Dental Practice Heroes
Dr. Paul Etchison
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Dental Practice Heroes is a podcast for dentists who want to cut clinical days while increasing profits without sacrificing patient care. Hosted by Dr. Paul Etchison, a dentist, author, coach, and owner of a multi-million-dollar group practice, it focuses on building scalable practices through communication, leadership, and effective management. Episodes provide actionable advice for practice owners who want more time for family, wealth, and personal fulfillment. It also shares stories from other dentists who have created practices that no longer rely on them for every detail.
Episodi
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Production Is Down. Now What? 19.10.2026 30minBy the time a problem shows up on your P&L, it’s been quietly building for months. In this episode, the DPH coaches share the numbers every practice should check weekly to catch problems while they’re still small. You’ll learn the four pillars that help you figure out what’s actually wrong, why a busy front desk can hide what’s slipping, and how to make your team part of the solution. Topics discussed: 00:00 Introduction 02:07 When production drops and you can’t pinpoint why 06:42 The fir... -
The $1.5M Trap that Can Break a Practice Owner 14.10.2026 23minYour dental practice can be profitable and still feel like it’s slowly breaking you. That’s the reality for many solo dentists sitting in the $1.2M to $1.7M range: the schedule is packed, the team is busy, and yet problems keep slipping through the cracks. Patients fall off the follow-up list, insurance details get missed, the front desk feels underwater, and you end up being the only person who can “fix it” day after day. We walk through why that happens and why “we just need more systems” ... -
Think You’re Ready for an Associate? Look at These Numbers First 12.10.2026 33minBringing on an associate is supposed to buy back your time. So why do so many owners end up regretting the decision? Brian Hanks, dental accountant and author of How to Buy a Dental Practice, works with dentists at every stage of ownership and has noticed one blind spot that derails associateships. In this episode, he shares where many owners go wrong, the three numbers that signal your practice is ready for an associate, and the only reliable way to keep associates in your practice long term... -
Two Paths To A Dental Practice That Runs Without You 07.10.2026 11minIf you have been grinding to “improve the practice” but your days still feel the same, you are not alone and you are not lazy. We dig into a hard truth: you can spend an entire year fixing what is broken and still end up with almost the exact same dental practice, the same pressure, and the same dependence on you. The missing piece is not effort. It is the difference between problem solving and creation. We walk through the two paths to change. The first path is reactive problem solving with... -
When Your Strengths Create Dependence 05.10.2026 13minBeing the most capable person in your dental practice can feel like a superpower, right up until it becomes the reason everything still depends on you. I’m Dr. Paul Etchison, and I see this pattern constantly with dental practice owners: we’re great at hiring, interviewing, running meetings, resolving conflict, smoothing over upset patients, and handling the sensitive admin work, so we keep doing it. Then we look up one day overwhelmed, frustrated, and wondering why nobody takes initiative, e... -
Why You Still Haven’t Cut Back a Clinical Day 30.09.2026 14minYou can have a solid team, good new patient flow, and real culture momentum and still feel weirdly stuck. That’s the trap we dig into today: the belief that you should wait until you feel 100% ready before making a big move in your dental practice, like dropping from four clinical days to three. I share a recent coaching conversation with a practice owner who has all the ingredients to cut a day right now, yet keeps postponing it for “sometime this year,” and we unpack what’s really going on ... -
The Dangerous Part About Having a Good Practice 28.09.2026 29minYour practice is finally in a good place. The schedule is full, the money is good, and you actually like your team. This episode is about what happens when this comfort turns into complacency. The DPH coaches explain why thinking "things are good" can be dangerous, the difference between healthy comfort and complacency, and how to tell if you're building the practice you actually want. Topics discussed: 00:00 Introduction 01:59 Why good practices stop trying to improve 06:12 Fixing problems v... -
Your Team Isn’t Resisting the Change. They’re Resisting This 23.09.2026 16minThat uncomfortable moment when you roll out a new system and your team goes quiet isn’t about the system at all. It’s about what they think it means. We’re talking about one of the most common breakdowns in dental practice leadership: we introduce training, new workflows, or higher standards with good intentions, and our team hears an accusation. I share a real example from my own practice after we dropped Delta and saw a decrease in new patients. I pushed case presentation training an... -
You Might Be Wrong About Your Worst Team Member 22.09.2026 28min"They're lazy." "They don't care." "This person is the problem." You probably said something like this the last time you got annoyed at the office. In this episode, the DPH coaches break down what to do the next time someone on your team drops the ball. You'll learn the difference between being decisive and being judgmental, when to act immediately or take a pause and get curious, and how to address problems without putting anyone on the defensive. Topics discussed: 00:00 Introduction 02:11 T... -
Retiring Early in Dentistry and the Freedom Trap 16.09.2026 21minYou can do everything “right” and still feel stuck: work harder, save more, invest earlier, chase a retirement number… then wake up the next day and realize nothing changed. That moment is what we’re unpacking, especially for dentists who are high achievers, practice owners, and the kind of people who won’t be happy staring at the ocean for 30 years. We walk through the core problem with traditional retirement planning for dentists: it treats your younger years like they only exist for produ... -
