Coaching is Time Well Spent!

By Roger P. Levin, DDS

 

Introduction

 

Hiring a competent dental staff is the number one issue facing dentistry. Competency can be defined in many different ways, but often relates to the skills, interpersonal traits, professionalism, appearance and potential of a new employee. In the dental practice management seminars I present each year, more and more doctors are approaching me privately to talk about the severe shortage of dental staff.

 

Employment Realities

 

In fact, the real issue is not a shortage of people available in the work force but rather a shortage of people who want to work in dental practices. The tide is turning and fewer qualified people are considering the dental practice a viable career option.

 

How did this come about? For many, working in a dental office is no longer considered an attractive and lucrative career. Prospective candidates see no upward mobility or chance of promotion, and there is a perception that dental practices have lower salaries and benefits than many other businesses.

 

A Case Study

 

To put the staffing issue into prospective, it may be helpful to look at the experiences of a recent Levin Group orthodontic client. Although his systems were being put into place successfully and his profit had increased, he was still having significant problems with management of his team. The conversation focused on one key team member who was a high performer, but erratic.

 

This team member, although not a true office manager, was in charge of all front desk and administrative activities in the office. She kept the office operating with relatively good efficiency, but was often very inconsistent in her performance. Four to six weeks would pass with excellent performance and then several weeks would happen when she would not get things done, miss deadlines, run behind, and forget to send things out.

 

Many of you are probably aware of this syndrome. As the orthodontist explained, each time she was in her good mode he would actually believe that this was permanent and she would now be consistently excellent. When she was in her bad mode, he would ignore the poor performance, assuming it would get better like it always eventually did. On the other hand, it was becoming increasingly frustrating and damaging to the practice to have erratic performance.

 

The first question needing to be asked was if he wished to make things work with this employee or if he was considering termination. The doctor replied that she was a talented person, very good with child patients and worthwhile to the practice. He also stated that she was worth maintaining in the light of the difficulty in hiring. Based on that answer, Levin Group informed the orthodontist that the problem was not one of management systems (which had been put very carefully in place), but rather one of leadership.

 

If this team member had the potential to be a high performer, as she often demonstrated, then the only way to gain consistent high performance was to properly coach and lead her. Offering this individual more money would not correct the problem. She was already very well paid and did not understand that her performance was inconsistent and becoming an irritant to the doctor and the practice.

 

His Levin Group consultant made the following recommendations:

 

Have a very positive preliminary meeting with this individual to layout out all expectations regarding duties and responsibilities in her written job description. (This was accomplished during the systems documentation part of the consulting program.)

After letting this individual know how valuable she is to the office, explain that consistent performance is one of the most important prerequisites for career growth.

Be sure this individual understands every aspect of her position, what activities are to take place on which days and what the expectations are of each activity.

Set up a weekly tracking list that is presented to the doctor by this individual showing what has been accomplished and what has not been accomplished each week. Knowing they will have to report their weekly performance usually motivates people to get everything necessary done so they do not have to confess failure at necessary task completion or activities.

Meet with this individual 10 minutes per week to review the checklist and progress for the week. Explain to her that this is not an activity to simply monitor her performance on a weekly basis, but rather to keep the doctor in touch with the overall performance and direction of the practice. Make these sessions extremely positive and work on continuous improvement. And remember, don’t try to completely change the individual overnight.

 

Summary

 

The above steps often help a team member with excellent potential to excel. Clearly, this individual had demonstrated the skill to do the job, but had trouble with consistent performance. By setting the expectations and a standard of leadership along with weekly coaching, the orthodontist has an excellent chance this person will become very consistent and do an excellent job for the practice.

 

At first glance, it may seem easier to replace a staff member of this nature. However, when you change personnel, you frequently are trading one problem for another. Everybody brings some aspect to the job that may not be ideal from the doctor’s viewpoint. The doctor must be pro-active in correcting the situation. After all, it is often far better to coach someone who is a known entity than to take your chances on a person who may not even come close to the first’s performance.

 

 

Roger P. Levin, DDS, is founder and CEO of Levin Group, a leading dental practice management consulting firm that is dedicated to improving the lives of dentists through a diverse portfolio of lifetime services and solutions. Since the company's inception in 1985, Dr. Levin has worked to bring the business world to dentistry. A popular lecturer, Dr. Levin addresses thousands of dentists and staff worldwide each year in 100-plus seminars and at the dental industry's most prestigious meetings.

www.levingroup.com