Your 3-Year Vision: Practice Growth Through Turbulent Times

Most small business owners, particularly in dentistry, when they’re planning growth, either it’s the hope-and-pray method like I hope we grow or it’s forecasting growth, meaning most decisions are past-driven. The problem with forecasted growth is it allows the past to be an anchor.

In this episode, I tell you why future-casting beats forecasting.

  • So if you want to create your own economy,
  • prevent employee turnover,
  • enjoy more vacations,
  • and have a career that you’re truly proud of…tune in now!

I want you all to be great leaders. I want you all to have practice owner confidence in any economy. And it all starts with your 3-year vision.

Listen in and find solutions to common practice issues at  Prescriptions for Your Practice.

If you enjoyed this episode, please share it with your dentist friends. Check my Instagram (@dr.maloley) and TikTok (@dr.maloley) for your daily dose of thought-provoking content so that you can be a better practice owner. Don’t forget to subscribe to the show on iTunes to get automatic episode updates for The Relentless Dentist! And, finally, please take a minute to leave us an honest review and rating on iTunes. They really help us out when it comes to the show’s ranking, and I make it a point to read every single one of the reviews we get.

Key Quotes:

  • “Having employed many different people over time, I can remember those who worked for me and grew up in entrepreneurial environments. They just stand out the things that are troubling for other people. They know how to surf those waves; those waves don’t crash down on their heads.” 
  • “I used to think of these things like vision, mission, and values as a would-be-nice-to-have. But now I consider them essential because there’s so much noise, so much distraction. So many things are trying to insult our small businesses that if we don’t have a well-designed future that looks better than this, it’s easy to get locked up in the noise. It’s easy to get distracted. It’s easy to get frustrated.”
  • “Hard doesn’t make it unnecessary. It doesn’t mean it’s something that you should avoid. It just means it’ll take a little bit more time and effort to build this out.” 
  • “Vision becomes really important. Yes, it is make-believe, but it helps you design a specific future.”
  • “Don’t worry about the ‘how.’ Just worry about the ‘what.'”
  • “Do not feel guilty for wanting what you want. Don’t buy into someone else’s vision and version of success. Don’t feel like you have to explain it to anyone else.”
  • “The ‘what’ and the ‘why’ have to come before the ‘how.'”

Featured on the Show:


What’s Killing Our Confidence?

A confident team is a by-product of a confident leader.

Trust is one of the core values of a coherent team. A leader that exhibits confidence is easier to trust, and team members generally feel positive around leaders who exude confidence. I struggled with my confidence early in my practice, and it took a toll on me, my team, and my patients.

In this episode, I’ll walk you through the seven things that we inadvertently do to kill our confidence and how to turn these killers into winners. Also, I will talk about how prioritizing our confidence can significantly impact our psyche, our body, our relationships, and our income. Focusing on our confidence will help us foster a more confident team, more trusting patients, and a successful practice that we can be proud of.

Tune in and find solutions to common practice issues at  Prescriptions for Your Practice.


Key Quotes:

  • “A confident business with a great reputation, and great numbers come as a by-product of patients being confident in our services.”
  • “All businesses take on the personality of its leader.”
  • “We should put our own confidence first because that will lead to more loyal, more high-performing team members, more confident patients, and a thriving practice that we can be proud of.”
  • “Confidence is the feeling of whatever happens today we’re gonna handle it, and handle it well.”
  • “When you make your first maneuver a reactive maneuver, it sets the tone for the rest of the day.”
  • “Make sure that you diligently stacking habits that make deposits into your mind, body, and spirit.”
  • “There’s a reason you went into dentistry. You have to remind yourself of that meaning.”
  • “Book in some time to just unplug. You deserve that and your team deserves that.”
  • “The fortune that comes from your practice is gonna come from the expansion of your energy and your impact.”

Featured on the Show:


Get Off The X with Jason Redman

How can you break through the different barriers that keep you from reaching your greatest potential? Whether they are physical or mental, former Navy Seal Jason Redman has the insight on how to go out and achieve that breakthrough you’ve been waiting for. Jason is not only highly decorated for his achievements while in the service, but he is also a non-profit founder, an author, and an expert in overcoming adversity.

Listen in as Jason shares the struggles and roadblocks he faced relating to failure, fear, overwhelm, hopelessness, and severe injury. You will learn what the ‘X’ is, why people often get stuck there, and how to get through life’s ambushes that keep you from moving off of that X. Jason’s story offers tactical keys that are extremely valuable to dentists or anyone looking to get through the hard stuff and level up in life.

