ABOUT THIS EPISODE
Being the most capable person in your dental practice can feel like a superpower, right up until it becomes the reason everything still depends on you. I’m Dr. Paul Etchison, and I see this pattern constantly with dental practice owners: we’re great at hiring, interviewing, running meetings, resolving conflict, smoothing over upset patients, and handling the sensitive admin work, so we keep doing it. Then we look up one day overwhelmed, frustrated, and wondering why nobody takes initiative, even though we accidentally trained the team to wait for us.
We dig into the competence trap and the real cost of “rescuing” the practice with our strengths. When we hold onto too many responsibilities, our team stops stretching, leadership never develops, and we lose the time needed for the work that actually changes the business: building systems, improving structure, spotting inefficiencies, and thinking like a true dental CEO. The turning point is a simple question that cuts through perfectionism and control: “Does this actually require me?” It’s a better filter than asking whether someone can do it as well as we can on day one.
You’ll also get a practical delegation playbook: audit what you own (on paper), pick one meaningful responsibility to move away from yourself this week, and make it the last time you ever do it by creating training, documentation, or a quick video. If you want a dental practice that runs without you, this is how you start building autonomy, accountability, and scalable dental practice management. Subscribe, share this with a practice owner who needs it, and leave a review so more dentists can find the show.
If you are ready to increase your new patients and start growing your practice, visit www.relevanceonlinemarketing.com and see what you've been missing with your current company.
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SHOW NOTES 🔗
TRANSCRIPT 🔗
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One of the easiest ways to become the bottleneck in your practice is to be really good at a lot of things.
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Like you're good at hiring and interviewing people, so you keep doing it, or you're good at leading the meeting, so you keep leading them.
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You're good at conflict resolution.
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So everybody brings conflict to you.
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So you're the one who always gets pulled in when you have an upset patient.
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And just because you're good at those things, it makes perfect sense to you why you are the person to keep doing them.
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Except eventually when you look up and you realize everything important still depends on you.
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And the weird part is that it's probably not because your team is weak and they don't know what they're doing.
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It might just be because you've accidentally turned every one of your strengths into a permanent job.
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And this is the trap that I see all the time with practice owners.
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You tell yourself, nobody's going to care about this as much as you do.
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They won't do it the way that you would.
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This is probably something owners should be doing anyway.
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It's faster if you do it.
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And yeah, a lot of the time those things are true.
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I mean, at least in the short term, they're always true.
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But if your goal is to create a practice that can run without you, you can't keep using your competence as the reason that you stay responsible for everything.
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So today, I want to show you why some of the things that you're the best at may be the exact same things that you need to stop owning now.
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Now, you are listening to the Dental Practice Heroes podcast, where we teach dentists how to be the CEOs of their practice, empower their teams, and build a practice that runs without them.
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Now I'm your host, Dr.
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Paul Etchison.
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I'm a practicing dentist, a dental business coach, author of two books on dental practice management, and the owner of a large multi-doctor practice in the south suburbs of Chicago.
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All right, let's get into it.
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So our goal at the practice is to have the right people in the right seats.
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We've all heard the bus analogy.
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We got to get the people on the bus, but we got to put them in the right seats.
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So we want to play to everyone's strengths because that means we're a good leader.
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If someone's good at something, they should be the person doing it.
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So we then say the same thing about our responsibilities.
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If I'm the best person to do it, I should keep doing it.
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And it makes total sense because you know exactly what you want.
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So it's very easy to do everything exactly the way you want it.
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You interview the way you want, you solve conflict the way you want, you calm down the upset patience, and so on and so on.
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And along with that, you're doing a lot of things because you're saying that it has to stay with the owner.
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You have to do the payroll, you have to do the reconciliation, anything having to do with wages or benefits, or maybe it'd feel weird for someone else to do it, or you don't trust people to see this information or do it correctly.
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And again, none of those.
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I mean, not irrational.
