Working Backwards

December 31, 2025
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Why Goal-Setting Isn’t Enough for Dentists Anymore

Most dentists are good at setting goals.

Production goals. Collection goals. CE goals.
Maybe even a “take a vacation without checking email” goal (ambitious, but we’ll allow it).

And yet, many still arrive at year-end with an uncomfortable thought:

“I worked incredibly hard… but I’m not sure what I actually built.”

That’s not a motivation problem.
It’s a planning problem.

Here’s a different way to think about it. 

Working Backwards

December 31, 2026

Not tonight.
Not tomorrow.

A full year from now.

You’re sitting somewhere quiet.
Maybe with a drink.
Maybe with your spouse.
Maybe alone for the first time all day—an underrated luxury.

Someone asks:

“So… how was 2026?”

What’s the story you want to tell?

Last year’s story is finished.
Tomorrow’s hasn’t been written—yet.

So write it.

Be the producer, the director, and yes—the lead character in the version of your professional and personal life you actually wantto live.

Stop Setting Goals. Start Writing the Story.

Writers don’t begin with a checklist.

They begin with the ending.

They ask:

Who did this character become?
What did they overcome?
What did they finally stop tolerating?
What mattered enough to protect—no matter the cost?

Then they work backward.

Dentists should do the same.

The 5-Part Story Formula (Use This)

1. The Ending

Identity, Not Income

On December 31, 2026:

Who are you as a dentist?
Who are you as a leader?
Who are you at home?

Not what did you produce, but:

How do patients talk about you when you’re not in the room?
How does your team behave when you’re not in the office?
How does your family experience you—present or perpetually distracted?

If the answer stings a little, good.

That’s not judgment.
That’s diagnostic data.

2. The Antagonist

What You’re Finally Done With

Every good story has a villain.

Yours might be:

Chaos disguised as “being busy”
Over-functioning for under-performing team members
Saying yes to everything and resenting everyone
Clinical excellence paired with operational exhaustion
A practice that funds everything except your peace of mind

Name the antagonist.

Unidentified problems quietly run the practice.

3. The Turning Point

The Decisions That Changed Everything

Stories don’t change because of effort.
They change because of decisions.

In 2026, what did you decide to:

Stop doing personally?
Systemize?
Delegate?
Say no to—even if it was profitable?
Finally address instead of tolerate?

Most growth doesn’t come from adding more.

It comes from removing what never belonged there in the first place.

4. The Supporting Cast

Who Came With You—and Who Didn’t

No meaningful story is a solo act.

Who’s still with you at the end of 2026?

Team members who grew into leaders
Mentors you finally listened to
Colleagues who challenged your thinking
Family relationships that improved because you did

And the harder question:

Who’s no longer in the story?

Every edit strengthens the plot.

5. The Theme

What the Year Was Really About

When someone asks, “What was 2026 about for you?”
What’s the one-sentence answer?

Examples:

“That was the year I stopped being the bottleneck.”
“That’s when the practice started serving my life—not consuming it.”
“That was the year I learned that control isn’t leadership.”
“That’s when I reclaimed my energy.”
If you can’t name the theme, the year runs you.

Now Work Backwards—One Quarter at a Time

Once the ending is clear:

Q4 protects it
Q3 builds toward it
Q2 experiments and adjusts
Q1 lays the foundation

No overwhelm.
No 17 resolutions.
Just alignment.

A Thought Dentists Understand Instinctively

Dentistry rewards diagnosis before treatment.

Life works the same way.

You already know how to assess before you act.
This is that same clinical skill—applied to your time, energy, leadership, and relationships.

So before the noise starts again, ask yourself:

“If this were a story worth telling… what would need to change first?”

Then act accordingly.

Because Dentistry Is a Team Sport

Here’s a hard truth many dentists learn too late:

You cannot outgrow your team.

You can work harder.
You can get smarter.
You can buy better technology.

But if the people around you aren’t aligned, accountable, and growing, your story stalls—no matter how strong the main character is.

That’s why the most meaningful turning points don’t come from another personal breakthrough.

They come when the team evolves.

The Liberated Teams Program

This was built for exactly this moment.

Not to hype your team for a week.
Not to “fix” people.

But to help you:

Create clarity around roles, expectations, and ownership
Build leaders at every level—not just in the doctor’s chair
Replace silent frustration with healthy conversations
Move from dependency to shared responsibility

Because when the team is liberated, the dentist is liberated.

If the story you want to tell on December 31, 2026, includes:

A practice that runs without constant supervision
A team that thinks, solves, and acts like owners
More energy at work—and more presence at home

Then this is a chapter worth writing together.

Dentistry isn’t a solo act.
It’s an ensemble production.

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Dr. Michael Goldberg is one of the leading educators on dental practice management in the United States.

Michael ran and sold a prestigious group practice in Manhattan and has been on Faculty at Columbia University and New York-Presbyterian Medical Center for 30 years including Director of the GPR program and Director of the course on Practice Management.

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