Врач или управленец: кем быть, чтобы клиника работала

In this episode of the Health Business Podcast, we're talking with Sergey Ilyinsky, an otolaryngologist, surgeon, PhD, and director of the ENT-Praktika clinic chain in Almaty. This isn't just the story of a clinic. This is an analysis of how a doctor turns his expertise into a systematic, manageable, and scalable business. We discussed: — where a clinic begins and what mistakes are made at the start — how a medical model is built: services, economics, and growth logic — when and how to scale into a network — why it's difficult for doctors to become managers — how to assemble a management team — what's really killing clinics — and how to prepare for the new realities, including the 2026 VAT This episode is for doctors, clinic owners, and entrepreneurs who want to build a sustainable medical business. Timecodes: 00:00 – Sinusitis and the start of a career: chance or fate? 08:13 – Why was the ENT profession unpopular? 11:02 – "I saw at least 100 patients a day" 12:58 – Secrets to patient retention 15:11 – How to scale an ENT business 19:05 – A breakthrough in endoscopic surgery 22:49 – Where to find your first patients? 25:52 – How to keep doctors busy? 27:27 – A clinic from scratch: mistakes and competition 31:39 – Your own "talent pool": why is it necessary? 34:26 – How to cope with experienced doctors? 37:12 – How can young doctors join a team? 38:24 – Skills vs. Diploma: Which is more important? 41:26 – A doctor's personal brand: pros and cons? 45:56 – The Art of Delegation in Medicine 49:46 – Who Makes Up the Management Team? 52:56 – Recommendations for Doctors Starting a Business 59:30 – Quick Survey: The Main Points 01:04:19 – The Impact of VAT on the Medical Business 🎧 Watch until the end – there's a quick survey with tough questions and honest answers at the end. #medicine #ENT #business #clinic #clinicmanagement #doctor #entrepreneurship #kazakhstan #medicalbusiness #businessdevelopment #doctorcareer #medicalmarketing #interview #health #ENTdoctor #success #management #startup #doctortraining #businesstips #medicinekazakhstan #ENTpractice #ilinsky