Maximizing for Profit or Growth - Ask George - The Shared Practices Podcast - podcast episode cover

Maximizing for Profit or Growth - Ask George - The Shared Practices Podcast

Sep 09, 202443 minEp. 6
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Episode description

In this episode, George discusses every dental practice owner's crucial decision: Should you prioritize profit or focus on growth? He breaks down the key differences between these strategies, explains how to assess which approach fits your practice, and shares the financial metrics that matter most. George also explores how practices can achieve profit and growth through the right balance. Key Highlights: 

  • Profit vs. Growth Strategy: Understand the differences between maximizing profit (cutting costs, optimizing cash flow) and growth (reinvesting profits to expand).
  • Critical Metrics for Profit and Growth: Learn about the essential metrics to track, such as profit margin, overhead percentage, revenue growth, and patient acquisition.
  • Choosing the Right Path: Get guidance on prioritizing profit or growth based on your practice's goals, financial health, and long-term vision.
  • Balancing Profit and Growth: Discover strategies to balance profit and growth by optimizing current operations while reinvesting for the future.

Have a question or topic you want us to cover?

Reach out to us on social media or leave a comment on our website at www.sharedpractices.com. Don’t forget to subscribe and leave a review if you enjoyed this episode!

Transcript

Host Track

: Welcome to Shared Practices 2.0. I am joined today by my co-host, : long-time best friend, George Hariri. George, go on. CoHost Track:: Richard, it was really odd to watch the Shared Practices feed go from 680 some episodes to few. CoHost Track:: And that, I mean, what a shift. And you know, it's like, you know, CoHost Track:: we were put in so many episodes right there and now the feed is bare. CoHost Track:: So I think that SP 2.0 is definitely a new change for me.

: I was really proud of having a pivot that was big enough that it caused caused : you to take pause. Like, I got pushback from George. : And I'm like, okay, this is a pivot. This is, you know, usually you're on board, : you know, like 100%. You're like two pivots ahead of me. And I caught you on this one. CoHost Track:: Yeah, I, you know, I thought we would like maybe trim down the feet. CoHost Track:: And so I was, you know, Richard and I would talk about trimming down the feet.

CoHost Track:: And, you know, Richard trimmed the whole feet. CoHost Track:: And I think that was where I was, you know, like, Like, whoa, CoHost Track:: okay, we're really doing this. CoHost Track:: And, you know, honestly, now that we've done it, I'm very pleased with your idea.

CoHost Track:: Because I think that, you know, we've iterated, like, you know, CoHost Track:: how many times do we say like, oh, you know, like season two, CoHost Track:: like we said all this stuff there that we don't really believe right now. CoHost Track:: And, you know, it's like, well, maybe we should just like, cut it and let's CoHost Track:: just start over so that every episode on this feed is we believe in and it's CoHost Track:: updated and there's newer content.

CoHost Track:: Content and so you know hats off to you to not being attached to the 600 some CoHost Track:: odd episodes that we've recorded and just being ready to kind.

: Of iterate if anyone's interested they still exist we need to you know kind : of state this multiple times the shared practices archives if you search for : it should be showing up on on major feeds and platforms the episodes are all : still out there but i really do think that one of the biggest problems right : now is not a lack of information information, : there is an abundance of information everywhere. : We got to the point where even our podcast, 700 episodes, someone finds us and

: they're just instantly overwhelmed. Like, where do I even start? : Do I go back to the beginning? Any of that? So we just want to say, : hey, no, we're going to solve that problem for you. : Start with us, the beginning of Shared Practices 2.0 and come along for the ride. : And, you know, in eight years, maybe we'll burn this down. But who knows? : In the meantime, we're going to give you way better content than what we knew eight years ago.

: And that's just the reality. and with our new co-host, Dr. : Scott Luna, there's just information that he brings and that we bring and that : we can synergize together and that we can bounce off of each other, : push back on each other that we haven't had before in the same way.

: And we're going to talk a little bit about that today because there was a sense too, : like you and I come from having taken break away and sorry to Scott, : His previous seminars that are no longer associated with him in any way, : shape, or form, that brand is not his brand. : But having taken his previous courses, those were a big influence on us. : He was the first person on the podcast.

: And we really respect his opinion. And so when he brings new information and : it collides with our framework, there's a little bit of like, : okay, what does this all mean? : And I think that's what we're going to address in today's episode, if that makes sense. CoHost Track:: Yeah. So, you know, I think to kind of give everyone the context, CoHost Track:: you know, Scott, we had our launch CoHost Track:: week and, you know, there was several people that reached out to me.

CoHost Track:: And I don't know, Richard, do you have people reaching out to you kind of after CoHost Track:: listening to episodes, hearing thoughts and kind of sending you messages? : Just little thumbs ups or liking it. CoHost Track:: Laughing at it. : But like, you know, because I'm not running anything behind the scenes in terms : of coaching and consulting, no one's actually worried talking to me.

CoHost Track:: Oh, no, no. I got a lot more. And, you know, I think that one of the things CoHost Track:: that people are really asking is, it sounds like what he's saying is different. CoHost Track:: So where does this fit in with what you guys have been saying for the last few years? CoHost Track:: And I think that, you know, that for me is kind of what we want to talk about today.

