In this episode, Sachin and Todd pull back the curtain on one of the most defining factors in whether a clinic thrives or constantly feels like it’s stuck in Groundhog Day: the relationship between the Practice Owner and the Practice Manager.

If you’ve ever felt frustrated by open loops, disappearing tasks, cancelled meetings, “doorstop” decision-making between consults, or that nagging sense of “Am I going mad? Didn’t we already talk about this?” — this conversation will feel like someone finally turned the lights on.

Together, Sachin and Todd unpack the root causes of misalignment, reveal the systems high-performing clinics use to stay on track, and share the exact practices Scale My Clinic teaches inside Project X to elevate communication, build trust, and create unstoppable momentum between Owner and Manager.

If you’re an ambitious Practice Owner who’s tired of firefighting, overwhelmed by leadership noise, and ready to scale with confidence, this episode is exactly what you need.

In this episode of the Scale My Clinic Podcast, you’ll learn:

1. 00:57 - Symptoms of misalignment in an Owner-Manager relationship
2. 05:11 - The hidden cost of cancelled meetings, doorstop decisions, and ad-hoc leadership conversations
3. 09:57 - The fix: creating a non-negotiable meeting rhythm (and implementing “NFE”)
4. 21:20 - The Lencioni framework and how to build real trust and healthy conflict
5. 33:44 - The one powerful sentence that elevates the owner–manager relationship to its highest potential

Resources

The Holiday Reset Kit

Missed the previous Episode?

Listen to Episode 84 here: The Three December Mistakes That Cost GP Owners the Most

🎯 Book your free Practice Growth Call here: https://smc.expert/Personalised-Practice-Audit-PC