While starting a practice, taking a new position, or transitioning to a different practice type or location is a common step in an Otolaryngology career, this remains a daunting proposition and one that we are often ill-prepared for. Many of the practice management decisions we have to make are outside our expertise and comfort zone. We present a lively discussion of the key issues that will help make your practice transition a success. Pick your practice: private practice, academic, large group/employed model, locum tenens. Prepare for the hassles: EHR, rates and terms, Prior Authorizations. Fill your exam rooms (and keep them full): personal branding, reputation management, focus on service. Understand the essentials of getting paid: RVUs, revenue cycle, coding, MIPS. Create the right culture for your practice: vision, engagement, and team culture. Make every second count: lessons in efficiency. Use experts to help build and protect your practice: attorneys, accountants and brokers. This Panel Presentation will illuminate major topics an Otolaryngologist needs to understand to start a practice, join an existing single- or multi-specialty clinic, or accept an academic position. Presenters have extensive experience in private practice, group practice, and academic medicine, and will give their perspectives on building a successful career in Otolaryngology.