This Year Is Bigger Than the PM Role

The challenges emerging in the 2026 survey include communication, budgeting, staffing, accountability, growth, trust, and shared understanding between practice owners and the people asked to help run the business. In other words, this is not just a Practice Manager issue. It is a leadership-system issue.

Practice Managers remain at the center of the story, but owners, doctors, and leadership teams are very much part of the solution.