Memory and Measurement.

Barbara Kingsolver said, “Memory is a complicated thing, a relative to truth but not its twin.”

In coaching clients, I often ask to see a lot of numbers. KPIs and benchmarks, historical performance and pro forma data are all important. The reason I ask for data is because our memories are not perfect.

  • We think quarter-over-quarter growth was good, but the numbers might indicate we did better or worse than we remember. Measurement helps us discover trends, opportunities or weaknesses and then connect those to future action.
  • We think our employees answer the phone a certain way, present treatment using the most efficient scripts and help patients say yes to treatment, leveraging the best financial options and systems for each family.
  • When we play prospect, secret shop, video and audio record, watching film, however, we see a different reality. One in opposition to our memory. In too many businesses, the reality on the ground simply does not match our gut feeling or memory of how well things are going.

Last year, AuDExperts completed mystery shops in hearing care offices for clients paying us to do so. We monitor everything from how many rings it takes to answer the new patient phone call to what shows up in the mail and every word uttered, script used, or lack thereof and the body language and first impression of the treatment coordinator and the doctor.

The results from these mystery shops can totally transform a practice. But, even when I show a new client the data and benefits from secret shopping, many are resistant. They list excuses why secret shopping will be too difficult, too harsh on the team, too expensive, etc. I know. I used to do the same thing. I was resistant to measurement because I was afraid what I would see and I didn’t have the confidence in myself to fix the many problems I was certain would need fixed.

What we really resist is an accurate assessment of our results versus our reality.

In your practice and in your life, you can embrace data and measurement or avoid it. The best results, however, lie on the other side of your assumptions and quick conclusions. We cannot rely on our memories alone. We must measure and we must do it diligently and consistently.

You Have Everything You Need.

Scientific American describes the metamorphosis of the caterpillar into a butterfly like this: “One day, the caterpillar stops eating, hangs upside down from a twig or leaf and spins itself a silky cocoon or molts into a shiny chrysalis. Within its protective casing, the caterpillar radically transforms its body, eventually emerging as a butterfly or moth.”

Recently, I listened to an incredibly fascinating Radiolab segment on caterpillars. Researcher, Martha Weiss, explained how caterpillars go through a biological meltdown that reduces them to soup.

“Not only does the caterpillar turn into a soupy matrix but it also stores away helpful structures inside its body early in life. Jan Swammerdam, a Dutch microscopist from the 1600s, was the first to demonstrate that there are some of the structures of the future butterfly inside the caterpillar. The wings, antennae, and even the legs are actually already formed even before pupation takes place. Crazy, right?

The segment reports, “the caterpillar will actually start to grow little tiny adult parts that are super thin and transparent, and it just keeps them tightly rolled up and hidden up against the edges of the chrysalis, but they don’t actually ever go through the goo.”

In the 1600’s many people saw the butterfly as a metaphor. It represented a mystical death and resurrection, but Swammerdam was the first to show it was actually a transformation.

Before Swammerdam’s dissections, people saw the progression from caterpillar to butterfly as some sort of quasi-mystical, quasi-religious reminder that people can become a more perfect version of themselves. After his demonstrations, people started asking, “What of my future self is in me right now?”

NPR Interview and Radiolab segment

I’ve been teaching this concept for many years. Until recently, I didn’t know caterpillars were a supporting example of the principle. Usually, I cite companies, business leaders or athletes to make my point, but I’m perfectly happy using a hungry little caterpillar to illustrate the lesson.

Just like the caterpillar carries what it needs for its future self, you already have everything you need inside you to succeed right now.

Some clients are a little baffled, maybe even a little defensive when I tell them if I had never been born, they would still find a way to succeed without me. There would be some other teacher or expert they would find because their success has much more to do about them than it ever has to do about me. Harsh but true words for all coaches and consultants to accept.

