Episode #383
Chemistry in the practice: why alignment beats authority with Dr. Todd Cohan, Polly Stearns, & Sadie Blair
March 10, 2026
Recording live from IDOC Connection in Orlando, I sit down with Dr. Todd Cohan, Sadie Blair, and Polly Stearns from Forsight Vision and Midwest Dry Eye Center to talk about the relationship between vision and execution inside a growing private practice. We go into the dynamic between the owner (visionary) and the operations lead (integrator), and why that chemistry matters more than most doctors realize.
We discuss leadership cadence, how they structure weekly meetings, how goals are set and tracked, and what it looks like to invest in developing internal talent. We also unpack the real risk and reward of moving a top producer into a leadership role, how they think about KPIs and staff engagement, and the systems they use to keep everyone aligned.
If you’re thinking about growth, delegation, or strengthening your leadership bench, this episode will give you a practical framework to consider.
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Resources:
Ted Lasso: “Be curious, not judgemental”
Download the Practice Owner’s Financial Toolkit
20/20 Money Ultimate Financial Success Masterclass
OD Mastermind Interest Form
Check out Adam’s new book: How to Buy an Optometry Practice
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The Optometry Success Podcast
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Episode Transcript
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