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Hi everyone, this is Erica Spicer
Mason with Becker's Healthcare.

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Thanks so much for
tuning in with us today.

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Today we'll be talking about dentistry,
dental support organizations,

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and a D S O model you may
not have heard about before.

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Joining me for the conversation
is Dr. Mitchell Ellingson,

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the Chief Clinical Officer and
co-founder of Gen four Dental. Mitch,

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thank you so much for joining us today.

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Well look, looking forward
to the conversation, and, uh,

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appreciate you guys having me here, Erica.

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Of course. So happy that you could
join us. So, to get us started,

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I was wondering if you could just share
a little bit more about your background

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and your current role.

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Yeah, yeah, happy to. So, uh,

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I've been practicing dentistry for
the last 16 years here in Scottsdale,

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Arizona. Um, over, over that period
of time, done a, done a few things.

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Been in the multi-practice where I
owned, uh, a few practices of my own. Um,

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also, uh,

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started a software company
in 2013 that eventually was

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acquired by a group called
Spear Education. And, uh,

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then helped them to stand up their,

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their business division
called Practice Solutions,

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which I ran for six years with a,

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a really talented team there
at Spear Education. Um, after,

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after that kind of found, uh,

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its its point of kind of winding down
in my life, you know, I decided, uh,

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to found another company kind of in
line with my ultimate passion, which is,

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you know, kind of really
protecting the, the,

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the specific type of dentistry
that I'm used to doing, um,

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that places like Sphere Education, Dawson
Academy, all those train on is that,

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uh, ended up founding Gen four to,

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to really bring the best and
brightest together so that we could,

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we could do it together inside
the consolidation space.

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And that's where I am at today and,

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and excited to kind of dive deeper into
our model and how we make that work.

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Great. Well, thank you so
much for sharing all of that.

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It's clear that you're the perfect person
to be talking about dentistry today,

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not just from the clinical side, but
also the business and financial side too.

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So I'm really excited to dig in here.

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So I mentioned up top that the
Gen four dental company has

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somewhat of a unique D s O model.

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I'm wondering if you can tell us just
a little bit more about that model and

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also what makes it different.

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You know, when,

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when I describe our model to any of
our partners before they even come on,

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you know, it is really about
helping them to understand what,

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what the structure of the business
is. And it's not, uh, it's not to,

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to sell them on the structure,

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it's to make sure that it fits their life
and what they want to get out of their

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practice, right? So it's super
important that they understand that,

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that what they know and think about
dental service organizations, um, is,

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is really not what we are, right? It's
not a hundred percent how we operate Now.

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We fall in that category.

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We have all a lot of the consolidated
services in the background from hr,

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treasury management, all that fun
stuff, which is typical to these groups.

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But when you dig into how we
interact with our doctors,

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that's where we completely
differentiate, right? So it's in,

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in a lot of these
businesses, I would say it,

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it's typically the strategy is gonna
come from the top and work its way down.

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In our business. We, we look to
interact with every one of our doctors,

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understand what their goals,
what their visions are,

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so that we can find the common
threads and put together, um,

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an action plan that aligns with what
they're trying to get outta their career.

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And then we move,

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that's where our operations team will
build plans around what they're hearing on

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an individual practice basis so that
they can help them to achieve, you know,

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their vision of success and what
they want to get outta their career.

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So it's really, uh, it's
the, you know, from the,

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the service part of D S O, right?

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I would say that we look
at service from bottoms up,

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whereas a lot of times I think,
uh, it's looked at from a,

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a tops down perspective,
right? So, so that's where we,

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we kind of get into something that we
deem the, the collaborative doctor model,

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and I, I know we're gonna go into that
today and, and help to understand what,

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what collaborative doctor
model really means.

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Absolutely. Yeah, and it really sounds,
just based on what you described,

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I can already tell how doctor
focused your approach is, um,

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which I think is a really important
consideration when we think about

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clinical autonomy,

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which is something that we're hearing
a lot about today in the space.

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We're hearing that desire for
clinical autonomy come up a lot.

