Lit leadership lessons: Let’s talk about perspective

By Dr. Amisha Singh

As I type this, I am currently coasting at 477 mph at a breathtaking 38,000 feet in my first flight since the pandemic started. As someone who once considered Denver International Airport a second home, this is a little bit like a step back into another life, complete with equal parts excitement and anxiety. I look out over the patchwork landscape of beautiful Colorado, my forever home, taking in a familiar sight which I hope I will not take for granted again. And I think about perspective.

I spent the weekend at a family wedding in Atlanta and there we had numerous conversations about life over the past two years. Two years is a fairly long time for my large, extended, Indian family to go without seeing each other, so there was plenty to catch up on. One of my cousins decided to leave a career in healthcare. Another is moving across state lines and leaving a newborn niece she thinks of as a daughter.

As I heard about life trajectories of cousin after cousin, job changes and moves and weddings and transitions, I could not help but think how unexpected some changes are. Changes like the pandemic, changes like your favorite dental assistant quitting over lunch, changes like family illnesses, changes like acceptance to dental school, changes like buying a practice, changes filled with joy and sorrow alike, often come out of nowhere. They feel like an accost to your life, to your balance, to all the places you knew you were destined to be. They can feel like a win wrapped up in a loss, or vice versa. They are unexpected and emotionally turbulent … and sometimes a dichotomy. That’s OK. Life turns aren’t binary. They aren’t good or bad, happy or sad. They are amalgamations of a multitude of emotions and, sometimes, as humans, we do not know where to place them. Humans like buckets. Buckets feel safe and reliable and predictable and we want to compartmentalize and categorize to gain access to that stability. But changes are, by their very definition, unstable.

I think about my own life paths and how I had no idea that academic medicine would be my ideal work. I think about the journey I took to get here and how I did not always willingly cross the paths on that journey. Sometimes life had to force my hand. But now, with this perspective, looking back with my 20-20 hindsight, I see all the paths that had to align to bring me to this joy I have now. And some of the paths were amazing (I will remember the December 1call accepting me to my dream school for the rest of my life). But others felt like losses at the time. I remember grieving those losses and wondering “why?”

I type this to remind you (and myself), the why may not be evident in the moment, but it shows itself later. So far, this has not failed. I am standing on the mountain with complete visibility so I can say that easily now. I am joyous now. But, in my sorrow, it was not always easy to trust the universe, to trust that I would know the why behind what felt like an unmeasurable loss.

When I mentor students and younger dentists, so often, I hear them lament over the length of their journey. They ask “why?” too.

Why did I have to take that gap year?

Why did I major in engineering first?

Why did that practice fall through?

Why did it take me so long to realize that I love public health?

And as I hear them, I think of all the times I asked myself these questions. It brings me right back to this plane. See, when I travel from ATL to DEN, I do not complain about the three hours of my day I spent on this flight. I do not see this as a waste of my time. I recognize that I need the time to travel the miles. I need the time to travel the miles. I need to spend this time on a flight, traveling the journey, to return home. In fact, I trust that a plane is flying the quickest route possible to get me home. So why can we not trust the same of the journey of our lives? Every path we travel, every turn we take, is necessary to give us an important piece of ourselves, to bring us home. This path will wind and sometimes meander, but it will always bring us home … to our dream jobs, to the best version of who we are, to who we will eventually become.

So as we start the descent into DIA, and I take in the patchwork quilt of land which lies beneath me, watching tufts of clouds cast shadows and glide past, I want to anchor this memory. I want to remember what it feels like to see all the whys, and trust the universe, and feel like home is approaching. May we never forget this feeling of coming home.

