311 - Letting Go of the Operator Mindset to Lead as CEO

What got you here won’t get you there, and holding onto your old identity may be the reason you're feeling stuck.

Learn how to make the transition from owner-operator to CEO by aligning your identity, behaviors, and responsibilities with the business you’re building. You’ll get clear on what belongs on your scorecard, how to measure success with KPIs, and what it means to truly lead. Whether you're scaling to your next level or reclaiming time and energy, this is the mindset and operational structure that makes it possible.

In this episode you will:

• Understand the mindset and behavior shift needed to fully become the CEO
• Learn how identity drives behavior, and how both are tied to your growth ceiling
• Discover the role of scorecards, KPIs, and clear job descriptions in scaling leadership
• Explore the “four rights” framework for hiring and retaining the right team
• Clarify whether your challenge is a who issue or a how issue—and what to do next
• See how creating optionality in your role builds freedom, energy, and long-term success

Episode Highlights

1:38 — Why so many chiropractors struggle to answer, “What do I do when I become the CEO?”

4:04 — The shift from laborer to leader requires both identity and behavioral changes.

6:35 — How clarity through scorecards and KPIs helps scale with purpose and focus.

7:15 — Why moving rocks isn’t your value anymore—leading teams is.

9:01 — Understanding the law of ones and threes to prepare for each level of growth.

9:38 — The true job of the CEO: operationalize, professionalize, and optimize the business.

12:40 — To scale, ask: is this a “who” issue or a “how” issue?

13:32 — Use the Four Rights framework to hire the right person in the right role.

14:45 — Clarify the right work and align it with scorecards, KPIs, and job descriptions.

17:23 — Letting go of your old identity is key to stepping fully into your CEO role.

20:13 — Optionality means you get to choose how to spend your time as CEO.

22:46 — Revisit operationalizing, professionalizing, and optimizing—like fitness, it never stops.

23:18 — Diagnose if your business issue is a person, process, proficiency, priority, or project.

24:23 - Dr. Malcom is joined by Success partner, Dr. David Fletcher, from CLA Wealth. Discover how CLA’s advanced scanning technology helps chiropractic practices attract new patients, boost conversions, and improve retention. By making nervous system health visible and measurable, CLA gives practices powerful tools to communicate progress, set goals, and build long-term patient relationships.

Resources Mentioned

Register Now for the TRP Conversion & Retention Immersion - June 27 & 28, 2025 in Sydney, AUS - https://theremarkablepractice.com/upcoming-events/  

To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo

For more information about CLA Wealth please visit: https://insightcla.com

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