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O impacto dos jogos virtuais de azar é hoje tão grande que preocupa até o poder público, tamanho o risco que representam. Sejam eles esportivos, popularmente chamados de BETs, ou de cassino, como o famoso Tigrinho, esses aplicativos/sites já movimentam bilhões por ano só no Brasil. A ludopatia ou Transtorno do Jogo, doença crônica reconhecida pela Organização Mundial da Saúde (OMS), coloca em perigo o orçamento de famílias inteiras, pois prometem a ilusão de se ganhar dinheiro fácil. Sobre o assunto, o âncora Jota Batista conversa com o psicólogo Rodolfo Cunha, mestrando em Psicologia Clínica, no Canal Saúde desta segunda-feira (20)
El último episodio abierto de la temporada va de duplicidad y doblez; de gente que pretende ser otra gente (no hablamos de actores), mayormente para delinquir (seguimos sin hablar de actores). El contenido se centra en dos grandes nombres, pues su vida daba para mucho. Benja Villegas narra la estrafalaria saga de Frederic Bourdin, el fulano que convenció a una familia redneck americana de que era su desaparecido hijo adolescente, pese a ser un señor de casi treinta años con acento gabacho. Kiko Amat desgrana la tragedia de Jean-Claude Romand, el prestigioso médico de la OMS que resultó no ser médico, ni prestigioso, ni de la OMS, y quien apioló a su familia cuando la verdad empezó a divulgarse. El capítulo termina con un jocoso top de estafadores de poca monta, entre los que se cuenta el hombre que fingió tener síndrome de down para que tres mujeres lo bañaran (sic). Pueden disfrutar de más impostores en el capítulo especial para Patreon.
Pelo menos cinco países do continente europeu dão conta de quase 10 mil mortes causadas pela vaga de calor no final de junho; a OMS avisa para os impactos do calor extremo na saúde da população e apela à preparação das unidades de saúde na prevenção de mortes.
Novas diretrizes da OMS apresentam orientações para enfrentar comportamentos prejudiciais à saúde, controlar condições médicas e reduzir exposição a fatores ambientais que contribuem para a doença. Demência tem custo estimado de US$ 1,3 trilhão por ano para a economia global.
For the CEOs out there, how are you planning out your weeks to keep your business humming for the short and long terms? Kiera talks about what it means to plan and delegate as the leader of your company, as well as three tips that CEOs of multi-million-dollar practices live by when it comes to success. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:01) Hello, Dental A Team listeners. This is Kiera, and I hope you are having an awesome day today. I hope that you're loving your life. I hope that you remember that we just are so lucky to live this life, that we are so lucky to work in dentistry, that we get to have our life calling. I am just so excited to podcast with you. I am coming in off the road. You guys know that when I've been on the road, it's a great time. I love seeing offices in person. I love working with teams. I love seeing how very simple. pieces can actually help out a practice. And it was really, really fun. So I'm just excited. I'm I'm lit up and I hope you are too. So today I wanted to go through just a fun ⁓ I realize a lot of people listening and a lot of our clients and even myself included, a lot of what we're trying to accomplish as business owners is how do we become the CEO of our business and how do we block that CEO time and how do we actually work on the business? Like everybody says like you got to work on the business and not in the business. And I just get annoyed with that. I'm like, okay, but great. Like Tell me what that actually means. Tell me what I'm supposed to do. And so today I wanted to break it into very much a what exactly does that mean? How do I actually do it myself as a CEO? Giving you guys some tips of what do you do on Sundays or when you block your time? How do you set up your week for success? So I think a lot of time it's ⁓ there was I think it's like if you fail to plan, you set yourself up for failure, something like that. Like there's a quote, I'm sure I could have done a better job on that. But it's so many times people come in and they feel like they're just very reactive instead of proactive. And early in my career, there was a great client of mine who was like, Kiera, do you know how I prep for coaching calls? And I was like, How? He's like, I go to a coffee shop, I spend 30 minutes preparing for a call, I sit there, I ponder, I make sure that I'm very intentional. He's Do you know how sometimes you feel like you come into calls? Mind you guys, this is like Kiera, like two weeks into owning her own business. And I was like, He's like, You feel like you just rush to the call and ⁓ At that time he wasn't wrong. And it was a really great thing for me to recognize and I think about that often of what are we doing with our weeks as CEOs? Are we running into them haphazardly, not even prepared? Or are we like the client was where we take the time to plan, to prepare, to see what we can actually delegate to our team, to other team members on it, or are we just in reactive mode? I think it's more the how proactive are we versus how roactive are we. So I want to just walk you guys through specifically what I personally do, things that have worked well for my success, things that have worked well for clients that we work with. To hopefully give you just some good tips of how you can set yourself up as a CEO and maybe start doing things a little bit differently. Like they say, success leaves clues. So let's give everybody clues and tools and different things that we all can do together. So that's what I wanted to do. ⁓ and also just realizing like you genuinely don't find time to work on your business. You don't find time to be a great leader. You don't find time for this. You have to create and make that time. So ⁓ one thing that I noticed is like, we're going to work on how to stop reacting and be a bit more proactive. So I think when I look at it, you're trying to be a doctor, a manager, HR, scheduler, problem solver, like just answering all the problems and you're trying to do it in real time rather than sitting there focusing. And I will say when I look down the line, I can tell when I've been proactive and I can also tell when I've been very reactive. So I just wanted to kind of give you like three tips how specifically I do it, what I do, and what I've seen other offices do and other doctors do that are very successful. And like I said, The my elite practices who are the multi-millions, who have multi-offices, who have their lives where it feels like they just have it together, these are things that they all do too. Now, how you do it, when you do it, that's gonna be up to you. But all of us do a lot of the same things. So ⁓ number one for me, I block my time on Sundays. So you can do it whenever. I do not like having the Sunday scaries. I don't like walking into my week. I also don't like to plan on Fridays. So whatever it is, I'm usually downright tired on Friday. And so that's not usually my best day. So for me, it's on Sunday. So it takes me about I usually plan 30 minutes to an hour, is how long it takes. ⁓ and I still have a physical planner. So, however, it's gonna work well for you. But I like to see physical space. I'm a very visual person, and so I like to see my physical space. So I actually walk through and I go through my entire week. I map out exactly what is there, what's on the calendar, and I I go out four weeks. So I'm looking ahead to see. What things are on the books, what meetings do I have? You could be looking at your production. So you could be looking to see what do you have coming up? What projects are coming up? What pieces are coming up. ⁓ like right now, mid-year, I'm looking at my taxes. So I'm looking in the different buckets of from as a CEO in the business, like what's my profitability, what's my culture, where are we headed? It's about to be mid-year. So I'm looking to see what what pieces do I need to get done there. I'm also looking for me, I've got podcasting, I've got meetings, I've got Bookkeepers. I've got different people that I'm meeting with. And so where is that at? And I always am looking four weeks out. Now, office managers should also be doing this as well. So this is for doctors and OMs. What do I have coming? Like what's coming up on the schedule? What are the team challenges? I'm looking to see what team things need to get done. What projects are we doing? What initiatives are we rolling for this week, for the next week, and the following? What I found is when I'm on a four week run, I'm able to catch things, I'm able to ha better utilize my time. I'm able to see like, gosh, we've got vacations coming up. Do we need to do more production right now? So I really, I personally, Kiera Dent loves looking four weeks out. So looking to see where it is. ⁓ and then I look at this week. So by looking four weeks out, I'm able to say like, where am I maybe put in meetings that I don't need to be a part of? ⁓ where am I missing? What team members are going to be out? What things do I need to proactively plan for? So I'm really looking and like overseeing a lot of those scheduling pieces. Now managers should be doing this as well, looking to see. Do we have our schedules covered? Do we have different pieces? For me, I'm looking to see who can I delegate, who on my leadership teams in and out, consultants being on the road for you when our associates out. And I think when we proactively can look at this, we can look at our production. We can look at where am I working on the business? What big projects and initiatives do I want to get done? So for me, I just noticed that where it's at. I really do think doctors who are looking at their production a week out, two weeks out, three weeks out, four weeks out, you're going to be a lot more proactive and I know a lot of dentists get into the rut of just kind of being robotic. Like we go and we do our exams. When you're constantly looking at your week, what is my production? What's my dollar per hour? How am I looking? What were my cases? Reviewing my cases last week, which closed, which didn't close, looking at my PL, looking at my numbers, looking at my meeting with my office manager, what things are on my plate that I could delegate to my office manager. I'm always looking. I also have a list of things that I write down. you can have it as a a digital version or you can have it as a paper version. I technically do both. ⁓ but really looking to see what is my game plan. So that way when I walk in on Monday, it's very much prepared. I also am planning my leadership meetings. What things does my leadership team need to have in place? What do my consultants need to have in place? ⁓ what do I need to be relaying to our COO and our CFO and what things do I need to have them working on as the CEO? Like at the end of the day, the CEO, we are orchestrating. Yes, we do have a lot of people that work for us and with us. ⁓ but I'm orchestrating of Who do I need? What meetings do I need to have? Where do I need to make sure that I'm running these pieces? So maybe you're looking at what do I need to get my lead hygienist to be working on? What things if my dental assistants could take over would help me out? How are our supplies? What are our budgets? This isn't saying you're managing the practice. And I hope that you're hearing of you're looking at to me, I feel like I'm kind of doing an inventory. It's almost like I'm going to go grocery shopping. Like what's the inventory of my business? Where are things and what do I need to have the different departments do? Because if I can proactively just get people working on one or two projects throughout the week that don't rely on me, we're able to make a lot of movement and momentum. And I've actually found my friend and I, really, really successful CEO. We were talking about that. And he said, Kiera, could your business sustain without you being there for a month? And I thought about it and I was like, actually yes. Like I'm very proud of our team. I'm very proud of what we built. They could last a month without me being here. I've tried it, I've tested it, I know for a fact they can, I know they could go for longer than a month. But he said, but will they grow without you there? And I've thought about that a lot. And so for me, when I'm taking my CEO time and I'm blocking my week, it's I believe we're almost like the wind in the sails. Our team is the boat. Our team is the sails. You as a CEO need to be the wind. So how are we going to grow? How can we work through our team and not have everything sitting on our shoulders? I'm very, very cognitive of what meetings am I in, what what projects are being assigned to me, what projects are assigned out there, what things have I not followed up on. Who do I need to follow up on to make sure things are moving? And I will say it just it takes that load ⁓ off of my brain and allows me to really be present and to step into Monday in that week very confident, but also not just the week. We're looking at the month. And so we're always in this proactive piece. So really looking at the financials, looking at the business acumen, looking at what my OM should be doing, and then who can I delegate to? So the next piece to this is once I have it all mapped, once I've looked at it, once I've removed it. Then I'm gonna be delegating. So I literally have a list of here's all the items Kiera has on her. Are these things really for me? Or who's better at that, who's more equipped, and who actually has the time to do it? So I will delegate out projects or tasks. Or if I know I have a big project coming up, so maybe we're working on operations manual, or maybe you're working on an Invisalign