Latest / Hey Docs! / Hiring for Growth and Success in Your Orthodontic Practice - Just Jill
Transcript
- 0:05Speaker 1: Welcome to the Hey Docs podcast with your host, Jill Allen.
- 0:09Speaker 1: It is time for another Just Jill episode with me
- 0:12Speaker 1: behind the mic. Today, we're talking about one of the
- 0:15Speaker 1: biggest challenges I hear from practice owners, hiring. When you
- 0:20Speaker 1: have an open position, it can be really tempting to
- 0:23Speaker 1: look for somebody who already has orthodontic experience. I'm especially
- 0:27Speaker 1: looking at you startups. They know the terminology, they understand
- 0:31Speaker 1: the flow of the practice, and they should require less training.
- 0:35Speaker 1: But is the most experienced candidate always the best candidate?
- 0:39Speaker 1: Today we're talking about hiring someone seasoned versus someone completely
- 0:44Speaker 1: new to the industry. What actually makes somebody a great
- 0:47Speaker 1: hire and what needs to happen after they join your
- 0:50Speaker 1: team to set them up for success. And now a
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- 2:52Speaker 1: All right, guys. So here's a question that I get
- 2:54Speaker 1: a lot, especially when we're talking about a startup practice
- 2:59Speaker 1: and hiring for that versus hiring for an established practice.
- 3:04Speaker 1: And one of the questions that continues to come up
- 3:08Speaker 1: is how much should previous orthodontic experience actually matter? And
- 3:13Speaker 1: I think that this is something that's really important. And
- 3:16Speaker 1: I'm going to talk about it from a startup perspective
- 3:19Speaker 1: and then from an acquisition and or an established practice
- 3:23Speaker 1: when we're looking at hiring. And I think it can
- 3:26Speaker 1: be really easy as a doctor, especially in a startup practice,
- 3:30Speaker 1: you know, kind of we're doctors that are coming in.
- 3:33Speaker 1: We may not have ever had a practice of our own.
- 3:36Speaker 1: And it can feel really comfortable to think about surrounding
- 3:40Speaker 1: ourselves with with somebody who has some experience in our industry.
- 3:47Speaker 1: And I think for many times, the right person out there,
- 3:50Speaker 1: it can be a real advantage to a startup practice.
- 3:55Speaker 1: But It can also be a disadvantage. And so I
- 3:59Speaker 1: want to talk about some of the pros and cons
- 4:02Speaker 1: of bringing somebody in with experience and without experience. So
- 4:07Speaker 1: when we're looking at a startup, many times we're looking
- 4:11Speaker 1: at hiring one person. maybe two team members right from
- 4:15Speaker 1: the beginning. And usually that first team member in a
- 4:18Speaker 1: startup practice is going to be somebody who's kind of,
- 4:22Speaker 1: I call it our utility player. They're kind of handling
- 4:25Speaker 1: all of the roles of the practice, but we're teaching
- 4:29Speaker 1: them to do those roles at a we're going to
- 4:37Speaker 1: be eventually getting core people into all of those positions
- 4:41Speaker 1: that will really own that position. But in our first
- 4:44Speaker 1: six months, eight months, even sometimes our first year, we
- 4:48Speaker 1: usually have one team member that's kind of managing everything
- 4:51Speaker 1: on the front of the house side. And then eventually
- 4:54Speaker 1: we're going to bring in an assistant that's going to
- 4:57Speaker 1: help us on the back end side as our practice
- 4:59Speaker 1: volume and patient volume continues to grow. So when I
- 5:04Speaker 1: get asked this a lot with doctors who say, you know, Jill, well,
- 5:08Speaker 1: I would assume that my first hire should be somebody
- 5:10Speaker 1: with a lot of experience and somebody who can just
- 5:14Speaker 1: really come in and I love this, run my practice,
- 5:17Speaker 1: you know, kind of like an office manager. I always
- 5:20Speaker 1: have to take a little bit of time and coach
- 5:23Speaker 1: with my doctors a little bit that Although that seems
- 5:27Speaker 1: like that can be a really good decision to make,
- 5:30Speaker 1: it isn't always the best for a startup practice. So
- 5:34Speaker 1: let's kind of talk about what that looks like. A
- 5:36Speaker 1: lot of times when we look at bringing somebody in
- 5:41Speaker 1: who doesn't have a lot of dental or orthodontic experience in,
- 5:45Speaker 1: Some of the things that can be to our advantage
- 5:48Speaker 1: in an orthodontic practice is we get the opportunity to
- 5:52Speaker 1: mold them and train them to do everything exactly the
- 5:56Speaker 1: way we need it done. And I think that many
- 5:59Speaker 1: times when we look at team members who are coming
- 6:02Speaker 1: from established practices into a startup is they're coming with
- 6:06Speaker 1: an established practice mentality. So they know how things work
- 6:12Speaker 1: in a busy, established practice, and they know the things
- 6:15Speaker 1: that should be happening. And although that can be an
- 6:17Speaker 1: advantage to us, it can also be a disadvantage because
- 6:22Speaker 1: we're Many times we have to look at the way
- 6:24Speaker 1: we do things different in a startup. So the way
- 6:27Speaker 1: we market may be differently. The way we present our
- 6:30Speaker 1: fees and the way we set up our payment plans
- 6:33Speaker 1: may be differently than an established practice. And so when
- 6:37Speaker 1: we're training that team member with no experience or knowledge,
- 6:41Speaker 1: retraining a team member with experience, there can be some
- 6:45Speaker 1: things that we really have to think about and sometimes
- 6:49Speaker 1: can have some issues that come up that we have
- 6:52Speaker 1: to deal with. When I look at this from a
- 6:55Speaker 1: clinical standpoint to a front of the office standpoint, I
- 7:00Speaker 1: definitely think that there could be advantages in having a
- 7:04Speaker 1: clinical team member that has some experience, especially when we're
- 7:08Speaker 1: looking at a startup practice. Because many times when we're
- 7:12Speaker 1: starting out our practices, we start off our first three
- 7:15Speaker 1: months with a whole lot of new patient exams and
- 7:17Speaker 1: a whole lot of starts, but not a lot of adjustments. So,
- 7:22Speaker 1: Many times we can get away with not even having
- 7:25Speaker 1: a clinical assistant initially. But as that volume starts to
- 7:30Speaker 1: pick up, we either need to have a doctor that's
- 7:34Speaker 1: willing to train an assistant to be able to do
- 7:38Speaker 1: things the way they want, or many times I think
- 7:40Speaker 1: it can be really helpful for a doctor to have
- 7:43Speaker 1: an assistant that does have some basic training in to
- 7:48Speaker 1: be able to jump in there and help because it
- 7:50Speaker 1: really comes down to where is the doctor and the
- 7:55Speaker 1: way our schedule is going and how do we best
- 7:57Speaker 1: use everybody's time with the least amount of employees. So
- 8:01Speaker 1: I think that there can be, again, pros and cons
- 8:04Speaker 1: when we look at bringing somebody in with skills and
- 8:08Speaker 1: without skills. And we really have to evaluate each independently
- 8:12Speaker 1: to see what makes sense for us. Okay, so now
- 8:16Speaker 1: what I want to talk a little bit about is
- 8:18Speaker 1: another question that leads into what I was just talking about.