You might not have the exact step-by-step knowledge on how to split-test an online ad campaign or which list selects to use in direct mail, but you have the mindset and determination inside you that says you won’t rest on yesterday’s laurels; that you will not be satisfied and complacent with old results.

You’ve decided you will be the best at getting better. So, today that might mean paying attention to what I have to teach you, but in ten years if I get hit by the proverbial bus, you’ll continue to succeed because of what’s already inside you.

This is a secret confession the most successful people on the planet make quietly to themselves, lest they seem egotistical or overly-confident in shouting it to others, but they make it nonetheless, however quietly: that they’ve always known they would succeed.

A huge part of this truth comes when you realize, like the caterpillar, that you’ve already packed away inside you everything you need to be your best future self. It’s simply a matter of discovering this truth and then taking action.

Warren Buffett doesn’t have any extra hours in his day. Neither did Dr. Martin Luther King Jr. or the NASA team that put a man on the moon. What they had was an ironclad determination to succeed and to take the first step without waiting for something or someone else to tell them it was their time.

Like them, you can choose this path for your life.

Innovation vs. Improvement

When Brian Carroll was laid off unexpectedly from his sales position at a car dealership in Michigan, he received a call from a past customer wanting a car.

Carroll told the buyer he no longer worked at the dealership, but the customer didn’t care. “He hired me to find the exact car he wanted and to negotiate with different dealers to get the best price.” Carroll then drives the new car to wherever the customer wants it delivered.

The car concierge. Brilliant.

This is not new, even though most sales people on the showroom floor have never considered it as an option to break free from working for someone else.

I created this option for myself by working with the same salesman for many years in a large network that sells nearly every brand under the sun. I haven’t gone through the normal motions of buying a car for over a decade.

Carroll says he now sells 30-35 cars a month, doing better than he did at his old job. And, I’d wager, he has more freedom and flexibility in being his own boss. If he’s smart and enterprising, he’ll recruit another handful of sales professionals to expand the business in other markets, franchise out his tools and systems or both.

This isn’t as innovative as Tesla ditching the entire inventory channel and car lot model used by every other car brand, but it is a very smart improvement.

In business, there is an ever-present temptation to innovate. We want to create something new, exciting and sexy. And yet, there really isn’t anything new under the sun. Jobs and Apple didn’t invent the telephone, but they did improve it significantly and sky-rocketed to become the world’s first trillion-dollar firm as a result.

In audiology, my specialty, we’re all racing to deliver in-office earmolds through 3D scanning and printing. Yes, it’s cool, but if I pick up the phone at lunchtime today, call your office and your team doesn’t answer, should you really spend more time, energy and money innovating, or should you simply improve your existing processes?

I know the answer but it’s not the sexy, exciting, shiny-new-object answer that most business owners want to hear.

Sigh. It’s very easy to make business owners rich but very difficult to get them actually to do the simple, boring things required to quickly double or triple revenue.

Write this down: given the choice between innovating and improving, take improvement ten times over.

On Ego and Change.

There’s a great article in the Wall Street Journal today about NFL coach Andy Reid, who is taking the Kansas City Chiefs to Super Bowl LIV in Miami this weekend.

The author, Andrew Beaton, focuses on two of Coach Reid’s unique abilities. He thinks like an outsider and he doesn’t have an ego. He’s been a head coach in the NFL for 21 years and made the playoffs 15 times.

Those familiar with him say the reason he’s successful because “he’s willing to incorporate unusual, often unpopular perspectives.”

I never played football and I know enough to watch and enjoy the game, so I can’t add anything to the conversation about his unique offensive style, how he hired college coaches with playbooks that were not only unconventional but often mocked in the NFL, etc.

Beaton says, “Reid didn’t just tolerate these newfangled ideas. He actively sought them out and learned them better than almost anyone in is position.”

In your professional practice, how willing are you to embrace new ideas and learn them better than anyone else in your niche? How obsessed are you at being the best at getting better?

