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Dr. Killeen pulls several lessons from Bob Iger’s The Ride of a Lifetime and applies them directly to dental practice leadership. From the importance of optimism and clear priorities to repairing relationships before asking for something, Iger’s approach offers practical lessons for leading a team. He also explores the role of courage and decency in leadership. Great leaders are willing to take meaningful risks while still treating people with respect, especially during difficult moments. The challenge for today is simple: choose three priorities for your practice and repeat them until your team knows them as well as you do.
Dr. Killeen shares the story of how Home Depot changed the hardware business by collapsing a complicated, multi-step process into one simple customer experience. He draws a parallel to dentistry, where new technology and smarter systems can turn procedures that once required multiple visits into a much simpler experience for the patient. The opportunity is not just about convenience. Removing steps can reduce costs, save time, improve scheduling, and create a better patient experience. Dr. Killeen challenges you to look at one procedure in your practice from the patient’s perspective and ask what you could do to eliminate one step or one visit.
The Hawthorne Effect is a simple idea that can make a major difference: you cannot improve what you do not track. Looking back at his (Dr. Killeen's) own goals, he found that the ones he actually accomplished were the ones he deliberately measured, while the ones he simply hoped to achieve were much easier to lose sight of. This is especially important in a dental practice, where small problems can go unnoticed for months before they become much harder to fix. Dr. Killeen explains why weekly tracking creates accountability and gives you a clearer picture of what is really happening. The challenge is simple: choose five numbers that matter most to your practice and track them every week for the next 12 weeks.
In this episode, Dr. Killeen uses an endurance racing lesson to explore why trying to change everything at once rarely works. You can start fast with a new system or idea, but if you burn through your energy and your team cannot sustain it, the change usually fades back to the way things were. Real change happens through repetition and patience. Instead of introducing five new systems at once, pick the most important one and commit to it for 30 days. Once it becomes a habit, build on it with the next one. Slow progress may not feel exciting at first, but over time those small changes compound into a stronger, more sustainable practice.
Dr. Killeen shares two stories that illustrate the difference between simply doing the work and understanding what you are building. Whether it is a cathedral or a dental practice, the bigger vision matters, but so does the discipline of laying one brick at a time. For practice owners, systemizing a practice can feel overwhelming, especially when you expect big changes to happen overnight. Dr. Killeen explains why the real progress comes from defining the end goal, then steadily building toward it one process at a time. Pick one process, write it down, improve it, and keep laying bricks.
Dr. Killeen explores the idea that being willing to be wrong can be a powerful advantage. Dentists and practice owners are used to being the person with the right answer, but what works in one practice may not work in another. Experience can create useful patterns, but it can also make us too confident in assumptions that have not been tested in our own practice. The goal is not to prove that your decision was right. It is to find out what is actually right. He challenges you to revisit a recent decision, look at the numbers, ask your team what they have noticed, and be willing to change course based on what you learn. The real skill is caring more about what’s right than who’s right.
Today, Dr. Killeen explores several patterns commonly found in unhappy people and how those same habits can show up in dental practice owners. From choosing comfort over truth and avoiding situations that challenge our self-worth to resenting others’ success and confusing busyness with real progress, these patterns can quietly hold us back. Instead of looking for these traits in your team or the people around you, Dr. Killeen challenges you to look inward. Identify the pattern that sounds most like you, then intentionally practice the opposite. Choose truth over comfort, take ownership, ask the uncomfortable question, and be willing to learn.
In today's episode, Dr. Killeen runs a thought experiment around, what would happen if you hired a world-class CEO to run your dental practice? What would they change? What risks would they take? As Dr. Killeen ponders this philosophical question, he will take you through the thought-experiment and help you realize that these decisions are one you can make in your own practice as well.
Dr. Killeen explores the idea that the value of a company is the sum of the problems it solves. In dentistry, that goes far beyond fixing teeth. Helping an anxious patient feel comfortable, finding an appointment time that works for a busy parent, or helping a team member handle a difficult situation are all problems worth solving. It is easy to focus on production, new patients, and other numbers, but those are often the result of something deeper: identifying what is difficult for people and finding better ways to solve it. Dr. Killeen shares examples from Capital Dental and challenges you to identify five problems your practice can solve, then pick one to start working on this week.
Dr. Killeen explores the idea that opportunities expand or shrink in proportion to our enthusiasm. Rather than waiting for an exciting opportunity to appear, he suggests bringing energy and genuine interest to the ordinary moments already in front of us. In a dental practice, a routine hygiene appointment can become an opportunity for deeper connection and treatment planning when the hygienist is engaged and enthusiastic. The same is true for owners, whose energy sets the tone for the entire team. Lukewarm effort often leads to lukewarm results, while a little extra energy and follow-through can create meaningful momentum.
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