Everyone loves to talk about winning but the real test of leadership is how you respond when things don't go your way. In this episode, Tristan breaks down why rejection is unavoidable for growing practice owners and how top performers use it as fuel instead of letting it derail them. You'll learn the exact mindset shifts that turn setbacks into momentum, clarity, and better results.

You'll discover:

• Why winners expect rejection and how that mindset makes them more resilient

• How to detach emotion from execution so you keep moving forward, even when it stings

• Why rejection is really a performance audit wrapped in emotion (and how to use the data)

• How to stack proof, build momentum, and kill fear through consistent action

Rejection only hurts if you stop moving. Take action, extract the lesson, and momentum becomes inevitable.

P.S. If you want to learn more about how to scale your healthcare practice, chat with one of our expert coaches at https://practiceacceleration.com/application and see how we can help you!

Thanks so much for joining us this week. We hope you love it! Have some feedback you'd like to share? Leave us a review on iTunes!

👉 If you enjoyed this episode, please subscribe and leave an honest review for The Practice Acceleration Podcast on iTunes. Ratings and reviews are super helpful and greatly appreciated as it helps us expose this show to a wider audience- plus, we read each one of them!

There's a brutal truth that separates average even good practice owners from the unstoppable ones. It's not luck, intelligence, or how long you've been in business. It's your habits. In this episode, Tristan exposes the daily disciplines the top 5% of practice owners live by and the habits that keep everyone else busy, overwhelmed, and stuck.

You'll discover:

• Why your current habits are perfectly designed to give you your current results

• The power of ruthless time discipline (and why "diary is the boss")

• How top performers obsess over data, not drama, to scale with precision

• Why relentless learning, coaching, and peer groups are non-negotiable for real growth

Success doesn't come from doing more. It comes from doing the right things consistently and removing the habits that sabotage you.

P.S. If you want to learn more about how to scale your healthcare practice, chat with one of our expert coaches at https://practiceacceleration.com/application and see how we can help you!

Thanks so much for joining us this week. We hope you love it! Have some feedback you'd like to share? Leave us a review on iTunes!

👉 If you enjoyed this episode, please subscribe and leave an honest review for The Practice Acceleration Podcast on iTunes. Ratings and reviews are super helpful and greatly appreciated as it helps us expose this show to a wider audience- plus, we read each one of them!

Most practice owners think they're confident—but the brutal truth is, most only have conditional confidence. When things are going well, they're unstoppable. But the moment pressure hits—staff leave, leads slow, revenue dips—their confidence vanishes. In this episode, Tristan reveals the truth about confidence that most practice owners refuse to face—and how to build the kind that's unshakable, repeatable, and makes success inevitable.

You'll discover:

• Why confidence isn't a feeling—it's a byproduct of action (and how waiting to "feel ready" keeps you stuck)

• How comparison kills confidence, and the simple mindset shift to compete only with who you were 90 days ago

• Why confidence without competence is just ego in disguise, and how to build real confidence through systems and skills

• The one uncomfortable action that will build your "confidence muscle" faster than anything else

Real confidence isn't built by waiting. It's earned through action—especially when you don't feel ready.

P.S. If you want to learn more about how to scale your healthcare practice, chat with one of our expert coaches at https://practiceacceleration.com/application and see how we can help you!

Thanks so much for joining us this week. We hope you love it! Have some feedback you'd like to share? Leave us a review on iTunes!

👉 If you enjoyed this episode, please subscribe and leave an honest review for The Practice Acceleration Podcast on iTunes. Ratings and reviews are super helpful and greatly appreciated as it helps us expose this show to a wider audience- plus, we read each one of them!

Most practice owners think they're confident—but the brutal truth is, most only have conditional confidence. When things are going well, they're unstoppable. But the moment pressure hits—staff leave, leads slow, revenue dips—their confidence vanishes. In this episode, Tristan reveals the truth about confidence that most practice owners refuse to face—and how to build the kind that's unshakable, repeatable, and makes success inevitable.

You'll discover:

• Why confidence isn't a feeling—it's a byproduct of action (and how waiting to "feel ready" keeps you stuck)

• How comparison kills confidence, and the simple mindset shift to compete only with who you were 90 days ago

• Why confidence without competence is just ego in disguise, and how to build real confidence through systems and skills

• The one uncomfortable action that will build your "confidence muscle" faster than anything else

Real confidence isn't built by waiting. It's earned through action—especially when you don't feel ready.