promo, or maybe you're working on ⁓ getting your hygiene period protocol written. Are there people that can help you with this project that are just as good, if not better than you, that you could delegate out tasks to them? So I'm I'm really thinking in it's not even project management. It's more like, okay, I need to get these projects done. Who has time? Who's available to do this? And also whose responsibility is this? If Kiera's not the only one who can do it as a CEO, it doesn't sit on my plate. I'm going to pass it to somebody else. If it truly is only something me as a CEO can do, and that's not out of pride, ego, or things that I like. I need to delegate it and make sure it's followed up with. So I look at my personal assistant, I look at my EA, what things can they take on? I look at our marketing team, our sales team, our rev team, our CRO, our CFO, our COO. Which ones of those can take these projects on? Who do I need to follow up with? So like truly, you delegate out to the team around you and you make sure that you're utilizing each of them. And so ⁓ I really think it's just a valuable thing. I think it sets you up for success. I know it sets you up for success. And it's also working through your team. ⁓ we've been talking about this a lot in our leadership meetings and on our leadership team of how do you work, like how do you get everything done? And I think there's different types of leaders. There's those who want to just do it all themselves, and then there's those who work through their team. And working through your team is delegation, it's elevation, it's not abdication. It is really working through your team, meaning all of us are working together, all of us are getting the projects done. One person's not carrying the weight, and the rest of us are just sitting there. on the boat alongside them, but we are working through the team. And this is how you prevent burnout. This is how we prevent having things stack up. This is how you're able to again be that like wind that pushes through the sales. So how do I work through my team? Because there's always a lot more that needs to be done that can't get done. How do I look at my systems? How do I review different pieces? I got to scratch those itches like maybe our finances aren't as tight. Maybe our billing's not as tight. Like let me look through this. It doesn't mean I need to do a deep dive. I can delegate and say, hey Sarah, I'm curious about our EOBs. Can you take a look through the last three months and give me an assessment of where we're at? Like should take you about an hour. Do you have time to do that this week? I'd love that. And I'd love a report back by Friday. Absolutely got you. I make a note of the things I should follow up on as well because I don't like to delegate. I don't like to ask and then not follow up. And that's something that I will say I'm not naturally gifted at and something I have work really hard at. But really, it's a how do I plan my week? How do I work through my team? And then the next piece is when I do delegate, delegate outcomes not. tasks. I think that this is such a a beautiful, different frame of mind to think of. ⁓ so with a team instead of calling overdue patients, it would be like you own the schedule, ⁓ I need you to call as many unscheduled or recare patients to get it full and to report your progress weekly. That's a different thing. So now it's a it's an outcome of owning the schedule rather than calling undue pay like overdue patients. Instead of working on our AR, it's we need to have our collections at 98%. We need, ⁓ are over 90 to be less than 15%, ⁓ or like go down the line of one month's worth of of production or and collections. So this way they're able to work on these items, report back to you, and to really have ownership over an outcome rather than a task. ⁓ this year's theme in our company is outcomes over activity. I'm really big on people owning an outcome, driving metrics, ⁓ and being owners over that and to really shine in their own direction. And so for you to To give that ownership, ownership creates accountability. Delegation really will work when responsibly has a name attached to it. So what are we delegating? ⁓ and look to see what is that task? Does it align, making sure you have a really clear accountability chart too or organizational chart? Who does what in your organization? For me, I pull that out every single week and I'm like, okay, I've got these tasks. Who's the right person in the right seat to do this task and requirement? And who can I give ownership to this? So as we're looking at it, I think it's a Can I block my week, my month, the next couple of weeks and look at it? Am I looking at my production? Am I looking at my overhead? Am I looking at my profitability? Am I game planning for that? Then am I taking that game plan to leadership? What are the issues that are outstanding? What things still are sitting on my mind that are taking up a mental load? Can I add that to my leadership team's agenda so that way it's off my mental load and it's there and then it's delegated, it's followed up on, it has accountability for it. Truly, like where are the parking lots for your brain? So it doesn't sit there and churn. Like, I love our leadership meeting where we're able to put these items on there. What about in our hygiene department and our dental assistant department with my OM? Do I have agendas for those? So as I'm going through my week, these items that need to get done and resolved, is there a parking lot so I can relay this information? Do you have the meetings in place for me? I really love like every week. And people are like, you have so many meetings. And ⁓ I'm a proponent of less meetings, but meetings that are very effective. And I do run off the model of traction. So it's an every single week, it's a 90 minute. leadership meeting and then we do have department meetings and I used to feel like it was so much. ⁓ but when meetings are run and they're run very effectively, which I believe the L10 model is one of the most effective meetings that are always productive as long as you're actually running them, calling out metrics and focusing on the most important things. We parking lot these issues that come up. That way there feels like it's a space for it. For me as a CEO, a lot more could move forward because I'm not having it sit on my brain, sit on my plate. There's a space where things can get delegated and discussed through. and then having those direct reports, report back and having the follow-through follow-up. I found so many dentists get stuck because I feel like we have this churn in our brain, but there's nowhere to put it. There's no follow back loop from our office manager or management team back to us to say where are things at. So having those set cadence of meetings where I can delegate out, we can report up, we can work through our team, really allows the entire organization to move quicker and faster. There are some departments that might not need a weekly meeting. I found that hygiene. Once your hygiene department's running and they're hitting their metrics and they're doing a great job, they're usually like once a month. And what they really prefer in hygiene is they're going to want to have trainings in CE and looking at our metrics and seeing how do we work as a department. But really, hygiene oftentimes is a self-sufficient department. Doctors, once month calibration is usually sufficient unless I've got an issue where I'm onboarding a new doctor. ⁓ dental assistant department, depending upon how they are, a lot of times they do need weekly training. ⁓ full team training oftentimes can be once once a month, and that's very effective and efficient. Doctor and OM meetings every single week, non-negotiable. Leadership meetings every single week, non-negotiable. Those are things that I'm absolutely meeting with. ⁓ those things then can move forward. Billing meeting every single month. So that way you've got places, you've got agendas, you've got set times are set. And then we need to have some type of project management software where you as a CEO know all the projects moving forward have deadlines. They've got people assigned to them so it can loop back to you. So hopefully that's just helpful for you ⁓ to stop like putting out constant fires, to stop having it churn in the back of your brain to have some structure, to be able to get that leadership structure in place. Because I found that ⁓ if you're trying to be the superhero and do it all, that's where burnout happens. that's where a lot of teams feel less empowered. That's also where you're actually enabling your team to not be there. Like you solving all their problems feels like you're helping them out, but it's actually creating dependency and it's creating burnout on you. So what should happen is when teams ask questions and they immediately get answers, we gotta have it to where they can solve their own problems. If you as the owner are jumping in to solve patient issues or problems within the practice all the time, you have an empowered and lifted a leadership team. If the office manager is coming to you solving every single problem, like they've got to really be empowered to do this. And so really also teaching our teams to come up with their recommendations. What are three solutions to this problem? what options have you considered? What do you think we should do? But really start helping your team and expecting them and rolling that culture out so that way as problems evolve and resolve, it's not just sitting on you. So hopefully that was helpful of prepping it on Sunday, how far out I look, what things I'm looking for, what we teach our doctors to do, what we help our leadership teams with our offices do, to really be able to scale, to have stability, to have like consistency. I think that that's one of the greatest things we're looking for is we want this structure, we want scalability, and we want it to be able to have great stewardship over our practices. So If this is something you're struggling with, if you're like, my gosh, like this is my life, I feel like it's on that constant hamster will loop in the background where I never can let go. I feel like I don't know how to prep. Try it. Try prepping Sunday. Try prepping your week out. Reach out. ⁓ I think a lot of you are great clinicians and you do an amazing job. You have a very creative mind, maybe not a management mind. And so ⁓ I think sometimes that management skill needs to be taught, it needs to be trained, and it needs to be given to you in organization and structure. So reach out. I'd love to help you. We help create those leadership systems and help build in accountability and help you delegate with confidence and how to help your team elevate to that level because they might not know either. So if you're looking for answers, great news, today's the day. Reach out Hello@TheDentalATeam.com. But I really just encourage and implore each of you to try and whatever it is, if it's a fr Friday for you, if it's a Sunday for you, look down the line, look at your emails, look at your tasks, look to see how you can work through that team. Look one week out, two weeks out, four weeks out. Look at your production, look at where we're at, look at our billing, look at our collections. Really start to get into the mode of being a CEO. And right now you might be like, I don't even know what to do. Fantastic. Block the time. And I promise you, the more you do it and the consistent you are at it, the more it will start to become a habit, the more you're starting to see things because it's a consistent piece. Get those meetings, get those agendas lined up so you've got a parking lot for those ideas. Really start to build that structure. And I promise you, things will be so much easier for you. As always. We are here. This is what we do. We're experts at it. So reach out. Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team
México responde a la DEA: “cero impunidad” ante el crimen organizado OMS alerta por brote de ébola en RDCArgentina e Inglaterra: historia, literatura y MundialMás información en nuestro Podcast#grc
Estudiantes ponen tres condiciones para iniciar el diálogo en ZacatencoSMN alerta por lluvias intensas en Coahuila y JaliscoVacunación infantil mundial sigue debajo de niveles prepandemiaMás información en nuestro Podcast#grc
Nove países concentraram 52,4% de todos os menores "dose zero", que não possuem nenhuma imunização contra doenças; Relatório da OMS e do Unicef mostram que ano passado 116 milhões de crianças receberam pelo menos a primeira dose da vacina contra difteria, tétano e coqueluche em todo o mundo.
Na segunda edição deste boletim você confere:- Site do Supremo Tribunal Militar está fora do ar há duas semanas após ataque hacker;- Projeto que amplia assistência para famílias após perda gestacional é aprovado por Comissão do Senado;- OMS aponta aumento da taxa de abandono do esquema vacinal infantil para 12%.O Boletim Rádio Gazeta Online é um conteúdo produzido diariamente com as principais notícias do Brasil e do mundo. Esta edição contou com a apresentação dos monitores Maria Eduarda Palermo e Thales Faria, do curso de Jornalismo.Escute agora!
Na terceira edição deste boletim você confere:- Preso por atentado contra Marielle Franco, Domingos Brazão perde cargo de conselheiro do Tribunal de Contas do Rio de Janeiro;- OMS alerta que quase metade do risco de demência pode ser evitada;- Candidatos já podem conferir os resultados da primeira chamada do Prouni do segundo semestre.O Boletim Rádio Gazeta Online é um conteúdo produzido diariamente com as principais notícias do Brasil e do mundo. Esta edição contou com a apresentação dos monitores Thales Faria e Maria Eduarda Palermo, do curso de Jornalismo.Escute agora!