- 8:22Speaker 1: And what are some things that we need to be
- 8:24Speaker 1: thinking about when we are hiring a seasoned orthodontic team
- 8:28Speaker 1: member and why sometimes that can be a little bit
- 8:31Speaker 1: more difficult. And one of the first things that I
- 8:34Speaker 1: talk a lot about and coach with my startup doctors
- 8:38Speaker 1: and we as a team here at JANA talk a
- 8:40Speaker 1: lot about is, Although it can be great to have
- 8:45Speaker 1: somebody coming from a busy, established practice, and they have
- 8:49Speaker 1: all these skills, and they're going to come into my
- 8:51Speaker 1: startup practice, and they're just going to be able to
- 8:54Speaker 1: do everything. Sometimes that team member comes in with a
- 8:58Speaker 1: lot of preconceived notions about what they know of the
- 9:03Speaker 1: roles that were in their busy, full orthodontic practices. You know,
- 9:08Speaker 1: there's a full-time practitioner. financial coordinator, there's a full-time TC,
- 9:13Speaker 1: there's a full-time front office communications coordinator, and maybe there's
- 9:16Speaker 1: even a full-time office manager. And now you, new doctor,
- 9:21Speaker 1: are looking at hiring them and they're thinking, well, ugh,
- 9:25Speaker 1: How come they're only going to pay me X amount
- 9:27Speaker 1: of dollars? I'm responsible for all of these roles. And
- 9:31Speaker 1: I think that that is something that we really, a
- 9:33Speaker 1: big hurdle that we really have to talk about and
- 9:38Speaker 1: coach as we're bringing team members into a startup is,
- 9:43Speaker 1: although again, we are bringing somebody into business. kind of
- 9:48Speaker 1: be a utility player on a very high level for
- 9:51Speaker 1: each of these roles, they are not going to have
- 9:54Speaker 1: 40 hours of work in each of those core roles.
- 9:57Speaker 1: They're going to be working over their 32 to 40
- 10:02Speaker 1: hours in the week to manage those roles. But again,
- 10:05Speaker 1: we're a startup practice or we're a smaller acquisition practice potentially.
- 10:11Speaker 1: And so I think that it's important that we're really
- 10:14Speaker 1: understanding as a doctor what we need to be thinking about,
- 10:17Speaker 1: but also making sure that the team member that we're
- 10:21Speaker 1: potentially hiring understands that That the expectations of what they
- 10:26Speaker 1: saw in this busy practice is not going to be
- 10:29Speaker 1: what they're going to see, especially in our startup practices.
- 10:33Speaker 1: Another thing that I think we really have to think
- 10:36Speaker 1: about when we are bringing this seasoned orthodontic team member
- 10:41Speaker 1: in is is how difficult is it going to be
- 10:46Speaker 1: for them to unlearn a way that they were used
- 10:51Speaker 1: to doing work in a previous practice or previous practices?
- 10:57Speaker 1: And I see this a lot, especially when we sometimes
- 11:00Speaker 1: are hiring team members that are older than the doctors
- 11:04Speaker 1: sometimes that are starting the practice. And it's kind of
- 11:07Speaker 1: this really interesting dynamic where a lot of times the
- 11:12Speaker 1: team members kind of come in with this air of,
- 11:15Speaker 1: I know more than you, doc, so you just listen
- 11:18Speaker 1: to me and I'll make sure that we'll get everything
- 11:21Speaker 1: set up. And I think that that's something that we
- 11:23Speaker 1: have to be really, really careful about. And again, when
- 11:26Speaker 1: we're working with doctors and we're working with team members,
- 11:29Speaker 1: a lot of times what we are working on is
- 11:33Speaker 1: to retrain a previous way of thinking. It may have
- 11:37Speaker 1: been great. for that previous doctor and that previous team
- 11:42Speaker 1: member in that previous setting. But it isn't always the
- 11:46Speaker 1: vision and the culture and what you, doctor, as of
- 11:50Speaker 1: your new practice, what you're building when you're looking at
- 11:54Speaker 1: what do I want out of my practice. And so
- 11:57Speaker 1: we have to find this really nice balance where we
- 12:00Speaker 1: respect where the team member is coming from. And we
- 12:03Speaker 1: love the fact that they have got the knowledge that
- 12:06Speaker 1: they have. But we also have to have an understanding
- 12:09Speaker 1: that they don't insert themselves into the culture or the
- 12:15Speaker 1: direction of the way the practice is growing anymore. And
- 12:18Speaker 1: in turn, the doctor ends up taking the back seat,
- 12:22Speaker 1: which can become a very contentious situation over time. Another
- 12:28Speaker 1: thing that I think we also have to think about is,
- 12:31Speaker 1: especially when we're going through a interview process, is, you know, again,
- 12:37Speaker 1: I think it's so easy to take the path of
- 12:39Speaker 1: least resistance. They have experience, and so therefore, I just
- 12:43Speaker 1: know they're going to be good for my practice, right?