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But the mistake is assuming that since they're true today, they should remain true forever.
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So the better you are at something, the easier it is to accidentally make yourself permanently responsible for it.
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And if you always continue to do everything, the practice stays relying on you.
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Your team doesn't get the chance to grow and take on more things, and you eventually become the bottleneck, preventing the growth and stability of the practice.
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You will hold the practice back.
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And then the more things you do, the team learns.
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They're trained in a certain way.
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They realize that you are the one that handles that.
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They then that might become that you're better at that.
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So you're the person that's going to do it.
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And eventually it's like, well, I should wait for you.
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I should wait for the owner.
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I can't make a decision because I have to wait and ask the owner.
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And here's your sequence.
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If you want to die a slow and painfully overwhelming death as a dental practice owner, here's the sequence.
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You're good at something.
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So you keep doing it.
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And your team stops stretching.
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The dependence on you grows.
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You become the bottleneck.
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You get overwhelmed because you are handling way too many things and you're just so frustrated that nobody else will do anything.
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And oh God, isn't that the worst?
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You start wondering why nobody takes initiative.
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But honestly, you've trained your team to do that.
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You've trained them to be exactly like that.
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You have created the culture, and that culture is that you are the person who does all these things.
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Yeah, let's face it, you're important.
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You are a strong member of the team.
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But every time you do something, every time you rescue the team with that strength, you are weakening their ability to operate without you.
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And it's costing you a lot.
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Now you have no space left for the work that changes the practice.
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You have no time to talk with your team.
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You have no time to listen for inefficiencies or frustrations.
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You have no time to strategize systems or improve the structure.
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You can't develop your leaders that are going to take the things away from you and take things off your plate.
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And you, it's ultimately you don't get to create the practice that you want.
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So you're doing these things out of good intentions, but the team suffers and the practice suffers.
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And at a certain point, when you're overwhelmed, patient care is going to suffer.
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And then you start this cycle of like where you just consistently become reactive and it's not a good place to be.
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So if you ever find yourself saying, I'm good at it, so I should keep doing it.
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I want you to instead think that being good at something doesn't necessarily mean that you should be responsible for it.
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The better question is not that can somebody else do it better than you.
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The better question is, does it actually require you?
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I mean, does it require you?
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And that's the shift.
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If you're saying to yourself, I don't mind doing it, that is not a good enough reason to keep owning it.
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And you can manage this when your practice is small, but your job as a dental practice owner, it needs to evolve as the practice grows.
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So if your responsibilities don't ever shrink, your freedom, it's not growing either.
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And as your practice grows, I promise you, your highest value contribution should change.
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The things that you own should get smaller over time because your time is incredibly valuable.
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And because you can start to be used in so many high-leverage ways.
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So protect your time.
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So shrink your responsibilities and protect your time for the work that only you can do.
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So, how do we get out of this cycle?
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How do we notice it?
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How do we peel back the layers and dig ourselves out?
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So, first, you've got to audit it.
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You've got to know, you've got to write this down.
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Don't do it in your head.
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I know you're thinking, I do it in my head.
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Don't write it down.
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Write it down.
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Write it down.
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Seriously, write it down.
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It's gonna make a difference.
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So audit what you own.
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Look at the recurring responsibilities that you carry.
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Maybe staffing, interviewing, onboarding, leading meetings, doing all the one-on-ones, resolving conflict, dealing with PTO and upset patients and motivating your team and being the cheerleader and all that stuff, training, onboarding, and ask yourself does this actually require me?
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Not am I good at it, but does it require me?
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And could someone else actually do it like me?
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And a great place to start is like staffing and onboarding.
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I mean, this is one of the biggest early opportunities.
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I mean, owners often stay so deeply involved in the interviews and the hiring process and the onboarding and the initial training and just teaching someone the standards of your office because those feel to you way too important to hand off.
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And they are important, but you need to build up somebody else capable of owning them.
