Dental A Team w/ Kiera Dent and Dr. Mark Costes

Re-releasing a DAT listener favorite! The Dental A-Team is Team Online Statements over Team Paper Statements! This podcast episode is a sign your practice needs to get on the online statement train. Lots of practices struggle getting collections up because they're doing it the old-fashioned way. Listen in for the four steps you should take to make it as easy as possible to collect payments from your patients. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera. And today we are bringing you something so special. I am so excited because this is one of our most popular episodes from the archives. Whether you're hearing this for the first time or catching it again, I am so excited because it's jam packed with a ton of takeaways that you can start using right now in your practice. We have released thousands, literally thousands of episodes. And I wanted to start bringing a few of these amazing episodes back for you. So I hope you enjoy. And as always, thanks for listening and I'll catch you next time.   on the Dental A Team podcast.   The Dental A Team (00:32) You guys, happy day to you. I hope you're doing fantastic wherever you are. And I hope you are just enjoying life. I think I need this podcast more than you guys might need this podcast. I've got the COVID crank, guys. I feel like I've just gotten angry and sick of not being able to hire people and frustrated with just feeling like I'm trapped. Maybe any of you are feeling that way.   Hey, just shoot me an email, say me too, you can text me. ⁓ But I hope we can all remember today, for me, when I'm in those modes, I have to literally go to my journal and do gratitude. And I also listen to, I've got a podcast that I listen to over and over and over again. Yes, you guys know I'm obsessed with Tony Robbins. ⁓   And this one is when it says change your life in 2021. And I will literally listen to that podcast over and over and over again and remind myself of how many great things there are in my life. ⁓ I don't think it's important to say like my life could be so much worse because while it can, that just negates your feelings of feeling yuck. And right now for me, I feel like I'm feeling very stagnant. But last night I had to remind myself that ⁓ just like...   The world has seasons, our life has seasons. And right now, instead of maybe being in massive growth and full bloom, it's not quite spring yet. So maybe being okay to hibernate, to slow down a little bit more, to get ready for that hustle and bustle of bloom seasons. I didn't feel like I really slowed down through the winter hibernation seasons. And so maybe just also allowing yourself and your practice to go through the seasons as well. That way you can have vibrant springs. You can have very   flowing summers, you can have more harvest in the fall and then have that hibernation quiet time as well. But definitely give yourself that space and not mitigate the reality of what you're facing. So today guys, ⁓ with that said, I'm here for you. If you wanna be here for me, I'll take it. So just email me guys. Hello@TheDentalATeam.com. I'd love to hear from you. I truly do, I enjoy hearing from you guys. So thanks for being my pen pals.   I never really had a great pen pal growing up. Did any of you guys have a good pen pal? Because if you did, also tell me that. Like you guys, you don't understand. Your emails that are just like a, Kiera, I'm a massive fan, I love the podcast, yeah, I had a pen pal. Those ones are some of my favorite emails of the day. You guys, I average hundreds of emails every single day. And so to get those little sprinklings of fun ones, they just make my day. So thank you for those of you who have done that. And if you're thinking about it, do it.   Also, I do love ⁓ in the I travel a lot guys and I get bored a lot. I'm a very busy human. I appreciate when you guys leave us ⁓ reviews on the podcast. You guys are helping shout out to this podcast family guys. Our downloads are cranking. So whatever you're doing, keep doing it. If you're sharing this, if you're leaving reviews, do it, do it again. Have somebody else that you know do it as well because guys we are on track to break that millionth download this year and you guys are the only way that we can do this. So.   Keep it up, we skyrocketed in the month of January. February is on track as well. So guys, keep moving, keep moving. And the way you can help us out, I'll give you specifics. Number one, if you have not done so, go leave a five star review on the podcast. Whatever platform you're listening, that helps us, because it helps them rank us higher so other people can find us. Number two, download the podcast. I know it sounds so dumb, but actually,   Download it not just listen that helps it as well because then more people will find us because they're ranking us as a higher podcast and number three shared on social platforms So when you guys are listening, please guys have a story about us tag us in it post if there's a great topic that you're loving post that podcast because I know a lot of you guys are listening you can even just take a quick selfie while you're in the car and tag Dental A Team podcast you don't even have to list the episode those are three great ways you guys can help us   radically increase our downloads and break that millionth download. Why do we care about one million downloads? I'll tell you, because we're on a mission to positively impact the world of dentistry in the greatest way possible. Well, guess what? If you guys don't help us share the word, we can do the work all day long and create great content. But if you guys don't share, we're only going to be able to impact as many people as we have, which is thousands, guys. I can't believe how many people listen to this podcast. It's almost three years old, guys. And guess what?   you're helping to grow this into a legacy of helping other practices. So thank you guys. Kudos to you giving you a massive hug of appreciation. And with that, let's segue into a really great topic and that is on paper statements versus online payments. Ooh, sexy, fun, everything more. Just shut the podcast off right now. I hate billing. I'm just kidding. I'm going to make it fun for you. So if your practice is sending out paper statements, rock on. I'm happy for you. If you have online payments,   even better rock on. If you don't have online payments, get it done because online payments are the way of the future. Let me just ask you guys, how many things do you pay online? Let's just quickly like think of everything we pay online. I buy airline tickets online, hotels online, Amazon. I promise you everybody here shops on Amazon. ⁓ Amazon, I order Christmas presents online, birthday presents, gift cards to favorite restaurants.   99 % of everything we do is online. There's very few things that we actually still physically have to go to a location to do. So a lot of practices struggle getting their collections up because they're doing it a bit old fashioned. That's okay. It's worked in the past. There's still a great thing for it. But paper statements, you guys really, I think are becoming a way of the past. And we need to make sure we have an easy way for our patients to do it, to make payments.   I thought about this, if I were to say, could you please pay me, but I'm only available via check, which, or you can call me during the hours that I'm available. I probably wouldn't get many people paying their payments because odds are the hours that I'm available are the hours that they're actually at work making money to be able to pay those bills. Doesn't that feel a little backwards? Like if we really stop and think about what we've done, we're like, you need to call us between the hours of eight and five.   Like I have a company that's trying to get me to do a scheduling appointment. Oh, I want to poke my eyes out. I'm not kidding. I'm going on five months of trying to get this thing scheduled. Five, count them up. One, two, three, four, five. The reason that it's a pain in the booty is because they are asking us to go to this place from the hours of 10 to three. I don't know if he has, no, but from the hours of 10 to three.   I don't take a lunch, my coaching calls go straight through. My husband is a pharmacist and actually is a clinical pharmacist, so sees patients all day long in heart and vascular. So for us to get time to go to this appointment, what do we have to do? We have to take time off or do it on our lunch hours. But guess what? My husband's in leadership and I run a company, so lunch hours really don't   and it's an appointment I don't really have a burning desire to go do. Hashtag paying payments is something people don't really want to do. So how hard is it for them to actually get in your schedule and pay your bills? The answer is we've made it very hard for them. I don't like to make it hard for people to pay me money. So how can you make it easier? Number one, the first and foremost easiest way to do it is you can actually contact your credit card processor and see if they could actually put that button on your website. Believe it or not,   Dental A Team are pages for payments that clients, so if it's like gold or silver or platinum, those are actually made by my credit card processing company. They made the web pages for my payment portal. So your credit card processing companies can do that. If you need a great credit card processor, give me a call. ⁓ Email us, Hello@TheDentalATeam.com. We've got some great ones that have great rates. Make sure you're, that's actually a like fun, like just saving money for your practices, checking your credit card rates.   but you can have them literally put a button on your website for you. So that's like a great easy way to do it. Then you can update your software that says make a payment online. How many of you when you're paying bills, just go online to pay your bills? I will tell you I do it. The only time I call somebody is if my bill is different online than what it was on my paper statement. So there is a benefit of paper statements to let me know to pay it, but guess what? If we could go one step further and do a text to pay our statements,   we're way more likely to actually text than to respond to paper. So for me, when it comes to online payments, first and foremost, you gotta get it there. Secondly, Modento, and I do think, don't quote me on this, I do think Dental Intel either has or is coming up with online payments. Those are probably my top two. Flex also does it for Open Dental. They only work with Open Dental. Modento works with all the major softwares. ⁓ I know, ⁓ gosh, Care Stack, they also have a built-in for online payments.   but find a way to get online payments into your statements. I personally love to just text people their statement first. You can also email statements first. Think about how much money you're saving just on stamps and paper alone and printing by not mailing out these statements. Also, they've proven you're much more likely to get a text message open rate than you are to have people actually respond to emails or mail. So that would be how I would suggest you set this up. Then if we...   are still mailing paper statements, totally fine. ⁓ At the Dental A Team, we actually love to send two statements, so that's 60 days worth of statements, if they haven't paid via a phone call or a text message, okay? This is super important. A lot of people hear, Kiera said I can still send two statements. That is true if you have already called them and texted them to try and get payment before we mail a statement. Okay, did you catch that? Only do you mail a paper statement   if you've already called and texted to try and collect payment over the phone before we mail the statement. And that's both times we mail the statement. So for the 30 day statement and the 60 day statement. Then after that on the 90 day statement, we're going to send our third statement on red paper. Again, this is assuming they have not responded to two phone calls, two text messages, and two already normal letters. That means I've contacted them how many times? Two phone calls, two text messages, and two letters. That was two   four, six times I reached out to this person, okay? Then I'm gonna call them again, text them again. Now I'm up to eight times, I'm going to mail them a red letter. The red letter is going to be like final statement, okay? So you can see that red letter actually, Tiffany did it in a practice, drastically increase the collections because guess what? They saw this red piece of paper through the little window. That's going to probably tell them that they need to fix this quickly.   So that's going to drastically help you guys out a ton. So make sure that third one you sent on red paper. So those are some of the easiest ways, guys, to be able to get your AR down, get money into your practice faster and easier, and make it more convenient for your patients to pay you. But let's not forget the number one most proactive thing you can do, and that is make sure that we're collecting over the counter with correct estimates.   I really can't tell you how much people are just like, we'll bill you or we'll send you a statement. Guys, you can estimate a lot closer and more accurately. It's okay if there's a balance on the account, get smarter and adjust that for next time. So you get more and more accurate, but please, please, please, please, please collect over the counter first rather than just sending statements. Cause that's actually going to cut down the need for online payments. The goal should be that we actually can reduce that exponentially. So just wanted to give you guys a quick like.   Couple of ideas, I hope if nothing else, number one, get a way to make payments online. I don't care if you use a software, I don't care if you call your credit card processor, but this quarter, make it your goal that you will absolutely 100 % have a way for your patients to pay online. Number two, call and text those patients, utilize those services. Again, like I said, my dental's great, dental intel's great, ⁓ Flexa's great, find a way, that way you can text and email statements to your patients.   Your software probably can do it, so check that first. Then the third thing is make sure we're calling and texting before we send those statements out. This way we can make sure that we're maximizing our time and helping our patients do it. Let's think of how is the easiest way for these patients to pay their bills? Well, number one, not to give them a bill, right? Number two, to have it convenient because most people are going to pay bills after working hours when you're not in the practice. That's great. We want to be collecting money when we're not working. And number three,   How can we make sure that we have a solid follow-up process with them that makes it very easy and convenient? Send out two white letters and send the third one out on red paper if they haven't paid. The goal is you should be sending out maybe one or two, maybe at the most 10 red letters a month because we should have already been able to collect. So guys, I hope that was helpful for you. If you need help getting this set up, if you need us to help coach your billing team ⁓ or your practice, just kind of helping review that. Let us know this is what we love to do. So email me.   Hello@TheDentalATeam.com. This is literally my passion, my legacy, what I live to do. Yep, it's to geek out over dentistry. So call us guys. There's nothing like having somebody coach you, guide you, mentor you, save you hours of time and make your life easier.   Kiera Dent (14:09) I hope you all loved today's episode as much as I did. It is crazy to think that this many episodes have been released since we started the Dental A Team Podcast. And I started looking to say, my goodness, our listeners need to be reminded of some of the things they may have learned a year ago or two years ago or five years ago, because so many things in our practices weren't relevant back then when we heard them, but they are relevant today. And I would be doing you a huge disservice if I didn't re-release some of these episodes for you to remember, to refine.   to optimize and really truly if you ever need a topic or you're like, my gosh, I wonder if the Dental A Team has anything like this, go onto our website, TheDentalATeam.com, click on our podcast tab and you can literally search any topic. So whether it's overhead or hiring or firing or team morale or engagement or case acceptance or hygiene   onboarding or whatever it is, we have so many episodes for you. And so I am going to intentionally be   re-releasing some of the top best episodes for you, pulling back some of the ones that I needed to remember, some of the things that I feel for you to really, really relearn right now and to re-remember, or if it's the first time, welcome. I'm so happy you're listening to it, but I hope you truly enjoyed today's episode. I hope that you share this with somebody. I hope that you go and implement today because we only have one day. We only get today. And so making today the best that it possibly can be. If we can help you in any way, shape or form, reach out Hello@TheDentalATeam.com.   And as always, thanks for listening and we'll catch you next time on the Dental A Podcast.  

Kiera takes listeners through specific actions the most successful dentistry minds have incorporated into their day-to-day to stay elevated. She touches on: Planning out an ideal week Reviewing these numbers weekly Fostering problem-solvers And more! Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript:   The Dental A Team (00:00) Hello, Dental A Team listeners, this is Kiera and I hope that you guys are having an amazing day today. I hope you're loving dentistry. I hope you're loving your opportunities. I hope that you are remembering that we have one life and I hope that you're making it the absolute best life you can. There's a song that I recently heard called Time's a Ticken and it's like, so call your mom, love your babies, talk to your friends and...   I just think about it and another thing I saw were like, if your mom and dad are still able to call you, how blessed are we? And I know some people have strained relationships, but I think as much love that we can give and as much as we can foster great relationships in our lives and realize how much goodness we have, I think that's an amazing space for us. just hopefully you know how much I love and appreciate you and how much I'm rooting for you, whether I know you personally or whether...   you are someone in our Dental A Team family, or if you are in our podcast family, or if you're new to this, just know I'm rooting for you. Even if I don't know you personally, ⁓ you're doing better than you think you are today. Guys, it's going to be fun. I want to talk about CEO habits for next level, like what top practice leaders are doing and just some tips for you. As we're rolling into a 2026, I love looking at habits and not necessarily fads, but habits. And so what do things do? And I believe that habits, not just hustle,   are going to help you with success. ⁓ So many times it's like, well, what made the success successful? And it's like really consistency on doing the best things and the highest priority things consistently. And so giving a couple of three core habits that I think growth-minded leaders, practice owners have versus overwhelmed operators. And so really being able to give you that guidance and at Dental A Team we're obsessed with helping dentists become CEOs of their practices and having amazing teams thrive around them and.   ⁓ Giving you guys all of that today is really what it is and we want you guys to feel clarity, confidence and consistency. And I know sometimes when you're in the whirlwind of the day-to-day business, it can feel very hard to have this. But I will say, if you can build these as a building blocks, the noise can lessen. I'm not gonna promise it will go away, but it can definitely lessen and doing it over time. Just like with front office team members were like, I just don't have time, Kiera. And we're like, great, let's put in a power hour. And they're like, it's never enough time.   You're right. Today is not enough time, but if you do one hour a week blocked with no interruptions and you work on the highest level things, I've watched teams over and over and over again, be like, I actually don't need this hour anymore. And we get our recare calls done and we get our unscheduled treatment calls done and we block that and we do it. And office managers, they block that time and billers block the time to do insurance verification. It does not need to be a lot of time, but it does need to be consistent. So with that, you guys, this is going to be something that's a   a habit, ⁓ daily and weekly habits that you can create that you can really just put into your life now. So number one is, this sounds so silly and I do this often, it's creating and committing to an ideal week. ⁓ And so that's being able to have a rhythm and not reaction. so what I noticed and it's crazy because as my company evolves, my life and my business and my schedule needs to evolve as well.   When the business was smaller, I used to be able to run back to back to back to back meetings. There wasn't as much strategy that I needed to think about. There weren't as many hard decisions. There weren't as many like complex decisions that I used to be able to run a week like back to back to back. And then I realized like, I can't run like that anymore. I need to have like on time and off time, on time, off time. And then there's presenting like podcasts. Like you try to put meetings on a podcast day. You guys, am in podcast is creative land and I'm on presenting mode. And I'm like here hanging out with you guys and having a good time.   don't put meetings where I'm trying to like figure out a budget that is such a different mind than a creative mind. And so really being able to block this where we have it and color coding your calendar. What I really do believe is as a CEO of a practice, you're going to have clinician time, right? You're going to have being a dentist. Then you're going to have leader time where you're developing your leaders. And then you're going to have visionary CEO time. And if you can block this in there and you don't have to have it perfect. So do I have   leader time where I'm like developing my leaders and I'm spending time figuring out leadership pieces for them and investing in my leaders and coaching my leaders. Do I have that blocked in there? And then do I have this deep work visionary CEO time where I'm reviewing the financials and I'm answering questions from my office manager and doctors sometimes they even recommend you have another block of am I getting like all the busy work like the labs and the clin checks and the cases and looking at all the scheduling coming up. Do I have time to work on that? And   blocking this and it sounds like, gosh, there's so much and there is, this is why you feel overwhelmed and you feel radical. So having my doctor dentists in time, my leadership development time, my CEO time, and then if you need any other time, great. I also put in my personal time. So am I working out and taking care of my body? And we did this with our mastermind group where I learned a thing called rapid planning method from Tony Robbins and I really enjoyed it. And then I took it of course, ended Kiera spin to it.   But what I really loved is Tony actually had us rename our categories. So instead of saying workout time, it's my honoring my body time. And that was so much more fulfilling for me. And I also have buckets in there that are color coded of date time. Like I call it mine and Jason's forever love story. And what do I put into my calendar that's blocked specifically for that? And what's lovely is when you have colors around it, ⁓ you can actually make it to where you then are working on those specific areas.   and you're able to see them very, very easily. So when we look at this, I think about my colors and my favorite color is pink. So I always have my Kiera section where I'm honoring myself. It's in pink in my calendar. When I'm working on Dental A Team and I used to like call it just Dental A Team. Now it's my passion project and it's blue. Honoring my body is orange. I needed that like vibrant orange, like getting excited about it. And I have that in there.   my leadership visionary time, that's going to be a different color. For me, that's more of this like blue turquoise color. It's more serene, it's calm. So whatever that is for you, just having those color coordinated things and like I popped into my RPM planner. So I have my ⁓ ROASIS ⁓ is our home. And so working on my home, wealth, genius, fun, that's curious thing. And I always make sure I have fun built into my calendar. But I think like you can make it as complex or as simple as you want, but I would really recommend we've got our dentist time.   our leader time, so maybe that's like our give back time or our development time or our like my first team time and then my visionary, my exciting time. What does that look like and really blocking that in your calendar? And so then we audit our week at the end of the week and I remember I was taught like many times like the most productive thing is to go back and look where did I win my week? Where did I like lose the week and what do need to change for this? And   Even me going into a new year, actually have a new EA joining me pretty soon. So that's thrill. If any of you had a personal assistant EA that's been with you for a long time and you're getting a new one, let's ⁓ just say it's a thrill. And I'm really excited for Marissa to join as Shelbi's getting ready to have some life changes. And I'm so, so, so excited for her. ⁓ And going through that and being able to experience it, I realized I needed a different calendar.   What I've been doing is not going to get me to where I need to go. And so we've been working on it and I like built it. You guys, I like to like really mass and like if I'm in podcast mode, I'm in podcast mode. And if I'm in coaching call mode, I'm in coaching call mode. And if I'm in business mode, I'm in business mode. ⁓ but I realized what I was doing is I was business mode. I was coaching call AKA dentists thing that I was in heavy meetings and then I was in podcasting. And I think sometimes when we run that heavy, it's very hard to have like downtime. And so for you looking, you're working as a dentist all four days.   So could we block maybe Wednesday mornings where you have a catch up time or do we have a CEO day where it's a Friday and you actually have that block for four hours and you work on that. I have a dentist, he works Monday, Tuesday, Wednesday, Thursdays are always off and he works Friday. And I'm like, that is the weirdest schedule. He's like, Keira, I love it. I get all my admin stuff done when people are still there. I have time to think that's when I'm gonna work on my decisions. And then I go in and have a great Friday where I've got nothing on me and I produce my highest amount. And this doctor is a very high producing doctor but he's very regimented in how he does it.   And that's how he's been operating for the last like 30 years. So when you implement this and you commit, so I'm like, okay, let's break it down. guys know I like to make it easy. I like to make it tactical for you. You got to block these areas. What am I done to seeing? When am I leading? And when am I thinking about the greater big like CEOing of the company? And if I'm only going to do one, I'm going to block a two hour block every single week to work on high level of the business. Just like I recommended for our leaders blocking one hour minimum per week of deep work time.   and doing it at your prime optimal time. For me, it's early mornings. I operate so good from like 6 a.m. lately, it's been like 3 a.m. until about 11 and then like I'm out. I don't want to be thinking heavy. I don't like hard things. That's my operating. Just like I run on protein, Jason runs on carbs. Like it's just operating in how we function, but really making sure you do that. Again, this is a habit. It's a discipline. It's reviewing it. And I had a doctor who was really high level. We coached together for about a year and he said, Kiera, coaching with you was one of the most impactful years of my life.   because you taught me to prioritize my calendar, to review my calendar, to work on my family relationships, to work on my leadership, to delegate, to see what things were in my calendar that I could delegate. And this person has grown and added multi-multi-practices and I'm so proud of him. But truly, this is going to be your best thing. So action on this of getting this habit into place is block two hours as your CEO time, no operations, no calls. You are just fully focused on the business and commit to doing that.   for the next four months. Whoa, four months, can you imagine? Just try it. Test it out, tell me, Kiera, I'm trying the experiment. Email me, Hello@TheDentalATeam.com. I'm committed to it and I want you to not break that promise to yourself. You hold it strong. I had a doctor who did this. She put a like sign on her door and she said, do not interrupt me at all. Now you have to hold this strong because if someone's like, hey doc, I just have a quick question. Nope, right now is my time and I need you to respect my time. I'll be available at this time.   You call that one or two times and your team will not interrupt you again because they know you are dead serious on this. So review it. Now you're already doing that. I want you to take it one level further and I want you to add in your date time, your workout time, something that you are also adding in that needs to be blocked. And I want you to ramp it up one more. Okay, that's number one habit. Number two habit is reviewing your KPIs and your financials every single week. And you're making decisions based on data, not on feeling. So we all know that what we measure improves, right? All of that is there.   So what it is is KPIs, you gotta be looking at those, whether you're using dental Intel, we recommend Addit. Practice by numbers, I don't care. All of our clients do get Addit. So if you're like, hey, I'm thinking about consulting, but I'm not sure about cost or guess what, we cover that cost for you and it's free for you and we also have other perks for you. So ⁓ definitely cost savings that way. And we help you build a scorecard and a dashboard and we teach your team to look at this. But you as a CEO of your practice, this is how you become a CEO. CEOs make decisions based on numbers and metrics, not on feeling and gut.   but you have to take time to review the data to sift through the data. We have an amazing CRO on our team that's a chief revenue officer. didn't even know that was a position. And I have been begging our marketing team to go through our podcast data to figure out what did the listeners want? have, guys, oh my gosh, we're moving into, think our, we started in 2019. So this year, seven years on the pod, guys. I cannot believe that. Lucky seven over here. But thinking about it, I was like, go look at the data. want to,   not just what Kiera feels and what I think you guys, are 1,100 episodes in by now. Like we should be able to have great data of what you guys want. And you're gonna hear a change this year because we actually went through Paul kudos to him. He went through and he looked at all the data and he said, all right, Kiera, here are the episodes doing well here. The episodes not doing well. Here are the things that listeners want. Here's how we need to revamp it. And I was so proud of him and so grateful because now we're building content based on what the data is telling us. But you know how long that took him? It took him like three months to go through it all, sift through it all. And for you,   You've got data, you've got case acceptance data, you've got new patient call conversion data, you've got our billing, our AR data, you've got diagnosis of doctors, we've got hygiene period data. That is the stuff you need to be looking at to see how are we doing? You've got how long is it to our next appointment? We see how far out are we booking our new patients? We see how far out are we booking our six month appointments? Are we staying at six months? How much money are we losing? A doctor had me come in and I looked and saw it, you're booking your patients eight months out. It was about a million dollars worth of revenue that they were leaving on the table.   just by not having enough hygiene available. That is gold if you will take the time. So this is another step that we're gonna add in. So you've already got your CEO block. You can add this into it where we commit to reviewing our KPIs and our PNLs every single week and making adjustments to that. Now work in tandem with your office manager. Office managers, should be doing this as well. Every single week, where are we off and what do we need to do next? Every week. And we train our teams to use numbers, not feelings. And this is how we're going to lead.   So team members should be looking at the numbers. They should know their department. Are we on track? Are we off track? We have scorecards every single week. All of our departments are reporting. Where are we on? Where are we off of? Where do we need to pivot? We need lead measures and we need lag measures. We need to make sure we're looking at both of those. And you literally start looking at this. And I just told you like people who do this, I have an office and she was like, Garo, we need to increase. I want to increase it. And I was like, we are profit and production. That's all we're looking at, period. I cut out all the noise.   Profit production, what are the levers that are hitting that? How are we diagnosing? How are we block scheduling? How is our case acceptance? How are our new patients and how are we filling the schedule? Profit production, that's all we're hitting. And guess what? That doctor is the most profitable they have ever been. But it was because we had them laser focus. We focus on these numbers every single week. And this doctor was doing it, but they weren't optimizing and making decisions on where they really needed to go and focus on the most important thing. And I think even though you might look at the KPIs and data, are you focusing on the most important things that are gonna drive and move your practice forward?   So I want you profit and production are the number two that I go after. One and two, you've got to look at those two always. And then you use the other ones to boost those two up. And if you're struggling with that, hi, I'm Kiera. We work at Dental A Team. We're a consulting company committed to making you financially free, blissfully happy in your practice and getting the best life you want. So reach out, Hello@TheDentalATeam.com Okay, so let's have it number two. Habit number three is developing your people to solve problems instead of you always solving them. So.   This is something where it's like, what's leadership versus what's firefighting. And you guys, I'm not perfect at this. I do a lot of firefighting. I do a lot of problem solving for teams. And I'm like, my gosh, I'll just give you the answer. But the goal is we need to fix it. And we need to start asking the question. So I'm like, hey, here's a problem. Instead of being like, here's the answer. Then we train them that we're the person that they come to. Hey, what do you think is a solution? You can roll it out. It's a three solution company. If you've got a problem, you bring me three solutions, one of which does not cost money. We have one-on-ones that focus on development, not just updates.   I need to develop you as a leader. I need to work with you. I need to grow you. Where are we at? This is the things we need. Like, let's work through this. Is this really the best use of our time? Is this really the best KPI for us to be tracking? Is this really how we're gonna lead? You focusing and developing your leaders and coaching them, you don't wait for things to break. So like, let's look at the KPIs. All these, you can tell build upon each other. Let's look at the KPIs. Let's look at what you guys are needing. And then let's coach to that. But truly,   If you will coach your team, there's a practice that I have known for gosh, seven years. The doctors are working in there one day a week and their office manager is running the organization and they have leaders. They have people that are following up on issues. They have the team solving their own problems. They're a solution oriented organization rather than a problem like centric like, Hey, here's your problem. Go fix it. If you need a good book, ⁓ gosh, it's the monkey book. The one minute manager meets the monkey.   It's like a good little fable of don't let people put the monkey, like their monkey on your back and leave it. Another friend described it as a fridge with a magnet and like someone was like, here's this problem, here's this problem. We're like Post-it notes, right? Like they just put it all on you. Tiff and I did a video a long time ago where it's like Post-it notes all over you and you're just drowning in Post-it notes. Well, that's like draining your energy too. And if we can teach our team to solve problems and this is a habit, this is going to be, ⁓ this is going to be something that you work through.   So just letting you know, like, this is where it's at. This is how we do it. These are three habits for you. So how do we take action on this one of developing it is you're going to have monthly coaching one-on-one with each of your leaders and figuring out their gaps of where they need to grow and giving honest feedback to them. ⁓ There's some great things of, you guys know we run on EOS and we absolutely love EOS and there's quarterly conversations that you can have. it's like, how are they on core values? How are they on their position? How are they rating themselves?   ⁓ We are having the conversations and we're being direct with them and we're giving mutual reflection on things and how are we doing on our quarterly pieces and how's our team doing and what are the moving forward actions that we're doing and having these as consistent monthly and quarterly check-ins with our team, but growing them into leaders is going to be critical and pivotal for your team. So these are three, you guys, three quick habits that you can implement now.   If you need to read the book Atomic Habits, how do I stack things? How do I make this easy? Like, okay, I need to block CEO time. So CEO time sounds like C, I'm gonna C on Thursdays or C on Fridays. Like, I don't know, C, maybe at C2, I'm trying to think of like an alliteration for you. I need my CEO time, my power time. There's no P in the alphabet, in the Monday, Tuesday, So maybe it's like top time on Tuesday or Thursday. I'm gonna do my top time Tuesday or Thursday or like Focus Friday.   There you go, there's some alliterations for you, but I'm gonna block this and I'm gonna block my calendar. Then I'm also gonna commit to KPIs or numbers. So winning Wednesdays, that's when I'm always gonna look at my numbers. Or magic Mondays, I'm gonna look at my numbers. Or money Mondays, there you go. Money Mondays, I'm gonna look at my KPIs and I'm gonna make decisions and me and my OM are gonna meet on that. And then I'm going to have leaders that are solution oriented. So we roll that as a culture thing and I'm gonna set it to where once a month I meet with all of my leaders now.   Maybe we work on weekly in the future, ⁓ but I'm gonna make sure that I'm meeting with them once a month and that's where I'm putting my most important time. And I could add that as CEO time, that's fine, because you are working on leadership at that part, but you're gonna commit to one, two or three of these habits and you're gonna hold strong for at least four months and let me know how your life looks. Now, if you're like me, I have to have a gym trainer, otherwise I don't work out. I got all the workouts, I got all the things, I hear it, I see it, I see it on Instagram, I see how to make the good food.   But unless I have it booked, scheduled, and someone's holding me accountable to it, I don't do it. So if you're that person, hi, I'm Kiera. We have the Dental A Team and this is what I'm obsessed with. Second to sending you a carrier pigeon, we make sure that you stay accountable to this. Let's help you do that. Reach out Hello@TheDentalATeam.com because you deserve to be the CEO and sometimes just being redirected and getting a new habit and a new operating system is going to get you to where you want to be. So reach out Hello@TheDentalATeam.com and commit to this. I want you guys to act like the CEO of your practice.   and start with these three habits this week. Reach out, we're here to help. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.  

DAT consultant Kristy breaks down what exactly took place for a practice that didn't have a solid admin team, struggled to find team members, and other challenges to hit its goal of $3 million in revenue. She touches on what core systems were implemented, how delegation worked, case acceptances successes, and more that got this office meeting its five-year goal 44 months early. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript:   speaker-0 (00:00) Good morning, Dental A Team listeners. I am so excited to be here. You guys know that the consultants and I love recording these podcasts and I get to be here. This is our Monday morning mix up here for Kristy and I. have switched on some of our podcast recording and honestly starting my day.   with these beautiful, beautiful minds has been something that's really, really turned a corner for me. I love starting the week and starting the day with podcasting. Kristy, thank you so much for being here today. ⁓ Gosh, how are you? How's life? How's Kristy's world?   speaker-1 (00:35) Absolutely. I love being here and starting the day and the week with you as well and going well. mean, hitting the ground running end of year and really pushing planning for next year. It's been fun. Fun celebrating with clients and looking toward new goals for the new year.   speaker-0 (00:55) Amazing. I love it. And you guys know we record these in ⁓ succession. We record these in advance and we get these prepped and ready for you. And something we're really excited to bring you today is something Kristy's found within her digging. So every year we help all of our clients prep for the next year. We look at what did we do this year? What was your growth this year? And it gives us an opportunity to see everything that has been done and what's worked really, really well. With all of our clients, we do this obviously monthly. And then we do a really big   quarterly report and get all those information over there and make sure that we're on track for our yearly goal. But at the end of the year, it's this big push to say, realistically, realistically, where are we? And then where can we take you next year to really prep and plan? So this I am really excited for. like to, you know, I like to pick the brains of the consultants. And towards the end of the year now, as Kristy is getting all of these things ready and this recording, you know, comes out early January that   or early new year, I should say at least. ⁓ We're just really excited to be able to see these numbers, share them with you, and then share some tactical pieces that Kristy's been able to develop and implement with this specific practice we picked today. So I am so excited, Kristy. Thank you for being here. Thank you so much for allowing me to pick your brain on your clients. I know you have a handful of platinum and gold clients that you work with constantly. are a... ⁓   you are a digger. Like I feel like you just you dig and you dig and you dig until you find that last missing piece that is that you know, I feel like you've got like thousand piece puzzle and you find you finally found that piece hiding under the table to finish your puzzle and that's it feels like that's what you did this year with this specific client. So Kristy again, thank you for letting me pick your brain and gosh, I I think the best place to start Kristy is to really highlight where they were this specific   practice and then we can get into where you were able to take them with your consulting and their ⁓ you know their leadership within the practice. So where were they when they came to Dental A Team? They signed up just so you guys know as a platinum client. So this means that they had an hour and a half of dedicated time with Kristy dedicated means an hour of time an hour and a half of time with Kristy with access to Kristy outside of that. So that's why it's that dedicated time. So   I know there were emails and there were text messages and then they also did the platinum package has two in office visits or our in person masterminds choice to be made there at sign up. So just so you know, they had the full package and Kristy take us, take us through it. Where were they when they signed up for that platinum package and they were just like, girl, get in my office. We need you here. What did their life look like? Yeah.   speaker-1 (03:38) ⁓ truly Tiff, they were about 2.8 million last year and really pushing, striving to hit over that $3 million mark for this year. ⁓ but really having, struggling with team. they had no admin team members really when we started. so, ⁓ outsourced insurance, ⁓ trying to get that back on track and really struggling to find teammates, ⁓ of quality.   So there was a lot of moving pieces I would say for this year.   speaker-0 (04:14) Yeah, and how many providers did they have in office at 2.8 million for reference?   speaker-1 (04:18) ⁓   Actually, they had ⁓ two and a half because they did have an associate starting the year as well, which phased out ⁓ through the year.   speaker-0 (04:31) and how many hygienists.   speaker-1 (04:34) three, three, four.   speaker-0 (04:35) Hygienist,   awesome. For two and a half doctors. Yes. Yeah, that makes sense. So thank you, Minette 2.8. I've been really looking to break that 3 million barrier with two and a half doctors, three hygienists. I like three hygienists is probably a little bit light for two and a half doctors, but that's where that 2.8 comes into play. It actually works out perfectly. So looking to really increase hygiene, to increase doctors, to really hit the ground running and get that 3 million.   speaker-1 (04:38) Yeah, two and a Okay.   speaker-0 (05:03) As you said, when they came, I think they, I recollect that they came and they just really didn't know what that extra piece was for that 200,000. Like they were like right on the cusp of it and where do I find it? And even just saying that, like going from 2.8 to 3 million, right? That 200,000 is like, oh, when I say it as 200,000, now I can think in providers, what do I need to do as far as providers, as far as treatment, et cetera?   That makes sense. So it sounds like they needed an extra at least 200,000. They needed team members. They needed to figure out why they didn't have team members and then probably reduce their outsourcing and bring stuff back in-house, I'm sure. So Kristy, as it just brought oversight before we get into the nitty gritty, that's where they started. 2.8 lacking team members, really needing a plan. I know their profit was reflective of   2.8, they were reflective of needing more profit. Now, by the end of the year, so by the end of 2025, working as a platinum client with you, where did they end up?   speaker-1 (06:10) Yeah, they're ending the year over 3 million and actually even cut working hours, Tiff. And I'll back up a minute and say truly, it was probably closer to two doctors by the time they split hours and still looking for another hygienist actually to add to the mix. with that being said, they hit their mark and surpassed it for sure. They've got about 18.5 % growth over last year.   and doctors working less hours.   speaker-0 (06:41) Amazing. And I think that's the ultimate goal, right? Most doctors come in and they're not like, okay, Kristy, teach me how to work five days a week and make $300,000. They're like, teach me how to work three days a week, two days a week, even get an associate in place and make $3 million or more, whatever that goal is. So 18 and a half percent growth is massive. And I know that's reflective also in their profit. And then where did their team kind of, I know that there's   You guys, just have to say this for whatever reason, an instability in teams is not super uncommon anymore. It's just, is an ever fluctuating space. It's a, it's a moving piece that dentistry has not had in our lives before. think it's been in other industries. think other industries have felt these kinds of waves and they've dealt with this. It's not something that dentistry has really had until the last few years. So to say that they,   had a lot of outsource to say that they had not as many team members as they might need coming into the year is not the most uncommon thing. And to continue to fluctuate with that is not the most uncommon thing. So I do want to preface with that, but Kristy, how did their leadership come along? And to get 18 and a half percent growth, there's got to be some sort of personal growth as well and leadership growth and kind of team stability in some areas at least. So how does that look?   speaker-1 (08:06) Yeah, absolutely. And you are spot on. We did a lot of self-reflection and dug deep in our own leadership style and working on ⁓ developing a feedback loop for team members and for team members to doctors, right? And giving that reinforcing feedback and then developmental feedback along the way. So making sure that we had team touches every quarter.   to guide the growth and development for sure.   speaker-0 (08:37) Amazing, amazing. So leadership within the doctors for sure and the owners, but also leadership within the team and self-reflection within the team of job descriptions. this what I'm really good at? Is this what I want to do? Where can I do better or ⁓ learn more to enhance my position within the practice and really talking about those things? feel like I remember this.   client and I remember because most clients are this way, they come in and they're just not talking about the things and I think that happens in every industry and every company and even families. We just don't talk enough and so really ramping up the communication within their departments and within each other as a full team, I think really helped to highlight some of the systems and implementations that you guys were able to develop. Do you agree?   speaker-1 (09:29) I agree 100 % painting that clarity through their duties. And really we worked on delegation too. Being able to delegate and trust and then come back and track and verify. And it gave the doctors a peace of mind that things were happening. And once they started seeing that, it was easier for them to continue to delegate.   speaker-0 (09:53) Absolutely. So I want to come back to the delegation because I know everybody is sitting there thinking, I need to write this down. How do I, what do I, what do I delegate? Right. It's not always just the, do I delegate? But sometimes it comes down to what do I delegate? So I want to come back to the delegate. But first I want you to maybe just highlight a few of the core systems that you guys were able to implement. And then we'll talk about within those systems, what were they able to delegate out to the team? So I can imagine.   that there was some room for growth and some space for some diagnostics and making sure that we're diagnosing enough. know the first place doctors like to go or practices like to go is new patients. And that is a space and I'm not going to discredit new patients. But oftentimes we have to really take a step back and think, we making the most out of the opportunities that we already have and have been given? Or do we need more opportunities? So that's a   That's a space where I think the consulting comes in and really helps to decipher based on the data that we have because we know what it takes to diagnose certain amounts. And yes, it depends. I know I've got an office that's in like a college area. And so yeah, he needs more opportunity because he's not got a lot of, you know, implants or whatever. But I know you guys really, really dug in and focused heavily on that aspect of the diagnosis, the new patients, all of that. So what were you able to uncover?   within the diagnosis space and realistically that turns into your case acceptance too.   speaker-1 (11:22) Yeah, really multifo-tiff, but for the most part, what we were noticing is doctors were really great at diagnosing. ⁓ They had probably over $3 million in diagnosed treatment even this year, and ⁓ case acceptance was a little bit lacking in that regard. ⁓ We had probably $2 million of unscheduled treatment walking out the door.   and being able to hone in on our skills for ⁓ case acceptance, not only ⁓ financially finding solutions, but also how we're speaking to patients at the chair to create that value. We really worked hard to dial that in and it showed. We really captured and gained more case acceptance from patients.   speaker-0 (12:17) Amazing. It sounds like that is again, going back to the communication within the team. So getting the communication or getting the team talking more, communicating more, really, really helps to increase the trust that the patient feels that the team starts trusting each other more. And you don't even walk around thinking I don't trust these people. It's not an apparent lack of trust. But the more you communicate with someone, the more intentional conversations you have. And the more you talk about   the needs even just treatment planning that trust naturally builds. And then you just, you have a closeness. All of a sudden you're closer with people than you were prior and that's what it is. You're not walking around thinking I don't trust people, but then all of a sudden you're like, my gosh, I love these people. And that's how it's developed. So developing that within the team then transpires into the team, communicating more with the patients as well and communicating on a different kind of level, think, chair side even.   regarding treatment and trusting the treatment planning. if we've got a team that's like, just honestly, if we've got a team that's not super emotionally close to the doctor or the practice or our vision or our why, if we're not bought into why we're here, we're not as intentional speaking about treatment. So really ramping up that communication, Kristy, feels like it was just such a space that transformed   how they communicated about the treatment that gave them the opportunity to level it up.   speaker-1 (13:48) Yeah, I agree with you 100%. We actually took a step back and revisited the doctors why and shared it with the team and let that really be our beacon of light in every, every interaction with our patients. So, um, and I would say even, even with that, you know, creating the team buy-in back to doctors, why and purpose for the practice. Um, and they were all committed and it showed.   speaker-0 (14:17) That's beautiful. That's beautiful. And it really does make a difference because we need to know, we need something to believe in. We need something to go after. We need a goal. And then we need the inspiration of a why of something to believe in. What are we even doing here? So I love that. How what kind of systems did you use? And you can use actual, you know, dental lighting systems are all here on these podcasts somewhere we love giving. We love giving the information out. But what were the actual chair side?   or ⁓ communication tools, what were the actual systems that you helped them implement that really changed their communication? So we can say, talk more. We've got to have the system behind it.   speaker-1 (14:57) Absolutely. ⁓ Number one, the handoffs, making sure we're communicating with patients, whatever they came in on the phone call, whatever they said, making sure that was communicated to the clinical team and addressed with the patient. So they understood out of the gate, wow, you listen to me, right? And then hygiene handoffs to the doctor when they come in the room. ⁓ And then back to...   the clinical team and clinical team going handoff to the front, all that whole connection all the way through Tiff. ⁓ And again, also working on our communication of what matters most to the patient, finding out their motivator and tying everything back to that. When we can find out the patient's why, we're not just telling them what they need, right? It really is relational, not just   the relationship between us and our handoffs, but the relationship with the patient. So those were some of the big ones that we really worked on to increase communication all around. ⁓ And I would also say financial ⁓ presentations, starting with comprehensively financing treatment, even if we're phasing it out, we found a solution to get the patient healthy, even if it was over time. And that made a huge difference.   in their case acceptance too.   speaker-0 (16:25) sure you made it relatable for the patient and attainable.   speaker-1 (16:29) Yeah, 100%. And if a patient didn't, mean, sometimes it does take a little bit to build trust, right? We did our two to two follow ups, making sure that, you know, the patients understood even though they left and they didn't schedule something, we care about you and it's important. And those make a difference too, because how many times do they leave and patients start wondering, well, do I really need it? They didn't. I mean, they don't care to call me. They just said, call me when you're ready. Right.   speaker-0 (16:58) Yeah,   totally, totally. we're not, it's not the same as when you go to the store and you want this jacket or this outfit or car bar, I don't know, whatever it is that you went to the store and you're like, gosh, I really want that, but not right now. Like not yet, I need to just wait on this. And then you go home and you're thinking about it you're thinking, gosh, I should have gotten it. I could be wearing those sweats right now. I could be so comfy. Like you're not thinking that about your dental treatment. You go home and you're like, well, I'm going to set this down on this counter over here.   and come back to it in six months when I go get my cleaning again, which hopefully we at least scheduled that. So I think that's beautiful. A follow up is key because we have to remind, know, Lululemon or Yori or whoever, like they're not calling me saying, don't forget you love those pants. You know, that's in my mind. I'm not going to forget it's there. I want it. But my dental treatment, I'm never going to think about again. If I leave the practice rarely ever, I can't say never, but rarely. I love that. So you were able to seriously change   the community that they're they're sitting in because you guys were able to really implement some amazing amazing tools and that 18 and a half percent is Nothing to cough at that is a massive amount of growth and again, that was while Like decreasing doctor hours so really tightening up the schedule so I imagine there was some some scheduling tools as well that were put into place and Scheduling tools that were put into place and really just like   ramping up what that schedule looked like. What did you do? I know we talked block scheduling a lot. So tell us a little bit about that block scheduling, because I'm sure that you have so much that you've done over there with that. And tell me a little bit more about that.   speaker-1 (18:40) Yeah, Tiff, we really dug into their procedure counts and formulated an efficient schedule. One doctor started the year about $9.50 an hour and ended his year closer to $1,100 an hour. Wow. Yeah. The other doc started about $600 an hour and ended close to $900 an hour. And hygiene.   speaker-0 (19:06) amazing.   speaker-1 (19:08) This will blow your mind. They started about 128 an hour and they ended at 147. They did ⁓ get a new laser for hygiene, but literally adding the blocks in there to make sure we had room for perio, make sure doctors had room for their big cases just by taking a look at where they were performing and leaving room for additional growth in that. And then ⁓ reverse engineering it to what   speaker-0 (19:14) my gosh.   speaker-1 (19:39) They wanted the outcome for their goal to be. Yeah, it was fun. It was fun. They designed it and I helped guide them with it and it worked and they all are following it because they see that it creates easier days for them and they don't have the roller coaster of really high production one day and then really low production the next.   speaker-0 (20:02) That's amazing. Even hygiene, and I know you said, yeah, they implemented the laser. They brought the laser on board. But bringing a laser, buying a laser, taking the course for the laser, getting certified, and then actually using it to increase production and increase your patient's health is a completely different thing. So they were able to, I would imagine, find the space within their   ⁓ our appointment or to our appointment or however long they were scheduling for that, they were able to find the space to actually implement it, to feel comfortable and confident to do it. That's really, really cool. I actually really love that. So to wrap it, you've done handoffs, you've done chair side handoffs, you've done handoffs with the front office, and then also blocked scheduling and really, really dove into the metrics and the numbers and how   It's kind of like that lemon that you have that you're like, gosh, I just have like one or lime, right? I have one taco left. Like I don't have any more limes. You're squeezing the last little bit of juice out of the taco, or out of the lime on the taco, but you're really making it so that everything is flowing better. Everything is smoother. It's more efficient and it's really running like a well-oiled machine so that they could get that 18 and a half percent increase.   speaker-1 (21:21) Yeah, 100 % Tiff. And truly, ⁓ it took us really dialing into the why because as you know, so many offices, ⁓ they do have relationships with their patients. But when you have healthy mouth patients and we're reappointing those and not leaving room for the infected patients, it directly affects the doctor's schedule. So letting them see, kind of triaging it like a...   hospital would, right? If I'm coming in and I'm bleeding, I'm going to take precedence over somebody that ⁓ has a, I don't know, ingrown toenail. Re-framing that and letting them know, hey, we can still see those people and we want to see them, but we need to formulate a schedule that allows us to not only make our goals, but treat our patients in a way that aligns with our vision.   speaker-0 (22:01) Yeah, absolutely.   speaker-1 (22:18) ⁓ and mission, it really made the big difference.   speaker-0 (22:23) That's beautiful. That's beautiful. That's amazing. And Kristy, kudos to you. Kudos to this team. You guys worked really, really hard. And I know you worked tirelessly with them to support them and guide them and give them the tools that they needed and really give them the support and the accountability. I did say I'd come back to the delegation so quickly. What did they end up being able to delegate to other, maybe team members so that it wasn't all the doctor or the owner?   speaker-1 (22:51) Yeah. First and foremost, it was them sitting in on those one-on-one meetings, guiding the new employees. Because as I told you, the admin team was... They weren't even there. So they ⁓ hired somebody that could help manage the office and allowing her to see their style. And then...   speaker-0 (23:05) They didn't have one. Yeah. ⁓   speaker-1 (23:15) watching her implement and run with it gave them the courage to let go and let her do it. ⁓ with that being said, that was huge implementation there.   speaker-0 (23:26) And I would imagine too, that they didn't do all of the informational search. They didn't do all the digging on the financial options, but they probably allowed their team to also help find what would work for the patients. And they're not going and sitting on these calls with Cherry and implementing the tools. they're allowing the team to have a part in this so that they're actually using the tools as well. Am I right?   speaker-1 (23:54) Yeah, absolutely. ⁓ In fact, bringing in other financial solutions. Yeah. One thing also that they uncovered was one of the insurance ⁓ insurance plans was really holding them back and allowing the team to have say in, hey, I think we need to look at this one and maybe eliminate it because it's not serving us.   speaker-0 (24:17) That's beautiful. So making more dollars per hour production for the treatment that you're doing, getting paid, getting paid what you should. I think that's brilliant. And this is, this is the time and age to be doing that. A lot of practices are looking at that. I love it. I love it, Kristy. So handoffs, chair side, handoffs, ⁓ just within the team in general, handoffs at checkout, handoffs at treatment planning, all those different spaces and really, really looking for the opportunities that are being missed. So we often look for   quantity and we look for, let's bring in more. We're not getting enough case acceptance so we need more like to diagnose. they often, oftentimes practices will look at that new patient space and it could be the new patient space. I'm not gonna discredit that, but sometimes it is within the case acceptance. And so you've already got it there, increasing the systems and really looking at the why, getting a team fully on board, delegating the things that you can delegate, increasing that can make a massive difference. And then you're.   serving the patients that are already there even better than you were before. So Kristy, this is beautiful. I think there are a lot of nuggets that people can take from this. And again, 18 and a half percent, that's nothing to cough at. And I'm not saying you guys that everybody's going to get 18 and a half percent. They have the space and the availability and they did it. I have seen 5%, 7%, 12%. I've seen 22 % growth. It just depends on where you're at, what you're capable of doing within the size limitations that you have. And we are just so happy, Kristy.   Thank you for working so hard with this practice and with others. You are an incredible consultant and your clients are very, very lucky to have you.   speaker-1 (25:50) Thank you. It was fun. It's fun. I love seeing their visions come true.   speaker-0 (25:56) Same,   same, I love it. Well guys, I hope that you were able to take some notes. If you are driving, please re-listen and then take notes. Don't drive and take notes at the same time. Drop us a five star review. We always love to hear what you're thinking or any nuggets that you picked up from this. And as always, you can reach us at Hello@TheDentalATeam.com. Thanks guys.  