- 12:45Speaker 1: But the hard thing that we have to look at
- 12:47Speaker 1: when we're going through our interview process and we have
- 12:51Speaker 1: to be able to really figure out is, although this
- 12:55Speaker 1: person may have great experience and they may be really
- 12:59Speaker 1: good at an established practice, are they going to be
- 13:03Speaker 1: adaptable for what we're looking for in our startup practice?
- 13:09Speaker 1: And again, that can be a really tough thing. And
- 13:11Speaker 1: so I think we have to come up with questions
- 13:14Speaker 1: for our interview process, helping us determine, are they kind
- 13:19Speaker 1: of set in their ways? Do they believe that there's
- 13:22Speaker 1: one way to do it? Maybe they're coming from a
- 13:24Speaker 1: doctor that had a very specific way of doing something
- 13:28Speaker 1: in a practice. And I'm going to talk about this
- 13:30Speaker 1: from a TC standpoint, potentially. Maybe they've worked for years
- 13:34Speaker 1: and years as a treatment coordinator in a very established
- 13:38Speaker 1: practice for maybe only one doctor or two doctors in
- 13:41Speaker 1: their whole career. And those doctors had very specific ways
- 13:45Speaker 1: that they like to treat. And now they're coming into
- 13:47Speaker 1: your practice with maybe 15 years, 8 years, 10 years
- 13:52Speaker 1: of ingrained way of thinking about what they're bought into
- 13:55Speaker 1: that previous doctor's treatment philosophies. And you... Now have a
- 14:00Speaker 1: new philosophy and they can't necessarily get on board with
- 14:04Speaker 1: that new philosophy. How do we determine are they going
- 14:08Speaker 1: to be able to get on board with your way
- 14:12Speaker 1: of treating and the way you want to move patients
- 14:15Speaker 1: through treatment? Because if we can't get them on board
- 14:18Speaker 1: with that, if they can't see the importance of why
- 14:22Speaker 1: we have to have financial boundaries in our TC room
- 14:25Speaker 1: or why maybe we're going to look at offering different
- 14:29Speaker 1: financial modalities in order to get people to say yes
- 14:32Speaker 1: to treatment or this, that, or the other, what can
- 14:36Speaker 1: happen is they can actually stunt the growth of what
- 14:40Speaker 1: is happening in our startup practice. So again, we have
- 14:44Speaker 1: to really put a lot of thought into this and
- 14:47Speaker 1: make sure that we are not just saying yes to
- 14:52Speaker 1: moving forward with an employee because they have experience, but
- 14:55Speaker 1: really assessing who's going to be best for the long-term
- 14:59Speaker 1: vision and growth of the practice. All right. So another
- 15:04Speaker 1: question that I get asked a lot that comes up
- 15:07Speaker 1: a lot when we're going through our hiring process with
- 15:10Speaker 1: doctors or talking through this with team members is what
- 15:16Speaker 1: actually makes somebody a great candidate? And this is so subjective,
- 15:22Speaker 1: I think, in who's going to be our next team
- 15:26Speaker 1: member that we bring onto our island and say, okay,
- 15:29Speaker 1: you're going to be the next extension of SmileMaker Orthodontics
- 15:34Speaker 1: or whatnot. And So many times we can get hung up,
- 15:39Speaker 1: as I was just talking about, in certain characteristics or
- 15:44Speaker 1: technical experience. And I think both of those are really important,
- 15:49Speaker 1: but we have to evaluate each of those independently. And
- 15:55Speaker 1: I cannot say enough how important it is to really
- 16:01Speaker 1: pay attention to our candidate as a whole and not
- 16:06Speaker 1: just be looking at, well, they're a great assistant, so
- 16:11Speaker 1: therefore they will be a great employee. Or they're really
- 16:15Speaker 1: great with making friends at the front desk, so therefore
- 16:19Speaker 1: they're going to be a great team member on my team.
- 16:23Speaker 1: I think that really evaluating attitude. And these are things
- 16:28Speaker 1: that are tough because how do we get this out
- 16:30Speaker 1: of one interview? How do we determine that this is
- 16:34Speaker 1: going to be the right person? But I think these
- 16:37Speaker 1: are things that we have to be thinking about. So
- 16:39Speaker 1: what is their attitude like? How important is their communication skills?
- 16:44Speaker 1: What is their curiosity for learning like? How are they
- 16:49Speaker 1: going to be with accountability? What is their willingness to learn?
- 16:53Speaker 1: Like those are all soft skills, but they're soft skills
- 16:57Speaker 1: that are really important to our practice. If we interview somebody,
- 17:03Speaker 1: and I suggest a lot of times that we do
- 17:06Speaker 1: our interviews with a face-to-face, not even in the office,
- 17:09Speaker 1: but just a Zoom interview first. And if the person,
- 17:13Speaker 1: we're doing that interview and they're doing it from their
- 17:15Speaker 1: car and they're in a side ponytail and they haven't
- 17:19Speaker 1: put a lot of thought into their appearance and their
- 17:22Speaker 1: first impression, you have to kind of take a pause
- 17:26Speaker 1: and think, okay, if they didn't do this on what
- 17:31Speaker 1: should be kind of our first date, what's going to
- 17:34Speaker 1: happen when they come into your practice and kind of
- 17:36Speaker 1: the shininess and the newness of the job wears off?
- 17:40Speaker 1: Is this really the characteristic that we're going to see?
