Podcasts about Ortho

In this episode of The 20/20 Podcast, host Dr. Harbir Sian sits down with Jason Carruthers, a Canadian optician, ortho-keratologist, and founder of OrthoKLaunch.com, to dive deep into the untapped potential of orthokeratology (Ortho-K). With decades of experience in optical retail and specialty contact lenses, Jason shares his journey from being told that “there's no money in contacts” to […]

Kiera is a guest on the Dentalligenstia Podcast, hosted by Nick Zagar and Remy Isdaner. She talks about the connection between success and knowing your practice's numbers for the following: Production Overhead Collection New patients Case acceptance Kiera also gives tips on streamlining workflow, working through scratch starts, startup versus seasoned practice needs, and more. Episode resources: Sign up for Dental A-Team's Virtual Summit 2025! Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00.16) Hello Dental A Team listeners, this is Kiera and today I am so excited. I did an incredible podcast and I just thought it'd be fun for you guys to hear it, to listen to it. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast. Welcome to the Dentalligentsia podcast. I'm Nick Zager and we have Remy Isdaner, my partner, and we are Mirlo Real Estate Partners. Today we have a special guest, Kiera Dent from the Dental A Team. Welcome Kiera. Thanks guys. I'm super excited to be here.   I love what you guys are doing. I'm just jazz. And I'm glad that I didn't have to say the name of your podcast because I would have totally botched that. So thank you for taking that on for me. I love what you guys are doing. And I'm just super, super excited to be here. I love geeking about dentistry and business and all things. So thank you guys. I'm really honored to be here. We appreciate that. you know, our favorite clients are typically early to mid-career dentists. And we love what you do to support.   our mutual clients and really want to know a little bit more about you and why you do what you do. How did you get into this? Yeah, for sure. Well, luckily for both of us, we love the same type of clients. So it's really fun. I actually started my career in dentistry in high school. I was offered an opportunity to either go into nursing or dentistry. And I thought, hmm, I want to wear scrubs. Like that was my end goal. And I thought, learn the whole body or learn the mouth. I'm surely going dental route. So that was honest to goodness. The reason why I got into dentistry.   I was a dental assistant for years and then became office manager, treatment coordinator, scheduler, biller, you name it. I have not been a hygienist and I'm not a dentist, but my husband, he went to pharmacy school at Midwestern Arizona. And during that time, I'm a little hustler. I found out if I could work at the college, I'd get a discount on his tuition. And so I knew there was a dental college and so I found out, got a job at the dental college.   And I was super blessed, super fortunate. And I worked there for three years with dental students. And one of the students asked me while we were in school, she said, hey, Kiera, do you want to come help me open my practice in Colorado? And I was like, heck yeah. Dental assistant to practice owner. Like, this is a great plan. I never knew how I'd be able to do this. I'm not a dentist. And I'm like, I see what you guys do in dental school. Yes, I want to say yes to this. So I went and helped her open the practice in Colorado. And we took our office from 500,000 to 2.4 million.   The Dental A Team (02:25.773) in nine months and opened our second location. And what I found from that was I learned a lot. We built a pretty big group of practices and I learned so much from that of what not to do. My marriage was about in shambles. Her marriage was about in shambles. My health was deteriorating. I was working from 2 a.m. till 10 p.m. trying to make these practices grow and I thought, well, shoot, one, if I could help her grow a practice, I wonder all my other students that I love.   Could I help them grow their practices and give them the confidence as well? And two, there's got to be a better way to do this than what I've been doing and what she's been doing. Like, yes, we have success on paper, but behind the scenes, we're deteriorating as human beings. And so that's really what spurred my passion. I never worked with a consulting company. Everything that Dental A Team's consulting is are things that I wish I would have had when I was a practice owner, things that I wish I would have known.   things to help all of my dental students. It's fun because it's becoming full circle. A lot of those students are now buying practices and coming and working with me, which is super fun. But really the passion comes from how can I help these dentists live their best lives, get the profitability they want, but also get their team bought in because most consulting companies work with just the dentist or just the team. And I thought, but if I can get the team on board, these dentists lives become a lot easier. And so it's really fun to talk about both sides of the coin.   And shoot my last name is Dent. So I think I was destined for this career path. It's not a stage name It's just the third fiance finally like I didn't get married I just took three fiancees to get a better last name So that's kind of my story and how I got into it and truly just love love this industry and love helping dentists Flourish and succeed and help more people But nursing never had a chance Yeah, I mean the scrubs if it would if they would have cuter scrubs than maybe but   The fact that I had the short path didn't just the mouth, but it's funny. I don't even get to wear scrubs anymore. like, man, that was a short lived moment. yeah, nursing. don't think I could do rectal trumpets. That's just like, I mean, I'll take the mouth all day long versus that. I don't think I could. I have such a gag reflex. I don't think I could honestly do it. Well, talk to us about some of your favorite client stories. gosh.   The Dental A Team (04:39.725) So knowing that like the startup to the mid range are kind of the ideal clients, I was thinking of a couple and one comes to mind. He attended one of our summits. We have one in April every year for doctors and teams. And so he attended it. And I remember he had like a really funny name on his screen because I see all the participants. I really try to make our summits really engaging and active. And I remember it was iPhone. And so I just kept calling this person out. was like, hey, iPhone, how you doing over there?   just kept kind of like razz and I had no clue there's no camera on it just says iPhone and lo and behold iPhone decides to sign up with us and he had just bought his practice and paid in full for consulting which I was always like man that's a pretty like gutsy move you just bought a practice but I also like people that are gutsy and this committed to it and what was interesting is we'll call him iPhone if you listen to this you'll know exactly who I'm talking about but over the course it's been about two years now iPhone has gone from   Being a practice owner who literally knew nothing about ownership had a pretty seasoned team when they bought their practice And went through all these hard transitions like I'm telling you this was a labor of love on both sides the consulting side and his side from needing to transition out his office manager who was really really causing a lot of like Shakes within the practice and and driving the team in a direction. He didn't want to go   So learning how to hire, learning how to lead, learning how to present treatment plans, learning how to put KPIs into the practice. Like you want to talk about a jumpstart to business ownership. And I remember he's like, Kiera, I'm not even taking home a paycheck. And those moments always rock me because this is real life for a lot of dentists. And my goal is to help them get to taking home their paychecks quickly. And so about six months, he was taking a little bit, but we started like at six months, he was able to take his full paycheck and then fast forward to   I just saw him actually last weekend and he was sharing that now he's producing over 250,000 a month in his practice, collecting home a paycheck, has a new office manager that was sitting next to him. They've shifted the culture. This office manager said that this doctor like makes for Phil Seen, Heard and appreciated. He understands his KPIs. He's got a profitability margin of 60%, which makes me so proud.   The Dental A Team (06:59.629) excuse me, his overhead 60 % profit margin of 40%. He knows his numbers. He knows how to look at it, getting ready to possibly expand his practice. But he said, we were just meeting last week and he said, Kiera, I want to give back because Dental A Team's given me so much. so having him help coach other practices now of things that he's learned really just inspires me. But I think about this man of...   like the rocky road he went on to get there. And I think that his journey is not unique. I think this is so common for so many owners who buy practices two, three, four years in, but to be able to have him be an example of what can happen and for him to be going from about 150,000 when he first bought the practice to now doing 250,000 a month, just to give him the confidence, I think as a leader, as a dentist, to get a team bought in and on board.   the fact that he knew his numbers and it's been, it'll be two years in April since he bought his practice and joined. And I think that is one of my most favorite stories because to see him excited about life, to see him excited about his practice when there were some dark days, I remember like his name, we'll just say iPhone was on our schedule a lot of times to give more support and to review resumes and to teach him how to hire for culture and to build a culture.   That is a magical experience. And there's, like I said, so many things from KPIs to numbers to culture to hiring to diagnosing and getting patients to accept you when the other dentist was still a part of the practice and moving on. He's honestly one of my favorite clients because I think his story is so relatable to how so many other people feel. And to see him now on the other side of it, truly beaming, I think is honestly one of my favorite stories. I have so many favorite stories.   But I think he's a really recent telling one that is just a fun success story to share with people. That's super cool. And he's got a great name. I know, right? iPhone. I'm like, it's easy because I was like, who is this? Who shows up? Like, I hate it on meetings. Like, get your name of who you really are because I want to call you. There's another, she's now a client. And I was speaking in person and, you know, front row, was like, hey, what's your name? And she's like, I'm going to be anonymous.   The Dental A Team (09:13.803) So we have a running joke now that she's just anonymous, even though she's a client now. And she's like, I'm so glad. But now she's like, secretly optimistic anonymous. So, you know, we've kind of changed that around, but yeah, it's fun to have clients show their personalities. But yeah, if you're on an event, put your dang name on there. Otherwise, maybe you'll be iPhone forever. Fair enough. I'd rather be iPhone than anonymous, but point taken. I've got a serious question.   for you based on that great story, but first I'm gonna joke. So it's on record in our company, there's a iPhone, Samsung battle and I'm on the iPhone side and Nick's on the other side. And we have it on record here on this podcast that Nick said something to the effect of, that sounds awesome being iPhone or iPhones are awesome.   So just just want to make sure that that we're all in the same page there, you know, Remy I'm happy in our company. It's the same. It's like Apple versus HP I'm diehard Apple everything connects in so seamlessly. So Remy we're on the same. Yep. I phone over here It's definitely definitely for the Samsung. I'm sick of the green bubbles, but they are getting better now I can see that you're writing I can see that it's been read. So I mean, hey, they are making some progress, but that's been like, you know decades in the making speaking the same language   Okay, as promised, I'd start with jokes and then, you know, that was a great success story and your passion is clear. Let's talk about those KPIs. So what are some of the KPIs that young dentists, newer dentists should be looking for? And I asked that question and then also add a preface. We talk to doctors all the time who have no, it's clear they have no...   connection to what the business side of dentistry is doing in their own practice. And I get it, we get it, that they didn't set out to run a business necessarily. They set out to provide the best oral health to their community. But it is a business after all. And so what are some of the things that those young dentists should be looking for? Remy, I'm so grateful you asked this question. It was not pre-planned.   The Dental A Team (11:36.073) My passion came actually from teaching people how to run successful businesses because as a business owner myself, profits seemed elusive. I remember like, what the heck is a freaking KPI? I didn't even know what that meant. And I really love in dental hygiene, there's no judgment. And I just want people to feel safe and confident to ask those questions. And I think dentists really feel this need to know everything because you are a doctor. And I just want to highlight that, guess what? None of them know it. Like 99 % of dentists that we work with   don't understand the business, but yet understanding the business and the numbers, I feel is like your treasure map to success. It helps you see where are broken systems in your practice to fix. So rather than just trying to pump a bunch of systems, let's look at the numbers to see which system we really can impact. Also, when you know your numbers, you can make smarter decisions of who to hire, when to hire, things like that. And so for people who don't understand KPIs, like I said, someone told me that I was a Dr. Seuss of systems. So I take that.   as a huge compliment to try and make it so simple for people. I believe KPIs are like the vitals of your practice. It's like when you go to the doctor, they always check your like height, weight, your blood pressure, your temperature. They're gonna check those things because if any of those things are out of whack, we're gonna have like an immediate plan. And I feel like that's similar to KPIs within a practice and KPIs can get a little extensive. So if we're talking about a brand new practice, things I start small and then we get bigger.   And so like main things that are really going to give you a nice suck on your business, if you're not careful are going to be your cashflow. So that's going to be your overhead. I'm watching your production and your collections because oftentimes the practice is producing enough, but your team's not collecting that money. So we want to make sure we have a 98 % collections ratio. I'm also going to watch your AR. So AR is your accounts receivable, checking from patient portion and insurance portion, because a lot of times practices actually have the money in their practice.   but they're not collecting, it's just kind of sitting there in overdue payments that are due to you, whether that's from patient or insurance. If we can look at those, we can figure out where's our collection problem. it we don't have clean claims sending to insurance or we're not collecting from patients and we're sending statements or we're not even calling. So I'm really gonna watch those super, super tight. And then if you want to go, excuse me, further down the line and things that I'll watch are gonna be like your lab costs, your supply costs, marketing can come into place.   The Dental A Team (14:00.685) scheduling, we can look at your scheduling and see like number of new patients coming in. That's a big one that I really like to watch because if we're not getting enough new patients or on the flip side, we're attritioning, AKA we're not keeping them in for re-care and reappointment percentages. We can get a leaky bucket and just keep filling with new patients but not retaining the ones that we have. So I like to watch your attrition rate. I also like to look at your case acceptance. So what are you diagnosing and what's being accepted to see is it a diagnosis problem?   or is it an acceptance problem? Whatever doctors wanna make, there is a study and a standard of three times what you wanna produce is what you need to be diagnosing. So if you're not watching this diagnosis amount, you might not be diagnosing enough to be able to get what you want on your schedule for your production. So I like to watch that. And I like to watch your case acceptance of dollar for dollar. So if you're presenting a thousand dollar treatment plan, how much of that thousand is actually being accepted? Are we accepting 100 % of that? Are we accepting 50 % of that?   and then asking questions of why, because case acceptance is usually one or two words from our exam to our treatment coordinator. And then I like to watch your hygiene percentages. So what's your hygienist producing per hour? I like three times pay for PPO practices, and I like four times pay for fee for service practices, and that's on adjusted production. So let's not go off of gross, let's go off of adjusted. Gross feeds the ego, net feeds the family.   So let's not be feeding our egos. I know it feels really good to say you're producing 260, but if you can only collect 150 of that, let's live in real life world. So those would be some zones. And then like, again, if you want to go like next level, you're already doing that. Some things we found over the last year of tracking hundreds of offices were open time in a schedule and your dollar per hour production, because a lot of times just open time in schedules, we found you could actually hit your goal.   if we could fill those spaces and then figuring out protocols for your team just to keep that schedule full. So I said a lot of KPIs for you, but really your main ones, you've got to be watching our production, collection, overhead, new patients and case acceptance. If I could only pick five, those would be my top five that I would start with. And I'm going to give six, like your reappointment percentages. Cause if we're not reappointing, that's really going to kick you down later on. And it's going to make a lot more work for you. And I think those are some pretty easy ones to watch pretty quickly.   The Dental A Team (16:18.733) but then also hopefully giving a lot of other ones for you to be able to watch in addition to that, that depending upon where you are in the journey of your practice, things to be looking at and doctors, you don't have to track all this. You get your team to track this for you. And then you get this lovely report that comes to your desk every week or every month. You review it, you assess it, and then you make the changes accordingly.   How do you help the practices that you're working with refine their systems to streamline their workflows to ultimately maximize their productivity? So Nick, on that, I'm just going to sound like a broken record. I literally look at their numbers, because whatever their numbers are looking at, these KPIs, that's going to tell us where the system's broken in addition to what your team is saying is a problem. So usually it's like communication or it's   low case acceptance or overhead or cashflow issues. And so what we're gonna do from there is we're gonna look to see what is the system in place. So if we're having an overhead issue and cashflow issue, well, I'm gonna look at the billing system. Like, let's look there, because that's where the money's at. So let's figure out what is our process, who's doing what, and where is the breakdown, and then we're gonna refine the system. I don't believe teams like to do hard things, and I don't like to do hard things, and so.   everything we implement should be easy because teams will gravitate towards ease and also not making someone remember things. So that's a true system. So we'll put in things like we can put automated notes or we can change our note templates if we're consistently missing something on our claims, we're gonna fix and adjust that system. We're also gonna look to see running certain reports that we put on an automated system for them. It's on a sheet for them. That way they don't have to remember to do this.   We create handoffs where it's on their route slip. So no one has to remember, like just with your memory, it's already built as a true system. And I think a lot about like McDonald's or Chick-fil-A or some of these companies that are able to mass produce and give you the same experience wherever you go. Well, let's build that and let's make a very simple system that everybody can follow rather than hoping and praying our team members remember and they don't drop the ball. So I'm going to look at those numbers. I'm going to look to see where the gap is and then dig deeper to find   The Dental A Team (18:33.461) root problem and then add an automatic system as much as we can to fix that problem forever. Are you dealing, how much of your business are startups, scratch startups versus acquisitions, also new practice owners through acquisition versus, you know, I guess that's the question, those two paths.   