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. Ep 112: The Cost of Not Yet

    6 days ago

    Ep 112: The Cost of Not Yet

    Most Practice Owners have a decision they keep pushing to "later." It might be a structural change, a hard conversation, a team decision, or a piece of Owner work that never quite makes it to the top of the list. Not because it doesn't matter, but because the Practice is full, the team needs attention, and the next quiet window feels just around the corner. Sachin had one of those decisions in 2013: a simple trust structure question for his accountant about a Vanguard ETF investment. The form got put aside, ended up in the laundry, and didn't get picked up again until November 2020. That delay may have cost close to seven figures in compounding returns. The same pattern showed up again and again at the Practice Owners Conference in Sydney. Across 62 one-on-one conversations, Todd and Sachin kept hearing different versions of the same thing: "I'm not ready yet." "I've got a few things to fix first." "Once this is sorted, I'll get to it." That's the waiting game. And for Practice Owners, it can get expensive fast. What You'll Get From This Episode Why waiting for the "right time" can quietly cost more than the decision itselfThe three reasons Practice Owners stay stuck in the waiting gameHow the "train as you play" principle helps Owners make progress inside real Practice conditionsWhy your team may be ready for growth before you feel ready to lead itHow one Practice valued at $3.2M exited for $10.3M in two years with the same team, same two sites, and no expansionWhat finally breaks the pattern and gets important Owner work moving ..... Connect with Todd: LinkedIn Connect with Sachin: LinkedIn ..... P.S. Whenever you're ready, here are three ways Scale My Clinic can help you grow your General Practice without burning out: 1. Ask Your Toughest Practice Question: 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 ..... 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]

    39 min
  2. Ep 111: The Chaos Coordinator Badge

    24 June

    Ep 111: The Chaos Coordinator Badge

    Alana was once gifted a "chaos coordinator" badge at her Clinic. She wore it. At the time, it felt like recognition. Looking back, she sees it differently. Because in General Practice, there is a culture of badges and mugs and shared trauma. The shit show supervisor. The captain of chaos. An identity built around how many fires you put out each day. That identity feels like belonging. But it can also become the trap that keeps Owners, Practice Managers, and teams stuck below the line. For Owners, this episode is a reminder that a Practice cannot scale if its leadership identity is built around rescuing, reacting, and absorbing every problem. In this episode, Todd sits down with Alana Flohr -- 13 years in General Practice, former Practice Manager of a large Tweed Coast Clinic -- to name the three behaviours that keep owners and PMs stuck in the drama, and the above-the-line alternatives that change everything. What you'll get from this episode: The three "below the line" roles -- victim, hero, and villain -- and how each shows up inside a real PracticeWhy the hero role is often the most seductive trap for Practice Managers and OwnersAlana's honest reflection on owning her own hero behaviour, including the chaos coordinator badge she once acceptedHow to coach your team through difficult conversations, even while you're still learning to have them yourselfThe "shut the door" system Alana used to protect one hour each afternoon for above-the-line thinking and improvement workTodd's recommended action for this week: share the episode with your PM, create a shared language, and agree to call it out when you see it Resources mentioned: Dare to Lead by Brené Brown ..... 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]

    34 min
  3. Ep 110: The Paying Tenant Trap: What to Charge for Spare Rooms

    17 June

    Ep 110: The Paying Tenant Trap: What to Charge for Spare Rooms

    Most Practice Owners with a spare room will let someone in before they've worked out what the room is actually worth. The logic is familiar: a paying tenant is better than an empty room. In the short term, it feels true. But below a certain rate, a tenant starts costing you more than the room generates -- in admin time, in blocked space, in the leverage you've quietly handed away. Todd and Sachin call this the keep-open cost, and most Owners don't know where theirs sits. In this episode, they walk through how to calculate it, who actually belongs in a spare room and in what order, and the agreement mistakes that lock Owners into the wrong arrangement for years. What you'll get from this episode: The hierarchy of what belongs in a spare room -- from a GP first down through allied health, and why the order mattersWhy the allied health tenant who treats your space like a business beats the sessional who comes twice a weekSachin's locked-in mistake: the five-year sublease that handed over front desk services and left no leverageWhy Todd watched a $700-800k allied health operation return almost nothing -- and what that taught him about keep-open costThe cosmetic injector scenario: why it sounds like easy income and why it almost always ends badlyThree mistakes to avoid: room block, below-cost rates, and the agreement that locks you out of your own best use ..... 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]

