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Background: Physician leadership and entrepreneurship are increasingly recognized as essential for transforming health systems, yet most medical training still prioritizes individual clinical competence over systems thinking, innovation, and venture creation. Diaspora alumni associations represent an underused platform for cultivating these capabilities at scale. Objective: This narrative review describes the design and early implementation of the Dow Entrepreneurial Network (DEN), a 2025 presidential initiative of the Dow Graduates Association of North America (DOGANA). DEN aims to connect Dow alumni and students interested in entrepreneurship and leadership, using a structured series of virtual and in-person events, mentorship, and peer networking. Methods: We synthesized internal planning documents and program descriptions for the DEN activities in 2025 and interpreted them in light of published literature on physician leadership development and entrepreneurship education in medicine. The analysis focuses on program aims, structure, educational strategies, and anticipated benefits for participants and the wider Dow community. Results: DEN is organized around four core objectives: (1) fostering a global network of Dow alumni entrepreneurs; (2) providing a forum for dialogue on innovation, business models, and physician-led ventures; (3) educating students and alumni about entrepreneurial pathways; and (4) exploring programs that create jobs and opportunities for Dowites in North America, Pakistan, and globally. The initial implementation in 2025 includes a three-part virtual webinar series showcasing Dow alumni founders across clinical and non-clinical sectors, and an in-person DEN session at the DOGANA 2025 annual retreat featuring a health-system CEO as the keynote speaker. These activities are explicitly framed as a voluntary, non-commercial alumni platform with clear disclaimers regarding legal and financial liability. Discussion: DEN aligns closely with evidence that structured leadership and innovation programs improve physicians’ self-efficacy, broaden career trajectories, and can contribute to organizational performance when embedded in supportive ecosystems. By leveraging the Dow diaspora and DOGANA’s organizational infrastructure, DEN offers a low-cost, scalable model for seeding entrepreneurial mindsets, strengthening professional networks, and creating bidirectional pipelines between North American and Pakistan-based initiatives. Conclusion: DEN illustrates how an alumni-led initiative can operationalize physician entrepreneurship and leadership development without creating new degree programs or corporate structures. Future work should evaluate DEN’s impact on participant behavior, venture creation, and contributions to health and social outcomes.