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Even if those responsibilities feel to you that they're too important to delegate, I promise you you can develop somebody on your team that is strong enough to do those things.
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And when you do that, you're not abandoning quality.
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You're building a system and a leader who can protect the quality without requiring you.
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And if you feel unsure passing things to your team, use initial delegation opportunities to create evidence that your team can handle it.
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You give them ownership of something and they're not going to have it be perfect.
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It's just not going to be like that.
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They have to learn just like you learn.
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So you coach them, you watch them, you adjust, they improve.
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And you then you see that wow, my team can actually do this without me.
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And that creates more trust.
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So then you feel better about giving them more responsibilities.
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And then something even more important happens is you start experiencing the value of your freed up time, but your team also values their time and their contributions more because now they have more autonomy and they play a larger role in the practice.
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So you get time back to work on higher value, higher leverage things, and the team gets to feel better about their job.
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But when you keep solving everything, the team learns dependence.
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But as your practice grows, the team has to grow.
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They have to learn how to think and make decisions and they have to handle conversations and solve problems and do all the things that you do.
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But first, you've got to hand that to them.
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You've got to express the trust and you've got to let them make mistakes and learn from them.
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You can't develop strong leaders in your practice if you are keeping all the important responsibilities for yourself.
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And if you want your team to actually act like owners, give them something to own first.
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Like give them something to own and hold them accountable to it.
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We need to understand the goal is not perfection immediately.
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The goal is that over time, they will grow and learn that capability and become very good at it.
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So every responsibility that you continue to keep creates one more demand on your attention each week.
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And every demand reduces your ability to be proactive and create the practice that you want.
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You're trying to create CEO capacity.
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So you can work on the things.
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You can ask yourself, what do I want this practice to become?
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Where are we inefficient?
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What systems need to exist?
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What could make the team's life easier?
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What should I create next?
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And delegation plays into that in such a way it gives you the time and the energy to think about those things so that you can create a practice that you want.
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But if you spend all your time just doing tasks, task after task, you're never going to have time or the energy to work on those things.
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And then you just stay stuck year after year.
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I see it happen all the time.
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It's so common.
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You stay stuck.
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A growing practice, as it grows, should always require less and less of the owner operationally, not more because the team is more complex.
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It requires and needs to require less.
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Otherwise, it is unsustainable.
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Ask me how I know.
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So here are your tactical takeaways for this episode.
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Here's what I want you to remember.
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Stop using competence as a reason to keep ownership.
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Being the best at something does not mean that you should keep doing it.
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And two, ask yourself, does this actually require me?
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That is a much better question than can someone do it as well as you can.
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They're not going to be able to at first, but yes, I promise you, after time, they will.
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And lastly, move one meaningful responsibility away from yourself this week.
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And then you can use that space you created for yourself for higher value CEO work or to continue moving more things away from you so that you have more time.
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So I challenge you, look at everything you own this week, write it down and pick one responsibility that you're good at.
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Pick one that you're good at and give it to somebody else.
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Just decide how maybe you do it one more time, but as you do it that time, you do it in a way that is the last time that you do it.
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You do it in a way that you create a training, you create a document, you create a video, some way to be the last time you ever do that thing so that you can be active in creating the next version of your practice.
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So if this episode made you realize that your practice still depends on you for way too many things, that is exactly the kind of work that we do with dental practice owners, and we help you with it.
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We help you build the leadership, the systems, the team structure.
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It allows the responsibilities to move away from the doctor without falling apart.
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We help you, we train your team, and we get your practice to the next level so that everything operates so much more efficiently.
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So if that's something you want help with and you're interested in that, set up a strategy call with me, dentalpracticeheroes.com/slash strategy, book a call, let's talk about it.
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Thank you so much for listening today.
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I so appreciate that you take me with you on your way to work or maybe on your way from work back to home.
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I hope you have an excellent week this week at the practice.
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And I want you to get rid of some tasks.
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I know you can do it.
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Get it done.
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We will talk to you next time.