I tend, and I think it's just due to who I am and the things I did, I tend to attract more acquisitions in our company. So we're probably 75 % acquisitions, 25 % scratch start. We've worked with a lot of scratch starts. We've done a lot of pieces with scratch starts. But for me, I'm of the opinion, it's already there. My job is just to come and be the miracle girl on a practice that's already there. I know that I can successfully add hundreds of thousands to a practice very quickly.   adjust their overhead and make them profitable within just a couple of months. Scratch starts, we can do the same thing, but there is more of building that base to get more people in to build it. However, you don't buy someone else's problems when you do a scratch start. So in Dental A team, again, I think it's due to my experience, the things I've done. Like I said, I took a practice from 500,000 to 2.4 million in nine months. I know which systems to quickly shift and adjust. I like to say that we're...   We're a miracle girl for practices. You just sprinkle us on and we watch it bloom. Scratch starts, like I said, usually I'm about six months to a year before we're gonna start to see that churn and burn. And it's just due to building that patient base, which doesn't exist in the scratch start typically. But again, we've had several scratch starts. We've had several be a very successful, but that would be the reason I think why. But again, I don't shy away from scratch starts. I've done plenty of scratch starts and I do love that you get to build everything that you want and it's brand new.   You get to set the systems up from day one. I just think I like to. It's already in place and now my job's just to optimize and magnify it and make it even stronger for them very quickly. But I'm a fast results person. I like to see results quickly. Scratch starts long term have amazing results. Short term they're a little bit harder to get that churn on. Sure. Are people, are dentists typically onboarding you during the acquisition process so you're already known to them and their, you know, their,   The Dental A Team (20:55.281) They're acquiring with you on board versus an acquisition where things are just not, things don't feel right and they're not turning out the way the doctor planned or not as fast as they had hoped and then they're onboarding. So I think the doctors who do the best are the ones who bring us on usually month one or two before they open a practice. And I always say when you open a practice, it's like having a baby.   people nest the two months before they have the baby and then baby comes in, it's like screaming mayhem for about six months until you figure this out. And I really do believe that that's how practice ownership is. So the offices who I found do really, really, really well are the ones who bring us in one to two months before they actually add us into their loan of their additional cashflow that they need. So it's part of their purchase. That makes sense. Versus the ones that are like, Hey, I don't have cash, but I need help.   because every office does this, literally every single one of them they're in and I call it the six months shakeout. As soon as you buy a practice, it is bananas for six months. Like you have high costs, you have high expenses, nothing shaking out. You're trying to win over all these patients or bring in new patients. Like it's mayhem. And that's actually when you need consulting the most. Like you need someone to pull your head out of the sand, tell you do step one, step two, step three. This is where you actually need to focus rather than just being psycho and trying to like do all the things, but never getting anything done.   So I really love when they come. Otherwise, and I'll say, I'm really pro, of course, being a consultant, I'm pro this, I'm really pro hiring a consultant that can actually like put money on your books. So a lot of things people buy when they're buying a startup, they actually don't add revenue for them. So it's just a lot of cost without a lot of adding to it. And so there's lots of great consultants out there, but I'm really pro find someone who's done what you need to do successfully multiple times.   and bring them in because a consultant for us, our fee is guaranteed covered every single month. Like I'm never worried about that, but we tend to do two, three, four, five times our fee, adding that in in production and reduction of overhead for a practice very quickly. So I never worry about, I understand the owners do worry about fees because it can feel scary with everything you're adding on, but be intentional with what you're purchasing, what can add money to your books rather than just taking money off of your books.   The Dental A Team (23:19.462) Go ahead, Nick. Well, I was going to switch gears into talking about building and developing a strong team, since you just mentioned that. And I wanted to start by actually saying that when we're working with a client and they're looking for, you know, to a relocation option or they're looking to buy a building or just a general lease, mean, these are all super negotiable things inside, you know, inside of their   you know their business world but you know the the You know the highest expense that they likely have is payroll and so they can't really That's not something you're not gonna retain high-level talent by you know negotiating like a like like a madman like you would with a landlord for example, and so I wanted to talk to you about what are key qualities that a you know a dental practice owner should look for when hiring   key team members. For sure. I'm so glad that you said that rented landlords are negotiable because I think people feel like it's fixed. And I'm like, no, listen, listen, this is why you need Nick and Remy. Talk to them. They'll help me negotiate this down. Agreed teams are a bit trickier to negotiate down here. You're not going to probably get the best people. No one wants to feel like they're being bought on sale to come onto your practice. but as a landlord, yeah, I want the best deal. My labs and my supplies, I want the best deal.   But for teams, so I'm gonna kind of give two different answers because I think startup practices versus maybe a little bit more seasoned in their career actually have two different needs typically. As a startup, I'm really pro them hiring basically an office manager that knows how to do a lot of the things that they don't know how to do. So we need someone who's strong with case acceptance, strong with billing, strong with leadership, strong with hiring, and it's going to be an expensive hire. But what that...   that expensive hire is going to do is going to exponentially grow your practice for you. While dentists are in the back doing dentistry, you have someone who's really your yin to yang in the front office for you. So I'm really pro and I'm really pro not hiring just one person, but two people in the front office. I've seen a lot of embezzlement in my time. I've seen a lot of just funny things going on in the front office. And also if you only have one person up front, you're literally like SOL, which stands for so out of luck.   The Dental A Team (25:38.758) Um, in my opinion, like you really will be S O L if that one person leaves because you know nothing in the front office. So I'm super pro hiring those people and hiring really good talent when you're a startup. Now, if you're a little more seasoned, figure out what's going to be your yin and yang. If you've got a good biller or you can outsource your billing, um, maybe you don't need as high quality of, or as expensive of an hire that way. But what I have found is typically I like to see payroll around 30 % of your collection. So we're collecting a hundred thousand.   about is going to be spent for payroll costs, not including doctors. And so for that, that's also your fringe benefits, your 401k. And what I've seen with a lot of doctors is team members are only listening to their dollar per hour, but doctors, you're paying a lot more than just a dollar per hour. So we've actually created a really beautiful form for our offices that's kind of like their total compensation package that we recommend giving like once or twice a year to your team so they actually see what they're producing.   Now, hygienists are coming in as a really hot topic, depending upon the area you're in. And a lot of those are like, they're kicking that overhead, the payroll amount really high, but you need a hygienist because they're a producer. And so what's happening, we have a couple of hygienists on our team as consultants. And what they're recommending is let's have a really good base, base plus commission. And then looking back at your hygiene schedule to show this hygienist based on what we've already done. I don't like to live in like theories.   because no one wants to live in theories. They want to feel confident. So if I can hire hygienists for X amount that is fair within the market rate, but give them a commission, so anything they produce over that, showing on historical trends of what my practice has been doing, that's gonna help me keep my payroll costs lower, but I'm gonna be able to pay this hygienist more and be able to actually offset my payroll costs because they're producing more, but I can keep my payroll lower. So that's where I do think you can quote unquote negotiate.   But I really feel strongly, you've got to show them with confidence that they can do this and you've got to have an incredible culture. Culture and time tend to be the currency of hiring great team members right now. And so if you don't have a great culture, if you're not a great boss, you're not gonna hire great talent. I've seen offices paying their employees less than other people in the market, but they have such a great culture that team members want to stay. And then also looking at this time off, PTO is becoming a really hot topic and I feel like since 2020,   The Dental A Team (27:57.872) We're seeing more of this lifestyle that people want to be living more so than like the 401k traditional benefits, depending upon the age of the person you're hiring. Cause I do think there's two different age groups that want two different things. And so being aware of that and cognitive, think you can get creative with what you're doing. So I think that's a lot of great ways to bring it on, but you've also got to be clear on what your culture is and what your tip is. And you've got to be careful not to hold onto those sour apples that are truly destroying your practice.   One of the best quotes I heard is, the worst thing you can do to your best employees is tolerate the poor performance of your worst employee. And so really being cognitive, and I know that's hard, but trusting and believing that you can bring these great people in. So we put awesome ads out. I tell people to write to their ideal person, figure out who they want of their ideal person, and then posting those ads consistently and following up can be really good ways to get it. And then like,   Great culture does not mean you give everything to your team. It also means that we hold them accountable, that we have structure, that we have systems in place, but giving them the autonomy within that to create what they want to. I think are some hopefully simple pieces based on where you are, of who to hire, how to keep those costs lower. Also, what a good framework of what your payroll should be. And then also realizing the amount of payroll you've got, that should be producing. So make sure that you're.   payroll dollars are actually giving you the production that you should be getting from it. And if not, maybe it's time to make a couple of changes that way too. Yeah, one, one always is, is trying to kind of create a culture that promotes accountability and collaboration and continuous improvement. And you can probably, you know, inside the mission statement of the, of the, of the practice kind of address some of those things so that you have some ground rules. But ultimately at the end of the day, it's about   the leadership and also needs to live those values as well. Yeah. And on that Nick, am really pro core values. When I first started, I heard a explanation of core values and they said, usually when you start a practice, you have three core things that really were the core of why you started this practice. So think back to what those three, those are like your true core. And when I thought back, I was like, yeah, for me it was do the right thing.   The Dental A Team (30:16.272) have a ton of fun and make it easy for clients. So like those are my three. it's do the right thing, fun and ease. And then we have aspirational ones in addition to that, but really truly like our core values go on our job board. So like when we're hiring people, we say these are our core values, this is our company. Every Wednesday we're highlighting out team members that have been exhibiting core values within our company. So each team member shouts someone out about the core values. And I really have found that   That's how you build culture. Culture is a slow burn, but it's a consistent burn. And so if you have that and you really live, breathe and bring that in, your culture, it will take a little bit of time. say it's kind of like moving the Titanic, but the consistency piece will start to shift it to where you have that incredible culture. And then if you have someone who's not, have the one-on-one conversations rather than the full team conversation. Get really, really good at having uncomfortable conversations. I love the quote. I've added my own little.   sprinkles to it. I say your success and happiness that's care is added is directly proportional to the number of uncomfortable conversations you're willing to have. And I like adding happiness to it because I think like my success is one thing, but my success and my happiness, I want to be happy when I go to work. I want to have a great time. And so just getting really good with those uncomfortable conversations. And I say, it's a conversation. It's not a confrontation. And like, let's get to the root cause. Let's solve the problem rather than the person.   and let's move that forward. I think those are some hopeful quick tips for people to start to change that culture because it can be done and it's paramount for bringing in great team members as well. Well, that's a really important piece of the puzzle is communication, especially since everybody has a different communication style. you know, I wonder what your guidance is about how somebody who owns a practice can, you know,   can become a better communicator or overcome some of those challenges to be able to kind of understand how to communicate to different members of their staff or what have you. For sure. I'll give a couple of books. I believe there's so much wisdom found in the minds of men and authors. And so The Five Dysfunctions of a Team by Patrick Lanzione I think is a great one to figure out how to build that trust and healthy debate between you and your team members. so encouraging that.   The Dental A Team (32:43.974) and digging down deep into that. Also, there's a lot of personality traits, tests that are out there. I really am pro disc. There's also a company called Culture Index, and I think they teach you a lot of how to communicate. And something I learned early in my career that I try to pass on to our clients is hire people who are complimentary to you, not necessarily the same as you. Your biller is going to have a very different personality than your scheduler.   I want a bubbly outgoing scheduler who just makes my patients feel incredible. And my biller, do not want them being the party scene. I want them to be the person who's so detailed on every single number. Well, those two personalities are also going to be different communication styles. My biller, can probably be a bit more direct with. My scheduler, might need to have a little more finesse with. The five love languages at work is another great way to see how do people prefer to be communicated with. And then also just asking. I think asking people of,   hey, like some people really wanna be direct and just told directly, other people need like the sandwich, the compliment, here's what we need to work on, the compliment, because otherwise they're gonna feel like they're an utter failure. And so I think as leaders learning, I used to always communicate the way I like to be communicated too. And I feel like that was so naive on my part, because that's how I prefer, does not mean that's how other people prefer. we have, when we hire new hires and we recommend this for our offices,   We actually have them take a quiz within our practice and it tells me their favorite things for appreciation. What is it? If I was to get them a gift, what would be something very meaningful to them? How do they prefer to be communicated with? Is it direct? Is it collaborative? And then we have them read the same book so that way we can speak in the same communication language with each other. And then coming in to when it's an uncomfortable conversation, owning that and saying, hey, like this is uncomfortable for me to say.   We address the root problem and then we ask for feedback of, Remy, how did that land? I want to make sure that what I was trying to convey is actually how you heard it. Then Remy can come back and say, Kiera, I felt like you thought I was a jerk and that I'm not working. And I'm like, my gosh, thank you for saying that. That's not at all how I was saying it. What did you hear? That way I can change this to make sure we're on the same page. That communication takes finesse, takes time, but I will say I would rather invest in that skill than having the constant turnover.   The Dental A Team (35:06.96) train that's going on. And if you're in maybe a bad culture right now and you don't know how to fix it, anonymous surveys, we send them out for a lot of our clients when they're in this particular spot and start to ask honest feedback of what does this doctor or team need to do to change? What's causing the turnover? What's causing the breaks in the practice from the team members perspective? And then adjusting our communication styles accordingly to really try and help that communication. But I really love asking for feedback of how that landed.   I think that's one of the easiest ways to get that feedback very quickly on communication. So we've talked a bit about communication, I guess, with your own staff, but paramount to any successful dental practice, they need to have strong communication with their patients because enhancing a patient experience, I think, really kind of goes hand in hand with growth and all the other   types of things you need to consider to raise the, do better, I guess, for lack of better word. So. I think patient communication, you're right, it's paramount. And learning, I think that's handoffs. I think that's having everybody speaking the same thing, doctors giving good exams on that. But then also finding out what your patient drivers are similar to a team driver. What is ultimately their number one objective? Is it cosmetic?   Is it function, is it cost, or is it longevity? I said those in a very important order. believe order matters. Because if I put cost first, I'm highlighting cost. But if I put these in a very strategic way, I've done this with hundreds of offices, and we've asked thousands of patients, I will tell you 99 % the time it's not cost. It's usually function, it's longevity, cosmetic, how it looks. And then of course, figuring out within cost. But if you can figure that out from your patients and learn to communicate with them in their style, utilizing disc profiles as well.   You're exactly right, Nick. You'll get higher case acceptance, you'll have a better patient exam. If you have handoffs where everybody's speaking the same language and we're passing the baton off from person to person so that way nothing gets dropped, you will be shocked. We've increased case acceptance. I had a practice, they were getting about 25 to 30 % case acceptance and we literally got 100 % case acceptance that day just by changing a little bit of how we communicate in our handoffs.   The Dental A Team (37:27.462) The patients would walk up to the front and say, doctor wants to see me back in two weeks for a crown for an hour, I need to get that scheduled. And if your patient is that clear and your communication is that clear, you can only imagine what that does for your practice and your production and your reviews, because that patient's not confused anymore, they literally know what to do.   The Dental A Team (37:50.822) Can you share any practical tips on how dental teams can educate their patients more effectively about their oral health and treatment plans? Yeah. So I'm really pro hygiene. The hygienists have hopefully an hour with them. And so I'm really big on visuals. And so we work with our practices to build kind of like explaining it helping these patients see like on x-rays where you can use, there's a lot of AI softwares out there. I love Pearl. I love Overjet. They can help educate the patients of what's going on in their mouth.   And what I found for patients is there's a lot of mistrust. And I know dentists hate this analogy, but it is kind of like a mechanic. And so we're looking under the hood and the patient's like, I see nothing but black and white up on there, but you're telling me to like squint my eyes and there's a little cavity right here. So I think also helping train your patients of like, this is a good tooth. And this is a tooth where there is decay, showing intraoral photos for them, helping them so that way when they're going through their teeth, it's like, okay, tell me what you see on this tooth.   