- 17:44Speaker 1: Or if you're asking somebody, giving them directions on how to,
- 17:48Speaker 1: maybe you are going to do an in-person interview, this
- 17:51Speaker 1: is where our office is and They are unable to,
- 17:55Speaker 1: without you giving them step-by-step details, find their way through
- 17:59Speaker 1: using their resources to find a way onto Google Maps
- 18:04Speaker 1: and map out how long it's going to take to
- 18:06Speaker 1: get to your office and show up on time for
- 18:09Speaker 1: that interview. Or you're asking them about processes that they
- 18:15Speaker 1: have done maybe in a previous practice or in a
- 18:18Speaker 1: previous job. And pushing them a little bit on how
- 18:22Speaker 1: easy was it for them to learn a new process
- 18:25Speaker 1: or just something as simple as what was the last
- 18:29Speaker 1: new thing that you learned? You know, if they're like,
- 18:31Speaker 1: I can't even tell you the last time I learned
- 18:34Speaker 1: something new. You might want to be paying attention to
- 18:37Speaker 1: that because when we're entering into especially somebody who's not
- 18:41Speaker 1: from our field. But even if it is somebody from
- 18:44Speaker 1: our field, if they are unwilling to learn or they
- 18:49Speaker 1: are unwilling to communicate well, if they cannot send out
- 18:53Speaker 1: a simple formatted text or correspond with you with punctuation
- 18:59Speaker 1: and capitalization, I think that has something to say about
- 19:04Speaker 1: their personality and about their person. And this is going
- 19:08Speaker 1: to be potentially the face of your practice or the
- 19:10Speaker 1: person that's doing the sales in your practice or the
- 19:13Speaker 1: person that you're trusting to have a very serious conversation
- 19:17Speaker 1: about treatment with the patient. We have to know that
- 19:20Speaker 1: all of these pieces, attitude, communication, curiosity, accountability, and willingness
- 19:26Speaker 1: are all part of what makes up their personality in
- 19:29Speaker 1: order to be a good fit for our practice. Another
- 19:33Speaker 1: thing that I think is really important, and you might
- 19:36Speaker 1: have heard me over the years in a lecture or
- 19:39Speaker 1: whatnot talk about this, is I really believe we have
- 19:43Speaker 1: to be really smart with the questions that we're asking
- 19:47Speaker 1: in our interview. We need to curate our questions to
- 19:52Speaker 1: the position that we're hiring for. We need to be
- 19:56Speaker 1: thinking about those ahead of time. We should not be
- 19:58Speaker 1: asking the same questions that we're asking a clinical assistant
- 20:01Speaker 1: for a front office assistant to our TC. Each of
- 20:05Speaker 1: those roles are very core roles in an orthodontic practice.
- 20:10Speaker 1: And if it's a startup or if it's an acquisition
- 20:13Speaker 1: where we're hiring or an established, we really need to
- 20:16Speaker 1: be thinking about what are the interview questions? What is
- 20:20Speaker 1: it that I need to know from this team member
- 20:23Speaker 1: to see that they're going to fit into the position
- 20:26Speaker 1: that I am actually hiring for? I'm giving you all
- 20:31Speaker 1: these things to think about, but I think you also
- 20:33Speaker 1: just need to be really aware of red flags and
- 20:37Speaker 1: recognize a red flag when it's in front of you.
- 20:40Speaker 1: I think Most of the time, all of us want
- 20:44Speaker 1: to see the best in somebody. I really believe that
- 20:48Speaker 1: we think, oh, I'm going to try and see the best.
- 20:51Speaker 1: I want to see the potential in this person. I
- 20:54Speaker 1: want to hope that they're the right person. But a
- 20:57Speaker 1: lot of times the red flags are right there in
- 21:01Speaker 1: front of us and we just choose to overlook them.
- 21:05Speaker 1: Because we're excited about the candidate. We're excited that finally
- 21:10Speaker 1: somebody with experience applied to my ad. But yet maybe
- 21:14Speaker 1: we just want to overlook the fact that they've had
- 21:18Speaker 1: five different jobs in five different months. Or that when
- 21:23Speaker 1: they showed up to their interview, they wouldn't turn their
- 21:25Speaker 1: camera on, even though we told them that they needed
- 21:28Speaker 1: to have their camera on. Or that when they responded
- 21:32Speaker 1: to me in text and in email, there were a
- 21:35Speaker 1: lot of spelling errors and it didn't really look like
- 21:38Speaker 1: they were paying attention to the questions that I had
- 21:42Speaker 1: asked them. Again, so many times I see this where doctors,
- 21:47Speaker 1: the red flags are there, the warning signs are there,
- 21:50Speaker 1: and they're like, yeah, but I think that I'm just
- 21:52Speaker 1: going to go ahead and hire them and see if
- 21:56Speaker 1: they can do better and see if it really gets better.
- 21:59Speaker 1: And here's what I want to tell you guys is...
- 22:02Speaker 1: It doesn't usually get better. Usually those first things that
- 22:06Speaker 1: we're seeing are the same things we're gonna see in
- 22:09Speaker 1: a month, the same things we're gonna see in two months,
- 22:11Speaker 1: the same things we're gonna see in three months. And
- 22:14Speaker 1: we just have to understand that sometimes We can't change
- 22:17Speaker 1: a personality or a personality trait. And depending upon the
- 22:22Speaker 1: role that we're hiring for, that can make a difference
- 22:25Speaker 1: on a good employee or an employee that we just
- 22:29Speaker 1: constantly have strife and issues with from the very beginning.
- 22:32Speaker 1: And I just want to say this, Docs, I want
- 22:34Speaker 1: you to hear me. There is never going to be
- 22:37Speaker 1: something that you will do harder in your career, in
- 22:40Speaker 1: my opinion, than to let somebody go. And I spend
- 22:43Speaker 1: a lot of time coaching and counseling doctors through terminating
- 22:48Speaker 1: an employee. And half the time we would have never
- 22:51Speaker 1: got there had we not made the decision to hire
- 22:55Speaker 1: the wrong person in the beginning. And, you know, many
- 22:58Speaker 1: times we knew it was the wrong hire. The doctor
- 23:02Speaker 1: knew they weren't, you know, probably not, but I'm going
- 23:05Speaker 1: to take a chance and it never works out well.
