You will be way ahead of the game if you take the time to figure what personality attributes work for you.

Some physicians just want to do their surgery or patient procedures, put on their hat and go home. This type of personality will do well as an employed physician in a hospital or large clinic. These facilities are for the most part not interested in your suggestions. They want you to do what you are trained to do and leave the rest to them.
The upside is you have no worries about running your department and the downside is you have little say in running your department.

If your personality type is entreprenurial and you need a say in daily matters as to whether the phone system needs to be upgraded or adding a Mid Level provider, etc., then the best fit for a 'take control physician' is being in a smaller group where the daily running of the practice is up to the physicians. The upside is you will have a chance to have things done your way. The downside is, if the receptionist doesn't show up after lunch then your wife may be called in to fill the gap.

I have found that many physicians end up changing jobs over these issues.

Story in point. A neurosurgeon worked for over 5 years for a major clinic in the North Central region. He had a cranial specialty and his practice was healthy and he was well compensated. He left the clinic because the purchasing department had contracted a vendor for all their supplies. This physician hated the sutures, they were brittle and easily broken. He complained to deaf ears. Before a surgery he would go into another surgery department and 'steal' their sutures, slide down the hall with the contraband in his pocket, and get reamed out by the nurses because they were opening a suture package with the wrong label.

When he called he said he was leaving because he felt like he was a 'nothing' and he wanted to be his own boss. He is now in a solo practice.

This, in my opinion is were to start in looking for your life long position. Never try to put a square peg in a round hole.