Welcome to The Dentist Whisperer

Unlock your inner entrepreneur

Welcome to The Dentist Whisperer! This is a business skills blog designed for dental professionals! Many of you will attest to the fact that access to business training in dental school is limited or non-existant. Dentistry is a three-legged stool; ART, SCIENCE and BUSINESS. Success in every way in your career with one of these pieces missing, is doubtful. It’s all about balance. In this blog we will be talking about all aspects of your business from soup to nuts and how learning these skills affects the other two legs of the stool! I invite your feedback, your comments and your input.

Buckle up and enjoy the ride!

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A TALE OF TWO ASSOCIATES

“Associate” – a person who shares actively in a business or
practice and who has near equal but not full rights and responsibilities. This is the way most new dental grads get their feet wet in their chosen profession.
As a coach, I currently have one client who is about to take on a new associate and another client who has just finished an internship and is about to begin two part-time associateships. I thought that following the progress of these two situations would be valuable for any new dentists as well as for experienced dentists considering taking on an associate. I will follow the progress of both, and blog regularly about the challenges and experiences and things that come up over the course of the next year.

The first thought that comes to mind is how the first office
is preparing for their new associate. There are some things that the principle dentist (Dr. F.) and his staff are doing to welcome their new associate (Dr. M.) to the practice in order to make the initial experience a good one for everyone.

  1. A well worded contract! This is a contract that protects both parties and clearly outlines expectations and responsibilities on both sides. Before any contract was signed in this case, I sat down with Dr. M. and outlined all of the promises that the principle dentist was offering, including support from the staff, shift schedule, payment details, mentorship, and a commitment to assist in building a patient base, among other things. I then asked Dr. M, the new associate, what he was willing to offer in return and what his expectations were. It was a good prelude to signing a contract and made the process very personal. A good contract should also have a clause about review and renewal periodically.
  2. A friendly schedule. Tailor an initial patient schedule to ease a new associate into the routine, especially if this is a new grad. Arrange sufficient staffing, patient load and procedure mix to allow a new grad to gradually work up to a full schedule. Save the difficult patients, the op everyone hates, and the toughest cases for the principle dentist, in the beginning. Trial by fire is not good for the associate and not good for the practice!
  3. Mentorship. Mentorship is a team sport. A smart principle dentist is one who is willing to mentor an associate! Why? Do you want them to consider partnership at some point? Being a mentor fosters strong relationships and increases the likelihood that an associate might want to become a permanent part of your practice. Competitiveness or being proprietary about your patients isn’t going to nurture a partnership relationship! Staff must also be mentors to a new associate; dental students aren’t used to working with much assistance and they are new to the routines of billing, ordering and team interaction. It’s not the time to feel superior, but rather to share knowledge and be sensitive to the experience. Staff must remember that this person could be their boss one day! I believe that mentorship also includes introducing a new associate to the community if they are new to the area. Dr. F. plans to make sure that every medical doctor and pharmacist in the area meets his new associate, Dr. M. personally!

These are just 3 easy, common sense ways to get a new associate relationship off to a great start! Watch for further blogs as the journey continues….

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Dentists, Can You Relate To This??

OK, so what does this have to do with dentists?!  Well…..lots. Although my primary focus is
helping dentists develop their business skills, I often speak to groups of
dentists and staff combined, which is great because the business of dentistry
affects the team – until the entire team embraces and values the business side
of dentistry, a practice cannot run like a well-oiled machine.  In order to embrace it, the team must
understand its true function and that means understanding that the business of
dentistry is experienced differently, depending upon who is doing the
experiencing!

When it is the employee’s experience, the perspective can be
quite unique. This is because the employee has way more information than the
patient, but less than the dentist!  How
so?

Seeing Only Parts of
the Big Picture
: The employee sees a fragmented version of the overhead
costs (such as one supplies-invoice at a time),  and of the revenue (gross billings versus net).
They are not privy to the big picture; the financial statements. They may not
know about debt-servicing, capital investment, overall overhead, salary costs
etc.  The employee sees what labour and
materials are involved in an individual procedure, but don’t see how that fits
into the overall financial status of the practice.