CoHost Track:: And I feel like the absolute best place to start is, I told Richard when we CoHost Track:: came on and we were doing a little pre-recording chat, I said, CoHost Track:: we need to tell the story of why it's called shared practices. CoHost Track:: Because this is something that I have been bought into to the whole time. CoHost Track:: And I use this as a guiding light when we think of adding people, CoHost Track:: changing the way we think.

CoHost Track:: And so, Richard, you know, 2016, eight years ago now, started this podcast, CoHost Track:: and you called it Shared Practices. Why? : A few layers which ironically all of them have like become true um the first being that like.

: I i didn't know everything and : i was not in a position of authority i i i the term that was used back then : that i i latched on to was like a leading learner of like i'm learning this : for myself i'm open to multiple perspectives i want people on the show who say things different than : what I assume and that disagree with the things that I say, : because by having that information, having that dialogue, : we're going to learn and it's going to stretch us and push us.

: And the only way you can do that is by sharing real experience. : Everyone's got a different journey. Everyone's has a different story. : And the, the reality of business and life is that it's messy in different ways : every time, but we've attempted to distill what we believe our best practices and share those.

: So in the, in the process of everyone sharing their practice journeys, : we've accumulated a lot of information, but as time has gone on, : we also have had a harder time playing dumb and, and pretending like we don't : have an opinion on things and bringing on people that were like, can, : can really even challenge our philosophy or bring new light to what we're building : because we're like, Hey, this works. : And we've got the data and we've got the results and we've got the clients.

: And this framework is good. : So to be able to continue to be in that frame of. : Hey, there are still other things, there's more nuance that we can find and : there's improvement that we can take on and we're gonna do it publicly and vulnerably : and it might be a little bit messy. : That's how we've always done things, but that is how you improve. : So I don't know if that's what you're looking for, but in my mind, : that embodies the philosophy.

CoHost Track:: So, something you said, and I'll maybe take previous words out of your mouth CoHost Track:: and tell you what I've always heard you say, which is. CoHost Track:: We didn't call it best practices. And Richard called it shared practices because CoHost Track:: he wanted it to be a net sum of everyone's best practices.

CoHost Track:: So, you know, we get the industry professionals, the smart people with different CoHost Track:: perspectives, and we get their best practices, and we put those all in one place, CoHost Track:: and together, they're all the shared practices.

CoHost Track:: And, you know, that for me is is kind of what I've always thought the name has meant, CoHost Track:: is like taking the smartest and most talented minds in practice management and CoHost Track:: putting all their ideas on a table and organizing them so that it's very clear. CoHost Track:: And then that is the shared practices. CoHost Track:: And we have multiple partners in our business. We have Richard's thoughts and ideas.

CoHost Track:: We have my thoughts and ideas. We have Suzanne's experience. CoHost Track:: We have so many people's ideas before we bring in Scott Luna that we've dumped them on the table. CoHost Track:: We've kind of organized them and that's our shared practices. CoHost Track:: And Scott comes and he dumps even more ideas onto our table.

CoHost Track:: And now it's up to us to iterate one more time and integrate all of his ideas CoHost Track:: with our ideas so that we can then present again the improved shared practices. CoHost Track:: And that is the process we are going through.

CoHost Track:: And so, you know, after I recorded that first episode with Suzanne, CoHost Track:: I picked up, or episode with Scott and Richard, I picked up the phone and called CoHost Track:: Suzanne and I'm like, hey, Suzanne, we're about to iterate, you know, and I saw it right away. CoHost Track:: And I saw that Scott is bringing some ideas here.

CoHost Track:: That the core of our framework is going CoHost Track:: to stay in more or less the same but he certainly CoHost Track:: added elements that are going to force us to iterate one time further and like CoHost Track:: you know i have my drawing right here so kind of like the the the new version CoHost Track:: of our chart is kind of like in very early stages of development and richard CoHost Track:: can't see it because the camera is not really showing it but But, you know,

CoHost Track:: we're in the process of iterating to make sure that what Scott talks about and CoHost Track:: what we talk about can be talked about at the same time and it to kind of be, CoHost Track:: you know, all singing the same song. CoHost Track:: And that is a really exciting process that we're going to be building courses CoHost Track:: with Scott and through those courses, we're going to be ironing out our shared philosophy.

CoHost Track:: And so that's kind of like the introduction. and so maybe Richard whatever questions CoHost Track:: you have and then we can get down into the details.

: Yeah well I think the other part that like this : is not new challenging information this fits within the framework because we've : said anything you want nothing off the table and we've said they're different : avatars there are different options and the more clear one can be in what the final destination is, : the faster our framework of metrics and coaching will get you there.

: And what we, I think for me, : the thing that I'm most excited about is these just tweaked and clarified versions : of avatars and options that people have along the journey that, : you know, because we had profitable solo and we had super solo, : but super solo had like an asterisk on it where we're like, well, : you might burn out on this and this is not predictable because we don't know : if everyone can super solo.