the more the patient can actually grasp it and understand it, the more they're going to actually accept that treatment. But in addition to that, one of my hygienists that's a consultant on our team, she gave me some really good advice and she said, never ever, ever use little league words for major league problems. I think oftentimes we don't want to offend the patient or want to make it feel better. And so we're like, well, there's this like little cavity. The tooth is bombed out. Like, why are we saying it's a little cavity rather than telling them like, this is what's going on now.   Yes, they're still finessed, so we don't wanna make them feel bad about it, but we also need to help them see the severity. And what I found is when you're confident in your diagnosis, when you're confident in how you're presenting treatment, your patients are actually buying your confidence, they're not buying the treatment. And so you being confident, and I've helped hundreds of them practice, I literally have an office and we've added multiple millions to their five locations by simply helping them present treatment better and stronger and more confidently, because truly the patient is buying your confidence. And so now, never over diagnosing.   but getting that patient to see it and truly telling them what's going on. And then I always love to say like, here's a comprehensive exam and the good news is, this is how we're going to get you like great back to great oral health and using the good news is, or the great news is that way the patient feels like there's hope and optimism and then giving them a really clear plan of where you want them to start. That way it doesn't feel overwhelming or daunting. Cause you can teach a patient all these things.   The Dental A Team (40:14.448) They just need to know where to start and how you're gonna be able to help them get the success that they're looking for and to get back to oral health. Not all patients have it. And I say that not like these problems did not happen overnight. So it's not gonna get fixed overnight. Our bodies are always decaying. Like we're always like aging is as fun and thrilling as that is. Same thing with our teeth. And the great news is this is how we're gonna get you healthy.   We've talked a bit about, you know, communication and creating a strong relationship, I guess, with your patients. Talk to us a little bit about how dental practices can develop a strong presence inside their local community to build trust and attract more patients. Yeah, there's an office that I really love. We were just chatting with them and something that I think this office did so well is they have the goal to be   the hometown dentist in their city. That's the vision of their practice. They want all of their patients to feel that way. So it's a very large practice. They have 15 operatories and they've still been able to maintain that hometown feel and they're very connected to their community. Another practice they said that our goal is to change the way people feel about going to the dentist within our community. And so I think the way that you can get this like stamp in your community is one, having that be part of your vision where you want to be   that local dentist to your patients where it's that hometown dentist feel in your practice, then your practice, your patient experience will feel that way. But then these offices, the two that I explained, they're very involved in the Chamber of Commerce. They're very involved in the little league sports. They're very involved in giving back and providing for these communities. I have another dentist and she created what's called the Thrive Home, where it's literally being able to give back to the community with all the different specialties like OT.   PT, dentistry, to give back within the community. And I really think if that is something that is your MO, treating your patients that way, asking for their referrals and their reviews, and then also being able to have that presence. I know growing up, for me, our chiropractor was so well known, that chiropractor was everywhere. They were at all the football games, they were all the high school events, they were at the town hall, the chamber of commerce, like.   The Dental A Team (42:30.106) Everybody knows that Ellison Chiropractic is the number one chiropractor in the area. And I will say it's because this family was so involved in the community. We saw them everywhere. And so I think how can you also do that and giving back to it? But I think my biggest recommendation, if you want to grow patients based on your community, I think it comes from genuine care and genuine authenticity that you actually love this community that you want to give back. If it's just to pull new patients in, there's other ways to do it.   But I think really, truly, you want to give back to that community you want to serve. I think patients will feel that when it's true and genuine and authentic. We understand how important marketing is to a practice and how it gets teeth through the door. And it's expensive, and it's money we're spending. But I think you hit the nail on the head. In addition to traditional marketing, there's so much more you can be doing in   involvement really is the key. The more involved you can be in your community, the better. Whether you want that hometown feel or you're focusing on productivity and efficiency and I think getting yourself out there and being a part of something is invaluable. That's great advice. When our clients hire us, it's normally because they   They feel totally lost. They're beginning the journey of practice ownership or real estate ownership. They have a lot of student debt. They are about to borrow a lot more money. And it's really scary. we try to really hold their hand through that process to kind of give them those tools so that they can ultimately make the right decisions.   for their practices real estate. And so it's really cool to hear you and how infectious your energy is and you have really good support systems for your clients to really ensure that they're not missing anything and are really maximizing their potential. And so that's really cool to...   The Dental A Team (44:54.078) to hear from you. Switching gears a little bit, I want to talk about the future and industry trends to see if there's anything that you're seeing or anything that you think your clients are going to face in the next five to 10 years that they should be preparing for. Yeah. And Nick, thank you. I just wanted to highlight what you said because you're right, it's terrifying. It's terrifying to go into that much debt.   I remember I used to call my dentist 2.5 because we were 2.5 million debt. And I was like, that back straight because you need to keep these hands and that back good. And I would just always say like 2.5, 2.5 because we were 2.5 million debt. And I think that that's where my passion comes from profitability overhead systems because I know how daunting it can be to be an incredible clinician, to be an incredible business, to be an amazing practice, but not to have the cashflow to support what you just went into debt for.   And so that's really where I'm pro like know your numbers, use the systems, utilize your team because, and I will say this again and again and again, a dentist who is financially successful and secure is the best boss to have. And health health teams, want your dentist to be successful and profitable because they're more solid, they're more stable and they're not stressed out, which is going to make a better boss for you. And so agreed. It's very daunting. It feels very scary, but I will promise you if you know your numbers,   It can feel awful at the beginning, but it can actually make it so much better for you. So thank you for highlighting that Nick, because I think I've just seen so many students so stressed about cash and staying up at night. I've had it myself. And so speaking from real life experience, giving you the tools out of that dark hole, I think is one of the greatest gifts we can give to these dentists who are already giving the gift of smiles and confidence to all their patients. Being able to do that same for dentists is such an amazing thing. And now,   Speaking of like what's in the future, shoot, DSOs are on the horizon. I think an AI, like these are two hot conversations. My doctors tell me that they are probably getting a DSO offer at least three to four times a day. And that is ratcheting up. They're getting so many offers constantly from DSOs. They're finding them. And I don't blame them. I think Wall Street is smart. They've realized that dentistry is a great business to invest in. mean, we're hearing 50 % overhead. So we've got exponential profit within.   The Dental A Team (47:19.474) Dental practices are profitable, typically speaking. And so I think that these are some things for doctors to be aware of. And I think educating yourself on making sure that you're selling or you're living your life the way you want to, rather than like just getting an offer on a bad day. So I think the DSO offers are dangerous because when you have a bad day in dentistry, it's very easy to look at that EBITDA number and say, I just want to sell. I want to get rid of all my problems, but I want to also caution and advise.   to know exactly what you're getting into because I've had some dentists sell. I think DSOs can be great for a lot of practices. I think MSOs can be great. I can see legacy practice and partnerships being great. There's so many amazing things and I don't think there's really a wrong route to go in dentistry. The wrong route I think is when you make an emotional decision that's not going to impact your life the way you want to. And so being very cautious, I think of when do I wanna sell and also what really is a good deal because I had a doctor and their epita,   They talked to some DSOs and he's like, cure it. It's going to be great. I'm going to get five mil for this. And I said, we'll call this one hometown. Like he's not the hometown, but like, we'll just call him. I got iPhone anonymous hometown now. So I was like hometown. I just want to point out that next year you're going to produce 5 million based on our block scheduling and also on the expansion of your practice that we just did. You are going to produce 5 million and they did. So I said, you're going to actually get short changed on this DSO deal. If you're like.   But if you're done with dentistry, it's a great deal. But also you're going to have to work for this person as an associate when you're going to make five mil next year, just in producing on your own and you don't even need to sell. This hometown does not want to be done with dentistry for about 10 years. So I said, you are shortchanging yourself where you can build this. You can exponentially expand into this, but you've got to make the decision of where you want to go and what you want to do. But the five million sounded so attractive to this doctor.   when they didn't realize that their practice was already producing that and would produce that with ease the next year. So I think like being really cautious of that, that you're not making, I feel like I'm so passionate because I feel like your business not only is providing for your life right now, but it's a long-term asset. And like what you guys do with the real estate, these are long-term assets that are building their wealth portfolios. Let's not, let's not do botchy investments, kind of like stocks, right? The stocks we all know just like dropped like, shoot, if you're watching that, you're going to freak out and you're going to want to sell everything.   The Dental A Team (49:40.68) but they know be stable through your investments, stay steady and not make those irrational decisions I think is so paramount because the DSO offer seem very appealing right now, especially on those like hard dental days. So that's one that I think dentists really need to be cognitive and aware of and knowing what your end goal is, what your retirement goal is, what you ultimately wanna sell out for. So that way when these offers come through, you can be educated and educating yourself more because I promise you.   I do not believe DSOs are going away. think in the next decade to two decades, we will see dentistry become more similar to healthcare. I know I'm like very hated about this. I've had this opinion for several years. My husband works in standard medicine. He works for hospitals and I'm like, gosh, like what was going on in the hospital scene is now what we're starting to see in dentistry. It's not gonna be too long before they're all bought up, but I'm also watching standardized healthcare now trying to shift into private practices and get out of the DSO.   like with air quotes around it. So I think just being cognitive of what you want to do and what you want your legacy to be. But also I don't fault you. I mean, a lot of these dentists are going to be able to get incredible retirements that they may never have been able to get similar to people buying homes in COVID. Like they're getting insane value, insane interest rates. it can be a very wise financial investment deal for you, but just do your homework. Cause I've seen some DSOs go under and people have lost pretty much their entire retirement. So that would be something I definitely highlight on. And then also watching AI.   The doctors are not into AI, they've got to get into AI. That's where I mentioned Pearl and Overjet, they're helping with diagnosis. I can already see they're riding on the wall that insurance companies, guarantee you, are probably already using AI. And so making sure that you are staying at least up to par with insurance companies, if not further ahead. Utilizing virtual assistance, think staffing costs are going to continue to be skyrocketing. And so for that, what other things can we do? like...   Opportunities force innovation. And I think we're in an opportunity zone to force some innovation and to be on the cutting edge of that. I do think right now, doctors who are not online, depending upon where you are in your career, if you're not online, having a presence on social media, if you're not getting involved in AI, I am going to caution that I think those practices very easily could get left behind unintentionally to where it might be hard for them to come back. So just even dabbling in it, getting some team members that could help you with that, I think is super important. And I would say this year,   The Dental A Team (52:04.51) I would add some sort of AI to your practice. Whatever you choose to do, just so you start to experience it, use it. There's so many things and I think honest in the next five years, I think AI is going to radically disrupt how practices are operating that I think it's important to like at least be dabbling so you're not completely left behind on accident.   You think the AI is, I mean, it's mind blowing and the applications just seem endless and hard to keep up with. you, so are you, if I hear you correctly, you're talking about AI integrations on like the practice management side of things versus patient care, right? Like patient care, so yeah. Yeah.   I think patient care is going to be tricky. I think until they get robots who are amazing, do think like the clinical side of dentistry probably will maintain pretty accurate. But I do think your front office and a lot of your systems will get changed. And I'll just highlight, there's a practice that we work with and she has, it's a pediatric practice. She's got incredible- call them? Sorry, what? What are we gonna call them? this one, we're gonna call this one, we'll just say jammin'.   so this one's jammin. I do like that we're naming all my offices. right. So jammin jammin has a pediatric practice. She's got an entire amazing team, but she has like eight support virtual assistants behind the scene for this practice. In addition, she has made her own AI bot called Amy and Amy. That's actual name of the AI bots. That one's real. didn't change it. mean, I should have called it like Joker, but like that's not really going to work jammin and Joker. This was actually called Amy. but Amy.   responds to to Jammin's practices day in and day out to make sure patients are happy. Now they live in a very affluent area, so it's very fast paced. But what I love about this doctor is she realized in order for me to keep my patients happy and to meet their demands, there's AI and I can create an AI bot that responds exactly how our practice would, but I'm actually not having to pay a team member, an actual human being to do this. And they're able to get all the needs met. That's what I mean by.   The Dental A Team (54:13.37) looking to see where can AI integrate. And I think it's going to hit your front office faster. But I think like software is meh, like that one's tricky. Software's are tricky to me, but I'm like billing. I guarantee you AI is going to take that over for sure. Hands down. It's going to take it over. I think answering phones and scheduling phones, I think are, the way we send out claims for sure. Like that's all within your billing realm. there's some softwares that are trying to act as office managers. think reading X-rays are going to definitely be taken over by AI.   hands down and I am curious and I don't have an answer for it, but I'm super curious. How is that going to impact diagnosis? I work with some practices in Canada and Australia and they're more streamlined. There's not really a lot of change. Like it is what it is. It's standardized healthcare over there. And I'm curious with AI coming in and I know I'm going to be like, I might get ripped on this. I'm welcoming the reviews because I think it's worthwhile to talk about. I'm curious how AI is going to impact diagnosis.   And what can be diagnosed and what can be actually built out which leads me to believe similar to medicine That's why there's bill like they bill out every single possible code that they can't I mean for the gauze for the cotton and I'm super curious that I don't know I think it's worthwhile to look into is that gonna impact our diagnosis and how we're billing should I maybe be looking and knowing those codes more thoroughly? Depending upon how it's gonna be. I don't know. I think that that's huge speculation on my part, but I   I can't help but think that AI is going to impact our diagnosis in a big way. We're insurance companies, which then leads me to think companies might be leaving insurance. right, like we might be going more fee for service. So then you got to ramp up your marketing. But I think that's going to be a big spin that's probably going to be hitting us in the next couple of years.   The Dental A Team (56:02.27) It's scary and exciting. don't know what else to Scary and exciting. It feels wild, right? But I'm like, don't think dentistry itself is going to change much. I still think we're going to have our craft. It's a very, very humanistic, very crafting. But I'm super intrigued. And I think for me, I'd rather take it on as like, let's be excited about it. Let's get into it. Let's see. How can we dabble? How can we influence it rather than being told like, is what's going to happen now?   I would prefer to be a pioneer through it and I think first office is to innovate. I I prefer to be like second, third, like I'm not gonna be like right on the first in case everything botches, but like second, third, get in there because these things, I don't think it's going to go away. I think it will adapt and morph, but I think it's here for a while. I hate that I didn't ask you this way earlier, but are you also, are you working with all different specialties or are you strictly general?   That's a great question. We actually work with all. So we have pediatric, GP, oral surgery. The only one we don't dabble in is ortho. I think there are some incredible consultants out there that do ortho. Ortho has its own software. It's its own beast. It's its own animal. I do work with ortho and GP, so we're very familiar with it. But ortho, I just think there's consultants that rock the ortho world, but all other specialties. We have clients within all of those and really love them in all their areas. We tend to specialize GP and pediatric, but we have clients of all.   all specialties minus ortho. Yeah, I The reason I asked is that I was speaking to, you know, an endo group who was actually starting to transition to fee for service. And I don't know, maybe that'd be a good introduction. Yeah. The fee for service world is weird. I really, offices want to cut. They want to just cut the insurance right now. And I'm like, hold please, before you do that, realize it's a retention piece for your patients. And if you don't have a great experience and you also don't have great systems in place,   and you also don't know how to maintain these patients, I had a practice to do this and they almost lost 50 % of their entire practice. So I'm really pro, like you can drop insurance and I'm not here to say not to, but I want you to be very thorough and educated on it and know worst case scenario, best case scenario. I think fee-for-service is gonna dip in a lot more, but if you're not careful, fee-for-service patients are free agents and never forget that. So they can go anywhere at any time. They're not tethered to you like they are with insurance. So making sure.   The Dental A Team (58:25.202) before you start cutting and get all excited about fee-for-service, I'm here to say do it, but do it correctly. Because I think there's a right way and a wrong way to do it. And I've seen it hit practices really hard if they don't do it correctly. Good to know. The time we spend with people like you is meant to help dentists and really end support staff all around. And they all offer different types of great information and fe

