Scaling Practice Management is the show for healthcare practice leaders who want to grow smarter, not harder. Real stories, proven strategies, and emerging tech — all to help you scale your clinic without burning out your team or sacrificing patient care.

Scaling Practice Management by Talkie.ai
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Scaling Practice Management is the show for healthcare practice leaders who want to grow smarter, not harder. Real stories, proven strategies, and emerging tech — all to help you scale your clinic without burning out your team or sacrificing patient care.
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Publishing Since
4/29/2025
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Recent Episodes

July 3, 2026
People Before Profits: Scaling a Practice on Integrity | Dr. Louis Gilbert, MD
<p>When you're growing a practice, it's easy to let the numbers start making your decisions for you. Dr. Louis Gilbert refuses to.</p><p>Dr. Louis Gilbert, founder and CEO of Cornerstone MD, is building a multi-location family medicine group across Houston and Pasadena, Texas - with a goal of opening a new clinic every year. He joins Jakub Grajcar to talk leadership, integrity, and growing a practice without losing sight of the people it serves. He also talks about his experience as a client of Talkie.ai, implementing an AI receptionist at his practice.</p><p>We dig into:</p><p>🏥 Dr. Gilbert's #1 tip for growing a practice - grow people before you grow locations, because culture and problem-solvers are what actually scale<br>🚶 The "Walk with a Doc" program - how a monthly community walk turned patients into family and grew the practice<br>🌱 "Grow where you're planted" - why the Pasadena and Houston clinics run differently, and how one core standard still holds both together<br>⚖️ People before profits - what integrity looks like in the everyday decisions practice leaders actually face<br>📞 Covering the calls you're missing - how Dr. Gilbert kept his front desk and let Talkie AI triage the overflow instead of hiring a 20-person call center<br>👥 The 3 I's of hiring (via Warren Buffett) - intelligence, initiative, and integrity, and why initiative is the hardest to spot</p><p><br>Resources mentioned:</p><p>👤 Guest: Dr. Louis Gilbert<br>LinkedIn: <a href="https://www.linkedin.com/in/louis-gilbert-26b646184/">https://www.linkedin.com/in/louis-gilbert-26b646184/</a><br>Instagram: <a href="https://www.instagram.com/_drlouisgilbert_/">https://www.instagram.com/_drlouisgilbert_/</a></p><p>🏥 Cornerstone MD: <a href="https://cornerstonemd.health">https://cornerstonemd.health</a><br>Lumé Haus (medical spa): <a href="https://www.lumehaus.health/">https://www.lumehaus.health/</a><br>myWelli (healthcare app in development): <a href="https://www.mywelli.health/">https://www.mywelli.health/</a></p><p>🏛️ Texas Medical Association - supported the launch of Walk with a Doc</p><p>🧠 Also mentioned<br>Warren Buffett's "three I's" hiring framework - intelligence, initiative, integrity</p><p><br>🎥 See how Talkie.ai works - AI medical receptionist demo: <a href="https://www.youtube.com/watch?v=oOiJ3ITTrLY&list=PLLjcCBHYN2KoBqm-Dx-8lIwWLuU-CHXSg">https://www.youtube.com/watch?v=oOiJ3ITTrLY&list=PLLjcCBHYN2KoBqm-Dx-8lIwWLuU-CHXSg</a></p>

July 2, 2026
The Marketing Strategy Framework Most Practices Skip | Saul Marquez
<p>Most practices chase marketing tactics - SEO, ads, podcasts, webinars - before they ever settle on a strategy. Saul Marquez calls that the treadmill, and he says it's where most growth quietly dies.</p><p>Saul spent two decades in medical device sales, left a VP role, and bootstrapped Outcomes Rocket into a global healthcare marketing agency - now 1,900+ interviews deep with founders, CEOs, and clinicians. He joins Jakub to lay out the exact framework he uses to help healthcare companies grow.</p><p>We dig into:</p><p>🏥 Saul's #1 tip for growing a practice - keep your team as close to patients as possible, and let technology carry the repetitive load<br>🧭 The 3D model - Discover, Define, Deliver - and why strategy has to come before any tactic<br>🔁 The "treadmill" trap - how to tell real progress from busywork<br>📊 Why only 28% of healthcare marketers document their strategy - and why the other 72% are your opportunity<br>🧱 Owned, earned, paid - the order to build your marketing in, and why paid comes last<br>🎯 The "three uniques" - the questions that force out what your practice does that nobody can match<br>🤖 Why every practice needs an AI strategy before vetting vendors - "if you don't have a plan, you become part of somebody else's plan"</p><p><br>Resources mentioned:</p><p>👤 Guest: Saul Marquez<br>LinkedIn: <a href="https://www.linkedin.com/in/saulmarquez1/">https://www.linkedin.com/in/saulmarquez1/</a><br>Outcomes Rocket: <a href="https://outcomesrocket.com">https://outcomesrocket.com</a></p><p>🎙️ Podcasts<br>Healthcare Marketing Executive (Saul's podcast, Jakub was a guest): <a href="https://www.youtube.com/watch?v=B6-SxLblM5o">https://www.youtube.com/watch?v=B6-SxLblM5o</a><br>Outcomes Rocket (Saul's original podcast, 1,900+ interviews): <a href="https://www.outcomesrocket.com/podcast">https://www.outcomesrocket.com/podcast</a></p><p>🏢 People & companies mentioned<br>Pat Williams, iScribe Health</p><p>🧠 Frameworks & references<br>The 3D model: Discover, Define, Deliver<br>"Tactics are the noise you hear before the war is lost" - Sun Tzu, The Art of War<br>Aristotle's appeals of persuasion - ethos, pathos, logos<br>McKinsey - only 28% of healthcare marketers document their strategy<br>"Positive discontent"</p><p>🎙️ Related SPM episode<br>Evan Steele of rater8 on reputation management (ep. 9): <a href="https://open.spotify.com/episode/5detjLcslSPFokVcObgkcs?si=f80bfbcb401b4076">https://open.spotify.com/episode/5detjLcslSPFokVcObgkcs?si=f80bfbcb401b4076</a></p><p><br>🎥 See how Talkie.ai works - AI medical receptionist demo: <a href="https://www.youtube.com/watch?v=oOiJ3ITTrLY&list=PLLjcCBHYN2KoBqm-Dx-8lIwWLuU-CHXSg">https://www.youtube.com/watch?v=oOiJ3ITTrLY&list=PLLjcCBHYN2KoBqm-Dx-8lIwWLuU-CHXSg</a></p>

