Photo of Dr. Carmen Joy Holmes, a board-certified internist who works part-time and created a resource for her peers.

Carmen Joy Holmes, MD

Founder & Developer

THE PHYSICIAN PROJECT

About

I’m a physician working part-time in urgent care in Richmond, Virginia. I graduated from Stanford University in 1997 and earned my medical degree from Ponce School of Medicine in Puerto Rico in 2008. I completed my dual residency in Internal Medicine and Pediatrics at Virginia Commonwealth University in 2013.

During my training, I felt the disconnect immediately. The practice of medicine was fragmented and disappointing – full of well-meaning physicians and staff who couldn’t fully advocate for their patients. I watched us all struggle against a system that wasn’t designed for healing. A mentor told me I was “ahead of the curve” in recognizing these deficiencies, but that didn’t make the reality any easier to accept.

I quickly realized the traditional path wasn’t for me. I’ve spent the years since residency seeking change – exploring what else medicine could be, what other options existed. I found my niche in urgent care, which gives me flexibility to practice on my own terms while exploring and developing alternatives.

The American medical system is broken and can be hazardous to patients, staff, and physicians. I’ve lived this truth, and I know you have too.

What's wrong with medicine?

Over half of physicians report at least one symptom of burnout. The manifestations are telling: emotional exhaustion that crowds out every other aspect of life, emotional detachment from the human beings in front of us, and a pervasive sense of hopelessness – the feeling that our training, our sacrifices, and our best efforts aren’t enough to make a difference.

What our patients don’t see is the war happening inside us. We cherish the craft of medicine and the trust our patients place in us, but we resent the administrative burden and corporate interference. Patients feel rushed in their 6-10 minute visits with us. They don’t know we spend twice that time documenting, justifying reimbursement, and haggling with insurers. In no other industry is the most highly trained individual responsible for the majority of data entry.

How are physicians responding? How are physicians responding? We grin and bear it, change locations, reduce our hours, or quit. In the profit-driven American medical ecosystem, each physician is replaceable. The well-being of physicians is not a priority.

Problems intensified by pandemic

In 2020, physicians and staff encountered unprecedented trauma. Many of us spent weeks away from our families to stay on the front lines. Some were required to work outside their training. Others were furloughed and forced to abandon their patients. Many quit. Too many died.

The pandemic pushed us to our limit. We haven’t recovered.

Burnout vs moral injury

Canada has quantified the cost of physician burnout and attrition – millions of dollars lost when physicians reduce hours and retire early. Here in the US, we don’t even measure what we’re losing.

Meanwhile, physicians are fed up with the increasing burden of board certification, the lack of transparency in state medical boards, and anti-competitive hospital systems monopolizing communities. Our autonomy is at an all-time low. Never before have so many of us been employees rather than owners of our practices. Our clinical judgment takes a back seat to patient reviews and the bottom line.

But it’s not just about us. Daily, we witness the disparity between what is and what should be. We’re wounded when tax-paying citizens can’t access affordable care. We’re powerless in the face of unpredictable copays and unreasonable wait times for specialists. We’re incensed when insurance companies delay and refuse treatments that are simply the standard of care.

The term “moral injury” captures this better than “burnout.” The chasm between what is and what should be has never been greater.

Seeking change & creating alternatives

In my view, there are two groups of physicians navigating this landscape.


Physicians seeking change are questioning their current situations. They want to know how to add a side gig, how to open a med spa, how to negotiate a better contract, or how to leave clinical medicine entirely. Search engines and social media groups don’t offer sufficient depth, variety, or anonymity for these questions.


Physicians creating alternatives are medical doctors who are also entrepreneurs, coaches, podcasters, real estate investors, or locums advocates. Each has a unique perspective that represents a subset of physicians. We were trained to “see one, do one, and teach one” – and this is precisely how we’re supporting each other. The number of physicians creating alternatives grows each year.


Physicians have more options than ever, but we’re divided by specialty, generation, and social media platform preference. The Physician Project bridges the gap between physicians seeking change and physicians creating alternatives, for their mutual benefit.

Why The Physician Project?

I’m not a coach or a social media expert. But I am uniquely positioned to build this bridge.

I’m both. I’ve been seeking change since I finished residency, and I’ve been creating my own alternatives. I have one foot inside medicine and one foot outside. I treasure the genuine connection with my patients, and I’m frustrated by the American medical model that can’t prioritize wellness and longevity. I understand both perspectives.

I’m ridiculously thorough. I’ve been collecting clinical and nonclinical resources for physicians since 2011. What started as a personal collection I shared with friends became the foundation for The Physician Project. I’m the person who spends hours organizing information so others can find what they need quickly.


I want this to mean something. My lowest moments in residency – struggling, feeling like a cog in the system – those have to count for something. Now I mentor trainees and serve as a sounding board. Helping others navigate what I went through makes my ordeal worthwhile. The Physician Project is the macro version of that mentorship.

I’ve got time. Working part-time without dependents gives me the freedom to build this: a free, organized platform where physicians seeking change can find physicians creating alternatives. No affiliate links, no paywalls. Both groups use The Physician Project at no cost. PARTNERSHIPS sustain the site.

How I built this

This entire website is DIY. I’ve built it myself using WordPress and YouTube tutorials.


I bought the domain in March 2020. In 2021, I added the LEARN page for physicians to browse by category and topic. In 2022, I created the SHARE page for physicians to add their own listings. In 2023, I enabled influencers to update their content and promote events for free. In 2024, I gathered feedback from beta users. As of August 2025, I’m testing the Physician FAQs section and the partnership options explained on the PARTNERS page.


The official launch happens when enough of my physician peers are on board.

We're in this together

Historically, we physicians haven’t been very good at supporting each other. But this is changing. I’m heartened by the increase in physician solidarity and empowerment.


My role is to connect physicians seeking change with physicians creating alternatives – to make the journey less onerous for trainees and less isolating for all of us.


The Physician Project is where physicians inspire each other.

Carmen Joy Holmes, MD

Revised December 2025

Winter 2025

  • Gathering feedback from existing physicians
  • Testing the new “Physician FAQs” section. Sample TOPIC PAGE
  • Adding paid options for Project Partners, MORE HERE

Spring 2026 (official launch)

  • New influencers invited to add listings

The Physician Project LLC does not provide personal coaching or individual consultations. The information compiled on this website is for general informational and educational purposes only and is NOT a substitute for professional advice of any kind.

No conflict of interest. The Physician Project LLC does not receive any financial incentive or reward for sharing the products, services, or events of physician influencers. If approved, listings are available for users to browse at no cost. Influencers are not charged to update or maintain their information on The Physician Project. Influencers who opt in can pay to have their listings featured on a month-to-month basis on their associated category or topic page. Learn more about FEATURED LISTINGS here.

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Good faith attempts at accuracy. The Physician Project LLC has compiled information about listings and their owners. Each listing has been assigned one category and two topics. Information, including social media links, was gathered from public sources and represents a good-faith effort to provide a comprehensive and organized directory of resources for physicians and physicians-in-training. Influencers are encouraged to update their own information and CONTACT US if they wish for their data to be removed from the site.

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