How much of your practice is about you? Whom do you really serve? It’s inspiring to see other doctors around the world embrace this same philosophy, sometimes word-for-word, and I take no credit for its inception. My team and marketplace helped forge our purpose. Shelfing my ego meant allowing the market and all of the stakeholders in my business to tell me what it wanted.

Mark Cuban, owner of the Dallas Mavericks, isn’t known for having a small ego. This is part of his persona, but he said, and I’m paraphrasing, “It doesn’t matter what I want. It doesn’t matter what the players want. The only thing that matters is what our fans want. Their vote is the only one that counts.”

Cuban shelved his ego when he said this many years ago, and he’s right.

When you consider the top-performers in any industry, profession or niche, they are people who are capable of shelving their ego. They look for new ways to kill off some of their best-loved ideas. They embrace new things and learn faster and better than the competition.

Sure, there are examples of CEOs, athletes and success stories in every niche where larger-than-life personalities make it big and have egos to match. Yet, they almost never sustain a two-decade career at the top and remain liked and respected by others.

Those who are successful don’t become nice people after they’ve achieved some level of success, but rather they achieve and succeed because they are nice; because they don’t have an ego.

Reid illustrates this truth. His players and coaches love working with him. He doesn’t make anything about him, unless it’s taking the blame for something that went wrong.

There are too many sports analogies in life to list here. I could teach a semester-long course in the application of these principles both on and off the field. The big questions for you and your team remain:

  • How resilient are we at overcoming and adapting to change?
  • How often do our egos get in the way?
  • What sunk-cost and status-quo biases need to be set on fire in the business?
  • What obstacles can be turned into opportunities when we embrace change and our reality?

The Cost of Free

The internet once promised complete information equality. Children in poor countries would have access to the same knowledge as a child in California. But, it hasn’t turned out that way.

Different countries have different ideas about the internet. China and Turkey censor their internet aggressively, while America allows disinformation, extremists, hate speech and pornography to infiltrate every corner of the web.


The Arabic language, for example, is spoken by more than 350 million people, but represents less than 1% of the information on the internet. The Spanish internet isn’t that far off.


In an absolutely brilliant and impressively in-depth report by Kevin Roose, Elizabeth Weil and Bill Wasik, contributors to The New York Times and Atlantic magazine, the argument is made and thoroughly supported that the free internet we were all promised has devolved into a cesspool.

I obviously agree and have been beating this drum for many years.


Today’s internet works a lot like the real world. “It has an income-based hierarchy in which everything, from cleanliness of the water to the quality of the schools, is determined by how much you can afford to pay.”

Look at the internet 10-20 years ago. Everything was supposed to be free. Hulu, a video start-up at the time, claimed the end for the era of paid television. You would be able to watch your favorite shows over the internet, “anywhere, anytime for free.”


The largest newspapers and magazines started pulling down their pay walls or not building them at all, giving way to the internet’s maxim that “information wants to be free,” a maxim that I’ve consistently challenged and have seen supported by smart people like Cory Doctorow.


In 2008, Wired magazine ran a cover story that said, “Practically everything the web touches starts down the path to gratis,” calling free services “the future of business.”


So, where are we today?


The average American spent over $1,300 last year on digital media. Even Hulu, the champion stalwart of “free” television, pulled the plug on their free tier of membership. The cheapest Hulu subscription is now $7.99 per month.


Watching YouTube videos has become nauseating if you don’t have a paid YouTube TV account, starting at $11.99 per month, unless you enjoy watching horrible ads for horrible products that pop up throughout the viewing experience.


From news and productivity apps and dating sites and even an incredibly popular email program, Superhuman, which costs $30 per month, the internet has clearly walled itself off into a neatly manicured garden for those who pay and a wild jungle for those who cannot or will not.

This begs the bigger question, what is the real cost of free?


If the free internet results in Facebook mining our data, Amazon and Alexa tracking everything you say and order, Google collecting personal health information and selling all of this to the highest bidder, countries like China and Turkey vigorously censoring their internet and extracting a heavy price (up to and including the rights to your intellectual property and trade secrets) in order to do business in their countries, then where is the internet headed in the next 10-20 years?

