Mentorship vs. Management: Leading a Clinic Without Losing Your Soul

When I opened my first clinic, I was everything—clinician, receptionist, laundry service, and reluctant CEO. I’d finish needling a patient, then sprint to the front desk to check someone out, then collapse at night with a stack of bills and a cheap beer.

At that stage, “leadership” wasn’t even on my radar. I was just trying to survive. But as the clinic grew and I started hiring, I realized something: if I kept acting like a solo operator, I was going to burn out—and take my staff down with me.

That’s where a lot of practitioners get stuck. We’re trained to be clinicians, not leaders. And when we do try to lead, we usually default to “management”—rules, control, metrics, barking orders like some half-baked boss. I know, because I did exactly that.

It was a disaster.

Management style

When I Tried Managing Instead of Leading

My first real hire was a front desk assistant. I was so worried about things slipping through the cracks that I micromanaged the hell out of her. Scripts for every phone call. Checklists for every action. I thought I was being organized; really, I was suffocating her. Within six months, she quit.

That was my wake-up call: management isn’t leadership. Management is transactional. Leadership—real leadership—is mentorship.

Why Mentorship Works Better

When you manage, you treat staff like tools. They punch in, they do tasks, they collect a paycheck. But when you mentor, you invest in them. You treat them as partners in a shared mission.

And people can feel the difference. A team that feels managed does the minimum. A team that feels mentored will go above and beyond—because they believe in the purpose behind the work.

That’s when a clinic stops being just a business and starts becoming a community.

How I Shifted My Leadership Style

Here’s what helped me make the jump from manager to mentor:

  • Lead With Your Values. I stopped hiding my mission. I sat my team down and said, “Here’s my North Star: integrative pain management that restores agency to patients.” The people who resonated stayed. The ones who didn’t, left. And that was a good thing.

  • Invest in Their Growth. I stopped seeing staff training as a cost and started seeing it as an investment. Paying for continuing ed, giving them business books, asking about their career goals—it paid me back tenfold in loyalty and initiative.

  • Give Real Ownership. Instead of assigning tasks, I gave projects. “You own the intake process—make it better.” Watching someone light up when they feel trusted is better than any bonus check.

  • Read the Energy. In clinic, we talk about the de qi sensation—that feedback you feel when the needle hits the right spot. Teams have their own de qi. If the energy in the room is stressed or flat, it’s on you to adjust. Ignoring that vibe is leadership malpractice.

The Payoff

When I stopped trying to control everything and started mentoring, my clinic transformed. Staff took ownership, patients felt the difference, and I wasn’t stuck carrying the entire mission on my back.

Being a mentor isn’t just easier on your team—it’s easier on you. It’s a way of leading that keeps you in congruence with your values, and turns your practice into something sustainable, alive, and fulfilling.

Tired of Running a Practice That Runs You?

Let’s redesign your systems, messaging, and mindset so your practice supports your life—not the other way around.