: You know, it's stuff like that where can we have... : An even clearer version of what the outcome can be. : And I've remembered feeling even a little like gun shy about talking about how : much money a productive solo can make, can expect to be possible on air. : And like that clarity of here is what is possible. : It might not be the thing that people can just hit into right away.

: It might take years of building and iterating and refining, but to say, : okay, I can have a million-dollar take-home at all these different levels provides : a level of clarity that our framework of here is the menu of options, : here is the vision that you choose, and then we're using the metrics to coach : you and drive you to that vision.

: So for me, this is all just super exciting because I think ultimately, : no matter where someone's at on this journey : whether they're solo multi-doctor multi-practice having : clearer options even if : they're different than the option slightly different than the option you : were driving towards originally is going to get you there faster and you're : going to be more successful and happy and so that's the mindset i'm bringing

: to this and i'm always down to like like add more information and and be like : amenable to saying like okay here's just a slightly little a little tweak. : Here's a better way of thinking about this one aspect. : And I love the humility that you've had and that we've had to say, : let's have these conversations rather than just putting ourselves out as like, : hey, this is the philosophy. : We're never going to improve on it. We're never going to iterate.

: So that's my last kind of spiel before we actually get into some of the meat and potatoes here. CoHost Track:: Yeah. So to kind of transition us, I think that we say, okay, CoHost Track:: well, where do we disagree? CoHost Track:: Or where did maybe Scott say something different than what we said? CoHost Track:: And I think I want want to start with, before we even get into that, CoHost Track:: I want to start with the clinical entrepreneur spectrum.

CoHost Track:: Because I think you really need to understand the clinical entrepreneur spectrum CoHost Track:: to understand the way that we approach things versus the way that Scott approaches things. CoHost Track:: And maybe Richard, you and I have had disagreements on this in the past. CoHost Track:: You know, I think shared practices in our early days, we attracted somebody CoHost Track:: who wanted to listen to 400 hours of podcast content, right?

CoHost Track:: And that just happened to be... Like imagine 400 hours of practice management content. CoHost Track:: Somebody consumes all of that, right? CoHost Track:: Like on the clinical entrepreneur spectrum, that's a very entrepreneurial person. Preston Pyshenko CoHost Track:: And so, you know, if you think about... : They're taking notes on every episode, yeah.

CoHost Track:: Yeah. And so, you know, the shared practices audience started and in its peak CoHost Track:: days attracted the most entrepreneurial dentists. CoHost Track:: And that was kind of like our slant. And we were a niche group, right? CoHost Track:: We weren't the broad mass appeal to all dentists. CoHost Track:: We really concentrated on those who were really, really, really diehard interested CoHost Track:: in practice management, very driven entrepreneurially.

CoHost Track:: And so when you look at the way we've built our philosophy, it's really been CoHost Track:: for that person who's very driven entrepreneur, and they want fast growth. CoHost Track:: They want to be a multi-practice, or not multi-practice, but they want to be CoHost Track:: a group practice owner with multiple dentists. CoHost Track:: That is the person we very much cater to. CoHost Track:: And as the podcast has aged and the audience has evolved, it's skewed more clinical.

CoHost Track:: And so, you know, in our early days, we had a lot of very driven entrepreneur, CoHost Track:: you know, audience members. CoHost Track:: And then as the podcast has aged, it's eight years now, you know, CoHost Track:: we've attracted a larger, more clinically minded audience.

CoHost Track:: And so what I really think the big like fundamental shift that Scott, CoHost Track:: you know, has introduced into our fold is being more inclusive, you know, where we are, CoHost Track:: you know, like the avatars that we offer, there's going to be more avatars, CoHost Track:: right? So it's not just the ones that we've created.

CoHost Track:: And there's an element of patience that we're going to be adding to the philosophy to, CoHost Track:: you know, maybe more appeal to that clinically minded person who wants to do CoHost Track:: clinical dentistry and wants to have a high income and doesn't necessarily want CoHost Track:: to take on, like, you know, When we do a solo to group transition, CoHost Track:: we tell them, yeah, your income is going to be cut for six to seven months, and then it'll be back.

CoHost Track:: And that's kind of what we tell them on the front end, and we just do it quickly. CoHost Track:: And what Scott's saying is, well, let's maybe do that over four years instead CoHost Track:: of 18 months, and then you can have the high income the whole time.

CoHost Track:: And so rather than saying, well, no, we have to do it in 18 months and cut your CoHost Track:: income, or say, no, we have to do it in four years and you have your income CoHost Track:: the whole time, we can just say, these are two different ways of doing it. CoHost Track:: This way you have your income, this way you're there faster. CoHost Track:: And it's to each their own.

CoHost Track:: And I think that's what's always differentiated us, is that we've always taken CoHost Track:: the client's vision and used that vision to inform their path. CoHost Track:: And now it's just when a client looks at our menu, there's just more options. CoHost Track:: And income is a really, really major consideration. And so on our old version of the chart... CoHost Track:: The avatars and the flow between them, it was all based on number of hygienists.

