I’ve been preparing this week for my presentation at the Greater Philadelphia Society Of Orthodontists Annual meeting. The meeting has the theme "The Economics of Orthodontics in Today’s Financial Climate". In my view this is an important and especially pertinent area at this time. As if to emphasize the timely nature of the meeting, in the course of the last few days I have had consultations with several doctors worried about their practice starts and drop in practice collected gross. Most of the inquiries have focused on what quick fix there may be available to stem the tide. The answer, as I’ll be sharing at the meeting in Philadelphia, is that quick fixes are just that, a fix that is likely to be temporary. There are some "fixes" we suggest, of course, but it is far better to use any available time to revisit the practice vision (which may require changing given our economy) and even more importantly the underlying strategy the practice is using to gain practice growth or at least hold even. My presentation "What’s Your Strategy, Doctor?" will emphasize that without a strategy to guide using practice resources carefully and to provide benchmarks for performance all that is left is flailing around grasping at straws. I intend to provide group of resource materials for the attendees as a helpful start in ensuring they develop a clear strategy.