Feeling stuck? Kiera helps listeners create a three-step framework to diagnose a growth ceiling and push through with strategy and confidence. The steps that follow can be done in order or reversed.

1. Find your true cap rate (then get a second opinion)

2. Rework your systems for scale

3. Set a bold new vision

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Transcript:

The Dental A Team (00:00 )

Hello, Dental A Team listeners. This is Kiera and I hope today is just a great day for you. I hope that you're loving your life. Today's podcast date today is the day I get to share with you for whatever we're doing today. So whether we're driving to work together, whether we're driving home together, whether we're doing laundry or mowing the grass or traveling together or whatever you're doing today, thanks for taking me along with you. ⁓ it's truly something so fun. And today I think is going to be great for you to, what do do when you hit the plateau in your practice? ⁓ so

 

reality is we like didn't build our practices to be stuck or to feel like we're stuck or like there's no like we don't know our next move. ⁓ The reality is like if you plateaued or you feel stuck, it's just time to evolve. It's an indicator for you to know what the next step is kind of like when our seatbelt buckle beeps in the car, it's an indicator to put our seatbelt on ⁓ or we get the indicator from the gas light. It's an indicator to go and fill up our car with gas. Same thing when we're practices like it's plateaued or it's stuck. It's just like

 

Cool, let's diagnose, let's create a framework. Today I'm gonna help you have a three-step framework to diagnose your growth ceiling and how to push through it with strategy and confidence. So that's about what we're gonna do today. The Dental A Team is obsessed with you, I adore you. I'm so excited to be a part of your life or your practice. Our goal is to positively impact the world of dentistry in the greatest way possible and we do that through helping you say yes to more. So you having a vision for you and your life and your practice, earnings to make sure that you're profitable and it's predictable profit.

 

and then new systems and team development to ensure that everything you want to say yes to in life, you, your team and your patients is doable for you. And we do that with fun. We do that with ease. We do that with ⁓ creativity and love for teams. And we've been there, done that and done it successfully many times. I truly can hang my hat on the fact that I believe Dental A Team is the top notch consulting company. If you want to grow, if you want to do it with fun, if you want it to not just be directed at dentists, but you want your team involved in it and to do it from experts who have done it thousands of times successfully. And that's something I'm really proud of.

 

Most of our offices see a 10 to 30 % increase in production or a decrease in overhead within their first 90 days. We track these stats, we're very obsessive with it, and we do it through really fun, easy dial turns. So if that's something you're obsessed with, rock on. Let's work together. Reach out, Hello@TheDentalATeam.com. And as always, thank you guys for sharing this podcast. The goal is to get this into every dentist's hands, every single practice's hands. So please share, like, leave reviews, whatever you can do to get the word out and to help me on my mission to truly give back to our community. If you're ever looking for topics or

 

episodes head on over to TheDentalATeam.com click on our podcast page we have thousands like literally this is a free wealth of knowledge for you that we put on because we I truly just love dentistry and I want to help you have the best life life is my passion dentistry is my platform so head on over to TheDentalATeam.com click on our podcast page and you can literally type in anything so cash flow overhead ⁓ team growth leadership morning huddles case acceptance routes like you name it

 

type in any of those and of every single episode we've ever done, will actually filter for you and bring anything forward for you. So just make sure life super, super easy. Ease is one of our core values and trying to make your life easy is what we're obsessed about. So today when we're going to, a lot of times I see this in like a 1 million, a 1.5, a 2 million practice where they're just like, gosh, I feel like I've just like hit my level and I don't know how to grow beyond it. It's kind of like my hair. My hair grows to a certain length and it won't grow beyond that. Like I can cut it shorter.

 

but it just grows and it has never once grown beyond that. It's like, I don't know how to get my hair to grow past this level. Well, some practices feel like stuck hair, ⁓ but I just want to help give you this framework of three simple steps to help you diagnose it and then figure out what the next step is. So number one is to diagnose your true ceiling. And ⁓ this is where we're going to figure out like what the true cap rate is. Now, why we'll put this with an asterisk though, because a lot of offices think they've tapped out capped out.

 

but maybe they're just so used to sitting in there or they don't know how to have an eye for it. I went into a practice once upon a time. They had four ops and they're like, Kiera, there's nowhere else we could ever fit an operatory in here. So we're just gonna build out, we're building a building across the street. Well, within about 15 minutes, I was able to find another operatory. They added that operatory. They were able to add 200,000 to their practice just that year.

 

just by adding that one operatory in place. And they were like, well, we wish we would have met you like even a few months ago before we started building this huge, expensive building. I have another client where they got huge design plans out to like expand the building. It's a huge, huge expansion. They sent me a video of their downstairs and I was like, gosh, we could add like six ops down here with less effort, less reno. ⁓ And so I think also before you like truly say you pick capacity.

 

maybe getting a second set of eyes on it or a third set of eyes to see is there any hidden potential in here because we're looking at chairs, ops, providers, and hygiene days. That's going to truly be capacity of what can we do. Now again, getting creative because could we add maybe an hour in the morning? Have we maxed out all five days in the office? A lot of times people tell me we're maxed and I'm like, but you're not even working five days. That doesn't mean you have to work five days, but if you're practicing your building sitting empty, that space that we could actually grow that isn't the true ceiling.

 

So if we are not maxing out all five days, if we're not maxing out ⁓ all the operatories or all the space that we've got, you truly have not hit your ceiling. You might just not want to do the things that are capable for you. So looking at that, could I add more chairs? Could I add more operatories? What about more providers? What about more hygiene days? What about more hygiene hours? Is there space to expand any of that? Before we truly go to expand, these might be some areas that might be able to help you get past this plateau of some other areas. Also, let's look at our leadership.

 

⁓ Is our owner acting as a manager and not a CEO? Are they managing the day to day? ⁓ Are they involved in all the meetings or are they truly as a CEO? And our office manager is acting as the manager within the practice. So looking for that because sometimes just freeing that owner doctor up to be a CEO actually can expand your practice very quickly with minimal effort. You actually can have all that in place and there's very little effort that you actually have to do because now the owner is able to look at things

 

It's like, give me a day of nothing and I will create so many possibilities. And so getting that owner out of the manager seat and into the true CEO seat, if that's the right seat for them, can also help. And then let's look to see like, what are ou