    42 min
  4. Ep 109: What To Do When Your Practice Manager Quits

    10 June

    Ep 109: What To Do When Your Practice Manager Quits

    Your Practice Manager just gave notice. Maybe with two weeks. Maybe with none. The owners who come out of this better than they went in aren't the ones who found a replacement fastest. They're the ones who resisted that instinct, stepped in, and used the window to understand their own business better than they had in years. What you'll get from this episode: What Todd calls "the speed demon" -- and why the fastest hire is usually the one that lands you back here in six monthsSachin's real story: two sites, 50 staff, still consulting full time, and fully under control in under a monthThe one Gallup question that might explain why your PM really left -- and why the honest answer might point back at youHow to temporarily carve up the role so no single person drowns -- and what you discover about your team in the processThe three things owners must never do when a PM exits, including the one that triggers a chain of resignations ..... 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]

    36 min
  5. Ep 108: The GP Helmet

    3 June

    Ep 108: The GP Helmet

    Most GP Practice Owners don’t have a time problem. They have an identity problem. After 20 years as a doctor, the GP role becomes hard to step out of. Patients need you. Staff pull you back in. The work feels familiar, useful, and immediately rewarding. Owner work doesn’t feel like that. It’s slower. Messier. Less obvious. And because it doesn’t fit neatly between patients, it gets pushed to the side. In this episode, Todd and Sachin unpack why the GP “helmet” is so hard to take off, what it costs the Practice, and what needs to change if you want to actually lead your Practice. What you’ll get from this episode: The three roles every GP Owner carries: GP, shareholder, and ownerWhy the GP identity is the hardest one to step out ofThe martyrdom pattern: “Only I can do this,” and what it quietly costsWhy a “quick half-hour job” can become 20 hours over 12 weeksHow unfinished projects pile up when owner time isn’t protectedThe Whitney Houston test for imposter syndromeWhy reducing clinical time is the first structural move most Owners avoid Resources mentioned: Feel the Fear and Do It Anyway by Susan Jeffers ..... 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]

    34 min
  6. Ep 107: The Competitor Living Rent Free In Your Head

    27 May

    Ep 107: The Competitor Living Rent Free In Your Head

    Worried about the practice down the road? In this episode, Sachin and Todd unpack how competitor fear can push Practice Owners into rushed decisions, bad positioning, and scarcity thinking – and how to get back to playing your own game. You’ll hear two real stories: Todd’s bulk-billing competitor opening across his car park, and Sachin’s team nearly changing their billing model because a small practice opened 100 metres away. What you’ll get from this episode: How to tell the difference between a real competitor and a neighbouring practice.Why changing your model in response to someone else can damage your own positioning.Why ideas are not the thing to protect – execution is.The four reactions owners have when they feel threatened: leave, ask them to leave, hold back, or play full out.How to stop letting competitors live rent free in your head and focus on improving your own practice. Resources mentioned: Mindset by Carol Dweck The Infinite Game by Simon Sinek ..... 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]

    33 min
  7. Ep 106: When Your Practice Manager Won't Budge

    20 May

    Ep 106: When Your Practice Manager Won't Budge

    Most Practice Owners hit the same wall at some point. They ask their Practice Manager to do something. It doesn't happen. They ask again. Still nothing. And slowly, the frustration builds. The honest answer? Usually both sides are contributing. Todd and Sachin break down the three root causes behind a Practice Manager who won't perform: A lack of understanding (they don't actually know what you want)A lack of will (no amount of cash will fix this)A lack of capacity (the environment, not the person, is the problem) What you'll get from this episode: The three-layer diagnostic: why your PM might not be delivering and how to tell which problem you're actually dealing withWhy paying a bonus for poor performance is one of the costliest moves an Owner can make, and what to do insteadThe Eisenhower Matrix applied to your PM's week: how to identify what should be cut, delegated, or protectedA real case study: how two Owners turned an underperforming PM into an A-grader over 18 months without replacing themThe 30-minute weekly meeting that creates accountability and moves projects forward in six weeks or less ….. 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]

    34 min
  8. Ep 105: The Budget Just Raised the Price of Passivity.

    13 May

    Ep 105: The Budget Just Raised the Price of Passivity.

    The Federal Budget just dropped. Most of the coverage won’t matter much to GP Practice Owners. Four things do. Capital gains tax. Family trust distributions. Urgent care clinic funding. Commercial real estate. Todd and Sachin break down what changed, what didn’t, and what Owners should be thinking about now. The headline is simple. The structures that gave small business owners a tax edge are being squeezed. The only real response is to build something bigger. What you’ll get from this episode: The four Budget changes that actually matter for GP Practice Owners, without the political noiseWhat the CGT and family trust changes mean in plain English, and why your structure needs proper adviceWhy commercial real estate may now be a stronger long-term play for Practice OwnersWhy earning one-third more is the only honest response – and how $250K in added annual profit creates $2M+ in income and a higher exit multiple ..... 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]

    36 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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