- 23:08Speaker 1: So trust your gut, watch for those red flags and
- 23:11Speaker 1: know that just because you've got warm bodies that are
- 23:15Speaker 1: applying for the position doesn't mean that they are the
- 23:19Speaker 1: right employees for the position. And it's better to hold
- 23:22Speaker 1: out and hire slow and hire the right person. than
- 23:26Speaker 1: to have to get in a position where it doesn't
- 23:29Speaker 1: work out and then it's uncomfortable for everybody. And now
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- 24:11Speaker 1: that is go.solventum.com forward slash clarity to learn more. All right.
- 24:24Speaker 1: Now I want to talk about once we've hired somebody.
- 24:27Speaker 1: And I think gone are the days where we have
- 24:31Speaker 1: this probationary period and then we reevaluate and we give
- 24:35Speaker 1: raises and this, that or the other. I think that
- 24:39Speaker 1: what we need to do once we hire an employee
- 24:41Speaker 1: is we really need to be looking at their first
- 24:45Speaker 1: 90 days instead is, are they a good fit for us?
- 24:50Speaker 1: And are we a good fit for them? And docs,
- 24:54Speaker 1: I want you to hear me on this, that this
- 24:57Speaker 1: is not personal advice. When we make these decisions, even
- 25:02Speaker 1: though it feels very personal, it is a business decision.
- 25:06Speaker 1: Even the best of us that hire make decisions. Choices
- 25:11Speaker 1: that once we get an employee in, we determine that
- 25:14Speaker 1: they are just not the right fit for our practice
- 25:17Speaker 1: from a culture standpoint, from a personality standpoint. I mean,
- 25:21Speaker 1: sometimes we just don't know until we get in there
- 25:24Speaker 1: and work with them. So I do think that the
- 25:27Speaker 1: idea of a 90-day probationary period makes sense from a
- 25:33Speaker 1: we're looking to see if we're a good fit for
- 25:36Speaker 1: each other perspective. But I think that we have to
- 25:39Speaker 1: look at that also from a training standpoint. I will
- 25:44Speaker 1: tell you that in most cases, it takes a good
- 25:48Speaker 1: 90 days, especially if somebody's coming in without a lot
- 25:52Speaker 1: of experience in the position that they're hiring into or
- 25:56Speaker 1: any experience in our industry to really even start to
- 26:00Speaker 1: understand the position that they're in and what is expected
- 26:04Speaker 1: of them. And so I think that, Docs, what we
- 26:07Speaker 1: have to do when we are looking at hiring for
- 26:10Speaker 1: this position is make sure that you've got really good
- 26:15Speaker 1: expectations and a training program in place for helping our
- 26:21Speaker 1: new employees see what they need to learn and then
- 26:25Speaker 1: what they're accountable for. That can lead to really good
- 26:29Speaker 1: moves in hiring somebody or can lead to where a
- 26:34Speaker 1: position just doesn't work out well. And it tends to
- 26:36Speaker 1: be because we haven't set up good training programs or
- 26:40Speaker 1: we don't have good accountability pieces in place. And so
- 26:44Speaker 1: they're just kind of flailing. They're kind of getting in
- 26:47Speaker 1: trouble for things, but they don't know what they're doing
- 26:49Speaker 1: right or they don't know what they're doing wrong. The
- 26:52Speaker 1: other thing that I think is important is so many
- 26:54Speaker 1: times we leave training to new team members. Unfortunately, if
- 26:59Speaker 1: it's a startup doc, a lot of times docs that's
- 27:02Speaker 1: left on you. If you're working with a consulting group,
- 27:05Speaker 1: a lot of times that's left on your consulting group
- 27:08Speaker 1: to train them, which is fine. That's what you're paying for.
- 27:11Speaker 1: But you actually have to be able to train them.
- 27:14Speaker 1: And I see this a lot with startup docs who
- 27:18Speaker 1: maybe do it by themselves as they're still working associateship jobs.
- 27:22Speaker 1: And they're just expecting this team member to come in
- 27:25Speaker 1: and know what to fill their time with and know
- 27:28Speaker 1: how to move themselves through a training process without any
- 27:33Speaker 1: real guidance. So we have to really be thinking about
- 27:36Speaker 1: who's responsible. Where are you meeting? When are you meeting?
- 27:40Speaker 1: What are you... working on and working through in that
- 27:44Speaker 1: first quarter. Now, when I kind of break it down
- 27:47Speaker 1: into this 30, 60, 90 days, what does that look like?
- 27:52Speaker 1: I think that in our first 30 days, I'm looking
- 27:55Speaker 1: for some of the basic things. Are they eager to learn?
- 28:00Speaker 1: Are they showing up to work on time? Are they asking,
- 28:04Speaker 1: I don't know what to do here? Or are they
- 28:07Speaker 1: waiting for me to tell them what to do? I'm
- 28:10Speaker 1: really kind of looking at more of a personality connection
- 28:16Speaker 1: and what is their eagerness to move forward in the position.
- 28:22Speaker 1: Within 60 days, I'm looking at, okay, they have had
- 28:26Speaker 1: some training. They should be understanding basic concepts of the position.
- 28:31Speaker 1: And are they starting to hold themselves accountable for what
- 28:36Speaker 1: they're doing within this position? Are they starting to recognize
- 28:41Speaker 1: if they have a gap in learning and bringing it
- 28:46Speaker 1: forward to whoever their trainer or their doctor is? And
- 28:49Speaker 1: then by 90 days, I feel like even though the
- 28:53Speaker 1: employee may not understand the position like somebody who's been
- 28:57Speaker 1: doing it for five years, they should be able to
- 29:00Speaker 1: kind of lift their eyes up a little bit and
- 29:02Speaker 1: kind of understand the why behind what they are doing
- 29:06Speaker 1: within that position. And again, if we're in 60 days
- 29:10Speaker 1: or 90 days and We feel like the employee has
- 29:15Speaker 1: not moved past and is not understanding the why. They're
- 29:19Speaker 1: still struggling with the basics. I can't get my computer
- 29:22Speaker 1: system open. I'm struggling with just some very fundamental things.