NEXT ARTICLE: Lit leadership lessons: The importance of boundaries

Note: “WHY?” by annnna_ is licensed with CC BY-ND 2.0. To view a copy of this license, visit https://creativecommons.org/licenses/by-nd/2.0/

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Testimonials

Rosie, RDH

Rosie, RDH

I had the pleasure of working with Candy as a dental hygiene consultant over the course of several months, and her...
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Rosie, RDH

I had the pleasure of working with Candy as a dental hygiene consultant over the course of several months, and her impact on both our hygiene department and overall practice was exceptional. Candy is highly knowledgeable, approachable, and genuinely invested in the success of the team. She is an excellent listener who takes the time to understand challenges and provide practical, effective solutions. One of the qualities I appreciated most was her accessibility, she was always available to answer questions, offer guidance, or return a call when needed. Her hands-on approach and commitment to helping our team succeed were evident in every interaction. Candy’s focus extends beyond productivity and practice growth; she truly cares about the people within the practice and works to create a supportive, collaborative environment. As a fellow dental hygienist, it was especially refreshing to work alongside someone who shares a similar philosophy and approach to patient care, team development, and practice success. We view many aspects of dentistry and hygiene through the same lens, which made collaboration seamless and productive. Having the opportunity to work with another hygienist who understands the challenges, opportunities, and importance of our role was invaluable. The hygiene modules she developed were incredibly valuable. They were well organized, easy to follow, and provided clear, actionable guidance. The accompanying handouts and resources gave our team the tools and confidence needed to implement new concepts successfully. Her training materials were practical, relevant, and tailored to the real-world needs of a busy dental practice. Candy’s expertise and dedication to excellence have made a lasting impact on our team. I would highly recommend her to any dental practice looking to strengthen its hygiene department, improve systems, and support the growth and success of its team. She is a true asset to any practice fortunate enough to work with her.
Rosie, RDH
Dr. Justin Elikofer

Dr. Justin Elikofer

Our story with IgniteDDS began almost five years ago when my wife and I purchased an established fee-for-service practice. At...

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Dr. Justin Elikofer

Our story with IgniteDDS began almost five years ago when my wife and I purchased an established fee-for-service practice. At the time, we promised the team that everything would stay the same. The practice was thriving, and from the outside it seemed clear they had found a successful recipe for success. Our goal wasn't to change it—we simply didn't want to mess it up.

What we discovered was that while everyone wanted the outcome of success, there wasn't alignment around how we achieved it or measured it. Success in room 1 wasn't the same as Room 2. It took us nearly four years to fully understand that because we were doing well. During that time, we also realized we weren't leading as effectively as we could have been. We weren't communicating a clear vision, establishing consistent standards, or implementing clear protocols. Instead, we allowed people to continue doing things their own way. Some team members appreciated that freedom, while others felt frustrated by the lack of consistency and direction.

After four years, we found ourselves at a crossroads. We felt stuck. Morale was low and we weren't sure we could get the practice where we wanted it to go on our own.

As owners who value relationships as much as results, David immediately stood out to us. His personality was authentic, approachable, and trustworthy. He was someone we could see ourselves learning from and building a genuine relationship with. Being local was a bonus, but what really resonated with us was that his vision for practice growth, demonstrated through his own private practice, closely mirrored our own. He had already built the type of practice we wanted to create.

This stood in contrast to many other consultants we spoke with, whose focus seemed to be on PPO models and increasing volume. David's experience aligned with the type of practice we wanted to build: a high-touch, high-end patient experience centered on quality rather than quantity.

The IgniteDDS team—David, Dawn, and Candy—started by helping us understand where we truly stood. Through discovery, data gathering, and DISC assessments, they helped us identify opportunities for improvement and build a foundation for long-term growth. Rather than jumping straight to solutions, they gave us clarity.

Candy's coaching was instrumental in aligning our hygiene department and our office as a whole with the hygiene department. With her help, we were able to improve the patient experience and new patient process.

We also tackled practical issues that had become major challenges, including an accounts receivable system that was largely out of control. IgniteDDS didn't just point out problems—they provided systems and processes to solve them.

One of the most valuable aspects of the relationship was having experienced coaches to help us navigate team conflict and leadership challenges. As practice owners, those situations can feel isolating. Having a trusted team to walk through difficult conversations and decisions was invaluable.

Another large impact came through our office managers' work with Dawn. Rather than relying on the doctors to drive every initiative, IgniteDDS empowered our office managers to take ownership of the process and lead from within the organization. They embraced that responsibility wholeheartedly. No challenge was too large or too small. Dawn consistently met them where they were and helped them develop the confidence and skills to lead. The answer was rarely, if ever, "no." Instead, it was, "Let's figure out how."