In this episode, we sit down with Dr. Joshua Adcox (@the.remote.orthodontist) —board-certified orthodontist, Clinical Director of Remote Care at Smile Doctors, and founder of The Remote Orthodontist. He's not just talking about the future of ortho—he's building it.We dive into how he's using remote monitoring and digital workflows to transform patient care and practice performance. Dr. Adcox shares how optimizing his schedule has opened up chair time for patients who truly need in-person care—and how that efficiency gives him more time for what actually matters: his family and his freedom.You'll learn:How to streamline your workflow without sacrificing qualityReal strategies for billing and getting paid for remote careWhy “doing more with less—but better” isn't just a mantra—it's a growth moveHow leveraging tech can reduce burnout and increase freedomThe mindset shift from busy to intentionalIf you're a dentist or specialist ready to level up your systems, reduce wasted time, and still grow—this one's for you.

Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net. Today on the emDOCs cast with Brit Long (@long_brit), we cover the Lisfranc injury. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play 

In this episode we ask a deceptively simple question: Would you let your kid become a doctor? What starts as a heartfelt reflection on medicine, sacrifice, and identity quickly unravels into a chaos-filled ride through policy disasters, parenting hypotheticals, and bone-based controversy. We touch on the NIH budget freeze and massive proposed Medicaid cuts—and why they're not just headlines, but real threats to research, residency programs, and patients. Will also pitches a darkly hilarious “prior auth simulation” to anyone considering med school. And just when things start getting too serious… Ortho Bro shows up. With strong takes and stronger forearms, he's here to settle the great debate once and for all: What counts as a real bone? (Sorry, teeth.) Healthcare is a mess, bones are controversial, and nobody is safe from Ortho Bro's tier list. Takeaways: A heartfelt moment during CPR left Kristin questioning if med school was even worth it. Will's proposed test for letting your child go to med school involves a brutal prior auth simulation. The NIH funding freeze isn't just theoretical—it's dismantling real labs, careers, and discoveries. Medicaid cuts could gut healthcare access and destabilize emergency departments across the country. Ortho Bro has very strong opinions on which bones are real, fake, or just embarrassing. — We have an active survey going. Hope you participate here: http://glaucomflecken.com/survey To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information.  Today's episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit aka.ms/knockknockhi. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

The new Orthodontic Comparison Report is here, with more extensive insights and metrics than ever before. The guys are reviewing the major takeaways, from payment term trends, a surge in marketing efforts and increasing staff wages. But where does your practice stand? Do your yearly goals need adjusting?   LINKS Orthodontic Comparison Report  cainwatters.com Submit a Question Facebook | YouTube | Instagram

When starting a private orthodontic practice during a global pandemic, most people would play it safe. But not Dr. Ashley Kisling. In this Greatest Hits Series episode, she shares how she launched her San Clemente-based startup during COVID-19 without a clear marketing strategy.The thought of spending hours on social media to grow her patient base felt overwhelming. She nonetheless opened social media accounts, as businesses usually do.It didn't take long for her to start seeing the power of TikTok for orthodontic marketing.In just one year, Ashley took her practice from zero to 7 figures in revenue using TikTok. But she wasn't just posting dance moves or trending videos. She focused on one thing: education.Ashley's TikTok isn't filled with gimmicks or viral challenges. It's packed with bite-sized, informative content that educates parents and kids about orthodontic treatments. And it worked big time for her.She breaks it all down and explains how she used TikTok to attract new patients and build a loyal community.Listen now and learn how you can leverage the same strategy to grow your practice. Key TakeawaysIntroduction (00:00)How Dr. Ashley Kisling got into Ortho (00:38)Launching an Ortho startup at the height of COVID-19 (04:57)Growing a brand-new practice to 7 figures in one year (11:27)How to use TikTok in your Ortho Practice (16:06)Working with influencers in your local community (23:20)Social media best practices (27:46)Getting your patients to sign a photo release for social media (32:56)Creating good hooks for TikTok (34:21)Why it pays to be authentic in social media (40:17)Additional Resources- Dr. Ashley's TikTok: https://www.tiktok.com/@socopdo- Register for the OrthoPreneurs Summit 2025: http://opsummit2025.com/- For more information, visit: https://orthopreneurs.com/- Join our FREE Facebook group here: https://www.facebook.com/groups/OrthoPreneurs

You've completed your training. You're clinically ready. But the marketplace doesn't reward readiness—it rewards relevance, resonance, and results. So the question isn't how do I get hired? The real question is: How do I become the most strategic investment a practice can make? Let's reframe the game entirely. Understand The Employer's True Buying Criteria Orthodontic […] The post Secrets Every Ortho Resident Should Know Before Applying appeared first on HIP Creative.

Is term life insurance the right choice for you? Find out in this episode as our guest, Lawrence Keller joins us to discuss term life insurance and break down: ✅ What term life insurance is & how it works. ✅ The key differences between term and whole life insurance. ✅ Why some choose term over whole life. ✅ The different types of term policies (fixed, increasing, decreasing, annual renewable). ✅ The benefits of term life insurance. ✅ Whether young doctors really need life insurance. Lawrence B. Keller is a CERTIFIED FINANCIAL PLANNER™ professional and the founder of Physician Financial Services, a company dealing exclusively with the financial needs and concerns of members of the medical profession. Mr. Keller has spent the last thirty three years providing insurance and investment products and services to resident, fellow and attending physicians. These include, but are not limited to, disability income insurance, life insurance, and investments. Mr. Keller represents many well-respected companies in the financial services industry, which allows him the flexibility to provide unbiased advice and help recommend products that best suit each individuals needs and concerns. Recognizing that a physician's time is limited, and in an effort to remain knowledgeable to provide the most value to his clients, Mr. Keller has obtained his CFP® certification as well as earned the Chartered Life Underwriter (CLU), Chartered Financial Consultant (ChFC), Registered Health Underwriter (RHU) and Life Underwriter Training Council Fellow (LUTCF) designations.   This episode is sponsored by St John Associates. St. John Associates is a physician recruiting firm that was recommended to us by one of our listeners. They've been around for over 33 years, matched thousands of physicians with healthcare employers across the country, and their services are completely free to job seeking physicians. Their orthopedic surgery team, one of the top national recruiting teams in the ortho market, has over 18 years of experience and hundreds of matches in all ortho subspecialties. Visit them at StJohnJobs.com/Ortho to get started with your completely free orthopedic job search today. Following that link will let them know that you found them through us.

Send us a textBumps and lumps of the hand can be any number of things...  all are classified as a hand tumor, but do they all require treatment, and which are a cause for concern? Host Debra Schindler explores the various types of hand tumors from the benign to malignant, with hand surgeon and Chief of the Curtis National Hand Center, Dr. James Higgins, and orthopedic oncologist, Dr. Mohammed Karim. Learn about the variety of hand tumors, treatment options, and the importance of early diagnosis. Don't let uncertainty hold you back— peace of mind is everything.   If you have concerns about a hand tumor and would like to see a specialist call 877-34-ORTHO  or 877-346-7846.  If you're from outside the Maryland area, ask for a video consult appointment. If you would like to provide feedback on this podcast, or get more information on hand tumors, send Debra an email:  debra.schindler@medstar.net.   For more episodes of MedStar Health DocTalk, go to medstarhealth.org/doctalk.

Send us a textGeoffrey Huber shares his journey from art school to industrial design, discussing his expertise in creating custom access and safety equipment for industries like aerospace, aviation, and manufacturing. He reveals insights into building a successful custom manufacturing business and the importance of hands-on experience in engineering.Main Topics:Transitioning from art to industrial designBuilding a custom equipment manufacturing departmentDeveloping innovative safety and access solutionsChallenges of scaling a small businessImportance of hands-on manufacturing experienceAbout the guest: Geoffrey Huber is an experienced industrial designer and entrepreneur with over 20 years of expertise in safety and access solutions. As Co-Owner and Manager of SAFE-T-FAB, he leads the design and production of innovative, code-compliant fall protection systems, ensuring rapid delivery and market leadership. He also operates GAH Enterprises LLC, a consulting firm focused on product design, prototyping, and engineering solutions. Previously, he held leadership roles at Ortho-tag, Inc. and Tri-Arc Manufacturing, Inc. Geoffrey holds a Bachelor of Science in Industrial Design from The Art Institutes and is recognized for his commitment to efficiency, innovation, and excellence in the industry.Links:Geoffrey Huber - LinkedInIndustrial Products  WebsiteSAFE-T-FAB  Website 

Welcome to The Golden Age of Orthodontics, hosted by Dr. Leon Klempner and Amy Epstein. As GP referral models shift and corporate dental groups expand, more pediatric dentists and orthodontists are joining forces to stay competitive. But is this model right for everyone? Today, we're joined by Dr. Chris Teeters, an orthodontist who collaborates with his wife, Dr. Morgan Teeters, a pediatric dentist. They'll share the benefits and challenges of integrating their specialties while maintaining separate brands. We'll also discuss marketing strategies, referral dynamics, and the balance of business and marriage. Plus, we'll highlight the importance of in-person connections through events like the Mother of Pearl Conference. Register now for the early bird discount. Remember, there has never been a better time to be an orthodontist!IN THIS EPISODE: (04:52) Blending an orthodontic and a pediatric practice and working with your spouse(08:57) The advantages and disadvantages of two practices in the same building (13:33) Discussion on referrals between their practices and marketing(17:39) Dr. Teeters shares advice on engaging in a combined orthodontic and pediatric practice concept(19:27) Discussion of the Mother of Pearl Conference and the Orthodontic Pearls podcastKEY TAKEAWAYS: Dr. Chris Teeters and his wife, Dr. Morgan Teeters, have successfully integrated orthodontics and pediatric dentistry under one roof while maintaining separate brands. This model fosters referrals between the two specialties and ensures continuity of care for young patients transitioning from pediatric dentistry to orthodontics.Their desire to serve both children and adults drove them to keep their practices separate. The pediatric practice has a superhero-themed child-centered environment, while the orthodontic office has a spa-like aesthetic, making it more appealing to adult patients.While online podcasts like Orthodontic Pearls provide valuable clinical insights, live conferences—such as the Mother of Pearl Conference—offer a unique opportunity for orthodontists to network, learn from top speakers, earn CE credits, and build lasting relationships. RESOURCE LINKSPeople + Practice - Website Leon - EmailAmy - EmailPeople + Practice - EmailOrthodontic Pearls - PodcastDr. Chris Teeters - EmailDr. Chris Teeters - FacebookMother of Pearl Conference - Register for Early Bird Rates - WebsiteCall Dr. Teeters at 415-608-6148