Kiera and Tiff are on the pod together to ask, What are you working toward? Your professional purpose can often get lost when you're too buried in work, and the two invite listeners to take a step back and ask themselves key questions in order to recenter. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and it is Spiffy Tiffy and Kiera back on the podcast. I messaged Tiff and just said, Hey, are you free? Because the topic today, I actually think Tiff and I can really rift on of such a solid conversation. I'm really excited about. So Tiff, welcome to the podcast. How are doing today?   The Dental A Team (00:19) I'm good. I'm excited because we haven't even, I don't even know what this, what you're thinking. So we're all learning this together, you guys.   The Dental A Team (00:25) you   It's true. This is the magic of Kiera and Tiff. We can truly pull each other in at any moment of any presentation and we pretty much can just pick up. And I think that's a beautiful thing when you have somebody that, I don't know, Tiff, it's just like, I was gonna say a funny joke, but I'm not gonna say that joke. We want someone who is so connected to you that just knows what you're going to do. It's truly pure magic. And we've literally had that since we met. So for those of you new to the podcast, welcome. Tiff and I are.   just two girls who love dentistry and wanted to change the world. And here we are. We really are passionate about life and business. We're passionate about dentists having their best lives, team members having their best lives. And that's really the core of what Dental A Team is about. So to get both of us, mean, literally I met Tiff when I was a rookie business owner. So the fact that we're still here together, we still love working together, I think is a pretty magical, incredible thing. And we would just always have said, we wanted to build a business that we are proud of, that we enjoy working in.   There have been times we have not enjoyed working here. I remember last year about this time I called you and we're both like, why is it so hard? Like I just remember it. And so there are ups and downs of a business, but in that vein, okay, Tiff, here's the preface. You ready? I'm going to tell you. So I was at the gym the other day and I absolutely hate with a passion sled pushes. Like I hate them. They are freaking hard. And Laura, my trainer, she like, I hate it. Like I don't have strong.   shoulders, my knees like hurt like that's why I go to the gym like I've got these like dumb problems and I was pushing the sled and like I'm shaking every ounce me wants to just give up it is so hard it's not that far but I really absolutely like loathe sled sled pushes and sled poles and Laura yelled at me she's like Kiera what are you working towards think about that while you push this and I was like I'm doing a podcast on this and Tiff I feel like you are the perfect person to podcast with me on   because that has set with me. And as I was pushing, I literally had the thought of I'm pushing to my 90, 100, 110 year old self that Tiff knows the vision. Cotton candy pink hair here, cotton candy blue hair on Tiff. We're going to be these like fit ripped grannies that are just living our best life, having so much fun. But I thought about that physically for my body. But I thought we do sled pushes and sled pulls in our business every single day. And to really start to think and dig deep of like   What are we working for? What is that purpose? And Tiff, know that this is right up your alley, which is why I didn't even have to prep you on it. Cause I'm like, let me just give a little preface and you're going to be all in. Cause one it's working out, which is your huge passion to its life. And three, we get to be on the podcast together. It's a triple win. You're welcome. So triple whammy. Here we go. So just thinking about that, I don't know. I want to just, have no agenda of where I want to take this podcast other than   The Dental A Team (03:01) I do love it.   Triple whammy.   The Dental A Team (03:15) It just made me really, I've been thinking about this. We're probably like four weeks since she said it to me, like literally it was a yell. So just imagine me and Tiff are your gym trainers here yelling at you, like, what are you working towards? What are you pushing this for? Why are you doing it? And I think sometimes that can get lost in people. And I think until we get that like yell wake up when it's like truly just like hard, I think sometimes we are asleep and hopefully today's podcast might wake you up and bring you to being present, being focused and being intentional. So Tiff.   It's okay, take it away.   The Dental A Team (03:45) Totally, I love working out, so thank you. Thank you for thinking of me and that reference. I don't do sled pulls because I don't like them, and I don't have a trainer telling me to do them, so I'm very proud of you for doing them. This is wild, I hate mountain climbers and knee ups. Those are my two worst enemies. So I'm with you on hating some sort of exercise at least. I'll do, I don't know, I'll do a burpee all day long for you, but ask me to do a knee up or a mountain climber, I'm out. But actually,   The Dental A Team (03:54) you   me too.   Mm-hmm.   The Dental A Team (04:14) This is, we're always like synchronistic. So it is fitting that this comes up. I actually like on a, think there's different scales that you could take this conversation. And I think there's the grand scale of like, why are we doing this? You and I come back to this constantly. And at about this time last year, we had really lost that vision and that drive. And so we did have to come back. I was actually thinking about that just the other day. was like, gosh, it was almost a year ago at this point, like by a couple of weeks, I think. Yeah. So yeah.   The Dental A Team (04:37) too. Crazy. Like literally.   The Dental A Team (04:42) Yeah, so I was thinking about it too, but this morning actually, I had a conversation with a client and it kind of, it's very pertinent to this subject and it kind of is interesting to me because we're thinking on a grand scale here and you're like, you're 80, 90, 100, 110 year old self is what you're envisioning and we go big a lot on like goals and visions and dreams and wishes for the, the.   clients for their practices, but something that I chatted about this morning was like as simple as something you're implementing. And the conversation was set around bonuses and bonus structures. And I was like, okay, you can do anything you want with a bonus. I don't care. I truly don't care what you decide. You need to be profitable at the bottom line, the end of the day. That's all I care about. My job is to make sure you're profitable. I don't care what your decision is. I have input on everything.   But the real question is, why are you doing a bonus? Because that will help answer the question of which style of bonus you want to do. And I think, Kiera, why are you exercising? Because that's going to help you decide what style of exercises are the best for that need. If you just woke up one day, people do this all the time.   They're like, I'm gonna exercise today. I'm gonna start today. And they're like, okay, there's, this is like, I think one of the main reasons people don't exercise, because you wake up and you're like, today's the day I'm gonna do it. And you're like, okay, there's 15,000 gyms to choose from, all ranging prices. I could get a trainer, but that's X amount of money. And I don't know that I need one or want one. I could do a CrossFit gym. I could do power lifting. I could do,   spin classes, I could do there's a million things. And so it's like, if you don't know the reason why you're doing the thing you're going to do, it's very difficult to pick what that looks like or to finalize or decide or clarify what that looks like down to the smallest decisions. And when people sit in indecision or I always say if something is really, really hard and I say this,   I always preface this with that doesn't mean life isn't hard. Life is hard, but when something is so hard that you're like, why isn't this working? I think of the toddler with that little game, right? And it's got the circle and the triangle and the square and the X. And this toddler has the square and the circle and they just sit there banging and banging and banging and banging and screaming in frustration because they know it's supposed to go inside the box. It's supposed to get inside the box, but they can't figure out.   The Dental A Team (07:10) Mm-hmm.   Thank you.   The Dental A Team (07:36) how it gets inside the box. And when we're sitting there like banging our heads against the wall, if you were doing all of these things in the gym, Kiera, felt this way about the sled and weren't seeing results, that's that space of like, I am doing everything I can possibly think of, why isn't this working? When you feel that way, I think my suspicion is that we've lost sight of why we're doing that thing.   The Dental A Team (07:38) Right.   Okay.   The Dental A Team (08:05) Right? Or that   thing isn't actually fitting the reason that we're here and we're doing the wrong thing. So we need to find that new path and that new thing circumventing what we're trying to do. We're trying to break through this wall, but sometimes it's like, no, actually that wall was supposed to be there. I was supposed to drive around. This is someone's yard. I can't just drive through their yard. Like this wall is supposed to be here. I'm actually supposed to drive around this wall, but my shortest path in my brain is through the wall. I hope that makes sense.   The Dental A Team (08:23) Right.   Mm-hmm. Mm-hmm.   It does make sense and it actually made me think about Simon Sinek's why   starts with the why, which is the purpose. And then you go into the how, which is the process. And then you go into the what, which is the result. And I think so many people, you said Tiff, they're starting with the result. It's like, I want to have a six pack. ⁓ Great. But like why? When you can go bigger and I can think of, like when I was pushing that said pole, I'm like, I'm so angry pushing this thing. And I'm like, yeah, but 90 year old, 110 year old Kiera, if I can be running, I can be walking, I can be lifting things and my bones aren't frail.   That's the purpose. Like that's the big purpose. This is why we're even doing. What is the cause? What do you believe? Like I believe that I'm going to be 110 year old fit woman who can do all these things. Then the how is the process. I go to the gym three times a week and the result is I have strong muscles and I have the six pack. That's, that's the after effect. That's not the starting. And with your practice, like when Tiff and I, talked about it, we lost the why.   That's why I think things were so hard. Like I feel like we were the toddler trying to shove the X into the circle and saying like, get in there. Like this needs to fit. Like it has to be this way. Like you said, we were running into someone's yard. Like there was a wall there and we couldn't see it. And when we scaled it back and it was like, this is the purpose of why we're doing what we do. Then the how is the process we do consulting this way. And then the result is your business grows. The profitability is there. You look at your numbers. And I think when I just, it really was just a highlight of   I think people today listening, I would just implore you and encourage you to ask the question of why am I doing this? And not like you can have it to make money. That's a result, but there's got to be something deeper and bigger and more than that. That's going to sustain you through that. Like true sled pull push, because I don't know, like businesses are not, you are not profitable forever. Like that's not something that's just like you get to profit and you stay at profit. Just like you don't get to fit and you stay at fit. You don't get to.   a certain result and you stay there. You have to maintain, have to be vigilant. You have to be on top of it. Just because like, I remember there was an epiphany one day, Tiff, Tiffanie epiphany. There you go. It's not quite efficiency, but I'm going to get there. ⁓ it was an epiphany where I literally was like, I get not half to work out. get to work out now, not to look good, but to be able to walk and not have pain. Like it was this moment. Cause I used to just work out. Like I need to like, look a little bit better in my swimsuit. So like, we'll just go to the gym for that.   Then I was like, no, this is just a way of life. This is a process. And I think when you realize that that's business, like being profitable, looking at the numbers, being the CEO, getting the team on board, doing great dentistry, that's all part of this. It's not the, do this just because it's like, that's part of all that you're doing. But when you have a greater why, I mean, even just the last couple of nights, me and Gwendolyn, which is my chat GPT have been hanging out tip. And it was crazy because even though I'm exhausted,   I'm lit up and fired up and excited because of what we're building and the purpose and all that. And that's what you want to get to. And to think Tiffanie, a year ago, you and I, remember I was on a walk. I remember exactly where I was. And I just remember hearing you and like, it was so like painful. You're like, why is this so hard? And I remember stopping, sitting on the ground, literally crying. And I was like, I don't know, Tiff, like, this is not what we built this for. This is not the life we want to be living. Like something radically has to change. And it was because I think our why was   just grow a bigger business. wasn't, let's change people's lives. Let's impact people. Let's look at what we're doing and how we can shift it. So I know that was a bit of a rant on my side. I just hope people are waking up and remembering like, what are you working towards? All this pain, all this hardship is part of it. But when that why is so vigilant and so pressing and so driving it, you're able to get through the sled pole as much as you don't enjoy it and get to the other side because you know there's a bigger purpose you're working towards.   The Dental A Team (12:21) Mm-hmm. Yeah, I agree. And I think that we also have to remember that things shift and they change. The reasons that we do things change. So I have a couple of thoughts as you're speaking. First of all, you're having a difficult time ⁓ committing to a task or doing it all the time, or sometimes I forget, I'm like, shoot, I forgot. was gonna start going to the gym three times a week, like six weeks ago, and I haven't gone once, right? So if you forgot, it wasn't important, right? So my theory on that is either it's not the right thing.   So you chose the wrong thing to get you to the result you're after or your result you're after, your why, isn't strong enough. It doesn't hit fully yet, if that makes sense. So like Kiera, you said your reason for working out, right? When Brody was four, I think three, four years old, I was exhausted and I was tired and being a parent of a freaking three, four year old, like it was rough. was a single mom and it was...   The Dental A Team (13:04) Mm-hmm.   The Dental A Team (13:20) I was just tired and I was like, you know what? Like, this is ridiculous. I do not want my kid to remember that mom couldn't hang. Like I couldn't play with him at the playground because I was tired easily or I couldn't, whatever it was, color with him because I'm like, no, like I just gotta rest, right? If I couldn't do the things with him because I wasn't taking care of myself, because I was pouring into him and tired, like that crazy cycle, that wasn't enough for me and that's when...   realistically when ⁓ workouts and training and stuff took precedence in my life. So my, my Y was easy. It's Brody. My Y for everything is Brody, but that shifts and it changes. Brody is Brody is my entire life, but he's going to college soon. And so now like I'm in that stage of that we all get to personally and professionally of, what is my Y now? So I think something that we get stuck on is   what we think, what we put into the universe, what we say has to be forever. And that it's like, no, this is why I started this business. Okay, but like, it's not the 90s anymore, right? Like I can't keep, I can't wear my clothes from high school, even though they're coming back around. If I wear those clothes from high school, which I don't have anymore, I would look ridiculous, right? So like stop trying to be the past version of yourself and understand   and give value to the fact that you have grown and your business has grown. So who you are and who your company is today is outgrowing, kind of like the crabs, you know? Like they outgrow their shells and they get to gift that shell to a new crab. A new crab walks along who's at that stage and they're like, this is my space. Let me take this giant home. This bigger crab that left that shell behind,   The Dental A Team (14:57) Mm-hmm. Mm-hmm.   The Dental A Team (15:12) is now in a bigger shell. And if you're not willing to shed that shell, you're one, keeping other people from growing. You're still, that crab can't find that home if you haven't left it behind. And you're keeping yourself from growing. So to Kiera's point of like, you're not always gonna be profitable. There's gonna be, it's all cyclical. And if we're not open to the idea that our why has to change and it has to evolve to continue to be important to us, then   I don't know why you created one in the beginning.   The Dental A Team (15:44) I don't disagree with you. And on the profit thing, our goal at Dental A Team is to make sure our offices are always profitable. So we're just going to put that asterisk there. I think it can be. It's just not something where it's like a set it, forget it. You can just walk away from it. ⁓ And Div, I love that you said that because I think the permission right now to change, because me working out used to be to just look good. Like that was honestly what it was. It was like, I want to have this ripped body, like.   but not like so ripped, like just toned. I didn't like truly didn't have to work super hard at it. So was like, I go to the gym like as a social thing. That was it. That was, that was my why at that point. Now it's a like, no, like 90 year old Kiera needs this 40 year old Kiera needs this today. Like just who I am today. And also my mental sanity needs it today. And so allowing yourself to morph, to evolve, to grow. And I think when you look at your business and it was wild. ⁓   We had outgrown our why a little bit and our why needed to change and we needed to come back home. I think there's still always threads of what it was, but like you said, Tiff, life changes, circumstances changes. I think I got to a spot where I realized all the goals I had set for myself and for our company, we had pretty much hit. Like, so was kind of just this like rogue, like, all right, we've done this. And as a grower and a creator and a builder, I don't want to just do the same thing day in day out. That's not who I am. That's not what I was built to do. That's not what our company was built to do.   And so we had to, but like, couldn't keep doing that myself. I needed to get the team button. I needed the team to help build a bigger vision. We needed to collectively all decide where do want this to grow? And I needed to have something bigger than myself. ⁓ I think is where that shifted. And so really for you, no matter where you are in the phase of the journey, no matter if it's personal, professional, if you're a team member listening, if you're a doctor listening, whomever it is, if this is a team meeting, I think also for every team player to find out what our why is, what are we working towards?   Like pretend we're your gym trainers and we're yelling at you right now. Like, what are you working for? What are you doing all this for? Is it the same as what it has been? For Tiff, it's always been Brody. And I'm actually really excited, Tiff, to watch you morph into another version of yourself where Brody goes to college. And Tiff, like for me, it was like, cool. We were trying to have children. We were trying to do all these different things. Like that didn't happen. And so I remember sitting there and I'm like, what the heck?   I'm not doing any this anymore. Like I want to work this hard. I want to be this tired. I want to be this exhausted. There's nothing bigger that I'm working towards. And when we lose that, you lose the momentum. ⁓ or if it gets foggy or fuzzy or life changes or things don't happen the way you planned really just, think reassessing today, what are you working for? What is, and working personally, professionally team wise. And I also like for me, I get lit up now when I find out what team members are working. I love tip. love our one-on-ones. love hearing.   what Tiffanie's personal goals are. love hearing Britt. And I used to say that now it's like even more fun because we can take the business and manipulate it to create people's dream lives for them and also change Dennis lives too at the same time. And to me, that's even like more of a fun why that's bigger and more engaging and more exciting. But like you said, Tiff, it's crabs, it's shells, it's evolving, it's evolution of soul. And I think allow yourself to evolve, allow your team to evolve, allow your business to evolve, but whatever you're doing, just make sure   If you've lost that spunk and like inspire, find it again. Have it to be more like, again, a year ago I did not have this and then two nights, the last two nights, I'm so excited to run spreadsheets at numbers and figure it out. Like the puzzle, it's like scheming over here with me and I can't wait to come talk to Tip and I can't wait to do the projects that we're building. And I know Tip feels the same way. Like it's just fun and there's energy because we're, I think we're centered and focused on what we really want to do and committed to that and willing to allow ourselves to rewrite it.   consistently to make sure that we're always being inspired, always being challenged, always growing and progressing. So that's like my, that's my, are you working for? Spielstift. Any last thoughts you've got to add to this and thank you for popping in unannounced. I knew you'd be the perfect person. I knew there'd be nuggets that we could both pull to this. And I didn't want to do this alone because I also think not intentionally, but as I just said it, I actually think building a why and a vision of what you're working towards is so much more fun when you have people and a community and a team of people that are bought in.   that is so much more fulfilling. And I think for a long time, Tiff, you probably could have tested this. I think I tried to be a lone wolf trying to pull the team along and I had to shift and realize it's so much more fun to collectively have a group focus, a group process. Yes, I need to be, I need to have like at least some starting point to it, but it's so much more enjoyable when there's more people bought into it rather than just myself. So maybe that's also why I felt the want and need to have you on this today too. So any last thoughts, things you think of?   as we wrap up today.   The Dental A Team (20:22) Yeah, I think a couple things. One thing, what you just said is to like make that actionable for people is that you provide a template. Like we can create what we want this company to look like, right? But it's not our company. And so you provide a template for us so that we can work off of that. And then together we create the vision and the mission and all of those pieces. But they align with who you are because that's what this company is here for. It would be ridiculous for anyone else to be the one that   creates that because it's not our company. ⁓ So I think you provide the template, which is, know, every time you ask me for something, I'm like, well, you're going tell me what you want it to look like. we all need that, the clarity. You provide the template and the clarity.   The Dental A Team (20:57) Thank   Can we,   can we ask Rick on that real quick because you, so let's go back to when we met a year ago. I remember you saying, Kiera, we joined this company because of who you are and the vision you had. inspired us to join you. And that was something like, it's still like, gives me like tingles hits me to my core. I thought I was being selfish building a vision and a template. And when you said that you're like, you've lost yourself basically like in more polite words than that.   But you were like, you need to get yourself centered and get us excited because you driving this dream, this vision is why we collectively have come together. And if you're this floating bubble off on no man's land, waiting for us to co-create it because you want us to take ownership, that's what's going to lose our team. And Tiff, I don't know if you remember saying that directly to me. I remember exactly where we were. We were looking across the room at each other when you said it. And I'm just grateful that you have the, I think, courage to say that to your boss, to your friend.   I think a lot of team members don't realize that you can really help your leaders ⁓ get enlightened when there may be a little fuzzy. But Tiff, as soon as you said that to me, like, I'm not being selfish. This is what you guys need from me. This is why we're all here together. And if I can give that template, that guidance, everybody can rally around that. But that's got to be something that's core in me because I can't fake fire and the team will not come if there's not a spark. I like excitement that's got to be built within me.   The Dental A Team (22:28) Absolutely, and that goes hand in hand with what I was going to say. And so it was like literally perfect timing. you provide the template and something, there's a lot in there, but something that I wanted to pull out that goes exactly with what   just said. one, number one, before I even say that, I think there are words in our dictionary that have an imposed ⁓ emotion attached to them that's completely wrong.   The Dental A Team (22:54) you   The Dental A Team (22:54) Anything   can be good, anything can be bad. And I think that everyone, every person, every human, every animal has to have some sort of selfishness within their personality   order for us to survive. Like for you to not be selfish and be like, no, like you're just going to give away everything. Like that doesn't work. You had to be selfish and be like, no, why did I create my company? Like, yes, this is our company and we all share it with you.   But at the end of the day, it's your company. Why did you do it? And without that, we can't share it. And so something I was going to say is, and what you said, Kiera, was that the words that I said made you realize that you, or it sounded like I was saying, which I was, that you had lost yourself, right? And I don't shy away from those statements because it's incredibly important to me. If you lose yourself, like what are we even here for? And the whole concept of this   The Dental A Team (23:40) Mm-hmm.   The Dental A Team (23:53) podcast today that why, right? If the why doesn't tie back to your personal life, why are you here? Like, what are you doing? It is not 1950s anymore where we are just like working to work and that's our lives. Like something shifted in the last, especially five years, but the last 10 years and we've really come to understand that work is to satisfy and project our personal lives so that we can be   The Dental A Team (24:00) I agree. I agree.   Mm-hmm.   The Dental A Team (24:20) the best we possibly can with the time that we have here on earth. So if your why cannot tie back to your business making your personal life incredible, or for me, I work so that I can have a fantastic personal life. I love you, Kiera, but I don't work. If you didn't pay me, I wouldn't be here. Right? Yes.   The Dental A Team (24:39) don't blame you. I don't blame you.   You're here for life.   The Dental A Team (24:41) I would still be friends with   you. I'll still podcast with you. But if I'm not able to support my family in the best ways that I know how by being a fantastic human by the time I get done with my work, by supporting us financially, and by providing my kid the vision of what work can be that I want him to have, what am I even doing? So if you can't, if your why isn't so important to you that it would break something inside of you personally, if you didn't hit that why,   then you haven't nailed your way.   The Dental A Team (25:12) I agree. And Tiff, I'm so glad you said that because I think there was a shift of working for the sake of working. And I, I like, this is a good, mean, I feel like I'm like unraveling like all of my layers right now. Like I'm all right. Okay. Let's like get really to the core of it. So thank you, Tiff, for pulling that out. Again, I knew I needed someone else on this, especially you. I knew I had to have the right person on this podcast to pull out what I really wanted to invoke in this podcast. I needed to one get   more beyond myself. Like you said, it has to be something where this is fulfillment for your life. And I had this aha moment where I'm like, hold on, this business was built to serve my life, not my life serving the business. And I think that that was a clutch moment for me to realize one coming back home to why we're doing this to building a template, three, figuring out like the business is serving our life, not the other way around. And then doing that for the team. ⁓ I think that there was not, think I know.   We're not going to sugarcoat. I was really tricky for a minute. If like it was, I remember you being like, I'm not working all the time. I was like, work already. And we realized we were going from this hourly checkmark to a results focus. And that was such a mindset shift. was a culture shift as a company. It did feel like we were taking off like an old costume and putting on the new current. Um, but that's, think what human beings were here. We are human beings. We're not human doers.   The Dental A Team (26:19) Yeah.   The Dental A Team (26:37) And I think, like you said, it's got to be serving that. And I think for me as a business owner, as a CEO, as a friend, as a human, to realize that the business can do both, it doesn't have to be one or the other, I think is like probably the magic space right now. So when I'm like, what am I working for? I'm working to like change Dennis lives, of course, to make this huge positive impact. I'm also working to make sure that team that works for me has these incredible lives as well. Tiff, also said to me, like, Kiera, we want your life. And I was like, wow.   That's such like a comment that I'm so grateful for. And I was like, great, how can we create that? Like, how can we build? Like, what are the things that I have that you want that we can then build? Like those now are just conversations and creative playgrounds. And that's, think the magic of business is business is able to fulfill wise, fulfill magic, fulfill dreams and make them realities. And to me, that is the magic of being a business owner. So I think again, what is that? Why? And like you said, Tiff, like   I hope people can even hear like I get giddy and excited. I'm like, all right, let's go make some dreams come true. Like for dentists, for team members, for myself, like for all of us, how can we do that? That's what lights me up. And your why will be your own. But like you said, Tiff, if you don't have that solid, that sled pole is going to hurt. That sled push is going to kill. And you're going to just give up because you don't have that fire inside that truly is meant to drive you forward.   The Dental A Team (27:56) Yeah, I agree. I have to give kudos and a statement to a doctor that I, he is so near and dear to my heart. I worked for him for a really long time and I watched him, one, I watched him work himself to death. Like I watched him work himself to where I'm like, are you even here today? Like you are so, you're not here. You are so dead.   right now, but I also watched him reinvent himself. I watched him reinvent us, reinvent our company. I watched him lose himself. I lost myself, but at the core of everything, I know, Kiera, you ask me often how I'm so forward in my communication or that I make you have these conversations and...   I learned so much from him. He was willing to be vulnerable with me ⁓ and have those conversations with me. He treated me as if I was a human on his team that he wanted there for a really long time. And he would pull me in for those hard conversations when he had to have them with me. I'm gonna get emotional. And it changed my perspective of people, communication, and business.   The Dental A Team (29:01) you   The Dental A Team (29:11) And he's still going, he's still got his business and I'm sure he's still turbulent as ever. We'll use that word. But kudos to him for taking, I was 19 when I started working for him and he just, took this girl and he just poured into her so that I could get to where I am. And so I think my point of that is doctors, owners, business owners,   Be open to that. Don't be so shut down and scared to be seen as vulnerable or small or weak that your team can't reach you. He was always reachable. Even when he was angry, he'd be like, give me a second. I'm gonna shut my door. I'd hear him yell sometimes and I'm like, bro, get it together. But he was that.   The Dental A Team (29:56) you   You   The Dental A Team (30:05) vulnerable with us, that it allowed us to have the clarity and it allowed me then, Kiera, to be able to have those conversations with you, to not be afraid just because you're my boss and the company owner. Like if I see something that could potentially damage the company, damage you as a human or damage us or damage my goals, I'm going to speak up and say something because it's for the good of everyone and he taught me that. So massive kudos to him and   The Dental A Team (30:26) Right.   you   The Dental A Team (30:33) It was a wild ride. will never,   never not admit that, but I, there's a lot of good that came out of it. And I truly believe that my communication with business owners comes from him being vulnerable. So doctors just don't forget that. Like you're not weak. You're actually stronger by allowing your team to help support you.   The Dental A Team (30:54) And I am grateful for your doctor too. ⁓ I'm grateful for the person that he helped you develop into. And I definitely believe that people are here on both sides. I think as business owners, we have to feel like we're here to provide all these things. But I think the flip is also true that if we allow ourselves to see that our team is also here to provide for us too.   I think it's like parents with children and they say they learn so much from their children when it's feels oftentimes the reverse that you're here to support them, but they're here truly building and supporting you. So tip, I love that. And I really hope doctors heard that. And I also hope team members heard that of speak up. like you said, Tiff, our team helps me clear the fog. Like when they call me out, they tell me all the time, like, Hey, when you like shift your hair like that, we know you're stressed out when care, Tiff, even say, you're like, here's got those eyes up. She's got to move and she does not have time for this.   Those are good pieces. They're like silly, but they helped me clear the fog. They helped me see more clearly. ⁓ and I think that there's very few people that are willing to have those conversations. So when you're willing to have, and you have team members like that, cherish them, love them, pour into them. And if you don't have people that are quite there yet, pour into them too, because you never know. Like, again, it's a, it's a give take relationship. And I think when we see it, when you stop being the hero of your business as a business owner and you allow the entire team to be the hero, you're a guide.   it's a give take. It's a, it's we're equal ground. We're here to serve. We're here to be that I think is where magic is. And that to me, like just saying that that's a big part of the why of like what I'm freaking working for. ⁓ for myself and for our other people, it's free. It's here for life. So I hope, don't know, Tiff, that was just a beautiful podcast and this is going to be one I hope people listen to over and over again. And just remember like, you can get lost. You need team members. ⁓ but   Like you said, Tiffanie kept pointing to our hearts. Like I think let's go back to our little like summit, like drawing our human beings over here. Like I think the why comes from your soul. I think it comes from your heart. I think it's there. It's innate within you. And sometimes you just need to come back home to you to find it again and to have people around you and to support you on that journey. I mean, my team saw me go through some hard times and it feels so like, I don't know. It's like.   The Dental A Team (32:49) you   The Dental A Team (33:09) I'm not even a mask and it feels like de-masculating and I'm not even a man. Like I feel like I just lost like everything that was like, like the almost like the armor, the, the false like safety net. I think it's also like failing and admitting that you don't know everything. You feel like a failure. I think those are all the things. ⁓ but like you said, Tiff, I think that there is actually so much strength because we don't make it worse than it is and we don't make it better than it is. We make it what it actually is. So we can actually build from there and create what's meant to be.   The Dental A Team (33:37) Yep, I totally agree.   The Dental A Team (33:39) Okay, with that, I hope you guys just take something from here. I don't think I've got a strong action item. think we usually hear for tactical. think it's more than anything. Like I guess the tactical is check your why, check to see why you're doing all this. What are you working for? What is that? Be open with your team, be vulnerable, set the vision, have the template, ⁓ do it with your team, get people around you that are bought into your vision that are with you, that are rowing with you. Team members don't forget the power that you play in this. And if we can help you, this is what I think.   This to me is the core of Dental A Team. This conversation is what Tiff and I wanted this company to be. It's helping humans be humans. It's helping you realize that you don't have to be a robot. It's helping you have freedom to live life. ⁓ We say it's like life is our passion. Dentistry is our platform. And so I think it's pretty special to be able to share that with you in a space of dentistry that brings us all together. So Tiff, thanks for being in my life. Thanks for being on the podcast. Thanks for the thoughts today. This one really was just ⁓ a super special podcast that I'm grateful we were able to do together.   The Dental A Team (34:37) Me too, thanks for messaging and it was perfect timing.   The Dental A Team (34:40) Of course and for all of you listening reach out if we can help you in any way Hello@TheDentalATeam.com and remember you're worth it your why is worth it your your purpose in this life has meaning and we need you you're super special exactly how you are and Do not lose that because people depend on you people need you to have that vision So reach out if we can help you and as always thanks for listening. We'll catch you next time on the Dental A Team podcast  

Kiera joins Jill Simonds, founder of Savvy Strategic Partners, to talk about all things leadership mindset, including what to do when you feel trapped by your business (Kiera gets personal on this one!), the ebb and flow of motivation, psychology of ownership, and a ton, ton more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript:   The Dental A Team (00:01) Hello, Dental A Team listeners, this is Kiera And today it's a special podcast. I was so lucky to be featured on a podcast with Savvy. They are actually a fractional company and we have hired them to get different team members on our team and their founder, Jill Simonds and I got on the podcast and talked about all things from founder mindset to guilt of being an owner to how we stay trapped in businesses. And I just felt that this is such a   poignant and pertinent podcast for all of you. So I hope you all enjoy this episode. I hope you learn a lot. And as always, thanks for listening and I'll catch you next time on the Dental A Team Podcast.   The Dental A Team (00:37) Welcome everyone to vision untethered conversations with inspirational leaders. My name is Jill Simonds, founder of Savvy Strategic Partners. We are a dedicated leadership team of fractional executives. I am so thrilled to introduce my special guest today, Kiera Dent, the dynamic founder of the Dental A Team, a consulting firm dedicated to helping dental practices simplify operations, strengthen leadership and elevate patient care.   With her unique background as both a dental clinician and business owner, brings a powerful blend of insight and business strategy to every practice she partners with. Her and her team have worked with hundreds of practices nationwide to build systems that reduce stress, increase efficiency, and foster long-term success. Kiera, I'm so excited to have you here. Thank you, Jill. Thank you. I'm so excited and honored to be here.   It's fun. love what you're doing out there. I love these kinds of conversations and wow, it's always fun to sit back and hear your own bio. So thanks. It feels, feels a good way to kick off the podcast. Let's hope I deliver up to that, but truly just honored to be here. Super excited and just love what you're doing for all the founders out there like myself. Just helping us get to that executive level that we need when we maybe aren't quite large enough to bring on all these amazing players full time into our company. So just super jazz and excited to be here with you today.   Yeah, me too. I'm excited to get into it. I don't actually think I know your full story and inspiration behind Dental A Team and your purpose and passion. So let's start there. What inspired your journey and how does your purpose align with the unique challenges that you face in scaling a business today? Yeah, well,   Dentistry was never meant to be in my blood. I just happened to be in high school and saw a really fast path to wearing scrubs. thought I can be a dental assistant or I can be a nurse. I don't want to learn the whole body. That's disgusting. Mouth, I could probably handle. So that's honestly what kicked this off. So was in high school. It was a random career. And then everybody kind of teases me because my last name is Dent. It's not a stage name. And I make the joke that's real life. I just had to get three fiancees to get that last name.   That was really what got me into it. I love dentistry. It turned out to be a perfect career for me. And so I did it in high school and then I went to college and college. I actually did an undergrad in marriage and family therapy. I was planning to be a therapist and I remember being, I was interviewing in Oklahoma for grad school and I remember sitting in the interview and I was thinking like, I wonder how that like filling's going. I wonder how that crown prep's going.   And I thought, gosh, this is going to be such a weird world. Like I am trying to like pitch myself to this future college. but I'm thinking about how much fun I had back in the office and how my patients were doing. And so I got a full ride scholarship and I decided to put it on pause. went to, pharmacy school with my husband. and we went out there and we decided we'll put this on pause. We'll see if we can both get into the same school.   But I just realized my heart, my soul, my passion is in dentistry. I'd been a dental assistant, a treatment coordinator, a scheduler, a biller, an office manager, all the pieces. And so when we went to pharmacy school, decided, you know what, I'm going to call around to all of his schools and I'm going to see if we can get a spouse discount if I work at the college. Because some schools, and man, pharmacy school was not for the faint of heart. So I called around and luckily Arizona, they did and Jason got accepted to it. So I was like, all right, sights are on.   I've always been a little hustler. I'm like, sites are on, I'm to get a job at this college. And I just felt truly, truly blessed. So many people tried to get jobs there. All my friends were trying to get jobs there. And I randomly was talking to this lady in the pool at our complex and she says she has nothing to do with me getting the job there. But I fully believe that Laura had a lot of, a lot of strings behind the scenes to get me the job at Midwestern in Arizona. So I a discount on the tuition, which was great.   Um, but I was able to then work at the dental college and that truly is what kicked off this Dental A Team consulting company because I worked at the college for three years, got the, got the discount. And then while my husband was doing his residency, one of the students actually asked me to come and start a practice with her in Colorado. And I thought, Oh my gosh, like good thing I said no to the marriage and family therapy. Like let's go from dental assistant to practice owner three years. Like, let's do this. So   actually helped start a practice in Colorado. ⁓ took our first office from 500,000 to 2.4 million in nine months, opened a second location and I was like hooked on this adrenaline junkie of business ownership. But at the same time, just like we were drinking from a fire hose. My marriage was almost in shambles. I was in shambles. Like I'm 5'8". I was 98 pounds. I was not sleeping. I was up at 2 a.m. staying like up till 10 p.m. Like just it was an exhausting road.   drain, everything was falling apart. And so when I split from that partnership, ⁓ I sat there and I remember just sitting, I didn't know what to do. Like I'd lost my marriage practically. I'd lost my identity. I was like on death row in lots of different facets. And I remember just thinking like, I don't even know who Kiera Dent is anymore. And so I sat there and I was like, well,   I'm going to start a consulting company. Like I love dentistry. If I could help her, I could probably help more people. And I think that this is the fuel of founders where when we're at rock bottom, we've got to have something that builds us into our next version. And that's what Dental A Team was for me. So Dental A Team, say, was built from like the ashes of my life. Like it feels like the Phoenix rising for me. And so I started a company. Like I just, I didn't even know what I was doing. Had no background in it.   And I went and consulted my friend and I was like, I just need to practice on you. I don't even know what I'm doing. And we took his practice and we grew it tremendously. He then introduced me to a consultant overnight. had 50 clients. I started like just making things up as I went. And it was really like an overnight success, but I went from like rookie don't know what I'm doing to this. I know that I can help practices and I want to serve. And I've got all these dentists that are just like these little babies that are going to get.   ripped apart in the industry, there's gotta be a way. And so it's always said, like I always said, I wanted to positively impact the wealth of dentistry in the greatest way possible. And that's what I've said since day one, that's how it is. And now I realize that life is my passion, dentistry is my platform, but changing people's lives, helping them live their best lives. And it's wild that we're even talking Jill, because what you do for me and my business is what I do for dentists. And so it's this weird annoyance to me that I'm like, I can be a miracle grow.   and I can grow dental practices and it can be so fun. But yeah, I have no idea how to do that in a corporate world. And so learning it and evolving, and that's actually how you and I even got together was I needed someone but not a consultant. I was like, listen, I know what consultants do. I am a consultant. Like I need, I need someone with me. So that's how we got here and that's how my passion's been. I don't get to wear scrubs. That's the only bummer. Like the whole story started with scrubs and now you like wear clothes.   ⁓ You can make some really stylish scrubs as part of the entire. I would love to, but I do joke. like, took my marriage and found my therapy background, tethered it with my passion of dentistry and created a company from like just true passion and love. man, it's just been a, I think it's good. We don't know the end from the beginning. So many people want to know that. I don't think knowing what I know now I would have ever started, but I think I needed that as a person.   to build, execute. And I think that that's how founders are. We're just meant to build, we're meant to create, we're to be these creators. And so to build something that's just been magical and changed so many lives, like, gosh, the joy it's brought me has been like a hundredfold beyond anything I could have imagined. ⁓ beautiful story. And yeah, quite funny too, the path ⁓ and steps that you took to get here, but wait a listen. mean, just listen to your intuition.   And it sounds like you have some of those key core memories along the way of like your thought process sitting in scenarios where you're like, wait, is this me? Is this even what I want? And acting on it and taking that initiative and to where it's got you. That's a beautiful story. Thank you. Yeah. Can you share a specific experience from this where you have felt trapped by your business? Every day,   What strategies have you implemented or are you to create space for true growth and scalability? Yes. This is such a good and I hope like listeners, they're probably like, I don't know. I just hope that what I share is making you not feel alone. I think is probably the biggest piece because I hear this from dentists. I'm like, I know I'm not alone and I joined a bunch of groups for it. But ⁓ I say that Dental A Team is a dragon that never sleeps. Like this thing just is a crying baby of   breathing dragon that just never ever stops. And I think that there have been times, so especially last year, last year was like my rock bottom. So technically we're eight years into the company, but like I was partnered with that other guy for five, for four years. So I feel like I'm like five years in on my own trying to do this, even though I know it's like just had a funny path. But last year I hit rock bottom.   Like I went cold turkey. I checked out of work. I remember just being like, I am sick. Like not physically sick, but mentally, emotionally, spiritually, like I'm apathetic to life. Like things just need to shut down. and I'm sure a lot of founders get to this level where you just, you're doing everything. Like the whole company is riding on you and you are so rad that you built this company, but it's outgrown you and you don't know how to shed that and to build and to create and to evolve. And so my, ⁓   And I think it was, I feel like I tell myself lies all the times, which I'm sure most people can relate to of, okay, care, just push through like three more months and we're going to be better. Like three more months, we got to hire three. So you're always in this like, okay, it's going to get better at three months. And then you're like, well, shoot, like this person didn't work out. So I got to keep doing sales or, this didn't work out. So I've got to keep doing this aspect of the business. that could be a me that could be not me, but last year my strategy was like completely checked out of life. I,   came back from a conference, I was so exhausted, so burnout that I just called my executive team and said, all right, you guys have it. Like, I don't want to hear from anybody. Like I put all the things like, here's a lawyer, here's the CPA here. Of course, I'm not just going to let this thing fail, but I needed a complete shut off reset and I slept for 17 hours a day for an entire month. Like it was every day just exhausted. felt numb. felt like I lost like,   The way to best describe it is I felt like I was watching a movie in color that went black and white and that was my life. Like there was no color, there was no emotion. There was no, I feel like I lost feeling to life. And I think that was just coping mechanism to get through. We did a lot of therapy, like lots of different pieces. And I realized like, okay, we got to take care of Kiera first and then we have to get to these spaces. So when you say like, do you ever feel trapped by your business? Yes. Cause it's like, what do you do?   This is a company that's a consulting company built on Kiera. That's Kiera Dent. That's her face. Like, how do you even sell this type of a B2B business to somebody? So I did meet with people. did find two potential buyers. I was like, I need a way out. I need to figure out how do I get rid of this crying baby? Like it's got to just stop, like make the crying stop. ⁓ And then that's where we actually pulled in a traction coach. So Rick, we hired Rick. I was like,   I need someone who's outside of this company who can see it that can also be the motivating voice for my team and help them see like, Kiera can't keep carrying all this. So I will say like Rick was a huge blessing. He came from a great network of people and then the leadership team. was like, we had to have a complete reset of everything's not on Kiera's plate, but I don't think it was all leadership team. think that there's a lot of pieces of Kiera perfection that my ego.   needed to feel important and to be able to let that go. Things aren't going to be perfect, Jill. I still stress like my, I have a little bracelet on that says trust and flow. And that's this year's theme of like, here, you got to trust people and you've got to go with the flow more than trying to curate and force because that's always going to be the hardest path. So, and then we obviously hired you. We hired Jenna who's been a phenomenal fractional. we brought on a CRO.   who's helping in the sales and marketing department. But I also think that businesses when they hit a certain level, they finally have the cash to be able to hire the expertise that you need to bring on. But before that, I was so cash flow scared that I think I maybe held on to profitability too hard rather than hiring help sooner that could have probably prevented it getting that low. So now it's like mandatory, I go to the gym.   three times a week, non-negotiable. have sets time, like we shut off from work every single day at five o'clock. My husband has alarm that goes off and like, we don't talk work. We hot tub every night. Like, I don't think I realized the mental bandwidth that being a founder, operator, doer requires to recharge. And now I'm just like really pro like, no, no, no guys, I don't care what goes on. Like if these things don't happen, I'll fall apart. And that's just, I don't show up the best for anybody on the team. So.   Yes, I still feel trapped. I still wish that some days I could quit my own job. But I think the fact that you can't quit is also a really beautiful blessing because it forces innovation and creation. ⁓ So well said. the help and the support and leaning on others in your circle, finding your people who you can trust.   That's the first step for sure. You're not alone. And the second we realized that, I mean, this it's lonely. It's lonely at the top. And even with a dynamic team, nobody else wears the pressure, the weight, the risk involved like you have to, you know, but knowing that you're not alone and you have a team that you can lean on, the more you can lean into that, grow that, expand that.   It's a give and take and an ebb and flow for sure. It's not linear, but. Yeah. You made me think about my brother-in-law has a very, very, very successful high end builds these beautiful custom homes in Utah. Like one of the top builders he's been on Netflix. Like he just has this very, very incredible company. And I remember when my husband, got married where ⁓ my husband's eight years younger than him. I was like, he's always so grumpy. Like this man is so angry all the time.   And then I realized he's a business owner and he's at the spot that I'm at right now. And I'm like, I am always just like in this space of anger and frustration. And he's actually been this really randomly. He was the one I didn't like. I like, had like clashes when we first got married. I feel like I understand him on an entirely different level now. And I'm like, I get it. Like, I see, I see why you were the way you were. Like it makes so much more sense to me, but he told me, he said, Kiera, the day you become free is the day that you stopped caring so much about.   Like in the day you realize that nobody can take anything from you. Like that is such a freeing moment. So if you do get sued or if you have a teammate that like writes, like last year it was like, we got reviews galore and it's crazy. You can't take those down because if you are a CEO executive, you are no longer a human and that doesn't matter. And I think just like the bullets, we had like a pending lawsuit. We had people writing awful things about me. Like it just felt like it was just this tumultuous tumbleweed.   But I think you go through that and you do build that. I don't want to say it's a calloused soul because for me, feel like becoming angry or bitter is never going to serve. think it's an internal knowing that you have the confidence and the certainty in yourself that no matter what bullets come your way, you are capable of solving anything and everything that comes. I think when you can... Yeah.   navigate enough storms to have that confidence. I think there is so much more freedom in there. And I just think about him, he's so much happier, but he's like, I'm not reliant on anybody for my happiness. No one can take anything away from me. And I'm not dependent on anybody for like this success. And I think that's a, it's a certainty. It's not an air of ego. And I think it could be possibly taken that way. It's an air of confidence and certainty within you that I think then the highs and lows are not as turbulent. And I think that that was   similar to what we were saying, it just becomes a, I think, an evolution of you as a person. And I think that that's ultimately why we all become business owners is for that evolution of soul that we are seeking, that maybe we don't want to go through the process to get there. But on the other side, it's a beautiful version of yourself that's far grander, far more beautiful, far stronger, far more confident than you ever could have imagined yourself being. Yeah. Well said.   That freedom point too is it's almost like a stance of serenity too, because, and if you know, you know, the serenity prayer, it's, is the, the acknowledgement of what we can or cannot control what is outside of us. And when we finally let go of people's perception, what they're going to, what they even think, right? We cannot.   even control as good as of work as we can put forward and as best as we can show up. We can't control others perceptions of us, what they're going to say, what they're going to do with that. And so that level of understanding and acceptance and wisdom to know this is mine, this isn't mine and let go of everything that we carry that, you know, we think we have some control over.   letting that go is ultimate freedom, I think, when we can see, be in that confidence and in a state of serenity. Yeah, the more you let go of that and just lean into what's within our realm and our controllables is the best you can do. And we show up better. Absolutely. That's the trust and flow mindset mantra for this year of   Yeah, there is no pain in change. There's pain in the like resistance to it. And so like you said, it's a surrendering. It's a surrendering of   I think just acknowledging that this is life, this is who you are, this is what you can control. And I never thought that you could really come back from being so low. But you hear it, like you see people, like you hear media talk about it. But I think business owners, someone said once, business is such a spiritual journey. And I was like, how? I don't get it, ⁓ but I do get it.   It's such a spiritual journey. It's such an evolution of soul. It's a surrendering. It's a give. It's a take. It's a beautiful blessing. It's a call. There's so much beauty in it. then I think like, turn it into a puzzle, turn it into a game, turn it into like, how can we make this into more fun? So I started just adding more fun too. was like, why do I need to always be the gladiator? Why don't we just have like a good time and like giggle about all these things?   But I think that that's truly an evolution of you as a person too. I don't think that that is not an overnight sensation. Anyone who tells you it is like, good luck. think that that is, that's a crafted, it's an evolution and it's a beautiful surrender like you said, and grace for yourself and for others. But I feel like the person you become through it is there's so much empathy, there's so much love, there's so much compassion for others that I don't think you get there any other way.   Yeah, that's so true. Having it for ourselves first is so much harder than having that for others. So the compassion and care and giving love of ourselves and acceptance, that's the only way to give it outside of ourselves. So good. What are what are some common psychological barriers either for you or that you see show up? You work with a ton of business owners in very specific industry, too. So   What are some of those barriers you see that prevent owners from stepping back and not being so tethered, you know, to their business? What contributes to that? What are some of the psychological factors, beliefs maybe that we carry that keep us stuck? Yes. And you're right. Like I've coached hundreds and thousands of offices. That's where it's so like.   so aggravating to me to be like, Jill, need help. Like I know how to do this for someone else, but I don't want to do it for my own. I think that there's beliefs of because you're a business owner, you have to know it all. I know that that's like a big one of there's humility, but at the same time you're like, well, I'm in this, I have to figure it out. I think one of my psychological ones that I know dentists have as well is in B2B when you are the service provider, it's,   It's a psychological belief of if you are the product and you step back, how does your business continue? And it's odd because as random as it is, I was able to give up consulting much faster and delegate that, which is shocking to me. think about it often, like you give that up, but you don't give up sales and marketing and reputation. Like it's fascinating to me that I'm like the biggest portion of it and like dentists, they'll hire an associate dentist. But to me, I think those are possibly easier skillsets because I   I have that skillset that I know I can look for it and I can train that and can evolve it versus like sales and marketing in different places. Like, I don't know if I'm trying to figure it out. How am I supposed to coach this up? So I think those keep us stuck. I think there's a, I think there's a, I don't know. I don't know what it is. I feel like it's societal. But I think I'm with this like asking for help or I don't know. Is this weird? Like for me,   I feel like I'm a very highly high capable human. Like we were talking the other day and it was, on client escalations, like it's either the CEO, the salesperson or the consultant, whoever knows them best. I was like, cool. I'm a trifecta. Like no wonder I'm good at this. Like I'm the CEO, I am the salesperson and I am a consultant that I think that there's sometimes this like this weird, because I'm so high functioning and so capable that I should be able to do this and I should be able to continue carrying all these pieces.   Why am I tired? Like get it together girl. And just like, keep moving on. I think that keeps you so bound in. And then truly when I even say that out loud, I'm like, it's just your ego screaming at you, wanting you to feel important. And if you step back at all, I know what I think about stepping back. A lot of my team is the same age as me too. And I sometimes feel very awkward about like, so I'm going to have a CEO lifestyle and not be eight to five with you guys because the business never stops crying.   But it's as weird. Like sometimes I also think I'm tethered and a lot of my doctors are because like same age, same demographic, same, like you feel so similar and so close that it's almost like, why are you better than them? It's so awkward. hate it. Like you can even see I'm like playing with my hair more than I should be like, that's the stress of like, I know what I need to be doing, but I feel like I need to be sitting at the table with them every day and in the trenches with them, but they're not sitting up on the, on the hill looking down the line.   but you feel like you've got to do both. it's this weird, like I said, I don't know if it's societal, I don't know if it's female, I don't know if it's ego. I think it's probably a combination of all, but those are psychological traps. And when I see it in a client, I'm like, all right, great, you need to delegate and we need to like take these things off your plate. But I think when you're a founder living through it or the business owner, I think sometimes it's very hard to even see that ego showing up around you or see where you should let go of things.   And then I think it's a lack of trust. Like I've delegated some of these things out. We've hired, like we have paid, last year was a $300,000 oops. And I hired really great people, but like it just didn't pan. So I think that there's also that like, well, how much do you want to throw at this problem to make it go away versus just continuing to carry the torch? So it's like this ball and chain you get out of it and you get back in it. It's like this weird, awkward relationship with yourself and your business that I think is slightly toxic.   but also very addicting, which is probably why it's so toxic on certain levels. So those are mine. I know that was like a very jumbled thought, but those I think are some of the psychological ones that I've seen personally and professionally that keep people very tethered. But I will say, I like boil it down, it's always ego. Always that keeps us tied in because who are we if we don't have all this busyness badge? think that that feels like a deep hollow dark hole for me anytime I think about it.   So I know that I haven't quite grown enough to see that there's a path out. But I think is also maturity and letting go of the ego. Absolutely. Well, and it's so common. It's really what would I kind of boil down oftentimes to founders guilt, owners guilt, right? You're the hero in a lot of situations or can come in and swoop in and help and   There's an identity crisis piece of it to that ego that's like, well, if I'm not doing all these, if I'm not still holding this, who am I for one? And maybe, maybe internally we have this perception of, and you know, we've, we've grown or we've healed in ways that we know, no, I like, I know I am worthy and valued and valuable outside of what I contribute here. But like, what about what everyone else thinks? Then it's this perception of.   Well, if I'm not doing all these things, what does my team think of me? And are they going to think I'm just off on an island somewhere slacking off when I don't deserve that? Or right, like all these, these guilt trips that founders often carry because we can do all these things. So there's, there's no excuse why we shouldn't or couldn't if we can, therefore we should do them. Right. So we just continue to hold and carry that.   but yeah, guilt, ego, those are definitely some, some key pointers that we see a lot. So, as you said, Jill, it just made me think about like, but why, like, where does this stem from? Because we all feel it like I do. And then I'm like, what, does it matter? So then you justify and you rationalize and you hang out in this other Island. And then it's like, I'm going on vacation because I worked like 50,000 hours. And it's like, there comes a line where I think that that   that serenity, that like, I remember there was a day I had to Google, what does a CEO do? Like, I didn't even know. I was like, what do you, like, what do you, if I'm not doing all the things, like, what am I even supposed to do? But I think when you can, when you realize that your company needs a captain, the company needs somebody looking down the line, you start to shift and change and realize that you've got to start shedding off a lot of these things.   and I think you, you feel the guilt and do it anyway, I think has been my mantra to, don't think it will ever be easy. I think you feel the guilt and do it anyway. For sure. Because that guilt is typically self-inflicted for the most part. If you have the right team around you and in the business that care about and are aligned with the division that you've crafted, that you've put forth, they need that from you.   just as much, right? You stepping away, you coming and showing up refreshed, aware, whole, right? Those fragmented pieces of us when we're scrambling to try to just uphold and keep all the plates up in the air is not the best version of ourselves. And so when we realize that too, and the more the team can even vocalize like, yes, like we need this of you and look at   look at all the places that a visionary needs to show up looking down the line, what's ahead, looking outward and not down and in is that pulls the rest of the energy and the rest of that, you know, that perspective for the rest of the team to see that more and more clearly if that's where your focus is. So you're doing them a favor, you're doing a service. ⁓   Cause every, yeah, every successful business needs someone charting that vision. And that is where your eyes are focused. That is where your pull is going toward that. That is what grows the I think that because it feels like it's just this like vision that's not tangible, I think for me at least, and for other people that often can keep us tethered into the company because it doesn't, there's no way to put on a KPI scorecard that I did my visioning.   for the day. It's like, do I even know that I'm showing up and having that as a checklist? But I think when you really are solid in it and you watch a team who has a vision versus a team who doesn't have a vision, you see the intangible, like it's a subconscious push. It's the wind behind the sails. You can see a sail, can't see the wind, but the wind is ultimately what makes it go. And I think when visionaries realize that you are an invisible, very tangible, intangible part,   I think it becomes much more clear of like, no, I need the white noise space. Like I need these things because ultimately it's my job. And I've got to be able to show up as that wind to push this boat in the direction it needs to truly go. I love that. I'm going to use that analogy. That's so well put. That's a good one. Well, to finalize the conversation today, what steps would you suggest to founders struggling to   let go, delegate, while also maintaining alignment with their vision.   That's a great question, Jill. I feel like such an Oreo. I've got a white side of me and it's a black and white in me. Because I'm like, what would I tell my clients? I would tell clients, the way you are able to step back is we set these pieces and we do all this. And then I'm like, well, let's speak from Kiera's perspective of, I've done this. This is where I'm at.   to step back and what I also watched. So I think they do actually go like, I'm like, okay, I'm not an Oreo. Like I've got both parts of the cookie on. Like I brought it together for everybody here. I think both sides, my side and client side would be, I think having a vision for yourself. When I got crystal clear of where I really wanted to go personally and professionally in the next one, three, 10 years, like I grabbed a big sticky pad. It was written out and I stick it in front of me every single day. So I'm looking at that.   that became a lot more clear. My decisions became much cleaner. So I think it would even tie to the book. Like 10 X is easier than two X when you have this big audacious vision, the path becomes so much cleaner and easier than when you're trying to just do a two X move. So I would say for visionaries who feel stuck, that is ultimately where you're at. If I get your 10 X vision, where is that going? Clean up the paths and stay laser focused on that. And then get your team rally behind it.   They get excited. They get the joy behind it. And I think like, even when I say that, I'm like, the 10X path is just so much easier. It's so much cleaner. It's so much more freeing. And then I think like, again, it's hard, but do it anyway. Right now it's a stripping down of letting go of clients for me. And I feel like such an awkward identity. I'm like, if I'm not a consultant, am I going to lose my edge? And it's like, but I'm so clear on the 10X, the 10 year vision.   that that part has to sheath off in order for me to progress and to grow. And I think when you are aligned, also be really careful not to lose that vision. I lost my leg last year. Like it was still there, but I buried it. think keeping that radiant, keeping that vibrant, keeping that like for me, it's a post-it note on the wall, like a giant one. Like this is where I'm headed. This is where the boat's going. This is where the wind needs to push me and the company. I think that that can help you stay true to you.   It can say true and it makes all the other decisions so much easier because then it's a yes or a no. And if you can get that black and white crystal clear and then truly trust and empower your team, that to me is like, I recognize it's a let go of control. It's a surrender like we discussed earlier and belief in your team that they're going to crush it. And if these aren't the right people, right seat, you're going to find them, you're going to grow, you're going to evolve. But the 10X vision is a non-negotiable.   But it's a 10X vision that makes you happy, fulfilled and not like exhausted, out at the end of the finish line. I think I used to feel it was a muscle through rather than a joyous journey. That 10X vision needs to be joyous journey. And who am I at the vibrant self at the end of it? I'm not going to muscle through anymore. I'm going to gracefully navigate. So I've got energy for me, energy for team, energy for family. because I think if we're not thriving in our businesses, we might as well just go get a job from someone else.   You don't want to have a worse job with you as the boss than you would somewhere else. So hopefully that, but I think it's just crystal clear on where you're enjoy that. ⁓ Kiera, thank you so much for your insights, your wisdom and sharing your heart. just truly and authentically it's beautiful. Thank you, Jill. Appreciate being here. Really, really appreciate what you're doing too. Well, thank you so much.   If anyone wants to learn more about you, Dental A Team and expertise of your team, where's the best place to find you and information or get connected? Yeah. We have a podcast, the Dental A Team podcast. So come on over. We'd love to have you there. Tips for teams and for owners. And then also Hello@TheDentalATeam.com or online, like social, we're on Instagram. Dental A Team would be great. But yeah, love to just share, inspire, help.   because I believe like all of us succeeding together is what this journey is about, but succeeding and being fulfilled. It's not, life should be fun. Owning a business should be fun. It does not need to be hard. So let's make it easy and fun together. ⁓ I love that. Well, thank you everyone for listening. Kiera, thank you again for being here and we'll see everyone next time.

Key performance indicators (KPIs) are a powerful tool. They provide concrete numbers for your practice, showing what's working well, but also clear-cut areas for improvement. Tiff and Kristy break down how and where to use KPIs, plus interpretation, growth factors, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello Dental A Team listeners. I am back here with one of your favorites I know she's one of your favorites because we get some massive kudos and massive reviews and feedback on Miss Kristy and I've got her here today to pick her brain on a couple of different Topics and this one we are diving right in you guys I'm super excited for this topic and for what's to come Kristy you work really really really hard with your clients on   finding the metrics that are actually going to push their needle. And something that I think you key in very easily on is that missing, I said earlier, like a puzzle piece. And you're able to see the picture, the big picture, and then narrow it down into pieces that are going to move ⁓ incrementally, right? We always look for the things that are gonna, a small change that can make a massive difference. And you're really good at keying into those pieces. Now,   Earlier we were recording a podcast and we talking about this massive growth that a platinum client of yours had experienced this year. We're recording this in 2025. It'll release in 2026. So this year they had experienced this incredible growth. And we talked about some of the systems that they had used, handoffs and block scheduling and financial menus, all of the different things that you guys were able to implement lasers, kind of all the things.   DAT Kristy (01:02) Thank   The Dental A Team (01:16) But when it comes to, we can implement things and this I think is what happens when practices come to us. The practices come to us, Kristy, and they say, teach me systems, right? I need systems. We're like, gosh, you have systems. You just don't know if the systems are working or not, right? You wouldn't have gotten this far. You wouldn't be calling down on a team if there were no systems. So we just have to key in on the systems that you have and figure out why, if they are working or not and if they're not, why they're not working. Now, Kristy.   DAT Kristy (01:30) Thank   The Dental A Team (01:45) The word KPI or the acronym KPI, key performance indicators, I think can be daunting and confusing, very confusing. So help us to simplify today. How do you go about choosing the right KPIs? And what are some of your favorite overarching KPIs for practices to use?   DAT Kristy (02:06) Yeah. I love that you say that Tiff, because KPIs, you know me, I do love the numbers because the numbers don't lie, right? And they start to tell a story. They don't tell this whole story, but it lets us see what's working well and be able to celebrate with our teams, you know, what is going good. And it also lets us ⁓ dive into maybe areas where there's opportunity for sure.   And I always like to say there's lead and lag measures. And so I like to look at both, you know, to your point, probably my top ones, obviously everybody knows production, collection. ⁓ And I also like to say, don't get hung up just on percentages. Also look at the numbers too, right? It's both. And then also case acceptance.   dollars diagnosed, dollars accepted, and your percentage accepted. ⁓ And to that point, your re-care and even new patient numbers too.   The Dental A Team (03:14) I totally agree with you. I'd   love that you said don't pay attention just to the percentage. I think both are equally as important. And I think what you mean by that, I can surmise, is we'll take diagnosis for an example, something we talked about in the other podcast we recorded for your Platinum client was that they were able to increase their case acceptance, but you started tracking and looking at what their diagnosis amount was. So if we strictly look at, and I love this one because   I love when practices come in and they make it really easy for us and they're like, gosh, I have a really high case acceptance. have 87 % case acceptance, but my schedule isn't full. I'm not hitting production goals. And we're like, heck yeah, slam dunk, this one's easy. We're not diagnosing enough. So I think that's the differentiating space that you're talking about, the percentage versus the dollar amount, because we can have really high case acceptance of a small dollar amount. So if we're not looking at both of those simultaneously and seeing   are we diagnosing enough dollars to get to the production and collections that we want and then also getting the case acceptance? Is that what you're meaning there by that KPI? And how would you separate those KPIs for someone tracking them that's trying to maybe get to that next level of production?   DAT Kristy (04:29) Yeah, absolutely. That is exactly what I'm talking about because again, that percentage we can celebrate all day long. But if my goal is $100,000 a month and I'm getting 80 % case acceptance of $50,000 a month, obviously that's not enough to reach our goal. definitely looking at dollars diagnosed being at least three times what we want our goal to be. ⁓   we know we're more likely gonna hit our goal. Then we can start working on the percentage and capturing more of the percentage. But it's funny that you say that Tiff, because just the other day I was pointing out to a doctor, I'm like, look at this month, you had 46 % case acceptance, but this month you had 21%. But look at the dollar amount. I'd rather take that dollar amount all day long in the 21 % month than the 46 % month. So again,   The Dental A Team (05:24) Yeah.   DAT Kristy (05:25) then we can start focusing in on how do we capture more of it as long as we're diagnosing enough to get there.   The Dental A Team (05:33) Totally. And what do you use as your marker for the amount of ⁓ diagnosis that they need? So how much production should a practice be diagnosing per doctor in order to hit their goals?   DAT Kristy (05:44) Yeah, depending on what their goal is per month based on their overhead of the practice and you know other factors for growth, we want them to be diagnosing three times at least what that monthly dollar amount is that we want to hit.   The Dental A Team (06:01) Yeah, I totally agree. And that gives you the flexibility of case acceptance, right? So if we're diagnosing three times, because when we look at case acceptance also, there's two different, there's multiple KPIs within KPIs. And you guys, this is why it gets so daunting. And it can be overwhelming to try to find quote unquote, the right KPIs. Like just find KPIs, just start tracking KPIs, just start tracking key performance indicators, and then get more granular as you see, okay, great, this leads to the next one, because you're gonna try to capture too much.   and you're gonna get overwhelmed with the choices. I say that because case acceptance, just case acceptance alone has two variations of KPI. There's a one-to-one, did they schedule or not, right? So if they scheduled a filling but they had a crown diagnosed as well and they only scheduled the filling, that's 100 % because they scheduled something. Or our preferred method, a dollar for dollar.   If they were treatment planned $1,000 and they only scheduled $500, that's a 50 % case acceptance. So thank goodness I picked easy numbers this time. I'm usually really hard on myself there. But that's how the KPIs within that KPI work. So if you're at a 35 % case acceptance, but you're diagnosing three times the amount of your goal or four times and maybe you're a cosmetically driven practice, so your case acceptance is lower than a general.   DAT Kristy (07:02) You   The Dental A Team (07:22) bread and butter, then your case acceptance against your diagnosed is going to work to help fill that schedule. So I think that's a beautiful place to start, that diagnosis plus case acceptance, those go hand in hand. And then Kristy, I always go down, I kind of see it going, so you see the diagnosis, like how much are we diagnosing? Are we diagnosing enough? What percentage of that diagnosis are we getting accepted?   and do we have enough new patients to continue to support that diagnosis? You might see one month you have great stellar diagnosis because you had a massive amount of new patients, but that new patient number isn't consistent. So then next month your new patients drop, well so does your diagnosis, and your case acceptance probably does, because you're not feeling so hot either. You're like, what the heck is going on? You're spiraling, so is your case acceptance. So they all follow each other. So I kind of see that like.   diagnosis, case acceptance, then new patients. And on average, Kristy, what would you say a good KPI number for new patients is per full-time doctor?   DAT Kristy (08:28) Yeah, I say anywhere between 25 and 35 per full-time doctor for sure is a healthy metric.   The Dental A Team (08:35) Yeah, I totally agree, totally agree. And what other KPIs would you say, so think diagnosis, case acceptance, new patients, those are really, really easy to track numbers and those are definitely indicators of everything else. What are some other key performance indicators that you typically have offices start out with?   DAT Kristy (08:38) Thank   Yeah. The other one is your reappointment rate and even taking a look at how many patients are going inactive because surprise, surprise docs, a lot of times we're really happy about that new patient number, but then we see, there's equally that amount going out the back door because we haven't worked re-care. And so again, we can be very strategic and focus on the re-care. We can look at the patients that have outstanding treatment because like you said, Tiff,   it definitely directly affects the doctor's schedule when we're not getting those patients back in that have outstanding treatment. So that is one that I definitely would recommend looking at.   The Dental A Team (09:32) Absolutely.   Yeah, and that one, Kristy, I love your appointment, right? Because it gets the team involved too. It's very easy for the doctor, the owner, the office manager to think that all of these KPIs need to land on you and that you need to be the one tracking them. But those kind of smaller variable KPIs really get the team involved. And to that point as well, do think, I think doctors knowing their diagnosis is massive, but I treatment coordinators should be the ones that are tracking and reporting on that metric. And this is where   DAT Kristy (09:41) Mm-hmm.   The Dental A Team (10:06) know, practices come in and they're like, I need to track these KPIs. And they're like, Kristy, can't fill out the scorecard. We're like, cool, you shouldn't be, that's okay. So taking that, you know, to back up, we use a scorecard with all of our clients that tracks a ton of metrics that are indicators of making your goal or not. And so what we like to do, Kristy, I know you do this really well too. ⁓ Also, I like to split it between what makes sense. So I like the person who is being held accountable to the result.   to be the one that's tracking that measurable and filling it in. And then we're all coming together and talking about the results, but we're really looking at, if I'm a treatment coordinator, I'm tracking the treatment case acceptance, which simultaneously tracks our diagnosed amount. So I'm tracking the diagnosis and the case acceptance. If I'm a scheduling coordinator, I'm tracking open hours and new patients, right? And probably attrition.   which is the patients going out. And Kristy, to your point, I actually had a practice the other day that was like, Tiff, we're doing really great on new patients, but my active patient count isn't changing enough to show those new patients. And I was like, that's your attrition. That's where they're going out the other side. And Kristy, that's where that reappointment rate comes in to play, right? And that reappointment rate then can go to a scheduling coordinator as well, but also can go to hygiene. And I know a lot of people,   DAT Kristy (11:29) Thank you.   The Dental A Team (11:31) struggle getting KPIs that are for the team. I think those are those areas. So I love that. What else do you dive into kind of on like a more granular space that can get that team involved that can help doctors and office managers see that it's not all on them?   DAT Kristy (11:42) Yeah.   ⁓ 100%. ⁓ Another area of metric. Well, let me go back to the reappointment rate. I think sometimes again, just like I was telling you on numbers and percentage, again, even in that, sometimes talking, hey, we saw 100 patients last week and eight didn't get reappointed. That's eight hours of hygiene in six months from now. And I don't know about you, but if I'm working full time, I don't want to cut a day out of my schedule. So sometimes   The Dental A Team (12:07) Yeah.   DAT Kristy (12:16) putting it in that perspective can make a huge difference. And ⁓ Tiff, another area that I love looking at is the AR. AR for patient AR and also insurance metrics and formulating ⁓ goals around that, know, what's healthy. And ideally we don't have more than one, one and a half times our monthly production sitting out there in AR.   The Dental A Team (12:25) Yeah.   Yeah, I love that point. That is a massive, massive space. so, Kristy, to take all of these things together, really, we're looking at are your KPIs actually driving your growth? So how would you kind of decipher within some of these KPIs we've talked about how the practices could see, are they actually driving my growth?   DAT Kristy (13:04) Yeah, looking over the year to year ⁓ metrics and tracking it for where they want to be. And one of the things that I think we're really good at, Tif, is doing the projections for the year and reverse engineering it. So then we have a guideline, if you will, to work toward not just the big year goal, but quarterly and monthly. And so same thing with my teams. I'm always looking at   You know, the month view, the week view and the day view. Chunk it down, make it easier. And again, if there's a gap, usually when you're looking at it in a week view, there's not much of ⁓ a change. It's usually doing one more thing, right? Adding one more thing to our schedule can make a huge difference.   The Dental A Team (13:53) Yeah, I totally agree. And Kristy, if a practice is going from, let's talk about the practice we spoke of already today. They're going from 2.8 ish to over 3 million. What were some good KPIs that you chose for that practice specifically to increase that production goal that year?   DAT Kristy (14:11) Yeah, capturing more case acceptance, for sure. Dollars. How can we capture more at one time? And again, I think the biggest thing TIFF to recognize is behind every one of those metrics is a system. And really, I look at it twofold. If the metric isn't where we want it, let's pull out the systems that we know can directly contribute to it. And I look at it like a recipe.   Probably a lot of people this time of year are baking, but I'll use the analogy and I do it with my clients. If we have a chocolate chip recipe, let's pull out the recipe. Are we still following it to a T? ⁓ And if not, why not? Maybe it's we substituted a cup of sugar for a cup of salt and we just need to get back to the real recipe. Or if we followed it to a T, maybe we need to find a new recipe and we'll develop it together to get the results we want.   The Dental A Team (15:11) Yeah, I love that. love that. in essence, we're tracking the question, are your KPIs actually driving your growth? We don't know until we start tracking them and then looking at this isn't changing or this isn't exactly where I wanted it to be. So let's look at what got us there. And I think we do fail to do that. Sometimes we just say, you know, this is how we've always done it. Well, my AR is out of control.   This is how I've always done it. Eventually it will find its way back down is not the case. So we've got to look at what we're doing. What's that recipe and do we need to add a little brown sugar, you know, sprinkles onto our chocolate chip cookies? Like what does that need to look like in order to make the change to get the result that we want to get the better cookies? Yeah. Yeah. I love that. I love that. Well,   DAT Kristy (15:44) you   You got it. You nailed it.   The Dental A Team (15:57) Honestly, you guys, we can talk about KPIs for 16 hours because there's so many different KPIs that can be brought up within a dental practice and really truly you've got to look at what's going to work best for you and for your team. What is the result that you're looking for? Like Kristy said, what's that end goal? And then reverse engineer it. So if you're looking for production, looking for collections, like what is it that gets you the production and the collection? What are those systems underneath it? That's how you're gonna figure out the right KPIs.   I'm a firm believer that there's really not a wrong KPI. There's just more KPIs. so if you're halfway through the year, a quarter through the year, and you're like, gosh, actually, I need to add this. Cool, add it, change it. It doesn't matter just because whatever you choose here in January does not mean that that's for the whole year. It just means this is what's getting us there right now, and it's going to turn into more. ⁓ Kristy, you are phenomenal. Thank you so much for today.   Thank you for the work that you put in with your clients on these types of things and everything else that you do. And I love these nuggets. Thank you. Just thank you so much, Kristy. I know that the listeners are really appreciating this today.   DAT Kristy (17:05) Absolutely, my pleasure.   The Dental A Team (17:08) Amazing. And guys, go listen again. Reach out. If you are a client of ours, ask your consultant if you guys aren't talking about KPIs, if we're not using that word specifically, and you're like, hey, what are we tracking here? We're tracking and we're probably just not using that word specifically. So ask your consultant. Ask where you're at. Ask if you need to shift anything. And if you're not a client yet, then reach out. Hello@TheDentalATeam.com. We are happy to give you some ideas to take a look at what you've got going on and really   let you know what we could do for you or what you can do even without us to increase from where you're at now to where you want to go. So reach out, Hello@TheDentalATeam.com and we will catch you guys next time. Thank you.

