Episode

Leadership & Systems: 7-Figure Practice, Zero Burnout

Are you a 7-figure chiropractor headed straight for burnout? Dr. Peter Camiolo was, too, until a family crisis forced him to stop being the "doer-of-all-things" and become a true CEO. Learn his "ITTV" delegation framework, a 3-list exercise to reclaim your time, and how to build a "Culture of Testimony" that drives growth without you.

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Episode Details

Many high-performing chiropractors build a successful practice only to realize they've built themselves a golden cage. They're the top doc, the head of marketing, and the only one who can "do it right," but the cost is their health, family, and freedom.

Dr. Peter Camiolo, co-founder of The Remarkable CEO, knows this story because he lived it. He was crushing it in his practice but realized he was on a path to losing his family. A painful moment when his practice dipped 20% after he stepped away to support his wife forced a transformation . He stopped being the practitioner who does the work and became the CEO who builds the systems.

In this episode, Dr. Pete shares the exact leadership and delegation frameworks you need to scale to 7-figures without burning out.

He details his ITTV Delegation Methodology, a four-step framework for successfully getting tasks off your plate:

  • Identify / Identity: Why your identity as a "high achiever" may be the very thing holding you back from identifying the right people to help.
  • Trust: How to truly empower your team by "equipping" (training) and then "empowering" (trusting) them to take ownership.
  • Verify: The final accountability loop that ensures the job gets done right, without micromanaging.

Dr. Pete also provides a simple "Three List Exercise" you can do tonight to immediately identify what you need to delegate . Finally, he unpacks his powerful "Culture of Testimony" system—a process for setting the expectation of transformation from day zero and systematically capturing patient stories to fuel your marketing.

If you're ready to build a practice that runs without you, this episode is your blueprint.

Ready to reclaim your time and build scalable systems? Start by tracking what matters with our FREE High-Performance Marketing Metrics Dashboard.

Want a marketing system that frees you up instead of tying you down? Book a call with the ChiroX team today.

Key Takeaways

  • Become a CEO, Not Just a Practitioner: Dr. Pete argues that to truly scale, you must evolve from being the high-performing "doer" to the "CEO" who builds the systems, develops the team, and casts the vision.
  • The 3-List Delegation Exercise: To find out what to delegate, make three lists: 1) Everything you currently do. 2) From that list, what only you can do. 3) From that second list, what you love to do. Your job is to delegate everything not on list #3.
  • Use the ITTV Delegation Method: A simple framework for effective delegation: Identify (the right person), Train (equip them), Trust (empower them), and Verify (check the outcome).
  • Build a "Culture of Testimony": This is a system for driving referrals. It starts on Day 0 by setting the expectation of transformation and includes three ways to capture stories: Organically (in-office wins), Process-Driven (at re-exams), and Campaigns (quarterly video testimonial days).
  • Don't Abdicate, Delegate: "Abdication" is dumping a task on someone and hoping they succeed (which is bad leadership). Delegation involves a robust training process to ensure they succeed.
  • High Achievers Can Be Dysfunctional: Dr. Pete warns that many "high achievers" are driven by a need for control, credit, or filling a void. True leadership requires deep inner work to overcome this.
  • Master the Work First: You have no business scaling into a CEO if you haven't first developed a deep-rooted value and passion for the clinical work you provide.
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