Risk and
Responsibility:
This I know….the person who is bearing the full weight of
risk and responsibility of a business will experience that business very
differently from anyone else. No
matter how much of a team you all are, the business owner must measure every
move, every decision, every action against risk and reward. An employee’s input
is essential and valuable and I am a huge advocate of collaboration, however,
that is a gathering of information in order to make an informed decision, not a
joint decision! An employee’s perspective is not going to be the same as your
own.

Assumption: The other side of the coin brings me to the
reason for the cartoon. An employee who interviews for a job very likely has
made a natural, reasonable, perhaps unconscious assumption; that the business-owner
who is interviewing them is in that position because of a burning desire to be
a boss – an entrepreneurial spirit, excited and capable,  with a high level of training and acumen in
business management and leadership skills. This may be somewhat unrealistic.
:-/.  Dental employees get about as much
training as the dentist – about a couple of hours!! (An exaggeration, perhaps,
but sadly not much of one!).

This unspoken
assumption and lack of awareness of the employee perspective is the root cause
of many misunderstandings and confusion. It can be completely avoided if
employees understand the situation and contribute to the learning, if dentists
take the initiative to develop their basic business skills through training and
the entire team develops their knowledge of the true function of the business
of dentistry, values it and embraces it as a catalyst to their work.

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Excellent Interviews = Excellent Employees

Do you hate holding interviews?

Do you hate having to perform job interviews? They usually fall at the end of your busy day; maybe you’re tired, frustrated at the annoyance of having to replace an employee or fill a new position, or you just don’t feel confident as an interviewer. You’re not alone!

They key to holding a productive interview and hiring the right candidate is to ask the right questions (this is a Coach telling you this – the Queen of Questions – so listen up!). Apart from the usual pertinent questions about skill and experience, five critical questions often don’t get asked. Not surprisingly, these questions can produce the most commonly flubbed answers! That’s because the questions and how they are answered are so important.  If a potential employee doesn’t answer these five questions satisfactorily, reconsider whether or not they are good candidates for the job…. 

Question #1 – Why don’t you tell me a little bit about yourself?

As an employer, you are looking for a succinct synopsis of a candidate’s career to date – not details of their kids, hobbies or their dog named Boo. A keen applicant will tell you how many years of experience they have, what their education, areas of expertise and last position entailed. If you get the cocktail party version of their life, they are not focused on your business.

Question #2 – Why do you want to work here?

An applicant might feel that this question is about their desires.  It’s not. This question is about how well they have done their homework. What do they know about your practice? What stands out for them? Are there shared values? Remember….the question is not “Why do you want to work?”, it is “Why do you want to work here?” As an employer, you are looking for passion and excitement. You want to know what it about you that stands out for your applicant.

Question #3 – Why should I hire you?

Potential employees might freeze up at this one, because the question is so often misunderstood. They may choose this time to roll out their list of skills and qualifications. Take heed – this question is about what value this person will bring to your practice, what benefit you will realize by hiring them. An excellent answer is one which indicates what difference this person will make to your work, not a rehash of their skills.

Question #4 – Why did you leave your last job?

You are not prying by asking this question; rather, you are trying to determine fit. What will this person find in your employ that they did not get in their last job? You are looking for honesty without a long, drawn out explanation. Watch body language and facial expressions. The best answer is a truthful, succinct matter of fact answer that doesn’t disclose every little detail. This applies whether they quit or were fired. 

Question #5 – What are your weaknesses? What areas need development?

This a tough question, because none of us likes to admit our weaknesses. An intelligent, thoughtful interviewee will have prepared him or herself for this question. They will have made the distinction between a weakness and an over-used strength and will focus on the over-used strength (immersing themselves in work, being an over-achiever, being too much of an organizer, etc.). Hear the difference?

As far as areas of development, your keen interviewer’s ear should be listening for willingness to learn (I’m interested in upgrading my skills and would like to take an implant course, or ortho-module, or business skills training for front desk staff). 

In summary, by all means ask all the usual questions. Watch and listen for honesty and authenticity. Add these five questions to the interview and understand why you are asking them. Listen for the good, strong answers you seek; it will ensure that you choose the strongest, most valuable candidate for the job.

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Five Easy Pieces – How accounting works

Five Easy Pieces

The classic 1970 movie, Five Easy Pieces, stars Jack Nicholson as a rough oil-rig worker who began life as a privileged pianist protégé. The title takes its name from the five classical pieces that make up the movie sound track. Did you know that “Five Easy Pieces” also describes the main parts of your accounting?