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And so I'm curious how you keep that
promise of clinical autonomy and

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also manage to still set up
processes that you can make sure are

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efficient and also scalable
across your client base.

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I mean, uh, I think clinical
autonomy, autonomy in general is,

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is kind of a buzzword that's out
there right now that, you know, I, I,

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I would argue it's, it's much easier
to say than it is to actually do.

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And so you gotta go to the, the model
of how we built gen four. Again, it's,

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it's gonna connect to what we'll talk
about when it comes to the doctor

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collaborative model, but it,

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it all starts with understanding what
the desires are of our dentist and our

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hygienist, right? So we look at it
just our clinical team in general,

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what do they want to achieve? And,

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and helping them to express what
that is because interesting enough,

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when you ask someone what they
want, a lot of times they,

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they don't really know how to express
their, their true desires <laugh>,

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which you would think is easy.
But, uh, at the end of the day,

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that's why we have a very well trained
team internally of dentists that help

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other doctors to express what they want
to get and then help them to define how

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they're gonna go get it, right.
So when they lay out those plans,

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that's where the autonomy's
at, right? Because they,

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they are the ones dictating
what they want to get,

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how they're gonna get there with
their team. What we do as a,

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a response to that from the operation
side is we just look at what they want and

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understand the support that is
needed. This is the, you know,

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the service side of, of the,

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the D s O side of the business is that
we look at what is needed and then we

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build our plans around what they're,
what they're trying to do, right?

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And so the,

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the beauty of dentistry being a very
niched industry is there's not gonna be a

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hundred different versions of
things that they want to do.

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That's how this is all
possible, is that, you know,

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typically you're gonna see dentists that,

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that want to focus in areas of
cosmetics or surgery, implant placement,

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maybe clear liners. But then we go
to our hygienist and I can tell they,

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they typically will focus in areas
of like laser therapy and, and,

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uh, myofunctional therapy. Those are
gonna be things that they wanna focus on.

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So as long as you understand
how to deliver and support,

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when someone goes to a
different type of course, um,

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or develops a different skillset,

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we're able to just help them to
get where they want to go, right?

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Versus asking them to, to deliver
on something that we need, right?

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It's all gotta be aligned with the
strategic imperatives of the business.

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It's all gotta make sense. Of course,
we don't just leave it wide open, but,

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you know, it it,

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it encompasses the ability for everybody
to have the autonomy and flexibility

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that they want to be able to do whatever
they were doing before. Cuz our,

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our entire model revolves around the
fact that we are trying to maintain the

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legacy and the practice structure that
was in place when we partnered with the

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group that we're with, right?

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That's why partner selection's
so important to gen four
is that we have to make

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sure that they're a perfect fit for
what the organization is set up to be.

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Right?

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So that's why when we talk about clinical
autonomy or a doctor collaborative

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model, I'll go back to the point that I,
i I made before, and that's, you know,

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we don't use those as wizbang words.

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It's to be very clear the structure
of the business that we've,

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we've created here and, and
what that means to them.

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Because we wanna make sure that if you're
gonna partner with gen four, uh, that,

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that we're a fit for each other, right?

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That we truly align on vision and
values before we, we go into the,

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the, the relationship side of this, the
partnership side. If that makes sense.

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Yeah, that makes a lot of sense.

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It sounds like your team has such
a customizable approach while also

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relying on some of those best
practices and what you know,

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to be true in this niche industry.

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But I really appreciate you sharing
that explanation cuz it really gives

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some tangible insight
to how you approach, um,

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each of your potential and new partners.
So that's really great to hear.

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And I know we keep kind of going back
to this concept of a collaborative

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doctor's model. Um,

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and so I think it'll be really important
for our listeners to hear more about

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that and also what kind of
innovations or solutions and outcomes

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are, are coming out of
this type of approach.

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Yeah, so, uh, the collaborative doctor
model, I mean, I think that is, um,

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you know,

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I I think anybody who's been in a truly
collaborative environment understands

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the complexity of collaboration, right?
And so when we're talking about it,

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you could say, you know, a lot of times
you'll hear like DR centric, right?

