If You Wouldn’t Start It Today, Why Are You Still Doing It?
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About this listen
- The Burleson Box solved the problems it was designed to solve
- The environment it was built for has changed
- Waiting until something breaks is a losing strategy
- Decision framework: zero-based thinking
- “Knowing what you know now, would you start this again?”
- Companies that wait until revenue stalls have less than a 10% chance of recovery
- The right time to change is before performance declines
- “Day One vs Day Two” thinking (Amazon principle)
- Preserve core principles, replace outdated execution
- ~60% of searches now end without a click
- Shift from SEO to AEO (Answer Engine Optimization)
- Only ~12% of small businesses have adapted
- Conversion rates:
- Traditional SEO: ~1.7%
- AEO-driven traffic: ~14.6%
- AI-referred traffic converts ~4.4x higher
- AI will recommend one provider, not a list
- Generic service pages are being ignored
- AI prioritizes:
- Specificity
- Reviews and reputation
- Local relevance
- Real-world outcomes
- Your positioning is now interpreted and delivered by AI
- Show rates from digital leads as low as ~34%
- 92% of patients rely on online reviews
- 55% will switch providers for online scheduling
- Expectation: zero-friction, immediate access
- Revenue per employee becomes a critical metric
- Google: ~$1.2M per employee
- Apple: $2M+
- Local practices must increase efficiency through:
- AI agents
- Automation
- Reduced friction in scheduling and communication
- Teams should operate with “their own AI army”
- Specialized agents outperform general use
- Common use cases:
- Review mining for positioning
- Content creation workflows
- Patient communication optimization
- Impact:
- 20+ hours saved per month per team member
- 91% report direct revenue increases from AI use
- AI surfaces the most relevant provider, not the most visible one
- A new show built for:
- Real-time thinking
- Faster feedback loops
- Deeper operator-level discussions
- Format:
- Monthly episodes (first Friday)
- One topic, explored in depth
- Focus:
- What is changing
- What should not change
- How to execute now
- First episode topic:
“What Changes and What Does Not” - Ongoing themes:
- AI adoption and risk
- Efficiency and leverage
- Strategy vs execution
- Business model evolution
What comes next requires a different pace, different structure, and a higher standard of thinking.
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