 This is the first in a series of articles that will help you understand how your accounting system works. If you have some accounting knowledge or background, these articles will be a refresher. If you know little or nothing, I think you will find the series extremely useful. This teaching is part of my Business Bootcamp for Dentists™ program and there is a very specific reason why it is important for you as a dentist to know this stuff!

 Your accounting is the basis for compiling financial statements for your business. Your financial statements are the thermometer by which you measure the health and vital signs of your business.  We will learn further in the series how to read and fully understand those statements. For now, suffice it to say that accounting is where they start.

 The reason I can be so confident about how YOUR accounting system works, is that the accounting and bookkeeping method has hardly changed since it began as we know it in the Renaissance period! No kidding! There must have been many methods out there originally, however our classic double-entry bookkeeping is the one the world has been using for the last 600 years. That is because it works. It has a built-in set of checks and balances that ensure the integrity of our entries.

 Let’s assume that your accounting system is a big, old, dusty ledger, the way it used to be. In that ledger, we would find five chapters or sections. Five Easy Pieces! Each chapter would hold details about a major part of our business. If we skip accounting terms, we could name each chapter as follows:

  1. What we own
  2. What we owe
  3. What we are worth
  4. Money earned providing goods or services
  5. Money spent on expenses

 Literally every transaction that takes place within the context of our business affects one or more of these chapters. Every single transaction! Let’s look at some example in very simple terms…

 A. We buy a computer for the office on Visa: what we own goes up, so does what we owe!

B. We receive money for performing a root canal: Money earned goes up. So does our bank account (what we own).

C. We buy some dental supplies on credit: Money spent on expenses goes up. So does our debt (what we owe).

 Does that make sense? Of course, there are lots of associated transactions occurring along with these examples like use of supplies, cost of wages etc. For now, try to simply absorb the concept that your entire accounting system is made up of Five Easy Pieces and that every transaction that occurs in your business can be expressed within one or more of these five pieces. Through the next week, think about the transactions that are occurring around you and try to name the chapters or pieces that are affected!

 In the next article we will put names to the pieces and examine how each piece is affected by transactions and how we record them.  

Stay tuned as the rest of the story unfolds……

 

 

 

 

 

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What Kind of Pack Leader Are You?

Have you ever watched Cesar Millan, The Dog Whisperer, run with a pack of dogs? The dogs literally have one eye on him at all times. What are they looking for? Each dog seems to have a sense of what’s going on and how they fit into the big picture. If one dog steps out of line for a moment, one glance either way between dog and Cesar, and immediately the dog slips back into its rightful place in the pack and they run as a single unit. What’s really happening in this scenario and what’s that got to do with your dental practice?  

Well…..lots. Cesar fully understands and embraces his role. Each of the dogs in that harmonious pack also knows and understands their own roles. They are able to focus on these roles because they have a leader who has presence. Malcolm Gladwell agrees. In his book, “What the Dog Saw”, Gladwell takes a close look at what Cesar has that we need (to be great leaders). He pinpoints the number one quality as “presence”. 

So, firstly, we have to understand our own roles and then we have to figure out how to get some of that presence!  

In my business skills training program (Business Bootcamp for Dentists™) one of the classes focuses almost entirely on understanding all aspects of each of the business roles that dentists must take on with confidence in order to run their practices effectively. Dentistry balances on three focal points; art, science and business. I liken this to a 3-legged stool; if one leg is broken or neglected, the stool falls. Within that focal point of business there are no fewer than 6 key roles to be embraced; business owner, manager, entrepreneur, boss, coach/mentor, leader.   

Each role is like wearing a different hat. Business decisions are made within the context of each ‘hat’. Each role has a specific function. Each role carries specific responsibilities. Each role requires something from within us in order to carry out that role with confidence. That something is presence

I firmly believe that “all leaders are born that way” is a myth. I know beyond doubt that we each have a core or essence that can provide us with what we need to develop into leaders, no matter who we are or how much confidence in ourselves we may currently lack. My experience from years of working with dentists with no leadership skills, training or confidence to speak of has solidified my belief. The key is tapping into that essence.  Once you define it, it’s easy to use it.

