The Secret to Growing Your Practice: Why You Can’t Be the Doctor and the Manager

by | Jun 2, 2025

Introduction:

As your practice grows, you quickly learn that being both the doctor and the manager simply isn’t sustainable. While you may be passionate about providing excellent patient care, trying to juggle clinical responsibilities with managerial duties will stifle your growth. When you’re focused only on the day-to-day operations and managing staff, you limit your ability to focus on the bigger picture—the vision for your practice’s future.
To truly grow and scale, you need to spend time working ON your business, not just IN it. Working ON your business means stepping back from the daily grind to think strategically about where you want to go and how to get there. Without this, your practice will hit a growth ceiling and you’ll struggle to reach the full potential of your dreams. You need the time, systems, and processes in place to free yourself from micromanagement and empower your team to drive the business forward. Only then can you achieve the prosperity and success you’re striving for.
In this white paper, we’ll explore how you can delegate effectively, reduce micromanagement, and set your practice on a path toward growth using tools like Traction from EOS® (Entrepreneurial Operating System).

The Core Problem: Why Doctors Micromanage

Many doctors micromanage because they don’t trust their staff to carry out tasks to their standards. This lack of trust is often a result of unclear expectations. Without clear roles, responsibilities, and processes, staff members may feel uncertain about what’s expected of them. As a result, the doctor feels the need to oversee every detail.
The root cause is often a lack of a defined vision for the practice, along with poorly communicated procedures and roles. When you don’t have a clear vision, your staff doesn’t know how to align their efforts with your goals, creating confusion and inefficiencies.

The Importance of Vision, People, and Data

  1. Vision: Your practice needs a clear, unified vision. This isn’t just about where you want to go in terms of revenue or patient numbers, but about creating a shared understanding of what your practice stands for and how it operates. Strengthening your vision means getting everyone in your organization on the same page. When every team member knows and believes in the direction you’re heading, they can align their efforts toward making that vision a reality.
  2. People: The foundation of a growing practice is having the right people. You can’t do it alone, and your vision will only be realized if your team supports it. Hiring based on your core values—ensuring that the candidates get the job, want the job, and have the capacity to do it—creates the environment where trust is built naturally. If your staff understands the “why” behind what they’re doing, they’re more likely to execute tasks effectively, reducing your need to micromanage.
  3. Data: As you grow, emotions, opinions, and egos can cloud decision-making. That’s why it’s essential to focus on data that gives you a clear, objective pulse on your practice’s performance. By identifying key metrics, you can make informed decisions, rather than relying on gut feelings. Data removes the guesswork and provides transparency in all aspects of your business.

Key Components of a Growing Practice

Once you have your vision, people, and data in place, the next step is to focus on the following core components for effective practice growth:

  1. Issues: In many practices, problems are treated at the surface level, addressing symptoms rather than the root cause. This leads to recurring issues that plague the practice for years. The key to solving issues effectively is identifying the root cause and addressing it head-on. With the EOS® system, you are able to solve problems once and for all. By creating a culture of problem-solving that looks beyond the immediate issue, you ensure that challenges are eliminated permanently rather than repeatedly popping up.
  2. Process: Systemizing your practice is key to scalability. You need to identify and document the core processes that define the day-to-day operations of your practice, from patient intake to how staff interacts with patients. These processes should be clear, consistent, and followed by every team member to ensure smooth and efficient operations. Process creates consistency and helps you step away from the daily operations without sacrificing quality.
  3. Traction: Traction is about execution—taking the grand vision and translating it into actionable, day-to-day tasks that can be tracked and measured. The key is discipline and accountability, both of which will help you ensure that your practice is running efficiently and that your staff is aligned with your goals. Implementing EOS® Traction allows you to break down your vision into tangible, executable steps and build a culture of accountability throughout your organization.

The 100-Meter Dash Analogy:

Running a practice is like running a 100-meter dash. Every optometrist starts on the same line, full of ambition and determination, ready to race toward their goals. However, the true winners are often not the ones who run the fastest, but the ones who have the best systems, processes, and structure in place to carry them through the race.
In the fast-paced world of optometry, many practitioners fall to the level of their systems. Without the right structure, systems, and accountability, they find themselves struggling to achieve their goals despite their best efforts. The goal is not just to run fast, but to run efficiently and consistently. When you have clear processes and an organized approach, you create momentum that helps you accelerate toward your vision, no matter the obstacles.
Those who rise above the competition are the ones who build their practice with discipline, clarity, and a well-structured framework—like EOS®. They don’t just rely on sheer willpower; they’ve set up systems that enable them to execute at a high level and achieve their goals.

My Personal Experience with EOS®: A Journey to Less Stress and Greater Fulfillment

Having implemented the EOS® system in my own practice, I can attest to the profound impact it has had—not just on the business but on my personal well-being as well. Before EOS®, I was deeply involved in every aspect of the practice, juggling clinical responsibilities with management tasks. I found myself stressed, overworked, and struggling to find a work-life balance.
Since adopting EOS®, I’ve experienced:

  • Less Stress for Owners and Doctors: With clearer roles, defined processes, and a solid accountability structure, I’m no longer caught up in the minutiae of day-to-day operations. I can trust my team to handle their responsibilities while I focus on what matters most.
  • Better Accountability: EOS® helped instill a sense of ownership in my staff, which has improved overall performance and accountability. I no longer feel the need to micromanage; instead, my team is empowered to make decisions and solve problems on their own.
  • Fulfillment in What I Love: By implementing a clear vision and identifying my strengths, I’ve been able to focus on the aspects of the practice that I’m most passionate about and skilled in, while delegating the rest.
  • Increased Time: With a more organized practice and a team that operates efficiently, I’ve reclaimed time that I would have otherwise spent putting out fires or checking on tasks. This has given me the freedom to take on new ventures or enjoy personal time.
  • Increased Money: The structure EOS® provided helped optimize operations, which led to increased profitability. The team’s improved efficiency, combined with better tracking of key metrics, has allowed me to make more informed financial decisions.
  • More Time for Passions Outside of Work: Perhaps one of the most valuable outcomes of implementing EOS® is the ability to step back from the practice and spend more time with my family, hobbies, and personal passions. I now have a healthy balance between my professional and personal life.


Adopting EOS® has been transformative, not only for the practice’s growth but for my quality of life. It’s a system that enables doctors to scale their practices effectively without sacrificing their well-being.

Learn More About How EOS® Can Help Your Practice

Highland Optisupply runs on EOS®, and the owners, who also own private optometry practices with multiple locations, have seen firsthand the incredible benefits of implementing this system. EOS® has helped them grow their practices, improve team accountability, and reduce stress. The levels of prosperity and growth they’ve achieved have far surpassed what was previously thought possible, enabling them to scale their practices to multiple locations in ways that once seemed out of reach.
If you want to learn more about how EOS® can help your practice, the owners would be more than happy to speak with you about their experience. They have also helped many other optometrists adopt EOS® in their practices and have witnessed the positive impact it has had on their growth and success. Disclaimer, we do not provide EOS® coaching or services. We are simply willing share of our experience with using this system.


Contact us at: support@highlandoptisupply.com

Call: 989-303-1342

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