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Visionary, Practitioner or Manager? Choose One.

Updated: Dec 9, 2020

For your practice to run efficiently after you have some growth you need to focus on one role and outsource the rest.

One of my favorite books is Michael Gerber's "The E-Myth" in it he follows a business owner who has a pie business who started with love, however she quickly found that she lost her love of pies, business and everything. She had worked herself into another job.

It is self-evident that business, like people, are supposed to grow, and with growth, comes change. Unfortunately, most businesses are not run according to this principle. Instead most businesses are operated according to what the owner wants as opposed to what the business needs. -Michael Gerber The E-Myth

In his book, Michael Gerber separates the three types of people in business in these three categories: 1) Entrepreneur 2) Manager and 3) Technician for the purposes of this blog post, I am going to put them into terms that are closer to the women entrepreneurs I serve (medical entrepreneurs). So we are going to break this down into three categories 1) Visionary 2) Manager and 3) Practitioner


So you may be saying to yourself-"Woah, I am a visionary, that is why I started this business!". However, something to ask yourself, what do you do on a day to day basis? Do you find that you are always behind and that you do not get time to sit back and reflect on the direction of your business? Do you get time to really understand your ideal client and what best serves them? Are you thinking big picture, how the systems you create can be duplicated to open multiple businesses? No? You may be stuck in the perpetual love of checking boxes which is so natural for Medical professionals or you are completely and consumed by client work. In contrast to the aforementioned picture painted, the visionary truly has the necessary time needed to have the clear headspace to think about the big picture of the company, breathe life into the vision of the company, make big picture and long term impact decisions and can see everything clearly from a bird eye's view. If you ask the Visionary where their business is going to be in 5 years, what new projects they are going to be working on to innovate in their business, they will have an answer for you with a clear and twinkling eye!


So we all know what it is like to have a Manager, and perhaps in another life we were that, or we may be operating in that capacity in our business right now. The Manager is the person that ticks the boxes, and makes sure that all of the treatments were done, that all of the rounds were completed and that every patient was taken care of in a satisfactory way. In your Medspa, this could be your Office Manager, who makes sure that at the end of the day all of the appointments were confirmed for the next day, your inventory was taken stock of correctly in the software, the books are balanced and that any follow up items for patients are taken care of (or if you are in the Infancy stage of your business, this could be you as well). Managers love order and systems and cannot live without them!


This is truly the heart and soul of a good practice. However, is your business just going to be limited to what you can do with your hands? Injecting the different parts of the body with gentleness, care and expertise with an eye for potential complications is paramount for Medspa success. You may find that you are the sole one doing this and are so exhausted that even the thought of doing paperwork, planning for the unseen in your business or adding another treatment to your list of services seems like an exhausting mental undertaking.

Choose This Day

Choose this day which role you see yourself playing, and determine what sacrifice that you need to make in order to make it happen. The visionary, manager and practitioner cannot exist in one brain for a long length of time before the business starts to become a place of chaos and balls dropping to the chagrin of your patients and employees. You started this business because you wanted to spend more time with your family, or you wanted to build an empire, or maybe because you had a different vision of what beauty was and really wanted to help others change their lives from the inside out. However, just know, that you have to choose one, and no matter which one you choose it is okay. Just know that your name is the one behind the client experience and you should keep your finger to the pulse of the other roles.

Examples: You can decide that you would like to be solely the lead Practitioner and hire someone to be the Manager and work with them to create processes and systems to make sure that your business is run smoothly. If you are not a Visionary, perhaps you should rethink why you went into business in the first place, however, you could bring a partner on who has the vision to think about the business as a life of it's own so you can make sure that things are being done which are best for the BUSINESS and not what is best for you.

Which category do you think that you fall in? Do leave a comment or a note. Follow us @planlifehappens to stay tuned to all of the new things we will be bringing to you in 2021!

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