Kiera walks listeners through five steps to understanding a profit and loss statement: Know the structure Follow the revenue streams Track your spending Calculate the ratios Set financial goals Episode resources: Sign up for Dental A-Team's Virtual Summit 2025! Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript Kiera Dent (00:03.726) Hello, Dental A Team listeners. This is Kiera. And today I just wanted to empower you with, if you're in the boat of struggling to understand your P &L, struggling to understand how to truly master your dental finances, you're not alone. This is common. This is what I'm obsessed with helping dental practices truly understand. And today I want to break it down into five simple steps to give you clarity, control, to really be able to understand your dental practice finances. So today,   I just wanted to let you know that when you understand your PNL, which is a profit and loss statement, it helps you just be able to know which metrics to move to understand how can I actually create better decisions to feel more empowered with my numbers. And so I want you just to know that there's five simple steps that I've learned that I wanted to bring to you to really help you understand this and to this year maybe embody the identity of I am a.   money master or I am a finance master or whatever it is where you really take control because at Dental A Team when we consult our practices we have hundreds of offices and we work virtually we work in person we work one-on-one we work group style but I found that like one of the biggest stressors for dentists is not understanding like how does the money work we understand the dental we don't understand the team per se front office is like I don't know but it's really like where is my money and how do I actually make my money work for me   And so understanding that, what does it mean to be profitable? We have overhead calculators, we have profitability scorecards for you that I really love helping our clients with. But really it's like, let me just break it down into the nuts and bolts. I am not a CPA. I will have that disclaimer out there. I just am going to break it down of like, how do I become a financial master? So today let's break it down into step one is understand the structure of your PNL. So a PNL is broken down into basically like our, our revenue, so our collections, and then our expenses from there.   and then that breaks it down into profit. Now, something that always gets a little funny is debt services. And if we've got loans or student loans or practice loans, sometimes those are associated with our P &L, other times they're not. And what we really care about as owners is cash, right? We want the cashflow, we wanna understand where that's at. And so if you understand that it's broken down into this where we've got money coming in, so those are our collections, we need to make sure our collections sit at 98%. So we produce, we collect money.   Kiera Dent (02:21.654) those collections and then we spend money of our expenses. So payroll, rent, utilities, supplies, all of that paying you as a doctor as well. And then from there we have what's called our profit. And then after that we have our debt services and then that's our cashflow, but also cashflow then there's taxes that come out of it. And I think when you understand that instead of it being like, I don't have any money. We just understand that this is where it goes. And so if we're not tracked, if we're not tracking it, what happens is we're spending money.   We're spending more than we need. Like I had an office and they weren't tracking their supply spend. And so what happened is they were spending about 30,000 a month in one location. They're spending about $5,000 a month in another location. There's a discrepancy, but they didn't even realize that they were having this discrepancy until we started looking at their PNL. So once you start to monitor it, then we can actually get our supplies into more of like a 4 % of total collection. So if we're collecting a hundred thousand, 4 % of that would be $4,000. That's what we're allowed to spend for that month on supplies.   Well, now we have the budget. Now we can get it in alignment. We can actually track it and lean it down. Another officer looking at their P &Ls are doing it. They were at an 85 % overhead at the beginning of the year. By the end of the year, they were coming in at a 53 % overhead. So to me, it's just a math equation. One plus one equals two. How do we, we have money coming in, subtract the things we spend. We have profit leftover from there. We have our debt services and our tax that gives us our true cash at the end of it. So then number two is we got to focus on   What are the ways that we actually bring production and collections to the practice case? We've got our PNL. We understand how that's broken down. I also want you to know there's a chart of accounts that you can change that up. But step number two is we've got to focus on the revenue streams or the production of how do we actually get money on the books to be able to collect that? Are we being profitable in that zone? So there's different ways that we do this. So like hygiene, restorative, ortho, cosmetic, like different ways that we do it. And some offices actually like to track this and break it down. And you can actually put this on your PNL.   You can literally put down how much production has come from restorative, how much production comes from hygiene, how much production comes from ortho, and then you can break down the collections that we have from that as well. So this is something really awesome to see how much of my practice is hygiene, how much of my practice is on implants or all on fours, how much of my practice is ortho. I have a pediatric practice and they really love to track their ortho amount of it because they want to see how much of their practice is truly ortho. Do we need to spend more marketing money there or do we not? This really helps you be able to see   Kiera Dent (04:45.64) What services should we continue? Which ones are the highest revenue? Do we need to change our fees on it? Do we need to look at different ways to break this down? It's really, really, really fun. And so then I can look at what promos we put in the practice. Where do I put my blocks? What block scheduling do I need to have more of? What marketing do I need to spend to make sure we're getting the correct revenue or production streams of the correct patients? We're treatment planning it. We look at our treatment tracker to see, are we actually bringing this in? We can actually increase profitability without needing more patients if we follow this. So   A quick action item on that is maybe talking to your CPA about breaking down your revenue by services of what's coming into the practice to see where most of your income is actually coming from in the practice. Super enlightening when you start to look at this. Step three is now going to be looking at what we're spending. OK. And on the chart of accounts, if it's not broken down, you can ask your CPA to break it down. I've mentioned on prior podcasts that we were spending about fifteen thousand dollars on hiring once upon a time, but I didn't even know that's how much I was spending.   This last year, they had all of my marketing lumped into one. So I actually asked them to break it out. How much am I spending on the website? How much am I spending on events? How much am I spending on our ads that we're running? All these different little pieces, because I wanted to get more granular and understand where are the dollars going and what, if I spend a dollar, it coming back to me and what is it? So thanks for you on looking at your expenses. We usually have payroll, we have rent, we have supplies, we have labs, other things. We have our marketing, CE, consulting. We're going to want to look at   Maybe you have our associate doctors on there, but what are these different pieces and payroll? Oftentimes it's all the fringe benefits that go on to it as well. So making sure are the additional pieces of like our 401ks and our health benefits. What is all that going? Cause that does go into payroll. What's our payroll tax on that employee? Gosh, that was a fun day when I learned like what? So this also just helps you look at it. And then what we want to do is we want to look to see, there ways that we can cut costs? So going back to that example of cutting supplies,   Well, this office was just ordering through one supplier. There's companies like Ordo or Synergy or different group buying areas where you can still go through your same preferred vendor, but we can just get it on a discount rate. So for example, kind of like using Costco, like I can go and buy my, I thought Costco was ridiculous on their rotisserie chickens. Like they're $5 or I can go to Safeway and spend $9. I'm still getting a rotisserie chicken. It's just how much am I spending for it?   Kiera Dent (07:10.742) Now I get that food's a little bit of a funny analogy because food is not equal across all stores. So let's do something a little bit easier. I could spend, you know, I can have my car insurance, like again, through Costco versus through someone else. We're just trying to get our reduced costs, still getting the same quality, but could we reduce those costs? Other times just giving a budget, me realizing that I'm spending 15 grand on hiring. Well, there's a great company called Viva HR. If you do Viva HR slash Dental A Team or just DM me or   email us Hello@TheDentalATeam.com literally spend $100 a month on unlimited ads. So took a $15,000 spend down to a $1,200 spend right there. I freed up over 10 grand. I mean, we're talking more like 13 grand that I was able to then save and allocate somewhere else just by switching that one thing. I'm still doing the same thing. I'm still posting the same ads. I just use Viva HR rather than spending it on indeed, but I never would have known that if I would have been tracking this.   So this is where can we look at it? So what I recommend, and we haven't broken down into percentages on our overhead calculator that we've created for our clients, but you wanna categorize your expenses and look for areas where we can cut unnecessary costs. And also what's the percentage of our total collections that we're collecting that we can actually minimize and make sure that we're with the alignment of what's recommended. So for example, like I said, supplies are usually at 4%. Payroll is between 25 to 30%. So making it get all the way down, but also,   Those percentages are just baselines. If you want more profitability, can we shave a half our percentage? Can we shave 1 % and still maintain the quality of our practice? That's a question for you to answer, but great ways to analyze this. So that would be action item on this is let's categorize your expenses, look to see where we can cut, look to see the percentages to make sure what is in there. Is it allocated correctly? Meaning did they put actual supplies in supplies or did I get labs in there as well so that when my numbers are wrong and what other ways can I change that?   Okay, step four is now we wanna calculate our ratios. So on that, we're going to wanna figure out like, what is our profit margin? What's our payroll ratios? Like I was saying of those percentages, this is now where we break it down. If I'm spending $10,000 on payroll out of 100,000, well, that's a great gig and I probably don't have enough people on there and I have space within, because I'm only at 10 % and I could go up to 30 % again, depending upon what I want my profit margin to be.   Kiera Dent (09:33.39) I target with all expenses paid for offices to be a 20 or 30 % profit margin. So that means, cause overhead and profit get a little funny, overhead means all of our expenses, I like you to hit around a 50%. So if I've collected a hundred grand, I don't want you spending more than about 50,000. That leaves 50,000 here. We pay our doctors here. The goal is to leave about 20 to 30 grand if we're on this hundred thousand collection practice of true profit. Now of that profit, we, like I said, you can have debt services there and also taxes.   and depending upon the tax bracket you're in, that can actually make a pretty big difference. If I'm collecting 20 grand, I'm really not collecting 20 grand because I owe taxes on that. So that's a big asterisk around cashflow of how to master this and how to look at this, but making sure we're at the correct percentages for it to then gauge where are we at. So figure out what your, what our costs are, get them in in the pieces, and then figure out the percentages of each one of them, making sure that we're actually at the correct ratio.   of what it should be. In Dental A Team we're high on payroll because the bulk of our company is team. I don't have a physical location. I don't have a place that goes. Our product is our consulting. So my payroll is much higher than 30%. I pay a lot in payroll, but that's also, that's my product for you. have a lot of product in your practice of the supplies that go into it. We don't really have a lot of supplies that go into ours. I have a lot of software that I spend on. So everyone's going to be a little bit different, but we do have categories for dentists that we recommend.   Like I said, payroll 25 to 30 % supplies at 4%. Labs are 9 % combined together. Those are between 13 to 14%, especially if you're on an implant practice marketing. If you're growing, it can go all the way up to 5 to 7%. If you're lower, it should be a 2 to 3 % again, pending upon your goals and also pending upon where we want our profit margins to be. I really love my doctors to be paid at least a 30 % and they're also can get in to a little variable of do we pay our doctors as associates if you're an owner or not?   Kiera's opinion, and I know, like I said, I'm not a CPA. My opinion is I like to help practices exit out of the practice if they want to. Meaning, if you want to own your practice and not have it dependent upon you, that's what I like to grow for offices. So they have the option if they want to, or if any life circumstances happen, they're not handcuffed of, I don't have anything else I can do because I'm no longer practicing dentistry. To me, that's a very scary spot to be in. So what I do like to do is pay my dentist as an associate and as an owner.   Kiera Dent (11:56.386) because that way if I ever want to replace my doctor, I already have on my P &L paying them as an associate, not just as an owner or actually taking $0, which often happens because of distribution. Now your CPA can help you advise on tax strategy because there are strategies of how much you quote unquote pay yourself. But the way we have it is we just break it down and you don't necessarily have to run it through payroll. We're just making sure that our P &L matches so we know how much profit we'd have if any life circumstances happen to you.   All right, and now step five for you. Step five is we wanna set financial goals and track our progress. So like I said, where are you wanting to be on your profit margin? Do you wanna be, where are we at baseline today and then where do you wanna get to? And then we look at the pieces for it. Just like on a family budget, if we say we wanna save for a car or we wanna save for Disneyland or we wanna go on a trip to the Bahamas, well, now we start to save and we start looking at our expenses of well, what could we eliminate? Maybe we don't need Netflix anymore. Maybe we don't need a DoorDash. Maybe we don't need internet. Maybe we need to...   add an extra job to it to be able to pay for this. But it's the same thing in a practice. If we want to have profitability or we want to have long-term financial success or we want to be set up for financial freedom, what do I need my business to profit to be able to go after it? And how do I look at this? So then we look for how can I increase my production of higher revenue generating pieces that we enjoy doing? Maybe All On X, maybe Ortho, maybe same day crowns, whatever it is for you, how can we add more of that to our schedule?   How can we decrease the expenses or be smarter instead of just paying straight through a supplier? Could we work with a bigger supply company, like I mentioned, kind of like Costco and get a discounted rate for that? Could I do that and save money on things I'm already buying? And then we're gonna wanna make sure we get those profit target margins, the percentages, based on the industry benchmarks, like I mentioned to you, to really be able to grow for this. And so it's really fun if we look at those little items,   It just becomes a shave of a half a percentage here, a 1 % there, a couple dollars here, increasing our production, using better block scheduling that really makes us where we then are tracking our progress. And it's really fun when you can get an office manager and a leadership team bought into this with you as well, which is why we share it on the podcast, because when they're all tracking and they're all aligned and we know what our profit margins need to be, it becomes much easier. And so if there was a practice,   Kiera Dent (14:17.262) Like I said, we track with them quarterly, we're watching it they went from that 85 % overhead all the way down to 53%. Well, let me just do some simple math for you. Pretend that practice was only, let's say that they collected a million dollars that year, okay? So they did a million and that they were at an 85 % overhead. That would mean that on a million dollars, and let's say a million was true profit. So we've got a million, we've got 85 % overhead. That practice was collecting or like take home.   not including tax and all the other things, 150,000 out of a million. Now I understand. Now, if they're able to go, that was an 85 % overhead. If they go, so still a million dollar practice, down to 53 % overhead, what that does is that actually moves them into 530,000 is now their costs, right? Did you follow my math on that? 530,000. if they, and from there, so that means they're taking home 470,000.   That just simple shift, they didn't increase their production. They just reduced their expenses. Again, a million dollar practice, 150 to 470. That's a really big swing. You don't have to do anything more. We just had to be smarter with our dollars. So when you look at that and you think about that, that's where numbers get really fun for me. And that's where I love to empower doctors, leadership teams to how can we actually achieve this? So my goal for you would be let's set a financial goal for the next quarter.   Based on your P &L review, do we wanna cut down our supplies? Do we wanna increase our production? Do we wanna add our block schedules? What do we wanna do in there? Because this then will literally help you exponentially grow to your financial freedom. So as a quick recap of these five simple steps are one, understand the structure of your P &L. Two, focus on the revenue or production streams that we can add in. Three, analyze our expenses. Four, calculate the ratio. So again, the percentages of them and get those into industry standards.   And five, set financial goals to track the progress and actually see where we want to be. It's such fun for me because this is how you actually are able to exponentially have your business work for you. You not working for your business. You don't have to do more work. You don't have to more patient flow. None of those things. We just have to be smarter with how we're utilizing our money, how we're collecting collections, impact that how we're spending our money, making sure we've got budgets in place for our team. Teams will follow suit. We just need to get this set up for them. So this is where it's really fun. And honestly, you understanding your PNL.   Kiera Dent (16:43.158) It allows you to just make informed decisions, increase your profitability, AKA take home pay and grow your dental practice. And then the next step of this will be how do we actually keep the money that we're making that becomes so fun. So I'm happy to go through this. If you guys want, I can go through a PNL piece with you. Hello@TheDentalATeam.com or go to our website and just book a call. We can do a practice assessment with you, totally free complimentary on my side because this is really where I love to just truly empower doctors and owners to take.   the like bull by the horns, you're already doing the dentistry. Let's have you now be compensated for that and do it in a fun way where you now feel like you were in financial control for yourself. So this is literally what the Dental A Team does in consulting. If this is helpful for you, you want one on one help, you want us to dive into your practice more in depth. Like I said, we have that complimentary assessment for you. Click the link or come work with us. I'd love to have you because this would really be a zone. You can DM us on social media, the Dental A team. So Dental A team is our hashtag.   or you can email us Hello@TheDentalATeam.com This is truly the zone though. Become a financial master this year. You will be so happy that you did this. This is a gift you can give yourself. And as always, thanks for listening and I'll catch you next time on the Dental A Team podcast.

