We are proud and honored by the compliments that we receive from our clients. Here are a few of them... Please contact us if we can help you.

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  • The Next Level Management course with Tina Del Buono was very eye-opening in such a short period of time.

    "The management course with Tina has been very eye opening in such a short period of time. I appreciate the one-on-one time and carefully thought-out advice and guidance given in this course. It has helped me tremendously to grow as a person and in turn become a better practice administrator. The course provides tools and skills that I can use now and use for a lifetime. I highly recommend this course and cannot express how much this investment has already paid for itself." -Vanessa Garza, Trinity Foot and Center

    Vanessa Garza - Trinity Foot and Center
  • My practice is running the best it has ever run, our financials are watched closely, I have the best, most engaged, and the happiest staff I’ve ever had. I have the most confidence I’ve ever had in our delivery of services.

    I Hit Rock Bottom for the World of Private Practice In the summer of 2018, I hit rock bottom for the world of private practice. I was burned out, in debt, and ready to quit. I had lost a 10-year associate on very negative terms. I had constant employee disarray. Constant drama at the office. My office manager at the time frequently made us lose staff. I felt like my “sandbox” had fallen apart. Additionally, I was always behind on charts, invoices, job reviews and pretty much any other paperwork needed. I personally also found myself always trying to do too much. In early August of 2018, I received information about the Top Practices Summit. I had been aware of Top Practices since its inception in 2007 but never gave it much consideration because I thought I knew what I was doing. Boy was that a HUGE mistake! Because of my (awful) “mindset” at that time (Summer of 2018). I was very interested in attending the Summit because I knew I needed something to help me. I looked at it as a weekend to myself and a retreat because I needed a “reset”. I made the arrangements to attend and went with an open mind. On the opening evening, Peter Wishnie was the first speaker. He began his initial lecture discussing Key Performance Indicators and their importance. I sat there and started to sweat a little because I didn’t even really know what they were and therefore I knew I was in trouble. But, it was then and there I found that this is exactly what I needed. I needed Top Practices.   How did I get to rock bottom? I opened up my own private practice in 1997 and it was a very part-time practice – only several half days a week. However, it grew and grew and by the year 2000 I was totally focused on just that practice. I thought to myself then, “Hey, I’m a doctor, I’m good at what I do, the money will come”… lol…Little did I know how wrong I was. As we got bigger and busier, I lost focus and I figured “we made it”. The money will come and “Hey, after all, I’m a doctor and I have a Joint Commission accredited O.R.” Marketing? What marketing? KPIs? What are KPIs? I just knew there was money in the bank. Well, during the next few years I would run into nothing but more problems with staff, finances, and daily problems at the office. Every day I was running as fast as I could to see as many patients as I could to generate as much money as I could without stopping to look at the big picture and really understand what was collectively going wrong. After all, “I’m a doctor”, the money will be there.  And, during that time I always had this little voice in my head screaming at me about how wrong the scheduling was and how annoyed I was at the lack of staff being present or understanding what they needed to do when they were assisting me.         Enter Top Practices As I mentioned earlier, while I attended my first lecture at the summit in 2018, presented by Dr. Peter Wishnie, he spoke about KPIs and knowing your numbers and it was then and there I was in trouble, because after 20 plus years of private practice, I was just learning the importance of truly watching these. As the weekend passed by, I was fully engaged in all of the lectures presented and I knew I had finally found the means to finally achieve the success I had always envisioned. And that means I would become a member of Top Practices. By doing this, I would finally have the guidance, the coaching, (Dr. Wishnie, Tina Del Buono, and Rem Jackson) and the resources to make my practice what I had always desired and envisioned it to be. It boiled down to me finally setting goals, getting the right people in place to make it happen, and sticking to a plan. It still took a lot of mopping up old messes, rolling up our sleeves and sinking our teeth into fixing the many issues that had plagued the practice for years. But, I finally had the right people to do it with.      The list of what we have changed and accomplished is tremendous. Bottom line, it begins within oneself – to become a better leader and then surrounding yourself with the best people possible. Once you’ve done that, you can pretty much begin to accomplish everything you’ve envisioned. Excited to see what happens next… Proud Top Practices Member, G. Daniel Shanahan IV, DPM, FACFAS Lakes Foot & Ankle Associates

    G. Daniel Shanahan IV, DPM - Township, MI
  • Peter’s coaching was priceless, my confidence and my success has improved dramatically, my take-home has increased, and my credit debt is vanishing.