- 29:27Speaker 1: 90 days in, we may be looking at maybe they're
- 29:31Speaker 1: not the right fit for the practice. And we have
- 29:34Speaker 1: to determine, is it a personality? Is it a lack
- 29:37Speaker 1: of understanding? Is the position more technical for them than
- 29:43Speaker 1: they're able to handle? And then we really need to
- 29:46Speaker 1: be making decisions on, is this the right fit for
- 29:49Speaker 1: me as the employer? Is this the right fit for
- 29:51Speaker 1: them as the employee? And are they going to make
- 29:54Speaker 1: it past 90 days? Or do we need to say,
- 29:58Speaker 1: we tried, we did our part, and maybe this isn't
- 30:01Speaker 1: the best fit moving forward? Because again, If we move
- 30:05Speaker 1: people past that 90 days and we're expecting a change
- 30:09Speaker 1: that is just not part of their person, it's only
- 30:13Speaker 1: going to be harder month after month after month as
- 30:16Speaker 1: we're moving along there. So I hope that kind of
- 30:19Speaker 1: helps you understand a little bit there on obstacles a
- 30:23Speaker 1: little bit when we're training team members and what we
- 30:25Speaker 1: need to be looking at in that 30, 60, 90 days.
- 30:30Speaker 1: All right, guys. So the next question I get a
- 30:33Speaker 1: lot when we're kind of in this hiring phase here
- 30:36Speaker 1: is how do I determine the right pay for a position?
- 30:41Speaker 1: This is definitely a tough one. And I come at
- 30:44Speaker 1: this a little bit differently when I'm working with startups
- 30:47Speaker 1: and when I'm working with acquisitions and when I'm working
- 30:49Speaker 1: with established practices. So I'm going to very quickly go
- 30:53Speaker 1: through each of the areas, but I'm not going to
- 30:56Speaker 1: get real deep on any of these. Again, I'm going
- 30:59Speaker 1: to start with the startup. So usually when we're looking
- 31:02Speaker 1: at hiring for a startup, again, we are normally or
- 31:06Speaker 1: usually hiring one employee that is going to kind of
- 31:10Speaker 1: be our utility player that's going to handle a lot
- 31:12Speaker 1: of roles, but they're not trained deep into any of
- 31:15Speaker 1: those roles. And many times we're hiring an employee that
- 31:19Speaker 1: may not or have very limited orthodontic experience. And so
- 31:25Speaker 1: a lot of times we're kind of hiring at that
- 31:29Speaker 1: entry level of pay. And what we have to do
- 31:34Speaker 1: in an orthodontic practice is, especially in a startup, is
- 31:37Speaker 1: kind of manage this component of expenses to income. And
- 31:42Speaker 1: when we're a startup, we've got a lot of expenses
- 31:44Speaker 1: and no income. And we have to have an employee though.
- 31:48Speaker 1: And that, how do we manage having an employee, but
- 31:51Speaker 1: not spending all of our money on an employee? And
- 31:56Speaker 1: Many times when we're looking at kind of an entry
- 31:58Speaker 1: level position for somebody who has not been in our
- 32:01Speaker 1: industry before, kind of my rule of thumb is to
- 32:04Speaker 1: look at your area and what is kind of the
- 32:07Speaker 1: high end of a Starbucks or a McDonald's or a
- 32:10Speaker 1: Walmart paying. So let's say Walmart is advertising hiring team
- 32:16Speaker 1: members in at $ 20 an hour. Well, if we're looking
- 32:19Speaker 1: at our orthodontic practices, we're hoping to get a team
- 32:23Speaker 1: member that wants... My goal is always somebody that's looking
- 32:26Speaker 1: to get into a career, not just a job. And
- 32:30Speaker 1: so what can we do to incentivize them to look
- 32:34Speaker 1: at our industry as a career? And so my rule
- 32:36Speaker 1: of thumb is we may be... And this is a
- 32:39Speaker 1: very generic number. So don't anybody write this down and say,
- 32:41Speaker 1: Jill said I have to pay X amount of dollars
- 32:44Speaker 1: per hour. But I kind of say, look at what
- 32:46Speaker 1: that average is. And we're probably anywhere between $ 2 and
- 32:51Speaker 1: $ 3 above that for our entry level. So let's just
- 32:55Speaker 1: say Walmart is out there saying, or Starbucks is out
- 32:57Speaker 1: there saying, we're hiring full-time employees at $ 20 an hour.
- 33:02Speaker 1: We're probably going to be hiring full-time employees in our offices,
- 33:06Speaker 1: maybe starting at around $ 23 an hour. Now, again, don't
- 33:10Speaker 1: blow up my emails about this. And Jill, that's way
- 33:13Speaker 1: high for my market. I know every area is different
- 33:16Speaker 1: in the country. But I think it's important that you
- 33:18Speaker 1: understand that the caliber of employee that we're looking for,
- 33:23Speaker 1: even if they don't have experience in our industry, is
- 33:28Speaker 1: somebody that is looking for more than just a job.
- 33:31Speaker 1: Because if we're hiring somebody that's just looking for a job,
- 33:36Speaker 1: we're going to have somebody that's going to stay in
- 33:39Speaker 1: that position for about as long as until they find
- 33:42Speaker 1: the next job that pays a little bit more. So
- 33:46Speaker 1: we want to be thinking about this, that we are
- 33:48Speaker 1: training somebody into a position that we're hoping they're going
- 33:53Speaker 1: to grow into this and then their pay will grow
- 33:56Speaker 1: with them. When we're looking at acquisitions, I have a
- 33:59Speaker 1: lot of docs that are taking over practices. Probably one
- 34:03Speaker 1: of the hardest things that we do when we're looking
- 34:05Speaker 1: at hiring for acquisitions is trying to determine what are
- 34:09Speaker 1: the roles that we have in the practice? What has
- 34:13Speaker 1: the team members in the past that are staying on?
- 34:16Speaker 1: What are they making? Are there any adjustments that we
- 34:19Speaker 1: have to be doing there? And then what can the
- 34:22Speaker 1: practice actually afford to pay when you're looking at taking
- 34:26Speaker 1: that over? Because we have the same issue as a startup.