Joke de Wulf, psycholoog, neemt ons mee in de wereld van Hartslag Variabiliteit (HRV). Wat zegt je hartslag over je mentale en fysieke gezondheid? Pim Christiaans, gezondheidsjournalist, brengt het laatste nieuws van Ortho.nl en duikt in de gezondheidswaarde van creatine. Is dit supplement alleen voor sporters, of heeft het bredere voordelen? The post 13-03-2025, uur 1 appeared first on Gezondheidsnieuws Radio.

I'm going to be straight with you, some of you are making a massive mistake, and it's driving me crazy. I keep hearing, “I'm having a down year, I can't afford CE.” That's complete BS. You can't afford NOT to invest in yourself.Even the most successful orthodontists still invest heavily in learning and those struggling should be increasing their educational spending, not cutting it.Skipping CE because ‘money's tight,' is just lying to yourself… you're sabotaging your practice, your family, and your future.If you're having a tough year, THAT is exactly why you need to double down on learning. You have patients counting on you, a family depending on you, and no one else is going to fix this for you but YOU.In this 5-Minute Friday, I'm giving you a little tough love, because someone needs to say it.If you're stuck, it's time to shake things up, and the best way to do that? Get to a course. Go to a meeting. Hire a coach. Do something different.No orthodontist should ever be in a position where they can't afford to invest in their own success.Listen now, and let's get to work.

Dr. Annu Navani is one of the research leaders in the field of orthobiologics, and is the Chief Medical Officer for Boomerang Healthcare, with 20+ years of experience in the medical industry. Dr. Navani completed her Anesthesiology residency at the Medical College of Wisconsin, Milwaukee and a fellowship in Pain Medicine from the University of California, Davis. Over the last decade and a half, she has served as Founder and CEO of Comprehensive Spine and Sports Center and is an Adjunct Clinical Associate Professor at the Division of Pain at Stanford University. During this podcast episode, we discuss her journey to pain medicine and her specific interest in orthobiologics. Most importantly, we delve into her groundbreaking research, "The Safety and Effectiveness of Ortho-biologic Injections for Discogenic Chronic Low Back Pain: A Multicenter Prospective, Crossover, Randomized Controlled Trial with 12 Months Follow-up," and discuss the future of orthobiologics in clinical practice.

Listen to our episode on PCL Injuries  as Dr. Jildeh gives us an excellent overview! Toufic R. Jildeh, MD attended Michigan State University where he graduated summa cum laude and from the Honors College. He attended medical school at Wayne State University School of Medicine. He went on to complete his residency at Henry Ford Health System where he was selected as an Administrative Chief Resident and was chosen as an American Orthopaedic Association Emerging Leader. Dr. Jildeh is committed to providing the most up-to-date, world-class care to patients. He is sensitive to the uniqueness and circumstances of each patient he meets, and he prides himself on individualized treatment for his patients. He treats patients from all over the State of Michigan and beyond, and aims to return patients back to optimal activity levels and will work with patients to meet their own goals. Goal of episode: To develop a baseline knowledge on shoulder multidirectional instability. We cover: PCL anatomy History  Physical examination Treatment options PCL reconstruction techniques     This episode is sponsored by St John Associates. St. John Associates is a physician recruiting firm that was recommended to us by one of our listeners. They've been around for over 33 years, matched thousands of physicians with healthcare employers across the country, and their services are completely free to job seeking physicians. Their orthopedic surgery team, one of the top national recruiting teams in the ortho market, has over 18 years of experience and hundreds of matches in all ortho subspecialties. Visit them at StJohnJobs.com/Ortho to get started with your completely free orthopedic job search today. Following that link will let them know that you found them through us.

Imagine this—you're in the OR, prepped and ready to fix an ankle fracture, only to realize mid-surgery… there's NO FRACTURE!

Most ortho practices are stuck posting the same boring content - braces debonds, generic team photos, and outdated trends. But you could actually engage your audience, grow your brand, and bring in new patients using your social media.In this episode, I sit down with Brooke Bruneman, a former dental assistant turned dental student who still remotely manages social media for our practice. She shares the insider strategies that make orthodontic content go viral, including how to spot trends, use TikTok duets and stitches, and create videos that actually get shared.Brooke's insights are packed with actionable tips that any orthodontist can implement immediately to stand out in a crowded digital space. If you've struggled to get traction on Instagram or TikTok, this episode is a must-listen.Hit play now and improve your practice's social media game! Key TakeawaysMeet Brooke Bruneman (00:32)Lessons from Disney to Ortho (07:19)Do not hire solely for skills (11:46)How Brooke manages our social media while at school (16:15)Trends and social content creation strategies (22:06)Social media management tips for an ortho practice (29:40) Additional Resources- Register for the OrthoPreneurs Summit 2025: http://opsummit2025.com/- For more information, visit: https://orthopreneurs.com/- Join our FREE Facebook group here: https://www.facebook.com/groups/OrthoPreneurs

There's this myth in orthodontics that you need to limit your patient load to maintain quality, reduce stress, and run a low-overhead practice. I'm here to tell you that's not true.The old-school approach of running a low-volume, high-fee orthodontic practice is outdated.With the right technology, smart outsourcing, and effective management, you can see 60-70 patients a day, avoid burnout, and still provide top-notch care.I've built a $3 million/year practice working 3 days a week, and I want to show you how you can do it. It's about working smarter, leading better, and not buying into any limitations other people try to sell you.Some of the best in our field have built high-revenue, low-overhead practices using this approach, and there's no reason you should not do it. Tune in to this 5-minute Friday episode to hear more! Key TakeawaysIntroduction (00:00)Dispelling myths about low-volume practices (00:45)Leveraging technology and outsourcing (02:18)70 patients a day practice with low stress (02:39)Achieving $3 million a year on three days a week (02:54)Refine your management and leadership skills (04:03)Additional Resources- Register for the OrthoPreneurs Summit 2025: http://opsummit2025.com/- For more information, visit: https://orthopreneurs.com/- Join our FREE Facebook group here: https://www.facebook.com/groups/OrthoPreneurs

Soziale Medien prägen unseren Alltag – doch welchen Einfluss haben sie auf unser Ernährungs- und Gesundheitsverhalten? In dieser Episode spreche ich mit meiner Kollegin Emily, die ihre Bachelor-Thesis zu genau diesem Thema verfasst hat. Gemeinsam beleuchten wir wissenschaftliche Studien – sowohl zu negativen als auch positiven Effekten –, hinterfragen Studiendesigns und testen in dieser Episode sogar selbst einen gängigen Fragebogen. Außerdem diskutieren wir gesellschaftliche Normen rund um Ernährung und teilen Ansätze, die helfen, Inhalte kritisch zu hinterfragen, und überlegen, wie sich die positiven Aspekte der digitalen Welt gezielt nutzen lassen – für mehr Orientierung und Inspiration. [Hier](http://https://www.fitlaura.de/wp-content/uploads/2025/03/Ortho-15-Fragebogen-1.pdf) kommst du zum Ortho 15 Fragebogen, wenn du diesen einmal ausprobieren möchtest. Die heutige Episode ist unterstützt von Snuggs, meiner Lieblings- Periodenunterwäsche, wo gerade einige tolle Rabatte auf dich warten! [Hier](http://go.snuggs.at/mKPNWCR4Vv) kommst du direkt zu Snuggs. Spare mit meinem Code "FITLAURA20" bis zu 45%! Folge mir, [@fit__laura](https://www.instagram.com/fit__laura/), gerne auf Instagram, um tägliche Tipps, Motivation und Rezepte zu erhalten. Hast du Fragen oder Feedback zum Thema der Episode? Schreib mir gern! Kennst du schon meine [App](https://www.fitlaura.de/membership/)? Das All in One Paket für DEINE Gesundheit! Teste sie gerne für 1 Monat, jederzeit kündbar & dich erwarten wöchentlich neue Inhalte zu den Bereichen BODY MIND FOOD. Dort gibt es z.B. auch Workouts mit mir, Trainingspläne und Übungsanleitungen. [Hier](http://https://www.instagram.com/emily.stenwald?igsh=am04c2J2dXdpMnNo&utm_source=qr) erfährst du mehr über Emily.

A conversation with Drs. Michael Steinmetz and Jason Savage. Find the video of this conversation at https://youtu.be/dqG8E9vCfUI

Enjoy this episode, centered around Orthopaedic Oncology. This series was made for us to learn and improve from hearing mistakes that have happened in orthopaedic surgery. If you have a story that you would like to share, email us at naileditortho@gmail.com .   Link to article mentioned in this episode: http://upload.orthobullets.com/journalclub/free_pdf/25745898_25745898.pdf   Ortho Essentials 101: The #1 prep course for orthopaedic surgery rotations and intern year. Join over 100 others and learn Orthopaedics! courses.naileditortho.com      This episode is sponsored by St John Associates. St. John Associates is a physician recruiting firm that was recommended to us by one of our listeners. They've been around for over 33 years, matched thousands of physicians with healthcare employers across the country, and their services are completely free to job seeking physicians. Their orthopedic surgery team, one of the top national recruiting teams in the ortho market, has over 18 years of experience and hundreds of matches in all ortho subspecialties. Visit them at StJohnJobs.com/Ortho to get started with your completely free orthopedic job search today. Following that link will let them know that you found them through us.

In this episode I dive into the fascinating world of Ortho-K lenses—special contact lenses that reshape the cornea overnight to correct vision without the need for daytime glasses or contacts. I discuss the pros and cons of this vision correction method, who it's best suited for, and potential risks. I also covers the dangers of contaminated eye drops due to recent recalls, the ongoing hospital strikes impacting healthcare, and the innovative use of amniotic membrane transplants in ophthalmology. Takeaways: Ortho-K Lenses for Vision Correction: Dr. Flannery explains how orthokeratology (Ortho-K) lenses work by gently reshaping the cornea overnight, providing clear vision without glasses or contacts during the day. Contaminated Eye Drops Recall: A recent recall of generic eye drops due to fungal contamination highlights the importance of using reputable brands and practicing good hygiene when applying eye medications. Hospital Strikes and Their Impact: Ongoing strikes by healthcare workers are affecting hospitals nationwide, raising concerns about patient care quality and medical staff burnout. Amniotic Membrane Transplants in Eye Care: Dr. Flannery explains how amniotic tissue is used in ophthalmology to treat severe eye injuries and promote corneal healing in complex cases. The State of Healthcare Today: With his trademark humor, Dr. Flannery reflects on current challenges in the healthcare system, from physician burnout to patient frustrations, and what changes could improve the future of medical care. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link:  Anatomy Warehouse Plus for 15% off use code: Glaucomflecken15 Today's episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information.  Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode we continue our discussion reviewing key topics essential for succeding on your ortho away rotation. Featuring M4 student Daniel Acevedo

In this episode we will discuss an overview of key topics essential for succeding on your ortho away rotation. Featuring M4 student Daniel AcevedoI

The episode dives deep into the debate around the Protestant doctrine of justification in relation to early Church teachings. We explore the writings of early Church Fathers, contrasting beliefs about faith and works, and question the continuity of Christ's established Church.• Examining Protestant views on justification • Key insights from early Church Fathers on faith and works • Clement's teachings on obedience and justification • The hierarchical structure of the early Church • Importance of a tangible Church in faith practices • Understanding the role of action in salvation • Insights from Ignatius of Antioch on church unity • Analyzing the Shepherd of Hermas and Epistle to Diognetus • Raising questions about the essence of faith todayThank you for journeying w/ the Saints with us!

Send us a textWith over 240,000 people diagnosed with breast cancer every year, it's no surprise that many patients seen in orthopedic clinics also have breast cancer somewhere in their medical history. Here's the catch: breast cancer treatments like chemotherapy, radiation, surgery, and reconstruction don't just treat cancer—they also create ripple effects across the entire body, leading to problems like altered shoulder movement, rotator cuff issues, and even frozen shoulder.In this episode, you'll get a sneak peek into the upcoming APTA CSM session, My Patient with Breast Cancer is Your Patient with Shoulder Dysfunction: Combining Onco- and Ortho-PT, with speakers Dr. Katie Schmitt & Dr. Paula Stout. They break down:How breast cancer treatments impact the shoulder and upper body.The common side effects that might be flying under your radar—like axillary web syndrome and radiation fibrosis.Why understanding these issues can help you level up your evaluation and treatment skills.Whether you're an ortho PT who's curious about oncology or you're already blending the two, this session is packed with tools and insights to help you give every patient the care they deserve.Connect with Dr. Katharine Schmitt via email drkatiedpt@gmail.com and visit her website DrKatieDPT.com.Connect with Dr. Paula Stout via email: drpaulastout@outlook.com.Grab your free Ultimate Oncology Specialist Study Guide!Preparing for the ABPTS Oncology Specialist Certification Exam is one of the best ways to become an expert OncoPT.My new Ultimate Oncology Specialist Study Guide will help you start your exam prep on the right foot, so you can prepare for success & treat your patients like an expert.Grab your FREE study guide now! Follow TheOncoPT on Instagram.Follow TheOncoPT on LinkedIn.

