I'm in the military right now but I've been moonlighting in private practice. The owner of the practice where I work has one full-time associate and 2 part-time associates. She only works 2-3 days/week and still makes a GREAT living from what the rest of us are producing while she's not there. Go buy a practice that's already up and running, build it to >$1M production and get an associate. You'll be managing a business but spend a lot less time in the chair if that interests you. Trust me, there is plenty of money to be made as a GP if you have the drive. For me, specializing is about being very proficient at one thing that I can hopefully do with my eyes closed after a while. Being a GP is definitely the most difficult path in terms of keeping up on the new research, products, technology, etc. I used to think that having a "boring" job sounded terrible. Now, the idea of doing something that is very predictable and less stressful is very appealing.