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You see a good practitioner in retention, not reviews

We scored practitioner effectiveness by who stays, because reviews and conversion hide it.

Our operating audit covered small medical offices of three to eight employees each. How effective the practitioner was proved to be the hardest item to score.

We tied practitioner effectiveness to retention rates, and not to reviews or conversion.

These offices rarely solicit reviews, and conversion masks the answer. Trust in the person who is actually working on you counts for more than almost anything. Once it exists, leaving is very hard, and the evidence is that people do not leave.

Retention became our measure. It remains hard to read, because these offices stay sticky once trust is established.

Judge a relationship business by who stays, not by who says kind things.

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