It’s an important question and is covered in the aforementioned report, which I’ll be sending to and dissecting for my private clients.


As a subscriber here, I’ll give you a few hints regarding the main takeaway points and lessons for your practice. I’m not shy about the paywall I’ve erected in this business nor do I undervalue the information I share and the power it holds for smart business owner who implement. It appears it only took 10 years for Hulu to catch up with me.


First, there will be more and more regulation and taxation on the internet, information and data.

Your ability to out-earn all of this and to maintain adequate margin in your business is paramount. Go back and look through this report to see where I’ve encouraged you to get better at asking what never changes. Relationship marketing, internal referrals, driving more revenue per employee and lifetime customer value – these all start with a sold understanding of human psychology and behavior.

The best firms on the planet are well-suited to this challenge.


Even World Wrestling Entertainment has over 60 data scientists who work tirelessly to protect their brand and the connection with their fans. It’s wrestling for crying out loud. I doubt the world’s best dental and medical associations have one-tenth the staying power for the next 20 years to help their members navigate the tremendous tidal wave of online regulation and taxation coming their way, and these associations do something a little more important than leg locks, atomic elbow drops, piledrivers, jackknife powerbombs or Stone Cold Stunners.


Second, you must learn to master this online opportunity for your business to attract and retain customers or smarter people will eat your lunch.


Marc Andreessen was right when he predicted a future where there will be two classes of people: those who tell computers what to do and those who are told by computers what to do. AI will quickly separate the smart marketers from those dragging their feet, thinning the herd and distributing more income to the top 1% faster and faster so that each industry and niche is dominated by a few top players in each market.

In a recent event with Jimmy Nicholas, he and I unpacked and revealed for the first time the new A.I. his team has built with IBM’s Watson, in order to accurately record, transcribe and predict 99.8% of all incoming phone calls for our mutual clients. Jimmy and his company, Jimmy Marketing, do this nearly 60,000 times every single month.


He’s mining those data to help clients predict the times and hour of the day when they are most-likely to miss calls, resulting in a potential revenue recapture of nearly $25 million per year for our clients.

Jimmy runs the same predictive A.I. for our Google and Facebook ads, split-testing the best offers and calls to action, boosting conversion rate for one of our radio-to-web campaigns by 432% while simultaneously driving down cost per lead by over 3X.


Third, if you think you can figure this out on your own, as a small business owner, doctor, lawyer, specialist or audiologist, I urge you to put on your thinking cap.


Seek more clarity about where the web was 10-20 years ago, where it is today and where it will be 10-20 years from today, and run like the wind to see if your market is available to work with Jimmy and his team.


If you are already working with Jimmy and his team, your job is not done. I’m urging you to get on the phone each month with your marketing account manager in his office and set bigger goals, leverage untapped opportunities and invest like the big boys and girls who lurk in the shadows, waiting to eat your lunch.


This is a clarion call to action.


The cost of what the internet tried to be (i.e., free) is about to destroy anyone promising you something cheaper and less sophisticated than what we’re doing now and in the future with Jimmy and his team.

Get this done now, or please don’t say I didn’t warn you.

Savaged by Noise

“Silence is the presence of time undisturbed.”

In a world savaged by noise, distraction and heedless entertainment, it has become more and more difficult to locate and protect our ability to be silent.

It’s fascinating to consider the amount of creativity produced during a day in which one is silent.

Taking long walks in nature, spending time near the water, carving out a reading nook or reflective space in one’s home – these are common strategies amongst my most successful and happiest clients and friends.