    "In the Fall of 2021, I decided to enroll in Dr. Peter Wishnie’s sales course. The simple statement is that the course was worth every penny, and I was able to implement changes in my practice immediately that had a profound effect on my bottom line. To begin with, we set out a list of goals I wanted to achieve during the next year, both professional and personal. Peter’s expertise is certainly in management by the numbers, and this led to a consistent review of my benchmarks every two weeks at our meetings. We then broke these down and examined how I would focus on two key numbers, the total patients per week/month and the PVR. Goals were then set for targeted increase in the kinds of patients and services that would contribute to achieving these goals. At the same time, Peter was reviewing my staffing, my efficiency, and my management of my time. He also didn’t hesitate to examine some of my perceived barriers to patient acceptance to treatment plans and coaching me how to overcome this through a change in my and my staff’s dialogue with patients. The result was far greater acceptance of treatment plans by the patients. Fairly quickly, at Peter’s advice, I added an additional medical assistant, added a virtual assistant for my front desk, and committed to paying myself more. While frankly, I wondered how I would pay for all this, now I can’t fathom how I could work without this additional help. Peter’s coaching was priceless, my confidence and my success has improved dramatically, my take-home has increased, and my credit debt is vanishing. Most importantly, I love coming to work more than ever, even after 41 years of practice." Rion Berg, DPM - Seattle, WA    

  • I have been in management roles for almost 15 years, and this is the first time I feel I have the tools necessary to be a successful leader.

    "I can't say enough how in just a short time the knowledge I have acquired from the information from Virtual Practice Management Institute. I have been in management roles for almost 15 years, and this is the first time I feel I have the tools necessary to be a successful leader. Most of my background is from Oncology so Podiatry is very unfamiliar to me. I am confident that the training and helpful information from the modules will help me expand in my role as a Practice Manager. I highly recommend VPMI to anyone interested in understanding the ins and outs of leadership. Whether you are fresh in your career or have been in management for 20 years. It's well worth the investment for not only managers but any employee working in private practice! Tina and Rem also gave very motivational advice and hope that there is light at the end of what seems to be a dark tunnel! I can't wait to learn more as I get through each module!"

    Ivy Wilson - Howard County Foot & Ankle
  • Peter provided that GPS to not only guide me, but maintain and accelerate the success of my medical practice.

    "Whether you are the new physician or the one that has been practicing for many years, we all need a coach. A teacher that has already been where we have, and faced the same obstacles and has triumphed, and this is Dr. Peter Wishnie. Peter has and is thriving with several successful, lucrative practices, so if we are the average of the 5 people we spend time with, then I knew I had to get coaching from Peter. If we invest so much in our medical education then we need to invest even more into our practice so that it is flourishing like that “well-oiled machine” without being a slave to it. Peter provided that GPS to not only guide me, but maintain and accelerate the success of my medical practice. He provides the much needed foundation of what we need to consistently do to see the health of our practice grow exponentially with the patients we enjoy seeing so that we can also spend the time doing the things we love outside of work! Thank you Peter for having the courage to be an open book!"  

    Marizeli Olacio, DPM - Miami Shores, FL
  • Peter has developed his own process-driven solutions he’s willing to share and help tailor to your situation. I wholeheartedly recommend Peter as a peer, mentor, and if you’re lucky, a friend.

    "Peter has been a great support and point of guidance. He has been through everything at least once already and through his own struggles as an entrepreneur and leader, has developed his own process-driven solutions he’s willing to share and help tailor to your situation.  I wholeheartedly recommend Peter as a peer, mentor, and if you’re lucky, a friend."

