Because it’s not 2010 anymore. For a long time, group practice owners were taught to avoid accountability in the name of culture. Don’t be too direct. Don’t create tension. Don’t “micromanage.” But what I see consistently is that the practices with the strongest cultures aren’t the ones avoiding accountability. They’re the ones practicing it clearly. Clear expectations. Clear ownership. Clear decision-making. Accountability isn’t about control. It’s about removing ambiguity so people aren’t gues
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