Some practical tips:

Kill the digital brain stimulation before bed. Most Americans watch television or scroll through the social feeds on their smartphones and then hop into bed. Your brain is too active to sleep restfully. Instead, turn all your digital devices off a few hours before bedtime. Lull yourself into a great night’s sleep by reading a book, praying or meditating after stretching and thinking about what you learned today, what you want to do tomorrow, etc. You’ll discover that you’ll wake up easier too. I haven’t used an alarm clock for over a decade. This was impossible until I faithfully adopted the strategy of easing myself into bed, not flying feet-first after a full-day of digital stimulation.

Kill the television. You are unlikely to achieve all of your goals in life if you watch 38 hours of television per week, like the average American. Instead, get outside. Take up gardening, golf, hiking or sailing. Put your brain to more constructive use during times of leisure and it will be better-prepared to serve you when you really need it in the business and throughout the rest of your life.

Do not wake up with the morning news or your smartphone. Waking to someone else’s agenda is a perfect way to derail your best-laid plans and intentions. I recommend you avoid email, texting, news or social media of any kind until after lunch, when you’ve had at least 4-5 hours of solid work invested in your own agenda for the day, not someone else’s.

It is said that Senator Ben Sassee buys his interns old-fashioned alarm clocks.

He doesn’t want them staying up at all hours of the night, checking in on their smartphones to any of the thousands of news outlets throughout the world that pump them full of distraction and sap their ability to rest and recharge their bodies and brains.  “

You’re going to need them both in the morning, after all,” he reminds his team.

Learning to be silent, in order to produce the most creative ideas for your life and your business, is a skill that you can learn. No one is born knowing how to live in “undisturbed time,” but if you pay attention to the happiest and most-successful people on the planet, you’ll observe their uncanny ability to be silent in a world savaged by noise.

Healthcare Trends

It’s Q4 2019 and time to start planning for next year. According to Definitive Healthcare and McKinsey and Company, here are the top healthcare trends for the coming year:

Consolidation – Over 803 mergers and acquisitions took place in the last 12 months, in addition to 858 affiliation and partnership announcements. This trend brings newer technology to smaller clinics and hospitals, as they join larger groups, driving down costs. Consolidation is predicted to accelerate over the next 2-3 years. It also decreases competition and creates mega-hospitals, with regulators watching closely.


Convenience – 65 percent of consumers buying commercial insurance select cost as the top factor when choosing where to seek care. Today, 24 percent of consumers reported using retail clinics like CVS Minute Clinics, compared to only 9 percent only four years ago. To go around this trend, you must get really good at marketing to the 35 percent who don’t list cost as a top factor and/or serve fee-for-service patients.


Telehealth – Over 70 percent of consumers would rather use video than visit their primary care provider in person. Telehealth is expected to reach $94 billion in care by 2026. State board and malpractice carriers will need to catch up. Consumers are now setting the standard of care, whether we like it or not.


Artificial Intelligence – is expected to continue growing with the tremendous amount of data being generated by hospitals each day. AI will help us utilize and understand all these data, driving down costs and improving care. This presents the biggest opportunity for private equity investment and staying power.


Staffing Shortages – will continue as the nursing and primary care workforce continues to age. Currently 55 percent of all registered nurses are 50 years old or older and 52 percent of the active physician workforce is 55 or older. Combined with an aging population, there is a higher demand for nurses and primary care physicians…AND Hearing Health Care providers!  Effective hiring will continue to be a critical area of practice in addition to offering the best benefits packages, so that you can attract top talent.


Data Security – will continue to consume more time and attention, forcing more regulators to step in, as last year saw many data breaches that exploited healthcare records; eight of which exposed over 500,000 records and three exposed over a million. You must factor higher IT and cybersecurity costs into your budgets, moving forward.


If you haven’t scheduled your annual planning day, now is the time to get it on the calendar. My team likes to take a day or two out of the office and go somewhere fun and relaxing. Sometimes we go down to the country club and other times we simply rent out a cabin and get away from the office so we can think about a bigger future, outside the constraints of the physical workplace. We speak about trends like these and constantly ask how we can do things better for our patients.