Re-releasing a DAT listener favorite! The Dental A-Team is joined by Dr. Nate Tilman! Fascinating history aside (read his bio below), Dr. Tilman talks with Kiera about his unique dental practice situation, how he's managed to merge five different practices into his own, and a strategy for doing so. He also speaks to the shifting of culture in his practice, what it took for him to recognize, and the success it's brought. More on Dr. Tilman: Originally from Salisbury, Maryland, Dr. Tilman attended Wake Forest University for his undergraduate degree. He was awarded his Doctor of Dental Surgery from the University of Maryland where he graduated Summa Cum Laude in 2001. Dr. Tilman served in the U.S. Navy Dental Corps for four years, including two years forward deployed aboard USS Ashland (LSD 48). Following his military service, Dr. Tilman moved to Newport, Rhode Island, in 2007 and opened Newport Family and Cosmetic Dentistry. He has had the pleasure to work with an amazing team and amazing patients in creating a state-of-the art, caring, and comfortable dental practice. His commitment to incorporating advanced technologies and techniques allows Dr. Tilman and his team to provide dental treatment in fewer visits and more comfortably than with traditional techniques. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: speaker-0 (00:05) Hey everyone, welcome to the Dental A Team podcast. I'm your host, Kiera Dent, and I have this crazy idea that maybe I could combine a doctor and a team member's perspective, because let's face it, dentistry can be a challenging profession with those two perspectives. I've been a dental assistant, treatment coordinator, scheduler, filler, office manager, regional manager, practice owner, and I have a team of traveling consultants where we have traveled to over 165 different offices coaching teams. Yep, we don't just understand you, we are you.   Our mission is to positively impact the world of dental. And I believe that this podcast is the greatest way I can help elevate teams, grow VIP experiences, reduce stress, and create A-Teams. Welcome to the Dental A Team Podcast.   Hello, Dental A Team listeners. This is Kiera and you guys. I love podcasts where I get to bring on offices that I just think are fantastic. So this is an office that we have worked with in the Dental A Team. Also fun fact, he is in the smallest state in the entire United States. So you all know me and my state traveling. His state is one of my hardest states to get to every year, because it's so tiny and it's so far away from me. But he's just one of the best people I've ever met. He's an incredible leader, incredible dentist, incredible just   good human. So I'm so glad and so excited to welcome Dr. Nate Tilman to the show. How are you today, Nate?   speaker-1 (01:27) I am great. Thank you. Thank you. I'm super excited to be here. ⁓ as you know, I've been a fan of the podcast for, know, pretty much since you started. And it's kind of like, it's kind of surreal being, you know, being on, being on the podcast. So I appreciate, appreciate the offer.   speaker-0 (01:44) Well, I love it. love to one it's fun. Thank you for being a podcast fan I mean it's almost coming up on three years of the podcast since we created it and I never would have thought that the podcast could connect me with such cool people so one thank you for being a podcast listener and two things are just being a rad person I I liked the podcast has become a fun passion project for me to meet people to hear their stories   So I kind of alluded to it. You're also doing something similar to Dr. Dave Mogadon, who was on the podcast about those chart ⁓ mergers and buyouts that's kind of helped with your growth, but kind of just tell the listeners like how you even got into dentistry and kind of what your growth trajectory has been, just so they kind of know as a background to today's podcast.   speaker-1 (02:28) Yeah, I'll try not to ramble too much about it. yeah, I went to always wanted to do something in healthcare. My grandfather was a public health physician is a big inspiration for me. So kind of I think it's midway through college decided dentistry is gonna be a really good fit, you know, for a number of reasons. Went to University of Maryland for dental school, loved it decided to stay in general dentistry for   you know, all the variety of what we do. was on a Navy scholarship, so I was able to spend the first four years as a practicing dentist in the Navy. ⁓ Two years I was on a ship as the only dentist. So it was a really good, didn't realize like how helpful an experience that was for like running us an organization, even though it was an organization of three.   speaker-0 (03:14) Yeah, but I also feel like let's just talk about the Navy real fast because I didn't know this about you and my husband and I were literally talking probably two days ago and he said I don't think I ever could do the Navy like put me on a ship with these people for so long and dump me in the middle of the ocean like nowhere to go no hiking like what do you even do? How how was that? feel like more than anything it would teach you mental stamina is what I think I would learn from being on the Navy. But how was it for you? Maybe maybe you guys go swimming every day. I don't know like what do you do all day?   speaker-1 (03:43) Definitely not at all. it was, the two years on the ship was very, it's a super unique experience. And we were a small ship, 400 sailors. We transported Marines. So I was responsible for pretty much 400 patients. had, it was me, I had an administrative assistant and I had two dental technicians that could do some basic hygiene, not a hygienist, but it was me. ⁓   So having to learn like managing supplies and, know, managing appointments and all of that stuff. But the unique thing as a, as a dentist, and mean, this is one year out of a, you know, my GPR. still I was safe, but didn't really know necessarily all what I was doing, but I love to get myself out of jams because middle of the ocean, like. Mid procedure. I'm not going to be the guy calling a helicopter, you know, you got to work through it. So.   speaker-0 (04:40) They're like awesome because it's gonna push your limits and you've got to just figure it out Which I think so many dentists when they do own they don't learn that stamina that stress like hey, it's you figure it out But you're like the odds are even stacked more you're in the middle of the ocean and I mean it would been a pretty cool story for me maybe not for you to hear like a helicopter to come get a patient because you botched a root canal or something like you'd have to figure that out, but that that doesn't definitely up your odds of intensity   for sure being out there and nobody else is there to help you. You're the man. You got to figure it all out.   speaker-1 (05:13) Yeah. And I think it's, while it would have been nice to, you know, if I'd had a situation like, know, where I had a mentor, another dentist I was working with, you know, to be able to bail out, like it have been helpful, but it really, it did, it gave me a lot of, a lot of confidence, um, you know, early on for like, can work my way through this. And then also like what things I don't want to do. Cause I don't want to get stuck in that position again. Yeah. And it was, and yeah, while I didn't have to helicopter anybody out, one of the things I did do, and I don't think at the time, nobody had ever really.   speaker-0 (05:34) True.   speaker-1 (05:42) done it from a small ship or the even smaller ships around us that there were two times where people had some dental emergencies that I was able to fly out to their ship and take care of them.   speaker-0 (05:52) No way. Well, you do have like built in planes. You travel anywhere. So it's like quick, like fly you in, but that's crazy. Cause you ma I can't even imagine the stress that those poor other dentists were feeling of like we're in the middle of here. Like what am I supposed to do? ⁓ I guess call someone else. So, I mean, we talk about dentistry and I've said this so many times, like, feel like dental practices are like these solo islands out there. All y'all just kind of hang in your own area. You literally were in the middle of the ocean flying solo.   speaker-1 (06:22) Yeah. That's crazy. It was fun. There wasn't a ton of dentistry to do. I, know, cool thing with the Navy, they give you other jobs. So I became an air traffic controller. So I was in charge of, you know, all of the flight operations on the ship. so between that and dentistry, it me pretty busy. And then I played a of video games, you know,   speaker-0 (06:41) I'm like, I would be pulling pranks. mean, just throughout COVID, my husband, he makes fun of me. I feel like a roaming tiger in these four walls of our house. Like sometimes I'm like, just let me out of here. Like I can't even handle it. I'm like, I gotta go for a run. I gotta go for a hike that I can't even imagine being on a ship. would be like, I know I'd be pulling pranks on every single person on that ship and just like running for my life. Cause I probably would torment everybody, but air traffic control that like you really went for all the things, Nate, dentistry and air traffic controller.   What don't they say those are the top two suicide jobs? Like you really went for the whole extreme there. Nice job.   speaker-1 (07:15) Well, that's that's like when they selected me to go to the school for our traffic control. What are you guys trying to tell me? You already know I'm a dentist.   speaker-0 (07:23) Gosh, that's crazy. So you were in the Navy and then you went, got out of the Navy. Did you go straight to private practice? Did you go in and be an associate?   speaker-1 (07:32) So I was an associate for a year, still in the Virginia Beach area and then moved to Rhode Island. My wife is, we met in college, I'm two years older, so she was awesome for following me around. then, ⁓ so when she was done with her residency, she's from New England, so we kinda, that's where we looked up here. And I'll tell you, Virginia Beach area, super easy to get a job as an associate, tons of positions around, I figured it'd be the same thing coming up here and there was nothing.   speaker-0 (08:00) mean,   Rhode Island is like the size of a dot on a map. I mean, it's itty bitty, which I makes you a celebrity just because you live there. Like, not many people even live there, so.   speaker-1 (08:11) Yeah, it's in and it's there's there's a number of dentists, but it's it's all solo guys and it's tough like restricted covenants. You know you get a two mile radius. That's the whole state.   speaker-0 (08:21) Exactly   exactly that is you definitely have to look at your associate ships of their contracts really closely Otherwise, you might be booting out of that state just because like you said two mile radius is not far in Rhode Island   speaker-1 (08:34) Not at all. So I ended up having an opportunity to a it's like a four operatory practice, like three, I think two and a half, three days a week. The guy was definitely like on the decline of practice. So jumped into that, had no idea what I was doing. And then six months later, was approached by another dentist who was moving from the area. I think it was a family thing too. And he was having trouble getting somebody to buy   his practice Rhode Island. It's not many dentists moved to the state for a number of reasons. So again, I was still trying to figure out how I was paying my initial loan and how I was running this practice or whatever. the opportunity to buy, to merge this, the patient base. So I did that and it was definitely the best thing I did because it brought in a whole new group of patients. I was able to go from like two and a half days a week to four days a week.   I was able to add another hygienist at the time. so it wasn't super intentional, but the growth was happening. just kind of fell in my lap. I'm like, I'll do this. And looking back, it is where I realized what a good thing it was.   speaker-0 (09:48) For sure. And I hope people listening, ⁓ I am a firm believer that opportunity doesn't always knock on the door and say, I'm opportunity. Sometimes it looks like pure chaos. Sometimes it's stretching you beyond. Sometimes it's really just showing up. I remember the day that I was asked to work with DSI as a consultant. Guys, I had one consulting client before Mark asked me to be a consultant. And overnight, I had 45 clients in my lab. I didn't know what the heck I was doing. But I people listening realize like,   For you, you're struggling. just bought your practice. Don't know what you're doing. Yes, you've had quite a bit of experience, but at the same time, running a practice is very different than being an associate or I'm sure even in the Navy. And so now, and then, hey, by the way, there's all this other patient base wanting to come in. And I love that you just, jumped, you took that opportunity. And I think again, so many times in life, opportunities show up. It's just a matter of, we willing to take them and figure it out or are we too scared and just let them pass by? ⁓   You brought those patients in and you were mentioning pre record that adding in patients from other practices has really been a great way for you to get new patients. ⁓ which people are constantly looking for new patients. was just talking to, there's a guy out here. He's a pathiatrist guys. I'm like, I don't know. I just can't help myself, but help business owners. Like I love it. Podiatry is not that much different than dentistry. Y'all see patients like dentistry, we work on the mouth, but I treat work on the foot. Like   Basically, it's kind of like pediatric. You go to your surgery centers, they come in, you see these patients for their adjustments. But I was talking to him and he's a solo podiatrist and there are two podiatry offices around him that have just shut down doors. So he's like, yeah, it's just great. Like people are finding us and I'm like, did you call those people and ask them for their charts, buy those charts? that is two practices worth of patients that you're just hoping maybe one day will Google you when they're seriously sitting right in front of you. So   I'm super curious. I love this topic. know Dave's talked about it as well, but Nate, how do you buy charts successfully? How do you make that transition? Like Dave was talking about buying so many charts, but kind of from your experience, how do you buy these charts? How do you merge these patients in successfully? And other than just good luck and being in the right place at the right time, finding more of these opportunities. I'm super curious.   speaker-1 (12:04) Yeah, yeah. So for this one, know, having no idea what I was doing, I did have some, think, good advice from a transition attorney that I worked with. initially, the guy that was selling his charts, wanted X number of dollars for his, I think he said, 1,000 active records.   speaker-0 (12:26) And what's like X number of dollars like just give me a ballpark you don't have to say the exact amount but I'm like is it five dollars a chart ten dollars a chart thirty dollars a chart like what   speaker-1 (12:35) If I remember, this was probably 10 years ago, so I believe it was 60 a chart is what he wanted. So I think he wanted 60 million, right? And, you know, I, again, not knowing too much, I definitely knew that those 1,000 people were not gonna come over, right? So I was worried about like, what's the risk? Like, are 10 people gonna come or are 800 gonna come? I have no idea.   Yeah. So the attorney I was talking to, he said, he'd never done it this way. said, but maybe what you want to do is offer a little bit more per record, but only for like a small percentage at first. And then keep track of it over time. And that's what I think I did. It was either a hundred or 120 a chart. And I prepaid for like 300. But then for the next year, I kept track of all the, like once I got above that 300, I kept track of it.   So the nice thing is it limited my, it limited my risk. It put more, I guess, importance or motivation on the seller to really like push his patients to come. Cause the more you make more, the more people that came to see me. So it was a win-win that way. And it also, it let me kind of control that the influx too, because I think if all of sudden I was getting, you know, 800 patients calling all at once, it'd be a little bit trickier to merge this all in.   So that worked out really well.   speaker-0 (14:00) And I'm just curious on that, because this is something else I've been really wondering. After talking to Dave, now meeting this podiatrist, guys, I just love this type of stuff. This is cool business stuff that I feel a lot of people don't talk about. I'm curious, how long was the arrangement? Was it for a year that you would pay him? Was it for five years you'd pay the selling doctor? Because I'm curious, how is the motivation? for me as a business owner, I wouldn't want this to go on forever. I'd want an end date of when I don't have to pay you $120 per patient.   So how is that kind of arrangement set up?   speaker-1 (14:32) It actually, was nine months is what we had set. And I think it could work either, but I certainly wouldn't go more than a year, because it is, it becomes a major pain. And then, honestly for me, as I got close to that nine months, we sort of started slowing down. We strategically scheduled those last few patients in the nine months, but I still had all the records.   speaker-0 (14:54) That's what curious. So did you get all the records? So like you paid this, all the charts come to you, and then the other dentist has good faith that you're going to be honest? Or do they get access to it? Was that what it was?   speaker-1 (15:04) He could have like, had it written. If you wanted to send somebody to audit it, like absolutely. He had access to do that. He just never did. and yeah, we had an initial wave of a lot of people and then it slowed down a bit. And you know, it's, um, I think, I think it ended up, maybe we got 450 out of that thousand. Um, and it and it was close and it was close to that nine months. You know, we were getting close to like 400 and again, I just.   We slowed down a little bit, ⁓ just whatever. But as soon as that nine months hit, then we started re-marketing to the people we hadn't seen.   speaker-0 (15:43) 100   % because then it's like you've got basically 400 patients on recall that haven't been in and so did you guys win it happened and of course you might say things you'd do differently or whatnot but did you have that selling doctor send a letter to all of his patients like hey I'm no longer seeing it come see Nate like he's fantastic or did you guys just pick up the phone and start calling these people what was kind of the strategy of the how-to for you?   speaker-1 (16:07) So he, so he wrote, we both wrote a joint letter, which was good. And then I was able, I actually brought on his, he didn't have an office manager, but it was like his lead front desk and scheduler. So we brought her on. She wasn't a, she wasn't a great, perfect culture fit, but she knew the patients. So that worked. I think she was with us for probably about the nine months.   speaker-0 (16:26) Exactly.   Cause in my mind I was thinking like, that's genius. Maybe you can do like a little like sweetheart deal where it's like, Hey, I'm buying your charts and also your scheduler upfront. Can I just have them like help me call these patients? I'll pay them for a couple of months or whatnot. I don't know. Like there's a piece of me that's like, I could see the pros and the cons of that, but you're right. It's me calling that person who's known these patients for years calling to get them scheduled and help out with that. That's probably again, even if it wasn't a great culture fit, it probably did get more patients in your door.   speaker-1 (16:59) For that initial, yeah, absolutely for the initial. Because they already had the patients pre-scheduled, so they were able, and they know them, it was really helpful having that familiar voice.   speaker-0 (17:09) Totally. Yeah. Clever. Okay. So you went higher than what they're doing, ⁓ which I tell everybody, I'm like these people who are shutting their doors, pretty much any offer you give them is, mean, don't be like a low ball and completely have it feel ridiculous, but they, have no option to sell. There are no options for them to sell. They're not going to make any money. Like that's gotta be a hard reality for that selling doctor to realize like, Hey, I built this business up, but it's not even a sellable product.   So I have no asset anymore. So I'm like, honestly, any money that they can get for these charts, I do think is a good deal and something great for the selling doctor as well. So I don't think it's a ⁓ vicious, like you're taking advantage. I just think again, opportunity shows up in different ways. And I think for the selling doctor, it also was an opportunity that they got probably way more than they were expecting to get when they closed the doors of their practice.   speaker-1 (18:02) Yeah. Cause honestly, it hadn't been for new, he'd been trying actively to sell it somewhere. And I was like, I think I was like the last person, you know, had I not been able to step up and, and, work something out, it would have just been all those patients out into the ether. And, know, probably who knows how many of those, you know, 450 would have shown up with us anyway. But it's, it's, know, again, being younger, not knowing what I was doing, like it was intimidating for me. But as I look back, like he'd never done that either.   speaker-0 (18:22) Yeah   speaker-1 (18:30) You know, so was all, it was new for both of   speaker-0 (18:33) Well, and also thinking about, I'm sure some listeners might think like, Nate, that's a bad deal, though, spending $120 per patient chart. And if you are a wise business owner and you know the cost of acquisition of a new patient, yes, I would say that that probably is on the higher end of a patient. However, I think the perk of this is these are most likely patients who have been active patients in a dental practice that are going to be good patients that are coming. And odds are they also might be, I call them sleeping.   patients in the fact that this dentist was on the retiring side, odds are that dentist was just slowing down with dentistry. Every dentist will have this happen to where odds are these patients actually have a lot more treatment available since their selling doctor was slowing down in their career. while it might be more expensive, you're probably also paying for it with the dentistry available with an older doctor selling. So got it. Okay.   speaker-1 (19:22) Yeah. Yeah.   And then yeah, like, and then fast forward, you know, another five years or so from then, it's not five, about five years ago. I had a dentist moonlighting with me who was in the Navy. It was getting out, wanted to stay in the area. Awesome, awesome dentist, really good friend of mine now. And he wanted to stay, but again, at that point I wasn't busy enough to really support another.   an associate and I'd never really never had an associate either. And again, opportunity I had, was having, it was like a county dental society meeting. I was talking to a friend of mine as well, who was a little bit older dentist and she was like, I'm thinking about slowing down. maybe this guy could work for you for a couple of days a week and me a couple of days a week. And kind of light bulb went off my head. I was like, or I could buy your practice if you're open to it. And then you can slow down whatever you want. ⁓   be an associate with me and he could work at the two. I kind of saw the writing, like the potential if he did that, what happens if now he wants to buy that practice and then it's, you know, so that actually.   speaker-0 (20:29) You would be training up your competition. So good job on seeing that and not letting that happen.   speaker-1 (20:35) Yeah. And, uh, and it worked and that worked out great around the, again, just weird timing around the same as I was closing on that deal. One town over those, dentist who unfortunately had a terminal, uh, terminal cancer and was looking for somebody to help take over his practice. So I was able to take over his patient base, which another bonus of being able to help, you know, get this new associate, you know, even busier.   speaker-0 (21:01) So really your practice is a makeup of four practices. Did I count my?   speaker-1 (21:06) And then I had one more a little bit later. There's like five, five, nine into two locations now. So yeah. Yeah. And with that one, was the, um, I was able to bring one of the hygienists on board. Um, which again, that familiar, familiar face, familiar voice, um, was a big, was big and she's still with us and she's awesome. So, um, so that's been, that's been really good.   speaker-0 (21:07) Okay, so   Clever. love it.   awesome.   Have you guys heard? But like really have you heard? And are you the type of person that loves to take massive action? Well, if you are, I would love to invite you to Dental A Team's Virtual Summit, April 22nd through 23rd. And yes, right now guys, it's early bird. That means it's $200 off the normal ticket price. You guys are going to learn how to optimize your practice this year. We know it's been a rough year. People have quit. We've had COVID, we've had changes. So we want to teach you guys how to optimize within your practice now and execute.   Friday is full team, Saturday is all things leadership. So bring your team, get some CE, take massive action, head on over to TheDentalATeam.com. Coupon code is summit early bird, and it's valid until March 31st. That's summit early bird, all one word, and it's valid until March 31st. So guys, head on over. I can't wait to have you take massive action, optimize your practice, and execute. Let's make 2022 your best year. I love it.   I love how much you have, ⁓ I think if anything I'm taking is don't be afraid to take those risks, don't be afraid to look at opportunities and also I think you just kind of have also positioned yourself to be well known within your community and I feel like so many dentists, like yes even within big cities like New York, Denver, guess what? People are always retiring. I just had a student from Midwestern reach out to me and was mentioning how like.   Hey, care, do you know of anybody to buy a practice? And I'm like, what is going on? I don't know all the details, but I'm like, this is somebody who's been graduating for maybe a couple of years looking to sell a practice. so I think it's just important to get to know the doctors around you to build those friendships. Because when I think it's often like you're putting yourself in a position to be ready for that opportunity, it's kind of like right now they say have a lot of cash on hand. We know something's going to be shifting in the economy.   So just be ready for when opportunities there. And I think getting to know your neighbors, getting to know those dentists, hey, great, you also as a dentist might need them as a resource in the future as well. So I think it can go both ways, but I love that you've done that. So now I'm curious, Nate, because I selfishly want to talk to you about this. You've got these two practices, you've got these dentists.   Who knows, you're gonna like probably add on like four more practices of charts in the next five years. I mean, based on your record, like let's just start piling them all on. You'll be the only dentist in Rhode Island. You're just gonna last. But I know culture is something you and I off air. Nate is one of my favorite clients. I don't even come to your practice, Nate, and you and I will just chat business, talk shop. You are somebody that I will say publicly is someone who's just been.   a really great influence in my life. Periodically, you will just send me a random text of like, just tell me that we're doing a good thing. And I will say, and you know, as an owner, those kudos and those like good vibes, they don't happen as often because you're the one who's giving all that out to your team and to your clients and to your patients. And so Nate, I will say publicly, like how much you've just been an influence in my life as well. Something I just have appreciated with you as a client, as a friend, as a mentor. So I'm excited to chat. You've got all these things going.   I know culture has been a piece that you and I both have been talking about of developing this culture. So kind of what spurred you into realizing you wanted to shift your culture of your practice. And then let's talk about the nitty gritty, but like how did you as a business owner know you needed to do a shift within your culture? Because I think that that's humility. And I'm just curious, like what tipped you off? How are you able as a dentist to own that, that you wanted to shift that?   speaker-1 (25:03) Yeah, I mean, I think for me it was noticing, you know, sort of the patterns over the years of the just the ups and downs of culture, you know, and it's, you know, whether you call it the vibe or how everybody's getting along. ⁓ And there, I mean, it's over the years, like we've had some pretty painful, painful times and times where it's like, nobody likes being here. That's way better, you know, in the last few years and it had been in the past, but.   It's, I was realizing I didn't really know how to, I didn't realize I had, that I could have influence on, on how to change that. It's, you know, some of it, I'm not a confrontational person. I'm pretty laid back and I want every, you know, I want to be the one that's liked. I want to be everybody's friend. And it's hard. It's, mean, whatever 13 years into practice ownership. And I still, you know, struggle with that.   kind of not being able to be everybody's best friend. Like I actually own the boss and like I have to own that. So it's, know, again, I finally got like just really got so exhausting of the ups and downs of like, is this going to be a good month or is this going to be a good week or who's going to be upset and all that. that it's like, you know, it's not just on me, but it's like, creating that environment that people, you know, that people want to be here. You know, people are happy people.   playing well together and trying to manage all that. it's, you know, it's certainly I haven't figured it out completely, but it's, you know, just trying to work on little things.   speaker-0 (26:41) Yeah, well and I love that you said that because incidentally I'm like, ⁓ Nate, why didn't I even think about this? I know why you and I are good friends. We're eyes on the disc profile. We both love to be liked. We're both very outgoing. We're like, you know life at the party have a good time. We're also okay to like let other people be the life of the party, but just really that and I do think a lot of dentists have that personality. ⁓ I was thinking about dentists last night actually while I was falling asleep and I'm like gosh you guys have to charm and dazzle and wow all day long.   Like you walk in and you have to make friends quickly and it's in an uncomfortable like, hey, let me like get real up and close and personal, like look in your mouth. And I got to like win you over and make you like me. I want to say yes to treat Mike. That's a lot of output of energy all day long for you guys. And so for you to realize that you also have to be a boss, I think one takes humility and two, also is ownership. And I would agree. I think it's like you get to a spot where I'm like, all right, being friends is fun.   But we got to have this like even kill because this up and down is just causing me to feel like I'm in whiplash all day long. So what were some of the things that you started to shift again? You and I chatted in December and I know we both like I've taken this from our conversation of culture is a slow burn. It is not something that happens overnight. It is not something that is instantaneous and I am an instantaneous person. Like I will figure it out. I will come up with it like we will find the solution and culture is like, all right.   Cool, I'm here for the journey. So what were some of the things you started to shift that you've been able to see? know Tiffanie's been helping you guys in your practice quite a bit as well, but I think ultimately at the end of the day, consultants can only help as far as the leaders are willing to go. And so for you to be willing to shift and change is why your team's been shifting and changing too. So what were some of those specifics?   speaker-1 (28:26) One of the, I would say the hardest thing for me and I still like, it still gives me anxiety and trouble is having difficult conversations. And while, you know, it's   you wouldn't think it would necessarily play toward helping with culture, having difficult conversations. I think it really does because I think it resets some of that, ⁓ like where the expectations are, what kind of the clarity on what needs to be done. But I think that's part of, on my ups and downs, I, again, wanting to be agreeable and being pretty laid back, if there was some...   trouble happening or there's some conflict between the team. Like a lot of my default for years was, it'll just blow over. Like, let's it work itself out. And it would work itself out by exploding after a drink or two. And then everybody would hug it out after a drink or two, and then we're fine for a while. But like, was no way to operate, right? So for me, getting over my fear and my anxiety of having those hard conversations, you know, and that's actually, that's one of the things that Tiffanie has been super helpful.   with on helping me through some of those. And I think one of the biggest skills that I've gotten with working with the Dental A Team is that, to have those conversations. They're not fun. People don't like them. I don't like them. But I think it makes a big difference and means a lot once people, like once you get through that.   speaker-0 (30:02) For sure. And you're lucky to have Tiff. think Tiff is one of the best at it. Tiffanie is very masterful on being able to, I say word ninja it. She's also just very direct, which is odd because she's so lovable and so nice. But something her and I have chatted a lot. And to your exact point, when team members have those uncomfortable conversations and they know their employer is willing to do it, everybody actually feels safe.   and that safety can create stability, which also creates like easiness. So my husband and I felt like I used to be a people pleaser with him. And just this week, he and I had a really big decision, a really awesome opportunity, and we ended up turning it down. And I was so frustrated. Like, I'm such a like driver and doer and like, this is an opportunity. We've been working for five years for this and we're just gonna like walk away from it. And I was not my most polished Kiera. ⁓   Thankfully, I would never do this with my team, but my husband, was just like full on expressive on like, and not anger at him, just the frustration of the situation. Like we've worked for this for five years and we're still not going to go through with it. And he made a comment to me, said, Kiera, I love that we've worked on our relationship so much to where you can feel comfortable and confident to have this conversation, to express your true feelings and we can work through it and find a solution. And I use that example because I feel like it's very similar with teams with   bosses that are willing to have these uncomfortable conversations because there's a there's a trust and a confidence that I can come to you. I know we can go toe to toe. I know we can work through this even though it's not fun in the moment per se. There's so much beauty and ease and flow that happens because we're not just always like holding it inside trying to like charm everybody else around us.   speaker-1 (31:47) Yeah. And what I have sort of seen ⁓ as I'm doing that more often and as I'm getting more comfortable with it, I'm seeing my team do the same thing with each other, in a, you know, in a respectful way. And they're confronting things before they become like these underlying deep seated issues. So yeah. So that's been good. ⁓ Working on gratitude is another, is another big one. Yeah. It's funny. It's, it's, ⁓   That's been, that's taken me a little bit to get used to and kind of coming up with a pattern of how to do it because it doesn't necessarily come naturally to me. You know, I think it all the time in my head, you know, how appreciative I am, but it's expressing it is what's hard and finding the way that resonates because everybody's different. What, you know, what lights everybody up is different. So it's trying to, I'm still trying to figure that out for everybody individually.   speaker-0 (32:42) But I think it's awesome that you're taking that on and like you said and I will say kudos to male doctors that are willing to share their appreciation because I'm not a male, but I have heard from several male colleagues that it's very uncomfortable. They're like, I'm just not somebody like you said, I think it, but I don't necessarily say it I don't know how to say it and sometimes it's an awkward thing. But I will say as a team member, I worked only with male doctors, except for one time I had a female doctor. But most of the time males were the doctors I would work with.   And as a team member, especially a female team member, it meant the world to me when they would share that appreciation. it just would, most women are very much ⁓ people who love those words of affirmation that are genuine and sincere. And so I think that that's a great thing that you've taken on. And I know that that's shifting because you shifting that way is shifting your entire team as well. Very cool. Okay. I just want like a quick highlight list as we wrap up, Nate, I appreciate you so much. What are some of the things working with Tiffanie that you've   that you guys have implemented in your practice or some things that you've seen, like we've talked about chart mergers, which gosh, it's just so fun. And we talked about culture shifts, but what are some of the things over the last year? I think you guys are just wrapping up your heading into year two. What are some of the things you guys have implemented with her this last year that were really just impactful for you?   speaker-1 (33:59) Yeah, it's, it's, it's, it's a, we've done a bunch of like small things, you know, and, and, that's what I think has been great is like they, they're easy concepts, but communicating ⁓ better handoffs from front to back and committing to that. ⁓ It's, one of the first things that she introduced with us. And, you know, it seemed like such a simple thing, but it's made a huge difference in. ⁓   and just having consistency of communication and then also it helps the teamwork. ⁓ That's been really good. She's helped a lot with trying to ⁓ have us have a better of sense and strategy around our revenue cycle. Just little things that we didn't necessarily know that we weren't doing, you know, as efficiently as we could. But what I love the most is the process and the accountability part that's put in. ⁓   there, you know, I, in previous years, you know, I've worked with other coaches and consultants and things. Um, and it's always been like a kind of a cookie cutter type thing. And it's, you know, it has been helpful, but what I really love about Dental A Team is how. Yeah. She's able to look and see exactly what it is that we do and how we do it and tailor those systems to us. Um, uh, but also that holding us like holding us accountable to do it. Like we had a, we had a call.   this week, I think it was. we've been looking at outsourcing things for, and I think we've probably been talking about it for a month, two months or so. And it was kind of funny because she has, she's like the sweetest person in world, but she was like, all right guys, I'm tired of talking about this. You're going to buy the end of it. And we're going to, we're going to make a decision on this in my head. This is on Tuesday. I was like, all right, by the end of Thursday, we'll have this done. She's like today, like today that you've done this and tell me who you're going with. And I was like, all right.   But sometimes that's what we need, know, cause we were stuck in this little cycle. So she, you she's good with that. And then sort of same thing with, you know, those are one of the difficult kinds of conversations I needed to have, but was Tuesday was funny. She was, she like really lit a fire under us. Cause like three or four things are like, you're getting this stuff done today and it's happening. that's the push we need, but there's other, know, there's, it's not always that intense. You know, there's also, ⁓ you know, if we need a little help with, you know, with things and,   It's process. She's there each step of the way.   speaker-0 (36:25) awesome. I love it. Well, I think that other no, go ahead.   speaker-1 (36:28) Sorry, it's   been really, it's been really good that I haven't seen with anybody else I've worked with before is she's totally accessible to my team. And I have a couple of the people on my team who are like very growth mindset, growth oriented with us. And, know, they, I think they talked to her more than I realized. And it's, it's one of like, felt initially like when she, you know, gave everybody her contact information, she like, I don't know, I hope that doesn't get abused. And she's like, I love it. That's what I'm here for.   and not knowing the specifics of what she's helping some people with. Like I've had a couple of people on my team, they're like, is so great to be able to reach out to Tiffanie and get this advice on this. And she's helping them just as much as she's helping me. That's awesome.   speaker-0 (37:09) That's huge and I appreciate that Nate because one it's fun to hear how our consultants are doing and I love like a few pieces you said which makes me happy because like as an owner and I'm sure as dentists we have this great vision of what we want our company to be what we want our practice to be and then to hear a patient experience to hear a client experience I'm like we will never be cookie cutter I refuse like forever because no practice is cookie cutter so to hear that it's systems that are customized to you guys where it's what's gonna work with you and also like you said   that accountability. Tiff and I, will say kudos to Tiff because at first, you know, we were like, how do you consult offices? And most of time we'll just kind of go through with you holding you accountable. But there are times when we will need to like laser in, lay it down and be like, guys, here's the reality. Just like a coach at the gym. I'm like, I don't want you like high five. I mean, that was a great workout when my squats look terrible. Like tell me to get my booty down, get my back out. Like   make sure I'm actually doing the work if I'm going to put in the work. And so I love that she did that. And like you said, that is something that we are so pro having those team members elevate rising them around you. That's something like we have kind of, I have a three prong approach and it's making sure you are profitable as a business. Cause if we're not profitable, fantastic. And to hear that TIF is helping you guys with that revenue cycle, making sure that's there at the handoffs, but then also growing people themselves.   You with those hard conversations, you making sure, I mean, we were just talking, you're having time off and your whole team is like killing it and you're not even there, which is awesome. ⁓ Also elevating team members. So it's not just the dentists themselves, but the team and then putting in those systems and team development top to bottom. So to hear it from a client experience, and we didn't even rehearse this prior to it, but to really hear the, and I didn't even prep you Nate. I didn't tell you to like, Hey, think of the last year and the highlights before we get on it. And I purposely did that because I wanted to hear.   what really stood out to you over this last year? What were the things that, because sure, you could go back and reread the emails and prep for it, but I'm like, that doesn't actually matter. What matters is what sticks in the moment. And so I just appreciate that. I love you as a client. know Tiff loves you as a client. You're just a, you're a great example of execution, of humility, of seeing opportunities and executing on them. And I hope people realize that success in my opinion doesn't just happen by chance. It is methodical. is...   Executed on sometimes you get sprinkled with that good luck charm But I also think that good luck charm is only good luck if you actually execute on it So Nate, you're just a dream. I love it. I love what you've done. I appreciate you being on the podcast you're just such a happy human and You're you're a great person who's doing great things in this world and your team's super lucky to get to work with you and learn from you as well   speaker-1 (39:48) Oh, thank you so much. And I feel so, you know, so lucky to have come to come across the Dental A Team, you know, three years ago and, and, and gotten to know you, gotten to know your team and all of you thought, you know, to me, my team and my life, it's awesome.   speaker-0 (40:00) Totally.   Well, it's, you know, we said yes, because you're in Rhode Island first. That was the first like initial yes. then you know, so but no, I appreciate it, Nate. So guys, if you if you have questions on mergers, or how to buy these charts, like please reach out, we'll connect you in with Nate. And if his story and the successes he's had resonate with you, email us, we'd love to chat with you. Hello@TheDentalATeam.com. And Nate, thanks for being here today. Thanks for just being a good human in this world that we need more people like you. So thanks for being here today.   Thank you. Awesome, guys. All right. As always, thank you all for listening, and I'll catch you next time on the Dental A Team Podcast.   wraps it up for another episode of the Dental A Team Podcast. Thank you so much for listening and we'll talk to you next time.  

Tiff and Monica break down what it takes to operate your practice like a CEO in 2026, including mindset (especially if you don't exactly feel like a CEO), leadership team delegation, dialing in goals, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript:   The Dental A Team (00:00) Hello, Dental A Team I am so excited to be here. You guys know I love podcasting. It's one of my favorite things that we do throughout the month. I usually get at least two podcasting sessions in with my ladies. And today I have Monica back here with us again. Monica, how are you? I'm so excited you're here. How was this? This is a Monday. So like, how was your weekend? Did you get to rest, relax your grandbaby? What did you do? What was your, what was your weekend like?   Monica (00:25) Yeah, hi Tiff, happy Monday. Happy Monday, everyone. I'm so excited to start off my week with podcasting. ⁓ I think I just have like this new found joy and like interest and passion around podcasting and just showing up authentically and having this conversation. So thank you for inviting me. ⁓ My weekend, I had such a magical weekend. First of all, guys, December is such a magical time for me.   The Dental A Team (00:28) Thank you.   Of course.   Monica (00:56) You know, it's just tapping into all the unseen, right? The hope, the faith, the love that is never ending is all expansive. And December goes by really fast. So I made it a point to be super present in all the little things that I do and the mundane things. And I had such a magical weekend with my grandson. ⁓   The Dental A Team (01:09) It does.   Monica (01:21) I've got two grandkids, ⁓ Elijah who's 12 years old and my granddaughter Sophia who is three months old and I'm just enamored obviously with both of them but Sophia takes the stage right now. ⁓ But my grandson, know, he came over and he, you know, he's earning money to buy an electrical bike and I said, hey, you gotta earn it buddy so.   You know, ⁓ Mimi, I'm Mimi for him. I gave him a little weekend project to come and redo, re-sand, refinish my patio furniture. And we did that. We did that over the weekend and he did an amazing job. And then it turned into like this, Mimi, can I sleep over? Let's have a sleepover. You know, let's sleep right in front of the fireplace. When's the last time you did something fun like that? So.   The Dental A Team (02:03) Yeah.   my   gosh.   Monica (02:11) ⁓   it was, it was amazing. The Christmas tree lights were on, the fireplace was on and Charlie and I and Elijah were having sleepover on the couch. So that was fun. And, ⁓ we got to make breakfast the next morning and we had, you know, the magical dance in the kitchen. Yeah, that happened too. So it was just so special. And, ⁓ those are just memories that I want to hold on to forever. Those are those forever memories, you know? Yeah.   The Dental A Team (02:29) Mm-hmm.   They are, they   are. Those are the memories, those are the things that make life, life and make life enjoyable. So I'm really glad you got that time and ⁓ thank you for sharing. Thank you. You always, share your family with us. You share Charlie, who is her adorable dog. You share just all of them with us. So thank you. Thank you. On that note though, I think Monica, that's like the perfect lead in, into what we're talking about today because   Monica (02:44) Yes. Yes. Thank you.   Monica (02:57) Yeah, yeah, thank you.   The Dental A Team (03:06) what I really wanted to chat about and just get some information out for our listeners and for those of you who are here with us today, make sure that you either go back and listen to some of these pieces. We're gonna have some really good nuggets for you or you're taking notes now if you're in a place that can take notes. I always caveat that if you are driving, I drive and listen to podcasts a lot and I have to go back and listen to them. So please don't take notes while you're driving. But on that note of December and ⁓ we're recording this in December, it'll...   populate in January, which is kind of perfect because this time of year is great because we're winding down and we are enjoying the magic, like you said, and enjoying all of the love and the faith and all of those pieces. But then it turns into January, which is like a fresh new beginning and a magic of its own. And moving into January and being in January, something that I really want CEOs to start thinking about is how to think like a CEO.   Dental practice owners, doctors, don't often think of themselves, I think, as a CEO. Monica, often just, they're a practice owner, they're a business owner. But I think that CEO mindset is something that's very different. And really just looking at 2026, how can 2026 be your CEO year? And how can you start thinking like a CEO? What does it take to move and operate like a CEO? And this is something that we work on with our dental practice owners a lot. So our clients,   We're constantly bringing them back into that CEO mindset. We're really, really lucky in the fact that we have Kiera here on our team that we get to watch ⁓ move through the CEO mindset. And I've had the privilege of side by side walking with her and watching her build the business and building it with her and seeing those trials and tribulations. So being able to impact the world of dentistry with those pieces is something that's huge for us.   We're in January, it's beautiful. I feel like when I think of January, I think of like white and it's just clean and it's this beautiful, sparkly, clean slate that we can just create anything with. So as we're creating this, question that I have is really as we're building like a scalable vision, right? So we're looking forward, what's something that you like to encourage your CEO mindset doctors to really start with? Like where do you, how do we say this is where   Monica (05:24) Yeah.   The Dental A Team (05:24) This   is where I want to go. know, we've got especially a visionary mindset who just is in the clouds a lot. But how do you help them narrow that down into really thinking like a CEO and kind of time-lining that out, measurable? Like, what are all the pieces that you're looking for?   Monica (05:38) Yeah, that's a great question, Tiff. Thanks for asking. Well, first, before we dive into that, I want to say, doctors, it's you. You are the leader, right? You are the CEO and you've got to think like one. And I think ⁓ most of the time we're looking outward for the answers, but the answers are already in you. You've got to take some time to have some introspection time and say, okay,   What does the CEO do? Like, let me put my CEO hat on and bring that mindset in. what is my philosophy as a CEO? You've got to start with your philosophy, right? What does that mean to you? How am I going to achieve that, that one vision? And you got to make sure that your vision and your philosophy is inspiring enough to fire you up, to want to create a change.   right, because ⁓ it starts with you. We've got to be, we've got to be and show up as a person that we expect our leaders, our leadership team to show up as, right? So if you want your leadership team to come in and prepared and be on topic and be on the KPIs and know your numbers, guess what? You got to know the numbers. You've got to show up with that strong leadership, that inspiring, that motivating.   you know, knowing which KPIs you're going to look at, which in my mind, I think there's like the really high value KPIs and then the lower value KPIs, right? Everything is important, but we can't focus on all things at once. So what are the top KPIs that you as a CEO are going to focus on that drive, that philosophy that gave you that drive and that passion to wake up every single day fired up to, you know, tackle the day.   So if you don't have a philosophy, get one, right? Just start writing it down. I think we all have it here in our mind. You gotta put it on paper. Because if it's not on paper, you can't create it. Part of the creation process is thinking it, materializing it, and then sharing it. sharing it with your team, your leadership team. ⁓ And then seeing it, right? Like what is the process of creating that philosophy and executing that philosophy?   Doctors, it starts with you. Be the leader that you expect your leadership team to show up as. That's what a CEO does, right? Like what, who's, who's carrying the torch? The difficult part about being a CEO is that you've got the visionary and then you also have an operational piece, right? And we often say there's, there's two great leaders in any successful business, the visionary and the operational one, right? The one that carries a torch every single day. But you have to be both.   before you can delegate it. You've got to know what that feels like. You've got to know how to drive that. You've got to know how to become it before we expect our team to become it. So it starts with you doctors. Start with your philosophy. I would love to know for, you know, anyone that wants to just comment or just share, what is your philosophy? What do you wake up, you know, every single morning, what do you wake up with? What are you going to take to the office?   I think that's where we start, right? And then there's three things that I think are crucial for any CEO. You've got to be obsessed with this. Your clinical excellence, your patient experience, your culture, your team, and growth and profitability. Those are three things you've got to be obsessed about. Those are three things that you've got to be curious about every single day. Every time that you meet with your team,   We recommend that you have a weekly meeting with your leadership team. Make sure that you're touching on those three things. Those, I think, are the driver to everything. Your clinical experience and your patient experience is everything that builds trust, that builds efficiency, ⁓ that builds retention, patient retention, team retention. Yeah. What are your thoughts, Tiff?   The Dental A Team (10:00) Yeah, I love that. Thank you, thank you. And I know you have some really fantastic nuggets. So I hope you guys, if you are driving, you go back and listen and write them down. And I agree. think the philosophy, right, or translated, you can call it your mission, your vision. Like, why are you here? What is it that you believe in? We talk a lot about your, ⁓ like your patient philosophy or your clinical philosophy. So it's really just, what do you believe in? What are you trying to accomplish with what you're doing? And I love that because   If you can see what you're trying to accomplish, if you can, like she said, get it out on paper and Monica, I think that's brilliant. I do so much better when I'm like handwriting. I even got one of those journals, you know, the little, the notepads that are erasable because I think you just, you can take a picture and it uploads because I just do better with handwriting it. And when you can get it out and you can say, this is where I'm trying to get to, you can start to like build that house. It's like when you're, when you're going to, you're looking at model homes, the model home is already done.   And so it gives you a vision of what you could create if you were to build a home within that development. And so you need that model home. need something that models. you might not be, you might build your home and you might not do the same kitchen. You might have a different tile. You might have different countertops than what was shown in the model, but you're able to at least get a vision for something to start. And then you work backwards from that. And Monica, think that's...   the key there and what you said with the KPIs and the metrics and knowing your numbers and knowing your stats, watching those KPIs and really seeing if this is where I'm going, what are the top three goals that I can get to? And then scaling those backwards. And that's how a CEO works, right? We've got big goals that we scale backwards and say, okay, what are the steps? What is the plan? What's it actually going to take to get to this goal? And how can I recruit then my team to help support   Monica (11:36) Yep.   The Dental A Team (11:55) that and I think Monica, that's a huge word for me and my coaching is the support team. Like how can the team support these goals and I don't know Monica. This might be a side tangent, but something that I've experienced for sure is doctors or leaders or practice owners getting in the mindset of like worker bees like I've got worker bees under me and they are they are the ones that are going to get this instead of that mindset of really   like they're here to support me to get to these goals. How can I support them to get there? And I have to then think a clear vision. If I'm not clear on where we're going, how are they gonna support me to get there? And Monica, do you think in that transition? Because I do think that's a big switch from practice owner to CEO mindset is that really that supportive reaching the goals together, that support rather than.   I gave them tasks and they're gonna get me there. We're really kind of building this house together.   Monica (12:58) Yeah, no, that's a great point. think there's two parts to a successful practice. You've got to be able to work on the business and in the business. And you've got to really protect that time. When you're working on the business, be about that. Show up and be present. ⁓ I think, you   We're so used to multitasking and that that's our culture, right? That's the culture of dentistry is like, you've got to be able to like do a million things at once and your brain is going a million miles an hour. ⁓ you're seeing multiple patients, you're, know, you're constantly shifting and wearing various hats during the day. But to work on your business, you've got to, you've got to be present. No interruptions. Like don't.   get to the office before you get to the office, right? When you're in the office, don't get home, don't work on your personal stuff when you're in the office, work on the things that really matter. And it's difficult to kind of change gears and focus, but I think it's crucial. Working on the business really means, what's my philosophy, right? And reverse engineering that.   Here's where I want to be. Where am I now? What are the steps that I need to do next before I get there? I think having presence of mind is super important because we can't focus on all things, right? If we do, nothing gets done. And so write them down, write all the steps that you need to get there, then prioritize them. What do I need to do first before I move on to the next? And so I like to think about it as layered.   The Dental A Team (14:34) Yeah. Yeah.   Monica (14:48) Right? When you layer it, when it's written down, like create a visual for yourself. And then when it's written down, you can, it's easier to digest and you can journey that, that map per se in a much easier way. you're visual and you can go in and, and, know, add steps to it along the way. But if it's all up here, this is, this is where chaos happens. Right? This is where you get stressed out. This is where, ⁓ unease.   comes in, right, because it's all here and you can't see it. And I think most of us are visual when it comes to, you know, our practice and success and our teams. I mean, we've got to be able to see it, right, to believe it. ⁓ So I think working on the business and then working in the business, guys, that's really important. We can't expect our team to give, you know, above and beyond.   The Dental A Team (15:32) Mm-hmm.   Monica (15:44) and expect them to stay and work after hours on their own time when we're working two days a week in in tearside, right? And leading the team. No one's going to care more than you, right? Your team is there to support you, right? And your vision. So they're not the they may be the drivers, but they're not the principal. You are right. And I think we we tend to forget.   We tend to forget that we are the ultimate authority and we are the leaders. We're the go-to people, right? And ⁓ becoming a dentist and opening your practice, you automatically become a CEO whether you like it or not, right? And we're business owners, we're leaders. The team is looking to us to establish our philosophy, our vision, ⁓ the map. Where are we going, right? You've got to be the captain of your ship.   The Dental A Team (16:12) Okay.   Mm-hmm.   Monica (16:40) And if you don't take on that role, people are just waiting. They're doing the best that they can, but it's, you know, they're in uncharted waters.   I think that's when we lose, you know, the, ⁓ the passion and that fire, because we don't know where we're headed. Right. And everyone's just trying to work in their own little Island and they're, they're working in silos. And then, you know, instead of locking arms and saying, Hey, here's our vision. We're all rowing in this direction and let's go after it. Right. And we've got to be able to row in the same direction.   The Dental A Team (17:21) Mm-hmm.   Yeah, and I think that's where, to your point, the KPIs come into play, right? So you had mentioned earlier, like those measurables and those KPIs, because those are our oars. That's how we're getting there. So it's very easy, I think, for a visionary to have the vision. They know it. They're like, I can see the house. But then you've got to put that, you said, put that implementer hat on for a second, that worker hat on for a second, and say, cool, that's the vision. Now what goes in first?   Monica (17:29) Totally.   The Dental A Team (17:53) Like do we put the countertops in before we put the cupboards in? No, like how do we get there? So those are, I think Monica, to your point, those are the KPIs that are there so that the team can support that vision. So if you want increased new patients, what is the team gonna do to help support that? We've got a marketing company probably, but what can the team do asking for reviews, asking for referrals, like counting those pieces? And Monica, do you feel like that's where, I think personally,   That's where the CEO mindset really takes hold from that visionary kind of practice owner, I just wanna have a business mindset. That's that CEO tactical piece. And I think for practices I've worked with, structures I've worked with, that's the space that's like, we've gotta get over that hurdle and is sometimes the more difficult space for them to be able to see the applicable KPIs that will get us to those goals.   Monica (18:32) Yeah.   Yeah, I agree with you. think inaction equals no action, right? And so most of the time we know what needs to be done, but again, it's up here, right? And we choose for whatever the reason is, we're choosing not to get behind it. ⁓ And so, you know,   Also, sometimes we have to unpack what our limiting beliefs are. What is the story I'm telling myself about myself? That self-talk. Self-talk is super impactful, whether it's positive or negative. So what is your self-talk? What is your little voice saying? Right? Can I do this? Let's do this. Or, ⁓ nobody cares. Nobody cares as much as I do. You know, ⁓   I think self-talk is powerful.   The Dental A Team (19:50) I think   a lot of times it comes down to as well if I can see the vision but I'm not willing to share the vision, ⁓ what is keeping me from sharing that vision? Like why am I afraid to vocalize or put it on paper? What about this scares me? And that's what we're running away from, And we just replace it with the tactical do-do-dos, the checklist of like easy do's throughout the day and it holds us back from really reaching those.   personal and professional goals.   Monica (20:22) Yeah, and also, you know, to add to that, that's really valuable what you just spoke. ⁓ To add to that, think self-accountability and owning your part of it, right? ⁓ It's difficult, like the responsibility of knowing you've got this amazing practice that you've built, a place where patients can   come and seek wellness and that you are contributing to the livelihoods of your team. I mean, that's a big, and your own livelihood, right? Like this is it. That's a big responsibility. And it's a beautiful one. It's one that impacts many, many lives. ⁓ And that can be scary sometimes. What if I make a mistake? What if this is not the right choice? But what if it is?   Take the chance. You can always pivot. If you don't like the result, change it. That's the beauty of being a CEO in your own practices. You can change it. So what's stopping you from creating the change to propel you to the next level?   The Dental A Team (21:21) would have bit worked.   Yeah, I love that. Thank you, Monica. I think some takeaways I have, I always try to think of, you know, three tactical pieces, are the three action items? And I think from listening to everything that you've got today, thank you, Monica, it was beautiful. I really pulled out three, I feel tactical, I wrote down philosophy, make sure you know your philosophy, your CEO, your practice philosophy. And then like three,   Audacious goals for your one year your three year your tenure and really work backwards again ten years Where do I want to be? What will it take to get to that ten-year mark in three years from now? And then this year what do I have to accomplish? So those really those big three goals and then really breaking those down into applicable key performance indicators KPIs applicable pieces that we can work on this year to get us towards those goals and really enlisting the team to help with those things so if you're trying to switch to that CEO mindset   Like Monica said, you gotta get it on paper. Write that philosophy down first. Where is it that you're trying to get to? What are three things that you could work on right now that will help get you there? And what are the small things we can do every single day, those KPIs, that we can do every single day that will help us get to those three goals? Monica, those are my three action items I pulled from everything that you had beautifully stated. think there's also action items they can pull out on the personal side, like journal, you guys. I love your idea.   you know, what's holding me back from doing this? What are my limiting beliefs right now? And if that's scary to get it out on paper, probably back up a little bit and start there. And re-listen to everything Monica said, because she's spot on you guys. you're having trouble localizing it, you're having trouble getting it on paper, or you're scared to share it with your team, there's something internal there. And if you're scared that your team's gonna react a certain way, is that you? Or is that them and you need to go back to the right person, right seat?   that we recorded a few weeks ago. That's a good question there. So Monica, is there anything else that you would leave as a parting statement, something that can really wrap up the CEO mindset for them?   Monica (23:41) Yeah.   Yeah, thank you. actually do. And I was thinking about ⁓ what's the first thing I would do after listening to a podcast like this. And I would go back and ask great questions. Great leaders ask great questions and start with you. Go ask yourself three great questions that are going to start to unpack the CEO that's already within you.   The Dental A Team (24:11) I love that. I love that. Thank you, Monica. I love podcasting with you. You have just, your brain, I love picking pieces out of your brain, because you and I think similarly in a lot of ways in that introspective kind of world, and I think you and I could live there for hours and be so happy. So thank you. Thank you for always sharing everything with us, and...   Monica (24:20) Thank you.   I know.   The Dental A Team (24:35) bringing such amazing tools. The CEO mindset is really important and I know you work on this really, really hard with a lot of your practices. So handpicked for you. Thank you Monica for your time today and everyone here shares that sentiment I'm sure. Of course. Of course. All right listeners, you heard her earlier. She said, pop it in, pop it in your review, pop it in an email to us. Let us know what's your philosophy. Let us know what you love today.   Monica (24:49) Yeah, thanks, Tiff. This was great. Thank you. Thanks so much.   The Dental A Team (25:03) what you want more of, you can drop us a five star review below or Hello@TheDentalATeam.com or both you guys, we love hearing from you. We do get a lot of you that email in different ideas and things that you'd like to hear about. We love that. So please reach out Hello@TheDentalATeam.com and you guys, can't wait to catch you next time. Thank you.  

