Rob Magill shares Advice on How to Start a Group Practice | GP 54

Why should you hire administrative staff just before you can afford them? Can fluidity in your systems make them more stable and adaptive? How can you ensure you hire the right clinicians?

In this podcast episode, Alison Pidgeon speaks with Rob Magill who shares some advice on how to start a group practice.

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Meet Rob Magill

Rob owns a group counseling practice in Ephrata, PA that focuses on helping couples and families. Over the past year, his practice grew from himself and one other clinician to having himself, 2 administrative staff, 9 clinicians (looking for #10 and 11), and an intern.

Visit his website, connect on Facebook and Twitter.

Email Rob:

In This Podcast


  • Advantages of hiring clinicians in batches
  • Virtual assistant and systems
  • Advice to grow your group practice

Advantages of hiring clinicians in batches

  • If one clinician has any trouble trying to build up their caseload, the other clinician will balance out the revenue until the first clinician begins working with more clients.
  • Hiring clinicians in batches allows you to help and work with more clients, in terms of handling referrals and potential clients who phone into the practice. You have more room and flexibility to help the people who are interested.
  • You can create introductory videos for your new clinicians to fall back on when they have questions. In this way, you can easily train more clinicians with less intensity and energy from your part.

Virtual assistant and systems

In Rob’s experience, a group practice runs the smoothest on well-oiled systems. Hiring a VA who can take over some systems from you to organize and complete themselves will save you a lot of time and energy and free up your hands for important work as the CEO.

[Be] open and responsive to feedback … with clinicians I’ve had them mention sometimes that a piece of software isn’t working sometimes … being receptive to that and not trying to do it my way, trying to do it in a way that’s going to work for the staff and for the clients. (Rob Magill)

Having a fluid approach to systems combined with being receptive to ideas about changing or updating them will create a work environment where your clinicians feel heard, where they can be supported enough to provide the best clinical work they can which in turn provides their clients with the most beneficial therapy.

Advice to grow your group practice

  1.  In terms of hiring clinicians, go slow to find the right clinician to add to your practice. Hire clinicians that share your values and connect with the practice’s mission because then your clinicians will all be able to work well together due to the fact that they share value systems and principles.
  2. Be creative and think outside of the box. Attract your ideal client through the power of storytelling.
  3. Be persistent and flexible. These two values will carry you far. Take rejections, setbacks, and changes as learning opportunities, include these all in the experience of growing your practice, and garner all the wisdom you can before changing the course and trying again.

Books mentioned in this episode

Useful Links:

Meet Alison Pidgeon

A portrait of Alison Pidgeon is shown. She discusses ways to grow your group practice on this week's episode of Practice of the Practice. Alison is a serial entrepreneur with four businesses, one of which is a 15 clinician group practice. She’s also a mom to three boys, wife, coffee drinker, and loves to travel. She started her practice in 2015 and, four years later, has two locations. With a specialization in women’s issues, the practices have made a positive impact on the community by offering different types of specialties not being offered anywhere else in the area.

Alison has been working with Practice of the Practice since 2016. She has helped over 70 therapist entrepreneurs start and grow their businesses, through mastermind groups and individual consulting.

Thanks For Listening!

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