Transparency

A business practice that seems to be disappearing

“Transparency” is a word we are hearing more and more today, whether it be related to politics, everyday life or in business. Along with transparency, I like to include good old-fashioned healthy communication and valuable exchange of ideas. Technology has enabled us to communicate in several additional formats that were not available to us as recently as 20 years ago. Emails and texts are a lot more convenient and quicker than face-to-face communication and even voice-to-voice interaction is becoming an archaic form of interaction. I feel this has added an additional layer of stress to the current climate of dental team development/maintenance.

From my vantage point I have observed a considerable amount of non-transparency and in some cases, avoidance of sharing and addressing issues that were once approached via reasonable and considerate personal interaction. There appears to be some avoidance of sharing information to eliminate any form of possible confrontation. Texting a message from an employee to an employer that they will not be in today. Really? Or even worse, texting a message to an employer that they will not be back to work–ever! The convenience of non-confrontational interaction appears to be more and more widespread and this includes employers as well. Although I have never been comfortable supporting the dismissal of an employee in a very clandestine manner, I used to feel that in many cases there were no choices but to handle things on the QT. I’ll be totally transparent to admit that in the past I felt that in some instances there were not many options to manage the replacement of an employee unless it was handled secretly. Today I have come to realize that this difficult business decision can be approached differently.

There is nothing more stressful to an employee to learn that their employer is secretly looking to replace them. The release of this information can show up in numerous ways as many of us have been on either side of the process.

Quite frankly, over the years I’ve had a change of heart and no longer support nor understand why it must be done in this fashion. Before the proverbial rug is pulled out from under someone, initially I have always encouraged the need to share the performance concerns with the employee, along with giving them the tools and the opportunity to correct their shortcomings. If the necessity for dismissal stems from disciplinary reasons that although once addressed are not resolved, then this would be due cause to sever the business relationship as well. Nonetheless, secretive measures are almost never the way to go and I now feel strongly that there are better ways to address this.

My proposal is to apply some transparency, open healthy communication, and an approach of “honesty first” prior to cautiously getting the word out that you are seeking a replacement for a current employee. If the attempts of cross-correction doesn’t appear to resolve the issue at hand, then a one-on-one conversation regarding the need for both parties to move on in a healthy, respectful manner might be in order.

I will often hear a client voicing their concerns about sabotaging the practice, abusing other team members, or just downright leaving the practice. Truthfully, I have found that transparency and honesty does make a tremendous difference. There is suddenly a level of respect that flows from the employee in question, an appreciation for the openness and the fact that they were shown respect for an uncomfortable situation.

That’s not to say that they still might leave based on being disappointed or hurt, but the employer can’t ever feel as though they didn’t try their best to make a difficult situation as comfortable as possible. As

for the existing employees, it sends a message of “our employer tried his/her best and handled things as fairly as possible”.

We tend to forget the effect that this all has on the valuable employees that are excellent performers but that could possibly fear for their jobs.

Don’t Say No to Excellence

Passing on the right employee for the wrong reasons

So here is the scenario:

I get a call from a dentist requesting my guidance and the conversation goes something like this:

“Deb, I interviewed an amazing clinical assistant whose talent and attitude just knocked my socks off, yet I just can’t bring myself to hire her.”

“What is the reason?” I ask.

“Well, she shared with me that she plans on applying to dental school within the next 3 years and I can’t justify hiring someone (though so well qualified) if I have to say goodbye to them in a couple of years.”

“Let me understand. So you were both aligned with the salary offering, hours, days of the week, job description, etc., and you are passing on offering the position since she can only give you 3 years?”

“That about sums it up”, said my client.

Here was my response:

First off, she was forthright enough to share this information with you as many would not. This speaks highly of her character.

The fact that she could only assure you of 3 years of employment (even if it were less) is not a viable reason to not consider her for hire, and these are a few reasons why.

* The response I make quite often is, “I’d rather my clients have 3 years with a valuable, talented and reliable employee than 13 years with a less than adequate one”.

* Training a well-rounded employee, one that is passionate and enthusiastic, is usually a smooth and easy process.

* Having someone like this on your team will help to maintain a strong practice and team, along with serving as an excellent example for the group.

* Infusing your team with this level of employee can enhance the value of your practice and the care your patients receive, as well as potentially garnering positive internet reviews from your current patients.

* Because you both have been open and honest with each other, sharing transparencies and open communication will mean that when the time comes for her to move on, you will find no one will be more helpful or knowledgeable when it comes to filling their position than this employee.

* Their position within your practice will set standards and protocols that can then be replicated, transferred and passed on to her successor. Chances are she will help in locating and evaluating her replacement–I see this all the time.

* Her contributions and demeanor will very possibly add to the positive work environment for the rest of your team.

* Employees that are interested in “bettering” themselves should be supported and commended and quite frankly, celebrated!

In times like this, when there are not enough employees to go around, please don’t miss out on what could be the best hiring decision you’ve ever made!

What Do You Want?