Struggling to grow your practice and build a dream team with a great culture? This episode in the "Best of Orthopreneurs Podcast" series with Amanda Floyd will show you how to master both!Amanda is one of the most respected leaders in orthodontic systems and building great team culture. Starting as a clinical assistant, Amanda helped scale Fishbein Orthodontics from a small practice to a $27 million powerhouse in just seven years.How did she do it? By prioritizing team culture, bold leadership, and innovative strategies that anyone can implement.In this episode, Amanda opens up about the challenges of scaling fast and the game-changing strategies that got her through.You'll hear about their unique approach to hiring (hint: no job ads involved!), their direct-to-consumer marketing tactics, and the importance of putting your team first—always.We also dive into the power of Fishbein Fundamentals, the training program Amanda co-created to help orthodontists level up their practices with actionable insights and proven tools.Don't wait—hit play and transform your practice today!Join Amanda, Ben Fishbein, and Miranda Riley in an exclusive one-day live course with Orthopreneurs University on January 17th, 2025, to master advanced techniques, expand your treatment options, boost revenue, and reduce stress—all while delivering exceptional patient outcomes.https://web.orthopreneurs.com/fishbein-opu24Key TakeawaysIntro (00:00) Meet Amanda Floyd (00:30)Challenges of scaling a practice (07:57)Organic hiring for an Ortho practice (10:40)Fishbein Fundamentals (19:05)Culture drives everything (22:11)The key to a successful partnership (26:19)Collecting good people (27:23)Ortho book to grow your practice (38:58)Additional Resources- The Growth Formula With Dr. Ben Fishbein, Amanda Floyd, and Miranda Riley: https://web.orthopreneurs.com/fishbein-opu24- Take Your Practice to New Heights with Fishbein Fundamentals: https://fishbeinfundamentals.com/- Register for the OrthoPreneurs Summit 2025: http://opsummit2025.com/- For more information, visit: https://orthopreneurs.com/- Join our FREE Facebook group here: https://www.facebook.com/groups/OrthoPreneurs

We continue our ecumenical dialogue and today react to a clip from an Orhtodox priest. We get it orthobros we see the draw, but we don't think this will last.  The 12 Days of Restless is brought to you by the high quality products of spindleandscarlet.com Use code "RESTLESS" to get 10% off at https://spindlesandscarlet.com/ You can follow this podcast all over the internet. twitter,   instagram.    or facebook Or email us at restlesspodcasting@gmail.com

New Year, New Episode! Join us as we welcome Dr. Mike Ryan, the Green Bay Packers' Team Orthopedic Surgeon, as our first guest of the year! Dr. Ryan shares behind-the-scenes insights into the medical side of the game, how he helps keep our players in the best health possible, and the challenges of working with elite athletes.It's a must-watch for any Packers fan or anyone interested in the intersection of sports and medicine! Don't miss it!YouTube.com/InsideWisconsin & wherever you listen to podcasts.#insidewisconsin #GoPackGo #Packers #sportsmedicine #greenbaypackers #drmikeryan #2025kickoff #PackersNation

Alan welcomes frequent guest and co-host Dr. Matt Standridge back to Very Dental. They dive into the evolving landscape of dental practice ownership, comparing traditional solo practices with the increasing prevalence of DSOs. The conversation explores the current incentives and hurdles for new dentists, the impact of rising dental school debt, and the practical aspects of introducing advanced procedures like aligner therapy and all-on-X implants into general practices.  They also touch on the phenomenon of influencer culture in dentistry and its implications. Mostly they just laugh about our absurd profession and how it continues to change.   Key Takeaways: Private practice ownership is becoming increasingly challenging due to factors like rising costs, insurance reimbursements, and patient expectations. The "one doctor, one owner" model may become less common, with more practices incorporating associates or transitioning to alternative models. Many young dentists are less driven by ownership and more interested in alternative career paths, including becoming a dental influencer. Overuse of all-on-X procedures is a concern, with potential for complications and ethical considerations. Orthodontic training, particularly with aligners, offers a high ROI and can improve overall dental skills. "Bread and butter" dentistry still has value and shouldn't be dismissed. Beware of "style over substance" in dentistry, particularly when it comes to advanced procedures. Mentorship (or "coaching") can be valuable, but find trusted sources.   Some links from the show: Matt's Instagram Matt's 3D Dentists bio/info 3D Dentists American Orthodontic Society CandidPro Aligners Episode Index: 01:24 Tom Hanks: The Yelling Actor 04:25 The Reality of Multiple Practices 09:53 The Future of Dental Practice Ownership 18:13 The Rise of Dental Influencers 22:25 Patient Preferences and Overuse of Procedures 30:38 Orthodontics as a Gateway to Advanced Dentistry 33:28 The Evolution of Dental Training and Technology 36:45 The Financial and Professional Pressures in Dentistry 38:49 The Role of Mentorship and Coaching in Dentistry Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!      

Hey Docs! Episode Finals  Insuring Success: Essential Coverage for Orthodontic Practice Owners Welcome to the Hey Docs! Podcast with your host Jill Allen. Today, I am joined by Nick Cepparulo from CFS Dental Division and in this episode  we are covering all things insurance. From what you need to protect your practice when you are just getting started to common pitfalls practices face when coverage is lacking there is a lot to discuss. Let's get into it! Summary Nick Cepparulo, Vice President of CFS Dental Division, discusses the importance of insurance for dentists and orthodontists, particularly those starting or acquiring a practice. He explains the key policies needed during the startup phase, such as general liability and builder's risk, and the policies required for a functioning practice, including business owner policy and workers' compensation. Nick also emphasizes the significance of personal insurance policies like malpractice insurance, disability insurance, and life insurance. He highlights the need for adequate coverage to protect against potential lawsuits, injuries, and unexpected events. In this conversation, Jill and Nick discuss the importance of insurance for dental and orthodontic practice owners. They cover various types of insurance policies, including disability insurance, malpractice insurance, and cyber insurance. They emphasize the need for regular evaluation and updates to insurance coverage as the practice grows and changes. Nick provides valuable insights and advice for dentists and orthodontists starting their careers and stresses the importance of protecting oneself and one's practice with the right insurance policies. https://cfsdentaldivision.com/https://www.instagram.com/cfsdentaldivision/ Takeaways Insurance is crucial for dentists and orthodontists, especially during the startup or acquisition phase.Key policies for startups include general liability and builder's risk, while functioning practices require a business owner policy and workers' compensation.Personal insurance policies like malpractice insurance, disability insurance, and life insurance are essential for protecting against lawsuits, injuries, and unexpected events.It is important to have adequate coverage and consider factors like reputation, claims payouts, and financial stability when choosing insurance carriers. Regularly evaluate and update insurance coverage as your practice grows and changes.Disability insurance is crucial for protecting your income in case of injury or illness.Malpractice insurance is essential for dental and orthodontic  practice owners to protect against professional liability.Cyber insurance is becoming increasingly important in today's digital age.Work with an insurance professional to ensure you have the right coverage and are paying the best rates.Insurance policies should be reevaluated annually or every two years to ensure adequate coverage.Consider getting multiple opinions and doing research before purchasing insurance policies.AI is a trend in the insurance industry that is expected to have a significant impact.Work hard, do your research, and find what you love to do to be successful in your career.Chapters 00:00 Introduction and Overview02:34 The Unsexy Side of Being a Business Owner09:46 Key Policies for Startups and Acquisitions17:14 Understanding Additional Insureds and Policy Duration19:52 Protecting Yourself with Personal Insurance25:07 Importance of Adequate Coverage27:42 Protecting Your Income with Disability Insurance30:54 The Growing Importance of Cyber Insurance33:16 The Need for Regular Reevaluation of Insurance Policies35:45 The Impact of AI on the Insurance Industry46:23 Advice for Dentists/Orthodontists Starting Their Careers Connect With Our Advertisers OrthoFi - startmoresmiles.comGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://bit.ly/3ZtGyRFSmileSuite - http://getsmilesuite.com/ Are you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice? Reach out to me- www.practiceresults.com.     If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   Episode Credits:  Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett Lucero

Ever wondered what it's like to be in a BSN program today? In this episode, I interview Padraic Day, a current BSN nursing student who shares his firsthand experience balancing the classroom, clinicals, and his role as a nurse extern in the MICU.  What You'll Learn: What nursing school and clinicals are really like from a student's perspective. How working as a CNA prepares you for bedside nursing. What it's like to work as a nurse extern in a Medical ICU (MICU) while still in school. Whether you're a nursing student, aspiring nurse, or just curious about the path to becoming a nurse, this episode is packed with relatable insights and tips. And for those of us who have been around for a while, it's interesting to hear what nursing school is like in 2024! If you want access to ALL of our FreshRN resources, check out the FreshRN All-Access Pass ➡️ https://www.freshrn.com/all-access/  Free Nursing Resources

Kyle Anderson, VP of Finance and ASC at Ortho Rhode Island, explores the connection between employee engagement and exceptional patient experiences. He emphasizes the importance of hiring team members who are passionate about their work and creating an environment where they can thrive. Anderson shares insights into how a motivated, dedicated staff serves as the foundation for delivering outstanding care and building patient trust.

Kyle Anderson, VP of Finance and ASC at Ortho Rhode Island, explores the connection between employee engagement and exceptional patient experiences. He emphasizes the importance of hiring team members who are passionate about their work and creating an environment where they can thrive. Anderson shares insights into how a motivated, dedicated staff serves as the foundation for delivering outstanding care and building patient trust.

Kyle Anderson, VP of Finance and ASC at Ortho Rhode Island, explores the connection between employee engagement and exceptional patient experiences. He emphasizes the importance of hiring team members who are passionate about their work and creating an environment where they can thrive. Anderson shares insights into how a motivated, dedicated staff serves as the foundation for delivering outstanding care and building patient trust.

In this enlightening interview, I sit down with Jennifer Flynn, a seasoned expert in risk management and professional liability. With over 24 years of experience in healthcare insurance, Jennifer brings her wealth of knowledge to help nurses navigate the complex world of liability, patient safety, and quality management. What We Discuss: ✅ Common scenarios where nurses might need to use their liability insurance—step-by-step insights. ✅ The Rhadonda Vaught case: How typical (or atypical) are criminal charges against nurses for medical errors? Should nurses be concerned? ✅ Practical, actionable strategies to minimize liability risks while enhancing patient safety. ✅ Breaking down the differences between employer-provided malpractice coverage and individual liability insurance. Jennifer also shares tips to empower nurses to protect themselves professionally while delivering excellent patient care. About Jennifer Flynn: Jennifer is the Vice President of Risk Management for Nurses Service Organization in the Healthcare Division of Aon's Affinity Insurance Services, Inc. She is a Certified Professional in Healthcare Risk Management, published author, and frequent national speaker on healthcare risk and liability topics. Jennifer is dedicated to educating healthcare professionals about liability risks and strategies to support patient safety. Hub of helpful articles related to nursing risk management: https://www.nso.com/risk-management/individuals  Free Nursing Resources

Welcome to the Hey Docs! Podcast with your host Jill Allen. Today, we're joined by Bonnie Brindle, an expert in anxiety management. And on this episode, I am excited for her and I to discuss how dental and orthodontic professionals can better support patients with dental anxiety. Bonnie will share her personal experiences, common anxiety triggers, and practical tools that can help improve patient comfort and care. There is a lot to learn. Let's get started! SummaryIn this conversation, Jill and Bonnie discuss dental anxiety and how it affects patients and dental/orthodontic practices. Bonnie shares her personal experience with dental anxiety and how it led her to focus on helping others with anxiety. They discuss the importance of understanding and addressing dental/orthodontic anxiety in the dental/orthodontic industry. They also provide tips for orthodontic practices on how to create a safe and welcoming environment for anxious patients, including asking about triggers and preferences, validating the patient's experience, and offering relaxation techniques. In this conversation, Bonnie Brindle discusses strategies for managing dental/orthodontic anxiety. She emphasizes the importance of understanding and validating patients' fears and anxieties, as well as creating a comfortable and supportive environment in the dental/orthodontic office. Bonnie suggests various tools and techniques that can help patients cope with anxiety, such as weighted blankets, CBD products, and wildlife imagery. She also highlights the significance of self-care for dental/orthodontic professionals and the need to address their own stress and anxiety. Overall, the conversation provides valuable insights into improving the experience for anxious patients.https://www.bonniebrindle.com/https://www.facebook.com/bonnie.brindle.94/https://www.linkedin.com/in/bonnie-brindle-the-anxiety-avenger%E2%84%A2-785ab611/TakeawaysDental anxiety is a common issue that affects many patients and can have a negative impact on their dental care.It is important for dental practices to be aware of dental anxiety and create a safe and welcoming environment for anxious patients.Practices can ask patients about their triggers and preferences to help minimize anxiety during dental visits.Validating the patient's experience and offering relaxation techniques can help reduce anxiety and improve patient care.Front desk team members play a crucial role in creating a welcoming and supportive environment for anxious patients. Understanding and validating patients' fears and anxieties is crucial in managing dental anxiety.Creating a comfortable and supportive environment in the dental office can help alleviate patient anxiety.Tools and techniques such as weighted blankets, CBD products, and wildlife imagery can assist patients in coping with dental anxiety.Dental and orthodontic professionals should prioritize self-care and address their own stress and anxiety to provide better care for anxious patients.Chapters00:00 Introduction and Background09:05 Understanding Dental Anxiety14:15 Triggers and Preferences20:35 Creating a Safe and Welcoming Environment26:49 Tips for Front Desk Team Members29:18 Reducing Anxiety and Improving Patient Care02:48 Understanding and Validating Patient Anxiety10:00 Creating a Supportive Environment in the Dental Office20:02 Tools and Techniques for Coping with Dental Anxiety29:58 The Importance of Self-Care for Dental Professionals40:12 Addressing Triggers and Shame49:58 Resilience and Empathy in the Dental Workplace55:00 ConclusionConnect With Our AdvertisersOrthoFi - startmoresmiles.comGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://bit.ly/3ZtGyRFSmileSuite - http://getsmilesuite.com/Are you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice? Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.   New episodes drop every Thursday!   Episode Credits: Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett Lucero