Número de mortes aumentou 44% em 30 anos, segundo OMS. Prevenção baseia-se, sobretudo, em estilo de vida saudável. É importante controlar tensão arterial, diabetes, colesterol, fazer atividade física. Evitar cigarro e álcool também ajudam.
Enxergar bem é algo que muita gente só valoriza quando começa a perder a visão. Em julho, mês do Dia Mundial da Saúde Ocular, a campanha da Organização Mundial da Saúde reforça um alerta: prevenir e diagnosticar cedo pode fazer toda a diferença. Os números chamam a atenção. Segundo o IBGE, quase oito milhões de brasileiros convivem com cegueira total ou grande dificuldade para enxergar. E, de acordo com a OMS, cerca de 80% dos casos de deficiência visual poderiam ser evitados ou tratados com diagnóstico precoce. Quais doenças mais ameaçam a visão? Quais sinais não podem ser ignorados? E como proteger a saúde dos olhos ao longo da vida? Para esclarecer essas dúvidas, o JR 15 Minutos conversa com o médico oftalmologista e presidente da Sociedade Brasileira de Oftalmologia, Emílio Suzuki.
O tabaco é responsável por mais de 8 milhões de mortes por ano no planeta, e 1,3 milhão delas envolve fumantes passivos, segundo dados da Organização Mundial da Saúde (OMS) divulgados em 2023. No Brasil, o tabagismo causa cerca de 160 mil mortes anualmente, segundo o Instituto Nacional de Câncer (Inca). Existem mais de 5 mil substâncias na fumaça do cigarro, e cerca de 50 delas são cancerígenas. Como a nicotina gera dependência, abandonar o cigarro é um verdadeiro desafio individual e de saúde pública. A substância chega ao cérebro em poucos segundos, e sua ausência provoca irritação e ansiedade, e é por isso que é difícil controlar a vontade de continuar fumando. Como buscar ajuda? Colocar a decisão em prática requer disciplina e determinação, e é comum que várias tentativas ocorram antes da interrupção definitiva do consumo, lembra a psiquiatra francesa Mathilde Sennhauser, do Hospital Sainte-Anne, especialista em dependência química. “Cada pessoa terá sua própria motivação. Para algumas delas, será a saúde. Para outras, serão os filhos, as finanças, a pele, os dedos e os dentes que ficam amarelos. As motivações podem ser variadas”, diz a psiquiatra francesa. O processo de desintoxicação é lento e parecido com o de outras drogas, já que a nicotina “ativa os mesmos circuitos cerebrais”, lembra a psiquiatra francesa. “A nicotina faz parte das substâncias mais viciantes, ou seja, daquelas que favorecem o surgimento de uma dependência”, alerta Mathilde Sennhauser. A francesa Marie, de 47 anos, demorou anos para conseguir se livrar definitivamente do cigarro. Ela tentou hipnose e outras técnicas, mas só conseguiu colocar um fim ao vício após buscar acompanhamento psicológico. As sessões ajudaram Marie a entender como ela se relacionava com o cigarro e por que era tão difícil parar. A gestão das emoções relacionadas ao ato de fumar, conta, ajudou-a a atingir seu objetivo. “Na verdade, eu estava realmente farta de fumar, de procurar meus cigarros por toda parte, de ser dependente, de ter que correr para comprar porque não tinha mais nenhum maço”, explica. “Decidi buscar acompanhamento porque sabia que já tinha acumulado vários fracassos nas minhas tentativas de parar de fumar”. A psiquiatra lembra que a síndrome de abstinência, como ocorre com qualquer droga, é um momento decisivo. “Há a abstinência física, que ocorre logo depois de parar de fumar. Podemos ficar mais tensos, mais irritados, até meio tristes. Em seguida, temos as medidas que vão ajudar a não voltar a fumar a longo prazo”. Cigarro eletrônico não deve ser utilizado O cigarro eletrônico, que surgiu como uma alternativa para fumantes que querem abandonar o vício, gera novos riscos, alerta a psiquiatra. E, no caso dos adolescentes, pode ser uma porta de entrada para o cigarro. “A ideia é transformar o cigarro eletrônico em um objeto da moda, com embalagens coloridas e múltiplos sabores. Isso é problemático porque, como contém nicotina, desencadeia essa dependência. Mesmo sem nicotina, estabelece-se um hábito, essa dependência comportamental de ter sempre o gesto de fumar alguma coisa. Isso pode realmente favorecer o surgimento do tabagismo mais tarde”. A psiquiatra francesa lembra algumas dicas que podem ajudar no processo: evitar ambientes onde outras pessoas fumam e outras situações propícias ao consumo, ter em mente o custo do vício, beber bastante água e praticar exercícios físicos são algumas das medidas que podem ajudar a abandonar definitivamente o cigarro.
Ningún experto cuestiona si habrá o no otra pandemia: la pregunta es cuándo ocurrirá y con qué patógeno. La Organización Mundial de la Salud acaba de advertir de que los brotes infecciosos son cada vez más frecuentes y más difíciles de contener por factores como el cambio climático, la pérdida de biodiversidad, la urbanización o el aumento de la movilidad internacional. En la última década, no solo hemos sufrido la COVID-19 o el VIH, también ha habido brotes de ébola, la amenaza de la MPox o la reciente crisis del hantavirus. Es un reto que el mundo afronta con mucha división política: con Estados Unidos fuera de la OMS, y el tratado de pandemias que busca frenar la desigualdad, bloqueado. Un reto en el que no ayudarán ni el alarmismo, ni la indiferencia. CRÉDITOS Presenta: Ana Fuentes Realiza: Belén Remacha Informa: Patricia R. Blanco Diseño de sonido: Nacho Taboada Coordina: José Juan Morales Dirige: Ana Alonso
En este episodio del podcast de NeuroLink de ScienceLink, el Dr. Raúl Medina conduce una conversación con la Dra. Ytel Garcilazo, médica internista y neuróloga con alta especialidad en neurooncología e inmunooncología. En el marco del Día Mundial de los Tumores Cerebrales, el debate se centra en el cambio de paradigma diagnóstico establecido por la clasificación de la OMS de 2021. La Dra. Garcilazo detalla la transición de un modelo puramente histológico a uno histomolecular, subrayando cómo la identificación de mutaciones específicas (como la de la isocitrato deshidrogenasa [IDH]) y marcadores de agresividad (como CDKN2A/B o la mutación del promotor TERT) permite reclasificar neoplasias, alterando de manera definitiva tanto el pronóstico como la estrategia terapéutica de patologías como los gliomas difusos y el glioblastoma.El análisis profundiza en el impacto clínico de las terapias dirigidas, destacando los resultados del estudio clínico INDIGO en pacientes con gliomas de bajo grado (astrocitomas y oligodendrogliomas) con mutación IDH. La incorporación de estos inhibidores ha demostrado ser un hito al prolongar la supervivencia libre de progresión, retrasar la necesidad de intervenciones agresivas como la radioterapia o la quimioterapia, y reducir la incidencia de crisis epilépticas, preservando la calidad de vida. Asimismo, se discute la búsqueda sistemática de otras dianas terapéuticas, como la mutación BRAF, y se enfatizan las secuelas neurotóxicas a largo plazo de los tratamientos sistémicos, tales como la neuropatía periférica inducida por quimioterapia en pacientes con metástasis al sistema nervioso central.Finalmente, los expertos abordan los retos diagnósticos en la práctica clínica diaria, remarcando la superioridad de la resonancia magnética sobre la tomografía para el escrutinio de síntomas como crisis convulsivas de novo o deterioro cognitivo atípico. De cara al futuro, la conversación proyecta el rol emergente de la biopsia líquida en líquido cefalorraquídeo como una herramienta diagnóstica fundamental para tumores de difícil acceso quirúrgico, reiterando que el manejo óptimo de estos pacientes exige un abordaje multidisciplinario estricto.Preguntas realizadas durante el episodio:¿Cómo ha evolucionado la clasificación de las neoplasias cerebrales en los últimos años?¿Qué relevancia clínica tiene la integración de los estudios moleculares en la clasificación actual?¿Cuáles son las opciones de terapias blanco o dirigidas para el tratamiento de estos tumores?¿Qué factores de riesgo y cuadros clínicos específicos deben hacer sospechar a los médicos de primer contacto sobre la presencia de un tumor cerebral?¿Cuáles son las perspectivas a futuro y los avances tecnológicos más esperados en el campo de la neurooncología para los próximos cinco años?Referencia:Este contenido se basa en la interpretación crítica de la evidencia científica disponible, así como en la experiencia clínica del o los ponentes como profesionales de la salud en instituciones de referencia.Para profundizar en los conceptos discutidos, se recomienda al profesional de la salud consultar literatura científica vigente, guías clínicas internacionales y la normatividad aplicable en su país.
Consultório do Rádio Livre: A ansiedade é considerada um dos males deste século. Segundo a Organização Mundial da Saúde (OMS), o Brasil é o país mais ansioso do mundo. O apresentador Tony Araújo destrincha o tema junto a especialistas. A psicóloga pós-graduada pela residência em psicologia clínica e hospitalar da secretaria de saúde do Estado, Katerine Czajkowska, ressalta que estar ansioso não é anormal e que a ansiedade faz parte dos sentimentos humanos. Ela torna-se preocupante quando gera prejuízos à saúde. O médico psiquiatra, Dr. Rafael Amorim Figueiredo, destaca que a ansiedade nos ajuda a tomar ações rápidas. Para Rafael Amorim, a ansiedade virou uma coisa ruim a partir das cobranças sobre a vida perfeita e sobre o paradigma de que quem descansa não vence na vida.
Consultório do Rádio Livre: A ansiedade é considerada um dos males deste século. Segundo a Organização Mundial da Saúde (OMS), o Brasil é o país mais ansioso do mundo. O apresentador Tony Araújo destrincha o tema junto a especialistas. A psicóloga pós-graduada pela residência em psicologia clínica e hospitalar da secretaria de saúde do Estado, Katerine Czajkowska, ressalta que estar ansioso não é anormal e que a ansiedade faz parte dos sentimentos humanos. Ela torna-se preocupante quando gera prejuízos à saúde. O médico psiquiatra, Dr. Rafael Amorim Figueiredo, destaca que a ansiedade nos ajuda a tomar ações rápidas. Para Rafael Amorim, a ansiedade virou uma coisa ruim a partir das cobranças sobre a vida perfeita e sobre o paradigma de que quem descansa não vence na vida.
Fontes do episódio aqui:https://portal.afya.com.br/podcasts/afya-news/11-07-2026Nesta edição de resumo semanal, revisamos as principais atualizações científicas que marcaram os últimos dias, destacando inovações terapêuticas moleculares, novas abordagens clínicas e o papel preventivo da tecnologia. Na linha infectológica, analisamos dados promissores de remissão funcional estável para a hepatite B crônica e ensaios iniciais de anticorpos monoclonais voltados ao controle viral. Discutimos a atualização de condutas práticas, como os critérios para o manejo conservador de quadros inflamatórios abdominais agudos e a personalização farmacológica na neurologia para o público jovem. Por fim, abordamos os novos relatórios da OMS sobre modelagem preditiva neonatal, os alertas sobre o uso de peptídeos estéticos não regulamentados e os novos sistemas automatizados de notificações lançados pela Anvisa. Afya News. Informação médica confiável e atualizada no seu tempo.