Today, our practice is more aligned, more accountable, and better equipped to deliver the experience we've always envisioned. We have clearly defined protocols, team agreements, and expectations that simply didn't exist before. Our collections have improved significantly, particularly through implementing systems that helped us address and recover outstanding balances.

If we could offer one piece of advice to another practice owner considering IgniteDDS, it would be to identify the team members who are willing to take ownership and invest in their growth. Share your vision with the IgniteDDS team, trust the process, and allow them to help shape your team into the organization you want to become.

Working with IgniteDDS has been one of the most impactful investments we've made in our practice, our team, and our own growth as leaders. Are things perfect? No. Are we closer? Absolutely, yes!

Dr. Justin Elikofer
Dr. Sanjie Jackson

Dr. Sanjie Jackson

I was running on empty, and honestly, everyday I thinking of my exit strategy when I met Dr David Rice. ...
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Dr. Sanjie Jackson

I was running on empty, and honestly, everyday I thinking of my exit strategy when I met Dr David Rice. As the sole owner of two dental practices, I knew I couldn't continue trying to do everything on my own. Not if I wanted to grow and lead at a higher level. Partnering with IgniteDDS has been, hands down, one of the best investments I've made for both my practices and my team. Just halfway through my first year with IgniteDDS, the impact has already been remarkable. The knowledge, systems, accountability, and leadership development they have provided have transformed the way we operate. Not only have I gained valuable tools and insights as an owner, but my entire team is getting empowered with skills and confidence that are helping us elevate every aspect of our patient experience and practice performance. What sets IgniteDDS apart is the genuine commitment they have to their clients' success. Their guidance is practical, actionable, and tailored to the everyday realities of me running two dental practices. I am incredibly grateful for Dr. David Rice, Dawn, Candy, and the entire IgniteDDS team. Their expertise, continuous encouragement, and unwavering support have made me feel like I am not alone on this journey. If you're a practice owner looking to strengthen your leadership, improve your systems, and create sustainable growth, I cannot recommend IgniteDDS highly enough. The value they provide is truly exceptional, and I am excited to see what the rest of this journey brings.
Dr. Sanjie Jackson
Alyse Berta

Alyse Berta

Dawn, thank you for the great advice and guidance you’ve shared as we work on improving our practice's efficiency. I...
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Alyse Berta

Dawn, thank you for the great advice and guidance you’ve shared as we work on improving our practice's efficiency. I truly appreciate your support and the time you’ve taken to help us move forward in a more streamlined and effective way. Your insight has been incredibly valuable and is helping us make meaningful progress.
Alyse Berta
Dani S.

Dani S.

IGNITEDDS has made a real difference in our practice and in my role as office manager. The support I’ve received has...
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Dani S.

IGNITEDDS has made a real difference in our practice and in my role as office manager. The support I’ve received has helped me grow with more confidence and clarity, and our systems and leadership have improved because of it. Dawn has been an incredible support to me personally, always present, approachable, and truly invested in our success. I never feel alone when challenges come up, and that level of guidance and encouragement has been invaluable. IGNITEDDS doesn’t just support practices; they support the people behind them.
Dani S.
Eva B.

Eva B.

Working with IGNITEDDS Coaching has been such a great experience! Having David as a dentist makes a huge difference. He truly...
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Eva B.