How we do that will be the subject of my next blog, so stay tuned.

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Pacific Dental Conference 2011

Join me on Saturday, March 12th, 2010 at Pacific Dental Conference in the So You Think You Can Speak program! Pacific Dental Conference is just about the most worthwhile “bang for your buck” that any dentist can get! Three full days of scientific sessions and speakers on just about any topic you can imagine, from clinical skills to practice management. For dentists, the registration fees are nil!! For staff, all three days is $165. I don’t know anywhere else that you can get that kind of value! I have been going to convention for about 10 years now and I have seen it grow and develop. Many dentists I know take their entire team to convention each year. Over the years, I have certainly seen the cases of staff who see the trip as shopping time on Robson Street!! Here are a couple of suggestions to ensure that you have a guarantee of even greater value for your money…

1. Pick one of the breakout sessions to attend as a team. Make it mandatory. Choose something really relevant to your practice.Discuss the session in the office and ask your team what value they feel they would like to derive from that session. Let them know that they will be asked afterwards what their greatest take-away was from that session. (It is a proven fact that coaching after an educational course can increase retention by 70%!!! A coach will lead your group into setting out measurable action plans and goals after session and can be a catalyst in solidifying new knowledge!!)

2. Have each staff member choose one breakout session (or do this in pairs or triads) to attend, and present a ‘lunch’n learn’ to the rest of the team on the content of the session. If you have 3-4 in-service presentations with discussion, think of the value you will get out of having your staff attend. They also will have great motivation to listen and learn, knowing they have to present to their co-workers afterwards!!

3. Plan a fun social event – a group dinner, or the Friday night or Saturday morning entertainment sessions. They are inexpensive and fun and it’s a great way to unwind together.

There are lots of ways you can increase the already fabulous value in attending the Pacific Dental Conference! These are but a few! I am very pleased to have been chosen as a speaker for PDC 2011 and look forward to seeing many of you there. My presentation is entitled “The Dentist Whisperer – What Kind of Pack Leader Are You?”.  The program and synopsis can be found at www.pdconf.com – look for Saturday sessions (1:00pm).

SEE YOU AT CONFERENCE!

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Put me in, Coach!

I spend a lot of time teaching dentists about the business roles they must take on in order to be effective business managers. “Coach” is one of those roles. But what does that really mean?

In the business world, the ‘coach approach’ is a phenomenon that is taking the corporate environment by storm. This is so because it works! It humanizes the workplace and it encourages high performance and leadership in every employee.

The coach approach is taking the corporate world by storm….because it works!

What is a coach approach?

 It is a style of leadership founded in a firm belief in the ability of others and a genuine desire to assist in their growth and development. Imagine being able to foster high performance in all your employees!

A coach approach involves letting go of an autocratic leadership style – no sergeant generals! It is a learned skill that means being curious, interested and present.  It requires a paradigm shift from telling to asking. Rather than having all the right answers, it means asking the right questions (causing your employees to think on their feet and share their input with you).

What can you do to incorporate a coach approach into your office?

  • Be curious and interested in your employees’ thoughts and ideas
  • Listen. Listen. Listen. Be present for answers to your questions.
  • Ask open ended questions (ones that cannot be answered by yes or no).
  • Believe in the inherent ability for your staff to figure things out for themselves
  • Know when to challenge
  • Give feedback gracefully and effectively
  • Listen for the values at stake in any conversation
  • Appreciate the strengths of others and be willing to build on those strengths

 

Bringing a coach approach into your office will increase your enjoyment of work, strengthen your relationships with your staff and create a culture in the office of collaboration and cooperation. You expect high performance of yourself in your technical work. That should overlap into your leadership skills. You can be an active catalyst in bringing out that same high performance in your staff by creating the right environment for that to happen naturally.

If you are interested in learning more about bringing a coaching culture into your office, please give me a call to learn more.

 

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Playing a Bigger Game

A Bigger Game!

                                                     - by Kristin Nickells

What is the single most important thing that an athlete can bring with her out onto the curling ice? And, for all of us, into the workplace? At one time, I would have said skill. Now I know better.

After going back to university last year to acquire a designation as a business coach and essentially taking the entire year off curling, I was asked to rejoin my senior women’s competitive team this year as lead. 