All six of these trends will affect your practice, both now and in the future. The offices that are prepared to deliver more value than the competition and do so inside a convenient delivery model are the practices that will enjoy tremendous success moving forward.

* Every year or two, I take a day with top-level clients to talk about the future of the profession. It’s certainly not too early to plan the next date. If you have an interest and want to join me for a discovery day, where you can see what me and my top clients are doing to leverage these trends (surfing the wave instead of fighting it), then express your interest to one of our certified trainers and coaches at and let’s make next year your strongest yet.

Sell It Differently.

The latest online shopping craze has a unique twist. Instead of sitting in front of a web browser or flipping through items on a smartphone, millions of Chinese consumers are obsessed with live-stream shopping.


ShopShops employs real people to go into real stores, like a T.J. Maxx in New York City, and stream their visit to as many as 10,000 people live watching from China. These shopping trips are some what of a cross between live home shopping network and game show, where buyers race to get great deals on items that are unavailable in China or often counterfeit.


Buyers can interact with the hosts, asking them questions or making requests to hold up items or model them at a “selfie” distance to see what they might look like in person. The company streams about 220 live shows each month, with an average of $6,000 in sales per session.


ShopShops has employees in multiple cities throughout the U.S., Dubai and London. Easily generating $1.2 to $1.5 million per month, this is a brilliant example of selling it differently.

Skin cream, perfume, popular items and vintage products all sell quickly and buyers often stay for the entire duration of the live streams, unable to resist the fear of missing out.


What might the live-streaming shopper or her assistants find next?


One jewelry store owner in Manhattan paid attention to this interesting trend when a live-stream shopper came into his store. Now he opens early one Saturday and one Sunday per month, so he can live-stream at 9pm local-time in China. In three hours, the jewelry store does more than 10% of their sales for the entire month.


There’s nothing new under the sun, but combining popular elements from existing media channels or techniques can often produce tremendous results.


Wrap your SUV and take a tent to every live event in your town. If you don’t schedule an extra 50 patients this year from those efforts, I’ll eat my shorts.


Find a local high-quality restaurant or jewelry store that will do an endorsed mailing to their house list, promoting your office and a special offer to their customers if you’ll do the same for them. Often you only need to place a small coupon or offer in your new patient welcome bag.

There’s nothing new about live-streaming, personal shoppers or exclusivity and scarcity, but a very smart company has combined them and is quietly churning $15-20 million per year in online sales. They aren’t even selling their own products. They are simply selling them differently.

Perseverance of Beliefs

In the 1980s, Ross and Lepper published the seminal work on the perseverance of beliefs. This is the tendency for people to continue to believe something is true even when it is revealed to be false or disproved.

In one study, students took an aptitude test and were told they scored poorly. Later, when they learned the exam was miss-scored, most participants were unable to erase the experience. They continued to persevere in their beliefs.

What faulty beliefs do you have about your practice and what faulty beliefs does the marketplace have about you and the profession of hearing health care? These are million-dollar questions that you must answer.

If I had a dollar for each time an audiologist or specialist told me direct mail doesn’t work in their market or that they are doing a good job answering their phones, I’d be a lot richer than I already am.

Somewhere in the course of their career, most doctors have convinced themselves about something and they continue to believe it, even when it is proven to be false.

It’s OK, I don’t coach and consult for my health. I do it to feed my Sound of Life Foundation. I make my money in my clinics, and in real estate. So, I’ve stopped taking irrational disbelief from audiologists and practice owners as a personal insult. I’ve started calling it willful ignorance.

Listen. If you’re honest with yourself, this isn’t a question about how often we commit this sin of perseverance of belief, but rather why is this tendency so prevalent?

Sometimes we make false correlations between events or we stay the course due to sunk costs. For example, our collections and production are up right after hiring a new treatment coordinator, so we assume a potentially false correlation between the new hire and our success in the treatment room.