A onda de calor já deixou aproximadamente 4700 mortos.
In this episode of The Full Arch Podcast, Dr. Steven Vorholt sits down with Dr. Dan Holtzclaw to discuss the growing demand for zygomatic implant training among both oral maxillofacial surgeons (OMS) and general practitioners (GPs). They break down the evolution of remote anchorage techniques, why more oral surgeons are adopting zygomatic implants, and how structured education and mentorship are shaping the future of full-arch implantology. Key Highlights 1️⃣ The Shift in Implant Training – Why more oral surgeons are now embracing zygomatic implants, and how GPs have paved the way in this field. 2️⃣ Building Confidence With Zygos – What it takes to go from traditional implants to mastering zygomatic placement and how structured training plays a role. 3️⃣ The Future of Zygomatic Implantology – How hands-on courses, mentorship, and real-world experience are shaping the next generation of implant specialists.
México mantiene una economía sólida para el T-MEC: SREBanxico mantiene tasa de interés en 6.5% OMS alerta por aumento de casos de cáncer Más información en nuestro podcast#grc
Jornal da ONU com Ana Paula Loureiro. Esses são os destaques desta quarta-feira, 8 de julho de 2026.Jovens querem formar família, mas esbarram em moradia cara e economia OMS pede ação urgente: novos casos de câncer devem quase dobrar até 2050
Our pal Adam King organized an early mock draft as free agency was just beginning, and it was pure carnage. Dan goes through all 144 picks on today's show so you have a nice idea of where we stand on OMS with so much left to shake out. In part 2, we cover the later rounds, focusing on the WILD things going into this particular year that might just make 2026 fantasy drafts the most insane we've ever experienced. The Old Man Squad has a PATREON now. It's $1 and doesn't get a single benefit. It is entirely to support the mission here but won't change anything we do. https://www.patreon.com/cw/oldmansquad Follow Dan Besbris on Twitter: https://x.com/danbesbris Find Dan on the brand new BlueSky social network: https://bit.ly/3Vo5M0N Check out Dan's Google Sheet with Ranks, Weekly Streaming Schedule Charts & Injury Replacement Adds FREE! https://bit.ly/3XrAdEW Listen and subscribe on iTunes: https://apple.co/3XiUzQK Listen and subscribe on Spotify: https://spoti.fi/3ACCHYe Float on over to the new Old Man Squad Sports Network YouTube page to watch videos from the network's top talent: https://bit.ly/46Z6fvb Join the Old Man Squad Discord to chat with Dan and all the other hosts: https://t.co/aY9cqDrgRY Follow Old Man Squad Fantasy on Instagram for all our short videos: https://bit.ly/3ZQbxrt Podcast logo by https://twitter.com/freekeepoints Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Our pal Adam King organized an early mock draft as free agency was just beginning, and it was pure carnage. Dan goes through all 144 picks on today's show so you have a nice idea of where we stand on OMS with so much left to shake out. In part 1, we roll through the early rounds where drafts are made or broken. The Old Man Squad has a PATREON now. It's $1 and doesn't get a single benefit. It is entirely to support the mission here but won't change anything we do. https://www.patreon.com/cw/oldmansquad Follow Dan Besbris on Twitter: https://x.com/danbesbris Find Dan on the brand new BlueSky social network: https://bit.ly/3Vo5M0N Check out Dan's Google Sheet with Ranks, Weekly Streaming Schedule Charts & Injury Replacement Adds FREE! https://bit.ly/3XrAdEW Listen and subscribe on iTunes: https://apple.co/3XiUzQK Listen and subscribe on Spotify: https://spoti.fi/3ACCHYe Float on over to the new Old Man Squad Sports Network YouTube page to watch videos from the network's top talent: https://bit.ly/46Z6fvb Join the Old Man Squad Discord to chat with Dan and all the other hosts: https://t.co/aY9cqDrgRY Follow Old Man Squad Fantasy on Instagram for all our short videos: https://bit.ly/3ZQbxrt Podcast logo by https://twitter.com/freekeepoints Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
UNAM concluye necropsia del tigre KenzoLluvias desbordan planta tratadora en HuejotzingoRDC prueba tratamientos contra el Ébola Más información en nuestro Podcast#grc
Jornal da ONU, com Felipe de Carvalho:*ONU estimula governança global da IA em meio a alertas de "danos catastróficos"*Em 30 anos de Cplp, Angola defende elevar papel da língua portuguesa no mundo*Unicef: Crianças no Sudão estão presas em um “ciclo implacável” de violência*OMS reúne especialistas para formular novas orientações de segurança nas estradas
¡Prepara tu paraguas! Las lluvias seguirán Trabajadores de Pemex investigados por huachicolOMS alerta por riesgo de brotes en Venezuela Más información en nuestro podcast#grc
Kiera has talked to a ton of doctors to come up with tips for how to fill that CEO time that so often feels fathomless. The ideas include blocking out your schedule to understand your frequency, committing to "deep work" time, optimizing whatever you can, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:00) Hello, Dental A Team listeners, this is Kiera. And today is a fun rift of a CEO, giving some CEO tips. And I was just on a birthday trip. You guys, had a birthday and it was so fun. And my husband and went off to Austria and Amsterdam. ⁓ We have traveled a lot. If you guys have been a podcast listener, you know I'm obsessed with traveling. so because we've traveled so much, we're kind of on to off the beaten path locations and. This year I was like, Hey, I've never seen the Tulip festival in Amsterdam. Like let's head on over there for that. And so when we were there, some of these ideas came to me and I realized this would be, again, I love some white, white noise space guys. If you are an owner of a business and you have not booked yourself one trip that you are off the grid completely. when I talk my, so it was my birthday when I was gone and ⁓ luckily I have some like great friends in my life that texted me. My phone is off off. Like I kid you not, is on airplane mode. I don't even put it on wifi. Like I don't text people. Jason has his phone and I will say it's the greatest gift I give myself. And one of my friends did not know this quite as well with me. And she was like, Hey, said my other friend, like I texted care like two days ago and I haven't heard from her. She's like, ⁓ when care travels, she is like dead off the grid. Like you will not get in touch with her. If something happens, even if her house is on fire, like she'll deal with it when she gets home, like genuinely she's off the grid. She needs to have that, like just shut off downtime. And I will say for any of you, and I told an office to do this a while ago and they came back from their trip and they were like, Kiera, that was the best gift and we're going to do that now forever. And so for you, that would be my like birthday gift to all of you to do for yourselves is take a week, completely shut off. No Slack, no emails, no text messages, ⁓ completely turn your phone off if you can. Tell your family where you're at, like have it to where someone can be reachable if necessary. But I will tell you, I sleep better. than I ever do. ⁓ I come back refreshed. My team all tells me like I am such a happier boss when I come back. I feel like my relationship with my husband is so much stronger because I feel like he gets his wife back. I feel like I come back. I was in the Tulip Festival. There's videos that I have not posted. They're just for Kiera. I feel like literally skipping like a little girl through these Tulip Festivals. I feel I go back to the true core of who Kiera is. I don't need to be a boss. I don't need to be a CEO. I don't need to be a consultant. I am able to be like free bird Kiera out there. Jason even calls me bird when we travel and it's just a space. So there's a little tip for you that I hope you listen to and I hope you take and hey, if you do it, send me a message and let me know how it went for you. I will also fair warn that sometimes what I call it is it's the adrenaline. What would it be? It's like coming off of the adrenaline. So that drop. Sometimes I get angry. So fair warning that that does is the dopamine drop if you will and I felt like I have had like three days where I'm just sheer angry and I'm like what is going on? I'm on vacation. I'm in this beautiful place and I'm just mad but it's because you go from being so high tilt throttle to nothing that your nervous system does kind of have this like whiplash. So I have found that some ways to ease into that is one knowing that two I tried to hit the gym like three or four times when I'm over there because that allows like a lot of that energy to just get expelled rather than going from like high level to nothing. And then I've also found that like reading books, so something for my mind, I usually try to do fiction books. So it's not like obsessive learning, ⁓ but just taking my mind into a different space. Some of those can be a tip for you. again, hopefully some of those help. But ⁓ today I wanted to go through like, how do I actually block and use my CEO time? Because I think that this is a zone that a lot of people want to do as owner doctors and, but they're like, I just don't know what to do during CEO time. So I wanted to just share with you what I personally do in the company, how I block it, what I have, and then also letting you guys know that we actually have a forum and I'm happy to share it with any of you. can reach out, email us, Hello@TheDentalATeam.com, but like what do I actually do during my admin time checklist? This has been built with lots of different doctors input and also what I personally do. So for me, I do have a personal assistant and I have an executive assistant. So first step is if you don't have either of those, and I know I talked to a lot of dentists and they get weird about it they don't want to have an executive assistant or a personal assistant, but I will say hands down, this is something absolutely that's tactical that you should do. I have my personal assistant actually watch my schedule and then her job is to go through and to refine my schedule. And she does an amazing job. She's like, hey, Kiera, you're running back to back to back all these meetings. You need to move into some different places. Like these are some things that I think you need to do. We actually have an Excel spreadsheet. just so you know, I do have an Excel spreadsheet. I'm looking at it right now as I'm podcasting for you. And I look in there and I put in and I have on my like on the right hand side, I have my scheduling needs, what my frequency is. Like we've got podcasting in there. I've got certain coaches that I need to get into. I've got my workout time in there. I've got like my C-suite meeting with the COO and the CRO and our lead consultant and ⁓ Britt and my EAPA meetings and the bookkeepers and our fractional CFO. I have all those meetings that I need to be hitting. And so we look to see where are those at, where are the meetings that I need to have, but non-negotiable for me is my deep work time. So that's my CEO time. That's my deep work time. I have to have on busy weeks, non-negotiable, I need a two hour block. Like that is a non-negotiable for me, must, must. And it's during the day. I don't do it on my Fridays or my day off. I don't enjoy that for me. I get really actually annoyed to do it on those days. So mine gets blocked during my time. For dentists, I recommend you do it during your time. ⁓ Working hours, I recommend that you block it in there because if you're producing, let's say $1,000 an hour, you've got to be doing at least $2,000 worth of value during that time. again, when you're giving that up, you tend to be a lot more productive. for me, my first week is very busy. I, first week in the company is something that is none of our favorites. Like we love it. But it's hard, it's heavy. We have our doctor mastermind that we do. I usually do podcasting on the first week. I'm meeting with a lot of my direct reports. It's a heavy week for me, but we still have my non-negotiables. And so I just look at my timing and I know Monday's a full meeting day, Tuesday's a coaching call podcasting day, Wednesday I'm meeting with the COO, CRO, CFO. I have all those meetings to make sure that they can move on their items from Monday. That for me, it's a pretty heavy day. And then I've just got a lighter afternoon on Wednesdays to just catch up on projects. Thursdays where I'm, and for me, I also have to know where is my ideal time. So when you're blocking your CEO time, you need to know where are you the most optimal? For me, I'm always the best in the morning. Like seven, 738, like right there is where I'm gonna start like cranking and I'm gonna just go solid for about two hours till 10. My worst time in the entire day is three o'clock. Like I am dead and usually around 11, I start to like. zone out and I'm not as productive. So I've just had to try that. That's a trial and error. Test yourself. See, do you like the mornings? Do like the afternoons? Do like the end of day? Like where are you? Brittany's zone, she's a night owl. That girl, she starts to get her prime optimization on it like three, four, five o'clock at night. Like that is when that girl, she starts to churn and she puts out her best work and we both know that. I'm like, amazing. We work on very polar opposite different ones. So like she needs to put her deep works over your OMS, finding out as well for them. But for me, Mine is Thursday mornings is where I put that deep work. Then what I prefer to do is on my weeks where I'm not as busy. So I do coaching calls every other week. On my non coaching call weeks, I have two hours on Tuesday, two hours on Thursday. So I'm blocking four hours for myself. So your personal assistant, your executive assistant, they should be blocking this. And to me, this is a like, you do not like, you know, like a stove is hot. Like we don't touch that. You never touch my deep work blocks like ever. Don't ask me to schedule there. Don't ask me to put a meeting there. Do not ask me to disrupt that time. And I am so strict on my deep work time that people know like, we don't touch that with a 10 foot pole. And your team needs to know that. Doctors, also recommend a lot of times, especially if you do it in the morning or the afternoon, go to the library somewhere where people aren't going to