    Farah Alani, DPM - New York, New York
  • Dr. Wishnie, with Top Practices, has been a great asset! In the 3 months with him, I was able to boost my patient volume up by about 30%. He doesn't just offer you a regimen or a step-by-step on how to tackle your concerns, he offers a mindset.

    Dr. Wishnie, with Top Practices, has been a great asset! In the 3 months with him, I was able to boost my patient volume up by about 30%. He doesn't just offer you a regimen or a step-by-step on how to tackle your concerns, he offers a mindset. It's a vibe you feel during the sessions. I recommend Top Practices, with Dr. Wishnie, to everyone. Money and time well spent. Thank you for your pearls of wisdom. Nadia Shah, DPM 

  • I took a leap of faith and joined a mastermind group. This has been life-changing. He teaches you principles on finding the right associate from the start and how to get your associate to think like an owner from the beginning.

    For most of my professional career, I thought I knew how to steer my practice to be successful. However, I hit the proverbial ceiling. I’ve wanted to grow my practice for several years and did not really know how to make that happen. I knew I could not get any busier than I already am. I was frustrated, to say the least. I first learned of Dr. Wishnie after hearing him on a podcast. I took a leap of faith and joined a mastermind group. This has been life-changing. He teaches you principles on finding the right associate from the start and how to get your associate to think like an owner from the beginning. I am in the process of hiring my first associate and expanding our growing practice. Dr. Wishnie is a wealth of knowledge and I will continue with him in future mastermind groups and one-on-one coaching. Peter, thanks for being a guiding light in our profession. Thanks for sharing your knowledge and vision in developing thriving practices. I am glad to call you a colleague and now a friend. Matthew Etheridge, DPM Pensacola, Florida  

  • Dr. Wishnie is like my personal cheerleader. Not only does he give great advice, but he makes me feel like I can achieve my goals.

    "Dr. Peter Wishnie - I first met him through the form of his book, which was recommended to me, and I am SO GLAD that I read it. I am going to start my own private practice and the information in his book is so incredibly helpful and a great guide, I would recommend it to anyone in private practice, not just podiatry. But reading this book is how I got in touch with the actual person - my mind was blown when I found out that I could talk to this author FOR FREE. I made an appointment for a phone call, and I am so glad that I did. Dr. Wishnie is like my personal cheerleader. Not only does he give great advice, but he makes me feel like I can achieve my goals even when I am doubting myself and full of fear. He is a great person to have in your corner, to guide you, to help you, and make your dreams come true. I'm not quite there yet with opening my practice, but I think I can do it with his help." Nooreen Ibrahim, DPM 

  • It's just been very transformative for me. I have no idea where I would be without it.

    How Long Have You Been a Top Practices Member?  I've been a Top Practices member for six years. Has Being a Top Practices Member Helped Your Practice? I started out very early in my career, which was wonderful. And I got to start off just understanding really how to establish good protocols and how to talk to people and how to market. And it's just been very transformative for me. Although, you know, we started doing it from the very beginning, I have no idea where I would be without it. Would You Recommend Top Practices?  I would absolutely recommend Top Practices. Matt Wettstein DPM - Twin Falls, Idaho   The Top Practices Mastermind Group and Practice Management Programs really do make a difference. It has for hundreds of others, and it can for your practice as well. If you’re looking for ways to grow your practice, expand your bottom line, and reduce your stress so you can live the life you want to live, getting involved in Top Practices is the place to start. If this sounds like the kind of group that could help you, then we invite you to join us. You can contact us by emailing [email protected] or by calling (717) 725-2679.

  • She thought she would join Top Practices for a month or two. That was five years ago. Find out why she is still a member.

    How Long Have You Been a Top Practices Member? Hi, my name is Marjorie Khawam and I've been a Top Practices member for five years. Has Being a Top Practices Member Helped Your Practice? I remember back in the day, I thought it was very expensive. I'm going to pay for a few months, go to the library, read everything, and then stop paying. And it's been five years. There is so much information. It's so wonderful. Actually, I learned things every single month. There's more information and it's just wonderful. Would You Recommend Top Practices?  I highly recommend it to anyone who's considering joining. Marjorie Khawam, DPM - Long Beach, California   The Top Practices Mastermind Group and Practice Management Programs really does make a difference. It has for hundreds of others, and it can for your practice as well. If you’re looking for ways to grow your practice, expand your bottom line, and reduce your stress so you can live the life you want to live, getting involved in Top Practices is the place to start. If this sounds like the kind of group that could help you, then we invite you to join us. You can contact us by emailing [email protected] or by calling (717) 725-2679.

