Private Practice Survival Guide

Why Management Sucks


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If your practice keeps losing great people, it’s probably not the pay—it’s your managers.

In this Quick Tip episode, we break down why so many managers “suck” in private practice and what to do about it. From promoting your best clinician into a job they were never trained for, to rewarding people who don’t even like managing, we unpack the real reasons leadership fails—and how that failure is costing you talent, culture, and revenue.

Using the story of “Ralph,” the star salesperson turned disastrous sales director, Brandon shows why top performers don’t automatically make great managers, and why putting them in leadership without a plan can tank both their performance and your team’s. We share his favorite analogy: great managers are like horror-movie lovers—they’re wired to handle tough conversations, conflict, and constant pressure without running away.

You’ll learn how to:

  • Spot the difference between talent in a role and talent for management
  • Avoid the trap of promoting high performers who don’t actually want to lead
  • Fix the #1 reason employees leave: poor management and misaligned priorities
  • Identify the traits of managers who love the hard stuff—conflict, accountability, tough love
  • Design hiring, training, and culture so you attract true leaders, not title-chasers

If you’re a practice owner, leader, or aspiring manager, this episode will help you stop “hoping” someone can lead just because they’re good at their job—and start building a management layer that actually drives retention, performance, and practice growth.

Welcome to Private Practice Survival Guide Podcast hosted by Brandon Seigel! Brandon Seigel, President of Wellness Works Management Partners, is an internationally known private practice consultant with over fifteen years of executive leadership experience. Seigel's book "The Private Practice Survival Guide" takes private practice entrepreneurs on a journey to unlocking key strategies for surviving―and thriving―in today’s business environment. Now Brandon Seigel goes beyond the book and brings the same great tips, tricks, and anecdotes to improve your private practice in this companion podcast.

Get In Touch With Me
Podcast Website: https://www.privatepracticesurvivalguide.com/
LinkedIn: https://www.linkedin.com/in/brandonseigel/
Instagram: https://www.instagram.com/brandonseigel/
https://wellnessworksmedicalbilling.com/
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