Let me endorse Michael Shuster`s concept of less is more by the following experience.
I had an office in a prestigious section of Boston with 18 employees. That included five lab techs dedicated only to my production and that of two associates utilizing seven chairs. Then, at 6:00 a.m., a call came from the Boston Fire Department. When we got to the office, tenants who lived above the office were wrapped in Salvation Army blankets and standing in the snow.
From seven chairs and 18 employees, we went to two chairs and three employees, one being my wife. The following calendar year saw us go home with more after-tax profit than ever before and a reduction in management problems. After years of lecturing about expansion and practice management, I now advise people to think carefully. Do you really want to get bigger? It was so nice to see five or six patients a day and send out my lab work to grateful technicians. Good luck to small!
Justin Lee Altshuler, DMD
Henry M. Goldman School of Dental Medicine