  • Top Practices has armed me with a community and tools to move our practice forward.

    Has Being a Top Practices Member Helped Your Practice? “Just the fact that I am amongst this community, I already feel, you know, there's this saying, you know, when the tide rises like all ships go up.  I feel like I'm amongst a community of people in Top Practices that's helping me with my, you know, all the ships are rising. And just Rem has been so helpful. And not even that, it's also, you know, bringing that into the culture of my practice, by working with my practice manager. It's, you know, defining our goals for the future and it's giving us some direction on where to go next. And just feeling like I'm armed with all kinds of tools and tips and tricks of how to move this forward." Dannielle VonDerLinden, DPM - Lorton, Virginia   The Top Practices Mastermind Group and Practice Management Programs really does make a difference. It has for hundreds of others, and it can for your practice as well. If you’re looking for ways to grow your practice, expand your bottom line, and reduce your stress so you can live the life you want to live, getting involved in Top Practices is the place to start. If this sounds like the kind of group that could help you, then we invite you to join us. You can contact us by emailing [email protected] or by calling (717) 725-2679.

  • The experience of everybody has been invaluable in shortening my learning curve and making me be more successful.

    How long have you been a Top Practices member? "I've been a member of the Top Practices Virtual Practice Management Institute at Top Practices for about a year now. And it's been incredible just to help me shorten my learning curve and learn ways that I can more effectively upgrade my practice and market it to the community. The experience of everybody has been invaluable in shortening my learning curve and making me be more successful." Would you recommend Top Practices? "Absolutely. If someone's thinking about joining Top Practices, they should do so without hesitation. It is so uplifting and so helpful. Just drop what you're doing and sign up right now." Thomas T. Pignetti, DPM - The Woodlands, Texas     The Top Practices Mastermind Group and Top Practices Management Programs really do make a difference. It has for Dr. Pignetti and hundreds of others, and it can for your practice as well. If you’re looking for ways to grow your practice, expand your bottom line, and reduce your stress so you can live the life you want to live, getting involved in Top Practices is the place to start. If this sounds like the kind of group that could help you, then we invite you to join us. You can contact us by emailing [email protected] or by calling (717) 725-2679.

  • Tina, thank you for being a lifeline and only an email/call away.

    "Tina, I always look forward to our calls.  Many times, I am excited because I know you will help me come to a solution which always benefits our team and practice.  I talk about you like you are one of our team, and truthfully you are. Thank you for being a lifeline and only an email/call away.  I appreciate you!"

    Cara Clarke - Foot & Ankle Specialists of Central PA
  • If you think your phones are being answered correctly every time, I can assure you they are not. The answer is Dr. Peter Wishnie's Phone Scenario Course, which covers a myriad of situations that your team might face every day.

    "If you think your phones are being answered correctly every time, I can assure you they are not. Training and strengthening phone skills of your front office staff is of paramount importance. Think about it...this is often the first point of contact that a new patient has with your office. You want it to be a positive experience. You want to ensure that all their questions are answered correctly. And you want all the information that your office needs to be obtained accurately and consistently before the call is over. The answer is Dr. Peter Wishnie's Phone Scenario Course, which covers a myriad of situations that your team might face every day. He provides carefully constructed phone scripts that need to be practiced and adapted to your particular office. His methods are tried and true. You will get the results you are looking for especially with increased new patient satisfaction and retention. Patients are coming to my office more enthusiastic and prepared than ever before, thanks to the training Dr. Wishnie's course provides. It is work to implement these changes...but well worth the time and effort to integrate Dr. Wishnie's years of experience into your practice. I strongly recommend his course."