If you want high-dollar procedures done more often in your practice, this is the episode for you. Kiera specifies what needs to be in place, including skillset, morale, and language. This kind of case acceptance goes beyond the everyday appointments, and Kiera explains the difference. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners, this is Kiera. And today I feel like this is my bread and butter. I feel like this is what Kiera Dent was made to do. And I cannot wait to teach you guys the secret to getting patients to say yes to those high dollar, high ticket cases. We're talking the 20, the 30, the $40,000 cases. But the great news is these principles can be applied to your smaller cases too, because I just think that like how to do this and this is what Kiera's really good at. And I have a practice that ⁓ implementing incorporating these tactics.   has been able to grow every one of their locations, multi-millions every single year. And people look at these practices, they see their stats and they say, how did you get these numbers? And they said, it all started the day we brought Dental A Team into our company. And that's just a huge testament to me, to the work that we do, to what our consultants do. And for anything, it comes from a passion of being able to help more patients get the dentistry that they need and deserve. So I just feel like there's so much fun to case acceptance and ⁓   It's not about selling, it's about words are free. And so let's use our words to the best of our ability. Let's use our words to the best experience for our patient. And let's help all of them have the trust, the clarity and the confidence to be able to say yes to those. You guys, Dental A Team is obsessed with helping you and your teams have more profitable practices, happier practices, happier teams, happier patients. We are obsessed with that. And our mission is to positively impact the world of dentistry in the greatest way possible.   and doing it in a tactical, practical, let's do this. So I really want you guys to hopefully take this on, take the system, take the tactics and help more patients say yes. And to just be proud of the dentistry you're able to do. Now, step one is you've got to be really, really good at dentistry. I can sell any dentistry. Like I feel like I'm a miracle girl for practices. I feel like there's easy ways to do this. But step one is we've got to have great dentistry. Otherwise our treatment coordinators and   our team and our patients that makes it very, very hard actually for us to want to sell dentistry. So step one of this is going to be you've got to actually do great dentistry. Okay, that's step one. So if you're not good at something, please don't sell it, go get good at it. But also please don't make it worse than it is. You might actually be a great clinician, but you don't give yourself the credit for that. So I'm on a mission to help the best dentists thrive, the best dentists do great dentistry and to help more patients.   So that's step one is I got to make sure that you guys are doing really, really, really good. Step two is getting patients to say yes, especially for these higher dollar ticket ⁓ items. We've got to make sure that we've got dialed in systems. ⁓ I use the example from Disneyland that people can feel perfection. And so does our team feel well oiled? And this means that our hygiene team is teeing up treatment. We're all looking for it. If our associate doctors are not doing this treatment and they're referring to our general doc, our, our owner doctor,   We've got to make sure all the associates and the hygiene team are trained on what to look for, how to present this, how to tee it up. Do we bring them back for consult? Can we diagnose it? What's the process for that? And if you want these high dollar procedures to be done more often in your practice, training your hygienist and your associates is one of the best investments of your time. So everybody's looking for it. We basically become a referring practice to our doctors that do these procedures. ⁓ I really do believe that   everybody. So hygienist looking for it. Hygienist should be the first person and this goes for all treatment planning, but we're going to dive it into these higher dollar ones because there is a little bit different on how we actually present the treatment plan. But all these first steps should be all parts of high case acceptance. Now just also give a little credibility. ⁓ Implementing these processes usually take for just general dentistry, it usually gets you up to a 75-ish percent acceptance rate up to 90.   Now, if we're higher than that, I know we might not be diagnosing as much as we need to, but in general dentistry, we should be cracking pretty high case acceptance. Now for my like 20, 30, 40, $50,000 cases, right around a 35 to a 45 % acceptance rate is going to be the targets we're looking for. And that is dollar for dollar, not one for one acceptance rate. So if that helps you guys, that's what we're going for. ⁓ But step one is do great dentistry.   Step two is believe in the dentistry. And then step three is going to be where everybody is speaking the same language. hygienists should be the first person to tee up all dentistry. They should be the one showing the x-rays, showing the intraoral photos, showing all of that so the patient can absolutely 100 % see what we see. We want that patient to be bought in. We don't want to just try and help them like, okay, like you might have this. We actually speak in the same terms as the rest of our patients.   ⁓ In one practice what we did is we actually had the doctors tell us exactly how they diagnose treatment We as consultants recorded it on our phones and we had the whole team hear it and then we gave them all these recordings and the whole team has to listen to it and this was our fastest easiest way to get everybody up to par like driving into the office driving home from the office like listen to it in the office like you've got Christmas music playing but instead it's it's all the ways that we diagnose and describe this that way everybody says it the same way so the patients hearing it   multiple times in the exact same way. Now when the doctor comes in, there should be a handoff from hygienist to doctor. We call it the I creep. So introduce, compliment the patient, recap the treatment and say something personal. Hygienist, you want a fast exam? This is how you get it done. Doctors, you don't want to do that awkward dance of like, how do I get to know you without getting to know you, but I need to get to know you? This is how you do it. Introduce, compliment, that puts the patient more at ease, recap treatment already discussed, and then something personal about them.   Then doctors, we get them into a yes frame of mind. We're going to say, can I lean you back? Can I do a full exam on you? Yes, yes. You want to actually get them in the frame of mind of saying, yes. It's true psychology. Again, words are free. It's not manipulation. It is genuinely setting the stage to get a patient open-minded. They don't want to be at the dental office already. So how can I help them get into this higher frame of mind? Then after that, doctor's going to comprehensively diagnose. And then they're going to recap with what we call the NDTR handoff.   So next visit, date to return, time needed for appointment, re-care scheduled. This is going to be more for your general procedure. Then we take that, hygiene, then takes ordinal assistant, takes them up to the front office, say the exact handoff. Amalia's amazing up front. Dr. Smith wants to see Kiera back for that crown on the upper right. She wants to see her back for, you know. ⁓   an hour and a half and wants to see her in two weeks and she already has her cleaning scheduled. And then from there, the front office team picks it up. Let's get you scheduled in two weeks. I've got Monday or Wednesday, which works best for you. We need an hour and a half and then we go over financing. That patient has now heard this multiple times of the exact same thing. And that same process, just with a small fine tuning is going to be for these larger cases. Typically larger cases, yes, they are found in hygiene, but oftentimes it's going to be a little bit longer of a   consult if you will, ⁓ because we want to make sure that we have the before and after photos. We want to make sure we build trust with them. This is where having the hygiene team tee it up. This is where we have the perfect handoffs between doctor and hygienist. And then the doctor has to have confidence and clarity. So you've got to work this like pre-treatment build to make sure that the patient feels like they already know kind of what we're looking at. If it's all built up like this, it's very warm, it's very consistent.   everybody's on the same page. Your team feels like your patient feels like your team has their stuff together. And that's what we want. So I would look at this, like how are we doing on pre-treatment? Not even if just large cases, but how are we doing with those handoffs? How is the handoff from hygiene to doctor? How is hygiene teeing up treatment? How is everybody talking about treatment? Are we all on the same page or are we all on different pages? What does that look like? And then from that,   We wanna make sure that we're really, really, really good on visuals. So are we doing scans? Are we doing mockups? Do we have photos of before and afters of the cases? Do we have clear and simple explanations? Do we have ⁓ more like this is information. So if we're doing an all on X case, do we have information about what this happens and what are the steps? And do we have it broken down into really easy steps for them? I actually changed up treatment plans on these larger cases to step one is extraction in place.   Step two is impressions and step three is delivery. Those are very patient friendly. If our case is 45,000, I break it down to step one is, you know, 19 ish thousand and then step two is going to be like 11,000 and then step three is whatever the remainder of that is. This way it's very simple. They can pay in full for some practices or we pay per appointment. Now with these larger cases on AR and also on production and collections to make sure we're not having these huge spikes.   Sometimes it does make sense to have the patient pay as they go. Other practices want a pay in full. Both are totally fine. But what we've got to do and what we also have to realize is when we go into the finances. So typically when I'm presenting like a one to $7,000, I'm gonna schedule them first, I'm gonna present the dollars, I'm gonna talk the insurance as a coupon. ⁓ Here's total treatment, here's your insurance estimate, and then this is the total when I see you on Wednesday. Or if you would...   require a deposit, take the deposit then, and then ask what questions they have. Then we go into financing options, but it's just a very clear, very confident space that we're gonna walk into. Now, if I'm presenting a 20 or 30 or $40,000 case, it's psychology. It's a smooth flow from front to back. It is the confidence that we are gonna do the best for you. Here's what's going on. Let's talk about it. What questions do you have? I wanna make sure that you're very confident moving forward. Dr. Smith is the absolute best dentist.   to create this and to do this treatment for you, like you were in good hands. Notice in there, I edified my doctor. I made sure that I asked them what questions, not do you have questions? The last thing I ever wanna do is have my patient tell me no. I wanna keep them always in a yes frame of mind. Now, we're gonna look at this of cost. I'm not going to plant weeds in my flower garden on purpose. I don't wanna say like, is a big investment for you. Why am I saying that? It's not a big investment. This is an investment.   This is you taking care of yourself. This is you deserving this. Like how exciting is it to be able to eat food that you haven't been able to eat for the last however many years? How exciting is it to smile with confidence? I am going to radically focus on the positives for this. And then I'm going to go after and ask them what questions they have. I don't want to pre-assume question marks that they have. When people come in for these 20, 30, 40, $50,000, they're not going to be sticker shocked to see that it's that amount. Some of them might.   But the general population knows just like I use the example of when we were doing IVF, IVF is $50,000 per procedure. It's not ⁓ a cheap procedure. And the buyer is very educated when they walk into that. So it's not like what 50 grand? You didn't tell me that. It is more a great, this is what it is. What questions do you have? I want to be here as a support. Now for some offices, they do offer financial avenues that some people might not have thought about. For example, polling from a 401k.   For example, a home equity line of credit, going to a bank, you might work with a local bank and having some of those options just so people can see. And I will tell you an IVF, they did actually offer this with us and they put that in our sample, like our folder that we took home with us, just because they wanna make it to where it's easier for us not to have a barrier or a concern. I will say that a lot of times these larger cases are a two-part close, not a same day close. That does not mean that people don't just hand over their credit card and pay you.   80,000 or 150,000 right there on the spot. I've seen it done many times. So I'm not going to assume that people need that, but this will be a tool in my tool belt. Lending Club, Cherry, some of these are going to be better at financing higher amounts. ⁓ And so we're gonna look for that. Sometimes applying for financing in the office through Care Credit, or like I said, Cherry or Sunbit, or some of these others. Lending Club, look to see who you can use. It's going to really help. do know Cherry is a very big fan favorite. ⁓   that does help fund some of these higher ones. A local bank is a great thing and have a direct line to your person that's a loan processor there that can actually help these people get loans. It's a $50,000 procedure. That's like buying a car. There are loans for this and it's not uncommon to do that. And so helping the patient of whatever questions they have. They might have questions about the recovery time. They might have questions of the payment options. They might have questions all the way around. So,   Be really crystal clear in your practice of do we collect in full before we start initial records? If so, it might be a two part close where they've got to go find out their financial options, but you set the followup because again, you're a concierge of these, we're a high end, this is a high end surgery, we are completely changing their world. For my IVF, I had a financial coordinator who talked to me, I had a treatment coordinator who talked to me, I had a nurse who talked to me, there were steps through this whole process to make me feel confident.   Confidence is going to buy these and close these cases for you. Your treatment coordinator being exceptionally confident. They don't have to know all of the dentistry, but they do need to be confident talking dollars, looking for solutions and being confident in the dentistry you do. I will say all the time, people will hear me. No matter what size treatment plan, people are buying the doctor's confidence and they're buying the treatment coordinator's confidence. If you're confident that this is the best dentistry that people are ever going to get, you will close radically more cases.   Also your psychology, what am I thinking? Am I thinking like, that's a big number. If I am, people are going to feel that versus like it's a number, it's a treatment plan. This patient deserves great dentistry. So we really have to make sure and also with payment options, not being over the top on these financial avenues. You offer them 70 different options, they're going to be very confused. I prefer two to three that I'm very confident in. I know the ins and outs of them, things that most people use. I might have a few of these that are just a little bit more.   like unconventional, for example, the 401k or the home equity line. A lot of people don't even think about those as options, but they are viable options. ⁓ And then from there, we wanna just make sure that we are dialed in and we have a very, very solid followup on these if we don't close same day. But practice it, track your stats, look to see how you're doing on it, review your stats with your treatment coordinator and doctor every single week.   record yourself and listen to yourself back. And I know that sounds wild, but this office that we've added multi-millions to five locations, the treatment coordinators literally record themselves and send it to me and we listen to it. I role play with them for years. Every other week we are role playing. We are talking about it. What's going well, what's not going well. What's the psychology, what's the breakdown. I had a treatment coordinator the other day get on with me and she said, you know, Kiera, like 45 grand is like my large case for me.   But what I'm struggling with are these like perio ones where we're charging like 900 for gingivitis and I just don't know how to get through it. And so sometimes also presenting the other side of the coin. What happens if they do nothing? What happens if they start now? A lot of these things, but what I've learned is closing these cases is a finesse. There is clarity on schedule first. There is clarity on being direct in our treatment plans.   There is clarity on having a very simple process of step one, step two, step three. There's a very clear, like very strong correlation of higher acceptance when it's that clear, that direct, that confident. Because if I'm going in for surgery, the last thing I want is somebody who's like wishy washy or we can do it this way or what do you think or what do you want or you know, if you need it or if you want it. No, I need somebody who knows what they're doing. This is a $50,000 case. This is a $20,000 case.   We need to have our ducks in a row. We need to be very thorough. We need to be very confident in it. And we need to present this plan and help more patients. So when we look at all this, number one, we got to do great dentistry. And number two, everyone needs to be speaking the same language. And we need to have the psychology that everybody wants our dentistry. And we're great here. We need great handoffs, that warm handoff of teeing it up from hygienist to doctor. Everybody's speaking the same language. We need to be showing them.   testimonials, this is what it's gonna look like, transformations, this is how your life is going to change, this is how this one patient said. And then from there, we're going to make sure that we also are really, really strong on our how we schedule, how we do our handoffs, how we present the dollars and the financial clarity and the very, very clear next step for them. And then very, very strong follow-up. If a patient doesn't schedule in the office with me, it's two days, two weeks, two months of follow-up. I am going to be very rigid with my follow-up. I'm going to have a follow-up.   And then I'm going to review every single week my progress. I'm going to look at what I closed, what I didn't close, what was said. I'm going to listen to my calls. I'm going to listen to the doctor exams because usually, and I hope every one of you hears this, usually cases are won or lost by one or two words. It's not usually all the rest of it. We've got to have all the other pieces in place. But usually when I listen, I hear one or two words that tips a patient in one direction or the other, like,   It's very small, it's very much psychology, it's very much what you're hearing that's not being said is usually what's winning or losing this. I tell everybody sequence matters on how you present treatment plans. We can have a combination lock that the combinations one, two, three, and we can put three, two, one. I had all the right numbers, but in the wrong order and I don't open it. Same thing with presenting these larger cases. I can have all of the dots, but in the wrong order and I won't close. So this is something of.   realizing that when patients say yes, they trust you, they understand, they feel safe, they feel seen, they feel heard, they feel your confidence, and they feel very confident in their decision that this is the best absolute option for them. So I really hope that you realize that high value, high dollar dentistry is partnering with patients. It's transforming their life. It's giving them the confidence and they didn't have, it's giving them life experiences that they didn't have. And so this is a dialed in of how do we get more patients to say yes?   How do we get more patients to optimal health? How do we make sure that patients are getting the best dentistry with you? Now, if they come to you and they give the objections, time, money, spouse, la-di-la-di-la, those are just to me, top line levers that are telling me of an underlying root problem. And I need to listen for that. I need to answer that. And I need to listen to what's not being said and respond to what they actually need. So this is what I love to do. This is how we help a lot of offices.   ⁓ I'm obsessed, like we said, we role play with people, we help them, we transform them. And if we were able to boost your case acceptance one or 2%, what would that do for your practice, let alone 10, 15, 20 %? This is something we're obsessed with and I hope that you guys just heard some great tips, some great tools that you will go implement in your practice. Case acceptance to me is one of the greatest gifts you can give your patients. Doing great dentistry is what this is all about and helping patients see that and say yes to you is the greatest gift you can give them. So if we can help in any way, reach out.   Hello@TheDentalATeam.com. Go change lives, go change smiles, go be confident in yourselves and just know I'm rooting for you. I'm here in any way we can help you. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.  

Is your practice patient- or production-driven? The answer should be purpose-driven. Kiera talks about how shifting your core values in a certain way can actually grow everything else. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and I am excited. This is a podcast built just for you by you. If you ever want me to make a podcast for you, just email in Hello@TheDentalATeam.com or go to our website, TheDentalATeam.com and click on the podcast tab. You can submit topics for me to record for you. And today is a great one and I'm super excited about it. Someone asked production focus versus patient focus striking the right balance.   Does it have to be both? So is your practice driven by numbers or by people? And does it have to be a choice? I'm super jazzed. I'm super excited because this is the type of juicy stuff I like to get into because this is what offices talk about all the time. Oh my gosh, we're production focused. Well, that means you're not patient focused. Oh my gosh, you're patient focused. That means you're not production focused. Does it have to be? There's tension. It's tension. It's like, are you on the right side or the left side? Are you blue or are you Which side are you on?   Like there's tension here, production focus versus patient focus. Does it really have to be this debate? So I love this. Email me. You guys are love a good pen pal. Hello@TheDentalATeam.com. I like pen pals. You guys remember that? If you want to write me a letter, you can send me a letter. It's in Verdi, Nevada on the website, P.O. Box. I think it's 635 Verdi, Nevada. No clue what it is, but I will get it and I'll send you a postcard back. So pen pal for real, email us.   You guys, really do love a good pen pal. I will seriously send you a letter back. So ⁓ write me. I would love to hear from you. But I'm curious, does it have to be production focus or patient focus or can it be both? Is it the chicken or the egg? I definitely think that there has to be a way because the most successful practices integrate production and patience. So the answer is yes, it can be both. And I don't care what side of the coin you're on. I'm gonna teach you that you can actually be on both sides of the coin and still maintain your ethics.   like your ethical integrity, all of that. You guys, this is the Dental A Team. I'm obsessed with dentists. I'm obsessed with dental teams. I'm obsessed with making you happy. I'm obsessed with positively impacting this world in the greatest way possible. And that's why we built this podcast free for you to give you all the tips and tricks. And all I ask in return is that you leave us a review and share this with somebody that can change their life. My goal is to have this podcast into the hands of every single dental office out there. And guys, you are crushing it. We are in the millions of downloads and I can't do that without you. So please today.   share, download, or leave us a five star review. That means the world to me and I do read those reviews. So thank you. Thank you for everybody who reads those reviews. I appreciate each of you. So today I want to talk about patient focused version of production focused because you know, I got a pen pal out there. production focused means that we're focused on high volume, goal driven, and we're going to probably have burnout. Like that's the drive. It is a lot of times ego. That's okay. So when I'm talking to you.   You can test yourself right now. Are you ready? I'm gonna say, hey, what is your production? Now, to answer that, what's your production? If you just told me your number in gross, you're a little ego driven and I love you for it. And I'm gonna tell you that that is one of the worst things to do because there's no way for us you to ever collect it. I was talking to a practice the other day and they're like, yes, Kiera, we are a $7 million practice and we had a million dollars worth of write-offs. And I was like, well, shoot. So.   You're actually, think they actually have two million. So you're not a seven million, you're a five million. That's a bit of a minute. So you're actually a five million dollar practice and I'd rather talk about real numbers because then I can actually truly get you to seven million rather than feeding your ego at this. So that tends to be the case where you're, if you, you might be a bit production. If you're presenting those in gross, ⁓ present them in, it's okay to your buddies. You can present in gross. To me, to here, to this conversation in real life.   please, please, please present them in net, what you can actually collect. Now, if we're too patient focused, we tend to run at a slower pace, high trust, but we risk a lot of inefficiency and you actually risk the, like, you really do run a risk of you're not looking at the numbers and you actually can create a really, really, really scary spot where you actually are in like profit row where you have no money. ⁓ And so you gotta have both.   We've got to have production where we're able to serve our patients and we've got to care about our patients. We've got to make sure that both of those come together because that's a true business. This is what we're looking for. So I just want you to look at yourself right now and I want you to audit you and your practice. Where do you lean more? Okay. So do you lean a little more left? Do you lean a little more right? Do you lean a little more production focused or do you lean a little more patient focused? It's okay. There's no right or wrong. I just want you to like really look at yourself and assess what route do you fall?   because it's gonna help you, okay? So where are you? We're not like all patient or all production, but which way do you lean? I want you to answer that. You can pen pal me. Remember, I got pen pals out there. So be another pen pal for me. And then step two is I want you to marry metrics with meaning, which isn't that cute? Yes, chat GPT helped me on that one. Marry metrics with meaning, I love that. I was like, that is such a good way to bring this to the table. So we want you guys to be like in the middle, we're not production, we're not patient, we're purpose.   Did you love that? Another P, we're not patient, we're not production, we're purpose driven. So what this is going to be is you can actually like increase case acceptance to outcomes, not quotas. So it's not like we need 20 crowns, we need to help this many patients. help team members see, like I love Tiff, she said this, she was like, production is the measuring stick to see how many patients we're serving. That feels so much better than like we got to hit 150,000.   No, 150,000 shows is how many patients were able to serve. Let's quantify that up to how many patients and now let's put that up to 200,000 and serve that many patients. So we'll help you guys see that like this is a reflection of care. It's not like just, I don't know, like a number on a scorecard. It's people. You guys, all that production was people that we were able to change their lives. That's what we do in Dental A Team. I literally like, when we talk about our numbers, for a while I put up numbers and it was just a number.   So you can tell it's a little bit more production focused rather than patient focused. And it didn't matter to me. And then when I was like, okay, we're going to go out and I want to serve, like I want Dental A Team to serve 500 dental practices. Like in one year, I want us to have that many that to me, like think of how many lives we're going to change. Cause my ultimate goal is impact to possibly impact this world in the greatest way possible. So I was like, all right, let's put an audacious goal out there. I want to serve 500 offices. Yeah, you can join us. Yes, of course.   And like now it became funds. Like the number is tied to people. Cause I ultimately care about people. care about impact. Money can have impact, but it doesn't drive me. What drives me is changing people's lives. Life is my passion, dentistry is my platform. So how can you help your team see that? So we have to help them see like for me with teams, case acceptance, I'm just saying like that's how many smiles you were able to like truly benefit. There's so many lives you're able to change. I believe the case acceptance is life changing. I was the patient on the other side of that coin.   who literally had my life changed by identities. So when we shifted like KPIs are metrics, yes, but metrics have meaning and their purpose. So what does this case acceptance actually reflect? What does this production actually reflect? What did these new patients numbers actually reflect? And when we look at it as this like patient centric, it becomes so much more fun. I did this in a team meeting the other day where, gosh, we were sitting there and I was like, all right, rattle off to me like why you guys go to Chick-fil-A? And they're like talking about it. Not one of them said price.   Not one of them. Not one of them when I talked about McDonald's said price. So when I looked at this, I thought, okay, people go to Chick-fil-A for the experience. And I thought, how can we become a more patient centric practice that uses metrics to see how we're doing of serving those patients? That's what it is. That's how you marry metrics with meaning. These numbers on a KPI scorecard are telling me the vitals of how good we're serving our patients.   So when I look at our hygiene, I wanna know, are we diagnosing perio or are we doing bloody profies? When I look at Florida, you guys, I'm a huge proponent of Florida. If you're not, that's okay, we can still be friends. I'm here to also teach you holistic. I love Florida. Florida changed my life. It prevented so many cavities for me, like truly was life-changing. So I'm like, absolutely, give it to patients. So when I look at your hygiene numbers, I'm not looking at like, did you get your eight out of eight today? I'm looking at like, did you help proactively prevent decay on all of your patients today?   Of course, if they don't want it, that's fine. But like, let's use our words, words are free. Let's set it up in a way to help more patients say yes. I am patient centric with production numbers and using words to get the results I'm looking for. I'm looking for outcomes, not effort. One of my favorite, favorite, favorite lines, and it's probably gonna become like a core value. My team doesn't know this, you guys, is we measure our, we measure by outcomes, not activity. ⁓ we measure it by outcomes.   not activity because I can sit here and say, I served this many patients, but if I didn't close any cases, I did not get the outcome of helping truly get them the smiles and the health that they deserve. Bottom line. So then step three is you got to change your culture. You got to have a culture that supports both. It's got to be efficiency and empathy. It's got to be production and patient. It's got to be like truly driven. And I've got so many offices like Kiera, I don't want to my team about the numbers. That's fine. You don't have to.   But can't we also help them see that the numbers are helping more patients? Every team I've ever gone into has told me the reason they're in tennis tree is to help change patients' lives. That's why they're here. So when I look at this, I'm like, okay, if that's why we're all here, how do we know that we're actually helping the number of patients that we could? Like genuinely somebody tell me, how do we actually know in a tangible, non-emotional way? How do I know? So we've got to help people see that like, okay, fantastic. We have a culture where when we hit our numbers,   We know we serve the patients that we're set here to serve. Period. You're not gonna go away from that and helping people see that numbers equate the outcomes we're looking for. Numbers help us serve patients. And on the flip side, when we, like you guys, there's a book called Unreasonable Hospitality. Have your team do fun things like that where we celebrate the birthdays, the weddings, the anniversaries, the celebrations. We have like a little gift basket on the side where we can quickly go and have some fun with those people to make this magic moment for our patients.   have magic moments that produce results. Team training, we gotta do patient and production language. We've gotta be empathetic. So for me to say like, my gosh, I'm so excited that you don't work with Dr. Jones. Dr. Jones is incredible. They're gonna take great care of you. Let's get you scheduled for this appointment. I know Dr. Jones definitely wants to get you back. I've got Monday or Wednesday, which works best for you. That was patient and production centric, both in the same exact equation.   when I talk to them about case acceptance, it's like, perfect. So here's the treatment that Dr. Jones diagnosed for you. This is your total out of pocket. This is your insurance estimate. This will be your total when I see you on Wednesday. What questions do you have for me? I want you to be rock solid moving forward. Again, production and patient focus. I want them to be so solid. I'm genuinely so concerned about them. I really want them to be solid. If they tell me they got to talk to their spouse, absolutely, 100%. I want you to talk to your spouse.   Help me what questions they're going to ask. That way I can make sure you're fully prepped when you chat with them. That's production and patient focused. A cancellation calls in. my gosh, what's going on? Tell me, like, ⁓ I've been so worried about you. Like help me understand where you at, what's going on. Like, are you okay? Tell me like, you're sick. Like, my gosh, what's going on? I know there's been a bug going around. Someone says I can't make it from work. my gosh. Like, I'm so sorry to hear that. Tell me what's going on. Let's find a solution. I know Dr. wanted to see you.   I can't wait to see you and I know there's gonna be a solution for us. Production and patient focus. And I think when teams see that you don't have to be one or the other, production focus can come across aggressive, patient focus can come across non-aggressive and very like twiddling my thumb sometimes. And so I'm like the true win is the middle ground. The true win is where we see that patients need to feel loved.   and important and that they're humans. And they also need to see that we love them so much. And we're going to make sure that they get the treatment that they need to get done. And we're going to help use our words to make sure it's easy for them to say yes. Both are doable. Both are right. Both are necessary. This is how you guys are able to have it. And so I think you guys can have conversations with the team. How can we be patient and production focused? How can we marry the two because we know the best practices are both.   They are, there's not one lever that's stronger than the other. Both are married together as a perfect whole, two perfect complete whole. How can we be more, if you know from, remember we did an audit, if you know you're a little more production focused, how can you be a bit more patient focused? Have that come up in the team. If you know you're a bit more patient focused, how can we be a bit more production focused? And I know you might be bristling on both sides. Production focused people might think that, my gosh, it's a complete waste of time to be patient focused.   Patient focused people, they're like, my gosh, you'll maybe be aggressive and like force these people into treatment. The answer is no to both of those. Us treating people like human beings, production focused teams will actually make those patients want to be here more. Our teams that are more patient focused, turning more production focused, it's gonna help us make sure that we're not missing things on the patients, that we're not doing inadequate care. And that actually that patient's not leaving confused and that they truly know what they need to do. And it's very clear of next steps for them.   Clear is kind. Being direct is kind. Loving people as people is kind. So I'd really encourage you to adopt this into your practice. And if you struggle with this, if your doctor is like, ⁓ I am not having that team meeting, I'm not having that conversation, great. That's why we have a job. That's what we love to do. Our job is to align doctors and team members to help team members see that production is patient focused and to see that patient focus is production focused. Both sides are necessary.   You need both of them. And so to be able to help you and your team get there, I think is a beautiful thing. So I would really, really, really encourage you to be patient and production focused, both of them. Look to see where you could be a little bit more on whichever side you don't naturally lean to. I know you can already do more on the side that you naturally lean to. Go the other side. I want you to think about it. I want you to bring that into your culture. And I'd really encourage you. And if you struggle with this or you're like, I don't really know how to do this, reach out. Hello@TheDentalATeam.com.   It's not just about this. It's about other goals. It's about other spaces. It's about other awkward conversations that you just don't know how to navigate. It's about getting your team and you doctors rowing in the exact same direction. And that's what we're here to do. So reach out. Hello@TheDentalATeam.com. And as always remember, patient and production is purpose driven dentistry. And that's what you're here to do. And I know that you're here for that. I know that you care so much about your patients and that's why I wanted to really bring this up. So thanks for the pen pal. Thanks for writing. I'd love to hear from more of you. Hello@TheDentalATeam.com.   Go to our website, give me some more topics and reach out. I'd love for you to be one of our 500 practices. We get to help love serve and have that be the purpose to positively impact and change your life for the better. Not just your practice, but you as a person. Because at the end of the day, I care about you as a human being. I care about you thriving. I care about you having the practice of your dreams and having the team of your dreams because I care about you as a human. So reach out and as always know that I'm rooting for you. Know that I care about you.   Know that I adore you as always. Thanks for listening. I'll catch you next time on the Dental A Team Podcast.  

Kiera and Tiff are together on the pod to talk about their favorite team bonding activities that keep everyone feeling seen, heard, valued, and respected. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and it is a special day. I have the one and only Spiffy Tiffy, TTKD on the pod. We normally don't get a podcast together and I feel Tiff, these used to happen a lot more. We like fix things and now we're gonna hang out a bit more. So welcome. I feel like it's such a treat when you and I get a podcast together. How are you today?   The Dental A Team (00:18) Thank you, I agree. We don't get enough time together and we are two ships in the night. So I'm good. I wanted to tell you though, ⁓ Spiffy Tiffy sparked this for me. Kiera, as everyone knows, is a fantastic gift giver. You really are, because you put so much thought into every gift that you give and it's sent with love. So I hope all of our clients who get gifts know that like that same spirit is sent in everything that you get. But my point of it is, years and years have gone by now.   The Dental A Team (00:28) Thank you.   Thank you.   The Dental A Team (00:45) that I get little Spiffy Tiffy gifts. So it either just says Spiffy Tiffy or it has my caricature who will make a comeback one day. But I used my, it's coming, I know, I know. I used my luggage, like my bag that you had given me. And I was just randomly just like walking along like I always do. This happens to me a lot, like Spiffy Tiffy. And I'm like, what? Like, who are you? Like, how do you know that? You listening to a podcast? That's weird.   The Dental A Team (00:50) One day, we're coming.   Mm-hmm.   Thank   you   The Dental A Team (01:12) And then I realized that I had   The Dental A Team (01:13) Weird.   The Dental A Team (01:13) my, they were like, what is that? What does that mean? And I was like, well, that's me, obviously. My caricature is on there. So anyways, it was just a funny story that I was just like, what? Like it always catches me off guard when somebody calls me Spiffy Tiffy, or when I get on a client call and somebody's like, ⁓ Spiffy Tiffy. And I'm like, this is so weird.   The Dental A Team (01:28) you   It is weird and so it makes me so happy that people like get into like who Tiff is the spiffy Tiffy like they're calling you they're like that's like a very very inner circle name and so for people in the airport to be like hey spiffy Tiffy.   The Dental A Team (01:38) They love it.   I know, literally, literally. And I had   a client the other day that was like texting me. ⁓ We text all the time, me and this client, he knows who he is and he listens to all of them and I know this because he was texting me and he's like, it's so weird. Well, he was voice texting in his Tessie, but he's like, this is so weird to be like listening to the podcast in my car, you're talking, but like I'm voice texting to you. So then Tessie is like saying it back. And I was like, wow, that is like an alternate universe.   The Dental A Team (01:55) Yeah.   you ⁓   you   That's a that's a full Spiffy Tiffy moment all the way around and I do love because Spiffy Tiffy actually came from the podcast So like we really want to throw this all the way back. I just I love a good a good nickname I love a good like and honestly tiff it's just stuck like it used to be like TT tiff tiff Spiffy Tiffy though I think is like the clutch like it is the best of the best so and I mean it's got to you We've been doing this for a long time together and that's I think why it's a special treat   The Dental A Team (02:19) Yeah.   I said it.   The Dental A Team (02:41) I don't know how you guys feel in your practices, but if you've got your core person that's been with you since the get-go, I think as the business evolves, you kind of lose that time together because you have to like, Tiff's over with consultant, she's podcasting, I'm running different pieces. We've got like our two different worlds, but I think like, I'm just gonna say a shout out to the founders and their like core person. Have fun time together. Like remember why you got into business together, which is why Tiff and I like enjoy a good podcast time. It's a good hangout. So on that note,   Tiff and I are gonna talk about one of our favorite things, team bonding. And this came up because Tiff has so many fun games that she does in offices when we go in and consult. And I just thought about like, offices don't think like we do. And I didn't realize this, Tiff and I used to think everybody, I mean, Tiff and I can be across a room, even today when we're coming onto the podcast, I'm going into Slack to message Tiff our link to podcasts, right as she's sending me a thing of do you want me to join? Like Tiff and I are, it is a weird.   I do feel like we were twins. Like, I think we just got separated by one year, but like we were meant to come into this world at the same time. It is a weird synergy that we have together. So sometimes we think that everybody thinks like us for better or for worse. And I was realizing that teams don't think about team bonding like you and I do Tiff. You are such a talented person at getting teams to engage, to have fun, to like get lightheartedness and then really dig into deep topics. And so that's where I thought, Hey, it's Kieran Tiff. Like, let's just do a throwback. Let's have a fun time today on the podcast and give our listeners.   Like, hey, here's some great ideas for team bonding that you can do that's fun, enjoyable, energetic, and honestly will bring a little curative magic to your practice. And if you hate doing this, a reason you should reach out to Dental A Team, because we love to do this. I feel like we're just going to put on a party when we're in an office and have a good time doing it. So Tiff, let's talk some of our favorite team bonding things that we do in offices.   The Dental A Team (04:26) Yeah, think number one, thank you, Kiera, for all of what you said. There's so much there to be thankful for and grateful for. So this journey has been incredible. And I'm just excited that we're still here together. It's been some moments, you know? I'm kidding, not kidding, but dirty laundry.   The Dental A Team (04:38) Me too. Yeah. I mean, I'm just going to slight tangent. was recording earlier and   I was talking about like 12 systems and I'm like, Oh my gosh, Tiff and I did a labor of love on the podcast. Do you remember that? We did all 12 systems and we talked about how like you and I have hard conversations together and some client texted you and they're like, how did you and Kiera get there? And you're like, Oh, if you see the conversations behind the scenes that we've had for the years. And I say like, man,   The Dental A Team (04:53) huh.   The Dental A Team (05:07) appreciation to you. This was not my forte until I met you and you have pulled it out of me, but I do agree. I think that will also tie into team bonding. it's not really a total side tangent. ⁓ I think having conversations and relationships, we were even talking about, we're coming together for a company ⁓ annual planning of leadership and we were debating like, we all stay in separate hotels or do we get a VRBO and we're all together? And Tiff, you said it so well this morning. You're like, it's like family.   The Dental A Team (05:17) So I was gonna say, yeah.   The Dental A Team (05:33) When you're in leadership, when you're in teams, you've got to learn to work through those problems and not just run to your room, slam the door and be siloed. But I think that that's what team building and bonding is supposed to be about. It's not just supposed to be the surface level. Like if you really want a team that can jive and energize and be solid, you've got to have these team building. And I think a lot of team buildings, the communication and tip, that's honestly something shout out to you and appreciation. Cause the woman I am today, you have had a huge influence on me being the communicator.   the hard conversations, the directness. You even tell me like, Kiera, just be freaking direct. Just tell me what you want. I'm like, okay, this is what I want. Like, thank you. That's great. Let's move on. And just the, which I appreciate. So I think like not planned. I think that that's a core route to the team bonding and the pieces is that's what you're ultimately trying to get to is that that connection, that confidence, that trust, that vulnerability that you can say what needs to be said. And the person on the other side is not just going to walk away.   The Dental A Team (06:07) Yeah, that's my efficiency.   The Dental A Team (06:28) even if it doesn't land right. There have been times you and I have had eyes with each other of like, so I'm going to say like what I think you were trying to say and you let me know if that's what you meant. Cause what I heard was definitely not that.   The Dental A Team (06:38) Yeah, yeah, thank you for that. I appreciate that. And I think that to my core, it's why, to my core, it's why waste time on stuff that doesn't, like why waste time, period. Just why waste time? Time is like so precious in all of our lives and we spend so much time trying to figure out what someone meant by something they said or what they're actually thinking or.   they said this, like actually they I know that they meant this. I'm like, well, you don't because that's not what they said. So like you can ask them or we can sit here and like keep talking about it. My friends probably love and hate that about me and Kiera, you probably do too, because sometimes I'm just like, how many times are we going to talk about this like boy, right? Like, like I can't talk about this boy anymore because you it's either yes or no. like, so we move on, right. So time and I do think like   The Dental A Team (07:13) love.   The Dental A Team (07:24) I appreciate that, Kiera. Everything you said, again, thank you. And I agree, like we've come so far and with team bonding and even just like having fun team meetings, the key is that everyone in life just wants to enjoy what we're doing. We just want to enjoy every day. We just want to enjoy the life that we're living. So coming in and having a stuffy meeting or having a like forced to bond with people situation, like sometimes I don't want to bond with that person and that's okay too. We can still be on a team together and work.   really freaking well. So don't force people to bond together and don't force things that just just don't force things you guys it should be a very natural situation but the point of all of that is my core is efficiency so like don't waste time just what can we do to like just and and I'm not saying don't work through things I'm saying tell me what needs to be said so that we can work through it because I will spend as much time as possible.   as needed, as necessary to work through something. But I don't like the like him and ha back and forth because it makes me uncomfortable because I can't figure out what to do. And so it's a space of just like, as long as it's clear, I can work through anything with anyone. I can be anyone's friend for the rest of our eternity because I can work through anything as long as on the other side it's reciprocated. And for team bonding, and I think   me working with teams, I think that's something that I carry and that I bring to make it fun. It's like, cool, we're gonna have fun. And who I am as I show up today is who I am as I show up in offices too. And so I think it breaks down a lot of barriers. So when you come in and you're like, I am the leader and I am the boss and we're gonna do these things, it's like, no, just be with them. So we can just be with each other and be together. like Kiera.   Kiera not staying, she doesn't have to stay at the VRBO while we go do our leadership retreat, right? Like we could have put the rest of us together because we're not the owner of the company and maybe she needs a breather, maybe she needs, like she could have done that, but it would have broken that bond between Kiera and the rest of the team. So her being like on the same level as us does not mean that we don't respect her as the owner of the company and as the lead to us that she is.   it means that we feel seen, heard, valued, and respected ourselves. So that team bonding really becomes about the team and not just the rest of the team. Kiera's a part of that team. ⁓ But I think, Kiera, I think that was massive information and it was a good spin on it. But I think the fun piece that we bring, think we should, we talk about that. And a lot of that comes from Kiera, you,   The Dental A Team (09:58) Mm-hmm.   The Dental A Team (10:12) giving the permission to be that way. When we first started, I think anyone who's like, there's a lot there, but I think anyone who's like, I'm going to be a consultant, right? It's like, I'm going to wear the heels and I'm going to wear the pencil skirt. I was listening to a podcast yesterday, it was like that CEO mindset. And it's like every little girl is taught like you're going to be a mom and a CEO. And we all have that mindset. And that CEO is like, stern. She's like, Yep, GSD.   The Dental A Team (10:17) you   The Dental A Team (10:41) We don't laugh, don't talk, we get stuff done and I go home to my kids. And it's just like this like stern, stuffy human. And coming into consulting, it feels like that's how I'm supposed to be. And I know a lot of companies are that way and that's totally fine. And I know it works for people, works for people. What we came into was know we're here to have fun and we're gonna bring out the child-like enthusiasm.   Because it helps get things done and people can love their jobs like I don't want to come in and be like man I do this Stern Stern I want to come in and be like let's play games like let's rally let's shake things up let's make this fun again and watch what you can do to your profitability just by Living a fun life and care I think that's a piece that people miss when we when we decide we're adults now, so we decide we're adults and we're like   The Dental A Team (11:15) Mm-hmm.   The Dental A Team (11:36) not supposed to have fun anymore. We're not supposed to laugh at work. We're supposed to be serious. And that was just the movies we watched, right? That was the Devil Wears Prada. Nobody's actually running around like the Devil Wears Prada and loving their life. Like, no, we're here to have fun. And Kiera, think that's something that you give all of us permission to do, because I think that's the spirit that you carry in life. I think it's like a balance for you, and you're constantly on the teeter totter of that. But I, as just   The Dental A Team (11:46) Right. ⁓   The Dental A Team (12:05) lead consultant in the company, not owners, CEO, whatever titles you carry, I get to live that up constantly and not have that teeter quite as much. So I think when it comes to team bonding and you asking me that it's because I do have that permission to like shake things up and just be fun and have fun. And if I'm, I tell my, every practice I walk into, every team meeting that we do, I tell them if we're not having fun here.   The Dental A Team (12:06) you   The Dental A Team (12:32) I am peace and out. I do not want to live a life that's not fun. So this meeting is like, yeah, exactly. And I tell them that I'm efficient, I'm not wasting my time, I'm not wasting your time. Promise you, I will never waste your time. So if we're not having fun in this meeting, we are not enjoying the heck out of our lives and getting actionable, clear, pushing forward pieces that we can implement right away, why did we even come here today?   The Dental A Team (12:35) There's your efficiency.   I love it. And thank you for the things you said and the agreed fun I think is such a key element in the spirit of fun. I was thinking about it. It's not quite my best alliteration for you, but I think it's going to be just an added on for you that you're going to appreciate. I was thinking, okay, TIFFs efficiency. We've got Spiffy Tiffy. So it's not perfect because I think it can be taken a smidgey wrong, but I think it's freaking funny. I think we call you iffy Spiffy Tiffy because I can't quite get efficiency, but the iffy kind of just edges for you.   The Dental A Team (13:26) So it's like, yeah,   yeah, yeah, I like it, I like it.   The Dental A Team (13:27) We got the iffy   Spiffy Tiffy over there. I'll work on it a little bit more. But to that point, the efficiency, the fun, the team bonding and agreed for me, I don't want to be in a company and this is your space. This is what you do for us on Dental A Team. Fun is one of our core values. It's who I am at my core. ⁓ like yesterday I walked into a meeting, ⁓ and walked in virtually and Eve, our marketer, I she doesn't get embarrassed by this. Like it was freaking funny. I laughed so hard. We were like changing our names. were giving me a hard time because my name came in as the wrong name.   And she was like, Kiera, no, you can just change your name like this. So she put in big boss in all caps and we're on this marketing meeting and I freaking laughed. I thought it was hilarious. The fact that she could say that in front of her boss to me. Well, I also know that Eve has the utmost respect for me of what we would do and would never in her wild streams ever disrespect me. So then of course I pop onto the me. I had to like switch and join in a different way. So I throw in bigger boss with a smiley face.   and Eve like dies laughing on it. And then our marketing consultant was like, and the ultimate boss. But I think in those realms, being human as the CEO and as the boss of it is more fun. And Tiff, to your point about team meetings and team bonding, I think living life on purpose and having fun in what you're doing is the key to getting success of your team. We can talk and we can give you all the tactics. Like Tiff and I do balloon towers and we help you with that. We do a lemonade stand. That's a ton of fun. We do.   Two truths and a lie. do, ⁓ gosh, there's like riddles that we do. There's so many different things that we do that we can tell you that we can spin. We do paper airplanes, we do peanut butter and jelly. Like we can give you the tactical, but Tiff, think it was unintentionally perfect today that the core of how you get team bonding to really resonate is one, be who you are and be true to who you are. I did not want a stuffy consulting company. That was not what I was here for. I did not want the pencil skirts. I want us to deliver the pencil skirt standard while being an approachable human for you.   And that to us is our core. That's who we bring in for consultants. If you are too stuffy, if you can't have fun, if you can't laugh at yourself, probably not the place to be because we want clients to be able to do that. So one, be true to who you are. Two, have fun and make sure that your team and your like you're experiencing this and then do bonding on purpose. Like you said, Tiff, I think it's like, what's the purpose when we do all those games, there is a purpose that we tie to it of helping people like peanut butter and jelly is communication of handoffs.   Like you tell me to put peanut butter on, I'm gonna wipe it all the way up my arm. We had a whole commercial for this, like let's do some real big throwbacks. It was one of the funniest things we ever did because like that was real and that's real life for handoffs. But when you do team bonding, make sure it's intentional, make sure you're human, make sure you're real and make sure you're having fun. I think would kind of be the pretty bow to put on this team bonding. Tiff, any last bows you wanna add to our team bonding funds? Iffy, smiffy, tiffy over there.   The Dental A Team (15:46) So great.   Yeah. I... Whatever it is. Come on, guys.   You guys can help with this. Everyone knows me now. ⁓ No, I think...   The Dental A Team (16:10) I'm gonna get you a bag.   They're gonna really like iffy Spiffy Tiffy. I just love okay I'll work on it   The Dental A Team (16:15) Are you or aren't you? Which one is it? I   think a pretty bow. I think you hit so many pieces on the head. I think one of the pieces you said was, yes, make sure that the games are intentional. Whatever it is that it's tying back to something. So something I think we do really well is tie back to the thing that we want. train teams to do this all the time. It's like treatment planning. I want you to schedule. So it's like, no, I don't have that. But what I can do is put you here. I'm tying it back always to what I want.   So whatever game it is, whatever bonding experience it is, like how can we relate this to what we're doing? Kiera took us all, and this is not to tell you what to do with your bonding. Kiera took us all one year to Disney. And we were like, fantastic. But then right before Disney, she's like, and our goal is to figure out how Disney does what they do, right? And I was like, for the love, we can't just have a day, you know? But then it was like, immediately I was like, gosh, give it up, woman, right?   The Dental A Team (16:53) Thank   The Dental A Team (17:14) But then I was like, actually, that's really brilliant because how does Disney do what they do? Like, how do they clean up the trash without anybody knowing? Like, how do we go above and beyond for our clients in a way that mimics how Disney goes above and beyond? And so it actually turned into like this really great thing, right? But anyways, be intentional, be true to yourself, be yourself, and let people see you.   The Dental A Team (17:38) Tiff, yes, I have softened up a little bit. We don't always have as many meetings or as many photo shoots, but I appreciate that you said that because I also do believe as a CEO, I want people to bond and to be together and to, but again, it's an intentional bonding. And when we did go to Disney and it was a ton of fun, like we had a blast. think our second round, you and I looked at each other, because sometimes Tiff and I, we have a good, good friendship, you guys. We've been like dear friends, like.   The Dental A Team (17:42) ⁓   Thank you.   The Dental A Team (18:04) I'd put it in like BFF. Like I think if we were in elementary school, we'd have those separate heart brace like necklaces. ⁓ Tiff and I are truly like dear friends in and outside of work. And I sometimes make Tiff not be my friend in public settings because I'm like, no, I'm here as a boss. And the last time we loosened up a lot and I'm like, everybody should know that Spiffy, Tiffy and Katie go way far back in the, like you should be grateful that Tiff and I are as close as we are for the things we've gone through. But to that point when we did Disney,   The Dental A Team (18:30) Mm-hmm. Mm-hmm.   The Dental A Team (18:33) I think that there's always, ⁓ as leaders, your job is to make sure teams can tie back to that because you might help them highlight and see, Tiff now thinks about Disney very differently, then it's fun, but how can we now make our company this way? And to develop and develop leaders, I think is one of the paramount pieces of team development. So I know Tiff and I were a little like spirally, we had a good time. guys, Tiff and I don't get to chat all the time, so I hope you enjoyed a little chit chat personal on this, also a lot of fun, but I hope if nothing else, you take the core of exactly what Tiff said.   Be intentional, be true to yourself, bond for the sake of bonding, not forced bonding, and really truly have a lot of fun. Teams will resonate so much faster in that childhood fun. How do we as consultants flip the results we do? It's by getting you to basic ease, fun core that helps them see the purpose, the why behind it, but did it in such a playful, fun way. So if you need more tips or you want help with that, be sure to reach out. Tiff and I have a bajillion ideas. I feel like we're like Mary Poppins with our bag full of tricks, but it's truly with intentional purpose.   to help your teams just rise to the level that they want to go, not necessarily where the CEO wants them to go. It's conjoined, it's conjunct, like they really do come together. So enjoy that. Tiff, thanks for being on the podcast. I know we've got to both run to our next meetings, but thank you. Swiftie Tiffy, thanks for being in my life. Thanks for being on the podcast. Thanks for giving all this goodness to everybody. And truly you just change teams lives when you go in there. So I think any practice who gets to work with you or our team that you train truly is super blessed to have that. So thank you. Yeah.   The Dental A Team (19:44) Thank you.   Thank you. Thank you.   The Dental A Team (20:02) And for all of you listening, reach out, go to the website, click on, book a call. Hello@TheDentalATeam.com is our email reach out. We're here to help you and your team have more fun. Enjoy. And as always, thanks for listening. We'll catch you next time on the Dental A Team podcast.  

Tiff and Monica talk about the fundamental elements to include when onboarding a new team member, and some of them might surprise you. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:01) Hello, Dental A Team listeners. Welcome back. I am just so happy to have all of you. know there are so many people out there that support the Dental A Team in so many amazing ways. And you guys being here downloading these podcasts and having that little, I know Apple allows the like auto download. I always love that. Cause when I'm on flights, I can just, you know, podcast. But you guys being here.   pushing those through for us, being here to just support who we are, what we do is so truly incredible, whether you're a client, a future client, or someone who's just here to listen and you're like, ⁓ you know, never gonna sign up, we don't really have a preference of how you get to us. We just love that you're here. We wanna deliver all of the most amazing information that we possibly can. You might notice we share a lot of information, a lot of tips and tricks, a lot of like, I don't know, feel like, Monica, I feel like they're like.   secrets, trade secrets, right? And people are like, gosh, I'll just listen to your podcast. I'm like, fantastic, do that, do that. When you're ready for someone like Monica, who I have here with us today, you guys, to be like, I'm gonna push you a little bit further. She's here, we're here, and we're ready to help you get to that next level. And as I said, you guys, this is a truly, truly exciting day for us. I have Monica back on the podcast with me today. I am so excited to have you here, Monica. I know.   Monica Gomez (00:57) ⁓ yeah.   The Dental A Team (01:20) Previously, I've kind of given a good spiel of who you are and how we found you. And we got to record a podcast, if you haven't listened to it yet, about this really hiring tips and strategies. But there's so much to learn about Monica, her coaching style and who she is in that episode. So if you haven't listened to it yet, go do that. And as an introduction today, Monica, welcome. I'm so excited to have you here. And I just I'm excited to pick your brain. love I love watching.   I feel like I get to watch the flow of how thoughts come to you and it's just really fun and I love our time together. Thank you for blocking out your morning and being here with me this morning and Monica, how are you? How was your weekend? How's life? How's Monica?   Monica Gomez (02:04) is great and I'm starting off my week with podcasting with you ⁓ and this is so fun. This is my second podcast and I'm so excited to be here. Our first one was really, there was a flow to it, right? It was a ⁓ great little conversation, valuable. We dropped lots of gems, you guys, so go listen to that podcast and I'm excited to be sharing this space again with you, Tish. Thank you for having me.   The Dental A Team (02:19) Yeah.   Thank you, thank you. I do love this and it actually makes me think this is like a little off topic here, but just for a smidgen of time. love the podcast space with you consultant ladies ⁓ on our team because I love that this is a space where I get to, I think I get to share how much I love you guys. Like how much admiration I have, how much I look up to you guys and get to like extract so much.   knowledge and input from you. And I think this is our space of like, truly having some connection time. And we have our one on ones, I mentioned that before, but those are so goal driven and work driven. It makes me think I love relationship and community. And I think that's something that humans are learning again, we're relearning that we need that. I think we lost that for a moment of time here recently and   in the years and we're coming back to that. You kind of don't know what you have until you lose it sometimes and we lost that space. And I think this is our space of true community. We do have our weekly meetings, we have our one-on-ones, we have our data-driven, work-driven time together, but the podcasting space is actually really special to me because I do get to, I get to get to like, want, we get to put you guys out there and I get to just spend this time with you.   And it makes me think you mentioned something on the last podcast that we had recorded together. You mentioned that intentional team time together and that like just clicked. As you're talking, like it clicked for me. This is our intentional time together and instilling that into, infusing that into the workplace. It's really special. And I want doctors and owners and leaders and anyone who's here, dental assistants, treatment coordinators, I don't care who you are. I want you to...   know from the bottom of my heart, this is a really special place and you don't need to go start a podcast unless you want to. But having that intentional time, like coffee time, like go in the break room and have coffee together and talk about your weekend. Like me getting to hear about Monica's family life and Charlie, her puppy, getting to know those pieces of you personally, it changes and it shifts our dynamic. So I wanted to highlight that because as you were speaking, I was like, my gosh, this is   Monica Gomez (04:42) Yeah.   The Dental A Team (04:55) something we haven't had yet because this is only our second podcast together, but that I know I do have with the other consultants and it just totally clicked for me because we just, think, mentioned that in the last one. So Monica, thank you for being here. Thank you for letting me say all that and for giving me this intentional time today.   Monica Gomez (05:12) Yeah, thanks, Tiff. Yeah, I think ⁓ this time together, we get to peek, a little peek behind the veil, right? And yeah, we do have a lot of connection time. It's structured time, right? But the value of unstructured time is just gold. is, ⁓ it builds trust, it builds ⁓ camaraderie, it builds affinity, it builds ⁓ an endearing, right? An endearing kind of sense of   The Dental A Team (05:20) Yeah.   Yeah.   Monica Gomez (05:42) of viewing the other person in a different light. So yeah, I think this is a powerful, like meaningful time. I agree with you. I agree with everything that you said. This is definitely a special magical space. Yeah.   The Dental A Team (05:51) Yeah.   Yeah, thank you.   Awesome. Well, thank you for being here. And again, if you didn't listen to the last podcast, I know this is the third or fourth time we're saying it. You should. This is kind of I think Monica actually helped me choose today's topics that she wanted to speak on. I think they actually naturally flow together. So I would maybe even listen to this one after the last one ⁓ or listen to this one. And then I don't care which order you do it in, but listen to both of them is my is my point here, because today we really we're going to talk about onboarding.   Monica Gomez (06:05) You   The Dental A Team (06:26) And you can onboard anyone, but I think maybe when we add in onboarding the right team member, because the last podcast we recorded was really how to hire the right team member and hiring with intentionality and meaning behind it. And the onboarding, Monica, I think has to flow off of that. If we're not continuously showing up as the person we wanted to hire, like we talked about in the last one.   If we show up in the interview space and we're like, this is who I want you to be, but then we're onboarding and we're like, meh, meh. We're like, this is boring person and we want somebody who's dynamic and fun and engaging and speaking to the patients, but we're like, not that person. I think it makes a huge difference. So Monica, as you've trained people, as you've onboarded, you've trained practices to do this, what are some key highlights that you like to infuse into the onboarding process?   Monica Gomez (07:15) Yeah, great topic. And I agree, this one goes hand in hand with our previous podcast. know, onboarding traditionally has been very much transactional, right? Here's your cubby, here's what you do, here's where you sit, here's how you answer the phones, right? We've got to move. Well, there's a part of it that has to be transactional because you have to learn, you know, what your job is and, you know, the daily to do's.   But I think if we lead with that, it's a mistake. ⁓ As I mentioned before, and we talked about how the workforce has changed, ⁓ and we're leading with connection and engagement and authenticity and all those components that make us unique, I think we, I really feel that we need to move.   from a transactional place to a transformational or transcendental. ⁓ It's gotta be more about behaviors, right? And how we wrap our arms around like this new person that's joining our little family, right? How would you like to be welcomed into a team that would make you feel welcome and received with open arms and warmth? That's how we have to welcome our new people.   The Dental A Team (08:17) Yeah.   Monica Gomez (08:36) You know, we've invested so much time and energy in interviewing our job post, our, you know, filtering our candidates, interviewing, that whole hiring process, offer letter, the whole nine yards. And then we just throw them in, sink or swim. We've got to add, we've got to be intentional and we've got to add more value to the onboarding piece because, you know, people sometimes are left thinking like, gosh,   The Dental A Team (08:54) Yeah.   Monica Gomez (09:05) this is not the place that I thought it was gonna be, right? Like make it the place that you post it on your job ad, right? Like create, you get to be the creator. You're the co-creator, right? This is your platform. Like what do you wanna create for your new people, right? And I think transaction.   It's always part of our industry and in the workforce, right? There is a transactional piece to working. ⁓ But again, that humanist, right? And so one great tip, I'll start with one tip and I'll turn it over to you, Tiff. ⁓ One great tip is have a welcome packet for your team, right? A t-shirt, their name tag, little, you know, if you picked up little sprinkles of who they are and what they like in the interview, like,   The Dental A Team (09:51) Mm.   Monica Gomez (10:02) put together a nice little welcome basket for them, a pen post-it, a nice little saying. I think that's, wow, I mean, that's super impactful on their first day, right? Like, welcome to the team and have everybody go around at Morning Huddle and just give a little shout out as, you know,   The Dental A Team (10:11) Yeah.   I love that. Yeah.   Monica Gomez (10:29) how valuable it is to have a new team member. I think that's super simple and important.   The Dental A Team (10:36) Yeah, I love that. think you hit on something really important there. It's really that feeling of being welcomed, coming into a new space is, I mean, we don't even like going to a party unless we know, a dinner party, unless we know everybody who's gonna be there, right? We're like, I only know two people. Like, is that enough? Right? I got a text from a friend the other day that was, know, or not the other day, it's been a bit, but for, you know, Halloween. And then she's like, I gotta go to this thing with my husband. And like, I don't know anybody. And I was like, okay, like this is, we're all coming into this dinner party not knowing.   anybody else, even if you've done working interviews, you still don't know them. So I love that really just toning in on the personal piece and the relationship, because if you can have a relationship with them, you can, you know, build that camaraderie just from the get go. I think they actually retain information and onboard quicker as well. So I love that. Yeah.   Monica Gomez (11:25) It's hard being an adult, you know? It's hard being an adult. And I think   in the practice, you know, just circling back to our topic on our previous podcast, fun is really important. We forget to have fun as adults, you know? And gosh, you know, think of it like you're in the sandbox again. See through young eyes, see through young eyes. Put those lenses on and just remember what it is to just play in the sandbox.   with your friends, right? And have like that pureness of intention and that pureness of heart and spirit. I think it's just easier when you can kind of connect to that space to welcome others in. And they'll say, I love that you're here. Welcome to the team. How can I make your week and your integration easier? I think that's a gem right there. That's...   The Dental A Team (11:54) Yeah. Yeah.   Mm-hmm.   Monica Gomez (12:21) super valuable for the person receiving and also for the person that's delivering.   The Dental A Team (12:26) I agree. I was thinking,   as you said, you said it's hard being an adult And I thought, yeah, I remember just being like, do you want to swing? Like, there's two, like, do you want to swing with me? Like, that's, we don't do that anymore. Yeah. It was easy. Now it's like, we go to, we're in the same Pilates class 10 times and I'm still like, do I talk to you? Do I not talk to you? And it's like, goodness gracious. So yeah, like just, do you want to swing? Like just, let's just have fun with it. I love that. ⁓   Monica Gomez (12:33) Yeah.   It's easier to fix ones.   The Dental A Team (12:51) And so Welcome Packet is beautiful. if you guys like put it together, it could even be like ⁓ a welcome note card. Like, hey, excited to have you. Like everybody, we write thank you cards to our patients or we write condolence cards or happy birthday or happy anniversary. Like, congrats on your wedding. We write these cards and I've seen them in multiple practices. So I know a lot of people do them. You pass them around to all the team members or the happy birthday for the team members, right? Everybody writes on the card and it's like this little message.   You could do it as simply as that. Like, hey, Monica's starting on Monday, guys. Like, it's Thursday. Let's wrap this up. Let's get this like welcome card together and a candy bar or a little ⁓ bouquet of flowers, like four carnations. Like, it doesn't have to be difficult. It doesn't have to be robust or like over the top. Just speak to who you are and who they are. I love that. And Monica, something you said was we were kind of prepping for this was you don't have to have it all together. And I loved that because we've saw many podcasts on   Monica Gomez (13:32) Yeah.   The Dental A Team (13:48) operations manual and it's fantastic. And I agree with an operations manual and practices come to us and they're like, Monica, we need an operations manual, help us build it. It's like, okay, yes. And it's super cool. Also, it's not a requirement. You can onboard, you can train, you can have them help you build the operations manual while you're training. Don't hold yourself back from onboarding someone successfully.   Monica Gomez (13:59) Yeah.   The Dental A Team (14:15) because you feel like things are missing and I love that you said that. Now, on that same aspect, a job description, super simple, to put together a job description of who they are, how they show up and what their targets are per position and then build off of that to say like, hey, in the first week, two weeks, 30 days and then kind of go from there. Now, implementally, how do you build the action out for...   for teams like that, because I'm an aggriance. I love an operations manual. I think it's great, but it's not end all be all. And just because we get through an operations manual and your consulting journey does not mean you're done. You're set for success and nothing's ever going to happen. I think there's a lot of, we could go on a tangent about operations manuals. We won't today. But how do you do that with your practices you're working with?   Monica Gomez (15:05) Yeah, I mean, I think people ⁓ absorb information and they learn differently. And I think it's really important that we hit on all three things. It's auditory, visual, and kinesthetic. The operations manual or the training manual is valuable, Because it's a resource that you can go to to reference and get a refresher. ⁓ But that shouldn't be your onboarding technique, right? That's like, OK, here you go. Here's the written. ⁓   The Dental A Team (15:30) Yeah.   Monica Gomez (15:34) proof or reference book of what you already learned, right? It is the outcome of your training. ⁓ I think, you know, onboarding can be simple and we make it complicated because everything has to be in writing nowadays and there's value to that. ⁓ But really your team, the biggest piece of ⁓ an employee staying within those 90 days is how we onboarded them.   The Dental A Team (15:48) Yeah.   Monica Gomez (16:03) Did we just give them manual or written instructions and say, okay, here it is, go do it? Or did we say, okay, this week, part of your onboarding is that you're gonna spend time with every single person in this practice in the various roles, including the doctor. You're gonna sit in and listen to the exams and the x-ray take and the hygienist. And you're really gonna understand all the makings of this practice.   it's important that we understand everyone's role and how we contribute to the entire team. So I always recommend that you hire someone and the first three days, break it up. Three, by the way, is a magical number for me. I love everything in series of threes. So three is easy to remember, three things versus five or even four, right? So three days in each role.   And have that person that's learning write down the most impact. What did you learn in these three days sitting with a hygienist? Or what do you want to know more about? This will spark their curiosity. Don't give them a script. Allow them to of grasp the topics and let their curiosity ⁓ be the lead. Take the lead on.   Here's what I want to know more about, or I don't really understand this, or gosh, I didn't know that, right? ⁓ And that goes for experienced employees or people that are new to the industry, right? That's my recommendation. Allow them to spend three days in every single role, like the journey of onboarding, right? Like, I think it's super valuable. And then... ⁓   The Dental A Team (17:32) Yeah.   Fisher.   Monica Gomez (17:51) Again, they could be kind of co-creating your manual with you because what they bring back, the knowledge that they bring back, chances are somebody else is going to have that same curiosity or those same questions, right? Yeah, I think that's a really simple tip. And those also that feedback could be part of your 30, 60, 90 day growth plans. And here's what you're really great at, right? I always like to look at   The Dental A Team (18:04) Yeah.   Monica Gomez (18:22) Think about the growth plan like a sandwich, right? Like there's the beginning, the middle, and the end. And so here's where you are, right? ⁓ Here's where, ⁓ actually, here's your role. Here's where you currently are, and here's where we would like for you to be. And like, what are the steps to get there, right? That should be part of your growth plan, your 30, 60, 90 day growth plan, along with the job description. Yeah, I think, you know,   using the job description like you mentioned as a tool, right, to guide people and also for us to understand like, what are they really great at? What are they really proud of, you know, in this job role? And what do they want to know more about? I think ⁓ I ⁓ one great way to kind of get familiar with someone's knowledge, experience and their desire to grow or learn more about is take the   The Dental A Team (19:03) Thank   Monica Gomez (19:20) the skills and ability portion of the job role and say, tell me three things that you're really great at, that you're really proud of, that you just are an expert in. And then three things that ⁓ you wanna know more about, not weak, right? Things that you don't, let's take that, negative verb out of it, just say three things that you're curious about or three things that you wanna sharpen your skills at. That tells you a lot about their qualifications. ⁓ And I'm really an advocate of ⁓   The Dental A Team (19:22) Mm-hmm.   Yeah. Yes.   Monica Gomez (19:49) eliminating the over-educating and over-matching. This exercise is a great way to kind of level set who your person is, like what's in their brain, right? Like, are you curious about? So I think that's part of like the co-creation of the onboarding and the collaboration, right? This is a partnership, we're in this together. What can I do to help you help me?   The Dental A Team (20:01) Yeah.   Yeah.   Monica Gomez (20:15) and stay. think it's intentional and it is ⁓ structured in a way that's unstructured.   The Dental A Team (20:28) Yeah, for sure. And I think that what you're saying there that co-creation also makes me think of ⁓ like collaborating and co-creating with the people who are going to be doing the training. So if you're not the one who's going to be, if you're an office manager and you're not training this person hands on 100 % of the time, then enlist the team members too. So if this person's job is   I don't know, front desk check-in and she or he has this laundry list of 20 different things that they've got to learn in the series of these 90 days or 30 days or however long you parcel that out for who's helping with those things and allow them to co-create too. And I think what you're saying, the three days, it's like, great, you're learning to answer the phones and confirm appointments. That's what you're doing for three days. You're answering the phone. So you're answering the phones and you're delivering that   patient to whomever, right? You're transferring that patient to whomever they need and you're doing confirmation calls for three days. And then stack on top of that, anything, something you said there, the co-collaborating and the kind of doing it together, but also then enlisting outside perspectives to see what flows together. Because a lot of times our job doesn't necessarily start to end flow in this perfect, beautiful space. Sometimes it's like,   well, I'm doing phones, but I'm doing emails, and I'm doing phones, but I'm checking patients out. And those are very like stark contrasting pieces. And so if we're like jumping them around or trying to do it in what a day might look like, that's very confusing. And it's overwhelming because your brain doesn't operate in that way. You can and you will and you will multitask and they will get it. But when you're learning, you've got to learn succinctly in a flow that makes sense. So you can't start with   Monica Gomez (22:02) and overwhelming.   The Dental A Team (22:17) checking a patient out if you also want them to be doing confirmation calls. Like you've got to find, like you said, your start, your middle and your end and making sure that those pieces flow together and having that outside perspective I think can definitely help. Something you mentioned was those like check-ins. So you're having those conversations with them. So that in itself right there, you guys, if you're not, I want you to pull these action items out too because that in itself, that's an action item. So make sure you've got job descriptions.   make sure you've got some semblance of flow on the pieces that they're responsible for, and then you're checking in with them. And I think frequent check-ins are really smart. We do them in our company with onboarding and we continue them kind of as long as we possibly can forevermore. We do these check-ins because I wanna know where they're at. don't, not necessarily like, did you do this thing? I wanna know like Monica, where are you at today? ⁓   Personally, who are you and where are you at today? Like are we still in alignment because that's the space I think Especially being new to a team. I'm not gonna say I'm not always gonna say hey, I Didn't get this or hey, I need help or hey I'm falling behind or I feel overwhelmed or this is a lot because I don't want to look like I can't do it But if my manager or my lead is like, hey check in how are things going? And I'm like, I think I'm getting it. I think I need more time on this   That's way better than being like, I'm overwhelmed. Like that feels better to me to be like, cool, there's space to have a conversation about this. I'm not complaining or feeling weak or looking as though I can't accomplish something. You are giving the space as a check-in to just be like, hey, tell me where you're at. Okay, great, take the space, take the time, go learn it. Or if I need to show you again, I can.   Monica Gomez (24:06) Yeah, I love that. I love everything that you said. think, ⁓ you know, words create our story, right? And so if we're asking, like, how's it going? ⁓ Are you struggling with anything? ⁓ Our minds automatically go to that negative place, right? So you get to be the creator of the script.   Right. And so if we're saying, Hey, by the way, I heard you answering the phone start, like, listen for the good stuff, right? The good behaviors. Gosh, you were amazing. Greeting that patient. my gosh. I am so proud of you. You are totally getting this and you know, how's everything else going? Right. If you start with that excitement and something positive, that person's already in that positive mindset and it's all about mindset. Right. And if we're concerned that they're not getting it, they're not going to get it.   assume that they are, assume that they are getting it. So gosh, you are, I know you're doing amazing. Tell me all the good stuff. Start.   The Dental A Team (25:08) Yeah, assume good intent, right? Always. We see that constantly. Assume   good intent. I think, Monica, you saying this right here makes me think.   Relationships are relationships, I say that all the time. They just look a little bit different. Like my relationship with Erin is a little bit different than my relationship with you, but my communication skills are gonna be super, they're gonna be the same with the right words, right? So I'm not gonna, communication is communication. And so what we do is we say, okay, this is how you sell a treatment plan. This is how you project to your patients to get them to schedule. And you always start with a positive. You don't ask for a review by saying,   how did everything go today? You say like, oh my gosh, that seemed, you how amazing was your appointment today? Like you're infusing these words in there to get the mindset, but then we don't copy and paste that always into everything that we do. And I think how you show up for anything is how you show up for everything. So show up for your team the same as you're expecting your team to show up for your patients because that's going to translate. And if you're like, oh, it seemed like a,   Gosh, today was a chaotic day, how did you do? It's always chaos, we're in dentistry. Dentistry is chaotic, your days are gonna be crazy. Life is chaotic, you're right, it's always going to be crazy. So saying that, gosh, was, woo, that was a rough day. How are you feeling? Well, I'm feeling really overwhelmed and I'm feeling like I made a really bad decision coming here. I think you're spot on is my point there. So that was beautiful, thank you.   Monica Gomez (26:21) Yeah. And life is chaotic. Period, right? Life is chaotic.   Yeah. And, you know, I when employees share difficult, like a difficult day, you know, like, ⁓ I had a ⁓ client last week share that their new hire said, ⁓ gosh, maybe we shouldn't, you know, ⁓ schedule two crowns back to back because that was really hard. And, you know, my back was hurting. And so, ⁓ you know, the doctor was like, she's already complaining. I'm like, well, okay. Well, how did you respond? Right. Because   The Dental A Team (27:11) Yeah, yeah.   Monica Gomez (27:12) Because, I mean, she's delivering something that's important. She's sharing and she feels comfortable enough to say, hey, that was really hard. That's really what she's saying. That was really hard, right? And so, you know, again, one of my favorite sayings is, you know, get curious, not furious, right? Don't look at it with the negative lens. It's a great way for you to validate, like, how important it is to be seen, and valued, right?   The Dental A Team (27:41) I agree.   Monica Gomez (27:42) And she was opening up because she wanted to be seen, heard, and valued. Like she wanted to be seen. Gosh, I like did those two crowns back to back. My back is hurting me. Are you even valuing that I sat there in fact, right? Even though they could have swapped off with another assistant, but she, you know, she followed him. And so, you know, and my advice was like, you should number one acknowledge that she's sharing, right?   The Dental A Team (27:54) Yeah. Yeah. Yeah.   Monica Gomez (28:11) Thank you so much for sharing that. You're right, that was kind of hard. Let's talk about it as a team tomorrow. Let's find ways to alleviate that when this does happen, right? I mean, the patients wanted to start, like they're ready. Let's do it, right? But where were your other team members? Like, let's talk about this. And so seen, and valued. If you can make anyone new, ⁓ a new employee, an existing employee,   your legacy employees, if you can make them feel and create a space where everyone feels seen, heard, and valued, that's huge. That's like you, you will, your team will love you, your patients will love you because again, it's that invisible kind of energy that's flowing through your practice, right? That creates that great space for employees to wanna stay.   The Dental A Team (29:02) I agree. I totally agree. Thank you, Monica. I think this was ⁓ a really, this is just full of so many gems and ⁓ I love the actual pieces of job description, kind of the, I love your three days, spend three days on it and really just making sure you go through that job description. Look at the to-dos of that position.   Enlist the team to help you. Whoever's gonna be helping to train. I had people specific on my team that were like, these are the things you just, you're stellar at and it's gonna be easy for you to train these things. They trained those. So it doesn't have to be one person. It can be whatever you want it to look like. Just make sure it's built out. You have a plan. Preschedule check-ins. I always make sure we preschedule check-ins and you guys check in with yourself too. think Monica, you gave some really wonderful tips on really making sure that we're showing up the way that we should be.   or the way we want people to show up and really just gut checking and making sure that those things are there. And I loved this. Thank you, Monica. Thank you for your words of wisdom. Thank you for flowing off of it. This was perfect. This was divine. Thank you for helping set up this flow of podcasting today and for just bringing your insight and your wisdom and your years of experience of things that you've seen work and ideas. So thank you, Monica.   Monica Gomez (30:16) Thanks, thanks, Tiff. This is definitely a gem for me. I have so much to share and so much, I love sharing, I love brainstorming, I love sharing what works ⁓ and all the knowledge that we, all of us have, right? This is a beautiful space for us to, you know, share that. And this was so fun. Thanks for inviting me and everyone.   The Dental A Team (30:22) Yeah.   Monica Gomez (30:42) Go out and be fabulous and don't forget to have fun. Have fun.   The Dental A Team (30:47) Yes, I love that.   Thank you. Yes. Go be fabulous. That is like Trish's famous words. I love that she says that. always, I know it always makes it just like, yep, I will. Okay. No, questions. So I love it. Go be fabulous. I agree. Drop us a five star review. Let us know what you thought about this. Let us know what onboarding tips you guys have. Hello@TheDentalATeam.com is an easy place to find us and.   Monica Gomez (30:53) So these are the things.   The Dental A Team (31:10) get recommendations or share your tips and tricks. We really do love that. And also we're on Instagram and Facebook, all of those places. So watch us there. Watch out for us there. Thursdays, once a third Thursday, we have webinars. You guys, we're everywhere. So if you're only following the podcast, check us out. Hello@TheDentalATeam.com, TheDentalATeam.com. We've got all of it listed there as well. Go find us, follow us and listen for more amazing tips from Monica and the rest of the consulting team. Thank you guys and go be fabulous.   Monica Gomez (31:39) you  

