
One of the most challenging demands of running a successful practice is the management aspect, especially staff management. Most
dentists lose more sleep over their management
problems with staff than problems
that arise with their patients. That's something
dental school never prepared us for.
After 33 years of practicing dentistry,
and 23 years of presenting seminars and visiting
with dentists and staff members all
over the country, I've learned quite a bit
about managing a staff for the optimum
benefit of everyone. And you know what?
There is not just one way to do it! I really
believe there are two distinct philosophies
that need to be understood for the aspiring
manager. We, as business professionals,
should make a conscience decision about
our individual management style just as we
do when we consider selecting our office
software program or any other major purchase.
It really is the most important decision
we make that will affect every aspect of
our business.
The main management style that we read
about in most business books is the typical
"MBA" model – a stricter, more professional
environment that is monitored closely. These
managers have the discipline and take the
time to manage their employees on a daily
basis. They hold staff members accountable
regularly and don't tolerate frivolous staff performance
deviations.
The other model that we are usually
advised against is the "laid back," more
casual style of management that involves
developing employee-employer relationships
that might even be called friendships.
Most advisors disagree with this approach,
warning you of all kinds of dangerous traps
that can befall you if you become friends
with your employees.
The MBA approach is the model that
most dentists try to follow. Some don't
accomplish it properly and others master it
perfectly. I have a very good friend who has
an extremely successful practice who could
write a book about effective management.
He operates an exceptionally professional
office with long-term employees and enjoys
an income among the top one percent of
dentists. In one of our lengthy long-distance
phone calls, he seemed amazed about all the
things that I do with my team. He said,
"You've taken them to Las Vegas, Cancun,
cruises, shopping sprees, etc. I've never taken
my staff anywhere out of town. You have
them over for pool parties. Actually, Joe, I
don't want to see my staff in bikinis!" He
caught himself and quickly realized how that
might have sounded. He immediately came
back with, "No, don't get me wrong. Some
of them would look great in a bikini; I just
don't want to see them in that environment!"
My friend runs his office as a very smart
business professional should. His staff
always addresses him as doctor in and out of
the office, and he and his partner refer to
each other as doctor also. He goes to work
in a suit and tie, takes off his jacket and puts
on a professional lab jacket. He monitors
and manages his staff in a timely manner,
and doesn't tolerate any trivial relationship
problems in the office. He constantly takes
continuing education courses and is always
implementing the latest technologies into
his office. Simply put… he takes care of
business all the time!
I've known and respected quite a few
successful dentists who have done well due
to their very professional management style.
On the other hand, I know far too many
dentists who attempt the MBA approach
but for various reasons fail in reaching their
goal of a smooth-running, highly profitable
office. Many of them don't have the discipline
or don't take the time to manage properly,
and therefore do not get the results they
had hoped for.
My friend's practice is very comparable to
mine in profitability, yet different in many
other aspects. I go to work in jeans or shorts,
and change into my scrubs (my friend calls
them pajamas and teases me saying I can't
sell high quality dentistry while wearing
pajamas). Many times my staff slip up and
call me Joe in front of patients. There is
much laughter and sometimes boisterous
conversations that take place in our office
that some would deem "unprofessional" if
that happened in their offices. And yes, I'm
guilty of not having regular staff reviews like
I'm supposed to according to the experts.
There are many other dentists out there
who do not have the discipline or the skills
to be a great MBA manager either, or else
they simply don't have the time. But there is
hope out there because the MBA approach
is not the only way to go. MBA management
philosophies of the past don't always
work for everyone in these current times.
Today's employees are totally different than
previous generations.
Unfortunately, the strong work ethic that
was prevalent 40 or 50 years ago has rapidly
been eroding away which makes it more and
more difficult to manage staff. The general
work population demands more than ever
before while reluctant to put forth the effort
that is needed.