CoHost Track:: And in the updated version, there's going to be an income consideration so that CoHost Track:: somebody can see if they go down this path, what happens to my income if I go over here. CoHost Track:: And so we're going to add income to be more front and center so that people CoHost Track:: can pick... Some people... I had people message me and say, I would never work CoHost Track:: five days a week no matter how much I made. And I want the faster group practice.

: You paid me or you took home, yeah. CoHost Track:: Yeah. And so it's like, you know, we have like SP diehards messaging me saying CoHost Track:: like, no, I kind of agree with what you were saying. CoHost Track:: Like, I agree that the, you know, faster growth gets to the associate. CoHost Track:: Like, I want to have a business underneath me. CoHost Track:: And then I bet there's someone else saying like, they've been saying that for,

CoHost Track:: you know, years. And it's like, I'd rather just spend five years and make, CoHost Track:: you know, seven figures each year. CoHost Track:: And so it's like, we don't know what you want. CoHost Track:: And what this allows for us to do is to just provide more options. CoHost Track:: And so that's kind of, I think, the fundamentals of the differences and how they play together.

: I love this. The light bulb just turned on for me, George, when you were talking : about this, is when you've got an equation, and I'm sorry, audience. CoHost Track:: If my brain's instantly shut off. : Yes, I'm talking George speak here. So deal with it, folks. : If you've got an equation, you can choose to hold a certain variable constant, : and then the other variables have to change. : And so one path of getting through these phases of growth is to hold income constant.

: So we ramp up to a certain income, and we try our best to hold that income constant while we grow. : What that does is it forces the time component to possibly go longer. : The growth is more evened and more paced. : And there's another track. Rather than holding income constant, : let's maximize the growth because I know what I want. : I know what my footprint is. I know what I can grow into in this current circumstance.

: And I like it. I don't mind if I'm not making a million dollars a year along : the way, but I do know what's on the other side of this. : I know what this looks like when I get there and I know I want it.

: So let's maximize for growth speed and : so the two different tracks could be we're holding : for income or maximizing for speed of growth and : those are two different pathways and it's not we're forcing one down you know : you have to go down this one or that one they're just options and some of the : stopping points on the way might be very similar but you're just taking a different : path and that's okay so that was the light bulb moment for me just now as you were talking.

CoHost Track:: Yeah, and so that's where Suzanne and I, like, we're, you know, CoHost Track:: to get real nerdy here, like, the y-axis of our new graph will be income, you know? CoHost Track:: And so it's like, you can go up in income, and we show what that looks like. CoHost Track:: And so we're building Scott's path, which we're calling the million-dollar path.

CoHost Track:: And so, you know, if you've read Dental Moneyball, you know, CoHost Track:: our kind of original drawing, you know, I think the big, big avatar that just CoHost Track:: got totally blew up in this whole thing is Super Solo. CoHost Track:: So let's maybe start there. CoHost Track:: And, you know, because that was the episode I was on, you know, CoHost Track:: and I was sitting there and Richard has heard me speak.

CoHost Track:: I've taught, you know, I've taught ABPM more times than I can count. CoHost Track:: And each time I do throw a lot of shade towards the Super Solo. CoHost Track:: I I talk about how it's not sustainable. CoHost Track:: I've never met anyone who's done this for a long time. Happily, CoHost Track:: I have really, really, really, really discouraged this avatar.

CoHost Track:: And every time I've said it's the most predictable way to earn a highest income, CoHost Track:: however, I question its sustainability. CoHost Track:: That's been my song that I've sang about the super solo. CoHost Track:: And I think this is where Scott comes in and says, system, organization, CoHost Track:: structure, flow, low, 55 miles an hour, run your practice like a machine. CoHost Track:: And the smart solo is his iteration of the super solo.

CoHost Track:: And for me, that's an instant swap, right? The second I heard that, CoHost Track:: I was like, yeah, we have to do what Scott's saying. CoHost Track:: Because we can't be telling someone. CoHost Track:: This sucks. You know, it's like, if they want that, we need to show them how to do that well. CoHost Track:: We can't just say it sucks and don't do this when there are a subset of people CoHost Track:: who want to be smart solos.

CoHost Track:: So, you know, I think that's like the first iteration that you're going to see CoHost Track:: in the next version of our kind of framework is super solo rather than it being like this. CoHost Track:: Like in the current framework, it's like we have productive solo and we're like, CoHost Track:: go to group or if you want to like go to purgatory, you can just go be a super CoHost Track:: solo and then like you'll be unsustainable.

CoHost Track:: And, you know, now what we're saying is like, we're going to teach how to transition CoHost Track:: from productive solo to smart solo. CoHost Track:: And we're going to talk about that as a profitable and simple and sustainable avatar.

CoHost Track:: And I think that is like, for me, a very big shift in what we communicate, CoHost Track:: because that's appealing to a very clinically minded person who wants a very CoHost Track:: high income and doesn't necessarily want to go to a group practice, CoHost Track:: which is something that we haven't really catered to that individual. : Well, so ironically, I actually see the swap a little differently because I : see super solo kind of split into two.

: And Suzanne has made the point to me off air, like we're doing smart solo in certain offices.