Preparing for appropriate compensation

One of the topics that I see recurring on a regular basis in many social media forums is that of dental team compensation. It’s a subject that seems to show up more often than any other.

Questions such as “what do you pay your dental assistant?” to “when do you give increases?” While these inquiries are important, I find that the one major addition to the hiring process is simply going back to an area that should be obvious–yet so many simply skip it. Few prepare for this, the most important facet of the hiring process.

How many are aware of their market?

The range of salaries for the various positions?

How many have even an idea as to how much the position they are wanting to fill is worth?

I have some concrete protocols in place for my clients, but before we can even move forward with the process, I ask that they not only check their budget, but also conduct some due diligence related to their specific market. I’m not sure how we all drifted off from these very basic standard guidelines, but somehow we often count on the job candidate to set the standards.

Compensation based on what the job candidate made in their past position, what they “want” to make or what they “need” to make is not only a completely illogical approach, but one that will typically result in major problems down the road.

In preparation for hire, consider some valuable diligence so that YOU set the stage.

What’s your budget?

What does the job entail?

Are they the only business office employee, clinical assistant or hygienist in the practice? Working alone can require more responsibilities and could affect salary.

Are there specific certifications required?

Are you asking this employee to participate out of the traditional 8-5 4 day/week schedule? Yes, this can warrant additional compensation in some cases.

I work with my clients on touching many points prior to making the final hire, but if you consider applying one of the above parameters, I can assure you that you will be ahead of the curve. Heck, you may even find that you are much more successful onboarding new employees and experience a lot less costly turnover.

Team Mutiny is Nothing to Take Lightly

Losing several team members in a short amount of time is probably NOT a coincidence

Losing employees is a part of doing business, but receiving resignation notices from several team members a few weeks apart is a “sign”.

Granted, things happen. Spouses/significant others are transferred, employees retire, team members want to work closer to home, and yes, there are those that know they are just not a fit or are simply not happy.  But when 2 or 3 employees give their notice over the course of a few weeks or a month you need to know this is not coincidental and is something to look at and explore.

There is a catalyst that is causing this “chain” of events, and though it may be difficult to look at and uncover the reason this is happening, it’s important that the employer closely review why they appear to be dropping like flies.  If this syndrome is not addressed I must sadly tell you that it will happen again. 

There are several areas to investigate and some deep introspective thoughts that must occur in order to stop the bleeding.  This is not an easy thing to do, but without properly addressing the problem and identifying the catalyst, it will unfortunately be but a matter of time before it happens again.

How are your leadership skills? How are your communication skills? Do you support an “open door” policy with your team members when it comes to voicing their opinions and concerns? Do you recognize their contributions to the practice (as well as watch for those that tend to take advantage and lean on others whenever they can)? Is the practice environment one that is democratic with mutual respect all around? 

And what about your team?  Do you feel that they work well and in harmony with each another or do you see where one team member is bullying the others even if it appears to be minimal from your vantage point? When you look at your team objectively can you see where one team member is more assertive than the rest? And let’s be totally honest and up-front—are YOU afraid of this person to some degree, thus letting a lot of the negative behavior slide?

There have been many times when I can see this occurring within a practice and the client/dentist–although very much aware of this–excuses poor behavior just so that they don’t have to replace this person and go through the hassle, or they fear that they will sabotage the business if they are dismissed so they simply turn the other cheek rather than to address the issue.

So, if you have ever experienced a mutiny in your practice, please don’t look at this as a minor problem and simply replace those that have chosen to walk and not look back.  You might say, “I just located all the wrong people” and in some cases one or two bad apples can slip in, particularly if you are not managing the team properly. 

However, the odds of multiple poor hires are very slim and cannot be attributed to poor interviewing protocols, although on the rare occasion it can happen.  Check your practice climate, evaluate it honestly along with the culture you have created. Then self-examine your short-comings as you openly study your existing team members.

I’m a very positive thinker and tend to look at the bright side. Nonetheless, if you can relate to this scenario you need to be realistic and course correct accordingly. 

 

She Did It!

Taking responsibility and honoring our mistakes

Why is it that some people just cannot admit that they have been wrong or have made a mistake? 

We see this type of behavior all the time within dental practices.  Clinical team members blaming the cleaning service for broken equipment. An Administrative employee accusing the patient of not informing the front desk of an insurance carrier change, when in fact it was never adjusted in the system.  Even the doctor can be guilty of this when they blame an ill-fitting crown based on the incompetence of the lab. 

Why is it so difficult to recognize and honor our mistakes?  Is it easier to throw someone else under the bus than to stand up and admit to a mistake and fess up to the fact that it happens to all of us? 

Granted, mistakes on a consistent basis or making the same mistakes time and time again is a significant cause for concern, but on occasion we all “slip up”, is a sign that we are all human.

How might we correct this?  What can we do as a team to ensure that we take total responsibility for our own actions?