Working with IGNITEDDS Coaching has been such a great experience! Having David as a dentist makes a huge difference. He truly understands the day-to-day challenges we face in practice. His insight makes their guidance practical, relevant, and easy to implement. Working alongside Dawn has been such a gift! She’s always available to answer questions, talk through ideas, and help us find the right solutions. Her advice is thoughtful, effective, and supportive. It hasn’t just helped me, it’s positively impacted our entire team and elevated our patient experience. I’m incredibly grateful to partner with Ignite as we continue to grow, strengthen our team, and serve our patients at a higher level.
Eva B.
Kylinn Tucker, RDH

Kylinn Tucker, RDH

I had an amazing experience with the IGNITEDDS Coaching program. Especially since I am a new hygienist, everything...
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Kylinn Tucker, RDH

I had an amazing experience with the IGNITEDDS Coaching program. Especially since I am a new hygienist, everything you guys shared was so helpful. It’s evident that you guys prioritize each individual team member of a dental office and do everything you can to make the environment and schedule run as smoothly and efficiently as possible. I learned so much about treatment planning, Dentrix, scheduling, teamwork, and overall ways to continue improving as a new grad. I wish every dental office had the opportunity to complete this program.
Kylinn Tucker, RDH
Dr Ben Truong

Dr. Ben Truong

It was great working with a team to help bring out the best in each of us. Our team is ...
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Dr. Ben Truong

It was great working with a team to help bring out the best in each of us. Our team is small, but we work closely together to provide a great patient experience, while having fun at work as well! Your team was able to help us learn to work together, with each person having a vital role in providing care to the patient! Helping us all become streamlined and on the same page will help us become an even more successful practice!
Dr Ben Truong
Dr. Ronnetta Sartor

Dr. Ronnetta Sartor

The 90-Day Jump Start has been transformative for our office. Dawn and Dr. Rice guided us through implementing essential systems ...
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Dr. Ronnetta Sartor

The 90-Day Jump Start has been transformative for our office. Dawn and Dr. Rice guided us through implementing essential systems and processes, from new patient calls to treatment planning and case acceptance. Their focus on patient care and team accountability has helped us create better structure, improve work/life balance, and stay aligned with our goals. In a short time, our practice has grown tremendously.
Dr. Ronnetta Sartor
Dr. Chandler Oldenburg

Dr. Chandler Oldenburg

IGNITEDDS has been truly transformative for our practice. Within just a few months, our accounts receivable collections increased by $30K, ...
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Dr. Chandler Oldenburg

IGNITEDDS has been truly transformative for our practice. Within just a few months, our accounts receivable collections increased by $30K, and our operations became far more streamlined. Their clear procedures and policies gave our team structure and confidence, while their step-by-step ownership guidance addressed our specific challenges. Thanks to David and Dawn, we feel more organized, empowered, and aligned than ever before. I highly recommend IGNITEDDS to any practice ready to grow and strengthen its foundation.
Dr. Chandler Oldenburg

Amisha Singh

Dr. Amisha Singh is a Denver native and loves living in beautiful Colorado. She founded a scratch start dental practice, Smile Always Dental, in Parker, CO. While in dental school, she was the founder of the first diversity-oriented, nationally-based organization in the school and her passion for organized dentistry continues. She is now an active member of the ADA, CDA, and MDDS. She serves on the CDA House of Delegates, on the ADA Dental Wellbeing Advisory Committee, and on the MDDS and CDA Membership Councils. She is the CDA New Dentist Committee Chair for Colorado. She is also a blogger and professional speaker who works with IGNITEDDS to inspire other dental professionals and provide the resources to be the best clinicians possible. She writes for numerous publications, serves on the junior editorial board for Dental Entrepreneur Women’s magazine, the Dental Economics Editorial Advisory Board, and as co-editor of the MDDS Articulator. She is the AVID Healthcare Liaison for Denver Public Schools and teaches a success series integrated into the curriculum of underprivileged middle school youth to aspire them to careers in healthcare. She was also a workforce diversity consultant for the Colorado Department of Public Health and worked to help recruit underrepresented minorities to the professions of dentistry and medicine. She also serves as an ADA Success Speaker, participates in the ADA Institute of Diversity in Leadership, and is the founder of the CDA Diversity in Leadership program. She was recognized as one of the 2018 10 Under 10 Top ADA Dentists nationally. She also believes in innovation and serves her profession as a DMG Young Key Opinion Leader. Her passion is encouraging entrepreneurial spirit, inspiring others and she wants to dedicate her life to helping make dentists and patients alike be better, healthier, more empowered people. When not practicing dentistry, she loves to get lost in a good book, cook, and do all things creative.

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