find you. Go to a coffee shop where you can like headphones in zone out. But I found when a lot of times my doctors are trying to do CEO time and they're at an office, their door is being knocked on. If you want to be in the office, you need a sign on your door, and I've done this for several doctors, where it says CEO time, do not message or do not enter. And it needs to be like, if someone knocks, because they always do that knock like, hey, sorry, doc, it's just real quick. Do not for one second respond, because your team needs to learn that you're dead set on this. Like, this is your only time, you guys, that you get to work on the business. The only time. Otherwise, what happens is you become the CEO that never sleeps because your CEO time is in the middle of the night. It's early, early in the morning. It's late at night because you never have time for your brain to actually fix these problems. And so your brain just churns on all this. Like I need to check the books. I need to check this. I need to have that. So what you do is when you're exhausted, you try to like get all these things done rather than having set times. You can also build in your schedule. Like there's a set time for paying the bills. If you're doing that. I know I've got some doctor doing that. I would hope that your OEM does that and you just have meetings where they report to you. But again, depending upon where you are on this journey, you really need to block it. Now, great, we figured out how you block it. Now what do you actually do during that time? So for me, big things I'm gonna be working on are usually for me big projects. So I have a lot of presenting, a lot of events, lot of like, right now I'm reworking our entire customer journey and that's a big project that needs to get done. I'm working with our CRO and like, building out budgets and working models. And I need to review all of the projections she sent over to me. like, it's the, the projects that for me, like, there's a lot of things like approving payroll or stamping off on this budget that don't require a lot of time. But if my marketer, our CRO is sending over to me, like an entire proposal of their growth marketing plan, that's not something that I'm going to be doing in like a quick, like 15 minute block. Like I need set quiet, like uninterrupted focus time is what that really is. So imagine like studying for a big test, like you guys like blocked everything out. That's what you work on here. So it'd be your overhead, your P &L, like going through your CPA reports for you. Looking to see credit card charges, like looking through the P &L, like what's a detailed report, what things are on there, are fees categorized correctly. You do this once a quarter, have your CPA send it over to you. You can do it once a month, but you look at that. What about my cost per procedure? How much does it actually cost me to do every single procedure? And like, how could I reduce my overhead? Looking at my expenses, looking to see my tax estimated bill and have we saved enough for that? And do I have enough money set aside for that? You can go through that. We have an entire systems checklist. You can actually go through all the systems of the practice. I have it set up per month and this is a great time for you to actually review. All right, let's look to see how are our doctors being optimized? What trainings could I put into place? What things could we bring in the practice? How could I maximize and optimize this? Could we do training with our team for this? What about areas for my like schedule? Like let's review the schedule. Am I the most optimized when I'm producing or is there a way that I could type my block schedule up and be stronger on it and produce more with minimal effort? Like to me, CEO time is where I'm squeezing the juice out of the lemon. Like where can I optimize this a little bit more? How could I optimize my hygiene department? Let me look, is there a way I could add curadont? Can I find a better way to teach my hygienist? When was the last time we reviewed our periope protocol? Is that still what I want them doing? What could I do on like what would doctor do? And could I train at my hygienist to actually tee up treatment better for me? What if I want to bring on an associate, like let's go through an entire associate onboarding document, set it up. What's my training schedule with them? What are my case studies I'm going to put together with them? Do I have a doctor study club that I'm going to do? What about looking at our new patients? Let me review all of our marketing dollars. Where am I spending the marketing dollars? Are we answering the phone? What's our phone conversion rate? Let me actually assess my entire front office. Like where are the areas that are keeping us so bottlenecked? And is there AI or different processes or different systems that we can put in place to make it better for them? Let me go through all of our treatment plans. What did I diagnose? What was scheduled and why? What things am I missing? And how could I tighten up my treatment planning process? How can I work with my treatment coordinator and what things do she or he and I need to work through so that way I can close more cases and help more patients? ⁓ Just looking through all these different things. going and listening to treatment plan presentations of the team, listening to how my hygiene team's training up Floyd and Perio, looking, going and talking to my biller and saying, walk me through our AR. Like I want to see, let's call people together. Where are we at with the AR? How many patients are not called? Show me an EOB. I want to see how you're entering this. Teach me those ways. Are my percentages right where they need to be for collections? Let me make sure my bank statements match my collection statements. What about onboarding? I'm going to be hiring new people. Let me check that entire onboarding process. And is it set and is it ready to go? Does each procedure have its own checklist, pictures, accountability? If not, can I build out a process and have my whole team take this on or can I delegate this to a team member? Let me look at my marketing. Let me look at like, what is the next, like what's my one, three, 10 year plan? Let me read traction and figure out how to run better meetings. Let me read the book, Designing Your Life. Like, that was a laundry list. That's what you work on during Deep Work CEO time. You read books. You listen to podcasts, you think about the business, you have quiet white noise time, you build associate onboarding documents, you build better onboarding. And there's a fine line because I want you to know like some of those things should be done by your OM and other people that are not you. ⁓ Reviewing marketing plans, reviewing budgets, looking to see what people are doing. That is my time that I do need to dedicate talking to vendors, researching consultants, having meetings with consultants. Like that's during deep work time. Those are things that I can do during that time. But really it's my time to work. on the business, work on the highest level things. And I hate when people are like work on the business. I'm like, what the heck does that mean? It means that you're physically like, okay, pretend the business. We're going to go buy it from someone else. What would we go in and do if we were doing our due diligence? We'd look at their treatment plan. We'd look at their new patients. We'd look at their marketing. We'd look at their PNL and their overhead. We'd look at their EBITDA. We'd look to see where we could squeeze juice before we bought the business. If that's like an easy way for you to think of like building and working on the business, it's one, if I were going and buying a business, I'm going to go work in like optimize those things. The second side is like, where are we broken? Like what things are not working? I realized like, you guys, our consulting team has grown, our clients have grown. I'm so proud of the business that we've built. I also realized what we used to do versus what we need to do today, there's a gap. And so now this is a big project for me of like, okay, we got to figure out our marketing to our sales, to our client success, to our consultants, to our renewals, to our masterminds. This whole little sprinkling journey has like eight different pieces to the customer journey. And I need to go refine and optimize every single one of those, have meetings with the core team members. I need to work through this. So I built a whole thing with ChatGPT. What do I want it to be? Then I scheduled the meetings with my team. Super freaking pumped. That's a huge, huge, huge business initiative. No one on my team is going to think of that. Like maybe they do. But that's Kiera's job. That's a CEO's job. That's where I need to be putting my time, my effort, my energy. That's what drives your business. What's going to make your business? Like you can also do a SWOT analysis. Like what's my strengths, weaknesses, opportunities, threats. A lot of times I go back to my idea boards. I have a book that if you guys know, I've talked about on the freaking podcast and I'm just chicken guys. need, what is it called? Like when you write under a different name, that's what I need. I'm just scared of reviews of my writing. So I'm like, I need a pen name. Like I just need to make up a name and publish the book. It's ready to go. It's been built. I need to get that done. But I spent a lot of my CEO time writing a book. You spend a lot of your CEO time looking to see if you want to expand your business. If you want to simplify your business, you want to optimize, this is what you do. So I wanted to just get on the podcast and help you see how do you do it? Which team members do I use for it? Where are mine blocked? And how do you set yours up? And I would say, Today, listening to the podcast, my action items to you would be number one, I need you to find out where your prime optimize time to work is. Is it morning, afternoon or end of day? Then the next thing is I need you to block two hours minimum every single week. Then three, email me, talk to me, whatever you need to do, but I need you to build a CEO checklist and I need you to start working on those optimization pieces every single week consistently. And I need this to be like your bootcamp workout training where you commit to doing this for the next eight weeks and then we reassess. Non-negotiable, not interrupted, not like, I don't feel like it today. It's a, have locked in for eight weeks. If you need an accountability partner, well, high five, I'm Kiera. This is what we do. This is why people hire us. It's because you usually know what you need to do. You just aren't willing to stay committed to doing it. Why am I paying my personal trainer so much for a photo shoot that we're doing? Because like yesterday I benched freaking Reese's. I was exhausted. I was tired. I haven't slept for days coming in off that trip. Jet lag's a beast. So that was a fun flip. ⁓ exhausted, tired, not wanting to hit my workouts, not wanting to hit my macros. And she said, Hey, Kiera, you got three weeks left before your photo shoot. Here are the things you need to do when that happens. Like you're good. This is what happens in tomorrow. This is what I want you to do when you get that craving. Here's exactly what you're going to eat. I don't know. Even have to think today going into it. We're not going to binge on the Reese's eggs. Yes. Did I go buy like five packages post Easter because they're my favorite treat. And if you want to like schmooze me, send those to me. Absolutely. But I needed somebody to hold me accountable to it. When the days are hard, when things you don't know what to do, when I'm, I told her, I was like, I don't know what to work on now. Like I'm having a hard time hitting my workout. She's like, all right, let's rework it. Let's figure it out. Sometimes having a coach that holds you accountable, that pushes you into this is one of the fastest, easiest ways to get more results with less effort. She holds me accountable to it. It's not hard. She's there in my corner when things fall apart. She's there in my corner when things are surviving. I talked to her, maybe. 30 minutes a week, if that. And it's usually like every other week, if that. It's usually a quick text of like, hey, I'm struggling here, I just need your help. Or, hey, I need you to hold me accountable this week to making sure I get my CEO time done. We as consultants are that way for dentists, because you don't usually need a whole new operating system, you just need someone to help you stay accountable to the things you know you need to do. So if we can help you with that, reach out, Hello@TheDentalATeam.com. But today commit to having CEO time dedicated for you, for your business. It's one of the greatest gifts I can give you. So yes, go on vacation, happy birthday to you when that happens or whenever you want it to be. And the second thing is have your dedicated deep work CEO time. Hopefully that gave you a nice laundry list of things to work on. What I do, the only other thing that I didn't share with you is throughout the week as things come up on me that I know I'm gonna need more brain power to do. I have my personal assistant. say, hey, pop this in on my deep work. My deep work block is set as a private thing so people can't see it. So she goes in and puts all the things that I need to work on. So when I show up to deep work, I'm not spending thinking time of what do I need to work on? It is literally already there with all the links, all the pieces. And that's her job is to make sure when I walk into deep work time, it is exactly what I asked her to put in there. The things I want to work on, things she might see that I need to get answers to that are not like a simple answer. That's not taking my time. These are like heavy items. And her job is to make sure my deep work is always there. So if that helps you, who I use, who on my team, Sometimes I feel like these are the little like peel back the curtains of what do other CEOs do? This is what our doctors do. This is how we share in the masterminds. Come in person, be with us, get around like-minded people. Your net worth isn't equal to your network. And I would say it might be time for you to upgrade and elevate. And I'd love you to be a part of ours. So reach out. Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.