Beyond the perceptions, are you ready to discover what the specialty of what med-surg nursing is really like? Join Laura, Maritess, Neil, Sam, Sydney, and special guest co-host AMSN President Marisa Streelman as they share their true stories, tips, and honest perspectives about med-surg nursing.  Also, get the inside scoop on the latest AMSN updates.    SPECIAL GUESTS AMSN President Dr. Marisa Streelman, DNP, RN, CMSRN, NE-BC began her career in Chicago as a staff nurse in oncology at Northwestern Memorial Hospital. She progressed into leadership positions, such as charge RN, and clinical coordinator, and then changed specialties as the unit manager of a medicine unit. Her life moved out West to Denver, where she managed a cardiology and progressive care unit at University of Colorado Hospital before returning back to Chicago where she served as medical center unit director at Rush University Medical Center. She currently is a staff specialist with the nursing leadership team at Michigan Medicine in Ann Arbor, Michigan. Dr. Streelman was a founding member for the Academy of Medical Surgical Nurses - Chicago Chapter, and she has been involved with the AMSN Volunteer Committees. She was elected to treasurer for the Board of Directors for AMSN in 2015 and continues to serve on the board. She recently earned her doctorate in nursing practice in transformational leadership systems from Rush University.    Alissa Brown, MSN, RN, CMSRN, NPD-BC is a clinical nurse educator from the University of Utah Health. She has been working in the health care industry for almost 12 years, and started her nursing career as a med-surg bedside nurse on an Ortho, Trauma, and Surgical Specialty Unit. It was through that experience in the med-surg unit where she discovered a passion for education, and pursued a master's degree. She is a lifelong learner, and loves to teach.  Born and raised in Salt Lake City, Utah, she's not all work, and definitely enjoys play! She loves to travel, and tries to plan as many vacations each year as she can with family and friends. Alissa loves to read, listen to podcasts, and geek out to documentaries and crime shows on the weekends. She's a total fair weather fan when it comes to Utes Football, but will cheer in all the right places, or get mad when her husband tells her to during a game.    MEET OUR CO-HOSTS Samantha Bayne, MSN, RN, CMSRN, NPD-BC is a nursing professional development practitioner in the inland northwest specializing in medical-surgical nursing. The first four years of her practice were spent bedside on a busy ortho/neuro unit where she found her passion for newly graduated RNs, interdisciplinary collaboration, and professional governance. Sam is an unwavering advocate for medical-surgical nursing as a specialty and enjoys helping nurses prepare for specialty certification.    Laura Johnson, MSN, RN, NPD-BC, CMSRN has been a nurse since 2008 with a background in Med/Surg and Oncology.  She is a native Texan currently working in the Dallas area.  She has held many positions throughout her career from bedside nurse to management/leadership to education.  Laura obtained her MSN in nursing education in 2018 and is currently pursuing her DNP.  She has worked both as a bedside educator and a nursing professional development practitioner for both new and experienced staff.  She enjoys working with the nurse residency program as a specialist in palliative care/end of life nursing and mentorship.  She is currently an NPD practitioner for oncology and bone marrow transplant units.     Neil H. Johnson, RN, BSN, CMSRN, epitomizes a profound familial commitment to the nursing profession, marking the third generation in his family to tread this esteemed path. Following the footsteps of his father, grandfather, grandmother, aunt, and cousin, all distinguished nurses, Neil transitioned to nursing as a second career after a brief tenure as an elementary school teacher. Currently on the verge of completing his MSN in nurse education, he aspires to seamlessly integrate his dual passions. Apart from his unwavering dedication to nursing, Neil actively seeks serenity in nature alongside his canine companions. In his professional capacity, he fulfills the role of a med-surg nurse at the Moses Cone Health System in North Carolina.   Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing.  Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse.   Maritess M. Quinto, DNP, RN, NPD-BC, CMSRN is a clinical educator currently leading a team of educators who is passionately helping healthcare colleagues, especially newly graduate nurses. She was born and raised in the Philippines and immigrated to the United States with her family in Florida. Her family of seven (three girls and two boys with her husband who is also a Registered Nurse) loves to travel, especially to Disney World. She loves to share her experiences about parenting, travelling, and, of course, nursing!   Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland.  Currently she is stationed overseas, providing care for service members and their families.  During her free time, she enjoys martial arts and traveling.   

In this episode, we dive into the art of giving and receiving nursing reports during your shift—especially when the pressure is on. Whether you're dealing with nit-picky nurses, feeling intimidated by experienced colleagues, or handling less-than-friendly handoffs, this episode is for you. We'll share realistic examples of challenging moments, offer strategies for managing your emotions and reactions, and teach you how to respond with confidence and professionalism. Plus, I introduce my new Nursing Report Masterclass, part of the New Grad RN Toolkit, designed to help you feel prepared and empowered in your nursing career.

Ortho-K has been around for decades. It can changes patient's lives. It's great for business. Yet, very few ECPs offer this magical solution. Why?Jason Carruthers, who is a registered optician who is an Ortho-K specialist, was wondering the same thing. Over the years he has developed a strategy for success in his contact lens practice.In this episode, we discuss Jason's journey to building a booming Ortho-K practice.1 new Ortho-K fit per week equals an additional $100,000 per year in revenue. Jason managed to get to 16 new fits per week.Whether you are someone who is sitting on the sidelines interested in starting Ortho-K, just dabbling, or deep into it... there will be something in this interview that will help you succeed!Learn more about Jason's Ortho-K program:OrthoKLaunch.comConnect with Jason:Instagram.com/opticianjasonLove the show? Subscribe, rate, review & share! http://www.aboutmyeyes.com/podcast/

Bengals, Bearcats, FC Cincy Fantasy Football and Gambling all in one show!

Bengals, Bearcats, FC Cincy Fantasy Football and Gambling all in one show!

Tuesday, October 22, 2024 First Principles Genetic disease means that gene broken since conception. Novel medicines are possible ways to fix the gene - Genetic Therapies (ASO &/or AAV), this is recent, before now, kids with these diseases were a “go home and love them” situation. These are delivered via spinal tap or directly to the brain in leading medical centers. First though, regulators must approve.   Our job Develop medicines or get industry to - This is happening see Pipeline Get regulators to approve trials Get medical centers up to speed on SYNGAP1-Related Disorders (SRD) What we are building on CHOP ENDD funded externally (see #S10e92) and replicating what was built for STXBP1, check last week's webinar https://curesyngap1.org/resources/webinars/93-endd-chop-2024-syngap1/ Rare-X platform for PRO collection Regulatory pathway being made clearer every day by Stoke (Dravet), Praxis (SCN2A), Ionis (many) all of whom are working on SYNGAP1 as well.   What we are asking for We need to raise at least $500k (3rd site), preferably $1.13M (ProMMiS) Make your largest gift ever to SRF Fundraise with friends and family ACES is now ProMMiS, who knew ACE meant Adverse Childhood Event, not us. Key slides: S1 Path to Treatment | 2024 (09.27.24) 1. Why Now?  Why is it time to go from bench to bedside (research to clinical)? At least 10 companies on our pipeline not to mention multiple small molecule efforts We have limited resources – so the focus has to transition, clinical funding first. CHOP Gift is 1 year down… 2. Why NHS?Understand SYNGAP1 better, go beyond Vlaskamp 2019 and Wiltrout 2024, see #S10e105  FYI at CHOP, as I shared in #S10e151, at year 1, we are at  – 86 (Visits) + 10 (new scheduled) + 19 (2nd) + 4 (3rd)  + 22 (follow up)  Learn what to measure in clinical trials for SRD, remember our seizures are challenging Ideally we develop a Synthetic Control Arm if we use GCP Why top shelf?  We need institutions the FDA will take seriously and our children are very complex requiring experienced clinicians.  3. Why Multidisciplinary. Neuro, Psych, Genetics, PT, ST, OT, GI, Sleep, ENT, Ortho. Beyond the sheer burden of getting our kids out and about for multiple appointments the coordination by a parent is almost impossible.   4. Why Multisite/3 sites?Replicable/scalable required by regulators Accessibility (not primary reason) Establish more locations where trials will be managed Laying a foundation for a national self-sustaining network 3 is the minimum, look at STARR or Angelman, both had/ve 4. 5. How and why so fast? Because we can.  Time is Brain. Following a well trodden path SMA, Rett, Angelman, Dravet, but we are moving FASTER. 6. Does the industry really care? We are next there are so so many behind us, eager to take the resources we have access to today. Market size (Per our Census 425 US/1500 global is tip of iceberg) Multiple players reassuring each other Relatively strong amount of scientific and clinical research Haploinsufficiency (like Dravet – STOKE) – so relatively easy 7. Expensive? No. Clinical Research is more expensive than basic scientific research. Leveraging CHOP and Rare-X, setting up required networks to prepare for clinical trials.  It's time. 8. Why Bother/Help? Now is the time for SYNGAP1, we miss it at our peril. Sure, once in these places we will still see our patients, but the study, the support and the focus may pass. Our kids don't die, regardless of patient age, what we are doing can change their future and that of their loved ones and caregivers. If not us, then who? It is a rare exception when a non-family member gives a gift, and it is always because a family member asked.  We must ask. 9. What can I do? Donate to, share, join our Coast2Coast Clinics Challenge – two SYNGAP1 Squads in West and East – it's critical $500k goal by end of 2024; more than $1M needed just for the SYNGAP1ProMMiS. So far, donations from $25 to $25,000 – each and every contribution matters. This requires our entire S1 network to solicit family, friends, work colleagues, companies, etc. to contribute. Many causes out there – why not ours? Syngap.Fund/C2C   https://Syngap.Fund/C2C > https://secure.givelively.org/donate/syngap-research-fund-incorporated/coast2coast-clinics-challenge   Two teams:  https://Syngap.Fund/West & https://Syngap.Fund/East

Justin Coke, CEO of 7 to 7 Dental & Kevin Gladstone, Director of National Accounts of OrthoFI discuss orthodontics and adding specialty dentistry to your dental group.  Justin and Kevin focus on: Patient volume & treatment acceptance Current business conditions Financing ortho treatment Ortho business & clinical metrics Much more To learn more about OrthoFi's patient acquisition, RCM and data & analytics solutions visit - https://startmoresmiles.com/ You can reach Kevin Gladstone - kevin.gladstone@orthofi.com  To learn more about 7 to 7 Dental visit - https://www.7to7dental.com/ You can reach Justin Coke - jcoke@7to7dental.com

Topics:  Wearing a Robe, Group Think, Chief Sinner BONUS CONTENT: Milton Update, At the Airport   Quotes: “Every single person in the Bible points to us needing Jesus.” “Her thought balloon was a burger.” “If you didn't pray, shame on you.” “Like Pharaohs of old…” Check out our site: https://branthansen.com/

Ever wonder what it's really like to be at the AMSN Annual Convention or simply looking for powerful insights from this year's event?  Join Laura, Maritess, Neil and special guest co-hosts AMSN President Marisa Streelman and Alissa Brown as they share their own personal stories and insights LIVE from the 2024 AMSN Annual Convention in Toronto.   SPECIAL GUESTS Dr. Marisa Streelman, DNP, RN, CMSRN, NE-BC began her career in Chicago as a staff nurse in oncology at Northwestern Memorial Hospital. She progressed into leadership positions, such as charge RN, and clinical coordinator, and then changed specialties as the unit manager of a medicine unit. Her life moved out West to Denver, where she managed a cardiology and progressive care unit at University of Colorado Hospital before returning back to Chicago where she served as medical center unit director at Rush University Medical Center. She currently is a staff specialist with the nursing leadership team at Michigan Medicine in Ann Arbor, Michigan. Dr. Streelman was a founding member for the Academy of Medical Surgical Nurses - Chicago Chapter, and she has been involved with the AMSN Volunteer Committees. She was elected to treasurer for the Board of Directors for AMSN in 2015 and continues to serve on the board. She recently earned her doctorate in nursing practice in transformational leadership systems from Rush University.    Alissa Brown, MSN, RN, CMSRN, NPD-BC is a clinical nurse educator from the University of Utah Health. She has been working in the health care industry for almost 12 years, and started her nursing career as a med-surg bedside nurse on an Ortho, Trauma, and Surgical Specialty Unit. It was through that experience in the med-surg unit where she discovered a passion for education, and pursued a master's degree. She is a lifelong learner, and loves to teach.  Born and raised in Salt Lake City, Utah, she's not all work, and definitely enjoys play! She loves to travel, and tries to plan as many vacations each year as she can with family and friends. Alissa loves to read, listen to podcasts, and geek out to documentaries and crime shows on the weekends. She's a total fair weather fan when it comes to Utes Football, but will cheer in all the right places, or get mad when her husband tells her to during a game.    MEET OUR CO-HOSTS Samantha Bayne, MSN, RN, CMSRN, NPD-BC is a nursing professional development practitioner in the inland northwest specializing in medical-surgical nursing. The first four years of her practice were spent bedside on a busy ortho/neuro unit where she found her passion for newly graduated RNs, interdisciplinary collaboration, and professional governance. Sam is an unwavering advocate for medical-surgical nursing as a specialty and enjoys helping nurses prepare for specialty certification.    Laura Johnson, MSN, RN, NPD-BC, CMSRN has been a nurse since 2008 with a background in Med/Surg and Oncology.  She is a native Texan currently working in the Dallas area.  She has held many positions throughout her career from bedside nurse to management/leadership to education.  Laura obtained her MSN in nursing education in 2018 and is currently pursuing her DNP.  She has worked both as a bedside educator and a nursing professional development practitioner for both new and experienced staff.  She enjoys working with the nurse residency program as a specialist in palliative care/end of life nursing and mentorship.  She is currently an NPD practitioner for oncology and bone marrow transplant units.             Neil H. Johnson, RN, BSN, CMSRN, epitomizes a profound familial commitment to the nursing profession, marking the third generation in his family to tread this esteemed path. Following the footsteps of his father, grandfather, grandmother, aunt, and cousin, all distinguished nurses, Neil transitioned to nursing as a second career after a brief tenure as an elementary school teacher. Currently on the verge of completing his MSN in nurse education, he aspires to seamlessly integrate his dual passions. Apart from his unwavering dedication to nursing, Neil actively seeks serenity in nature alongside his canine companions. In his professional capacity, he fulfills the role of a med-surg nurse at the Moses Cone Health System in North Carolina.   Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing.  Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse.   Maritess M. Quinto, DNP, RN, NPD-BC, CMSRN is a clinical educator currently leading a team of educators who is passionately helping healthcare colleagues, especially newly graduate nurses. She was born and raised in the Philippines and immigrated to the United States with her family in Florida. Her family of seven (three girls and two boys with her husband who is also a Registered Nurse) loves to travel, especially to Disney World. She loves to share her experiences about parenting, travelling, and, of course, nursing!   Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland.  Currently she is stationed overseas, providing care for service members and their families.  During her free time, she enjoys martial arts and traveling.   

Forget the stress and anxiety—taxes don't have to be scary. Joining us, in this episode of our Orthofinance series, is Sugey Piedra as we discuss how to approach taxes with confidence, save money, and even uncover opportunities you never knew existed.  As an enrolled agent and 20+ year certified tax preparer, Sugey Piedra likes to make her clients' money work for them so that they don't have to work forever.  In her daily work as co-founder of Prominence Business & Wealth Management,  Sugey supports high-earning, service-based business owners achieve long-term wealth through a holistic approach to financial services, providing bookkeeping, tax preparation, financial planning and tax strategy under one roof.  Together with her two sisters/co-founders, Sugey runs the business, and also hosts and produces Tax Talk with HeyHey Podcast, where they provide insights into business taxes, wealth building and what it means to really create financial freedom. Besides her own show, Sugey has also been featured on Sell Without Selling. When she's not helping service-based business owners to grow their income, Sugey enjoys traveling, horseback riding and working on her own growth mindset.  In this episode, Sugey shares insights into tax savings strategies as she answers questions like: What's the mindset we should have when it comes to taxes? What's the difference between a tax strategist and one who prepares your taxes? What does it cost to hire a tax strategist? and many more. This episode is sponsored by the American Academy of Orthopaedic Surgeons: Filled with content that has been vetted by some of the top names in orthopaedics, the AAOS Resident Orthopaedic Core Knowledge (ROCK) program sets the standard for orthopaedic education. Whether ROCK is incorporated into your residency curriculum, or you use it independently as a study tool, the educational content on ROCK is always free to residents. You'll gain the insights and confidence needed to ensure a successful future as a board-certified surgeon who delivers the best patient care. Log on at https://rock.aaos.org/.