Scale My Clinic

Dr. Sachin Patel & Dr. Todd Cameron

Welcome to the Scale My Clinic Podcast Discover the tools, strategies, and insights to help General Practice owners create thriving, profitable, and high-performing clinics. Hosted by Sachin and Todd, co-founders of Scale My Clinic, this podcast is your go-to resource for actionable advice, inspiring success stories, and expert perspectives tailored to the unique challenges of General Practice. Whether you’re navigating operational hurdles, looking to improve patient care, or ready to take your practice to the next level, we’re here to guide you every step of the way. Tune in and start building a practice that truly makes an impact.

  1. Episode 104: The New Owners Playbook. What To Do In Your First 90 Days.

    4 DAYS AGO

    Episode 104: The New Owners Playbook. What To Do In Your First 90 Days.

    Settling on a Practice is one of the biggest moments in ownership. The temptation is to walk in and start making changes. New systems. New structure. Your stamp on everything. The owners who build the most value from acquisitions do the opposite. They slow down, listen, and diagnose before they prescribe. And they know that the order in which you do things in the first months shapes everything that comes after. Todd and Sachin walk through their complete first-steps playbook for new owners: what to prioritise, what to never skip, and how to set yourself up for a return that goes well beyond the purchase price. What you'll get from this episode: The three-lens diagnostic for any Practice you’ve just acquired: GP capacity, patient demand, or operational chaosWhy talking to everyone under the roof before you change anything is non-negotiableThe financial system tasks that need to reach 90–95% within your first four weeks, and why they can’t waitHow to run a tools audit and the one simple trick for finding out what’s actually being usedThe meeting cadence that keeps a newly acquired Practice from falling into chaosWhat a realistic bedding-in timeline looks like, and why slow is fast when it comes to people P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: 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]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]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]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 fit to work together. [Click to Book Your Call]

    45 min
  2. Episode 103: Why Owners and Practice Managers Won't Ask for Help

    29 APR

    Episode 103: Why Owners and Practice Managers Won't Ask for Help

    Most Practice Owners got to where they are by figuring things out themselves. That’s not a weakness – that’s how you build a business. But there’s a version of that same trait that quietly turns into a ceiling. When you consistently step in because it’s faster, because you don’t trust the outcome, or because asking for help simply didn’t cross your mind, you’re not just doing extra work. You’re signalling to your team that they don’t need to grow. And you’re building a business that only runs when you’re in the middle of it. Todd and Sachin break down the five reasons why capable owners and Practice Managers struggle to ask for help – and what it’s actually costing them. What you'll get from this episode: The five reasons smart people default to DIY, and which one most owners never see comingWhy your identity as someone who “gets things done” can become your biggest bottleneckThe difference between loyal disagreement and disloyal agreement, and why it matters in your PracticeHow poor delegation keeps work bouncing back to you no matter how hard you try to hand it offThe one question that shifts you from “how do I fix this” to finding the right person to helpTodd’s two-rule test for choosing coaches, consultants, or advisors worth trusting ….. Connect with Todd: LinkedIn Connect with Sachin: LinkedIn P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: 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]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]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]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 fit to work together. [Click to Book Your Call]

    44 min
  3. Episode 102: When More Clinics Makes You Less Money

    22 APR

    Episode 102: When More Clinics Makes You Less Money

    Most Practice Owners dream of owning more clinics. More locations, more GPs, more revenue. Proof you've made it. The data tells a different story. If you own five clinics, roughly one is producing 80% of your results while the others drain your cash, your time, and your attention. That's not growth. That's a rescue operation you're funding. What you'll get from this episode: Why the first clinic almost always funds the others, and why that's a trapThe vanity metrics that signal a Practice is run on ego, not economicsTodd's banking wake-up call: what happens when the bank asks you to leave by tomorrowThe four questions Keith Cunningham uses before any major decision (most owners only ask one)Why moving your best people to fix failing clinics is one of the most expensive mistakes in expansionThe real numbers to track: cash profit, GP retention, patient retention, and unit economicsWhy opening a new site is sometimes just avoiding the hard work in the one you already have ….. Connect with Todd: LinkedIn Connect with Sachin: LinkedIn P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: 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]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]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]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 fit to work together. [Click to Book Your Call]

    31 min
  4. Episode 101: The 3 Lies Holding Your Practice Back

    15 APR

    Episode 101: The 3 Lies Holding Your Practice Back

    Most Practice Owners know what needs to change. The recruitment process is broken. The fee structure hasn't moved in three years. The front desk culture is costing them patients every week. They know. And nothing happens. It's rarely about knowledge. It's about the gap between intention and action, and the specific things that widen it. Emotional bandwidth. Fear of upsetting the team. The pressure to get it perfect before moving. And delegation that goes nowhere because nobody closed the loop. Scale My Clinic's implementation coach Stevie Landgraf has seen both sides: Practices stuck in the same loop for years, and practices that turn a plan into action in a week. This is about what makes the difference. ….. What you'll get from this episode: - Why "I'm too busy to implement" is a sign you need to act now, not later - The cost of not acting: how unresolved problems compound in time, money, and energy - Why paralysis by analysis hits hardest in high-performing practices, and what breaks it - The difference between messy delegation and clean delegation, and why one kills follow-through every time - How to get your reception team on board with fee changes (without a fight) - The money buckets exercise that shifts front desk mindset in a single conversation - One thing that separates practices that fly from those that stall: share the why, early and often ..... Connect with Stevie: LinkedIn Connect with Sachin: LinkedIn P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: 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]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]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]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 fit to work together. [Click to Book Your Call]

