Most chiropractors don’t avoid performance reviews because they don’t care about their team — they avoid them because they’ve never been shown how to do them well.

When reviews feel awkward, confrontational, or overly “HR,” they get delayed or avoided altogether. And when that happens, expectations blur, standards slip, and the owner quietly becomes the bottleneck in the practice.

In this episode, I unpack why performance reviews are one of the most important — and most misunderstood — leadership skills in chiropractic, and how avoiding them can quietly cap your growth, time freedom, and enjoyment in practice.

This is not about ticking boxes, handing out grades, or becoming an HR department.

It’s about leadership, clarity, and building a culture where people take ownership.

In this episode, you’ll learn:

• Why most chiropractors feel uncomfortable with performance reviews — and how to reframe them as coaching conversations

• What a performance review actually is (and why it’s not a school report)

• The 3-part framework that makes reviews calm, clear, and productive: preparation, conversation, and follow-up

• The four different types of reviews — routine, performance, growth, and reset — and how using the wrong one creates tension

• The difference between a performance issue and a reset conversation (and why that distinction matters)

• The exact types of questions great leaders ask to create clarity and accountability

• How both the CEO and team member prepare in advance to remove defensiveness from the conversation

• Why follow-up is the real leadership moment — and where trust is either built or broken

If you want a practice that doesn’t depend on you for every decision, a team that understands what “great” looks like, and a culture that grows intentionally instead of accidentally, this episode will give you a practical leadership framework you can start using immediately.