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The Test That Decides If Your Practice Will Scale or Stall

leadership operational excellence Oct 10, 2025

You finally start to remove yourself from the daily operations, and almost immediately, that pull begins.

Patients insisting they’ll only see you.
Colleagues reaching out with special requests.
And a team that hesitates because they’re unsure what you would have them do.

It shows up as the knot in your stomach when a patient threatens to leave. The added pressure when a colleague goes around your staff and texts you directly. And the frustration when your team waits on your input for something they should already know how to handle. In those moments, it feels easier to jump back in and take care of it yourself.

This is the test. And it happens almost without you realizing it.

A patient calls at the end of the day asking to be squeezed in, and the front desk is afraid to enforce the blocked schedule because the patient insists, “the doctor did it for me last time.” Or your PA checks in before adjusting a protocol, not because she doesn’t know how, but because she worries she’ll be second-guessed later.

Your team doesn’t want to disappoint you. They want to know what “right” looks like. But without clarity and consistency, they’ll keep relying on you for direction and reassurance.

Patients pick up on the hesitation and the exceptions, and their confidence in your team and in your practice begins to fade.

If you’re committed to your big vision and you trust the strategy you’ve put in place, stay the course and remain consistent.

Resist the temptation to get involved in the systems your team should be running.

Every exception made on the fly creates inconsistency and weakens your team’s confidence.

Leadership at this stage requires a shift from fixing problems to developing people who can prevent and solve them.

Stepping back isn’t abandoning your business. It’s leading it differently.

When you hold that line, your systems get stronger, your team steps up, and your practice finally runs without relying on you.

That’s what Transferring the Trust™ is about: creating the structure, clarity, and accountability that allow your practice to grow beyond you.

 

Not every practice is ready to scale this way. But for those who are, this is the work that changes everything.

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