Why Your Team Only Follows Systems When You’re Watching (How to Fix It) w/ Dr. Gina Dorfman 14.09.2026 47minYour team does the right things when you're in the building. Turn your back and... maybe not. Dr. Gina Dorfman has spent over 20 years building practices around culture, and knows exactly what makes a team follow through without being reminded. She explains what has to come first, the test candidates don't know they're taking, and what to do about a strong performer who's dragging the team down. Plus, hear her message to any woman who's been called difficult for holding her team to a standard... -
Your Practice Will Never Give You Freedom Until Your Leaders Can Do This 09.09.2026 14minIf your leadership meeting turns up “no problems,” we think you should be nervous. Silence can feel like health, but it often signals something else: people are checked out, nobody is looking closely, or your team doesn’t feel safe enough to tell the truth. We unpack why great dental practices don’t win by eliminating problems, they win by getting brutally good at seeing problems early, talking about them clearly, and using them to sharpen systems, service, and team culture. We share a core ... -
You're Spending Time On the Wrong Thing...Focus on This Instead w/ Dr. George Hariri 08.09.2026 39minWhatever is holding your practice back is probably not the thing you worked on this week. Dr. George Hariri, co-founder of Shared Practices and author of Dental Moneyball, went from one practice to nearly 50 and stopped practicing dentistry entirely — and the practice he left behind is performing better now than when he was in it. In this episode, he walks through where you should be spending your time as CEO and the growth lever already in your practice. Topics discussed: (00:00) Introductio... -
Stop Talking Your Patients Out of the Best Treatment 02.09.2026 15minThat split second after a patient asks “Can’t you just fill it?” can quietly decide the whole case. If you hesitate, even with good intentions, you can accidentally turn your best clinical recommendation into an “upgrade” and make the compromised option feel like the default. We dig into why that happens and how to communicate treatment plans with calm confidence, so your patients feel informed instead of sold. We unpack the difference between what you technically could do and what you... -
Simple Ways to Turn Patient Objections Into a Yes 31.08.2026 29minCost, timing, pain, insurance. These objections don't mean a patient is saying "no." In this episode, the DPH coaches share how they handle the most common patient objections and turn them into a "yes." You'll learn how to present treatment plans big and small — with confidence, and without being salesy or putting patients on the defensive. Topics discussed: (00:00) Introduction (01:51) Why even obvious treatment gets turned down (04:42) Defining an objection (and why they happen) (06:47) Han... -
The Subtle Trap Undermining Your Practice's Success 27.08.2026 22minYour front desk can look busy all day and still leak production, profit, and patience. When phones, check-ins, insurance questions, and balance collections are treated like one giant job, “urgency” wins every time. The ringing phone gets answered, the insurance fire gets put out, and the real growth work quietly disappears: filling tomorrow’s hole, following up on that $10,000 treatment plan, and building systems that keep the practice steady even when someone is out. We walk through a clean... -
Implementation Usually Fails in 1 of These 3 Areas 25.08.2026 16minWe break down why the same operational problems keep resurfacing even after everyone “agrees” in a meeting. We share a simple leadership framework that turns talk into implementation so our dental practice keeps improving without constant reminders. • the hidden cost of repeated meetings and drifting systems • why agreement feels good but fails without a system • a real crown charting conflict that fuels resentment • involving the team through autonomy and a clear why... -
How to Train the Assistant Every Other Dentist Wants w/ Kevin Henry 20.08.2026 39minEvery dentist wants an assistant who anticipates their needs without being asked. Almost nobody does what it takes to get there. Kevin Henry, dental journalist and founder of Dental Assistant Nation, has spent 21 years advocating for dental assistants. In this episode, he shares what makes them disengage, what a good day actually looks like for them, and how to train them the right way. Topics discussed: (00:00) Introduction (03:52) Why your dental assistants aren't engaged (06:13) The skills... -
Your Future Practice Won't Materialize Without Protecting This 18.08.2026 14minWe describe the moment every practice owner knows: you block CEO time to build better systems, then lose it to nonstop interruptions and tiny fires. We share how protecting leadership time, setting clear availability rules, and focusing on KPIs turns you from the bottleneck into the builder of a practice that runs without you. • why CEO time disappears faster than clinical time • protecting leadership time like production time • the difference between reacting all day and c... -
The Hidden Reason Your Practice Feels So Hard to Run w/ David Maloley 12.08.2026 45minEight out of ten employees show up disengaged. The other two are doing all the work in your practice. In this episode, Dr. David Maloley explains what's really driving attrition and why a paycheck doesn't cut it anymore. You'll find out which outside forces are quietly commoditizing your practice, the burnout triggers already built in, and how to create an employee experience that holds your practice together. Topics discussed: (00:00) Introduction (03:19) David’s dream practice that turned i...
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