: It's a productive solo where rather than put the potential into growth, : we've put that potential into cutting back, maximizing profit and we didn't : have that like metric endpoint for people to push towards but we're doing that : anyways so I actually see smart solo as a, : more the same as productive solo and i see : super solo as the pseudo specialist group more : because it is more the super part of : it in my brain was the specialty type

: procedures and the like higher level clinical mix that is less predictable i : can't like force people to be good at aligners and implants and and molar endo : and like be all in on the clinical aspect so in my mind half of it is just kind : of like a little tweak to productive solo. : And the other half of it kind of shifts over into this million dollar take home : with multiple doctors being a part time pseudo specialist.

: And so I see it like kind of in both, but it pulls out into these two different directions. CoHost Track:: Yeah, so it's interesting. And our current like kind of draft iteration, CoHost Track:: which we're going to be discussing with Scott. CoHost Track:: So like we're in the process of building a draft, we're going to work on it CoHost Track:: with Scott, and then we're going to kind of iterate.

CoHost Track:: And so, you know, in that version, we have it go from productive solo to smart CoHost Track:: solo, which is essentially a productive solo is somebody who does less than 1.6, right? CoHost Track:: And a smart solo does more than 1.6 by themselves. CoHost Track:: So that's kind of like the terminology we're using. And then from smart solo, CoHost Track:: I think that pseudo specialist is kind of what we're calling that, right?

CoHost Track:: Like the pseudo specialist group is like that, you You know, CoHost Track:: because in our current iteration, transition to group is like this no man's land.

CoHost Track:: And right above that, the pseudo specialist group is like that, CoHost Track:: what Richard's describing, CoHost Track:: that super dentist who is able to like transition to group smoothly because CoHost Track:: they're using specialty procedures to maintain their income along the way, CoHost Track:: which I think is a really clever, CoHost Track:: you know, path from Scott's perspective.

CoHost Track:: And so we're implementing that as kind of... It's the productive per patient path. : I mean... CoHost Track:: Yeah. : We actually kind of already had this on the track. : It's like you take super solo and the productive per patient bump and combine : that into a full group path rather than a little path between these two. : But we were pretty much there. : And I did think this is, George, this is a perfect time for another ridiculous

: acronym. acronym so we've got : the part-time pseudo specialist pts no ptps ptps there we go that's the.

CoHost Track:: I don't think we want that one no we CoHost Track:: don't so and that's where like this CoHost Track:: is really fun because to your point richard like i think i listened CoHost Track:: to that and really what i heard out of like CoHost Track:: the first few episodes is like high CoHost Track:: output solo dentistry can be CoHost Track:: sustainable right and i think that like that we haven't said that right because

CoHost Track:: we've appealed to a more entrepreneurial person scott appeals to maybe a more CoHost Track:: clinically minded dentist and so i think that like to maybe there are more of CoHost Track:: those out there and that's yeah that's been my point all along. : Was that like. CoHost Track:: Well, and that's something Richard and I have argued about all the time. CoHost Track:: I say, yeah, everyone needs to go to group.

CoHost Track:: And Richard's like, that's actually not true. Like, most people should stay solo. CoHost Track:: And we've disagreed on that for years. And I will say that I tip my cap to Richard now.

CoHost Track:: I'm more on his perspective, because I think for every one SP, CoHost Track:: you know, original, really entrepreneurial listener, CoHost Track:: there might be three or four people who maybe have a flavor of that in them, CoHost Track:: but they don't have the full or like, you know, they don't want to increase CoHost Track:: their professional risk to that degree, right? CoHost Track:: And I think that is maybe where I'm kind of like a little bit biased by my own perspective.

CoHost Track:: And I think Richard, you know, may be more mindful of what the average dentist CoHost Track:: and kind of what the, you know, what just what the population as a whole maybe is more like. CoHost Track:: And so I think that that was an area that I'll just very honestly say. CoHost Track:: You know, was a bias I have. And, you know, we now want to be inclusive, right? CoHost Track:: And I think that that is kind of an iteration that we're going to make.

CoHost Track:: So I think, like, that's like the fundamental thing that I think, CoHost Track:: like, the key differences are built on top of is that idea that you can sustain CoHost Track:: high output solo dentistry. CoHost Track:: And you can, and it's like, what did we prioritize? We prioritized speed. CoHost Track:: And so we optimized for speed of practice growth. CoHost Track:: And Scott optimized for constant income, right?

CoHost Track:: And it's like, you know, that's it. So like Richard's like the productive per patient track. CoHost Track:: Actually, if you think about it on our new diagram, the pseudo group is the CoHost Track:: highest on the income, the productive per patient track is underneath it, CoHost Track:: and the patient flow track is underneath that, right?

CoHost Track:: And so, we've now kind of created three different paths to group instead of CoHost Track:: two different paths to group and kind of the new version. CoHost Track:: And so, that's where I'm excited because it's like, no, I mean, CoHost Track:: we're really detailed analytics-based practice management people. CoHost Track:: Like, we know how to categorize things, we know how to present them, CoHost Track:: and I think that the end result of this is just way more options.

