Supplemental Income for Physicians Blog

© 2026 SEAK, Inc. James J. Mangraviti, Jr. Introduction: Numerous work from home side gigs are available for physicians looking to supplement their clinical incomes. This blog post provides a brief overview of 14 well-established secondary employment/freelance/consulting opportunities for physicians. 1. Expert Witness/IMEs The most well-paying widely available freelance opportunity for physicians is without question expert witnessing/IMEs. Physician [...]

Instructor: The axial loading test is used to detect non-physiologic low back pain. Gentle, downward pressure is applied to the top of the standing examinee's head. This should not cause or increase low back pain. Some examiners, to help avoid potential malpractice claims, have the examinee perform this test with their own hand. Reports of low back pain [...]

Speaker 1: One of the tests described by Gordon Waddle in his classic paper entitled "Non-Organic Physical Findings in Low-Back Pain" is comparing passive knee extension with the examinee sitting, with the standard supine straight leg raising. The former is typically accomplished while the examinee is distracted. The examiner might, for instance, say he wants to check the [...]

  Speaker: The examination starts as soon as the examinee is observed entering the office. Is the examinee moving normally or slowly? Is there a limp? Is the examinee using any assistive devices such as cervical collar, sling, back brace, cane, or holding onto the arm of a helper? Dr. Brigham: Good morning, Steve. I'm Dr. Brigham, why [...]

Excerpted from SEAK’s stream on-demand course, “How to Market and Grow Your IME Practice” Man 1: ...me a few things that you might do with regard to your repeat business, or to increase your repeat business. Anyone. Take some pens out of my pocket. Okay. That's number one. Man 1: Yeah, anything more than 10 pens is too [...]

Excerpted from SEAK’s stream on-demand course, “How to Start, Build, and Run a Successful IME Practice” The range of motion, can they walk on their toes and their heels? Are they using a gait-assistive device? Where did they get it? Who prescribed it? And are they using it appropriately? For example, somebody has a left knee problem. The [...]

Excerpted from SEAK’s stream on-demand course, “How to Start, Build, and Run a Successful IME Practice” Steven: For emergency situations like a cancer that you notice, there's no physician-patient relationship. However, you can create a physician-patient relationship. Of course, if you can create a physician-patient relationship, now you're liable for medical malpractice, okay? So you don't want to [...]

Excerpted from SEAK’s stream on-demand course, “How to Market and Grow Your IME Practice” Okay. So, let's move on to building your IME brand. We're on page 75, I believe of your book. And some of this is important to review, but I think it's important to mention. The first important thing is...there's only about 10 or 15 [...]

Excerpted from SEAK’s stream on-demand course, “How to Start, Build, and Run a Successful IME Practice” Instructor: That's a pretty safe question. He's a little shaky on that. Okay. Let me ask you this. You only saw the examinee once for, let's say, an hour. The treating doctor has been treating this claimant numerous times over five years, [...]

Excerpted from SEAK’s stream on-demand course, “How to Market and Grow Your IME Practice” Instructor 1: They'll call up, "I think I have this or I think I have this kind of case." "Well, you know, I got a half an hour or 15 minutes, well, tell me about it," you know. And, oh, you can bill me [...]