    Jane Graebner, DPM - Delaware, OH
  • Our clinic has been growing since starting with Top Practices back in 2012 and joined shortly after VPMI.

    "Top Practices Virtual Practice Management Institute (VPMI) is wonderful and worth every penny.  Our clinic has been growing since starting with Top Practices back in 2012 and joined shortly after VPMI. Tina’s advice has been invaluable; I have heard her speak at multiple conferences, seminars, and webinars. Having access to all the coaching calls, webinars, and worksheets online help with training our staff. The weekly one minute videos help with mindset in the office as well (I require the staff to watch and comment on them).  Tina is only an email or phone call away; our favorite topic is usually employee issues. She is always so calm, practical, and reassuring with any topic we have discussed.  Thank you, Tina, for keeping me sane!" 

    Krista Neibauer, Missoula, MT
  • I'm beginning to realize that being a private practice doctor is a rarity. Thank you for advising and helping all the independent doctors who refused to sell out to big business.

    "Dr. Peter Wishnie, thank you for your video lecture on "How to Get Your Nights and Weekends Back". I just finished watching it tonight, and it's one of the best in the series. Thank you for sharing your experience of buying the practice and its challenges. I could relate to everything you shared. I'm beginning to realize that being a private practice doctor is a rarity. Thank you for advising and helping all the independent doctors who refused to sell out to big business. You are the best!  Your advice has really helped me a great deal. And advising me to watch out for burn-out really got me thinking about things. I definitely have a lot to learn still about private practice. It's been challenging, but having a business consulting group advise me makes a world of difference."  

    Misako McLeod, DPM - Hilo, HI
  • As soon as I hired an office manager, I'd sign up for the Virtual Practice Management, so the office manager doesn't have to learn by her mistakes or his mistakes. They'd have somebody that has the blueprint for you to be successful.

    “Well I'd tell them, if I was first in practice, and I'd just started my practice, I would immediately sign up for Top Practices. It would be no hesitation. Because I look back, at—you know, I've been in practice for many years—and if I'd had these resources back then, it would have made my life a lot easier to get to where I am right now. And shortly—as soon as I hired an office manager, I'd sign up for the Virtual Practice Management, so the office manager doesn't have to learn by her mistakes, or his mistakes. They'd have somebody that has the blueprint for you to be successful. When you join Top Practices and you follow their direction, there's no way you could fail. So I'd tell them don't hesitate. Sign up right now.”

    Kevin Molan, DPM - Charlotte, NC
  • Having individuals who have experience, and who have a different point of view, and are open and freely sharing information, is probably I'd say one of the most substantial benefits of being part of that program.

    “I decided to join the Virtual Practice Management Institute to get a little more help and a different point of view for navigating a “hostile medical environment”. Having individuals who have experience, and who have a different point of view, and are open and freely sharing information, is probably I'd say one of the most substantial benefits of being part of that program. There's a psychology behind it that is probably the root benefit, or another benefit, for the rest of the obvious. You know, the marketing, the protocols... So, beyond just getting a form, and following a form, or getting beyond how we do A, B, and C, there are points of view and attitudes, mindsets toward the way you or an individual would execute, or perceive and issue, that the program definitely addresses. It's beyond just reading a book or a how-to manual.”

    -Dr. Noah Levine, Absolute Foot Care Specialists
  • It has been very helpful for every member of the staff to do every module, filling in the gaps in their awareness and knowledge. It has also helped strengthen the "team" atmosphere in my office.

    In my office, every staff member is working through each module [of the Practice Management Institute] and we meet every Tuesday for about half of our hour-long office meeting to discuss. Currently we are on the A/R module and all of the feedback from my medical assistants is interesting. I've heard, "I never knew that after 90 days it becomes increasingly difficult to collect the money," and several other similar comments. It has been very helpful for every member of the staff to do every module, filling in the gaps in their awareness and knowledge. It has also helped strengthen the "team" atmosphere in my office. My staff are all positive about the training that they are receiving and it is showing in our metrics, which are all up over 20% last month.

    Dr. Jennifer Keller - Roanoke, VA