- 34:30Speaker 1: You may have income coming in from that acquisition, but
- 34:34Speaker 1: you've got a whole new set of expenses that maybe
- 34:36Speaker 1: the senior doc didn't have. And we really have to
- 34:39Speaker 1: manage that overhead component of it. Now, when we're looking
- 34:43Speaker 1: at established practices, you've already heard probably my podcast maybe
- 34:48Speaker 1: earlier where I was talking about hiring for a career
- 34:51Speaker 1: and levels of pay. I'm going to say the exact
- 34:54Speaker 1: same thing I said in that earlier podcast is it
- 34:58Speaker 1: is very important that when we're setting up an established practice,
- 35:02Speaker 1: we're bringing people in, and plugging them into kind of
- 35:05Speaker 1: a level of experience where they understand where they're at
- 35:10Speaker 1: and with more experience where they can go and where
- 35:14Speaker 1: they can grow with the pay. One of the things
- 35:16Speaker 1: that I think is so important that all of us,
- 35:19Speaker 1: no matter for a startup, an acquisition, or an established,
- 35:23Speaker 1: that we have to get away from is giving pay
- 35:27Speaker 1: raises based on longevity of employment. If their skill set,
- 35:33Speaker 1: an employee's skill set is not growing, I have a
- 35:37Speaker 1: real hard time saying it's a new year, so therefore
- 35:40Speaker 1: you get a raise. Now, there may be times where
- 35:42Speaker 1: we need to adjust for the economy. We need to
- 35:45Speaker 1: adjust for things like that. But it should be looking
- 35:48Speaker 1: at all positions in the practice and not saying, hey,
- 35:52Speaker 1: just because a team member has worked with me for
- 35:54Speaker 1: 20 years and I gave them a dollar raise every year,
- 35:58Speaker 1: that's just what happens. I really believe that people will...
- 36:03Speaker 1: grow to the level at which they want to work at.
- 36:08Speaker 1: And not everybody wants to be a top producer in
- 36:11Speaker 1: your practice. Not everybody wants to be a level three
- 36:14Speaker 1: assistant or a trainer in your office. And that's okay.
- 36:18Speaker 1: But I also think we shouldn't have to just go
- 36:21Speaker 1: year after year giving raises there based on years of
- 36:24Speaker 1: employment versus experience and new knowledge. Another thing that I
- 36:31Speaker 1: think that we really need to be thinking about is
- 36:35Speaker 1: staying competitive. And I think this is a big one
- 36:38Speaker 1: for my startups, especially, or my doctors that have said, hey, Jill,
- 36:43Speaker 1: I'm going to train somebody and I'm pouring in all
- 36:46Speaker 1: this training. So they should just be really grateful that
- 36:49Speaker 1: I trained them. And what I hear over and over
- 36:51Speaker 1: again is, doggone it, Jill, I train all these team
- 36:55Speaker 1: members up and they're really well trained. And then they
- 36:58Speaker 1: go and leave me and work for a competitor. happening.
- 37:02Speaker 1: We need to take a little bit of time and
- 37:04Speaker 1: assess that just because you train them doesn't mean you
- 37:08Speaker 1: get to pay them less. If they have the skill set,
- 37:12Speaker 1: and this kind of goes back to levels of pay,
- 37:14Speaker 1: if they've got the skill set to to make more
- 37:17Speaker 1: money somewhere else and if they're a good employee for
- 37:20Speaker 1: you it's not about how long they've been working for
- 37:24Speaker 1: you it's about how experienced are they if they are
- 37:28Speaker 1: somebody who jumped in and learned it and just naturally
- 37:32Speaker 1: understood the training that you're giving them What's going to
- 37:36Speaker 1: cost you more to lose them to your competitor down
- 37:39Speaker 1: the street or to pay them what they're worth to
- 37:42Speaker 1: keep them in your practice? So we really have to
- 37:45Speaker 1: be thinking about that because I think that's a trap
- 37:48Speaker 1: that all doctors get into a little bit, especially when
- 37:51Speaker 1: they're training somebody. Well, they haven't worked with me long
- 37:54Speaker 1: enough to make that amount of money in my practice. Well,
- 37:58Speaker 1: if they can go down the street and get it,
- 38:00Speaker 1: we really have to be thinking about that. All right, guys.
- 38:04Speaker 1: So as we wrap this up on my thoughts on
- 38:07Speaker 1: hiring and bringing new team members into your practice. And again,
- 38:12Speaker 1: as you can imagine, there's so much more that we
- 38:14Speaker 1: could unpack with all of this. And I'm just kind
- 38:16Speaker 1: of giving you my today's thoughts on the questions that
- 38:20Speaker 1: have been posed and that I tend to go through
- 38:22Speaker 1: a lot. But I want to finish up with Just
- 38:25Speaker 1: setting really good expectations from the beginning with a new hire.
- 38:31Speaker 1: And I'm going to just circle back around. I kind
- 38:33Speaker 1: of touched on it earlier, but I really believe, especially
- 38:38Speaker 1: for established and acquisition practices, that it is very important
- 38:45Speaker 1: that before you get out there and start hiring for
- 38:49Speaker 1: a new position, that you have really established what you
- 38:53Speaker 1: need from the role that you're hiring for. What are
- 38:57Speaker 1: the responsibilities? What are the performance expectations? And what are
- 39:02Speaker 1: the opportunities for advancement? Because again, when we're selling a
- 39:07Speaker 1: team member on joining our team, joining our practice, joining
- 39:11Speaker 1: our culture, what I hope that you are also selling
- 39:15Speaker 1: them on is the opportunity to build a career in
- 39:19Speaker 1: our orthodontic practices versus this is an opportunity to take
- 39:24Speaker 1: a job that meets your minimum dollar amount that you're
- 39:27Speaker 1: looking for until you find another job. job that suits
- 39:31Speaker 1: what you're looking for better. I really want us to
- 39:34Speaker 1: get out of that mentality that we're hiring to fill
- 39:38Speaker 1: the position. That's such a costly mindset and it just
- 39:43Speaker 1: doesn't create good long-term culture in our practices. I think, again,
- 39:49Speaker 1: I just want to bring this up. I think you
- 39:51Speaker 1: should be very smart and diligent about what you're looking for.
