About Us

Our Experience



Background, Education & Professional Activities

Dr. Donald E. Machen is the managing director of our international consultancy which has been helping healthcare practitioners since 1985. Dr. Machen, practiced as a board-certified orthodontist, a trial lawyer representing healthcare practitioners, a frequent lecturer on all aspects of risk management, including practice, business, investment and financial risk, and a trial court judge for over 19 years. He is regarded as a founding member and driving force behind risk management in orthodontic practice, organizing the first risk management teleconference broadcast to over 2,600 practitioners more than 20 years ago. He was the first editor of the Legal Aspects of Orthodontic Practice column in the American Journal of Orthodontics. 

Dr. Machen is a graduate of the University of Pittsburgh School of Dental Medicine (DMD, MSD), Duquesne University School of Law (JD), The University of Chicago Graduate School of Business (MBA) and the University of Health Sciences (MD). In addition, he is a Chartered Financial Analyst and a member of the CFA Institute.

Dr. Machen was an Adjunct Professor of Law and Medicine at Duquesne University School of Law for over twenty years, as well as an Associate Professor at Case Western University Dental School  and an Adjunct Professor of Orthodontics at the University of Pittsburgh School of Dental Medicine.

As a result of this unique combination of education, skill, experience and expertise, Dr. Machen has developed a client base which now spans every aspect of healthcare practice. 

Recent events have re-emphasized the need for exercising great care in both your professional and personal affairs. They have also demonstrated that there is no substitute for integrity and good judgment. For more than twenty years, over 600 orthodontists have sought Dr. Machen's advice and counsel regarding risk management in their practices, businesses, investments and finances. 

Our Approach


Our services include consultation, evaluation, reporting and implementation of state of the art methods to reduce if not eliminate the potential for litigation or adverse incidents and/or comments that can harm you and your practice. One of our services includes the preparation of a comprehensive report that includes the steps you need to take to protect yourself and your practice. We also offer a suite of quality services that will help you get there quickly and smoothly. That’s how we ensure your success.

Why Us?


The right partner is key—that’s why you need Dr. Machen. His expertise and experience are without parallel and he will give you the time and guidance you deserve.  Whether you’re seeking a strategic alliance with the right partner or a special skillset or tool, call us today. Together we’ll create and refine your plan for success. You can't afford to be without his counsel.