It can feel impossible to keep a level head when you’re wearing every hat

After reviewing thousands of responses, echoed over multiple years, we see a common issue: Practice Managers often multitask to meet the day's "urgent" needs, obstructing their ability to manage time effectively. This dynamic creates a sense of helplessness in carving out time for operational or leadership responsibilities, compounded by the seemingly perpetual staffing and recruiting woes plaguing the industry. It’s a lot. But we don’t tuck our tails over here, and you shouldn’t either. This report outlines the challenges and opportunities our industry has faced this year and the changes we need to make to avoid a repeat—or as our data shows, a three-peat—next year.