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Is is what, what a, a business
or group will say. Um, I,

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I hope you kind of appreciate the fact
that there's a word model in in our,

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our label here. Cuz the collaborative
doctor model is, again, it's not a label,

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it's, it's a process,
it's a system, right?

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So we make sure that our doctors are
supported as a network altogether,

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uh, so that we can,

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we can understand the synergies that
we might find between groups that are

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trying to do similar things between, um,

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doctors that may have a skillset that
they can help another younger doctor to be

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able to have that skillset, right?
When you look at our partners,

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you're gonna see some of the
industry leaders for, um, you know,

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full mouth restorative type
treatment, cosmetics, you know,

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just bread and butter dentistry. I
mean, you're gonna see mentors, leaders,

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teachers, amongst our midst. And
that's, that's on purpose, right?

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Because when you're, when you're
doing a truly collaborative model,

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you need to have the resources
to be able to do that.

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So when you think of the things that,

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that have come out from the
innovation side of this,

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which I think has been really fun,
is, is that we have, uh, a group,

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we have something called Gen Forum, right?

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And so gen Forum is where our doctors, uh,

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talk about cases with each
other. They'll post things,

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they'll post questions and allow our
subject matter experts and the rest of our

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team to chime in to help them to go
through a case. They might have a,

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something that just came up in the
middle of the day. They'll post it on,

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on teams or something
called Yammer. And uh,

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you'd be amazed at the amount of support
and response that they get, right?

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Because these, these are truly
partners, right? Because I,

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I think part of when you become a bigger
group and you become a little more

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geographically dispersed, it's hard to
maintain relationships at a deep level,

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right? To the point where you can
truly collaborate. Cuz you know, when,

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when somebody comes in to
any business, I believe,

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like learning to collaborate and challenge
each other in a thoughtful way and

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to, to really, you know,

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professionally disagree and professionally
agree with each other, you know,

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those things have to be taught and
especially to a group of doctors.

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And I think our doctors would would admit
to this is that some of 'em have been

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on their own for decades, right?

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So collaboration isn't something they've
had to practice in a decade plus.

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So there's definitely a learning
curve that goes along with that.

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But once they understand how
to push back on each other,

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how to thoughtfully disagree and how to,

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how to let that pressure kind of
make an idea better, uh, it's,

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it's amazing what what can be done, right?

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And so like our gen forum of
seeing people support each other,

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that was an idea that came from
collaboration. Um, you know,

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we're gonna be launching an internal
podcast part, which is again, a tool to,

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to have people collaborate and hear each
other's ideas. You know, we have our,

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our doctors work in study clubs so
that they can constantly iterate and,

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and work with each other and see each
other's skill set so that they understand

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what questions they can ask each other.

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So those pieces of innovation have
created a network of doctors that I,

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I will tell you that's why,
uh, you know, I'll just,

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I'll say this as a joke in inside of
our, our podcast here, is that, you know,

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that's why we had to deal with all of my,

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my wonderful prompts cuz what are those?

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That's our doctors all 150 plus of
them constantly talking to each other,

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right? Mm-hmm. <affirmative>.

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Now they use different
messaging platforms to do that,

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but I would say 18 months ago,

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like they didn't really know each other
that well. You fast forward to today,

220
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you get to see them
constantly interacting.

221
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Cuz I have a view where
I get to watch their,

222
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their communication and I could tell
you it's, it's all the the time <laugh>,

223
00:11:53,820 --> 00:11:57,020
right? They're, they're constantly
working with each other and,

224
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and I'm a big believer that every
conversation leads to the ability to

225
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collaborate better. Cuz you're
getting to know each other better.

226
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You're getting comfortable,
you know, cuz I,

227
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I think we can all agree that
when we first meet someone,

228
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our first thing isn't to try to disagree
with them cuz we're not comfortable

229
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with them yet. But, but
eventually, you know,

230
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once you get to that level of comfort,

231
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you can truly challenge each other's idea.

232
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And that to me is that's
where innovation is made.

233
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And I've seen innovation
inside how we meet.