I spent the summer frantically laying the foundation for a business training program I was developing for the fall, thinking that once autumn and curling began, I would be ready for curling training. As it turned out, promoting a new business is not something that you can do on a schedule and I found that I was caught in a frenzy of working, building my business and trying to dedicate what little spare time I had to working with my skip and coach on my delivery, sweeping and technical skills. 

I think I nearly did my skip in. She spent so many hours with me and as my anxiety about my skills grew, I am sure hers grew too about my doubts, fears, and attitude. 

Finally, as a friend and as a skip, she sat me down just before we were to head off to playdowns. She told me that the one thing I could contribute to this team that was most needed was ME. The genuine, authentic me – not the one stressing about not being a perfect curler, but the one who could be supportive when it was needed, crack a joke when it was needed, be silly if needed. The one who fully believed in the team, who was fully present and not trying to be someone other than who I was. She made it clear to me that who I am, not what I am is what she needed out on the ice in order to elevate her own performance. She told me that a wise man named Bill Tschirhart said that when competing, one has to be in the now; I had to accept my technical skills that I have NOW. There is always time for improvement, but at the dawn of competition, all you have is what you have NOW. She gave me a list she had typed of all the things I had learned and improved upon over the past grueling months and listed the skills I have now. She told me that the sun would still rise in the morning if we didn’t qualify, and that if we didn’t have fun, we had nothing. “Embrace the spirit of the competition”, she said, “be present, be in the now”. 

We were leaving for playdowns the next morning, and when I awoke on that day, I was excited for the first time in months. I was pumped. I was smiling. A weight had been lifted off my shoulders and I felt warm and open and relaxed. I couldn’t wait to get out on the ice. Now I am not here to tell you I was perfect, but I can tell you that my game was bigger and that it was elevated to a level that was beyond what I expected, given the circumstances.  I had made a promise to my skip that I would give her the best of what I had to give, and I think I kept that promise. 

In short, we qualified for the 2nd of 4 spots to move on to provincial championships! I owe that to the insight of my friend and skip;  to her wise words – her own and some from a very wise and experienced man. 

There are so many parallels in this story to life and business, as there always seems to be.  I find it a bit ironic that I can spend so much time teaching these things to clients and yet have to be reminded of it again and again for myself! When we are in the heat of battle, our genuine, authentic selves and the skills we have NOW are what will enable us to play a bigger game and win the day. 

I urge you all to spend some time thinking about what your signature presence is – who your authentic self is. We do this by establishing what we value, what is meaningful to us. Our values help us to define what we stand for and that is the basis of authenticity. When we show up with our authentic selves, we function in a calm, relaxed state. That, in turn, gives us presence. And presence invites people around us to listen. That, my friends, is the foundation of leadership.

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On-line learning? Awesome!

Have you been shy or uncertain about signing up for an on-line learning course? Not technically savvy? I encourage you to give it a try! It’s surprizingly easy to do. Here are a few things to know to get started:

1. There are 2 kinds of on-line learning venues; the webinar and the on-line virtual classroom. The former is a ‘sit and listen’ venue – you sign up (usually from a website), a link is sent to you via email and at the assigned time, you simply click the link to gain access to the recorded webinar. Sometimes the webinar is live, but interaction is limited with the audience.

The latter is more fun! In a virtual classroom, classes are usually smaller and very mucyh more interactive. Having a headset with microphone designed for your computer is essential as it increases the quality of your experience. You receive a link via email and you sign on to the classroom in the same way, but once ‘in class’ you are a participating member of discussion, Q&A’s and your input becomes part of the proceedings.

2. All you need to get involved with either type of venue is internet access, an email address, and a headset.

3. Prepare to have fun! I run an on-line live classroom program called Business Bootcamp for Dentists. A new class started this week and most of my students were not overly technically savvy. With a little help, everyone managed to get logged into the classroom and we had a great time. Imagine being encouraged to crack a cold one, put your feet up in your den or office at home and learn something important and valuable to you! Wow! As this particular program develops, classes will include dentists from all over Canada, North America, Australia, NZ and England, as the business skills being taught are universal. Very cool to think you can exchange experiences and learn together with dentists so geographically diverse!!

So don’t be afraid to sign up for those webinars and live virtual classroom events! You’ll wonder why it took you so long to take the plunge!

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