What does an example like a colleague spending two years at the Misch Institute and never doing an implant case actually reveal? That clinical capability, no matter how deep, sits unused without the marketing and selling infrastructure to surface and convert the cases the capability was built for. The example is instructive and not unusual. A dentist invested two years of weekend coursework, substantial tuition, and serious intellectual effort to acquire implant placement and restoration expertise through one of the most respected training programs in the field. The clinical skill at the end was real. Back at the practice, no implant [...]