This course will describe the competitive advantages and disadvantages of a single specialty private practice and different group sizes, looking at academics and faculty practice through a competitive lens. Over the last 10 years, ENT practices have seen higher copays and deductibles, dwindling reimbursement in diagnostic audiology and higher expenses overall. Practices need to focus on growing their business to thrive. This course offers various strategies to achieve maximum efficiencies. In addition, physicians beginning to focus on recruitment, mergers and acquisition will learn from leadership of the largest ENT practice in the country about the best value proposition and we will reflect on the pitfalls when trying to grow your practice.