Owning a practice can feel like a juggling act, one where the stakes are high and the rules keep shifting. But what happens when a GP decides to trade the traditional playbook for something more values-driven, more courageous, and more scalable?

In this episode, Dr. Ajay Koshti unpacks what it really takes to lead a clinic through uncertainty, culture shifts, burnout risk, and business reinvention without losing your soul in the process. You’ll hear a raw, honest journey from survival-mode migration to confident clinic leadership, and what happens when ownership is treated as a craft, not just a title.

If you're feeling stuck in the "more hours, more chaos" cycle, or unsure how to grow without sacrificing your life, this episode will shift your thinking, and maybe your future.

In this episode of the Scale My Clinic Podcast, you’ll learn:

• Identifying the right moment to move from employee to owner (10:27)
• Restructuring clinic operations for better efficiency, patient satisfaction, and lifestyle balance (19:03)
• The mindset shift that transforms a GP into a true business owner (24:32)
• How to reduce conflict and increase alignment with your GP team through one shift in how you handle feedback (44:02)
• How practice growth can open doors to personal time, mentoring others, and building wealth beyond medicine (49:06)

This conversation is a reminder that the most meaningful growth isn’t just in patient numbers. It’s in the lives you touch, the leaders you shape, and the values you refuse to compromise on.

Listen now and learn how to build a clinic that scales with integrity and leads with purpose.

If you haven’t listened to our previous episode talking about The Financial Five-Star Team Every GP Owner Needs in 2025 with Paul Copeland, go back and check out Episode 52.

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ABOUT AJAY KOSHTI

Dr Ajay Koshti, MBBS, FRACGP, MRCGP (UK)

Dr Ajay has 21 years of experience in hospital medicine, General Practice and business management. Dr Ajay enjoys a wide variety of general practice presentations and has special interests in Diabetes management, Cosmetic Medicine, Occupational health and management of work-related injuries. Dr Ajay is a fellow of Royal Australian College of General Practitioners (FRACGP). He completed his primary medical qualification (MBBS) in 2002 in India and postgraduate training in general practice – MRCGP, from Scotland in 2008. He was a partner in a large GP Surgery in Scotland and served as a Clinical Director for the local health board. Dr Ajay also has an MBA with distinction from Strathclyde Business School, Glasgow and was involved in training GP. He is fluent in English, Gujarati and Hindi.

• Website: https://pulsemedical.com.au/
• Facebook: https://www.facebook.com/p/Dr-Ajay-Koshti-61553047755160/