Jornal da ONU com Ana Paula Loureiro. Esses são os destaques desta quarta-feira, 1 de julho.Painel científico da ONU aborda desafios com agentes autônomos de IA Dados da OMS mostram que combate à poluição do ar está estagnado
Oms, 'In Italia 5 morti per il caldo in 24 ore'. Il ministero smentisce. Learn more about your ad choices. Visit megaphone.fm/adchoices
OMS alerta por riesgo de brotes de enfermedades en Venezuela Ejército despliega mil elementos para la seguridad en SinaloaSir Nils Olav III, un pingüino rey es brigadier de NoruegaMás información en nuestro podcast#grc
Fontes do episódio aqui:https://portal.afya.com.br/podcasts/afya-news/30-06-2026Nesta terça-feira, analisamos o impacto da sobreposição de patologias no perfil inflamatório, um investimento histórico no cuidado à longevidade e os rumos globais da conectividade médica. Abordamos um estudo com mais de 5.200 adultos que acende o alerta para o risco cardiovascular em pacientes que apresentam, simultaneamente, disfunções respiratórias e metabólicas. Detalhamos o lançamento do programa Padi Brasil pelo Ministério da Saúde, que destinará 500 milhões de reais para cofinanciar o atendimento multiprofissional domiciliar para a população sênior no SUS. Por fim, trazemos no Radar os destaques do 3º encontro da Iniciativa Global para Saúde Digital da OMS, focado na governança de dados. Afya News. Informação médica confiável e atualizada no seu tempo.
L'Oms: dal 21 giugno oltre 1300 morti in conseguenza delle alte temperature. Numerosi i casi di annegamento, anche conseguenti al cosiddetto shock termico. Con noi Alessandro Miani, presidente della SIMA - Società Italiana di Medicina Ambientale. Siglato a Washington l'accordo tra Israele e Libano, ma Hezbollah lo reputa nullo e Ben Gvir lo considera un errore. Sentiamo Francesca Mannocchi, giornalista e analista esperta di Medio Oriente.
Jornal da ONU com Monica Grayley. Esses são os destaques desta segunda-feira, 29 de junho.Na Venezuela, busca por vítimas dos terremotos enfrenta desafios OMS pede à Europa que implemente ações para enfrentar onda de calor extremo
Fontes do episódio aqui:https://portal.afya.com.br/podcasts/afya-news/29-06-2026Nesta segunda-feira, analisamos o crescimento acentuado na busca por suporte emocional na infância, uma nova solução clínica na medicina intensiva e diretrizes globais para a longevidade funcional. Abordamos os dados da Inglaterra que mostram que o volume de crianças encaminhadas para cuidados de saúde mental ultrapassou a marca de um milhão, impulsionado por alterações severas de humor e investigações neurodesenvolvimentais. Detalhamos o estudo publicado no JAMA comprovando que o uso de EDTA tetrassódico a 4% como solução de lock em UTIs preserva a perviedade de cateteres venosos centrais e diminui intervenções por obstrução. Por fim, trazemos no Radar o posicionamento da OMS sobre o papel de práticas corporais integrativas na prevenção de quedas em idosos. Afya News. Informação médica confiável e atualizada no seu tempo.
México vive lluvias fuertes y calor extremo este domingo UNAM alerta sobre los riesgos de la exposición prolongada al solEl reloj floral de Ginebra, un ícono de la tradición suizaMás información en nuestro podcast#grc
durée : 00:10:34 - Le journal de 18h00 - "Plus de 1 300 décès supplémentaires ont été enregistrés depuis le 21 juin en lien avec les températures élevées en Europe", a déclaré dimanche sur X le directeur général de l'Organisation mondiale de la santé, Tedros Adhanom Ghebreyesus. - équipe : La Rédaction de France Culture, Julie Pacaud, Caroline Bennetot Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France
durée : 00:10:34 - Les journaux de France Culture - "Plus de 1 300 décès supplémentaires ont été enregistrés depuis le 21 juin en lien avec les températures élevées en Europe", a déclaré dimanche sur X le directeur général de l'Organisation mondiale de la santé, Tedros Adhanom Ghebreyesus. - équipe : La Rédaction de France Culture, Julie Pacaud, Caroline Bennetot Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France
Fontes do episódio aqui:https://portal.afya.com.br/podcasts/afya-news/27-06-2026Nesta edição de resumo semanal, revisamos as transformações que marcaram os últimos dias, destacando a medicina de precisão, a inteligência artificial aplicada e novas diretrizes de prevenção. Na linha oncológica, analisamos preditores metabólicos para imunoterapia, novos medicamentos orais da Anvisa e o impacto do mapeamento genético. Discutimos a revolução dos algoritmos com validações do FDA para eletrocardiogramas e o desempenho de modelos generalistas. Abordamos novos horizontes preventivos no pré-natal e na urologia, além das atualizações terapêuticas com análogos incretínicos. Por fim, destacamos os novos protocolos da OMS e a profunda reformulação da formação médica nacional promovida pelo Enamed. Afya News. Informação médica confiável e atualizada no seu tempo.
Un mois après la déclaration de l'épidémie d'Ebola Bundibugyo dans l'est de la République démocratique du Congo, au moins 1000 cas sont confirmés dans 31 zones de santé. La riposte monte en puissance. Mais malgré les progrès enregistrés sur le terrain, l'Organisation mondiale de la Santé estime qu'elle reste encore loin du niveau nécessaire pour contrôler l'épidémie.Dans cette édition spéciale, ONU Info fait le point sur la riposte articulée autour de onze piliers avec Dre Marie Roseline Belizaire, responsable de la réponse d'urgence de l'OMS en Afrique.Présentation : Cristina Silveiro
Fontes do episódio aqui:https://portal.afya.com.br/podcasts/afya-news/26-06-2026Nesta sexta-feira, o boletim analisa um mapeamento metabólico na oncologia, as primeiras diretrizes unificadas da OMS para patologias emergentes e o desempenho de ferramentas digitais. Abordamos um estudo da Nature que identificou biomarcadores plasmáticos (como a histidina) capazes de prever a taxa de resposta dos pacientes aos tratamentos de imunoterapia. Detalhamos o novo documento global da OMS que padroniza o manejo clínico e o suporte intensivo para infecções raras por filovírus, visando mitigar evoluções clínicas graves. Por fim, discutimos no Radar uma análise da Nature Medicine demonstrando que modelos de inteligência artificial generalistas superaram plataformas médicas especializadas no suporte à tomada de decisão. Afya News. Informação médica confiável e atualizada no seu tempo.
Most brands still evaluate enterprise Shopify on license cost. The operators in this conversation evaluate it on opportunity cost, and that reframe changes the whole decision.Rick Watson opens a three-part series on the business case for enterprise Shopify with three people who have actually run the migration. Elara Verrett, Chief Digital and Customer Officer at Reitmans made the move to get closer to the customer without standing up an army of engineers. Renee Halverson, CMO at Marine Layer, has run on the platform for more than a decade and scaled the brand without hiring a CTO to babysit the stack. Scott Lux, VP of Digital Commerce at Stanley 1913, came from the Salesforce and Demandware world and now uses Shopify to survive high-heat drops, where the only question that matters is how many orders per minute the platform can clear.The number that came up: one brand cut its tech partner count from 40 to 10. The argument underneath it: a fashion retailer's core competency is retailing, not running a development shop.It isn't all upside. Scott's warning is blunt. The front end is nimble, but the downstream integrations into OMS and ERP are where "easy" goes to die, so pressure test them before anyone signs. Lara's warning is about people, not software. The agility is real, and most large organizations are not built to absorb it.One point they all landed on, and it cuts against instinct: standardization beats customization where it counts. Checkout is the example. Shoppers trust the flow they already know, and rebuilding it rarely pays for itself.The Big Green Bag Of Promise: Enterprise Shopify Webinar Series is sponsored by Avalara, Domaine, and Pattern.
Sheinbaum descarta apagones en el país El nombre de Pato Merlín le pertenece a Carla Ivette Gómez: IMPIOMS alerta por ola de calor en Europa Más información en nuestro podcast#grc
Neste episódio, Garry se sentou para uma segunda conversa em português com Marcus Lacerda na sede da OMS, em Genebra. Marcus assumiu a direção do TDR em março de 2026, vindo da Fiocruz Amazônia e da Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, no Brasil. Médico infectologista e pesquisador em medicina tropical, ele tem uma trajetória que influenciou profundamente as estratégias de eliminação da malária e, de forma mais ampla, o campo da saúde global.Nascido em Taguatinga, no entorno de Brasília, Marcus relembra os missionários católicos que o levaram pela primeira vez ao interior da Amazônia, compartilha suas percepções sobre a malária vivax como um “assassino social silencioso”, uma doença que não apenas tira vidas, mas também compromete o desenvolvimento cognitivo de crianças e reflete sobre o que será necessário para reduzir a distância entre inovação científica e impacto real na vida das pessoas.Related episode documents, transcripts and other information can be found on our website.Subscribe to the Global Health Matters podcast newsletter. Follow us for updates:@TDRnews on XTDR on LinkedIn@ghm_podcast on Instagram@ghm-podcast.bsky.social on Bluesky Disclaimer: The views, information, or opinions expressed during the Global Health Matters podcast series are solely those of the individuals involved and do not necessarily represent those of TDR or the World Health Organization. All content © 2026 Global Health Matters.