234
00:12:21,780 --> 00:12:25,900
I've in seen innovation inti inside
of how we teach each other, uh,

235
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that has come from this cuz everybody's
learning better and better ways to

236
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interact inside the collaborative model.
And so that's, that's where, you know,

237
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our, our individual growth engine and
how we help every doctor and hygienist,

238
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um, has really proven to be fruitful.
You know, it, it's, it's exciting to see,

239
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you know, how they, they,

240
00:12:43,530 --> 00:12:47,420
they come into even gen four
thinking maybe that they're,

241
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they're good to go and
their, their career or their,

242
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their skillset and then they start to
get excited about learning again. And,

243
00:12:53,940 --> 00:12:54,860
and we measure all that.

244
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Like we do a lot of internal surveys
to understand like how they think about

245
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that. And it's definitive
as we looked at it,

246
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is that they really appreciate every
doctor that comes in appreciates once they

247
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understand what the
individual growth engine is,

248
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how it supports them in their career and
how, and uh, it's not this, you know,

249
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removal of autonomy as we
were talking about, right.

250
00:13:15,260 --> 00:13:17,020
And saying Here's what I need from you.

251
00:13:17,020 --> 00:13:19,540
Cuz that's obviously the
exact opposite of autonomy.

252
00:13:20,580 --> 00:13:23,670
Absolutely. And just
from what you described,

253
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that level of engagement that you're
seeing among the folks that gen

254
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four partners with,

255
00:13:29,590 --> 00:13:34,310
it really does highlight that
craving for ongoing learning and

256
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community and communication.

257
00:13:36,080 --> 00:13:40,270
So it's really great to see that your
practice has been able to really foster

258
00:13:40,270 --> 00:13:44,550
that among the folks that
you partner with. Yeah.

259
00:13:44,680 --> 00:13:49,430
So the more I'm hearing about Gen
four's approach and all of the

260
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tools and resources that are offered,

261
00:13:51,630 --> 00:13:56,030
I imagine most dental leaders who are
listening to this podcast right now are

262
00:13:56,270 --> 00:14:00,190
probably wondering, okay, I'm interested
<laugh>, how do I get involved in this?

263
00:14:00,680 --> 00:14:03,230
Um, but I wanna go back to
something that you mentioned.

264
00:14:03,240 --> 00:14:06,550
It sounds like Gen four
has a really strong, um,

265
00:14:06,870 --> 00:14:10,310
approach to making sure the
partnership works both ways.

266
00:14:10,720 --> 00:14:14,470
So I'm curious if you could just shed
a little bit of light on how dental

267
00:14:14,830 --> 00:14:16,550
practices can approach gen for,

268
00:14:16,810 --> 00:14:19,350
for a partnership and what
does that process look like?

269
00:14:20,150 --> 00:14:20,670
Well,

270
00:14:20,670 --> 00:14:25,330
I I will tell you that referrals
are typically the way that,

271
00:14:25,330 --> 00:14:29,130
that we find partners
right now, we, we have a,

272
00:14:29,130 --> 00:14:32,730
a great mergers and acquisitions team,
but you know, I will tell you that it's,

273
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it's usually that they're gonna be
introduced from someone that is already a

274
00:14:36,970 --> 00:14:39,530
partner that knows about us,
right? So that is our most,

275
00:14:39,530 --> 00:14:42,690
most common pathway to have
the conversation with us.

276
00:14:42,690 --> 00:14:46,330
But should you know someone as
they listen to this, you know,

277
00:14:46,330 --> 00:14:48,730
want to get more information first,
I would say go to the website,

278
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start to look at those things and just
understand what Gen four is all about.

279
00:14:52,520 --> 00:14:55,120
Cuz you know, we're, we're,
we're definitely, uh,

280
00:14:55,120 --> 00:14:58,440
a passionate group about
supporting docs. Um, but you know,

281
00:14:58,440 --> 00:15:00,240
there we have a very defined model of,

282
00:15:00,240 --> 00:15:03,600
of the type of doctors that we think
are the best fit inside of here, right?