Merry Christmas and Happy Holidays from the Dental A-Team! Kiera encourages listeners to acknowledge and celebrate the people in their lives in real time. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript:   The Dental A Team (00:01) Hello, Dental A Team listeners. This is Kiera and Merry Christmas. I hope that you guys are so happy and I don't know, I feel so honored that you're sharing Christmas Day with me. I hope that you unwrapped your packages. I hope that you were able to give amazing gifts. I hope that you were not naughty this year and you were nice. I hope that like, my gosh, like I just wish that I was with you like walking down the stairs to your Christmas morning. I hope that you were with your friends, your family. And if you don't celebrate Christmas, I hope that you woke up today just feeling the special magic.   of this time of year of anticipating our next year. And I just hope that you're surrounded by friends and family and that you just feel love. I hope you feel love for yourself and just Merry Christmas. I am so, I love this time of year. I love this holiday and I did not used to love this holiday. It was my favorite growing up. And then there was a short stint of time where I hated it. Like no Christmas music, no things. I don't even know how that was possible because I was Mrs. Claus.   I worked for United Way of Utah County and I was Mrs. Claus for the year and we did Sub for Santa. And that was a year I realized that there is truly magic in our communities and in us serving each other. And gosh, I just like, I remember growing up like, yes, I loved presents and I love those things, but a lot of times it was just like my family being together and little things. And like in my family, had, when I was really, really little, we had these like dollars. don't know, they were called like.   I to say scholar dollars, but that wasn't right. They were these like little dollars that my mom gave us. And it was like little things that we did that were kind gestures to our siblings, like helping each other out. My family was lawn mowing business. And so we'd help each other with that. And growing up and getting older, I think, well, yes, it's so fun to have gifts for my siblings. The real gift that I look forward to, and I'm sure a lot of you can relate to this is   being with these people, being able to be present with them, being able to share special moments, to be able to share magic with them, that's what makes holidays magical. ⁓ And when I think about like this time of year, giving's not just about gifts, it's about like our presence. So not present, but presence, our impact, and how we're able to like show up for our families and for our teams and our practices. And so when I look at this, I just really think about like,   in the spirit of Christmas, the spirit of giving, in the spirit of that, like leadership and team culture are so important of gifts that you can give your team. And this is what can help you guys thrive. So of course, it's the holidays. I'll make this short and sweet for you ⁓ because I really want you to think about like when we're looking at our families and we're looking at today, being present with our family.   is one of the greatest gifts that we can give them. think of how many times are we scrolling on social media? How many times are we not present? I even think about me and Jason, like we're hanging out together and we are both knee deep in our phones. And I look up and like 45 minutes have passed by and I've been sitting by the person that I absolutely love. And the world is so obnoxiously annoying on asking for our time, asking for our attention. And I think that that's why we get so excited about holidays is we actually have this like   Dedicated shutoff time where we can be with our families and holidays sometimes actually bring out the worst in us I know two Christmases ago It was absolutely one of the worst days and I felt so annoyed because I had to slow down and I couldn't go anywhere and I couldn't call anybody because people with their families and I felt stuck and I felt trapped and I was like this is not a good thing Kiera you clearly are operating at such a high velocity all the time that you slowing down was actually one of your worst days and so I think when I look at like being present in life   I think being present for my team. How many times is my team talking to me and I'm slacking or I'm sending an email off or I'm not fully listening or I'm responding to a text message. I think the world today is craving people being present, of being intentional, of listening, of caring. And I think that that's like when my family gets together, yes, a gift is nice, but the gift of their time and attention is becoming more and more valuable because I think it's so hard to capture that from people. And also I think being present for yourself.   showing up for yourself every single day, having meditation time, having journal time. Like the world can be so loud. Things can be like, we have dinging things, reminders constantly that it's like being present, listening, showing up, engaged, engage with your team. I think about Britt, there's certain times that her and I would just like shoot the breeze and we're just hanging out with each other. And I'm like, those are more meaningful than our meetings. And we're just like trying to rattle things off and get things done.   And so I just think like, if we're giving a gift of presence, not present, how can you as a leader do that? And I think one of the biggest things that doctors can do is to actually be fully attentive in team meetings. ⁓ And for team members to be fully attentive in team meetings, I can't tell you how many times I watched teams and the doctors on their phone, they're not engaged. And I just think like, if you're asking your team to be here and you're asking them to solve problems, but we're not willing to be present,   Gosh, like that's just such a hard ask. And I think as leaders, that is your job to silence them, to be present, to be with the people in front of you and not to be distracted elsewhere. And I say team members to do the same. We've got to also have our minds be there. I could be completely checked out of my phone and Slack, but my mind could be elsewhere. And so how can I be fully attentive in my team meetings when I'm having conversations with people? And I will say like, doctors, this is like, Merry Christmas. Be present for your team.   ⁓ I watch often and I see doctors just scrolling on social media, even when I'm there having conversations with them. And I just think if you're willing to do that with me, that you're paying me to be here. ⁓ and that feels icky to me. How do think your team feels when they're coming to you as a leader, as someone that they're looking for, for support. And I just think for your family, the gift of like, even if it's like five seconds, even if you put the phone down, ⁓ even if you just like really commit to be there.   be there. ⁓ Another thing is like to pause during the day like a short connection. ⁓ It doesn't take a lot to be connected to people. It doesn't take a lot for you to just say hello to ask them like genuinely with no agenda, no time construction, not having your phone, not having your watch go off. Like even people is like, my watch like, hmm. Yep. huh. I'm listening. I'm like, you're not listening to me. I literally have my watch to where it will not have text messages come through at all. I use it specifically for a watch. If I need to later, I can have things pop in but   I shut off the notifications because it drives me nuts when I'm in a conversation and I'm having a conversation and they pull up their watch, they pull up their phone like, uh-huh, uh-huh, uh-huh. No, it's not uh-huh, uh-huh, uh-huh. You're not listening to me. You're not present with me. So I think like today, practice being present with those around you. You might be Kiera who had like one of her worst Christmases a few years ago and it was awful, but I realized this is, I'm out of touch. I'm out of practice. I don't do this often.   And if we can train that muscle, gosh, what a gift it's for yourself, a gift for your team, a gift for your family to truly be present. ⁓ I also think another way for you to do it is to celebrate people in real time. So the reason why this is a gift of presence is because you have to be intentional. You have to be paying attention to them to celebrate them in real time. like look for it, look for when your assistant does like perfect handoffs to you, like.   They're handing the instruments and they're just crushing it. Celebrate that with them. Celebrate when someone closes the case for you. Celebrate when we fill this schedule hole. Celebrate when we like got that claim collected. Celebrate when like doctors, got that perfect endo, like you got all the way to the bottom of that root tip. Celebrate when you did a perfect crown prep. Celebrate and be present in that moment. Celebrate when patients tell you great things. Celebrate when we get an SRP diagnosis and we went from a bloody profie to an SRP and we told them what they really needed. Celebrate when our team   is like giving a great patient experience, celebrate when our team does a tour of the office and highlights how great of a place it is, celebrate when people edify each other, celebrate those little pieces in your life. This is such a fun, easy way, because I really do believe that we're just becoming a society that's not present. We're giving presence, but we're not present. ⁓ We're so distracted trying to be connected that   we're missing the people right in front of us. And I think about that. We have no social media Sundays in our house. And Jason and I are shocked at how many times we like go to the app on that day. And it's just a habit. It's like these habits that have been formed. And so I think like, can you be attentive in team meetings? Can you be just connected at little points, like busy times throughout the day and just pause and connect? Can you connect with your spouse or your kids? Text them, send out little magic moments to them every day. Like,   Tell them how much you love them. I will tell you like, shout out to Jace, he's such an incredible man. He's like my greatest gift in this world. Every day he texts me three reasons he loves me. And ⁓ sometimes I don't read those with intentionality. I just think, Kiera, he sat there and thought about you. The least you can do is just be like so present and say thank you. ⁓ To give that gift to me every single day is beyond magical. To send a little love bomb, you could even do it in the morning. It can be part of your morning routine of like,   I meditate and then I send out magic to somebody and just tell them how much you love them to be present, to be connected to somebody truly connected, to pick up the phone. My brother calls me and I think about how often am I distracted while I'm on the phone with my siblings rather than being present and intentional with them. Jason tells me he'll take five minutes of me being intentional rather than 30 minutes of me being distracted. And I just think like, a gift we can give each other to not just give presents this year.   but give our presence. And on our team meeting, say that like passion, present, results, solutions are four things we say in our company. We want to show up with passion. We want to be present. And that means we show up with the people in front of us, email, Slack, text, phones are closed. And I'm not here to say that we have to be perfect at it, but I am here to say that today of all days, I hope you take time to go be present with your family, present with the people in front of you, and to maybe give a little bit more of that gift of presence to your team this year.   Be attentive in team meetings, be connected during busy times, celebrate the small wins with your team. And I will tell you that, and this means like being at morning huddle, being connected and doctors who do this have higher morale, have stronger retention of teams because they feel cared about. They feel seen, they feel heard, they feel like they're a human. So I'm telling you that's five minutes of your time that you are giving up to get this huge outcome. You're gonna have stronger relationships. You're gonna have better relationships with your kids, better relationships with your spouse, parents, siblings.   aunts, uncles, neighbors, and I think it's a gift to give. And I think it's something for all of us to do. So I would just say like today, give someone your full attention, no phone, no distractions for five minutes. See if you can do it. And then maybe work up to 10 minutes and just try it and just see. And also for yourself, sit there in silence for five minutes. See if you can do it. Sit there for 10 minutes. See if you can start to train yourself that your, your preferred operating system, unlike mine a few years ago,   is to be present rather than to be distracted feeling like I am present. And I would just say that's I think a gift for all of you. And so today is Christmas. I hope that you're celebrating with family. I hope that you love yourself. I hope that you give yourself the gift of presence to be present for yourself, to shut off, to disconnect, connect to yourself, to connect to ⁓ the universe, to God, to your higher self, to the space around you, whatever you believe today that you really truly do.   Give that great gift to yourself and to those that you love, including your team. You guys, we are so blessed to be alive today. We're so blessed to have experiences. I'm so blessed to have all of you in my life, my Dental A Team family. Gosh, I just like want to celebrate you. I want to be there with you. I want to drink, you know, non-alcoholic eggnog with you. I want to be like, cheersing you on the great things you're doing. I want to be present with you. I want to listen to your struggles. I want to listen to your wins.   I want you to be a part of our community. I want to see you the first Tuesday of every single month. I want to meet you in person. I want to be that cheering cheerleader for you. I want you to see what it feels like to have somebody see you, to know you, to recognize you, to love you, to encourage you, to give you a good like push when you need a push to hold you accountable. That's our gift to you. So if that feels good to you, reach out. Hello@TheDentalATeam.com. I am not working today, but I will be working tomorrow and our team will be there for you.   So reach out. know this is a time where you guys settle down. You are more present. You're not busy with patients. You have time to connect to yourself, to connect to your family. And I think, hey, maybe giving yourself the gift of time to get a team that's trained a little bit better, to get a patient experience that's a little bit better, to help you be a CEO instead of an operator all day long, every single day. It might be the time. You might be able to settle into that and to be present, to give yourself even more time back. be a gift to give yourself. So if that feels right to you, reach out. Hello@TheDentalATeam.com.   I'd love to chat more with you about it. And I hope you just go celebrate with your family. No, I'm like sitting there with you, drinking the eggnog, sitting there, chestnuts roasting on an open fire, hanging out with you at the beach, wherever you are. Just know that I'm giving you a giant hug. You're doing better than you think you are. I adore you. I love you. I'm here with you. You don't have to do this alone. And I'm happy to be the person to guide you. I'm also happy to be your friend on the podcast that walks with you every single day. But just know you're not alone. You're doing better than you think you are.   and I'm willing to give you the presence that you deserve. And I hope that you give that to those that you love as well. And as always, thanks for listening. Go have a magical, merry day, and I'll catch you next time on the Dental A Team Podcast.  

As the holiday cheer permeates our day-to-day, know that that same kind of energy and excitement can be found in your practice year-round! Kiera talks traditions, countdowns, and culture from a dentistry perspective. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and it's Christmas Eve. You guys know that I'm obsessed with holidays. I'm obsessed with this time of year. I'm obsessed with just so many fun things. And I hope you guys are like, yes, listen to the podcast. Sure. But I hope that more than that, you're hanging out with your families. And if you don't celebrate the holidays, I hope you're taking this time to celebrate you and to just be there with you. guys, I just love the holidays. think that Christmas is more than just about   present and like those traditions and all of that. I think it's just like the anticipation of what's coming next. And I think one of the greatest gifts we can give ourselves is like the excitement that we feel leading up to it. My husband and I were on a really fun trip this year, but we had to plan the trip in like two weeks and I actually missed the anticipation leading up to it. So with the holidays, I feel like every single year we get this anticipation, we get this gift, we get this same excitement that   I really do hope that you guys are feeling that same excitement that hopefully you're feeling for Christmas Eve tonight, going into the excitement into your dental offices for 2026. Like just think about it, you guys, we are about to wrap a bow on 2025, roll into 2026. And I think that energy, that excitement, that fun, that zest, this is really what brings the magic of the season. This is why the holidays are so special. It's time for us to sit back. It's time for us to reflect. It's time to get out of our routines. And I really just hope that you guys are giving yourself the greatest gift of anticipation.   but I hope that it's anticipation with a thought out plan. I know there can be anticipation for Christmas when I have not thought about family and it is a frantic scramble. And if you are that office for 2026, I would encourage you to not be that office. There are better ways where I actually like to have our entire year gets wrapped up by December 15th so I can go into the holidays, have a good time. ⁓ I like to have my Christmas gifts all bought usually around.   Halloween. I like to just have it done and out of the way. And I would hope that the anticipation of how great the year is going to be how great the holidays will be how excited you are for people to get this rather than in the frantic scramble because both can be anticipation both can be great gifts. But I hope that you're giving yourself the gift of like true joy and anticipation of the excitement of the year to come rather than the frantic frazzles. So guys, if you don't know me, I'm Kiera Dent. ⁓   founder and CEO of Dental A Team. love all things dentistry. I love helping dentists and their teams find happiness. Life is my passion, dentistry is my platform, and truly to positively impact the world of dentistry in the greatest way possible. Like this is something where I just hope that teams and doctors have excitement for what's ahead and that your team and you feel energized and not exhausted. And if you feel exhausted, that's okay. We've got solutions for you and I'm here to help you with that ⁓ because   I really do believe that you and your team can crush it. And as we're on Christmas Eve, you guys, my family is so fun. Jason said when he joined our family that Christmas and the holidays were just a good time. Like it has always been so magical. ⁓ Christmas Eve, we're going to be hanging out with family. And it's been fun because we shifted it up. I was selfish. And for the first several years of our marriage, I was with my siblings because my little sister is 15 years younger than me. And so   I really want to be a part of my siblings' lives. I wanted to be there and be close to them. And Jason was so accommodating. He was the youngest of his family. And so all of his siblings were grown, that we went to my family for so many years. So Christmas Eve with his family is very different. And the anticipation and the excitement, I was a little disappointed last year when we were with his family versus my family, but it was so fun. And we were able to make new traditions and...   we were able to create fun things and his dad, I made his parents who are much older, they Jason has a complete accident, ⁓ do family Christmas pajamas and matching with us and to be able to create new memories and new holidays. And I really do think that the energy and excitement and the love that we feel at this time of year can be something that you can also do with your own practices. So ⁓ I think that like,   getting anticipation with clear goals is going to be super, super beneficial for you guys. just like when we were kids and counting down the Christmas, teams also can get excited with this countdown to goals and to what's coming up and what the vision for 2026 is. And so I just really would encourage you right now, if you haven't done it or it's in the process, create goals and topics and conversations that your team can get super jazzed and excited about. Having a vision, having a fun year.   Every year I theme my year and you guys it's not too late. Like we're only on December 24th. You still have like a week before this year is over. So take the time, give yourself a theme, something to look forward to, something that you and your team can anticipate with excitement and counting down ⁓ of clear annual goals, clear quarterly goals, and then like celebrate those milestones as they come up. Like when we hit them, what are we doing to celebrate?   and have countdowns and visual trackers just like we have advent calendars. In my family, my mom was awesome. There were seven kids in my family and each of us had an advent calendar where we'd count down the days to Christmas. And I think, why don't we bring that fun, that zest, that excitement into our teams? Why are we sitting here like, hey, we hit production. No, like let's add the spice, let's add the fun. I think teams get really excited. People are like, what is different about Dental A Team over other consulting companies? And I'm like, what's different is we bring fun and excitement and get results.   That's what's different. Like why not make your practice a little more fun? So I think that you guys could build like a gold tree in December where every like scheduled case you get is an ornament and it can be super, super fun. Like you guys don't want to bear Christmas tree. So maybe consider that. Maybe we have something that kicks off in January where we have snowflakes and or we donate and we give back. Like we talked about at Thanksgiving time. Could you create visual countdowns for Thanksgiving where it's like   for all the number of cases we do, we're gonna donate to a family in need. I don't know. There's so many ways you can do it. And I don't think doctors, is for you. This is why it's a Dental A Team and dentist and team podcast. Team members, like let's get your ideas. Let's get you on the podcast. Listen to this episode, share this with your team. But like, how can we build visual countdowns and have a fun time? Because again, the anticipation with clear goals is what's gonna help you guys this season. So number two, I think something that you guys can do is like,   just like on Christmas Eve, like build traditions that fuel culture. I was talking to an office and they were dressing up as wicked. And I said, my gosh, are you guys gonna go to the wicked opening? And they hadn't thought about that, like wicked part two. And like, that's the fun stuff that fuels culture. So like, what can we do just like at the holidays? Like we all get excited for the charcuterie boards or for the matching pajamas or for stockings or in my family, we did baby stockings on the tree in addition to regular stockings.   We had countdown chains, had advent calendars. The holidays are so special because of the traditions. And so what traditions can you guys put into place in your practice? So could we have our tradition at like end of quarters when we crush it, we do X, Y, Z that people can look forward to it. We can get excited for it, that our goals are leading us to these like fun ideas. Could we do annual CE trips or retreats that everybody looks forward to? Our company cut them and then they got sad about it. And then we like, I get it.   There can be pieces, but like this is culture. Our team all gets excited for fun Friday on morning huddle. We all get excited for ⁓ Wednesday is core value shout out days. Like all these little things drive and thrive with culture. And so what can you guys do that can make it fun? Can we have a shout out jar that everybody gets gifts? Can we do like, I don't know, once a quarter, we do a, our favorite things, gift swap. So many little things that are going to just building traditions that are going to fuel your culture because   We have the countdown of anticipation of goals, but goals are not met with crummy cultures. A lot of times when I look at offices, I'm like, how is the culture? How was the leader? Those things are going to impact you far more than anything else. And so what is the tradition of culture that you guys can do? And I have a practice and they started celebrating their team. So every single month they had shout out jars and we shifted a whole culture who used to be like mean girls status. They were actually just women. There were men too, but like the movie mean girls.   to being this team of loyalty, of camaraderie, my team was even that way. I remember saying like, I felt like I used to be on Johnny Depp's ship. I was in the middle of the ocean, my boat was burning. My team was not a great culture. And when you start to do these little culture burns, so for us it's Friday five, it's the shout outs every single Wednesday, it's annual retreats, it's two events in person, it's our holiday party, everybody gets excited for it. Live to give is a part of our company.   First Friday of the month in our team is half day Fridays. Those of you who work on Fridays, you know that's a big deal. Those of you who don't work Fridays, pretend it's a half day Thursday. But just things that your team can really just get excited about. And so I'd say like, pick maybe one team tradition that you can start in January and carry all year long. And this does not mean doctors, have to do it. Luckily in every quarter, there are three months and there are usually three departments in a practice. We've got our front office team. We've got our dental assistants and our hygienists. If we wanna do...   front office, clinical team, dental assistants and hygienists and doctors. You can do that too, but you can rotate. So that way there's traditions, there's things that we look forward to. There's an office who does Dip Tuesday and they bring all sorts of dips, ⁓ vegetable dip, chip dip, you name it. And they just have a ton of fun. And I think that's what makes work not feel like work. That's what makes us, ⁓ holidays to me are the sprinkles on a cupcake. The cupcakes nice, but when I get sprinkles added, it's more fun.   And so traditions and anticipation and countdown, just like the holidays, that's what's more fun. Those are the sprinkles. Those are the sparkles. Those are the excitement. ⁓ And then I think step three on this of like, how can we build this anticipation within our practices is for you to truly like giving a gift of growth. And that is oftentimes like we talked about the anticipation, the excitement. And so growth is going to be what helps your team thrive.   I remember Tony Robbins, you guys know I love Tony. He said that progress equals happiness. And so in your team, what is the progress for each team member? What are the things that they can grow towards? How are we growing as a team? So are we doing new systems? Are we doing new processes? Are we going to expand the roles? Are we going to have consulting or CE that's gonna open doors and help us see things differently? My team was so excited. Like they weren't thrilled when I hired ⁓ a consultant.   But I will tell you, it's been one of the greatest things that we have ever done for our team. Like, of course, they're excited, they're consultants, but they also thought they knew everything. They knew what we needed to do. ⁓ to have somebody come in with new perspectives, new ideas, how are you gonna be able to help grow your team? And I would also say, in addition to this, not just growing them professionally, but personally. So every year I do meet with my team, I wanna find out what are their personal goals, what are their professional goals, and how can I look for little ways   to help them achieve those goals. So when I know someone wants to pay off student debt, or I know somebody wants to buy a house, or I know they want to learn about something, Dave Ramsey's got a class. ⁓ This person wants to buy a house. I help connect them with realtors. Like whatever you can do to make dreams and wishes come true for your team. I think as business owners, as leaders, this is honestly one of the greatest gifts that we're able to give our team. And so just recognizing the gift and the responsibility, just to be able to help your team.   to grow them, to elevate them and to help them. So I really do believe that when you invest in your team, you give them growth opportunities, you're able to establish them into these incredible humans, not just employees. This is when we get excited. looking at this, like, you can even talk to your team, like, what's a skill you wanna learn this year? What's your personal goals you wanna learn? And then invest in them. ⁓ Brittany Stone, no BS, Britt has said it to me many times, to me and to our clients.   do you look at your team as an asset or a liability? And I think about that often, and if you see them as an asset, you treat them differently than you do if they're a liability. And so when we look at this and we get excited about it, like there's so much anticipation today of all the days of the year. think Christmas Eve is probably one of the most anticipated days of the whole year. There's such a beautiful space. And so for this, how can we get anticipation, tradition and growth?   and bring this magic into your practice. I think that's a beautiful gift that you guys can give. so really it's like, bonuses are nice, growth is nice, but it's anticipation that I think is a secret sauce of it. Like I said, and there's the anticipation of knowing where we're going, where we're headed and having those direct goals versus the anticipation and the terror. Both are anticipation, but anticipation that's exciting, anticipation that's fun, anticipation that's predictable, anticipation that creates spice and magic for your team.   And I think this is how you build a team of flourishing people. This is how you build a team that wants to flourish. This is how you build a team that's bought in. This is how you build a culture that's raving team member fans. This is how you build a culture that people want to be a part of. And then you start to post about these things. You share, you talk about it. This is what we do. This is who we are. Your team thrives. You thrive. And so today, tonight, as you're dreaming about what you're going to get tomorrow morning, I also hope you dream about what your practice is going to get next year.   ⁓ What are the little fun traditions that you can put into place? What are the different little pieces that you can do for your team? What is the anticipation that we can put in place? I love the ideas of like having countdowns to things like how do get these fun countdowns? How do we build traditions that will be so fun? How do we give the gift of growth to our entire team? How can you truly flourish and grow your team? I think is something that you deserve to have. And so your practice can be as exciting.   as Christmas Eve, Christmas morning. And I'm not here to say that it's every single day, but it doesn't have to be draining. It can be fun. And I think this is how we add spice, energy, and fuel to our businesses and to our lives is by doing the unexpected, by doing the things that bring joy and happiness to all of us. So I hope that you guys take this on. I hope that you know that at Dental A Team, we help you guys build goals and traditions and systems that really do create magic all year long.   that help create aha moments to give support and strength to your teams. So doctors, you don't have to do this alone. You don't have to carry the whole sleigh by yourself. You can actually have other people help you with this and to inspire and to change your team, I think is one of the greatest gifts I gave my team. And if you're thinking about it, I'd encourage you to give that gift to your team as well. So if you guys want that, if you want to feel energized and not burn out next year, if you want to unwrap the gift of growth and excitement for 2026, reach out. Hello@TheDentalATeam.com   I want to help you. want to make sure that you guys are flourishing and thriving and not just surviving. And I hope you guys have the happiest Christmas, the happiest holidays that you think about this, that you get excited to create little traditions. Pass this along. If you're not creative, pass this on to a team member. Have them listen to it. Share this with a colleague. Have it where it's a competition between you and another person. We've got to make things fun in life. And I hope that you guys just know that I'm cheering for you. I'm rooting for you. And I'm here to serve you. I'm here to support with you. And I'm here to grow with you.   because I do believe that you deserve magic and you deserve ease in your practice. You're worth it. You deserve it. So reach out. Hello@TheDentalATeam.com And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.  

Tiff and Trish discuss the need-to-know info for the buyer of a practice, including team member transparency, new patient inflow, software use, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:01) Hello Dental A Team listeners. We are back again I have Trish with me because I freaking adore her and I the we just recorded a podcast We record a few at a time. You guys know that I batch them It's called efficiency and that will be on my tombstone per Kiera. She tells me that every day It will it will if it's any vision. I'm like, oh my gosh, this is like grating cheese by hand like come on anyways   We are here today and we just recorded a podcast. So these are kind of serendipitous that they're back to back and it ended up this way in a weird way. So I don't have to go down that rabbit hole, but we just recorded a podcast on this seller's perspective of how to ensure that you're always ready and prepped to sell no matter where you're at in your journey, making sure that 10, 20, 30, five, two years down the road, you can sell your practice and that it's not as...   as stressful an event as it would be if you were unprepared. So I can't say we can remove all the stress. I can say that we can remove some stress that is just unnecessary. So today, now, I really wanted to look at the buyer's perspective. And we kind of hit on both a little bit on the last one, but this one's gonna be a little bit different. So make sure that you listen to both. Doesn't matter which order, I don't think. We'll find out by the end and I'll tell you if you should have listened to the other one first.   I know, I know, inefficient, but it's okay. So Trish and I are here today. You guys know I adore Trish. If you just listened to the Sellers one, which you should, ⁓ you heard me just rave about Trish. And Trish, love, I realized when I was recording with Monica a couple of weeks ago, which those were fantastic, you guys, if you need information and ⁓ ideas on training your team and operations manual, et cetera, all those pieces, Monica has some stellar ideas over there. But I realized Trish, while I was   Recording with Monica, I love podcasting. I love this aspect. I'm just a weirdo like that. But I love podcasting with you guys. And I realized in the beginning ⁓ with Monica, it was our first time podcasting together. And it was the first time that I got to rave about Monica and just really say all of the things that I love about her and I think is just so incredible about her with her consulting and just who she is as a human.   And I get to do that with you guys here in this platform. And Trish, you're one of my favorite people to rave about. love all of our consultants. You guys hear me rave about them, but Trish is such an incredible human being. It is impossible to describe you. You're just multifaceted. And I realized this is my brag session time. And I'm like this, I love it. It makes me so happy inside.   DAT Trish Ackerman (02:37) Thank   I that.   The Dental A Team (02:49) to just watch you guys thrive and to get to just tell the dental community how amazing you guys are and how special it is for them to get to hear from you and to get you guys in person with them and working with their teams and the leadership that changes the profitability that I've seen come out of everyone's work is so cool. And I realized with Monica, I'm like,   this is why I love podcasting with them because I love getting to love on you guys. It's just so cool. So thank you for, I hope so. Dana's over there. just always like ask her about workout stuff, you know, and I'm like, she's, I love on her too, but I'm always like, what's your hair product? What's your, what's your workout? It's fine. It's fine. ⁓ so thank you for letting me have this space Trish and for, ⁓ always being open to all of the things that I need. ⁓ your,   DAT Trish Ackerman (03:19) We'll take it.   Thank   The Dental A Team (03:43) one of those people that I know I can trust to just be myself. So thank you for that. Thank you for being here today. Of course, of course. I love my job. So with that said, number one piece of suggestion that I have before we get into this buyer side, Kiera and I, have been at this for a little while with the Dental A Team and   DAT Trish Ackerman (03:46) You're welcome to attend, thank you.   The Dental A Team (04:06) Carers Dental Consulting and Dental Masters and whatever name we decide it's been the Dental A Team for a long time and it's going to stick the Dental A Team, it's not changing. But we have had a couple of renditions and one piece that I know we have gotten really, really good at, but that we've really had to work hard at. And from a buyer's perspective, a seller's perspective, I think this is insanely relative, the people. We have worked really, really hard at the people aspect and   pouring ourselves into the people and figuring out that that's actually what we love to do. We love to consult. We love to be with the teams and the doctors and we love to see all of those pieces. I love being on stage. I do. But pouring into our team and creating a business that's not solely dependent on Kiera and I and a company that could thrive if we're on the road, if we're on vacation, that has been a massive transition in our company.   And once we realized that and we got really good at it, we started attracting some really, really cool people. And Trish, you're one of those people and you do not shy away from letting us know that it's working ⁓ or letting me know when I'm not on my best A game of that. And I love that about you. And I love that about our team. think I can count on any one of you ladies to be that person for me. thank you.   And doctors and business owners out there, think this is a huge piece of selling or buying a practice. And Trish, you mentioned that towards the end of our sellers one is the team and really making sure that the team is there for the longterm, but they're really supportive. know if, you know, we built this company to be a sellable company. That's a known fact. It would be wild for us not to do that. It does not mean that Kiera is selling the company tomorrow, but she could.   if she needed or wanted to. And Trish, from a team perspective, just real quick to hit on that, as a team perspective, how does that make you feel ⁓ for the doctors and practice owners out there to kind of hear?   DAT Trish Ackerman (06:13) You know, this is a hot topic. I won't go down bunny holes, but I have seen many, I've been with a lot of doctors that have purchased a practice and they have acquired that team. And I've seen the bright side of it and I've seen the dark side. The bright side is what I'd like to share today because we'll put the light on that. And I also do want to, I want to add something to what you just said, Tiff, about how you and Kira are also feeling like   The Dental A Team (06:26) Yeah.   DAT Trish Ackerman (06:42) you're in a different space now in the company because of the people. But I also want to remind you that that is something that you and Kira, you built that. You built, it didn't just happen. You guys built that. you do have to, like for Kira, there is a level of trust that has to take place. And I'm sure it's really difficult. I mean, this is a livelihood. And this is the same for these dental practices. So when a buyer is coming in,   Typically they do acquire a team and it is the responsibility of the selling doctor to be very transparent. We can't leave team members out when they get shocked and just told I sold and there's a buyer coming in there. could we I've seen I've seen entire teams walk out like, okay, we're out. We're not we're not dealing with it. But when there is a lot of transparency introduction to the incoming potential buyer, sometimes they haven't even bought yet.   The Dental A Team (07:30) Yeah, thumbs up.   Yeah.   Yeah.   DAT Trish Ackerman (07:41) ⁓   and just letting the team, ensuring that the team knows that they're going to be safe. They're to be safe. There's change coming, but they are going to be okay. And if they value and adore their doctor, which many of these team members do obviously, and if they've been there for a long time, then they also want to be part of that support. So being a part of this whole process is, I always say number one, like start there.   The Dental A Team (08:07) Yeah, I totally agree. I love that. So taking that to the next layer, right, as a buyer, I think that would be a a great inquiry when looking at practices, right of what is the team's knowledge on this situation? Do they know that you're selling? How far into those conversations argue how prepared is the team? And really like, what am I walking into? I think is massive. think if you were dating,   and you are on whatever dating platform, because that's where you're finding people these days, right? And it's like, yeah, I have three kids. It's like, cool, what am I walking into? You would not just walk blindly into a family and expect everything to be just fine. It would be, you know, there's a, yeah, yeah. Like there's a courting period for both, for the parents, right? For the...   DAT Trish Ackerman (08:53) no family.   The Dental A Team (09:03) boyfriend, girlfriend, whatever it is, right? And the kids, there's a courting period for all of it. And they think that we devalue that in the buying and selling situation. I think, that was great perspective. If I'm a buyer, that's definitely a great question and inquiry to ask. And I think when you're adding additional practices, we have a lot of dentists, a lot of doctors who want to, they have their flagship and they want to expand and they want to reach more communities. And so they're adding,   another family and now we're the Brady Bunch and we're meshing these two families together, but not having that knowledge of who am I meshing into the family I already have. There hasn't been a courting period. Could be really, really dangerous.   DAT Trish Ackerman (09:44) Yeah, I can. And like, where is this new practice going to be? Like, there's so many things to look at here, but we can cover that today. And I'm so happy that we started with the team piece though, because I just want to have that all over. If you're wanting to buy a practice, where's the team, team, team? Who are you adopting?   The Dental A Team (09:45) Yeah.   Yeah,   yeah, yeah, who are you adopting? love that. And who are you expecting your current team to befriend? They've got to, you know, even if your practices are, they're never, they're never going to quote unquote work together. Not how, if you've got multiple practices that don't communicate, that don't have anything to do with each other, that's a lot of, in my opinion, that's a lot of stress. I think that's like, if we're gonna continue the dating theory, right? That's like having your family.   And then you start a second family. And you have a wife, kids, a dog, and you have a wife, kids, and a dog, and you're trying to keep these two lives separate from knowing each other. That's a lot of stress. That's a lot of work, and it's just completely unnecessary. You can adopt this practice as team and welcome them into the family that you have, as long as you already have worked on that culture. And I think if you're expanding...   Practices you're buying additional practices that culture piece has to be intact your systems have to be intact So I think buying additional practices is a fantastic idea if that's your journey That's the the road the path that you want to take and you've been called for it do it But look at those pieces so from we talked the seller's perspective earlier And I think sellers and buyers perspective is super similar just like we we had said it's like buying a house so if you're buying a house or you're selling a house you're kind of   Selling a house, you're thinking what's the buyer looking at? And as the buyer, you're looking at these pieces and how is it valuable to you? And Trish, some things that you had mentioned before was the patient base, making sure it's a healthy patient base. I think from a buyer's perspective, it's active patient base, but also then new patients coming in. Are they still getting new patients? Because that's where a lot of your diagnosis is going to come from. And then healthy profit and collections.   are huge. We've already talked about the courting of the team. What does the team know? How are they going to support the cell? I think is a great question. How is your team prepared to support the cell and making sure they're on board? But Trish, when it comes to the, I think the profit in the AR is probably for most buyers, a massive question mark. And when it comes to that as a   a doctor coming in, even if they're going to partner maybe, but buying that additional practice to come on board with yours, what are some pieces that you really look for within the profit or the collections and maybe even down to like software if you're adding an additional practice, what are some pieces you would advise your teams and your doctors to look up?   DAT Trish Ackerman (12:36) Before I even would go there, would first need to know what, like, what is the philosophy of this dentist? What kind of dentistry is he wanting to do? And there's, you know, we could, anybody can find a profitable practice somewhere close to them even. But if you're a, if you're a doctor that like wants to do heavy surgeries and you're all on fours and the big time stuff, but you find a practice that has a great patient base, good profit and all that stuff by a college.   then that might not be the right demographics for you. So like that is something that you even have to look at first. What type of patient base are you trying to attract? And what type of patient base, if you find the one that is Purcell, okay, good profit, team's healthy, accounts receivable is on point, but it's a patient base that is not going to be super open to your philosophy of dentistry, then that could be painful.   So that is also something, it might be a great deal, but that we'd be very careful about what's actually inside that patient base and if it's gonna align with the type of dentistry that we're looking to do.   The Dental A Team (13:36) Agreed.   Yeah.   I think that's like buying, you've found your perfect house. You're like, my gosh, this is the elevation that I want. It is white with black trim. It's got an acre of land, which is impossible to find and all the upgrades inside, right? This literally happened yesterday. I'm like, this is the house, but exactly, right? Like it's like backing a busy street and it's.   DAT Trish Ackerman (14:06) They a train track above it.   The Dental A Team (14:13) almost 20 minutes away from where we need to be. Right. So it's like, it's like finding your perfect home and you're like, this is the one, but it's completely outside of our school district or our, know, it's adding 20 minutes of Camille. I've done that. I have literally done that. And you guys, it was hard and it was unnecessary stress because there are more out there. So I love that you mentioned that because it's shiny objects syndrome, right?   Like that shiny object comes and it looks perfect. It's packaged beautifully, but underneath that shiny exterior is hiding something underneath that is gonna cause a lot of pain in the end. And I think that is the perfect statement there. Like watch for what it is that you want to do. Know what your philosophy is. What is it that you want to do with your dentistry?   DAT Trish Ackerman (15:08) Yep. And you can get there. It's not that they can't, but in order to get there, it's going to take some remolding of yourself temporarily. again, I'm going to use the high surgical doctor that wants to do lots of surgeries, lots of implants, but these patients have only seen one tooth dentistry and they've been patients for 20 years. We can introduce that after a couple of re-care cycles.   We need to kind of mesh with the selling doctor and the dentistry that he did and build the relationship first. So as long as the buyer can be patient, can accept that, then it can work. It can work. And it's not that difficult to do. I do think that that's when we come in very handy because that requires a lot of coaching. That does require accountability on their philosophy, behavior change.   And that's again, I mean, I don't want to totally toot our horn, but I will when it comes to that piece, because I think we do an excellent job coaching the doctors through situations like that.   The Dental A Team (16:14) Yeah, I totally agree. I've worked with a practice similar to this that came on board after purchasing the practice and ⁓ high aspirations and wants so much CE and wants to do all of these things within his dental philosophy that I am totally on board with. Although the purchase of the practice was a practice that just isn't, it wasn't ready yet. And there were a massive amount of patients, honestly, thriving.   on patient base 3000 patients within their database and very healthy active patient base. So the reactivation, the re care, like it was, it was easy to get that thing turning, but it took two to three re care cycles before he gets really start diagnosing the things that he wanted to diagnose. And just purchasing, this was a brand new practice first, you know, first time he's owned a practice. And I was like, you, you want to go in.   and you want to ramp up marketing and you want to replace the patients with the patients that you want. I hear you. I hear you. But financially and profit wise, that's not the way. And that's where, like you said, Trish, the coaching really came in handy because it was an easy space to gently add in the things that.   that he wanted and that he needed with the patient base, weeding out the patients that weren't gonna be okay with it, keeping the patients that were and now being ready to implement some marketing in a few months. know, it's still about a year and a half out from original ownership of this practice. Now we're ready to start marketing, but we had to get there because the finances had to make sense. And so I love that you say that, because I think a lot of people think it's totally fine. Like I can fix him.   Yeah, those things bother me, but we'll train it out of them. it's not really the patient base that I want, but I can replace it with new ones. Can you? Because if you're next to a college, like Trish said, you might not be able to do it as quickly as you need to. And honestly and truly, you may not be able to do it. So I love that analogy.   When it comes to profit in the AR, I think that's an easy space for doctors to look at that they kind of freak out about. But again, Trish, like you said, when you've got somebody behind you, you've got a coach. I know we've helped a lot of practices purchase their, not helped them purchase their practice, but really helped look at the pieces of it. It is an easy space for us to see healthy, not healthy when it comes to finances.   pulling the reports and kind of like going in and getting all the pieces, not our jam. That's not the type of consultants that we are, but we are the type of consultants that will walk you through step by step on what to look for. We will help look at P &Ls. We will help look at the overhead costs and the ⁓ health of the AR and credits like Trish mentioned, and really help to advise and give opinions. ⁓ But outside of that, for a buyer who's adding that practice,   I think you nailed it saying, what's your philosophy? Cause we're adding this practice. this going to be, is your philosophy that you want one of them to be GP and like bread and butter and you want the next one to be, you know, cosmetics. And is that the philosophy that we're going for? Like, what is that going to look like as a buyer? You've got to make that decision first, not while you're looking at practices. I think that would be really dangerous to not really know what you want and then go into it be like, well, this could be.   Well, is that what you want? So I love that. Something I think Trish that's kind of like simple that is often missed is software. What software are they using? Is this a software we know? Is it, is it one we're using? Is it one that we want to use? You know, Eagle soft compared to Dendrix or open dental compared to curve, like very, very different systems. Um, and this is wild. It's 2025, but there are still   Practices out there. I love them dearly. I love you guys. I love you so much all of you that are using paper They're not chartless and in this day and age the practices the doctors who own practices that are growing They're purchasing additional practices. You guys are like you're with it. The technology is there you've got CBT CT scans. You've got scanners. You've got Mobile everything you you're pulling up x-rays on your phone from your dental software and these   practices that you're purchasing, these practices that are out there are typically not gonna be super in alignment with that. So what is that reinvestment going to look like? And again, I think, Trish, back to the team aspect, can the team support it? Are they going to support it? Are they prepared to support it? ⁓ What do you think, Trish? What's your opinion on that?   DAT Trish Ackerman (21:07) Well,   I'm actually going through something similar right now. And here is my coaching around that. they're not paper, they're not paper, but they are dentrics and they have been dentrics for forever. I mean, honestly, think one of the team members has been there 20 years and this is all she knows. And that's okay. Okay, dentures is great. However, the new doctor who's been there 60 days   The Dental A Team (21:28) That's what you think. Yeah.   DAT Trish Ackerman (21:37) is ready to transition to either fuse or curve, one of the two. And we had a long discussion about this yesterday and I begged him, please pump the brakes on that. Because if you're buying a practice and you're acquiring the team and they're going through so much change as it is, and if you throw too much onto them and we go through a massive software shift like that, that could actually drive team members   to leave. I mean, I could. That's a huge shift or just a huge change. It's difficult. It doesn't mean that they don't get through it, but that's just another, that's just something else to really look at. Now, if it's paper, I kind of, would almost, I mean, that's a toughie, but I would almost say hold off for at least 90 days. Like just get in there, build the relationship with the team. I know that the Biden doctor would be chomping at the bit. We've got to some.   The Dental A Team (22:08) Absolutely.   DAT Trish Ackerman (22:36) some new technology in there when it comes to software. But when we're buying, those are still things that we do. Either we need to be super slow with and or have such a bond with the team and spoil them right out of the gate that they become our partners quickly. And that is also possible. It truly is possible. But again, building the relationship with the team. If you're going to throw a software change in there like that, then we need to be strategic on how and when.   The Dental A Team (22:39) Yeah.   Yeah. And I think that I agree and what is massive. agree. And going from Dentrix, you guys, like people who use Dentrix, I'm a Dentrix girl. ⁓ I used Dentrix for almost 20 years in practice and it is, yeah, Dentrix is like iPhones. I, in my opinion, Dentrix is like Apple. Once you're in it, you're just, you're sold. You're like, Dentrix is life. Apple is life. Right? Like I know my phone, the capabilities of my phone is so much more than what I have.   DAT Trish Ackerman (23:07) and what.   Good stuff.   The Dental A Team (23:35) but I am so infused and integrated into the Apple web. I can't imagine being out of it and not having an iPhone. Dentrix is very similar. So if you can relate, relate. ⁓ But I think Tresh what you mentioned that I agree. I totally agree. Waiting timeline, you guys. And we're really good at timelines. We are really great.   at taking all of the ideas that you want and being like, fantastic, let's build you a timeline. Let's get this charted for you. And then you know the path that you're going down. So reach out to us. Hello@TheDentalATeam.com. If you are a client, like talk to your consultant, that's what we are really, really good at that. But what you made me think of again is that courting process. Because if you're courting the team and the selling doctor and you're building a relationship with the selling doctor and the team ahead of the purchase,   you're already ahead of the game when it comes to that because they are ready to welcome you and support you. And if you've done it right, right, like I know that my boyfriend's kids will know that a dish goes in the dishwasher, right? It drives them nuts. A dish goes in the dishwasher, right? But that's already gonna be a known fact because there's a courting process, right? So what are the quirks? What are the things that   A team really needs to get to know about you. So it's not a complete shock when you come in. So anyways, I loved this. I, I loved the seller's perspective, but I love the buyer's perspective too. And really being able to see that. Yeah. Thank you Trish for all of that. If you were to pick say three action items for ⁓ someone who's thinking about adding a practice or buying a practice, what would the top three action items be for them?   DAT Trish Ackerman (25:04) I did so.   Really know your demographics. How far away is it from your other practice? If you're adding an additional practice, how far away is it? And what is the team going to do when you come in? How can you establish that team prior? And how can you get the trust and the buy-in from that team first? Because what you don't want is to buy a practice and then the team leave.   The Dental A Team (25:40) Yeah, yep, I love that. Demographics, location, team. Those are fantastic places. Yeah.   DAT Trish Ackerman (25:45) And then we look at everything else. But those   are the time I would start there and make sure that the demographics are good, the team is good, and then everything else we can work out and coach through.   The Dental A Team (25:49) Yeah.   okay.   Yeah, I totally agree with you. It makes me think of, of interviewing. always say, get the demographics out of the way first, because if your practice is too far for someone to drive, they're not willing to drive there. All of those other questions that you asked before you got there are null and void. They mean nothing. So save yourself some time, check the demographics, the locations you want patient base demographics, location base, and then you want team. So I love that. Thanks Trish.   DAT Trish Ackerman (26:23) Yep.   The Dental A Team (26:24) Okay, that's a wrap   guys. I hope you enjoyed this. You do not need to necessarily listen to the sellers first. So you're welcome. We wait until the end. I told you I would tell you. You can listen to them in whatever order you want to. But listen to them both. So that was your buyer's perspective. Trish, I love ⁓ bantering with you. Thank you so much for your perspectives and your wit. you guys, drop us five star review. Let us know what you loved. Let us know any other ideas you have or if you have purchase practice.   practices put them in the notes you guys because people again they really do read those if you have tips and tricks we want to hear them too we Learn these things from you guys as well. It's not just knowledge. We were born with this is from experience So go do the things Hello@TheDentalATeam.com You can head over to our website TheDentalATeam.com and you can actually schedule a free consultation with our team and we will be happy to help you in whatever ways we can and As Trish loves to say go be amazing   DAT Trish Ackerman (27:21) Thanks, Tiff.

It's office autopsy time! Kiera shares the story of a practice that recently discovered $2.5 million going unnoticed. She talks about the doctors and their (very) busy schedules, the need for an additional hygienist, and what the cold, hard numbers told this practice about next steps. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:01) Hello, Dental A Team listeners. This is Kiera. And today I am excited. I was just in a practice and we were going through a lot of really fun things. And whenever I come from an office, I get so excited to come back and chat with our podcast family of things that you and your practice should and could be doing. I was told when I was in this office, this is the Dental A Team magic where we physically fly to your practice. We work with your teams. We work with you as a doctor. We uncover hidden pieces that maybe you didn't even know to bring to a call.   I think it's so magical to be able to do this for practices. And so today is a little office autopsy of finding $2.5 million left behind on the table in ways that you would never expect. Sound interesting? Well, I hope you're ready because I wanna take you through and uncover hidden little cashflow pits that you might not even be looking at. So number one, we decided to go through...   because this doctor is so busy. So many of you tell me I'm so busy, Kiera, my schedule is jam-packed, and I say congratulations, but what is the cost of that? So for example, if you have your hygiene department, you should be looking at your active patient base. So an active patient base for a general dentist should be 1,500 patients as an active patient for one doctor. High end, like where you can kind of get by is 1,900, but beyond that, that's very high. And we're talking 12 months and 18 months. So take a look at both of those numbers.   and just look to see where are you at. So this practice, they have about 4,500 active patients with two full-time doctors. They're at capacity. So what's happening is we have options. We can add more hygiene, but then that's going to have our doctor to hygiene, AKA our exams at the wrong amount. What's happening is they're dropping periopatients because they don't have space for their...   Regular prophy patients, then they're diagnosing SRPs, but they have nowhere to put them for six months. They're pushing new patients out for four to five months. So we did a little bit of fun math and we didn't even, this is just gonna be some hypotheticals, but I think for you just to hear like, what are some of the things that actually can hurt your practice and how much are you leaving on the table when we do things like this? So for this practice, when we went through and we looked at it, we thought, all right, let's take an average prophy and whatever it is for you.   Maybe it's 150 up to 200 for an average prophy. We're talking prophy, x-rays, cleanings, or just even prophy and an exam. How much is that for you and your practice? Now, look to see how many active patients you have. If we've got 4,500, well guess what? You get a double that because those patients are coming in two times a year. So have fun with those numbers. We divide that by 12. We look at how many patients we're seeing per day. Now that doesn't necessarily mean how many you are, but that's how many you're going to need to see.   Then we look to see how much hygiene we have right now today to see, we actually have enough hygiene spaces for it? But let's not forget that we also have to add new patients because in addition to our active base, we are constantly adding more patients. Yes, we are losing some patients, but my hope is that you at least are adding more than we're losing. So we've got to look at those two together and see how much time we actually have in a week, in a month that we need to be seeing patients. This is gonna then show you your gap. So for this practice, they had over 200 appointments   that they were short every single month. That's at a minimum. So clearly they're ready to bring on another hygienist. This was great numbers to see, do I bring on a hygienist? Do I not bring on a hygienist? But the problem is they're already at five hygienists with two doctors. You can start to do the math. So it's like, well, great. Well, we're not diagnosing perio either. So options are we could bring on a sixth hygienist and that hygienist would just do SRP. That doesn't mean just that person, but we'd have eight hours of SRP in a given day.   spread across all the hygienists. That means we don't increase our exam numbers, but we do increase our number of perio. We do increase our number of hygiene spots. That's going to help in some instances. But even if we fix that problem, remember we still have all these patients that we're not seeing. So this practice right now, they told me, hey, Kiera, we're pushing our patients out about eight months is where we've got to put them. We can't see them on the six month mark. We've got to push them to the eight month. So I did the math and I was like, okay, average pro fee is going to be about $150 per patient.   but you gotta take all those patients that would be seen in one month and we times that by 150. Now, I understand this is very loose math, but it gives a good idea because think about it, those patients, if we saw them every six months, that's money from insurance and also from seeing them on a regular schedule, plus not just that, but patient care. We see them on the six month interval, but these ones we're not seeing every six months, we're seeing them every eight months. So that means there's two months that we're missing out on opportunities to see them.   So when we did the math, it averaged out to about $450,000 with this patient base annually, just of miss hygiene. And that was only on one month. If you want to do it on two months, which is realistically what it would be, that's almost a million dollars worth of revenue, just in hygiene miss opportunity. That's fascinating to me. This is why I think a consultant is so powerful because we come in and we do crazy numbers like this and we look at your numbers and we look at where you're at. And it really gives you the confidence to know, can I bring on an associate? Can I bring on more hygiene?   I feel like this, what does the number and the data suggest? So just looking at that, I was like, a simple fix is bring a hygienist in, let's have our perio go up. And then also we need to bring a doctor in for whether it's full time or not. So we ran scenarios of if we brought a doctor in, if we added more hygiene, if we had our doctors do this, what do we need to do? How do we keep our doctor to hygiene ratio running all these scenarios to then say, my gosh, this really would help our practice out.   And when I think about this and I think about practices for us, are you looking at numbers and metrics like this? Are you calculating the cost of missed appointments or not scheduling our hygiene patients back? Not to mention that we're certainly not doing 30 % of our patient base as perio. What these hygienists are doing is they're seeing that they need perio, but they don't have space to put them. So they don't want to have the conversation. This is no knock to a hygiene team. Several hygienists do it because I'm going to tell you, you've got this awful disease.   but then I'm not actually going to be able to get you in for X number of days, weeks, months. That feels really, really, really hard to try and convince a patient of this. So what do we do? We clean it out and we say, you know what, we're just gonna get it next time. But next time then fumbles and then we gotta have these conversations. Then we don't wanna have these conversations. We're constantly looking at like, we're just punting the ball down the line. So what do we need to do on this? What are the scenarios in this option? How much money is being left behind, but also how much patient? And this is great.   Other options that we considered are, we cut insurances? Because, hey, if we've got this many patients, what if we cut out our lowest producing insurance that pays us? And the doctor said, no, my mission and vision for this practice is that we care for the average patient, that we are here to take care of them and support them. And that's what this doctor wants to do. So it's like, great. They have an incredible building. They've got more space to build out. Fantastic. Let's bring in the other doctors. Let's bring in more hygiene. Let's serve these patients because instantly if we brought on one or two more hygienists,   Guess what? We could backfill very quickly with all those patients. Plus we need to hold space for new patients and perio that would be ideal based on the number of perio. So then you look at your patient base, you figure out 30 % of that. That's going to tell you how much SRP spaces you need to hold every single month in the practice. Don't forget, once you have SRP, you also need to have perio maintenance is in there. So this you can see is like this amazing web of data, of knowledge, of fun.   to figure out how much is your practice actually leaving on the table unintentionally. And when I looked at that, the doctor, he was like, well, Kiera, number one, you're always worth your weight in gold. You come in and you find little things. You guys, that is one small change that's worth 450 to $900,000 just in the amount of pro fees. That's nothing else, nothing. Like that's all we did. And to be able to uncover little opportunities like this and so,   for you to look at your practice, this is why I wanted to give you this scenario of this practice. There were several others that we looked at that we found that we were able to just quickly identify. But I think so often people are looking for big moves. They're looking for these all on X cases. They're looking for what could I do here? How could I do this? What could we change this for? And what I wanna highlight to you is I promise you there are little gold nuggets in your practice of true solid gold that's serving patients at a higher level.   or you have to do nothing else in this practice. And all you need to do is just shift one or two things and instantly your practice is going to grow 10, 20, 30, 40, 50%. Small little tweaks and changes, small little gaps, small little pieces. So it's let's look to see our hygiene patients coming in on time, like on the six month interval. Do we have the correct active patient base for the number of doctors that we have? Do we have enough hygiene to doctor ratio? What's our perio percentage?   How many perio maintenance are we doing? Are we solid on those pieces with our patient base? And then if we are on those, let's look at our x-rays. Are we doing our FMXs and our comp exams on regular frequencies? Are we doing perio, excuse me, are we doing fluoride therapy on all of our patients if you believe in that? These little tiny opportunities just in hygiene I've highlighted for you, not to mention all the other spaces that we could go after, but just hygiene alone. Are we collecting before patients walk out the door?   Are we using our block schedules and getting enough block time in our schedules for our new patients, for our perio? Do we have those blocked in there? Because if we don't, guess what? Like I don't even do the math for you on how much SRP patients are, but you wanna tack that on with the number of patients that we're missing out on. That's for sure a $1.2 million mistake with no extra effort. So I just want you today, it's a quick fast episode. It's a down and dirty of one, I think this is a huge.   A-ha of what a consultant can do for your practice. Number two, I think it's a quick a-ha for you to look at your practice and say, hey, during my CEO time, let me go walk through my practice and let me see these little gaps and cashflow gaps in my practice and let's see how we can close those up. And number three, I really hope you realize so many people think they need to expand, go get another practice, all these different things to grow their business. And I will tell you that 99, maybe I'll say 90 % of the time, we can find growth, we can find opportunities.   right underneath your roof with no extra effort, no extra energy, just to do a small change. Perfect block scheduling. Usually can add $1 million plus to a practice if we do it correctly. No extra hours, no extra time, no extra team members, just being more strategic with it. Increasing your case acceptance, small little change, small little tweak, way more revenue to your practice. So my question to you is, what's it worth? What's your hour, two hours, three hours of admin time worth to you if it could show that you could create this?   What's it worth not to call a consultant to just come check your practice and see what are maybe the hidden gaps? You guys, this practice is doing amazing. Their overhead's great, their team's great, all of that. You would think on paper that this person doesn't need a consultant. They're not stressed, they're not cashflow poor, they're none of those things. What they are is they are looking for the hidden opportunities that a consultant who's been in practices hundreds of times can come and find for them. They're looking for, what am I not thinking about that you're gonna think about? I want you to come in and find that.   And I love it. I feel like I get to go in as a sleuth. I'm not looking for systems or operations. This practice, like I said, on paper, this practice looks like they would never need to call a consultant. But what I want to highlight for you is we found in a less than day and a half, over a million, and I just told you one part of this story, over a million dollars worth of opportunity for this practice. Would that be worth your time? Something to consider.   Something to think about. And I hope today you take this and you don't just think about it, but you go do action because I promise you there is just this same, if not bigger cashflow leak in your practice or hit an opportunity that you're not thinking about that would radically change your practice, your patients, your team, your life. So go find it. And if you don't know how to do it, reach out, or if you're like, Hey, I'd love you just to come see like come sleuth. Let's do this together. Reach out. Hello@TheDentalATeam.com your practice, your team, your life is worth it.   and you deserve all the happiness in the world. And I'm happy that you chose to listen today. I'm happy to hear you hung out. And if you thought this was a fascinating podcast, share it with a friend because I think all of us could think a little bit differently, find these little opportunities. Again, no extra diagnosis, no extra work, just changing it up a little bit, doing things a little differently and their practice is going to exponentially grow. Yes, they need to bring a doctor. Yes, they need to find a hygienist. Yes, they're strategic, but we talked about all the different scenarios, ran all the different numbers and hey, here's all the options. Now pick which one you want to do.   There's so many ways to do it, but look at the awesome opportunities that they could do. And I hope that you do the same. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.  

