The Practice Builders

The Practice Builders

by Dr. Vince Leone and Dr. Kyle Pankonin

Season 1

25. How to Optimize Your Consultation for Less Stress and More Enrollments

In this episode of the Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin reveal how to transform your consultations into efficient, stress-free, and enrollment-driving experiences. You’ll discover: Why your front desk team is the true “ambassador” of your clinic and how to train them for success The role of paperwork in creating a smooth patient flow (without frustrating new patients) How to leverage CAs or scribes to streamline consults and exams The importance of creating a wow experience that sets your clinic apart from “every other office” Why most Day 2 problems are really Day 1 deficiencies — and how to fix them How to build trust quickly so patients enroll with confidence If you’ve ever felt bogged down by long consultations or inconsistent results, this episode will help you refine your systems, free up your time, and build deeper connections with patients. Listen now and learn how to optimize your consultations for practice growth and patient success.

24. How to Optimize Your Time with Creating Your Not to Do List

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankenin reveal a powerful yet often-overlooked tool for growing your practice and reclaiming your time — the Not To-Do List. You’ll discover: Why eliminating certain tasks can be just as important as completing your to-do list How to identify low-value, energy-draining activities in your work and home life Practical steps for creating your own Not To-Do List Real-world examples of how delegating tasks can boost patient volume, revenue, and personal freedom How to shift your mindset from “doing it all” to focusing on the highest-value activities only you can perform Whether you’re a solo practitioner or running a busy, staff-driven practice, this episode will help you optimize your time, leverage your team, and create more space for growth and fulfillment. 🎧 Listen now and start building your own Not To-Do List today!

23. $100K Months - The Ultimate Decompression Marketing Blueprint

In this episode, Dr. Vince Leone reveals The Ultimate Decompression Marketing Blueprint — the same strategy that’s helped scale his own clinic to seven figures and empowered clients across the country to consistently hit $100K/month with spinal decompression. You’ll learn: Why most decompression marketing plans fail (and the fixes that work) How to reach the 37% of your market that most clinics overlook The 6 pillars of a dominant, long-term decompression marketing plan Practical systems to generate high-quality leads, build authority, and increase conversions year after year If you’re ready to stop chasing unqualified leads, avoid the race-to-the-bottom on price, and position yourself as the go-to disc expert in your community — this episode is your roadmap. Resources & Links: Learn more about the Decompression Accelerator: decompressionaccelerator.com 🎧 Listen now and start building your path to $100K/month.

22. The Shockwave Sprint: Fast Tracking Pain Relief with Dr. Tony DiCesaro

We just dropped a brand-new episode of The Practice Builders Podcast — and if you’ve ever thought about adding shockwave therapy or expanding your practice with a high-profit cash niche, this is one you can’t afford to miss. In this episode, Dr. Vince Leone sits down with Dr. Kyle Pankonin and Dr. Tony DiCesaro to go behind the scenes on two powerful new initiatives that are helping clinics scale fast — without the insurance grind. Here’s what you’ll learn: 💥 The Shockwave Sprint: 90-Day Implementation Program • The exact clinical and marketing systems used to generate $46k in just 2 days • What’s included in the program — from protocols to team training • How to position shockwave as a specialist service in your community Whether you're exploring new cash services or looking to grow an existing one, this episode will give you a proven blueprint for results. 👉 Tune in now and get ahead of the curve.

21. Decompression Summit Certification 2025 Preview

In this episode, we’re giving you a behind-the-scenes preview of the 2025 Decompression Summit Certification, the most anticipated event of the year for growth-minded chiropractors focused on growing Spinal Decompression. Join Dr. Vince, Dr. Kyle and Dr. Tim Burkhart as they break down: Why decompression is the #1 cash niche to scale in 2025 The exact clinical and marketing systems being taught at the Summit New additions this year: breakout sessions, advanced protocols, and real-time implementation tools How the certification will position you as the go-to disc specialist in your area What to expect from the 3-day immersive experience — including hands-on training, staff workshops, and strategic growth plans Whether you’re just getting started with decompression or looking to scale it to 6-figures and beyond, this episode will show you why this Summit is a must-attend event. 🎟 Secure your spot now → 👉 https://hilldtsolutions.regfox.com/specialized-practice-decompression-summit-certification-2025