283
00:15:03,600 --> 00:15:04,640
Because, um,

284
00:15:04,640 --> 00:15:07,800
we have to put together the right group
of people cuz it's not fun for anybody,

285
00:15:07,800 --> 00:15:11,320
you know, the doctor or for us
if, if the partner that, that,

286
00:15:11,320 --> 00:15:15,080
that would come on, it doesn't embrace
the model that we just talked about.

287
00:15:15,080 --> 00:15:18,200
Right? If that doesn't excite
you, then then Gen four would,

288
00:15:18,280 --> 00:15:21,800
would probably not be the the place
that would feel fulfilling to you.

289
00:15:21,800 --> 00:15:24,840
But if it resonates with you,
um, and let's say, you know,

290
00:15:24,840 --> 00:15:27,280
someone that's part of the group and
that's where you can go on the website and

291
00:15:27,280 --> 00:15:30,960
kind of understand is that may wanna
reach out to them first and say how,

292
00:15:30,960 --> 00:15:33,920
how it's going, right? Because, you
know, like, I'm gonna be self-serving.

293
00:15:33,920 --> 00:15:36,040
I love my business, I'm gonna
tell you how great it is.

294
00:15:36,040 --> 00:15:38,720
I would reach out to people that
work with us and ask, you know,

295
00:15:38,720 --> 00:15:41,600
what their thoughts are and, and
if that makes sense then, you know,

296
00:15:41,600 --> 00:15:45,080
look for a referral into gen
four, right? And there's also,

297
00:15:45,080 --> 00:15:48,280
there's also ways that you can reach
out, you know, from from the website to,

298
00:15:48,370 --> 00:15:51,480
to ask for more information should,
should there be some interest.

299
00:15:52,250 --> 00:15:55,500
Sure. Thank you so much.
That's really helpful. Um,

300
00:15:55,500 --> 00:15:57,620
and a great takeaway for those listening.

301
00:15:58,280 --> 00:16:01,540
And I also wanted to take
that a little bit further.

302
00:16:02,010 --> 00:16:05,260
Once a dental practice
does partner with Gen four,

303
00:16:05,790 --> 00:16:08,900
do you have any examples
of how they can see,

304
00:16:08,900 --> 00:16:13,420
expect to see their practices grow, maybe
become more productive or efficient?

305
00:16:13,420 --> 00:16:16,660
Any kind of just quick
success story or, um,

306
00:16:16,980 --> 00:16:20,180
anything you can share that
would highlight what they
can expect as a result of

307
00:16:20,180 --> 00:16:21,420
the partnership would be great.

308
00:16:21,560 --> 00:16:23,740
For sure. I mean there's, there's a, a, a,

309
00:16:24,010 --> 00:16:27,780
a bunch of examples I could throw out
there, but I'll, I'll throw out, you know,

310
00:16:27,780 --> 00:16:32,180
one, one in particular, right? That, you
know, when we're working with doctors,

311
00:16:32,250 --> 00:16:35,980
I mean, it, it, it, it happens where
a doctor can get complacent, right?

312
00:16:35,980 --> 00:16:36,980
And they can be in, uh,

313
00:16:36,980 --> 00:16:39,380
kind of just doing dentistry
for the sake of doing dentistry,

314
00:16:39,380 --> 00:16:42,940
working their their nine to five and don't
realize that they're kind of stuck in

315
00:16:42,940 --> 00:16:45,700
a rut. So, you know, when they,
when they come on with us,

316
00:16:45,700 --> 00:16:48,420
and I'm one group in
particular that, you know, I,

317
00:16:48,420 --> 00:16:50,620
I would tell you that
they'll, they'd even met,

318
00:16:50,620 --> 00:16:54,300
they were just kind of in that place
where business was great, but you know,

319
00:16:54,300 --> 00:16:54,500
they,

320
00:16:54,500 --> 00:16:57,220
they kind of stopped doing the things
that they loved at the level they wanted

321
00:16:57,220 --> 00:17:00,940
to do. So, you know, we started to
work with, it was multiple partners,

322
00:17:00,940 --> 00:17:05,020
so I'll just kind of refer to two. And
they had very distinct interests. One,

323
00:17:05,020 --> 00:17:08,060
one decided after we talked a
little bit more that, you know,

324
00:17:08,060 --> 00:17:10,300
their passion really
was, was locked up in,

325
00:17:10,300 --> 00:17:12,620
in wanting to do more clear
liners and tooth movement.

