If you have ever worked with your spouse in the practice, you already know the truth. It can either be your biggest advantage or the fastest way to drag practice stress straight into your marriage.
This week on the podcast, I sat down with Trent and Hope Neisen. He leads clinically as the doctor, and she runs operations as the office manager. They have built something most couples never get to: clear lanes, real boundaries, and a working relationship that actually makes the practice stronger.
Here is the exact blueprint they follow:
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Create clear lanes so nobody is confused.
Clinical decisions go to the doctor. Operations, HR, and admin decisions go to the office manager. If the team can bounce between you, you are going to feel it at home. -
Use boundaries to beat burnout.
When you live together and work together, you need a clear “we are done” point. Even something simple like one last work item, then you shut it down. -
Alignment matters more than titles.
When you are aligned, the team cannot play mom versus dad. Decisions do not get undermined. You stop carrying the extra stress of wondering what the other person is going to say. -
Get outside support.
This stuff is unique. Find a spouse network, mentors, or a coach. You need a place to process that is not your kitchen table.
If you are working with your spouse, considering it, or already feeling the friction, listen to this episode. You will walk away with a simple structure you can implement today.
If you are ready to install this level of role clarity and leadership structure across your entire practice, join me live for the Freedom Practice Workshop on February 19–21. Click Freedom Practice Workshop for details and to register.