June 25, 2026
What Nurse Practitioners Get Wrong About Owning a Practice | Amanda Guarniere, NP-C
<p>Can a nurse practitioner build more than a one-person practice that just replaces a salary? Amanda Guarniere says yes - and most NPs never find out because nobody shows them what's possible.</p><p>Amanda is a Yale-educated NP with 15 years of clinical experience, VP of Enterprise Partnerships at Guardian MD, and the founder of The Resume RX. She also runs her own wellness and aesthetics practice - so she sees both the clinical and the business side.</p><p>She joins Jakub Grajcar to break down how NPs can legally own, run, and scale a practice. We dig into:</p><p>🏥 Amanda's #1 tip for growing a practice - know exactly who your future patient is before you build, then create messaging that attracts them and repels everyone else<br>🧠 Why most NPs never scale past replacing their own salary - and the mindset shift that changes it<br>⚖️ The compliance buckets every NP must understand - practice ownership vs. medical oversight, and why they're different in every state<br>📍 State-by-state reality check - from fully independent states to Texas, Georgia, and the rare in-person supervision rules<br>🚨 What actually triggers an audit (usually a complaint) - and why so much runs "on your honor" until it doesn't<br>👥 The real signal you're ready to hire - a full schedule and a 2-3 week waitlist, not just the wish to grow<br>🔮 Where NP regulations are heading post-COVID - and why it comes down to lobbying power, not logic</p><p><br>Resources mentioned:</p><p>👤 Guest: Amanda Guarniere, NP<br>LinkedIn: <a href="https://www.linkedin.com/in/aguarniere/">https://www.linkedin.com/in/aguarniere/</a><br>Guardian MD - remote medical directors & compliance infrastructure: <a href="https://guardianmedicaldirection.com/">https://guardianmedicaldirection.com/</a><br>The Resume RX - career resource for nurses & NPs: <a href="https://www.theresumerx.com/">https://www.theresumerx.com/</a></p><p>📚 Books<br>The Big Leap by Gay Hendricks<br>Building a StoryBrand by Donald Miller<br>Vivid Vision by Cameron Herold</p><p>🧠 Frameworks mentioned<br>EOS (Entrepreneurial Operating System) - the "seats" concept: delivery, growth, operations<br>"Glass balls vs. plastic balls" - priority triage</p><p>🎙️ Related episode<br>Cornelius Schmahl on scaling (ep. 28): <a href="https://www.youtube.com/watch?v=H2jC5oyfrhg&list=PLLjcCBHYN2KoABUtTOYaMLQMARJjb_8zS&index=1&pp=iAQBsAgC">https://www.youtube.com/watch?v=H2jC5oyfrhg&list=PLLjcCBHYN2KoABUtTOYaMLQMARJjb_8zS&index=1&pp=iAQBsAgC</a></p><p><br>🎥 See how Talkie.ai works - AI medical receptionist demo: <a href="https://www.youtube.com/watch?v=oOiJ3ITTrLY&list=PLLjcCBHYN2KoBqm-Dx-8lIwWLuU-CHXSg">https://www.youtube.com/watch?v=oOiJ3ITTrLY&list=PLLjcCBHYN2KoBqm-Dx-8lIwWLuU-CHXSg</a></p>
31 total episodes available
Recent guests on Scaling Practice Management by Talkie.ai
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Max Salamonowicz
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Fareed Taghvaee
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Calvin Gooley
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