20. Pre-Framing The Close 4 Questions To Ask Before Talking Finances

📅 Episode Summary: In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin dive into a powerful strategy that can dramatically improve your patient conversion rates: pre-framing the close. Before ever discussing money, there are four critical questions every chiropractor should ask during the report of findings. These questions are designed to eliminate common objections before they come up — like time, spouse approval, readiness, or overall fit. This episode walks you through how and when to ask these questions, why they matter, and how they help create a smoother path to patient commitment. 🎯 What You’ll Learn: Why financial objections aren't always about money The “Four Horsemen” questions that defuse resistance in advance How to create buy-in around time, support, and urgency Simple language and timing tips to insert these seamlessly into your ROF How this pre-frame strategy creates clarity, commitment, and conversions 🛠 The Four Questions Covered: Does this seem like a good fit for you so far? Are you able to make this type of schedule work? Do you have the support of your spouse or anyone else involved in your decision-making? If everything makes sense, when would you want to get started? 📌 Perfect For: Chiropractors looking to streamline their ROF, reduce objections, and increase starts on high-ticket care plans — especially for decompression and other advanced cash-based services.

19. Dr. Josiah Fitzsimmons' Interview

Episode Summary: In this powerful episode, Dr. Vince sits down with Dr. Josiah Fitzsimmons—one of the most successful chiropractic practice owners in the country. From humble beginnings to building a thriving, multi-location, staff-driven practice, Dr. Fitzsimmons shares the systems, mindset, and strategies that helped him scale efficiently while maintaining high-quality care. Whether you're just getting started or looking to break through a growth plateau, this conversation is packed with real-world insights you can apply immediately. What You’ll Learn: How Dr. Fitzsimmons positioned his clinic as the go-to provider in his region The clinical and operational systems that allowed him to scale without burning out Why internal leadership development and staff empowerment are game-changers Keys to creating a patient experience that drives referrals and retention The role of strategic marketing and reputation-building in his explosive growth How he balances family life and business success Quotable Moments: “We stopped being just a chiropractic clinic—and became a solution center for chronic pain.” “When your team is fully bought in, you no longer have to carry the entire practice on your shoulders.” “Scaling is about predictability, not just volume.”

18. How to Hire an Associate

Hiring an associate can either be one of the best growth decisions you make—or a costly mistake. In this episode, Dr. Vince Leone and Dr. Kyle Pankonin break down the when, why, and how behind bringing on an associate. From practice structure and revenue benchmarks to onboarding, expectations, and red flags, this episode gives you the playbook for hiring smart. What You’ll Learn: When your practice is truly ready for an associate (hint: it's not just about being "busy") The ideal team structure to have in place before hiring Key metrics to evaluate (volume, collections, conversion rates) Red flags to avoid when interviewing candidates How to structure compensation to protect your margins and incentivize performance Why most associate hires fail—and how to set yours up for long-term success Perfect For: Chiropractors nearing capacity and feeling overworked Owners looking to scale operations and free up clinical hours Practices that have hired in the past but struggled with retention or results

17. Scaling Smart: When to Add Staff, Systems & Technology

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin dive into one of the most common (and costly) pitfalls growing practices face—scaling too fast or too sloppy. If you’ve ever wondered “Should I hire another CA?”, “When should I invest in better software?”, or “How do I get out of the day-to-day chaos?”—this one’s for you. Inside This Episode: The 3 warning signs you're overdue for new systems or staff Why throwing bodies at problems is NOT the solution How to scale profitably with lean, efficient teams When to bring on an operations manager vs. a virtual assistant The “traffic light framework” for making smart scaling decisions Tools and tech that actually save you time (and which ones to avoid) Real-world lessons from practices that scaled too early—or too late Whether you're at $30k/month or pushing $100k/month, this episode will help you grow with intention—not just add overhead. Resources Mentioned: Team Org Chart Template (Download) SOP Starter Kit Our Hiring Funnel Walkthrough (free video) 📌 Connect With Us Website: specializedpractice.net Facebook Group: Specialized Practice Inner Circle Instagram: @drvinceleone

16 . Best Books for Personal and Professional Growth

In this episode of the Practice Builders podcast, we share our top book recommendations for personal and professional growth. Between the two of us, we highlight seven impactful books that have shaped our thinking around clinical mastery, business development, and mindset. We dive into why we often prefer older, time-tested books—written by people who’ve lived what they teach—over many modern titles that feel more like sales funnels. Our conversation emphasizes the importance of lifelong learning and staying growth-minded, both for delivering better care and building a thriving, sustainable practice. We hope you find value in these recommendations and invite you to share the episode with a colleague who's equally committed to growth and excellence. To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/ To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

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