clinical service.
- Agent selection and administration protocols
- Lab monitoring and adverse event management
- Patient selection and contraindications
$37Lifetime access
Enroll
Full build
Most popular
IV Therapy Program
The complete launch: clinical protocols plus the business system to open an IV service.
- Full formulary — hydration, vitamin, NAD+, specialty
- Compounding, sterile technique, and storage
- Medical direction, scope, and state compliance
- Pricing, packaging, and membership models
- Patient acquisition for a local IV practice
$197Lifetime access
EnrollOne IV therapy patient at typical cash-pay rates covers the cost of the $197 program.
Who's teaching this
Adam Sewell, MD
A board-certified physician who left the employed-clinician track and built a cash-pay practice around regenerative and integrative medicine. Host of the Medical Entrepreneur podcast, with 200+ episodes interviewing clinicians who've made the same transition.
Everything taught here gets practiced in his own clinic first.
- Board-certified physician
- Founder, Medical Entrepreneur training programs
- Host of the Medical Entrepreneur podcast
- Active cash-pay clinical practice
Free every week
The Medical Entrepreneur Podcast
Interviews and tactical breakdowns for clinicians building outside the insurance model. New episodes weekly — no pitch, just the mechanics.
Questions clinicians ask
Before you enroll
What is a medical entrepreneur?
A medical entrepreneur is a licensed clinician who builds a business around their clinical expertise rather than working solely as an employee. This usually means offering cash-pay services — such as IV therapy, peptide therapy, or regenerative medicine — that operate outside insurance reimbursement, giving the clinician direct control over pricing, scheduling, and scope.
Do I need to leave my job to start a cash-pay service?
No. Most clinicians start part-time, adding one service line alongside existing clinical work. Review your employment agreement for non-compete and moonlighting clauses before you begin.
Which cash-pay medical service is easiest to start?
IV therapy is typically the fastest to launch. Startup costs are relatively low, patient demand is established, protocols are well-defined, and it can operate from a small clinic space or as a mobile service.
Can nurse practitioners and physician assistants offer these services?
In most states yes, typically with a physician medical director and within state scope-of-practice rules. Requirements vary significantly by state, and each program covers how to verify the requirements in your jurisdiction.
How much does it cost to start an IV therapy business?
Startup costs vary depending on whether you operate mobile, from a shared space, or a dedicated clinic. The primary line items are inventory, supplies, liability insurance, entity formation, and medical direction where required.
Is peptide therapy legal to prescribe?
Legality depends on the specific peptide and its FDA and compounding status, which has changed materially in recent years. The free peptide training covers current regulatory status, sourcing, and compliant prescribing practices.
Do I need to be a physician to take these programs?
No. Programs are designed for MDs, DOs, nurse practitioners, physician assistants, and registered nurses, with scope-of-practice differences addressed within each program.
How long does it take for a cash-pay service line to become profitable?
Timeline depends on modality, local market, and time committed. IV therapy and peptide services generally reach revenue faster than regenerative medicine, which carries higher equipment and training costs.
What's included in the IV Therapy Program?
Clinical protocols and full formulary, sterile compounding and technique, medical direction and state compliance guidance, pricing and packaging models, and patient acquisition strategy. It's self-paced with lifetime access.
How is this different from a general business course for doctors?
General business courses teach entrepreneurship in the abstract. These programs teach specific, deployable clinical service lines, so you finish with a protocol you can run rather than a business plan you still have to write.
No card required
Start with a free program.
Three of the six cost nothing. Pick the one closest to what your patients are already asking for, and see whether this fits your practice before you spend anything.