Josey Sewell, Former DSO COO and Clinical Leadership Expert, Reveals Dentistry's Uncomfortable Truth: Nobody Wants to Manage the Doctors.

Key Revelations:

• Associates crave feedback and mentorship, but dentist-to-dentist relationships are so broken that even reviewing clinical work feels impossible

• Dentists won't coach other dentists because they assume "what I know, you know"—massively underestimating their own expertise and leaving associates to drown

• When building org charts, groups enthusiastically discuss marketing, finance, and operations—then fall silent when it comes to clinical leadership

• The underground epidemic: Female associates are being systematically bullied by hygienists and assistants who have the ear of management, and nobody knows how to address it

The Clinical Leadership Vacuum

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"What's the ONE report a dentist owner should demand monthly to keep it simple?"

Ken's answer: Forget all the complex reports—there's only one metric that truly matters: Are you generating cash or burning it? Look at your statement of cash flows, find "cash from operations," subtract your capex, and you'll know instantly if you're building wealth or hemorrhaging money. If you're on cash-basis accounting and can't access this, demand your team figure it out—because this number tells the truth when everything else is just noise.

The "Ask Ken" Question:

Josey Sewell pulls back the curtain on the industry's most avoided conversation: Despite building org charts for hundreds of dental groups, she's never seen a hand immediately raise when it's time to fill the clinical director seat. The excuse? "Dentists don't need to be managed." The reality? Associates are starving for mentorship while groups burn through talent, and female dentists are being systematically bullied by teams—yet leadership turns a blind eye because they're too afraid to have the conversation.

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