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:

Harnessing the power and momentum from optometry meetings with your operations manager: a conversation with Dr. Todd Cohan & Sadie Blair

Ted Lasso: “Be curious, not judgemental”

Book a Triage call with Adam

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

Midwest Dry Eye Center

Forsight Vision

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Episode Transcript

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