P.S. If you want to learn more about how to scale your healthcare practice, chat with one of our expert coaches at https://practiceacceleration.com/application and see how we can help you!

Thanks so much for joining us this week. We hope you love it! Have some feedback you'd like to share? Leave us a review on iTunes!

👉 If you enjoyed this episode, please subscribe and leave an honest review for The Practice Acceleration Podcast on iTunes. Ratings and reviews are super helpful and greatly appreciated as it helps us expose this show to a wider audience- plus, we read each one of them!

Tactics help—but standards transform. In this episode, Tristan and Dave unpack the one lever that moves every metric: raise your standards. When the owner becomes the thermostat (not the thermometer), congruent in word and deed, the whole team levels up. Expect more, demonstrate more, and your practice will follow.

You'll discover:

• Why the standard you walk past is the standard you accept—and how to stop normalizing mediocrity

• How to lead like a thermostat, not a thermometer, so your team rises to your level

• The two-thirds rule: your team mirrors your standard—so set it higher than what you expect

• How to stay congruent and inspired, raising your standards from the inside out so your team follows naturally

Strong culture turns ordinary teams into extraordinary ones. When everyone rows to a higher standard, growth becomes inevitable.

P.S. If you want to learn more about how to scale your healthcare practice, chat with one of our expert coaches at https://practiceacceleration.com/application and see how we can help you!

Thanks so much for joining us this week. We hope you love it! Have some feedback you'd like to share? Leave us a review on iTunes!

👉 If you enjoyed this episode, please subscribe and leave an honest review for The Practice Acceleration Podcast on iTunes. Ratings and reviews are super helpful and greatly appreciated as it helps us expose this show to a wider audience- plus, we read each one of them!

The unspoken truth is that fear—not tactics, time, or talent—is what's holding most practice owners back. In this episode, Tristan breaks down how to reframe fear, take courageous action, and build the mindset that fuels business growth. You'll learn how to move from hesitation to momentum using simple, proven frameworks that top-performing practice owners use every day.

You'll discover:

• Why fear is false evidence appearing real—and how to break its control over your decisions

• The Thought → Action → Result → Belief → Identity loop that keeps you stuck (and how to flip it)

• A simple reframe to turn "I can't" into "I'm learning"

• The Four Cs Framework (Commitment → Courage → Capability → Confidence) that transforms fear into progress

Fear fades when you move forward with purpose. Confidence isn't what you start with—it's what you earn by taking action.

P.S. If you want to learn more about how to scale your healthcare practice, chat with one of our expert coaches at https://practiceacceleration.com/application and see how we can help you!

Thanks so much for joining us this week. We hope you love it! Have some feedback you'd like to share? Leave us a review on iTunes!

👉 If you enjoyed this episode, please subscribe and leave an honest review for The Practice Acceleration Podcast on iTunes. Ratings and reviews are super helpful and greatly appreciated as it helps us expose this show to a wider audience- plus, we read each one of them!

Most practices don't have a "people problem"—they have a standards problem. In this episode, Tristan and Sarah reveal how to design culture on purpose: define values, hire against them, manage to them daily, and protect them by acting fast when someone isn't a fit. The result? A culture that powers growth like an engine.

You'll discover:

• How to define 8–12 values so they're more than wall art

• A hiring pipeline that tests values up-front

• The thermometer vs. thermostat mindset: enforce standards so A-players don't slide

• Why toxic high performers cost you more than they bring in—and when to move fast

Strong culture turns ordinary teams into extraordinary ones. When everyone rows in the same direction, growth becomes inevitable.

P.S. If you want to learn more about how to scale your healthcare practice, chat with one of our expert coaches at https://practiceacceleration.com/application and see how we can help you!

Thanks so much for joining us this week. We hope you love it! Have some feedback you'd like to share? Leave us a review on iTunes!

👉 If you enjoyed this episode, please subscribe and leave an honest review for The Practice Acceleration Podcast on iTunes. Ratings and reviews are super helpful and greatly appreciated as it helps us expose this show to a wider audience- plus, we read each one of them!

