Thriving Practice with Tracy Cherpeski

Why Practice Growth Isn't a Straight Line (And What To Do When It Cycles Back) - A Special SNACK Episode, EP 271

July 24, 2026·12 min
Episode Description from the Publisher

You survive a hard season of practice ownership and assume smooth waters are ahead. Then a new stage of growth arrives — a bigger team, a new location, more patients — and suddenly you're right back in the messy middle. In this SNACK episode, Miranda Dorta turns the tables on Tracy Cherpeski to ask why practice growth cycles instead of moving in a straight line.  Tracy unpacks the difference between cycling back through a hard season and actually losing ground, why new growth tends to restart the hard parts of practice ownership, and how a solo neuropsych practice's growth into a two-location, 20-plus-person team exposed gaps that “we're all adults here” couldn't fix. She also shares a personal story about getting knocked around by ocean waves that became a surprisingly useful metaphor for resistance versus surrender.  If you're a healthcare practice owner in a hard season right now, this conversation is a reminder: it's not regression, it's information.  Episode Referenced   The Alchemy of Change: What Burnout Is Really Telling You About Your Practice, EP 260    Read the full show notes, memorable quotes, and key takeaways.  Connect With Us:  Be a Guest on the Show  Thriving Practice Community  Schedule Strategy Session with Tracy  Tracy’s LinkedIn  Business LinkedIn Page

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