エピソード

  • Ep 126: The Unpaid Work Eating Your Practice Alive
    2026/10/07
    General Practice is doing more work than Medicare ever sees.Results arrive after the consultation. Referrals need chasing. Reminders need resetting. Patients show up with tests ordered elsewhere, advice from multiple providers, and no clear idea who is responsible for pulling it all together.Dr Danielle McMullen has spent years advocating at the highest levels of Australian healthcare, including two years as AMA President, while continuing to work as a GP.In this episode, she joins Todd to talk about the growing gap between the work GPs are funded to do and the work they're actually carrying, why fragmented care is pushing more responsibility back onto patients and Practices, and what General Practice needs to protect as healthcare becomes more digital and consumer-driven.What You'll Get From This EpisodeWhy so much GP work happens outside the consultation and goes unpaidHow fragmented care pushes more follow-up and coordination back onto General PracticeWhy patients are increasingly being asked to manage their own recalls, results and next stepsWhere AI and digital health help, and where clinical judgement still mattersWhy GP ownership and clinician-led care still matter in a more commercial healthcare systemResources Mentioned:MD Calc, the clinical decision tool referenced when discussing where AI helps and where judgement still wins......Connect with Todd: LinkedInConnect with Danielle McMullen: LinkedIn.....P.S. Whenever you're ready, here are four ways Scale My Clinic can help you grow your General Practice without burning out:1. Spot the problems you're too busy to notice. Follow us on Instagram or Facebook for short videos on billing, recruitment, profit, team and leadership.2. Binge the best podcast episodes for whatever Practice problem you're working through. Search by topic3. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Click to Register4. Learn the exact framework we use to help Practice Owners improve profit, team performance and freedom. This video shows the exact system we use......P.S. Whenever you're ready, here are four ways Scale My Clinic can help you grow your General Practice without burning out:1. Spot the problems you're too busy to notice. Follow us on Instagram or Facebook for short videos on billing, recruitment, profit, team and leadership.2. Binge the best podcast episodes for whatever Practice problem you're working through. Search by topic3. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Click to Register4. Learn the exact framework we use to help Practice Owners improve profit, team performance and freedom. This video shows the exact system we use.
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    39 分
  • Ep 125: Why Your Best GPs Are Leaving Money On The Table
    2026/09/30
    Some of the GPs doing the best medicine are also the ones billing the least effectively.They're managing complex patients, doing the care planning, following things up properly, and carrying the responsibility home with them.They're just not always claiming for the work they've already done.Dr Ash Van Leeuwestyn sees this constantly. She's a GP and Medicare billing educator who audits real Practice billing data to find missed income, weak workflows and the gaps GPs often don't know are there.And the biggest blocker usually isn't laziness or poor care.It's fear.Fear of getting it wrong. Fear of audit. Old billing myths passed from GP to GP. And a billing culture where everyone is doing things slightly differently.In this episode, Ash joins Sachin to show Practice Owners where the money is being missed, how to tighten billing without compromising care, and how to build a system that doesn't rely on one GP remembering the right item number at the end of a busy consult.What You'll Get From This EpisodeThe Medicare items GPs most commonly miss, even when the work has already been doneWhy conscientious GPs can be the most likely to underbillHow fear of audit creates bad billing habits and lost incomeWhy better billing starts with workflow, not memorising more item numbersHow to build a Practice-wide billing system your whole team can actually follow.....Connect with Dr Ash Van Leeuwestyn: LinkedInConnect with Sachin: LinkedIn.....P.S. Whenever you're ready, here are four ways Scale My Clinic can help you grow your General Practice without burning out:1. Spot the problems you're too busy to notice. Follow us on Instagram or Facebook for short videos on billing, recruitment, profit, team and leadership.2. Binge the best podcast episodes for whatever Practice problem you're working through. Search by topic3. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Click to Register4. Learn the exact framework we use to help Practice Owners improve profit, team performance and freedom. This video shows the exact system we use......P.S. Whenever you're ready, here are four ways Scale My Clinic can help you grow your General Practice without burning out:1. Spot the problems you're too busy to notice. Follow us on Instagram or Facebook for short videos on billing, recruitment, profit, team and leadership.2. Binge the best podcast episodes for whatever Practice problem you're working through. Search by topic3. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Click to Register4. Learn the exact framework we use to help Practice Owners improve profit, team performance and freedom. This video shows the exact system we use.
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    38 分
  • Ep 124: The Four Levels of GP Practice Ownership
    2026/09/23
    Not all Practice ownership is created equal.Some Owners have bought themselves a nightmare job. Others have built a well-paid job, a real business, or something far more valuable: an asset that can run without them.Those are the four levels Todd and Sachin use to think about Practice ownership.And the interesting bit isn't just figuring out which level you're at. It's understanding the belief, behaviour or bottleneck keeping you from the next one.In this episode, they walk through each level, what it feels like to live there, and what has to change if you want more profit, more freedom and a Practice that's worth something without you in the room.What you'll get from this episode:The four levels of Practice ownership: nightmare job, well-paid job, real business and assetThe belief that keeps Owners stuck at each levelWhy even large or multi-Owner Practices can stall in the well-paid job layerHow one Owner took the same two Practices from a $3.2M valuation to a $10.3M exitThe three things that can accelerate the climb: time, skill and where you put your effortResources MentionedHow To Buy A General Practice Without Messing It UpWhy GP Ownership Isn't What You Think.....Connect with Todd: LinkedInConnect with Sachin: LinkedIn.....P.S. Whenever you're ready, here are four ways Scale My Clinic can help you grow your General Practice without burning out:1. Spot the problems you're too busy to notice. Follow us on Instagram or Facebook for short videos on billing, recruitment, profit, team and leadership.2. Binge the best podcast episodes for whatever Practice problem you're working through. Search by topic3. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Click to Register4. Learn the exact framework we use to help Practice Owners improve profit, team performance and freedom. This video shows the exact system we use......P.S. Whenever you're ready, here are four ways Scale My Clinic can help you grow your General Practice without burning out:1. Spot the problems you're too busy to notice. Follow us on Instagram or Facebook for short videos on billing, recruitment, profit, team and leadership.2. Binge the best podcast episodes for whatever Practice problem you're working through. Search by topic3. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Click to Register4. Learn the exact framework we use to help Practice Owners improve profit, team performance and freedom. This video shows the exact system we use.
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    49 分
  • Ep 123: What It Takes to Make Practice #2 Work
    2026/09/16
    Mary Wyatt and Sean Stevens opened Vic Park Clinic with just the two of them in 2019. A few months later COVID hit, and they opened a respiratory clinic right next door anyway.It was two consult rooms and a waiting room, under a hundred square metres. Out of that tiny space, they delivered 50,000 vaccines and became the first clinic in Australia to hit that number.Vic Park kept growing around it. Seven rooms became ten. And once they had momentum, Mary and Sean did something most Practice Owners never get to: they went looking for a second Practice.It took about two years. Roughly a dozen opportunities came across their desk, four got serious enough for an offer, and Cockburn was the one they said yes to. It's grown fast, and most days now runs around five GPs.Todd sits down with both of them to work through what actually has to change between Practice one and Practice two: the site, the systems, the culture, and one belief of Sean's that flips who the real customer is.What You'll Get From This EpisodeWhy Sean thinks the GPs are the customer, not the patients, and what that actually changes for an OwnerHow Mary and Sean filtered a dozen site opportunities down to the one they said yes toWhy five GPs a day is the number that decides if Practice #2 is actually workingThe room-allocation rule that tells you whether your culture is real or just talkWhy trust between co-Owners is what actually lets either of you step away.....Connect with Mary Wyatt: WebsiteConnect with Sean Stevens: LinkedInConnect with Todd: LinkedIn.....P.S. Whenever you're ready, here are three ways Scale My Clinic can help you grow your General Practice without burning out:1. Get the Blueprint: Watch the free Practice Success Blueprint Training, the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. Watch Training Now2. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Register Here3. Ask Your Toughest Practice Question: Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who 'get it.' Click Here.....P.S. Whenever you're ready, here are four ways Scale My Clinic can help you grow your General Practice without burning out:1. Spot the problems you're too busy to notice. Follow us on Instagram or Facebook for short videos on billing, recruitment, profit, team and leadership.2. Binge the best podcast episodes for whatever Practice problem you're working through. Search by topic3. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Click to Register4. Learn the exact framework we use to help Practice Owners improve profit, team performance and freedom. This video shows the exact system we use.
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    38 分
  • Ep 122: Before You Take On A GP Partner, Check These Four Things
    2026/09/09
    Most Practice Owners don't decide they need a partner, then go looking for the right one.Someone asks to buy in.And suddenly the question becomes, “Should I say yes?”That's where things can go sideways.Because taking on a partner isn't just selling equity. You're giving someone access to risk, decision-making, profit, and the future value of the business.In this episode, Todd and Sachin share the four things they look at before bringing someone into ownership, why similarity is often overrated, and how to test a potential partner before you're locked in together.What you'll get from this episode:The four things you're really giving away when you sell equity in your PracticeWhy a partner who thinks exactly like you can be a liability, not an advantageHow to test disagreement, temperament and decision-making before you commitWhy selling equity for cash can be far more expensive than borrowing moneyWhat happens when one Owner drives the growth and everyone else shares the upsideResources MentionedWhy GP Partnerships Fall Apart (And How To Fix Them)How a Junior GP Chose the Right Practice to Buy Into.....Connect with Todd: LinkedInConnect with Sachin: LinkedIn.....P.S. Whenever you're ready, here are three ways we can help you grow your General Practice without burning out:1. Get the Blueprint: Watch the free Practice Success Blueprint Training, the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. Watch Training Now2. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Register Here3. Ask Your Toughest Practice Question: Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who 'get it.' Click Here.....P.S. Whenever you're ready, here are four ways Scale My Clinic can help you grow your General Practice without burning out:1. Spot the problems you're too busy to notice. Follow us on Instagram or Facebook for short videos on billing, recruitment, profit, team and leadership.2. Binge the best podcast episodes for whatever Practice problem you're working through. Search by topic3. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Click to Register4. Learn the exact framework we use to help Practice Owners improve profit, team performance and freedom. This video shows the exact system we use.
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    43 分
  • Ep 121: He Built a Practice That Doesn't Need Him
    2026/09/02

