A few years ago, I had a conversation with a director of a small, independent clinic. They were facing a pivotal moment; a point where the decisions made, or not made, had the potential to impact the very existence of the clinic. They needed expert input. Not a project. Not a long drawn out engagement. Just a clear-headed, experienced perspective from people who had lived their challenge or seen this kind of thing before. What they did instead, because traditional, “big” cons