    23 min
  5. Episode 100: Why Multi-Owner Practices Get Stuck

    8 APR

    Episode 100: Why Multi-Owner Practices Get Stuck

    Multi-owner Practices have some of the biggest untapped potential in General Practice. They also have some of the most common, avoidable problems. No one is leading. No one is accountable. Quarterly meetings that turn into complaint fests. And a Practice Manager left to figure it all out alone. Todd and Sachin have seen this play out across dozens of Practices – from two-owner partnerships to groups of nine. In this episode they break down why it happens, what it costs you, and exactly how to fix it. What you'll get from this episode: Why multi-owner groups default to passivity and what it does to profitability and cultureThe five hats every Practice owner needs to understand (and why mixing them up costs you)The "chosen one" vs "divide and conquer" approach – when to use eachWhy paying your leading owner fairly is the difference between a $2M and a $9M businessThree actions to take if you recognised your Practice in this episode Resources mentioned: Burnout, Betrayal, and the $1 Sale with Dr Nerida McDonald ….. Connect with Todd: LinkedIn Connect with Sachin: LinkedIn P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: 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]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]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]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 fit to work together. [Click to Book Your Call]

    43 min
  6. Episode 99: Costs Are Rising. What Practice Owners Should Do Next.

    1 APR

    Episode 99: Costs Are Rising. What Practice Owners Should Do Next.

    Everything is getting more expensive. Rent, consumables, insurance, fuel, wages. And it's not slowing down. Interest rates are likely heading up. Patients are starting to pull back. Staff are feeling the pinch personally and some are quietly looking at their options. This is the episode for Practice Owners who want to get ahead of it rather than react when it's too late. Todd and Sachin walk through how the current environment is hitting owners, Practices, staff and patients, and what to do about each one. What you'll get from this episode: How rising costs, inflation and global uncertainty flow through every layer of your PracticeWhy now is actually the time to invest, not retreat, and what "strategically contrarian" means in practiceHow to have the conversation with your team before they come to you asking for moreThe whiffle: a simple framework for hearing what's really on your team's mindWhy extending hours and going deeper in your community beats cutting back Resources mentioned: Episode 97: The Most Expensive Room In Your Practice Episode 43: The GP Pay Debate: Stop Playing Into Their Hands! ….. Connect with Todd: LinkedIn Connect with Sachin: LinkedIn P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: 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]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]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]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 fit to work together. [Click to Book Your Call]

    41 min
  7. Episode 98: How To Fraud-Proof Your General Practice

    25 MAR

    Episode 98: How To Fraud-Proof Your General Practice

    It happens more than anyone wants to admit. And most Practice Owners wouldn't even know it was going on. Phantom billing at reception. Personal expenses paid through the business. Cash disappearing from the drawer. One person running everything with no oversight. Todd sits down with Kelly Chard, accountant and founder of GrowthMD, to walk through exactly where Practices are exposed and how to lock it down. Kelly has seen it all, from small-scale theft that built up over years to full-blown Medicare fraud discovered too late. This episode is the playbook for making sure it doesn't happen to you. What you'll get from this episode: The red flags that should make every Practice Owner nervousWhy having one person run everything is your biggest riskHow to separate duties so no single team member controls the full chainThe fortnightly finance meeting that takes 20 minutes and changes everythingWhat to do about cash, petty cash, and why Practices should go cashlessHow phishing emails and AI-generated invoices are targeting Practices right nowThe tool that replaces petty cash and credit cards with controlled digital spending ….. Resources mentioned: Kelly's LinkedIn video: The 3 most important documents Practice Owners need to know. …… Not sure where to start? Download the Fraud & Risk Checklist we created with GrowthMD. It covers accounts payable, payroll, banking, payment terminals, PMS permissions, and Medicare compliance. Download it here [More on Kelly Chard] Kelly is an accountant and founder of GrowthMD, a specialist accounting firm for General Practice. She works with Practice Owners across Australia on financial management, fraud prevention, and business performance. Connect with Kelly: LinkedIn & Website Connect with Todd: LinkedIn P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: 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]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]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]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 fit to work together. [Click to Book Your Call]

    56 min
  8. Episode 97: The Most Expensive Room In Your Practice

    18 MAR

    Episode 97: The Most Expensive Room In Your Practice

    It's not the waiting room. It's not your biggest consulting room. It's the one room most Practice Owners never look at financially. One owner audited theirs and found a $200,000 annual loss hiding in plain sight. Overstaffed nurses, cupboards full of expired stock, and zero revenue being generated from nurse-led services. Six months later, the loss was eliminated and they were on track for $100K profit from the same room. What you'll get from this episode: Which room is quietly draining your profits and why most owners never noticeHow losses of $100K–$200K a year build up without anyone realisingThe four moves to stem the bleeding: rostering, stock systems, waste tracking, and task delegationHow to turn nurse-led services into a revenue streamWhy one owner's team went from being a cost centre to saying "this has to be a revenue generating activity"The consumable charging models that work without patient pushback Connect with Todd: LinkedIn Connect with Sachin: LinkedIn P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: 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]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]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]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 fit to work together. [Click to Book Your Call]

    37 min

Ratings & Reviews

4.7
out of 5
14 Ratings

About

Welcome to the Scale My Clinic Podcast Discover the tools, strategies, and insights to help General Practice owners create thriving, profitable, and high-performing clinics. Hosted by Sachin and Todd, co-founders of Scale My Clinic, this podcast is your go-to resource for actionable advice, inspiring success stories, and expert perspectives tailored to the unique challenges of General Practice. Whether you’re navigating operational hurdles, looking to improve patient care, or ready to take your practice to the next level, we’re here to guide you every step of the way. Tune in and start building a practice that truly makes an impact.

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