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.

Subscribe to the Scale My Clinic Podcast for weekly insights and strategies to scale your clinic.

Share this episode with other general Practice Owners and follow us on Facebook at Scale My Clinic for more updates and resources.

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/

Practice Owners often feel overwhelmed by financial matters, unsure whether they're making smart decisions or setting themselves up for future regret. If that sounds familiar, this episode will tell you why you should stop winging it and start owning it.

In this conversation, Paul Copeland, senior partner at William Buck and trusted voice in the medical accounting space, breaks down the key financial missteps that hold clinics back. He also shares the simple, doable actions that can fast-track growth, protection, and peace of mind.

Whether you're preparing to expand, invest, sell, or just finally get a handle on your financial systems, this episode will shift how you think about money, structure, and strategy inside your business.

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

• Why abdicating your finances is not delegation and how it’s silently sabotaging your clinic’s future (00:41)
• How tax avoidance can quietly sabotage your wealth-building goals (04:57)
• How 90% accurate numbers can still drive 100% better decisions (08:20)
• What a high-performance financial team looks like (13:41)
• Building your setup around your vision because structure without strategy is just guesswork (22:02)
• Why you shouldn’t wait until you’re ready to sell to find out your practice isn’t worth what you hoped (27:13)
• Buying a practice? How to do your due diligence the smart way (35:18)
• How the best Practice Owners set a vision and build unstoppable momentum (41:41)

Tune in to learn how to take control of your clinic’s financial future without the overwhelm, gimmicks, or guesswork.

If you haven’t listened to our previous episode talking about The Shortcut to Smarter Decisions, Higher Profits, and Less Stress as a GP Owner, go back and check out Episode 51.

Subscribe to the Scale My Clinic Podcast for weekly insights and strategies to scale your clinic.

Share this episode with other general practice owners and follow us on Facebook at Scale My Clinic for more updates and resources.

ABOUT PAUL COPELAND

Paul Copeland is a seasoned business advisor and entrepreneur with ownership experience across multiple businesses in diverse industries, including healthcare, property, and small business.Paul brings an entrepreneurial mindset and creative problem-solving skills to help clients navigate complex challenges and achieve tailored solutions. With a focus on delivering value beyond compliance, he immerses himself in clients' industries to understand their unique needs and drive impactful outcomes.

Paul specializes in advising medical and dental practices, as well as property developers, offering expertise in accounting, tax, structuring, and strategic planning. A Fellow of Chartered Accountants Australia and New Zealand, he holds a Bachelor of Business (Accountancy) and is a trusted advisor to the Australia Medical Association – Queensland and various property networks.

• Website: https://williambuck.com/people/paul-copeland/
• LinkedIn:

Growing and scaling a practice can sometimes feel like a lonely journey, especially when you’re navigating the challenges of leadership and decision-making. But what if you didn’t have to go through it alone?

In this episode, we dive into the transformative power of communities and peer groups for Practice Owners. Whether you’re looking for support, accountability, or fresh perspectives, being part of the right community can help you overcome obstacles, accelerate growth, and build a practice that thrives.

Join us as we unpack how communities can provide clarity, confidence, and actionable insights to help you make better decisions and achieve your goals. From the importance of curated groups to the value of vulnerability and psychological safety, this conversation is packed with practical advice for Practice Owners ready to take their business to the next level.

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

• Why peer groups are essential for practice owners and how they can save you years of trial and error (00:51)
• The four key benefits of being part of a community (02:44)
• How to identify and avoid toxic or unhelpful communities (13:30)
• What a mastermind session is and why it’s a game-changer for problem-solving and decision-making (21:50)
• The role of psychological safety in building trust within a group and how to foster it (31:28)

If you’ve ever felt stuck, overwhelmed, or unsure about the next steps for your practice, this episode is for you. Tune in now and take the first step toward building a practice that works for you.

If you haven’t listened to our previous episode talking about Mastering Financial Systems in General Practice: Build and Maintain a Profitable Clinic with Ryan Sela Part 2, go back and check out Episode 46.

Subscribe to the Scale My Clinic Podcast for weekly insights and strategies to scale your clinic.

Share this episode with other general practice owners and follow us on Facebook at Scale My Clinic for more updates and resources.

Subscribe to the Scale My Clinic Podcast for weekly insights and strategies to scale your clinic.

Share this episode with other general Practice Owners and follow us on Facebook at Scale My Clinic for more updates and resources.