In this episode of SurgOnc Today®, Laurence McCahill, MD, of Western Michigan University is joined by Julie Barone, DO, Medical Director of Vail Comprehensive Breast Care and John Abad, MD, of Northwestern Medicine Regional Medical Group. They discuss their personal pathways that brought them into leadership roles within the community care practice setting, including their experiences with the accreditation of their programs, the establishment of their research programs and the use of their programs’ outcomes. They also touch upon the characteristics that a physician seeking a career at a satellite program of an academic medical center should seek out and they address their recommendations for achieving balance between their administrative and surgery roles.