    Only 20% of GPs would consider Practice Ownership today. It used to be 45%. The RACGP asked the ones with doubts why, and 80% said the same thing: they're not sure it's viable.

    Mark Sujecki has been a Practice Owner for 30 years. Two multi-doctor Practices in Mount Martha, ten doctors running through the main one at any time, and he still surfs, plays tennis, and volunteers overseas most years. He built the business so it can run without him in the room.

    Todd sits down with Mark to get into how he actually engineered that – what he handed over, what he held onto, and why the Owners who get their time back are usually the ones who stopped trying to run everything themselves.

    What You'll Get From This Episode

    • Why Mark bought in for control, not money, and what that means for choosing your own partners
    • The two-clinics-one-culture model, and how it runs without micromanaging either site
    • How Mark made himself less essential to the Practice without shrinking the business
    • The team every new Owner needs before they buy in, and why "smarter than you" is the standard
    • Why 80% of GPs think ownership isn't for them, and the one question that changes their answer

    .....

    Mark Sujecki: Mark Sujecki is a GP and co-owner of two multi-doctor Practices in Mount Martha, Victoria, and has been a Practice Owner for over 30 years.

    Connect with Mark: LinkedIn

    Connect with Todd: LinkedIn

    .....

    P.S. Whenever you're ready, here are three ways Scale My Clinic can help you grow your General Practice without burning out:

    1. Get the Blueprint: Watch the free Practice Success Blueprint Training, the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. Watch Training Now

    2. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Register Here

    3. Ask Your Toughest Practice Question: Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who 'get it.' Click Here

    .....

