A practice is a network of relationships that's created and sustained through service and communication. If you aren’t communicating with your patients – active and inactive - you won’t have much of a practice.

A practice manager helps put in the systems – the standard operating procedures -- in place that allow all your internal and external marketing procedures to be effective. And not just marketing. Patient retention, patient services, patient reimbursement and so on. They take the load off of you, so you are not the bottleneck!

Regular business growth is an arithmetic progression. Scaling is a type of growth that progresses geometrically over a specific period. It's not step-by-step growth.

A smooth and consistent patient pathway improves your patients' experience. One of the tasks we have as management consultants is to help you find and fix the biggest bottlenecks, or constraints, in your patient flow.

I have often noticed a correlation between doctors who lift weights also have successful practices. I also know that “correlation is not causation.” Weight training takes effort. It can be exhausting. It can cause discomfort. You must do it with consistency and sacrifice other activities to spend time with your weights. But it leads to better health and is good for you. I think successful people are willing to put themselves through discomfort for a worthy goal. It's all disc

Discipline tent poster . a culture of discipline is not a principle of business; it is a principle of greatness. Collins,J.C. Good to Great

Community events are a direct method to create and often strengthen relationships with people in your community. It is a form of relationship marketing and is done by meeting people and building genuine connections. This is networking. A fantastic book on networking and relationship marketing is the World's Best Known Marketing Secret,by Ivan Misner (Founded Business Networking International).

Offline, old-school marketing, mixed with some on-line marketing will, over time, establish your dominance in the special niche you’ve carved out. “80 percent of success is showing up” (Woody Allen)*

If you keep doing what works, and then make improvements along the way, and adapt as needed to changes in the marketplace, you will be able to generate more production with less effort.

Challenge yourself and your team to continue to master the skills of your profession. Always do this first before you worry about marketing.

Ed Petty's teaching has helped us to define every role and goal with expectations and checklists to empower our team