Cuidado con retos virales ligados a la copa mundialista UNAM recibe reconocimiento de la OMSIrán autoriza inspecciones nucleares Más información en nuestro Podcast#grc
Part 2 of 2: Dan knows nothing about the draft. Luckily, our team at OMS does! Noah Rubin, host of the Young Man Squad show and RotoWorld fantasy expert, joins Dan to break down the top names in the upcoming draft, their fantasy outlook for year one and beyond, and a few names going farther down the list that might be worth a redraft pick in a couple months! The Old Man Squad has a PATREON now. It's $1 and doesn't get a single benefit. It is entirely to support the mission here but won't change anything we do. https://www.patreon.com/cw/oldmansquad Follow Dan Besbris on Twitter: https://x.com/danbesbris Find Dan on the brand new BlueSky social network: https://bit.ly/3Vo5M0N Check out Dan's Google Sheet with Ranks, Weekly Streaming Schedule Charts & Injury Replacement Adds FREE! https://bit.ly/3XrAdEW Listen and subscribe on iTunes: https://apple.co/3XiUzQK Listen and subscribe on Spotify: https://spoti.fi/3ACCHYe Float on over to the new Old Man Squad Sports Network YouTube page to watch videos from the network's top talent: https://bit.ly/46Z6fvb Join the Old Man Squad Discord to chat with Dan and all the other hosts: https://t.co/aY9cqDrgRY Follow Old Man Squad Fantasy on Instagram for all our short videos: https://bit.ly/3ZQbxrt Podcast logo by https://twitter.com/freekeepoints Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Part 1 of 2: Dan knows nothing about the draft. Luckily, our team at OMS does! Noah Rubin, host of the Young Man Squad show and RotoWorld fantasy expert, joins Dan to break down the top names in the upcoming draft, their fantasy outlook for year one and beyond, and a few names going farther down the list that might be worth a redraft pick in a couple months! The Old Man Squad has a PATREON now. It's $1 and doesn't get a single benefit. It is entirely to support the mission here but won't change anything we do. https://www.patreon.com/cw/oldmansquad Follow Dan Besbris on Twitter: https://x.com/danbesbris Find Dan on the brand new BlueSky social network: https://bit.ly/3Vo5M0N Check out Dan's Google Sheet with Ranks, Weekly Streaming Schedule Charts & Injury Replacement Adds FREE! https://bit.ly/3XrAdEW Listen and subscribe on iTunes: https://apple.co/3XiUzQK Listen and subscribe on Spotify: https://spoti.fi/3ACCHYe Float on over to the new Old Man Squad Sports Network YouTube page to watch videos from the network's top talent: https://bit.ly/46Z6fvb Join the Old Man Squad Discord to chat with Dan and all the other hosts: https://t.co/aY9cqDrgRY Follow Old Man Squad Fantasy on Instagram for all our short videos: https://bit.ly/3ZQbxrt Podcast logo by https://twitter.com/freekeepoints Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Aplaude Sheinbaum apertura de inversión en Cuba Choca patrulla de la Marina con ferry en Quintana RooDecomisan 137 kilos de cocaína en MichoacánMás información en nuestro podcast#grc
CAEM urge a municipios reforzar sistemas de bombeoLula y OMS piden al G7 respaldar acuerdo sobre pandemiasCroacia, de nación joven a potencia mundialistaMás información en nuestro Podcast#grc
Owners, this one's for you. Especially those who don't want to have to care about the business side of being a practice owner. Kiera's here to prove that staying clinical while still leading the practice is simpler than you think. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:00) Hello, Dental A Team Listeners. This is Kiera and I am excited to podcast with you guys. Today is such a great day and I hope you're having an amazing day. I love hanging out with you guys. The podcast is such a happy space for me when I get to podcast and have this day. You guys let me go into creative Kiera zone where I get to speak from my heart. I get to speak from honesty. I get to speak from experiences. I get to laugh with you cry from you meet so many of you in real life and I just feel so honored and excited that This is my real life. And so thank you for being a part of the podcast family. Thank you for Listening and sharing and leaving reviews. I read those reviews. I'm so grateful for you guys and Please share this podcast any episode that you've had you guys can always head on over to our website TheDentalATeam.com click on podcasts and I kid you not you should search any topic and it's all there so Just wanted you guys, any issue, anything, I try hard to be a great resource for doctors and for teams. And to just remind you that life is so good. I think that the glass is half full and that doesn't mean it's always easy, but I do believe that it's worth it. So today I wanted to kind of dig into like what happens when you buy a dental practice and you are an owner. but you really just love to do dentistry and not the business side of it. Like done, done, done, done, done. Anybody out there, anybody, please raise your hand in real life. If that's you, if you know somebody that this is the case, be sure to send this podcast to them because I think that this is so real and I think it happens. And I see people in like, Kiera, I wanted to be a dentist because I wanted to just be a dentist. I didn't want to do the business of it. And I'm like, amazing, let's chat about it. So I think that it's, you want to open your own practice because you want to decide how to treat patients and you could do it better than that. DSO or the other dentist that you were working for but then you get into and you're like, wow, this is a lot harder than I thought. And so what do we do when you don't want to run the business? Like, what do we do then? So because the answer is you don't get to abdicate and it doesn't mean that you get to say, I'm not doing this anymore and someone else can do this. Guess what? You're still an owner. Just like if you have a kid and you're like, I don't want to be a parent anymore. Well, guess what? That's part of it. But that doesn't mean you have to do it all. And So I just want to help you get some good clarity. We did this in our Dr. Mastermind that we call it Think Tank Tuesday. And people come together on the first Tuesday of the month and it's very fun. And I think that this is just a space for you of ⁓ how can we help you? Because I want you to be thriving and happy in your practice and not dreading. And there's ways that you can do it. Like you can have your cake and eat it too. So let's make a way for that to be real. So ⁓ I think that it's where there's great dentists who feel frustrated, they feel overwhelmed. They feel stuck because they don't want to deal with the business side and they don't want to take that on. And this is me. I created a consulting company, but I didn't want to know about the numbers. And I was like, numbers are not my jam. And now if you've heard me for any length of time, you know, numbers love me and I love numbers, right? We're going to be really good at making sure that you get obsessed with that. Just like I love being a business owner. And, ⁓ this is something that it's a, do I have to, or do I get to, ⁓ my gym trainer? I like a lot of her posts and she often posts about, it something where like I have to go to the gym or I get to go to the gym? And it's crazy how just sometimes even that little bit of a mindset shift can help us realize like I have to run a business or I get to run a business. ⁓ Both are real and both are available. But hey, let's break it down because I think that this is something of like, what happens if you only want to be in the operator and like, what are some solutions for that? And then what happens of your practice if you maybe are not right person, right seat for that. And then three things that help you to be able to stay clinical and also lead the practice because it might be simpler than you think it is. And your job description might actually be a lot easier than maybe what you're piling on yourself because I think sometimes people feel running a business means they have to do it all. I know I fell into that trap. I know I've been guilty of that before. Like, hey, I'm the business owner. I have to do this when guess what? That's not necessarily true. So what happens is We did this as an exercise for our dentist the other night and I had them write down everything on their to-do list. And then I had them go back through and I said, okay, what things really are things actually only you should do. And it was crazy because I had quite a few of them like talk. Like I tell them our think tank is like, pretend we're in the living room with me and we're just all hanging out. We're sharing our best ideas. Like there's no team members that are allowed to be there. Teams is not cause I don't want you there. I just want your doctors to be able to speak openly and honestly and to be able to get the support from other owners in the room and. It was crazy because the doctors were like really the only thing like even dentistry, you could have somebody else do. Right. Um, but in this scenario, you're like, but I love to do the dentistry. I don't want to have to do the rest. The only thing really you have to do as an owner, you got to set the vision, know the profitability and drive the culture. Like that really is your role. Now, as I said, those three things, you might be like, yeah, right. Do you see my whole to-do list over here? Like you want me to ship you? Yeah. Send me a picture of it. I'd actually love to see it. I'll help you out. So please, by all means, be a pen pal for me and I will happily look at your to-do list and help you see it differently. Sometimes you're just in the weeds, but other times what happens is a lot of things on there you don't have to do and maybe you're not the best person. But like I said, of the things I listed off, that's really what an owner needs to do. And if that didn't light you up, guess what? You can actually hire somebody who wants to do that. So, but if it did light you up, then great. You can be a doctor, a dentist, and then those are the three things really you need to do. Yes, you do need to know the numbers. You are a business owner. You don't just get a pick and choose. I'm like, I don't want to care about the numbers, Kiera. I don't want to look at it. Well, guess what? Tough luck. You did sign up for a business and your job is to make sure it's profitable. We don't want to have our teams go out of jobs. Like you have a responsibility to your patients and to your team. And that is part of it, but it doesn't mean you have to be the manager. You don't have to do the one-on-ones. You don't have to like order the supplies. None of that falls on your list. But I think sometimes we think it does, but you've got to make sure that you have to have like, very clear priorities, very clear direction, and you are leading and guiding. So what happens with that is as a leader, you've got to set the vision and the direction of where we're going. And if you don't have that, then you're going to have constant interruptions and confusion and like, what are we working on? And Dr. you're annoyed because it's just a firefighting rather than a proactive preventative. So if you can work through this and figure out where we headed, what's the direction? And then next step is accountability and org charts. Who does what? In our team, we just did this nice little shakeup of all of our team members. And it's wild. I thought it was right here. I was going to show you. So it's not, I usually have a carry. We have our accountability chart and I have like, open it up like a legend, like, okay, I have this task. Is this really a me task or who does it belong to in their job descriptions? And we talked about it because dentists are like, but I'm so afraid of like asking team members to do these things. That's why I don't delegate. And I'm so grateful for our doctors. having trust and vulnerability in our mastermind. ⁓ And we talked about it and it's like, but as team members, if that's part of my job, let's make sure it's realistic for me. Let's make sure I have a clear job description. And then let's make sure my KPIs report that. So when you get this clear, like, doctors, yes, this is the annoying part. And this is where I love consulting and helping offices. Like let's help you get the vision, like where we had in the next 10 years and get your whole team rowing towards that vision. Then we're gonna make sure we've got correct accountability charts. Like who does what? And sometimes having a consultant come in to say like, No, no, no. Like this is your job. This is what you get to do. I had some team members trying to push responsibility and I was like, no, no, no. This is what we get to do. and after that, from there, then from there, it becomes easy. Like doctors, this is your job. Now, sometimes I think doctors might have a little bit of an ego and not want to let go. And someone like, can do it better, faster, easier, true, but choose your hard. What is that? What is the piece that you need to do? And like, let's choose our hard. So as soon as owners set the direction, then what's gonna happen from there is teams are gonna feel so much more fulfilled. They're gonna feel like they gotta know where they're going. They know what their job is. They know how to win. And doctors, you don't have to feel guilty, because then what you do is you just pull open the legend, the accountability chart. Like, okay, I have an issue with all of my emails and like responding to the lab. Who can do that? And can we set it up for that? And then doctors, you can be CC'd on it. ⁓ but that doesn't mean you have to do it. So you can still be aware of it and know everything going on, but then you can go to dentistry and other people are helping you out. But doctors, got to make sure you don't undercut. that's number one. Number two is we want to make sure that like the team is leading, but make sure that they have the