Start-up Success: Integrated Approach Helps New Practice Thrive Quickly, with Low Overhead Costs Dr. Ched Garten knew exactly what he wanted when he set out to start his own sports medicine practice in the spring of 2016. “It got to the point in my career when I wanted to just do my own thing, form my own brand, be my own boss, and have control of my destiny,” says Dr. Garten, who had worked at two orthopedic practices before, the largest with 30 employees.