Key Quotes:

  • “It doesn’t matter what situation you’re in, there’s always something you can do.”
  • “Any time you’re in a hopeless situation, don’t dwell on the negativity.”
  • “The lesson that saved my life in that ambush in Iraq was: you have to get off that X as soon as possible. And I realized in the hospital bed, I had to do the same thing.”
  • “The greatest gift that you have as a human is that you have a choice.”
  • “The longer you lay there and feel sorry for yourself, the harder it is to get up again.”
  • “If you choose positivity in the face of negativity, it has an amazing impact. It may not be the outcome you think it’s going to be, and you never know the impact it’s going to have.”
  • “The time to execute is now. It may not be perfect, but that’s okay.”
  • “No matter what, get off that original X, start moving forward, and take that action.”

Featured on the Show:


Laura Hatch: Front Office Rocks

Quotes & Notes:Laura Hatch: Front Office Rocks - Relentless Dentist Podcast

  • So I really got thrown in dental with no experience, I mean I didn’t know teeth had numbers, had surfaced, so much like many other people, we just got thrown into this position.

I’m an office manager at heart, and I wanted to build something that I could help other offices and their team.

  • For me being married to a dentist, I know that my husband got no business training in dental school. And then when I went to start working in dental, there were no resources for me, so my focus is the team, my focus is the staff, to be able to have a resource to go to.
  • You don’t have to know dental to work at a front office, you know you have to have great customer service, and you have to be a team player, and you have to work hard and smile, that’s the kind of stuff we can’t teach employees.

I wanted to develop a program that was consistent with new employees.

  • It’s a great way to just bring in enhancement to the employee; I have a lot of offices that use it as team training.

If the patients aren’t happy, and we’re not answering the phones well, and we’re not reappointing the patients, the practice isn’t going to grow.

  • I think the biggest thing for me is attitude, is drive, we have to remember that even though we are health care professionals, we’re in a customer service environment.
  • You should invest in your team, you know employees worry about their salary, but that’s not what motivates them most, it’s do you invest in them.

If you would like to learn more, be sure to check out or their YouTube page/Facebook page for snippets of their videos.

If you enjoyed this episode, we would love a 5-star review on iTunes:


Where’s the waste? It’s time to think lean with Dr. Graham Dersley

Quotes & Notes:Where's the waste? It's time to think lean with Dr. Graham Dersley

  • If I could break down lean principles into two words it would be waste reduction. Waste can come in a couple of different ways; it can come in materials, but the biggest waste in dentistry comes from wasted time.
  • Your team doesn’t like being behind schedule, that stresses everyone out.
  • One of the things I find is longer appointments with patients if you can get them to come to longer appointments, which helps a lot in eliminating this waste.

We don’t offer this to patients with a history of no-showing. If a patient has broken appointments before, I don’t want to schedule them for a two-hour appointment.

  • I didn’t always want to be harping on my team to support me to the extent that really was required. What really was important was keeping me moving through the day.
  • Do we have a patient in the chair who is going to pay for their treatment, who has already agreed that they are having a root canal and not an extraction, who is going to show up for their visit in the first place. There is a lot of quality control that we can do to make sure the dentist is working on the “good Post-It.”

Once I realized that you could have a three day work week, be very productive still, still make a good income, and have a four day weekend every week, that became pretty appealing.

  • Two barriers to working fewer days are the staff worrying about less hours, or patients worrying about fewer days to get work done on their teeth.
  • Dr. Graham Dersley would suggest everyone read The Goal by Eliyahu M. Goldratt. He would also suggest everyone read Harvard Business Review on Manufacturing Excellence at Toyota.

If you would like to learn more from Dr. Graham Dersley you should go to and check out the event in Nashville on May 13-14.

If you enjoyed this episode, we would love a 5-star review on iTunes:


Jayme Amos: Are startups too risky???

Quotes & Notes:Jayme Amos: Are startups too risky??? - Relentless Dentist Podcast

  • Any doctor can start up a practice and that 84% of doctors that want to own their own can with great levels of success.
  • If it is your first practice if you know you want to own your own practice if you are going to consider an acquisition it is going to be better than a startup if it is already perfect if it is exactly what you want long term.
  • I like to describe acquisitions a little bit like turkey soup from Panera… it looks good on the menu, and the things that we might look at as good opportunities, sometimes there is more in that recipe that we don’t even know to look for.

If it is not perfect the first time around, you might as well start from scratch, as long as the from-scratch plan has a high level of success.

  • If you are going to buy that practice, you are buying patient relationships.
  • Everyone knows that demographics for a startup are important, but demographics for acquisition are also… If it (the patient base) is not going to grow naturally, then you are going to fight for growth.

If you are still needing to work in a part-time position a year after you open, that is my definition of a startup failure.

  • If you can follow a proven path with a startup, the rewards can be amazing.
  • Startup practices do fail; startup practices can collapse.
  • Don’t end up like lots of doctors we come in contact with, who end up with lots of regret for missed opportunities. Don’t delay.

If you would like to learn more from Jayme Amos or go to his course you can go to and be sure to apply for the scholarship opportunity we have put together for one listener.

If you enjoyed this episode, we would love a 5-star review on iTunes: