Private Practice Playbook

Welcome to this episode of the Private Practice Playbook with Jay Geier, where we sit down with Dr. Paul Keelan, a dentist whose journey from clinician to business leader offers powerful lessons for anyone in the healthcare profession. Practicing since 1989, Dr. Paul Keelan shares how his early focus on clinical excellence alone didn’t bring the professional growth or community impact he craved. Instead, it was a pivotal shift in mindset, embracing generosity, investing in his team, and adopting a patient-centric approach that led his practice to experience remarkable 10x growth. In this conversation, we explore the practical steps Dr. Paul Keelan took to transform a small office into a thriving, community-focused organization of over 50 employees, impacting not just patients but also the personal lives of his team. You’ll hear about the challenges of implementing change, the critical role of mentorship and continuing education, and how generosity, both financially and in spirit, became central to Dr. Paul Keelan’s vision for sustainable, meaningful success. Whether you’re a healthcare provider, entrepreneur, or simply looking to make a greater impact, this episode is full of insights on leadership, transformation, and the power of giving back. Timestamps: 00:00 Practicing and growing the business 04:01 Attending a conference with colleagues 09:07 Choosing general dentistry over specialization 09:45 The importance of kindness 15:01 Reflecting on leadership generosity 17:18 Discussing market feedback and value 20:35 Teaching with lasting impact 24:34 Office transformation over 12 years 28:17 Mentoring and supporting young assistants 31:19 Training experiences for new associates 32:18 Making commitment decisions 37:01 Improving dental appointment experiences 39:47 Starting the 5X program journey 43:32 Getting helpful advice and feedback The Practice Growth Institute - mypgi.com Take the Five Star Challenge - schedulinginstitute.com Podcast For Doctors - podcastfordoctors.com

If you’re constantly frustrated with your team, you’re not alone. Most doctors face the same cycle of stress, unmet expectations, and daily firefighting — but it doesn’t have to stay that way. In this episode, Jay Geier unpacks five key barriers to growth that stem from your “human capital” — the people who make your practice run. From mindset shifts to accountability and compensation, Jay shares practical steps you can take to strengthen your team, restore control, and make your practice easier to run — not harder.

How do you make every year your best year ever—not by accident, but by design? In this episode, Jay breaks down the formulas, priorities, and mindset shifts that allow practice owners to finish strong and set up next year for growth. You’ll learn why the fourth quarter is the most critical time of year, the traps that keep doctors stuck, and the system that can help you make 2026—and every year after—your best year yet. Register for the Make 2026 Your Best Year Ever Event Visit our Website

On this episode of the Private Practice Playbook, host Jay Geier sits down with Dr. Goldberg about the mindset shifts that come with practice ownership. From defining moments in his personal life to professional turning points, Dr. Goldberg offers wisdom for doctors looking to step into leadership and scale their success. Apply for Coaching Visit our Website

Are you making enough money? Jay tackles the pervasive issue of under earning in professional practices. From student loans to practice overhead, he dissects the factors that hinder wealth creation and outlines the path to greater financial freedom and fulfillment. Visit our Website Apply For Coaching

In this episode, Jay sits down with two veteran trainers who’ve been inside over 1,800 practices. They’ve seen the difference between teams that perform and teams that just show up. They unpack the real reasons your team isn’t hitting the mark — from lack of clarity to weak leadership — and how to fix it without hiring new people. You’ll hear what actually works to activate potential, drive referrals, and create a team that’s fully bought in. If you’ve ever thought “I just need better people” — this is your wake-up call. Visit our Website

In this 2-part series, we delve into the remarkable story of Dr. Marvelli and Dr. Kamodia, two friends who turned their dental school bond into a thriving practice. They share their experiences of starting a business, the challenges they faced (including opening just before the pandemic!), and the strategies that fueled their rapid growth to a multi-million dollar practice. You'll also hear their insights on partnership, team building, and maintaining a vision for helping others. For more information, visit www.podcastfordoctors.com Hoping for growth isn't enough-you need the ability and commitment to lead it. If you're already sure you've got what it takes, congratulations. Grab the bull by the horns and APPLY FOR COACHING now. If you still have doubts, our Growth Readiness Assessment is for you.

In this episode, Jay Geier sits down with Dr. Todd Sala to discuss the realities of running and scaling a private practice—the lessons they don’t teach you in dental school. From taking over a 110-year-old family practice to expanding from 8 to 34 operatories, Todd shares the hard-earned insights that transformed his business. They dive into the financial side of growth, including capital expenditures, cash flow management, and smart borrowing strategies. They also tackle common struggles dentists face, such as delegation, leadership, and avoiding burnout, and why so many private practice owners stay stuck in survival mode. Jay and Todd explore the importance of coaching, strategic thinking, and building a business that serves both your financial and personal goals. Plus, they introduce Klear Impakt, a buying group designed to help independent dentists lower costs and increase profitability. If you want to build a thriving, scalable, and financially successful practice, this episode is packed with real-world advice and actionable strategies you won’t learn in dental school!

Cash flow is the lifeblood of any successful private practice, yet it’s one of the most overlooked aspects of business management. In this episode, Jay breaks down the causes of cash flow issues, from rising costs to inefficient payroll and long-standing bad habits. Learn why quick fixes don’t work and how proactive strategies can help you avoid financial pitfalls. Jay discusses practical steps to analyze your expenses, streamline your operations, and ensure your team is contributing to the growth and profitability of your practice. Jay also explores the psychology behind financial success, emphasizing the importance of shifting behaviors and adopting a forward-thinking approach. From optimizing patient care and creating capacity to building a culture of accountability, this episode provides a comprehensive playbook for transforming your practice. Whether you’re struggling with cash flow now or preparing for growth in 2025, this conversation will equip you with the tools to take control of your financial future. Visit jaygeier.com to learn more.

In this episode, Jay Geier dives into the challenges that prevent some doctors from growing their practices. He identifies five key barriers that hold practitioners back: the pursuit of perfection, staying within their comfort zones, confusion or resistance regarding the role of money, neglecting to track key metrics, and the illusion that high-quality work alone is enough to succeed. Jay explains how each of these tendencies creates obstacles to growth and emphasizes the importance of shifting mindsets and actions to achieve success. By understanding these common pitfalls and overcoming them, doctors can unlock their practice’s full potential. Jay encourages listeners to reflect on these barriers, challenge their assumptions, and seek help if they find themselves stuck.