142 episodes
- Veterinary medicine is changing.
And if running your practice feels harder than it used to… it's not just you.
In this episode, I explore what I believe is driving that feeling.
Veterinary medicine is at a turning point, and the pressures facing practice owners today aren't isolated problems. They're symptoms of deeper changes happening across our profession.
I unpack the two fractures I see emerging: the growing gap between practices and clients, and the widening disconnect between leaders and their teams. These fractures affect trust, culture and the way practices operate every day.
I also introduce a concept I call leadership containment: building the clarity, ownership and accountability that stops every decision, every problem and every crisis from landing back on your desk.
Because remarkable practices aren't built on leaders who carry everything themselves.
They're built on systems that help great people take ownership, build trust and thrive.
If you've been wondering why leadership feels heavier than it used to, this episode will help you understand what's changing - and how your practice can become stronger because of it.
Episode Outline:
[00:00] A profession at a turning point
[01:20] Why everything feels heavier
[02:54] The first fracture: trust
[11:34] The second fracture: leadership
[14:33] Why everything comes back to you
[15:32] Leadership containment
[17:47] Build systems that carry the weight
[19:49] Strong practices start here
Need Help Building a Practice That Doesn't Depend on You?
If every problem still finds its way back to your desk, the answer probably isn't to work harder.
It's to build a practice with the systems, clarity and leadership that allow great people to take ownership.
Book a free call with me and we'll identify what's creating the biggest strain in your practice, where to focus first, and how to build a practice that's easier - and far more enjoyable - to lead.
Book your free call: https://www.drdavenicol.com/book-your-call
Follow Dr. Dave Nicol for More Leadership Insights:
Follow Dr. Dave: @drdavenicol
Learn more about the Veterinary Leadership Academy
Enjoyed this episode?
Leave a review on iTunes and share it with your veterinary colleagues! - What stops someone becoming a practice owner?
According to this week's guest, it's rarely a lack of ability.
It's the belief that you need to know everything before you begin.
I'm joined by Dr Heather James, practice owner, mentor and one of the most thoughtful leaders I've had the pleasure of speaking with. We explore her journey from nervous new graduate to practice owner, and why so many talented veterinarians underestimate what they're capable of.
One thing really stayed with me after this conversation.
The people who make the biggest difference in our profession are rarely the ones who have all the answers. They're the ones who care enough to want things to be better.
Better care for patients. Better experiences for clients. Better workplaces for their teams.
That frustration is often the first sign of leadership.
We spend far too much time waiting until we feel ready. The truth is, confidence doesn't come before action. It comes because we're willing to take the first step, learn as we go, and surround ourselves with people who help us grow.
Heather talks openly about the mentors who shaped her career, the value of community, why ownership is never a solo endeavour, and why the future of independent veterinary practice depends on more people being willing to step forward, even before they feel completely qualified.
This episode isn't really about practice ownership.
It's about having the courage to back yourself. To care enough to build something better. And to recognise that imperfect action will always beat waiting for the perfect moment.
If you've ever found yourself thinking, maybe one day, I hope this conversation nudges you a little closer to today.
Sometimes the only thing separating the people who build remarkable practices from those who don't is that they decided to begin.
[00:00] You're more ready than you think
[04:00] The courage to begin
[08:00] Confidence isn't first
[11:00] Why own a practice?
[15:00] Never build alone
[19:00] Is ownership dying?
[24:00] Do it anyway
[27:00] Systems set teams free
[31:00] Are you meant to lead?
[35:00] The next generation of leaders
Leadership is easier together.
Inside Strategic Leaders, join Dr Dave Nicol and a community of veterinary practice owners every week for live coaching, honest conversations and practical solutions to the challenges you're facing. If you'd like to lead with more confidence and less isolation, we'd love to welcome you.
Learn more about Strategic Leaders.
Follow Dr Dave Nicol for More Leadership Insights:
Follow Dr Dave: @drdavenicol
Learn more about the Veterinary Leadership Academy
Connect with Dr Heather James:
LinkedIn: Heather James DVM
Enjoyed this episode?
Leave a review on iTunes and share it with your veterinary colleagues. - For the first time in more than 20 years, I'm no longer a veterinary practice owner.
That feels strange to say.
Owning practices has shaped so much of my career and, if I'm honest, a big part of who I am. So when the time came to sell my final practice, it was never simply a business transaction. It was the closing of a chapter that began back in 2005.
In this episode, I reflect on that journey. The fixer-uppers, the mistakes, the lessons, leading a practice from the other side of the world, rebuilding after COVID, and the incredible people who made it all worthwhile.
But this isn't really a story about selling a practice.
It's about stewardship.
Over the years, I've become convinced that our job as leaders is to leave things better than we found them. To create opportunities for others, help people grow, and build practices where both people and pets can thrive. Too often, success is measured by the biggest exit or the highest multiple. I think there are other measures of success that matter far more.
That's why I didn't sell Roundwood Vets to the highest bidder.
I sold it to the people who had already earned the right to lead it. Our Medical Director, Dr Jo, and our Practice Manager, Nikki, had been showing up day after day for the team, the pets and the community. Making them the next owners simply felt like the right thing to do.
