You spent years becoming an exceptional physician. Nobody taught you how to run the business.

Strategic operations support for physician coaches, consultants, and clinic owners who are ready to build a business that actually runs without them.

Notebook and gold pen on closed laptop with a coffee mug and candle, showing a calm setup for CEO-level planning.
Close-up of a woman’s hand writing in a daily planner beside a laptop and calculator — mapping out strategic operations to reclaim her time and lead like a CEO.

Does this sound familiar?

You are managing a clinical career and a business, and everything still runs through you. Your team waits on you for decisions, and even what you delegated lands back on your desk.

There is no clear plan for this quarter, so projects sit half done and no one is holding you or your team to them. Revenue is growing, but you are not sure what the business actually keeps, or whether you are paying yourself consistently.

You wanted more flexibility. Instead you traded one demanding schedule for another, and the back end feels too messy to show anyone.

This is exactly where most of my clients started.

HerE IS WHAT BECOMES POSSIBLE:

The decisions, the questions, and the follow-up come off your desk. Your team moves without waiting on you, and the business keeps going while you coach, see patients, or take a week away. That is the flexibility you started this business for.

You know what matters this quarter, someone holds you to it every week, and the projects you start get finished. You also know which offers are profitable and what the business keeps, and you pay yourself consistently.

For my clients, that has meant 40% fewer decisions reaching their desk each week, 60% fewer daily fires, and thousands of dollars a year saved on recurring expenses they no longer needed.

Whether you need a strategy for how your business runs or someone to hold you to it, I meet you where you are.

Step 1: The Workup

Free. 30 minutes

You bring one specific challenge: a team that waits on you, a plan that never got made, or money you can’t quite account for. As a former RN and Nurse Manager, I understand your world before you say a word, so the full thirty minutes go to your business.

Book Your Physician’s Business Workup

Step 2: The Diagnosis – Your 90-Day Map

$1,500 USD. One time.

You know where your time and money are leaking, which work to stop, and exactly what your next 90 days look like.

It is for the physician coach who knows something has to change and wants a clear plan before committing to anything ongoing.

After your 90-Day Map:

  • You stop guessing. You can see what keeps pulling you back in and what you can hand off.
  • You know where the money goes. Which offers are worth keeping, and what you can stop paying for.
  • Your team knows what matters this quarter, who owns each piece, and what to let go of.
  • You start the next morning with the plan in writing, after we walk through it together.

What it takes from you: two working sessions where we look honestly at where your business is today, across every area of it, and where you want it to go next. I do the strategic thinking and write the map.

Step 3: The Treatment – Strategic Partnership

Starting at $1,500 USD a month. Three-month minimum.

You have a clear strategy for the quarter and someone holding you to it every week, so your plan gets finished and fewer decisions land on your desk.

It focuses on how your business runs behind the scenes: your team, your projects, your numbers, and your profit. It is built for a physician coach who already has a VA, an OBM, or a small team to carry out the work.

How it runs: a weekly strategy call, a quarterly plan that I lead, and answers between calls within two business days. Because I work inside several physician-led businesses, I see patterns early, like the hire that is about to go sideways or the offer that earns less than it looks.

At $250 to $350 an hour, one hour a week spent on work someone else could do costs you $13K to $18K a year.

No one to hand it to yet?

Strategic Partnership with Implementation. Starting at $2,500 USD a month. Three-month minimum.

You get the plan and the hands to carry it out, without hiring anyone.

Everything in the Strategic Partnership, plus an implementer on my team who does the work. The work gets done to your standard without you managing anyone. More implementation can be added when you need it.

What Clients Say

“I can think up an idea and suddenly there’s a landing page for me to go and look at. My role is now more in the tweaking and aligning rather than creating from scratch. That blank page that frightened me is gone.”

~ Dr. Sarah Smith, Physician Coach

“I highly recommend working with Donna. Her fresh set of eyes on my business found gaps, opportunities for growth, and support for our day to day business.”

~ Angela Pereira, First Line Education

Read how one physician coach built a business that runs without her.

Who is behind this:

I am Donna Dube. Certified Director of Operations and former RN and Nurse Manager of a multidisciplinary outpatient cardiac clinic.

I have spent years working inside physician-led organizations. I understand the pressure, the pace, and what it actually takes to build a business alongside a clinical career.

I have supported 25+ strategic hires, helped clients reclaim 1,000+ hours, and worked with physicians to build the systems, teams, and structure that let their businesses grow without the chaos.

When you tell me what your clinical world looks like, I already understand the context before you finish the sentence.

Read how the 5P Operating Rhythm works.

Questions Physicians Ask Me

You leave with your clearest first step, in writing. If you want a full 90-day plan, the next step is the 90-Day Map. You decide each step as you go.

The Workup is free, and paid support starts at $1,500 USD. Your monthly investment depends on the size of your team and how much support you need, and we talk it through on your Workup before you commit to anything

You can start either way. If you have a VA, an OBM, or a small team, the Strategic Partnership gives them direction. If you have no one yet, the implementation option gives you an implementer I direct.

It takes less time than you spend now answering your team’s questions. Your part is a short strategy call each week and a planning session each quarter. I prepare for each call, follow up afterward, and keep the work moving in between, so the time you give goes to decisions. Most clients feel their week getting lighter within the first 90 days.

You can start exactly where you are. Seeing the real state of things is how I find what keeps pulling you back in, and no one is judged for it.

Think of it as a fraction of a fractional. A Fractional Director of Operations works inside your business every week, managing the team and the projects. The Strategic Partnership is a smaller piece of that same work: I set the plan and the priorities with you, hold you to them every week, and your team carries them out.

A business coach helps you think and decide. I get what you decide into action. I work as your Chief Outcomes Officer: I take the ideas you bring, including the ones you work out with your business coach, and turn them into a plan with projects, owners, and dates. Then I keep that work moving until it is done. If you have a business coach, keep them.

Plans stall when no one comes back to check them. The weekly calls and the quarterly review are there so your plan gets revisited, adjusted, and finished.

Not sure where to start?

Start with the Workup

You bring one challenge for thirty minutes and leave knowing the first thing to take off your desk.

Own a clinic? Book the same Workup and I will walk you through how this works for a clinic team.

Looking for a Fractional Director of Operations? My embedded spots are full right now. Mention it on your Workup and we will talk about timing.