Kiera compares the stages of a business to the stages of the human life cycle, from the infancy of a startup, to the chaos of money flow without systems, to the growing profitability of early adulthood, and so on. The goal is, of course, to reach maturity, where the business can run on its own, there's work-life balance, money flow, and more. Kiera gives listeners the common factors for each "age group," and what needs to be done for practices to reach their prime. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera and I hope you are having an amazing day. I hope it's an epic day. I hope you're loving your life. I hope you're having just so much fun. ⁓ I love dentistry. I love podcasting. I love connecting with so many of you. I just met people this week that are Dental A Team fanatics and it's always fun. And it's funny on calls when I get to chat with you in real life, people are like, Kiera, you sound just like you do on the podcast. And I'm like, that's great because guess what? It is me.   So I am so excited to podcast with you guys today. Welcome. If you're new to Dental A Team podcast. Hello, I'm Kiera Dent. Dent really is my last name. And it's because I love all things dental. ⁓ I love my husband, even though he's not a dentist. ⁓ I love, I just love life. I love helping people. We had a, in our consulting, we have what we call our doctor mastermind. It's a doctor only mastermind and it's on ⁓ Tuesday, the first Tuesday of the month. And we call it Think Tank Tuesday for our doctor mastermind.   We had all of our doctors there this week and we had several doctors come. It was just a really, really fun time. And as I was sitting there, I tell everybody that this think tank is supposed to feel like you're sitting in my living room, hanging out with me. We're all just here having like a good time. I love to see there's one doctor pushing her daughter on a swing. There was another doctor making dinner. There's another doctor sitting at the office, another doctor driving home.   It truly is a like, let your hair down, come be, let's come hang out, let's all be together, let's all work together. Cause honestly, dentistry can be super hard and challenging. And ⁓ as I walked away from that, we were talking about the life cycle of a business and people were just talking about where they were and here's where I am and how do I get to the next phase of my business? What are some easy moves? And it was crazy because it's actually not that hard to move from one part of the business to the next part. ⁓ A lot of times it's just having somebody pointed out to you.   ⁓ giving you the confidence that you can do that. ⁓ And then having a group of people around you that are just like you. And as I walked out of that meeting and that just fun hangout time, there's always Kiera's after party, which is not recorded. It is Kiera unfiltered. I just thought, I'm so blessed to get to know these human beings, these people that we get to work alongside with, that we get to collaborate with. I get to see them go through all the phases of business from where they were to where they are.   working with us, get to see their production increase, I get to see their ROI ⁓ tenfold, I get to see how happy they are in life, I get to see when they were once stressed to where now they're exuberant and happy and fulfilled and that is why Dental A Team exists. That is why the podcast exists is because I want all of you to feel like you have ⁓ someone in your corner, someone who is rooting for you, someone who has answers where you feel like there are none, someone who sees the path more clearly than you can.   someone who's created a community of like-minded doctors that are either where you are or have been where you are and can help you get to the next step. We have doctors who mentor each other. have ⁓ masterminds in person. have where we come to your practice. So if you're listening to this podcast and you're feeling like, gosh, I just don't even know what to do. The answer is there's actually always the what's next to do. There's always somebody who can help you. It's just you having the courage to book the call to   ⁓ invest in your practice in yourself and decide that you're worth having the life and the practice that you know, you're capable of having. And so if that resonates with you, reach out, come join our doctor mastermind, come meet us in person, come hang out with me in real life. I would love to have you be a part of it. ⁓ my mission truly is to change people's lives. and that's luckily I get this amazing platform of dentistry. So, reach out, Hello@TheDentalATeam.com because honestly, I believe that it is so fun and so powerful. ⁓   to go from that. And so I teased out a little bit of a life cycle of a business. This came from Tony Robbins. I really love Tony. I love a lot of things that he teaches and ⁓ there's a lot of wisdom. so just to kind of to take this on for the podcast today, I feel like, hey, we talked about this in our Dr. Mastermind, but I think it'd be very beneficial for all of you to hear. And this is my adaptation of it to take it to dental offices and kind of then giving you some of the things that I see in a practice so you can kind of understand.   But basically we have kind of like think about the life cycle of human beings. It's where we start out as infancy. We're born into this world and then we're infants and then we're toddlers. And then we go into this like middle life, like middle school. And then we go into high school and then we go into young adults. So college or young adult. Then we go into maturity or our prime of our life. Then we go into this kind of midlife evaluation. That's right before we retire. Then we go into aging. Then we go into institutionalization and then we go to death.   So we think about how people go around and it's interesting because there could be say a 25 year old, 30 year old, 40 year old who actually could be on the aging path even though their age is not where you would think that they would be. And so the idea of this is to kind of look to see based on like a life cycle of us where your business is and what maybe is like the pain point. So when we look at a business and we look at like children, so an infant,   They're screaming, right? They're screaming all the time. Yes, they're alive. Yes, they're there, but they're screaming and they're hungry and they don't know how to make money and they always have all these problems and it just feels like it's problem after problem after problem. That's like when you first start a business and it is chaos and it is exuberant and it is blissful and it is terrifying. Like Tiff and I were actually joking about it when we were on our doctor mastermind and we were talking about how like Dental A Team when it was in its infancy stage.   I literally was paying Tiffanie via Venmo. I did not have any payroll set up. I don't know why Tiff stayed with me. So Spiffy Tiffy shout out to her today. ⁓ But I really truly was such a naive business owner. I did not have protocols. I did not have a lawyer. I didn't have HR. I just said, I want to be here in this world and put something together, but no processes, no systems. It was screaming mayhem all the time. And then you go from that infancy stage to toddler, right? Toddlers, they can sleep through the night.   They're more independent. They can reason on certain things, but they're not this middle schooler, right? ⁓ And so when we look at that toddler that like they're going to elementary school, they're kind of in that middle stage. This is now where a business has elevated. It's not like paying people via Venmo, ⁓ but you still don't have the cash flow to be able to hire great people. It's still this like very new. You probably have one or two people. Practices that are in this realm are more the   the startup phase. So startup is like your very infancy, whether you're buying it or if it's a scratch start or you already have it. But it's kind of that screaming and then you move into toddler where like we can afford like one or two people on our team. but maybe we're moonlighting at another practice. cash flow is not consistent. ⁓ Systems and processes are not in place. And it's really just in this like delicate, but more stable, like we're like, okay, we're not we're not gonna go broke.   We know we can kind of handle, but at the same time, cashflow is not there. Then you move into middle school and you think about a middle schooler. This is where like we're starting to hit production. We can kind of have a few team members in there. We kind of maybe have a little bit of money, but not quite. ⁓ And we're starting to get a little more established, but we're like very gangly. We're very awkward. ⁓ We're doing the dentistry, but we're still, we're still not quite making it. And so from there, when we move from there,   You didn't go into a teenager and you think about a teenager, they think they know what they're doing. They've got the keys to the car. And this is where you've got money, but you're blowing through it because you have no systems, no processes. Like you are mayhem. Like you're making the money, but you're not keeping the money. And you're running on all four cylinders. But it's just chaos. It's wild. There's a frenzy. There's an excitement. And I think when Dental A Team was in that phase,   We had a little bit of money and so we were hiring people, but we didn't have quite enough money so we're not hiring experts quite yet. And you can just feel there's like this teenage energy and ⁓ then you move into like young adult and young adults were like perfect. The company is making money. We're able to hire more experienced people. So like we can bring on an office manager. We can bring on a better hygienist. We can have more things in place. And then we go into this like maturity and maturity and prime are where we're.   Profitable, we've got the production, we've got the systems in place. have a leadership team that's running the practice. It's not all dependent upon the dentist or one or two people. We've got the systems in place, we've got the profit in place, we've got the production in place. And a lot of times that happens when people are in this maturity or this prime, they're hanging out right there. What they often do is this is when they wanna buy another practice. Sometimes they even wanna buy a practice when they're in toddler, teenager, or like that college mid-year. But they're really just...   this is when they do it. And what happens is when you buy a practice or you expand your practice or you any of the phases, then you actually like usually kick yourself down and you go back to either toddler or maybe middle schooler or high schooler and your business like re re fumbles. There was a practice that I was working with and they're like, Kiera, we have this great opportunity. I worked with them for a year and we got everything set. The doctor was like, I'm tired of having to run it all. So they were like kind of in that   probably more at that mid year, they were probably college age. So the practice was great. They were profitable, but the doctor was still doing everything. And the doctor was just like, I don't want to do this anymore. I need you to train my team. I need you to train all the people so that way I can just come be a dentist and truly own my business, which kicks you into that maturity and prime. So we worked together. We were able to train the team. We were able to train the doctor. We did leadership training. We trained the whole team. We put systems into place that they didn't realize. And the doctor like literally we got them into prime like   It was incredible. It took us about a year to get them there. And they're like, Kiera, it's great. Cause I was thinking like, we're wrapped up. put a bow on this. I'm super excited for you guys. And the doctor was like, Kiera, guess what? There's this awesome opportunity for another practice. Do you think we should buy it? And I tell you, when people get into this like prime, like they're in it, they've, they've, they reached the mountain. They're like, we should buy another practice. And I was like, well, so here's the deal.   your kids have gone off to college. That's where your practice is right now. Like you're sitting here, you're very happy, you're very comfortable. Life is very easy for you. And buying another practice is going to be literally bringing on a screaming brand new, like brand brand new infant baby. Do you want to do that? And the doctor was like, that's a good point. ⁓ Let me think about that. And they're like, here, the deal is just too good of a deal. And honestly, if I was in their shoes, I would have done the same thing. The practice was truly a, you should take it and do it.   And then what happened, we flew all the way back down into toddler. Like we didn't go quite back to infancy, but oh my gosh, like the practices started screaming and both practices started struggling. And all these little pieces came up because we went from having this mature, we're in prime, our life is really easy to bringing on this screaming baby. And all of a sudden everything started jostling, the leadership team got jostly. We were bringing in different partners and lo and behold, two, three years later, we finally now gotten the practices.   they're right around teenager, maybe young adult for both locations and guess what they want to do? You guess it, they want to buy another practice. And this tends to be the cycle of dentistry. ⁓ Or what actually can happen is we go from prime and then we actually can go into midlife evaluation. And what happens here is when doctors are considering like, do I want to sell? Do I want to keep sitting in the chair? Maybe we're ⁓ not, not purposely, but maybe we are not diagnosing as much as we used to. Maybe we don't want to go to the CEs. Maybe we don't want to do all these other pieces. And you start to get into this midlife. And if you're not careful and you don't   get the CE or get a younger associate or whatever it is to kick you back over or bring in different team members, you can actually then fall into aging and become this aging practice that ⁓ if you're not careful, will actually die off. ⁓ And that's what we call sleeping practices. New grads love to buy aging practices, but then what can also happen is your team members might also be at a different space on the life cycle than you are. So sometimes when you inherit this sleeping practice as a new owner, well, you might.   inherit a team that also is maybe a little bit sleepy too where they're like I'm on my way to retirement, I don't want to be putting in all this new technology, I don't want to do all this software, I don't want to do all these changes or that team might be like sweet and they got kicked back just like someone in their 50s can be like you know I'm gonna go run a marathon and they kick them back into that maturity, that prime or they're in their 60s or they're 65 like my mom she went back to college, my mom was on her path to aging and she went back to college later on in life, she became   She got her master's degree and she started working a job. You better believe that pushed her all the way back over into like teenager. Like she had no clue what she was doing, but she flipped herself back over and, and added more of that energy back into her life. And so all of us, what I was trying to explain through all this is just because you're at one space in the life cycle does not mean that you're forever on the trajectory up and over the curve. It's like a bell curve. ⁓ what we're trying to aim for on whichever side of the bell curve, whether we're on the young toddler or we're on the more aging headed towards institutional.   is our goal is to keep our businesses keep pivoting towards that prime, that maturity, that middle spot where the business is running without us, it's profitable, we're able to have all the time, the work-life balance that we wanna have. And so when you're looking at this, the questions are one, where are you personally on the life cycle of the business and yourself? Are you a new owner? Are you a seasoned owner? Where do you fall on that? Where is your practice through all this?   And then where is your team through all of this? And then assessing based on all those factors, what needs to happen to get you closer to that like middle section where we were striving for that's the prime and where is it? And what do you need to do to get back there? So a couple of scenarios were like a doctor is struggling, they're exhausted, they're burnt out, they're doing all the work and like, what should they be doing? They're producing well, they've got hygienists there, but they're exhausted. They're working like five days a week, just exhausted.   Like what can this person do? And so the questions are, where is this person on the life cycle? This person could be in teenager where they're just exhausted because they're doing it all. They also could be over on midlife evaluation where they're doing it all. Both can actually be true, depending upon the practice and where they're at. And there is no science to this. like, okay, if you have XYZ, then you fall here. Like this is more for you to assess. ⁓ And when I look at this and I think about it, ⁓ options for this practice are hiring an associate would be amazing. That would kick them into prime.   It will also kick them down into the screaming if they don't have the systems in place. But what it will do is it will add some energy. You could also add in team members and no more than you do because you've got the money, you've got the flow. You could bring on a consultant that can help you get to the next level. You could actually add on extra days. You don't have to necessarily work it, but it's what can I do to get myself to this prime where I'm profitable? I'm producing what I want. I'm working the hours that I want. I'm innovating the practice. My team is aligned. My team is running the practice. I'm not staying here.   till super, super late every single night. I have my family life that's ideal for me. That's what we're aiming for. That's what we're striving for in consulting and working with our clients. This is what I obsessed about is how can we get more clients to their sweet spot? That's when I say like living their dream life when I walk it and I see people that have gotten there. That's what I mean by this, like maturity, this prime. Like I remember my CPA told me ⁓ once he said, Kiera, it actually gets a lot easier later on in life. He's like, because   then like you bought the house, you bought the cars, like whatever it is that you were striving for, and then money becomes easier. And I was like, you are a liar. There's no way this is gonna happen. And then you meet people and they really are there and they're comfortable and they walk with ease. And there's just this like, I don't know this calm about them, but they're still very energetic. They still have a lot of things that they wanted to, but I think the frantic energy of the young or the exhausted energy of the aging doesn't exist.   It's more this centered calm, knowing, doing things on purpose and intentional rather than reactionary. It's a very, very different space. And so like that's our obsession is getting offices to that space. And so for you to assess and to diagnose, where are you? And what's fascinating to me that I often find is sometimes the dentist is actually the problem. There was a dentist that I was chatting with and this doctor refuses to delegate. And I'm like, so great. You've actually accidentally pushed your practice into almost aging.   because you're not willing to delegate. And then also you're not willing to hire people that are smarter and more equipped. You're sitting here having very inexperienced team members that don't know what they're doing, making lots of mistakes. So therefore you don't trust anybody because you haven't spent the money to hire the people that you need to hire to bring in that energy and that structure and that leadership. Instead, you're trying to do it all yourself plus be the dentist. Like you have actually not like kept yourself younger. You've actually   aged your practice accidentally to where if you're not careful, it will actually age and deteriorate into death. And so I think also being self-aware of where you are, ⁓ I think being cognitive and what's really awesome is once you know where you are, once you know where your team is, once you know where your business is, then instantly the diagnosis becomes very easy of what you need to do and what the next step is. But I think oftentimes easy and doing are not the same thing.   I think oftentimes we say, my gosh, this is so easy, but that doesn't mean that I want to do it or that I'm going to do it or that I'm going to follow through on it. I think so many times people get stuck and they're just like, either A, I'm not willing to accept what I need to do or B, I don't know what I need to do or C, I'm not willing to acknowledge what I know I need to do and actually do it. And so if I look at all of this, I think this is a fun assessment for you to look to see like what, where am I on the life cycle of the business? What do I need to do to progress to the next level?   And am I willing to do that? Or do I need somebody to push me along? I will say sitting in a business myself, I have hired different people. I have realized when the business has outgrown me, we just had a meeting with our team and I said, guys, like the great news is we have grown, we've evolved and our mission is to positively impact the world of dentistry in the greatest way possible and to serve more offices. And I can't do that with the knowledge that I have today. I need someone smarter than me that knows how to run systems on a different level.   I can do it for dental offices all day long, but a corporate business that's evolving, I don't know how to do that. Do I know how to like program HubSpot? The answer is a hard pass. No, I do not even know what that thing should do. I've never worked in an industry that's done that. I need someone smarter than me. And so we bring those people in and what's beautiful is it's scary and it's daunting, but it is magical because I know that this is the next phase to get us to where we actually want to go and to be in those optimal spaces.   Again, you're not always on the upward path we're always working towards and certain decisions will actually push us back down. Sometimes personal decisions, sometimes business decisions, sometimes things outside of our control, like we lose key team members or we have unexpected life events. Those can move us in this space a lot differently. So really it's a matter of where are we today and where do we want to be and how can we get closer to that destination today? And that's something I love. And hopefully today you took an assessment on yourself. Hopefully you diagnosed where you were.   And hopefully you realize that the answer is not too far away from where you want it to be. Or maybe you're like, Kiera, I absolutely don't know. Well, great. Reach out. Hello@TheDentalATeam.com or go to our website, TheDentalATeam.com. Click on the book of call. And I will definitely happily chat with you and help you see where are you at and what's your next step and how we, or you can do it on your own can help you. But the answer is you're worth it. You deserve it. You deserve to be in that maturity prime optimized space of your life where there's calm, not chaos, where there's fun and joy rather than.   ⁓ the worry all the time. And again, no stage is permanent. None of them are. Everything is temporary. Everything only lasts for so long, but it's how can we make it last longer in the space we want to be rather than it deteriorating or not accelerating or crushing us before it even has a chance to begin. And that's something that I really love doing. So if we can help you at all, reach out Hello@TheDentalATeam.com. ⁓   Definitely so obsessed with making sure that you as a human being are taken care of, that you feel like there's someone championing for you and helping you out and making sure that you are taken care of. So reach out. ⁓ And if not, make sure you assess where you are and be committed to taking the next step. Great things truly never come from comfort zones. So get off that comfort zone, push yourself to the next level and know that ⁓ patience, teams, your life, your family, all of that's worth it. And you.   especially are worth it. And as always guys, I just adore you. I hope you have an amazing day today. And as always, thanks for listening and I'll catch you next time on the Dental A Team Podcast.  

Tiff and Trish discuss the often ignored practice transition — are you looking ahead for your practice? Ten years out? Thirty years? The two consultants discuss what to keep in line now so that any changes on the horizon are received with minimal panic and damage. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:01) Hello Dental A Team listeners. We are here today with some really, really just fantastic information. We're rounding out the year, if you can believe that. It's almost 2026, so whatever year you're listening to this in, hopefully it's also still super relevant, but we are heading into 2026 here soon. And we thought that it would be really fun to just wrap the year with a couple of different practice strategy kind of.   don't know, just like how to progress where you're at, from where you're at to where you wanna go. Strategy podcast. So I'm just super excited. I have one of my favorite human beings in the world here with me today. I have Ms. Trish Ackerman. She is a prized possession on the Dental A Team team here. She is a traveling dental consultant with our team, which means that she does virtual consulting. So we do.   coaching calls, video calls, we team training calls, all those pieces, you guys know that, but she also travels to practices and sees different practices in person, kind of helping them strategize and train the team and get things working again, kind of oiling that machine. And something I like to say is, I always tell my practices, Trish, and I think you probably feel the same way, I always tell my practices that we have the most incredible practices that join the Dental A Team. We really attract the most incredible people, but   more than anything, I always know that I'm coming into a practice that's running really well. And my job is to find the areas where they just kind of feel a little bit stuck. Maybe something's a little bit inefficient. Maybe there's just something that's like, gosh, if we tweak this a centimeter to the left or a millimeter to the right, kind of I think of like implants, like, you know, you gotta just get them just right. And if we can make that little tweak ⁓ with them in office and find those areas, then their lives become.   less stressful. like to remove the stress. So I always tell practices, gosh, like I just don't get invited to practices that aren't doing well. I'm always, I'm always just so shocked at how well practices are doing. And Trish, I know you've consulted for a while. You've been here with our team for a little while, but you have just so much, there's like a wealth of knowledge behind you and all of the aspects of everything that you've done. And I'm so excited for you to be on this team. I know your practices are thriving because you're here.   We are thriving because you're here and we're all better people because of it. So Trish, thank you so much for being here today. I'm excited to pick your brain on these practice strategies. How are you? Your hair, we already talked about your hair is stellar. I had a weird hair dream. So hair is on the mind. It's like, it's a thing today. So welcome with your beautiful glasses and your beautiful hair. And it's 8 a.m. in the morning. What were we thinking? But this is a great way to start our day. Trish, how are you today?   DAT Trish Ackerman (02:44) I'm doing great. Thanks, Tim. I always like doing this with you.   The Dental A Team (02:47) Okay, thank you. Thank you. That makes it much easier ⁓ when I schedule it that you enjoy doing it. So thank you. I appreciate that. ⁓ I do enjoy life with you. You shed a lot of perspective for me. So thank you. ⁓ Yeah, definitely team listeners. I had this, okay, start over. Marketing, our marketing department, they help us come up with a lot of topics. And then the consulting team, we kind of look at them more like, hey, is this relevant? Is this something that   DAT Trish Ackerman (02:55) Welcome.   Thank you.   The Dental A Team (03:17) we're seeing pop up in our worlds of consulting with our clients and our listeners is this something that's going to be super beneficial. And this topic came up and I was like, gosh, actually, it's kind of super cool to end the year with this because now we get to look into what next year is going to be. And this could be a lot of strategy that helps build, I think, Trish long term visions. It might not be something that someone's thinking about today. Just like I know we have.   you know, lot of new graduates who listen and, a lot of doctors who've been in practice for 20, 30 years, or even three years, five years, wherever they're at on their journey, I feel like this is information that we like to shed light on for all of our practices. That's like, always be prepared. Just like, I don't feel like, I don't feel like we buy houses. We don't have a home and not know the value always. Like we're always making sure we know the value. We're making sure we know, you know, our prices right.   our interest rates are the best that we can get. Do we need to refinance? We're always looking at those aspects, but I think that we forget to duplicate that and look at it in our business as well and make sure that we always know the health of our business. And Trish, when we're building out goals, I know you and I both do this. We like to look as far ahead as we can, like 10 years ahead to say, what could that look like? And when do you want to retire?   Right, when do you think that you want to repair? How long do you want to work? And even if that's 30 years down the road, making sure that at any point we could be ready for that. And so today is really talking about practice transition strategies, what that might look like. And Trish, I want to know from your perspective, you've done quite a few practice transitions, I would imagine, in the history of dentistry that you've got behind you there. What are some of the...   What are some common to start, like let's start just broad. What are common practice transitions that you have seen that you've worked through? Like what does that even mean when a doctor says I want to transition or we say transition in there to understand that? What does it mean to transition? What have you seen?   DAT Trish Ackerman (05:24) What I've seen is doctors that have been with the practice for many, many years, they built their legacy and they are ready to pass the baton to a new dentist. And it's a big decision. And sometimes they're sometimes they have sellers remorse because then they realize that, shoot, maybe I wasn't quite ready. But I have, I have seen it where, I mean, most of the time the sellers are very ready and, the new buyers coming in are very ready. So   you know, it's a transition. We make sure that the doctor, both doctors are aligned, the seller and the buyer, and that it's a good fit for both.   The Dental A Team (06:03) Yeah, I love that. love that. So transition could mean a sell and a buy, right? A transition is a change, right? Transition is we're making a change. We're looking different in the future than we do today. And I agree, I think a couple of pieces that on both sides are super important, I think is that alignment word that you used, right? And making sure that we know where we want to go. I think a seller needs to know where they want to go. Why do they want this practice?   the or why do they want to sell this practice and the buyer needs to know why do I want this practice and being in alignment with that is absolutely key. Now, when we're prepping for selling ⁓ and transitioning, we'll call it transitioning, what are some of the things that you have advised or you've worked on yourself while helping practices to sell? How do you prepare for selling? Like what do you need to make sure is in place if they're not?   We'll take it two ways. Maybe someone's not selling today. They're like, well, one day I might sell. And then maybe someone's like, gosh, I need to sell. want to sell. I'm ready to get out. So what would you advise someone who says maybe one day I might want to sell? How do they keep their business prepared for that?   DAT Trish Ackerman (07:16) Well, that's always the best way, like start a plan. There are times when it's like an emergency and need to sell, when they have the, when they've got the time to plan, you really want to ensure like the, like you were talking about, tip that the selling of the house, you don't sell your house if the flooring is just a hot mess or if, or if the roof is caving in, you get those things fixed first. And in a dental practice, you really need to protect the patient base because the new buyer   or even somebody transitioning in to purchases, what does the patient base look like? And if we're adding a partner, do we have a patient base for them? If we don't, this is the time that we, the doctors need to be hyper-focused on growing that patient base. That also requires like, what does the accounts receivable look like? What is the collection ratio? Is this practice producing but not collecting? And though you do like kind of a full analysis on the top.   five KPIs typically, and then ensure that they are in really good condition. You want your practice to look appealing and you want your practice to be healthy. And when you're selling anything or transitioning in, the patient base is always number one. So if you have the syndrome where the front door is open, but the back door is open as well, we need the time to strategize to get that back door closed to ensure that when we go to sell this new buyer,   The Dental A Team (08:35) Yeah   DAT Trish Ackerman (08:43) or new partner knows that there's a solid patient base in place. And then again, the counts receivable, that's another really big one. That's got to be cleaned up pretty well. Again, to look appealing and to be worth something.   The Dental A Team (08:55) Yeah, I love that. I am in transition. Like we're looking at purchasing a home and we have a home that we're either going to rent or we're going to sell. And what you're making me think of now is that our realtor, I love her dearly. She is one of my best friends in life. And she is like, cool, we can totally do this, but she needs some really nice pendant lights. Like Tiff, got to open that. She's like, I know you've got some storage closet somewhere that's got a ton of, you know,   a ton of decor, like she's like, you gotta spruce this place up. Like, yeah, she got brushing up, this is perfect. And I was like, ⁓ wow, yeah, you're right. And as I'm looking at Zillow and looking at all of these homes, I'm like, ooh, I love those pen and lights and ooh, I love that has black trim. And I'm like, my gosh, actually it's those pieces ⁓ that just sparkle that make you want that thing.   If you want to get a good price, if you want something great for your patients, you want a great person to purchase your practice and you want a great person to carry on the legacy of what you have built and a great person to take care of the patient base that you have worked so hard to get, I think you have to make it attractive and appealing. And I think you're absolutely spot on. The patient base is huge. A doctor buying a practice, a DSO purchasing a practice, like anybody purchasing his practice.   purchasing a practice wants to see that it is valuable. And the value is in the people, right? The patients and the dollars. And I think what you said is exactly true. The flip side of a patient base, you can have all the patients in the world and you can have that back door closed, but if you're not collecting the money, that back door is open. The money's just going out the door with the patients instead of staying in the practice.   That's also an issue as well. So you've got to, you've got to hang those pendant lights and get those systems in place and really, really evaluate if you were, if you remove yourself emotionally from the practice that you've built and you look at it objectively, would this be appealing to you? If you looked at your home on Zillow, you took pictures and you scrolled through those pictures and you looked at your home, would you be attracted to purchase that home? If you weren't emotionally tied to the place. So.   DAT Trish Ackerman (11:15) Yeah.   The Dental A Team (11:15) I love that.   DAT Trish Ackerman (11:16) And piggybacking on that, when you're buying a home, you're buying a practice, what's your profit look like? I mean, if you're buying something that isn't going to have any value because there's a lot of debt tied to this or like a home, if you're going to purchase a home, but you're paying too much for it because it's really only worth, mean, those are also the things that the buyer has to look at. Is this practice, is it like heavy, heavy overhead? And if so,   The Dental A Team (11:19) Mm-hmm.   Mm-hmm.   DAT Trish Ackerman (11:43) that needs to be trimmed down along with ensuring that the patient base is strong. If you're gonna sell something, it needs to be profitable to the buyer.   The Dental A Team (11:52) Absolutely,   absolutely. I think that's spot on because you're gonna look at a home and you're gonna say, okay, well, this is the dollar amount that they have it listed for based on these photos or based on what I see in person. This is what I'm gonna have to put into it to make it what I want it to be. So I'm gonna take that into consideration. So if you've got a house priced at 525 and I know it's gonna take 60, $70,000 to...   make it valuable to me, make it the home that I want. Now my brain is saying, this worth 600,000? Because that's what I'm actually putting into it. And then my offer to you is gonna take into consideration the upgrades that I feel I need in that home in order to compensate for the price that you've listed it for. Yeah, I love that. when you're talking strategies for, we always, think, let me start over.   DAT Trish Ackerman (12:35) Absolutely.   The Dental A Team (12:44) Prepping for selling, I said this in both versions, right? Because I want a doctor to purchase a practice and think that way, right? I want you to think if I were to sell this down the road.   Like how can I invest, reinvest back into this practice to make it the best that it possibly can be? I want this practice for a long time, but we're not gonna be here forever, right? We're not, we may be in our home forever, but the likelihood of that in this day and age in 2025 is unrealistic. We're not gonna, we're likely not going to serve the term of our loan agreement in our home. Like we're going to move on, we're gonna find something new and the same is true for your business. So making sure, we don't know.   We don't know when that's going to happen. We might say, want to practice for 30 years. Great. But if you wait for 25 years to get ready to sell, you're going to be in an emergent sell situation. So day one today, making sure that you think like a seller doesn't mean that you're selling your practice. It doesn't mean that you're not there for your team. It doesn't mean that we're not here for the culture and that we're not here for the growth and the patience. It means we're preparing for everything.   That will set you up for success because you're constantly thinking about the value and about the return on investment that you're making. think that thinking like a seller, thinking, what would I do if I were selling this practice right now, helps you objectively make decisions in the practice, in my opinion. ⁓ Emotions are really, really hard. Emotions are fleeting. Emotions will drive us and we have to be able to step outside of that.   to make really great business decisions most of the time. Now, Trish, me, I always tell my practices, know the worth. So get valuations, like every so often. How do you feel about that? How do you suggest people do that?   DAT Trish Ackerman (14:35) totally agree. think at least every five, five to seven years get a valuation of the practice because that'll also help you guide. If let's say it comes in pretty low, that will give you the valuation company can give you all the tools and the map that you need to get the value up. And if you just sit stagnant, which unfortunately a lot of doctors do, and then they're super shocked because the practice isn't worth anything.   And that is what we don't want to happen, especially to our clients, know, if this is something that they're talking about. So if the valuations, sure, they might cost something, but get it done anyways, because you can continue. It's almost like when you remodel the home. I love using the house as the analogy and get the valuation consistently through the years, because they don't know what they don't know. And when you're only in those four walls all the time,   You don't see what you can be actually doing. the valuation, that totally helps, because it gives all the current owners new perspective, new ideas.   The Dental A Team (15:45) beautiful. love that new new perspective, new ideas. I love that. And I think I'm addicted to it's like a it's a problem. I am addicted to model homes, just going and walking model homes. I love it. I love walking model homes because I love new perspectives and new ideas. And walking into a model home for me is like, ⁓ my gosh, I wouldn't have even thought to do that with that kind of a space. Right. So I'm getting to see   DAT Trish Ackerman (15:56) I don't know how to tell you.   The Dental A Team (16:14) all of these interior designers work their magic in brand new homes, fresh and new, and I can go, my gosh, I can do that. And we we toured a spec home, meaning it was already built, ⁓ but nothing's in it. it's new, but not all the upgrades. But I thought there was the spec home that I'm like, what do you even do with that space? Like that is the most random space I've ever seen in a house. It's just this little cubby in the back of a kitchen.   So I was like, we need to go look at the model home. So we went and looked at the model home and I was like, oh, that's brilliant. I never would have thought to do that. But what you made me think of was that, like touring model homes, right? If we're not getting the valuation, we don't know the value of our home, but we're also not looking at what other people are doing and touring models. We're not going to...   It makes me think of the ADA, the CE courses and the Arizona Dental Convention and the California Dental Convention and going and seeing the floor models of new chairs, new, like getting all of these new ideas and doctors, caveat, it does not mean that we need to implement everything. I do not buy everything I see at the model homes. I just get ideas and then I watch for really good deals, right? But that's where I think we can get those pieces, those missing pieces in something   that I think we have really exciting here at Dental A Team is we have such an amazing community of doctors who are like-minded, but doing things in a different way in every practice. Every practice has their own flair. And when the doctors come together, when they get together at our masterminds and they're in person and they're at our doctor-only masterminds on the first Tuesday of every month and they're sharing these ideas, it's like touring a model home with your best friends. Like, ⁓ my gosh, I didn't even see that.   I didn't even hear it when Trish said that to my team. I didn't hear it that way. I'm to take this back and communicating with each other and getting that fresh perspective, like prepping for selling valuation and have some really good people surrounding you to constantly keep your brain fresh. Yeah, I love that.   DAT Trish Ackerman (18:21) For sure. For sure. The team   is also another, they are also a big factor of this. If this is a legacy practice and there's a hygienist that's been in this practice for 20 years, that is also something that needs to be considered. it can be a little scary when you've got a legacy team, a new buyer comes in and then the seller is out and team goes with.   The Dental A Team (18:26) Yeah.   Yeah.   DAT Trish Ackerman (18:46) And if we can also like your locking in your patient base, you're ensuring that your profit margins are good, that your accounts receivable is healthy, what's the team going to be doing? Because we also need to strategize for that too.   The Dental A Team (18:55) Yeah.   I love that you said that because I think one of the scariest things to a practice owner or business owner in general is the loss of a team. And I think people shy away from talking about the inevitable because they're afraid that the team's going to be scared and run away. And I firmly believe that the people that are meant to be in my life will stick around no matter what my life looks like. And if I'm prepping for   for selling, like I want my team to know too, hey, I'm here for the long haul, but we've got to make sure that we're super healthy because if we're not super healthy and not a buyable practice, if we can't sell, we're not doing right by our patients and I'm not doing right by you. I should be able to ensure that this business is healthy enough that it would want to be swooped up by someone because that means it's healthy enough that I can pay you. And that's how we do it. Yeah, that was beautiful.   Trish, some things that I picked up from you in the systems and I heard, re-care. You are a genius when it comes to re-care strategy. I have never seen someone pull out a re-care strategy like you do and it's beautiful. So if you all need some re-care strategy, like pick Trish's brain. If she is your consultant, you are in fantastic hands. Your re-care, your reactivation is amazing. So.   I know you tackle those, right? So patient-based, re-care, reactivation, and new patients, which also turns into some marketing, making sure that marketing is working. But then you also said ⁓ AR and that our collections are healthy. So patient-based, AR, and then team. So culture, right? So those are, and profit, profit, yes, yes. And if your AR ⁓ is in line, your collections is in line, your patient-based is healthy.   DAT Trish Ackerman (20:37) prop. ⁓   The Dental A Team (20:47) you watch your spending, your overhead should follow those things. Your overhead, typically like to, we love 50%. I love a 50 % overhead margin. Typically what we're gonna see if I'm truthful and honest is 55 to 65%. I really like that 50 to 60 % is really healthy and safe. And I see doctors feel really good and like they can save for what they need to save for and not be stretched too thin, but that 55 to 65 % is pretty common.   ⁓ So, re-care strategy, these are the pieces guys, these are your action items from Trish. Make sure you are ready to sell so that you're not in an emergent situation. If you're in an emergent situation, meaning you're trying to sell within the next one to five years, bust a move. You can still do this. Re-care strategy is in place. We're not losing patients out the back door, meaning they're getting reappointed. They're coming in, your new patients are staying. Re-activation.   So what patients have gone out the back door, who has not been seen in the last 18 months or so, AR, make sure that your collections is super clean. That is a space that doctors get a little scared. Reach out, Hello@TheDentalATeam.com, reach out, we will help you with this. And then your profit and your culture. Okay, so watch your culture. Go ahead, Trish, show us what can see. yeah.   DAT Trish Ackerman (22:02) I do want to add something to the accounts receivable that just popped in my   mind. I can't believe I left this out. Not only is it the accounts receivable, but also the credits. When you see some practices that have like $100,000 worth of credits, that is also something that it's got to be cleaned up. It's got to be cleaned up before sell.   The Dental A Team (22:11) Yes, yeah.   Mm-hmm.   I completely agree. That was a massive, massive space. Good job. Yes. I agree. We focus really heavily on, by we, I mean the dental community, on the outstanding money, what is owed to you, but what do you owe to the people? What needs to go out?   DAT Trish Ackerman (22:38) Yep. That is a big   one when we go to sell.   The Dental A Team (22:42) Yes,   and I've seen it, you guys, I've seen it upside down. I have seen our AR, our accounts receivable that's due to us is lower than our credits. That's a scary place to be, okay? So watch for those, that was huge stress, yes. So get your re-care, reactivation in line, okay? Get your patients in line, your new patients as well. Make sure that your collections is healthy, so your AR is healthy.   DAT Trish Ackerman (22:53) Yes.   The Dental A Team (23:09) Your credits are healthy, that your profit is healthy and that your culture is healthy. Those are the spaces to ensure. then every once in a while, Trish, I love the five to seven years, go get that valuation. Make sure that you know the value of your practice and go walk some floor models. You guys, it's super fun. So if you're bored on the weekend too, like they're open all the time. So there you go. That's where you'll find me. Um, I know I do love them so much. I'm like, oh my gosh, I take pictures. I have pictures of tables and like.   DAT Trish Ackerman (23:28) Perspective and ideas.   The Dental A Team (23:39) lights on my phone that I'm probably never going to use, but I've got them because I saw them and I was like, that's a beautiful table. I'm going to find that. You never know. They're there. All right, guys, go do the things. Trish, thank you so much. I knew you would have just a ton of information for us. And you guys, again, if you have re-care strategy questions, Trish's   DAT Trish Ackerman (23:46) Yeah, you never know when you might get it.   That's cool.   The Dental A Team (24:01) Trish is our go-to gal. We've all got our stuff, but I have literally been in an office standing next to her watching her do it, and I was like, I don't even know how you're doing these numbers. So she's got a lot to teach all of us, and she's your gal. So Hello@TheDentalATeam.com. You guys, go do the things. You know where to find us. Drop us a five-star review. Let us know what you loved. Let us know what you want to hear, like I said at the beginning.   We come up with these on our own, you guys. We just kind of dig through our brains and think what could be healthy for practice, what could somebody want. So if you have ideas, if you have things that are burning desires, please reach out. We would love any suggestions on topics that we're maybe missing. Hello@TheDentalATeam.com. And thanks guys, we'll catch you next time.   DAT Trish Ackerman (24:43) Thanks, Tiff.  

Dr. Pia Lieb returns for a second part on the podcast. In this episode, she talks about being obsessed with your craft, and why that extra 10% for patients will take you miles. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:10) I love that you, ⁓ I think this is probably what's made you really great. I don't know. I've heard a lot about you. But I think what you do is you make sure that the patients are obsessed with the results and not that Dr. Pia is obsessed. Like you're obsessed with the craftsmanship of what you've done.   You're really talented at that. But like hearing that you let people walk out and go try these on and what is it going to be like before you do it? That to me says that you are so obsessed about the outcome and the result for the patient. And then your job is to make sure you have the most excellent craftsmanship, the best product, the best techniques, the best method to get them the outcome they want. And I think hearing that, I'm just so proud of you. And I'm so grateful to hear that there are clinicians in our industry that   are obsessed about that rather than the reverse. Because I think some people are obsessed about maybe the dollar, maybe about doing these types of cases, but they're not the best at it, or this is what I think that they should look like. You really want to make sure that that patient is like a walking raving fan of you before you even do the work on them. And that I think is very special about you.   Dr Pia (01:17) Thanks, but you know, I like to say that, you know, like, the thing that people don't understand is I'm technically the Hermes of dentistry because I, it takes a long time to make a Birkin, right? It's all made by hand. So are the veneers, hence why it's so hard to get one. But look, I   Kiera Dent (01:39) Mm-hmm.   Dr Pia (01:42) 22 years old and it still looks brand new because it's the quality of the craftsmanship you know and I tell all my patients you should get anywhere between 20 and 25 years out of the mirror okay this whole nonsense of five years and ten years that's because they want to redo the case and for you to pay them again if you're doing good quality work the only reason they should be replaced is because you have recession due to old age   Kiera Dent (01:55) Wow.   Mm-hmm.   Wow. And you don't have any issues with these super, super thin ones popping off.   Dr Pia (02:17) No, because okay, let me let me explain to you. Let me explain to you physics. Okay. Okay, do you know why they pop off?   Kiera Dent (02:19) Let's talk about this. I'm so, cause a lot of people haven't popped off and it's so scary. So I'm like, let's talk about this.   You know, this is why I'm asking you. Cause I don't like, feel my guess is that they were not bonded on correctly. And that's my guess. Okay. I'm ready.   Dr Pia (02:28) Okay.   No, it's, two things. There's two things. That's   one, but that's the second one. Right. But let me explain to you. Do you remember when you were in high school and we went to, ⁓   Kiera Dent (02:37) Okay.   Dr Pia (02:43) ⁓ chemistry and we had the microscope with the two glass slabs and we were looking for amoebas and all that stuff. Okay, remember how we were all a painting that you know what and we all tried to pry those two glass slabs apart and it never worked? Well that's the same principle with veneers. The thinner they are the stronger they are.   Kiera Dent (02:51) Yep.   Yeah   Fascinating.   Dr Pia (03:06) Okay   and I'll tell you why because teeth you know because you're in the business so teeth we all have ligaments right the teeth are hard it's a hard structure the bone is a hard structure so we have the dental ligaments right they're horizontal they're transversal so those are like the shock absorbers that hold the tooth inside the bone socket. Now   Kiera Dent (03:12) Mm-hmm. Right.   Mm-hmm.   Mm-hmm.   Dr Pia (03:30) when you're speaking and when you're eating those teeth move microns not visible to the eye but your teeth have mobility just like trees have mobility in the wind right we don't see the trees move unless it's a hundred mile an hour winds but if you have a five mile an hour wind you don't see that tree moving right but it does move   Kiera Dent (03:44) Mm-hmm.   Right.   Mm-hmm. Mm-hmm.   Dr Pia (03:56) So   when you're doing these 3D print and you're filing like the turkey teeth where you have the little pegs left and the ratio of tooth to porcelain is 50-50 or you're having 60-40 or 70-30 that 3D printed porcelain does not flex.   Kiera Dent (04:05) Yep.   Makes sense.   Mm-hmm.   Dr Pia (04:23) but your tooth does. So that's the number one issue why they pop off. The thicker they are, the easier they'll pop off. And the number two reason is the dentist has no idea about occlusion. Because if you have a premature contact or you have lateral excursions or a protrusive, you're going to pop those off like there's no tomorrow.   Kiera Dent (04:23) True.   Interesting.   Mm-hmm. Yeah. Yes.   Totally. Yeah.   Dr Pia (04:51) So these are   the basic principles. If you don't know occlusion, you shouldn't be doing dentistry. I'm talking about GPs or it's the holy grail of this profession. Occlusion, occlusion, occlusion.   Kiera Dent (05:03) And I will tell you as a patient who has the most obnoxious bite, ⁓ there are dentists who do no occlusion and there are dentists who don't because my bite you adjust one teeny tiny little micron and the whole bite gets thrown off and they're like, no care, it should be fine. And I'm like, I can always tell if you're just doing blue paper and you're having me bite chew all around, I know you don't understand occlusion because I'm like, you're never going to get it. I'm going to be, you're dancing all the way around. Like from the patient who has sat there,   four hours upon hours and had to find other dentists because the dentist who thought they could do it truly can't do it. And this isn't me being a jerk. This is me being the patient who has to suffer through a dentist who doesn't understand occlusion. Like what you just said as a patient, ⁓ and like there's some, know, you can have it like completely off and like, yeah, it feels great. And then you have patients like myself that teeny, teeny, teeny tiny. I can feel it. You can't even find it. And I'm like, no, it's off. My bite is not, my teeth are not coming together.   Dr Pia (05:59) You always know, the patient always knows. They're always right.   Kiera Dent (06:02) always. And please don't have me laying back.   Please don't have me lay back. Let me sit up. Let me lay back. Let me tell you on both of them, because it's always different. And they're like, no, it's good. And I'm like, it's not. You're not sitting in my mouth.   Dr Pia (06:09) Yeah!   Because   you most probably have long centric, right? So you have one occlusion when your head is back and you have a different occlusion when your head is forward. Now, if that's the case, you need to check both.   Kiera Dent (06:18) Mm-hmm.   Absolutely.   Correct. Thank you. Preach, please, for the patients like myself. These are the pieces. And I don't disagree because when I have seen dentists and they're not checking that and the patients are constantly popping off, I'm like, just maybe check to see how those teeth are hitting in all directions because they will pop.   Dr Pia (06:43) ⁓ but let   me interrupt you for one thing. The other thing that's an issue, okay, if they do it and you're anesthetized, you're not going to get a good read. You always have to call the patient back the next day and check the occlusion again in all the positions when they're not anesthetized because I will guarantee you on my career that it will be off.   Kiera Dent (06:53) ⁓ no, never.   Yep. Yep.   Always. And they're like, no, you can bite when you're numb. And I'm like, I don't even know how I'm biting. I have no clue. I know I'm biting differently. Preach. These are the things and the conversations that I've said. And having somebody like yourself who's so good at this. I mean, you guys, has a referral-based practice. Like people are flying in to see her. I can see why, because how you speak about this is so different. And I think today, one, I hope people are inspired of things to do, things to not do.   different ways to do this. I also love the risk that you took. I love the growth. I love the determination of self of I will be the best. You have the passion. You've got the grit. You've got the tenacity. I have doctors who are great surgeons that are truly incredible at this. I've got doctors that are amazing at occlusion. I've got doctors that are amazing at fillings. There's a doctor and one of his patients said like, have the smoothest fillings in all the land. And he's like, that's really weird. I had him fix a filling that chipped.   And I'm not going to lie, he has the smoothest fillings in all the land. Like I've never felt a feeling as smooth as this man did for me.   Dr Pia (08:12) That's because he polished it afterwards.   99% don't polish them. You know, I had a colleague, checked, he did a, we put a crown in and I'm like, Joe, can we polish it? He goes, no, you're good to go. I'm like, no, I'm not. He's like, but I polished it. I'm like, okay, there is a porcelain polishing kit that you've got to go red, blue, white.   Kiera Dent (08:18) I was shocked.   Hahaha   Dr Pia (08:40) and the white has to be on low rpms and you have to make sure that it's shiny and polished and he's like i don't have the patience for that go do it yourself in the office and i did   Kiera Dent (08:52) But I think like that even I feel like dentistry you It to me what I'm hearing is a lot of dentists. It sounds like go 90 % of the way But it's like that extra 10 % is what really in my opinion makes a lot of difference for patients It's doing the polishing. It's doing the small finesse like you you're working in such a small space anyway Why not make it absolutely perfect and dr. P? think you really inspired me to even look at myself in my life of where's that extra 10 % that I could really just make a dazzle Where could I really make it shine?   It's not, it doesn't take a lot of time, but it does take intentionality. So as we wrap today, this has been such a fascinating podcast and I've absolutely loved it. And I just appreciate your time. I want you to wrap with, you can do do's, don'ts or a mix of the in between. What should people who are doing cosmetic dentistry from your perspective as truly one of the most expert people I've ever met do in cosmetic dentistry or don't or you're welcome to do a mixture as just a quick wrap rattle of things that you've seen in your career.   Dr Pia (09:48) Before   we do that, want to talk to you, I think that we should do this again because I want to talk to you about DSOs and private practice.   Kiera Dent (09:56) Mm, yeah.   That is very fascinating. This is heavy on my mind of all different topics currently in the landscape, which I don't disagree with you.   Dr Pia (10:08) Yeah, that's things are things are changing and not for the better.   Kiera Dent (10:12) They are.   Yeah, absolutely. That will be it.   Dr Pia (10:17) Because I'm a dinosaur   now. I mean, there's very few of us that do handmade work anymore. So getting back to your question. Look, I   Kiera Dent (10:22) I don't disagree.   Dr Pia (10:30) cosmetic dentistry you have to be very very very passionate about it and and the key is to leave your ego at the door and try to be the best version of yourself and that means take every course if you're a young dentist or still in dental school take every course that you can take you know look on Instagram and find the people that do the handmade work like myself and you know there's a handful of   that do it and ceramist as well and find the good beautiful work and reach out to everyone like you know everybody can reach out to me you know and ask me like hi how do I do this or how you know how should I go about doing that the thing is you have to be passionate if you're do and what I've told every student of mine in 18 years you're not doing this for the money the money will come you have to do this because you love doing it   Kiera Dent (11:31) I don't disagree. think, on that note, Dr. Pia, what is the best way for people to follow you? Because I love that you said this and I tell people all the time, the world has shifted. We are in 2025. I'm going to choose a plastic surgeon, a cosmetic dentist, a surgeon based on their Instagram. I'm gonna go look at their photos. I'm gonna go look at their work. We don't live in a world where we are isolated just to our own state anymore. Like people fly across the country to go get the best work done. So.   Dr Pia (11:56) yeah, mean Instagram,   I get internationals from Instagram. I've gotten Kazakhstan, I've gotten the UK, I've gotten the French, I've gotten so many and they're all Instagram. And I'm like, okay. I'm just Dr. P, I spelled out the D-O-C-T-O-R. P-I-A, my first name.   Kiera Dent (12:06) How cool is that? So what is your Instagram handle? So people can follow and kind of see what you do.   Dr. Pia,   and I think if you want to see someone, I know you said you're a dinosaur in this, but as we've been chatting, I'm like, this is the doctor that I would fly across the country to go to. This is the one that I would go see. She knows what she's talking about. She's got the finesse, she's got the passion. She's willing to do one veneer. She's the person I'm going to trust to do work on my mouth. And it's how does she get seen? How does she get known? How does she do this? Guys, these are the legends. These are the people. These are people that have just like done what you're wanting to do.   Follow her and also, I don't know if you have heard at the beginning of the podcast, it sounds like Dr. Pia, you're passionate about helping any person who this is their dream become the best in the industry. And that to me is why she...   Dr Pia (12:51) for sure. For sure. Just DM me if you have any questions.   That's the whole like Instagram is the new portal of learning.   Kiera Dent (13:01) Mm-hmm.   Dr Pia (13:04) Just ask questions. mean, it's none of us were born knowing how to do veneers. We all had to learn it at some point. And as long as your ego is at the door and you're willing to learn and be the best version of yourself, then you're great. You're great. But if you think you know it all, I'm still learning. And I've been doing this for decades. I'm still learning. I want to be up to date and things are changing. Materials are changing. There's so many things.   Kiera Dent (13:13) Right.   Dr Pia (13:34) Styles are changing. Thank God the Hollywood smile is dying. Finally. This took about 16 years, but thank God it's dying now. It's going back to natural   Kiera Dent (13:34) Yeah.   No. Right.   which Dr. Pia, people didn't get to hear this. I heard this pre-show. You came on, we were just chatting and you said, I love my career. I love what I do. And to hear that you've been doing it this long and can still say that you love that. That's what my hope and wishes for so many doctors out there is that, and like, yes, we will get you back on the podcast to talk about DSO private practice because I think so many people are like get in, get out real quick. And I think that you are just such a great example of loving your craft, loving what you do.   committing to be the expert and look, you've had this long of a career and you're still obsessed with what you do. And I just want to honor you and say thank you and thank you for inspiring dentists today on the podcast.   Dr Pia (14:24) Well, thanks for having me. And look, the young generation, the new graduates that are out there, I think we need to tell them the do's and don'ts of DSO.   Kiera Dent (14:36) Absolutely. So that's a wrap for today with Dr. Pia. We'll have her back on talking about DSOs and new grads and the, I think the perspectives, because right now it's a world of a lot of noise and to find wisdom through that noise is paramount. So Dr. Pia, thanks for being on. Thanks for sharing your cosmetic knowledge. Yeah, I did too. And for all of you listening, I hope you commit to being the best at your craft, to getting hungry. There's a great quote. I'm a BYU football fan ⁓ and their coach says, be hungry.   Dr Pia (14:51) It was a pleasure, I loved it!   Kiera Dent (15:05) Stay hungry, stay humble. And I think that that's what Dr. Pia has done. And I hope all of you commit to that. And as always, thanks for listening and I'll catch you next time on the Dental A Team podcast.  