If you're thinking about the future of your own practice, your leadership, or the legacy you'll leave behind, I hope this episode encourages you to think differently about what success can really look like. Because sometimes the old has to move on so something even better can flourish.
Episode Outline:
[00:00] A new chapter begins
[01:30] My 20-year ownership journey
[06:50] Why I built Roundwood Vets
[11:30] Turning around a struggling practice
[14:20] COVID, leadership and rebuilding
[16:00] Creating a people-first culture
[19:50] The changing veterinary profession
[27:00] Why stewardship matters more than profit
[29:00] Selling to the team, not the highest bidder
[31:10] Why representation in ownership matters
[32:45] Success beyond the biggest exit
[33:50] Gratitude and looking ahead
What legacy are you building as a leader?
Whether you're planning your next phase, thinking about succession, or simply trying to build a practice that's stronger, calmer and less dependent on you, I'd be happy to help.
Book a 20-minute Leadership Call with me and we'll talk through where your practice is today, what's holding it back, and the leadership shifts that can help you build the future you want.
Book your Leadership Call with Dr. Dave
Follow Dr. Dave Nicol for More Leadership Insights:
Follow Dr. Dave: @drdavenicol
Learn more about the Veterinary Leadership Academy
Enjoyed this episode?
Leave a review on iTunes and share it with your veterinary colleagues! - Last week, I shared the 11 numbers I believe every veterinary practice should be tracking.
But collecting numbers is only half the job.
The real value comes from knowing what those numbers are trying to tell you.
Because a dashboard isn't there to give you more data. It's there to help you spot problems earlier, ask better questions, and make better decisions.
In this episode, I walk through how I use those 11 numbers to identify the hidden signals inside a practice. Signals that reveal whether you're dealing with a marketing issue, a leadership issue, a team capacity problem, a pricing problem, or simply a system that's starting to strain under success.
When you understand how the numbers connect, you stop guessing.
And when you stop guessing, leadership becomes a lot less stressful.
Episode Outline:
[00:00] The numbers are only the start
[01:20] Signals vs data
[03:00] Is marketing the problem?
[05:00] When demand isn't the issue
[08:30] Spotting team strain early
[12:00] The hidden communication gap
[15:30] Is it time to hire?
[17:15] Are you charging enough?
[18:20] Three questions every leader should ask
[20:00] Why dashboards change everything
Want to See the Signals in Your Own Practice?
For years, I ran my practices using spreadsheets. That's why I built VetDash.
In just a few minutes, VetDash turns your key practice metrics into a simple dashboard that helps you spot problems earlier, identify opportunities faster, and focus on the numbers that matter most.
Start your free 30-day trial and see what's really happening inside your practice.
Follow Dr. Dave Nicol for More Leadership Insights:
Follow Dr. Dave: @drdavenicol
Learn more about the Veterinary Leadership Academy
Enjoyed this episode?
Leave a review on iTunes and share it with your veterinary colleagues! - When everything feels urgent, how do you know what to tackle first?
It's something I've wrestled with throughout my career as a practice owner.
There's always another problem demanding attention. A staffing issue. An unhappy client. A dip in revenue. A packed diary. A team disagreement.
The temptation is to fight the loudest fire.
But the loudest fire isn't always the most important one.
In this episode, I share the 11 numbers I use to understand what's really happening inside a practice. Because when you can see the signals clearly, you stop reacting to symptoms and start fixing the causes.
And that's important because this isn't really about numbers.
It's about creating more clarity, more confidence, and less stress in the way you lead.
When you understand what's happening inside your practice, you make better decisions, build stronger teams, and create the space to focus on what matters most: building a remarkable practice at the heart of your community.
Episode Outline:
[00:00] Is your practice working?
[02:20] The Practice Value Chain
[05:15] The 11 numbers that matter
[08:00] Happy clients, healthy teams
[10:20] What your numbers are telling you
[13:00] Why meetings become reactive
[14:30] Signals vs symptoms
[15:20] Stop guessing and start leading
Want to See the Signals in Your Own Practice?
For years, I ran my practices using spreadsheets. That's why I built VetDash.
In just a few minutes, VetDash turns your key practice metrics into a simple dashboard that helps you spot problems earlier, identify opportunities faster, and focus on the numbers that matter most.
Start your free 30-day trial and see what's really happening inside your practice.
Follow Dr. Dave Nicol for More Leadership Insights:
Follow Dr. Dave: @drdavenicol
Learn more about the Veterinary Leadership Academy
Enjoyed this episode?
Leave a review on iTunes and share it with your veterinary colleagues!
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About The Veterinary Leadership Success Show
Short conversations with smart people with good ideas to help you run your veterinary practice more effectively. Each month, your host, Dr. Dave Nicol, puts a subject of importance to practice managers under the microscope with a subject matter expert to help you grapple with real-life management problems.
Loosely arranged around the topics required to complete the CVPM, this show will help you with ideas and inspiration to take on some of the big problems and opportunities we all face in veterinary medicine.
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