CoHost Track:: And I think that that is us evolving towards the mean. CoHost Track:: We're evolving towards just the dentist who's listening. CoHost Track:: And I think the dentist who's listening today is different than the dentist CoHost Track:: who was listening in 2018 and 19, and kind of in our days of being very involved CoHost Track:: and pushing with a very entrepreneurial audience.

: Yeah, well, and I feel like I don't know if you've ever had a major multi year : disagreement with a spouse. : And there's just like, there's no seeing eye to eye. It's like, : we just have a different opinion. : And you just very graciously said, you know what, you've been right all along. : And that happens so little in like a marriage or a partnership. : And so I just I just want to thank you on air for saying that in the first episode

: and saying that in this one. And it means a lot to me. : And and So thanks, man. And then the other part of that is. : We've also stayed shy of, and I will continue to champion this, : of the other far end of the spectrum of the entrepreneurial dentist, : of multi-practice because we did not have reps in helping other people go multi-practice.

: And I will continue to say, throw on the brakes and maybe this might not be : for you as the person who's walked : away from multi-practice multiple times because I couldn't stomach it. : I literally, you know, walked away twice from running multi-practice because : the impact for me psychologically and stress-wise, it just was not the right : fit. And I've kind of known that about myself.

: So, but I'm super excited to be able to talk in depth and have options and have : pathways and have more conversation in a non-taboo, a non like, oh, dismissive way. : It's like, no, if you want to go this direction, here's pathways, : here's options, here's metrics, here's data. : And that's really exciting for me, even though I have no appetite for it. : It's really exciting for me to be able to talk about it on air. : And I'm assuming it's the same for you.

CoHost Track:: So it's interesting, Richard, you and I are so different. And I think we both CoHost Track:: kind of very inherently know this about one another. CoHost Track:: We both have done multi-practice, and your experience of it each time is the CoHost Track:: problems get too hairy, and it creates a level of stress that I don't want to CoHost Track:: deal with. And it's not worth it. CoHost Track:: And I think that it's something that is- CoHost Track:: Go ahead. Sorry.

: To be clear, I know one of the things that I need to work on, : that if I was better at this, I'd probably be better at multi-practice, : which is my tendency to take on other people's stress and emotions and over-empathize : and not be the business owner, : not be the, hey, I need to hold you accountable. : You're an employee. You're a team member. I care about you. But ultimately, : I can't solve all your problems.

: I can't take your emotions. and so yeah so there are there are elements of myself : that i know are my limitations but anyways go on.

CoHost Track:: Well and i think it's like you know richard you are the type of dentist who CoHost Track:: you know was better fit for the million dollar path right or you know some type CoHost Track:: of like slower more sustainable, CoHost Track:: income a constant just like get there a little bit at a time every step is sustainable CoHost Track:: like Like, that was your path.

CoHost Track:: And I think that's why you saw very quickly that we were slanting too far towards CoHost Track:: the entrepreneur in what we were discussing for everyone. CoHost Track:: And I'm the opposite. I love the messiness and the problems, CoHost Track:: and they're really fun for me. CoHost Track:: And so I think it goes to show that even between us, we sit on different ends CoHost Track:: of the clinical entrepreneur spectrum.

CoHost Track:: Spectrum and like we always say pick your problems and like i like my problems that i have every day, CoHost Track:: richard doesn't want these problems and so i agree we need to pump the brakes CoHost Track:: on multi-practice and we need to continue to pump the brakes on multi-practice CoHost Track:: because it takes a very particular type of person to succeed in that type of CoHost Track:: problem right the problems get really stressful they cause lack of sleep.

CoHost Track:: They are very financial. CoHost Track:: It's not for everyone. And I think once you start going down that road, CoHost Track:: it's hard to kind of walk back. CoHost Track:: And so I agree with you. CoHost Track:: Even though I am a very entrepreneurial person who really enjoys the challenges CoHost Track:: of multi-practice, I will go without saying that it is not clean. CoHost Track:: This isn't something that is very predictable.

CoHost Track:: It is something that is very chaotic, and it requires the right type of person to pursue that path. CoHost Track:: And so I say that, and then I want to transition to what you said. CoHost Track:: You were like, oh, we had a multi-year disagreement, and you just came out and said I was wrong. CoHost Track:: And I feel like we have this whole thing of strong opinions loosely held.

CoHost Track:: And like, we're going to come out with our strong opinions and we're going to CoHost Track:: come from the bottom of our belly and tell you what we think. CoHost Track:: But then when new information comes and changes, like if you're not changing CoHost Track:: your mind, then you're just not looking at it and thinking about it, you know?

CoHost Track:: And that's just, that's never been who we are and it never will be because what CoHost Track:: we're most interested in is the shared practices. CoHost Track:: And so like for me. CoHost Track:: Like, yeah, I mean, Scott's coming and saying a very compelling reason why I'm CoHost Track:: wrong. And I'm not just going to sit there and listen to it and be like, no, I'm still right. CoHost Track:: And we're just going to have these two polarizing opinions that won't agree.

CoHost Track:: It's like, no, what he's saying is totally accurate. And we need to adjust our CoHost Track:: framework to accommodate what he's saying and what we've been saying so that CoHost Track:: we can be saying the whole thing. CoHost Track:: And I really think who wins in that is the client. CoHost Track:: Because now there's more options on the menu. CoHost Track:: There's more clarity on the different options, and you can self-identify the best path for you.

