Dental Practice Heroes

The Associate Illusion: Why Most Owners Lose Money (and How to Fix It)


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Ever fantasized about bringing on an associate to handle all those difficult cases while you kick back and watch the profits roll in? That seductive vision—what I call "the associate illusion"—has lured countless practice owners into disappointment and financial stress.

The harsh truth is that associates rarely outproduce the owner, and without proper systems in place, adding another doctor simply amplifies your practice's existing problems. It's like adding more rowers to a leaky boat; you're still taking on water, just with more people watching it happen. Many dentists are shocked to discover they actually made more money as associates than they do as owners after hiring their own associates.

For the associate model to work effectively, four critical elements must align: cultural fit, longevity, production capability (minimum $650/hour), and case acceptance skills. The responsibility for creating this environment falls entirely on you as the owner. This means implementing scheduling templates, training your team on case presentation, and—most critically—providing consistent mentorship. I learned this lesson the hard way, watching my first two associates thrive under my guidance while subsequent hires struggled when I mistakenly assumed the process would run itself.

When done right, however, associates truly unlock freedom and scalability. Imagine working just 1-3 days weekly, focusing only on procedures you enjoy, and having the flexibility to adjust your schedule without six months' notice. I've built a $6 million practice working just one day weekly through systematization and associate development—not magic, but methodical implementation.

Ready to transform the associate illusion into reality? Start by auditing your patient demand (you need at least 35 new patients per doctor), systematizing operations, committing to mentorship, and considering junior partnership models that create long-term retention without sacrificing control. Visit dentalpracticeheroes.com to discover how we can guide you through this transformation and help you achieve the practice freedom you've always wanted.

Check out www.relevanceonlinemarketing.com if you want to get the same great marketing results as Dr. Etch.  Mention DPH and get your first month FREE!

Take Control of Your Practice and Your Life

We help dentists take more time off while making more money through systematization, team empowerment, and creating leadership teams.


Ready to build a practice that works for you? Visit www.DentalPracticeHeroes.com to learn more.

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Dental Practice HeroesBy Dr. Paul Etchison

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