Why do I keep failing to follow through on practice goals I set?

Because you are missing direction, not willpower. There is a book called Change or Die where researchers looked at heart patients told flatly that they had to change their behavior or they would not survive. Life or death, their choice. Want to guess how many actually changed on their own with no direction? One in nine. These are people facing death, and eight out of nine could not do it alone. So if grown adults cannot change to save their own lives without outside direction, what makes you think you will rebuild how you sell dentistry on sheer intention? When you were a kid that direction came from your parents. As an adult it has to come from somewhere you choose. Stop relying on motivation. Build a structure that holds you accountable, because that is the only thing the evidence says works.

If the answers you are finding here resonate with you, my team and I work with a small group of clients each year. The next step is a complimentary Discovery Consultation and Practice Review with Dr. McAnally.