I believe that we should revert to the “elephant in the living room” concept. This implies that we all know it’s an issue, yet it is never addressed properly so it becomes an ongoing situation.  As a group we need to publicly give each other permission to not only make a mistake now and then, but to admit it and claim it.  Passing the blame to someone else or even more upsetting, passing the blame on to another team member, is downright unacceptable. 

Perhaps this is a character flaw which almost relates to a sign of immaturity and insecurity.  As kids we never wanted to be punished for mistakes that we made since we hated for our parents to be angry with us, possibly causing us to lose some privileges like our allowance or some freedoms.  As adults we don’t want to have to answer to a disappointed employer, fellow team member, or patient, possibly losing respect and credibility.  This can be quite hurtful to many of us in the dental profession and I include myself.

Once the “playing field” and team rules are spelled out with everyone coming from the same place with the same standards, much of this petty and unnecessary dynamic should diminish greatly.

I’m not so sure I’m happy with this

Many recent changes in business, politics and life in general

Perhaps my age is showing and if this is the case I’m going to say “I’m happy that it is!”

I’ve been on this planet longer than most of my professional peers, and I shake my head almost daily. I honestly never remember such anger and downright hate that is constantly circulating in every aspect of our world. From the mass shootings to the bullying, and from our government that has become nothing short of a nightmare to my beloved dental profession, the anger is palpable and quite frankly it scares me to death.

Will we ever recover from all of this? I have come to the sad realization that I will never live to see the world the way it was when I was a child over 60 years ago. It’s difficult for me to wrap my head around the way I see my dental professionals treat each other; and more so just the “style” in which many choose to communicate with each other.

The foul language, rudeness, the ungrateful way they react to those who help and support their causes and then turn on a dime, not only forgetting what they’ve been given, but not hesitating for a minute to turn and jump on those who have given their time freely for no other reason than to be generous simply because they care.

We all work hard supporting our cause, and I am no different. But I too have been terribly disappointed by many for whom I have stopped dead in my tracks to offer them help and support when I’m asked for it, only to find that I am being chastised unnecessarily (often with borderline disreputable and questionable business practices).

There are days like today when I feel I don’t belong in the business I’ve devoted 50+ years of my life to. I’ve been patient trying to break through the anger and unreasonable behavior of my peers, and in

particular the “newbies” that are just breaking into a business that I love and respect.

Thank goodness there are still those that have deep appreciation for our honorable profession and take great pride in being a part of it. To you I say, “Thank you!!” I would also have to ask “Where have all the sincere, passionate dental professionals gone?”

Playing Nicely in the Sandbox

Bullying can happen at any age

My earliest recollection of naughty playground behavior goes way back, to the days of elementary school. Once lunch was complete and our places cleaned, we all went out to the playground to mix and mingle until the bell rang that it was time for us to come back into our classrooms. This day, which I can remember quite clearly, there were lots of secretive “girl” conversations out on the playground, lots of buzzing about something. Turns out that two gals were handing out birthday party invitations both of which happened to be on the same day starting just a couple of hours apart.

I can clearly remember the word “disinvited”, was this even a word I wondered? Nonetheless this is basically what precipitated the chatter within the group. The two birthday girls were bantering back and forth as to which of them was going to change the date, neither would budge. This is when the subject regarding “disinvited” began to circulate. “If you choose her party over mine, I will disinvite you and you will NEVER ever be invited to anything I have in the future”, said one to the other. Hearing this the other classmate made the same announcement and the conversation began to escalate. I can’t recall all the details from here, but my mother who has always been the quintessential diplomat said, “Debbie, it’s easy. You will go to one party for half the time and the other for the other half of the time. The solution made total sense to me and I remember feeling the relief since even at that young age, I didn’t do well with conflicts.

Now looking back as an adult, I can see that each of my classmates were fighting to be the one recognized. Understandably at 8 or 10 they were not able to logically come up with a reasonable arrangement to appease both girls at the time. I was so grateful that my mother offered me a perfect solution to keep both girls as friends. Fast forwarding to today and here I am 60 years later continuing to see similar situations like this one occurring in my adult life. Adults challenging adults to be the top dog. Bullying on Facebook and not by kids, but by intelligent business professionals. Often, I read about plagiarism and stealing systems and protocols. Employers not giving employees the benefit of support when they are underperforming, helping them to make the changes required to meet the goals of their positions. Hearing their challenges and compassionately offering them the

help they may require. Then there are the employees, working just hard enough so that they can fly under the radar without being noticed. They could be taking advantage of CE meetings and seminars just so that they are able to get away, eat in nice restaurants and interface with fun and influential people. They have no interest in supporting your practice or have any interest in bringing some of new skills learned back with them. It’s more about serving their needs and enhancing their own interests.

Back then in grade school I learned that there are solutions that can be applied so that no one loses. I believe that today as adults we need to get back to old ways of working together. Why must so many feel that unless it helps to self-promote or get themselves noticed, they will simply take advantage of anything that benefits them and continue to step on or whoever/ whatever it takes to get them to the top!