Even if I show you proof that your TC is screwing up the new patient process, you’re likely to drag your feet on replacing or moving this employee to a different position due to false correlation and sunk cost bias.

Finally, consider the power of your beliefs and past experiences and their ability to limit your problem-solving skills. Most small business owners go to battle with important problems and challenges in the marketplace with little more than their own limited experience and false beliefs. This is dangerous and if you run a business where your past strategy is the only thing you have to deploy against new challenges, you put everyone around you at risk as well.

In my book I list critical core competencies I see missing in most audiology and hearing health care practices, not based on my own past experience and belief but on the secret shopper data from over 1,000 new patients.

You see, there are things you and I might believe about our practices and about our patients and their desires, but it’s hard to argue with the transcripts and video tape from a thousand new patients.

Solving problems for patients and delivering more value than everyone else in your market and in your price-tier isn’t rocket science, but it’s so powerful to get outside your own head and shed the biases, false beliefs and erroneous correlations in our industry that doing so will make you appear as smart as a rocket scientist.


It’s no secret that I am not a fan of social media and Facebook groups. Particularly for pathologic perfectionists (i.e., audiologists), this method of communication is dangerous for several reasons:

First, those who post in these forums assume they assert unique views and ideas, imagining themselves as individuals. Yet, to a great extent, the views espoused are heavily influenced by colleagues, friends in the group, childhood upbringing and society at large. If you could track the views and opinions of the average member inside these groups, as a function of time, you would see them bend towards the average, the longer the member operates and communicates within the group.

This is only one reason why you’ll never catch me dead inside a Facebook group for audiologists. It’s also why you’ll never see a user group with this type of communication created for CEOs of publicly-traded companies. One of my friends and business mentors travels to New York City at the end of next month to ring the bell on the New York Stock Exchange, as the company in which he is heavily invested is finally going public and they invited him and a small handful of leaders to be present for the big day.

At dinner this weekend, I asked him why he thought people operating at his level (i.e., above $100 million in net worth) don’t waste their time on social media, and in particular, inside private Facebook groups, as more and more doctors seem to be wasting countless hours in these potentially destructive environments. His answer was pretty shocking: “Many people look for validation in groups because they are insecure. They flock together and succumb to the pressure to fit in and blend in because they are uncertain about their self-worth.”

I nodded in agreement because I’ve seen the damage of groupthink firsthand. You might be subconsciously unaware of the grip it has on you. If you participate in Facebook groups for audiologists or dentists, ask yourself how many times in the last year you’ve intentionally entertained an idea that is the very opposite of the group or conventional wisdom in our profession. Were you able to hold onto that view, and, if so, how long?

Only through awareness of the areas in which you conform, can you start to strengthen your ability to reason on your own. Take the opposite approach to your peers. Start with the assumption that you are not as much of an individual as you think you are. Deeply examine where your thoughts, beliefs, and assumptions are impacted by everything around you. Be brutally honest with yourself.

It’s one of many reasons why doctors fly from all over the world to meet with me and ask me to fix their practices. They’re really asking me to unlock them from the chains of groupthink, confirmation bias and inaccurate opinions about our profession and its place in society and free markets. Only then can doctors truly grow.

Business school gave me an entirely different view on elective healthcare. It challenged everything I thought I knew about management, strategy, finance, and marketing for health care facilities and procedures. One of the big reasons why I think it had such a profound impact on my ability to help doctors grow their practices quickly is that I was the only audiology practice owner in my business school class. Everyone else had entirely unique perspectives on both simple and complex issues in the business world. Because my professors and classmates weren’t entrenched in audiology groupthink, they helped me see clearly what could be done in our industry. I didn’t need the validation or attention of any other audiologists in order to create massive breakthroughs for my own practices, my clients and now for the profession at-large.

If you rely on your goals, outcomes, and progress to elevate your self-image, you won’t be held hostage to the ideas, attention and approval of others either. If you want to kill the groupthink in your life, this is a great place to start.

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