CoHost Track:: If you're more like Richard, then the million-dollar path, smart, CoHost Track:: solo, pseudo-specialist, to your entrepreneurial path, like multiple years of stable income. CoHost Track:: If you're more like me, then you're like, all right, let's just take a little CoHost Track:: bit of rip the bandaid off, let's go. CoHost Track:: And I think that that's just to each their own. CoHost Track:: And I think that there's so many different ways to skin this cat.

CoHost Track:: That and you know i think what we have to CoHost Track:: do is provide the options and the CoHost Track:: information and the like objective you CoHost Track:: know information to each dentist and CoHost Track:: what each dentist needs to do is look within themselves and say what's right CoHost Track:: for me and you know what scott really brings in my mind is he brings a patient CoHost Track:: pace that provides a higher income and takes longer but you know for the right

CoHost Track:: person can be the more compelling path. CoHost Track:: And so, you know, that's what I really like if I had to summarize kind of the differences, CoHost Track:: how we're going to integrate them, it would kind of really be in that strong CoHost Track:: opinions loosely held, client now has more options than they did before, CoHost Track:: because we're introducing more nuance and expertise to our framework.

: I love it. And, you know, so the audience knows, I've recorded the episode with : Scott of part four of that first series about multi practice, : and George hasn't heard it quite yet. : And Scott outlines a path that pushes back on our take that, : hey, this has to be stressful. : So I'm excited for you to hear it. But I also think that like, : we're not going to sugarcoat and sure, maybe it could have been done differently.

: Differently but anyone that i've ever talked to who's doing : multi-practice is more stressed than the : average single site owner and i'm still gonna stick to : that even if they enjoy it even if they love it it is : messier and it is hairier so i i really appreciate : george that we've that we're working on air that we're that we're sharing the : creation of the next version of of us and that That we're showing that process

: because there is a tendency to like disappear into a cave and never appear like : there's things that we don't know and then emerge with this new beautiful thing. : But the reality is like growth is messy. This is the growth of a framework. : It's messy. And it's going to include, you know, updates and differences and changes. : But I also love that our listeners have reached out to you and have said, : no, I actually like this path better. : I wouldn't do that path.

: I wouldn't work five days a week. I wouldn't solve for a constant million dollar take home. : I would solve for growth because I know where I'm going. I know what's possible in my location. : I know what I want and I'm okay not having the income along the way because : I know what's on the other side of it. So it's just really fun. : Thanks for being very vulnerable in this process.

: And we're going to continue to try and do that on air. So this is the first : of these types of episodes and it'll evolve as time goes on. CoHost Track:: Totally. Yeah, I couldn't agree more. And Richard, while we're closing off here, CoHost Track:: do you have anything else from those initial episodes to kind of touch on before CoHost Track:: we wrap up our episode today? : In particular, I don't. I think today talking about this on air was actually : really good for me to process it.

: And that light bulb of like solving for these different variables and having : options of tracks and different stop points along the way is what has come out of this. And I love that. : Because my favorite moment in our building of our framework was seeing the path and that slide. : And I have a feeling that my new favorite moment is going to be seeing the updated : version of the paths and the avatars and how it all fits together. : So this is just, it's just plain exciting to me.

CoHost Track:: Yeah. And like, you know, I think, you know, again, I think it's the whole goal CoHost Track:: of a dentist looking at the new version of the chart. CoHost Track:: We're going to have income be like the height of each avatar on this chart will CoHost Track:: be reflected by their income. CoHost Track:: So rather than sitting there thinking, how much does that person make? CoHost Track:: It's like, no, no, no, it's just going to be right there on the side.

CoHost Track:: Like you're going to see their income on average, and you're going to see the CoHost Track:: income relativity between the different avatars.

CoHost Track:: And I think that will open up a new perspective for people because they're going CoHost Track:: to, you know, some people, like, if you ask me, like Richard knows this about me, I always say, CoHost Track:: de-risk my personal life so that I can put all of my risk on the entrepreneurial CoHost Track:: side in my professional life.

CoHost Track:: And so like, if I said like, a million dollar income, like, I don't really like CoHost Track:: at this point in my career, I may not want that.

CoHost Track:: And that that would be how I would look at that chart. But then you have someone CoHost Track:: else and be like, you know, I got the house, I have the boat, CoHost Track:: you know, I've got like my, you know, like, I got my stuff, I've been doing CoHost Track:: well, I've been working for six to eight years, like, I'm making good money. CoHost Track:: Like, you know, shared practice is saying I can have a group practice, CoHost Track:: great, I want a group practice.

CoHost Track:: But like, do I want it bad enough to have like a six month period where I'm CoHost Track:: not making the kind of money I'm making right now? CoHost Track:: Maybe not. Or maybe, you know, someone younger, like we typically get somebody CoHost Track:: who is, they just bought their practice, right? So they're coming off of an associateship. CoHost Track:: And so, you know, they're like, for them, it's just like maintain associate

CoHost Track:: income throughout the whole time. And then it pops into their group practice with a larger income.