326
00:17:12,820 --> 00:17:14,900
Another one of the
partners, same practice,

327
00:17:14,900 --> 00:17:19,140
was more about placing implants and
doing more surgical procedures. So we,

328
00:17:19,230 --> 00:17:23,340
we help them to define exactly how they
can achieve both those goals. Again,

329
00:17:23,340 --> 00:17:24,660
going back to our, you know,

330
00:17:24,660 --> 00:17:27,980
our individual growth engine and our
collaborative doctor model is that we

331
00:17:27,980 --> 00:17:30,860
understand what they want, we
build the plan around how we,

332
00:17:30,860 --> 00:17:34,260
we think they can best get
it. And then they have to,

333
00:17:34,260 --> 00:17:37,860
they have to bless that plan once
they're in, we just go into execution.

334
00:17:37,880 --> 00:17:41,580
And what was really fun about
this group is that, you know,

335
00:17:41,580 --> 00:17:44,660
I I was just looking at, you know,
the, the growth that they'd had,

336
00:17:44,660 --> 00:17:47,340
cuz now they've been on with us
18 months, is that, you know,

337
00:17:47,340 --> 00:17:51,680
that one doctor went from doing, you
know, he did five, six aligners a year.

338
00:17:51,680 --> 00:17:54,480
Now he's doing 70 aligners
a year, right? So,

339
00:17:54,580 --> 00:17:58,040
and he's continuing to grow and that
number is just the beginning. You know,

340
00:17:58,040 --> 00:18:01,160
the, the other doctor
was, was doing, you know,

341
00:18:01,160 --> 00:18:03,200
a handful of implants a month now,

342
00:18:03,200 --> 00:18:06,680
now that doctor is doing 10
plus implants a month and,

343
00:18:06,680 --> 00:18:09,040
and enjoying it more cuz
that's where, you know,

344
00:18:09,040 --> 00:18:12,240
his passion was he just couldn't
figure out how to make it, um,

345
00:18:12,240 --> 00:18:15,280
hit the ground inside of his
practice. So, you know, it's,

346
00:18:15,280 --> 00:18:19,240
it's variable for everybody. A and it
goes from doing cosmetic dentistry,

347
00:18:19,240 --> 00:18:24,120
more complex cases, t m d more large,
full large surgical type procedures.

348
00:18:24,180 --> 00:18:25,120
You know, there's,

349
00:18:25,120 --> 00:18:29,000
there's an example in each one of
those that followed that same path.

350
00:18:29,290 --> 00:18:32,560
It was basically either working with a
younger doctor that was trying to build

351
00:18:32,560 --> 00:18:34,760
that skillset, um, or it's,

352
00:18:34,760 --> 00:18:38,840
it's with a doctor that has that skillset
that just somehow it stopped becoming

353
00:18:38,840 --> 00:18:42,960
what they were doing on a regular
basis. So that's, that's a,

354
00:18:42,990 --> 00:18:47,240
a very typical interaction coming
into gen four. Uh, cuz our model is,

355
00:18:47,290 --> 00:18:50,880
is not about not about speeding up and
seeing how many patients you can see.

356
00:18:50,950 --> 00:18:53,880
It's about being methodical with
the patients that you're seeing.

357
00:18:54,180 --> 00:18:55,920
And and I would say more often than not,

358
00:18:55,920 --> 00:18:58,720
we're asking the doctors to
just slow down a little bit,

359
00:18:58,720 --> 00:19:01,400
spend some more time with
the patient connect, right?