That's why I'm convinced that most of us
should be altering our management philosophies
for a more effective and enjoyable style
of management of our teams. I firmly believe
that it's much easier to motivate staff members,
create loyal and dedicated employees
and receive 110 percent effort from them
when we become a little more "laid back" in
dealing with our staff while spending quality
time with them outside the office.
I try not to hire anyone who I could not
enjoy as a friend. Working with friends is
more enjoyable for me and better for business.
I want representatives of my business
to be loyal, dedicated and eager to please.
That's the main benefit behind this management
style: it develops employees that are
anxious and willing to go that extra mile for
the doctor. That's the most difficult feat to
accomplish with your staff with the conventional
MBA approach. But, it takes going
that extra mile to reach the top.
To avoid the often warned about pitfalls
of "becoming friends with your staff,"
you have to have good systems in place. If
you don't, you are likely to set yourself
up for being taken advantage of because
of this more casual approach. If good systems
are in place with explicit job descriptions,
monitors, policy manuals, etc., then
potential problems are dramatically reduced.
Please don't make the mistake of
attempting this management approach
unless everything is in order.
I meet some of the nicest and most successful
groups at our meetings. The common
thread with these offices is that they
enjoy each other and have fun outside of
the office while attending continuing education
courses. These doctors realize the
importance of traveling as a group because
it almost always improves the team camaraderie
that ultimately benefits the office.
We enjoyed a trip to Las Vegas last year. We
stayed at the Mirage and had a fantastic
weekend including a show and a couple of
dinners together. It's hard to put a price tag
on the benefits that our team gains from
these outings. Yet, there are many doctors
who can't even justify treating their staffs to
lunch every now and then.
One thing I really like about these trips
is that it's not just a weekend event. No
way! For some of our trips like the one to
Puerto Vallarta several years ago, the excitement
began six months prior while everyone
was planning and preparing for this
well-deserved vacation/seminar occasion.
And then of course, there were the typical
dieting goals and shopping extravaganzas
in preparation for the big departure date.
Even after that trip, the staff was still hyped
up and talking about it for weeks on end.
Something that has tremendous untold
value is the effect that it has on our patients
when they find out from the team about
these trips. They are genuinely excited for
them and think they are working for the
"best boss" around! We've got another seminar/
cruise trip planned for our team in
February to Key West and Cozumel where
Dr. Mark Troilo and I are doing another
Team Dynamics seminar. The excitement
is already building!
What's more important? Going golfing
with your banker or your staff? A day of
golfing and having a good time with your
staff can net a much higher profit than a
good deal on a small loan that you might
get from your banker. Plus, it's a heck of
a lot more fun! Years ago, we all went out
for a round of golf and had a fantastic time
on a beautiful Wednesday afternoon. On
the first hole, I switched balls with one of
the staff. We about died laughing as she
pulverized the trick exploding ball. A round
of golf: $300. Lunch and beer: $160. The
look on Jeanine's face and the ensuing
laughter and team building: Priceless! That's
just it… you can't put a price on the
benefits that are gained by truly enjoying
your staff outside of the office! Have fun
with your team and you'll see why they
are your most valuable asset!
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Dr. Joe Steven graduated from Creighton Dental School in 1978 and has been in solo practice in Wichita, Kansas, up until June,
2007 at which time his daughter, Dr. Jasmin Rupp joined him. He is president of KISCO, a dental products marketing company,
providing "new ideas for dentistry," and is the editor of the KISCO Perspective Newsletter. Dr. Steven, along with Dr. Mark Troilo,
presents the "Team Dynamics" seminar. Dr. Steven also presents three other seminars: "Efficient-dentistry," "Efficient-prosthetics"
and "Efficient-endo." Dr. Steven also provides the KISCO Select Consulting Program to dentists in the form of a monthly audio CD
recording. He also offers a coaching consulting program called the KISCO's 21 Club. Contact info: jsteven@kiscodental.com;
800-325-8649; www.kiscodental.com. |