authority to do so. So doctors, if your job is to set the vision. ⁓ and I talk about leadership having two different sides, there's a visionary, then there's the execution piece. And if you want to have somebody who's the execution person for you. You've got to give them the authority to do so and you got to get out of their way. So if you're like, I really just want to do clinical dentistry. I get it. I got to do the vision and I need to watch my numbers. Then great. You've got to empower and let your office manager do their job. you've got to make sure that they're confident and competent. They've got the skills, the resources, the coach around them to be able to do it because you've got it. Like for you to step back into just clinical into your, to a CEO row, you got to empower your team correctly. So. When a manager is trying to lead, so many of them are like, but our doctor like is stopping us and they're not responding back to us. Doctors, that's your fastest, easiest way to undercut your office manager and to be stuck in doing everything and running this business. Do you know that your OM should be doing 99 % of everything that you're probably doing and they want to and they're great at it they're amazing at it and they're follow through and that's just what they're like bred to do. they're a great office manager, if they're not, then maybe it's not a right person, right seat. Managers, that's what you should be doing. So if we have that, then we're to want to make sure that great like So if that's what's happening, doctors, you gotta delegate with clarity and authority so that way there's not this hesitation and it's all coming back to you and it's all falling on you. So hey, get this accountability chart. This is the person who's doing it. Empower them, train them, teach them. It doesn't mean I just hand it over to them. You can like work with your OM every single week and like if there's decisions that they made that you didn't agree with, let's talk about that. If you want them to check things out, like I train a lot of people and before they send anything out, I'm like, send it to me. I wanna prove off on that. And we're good to go from there. Like that's what's needed, but you got to like get it to where things can start to move off your plate. And I think as owners, sometimes I myself hold onto it for ego. And if I let all these people do it, then what's my need? ⁓ one of the doctors, he was like, the literary realized like, I don't even need to be in the practice and they can do everything without me. No, that can feel scary for some people that can feel like, my gosh, am I still needed? Am I still wanted? And the answer is yes. But what we need is we need you to be the lighthouse. and then we need you to do great dentistry. But that's really it in ownership. But if you don't love that, then find somebody who can be the lighthouse and you'd be the doer. Some people actually are better COOs, if you will, rather than being clinical dentists. Like they love to do the business side. They love to run all the systems. They love to build it. Then get yourself out of clinical dentistry. But if you're the one who's like, obsess about being a dentist and I wanna just do the clinical, great, you need a strong operator next to you and that's usually your OM. And OMs you need to be able to be. follow through, say the fastest, easiest way to have a doctor not trust you is to break trust in the sense of I'm gonna get this to you and I don't get it to you. So own your word, own your results and execute consistently. And doctors like, thank you, Kiera, like clap it up, like, yes, yes, yes, like it's true because you wanna make sure that what you delegate and what you ask this team member to do, it reports back to you rather than you needing to chase it, hunt it. Be proactive OMS, be like perfect, here's my end of week, here's all the things that have been done, here's where we sit. Do know how much your doctor's gonna love you? Like that's what lets them be free to be these amazing clinicians and not have to own it. So you've got to be able to delegate and have the authority, give them the authority, trust them, empower them and have the meetings and whatever you need to where you can feel like you can trust them to do the job well. If they're not doing things right, give them the honest feedback. I've got a new personal assistant while Shelby's out on maternity leave. Shout out to the baby. We're so happy for her. I had to just tell her like, don't like this. I want you to do it this way. And team members, when your doctor's doing it that way, you've got to have this trust and vulnerability relationship where you can say these things without taking it. I am so grateful for Marisa because I get to tell her like, that's not how I want this. I want it like this. This is how I need it. She's my right hand on so many things. I can tell Britt the same thing. I can even say, Britt, I don't want to say this to you because I know that I'm people pleasing. Me even calling it out, Britt's like, no, I'm no BS Britt. Just tell me straight. Like, what do you need from me? What do you want? That's usually what people need. when you can have a relationship where you're that fluid with your OM and OMS with your doctors, this is how you're going to be able to grow. And this is how you're going to build the trust to be able to delegate, to abdicate, not abdicate, delegate and release these tasks to other team members. And then OMS, your job is to grow and make sure your team is doing what they're supposed to. They're hitting their KPIs consistently. We're having our meetings. People are falling through. Our patients are getting the great patient experience. OMS, that's your job. Your job is to make all this vision amazing. Check all the boxes, take care of your doctor. Does not necessarily mean a personal assistant, but it does mean we're checking all the boxes. We're running the team. So our doctor can be an amazing clinician. Give us the vision, go to great dentistry and we take care of the rest. That is how a doctor OM relationship should look. So from there, we want it to be where you guys really truly are able to do that. And if you guys are able to do those two things, so right, what were they? Number one, I want you to be able to have a clear direction and a clear vision. And then number two is we need to use that accountability chart, delegate and give authority so that way people can do it. And then after that, how do we fix this? what are some quick fixes that we can also do? Is number one in the accountability chart, define your role as the owner. What are the decisions only you can make? What are you gonna own versus what are you gonna delegate? And then set the expectations with the team. I'm obsessed with this because this is going to help and it's ownership as a role. not a title, okay? So doctors, I'm gonna own this, OM's gonna own this, treatment coordinator's gonna own this, biller's gonna own this, dental assistants are gonna own this. It means own. We hit the results. not like, we innovate, we figure it out. That's what ownership means. It does not just mean I have the title of this. Then after that, we build the leadership structure that's going to support us. So we've got doctor, we got OM, and we've got our leadership team. Depending upon the size of it, it might be two people on your leadership team, it might be three people, it might be four, it might be like 15, whatever it is. and have clear responsibilities and we have regular meetings. I recommend meetings once a week and then I recommend quarterlys. I'm obsessed with traction. You guys know that we run a Dental A Team's version of it that is very much ⁓ a mix of a few items that I'm obsessed with and I love it. Run our weekly meetings, run our quarterly meetings. Like this is what you need to do to be successful because when you have a strong leadership structure and doctors, this is where you got to do it. Like as an owner, you do the clinical dentistry, you set the vision. and you go to the leadership meeting, you are part of it, you gotta set the vision, but you typically don't walk out with many to-dos. You don't, that's what your team should be doing. And if you're taking on to-do after to-do after to-do, we're not following that accountability chart. So we've got to have strong leadership. And then what we're gonna do from there is we're gonna have a simple like CEO rhythm. So for me, that's check-ins weekly with my O-N, it's weekly or monthly reviewing the financials, and then like I said, quarterly planning. Like as a CEO, you've got to watch these things. You got to check the KPIs. You got to work with your OM. Like that's part of business ownership. It's like, you don't need more time. You just need consistency. And realistically, this is your two hours a week of CEO time. So if you get it done, you can do this. I usually recommend during clinical time. So two hours during my clinical time, I focus on the business. I work with my OM. I check the financials. And then we do have a longer quarterly meeting. Most of the time it's anywhere from four to eight hours for a quarterly meeting. This is how you're going to be able to build control. Consistency builds control. It's a great thing for it. So while you're doing this, do you see how we've just taken all the busy minutiae off of you? You can still be this great clinician. You can still be this amazing dentist. You can still love dentistry and you can still run a successful business, but you don't have to do all the pieces of it. You can really have your cake and eat it too, but you've got to be consistent. You got to be willing to let go. You got to be willing to put in the work to get the accountability and the vision and the meeting set up and Clear expectations with your OM. Those are the weekly meetings. Like if things aren't going the way you want it, have the conversations, fix the pieces. You and your OM need to be in lockstep, like tight, tight, tight with each other. And if you don't have that relationship, you gotta build it. And you can start having the honest conversations. Read Five Dysfunctions of a Team together, like by Patrick Lanziani. Read things together where you guys are building. Read traction, read rocket fuel, like. figure out what you two are both supposed to be doing, but you've got to have this lockstep where you trust them implicitly. And if you don't, you need a different OM. And OMs, that's no bash on you. It just means, or you guys have to figure out what broke the trust and how do we get that trust back? This means that you are not like stepping away. You're just stepping up into the role that you're meant to be. So you don't have to do every single thing in the practice, but you do have to lead. And if you don't want to do that, You can't abdicate this to your OEM. Like you can't, you're the boss. Like you are, whether you want it or not. Or you hire another CEO to run your business for you. But I want you to see that you can be truly the CEO of your practice. You can empower your team and you can be a great clinician. You don't have to do it all. So this is something where truly, this is what we help with. We build leadership teams. We help doctors get into the CEO seat. But I want to say, because there's a client who sent me an email today and they're like, I just feel stuck. Like we've been consulting and I appreciate these, I really do. I want you to know though, while that is true, you are stuck as a leader, you have to own that. So, and this is a mix, got a couple emails that came in. Doctors have to be willing to have the hard conversations. If you're not willing to tell your team what you need and you're willing to keep taking it on and on and on, that's a choice. But there's also a choice where you have the uncomfortable conversations with your team. You have the uncomfortable conversations with your coach and say, this is what I need from you. My gym trainer, I love her, but we're going on this two month journey together. And I said, what do I need from you? I need you to text me for accountability check-ins. I need us to have them preset. And I need it to be where you give me at least like one or two food examples per week. So that way I don't have to try and think of those. That's all I need from you to be successful. But me, I have to be willing to say that. I have to be willing to tell my team what I need. I have to be willing to build the org chart. I have to be willing to look at the numbers. I have to be willing to do the work to get from where I am today to where I ultimately want to be. but it's not that far away. It's actually quite easy. So if you want help with that, you want to chat about it, reach out. Hello@TheDentalATeam.com. But I want to make sure that you're ready for it because as a coach, my job is to guide you, to lead you, to tell you what you need to do. But ultimately I'm not the one who does it. That's you. So if you're like, yeah, I'm ready for a change. I'm ready to do this. I'm ready to tell what I need. I want to be the CEO of my practice. I don't want to continue on this path, but you have to actually let go. You have to like have the vision. You've got to lead your team. and you got to execute on it and you got to trust your OEM to do it. And if you don't have an OEM that you can trust, you've got to hire another one. Like black and white, this is what's got to happen. You got to be willing to make those choices. We don't get six packs overnight. We get them from consistently, consistency. We get them from doing the work. We get them from making the hard decisions and being disciplined. That's how we get it. And that's the same thing for your practice. You can be the doctor who's just clinical, but you've got to make sure that you set your practice up for success. So reach out. I'd love to help you. Hello at thedentalanteam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.