360
00:19:01,400 --> 00:19:05,000
Because sometimes you don't even
realize that you're not connecting. And,

361
00:19:05,000 --> 00:19:05,680
and we have a,

362
00:19:05,680 --> 00:19:09,920
a pretty strong data set that helps us
to identify when a doctor's able to,

363
00:19:09,920 --> 00:19:14,800
to connect with a patient even in a
periodic exam or a new patient exam and to

364
00:19:14,800 --> 00:19:17,960
just show them like that
level of connection so that
they can tweak what they're

365
00:19:17,960 --> 00:19:21,760
doing to, to further the type of
dentistry they want. So that's,

366
00:19:21,760 --> 00:19:26,400
that's where it gets fun because you get
to see doctors kind of reinvigorating

367
00:19:26,400 --> 00:19:30,080
the passion that they have in dentistry.
And once they take that first step,

368
00:19:30,080 --> 00:19:33,480
what we see is they just keep taking
more and more steps to grow their,

369
00:19:33,480 --> 00:19:37,960
their skillset and, and organic growth
falls in right behind it. So it's, uh,

370
00:19:37,960 --> 00:19:40,080
it's probably my favorite
thing to watch, to be honest,

371
00:19:40,080 --> 00:19:44,680
is to watch someone find their path again
or to be able to just go stronger down

372
00:19:44,680 --> 00:19:47,320
the path they were already on and,
and just do more dentistry they love.

373
00:19:48,350 --> 00:19:49,110
For sure.

374
00:19:49,110 --> 00:19:53,890
And I really appreciate how
you explained that almost

375
00:19:54,130 --> 00:19:59,130
delicate balance of getting doctors
to slow down with you in the process

376
00:19:59,260 --> 00:20:02,250
to be intentional about their
goals and what they wanna achieve.

377
00:20:02,470 --> 00:20:06,330
But then also I'm hearing that you're
seeing results in your clients within 18

378
00:20:06,330 --> 00:20:09,690
months, if I heard you
correctly. So, um, it's really,

379
00:20:10,120 --> 00:20:13,730
it's great to hear that there is
that balance of getting things done

380
00:20:13,730 --> 00:20:15,890
intentionally, but also
getting results quickly.

381
00:20:16,840 --> 00:20:20,130
Yeah, and, and I'll, I'll correct
it just a a little bit. I mean,

382
00:20:20,130 --> 00:20:22,490
it 18 months is like
how long they've been,

383
00:20:22,490 --> 00:20:24,370
they've been working through
this thing, but, you know,

384
00:20:24,370 --> 00:20:27,610
typical growth pattern to get
like kind of spun back up, it's,

385
00:20:27,610 --> 00:20:30,050
it's about five to seven
months, right? And so that's,

386
00:20:30,120 --> 00:20:34,530
that's where it usually takes getting
all the systems and process aligned to,

387
00:20:34,740 --> 00:20:37,610
to support a doc in, in what
they, what they're trying to do.

388
00:20:37,660 --> 00:20:39,730
So it actually happens more quickly,

389
00:20:39,730 --> 00:20:42,170
but it just continues to
build up momentum after that.

390
00:20:42,660 --> 00:20:44,980
Great. Now thank you for clarifying.

391
00:20:45,790 --> 00:20:49,840
So I think this is a really
great kind of note to wrap up on.

392
00:20:50,380 --> 00:20:55,080
I'm just seeing so much innovation
within gen four and then you as an

393
00:20:55,080 --> 00:20:59,320
individual, Mitch, you've, you are such
an innovation focused person yourself.

394
00:20:59,370 --> 00:21:01,240
So as you look to the future,

395
00:21:01,470 --> 00:21:05,600
what do you think is on the horizon for
dentistry and DSOs and what's exciting

396
00:21:05,840 --> 00:21:06,673
you right now?

397
00:21:06,980 --> 00:21:11,240
You know, I, I think the, the most
exciting thing in the, the, uh,

398
00:21:11,240 --> 00:21:14,160
the consolidation space is, you know,

399
00:21:14,270 --> 00:21:18,710
I think doctors understand,
you know, that, that this is,

400
00:21:18,710 --> 00:21:21,270
this is the future of the
profession, right? And,

401
00:21:21,610 --> 00:21:25,990
and they've gone from a place of, of
wondering if it's a part to kind of, uh,

402
00:21:26,010 --> 00:21:29,950
understanding that it is, it's,
it's the future of our profession.