We don't act on "truth", we act on beliefs. And most of those were formed in childhood, then reinforced for years because they're convenient. In this episode, Tristan and Dave unpack how limiting beliefs quietly shape your marketing, hiring, pricing, and leadership and a practical process to bust them so you can build the business (and identity) you actually want.

• Belief vs. truth: why a belief is just a feeling of certainty (often without evidence) and how that keeps owners stuck.

• The convenient assumption trap: common unhelpful beliefs in practices (e.g., "good hires don't exist," "marketing is salesy," "I shouldn't raise fees").

• The results loop: Thoughts → Actions → Results → Beliefs → Identity—how to interrupt it and rewire it on purpose.

• Pain/pleasure & secondary gain: why your brain prefers the familiar (even when it hurts growth) and how to stop avoiding the right actions.

• Try-it-on method (24–72 hrs): adopt a new belief temporarily to lower resistance, take small aligned actions, and stack proof.

• Identity upgrades: moving from "I am not a marketer/leader" to identities that match your next-level outcomes.

Remember, your beliefs shape your business. Break the ones that hold you back, build the ones that move you forward, and you'll create the practice and life you've always wanted.

P.S. If you want to learn more about how to scale your healthcare practice, chat with one of our expert coaches at https://practiceacceleration.com/application and see how we can help you!

Thanks so much for joining us this week. We hope you love it! Have some feedback you'd like to share? Leave us a review on iTunes!

👉 If you enjoyed this episode, please subscribe and leave an honest review for The Practice Acceleration Podcast on iTunes. Ratings and reviews are super helpful and greatly appreciated as it helps us expose this show to a wider audience- plus, we read each one of them!

From burnout, overwhelm, and "managing like a therapist"… to leading with confidence, systemizing her practice, and unlocking freedom. In this episode, Tristan chats with Elizabeth Martin, founder of a unique virtual mental health OT practice in Portland, Oregon.

After five years in business, Elizabeth transitioned her clinic from contractors to employees but quickly realized leadership was a whole new game. She was working long hours, struggling with management, and unsure how to scale. Six months later, she's cut her clinical hours from 32 to just 1 per week, grown her revenue by $100K per year, and finally feels in control of her business and lifestyle.

In this episode you'll learn:

• How Elizabeth shifted from "practitioner" to confident CEO and leader

• The systems she put in place that now run without her micromanaging

• How cutting her clinical hours by 97% gave her the freedom to focus on growth

• Why she believes every practice owner needs a coach (even if you already have a business degree)

• How she's built a business that supports her mental health, her team, and her life outside of work

This is a must-listen for any healthcare business owner who wants to step out of the grind, lead with clarity, and grow a sustainable, systemized business that runs without being fully dependent on them.

P.S. If you want to learn more about how to scale your healthcare practice, chat with one of our expert coaches at https://practiceacceleration.com/application and see how we can help you!

Thanks so much for joining us this week. We hope you love it! Have some feedback you'd like to share? Leave us a review on iTunes!

👉 If you enjoyed this episode, please subscribe and leave an honest review for The Practice Acceleration Podcast on iTunes. Ratings and reviews are super helpful and greatly appreciated as it helps us expose this show to a wider audience- plus, we read each one of them!

Most practice owners fail not because of their clinical skills, but because they won't face the uncomfortable realities of running a business. After 24 years in business and advising 3,000+ practices worldwide, Tristan reveals the 8 truths you must accept if you want to scale without burning out.

In this episode you'll discover:

• Why you're in the business of marketing first—and clinical skills come second

• The sales conversation framework that gets patients to choose, stay, and refer

• Why your staff need leadership (not friendship) to thrive

• How to systemize yourself out of 95% of tasks so your practice doesn't rely on you

This is your reality check and roadmap to build a practice that grows fast, scales smoothly, and doesn't depend on you.

P.S. If you want to learn more about how to scale your healthcare practice, chat with one of our expert coaches at https://practiceacceleration.com/application and see how we can help you!

Thanks so much for joining us this week. We hope you love it! Have some feedback you'd like to share? Leave us a review on iTunes!

👉 If you enjoyed this episode, please subscribe and leave an honest review for The Practice Acceleration Podcast on iTunes. Ratings and reviews are super helpful and greatly appreciated as it helps us expose this show to a wider audience- plus, we read each one of them!