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Your practice manager may have the full compliment of capabilities discussed on this medical office management hub page, which includes knowledge of traditional marketing. But, given that online marketing strategies grow in scope and diversity on a near daily basis it is unlikely they have the capability to deliver the highest level ROI and business growth. Imitation does not work in online marketing. You need a plan targeted to the needs of your practice. By outsourcing to an online marketing firm with the skill, resources and experience required to meet your growing online medical marketing needs you can gain the growth you seek without risking the happiness and sanity of your practice manager; a team member you couldn't imagine being without!