403
00:21:30,010 --> 00:21:33,670
And so now we need to understand
how to, as dentists, um,

404
00:21:33,670 --> 00:21:37,070
help guide it to a place that's good
for dentistry, right? And that's,

405
00:21:37,070 --> 00:21:40,430
that's what's exciting about, you
know, just gen four every day,

406
00:21:40,430 --> 00:21:43,590
is that the doctors that join our
group are very passionate about, um,

407
00:21:43,590 --> 00:21:47,550
doing great dentistry and, and really
passionate about a profession that,

408
00:21:47,550 --> 00:21:51,710
you know, they helped to build where
it's at today. So, uh, I think the,

409
00:21:51,710 --> 00:21:55,430
the future is bright for the
consolidation space. And what I think is,

410
00:21:55,960 --> 00:21:59,910
is exciting is I think people
are realizing to, you know,

411
00:22:00,390 --> 00:22:03,950
identify groups like a Gen four or any
other platform and just learn who they

412
00:22:03,950 --> 00:22:08,310
are, right? So you can see that they're,
they're the right fit or not because I,

413
00:22:08,310 --> 00:22:13,150
I think there's a place for, for
everybody, and I think it just takes, um,

414
00:22:13,150 --> 00:22:17,950
being detailed on the doctor's side as
they look at groups like a gen four to

415
00:22:17,950 --> 00:22:21,750
make sure that it's truly a vision and
value alignment, right? And that's,

416
00:22:21,750 --> 00:22:24,310
that's the part that I,
I think is very exciting.

417
00:22:24,310 --> 00:22:28,070
But also like anybody that's
listening, like take that advice,

418
00:22:28,340 --> 00:22:32,630
vision and value alignment before monetary
alignment. Make sure that, you know,

419
00:22:32,630 --> 00:22:32,910
the,

420
00:22:32,910 --> 00:22:37,390
the groups that you are talking to kind
of check the box of like when they're

421
00:22:37,390 --> 00:22:40,230
talking about what they do,
that it resonates. And I,

422
00:22:40,230 --> 00:22:43,590
and I think if we do that in a good
way, you know, consolidation will,

423
00:22:43,700 --> 00:22:47,470
will go in a very concerted effort that
gets every doctor in the place that they

424
00:22:47,470 --> 00:22:51,270
should be so they can be supported in
the way that they want to be supported.

425
00:22:51,570 --> 00:22:54,390
And so that, that is, I see
that happening at a much,

426
00:22:54,420 --> 00:22:58,110
much higher level and a much more nuanced
level within the consolidation space

427
00:22:58,110 --> 00:22:59,110
today, which I think is,

428
00:22:59,280 --> 00:23:02,390
is what dentistry needs and I think
the consolidation space needs as well.

429
00:23:03,150 --> 00:23:05,680
Mm-hmm. <affirmative>, definitely. Well,

430
00:23:05,680 --> 00:23:07,840
thank you so much for
sharing that outlook.

431
00:23:08,110 --> 00:23:12,640
I think our listeners have a lot to think
about and a lot to take away and some

432
00:23:12,640 --> 00:23:16,120
actionable steps that they can take
if they're interested. So Mitch,

433
00:23:16,120 --> 00:23:18,800
thank you so much again for
joining us for the discussion.

434
00:23:18,800 --> 00:23:20,720
It's really been a
pleasure speaking with you.

435
00:23:21,330 --> 00:23:23,910
Wow. Thanks for having me.
And, uh, love the topic.

436
00:23:23,960 --> 00:23:27,110
So anytime you want to have me
back, throw the invite my way.

437
00:23:27,870 --> 00:23:30,230
<Laugh>. Wonderful, wonderful.

438
00:23:30,570 --> 00:23:33,830
I'd also like to thank our
sponsor today, Jen, for dental.

439
00:23:34,290 --> 00:23:38,590
You can tune into more podcasts and
virtual events from Becker's Healthcare by

440
00:23:38,590 --> 00:23:40,870
visiting becker's hospital review.com.