CoHost Track:: That's kind of who we've catered to. And they They work with us, CoHost Track:: you know, they work with us on buyer's representation services, CoHost Track:: and then they usually are buying a practice with the idea in mind of going from CoHost Track:: a solo to a group and doing that transition, or they're usually, CoHost Track:: like, trying to buy a practice and hit the ground running. CoHost Track:: And that's kind of who we've catered to, right?

CoHost Track:: But if you've been a dentist for a while, and you've been making a, CoHost Track:: you know, a significant income for a while, it's a totally different proposition CoHost Track:: for you if you're like, no, like, Like, you know, this might sound weird, CoHost Track:: but like, no, no, no, like half a million dollars a year is like what I need. CoHost Track:: And, you know, it's like... CoHost Track:: Okay, well, like, you know, then we need to have options for you too.

CoHost Track:: And, you know, I think that like the next ask, George, that we're going to be CoHost Track:: talking about is really going through the fundamentals of hygiene-led growth. CoHost Track:: And like that, I think, can apply in any situation. CoHost Track:: And I think the real variable that each client or dentist needs to solve for, say, where am I going?

CoHost Track:: That was we always started with where are you right select CoHost Track:: your current location and where are you going and CoHost Track:: now we're adding a next question which is how long do you want CoHost Track:: to take to get there and how important is your income along the way right and CoHost Track:: so it's like we used to just ask two questions and now we can ask four and that CoHost Track:: i think is like what scott has added to our mix is you know we don't go from

CoHost Track:: you know point a to point b it's point a to point b how fast and how much money CoHost Track:: do you want to make along the way? CoHost Track:: And I think that that is really what we've added. CoHost Track:: And that is like, if you've been listening, like, what have they been saying? CoHost Track:: Like, this is so confusing. Like, they've been saying one thing, CoHost Track:: he's saying another thing. How do these two things kind of fit together?

CoHost Track:: Like, it really is, it's just helping you have more options and helping you CoHost Track:: answer more questions that can then point us in the right direction for you CoHost Track:: to go down the right path. CoHost Track:: And, you know, that's kind of like the net summary of, you know, CoHost Track:: how the two pieces of information collide.

CoHost Track:: And, you know, when you watch our courses, and when you come to our courses, CoHost Track:: which you should definitely come to our courses, like, we're going to be building CoHost Track:: on that, and you'll see it in a more completed way. CoHost Track:: And then you'll see kind of all the content around that kind of general framework and idea.

: That's what I was going to ask next and say next, which which is the most exciting : place to see all of this is in person as it all comes together and as it evolves, : whether you've taken our courses before or you haven't, : that's where the magic happens is the complete version of these options, : these avatars, the framework. : So wherever you are, come to our next course because it's going to be updated. : It's going to be significantly different. It's going to be better.

: And we can't avoid doing that. Every time we update it, every time we make it : better, this is this is like a a step and a major iteration so i'm i'm super : excited for what's to come.

CoHost Track:: Yeah i couldn't agree more and you CoHost Track:: know if you've been listening to the shared practices podcast for a number CoHost Track:: of years you know we we really appreciate you being part of the community it's CoHost Track:: been really fun for us to have scott come on and it's kind of been like a celebration CoHost Track:: of shared practices in a way because like he was so core to our story and in CoHost Track:: very many different Like he was an early guest.

CoHost Track:: He was very inspirational to us as entrepreneurs. CoHost Track:: And he, you know, his courses are something that we've modeled ourselves after. CoHost Track:: And so it's just, I think for us, it's been really cool and full circle. CoHost Track:: And, you know, it... CoHost Track:: It's worth it, right? It's worth it to bring on somebody of his caliber and CoHost Track:: iterate in a major way because the end result is something that I think we're all really excited for.

CoHost Track:: And so, you know, I just appreciate, you know, those who have continued to come CoHost Track:: back and continue to want to learn from us because it's created a really cool CoHost Track:: community that we're all a part of. CoHost Track:: So, you know, that's something that's one of my favorite parts about kind of CoHost Track:: podcasting is podcasting turns into community.

CoHost Track:: And that's something that I didn't expect on the way in, but I've definitely CoHost Track:: seen very, very obviously kind of through like, I got people who have been listening CoHost Track:: for years that are reaching out to me, messaging me debating about things that we say on the show. CoHost Track:: And it's like, yeah, that's a community aspect. And like, bring those questions

CoHost Track:: and comments to the Facebook group. Because that's where Scott's there, CoHost Track:: Richard's there, I'm there sometimes. CoHost Track:: And like, we can kind of like very directly discuss these things openly with CoHost Track:: other people who are listening and having their own opinions. CoHost Track:: So Richard, do you have anything to decide to close us off?

: No, I'll just say I'm excited for this next Ask George because it's like I said, : we're being very vulnerable on air and we want to address the stuff that's coming up for people. : So let's get back to it. But George, thanks for being on with me again. CoHost Track:: Absolutely, Richard. Can't wait for the next one. : Hey, we'll talk to you next time on Shared Practices 2.0.

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