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MedSpa Practice Director interview scorecard

Pre-screening scorecard for MedSpa Practice Director candidates.

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leadership strategyaesthetic medicineinjectables compliancemedspapractice management
Complete evaluation framework

What to assess and how to score it

Review the evidence signals before interviewing. Then use the anchored descriptions—not instinct alone—to choose the score that best matches each answer.

01
Evaluation factor

Record of outcomes

35% weight

Check owned P&L numbers: monthly revenue per treatment room, injectable cost of goods, membership retention, rebooking rate, and how they grew Botox or filler unit volume year over year.

Evidence to listen for

  • Names organisations, budgets, and headcount they were actually accountable for
  • Gives outcomes with numbers, not initiatives with adjectives
  • Separates what they drove from what the market or a predecessor did
  • Can describe something they owned that failed

Five-point scoring guide

1
Poor

Titles and initiatives only; no accountable outcomes.

2
Needs Improvement

Claims results the organisation would have had anyway; no scope clarity.

3
Satisfactory

Real accountability with some numbers; attribution occasionally generous.

4
Very Good

Clear scope and measured outcomes, including an honest failure.

5
Excellent

Quotes specific revenue, retention and units-per-month figures for named locations, and explains which levers moved them.

02
Evaluation factor

Strategic judgement

25% weight

Probe how they chose device investments (Morpheus8, CoolSculpting, laser platforms), priced service menus, and decided between medical director oversight models or expanding into weight management.

Evidence to listen for

  • Explains a decision where the options were genuinely close and the information incomplete
  • Can say what they chose not to do and why
  • Distinguishes a bet from a certainty
  • Changes course on evidence rather than defending a position past its life

Five-point scoring guide

1
Poor

Frameworks and slogans; no real decision they can walk through.

2
Needs Improvement

Describes decisions made elsewhere; cannot state the trade-off.

3
Satisfactory

Sound judgement on familiar decisions; less tested on ambiguous ones.

4
Very Good

Walks a genuinely close call, states what they gave up, and changed course on evidence.

5
Excellent

Walks through a device or service line decision with payback maths, utilisation forecasts and the outcome, including one they killed.

03
Evaluation factor

Building and leading teams

25% weight

Assess hiring and retention of injectors, RNs, estheticians and front desk staff: ramp plans, commission structures, training on new protocols, turnover they inherited and fixed.

Evidence to listen for

  • Has hired, developed, and where necessary removed people
  • Names someone who grew under them and what they did to cause it
  • Handles an underperformer directly rather than waiting it out
  • Builds a team that functions when they are not in the room

Five-point scoring guide

1
Poor

No real people leadership; avoids difficult personnel decisions.

2
Needs Improvement

Managed a team but cannot describe developing or exiting anyone.

3
Satisfactory

Competent manager; development is informal.

4
Very Good

Demonstrable record of growing people and handling underperformance directly.

5
Excellent

Names retention numbers, describes a specific injector or coordinator they developed, and shows how compensation design changed behaviour.

04
Evaluation factor

Influence across the business

15% weight

Look for command of scope-of-practice rules, state medical board and delegation requirements, HIPAA, adverse event protocols, and how they handled owners, medical directors and vendors.

Evidence to listen for

  • Wins support from peers and boards without positional authority
  • Translates their function into terms the rest of the business cares about
  • Delivers unwelcome news early
  • Manages up without either capitulating or stonewalling

Five-point scoring guide

1
Poor

Relies entirely on authority; conceals bad news.

2
Needs Improvement

Struggles to influence peers; communicates in function-specific jargon.

3
Satisfactory

Works adequately with peers and leadership.

4
Very Good

Persuades peers and boards on merit and delivers bad news early.

5
Excellent

Cites the specific state regulations they operate under and a moment they overruled a revenue-positive request on compliance grounds.

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