How many here are in the medical field in any capacity?  

The "trust the process" issue comes up much more often for us in the context of a seller who has to go to an embassy / consulate / attorney in a foreign land, get the deed, etc. executed, authenticated and then go one step further to have the capacity of the official who authenticated the doc verified as well. 

Or is it that I can't use the IRA at all in this capacity?

Especially being able to have more loan capacity.

There are a number of specialty providers that serve this niche, which is basically an IRA with a broader capacity for investing beyond the stock market.Several such providers are active here on BP and contribute to the community.There are two types of providers, and the best for you will depend on your investment goals.If you are thinking of something fairly singular and static, a self-directed IRA custodian will be a good fit. 

but its an advanced strategy for those with capacity.. its not a good strategy ( especially for a seller) to do this with folks with limited capital.. and no ability to write a check. 

So I work on real estate all the time, but in a different capacity. 

This keeps you in full control of project scope and progress, but likely extends time frames for each project (you would probably only have capacity for one at a time) and puts you in a greater equity risk position.

Is there maybe another workaround to this (hiring an agent in some sort of limited capacity?

I would like some good ideas with some rough cost estimates to build a profitable apt. building here with the new high-capacity incentive rules recently approved by LA City Government.