I talk to a lot of group practice owners at exactly this point, and the conversation almost always turns to hiring. Not because their hiring process failed. Because it was never designed for this stage. What got you your first five hires, often some combination of gut feeling, a casual conversation, and a good reference, is not enough once you're managing 12 people and trying to protect a culture you can no longer oversee by proximity.

There’s this therapist in your group practice that has been on your radar for a while now. There are a number of signs that it’s time to let them go, but you’re waffling back and forth. So you’re asking yourself - how do I know if it’s time to let a therapist go and how do I do it?