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

P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out:

1. Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [Click here]
2. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [Click to Register]
3. Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [Watch Training Now]
4. Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a...