    P.S. Whenever you're ready, here are four ways Scale My Clinic can help you grow your General Practice without burning out:

    1. Spot the problems you're too busy to notice. Follow us on Instagram or Facebook for short videos on billing, recruitment, profit, team and leadership.

    2. Binge the best podcast episodes for whatever Practice problem you're working through. Search by topic

    3. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Click to Register

    4. Learn the exact framework we use to help Practice Owners improve profit, team performance and freedom. This video shows the exact system we use.

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    29 分
  • Ep 120: How GP Owners Should Navigate the Surcharge Ban
    2026/08/26

    On 1 October 2026, surcharging card payments becomes illegal in Australia.

    The RBA says the change is about transparency and lower costs for consumers. The problem for GP Practices is that the underlying card fee doesn't disappear. Someone still has to pay it.

    And depending on how your money flows, that could be your Practice or your GPs.

    Todd recently taught this live to our Project X Members. One Owner thought the impact would be tiny. Once she ran the numbers, she realised it affected seven or eight of her GPs.

    In this episode, Todd and Sachin walk through what actually changes, where the cost can land, the maths behind the fee increases needed to break even, and how to handle the conversation with your team.

    What You'll Get From This Episode

    • Why removing the surcharge doesn't remove the fee, it just changes who pays it
    • The maths behind a 1.5% surcharge becoming a 4.3% fee rise for your Practice, or 2.3% for the GP
    • The hidden exposure many Owners haven't checked: GPs and tenants paying service fees or rent by card
    • Why cash, bulk billing and direct bank transfers can create problems of their own
    • Todd's four rules for navigating the change with your team

    .....

    Free Resource

    Download The Surcharge Reset™ Playbook to work out what card collection is actually costing your Practice, compare the four ways to handle it, catch the edge cases most Owners will miss, and take the right conversation to your GPs before you make a change.

    Download the Playbook here: https://smc.expert/The-surcharge-reset-playbook-d

    .....

    Connect with Todd: LinkedIn

    Connect with Sachin: LinkedIn

    .....

    P.S. Whenever you're ready, here are four ways Scale My Clinic can help you grow your General Practice without burning out:

    1. Spot the problems you're too busy to notice. Follow us on Instagram or Facebook for short videos on billing, recruitment, profit, team and leadership.

    2. Binge the best podcast episodes for whatever Practice problem you're working through. Search by topic

    3. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Click to Register

    4. Learn the exact framework we use to help Practice Owners improve profit, team performance and freedom. This video shows the exact system we use.

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    41 分
  • Ep 119: How Five GP Owners Make Decisions Without Getting Stuck
    2026/08/19

    Dr Annelies Geissler joined Robina Town Medical Centre and EZT Medical Centre as a contractor GP in 2008.

    Sixteen years later, she's one of five equal Owners running both Gold Coast Practices, with around 25 GPs across the group.

    Five Owners brings more experience and more capacity, but it also means more strong opinions in the room. Annelies breaks down how they choose the right people for ownership, split responsibility across two sites, and keep things moving when agreement doesn't come easily.

    What You'll Get From This Episode

    • What they look for before inviting a GP into ownership, and why clinical skill alone isn't enough
    • How five equal Owners divide roles without losing shared accountability
    • Why separate communication channels matter when you're running two Practices
    • How treating decisions as experiments helps strong personalities move forward without endless debate
    • Why they changed their fee structure to better recognise longer and more complex consults

    .....

    Connect with Todd: LinkedIn

    Connect with Annelies Geissler: LinkedIn

    .....

    P.S. Whenever you're ready, here are four ways Scale My Clinic can help you grow your General Practice without burning out:

    1. Spot the problems you're too busy to notice. Follow us on Instagram or Facebook for short videos on billing, recruitment, profit, team and leadership.

    2. Binge the best podcast episodes for whatever Practice problem you're working through. Search by topic

    3. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Click to Register

    4. Learn the exact framework we use to help Practice Owners improve profit, team performance and freedom. This video shows the exact system we use.

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    47 分