- 39:57Speaker 1: What does success look like at the 30-day mark, at
- 40:00Speaker 1: the 60-day mark, and at the 90-day mark? Now, again,
- 40:04Speaker 1: I know a lot of you are startups and listening
- 40:06Speaker 1: to me say this, and you're like, Jill, I would
- 40:07Speaker 1: have no idea what this looks like. I mean, I've
- 40:09Speaker 1: just worked as an associate or I've just been in school.
- 40:12Speaker 1: I haven't actually been in this hiring role or training
- 40:15Speaker 1: role yet. Well, again, that's what we're here for. If
- 40:17Speaker 1: you're working with me and my team, we're going to
- 40:18Speaker 1: be helping with that. But if you're not, this is
- 40:22Speaker 1: doing the hard work as a business owner. You really
- 40:25Speaker 1: need to think about what are the expectations that I
- 40:29Speaker 1: am looking for out of this role? Because don't expect
- 40:31Speaker 1: a new hire to come to you and set the expectations.
- 40:35Speaker 1: They're going to probably be very different, their expectations, And
- 40:39Speaker 1: what they're looking to set them what you are. So
- 40:41Speaker 1: think about that. Be ready for that. What are you
- 40:44Speaker 1: going to do? When are you going to meet with them?
- 40:46Speaker 1: What are your benchmarks for success? How are you critiquing?
- 40:51Speaker 1: How are you building them up? Think about all those things.
- 40:54Speaker 1: And then how frequently should you be checking in? Is
- 40:57Speaker 1: it a once a week check-in? Is it in every
- 41:00Speaker 1: other week? What we don't want to do is micromanage,
- 41:03Speaker 1: but we also want to make sure that they aren't
- 41:06Speaker 1: just left to their own demise or we've left them
- 41:10Speaker 1: to do whatever, not critiqued at all. And then at
- 41:13Speaker 1: the 90-day mark, we're like, and here's our list of
- 41:16Speaker 1: all of the things that we think you're doing wrong.
- 41:19Speaker 1: And the employee is like, well, you could have said
- 41:22Speaker 1: that 60 days ago. You could have said that 30
- 41:24Speaker 1: days ago. It is your responsibility as the doctor, as
- 41:30Speaker 1: the practice manager, especially in an acquisition or a established
- 41:35Speaker 1: practice to really pay attention to those things and setting
- 41:39Speaker 1: that up correctly. And then just remember that it is
- 41:43Speaker 1: better to address things early than instead of waiting until
- 41:48Speaker 1: it becomes a bigger issue. If there is a personality
- 41:52Speaker 1: conflict in the first 90 days, there's going to be
- 41:55Speaker 1: a personality conflict thereafter. If you can just tell that
- 42:00Speaker 1: somebody doesn't have the energy that you're looking for for
- 42:04Speaker 1: the position that you're looking for, or they just aren't
- 42:08Speaker 1: fitting your vision of culture, It is okay. This is
- 42:12Speaker 1: not personal. It's a business decision. It's okay to send
- 42:16Speaker 1: them away with love and let them find their forever
- 42:19Speaker 1: home with another company. I think it's so hard for
- 42:23Speaker 1: us already to put together a practice that really... encompasses
- 42:29Speaker 1: what we're looking to do as business owners. And not
- 42:32Speaker 1: everybody's values are going to align. And speaking of that,
- 42:36Speaker 1: if your team members don't know what your practice values are,
- 42:40Speaker 1: and they're following their own set of values, and they
- 42:42Speaker 1: aren't aligning with your practice's set of values, you're going
- 42:45Speaker 1: to continue to have conflict there. And now a word
- 42:49Speaker 1: from the sponsors who make this podcast possible. Hey docs,
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- 43:46Speaker 1: So as we close this up, I really want you
- 43:49Speaker 1: guys thinking about the goal of hiring shouldn't be to
- 43:53Speaker 1: find someone who requires the least amount of training. It
- 43:57Speaker 1: really should be making sure that we're finding someone who
- 43:59Speaker 1: has potential to become the right person for your practice.
- 44:04Speaker 1: We've identified a lot of different ways and what that
- 44:06Speaker 1: looks like. And keep in mind that sometimes the best
- 44:11Speaker 1: person isn't always the one with all of the experience.
- 44:15Speaker 1: Sometimes it's a great person that's never stepped in to
- 44:19Speaker 1: our orthodontic practices. But either way, no matter if we're
- 44:23Speaker 1: hiring with experience or hiring without. You as a doctor
- 44:28Speaker 1: need to have a clear training process. You need to
- 44:30Speaker 1: have defined expectations. You need to understand what your compensation
- 44:35Speaker 1: structure is like. Are we showing team members that there
- 44:38Speaker 1: is a path to a career when they're hiring on
- 44:42Speaker 1: for us? And we need to know that that 90
- 44:46Speaker 1: days when we're hiring somebody on is for us to
- 44:49Speaker 1: make sure that they're the person that that we want
- 44:52Speaker 1: on our team for the long haul and that they
- 44:54Speaker 1: want to be on our team for the long haul.
- 44:57Speaker 1: So again, thanks so much guys for joining me on
- 45:00Speaker 1: this Just Chill episode and I will see you next
- 45:03Speaker 1: time on Hey Docs. Are you ready to start a
- 45:07Speaker 1: practice of your own? Need a new fresh set of
- 45:10Speaker 1: eyes or some advice on your existing practice? If so,
- 45:13Speaker 1: reach out to me, Jill Allen, at www.practiceresults.com. If you
- 45:20Speaker 1: like what we're doing here on Hey Docs and want
- 45:22Speaker 1: to hear more of this awesome content, be sure and
- 45:24Speaker 1: give us a five-star rating on your preferred listening platform
- 45:28Speaker 1: and subscribe to our show so you never miss an episode. Remember,
- 45:33Speaker 1: new episodes drop every Thursday. See you next week.