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· Make a careful assessment of the
current situation of your practice
and the intentions of others in it.
· Decide when and how transitions will
occur in ownership, control,
management and clinical work.
2. Make a wishlist about your
ideal successor
· Would there be more than one?
· Is there one or more in the practice already?
· What characteristics should they have
­ clinically, administratively, personally
and in terms of their career goals?
3. Search for your successor
· Are they already in the practice, or
could they be given some training?
· Who do you know in your
professional network?
· If you draw a blank here, you may
advertise the opportunity.
4. Agree on a contract
When you find a potential successor, it's vital
to have a written legal agreement that covers
all the bases, including:
· Transactional: Are they buying in?
· Transitional: Are they earning in?
· Terms: What if it goes pear-shaped?
· Timing: When do they take over your
various roles?
5. Manage and communicate the transition
· Make sure everyone in your practice is
kept informed and given options and
choices throughout the transition.
· Tell your patients about the transition
and aim to maintain their loyalty.
· Show your successor the ropes in a
structured and formal way, even if
they are from within the practice.
· Agree formally (in writing) on timing
and benchmarks in terms of their uptake
of your various responsibilities.
· Have early and concrete indicators of
success ­ how many patients should
they have taken on in what timeframe,
how will successful handover in each
area be measured, and what action
will be taken if targets are not met?
6. Review the process
In my experience, having no review process
in place is one of the major causes of
succession failure. I am often approached by
doctors who tell me they selected a successor,
but now ­ two to three years or more down
the track ­ it isn't working, and they're not
sure what to do about it.
The answer here is to be proactive ­ have
in place formal mechanisms for reviewing the
arrangement regularly. If it's not working,
fix or terminate it rather than letting the
problem fester.
THE RESULTS
I'm happy to say that, after their initial
shock, Gillian and Jeremy sought some
advice and assistance with their succession
planning. The advisor helped them devise a
strategy and set up a transitional ownership
structure that enabled Kelly to take first
refusal on Jeremy's share of the practice.
Kelly entered an agreement to buy Jeremy's
share of the practice over the next three
years while she gradually stepped up into his
management role.
Together, Kelly, Gillian and Jeremy
sought new practitioners to bring into
the business to share and eventually take
over Jeremy's caseload, to cover for Janine
while she volunteered and to allow Ben to
go part-time. In the selection process, they