Kiera is joined by renowned cosmetic dentist Dr. Pia Lieb to talk about Dr. Lieb's journey in her field, as well as her insights into what the rich and famous ask for (and pay for) when it comes to their teeth. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera. And today I am so excited. I have an incredible doctor on our podcast. Dr. Pia is coming to   from New York, Manhattan. And this woman is incredible. She has been able to build and sustain a high-end cosmetic practice. She's figured out how to be, you guys are gonna love this, a referral only destination for patients seeking discretion, innovation, and ultra-personalized care.   This woman has been named the Michelangelo of dentistry and I am so excited to welcome her on the podcast. Welcome Dr. Pia, how are you today?   Dr Pia (00:32) Thanks for having me, Kiera.   Kiera Dent (00:34) Of course. Well, I have been so excited about this podcast. I don't often get to bring clinical guests onto the podcast. And so to just kind of hear of how you do your cosmetic dentistry, how did you become this practice of being so sought after? ⁓ How did you become the Michelangelo of dentistry? So kind of just walk the listeners through how did Dr. Pia go from where she was to where she is today? Kind of just give us a background on, on who you are and what your story has been.   Dr Pia (01:04) Well, I'm gonna start with, it all started in dental school. There was a lecturer by the name of Dr. Gallup Evans who has passed away since. And he was giving a PG, which is obviously post-doctoral course on cosmetic dentistry. And his reputation was he was the one who did.   the supermodel Polina Povaskova's veneers back in the early 90s. And I went up to him after the lecture and I basically said, I'm a sponge, teach me, tell me what to do so I can do the same thing that you're doing. I've completely fell in love and cut out a class to go to that course. And after the course, he turned around to me and said, well,   sweetheart. You're either born with it or you're not. So I went home and I cried for five days.   and he completely tore me to shreds and that really got me upset and ⁓ I was a great student. was the youngest in NYU as a student. I graduated high school at 16. I was the nerd, right? And basically what I did is I was asked to start teaching after residency and that was my...   Kiera Dent (02:03) Absolutely.   Dr Pia (02:26) way to make sure that I would never allow anyone to speak to a student like that. And my whole point was, I want to empower the dental students. I don't want anyone to feel the way I did by this particular person. And basically I had nowhere to start. So I started taking all of these courses, these PG program courses, and I met up.   Kiera Dent (02:37) Mm-hmm.   Dr Pia (02:53) When I was actually in dental school, I went and I met the holy grail ceramist who invented veneers in America. And I went up to him and I said the same thing, I'm a sponge, please teach me. And he was like, great. Okay. You have a car. And I'm like, yes, I do. He goes, all right, come to the lab every Friday after school and every Saturday, let me teach you how to prep and how to do veneers. And this man who also passed away has taught me everything.   Kiera Dent (03:12) I'm   Dr Pia (03:23) that I know because the doctors were not doing it and there was only two guys in New York that were doing veneers in the 80s and in the 90s and those were older men in their 40s and they were not going to take a young 20 year old female and teach her what to do because they were you know insecure that we were going to take over the business from them.   So that's how it all started. And obviously, I taught for 18 years and I did do that what I set my mind to do. I wanted to give every one of my students the best experience that they can have with dentistry and with cosmetic dentistry. And we're still friends after all these years. So I must have done something right, that they still love me to invite me for dinners into their houses.   Kiera Dent (04:10) Thank   ⁓ I think that you're speaking to my own heart. mean, having that love   being in the dental colleges, of   to give back, like that's the whole reason Dental A Team exists was because of those students that you just fall in love with. And kudos to you because I got really lucky and I worked at Midwestern University's Dental College in Arizona. And I have been told that the culture there and the experience there is not like most dental schools. It was a very empowering, very enriching. There was no smashing of models. There was no...   ⁓ destroying people's dreams, but I know that that's not everywhere. so kudos to you for ⁓ making a stance and also not giving up on your dream. And I think something I took from that is how often are we maybe told something that's not true and we believe it. We take that on as an identity and yes, crying for five days. I don't blame you, I would have done the same thing, but ⁓ it is.   Dr Pia (05:03) No, it's demoralizing, you know, like it's   just here you are, you're this young bright-eyed and bushy-tailed eager beaver who wants to be the best at her profession and then you get some 50 year old man telling you, ⁓ honey, you can't do this, you gotta be born with it. I'm like, really?   Kiera Dent (05:20) Hmm.   Maybe I am born with it and have you seen it. ⁓   Dr Pia (05:25) And you know what I was and that's that's the   thing and it's just but it's the way he said it but we'll get back to karma because 18 years go by and he was lecturing again and karma if it's a small I don't want to say the b word on a podcast but   Kiera Dent (05:42) Mmm.   Hahaha   Dr Pia (05:51) it is. So he's got the lecture, same thing, same before and afters. And this time I'm wearing a white lab coat and scrubs underneath and I had you know, and at this point, I was clinical assistant professor and there were like 350 doctors in the audience. And he's like, Does anyone have anything to say? And I'm at the back wall, I wasn't sitting down, I was standing up and I raised my hand and I was like,   He goes, and he goes, I know that name. You're in press and you're my competition. And he was like, and you know, what is it that I said? said, you know what? Thanks to you, I am who I am today. I want to say thank you. If you didn't say this to me and make me go home and cry for five days, I wouldn't have.   done everything humanly possible to be your competition and here I am I didn't know if he was gonna slap me or kick me out or just whatever it was but it was not what I and he said you know come on down and just tell us more about it he goes you've got so much pressure all over the place and it was funny because at that point   Kiera Dent (06:52) Ha!   Dr Pia (07:08) That was like maybe 10 months after I did 10 episodes on TLC of 10 years younger. And I was all over the place. Like everybody knew me from TV and from press and ⁓ the New York Times wrote that I'm the Michelangelo in Smile Boutique. And it just got to that point. I got the recognition that I worked so hard for. he was like, all right, give me a hug. I was like, thank God.   to   get a slap. But I was ready to get like thrown out or to. So that's kind of what I wanted to do is I just want to empower every single person out there. And you have to understand, when I went to school, we there were no women, it was 97 % men, we had   Kiera Dent (07:43) You   Dr Pia (08:02) maybe seven girls in the graduating class. I mean, not that we had a lot. We have much smaller classes back then and we were 97, but seven out of 97 is a low percentage.   Kiera Dent (08:14) That is,   yeah. Wow, that's such a fun, ⁓ I think kudos to you. And one of my favorite lines through life has been, life is not happening to us, it's happening for us. And I'm sure in that moment, you felt like life was happening to you. Like, who is this jerk? And they destroyed my dreams. And yet, ⁓ again, not to say that that's ever the right route to go. But I just want to highlight and compliment of you took something that people could have said would be sour grapes and you actually turned it into beautiful wine.   and you turned it into something beautiful and it was fuel to your fire to make you into this incredible woman that the world needed. And so I'm very curious, how did you then go from, okay, here we are, how'd you become this renowned cosmetic dentist, getting on TLC, getting all the press, like what was kind of the way to get into that? Because I'm sure there's a lot of dentists who want to live your dream. How did you do it?   Dr Pia (09:04) I think the   way in was truly like in 1998 or 99, I don't remember what year it was, but it was the first gen art fashion show for Fashion Week in New York where they took up and coming young designers and they had a private fashion show with about 10 of small up and coming, which we don't have anymore. mean, New York Fashion Week is no longer what   used to be. But I go there and I had a patient from Belgium who had a really good friend who was an up and coming crazy French designer and he was showing the runway and I just basically went with her and I remember that we were after the fashion show there was a VIP with champagne and we got these wristbands and so forth and my   my patient was, you know, late 30s, single and ready to mingle. And there was this really cute male model that did the runway for ⁓ another designer that wasn't as big. And she was like, my God, he's so cute. And here I was, I had no makeup on, right?   Kiera Dent (10:07) Yeah.   Dr Pia (10:23) this long Margiela dress and I have like Doc Marten boots, my hair up in a ponytail, just like mascara and red lips on. And I went up to this guy and I said, hi, I'm Dr. Pia. You know, my friend Jacqueline wants to meet you. And he had this woman who was next to him and she was like, you gotta talk to me. I'm his booker. I didn't know what a booker was. So I'm like, what's a booker? I thought it was like the, you know, betting on horses, know, like booking, you know, that's what I thought.   Kiera Dent (10:47) Yeah.   Yeah.   Dr Pia (10:53) And basically, ⁓ I was like, No, no, no, I'm just, you know, we're going behind if you guys want to come and join us at the after party behind and he was like, great, she goes, No, no, no, we can't go anywhere. You got to go through me. And I'm like, Okay, I said, Look, I'm a cosmetic dentist. And back then we had cards, right? So I was like, Here's my card. She goes, I want one, too. And I and   Yeah, that was it. had some drinks afterwards. And she was like, Yeah, I want to come in as a patient. I have to come in first before he comes in. Because he said he needed his teeth done. I was like, okay, so the next morning, I'm like, live it at like nine o'clock. I call Wilhelmina who was like back then the number one modeling agency for men. And I call and I'm like, Can I speak to Jennifer and   Kiera Dent (11:32) Yeah.   Dr Pia (11:47) She picks up the phone. I'm like, hi, it's dr. P again. I'm like, I just want to make it really clear I'm married. I do not I am NOT picking up on on your male model It was my friend who was interested just making putting it out there and being totally transparent. So she's like fine I Want an appointment so I booked her and the moment that I booked her She introduced me to the modeling industry. So then I started getting all the models   Kiera Dent (11:57) Mm-hmm.   Dr Pia (12:13) the supermodels, I got everybody in and I think that's how it all started with the press and everything because they've seen my work with the modeling industry and that's how kind of it all started and the thing with me it's always been privacy it's I've never named names I will never name names because it's like plastic surgery if you're going to go in and get a facelift do want it to be plastered all over the press I don't think so so it's the same thing with veneers I mean I do very   natural handmade porcelain and the whole secret that I think to my success is I've never gone into that chicklity white Hollywood smile the toilet bowl teeth or the turkey teeth as now they all go to Turkey to have them done well I've never done that so for me I've always followed what I believe in and did the best that I can and I think that that is as long as you love what you do   Kiera Dent (12:55) Mm-hmm, mm-hmm.   Yeah.   Dr Pia (13:12) and try to be the best that you can be. think the universe, no matter what God you believe in, you know, I think the universe gives it back to you.   Kiera Dent (13:23) I think, well, and also what I heard from that is kudos to you for just going and meeting people and for being out there. Like, I don't think people realize the power of connections, the power of human interaction, the power of who you know. I think we're in such a society where it's all online and we just think, which you can still connect online, but like, don't be afraid to say hi to people. Don't be afraid to introduce yourselves and...   Like I said at the beginning, Dr. Pia, it's very rare that I bring on clinical guests to the podcast. So I'm curious, you work on supermodels, you work on really incredible people. I have a doctor, which we will not name names either, who works on movie stars in LA. so I have a couple of questions and if you don't want to answer by all, you probably do. We will chat post show and see, exactly off call. ⁓ But.   Dr Pia (14:07) I probably know him. If it's it, we'll do it all off, off.   Kiera Dent (14:15) I'm curious, Dr. Pia, just for listeners to know, what is like, I'm gonna ask a few questions and like I said, privacy and respect are my number one. So if there's something that you're like, I'm not gonna answer by all means, audience just know Dr. Pia is so kind to come onto the podcast for us and I did not prep her because I never know what I'm gonna ask. It's just a genuine curious host over here wanting to know, what are the average cases like dollar wise, our low end to our high end of cases that you're doing?   I just want people to know, because I think people do not believe that this is real life dentistry and it can be.   Dr Pia (14:51) You're talking about veneers or you're talking about all the procedures. Veneers. Veneers are from three to 45, 100 or two. It depends. mean, if someone is a massive grinder and I've got issues with them.   Kiera Dent (14:54) I would say let's do veneers and then let's do other procedures.   Dr Pia (15:12) having, you know, doing the grinding at night, felspathic, I'm a little bit weary of doing that and I'll do the 3D printed. ⁓ As much as I'm not the greatest fan of doing that, I would rather keep them in a night guard and let them have the beautiful teeth. But it basically is... ⁓   Kiera Dent (15:19) Totally.   Mm-hmm.   Dr Pia (15:35) You know, for the handmade porcelain, I mean, there are some people out there that are charging over five. And I think that's just a little bit exaggerated because I know how much it costs me to make. think, you know, 4500 is a fair price. You don't have to go above five. I think that's just the ingredient.   Kiera Dent (15:42) Totally.   Sure.   Mm-hmm. Which I appreciate that you say that, especially with the press and with the people that you worked on. You have an opportunity to charge more, but you're also being ethical and fair, which I think ties to the passion, the love, the reason people can trust you. So how many veneers, this is like, now I'm gonna just be like a nerdy patient. How many, because I feel like a lot of people just want like the four veneers and then the six and then.   Dr Pia (16:15) Alright, come on, bring it on!   Kiera Dent (16:20) Do you just do all of them? there a space where clinically you recommend like we stop here for smile lines? What's kind of your, what's your, what's your clinical excellence on this? What do you recommend?   Dr Pia (16:25) No!   I think you should have either one or as many as you need. think the biggest problem and the... Okay, now you got me. So my competition in New York will only do 10. And he's my former student.   Kiera Dent (16:37) I'm ready. She got fired up everybody. Juicy like sits up.   Mm-hmm.   Dr Pia (16:51) which is even more infuriating to me. Like I so disagree because I think if you have a beautiful smile and let's say you fell and you've had a root canal and the tooth is starting to change color. I think if you're a good clinician and a good clinician is a cosmetic dentist, I don't believe a GP could do this. Okay. And men, we have the issue with 40 % are colorblind. So that's another issue altogether.   Kiera Dent (16:52) That's   I do remember there was a girl in dental school who couldn't like really see and I was like, how do you like she couldn't see colors and I'm like, how do you, how do you, how do you get over that as a dentist? I'm just curious. I can't check the color, right? Okay, so making sure you think that you can do one if you're a good clinician, which is, love this. Cause people tell me all the time, you can't do one.   Dr Pia (17:29) Well, they get the dental assistant to choose the color.   I do one. do one. So I do one.   I do one. I'll do two. If you're if you ground I do four.   I'll do six, I'll do 10, I'll do 12. If the person has a really big smile and it's a color correction like a tetracycline case, then I have to do 12, you know, like, because it depends if you're someone that has this uber large mouth, then and you when you smile, you go back to the second molars, you have to do it. But I feel that this whole entire ⁓   doing 10 or nothing. think that is so unfair to the patients. And I think it's such bad karma as well, because it's going to come back and bite you later on, because I don't feel that everyone has to have that many done. And the other thing that I'm actually known for is the fact that I don't believe that   you have to necessarily file the tooth down. If the teeth are in the correct position, okay let's back it up. If the teeth are not in the correct position do Invisalign first and then do the handcrafted veneers because the way I do them they're as thin as a contact lens so there is no drilling needed. Anytime why I wouldn't want anyone to drill my teeth to put veneers on why are you taking away to add on it's an   Kiera Dent (18:42) Love.   Mm-hmm.   Dr Pia (19:08) moron right so if you are a true cosmetic dentist and know how to do this and have the right support of the right ceramist they should be see-through   Kiera Dent (19:09) Mm-hmm, mm-hmm.   Yeah.   Dr Pia (19:24) So if that's the case, there's no drilling involved. And if you need only one, just do one. There's no reason to spend that money on doing more if you don't need them.   Kiera Dent (19:32) It's incredible.   which I'm so grateful to hear this. This is why I was so excited. I'm like, I have so many questions about this and I'm just curious of how you do it and to hear that being really talented at this, you don't need to do more than that because I hear all the time like, well, if you only do four, then you're gonna see it, but I don't disagree with you. think if you're good at what you, and this isn't just dentists. I also think dentists, well, I'm gonna go out on a limb. Now I'm fired up to be, like, here we go.   Dr Pia (20:02) No, no, they   want the money. It's clear as day. They're doing it for the money.   Kiera Dent (20:06) Right.   Well, and also I'm like, if you're not good enough to be able to do one without it looking like a chicklet, I might question, you good enough to be doing this in general? And that I know is a very bold statement, but I might get really good at this. I don't disagree.   Dr Pia (20:18) No, they should not be doing them. I'm sorry, they should   not be doing it. And with felspathic, with the handmade porcelain, it... I can't say it enough. One is not a problem.   Kiera Dent (20:35) Okay, let's talk about different labs and how do you choose a good lab for ceramic, for cosmetic cases? Like what's the difference? I mean, I've heard some people that are printing ⁓ Emax crowns for the front and I wanna like cringe and I'm like, ⁓ that feels really bad. So let's talk about like, how do you pick a good lab? What's the difference of a good lab? How is it handmade versus not? Like what are some of those nuances within the cosmetic world that really make a difference on being able to do one versus having to do eight to 10?   Dr Pia (20:48) No, no, no, no, I didn't write.   Kiera Dent (21:03) because you're gonna see lines and it's gonna look different.   Dr Pia (21:06) Okay, so I'm a nerd. I'm going to give you the whole entire background. Okay. ⁓ So basically the handmade porcelain is felspathic and it can be as thin as 0.16 of a millimeter, which is technically a contact lens. Okay. It's thinner than your natural fingernail, not with gel on it or powder, you know, polish. I'm talking about a natural fingernail. So having said that,   Kiera Dent (21:08) I love it. I want this.   Mm-hmm.   Dr Pia (21:33) Now in the way that those are made they're done on platinum foil so you take the model of the teeth they put platinum foil which is also like super super thin microns it's you know anywhere between 10 microns 20 microns okay and then on that porcelain on that platinum foil the porcelain multiple colors multiple translucencies get added on and that's   the veneer is made. Okay so that's how we're able to have them super thin. The 3D printing, different story altogether. So 3D printing needs to have minimum   Kiera Dent (22:05) Mm-hmm.   Yeah.   Dr Pia (22:17) between 1.5 to 2 millimeters of thickness. So those right there are thick. Okay, so that's why you need to file. Otherwise, everything is gonna be out. That's why they need to do 10 because they can't match the flatness of a natural tooth. So those are done by a computer. So what you do is you scan with the feldspathic. You still have to take good old fashioned impressions because the model has to be poured in   Kiera Dent (22:22) Right.   Mm-hmm.   Mm-hmm.   Dr Pia (22:47) it cannot be on plastic to do the platinum foil. With the 3D printing, with 3D printing veneers and crowns, you basically just scan the tooth, send it via, you know, the cloud. It gets to the lab, they print out the model, and then they start designing the shape and the size of what they want the veneer or the crown to look like.   Kiera Dent (22:51) Interesting.   Dr Pia (23:14) and then they have this block which is like about this big and it's like a disc it's like an oversized hockey puck okay and out of those they usually get out of those hockey pucks usually they get 25 crowns and veneers like either or okay ⁓   Kiera Dent (23:22) Mm-hmm. Okay.   Sure, okay.   Dr Pia (23:35) Now those blocks you have to understand they come in one solid color and very opaque hence why they look like toilet bowls like you can see like ⁓ Simon from What is it the the show with America's Got Talent right now his teeth walk in before him   Kiera Dent (23:55) Mm-hmm.   Dr Pia (23:58) They're so white and chalky. He had them done and they're too big, personal. I mean, I think they're too, he's too horsey. He should have stayed with the veneers he had before because they looked more natural and.   Kiera Dent (23:58) It's true.   Dr Pia (24:12) But that's the problem. If you have them very, if you have the 3D printed, the opacity is one solid, you know, base that the computer then drills that hockey puck to form the crowns and the veneers. So you're never going to get the aesthetics of having incisal translucency or having a halo or having them nice and flat. You're not, because the computer is going to make them the thickness that   Kiera Dent (24:33) right?   Dr Pia (24:41) They cannot drill those any thinner than that because they're going to break.   Kiera Dent (24:46) So this is fascinating and I love this because now I have more quite like being an assistant, also having worked in this, also having gone to labs, also having like things done for family and friends that I know. Are you a fan of custom shading where you send your patients to the lab or how, okay, so how do you get it to where it's like a perfect shade match, like consistently, any tips that you have to make it to where it is really that absolutely perfect, making your smiles.   Dr Pia (25:04) Hell no.   Kiera Dent (25:15) beyond perfect without sending them to a lab. Because I think a lot of people hold back and they're like, I've got to send it. But I've seen a lot of dentists where they'll try to put the shading in, they try to put the translucency in. This is no knock on dentists. This is like, hey, we've got an expert here. Let's ask how she does it so we can all rise up.   Dr Pia (25:30) Okay, honestly, I take the patient to the window. My whole main thing is every single office that I've built, I need to have windows that are five feet tall.   and sunlight. So I'm able just to move the patient to the window. And that's where the talent comes in. I'm able to take shade without a shade guide. I mean, I'm at that point, but I've been doing this for decades now. So it's like at the beginning, I wasn't so I would do the shade guide and I would write it on a piece of paper and just be like, okay, the neck is an A two and then we have an A one body and then we have translucency of two millimeters and a halo and I just draw it.   Kiera Dent (25:41) Fascinating.   Dr Pia (26:10) and then they would make every single veneer with the same recipe. It's almost like cooking. But the window and natural sunlight is the key. Because all these computers that you put up against your tooth, all due respect.   Kiera Dent (26:15) I see. Mm-hmm. Yep. Mm-hmm.   That's great.   they shade it differently.   Dr Pia (26:29) it's not only   that you have to understand everybody's tooth is a different length okay like your centrals are fairly long for the average person right that particular shade guide is not going to read color on your tooth that you probably have 12 millimeter long centrals and i'm diagnosing you over the video right so that particular   Kiera Dent (26:35) Mm-hmm.   Mm-hmm. Mm-hmm.   Yeah.   Mm-hmm. Hey, thank you. Yeah.    Dr Pia (26:58) light source is not going to be able to read 12 millimeters perfectly from the gum line to the incisal. It's just not going to happen. You're going to need and if you're not good at taking shade, go do endo or oral surgery or ortho.   Kiera Dent (27:07) Right.   It's true cosmetic is about I feel it's about the precision. It's about the aesthetics and like there I mean I hire designer to do my house. I'm not going to do it. I know that that is not my forte. I'm really good at other things, but I'm not good at color matching and what goes well together and how to put this together. It's just not my strength and skill set and I really do believe like this is what I think going back to your original professor speaker lecturer who   completely dash your dreams. I think maybe possibly what he meant was, I think there's some people who have a natural eye for cosmetic and aesthetics and there's other people who maybe don't. And I think you can adapt it and evolve it and become, and you have clearly proven that. But my guess is, I mean, hearing that you're even on fashion week, my hunch is you already by default had a very strong fashion aesthetic. Maybe you didn't, but I would guess that that kind of has been a part of you.   Dr Pia (28:07) No, I did. did.   And you know, I do like my own makeup and I know my colors and things like that. And so that helped. I have to say that really did help me quite a bit.   Kiera Dent (28:11) Mm-hmm.   which is why you were drawn   to this. You had the passion, fire, because you already knew that.   Dr Pia (28:21) And I loved it and I was like, how can I? And then what the other thing is like, you may not know you have it. So the other thing what I say is buy some art books. That's what I did. Buy some art books. Get to learn the difference between the chroma and the hue and just take a couple of art classes and see if you have it.   And if not, what can you pick up and learn from those art classes if you really want to do it? And I'm not trying to be sexist by any means, but I do think that women are better at it because of color. And I think we're a lot more patient because the way I do it is I do diagnostic wax ups on every case, whether it's one tooth, unless it's even with the prepless veneers where I don't touch the tooth.   Kiera Dent (28:52) Yeah.   Dr Pia (29:16) I still do the wax ups to see I've had all let me backtrack a little bit but I've had every single 2d program   in the last what 16 years that they've been out more than 16 years okay and it's not the same when you see yourself in a photo with the size and shape and color that you might want okay it's like using it's like using the apps to change your hair color i'm   Kiera Dent (29:32) Wow.   I agree.   Mm-hmm.   Mm-hmm.   Dr Pia (29:50) the strongest belief that if you do want to change your hair color, I think you should try on a wig and wear it for a couple of days. So that that whole entire ⁓   Kiera Dent (29:58) Yeah, I don't disagree.   Dr Pia (30:03) philosophy that I have what I do is I do the diagnostic wax-ups I do the indexes and without drilling the teeth the patients come in and I pop it over their teeth, you know with the Luxe attempt, know the temporary material that sets over it and I tell them to walk out with it and You know, it's not bonded on or anything. They can just take their fingernail and just pop it all off But go out let your family see it. Let your partner see it. See how you feel. Is it too long?   Kiera Dent (30:22) Mm-hmm.   Dr Pia (30:33) Is it too square? Is it too round? I'm allowed to have my opinion, but you're paying me and if your opinion is different than mine You have you should have the right as a patient to get what you want. Not what I want We have to come somewhere in between sometimes like I'll put my foot down and I'll be like you really don't want them that way   Kiera Dent (30:49) Mm-hmm. And I'm glad...   You're right. We don't want them to make a statement before you walk in the room. That's what we're going to just highlight here. But hey, if you want white white, like at the end of the day, that's what they're going to have. I love that you, ⁓ I think this is probably what's made you really great. I don't know. I've heard a lot about you. But I think what you do is you make sure that the patients are obsessed with the results and not that Dr. Pia is obsessed. Like you're obsessed with the craftsmanship of what you've done.   You're really talented at that. But like hearing that you let people walk out and go try these on and what is it going to be like before you do it? That to me says that you are so obsessed about the outcome and the result for the patient. And then your job is to make sure you have the most excellent craftsmanship, the best product, the best techniques, the best method to get them the outcome they want. And I think hearing that, I'm just so proud of you. And I'm so grateful to hear that there are clinicians in our industry that   are obsessed about that rather than the reverse. Because I think some people are obsessed about maybe the dollar, maybe about doing these types of cases, but they're not the best at it, or this is what I think that they should look like. You really want to make sure that that patient is like a walking raving fan of you before you even do the work on them. And that I think is very special about you.  

Trish shares with Tiff and listeners her experience with a practice that started with a whole lot of uncertainty under a new doctor, and the steps undertaken that lead to a thriving workplace within a year. Specifically, she touches on how trust, flexibility, and numbers each played a role in this success story. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript:   The Dental A Team (00:01) Hello Dental A Team listeners. I am so excited to be here today. We are, I have Trish here with me. So we are here just hanging out today and we, I'm so excited actually that we did this at 8 a.m. It's way more fun. At first I was like, ⁓ that is early to be ready. But then, know, we're like, spray our hair's great. Our makeup is fresh. Like it's actually super fun. So thank you for spending your morning with me Trish. How are you today? We are hot to try.   DAT Trish Ackerman (00:27) Thank you. We are hot to trot.   The Dental A Team (00:31) Trish, I got to love on you already twice, so go listen to the buyers and the sellers version of practice ownership, you guys, because you'll get to hear how amazing Trish is. But I want to pull a random on you, Trish. And I have not asked in a while, and I think that the Dental A Team listeners in the world out there needs to hear, how are the piggies? And yes, I said pigs, like oink oink, how are the piggies?   DAT Trish Ackerman (00:56) The piggies are great. So I do have two pigs and ⁓ they are very well known with my friends and my colleagues. I have, it's Miss Daisy and Joey and that is spelled J-O-Y-E. And well, they're doing great. However, winter's here is coming. It's winter in Arizona. we think they don't like the cold. They don't like the cold at all. So we have been having some loud piggies that like to come indoors and they do. So we have in and out pigs to go in and out with dogs.   The Dental A Team (01:07) course.   Yeah.   Ugh.   Yeah.   DAT Trish Ackerman (01:26) We have a total podcast just about that. anybody's thinking about getting a pig, please call me first.   The Dental A Team (01:30) Yeah, yeah, and that's true.   I, Trish, I think actually, like, save the pigs. I think that's a really good point because I and we can, you can take any theory and apply it to anything, right? Anything, everything looks great. ⁓ And when you're in it, you realize maybe I didn't do enough research, right? So this sounds like a great idea, but maybe I didn't do enough research. And I've known people, aside from you who have had   pigs as pets. And I know one family that just thrived loved their pig and ⁓ they live a long time. You guys, there's a lot to know about pigs. are incredibly smart. ⁓ but I do believe they're very smart to the point of like stubbornness, right? But there's like so much to learn and Trish, something that everyone should know is a passion of yours is these, the pig projects.   Right? And that stems from that right there, in my opinion, of people not understanding what they're getting into. When I was young, I wanted nothing more than a little pig. I wanted a little piggy. Right? And so many people in the early 2000s, in the 90s, they got a little piggy. And what happens to a little piggy, Trish? This little cute little oinker does what?   DAT Trish Ackerman (02:49) it gets real big real quick and then it roots everything and people are not prepared very and loud we prepare yes life's not   The Dental A Team (02:50) They're so big!   They're so big, they're so destructive.   loud. My mom was like, you're not getting a pig. Yeah. Thank God.   So, so everyone knows Trish does, she volunteers ⁓ for, there's a whole, the whole place here, the volunteer that takes piggies and cares for them and loves them. And it's just something that she's really, really passionate about that I didn't even know existed until meeting Trish. So thank you for bringing that to my life. But   I love the analogy that can be taken from that, right? Because we do that with everything. We're like, okay, that was so cute. my gosh, sparkly, do it, yes. This is an instant yes. I want it, I need it, I want a goat, right? I want a highland cow, a mini highland cow, because why? Instagram shows me pictures of them next to a fireplace. I wanna cuddle with a mini highland cow. That sounds dangerous, right? Like I also want a coyote.   DAT Trish Ackerman (03:40) Yes, yes.   Yeah, it's great.   The Dental A Team (03:57) Like there's so many things that we want in life because they're cute and they're sparkly and they feel like they're gonna feel amazing. And then we get there and we're like, ⁓ shoot, I did not do the research. I did not realize this pig was gonna get so giant, right? So I love that. Thank you for letting me take that journey with you. And so if you do have piggy questions, Trish@TheDentalATeam.com. It's her direct line. You can make sure.   DAT Trish Ackerman (04:03) ⁓   Mm-hmm.   Thank you.   I'm your girl.   The Dental A Team (04:25) And it's going to be just fantastic. It's going to be so much fun. okay, on that note, practice owners, doctors, know, teams even, we all get into that space, right, of shiny object syndrome, or it just sounds like it's going to be amazing, or it looks so pretty. And we sometimes tend to miss some of the underlying pieces that we've got to know. And I think that's where consulting is super beneficial.   for practice owners. There are so many things that you don't know until you know. And a lot of those pieces are healthy patient base, right? What is a healthy patient base? How do I keep, maintain, create a healthy patient base? What the heck is billing? How do I even do that? What is insurance? Why do they tell me what I can and cannot do? These are literally real questions that we get from doctors and, or team.   Why does my team hate me? How do I make my team like me? Well, my team likes me, but they don't respect me. Culture is massive. And all these things are things that we don't always think about when we purchase a practice and we get into this like beautiful building or the, ugly building that we're going to make beautiful or whatever it is. And just like the piggies, it was so cute and such a good idea. And then all of a sudden it's this massive.   Mass, like how much do they weigh Trish? Like a full grown pig weighs what?   DAT Trish Ackerman (05:56) I mean, I don't have the hogs, but Miss Daisy, I mean, she's close to 90 pounds and Joey, he's about 110 pounds and they start out little.   The Dental A Team (06:01) 110.   Yeah, yeah, and people think like a St. Bernard is wild. Like no, these are pigs, right? Like it was so cute. They are really cute still. I'm not saying they're not still cute. I'm just saying they come with some baggage, you guys. So when we're looking at these practices and we're helping these practice owners, these are pieces that we have to dig for. We've got to be like, hey, like that's a truffle finder. Like that pig is going to tear up your backyard.   but we can safeguard it. There are things that can be put into place to make sure that your backyard is safe, right, or as safe as possible. Same thing with your practice and your consulting. And that's what we do. We are good. Trish is great at pigs. She is great at many things. Recare, reactivation, AR, billing, team, culture, leadership. I could literally list the millions of things that Trish is really, really fantastic at.   And I think sometimes she's like an octopus that can just like all these arms are just going in different directions and she's just so fantastic at it. And Trish, we've talked about a specific client before and this client is just super cool, super amazing, super fun and a go-getter, like quietly a go-getter, which I love. I love that it's like a sneaky go-getter because he's so quiet. ⁓   So we talked about them before, but something I wanted to kind of highlight and focus on today during our podcast is yes, they've done these amazing things and with your leadership and your guidance, they have implemented some really incredible tools that we have talked about in the past, ⁓ you know, for handoffs and exams, mentorship, like all these pieces and it's worked wonderfully and the doctor is doing fantastic, but something I don't think we highlighted in the last podcast on this.   on this topic and conversation is the work that you've done with the manager and the team and like how that has flowed and how the doctor's leadership in the last less than a year has really molded the culture in the practice that that practice has now become, it's thriving. Like it's a practice that is safeguarded. It's a practice that has the systems in place that the team is really excited to be there still.   and has the like and the respect. I want to hear those tools, because those are sometimes the tools that we miss in moments of get our operations manual done and do all these checklists. And I want to hear how you helped them do that. I know he did it, they did it. And that is something that we can truthfully say. They showed up. They did the work. But what were the...   They did, and how did they do that? Take me through all of those pieces. How did you help them do that? How did they do the work? How are they showing up that's different than practices we're not working with right now?   DAT Trish Ackerman (09:00) This practice, it's so special to me because of the legacy behind it. just to reiterate this, we've got our current doctor in there now. It was his dad's practice and it was also his grandpa's practice. so he had something that we knew, he had something that we knew we had to preserve and grow and just blossom more than anything that practice had ever seen before.   And this doctor, he's kind of like your, he's just like your perfect implementer. And I never, and that doesn't happen all the time. And it did with him. And he, this is a doctor that has a stellar OM, like a real OM. And she, they are great partners. And when we, you know, we kind of walked through all the KPIs initially, like let's look at everything.   The Dental A Team (09:35) Yeah.   DAT Trish Ackerman (09:55) And then we started breaking it down, like where could we improve or where could we increase things or where can we be more efficient? And we'll start with just say the patient base, because this was a bottlenecked practice, which is it's got his pros and cons for sure. I mean, it's great because you're bottlenecked. The cons are you could possibly lose a lot of patients very quickly. But what we did is we would strategize together and I would map out the steps for him in like an ABC fashion.   The Dental A Team (10:06) Yeah.   DAT Trish Ackerman (10:25) Here's A, go do that. Here's B, go do that and C. He would do just that with the support of the OM and team. The OM and the doctor together would roll out at team meetings and even sometimes just morning huddles like this is something we're implementing today and they would do it. And that is, you know, it's like to have, if you bring us on to help you, there has to be a trust there. I mean, we're, certainly not here to make   make you do something that is not gonna work. Sometimes something doesn't work, but we pivot quickly. But for the most part, we're here to help. And this doctor walked in with nothing but trust. And I admire everybody that comes on to us, because this is a big decision to get a coach and have somebody consult for your practice. But that is really how they made these things move, They did everything, everything, and almost exactly how I would roll it out to them.   The Dental A Team (11:17) Yeah.   Yeah, I agree. I watched it. I watched it. I, as you were speaking, picked up that trust word as well. And I think the, the trust that he has for himself to make good decisions flows into all of the other pieces. And, and I don't mean that he knows every decision is a good decision. He trusts that no matter what the decision that he makes, he's going to pour into   and it's going to work or it's not. And if it doesn't work, then he moves on to something different. He trusts that no matter what, at the end of the day, it's going to be okay. So that means that he trusts the people that he surrounds himself with. If he has chosen you, he trusts you. And I think that trust flows into, I think it makes us better consultants, right? Because we feel that trust, we know, and we're going to push you. We know the extent to which we can push you. And if that trust is not there, you're not going to get as much push. And I know there's a lot of   There's a lot of times that I hear I'm not seeing movement or I need more. Well, it's both ways. We're gonna gauge it by how you're showing up. We're gonna show up too. And this is someone who shows up and that trust then, it doesn't just flow into the type of consulting that he gets. It also flows into how his team shows up. And you said that his office manager I've met, wonderful human and is just,   wants the best for the why, the purpose of the practice, the why that they're there serves it. That then allows them the trust that they have in each other, in the decisions, in the practice, in their why, in their purpose flows to the team so that they can show up and say, hey, we're doing morning huddle today. It doesn't have to be this like, hey, in a couple of weeks, like we're prepping for this, hey guys, we're prepping, because now I'm coddling and the team is like, is it good? it, like why is this?   Why can't we just do it, right? When it's not like a, hey, this is what we're gonna do. We're gonna try this out. It's gonna be amazing and let's do this. It's a like, ooh, like a gas and a break at the same time. It's like, ⁓ well, maybe though the team feels that. And they're like, I don't think I wanna do this then. I don't trust that you've put a lot of thought into this. I don't trust that this is a good idea. So I'm gonna rebel. And then, know, teams and practices and practice owners are like, why isn't this working?   I think you nailed it there with the trust. He trusts himself, he trusts you, he trusts his team, and he trusts his spouse. The trust is ever flowing. He trusted his father to gift him, maybe not gift him, but to build this legacy practice for him to take over one day. And I think that is massive. So then that trust flows into everything that he does. And I think you get to see that. And Trish, what are your...   What are some of the ways that you've seen the team really rally behind him?   DAT Trish Ackerman (14:24) They, okay, behind every number is a story and watching his numbers change. The story is that the team changed with him and they are, they're very transparent with their team. They're very, they're, very direct, but in a lead, but they, they both have very strong leadership. They're a firm and principal, flexible and procedure is what I love to use.   The Dental A Team (14:27) Yeah.   DAT Trish Ackerman (14:50) So they would be firm in principle, like this is a new implementation that we're going to roll out today. They would be flexible in procedure with certain team members because, you know, change is always kind of wild. It can be. The flexible and procedure would be, okay, if you're not ready to implement today, let me set you up with some coaching, but immediately so that we can ensure that we get this implementation rolled out by next Monday.   So it wouldn't be something that could just never get implemented, they could, if they needed to take some heavy lifts a little slower, they would, but there was always a timeline behind it. Nothing ever just sat ever. And team meetings, they're really, really good about their team meetings. They have solid agendas. They go in there with an action plan and they leave with action items. And they're just, they're marching. They continuously march together and forward and upward, always.   They did, the doctor also did kind of early on, he did a really, really good analysis, a sincere analysis on right people, right seats. And there was some discoveries made there. And knowing what those discoveries are, that gave me something to also help coach him with. you have to have, the doctors cannot do this alone. They can't. Team meetings are imperative. They have them. And again,   The numbers tell a story. And how did I know right away that this team was behind him was the numbers. But how did he do it? Consistency, implementation, follow through. He didn't just say he was going to do something. He did it. He did it.   The Dental A Team (16:34) Yeah,   yeah, and he delegated, right? He delegated to his team the pieces where they could support too. think something that I noticed right off the bat was that he trusted you, he listened to you, and something you guided him on was the pieces that only he could do versus the pieces that other people could help him do. And so mentorship, mentoring an associate dentist to take some of the load off of him, to build the schedule, to make room for the new patients, to get the block scheduling in place.   DAT Trish Ackerman (16:52) Right, yeah.   The Dental A Team (17:02) that mentorship could only come from him. But the other pieces, the implementing the block schedule, creating the block schedule, training the team on the block schedule, he didn't have to do that. And he trusted and allowed the delegation process and he trusted his team to carry it through. And I think something Trish that you did well with him and that he did well with you was allowed for the results. Everything was results driven. So if you implement this, you should see this.   DAT Trish Ackerman (17:30) Yes.   The Dental A Team (17:31) Now we see and make   sure we see that. If we don't see that, like you said, the numbers don't lie, right? The numbers tell a story. If we're not seeing the result, the expected results, we look at why are we not seeing the expected results? So he trusted that that implementation by his team was going to get the results. And if it didn't, he trusted that you would guide on why that result didn't happen. Yeah. Yeah.   DAT Trish Ackerman (17:54) Yep, and how to approach the team maybe a different way to   get the implementation active.   The Dental A Team (18:00) Yeah, yep, totally, totally. so massive kudos Trish on keying into, massive kudos to this doctor and massive kudos to you to really keying in on the areas of growth rather than just saying this is what we do, right? We're not that kind of consulting company but I watch you really mold your consulting per client to what   they need and where they're at, like you meet them where they are at and you are able to really see things that they thrive in, things that they love, things they're really good at, and then areas where it's like, you're not super great at that and you probably don't like it, so like, do you need to keep doing it? Is this something you need to keep doing or is this something that maybe we can pass off to somebody else?   DAT Trish Ackerman (18:53) think we're all really good at that here. mean, it's, think we get, we do get to know our clients quickly, really quickly, as far as just how are they going to tick with us? And, and when, know, with, with this doctor, one of the funnest things that I did discover with him is, is I found out that he was competitive and that was something else that really moved the needle. And I was like, ⁓ okay. And I ran with that. And   knowing that he was competitive and then started having them bring their presented treatment. How much dentistry did they present yesterday? And I mean, that just took off. So between him and his associate every day, they were in there and their huddle showing what did you present yesterday and what was accepted. And it just started kind of creeping up slowly but surely because the because the owner doctor, he's like he wanted to win. He wanted to have more to show. And that was that was actually a lot of fun.   The Dental A Team (19:44) Yeah.   Yeah, I do. I do love that. I remember you doing that with them and it was fun and you could see just like a spark. Like I wanted it. Like it was awesome. And I think to highlight that one of the reasons that you keyed in on that and that you made that a priority was that there was a sense of fear of diagnosing, of being an overdiagnoser. And so they knew there was stuff left on the table. There was a fear and there was a holding back and you challenged them.   to diagnose just one more, to diagnose one more thing and overcome that fear. And oftentimes we have to step into what that fear is and just do just a smidgen, like just a little bit, just a little bit and get over that fear. And that was something that you keyed in on. it wasn't, a lot of team members tend to listen to these too. And they tend to think the wrong of consulting, that we're looking to.   make things up or find things that aren't there and that was not the case with them. It was really just that fear of being an overdiagnoser, but really stepping into who they were as providers, as dentists, and their why to make people healthy again. So it's just super cool to watch. So, Josh, if you had to pick two things, two things, actionable items that the listeners today could attempt to implement themselves based on your work with this doctor, what would those two things be?   DAT Trish Ackerman (21:14) Those two things, let's see, the first one would be, what is your case acceptance and how are you presenting? And I say that because I watch and hear doctors talk patients out of treatment all day every day. So that's first thing, what's your case acceptance and how are you presenting? That's number one. And then number two, what is your, you know, I love this, what does your re-care department look like? What does your re-care schedule look like for the next two weeks?   The Dental A Team (21:26) Mm-hmm. Mm-hmm. Agreed.   DAT Trish Ackerman (21:41) and what did it look like the last two weeks and evaluate that. And if you find that there is more than 10 % of lost time in that two weeks, you might as well plan for that to possibly happen coming up two weeks. And so what are the systems in place? What are the protocols in place? Because you really want to lock down that Recare Department to ensure that you have your patient base and that you've got your exam opportunities.   The Dental A Team (22:05) I love it. Thank you.   DAT Trish Ackerman (22:06) And   that your overhead is not crazy because it can get really wild if we don't have if we've got a hygiene provider and she does not have a 90 scheduled or to capacity. We're going to start seeing some numbers look weird.   The Dental A Team (22:19) totally agree, love that. Awesome, thank you Trish, I appreciate it. think watching you consult is super fun, watching all of you ladies consult is super fun. My job is really, really cool and I just, I love it. thought, it's kinda like when you're in the office, you're like, can't imagine anything else and then now I'm like, I can't imagine sitting in an office, you know, and I was like, I'm never gonna be off the road and then I was like, actually I really like this, I really love this space so thank you for letting me be a part of it, thank you for letting me jump in on.   on calls with you sometimes and really just get to see you thrive. Thank you, thank you. Awesome, you guys, if you are a Dental A Team client, we love you, we value, we appreciate you. If you have any questions on this specific situation, you guys, we all communicate a ton. So ask your consultant if you want some advice, you're like, Trish's Recare sounds amazing, like communicate with your consultant. If you're not a Dental A Team client yet,   DAT Trish Ackerman (22:49) love that one.   The Dental A Team (23:14) We love you, we appreciate you, we value you. Hello@TheDentalATeam.com. If you have questions, we are here for you. And if you want to know more about Piggies, Trish is here for you. And we love talking our hobbies and that is a massive hobby for her. So get to know us like we get to know you. We love and adore all of you. Hello@TheDentalATeam.com. Drop us a five star review. We cannot wait to hear from you. And if you guys are in a space where you just, you're not sure.   what to do. You're like, I don't know what my A, B, and C is Trish. I don't know what my next step is. I know I can see this thing that I want. I don't know how to get there. We are really good at that. We are really, really good at building those steps and the path to get to your ultimate dreams. You guys, TheDentalATeam.com sign up for a free consultation and it doesn't, it's no obligation you guys. doesn't mean anything. It just means,   Help me, I see this piece, what am I missing? We are here to provide that piece even if you're saying I'm not ready for consulting, we will still give you those tools. So please reach out, we are here for you. We want to do the most that we possibly can for the dental world and our community that we serve. So Hello@TheDentalATeam.com and we cannot wait to meet you.  

Kiera provides very specific tips for how a visionary CEO can keep their practice(s) flourishing on multiple levels without sticking their fingers in all the pies. She gets to the quick with a single question a leader should ask anytime a new task comes across their desk: Just because you can do something, does it mean you should? Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and I'm excited about today's topic and I hope you are too. Delegation, I feel like it's such a, ⁓ feels so hard. It feels like what should I do? What should I delegate? What should I not delegate? And this is for like helping you get to multi-level success. So whatever your success level is, whatever you want it to be, delegation is a huge portion of leadership. And I feel like,   especially in multi-practices, if you want to get to multi-practices, that's kind how I'm going to highlight this today. You have to ⁓ really get good at delegation. It's not about doing more. It's about doing more of the right things ⁓ and doing less of everything. And so really, really, really getting into that zone of genius, helping you out with that. So I'm excited about this. ⁓ I'll kind of work it through in a couple of different parts to make this easier for you. It's helping you know, what should I delegate? What should I keep?   and how to lead across all the locations with clarity. Because as you scale, a lot of people forget that they have to delegate, that they have to get different pieces. And so what happens is things just start to fall off the wagon. And that can get really, really scary. And then you're trying to like catch it all. And so many people, when they get into multi-practice ownership, they tell me like, I wish I would have just stayed at one. And I think, well, yes, there are benefits to staying at one. You had a call inside, you're so wanting to grow. It's just hard right now because we didn't set it up as   successful as we could have. Now, I am not one to judge. I did the exact same thing. And so I know the the taffy pole stretch of trying to do every single piece when you're a multi-practice ownership. And so this is coming from real life tactical, curious life experience of what we see with clients to give you the tips of the trade, to give you the secrets to success and doing it here on the podcast in such an open, friendly, welcoming, no judgment zone. More to just give you a hug to tell you, hey, you're doing better than you think you are. And let's give you some tactical practical tips to help you out.   So, A Team, we're obsessed with single practices, so multi-practices. We love to help owners build thriving practices at all levels. We love to work with practices anywhere from the startup zone all the way to the multi-location zone. Whether your plan is to build it into a legacy practice or to sell to a DSO or to whatever it is, there is no right answer with Dental A Team. It is your right answer. It is what is best for you, your life, your practice, and also allowing you the freedom to change that. So.   working with doctors and their teams to get to that high level success. ⁓ We are ultimately here to help you have the most profitable practice, the happiest team, the thriving practice of your dreams, and to do it on the easiest way possible. So that's what we're about. This is for ⁓ true, true, helping doctors become true CEOs, not ⁓ operators of their businesses to own their businesses to act in that seat rather than being the managers that oftentimes they are. So step one, when you're moving into this multi-practice ownership,   you are shifting and I want you just to know your identity is going to be stripped away. You're going to become the same thing that you feel very uncomfortable in because you've never done this, but this is what your organization needs and I think so often owners fail to rise to the need of the organization of what it needs and they like to stay where it's comfortable. And I remember as an office manager, I like when I truly stepped into the office manager role, I'm like,   Well, this is weird. I don't even know what I'm supposed to do. And you've got to just settle in and you'll figure it out very quickly. so helping you just know as the owner CEO of the company, what you have to own, like your true role is to own the vision strategy and culture. These are things that do not get delegated out. They're the core of the leadership. They're you setting the example. And when I realized, like, I remember one day I Googled like, what does a CEO do? Like I truly did not know.   ⁓ because I'd been a manager for most of my life. I'd been a doer most of it. I did not realize that my job was to own the vision, the strategy, and the culture. Now, not all CEOs, not owners of businesses actually enjoy the vision. You might not be a visionary and that's okay. You might just need to have somebody paired with you who's a really strong visionary. There's usually a visionary integrator according to Traction by Gina Wickman that I choose to, I subscribe to the strongest. So I'd be like a CEO and a COO. ⁓   The CEO is the visionary, the CEO always operations the day to day making the dreams happen. So it's like Walt and Roy Disney ⁓ are some good examples of that too. So when I'm looking at as a portion that you cannot delegate away, you've really got to own this vision strategy culture. That's you, you're the culture master, you're the strategy, you're the vision. So where are we headed? What does that look like?   ⁓ What's our 12 month? What's our three year? What's our 10 year target? That can still be, you set the like framework, the team builds it into a full complete picture. And then what's the culture that we want replicated across all the teams. So ⁓ when we start to get that vision strategy and culture aligned and ⁓ owners don't delegate that, you then can bring in hires faster. You can have core values. You can have KPIs like, because we know it's very clear. How do we act?   What are we going towards? And then what are the things that we need to measure? So this is truly something that when I realized like that was my job and it was the bigger picture piece, there's other people that do the day to day. It felt awkward. I'm not gonna lie. Like I was like, ⁓ I feel like I'm putting on a different t-shirt today. And like, I don't even feel comfortable. Like I don't look good in yellow. Well, you might not look good in it, but this is what the organization needs and nobody else is doing this besides you. So ⁓ the question is, if you're a multi-practice ownership and you're in this ownership role, question one is,   have I clearly communicated our vision? It's like, if Kiera or the Dental A team were to walk into my practice today and ask any team member, would they know the vision of our company? That should be a resounding yes. And if not, you have not communicated it enough and it has not been clear enough. Does your entire company know the core values and do they live them? And does every single practice know what their targets are for that practice and the KPIs they're tracking?   It's very simple way to ask yourself this. And I love to ask this and I love to come to offices. If you were to ask any member of our team member, they would be able to tell you, yes, we know exactly what our core values are. We know what the mission is of our company. We also know where we're headed. Now, I think I could be a bit more clear of where I'm headed in the three and tenure. My leadership team knows that a lot better. My core team knows where we're headed this year, what our core values are, and what the core values are of a company. We have this on a...   So some of them could rattle it off, our new team members, this is part of their onboarding. So helping you really figure that out is going to be paramount because now all your practices, all the locations are operating the same way and there's strong clarity. Step two is you're going to delegate operations for leaders. So this is kind of like the CEO versus the COO. So like realistically owners of like CEOs of DSOs and multi-practice ownership, you don't have to be a DSO for this. It can be multi, it can be private still.   I have a lot of private practices that are three, five, 10 locations. That's totally fine. You can do that, but you can't scale if you're still solving the supply issues and front desk drama and putting them. So you have to have a regional manager and a lead at each location. That's paramount. You need to have it. They need to have their KPIs and what they're tracking. They also need to know how to make decisions. Like what's the decision framework and how, what do I have decision making autonomy over at the office manager or regional monitor level versus what needs to get approval?   And then also we've got to have like training, not just tasks. So that way everybody has training of what do we need to do when we have that set up consistently. So you teach your team and you have a set protocol and process of how to run huddles. Like a system to me is something that no matter who you are, where you come from, whether you've been with us for one day or 10 years, you should be able to do the same thing and get the same results. So a huddle should have a form that everybody follows. You can have it broken down for me. I even have minutes next to it. Like this part's two minutes, part's five minutes. So it's a true 15 minute huddle.   for every single practice. Our one-on-ones have a set protocol of how do we do them, when are they run, and how often are they done, where are these things stored? We have a process of how we set up our rooms. We have a process of how we schedule. All these things that you start working on, and doctors who are owners and visionaries might not be good at these processes. So you need a really good regional or really good office manager or really good operations next to you to help build all these things so you do have confident leaders that are leading next to you. But this is everything that gets delegated out.   And there's a doctor that I worked with who's actually really, really great at checklists and operations and building. And I said, that's fine. Rock on. You got to pick which seat you want to be in. Do want to be in the CEO visionary seat or do you to be in the operations seat? Both are fine. Both are on the table. Both are doable. And you could honestly do both super, super, super well. You just have to decide which one you want to do. And this doctor, two years later sent me a message and they said, Kiera, I'm so glad you pushed me into that because as much as I was trying to do both, wasn't excelling in either.   So they moved into the CEO visionary role. They hired an amazing assistant to them. They hired an amazing regional manager and the practices are flourishing on multi-levels and they have seven locations now in their organization. But this way, there's not the bottlenecks. The CEO, the owner often creates these bottlenecks because they're not delegating those pieces. And then next up is going to be like, how do we actually systematize across the board all the locations? And... ⁓   So this is again, like we've talked about it so many times, it's KPIs, having a dashboard and a scoreboard so you know how every practice is doing, having leadership meetings with agendas and having communication that's very open amongst all practices. And then I do like a centralized training at least once a quarter, if not like once or twice a year. So that way all the teams and all the organization, I know this is a pain for people, but the more you get them all together, the more they realize that they're all on the same team, they're all there.   But like, this is not you owner, you're delegating these pieces. So you're delegating the reporting and the communication. So if you look at this really, you're not delegating the culture, you're not delegating the vision, and you're not delegating ⁓ the other piece to that is like the strategy of how we're going to get there. That's your world, that's what you're supposed to be doing. And then your job is to really rise up your leaders. But you are delegating operations, you are delegating systems, you are delegating meetings.   Like there's so much to your job that you've been used to doing that you're delegating. And me going from an office manager to a business owner, sometimes it's easy for me to get stuck in management because that's where I feel comfortable. That's where I feel good. ⁓ Vision and strategy, that's actually really hard to put on a scorecard and to account for my time to say like, yep, I put in 40 hours. Well, vision and strategy are not tasks. are, it's like fluffy clouds.   and they take quiet, they take ⁓ out of the office, they take ⁓ white noise time is what I like to call it. And it's actually very hard. And I think sometimes this is why CEOs don't like to go into this because it feels fluffy. feels, ⁓ I don't know, like so hard to track, if you will, which it is. But at the same time, if you do that job and you do it well, everything else falls into place and then you just check in on all the other pieces.   that are truly delegated. really, it feels so, sometimes I feel like it's unfair. I'm like, what? Like this is all I'm doing and this is everything else that they're doing? Tasks and vision do not get put in same buckets. They're not on a scale of equilibrium. It's not like, well, I spent three hours on vision so I should spend three hours on tasks. No, sometimes vision takes longer. Sometimes it's harder to build. Sometimes strategy's harder to build. The number of nights and times where I'm like working it through in my brain and I'm building it on paper and I'm working through like,   What does the company need and what is the culture and how am I going to show up and present and like, what are the meetings I'm going to put it in place? Just because that comes natural for visionaries does not mean that it should be shortchanged for operation that's task built and task focused. But all of this is literally delegated. So all you do is you own the vision and you delegate the operations and you delegate the systemization. Now you oversee it, you are a part of it, you can help create it. So that way it's there.   But this is how you have to start to operate in multi locations. A lot of times you are also over the hiring of new doctors ⁓ and then like the partnership portions within the company. If that's a piece of it, that's really what the owner CEO visionary C is responsible for. Yes, you might still do some clinical dentistry, but typically the more practices you build in, the more you're going to need to be overseeing the entire organization and doing less and less and less dentistry because it's something you can delegate out. No one else can do the vision, the strategy and the culture. They can't.   everything else can be delegated. And I know this feels weird. It feels awkward. And it's not always right away, but it will start to be something you phase out and phase out and phase out. And it actually becomes really fun and it becomes hard and it's a challenge, but that's what it is. Scaling is not doing all of it. It's about doing the right things as a leader. And this is something where so often we have a phrase in our company where we say, just because you can do it, does that mean you should do it?   So leaders, really want to ask the question, just because you can do it, and this is for regional managers, this is for office managers, this is for all leaders, just because you can do it, does that mean you are the best that should do it? We have some team members on our team that love to help out, and I am so grateful for that. Also though, creates that murky and muddy to where I actually don't know who I need to hire, because I've got five people doing something when two people should be able to do it, but I don't know, are they overworked or underworked, because we're all quote unquote helping. So having that.   clarity around is really going to help you. So this is a zone where when you're trying to scale multiple practices and you've got that taffy pole, it's the cue that you've got to step into the CEO level leadership and your practice might not need you fully a CEO yet. The business might not need you solely there yet. And so you've got to work on it in phases. And I think the phases are the hard part because you are taffy pulled. So you start to set up days and you start to set up blocks where this is my deep work time for CEO time. And then this is my clinical time. Then this is my...   CEO time, and then this is my culture time. This is my strategy time. And I hate the word strategy, it's the swear word in our company, but you do have to build strategy. You do have to talk to other people. have to work on those big relationships. Like that's part of what you do and not undermining it and getting you fully into the right person in the right seat for your organization is going to be paramount for you. And it does take a lot of time. And if you're someone like me, I talk to think, I don't think to talk.   So you might need somebody on the other side that works it through with you, whether that's a coach, whether that's a mentor, whether that's your manager, but being able to work through it so that way you're truly in that CEO seat. And so for this, this is strategic leadership. This is next level leadership. This isn't what you've been doing day in, day out, and it's for the next level. And so as you might even be a solo practitioner listening to the podcast today, helping you see what do I need to become and how do I evolve into this? Who do I need on the team? What players do I need to have with me?   are all going to be paramount for you to get to this great success that you have. So for this, if you're scaling, you're stuck, you feel like you're doing it all, reach out. Hello@TheDentalATeam.com. This is what we do. Our job is to make it to be simple, to be easier for you, to be more fun for you, and all around to create the freedom and the growth that you need to be successful. You have to have the space to do this. That's paramount for you to be able to do it. And we're here to help you along the way. And as always, don't do this alone. You don't have to. And just because you're learning a new role,   just like a lot of office managers are learning a new role. There's nothing wrong with that. We're here to help you. We're here to support you. You're not expected to know at all. So stop pretending like you need to and start to grow into the zones that you are truly great at. And as always, let us know how we can help you reach out. Hello@TheDentalATeam.com. Go to our website, TheDentalATeam.com book a call. Let's talk about it. Let's find your gaps. Let's give you some resources, no judgment, just massive momentum, massive clarity. And as always, thanks for listening. I'll catch you next time on The Dental A Team podcast.  

Onboarding a new team member has turned into a very transactional process. In this episode, Tiff and Monica discuss how to add authenticity, connection, and engagement to the mix. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:01) Hello, Dental A Team listeners. Welcome back. I am just so happy to have all of you. know there are so many people out there that support the Dental A Team in so many amazing ways. And you guys being here downloading these podcasts and having that little, I know Apple allows the like auto download. I always love that. Cause when I'm on flights, I can just, you know, podcast. But you guys being here.   pushing those through for us, being here to just support who we are, what we do is so truly incredible, whether you're a client, a future client, or someone who's just here to listen and you're like, ⁓ you know, never gonna sign up, we don't really have a preference of how you get to us. We just love that you're here. We wanna deliver all of the most amazing information that we possibly can. You might notice we share a lot of information, a lot of tips and tricks, a lot of like, I don't know, feel like, Monica, I feel like they're like.   secrets, trade secrets, right? And people are like, gosh, I'll just listen to your podcast. I'm like, fantastic, do that, do that. When you're ready for someone like Monica, who I have here with us today, you guys, to be like, I'm gonna push you a little bit further. She's here, we're here, and we're ready to help you get to that next level. And as I said, you guys, this is a truly, truly exciting day for us. I have Monica back on the podcast with me today. I am so excited to have you here, Monica. I know.   Monica Gomez (00:57) ⁓ yeah.   The Dental A Team (01:20) Previously, I've kind of given a good spiel of who you are and how we found you. And we got to record a podcast, if you haven't listened to it yet, about this really hiring tips and strategies. But there's so much to learn about Monica, her coaching style and who she is in that episode. So if you haven't listened to it yet, go do that. And as an introduction today, Monica, welcome. I'm so excited to have you here. And I just I'm excited to pick your brain. love I love watching.   I feel like I get to watch the flow of how thoughts come to you and it's just really fun and I love our time together. Thank you for blocking out your morning and being here with me this morning and Monica, how are you? How was your weekend? How's life? How's Monica?   Monica Gomez (02:05) ⁓ Life is great and I'm starting off my week with podcasting with you ⁓ and this is so fun. This is my second podcast and I'm so excited to be here. Our first one was really, there was a flow to it, right? It was a ⁓ great little conversation, valuable. We dropped lots of gems, you guys, so go listen to that podcast and I'm excited to be sharing this space again with you, Tish. Thank you for having me.   The Dental A Team (02:21) Yeah.   Thank you, thank you. I do love this and it actually makes me think this is like a little off topic here, but just for a smidgen of time. love the podcast space with you consultant ladies ⁓ on our team because I love that this is a space where I get to, I think I get to share how much I love you guys. Like how much admiration I have, how much I look up to you guys and get to like extract so much.   knowledge and input from you. And I think this is our space of like, truly having some connection time. And we have our one on ones, I mentioned that before, but those are so goal driven and work driven. It makes me think I love relationship and community. And I think that's something that humans are learning again, we're relearning that we need that. I think we lost that for a moment of time here recently and   in the years and we're coming back to that. You kind of don't know what you have until you lose it sometimes and we lost that space. And I think this is our space of true community. We do have our weekly meetings, we have our one-on-ones, we have our data-driven, work-driven time together, but the podcasting space is actually really special to me because I do get to, I get to get to like, want, we get to put you guys out there and I get to just spend this time with you.   And it makes me think you mentioned something on the last podcast that we had recorded together. You mentioned that intentional team time together and that like just clicked. As you're talking, like it clicked for me. This is our intentional time together and instilling that into, infusing that into the workplace. It's really special. And I want doctors and owners and leaders and anyone who's here, dental assistants, treatment coordinators, I don't care who you are. I want you to...   know from the bottom of my heart, this is a really special place and you don't need to go start a podcast unless you want to. But having that intentional time, like coffee time, like go in the break room and have coffee together and talk about your weekend. Like me getting to hear about Monica's family life and Charlie, her puppy, getting to know those pieces of you personally, it changes and it shifts our dynamic. So I wanted to highlight that because as you were speaking, I was like, my gosh, this is   Monica Gomez (04:44) Yeah.   The Dental A Team (04:57) something we haven't had yet because this is only our second podcast together, but that I know I do have with the other consultants and it just totally clicked for me because we just, think, mentioned that in the last one. So Monica, thank you for being here. Thank you for letting me say all that and for giving me this intentional time today.   Monica Gomez (05:15) Yeah, thanks, Tiff. Yeah, I think ⁓ this time together, we get to peek, a little peek behind the veil, right? And yeah, we do have a lot of connection time. It's structured time, right? But the value of unstructured time is just gold. is, ⁓ it builds trust, it builds ⁓ camaraderie, it builds affinity, it builds ⁓ an endearing, right? An endearing kind of sense of   The Dental A Team (05:23) Yeah.   Yeah.   Monica Gomez (05:44) of viewing the other person in a different light. So yeah, I think this is a powerful, like meaningful time. I agree with you. I agree with everything that you said. This is definitely a special magical space. Yeah.   The Dental A Team (05:53) Yeah.   Yeah, thank you.   Awesome. Well, thank you for being here. And again, if you didn't listen to the last podcast, I know this is the third or fourth time we're saying it. You should. This is kind of I think Monica actually helped me choose today's topics that she wanted to speak on. I think they actually naturally flow together. So I would maybe even listen to this one after the last one or listen to this one. And then I don't care which order you do it in, but listen to both of them is my is my point here, because today we really we're going to talk about onboarding.   Monica Gomez (06:07) You   The Dental A Team (06:28) And you can onboard anyone, but I think maybe when we add in onboarding the right team member, because the last podcast we recorded was really how to hire the right team member and hiring with intentionality and meaning behind it. And the onboarding, Monica, I think has to flow off of that. If we're not continuously showing up as the person we wanted to hire, like we talked about in the last one.   If we show up in the interview space and we're like, this is who I want you to be, but then we're onboarding and we're like, meh, meh. We're like, this is boring person and we want somebody who's dynamic and fun and engaging and speaking to the patients, but we're like, not that person. I think it makes a huge difference. So Monica, as you've trained people, as you've onboarded, you've trained practices to do this, what are some key highlights that you like to infuse into the onboarding process?   Monica Gomez (07:16) Yeah, great topic. And I agree, this one goes hand in hand with our previous podcast. know, onboarding traditionally has been very much transactional, right? Here's your cubby, here's what you do, here's where you sit, here's how you answer the phones, right? We've got to move. Well, there's a part of it that has to be transactional because you have to learn, you know, what your job is and, you know, the daily to do's.   But I think if we lead with that, it's a mistake. ⁓ As I mentioned before, and we talked about how the workforce has changed, ⁓ and we're leading with connection and engagement and authenticity and all those components that make us unique, I think we, I really feel that we need to move.   from a transactional place to a transformational or transcendental. ⁓ It's gotta be more about behaviors, right? And how we wrap our arms around like this new person that's joining our little family, right? How would you like to be welcomed into a team that would make you feel welcome and received with open arms and warmth? That's how we have to welcome our new people.   The Dental A Team (08:19) Yeah.   Monica Gomez (08:37) You know, we've invested so much time and energy in interviewing our job post, our, you know, filtering our candidates, interviewing, that whole hiring process, offer letter, the whole nine yards. And then we just throw them in, sink or swim. We've got to add, we've got to be intentional and we've got to add more value to the onboarding piece because, you know, people sometimes are left thinking like, gosh,   The Dental A Team (08:55) Yeah.   Monica Gomez (09:06) this is not the place that I thought it was gonna be, right? Like make it the place that you post it on your job ad, right? Like create, you get to be the creator. You're the co-creator, right? This is your platform. Like what do you wanna create for your new people, right? And I think transaction.   It's always part of our industry and in the workforce, right? There is a transactional piece to working. ⁓ But again, that humanist, right? And so one great tip, I'll start with one tip and I'll turn it over to you, Tiff. ⁓ One great tip is have a welcome packet for your team, right? A t-shirt, their name tag, little, you know, if you picked up little sprinkles of who they are and what they like in the interview, like,   The Dental A Team (09:53) Mm.   Monica Gomez (10:04) put together a nice little welcome basket for them, a pen post-it, a nice little saying. I think that's, wow, I mean, that's super impactful on their first day, right? Like, welcome to the team and have everybody go around at Morning Huddle and just give a little shout out as, you know,   The Dental A Team (10:12) Yeah.   I love that. Yeah.   Monica Gomez (10:31) how valuable it is to have a new team member. I think that's super simple and important.   The Dental A Team (10:37) Yeah, I love that. think you hit on something really important there. It's really that feeling of being welcomed, coming into a new space is, I mean, we don't even like going to a party unless we know, a dinner party, unless we know everybody who's gonna be there, right? We're like, I only know two people. Like, is that enough? Right? I got a text from a friend the other day that was, know, or not the other day, it's been a bit, but for, you know, Halloween. And then she's like, I gotta go to this thing with my husband. And like, I don't know anybody. And I was like, okay, like this is, we're all coming into this dinner party not knowing.   anybody else, even if you've done working interviews, you still don't know them. So I love that really just toning in on the personal piece and the relationship, because if you can have a relationship with them, you can, you know, build that camaraderie just from the get go. I think they actually retain information and onboard quicker as well. So I love that. Yeah.   Monica Gomez (11:26) It's hard being an adult, you know? It's hard being an adult. And I think   in the practice, you know, just circling back to our topic on our previous podcast, fun is really important. We forget to have fun as adults, you know? And gosh, you know, think of it like you're in the sandbox again. See through young eyes, see through young eyes. Put those lenses on and just remember what it is to just play in the sandbox.   with your friends, right? And have like that pureness of intention and that pureness of heart and spirit. I think it's just easier when you can kind of connect to that space to welcome others in. And they'll say, I love that you're here. Welcome to the team. How can I make your week and your integration easier? I think that's a gem right there. That's...   The Dental A Team (11:56) Yeah. Yeah.   Mm-hmm.   Monica Gomez (12:23) super valuable for the person receiving and also for the person that's delivering.   The Dental A Team (12:28) I agree. I was thinking,   as you said, you said it's hard being an adult And I thought, yeah, I remember just being like, do you want to swing? Like, there's two, like, do you want to swing with me? Like, that's, we don't do that anymore. Yeah. It was easy. Now it's like, we go to, we're in the same Pilates class 10 times and I'm still like, do I talk to you? Do I not talk to you? And it's like, goodness gracious. So yeah, like just, do you want to swing? Like just, let's just have fun with it. I love that. ⁓   Monica Gomez (12:34) Yeah.   It's easier to fix ones.   The Dental A Team (12:53) And so Welcome Packet is beautiful. if you guys like put it together, it could even be like ⁓ a welcome note card. Like, hey, excited to have you. Like everybody, we write thank you cards to our patients or we write condolence cards or happy birthday or happy anniversary. Like, congrats on your wedding. We write these cards and I've seen them in multiple practices. So I know a lot of people do them. You pass them around to all the team members or the happy birthday for the team members, right? Everybody writes on the card and it's like this little message.   You could do it as simply as that. Like, hey, Monica's starting on Monday, guys. Like, it's Thursday. Let's wrap this up. Let's get this like welcome card together and a candy bar or a little ⁓ bouquet of flowers, like four carnations. Like, it doesn't have to be difficult. It doesn't have to be robust or like over the top. Just speak to who you are and who they are. I love that. And Monica, something you said was we were kind of prepping for this was you don't have to have it all together. And I loved that because we've saw many podcasts on   Monica Gomez (13:33) Yeah.   The Dental A Team (13:49) operations manual and it's fantastic. And I agree with an operations manual and practices come to us and they're like, Monica, we need an operations manual, help us build it. It's like, okay, yes. And it's super cool. Also, it's not a requirement. You can onboard, you can train, you can have them help you build the operations manual while you're training. Don't hold yourself back from onboarding someone successfully.   Monica Gomez (14:01) Yeah.   The Dental A Team (14:17) because you feel like things are missing and I love that you said that. Now, on that same aspect, a job description, super simple, to put together a job description of who they are, how they show up and what their targets are per position and then build off of that to say like, hey, in the first week, two weeks, 30 days and then kind of go from there. Now, implementally, how do you build the action out for...   for teams like that, because I'm an aggriance. I love an operations manual. I think it's great, but it's not end all be all. And just because we get through an operations manual and your consulting journey does not mean you're done. You're set for success and nothing's ever going to happen. I think there's a lot of, we could go on a tangent about operations manuals. We won't today. But how do you do that with your practices you're working with?   Monica Gomez (15:06) Yeah, I mean, I think people ⁓ absorb information and they learn differently. And I think it's really important that we hit on all three things. It's auditory, visual, and kinesthetic. The operations manual or the training manual is valuable, Because it's a resource that you can go to to reference and get a refresher. ⁓ But that shouldn't be your onboarding technique, right? That's like, OK, here you go. Here's the written. ⁓   The Dental A Team (15:31) Yeah.   Monica Gomez (15:35) proof or reference book of what you already learned, right? It is the outcome of your training. ⁓ I think, you know, onboarding can be simple and we make it complicated because everything has to be in writing nowadays and there's value to that. ⁓ But really your team, the biggest piece of ⁓ an employee staying within those 90 days is how we onboarded them.   The Dental A Team (15:49) Yeah.   Monica Gomez (16:04) Did we just give them manual or written instructions and say, okay, here it is, go do it? Or did we say, okay, this week, part of your onboarding is that you're gonna spend time with every single person in this practice in the various roles, including the doctor. You're gonna sit in and listen to the exams and the x-ray take and the hygienist. And you're really gonna understand all the makings of this practice.   it's important that we understand everyone's role and how we contribute to the entire team. So I always recommend that you hire someone and the first three days, break it up. Three, by the way, is a magical number for me. I love everything in series of threes. So three is easy to remember, three things versus five or even four, right? So three days in each role.   And have that person that's learning write down the most impact. What did you learn in these three days sitting with a hygienist? Or what do you want to know more about? This will spark their curiosity. Don't give them a script. Allow them to of grasp the topics and let their curiosity ⁓ be the lead. Take the lead on.   Here's what I want to know more about, or I don't really understand this, or gosh, I didn't know that, right? ⁓ And that goes for experienced employees or people that are new to the industry, right? That's my recommendation. Allow them to spend three days in every single role, like the journey of onboarding, right? Like, I think it's super valuable. And then... ⁓   The Dental A Team (17:33) Yeah.   Fisher.   Monica Gomez (17:53) Again, they could be kind of co-creating your manual with you because what they bring back, the knowledge that they bring back, chances are somebody else is going to have that same curiosity or those same questions, right? Yeah, I think that's a really simple tip. And those also that feedback could be part of your 30, 60, 90 day growth plans. And here's what you're really great at, right? I always like to look at   The Dental A Team (18:05) Yeah.   Monica Gomez (18:23) Think about the growth plan like a sandwich, right? Like there's the beginning, the middle, and the end. And so here's where you are, right? ⁓ Here's where, ⁓ actually, here's your role. Here's where you currently are, and here's where we would like for you to be. And like, what are the steps to get there, right? That should be part of your growth plan, your 30, 60, 90 day growth plan, along with the job description. Yeah, I think, you know,   using the job description like you mentioned as a tool, right, to guide people and also for us to understand like, what are they really great at? What are they really proud of, you know, in this job role? And what do they want to know more about? I think ⁓ I ⁓ one great way to kind of get familiar with someone's knowledge, experience and their desire to grow or learn more about is take the   The Dental A Team (19:04) Thank   Monica Gomez (19:21) the skills and ability portion of the job role and say, tell me three things that you're really great at, that you're really proud of, that you just are an expert in. And then three things that ⁓ you wanna know more about, not weak, right? Things that you don't, let's take that, negative verb out of it, just say three things that you're curious about or three things that you wanna sharpen your skills at. That tells you a lot about their qualifications. ⁓ And I'm really an advocate of ⁓   The Dental A Team (19:24) Mm-hmm.   Yeah. Yes.   Monica Gomez (19:51) eliminating the over-educating and over-matching. This exercise is a great way to kind of level set who your person is, like what's in their brain, right? Like, are you curious about? So I think that's part of like the co-creation of the onboarding and the collaboration, right? This is a partnership, we're in this together. What can I do to help you help me?   The Dental A Team (20:02) Yeah.   Yeah.   Monica Gomez (20:16) and stay. think it's intentional and it is ⁓ structured in a way that's unstructured.   The Dental A Team (20:29) Yeah, for sure. And I think that what you're saying there that co-creation also makes me think of ⁓ like collaborating and co-creating with the people who are going to be doing the training. So if you're not the one who's going to be, if you're an office manager and you're not training this person hands on 100 % of the time, then enlist the team members too. So if this person's job is   I don't know, front desk check-in and she or he has this laundry list of 20 different things that they've got to learn in the series of these 90 days or 30 days or however long you parcel that out for who's helping with those things and allow them to co-create too. And I think what you're saying, the three days, it's like, great, you're learning to answer the phones and confirm appointments. That's what you're doing for three days. You're answering the phone. So you're answering the phones and you're delivering that   patient to whomever, right? You're transferring that patient to whomever they need and you're doing confirmation calls for three days. And then stack on top of that, anything, something you said there, the co-collaborating and the kind of doing it together, but also then enlisting outside perspectives to see what flows together. Because a lot of times our job doesn't necessarily start to end flow in this perfect, beautiful space. Sometimes it's like,   well, I'm doing phones, but I'm doing emails, and I'm doing phones, but I'm checking patients out. And those are very like stark contrasting pieces. And so if we're like jumping them around or trying to do it in what a day might look like, that's very confusing. And it's overwhelming because your brain doesn't operate in that way. You can and you will and you will multitask and they will get it. But when you're learning, you've got to learn succinctly in a flow that makes sense. So you can't start with   Monica Gomez (22:03) and overwhelming.   The Dental A Team (22:18) checking a patient out if you also want them to be doing confirmation calls. Like you've got to find, like you said, your start, your middle and your end and making sure that those pieces flow together and having that outside perspective I think can definitely help. Something you mentioned was those like check-ins. So you're having those conversations with them. So that in itself right there, you guys, if you're not, I want you to pull these action items out too because that in itself, that's an action item. So make sure you've got job descriptions.   make sure you've got some semblance of flow on the pieces that they're responsible for, and then you're checking in with them. And I think frequent check-ins are really smart. We do them in our company with onboarding and we continue them kind of as long as we possibly can forevermore. We do these check-ins because I wanna know where they're at. don't, not necessarily like, did you do this thing? I wanna know like Monica, where are you at today? ⁓   Personally, who are you and where are you at today? Like are we still in alignment because that's the space I think Especially being new to a team. I'm not gonna say I'm not always gonna say hey, I Didn't get this or hey, I need help or hey I'm falling behind or I feel overwhelmed or this is a lot because I don't want to look like I can't do it But if my manager or my lead is like, hey check in how are things going? And I'm like, I think I'm getting it. I think I need more time on this   That's way better than being like, I'm overwhelmed. Like that feels better to me to be like, cool, there's space to have a conversation about this. I'm not complaining or feeling weak or looking as though I can't accomplish something. You are giving the space as a check-in to just be like, hey, tell me where you're at. Okay, great, take the space, take the time, go learn it. Or if I need to show you again, I can.   Monica Gomez (24:08) Yeah, I love that. I love everything that you said. think, ⁓ you know, words create our story, right? And so if we're asking, like, how's it going? ⁓ Are you struggling with anything? ⁓ Our minds automatically go to that negative place, right? So you get to be the creator of the script.   Right. And so if we're saying, Hey, by the way, I heard you answering the phone start, like, listen for the good stuff, right? The good behaviors. Gosh, you were amazing. Greeting that patient. my gosh. I am so proud of you. You are totally getting this and you know, how's everything else going? Right. If you start with that excitement and something positive, that person's already in that positive mindset and it's all about mindset. Right. And if we're concerned that they're not getting it, they're not going to get it.   assume that they are, assume that they are getting it. So gosh, you are, I know you're doing amazing. Tell me all the good stuff. Start.   The Dental A Team (25:10) Yeah, assume good intent, right? Always. We see that constantly. Assume   good intent. I think, Monica, you saying this right here makes me think.   Relationships are relationships, I say that all the time. They just look a little bit different. Like my relationship with Erin is a little bit different than my relationship with you, but my communication skills are gonna be super, they're gonna be the same with the right words, right? So I'm not gonna, communication is communication. And so what we do is we say, okay, this is how you sell a treatment plan. This is how you project to your patients to get them to schedule. And you always start with a positive. You don't ask for a review by saying,   how did everything go today? You say like, oh my gosh, that seemed, you how amazing was your appointment today? Like you're infusing these words in there to get the mindset, but then we don't copy and paste that always into everything that we do. And I think how you show up for anything is how you show up for everything. So show up for your team the same as you're expecting your team to show up for your patients because that's going to translate. And if you're like, oh, it seemed like a,   Gosh, today was a chaotic day, how did you do? It's always chaos, we're in dentistry. Dentistry is chaotic, your days are gonna be crazy. Life is chaotic, you're right, it's always going to be crazy. So saying that, gosh, was, woo, that was a rough day. How are you feeling? Well, I'm feeling really overwhelmed and I'm feeling like I made a really bad decision coming here. I think you're spot on is my point there. So that was beautiful, thank you.   Monica Gomez (26:22) Yeah. And life is chaotic. Period, right? Life is chaotic.   Yeah. And, you know, I when employees share difficult, like a difficult day, you know, like, ⁓ I had a ⁓ client last week share that their new hire said, ⁓ gosh, maybe we shouldn't, you know, ⁓ schedule two crowns back to back because that was really hard. And, you know, my back was hurting. And so, ⁓ you know, the doctor was like, she's already complaining. I'm like, well, okay. Well, how did you respond? Right. Because   The Dental A Team (27:13) Yeah, yeah.   Monica Gomez (27:14) Because, I mean, she's delivering something that's important. She's sharing and she feels comfortable enough to say, hey, that was really hard. That's really what she's saying. That was really hard, right? And so, you know, again, one of my favorite sayings is, you know, get curious, not furious, right? Don't look at it with the negative lens. It's a great way for you to validate, like, how important it is to be seen, and valued, right?   The Dental A Team (27:43) I agree.   Monica Gomez (27:43) And she was opening up because she wanted to be seen, heard, and valued. Like she wanted to be seen. Gosh, I like did those two crowns back to back. My back is hurting me. Are you even valuing that I sat there in fact, right? Even though they could have swapped off with another assistant, but she, you know, she followed him. And so, you know, and my advice was like, you should number one acknowledge that she's sharing, right?   The Dental A Team (27:55) Yeah. Yeah. Yeah.   Monica Gomez (28:12) Thank you so much for sharing that. You're right, that was kind of hard. Let's talk about it as a team tomorrow. Let's find ways to alleviate that when this does happen, right? I mean, the patients wanted to start, like they're ready. Let's do it, right? But where were your other team members? Like, let's talk about this. And so seen, and valued. If you can make anyone new, ⁓ a new employee, an existing employee,   your legacy employees, if you can make them feel and create a space where everyone feels seen, heard, and valued, that's huge. That's like you, you will, your team will love you, your patients will love you because again, it's that invisible kind of energy that's flowing through your practice, right? That creates that great space for employees to wanna stay.   The Dental A Team (29:03) I agree. I totally agree. Thank you, Monica. I think this was ⁓ a really, this is just full of so many gems and ⁓ I love the actual pieces of job description, kind of the, I love your three days, spend three days on it and really just making sure you go through that job description. Look at the to-dos of that position.   Enlist the team to help you. Whoever's gonna be helping to train. I had people specific on my team that were like, these are the things you just, you're stellar at and it's gonna be easy for you to train these things. They trained those. So it doesn't have to be one person. It can be whatever you want it to look like. Just make sure it's built out. You have a plan. Preschedule check-ins. I always make sure we preschedule check-ins and you guys check in with yourself too. think Monica, you gave some really wonderful tips on really making sure that we're showing up the way that we should be.   or the way we want people to show up and really just gut checking and making sure that those things are there. And I loved this. Thank you, Monica. Thank you for your words of wisdom. Thank you for flowing off of it. This was perfect. This was divine. Thank you for helping set up this flow of podcasting today and for just bringing your insight and your wisdom and your years of experience of things that you've seen work and ideas. So thank you, Monica.   Monica Gomez (30:17) Thanks, thanks, Tiff. This is definitely a gem for me. I have so much to share and so much, I love sharing, I love brainstorming, I love sharing what works ⁓ and all the knowledge that we, all of us have, right? This is a beautiful space for us to, you know, share that. And this was so fun. Thanks for inviting me and everyone.   The Dental A Team (30:24) Yeah.   Monica Gomez (30:44) Go out and be fabulous and don't forget to have fun. Have fun.   The Dental A Team (30:48) Yes, I love that.   Thank you. Yes. Go be fabulous. That is like Trish's famous words. I love that she says that. always, I know it always makes it just like, yep, I will. Okay. No, questions. So I love it. Go be fabulous. I agree. Drop us a five star review. Let us know what you thought about this. Let us know what onboarding tips you guys have. is an easy place to find us and.   Monica Gomez (30:55) So these are the things.   The Dental A Team (31:12) get recommendations or share your tips and tricks. We really do love that. And also we're on Instagram and Facebook, all of those places. So watch us there. Watch out for us there. Thursdays, once a third Thursday, we have webinars. You guys, we're everywhere. So if you're only following the podcast, check us out. Hello@TheDentalATeam.com, TheDentalATeam.com. We've got all of it listed there as well. Go find us, follow us and listen for more amazing tips from Monica and the rest of the consulting team. Thank you guys and go be fabulous.   Monica Gomez (31:40) you  

Kiera goes into the key pieces for a worry-free practice, including systematizing your stress points, providing boundaries around time and energy, and leading proactively. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera and I hope you're having an amazing day. I hope that you are excited for today's podcast. I am, because like, why don't we create a stress-free practice? That sounds like, sign me up. Yes, please. Thank you. Happy to take you guys through that and how to create a stress-free practice, at least at a base level, at least certain tactical tips that you can put into place today to start exploring that, experiencing that. And honestly, I just love, I love the game of business. I love the art of business. I love.   ⁓ I love the impact and the change we're able to make. And I truly just love human beings. I love helping people just experience their best life, whether it's my sister or my friend or my neighbor or our community or our podcast family, whomever you are, wherever you are, I'm just so grateful and honored that you're here with us today. So if you love our podcast, if it's changed your way in any way, shape or form, do me a favor today and just share it with somebody that you think this could make their day better. Whether it's today's podcast or another podcast.   Go to our website, TheDentalATeam.com, click on our podcast tab, search any topic that you ever could want, make sure that you're able to access all the free resources that are available to you. And if I can help you personally or professionally in any way, you guys, truly like, I built this company to be a friend in the industry, to be somebody who has vetted all the different people out there to help you out. And it's so fun because I used to work at Midwestern University's dental college before I started consulting. And it was so fun. The other day I was on a call.   and my phone, like I was on a video call and my phone lit up and I looked at it and it was literally a dental student. we're talking throwback to the past, shout out to my Midwestern family. And I was like, oh my gosh, I've not seen that name on my phone and we're talking eight plus years. And so as soon as they finished the call, I called them back and I was like, dude, it's been so long, how are you? And it just like, my cheeks hurt from smiling so much right now.   It made me so happy to be able to have been in the industry long enough to have worked with so many different clients and have so many different resources that no matter what has been thrown my way with different clients, this student that I haven't talked to in eight years who's at a pretty awesome crossroad of their practice and their life and what they're doing, to be able to truly give them ⁓ advice, to give them resources, to help them out. And I realized once again,   that that is why this company exists. It is to truly be that friend in the industry. And he's like, Kiera, like, your time is valuable. And I was like, are you kidding? Like, this is what my time has meant for my time is meant to help and to serve and to be that resource and advocate. Whether you work with us as an active client or whether you're an massive advocate of the podcast, ⁓ or if we're just someone who have we met in passing, just know that you have somebody out there who is truly committed to making you the most successful, the happiest.   all the best resources I can possibly bring to you. That's what this podcast is about. So share this with somebody who needs this. Make sure that you get this into the hands of all these dentists that need the help, that need the resources, because this is a free resource. There's no strings attached other than just asking you to truly give back to those around you, in your community, in your study clubs. Make sure everybody is a raving fan listening to the podcast, because my job is to help you become the best that you can possibly be.   So with that today, like I said, I teased it out a little bit. We're gonna help you figure out how to create this, you know, stress-free practice. And it's honestly going to be through nothing sexy, nothing hard. I hate hard things. I like it to be easy. One of our core values is ease. So everything I bring to the podcast, everything we do in consulting should make your life easier and not harder. like honestly, stress-free practices come from systems and leadership. That's the bottom line. It's systems and leadership all day long.   And it's the discipline to follow through on both of those. That's what it is. So this is something where it's like, we're going to reduce the chaos. We're going to protect your energy and help you truly feel so much better in the practice because this is what we're about. Like this is how we're able to get you guys there. And so the systems and the leadership done with consistency will help you have stress-free practices. Now, a lot of times it's, know what you should do, but you don't do it or you don't consistently do it. It's like parents, it's like, I know I shouldn't give my kid candy, but I do it because they're screaming and I just want the screaming to stop.   Well, is that a temporary fix or is it a long-term solution? And so for this, making sure that we're systematizing. Now systems for point number one are going to be exhaustive. You will never be fully systematized. You will never be fully done and perfect in all the pieces. There will always be an evolution. And I just want to like get rid of the hope and the wish that, my gosh, like maybe I could do this or maybe it would change or I will one day reach this mountain. You won't. So when I work with offices, like how do you get them systematized? How do you do it? What's your magic diet pill? And I'm like,   Well, I systematize the stress points. I systematize what's causing the most pain that's going to give me the most gain. And I do that immediately because then the screaming stops, but it stops forever. Did you hear the difference? The screaming stops, but it stops forever rather than just feeding my baby candy. So they stop screaming temporarily. Well, then they're going to start screaming because they get a tummy ache and then they're going to throw up on me. And then that's a whole nonsense rather than just giving them the food that they actually need and want and doing that consistently to help my baby out.   So for your practices, we're gonna systematize those stress points. So what happens from this is, I usually when I go into a practice or our consultants go into your office or we're working with you virtually, we're going to look for the top three pain points that you tell us are the pain points. Then we're gonna use the data to actually tell us additional pain points. And then we're gonna look at those two things combined and we're gonna pick out the top three things that are going to move the practice forward. Like literally this is what we do.   So sometimes it's a scheduling and efficiency. It's a communication like that happens all the time. It's a billing, it's a profitability, it's a lack of production. It's a, don't know what my next step is. It's whatever your pain point is, like, my gosh, like I was talking to an office the other day and like, I'm so sick of the like time off requests and people calling out sick coming to me as a doctor. And I said, that's funny. Who's your office manager? Like what's your office manager doing? Because that should never be coming to the doctor. Should definitely be going to the office manager. That right there.   is a simple, easy fix. We put up a system, we put up a process, we just tell the team, here's the new organization chart, here's who goes to who, boom, pain point gone and resolved as long as you stick with it. So what we wanna do is we wanna look at what our top three recurring pain points are. Again, we talk to the team and then we look at your data. What do your numbers tell us are truly the issues that you're having? And then what we do is we create systems, SOPs or protocols, and then we have accountability with it. So like when I go into a team and,   there's an issue of our scheduling. Well, great, let's put a scheduling template in. Let's roll it out to the entire team. Let's let everybody know what the rules of the game are. That way everybody can play the game. And then we put it into place for six weeks and we reassess and we refine and we change it up as need be. And when you start to do this and you start to systematize, and for me, I don't like systems that you have to remember. I like systems to just be in place. So a scheduling template just goes in place and everybody can follow it. We tell them the rules of the game, but it's very easy. Like don't make it where it's like,   This green block is for just treatment, big treatment. Well, what the heck is big treatment? Let's do this green block is for a $2,000 and you can have X, Y, or Z that can go in there. Fantastic. Well, now I know when I'm looking for green blocks, any person who's a crown or quads of fills or endo or implant, like anything 2000 or above can go here and I can stick it in. Now, now that's easy. I know it's $2,000 instead of big production. That's so much easier. Then what happens if I can't fill that?   Well, great, 24 or 48 hours, whatever we decide as a team that feels good to us, we hold that block for that long and then we can go and change it. Now what happens is somebody is like, but Mrs. Jones just wanted to go in that spot. I know I'm not supposed to. What happens then? Well, great, the person who's scheduled gets to call Mrs. Jones and move her. We don't play the game. We don't get to do this. Like unless it's 24 or 48 hours, that block is held for that exact procedure. And I checked to see whose name did it and they get to call that patient with me.   awkwardly sitting there with them, supporting them, so we don't do this again. I want to make it so uncomfortable that you would rather follow the blocks rather than have to deal with the consequence. But it's fine, you know the rules of the game before we start the game. So that way no frustration occurs because expectations have been laid out. Fantastic, we follow the blocks. People are like, Kiera, we're hitting higher production. We're getting out on time. We're getting our lunches. Patients are happier. Isn't that funny? That was something that was such a big pain point for you.   And with simple little steps that we put into place that all of us like agreed to follow, the whole team's on board, we all know that. We instantly fix the problem. This is what I'm talking about, systematizing your stress points and making it to where everybody can follow it. We hold it accountable. But like once you put it in there, now there's really not a lot of like remembering what we have to do, because it's all in there spelled out. Like NDT or handoffs, if you're struggling to get your case acceptance up, put that in place.   phenomenal, it's on every single route slip, it's in every single note template, then all you really have to remember is to fill in the boxes. And we have a tee up to where the team members prompt the doctor if the doctor forgot to say it. That's great. And now you're like, Kiera, you just added $25,000 to my practice. You're welcome because you did the work. You followed the system. You systematized the pain point and we looked at the numbers to tell us based on what you're telling us, based on what the numbers are telling us, let's put this into play. So if we can solve three of those issues for you,   That would be amazing. So looking at your practice, look to see what those pain points are and commit to systematizing those, those hot points, those stress points that are going to move the needle forward the quickest for you. Then the next piece to make the stress fee is you've got to make sure that there are boundaries around time and energy. So with offices, a lot of times like burnout doesn't come from working. Burnout comes from having poor boundaries and overworking and committing to everything to where you feel like you can never catch up. So what this is is like, I love to build with doctors your ideal week.   And we're going to, guys have heard me talk about this constantly. I cluster likes with likes. So we have our admin time. We have our doctor time. We have like when I'm building out a block schedule, we have it to where you want your crowns and we have what you have at the end of the day and right before lunch. So that way we can actually batch all of this along. You can get a lot more done when it's batched and it's clustered and it's connected. And then we protect that. Like doctors, I tell them, like, here, I can never get out of here on time. And I'm like, great. So here's the deal. You get out by like, what's reasonable.   Let's say you end patients at five, you're out the door by 530. For every day you're not out at 530, I'm gonna let you out of a four day work week, if you have three days, you gotta get out one day, that way you don't have to be perfect. Three days you gotta be out by 530, and if you're not out by 530, you owe me a thousand bucks at the end of that week. my goodness, guess what? They instantly get out at 530, how? Because we made it a priority, we had a strong boundary on it, and we said this is what we're doing, and there was something on the other side of it.   Or it can be like, okay, you follow this for the next two weeks and you get to have a pedicure or a massage or whatever you want to do. We attach something fun to it. But what's wild is just changing how we're working. It's changing how we're setting this up, but we're making it a, like it's a, it's a no go zone. We don't go past this and we say no to what doesn't align in those blocks. So for me, I know I've got podcasting days. Tiffanie was like, Kiera, can you wait? And I said, no, Tiff, I've got podcasting. Like I gotta get there. And she's like, that's okay. I can take care of it in another time.   Or I could have been like, absolutely, Tiff, no worry. Like I'll push the podcast. Like not a big deal. Well, when I do that, yeah, then I'm to be working on podcasts later. Everything goes down. Nothing works well because I didn't set boundaries around my time. And I didn't make a commitment that I was worth it because saying yes to something is saying no to something else. And I say yes to Kiera because I know at the end of the day, my greatest asset in life is my body. It's my time. Like that's my greatest assets. And so I've got to be so, so, so strict on it.   Everybody will try to take it. It's my responsibility to be consistent with that. So we protect that. We say no. And what's wild is when doctors will do this and they set up their ideal weeks, when they set up their admin time or their CEO time, their deep work time, and they actually commit to it and they stick with it, they literally start to grow the practice exponentially. They start to feel so much happier. They start to get out on time. They start to have more time with their families. I had one doctor and she was just burnt to a crisp.   Hated her life. I will tell you this woman now is since working with us has added over $450,000 to her practice She's got a 24 to 1 ROI of her consulting to her amount that she's paid in consulting to what we've brought to her practice Pretty good ROI that's better than the stock market if you ask me so a great great odds to bet on if you're looking for something And I remember she was just burnt out and she's like here. I have to like keep working every single night I'm exhausted and I said great. Here's your   Here's your task, every night I want you out the door by let's commit to a time, 5.30. And I said, and you're gonna go home and you're gonna give yourself and your family a gift and there's no work, it doesn't come with you. It doesn't like, you don't get to take home that backpack. Like I think schools have mistaught us that we go to work all day long, AKA school, and then we come home and we work all night long. And I'm so anti this model. Like, whoo, get me on a soap box.   because then we do that at work and we're working 40 hours and then we're taking it home and then we're not showing up for our families and we're not showing up for ourselves and then we wonder why we're chronically tired and we're not working out and on and on and on on and And I'm just so sick of it that I'm like, awesome to this doctor. said, great. So tonight's a gift. I want you to leave everything at work. It's gonna be here for you tomorrow. Like you go home and work on it for two more hours. Are we really gonna move the needle? And she's like, no, probably not. I was like, I want you to go home tonight and I want you to go have fun with your kids.   I want you to go be with your husband and I want you to like, let me know how you feel tomorrow. And I got a text and she's like, Kiera, like I played a game with my kids and it felt so good to be a mom and to show up. And we consistently started giving her her life back. And we started to have helping her see like at five 30, you're out the door. We don't take anything home with it because when we have those parameters and those boundaries, what happens is you naturally find ways to actually accomplish the work because you know, it's a hard no. And I used to take work with me all the time and it used to be this   And then I was like, absolutely not. So for me, my boundaries are, I do not work at all, like ever, non-negotiable on Sundays, period, nothing. And I don't work on Saturdays. Like there might be an emergency here or there, which that's fine. And it is a true absolute emergency. Like we're talking, someone's quitting and we've got to figure out what we're gonna do. Like Sarah is something that we, there was no planning for it. Like those types of things, absolutely. But 99.9 % of things do not need to be resolved on a Saturday.   clients text me on a Saturday and I love them and hey, I'm here for it. I'm not here for it on Saturdays. So great. And I tell clients text me all the time. And if I'm busy with family or I'm not available, I will not respond to you, but you get it out of your head. You get it over to me. I will take care of it when I'm back in the office. So fine. I don't care if clients text me on Saturday. That's fine. It does not bother me. It does not disrupt me because I know that Saturdays I don't work. That's my free day. I also have a CEO day that literally I block. And I know because if I have white, white noise time, deep work time,   So much more happens in the business. I also have workout time for myself. I work out three to four times a week. That's a non-negotiable. I have my morning routine every single morning, non-negotiables for me. That did not start as a day one. It became a process. But I started realizing if I don't take care of me and I don't have this future vision of 90 year old Kiera who's still super, super, super sharp. She's got time. She has energy. Her body's strong. She took care of herself. If I don't prioritize that version of me.   Today, she's not gonna be here at 90. So this is for you to predict your boundaries, to set it out. And I promise you, I promise you, the stress in your practice will actually decrease because you will be better balanced, you will be better focused, you will be better, like just cognitively, you will feel like you're not exhausted all the time and you can make better decisions. So your leadership will actually rise if you start to set those boundaries around your time and energy. And then number three is leading proactively and not reactively.   So for that, like once again, this comes to you as a calm leader and you taking care of you. So it's tying to the top of yes, we've got these boundaries, we know where we're going to be, but also at the same time, like you have these pieces where we actually have structure in there. So like we use morning huddles and we have one-on-ones. So we prevent problems from stemming in the future. ⁓ We have set meetings where we make decisions instead of it being on the fly decisions.   We have set time that we get all those ortho checks back to our team. We have set times that we actually review pieces in the company. ⁓ We have debriefs. We have a same page meeting with our office manager. ⁓ We have set date nights with our spouse. We have set workout times with ourselves. But all these little set points, they feel like, as I say it, I'm like, gosh, that might feel like a lot. It's like, hey, block your whole life. So you've got all these color blocks.   But the reality is when you've got this structure, you're very proactive, not reactive, and you actually have a lot more time in your world. People are like, Kiera, how do you get so much done? How do you podcast three times a week, guys? You're welcome. And it's been going on for almost six years, thousands of episodes. People are like, how do you do it? And how do you have clients? And how are you a CEO? And how do you have time for your husband? How do you work out? And I'm like, honestly, it's because you're very proactive and not reactive. I used to be very, very reactive when I first started the company. And then we moved it into a space where it was a phenomenal.   we can take care of this. We don't have to have answers right away. I grew up as a CEO. I grew up as a leader, but it was leading proactively and not reactively. So looking to see where are quick areas that you might be a little reactive and how could you be a bit more proactive on that? ⁓ Like I said, what things can we put into place beforehand to make sure they're not there? So when we look at this, this is how you're able to build a stress-free practice of you systematize the top   priorities, like we systematize those stress points and we get those dialed in. Then we protect our time. have boundaries around it. And then we lead proactively and we put things into place. So that way in our team, bubbles and issues are arising constantly. We teach our team how to have effective meetings, how to have issues lists, how to solve things like, Oh, I have a team like on this leading proactively. They have so many issues all the time. I'm like, I have never in my almost decade of coaching how to practice have this many fires all the time.   And I'm like, all right, you guys are like a spinning top. So you need to build an issue. Listen, we need to stop having like, stop answering and solving problems every single day, all day long. Cause what you're teaching your team is they can just like vomit on you and you're going to like fix it constantly. Like it's like a child throwing a temper tantrum. Like, let's like, no, sometimes timeouts are necessary. Sometimes a calm and a shutdown time is good. ⁓ I've read a lot of books and they're like, people will say, Hey, when can I get that decision? Like,   At nine o'clock on Friday is when my thinking time is and I'll have a decision made by then. Like how incredible and people are okay with that. So it's this proactive rather than reactive. And we've got this team to where they now have their issues board. They only make decisions on their leadership days. They're not having to go through the fly constantly. They have set times. I had to do that too. And this is how I know that if you do this, this is how you can create stress-free practices because it's not perfect, but it is prepared.   has a lot of pieces in there I will tell you that's how you're able to literally like shut the phone off at night, able to disconnect, able to know that everything's being taken care of. I still feel like there is always this like hum of nervousness, ⁓ but it does, the noise of that nervousness goes down to where you're able to not feel like it's constantly there. So if this is something that you feel like you're constantly putting out fires, this is literally what we do all the time. ⁓   And so this is where I'd love for you guys just to subscribe, ⁓ to share, to like, to follow along, to help you guys and to share this with somebody who deserves more peace of mind. And that might be you. And if that's the case, then like, let's help you build your practice this way. Let's help train your team this way. Let's help train you as a leader because leaders aren't made, they're created. And I feel like so many of us just think that we're born out of the womb, a great leader. And it's like, no, a great leader is created. It's formed, it's evolved.   And so for you to realize like that is part of it, this is where it's going to be for you. So take the challenge, let's help you get that stress free practice. does like go for this systematize, set boundaries around your time and lead proactively and reach out Hello@TheDentalATeam.com at all, if we can help you in any way, or form, because I want you to be living your best life. I want you to not be stressed. I want you to know that success doesn't have to be a hope and a wish, but it can be predictable for you.   And this is how I love to help practices. This is what our consultants are obsessed about. They're brilliant women ⁓ who just know how to lead teams that have done this successfully many times over. So reach out, do yourself the favor and commit to like, I'm not gonna be stressed anymore. And there's a better way to do it. And I'm going to commit to doing that and reach out. Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.  

Happy Thanksgiving! Kiera gives ideas of service opportunities, from a personal to a practice-wide scale.  Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and happy, happy Thanksgiving. I am so honored to share today with you. You guys, I love Thanksgiving. It used to not be one of my favorite holidays, but gosh, you know, the secret to living is giving and to have a day dedicated to gratitude, a day dedicated to love, a day dedicated to families and friends and to just come together and to remember how good our lives truly are.   I think is beyond special. And I just want to say, for me, it would feel crazy for me not to jump on here and to say thank you to all of you. You guys are my favorite humans. You're the people that I love, that I get to talk to so many times a week, that I get to hang out with, that I get to see your stories, that I get to know personally and professionally, that I get to see your wins. I get to see you tag us on social media. I get to see the emails that come in. I get to see your reviews that you leave. I get to see you positively impacting the world of dentistry. And just to truly know,   that you guys are doing so good out there. And I just want to say thank you. Thank you for being here. You guys, this podcast was a hope, a wish, a dream when I was hiking up, I'm not joking, Half Dome in Yosemite. And I thought there is nothing out there that's serving dentists and teens. And it's a niche and it's a space. And I'm going to come in and I'm going to positively impact. And I'm going to get both sides of the coin to come together to really, truly influence and impact dentistry in the greatest way possible. And that is such a huge testament to all of you for being here.   for being a part of the Dental A Team family. So I just wanna say thank you for being here. And to this, I just wanna say like, if you've been an OG, thank you for being here from the beginning. And if you're a newbie, welcome. I hope that you feel loved. I hope you feel appreciated. I hope you just feel great. And I hope you remember how amazing life truly is. So I want you guys to just know that watching this podcast evolve, to seeing millions of downloads, to seeing us in so many countries, my like...   It's mind boggling to me. It's crazy because when I built this, didn't know how many people would listen and to see the fans, to see the love, to see the raving fans, to see the clients come through, to laugh with you, to celebrate with you, to cry with you. I just want to say like, gosh, like this is a journey. It's a joy and it's an honor and it's a privilege because I know your time is your greatest asset. And so I just want to say thank you. And today with it being Thanksgiving, you know, I really just want you to know   that I believe that the secret to living is giving. And we have a portion of our company called Live To Give. And I've talked about it on a few other podcasts. I've talked about how like, you know, it was back in 2019, I went to a Tony Robbins event. And a lot of you know how much I love Tony Robbins. That was because I caught one of my lightning moments in life where I was in a space so focused on myself and it was random because I was building a company called Live To Give.   and that was where we were non-believable and we were like getting donations to help these nuns who didn't even have a house. Like it was crazy and we raised so much money so quickly and I've done it a few other times. Like another one idea was the Vibe prison ventures where inmates were actually like I went I actually went to the prison and it was crazy and I was scared out of my mind ⁓ but I saw these inmates take their skills that got them into prison which were not the best.   and turn them into good and they pitched us their business ideas and to be able to sit there with them. That was another business that I got that was part of the Live To Give to be a part of that and to give back. And I found that so many of the times in my life that are my happiest moments are those where we like went above and beyond. And a few years ago, I talked about like probably my favorite Live To Give moment that we've ever had was when we were able to, one of my friends in Arizona, her son was struggling with stomach cancer and   I really wanted to do a make a wish and make a wish is like really, really hard to get in touch with. And I had committed that year. I was going to do a make a wish. I didn't know what it was going to look like. I didn't know how we were going to do it. I told my team, this is what we wanted to do. And we found this boy and his goal, his dream was to go to Italy. And I was like, this is it. Like guys, this is it. We have a team member who's a stomach cancer ⁓ survivor as well. And I was like, this is it. This is our live to give. And our whole team was able to participate in it. We're able to give this, this   child who's 12 years old, him and his family, a complete all expense paid trip to Italy when he got done with cancer and to give him the hope and the wish. And you guys like that moment in my life, I think about the ones that really impact us the most, the ones that changes, the ones that are like those lightning bolt moments. And I, the bulk of them are ones that we've been able to give to serve, to love. ⁓ We were able to last year as a team go and like help so many kids at the children's hospital.   our team has done angel tree where we go and like shop for these families. And Shelbi and I, I remember we went shopping for a family of nine and that was the exact of my family. I think back to when I was at, ⁓ United Way and I was able to bring holiday magic to hundreds of families from the donations of others. And I remember there was a time where I just was feeling grumpy about life. I realized like, I haven't checked my, giving like vitals.   in me in a while. I think about businesses and I think about all of you and we are constantly looking at our KPIs of our business. We're looking at the KPIs that drive us to success, but I'm like, what are the KPIs of our life that drive us to success? And maybe those are some of the pieces that are there. And I've just realized that giving and serving and loving should be an area that maybe we want to check those vitals, especially today.   of where is my giving my love, my service, KPI? Is it high? Is it low? Is it on track? Is it off track? And I will say that if it's off track, today's a great day to get it on track. And maybe a couple of ways for us to give back is just to love a little bit more, to text someone today that you might love. A few years ago, my brother-in-law and I have a kind of a unique relationship. When I met...   He was a business owner and I always thought he was so grumpy. I didn't really like him that much. was like, Jason, your brother is so just rude. I did not care for him. And as I become a business owner further into my career, I understand this brother-in-law so much. And he's kind of like, I don't know, I would say like a little crusty on the edges. He's not soft, I'll put it that way. And I was actually really, really scared to text him.   But just cared about him so much and I appreciated so much of what he's done and he's been a mentor to me. And I just said, take a risk, a gamble. I remember I was sitting on the beach in Maui and I texted him and I just said, hey, I just want you to know how much I appreciate you. I value you. And how much of a mentor you've been to me and you've given me hope when I didn't know that there was hope. And I'm just so grateful for you. And he wrote back, he's like, Kiera, I don't usually cry. And that text meant so much to me. And I just think that's our giving.   KPI. So what little love bombs could you send out? What service could you and your team do together? Our team, every year in December, we do a Live to Give. Could you guys adopt that in your company and together collectively as a podcast family? Think of all the lives that we could give back to. I think about my husband was talking about another brother that he has and this brother literally is in such a hard place in his life right now and   does not have a lot of money, has a lot of family dynamics, I won't get into it. And when I say like, pretty much homeless, that's literally what's going on with him. And I only highlight that because his situation is so hard. we were, Jason was talking about struggling with something and he was like, ⁓ I could help you with that. And Jason and I talked about it and we thought about who are the people that give to those that are struggling? A of times it's those that are like, not hardly better off than they are. And I think like,   Could today or this next month, could we maybe boost that live to give side of us where we look for people in need, we look for opportunities that can be in our patient base, that can be in our team base, it can be in our community, it can be in our families. Can I give out little love bombs? It might be cold in your area. A few years ago, we did a coat drive and this came from one of my friends in Utah who...   would ask all his friends to donate coats that they're no longer wearing and would drive around and hand out coats to people on the side of the road that could really use it. I'm not here to say you've got to go do that, but I just think like, what a blessing to those people. What a space for us to be able to share and to love and to give back. Like you guys, are so insanely blessed. I promise every single person listening to this podcast today, we all collectively could say that we have been unruly blessed.   in our lives. And so where is that? Could I text a team member and tell them like, Hey, you're doing such a great job. I'm not joking. I have a little list over here to write thank you cards to my team members sporadically and unexpectedly for great things that they do. Could I text my spouse if it's been a while and tell them how much I love them? Could I maybe call my parents? I think about like, if you have your parents alive right now, I hope that you just love them.   I hope that you call them, I hope that you tell them, I hope you forgive them. Even offering forgiveness to somebody that maybe doesn't deserve it, it's not a gift to them, it's a gift to you. ⁓ Patching up and cleaning up when it maybe doesn't seem like it's necessary. ⁓ All these are little gifts of gratitude, of giving, of serving, of loving people. And what's crazy is the more you give that, the more you feel alive, the more your bucket's filled like,   Every year we go and do something and I leave those events just on like cloud nine. We have a team member who last year she was so inspired by it. She like found a girl in Africa and basically like adopted her and has been like helping her get through college and like she sends her letters and her dad did it and they were just so inspired that they've like changed these lives of people. And like, but that team member changed as well. And so I just think today,   Let's look at our KPI of our giving metric and how can we add maybe a little bit more service and give back? Because I promise you guys, the secret to living is giving. That's why I have Dental A Team's Live to Give. And if you know somebody that could benefit from Dental A Teams Live to Give, it's completely like on us. It's not even that I might make it the 1031 or excuse me, our nonprofit in the future. Like that just is a great idea on the podcast that came to me.   because I want to build a nonprofit. But if you know a family that's deserving, you know of somebody that could have a make a wish experience, you know someone in your community, I would love to partner up with you. I'd love to help make magic happen. I'd love to use the podcast. I'd love to connect with a lot of you. But like, there are so many people, including ourselves, including our team, that a little more love, a little more kindness, a little more gratitude could go a long ways.   And I just want to encourage you today as you're in this space for you to think of how can you do just a little bit more? How can you make a little bit more impact and change in people's lives? How can you just truly like not be as lonely as an owner and to give heartfelt thanks and gratitude to any person around you.   And I was like, team members to your doctors, to your owners, it is lonely at the top. It is hard. And to give a genuine heartfelt thank you of gratitude, could truly go so far. And so I think just go out of your way, text your team members, tell them how much you love them, tell them how much you appreciate them, how much you value them. Team members, tell your doctor, tell your family. Like these things don't have to be monetary. It's us just loving of being kind and to give.   to just give back a little bit more. And then I'd also encourage you to also give a little gratitude to yourself for the things that you've overcome, for the things that you've been able to do, for the challenges, for the person you've been able to become. Think back to who you were when you started your business, to who you are today and give grace and gratitude. Because the reality is like, I think about this, like if you were...   to look back and to be able to talk to your younger self, what would you say to that person? You'd probably be like so freaking proud of that person. Like you're gonna do it. I'm so proud of you and I'm so grateful for you. And then I think like, let's go even further. What if you only had one week left to live? What would you be doing right now with your life? I promise you, you'd be living on your highest cloud nine. You'd be telling everybody thank you. You'd be telling everybody you love them. You'd be giving hugs.   ⁓ one of my friends from high school just posted recently that his mom passed away unexpectedly. And he wrote, he said, hug your parents, hug your family, tell them that you love them, love your cousins, love your aunts, all of your uncles, like tidy up because your life can change so quickly. And what I hope for all of you is that your life does not change so quickly, but it does change so quickly, not in a negative way of losing somebody and wishing we could love on them more.   but that your life could change so quickly that you start to live your day every single day of having gratitude and love and telling your family and calling them and sharing with your team and not holding back. It's like, I'm hoping that you just feel this like confetti explosion of love being able to be finally released and unshackled from you to give it to yourself, to give it to your team, to give it to your family, to give it to those around you. I hope you know that I love you.   and that I care about you. And I think that you're doing way better than you ever imagined you could be. That I'm so proud that you're living the dreams that you once thought were impossible and you made them into the possible. That you push yourself, that you evolve, that you want to be this good human, that you're positively impacting your community and your team. You're doing so much good. And I just hope that you feel the love. I hope that you feel strengthened and I hope that you just know that I adore you. And with that, I would also be   completely ridiculous because I cannot let today pass without doing one of my favorite traditions. And that is publicly thanking my entire team, the team that stands behind Dental A Team that makes Dental A Team incredible. And this year our team has drastically and radically grown. And I'm so proud of the company that we've built. I'm proud of the team that we built. I'm proud of the deliveries that we're able to give, the consulting, the changing of lives.   Um, one of our consultants said at best, said, I love what we get to do because every single day we get to change someone's life. And that's the magic of Dental A Team That's the people we have. So I'll go kind of an order of where it's at. Um, and I'll just kind of go by like people, uh, I'll put them in like no exact order because that feels really weird to me. And so just going to like, go through the list of all of our team. So kicking it off is the one and only Spiffy Tiffy. I am so grateful for Tiff.   You guys, she jumped into this company from day one, pretty much. I asked her to put an ice cream cone on her head and that girl has never looked back. Not an ice cream cone with ice cream in it, but just the cone. We get asked that question a lot. And Tiff is just my ride or die. She's someone that I adore. She's someone who pushes me. She's a safe space for me to ⁓ be messy, to be vulnerable. She pushes me to be my best self. She encourages me.   She'll co-present with me. If you guys, mastermind this year with Tiff was pure and utter euphoria. And if you were not a part of it, I hope you choose to come and join us because this was something that Tiff pushed me on. was part of Tiff's vision. We talked about it multiple years sitting in a hotel room. We were on a trip and she said, you know, Kiera, I really have this idea of doing these events. And here they are. Tiff has been my ride or die. And she's someone that has really this year grown in her leadership and is running this incredible consulting team.   And I'm just so thankful for Tiff being someone that I love and adore. Someone who makes me laugh so hard. Someone who I've watched just really show up for herself and to challenge herself to grow, to not put blame, to look at herself as a leader and to rise and to go to the next level and to drive a consulting team far better than I ever could have imagined. And you guys, if you know her, you love her, Spiffy Tiffy, she's on the podcast.   She does the podcast, she writes newsletters, she does consulting, she drives her consulting team and she makes all of us laugh and she's literally the walking like Dental A Team mascot for our company. And I just hope that Tiff knows publicly and privately how grateful I am that she took a chance, that she's been my ride or die, that she's something that I just freaking love and adore so much and I'm so grateful for Spiffy Tiffy. Coming up next, No BS Britt. You guys, if you've heard her, you love her. ⁓ Brittany Stone is just this magical human who   is a yin to my yang. I have so much respect for Britt and the way that she leads. Britt is like our HR guru. She's the one who creates policies. She helps hire. ⁓ Britt is someone that I see. She hates this nickname. So don't call her it. Gritty Britty. And the reason I like Britt has so much grit. She is someone that will just keep showing up day in day out. She's very stable for me. She's very consistent.   When you think about a boat rocking in the ocean and they have stabilizers, that's Britt for our company. She is just this amazing stabilizer who I am so grateful for. And not only that, she consults incredibly well. Teams love her. Our team loves her. She gets the MVP word often. And Britt is someone that I am grateful who has pushed me as a leader, who's pushed our team, who stabilized, but also has shown me like how strong somebody with humility is.   And also someone who has a quieter personality can be an incredibly, incredibly talented leader. I'm just so grateful for her. I'm also grateful for you guys know her, you love her. Shelbi Poppins, Shelbi has been my personal and executive assistant for several years. She's customer success. Literally this girl is like the grease between all the wheels. You guys probably all know her. She helps with the podcast. She helps with the company. She puts on events.   Shelbi Poppins is practically perfect in every single way. And our whole team would agree to that. So I'm not showing favoritism. She just genuinely is someone that we all love. And I am so thankful for Shelbi being my right hand. I know Shelbi would take a bullet for me. And you guys, if you don't have someone like that, gosh, it's an honor to have someone that just like, you know, will jump in front of a train to make sure you're taken care of. Wow. Greatest gift you can give. And those of you that are the personal assistants, the executive assistants behind the scenes, just know that you're, ⁓   The person that you're helping values you more than I think words could ever put into play. Shelbi just is magic. She is ease. She knows how to have everything done. And I'm so thankful for this girl taking a risk, you guys. We shared a wall, like she's my next door neighbor and I knocked on her door, offered her a job, had her send the job, convinced her to come back. Like Shelbi is someone that I am so thankful and I will say great talent is often sitting next door to you.   So don't be afraid to like knock on the door and like mad kudos and appreciation to Shelbi for just showing up constantly every single day. Shelbi is in my opinion, our definition of passion for excellence and results focused. That girl does not miss a beat and she's constantly showing up. She's constantly figuring things out. She makes sure that the boats run on time, that everything is done perfect and that the experience for all of you is absolutely magic. And I just, our company truly is so blessed to have Shelbi Poppins on our team.   Coming up next is a new player on our team, Jenna. Jenna is our COO, and I will say she has been one of the greatest additions to our company. And I think kudos to our leadership team who saw the need for us to bring on this COO to take us to the next level, to drive us in ways that we didn't know. And I will say that Jenna has come in with this like ray of sunshine when I think a lot of us were covered in clouds. And Jenna has this amazing ability to cut through the noise to see what really needs to happen.   She's a freaking wizard with numbers. You guys, I love numbers and Jenna loves numbers too. Like she is just magical. And I will say for owner doctors out there that are struggling needing that implementer integrator, Jenna has taught me that the right person seated next to you really can drive a company and you it's okay. You can hire a fractional. You can hire somebody that you don't know. ⁓ But bringing someone in with insane experience who has passion and love, Jenna is one of the most driven. ⁓   giving people you guys like I hope there's an opportunity for a lot more of you to get to know Jenna because her stories and her passion inspire me to want to be a better person professionally and personally she's one of the most giving like the story she has of the impact and the companies this woman is a miracle girl for companies and she does it because she believes in their passion their cause and I will say her clarity her accountability her continuity her   ways that she is constantly doing the right thing day in and day out and just showing up for our team, showing up for me, but driving us. Like when I talk about someone who holds a team accountable, that is Jenna. And I have seen her just rise and drive our company in ways that I never imagined. And I am beyond grateful until like I got the freaking jackpot bringing Jenna to our company. And I know our whole team feels that way. She's been an amazing addition and someone we could not live without. So, so grateful for Jenna. Next up, you guys know, ⁓   Our consulting team, Dana. Dana has been with us so long. Dainey, ⁓ her and I, Dana is just someone who is, if you haven't gotten the opportunity to work with Dana, you're missing out. Dana is grit, tenacity, and that girl, there is no challenge, no problem bigger than her. Like she will, she just takes it. She's like a beast when it comes to life problems that are thrown at her. And she does it with fun and grit and grace. And Dana is someone that I can count on to be consistent.   to be thorough, to show up day in and day out. That girl does not miss for me. And I'm so grateful for her. And I have also watched Dana have insane passion for excellence and drive to become the next version of herself. Like before my eyes, have watched Dana be, Dana, when I hired her to Dana, like 4.0, this girl has just grown through the ranks and she takes it on and she takes every challenge and she takes the feedback and she...   just grows and to see the results she drives for her clients. You guys, this woman blows me away constantly, but she does it in a way of ease, Grace. She's got all the kids, she's got the soccer practice or the baseball practice. Like she's always busy and yet she's able to maintain and serve clients galore. Help Our Team Makes Me Laugh All The Time has the funniest stories. And I'm just so grateful for Daney taking a chance on Dental A Team for being an incredible hygienist who brings value, who speaks for us, who presents for us.   Dana is just like Dynamite Dana. That might have to be her new nickname because she's so, and maybe it's not Dynamite, but Dynamic Dana. Like she is truly someone that I am honestly in awe and impressed by her so much and so grateful to learn from her, to watch her, to grow with her because Dana is someone who is so special and someone I'm so thankful for in my life and in our company. Our company is beyond lucky and blessed to have Dana. ⁓   and she just shows up constantly. She's taught me more about life and gratitude for life than I think any other person I've ever met in my entire life. And I'm just grateful for that. We also have Kristy. is such a, her name is Kristy Treasure and she is a treasure on our team. Kristy came onto our team as this dynamic consultant who just, I call her like our truffle hunting. Like she looks for profitability in every practice she goes to and she drives offices to success.   She rivals me on my numbers, which is so fun. And what I love about Kristy is she has this calm, tenacious personality that just goes after it, figures it out. And I know that I can count on Kristy to deliver insane results every single time. And she never, ever, ever misses. This is a woman who has so much knowledge of dentistry, but she has so much passion for your success. She is obsessed with driving offices to their ultimate dreams, their ultimate goals.   She just has like mad following of people that love her, adore her, honor her, and I'm one of them. Kristy is such a beautiful blessing. We were looking for our next consultant. We were wanting somebody and Kristy just, I feel like popped out of the air like Glenda in her little bubble and showed up in the most perfect way, in the most perfect space. She is someone who sees people. She's someone who loves people and she's someone who's got a heart of gold. And I just truly am so lucky and so blessed to have Kristy on our team.   Dental A Team would not be the same without her. And following Kristy is Trish. Trish is such a, my gosh, we call her Tada, which stands for Trish Ackerman, Dental A Team ambassador. Like Trish is such, I mean, she's rivaling Tiffany on how much she loves Dental A team. And Trish just comes in with this, like she is a walking magnetic dynamic human.   You can like, she is so fun and she's so hilarious and teams love her. And she comes in this way where she gets you to like navigate to your goals and results, but you were laughing and joking and having the most hilarious time. Trish knows everybody. Everybody who knows Trish loves Trish. And Trish is just this beautiful, incredible woman who does consulting in such a fun, positive and impactful way. I learned so much from her. Trish has the best one-liners that we all snag from her. She's constantly making us laugh.   But what I love about Trish is her positivity in her outlook where every day is a golden ray of sunshine for Trish. She shows up every day with positivity. She shows up of how every day is the best day. She's the one who said like, are so blessed to consult because we get to change lives, we get to create magic and we get to truly inspire and bless people. And honestly, I don't know what I did for all these years without Trish in my life because Trish is just magic. Trish is fire and spice and fun and beauty and just...   Reminds me that life is so freaking fun and I need to laugh and have so much more fun and I'm so grateful for her I'm grateful for her knowledge. This girl has gosh Like coached teams of 150 people and so I learned from her and I'm inspired by her and you guys Offices who are working with any of our consultants are just beyond blessed Following Trish's Monica Monica is so special. She just has this whimsical fairy ease about her   that just is so poised, collected, brilliant, that is so magical for me to watch her consult, to have me watch her like with her email recaps. I see beautiful emails come from this woman. Like this woman can write. ask her, like Britt is so brilliant. We ask her all the time like, hey Monica, we need help writing this. And Monica comes with it. Like a lot of the things about our company have been written by Monica. She just got this like ease and grace and loves her.   creativity space and I'm just so grateful to have that ⁓ I think flow example in our company of someone who just can navigate the storms of life, who can go with the flow, who has poise and polish and professionalism and just like truly makes people sparkle in jazz. She's a very fun dynamic human that I'm so grateful is on our team. I'm so happy she's joined our team. And like I said, our consulting team is top notch. I do not hire.   anybody on our team unless they come with massive experience, massive years of experience, coming with consulting experience. Like these women truly know how to drive practices to their greatest fulfillment and profitability and do it in ease and fun. And we were just so lucky. Like our consulting team is absolutely incredible. So moving on from our consulting team, ⁓ we have just this amazing marketing team and Eve, she's like my little pixel fairy over there. We call her her pixel best.   If you have ever attended an event, if you have ever gotten anything from Dental A Team a newsletter, a flyer, anything, it is Eve's magic. And Eve just makes my life so easy. She told me, she Kara marketers are so easy to find. And I said, actually they're not because to find a marketer, Eve is not just a marketer. She's freaking funny. Like honestly, this girl makes me laugh so hard. She is so brilliant. She's stunning. She makes gorgeous design for me all the time. And she's just as magical human that I   I don't know what my life was like without Eve. Eve is someone that has just elevated our company. She's constantly here for brilliant designs. But something that I have loved that I've watched Eve just explore this year is this like new found, like vibrancy blossoming coming out of her where she is taking ownership. She's watching these metrics. She's seeing different things. And Eve can pretty much consult people now. Like this girl does not just build me a slide deck.   a typical marketer would. She thinks through how to make the experience for all of you the absolute best it can be, how to make the experience the best for me. And then she's the funniest person in our chats. So if you ever get a chance to meet Eve, you heard her on the podcast, Eve is this dynamic human that all of us, and she's freaking funny. Eve is like the comedy central of our company who makes all of us giggle. Her and Trish, we just, mean, Tiff is in that rally with them, but Eve is someone who is just.   beyond magical and someone that I'm so grateful came into our life personally and professionally. Her stories, her example, her like zuberance for life just inspires me. And I'm so grateful for her and grateful for her on our team. Following her is Jacintha. Jacintha has been with us and she's just really helped grow our team and evolve our team. And she helps make sure the podcast is taken care of and trains people and does social media. And she's really great at just making sure a lot of the pieces get done in our company.   ⁓ Her just joyous laughter and vivaciousness of life is so infectious and I'm so grateful to learn from her. She's one of the people that has just taken live to give and giving a next level that I think is just beyond magical and something that I've learned so much from her. She just lives life at a high level and she enjoys life and she lives life fully and that's something I'm so thankful for her for. Following her.   ⁓ Joash Joash is new to our team. And I think all of us would be lost without Joash. Joash is behind the scenes, but if you guys are in our company and you're part of our analytics or different platforms, Joash is your guy. Joash makes so many things. He's like our second Shelbi in the company. He builds spreadsheets. He's a data analyst. He figures out different things. He builds beautiful pieces for us. He just is constantly looking for ways to serve.   But Joash reminds me of the beauty of life. Joash is just such a special human He really is taking things to the absolute next level and I'm so grateful for him I love seeing his little messages come in He is someone who reminds me to be so grateful every single day for living this life every day in his slack messages He's like, thank you team. It was a beautiful day. Have a wonderful day tomorrow. We're so lucky to be alive build the best quotes for our company Joash ish is just this like   dynamic, special human that I feel we are so blessed to have helping fill in so many different gaps in our company. And we're so grateful for Joash. ⁓ Robi Robi's on our team and he's in the marketing department. And I love that Robi is just here to help to support, help our marketing team just flourish and thrive. And I love that he thinks of different ideas. He's a great designer. He's a great creator. And I'm so grateful to have Robi take on tasks, fill in the gaps wherever we need him to be. And he's just fun. He's got a lot of   He's got a lot of just energy and drive and like reminds me of how good life is. And I'm so thankful that Robi also is on our team. Following Robi is Paul. Paul is our new CRO. Again, I title, didn't even know existed nor did I know I needed. And what I love about Paul is Paul has been able to come into our company similar to Jenna and just brings this element of poise, of guidance, of knowledge.   I love meeting really smart people and Paul is so smart. He sometimes intimidates me in the best way possible. I love someone who can rival me, someone who can challenge me, somebody who inspires me. And I'm so excited for Paul to come in with so many years of knowledge and so much experience and to see our marketing and our customer success department and bring them together to just make it better for our entire team and for all of you coming to our company. And I'm just so grateful for Paul for taking a chance on us. I think...   I think when I look at consulting, often think like, gosh, those clients, like I feel so bad. I want to take care of them. I just want to help them out. And I think Paul felt that way about Dental A Team. Like, okay, Dental A Team needs some help and I can see how I can really drive. And I'm just so grateful for him coming in, jumping in the passion for excellence that he has, the drive, the tenacity. I'm so truly grateful for him.   The Dental A Team (33:32) And we have our incredible consultant Pam. Pam is just a joy. She is someone who just loves deep. She is so freaking brilliant at all things dental. She comes with this incredible experience of DSOs and of running huge teams and of consulting to tons of offices. And she just is a joy. She's someone who is thorough and on top of her A game. And I am just truly so grateful for her on our team, on our consultant team, being able to just deliver incredible value to our clients.   and also bringing insane value to our company as well. And then we also have Tyler. Tyler is on our customer success team and Tyler just brings this extensive background of dentistry with him. He is someone who really just jumps in, who has a very soft demeanor, but is a go-getter, has grit, has determination, who loves our clients. Our clients feel so safe and seen and heard by him. And for him to be one of the first impressions of Dental A Team, I think is just such a compliment to him.   to his skillset, to who he is as a person, and we are so lucky to have him on our team as well.   The Dental A Team (34:38) And I think like, as I look at my whole team, as I look at all these people that yes, I just said them in front of you. I told you.   and I'd be remiss if I didn't talk about Alex and Sissy who are podcast gurus behind the scenes that have been doing this with me for years. Alex writes the most beautiful show notes of any person that I've ever met. That woman is so magical with words. She's a published author this year. Just so freaking proud of her and so grateful to know her and to have her put together the podcast for you guys every single day, every single week. Sissy for editing it up for us, for making the commercials, for making sure that all the pieces are always put together for you guys.   Like these people just love, they're so incredible. They're just magical. I'm so, so grateful that we get to have all of these people to serve you, to love you. I'd be remiss if I didn't say thanks to Jason. Jason is my ride or die, my love. He's such an amazing human. He just loves me so purely guys. Like to have someone in your corner that loves you and loves you fully and completely.   and just wants the best for you. He's my biggest cheerleader. He's the one who brings me food when I'm on meetings all day. He's the one who's like pumping me up behind the scenes. He's the one who makes every single one of my dreams not seem crazy, audacious and just loves me for them and encourages me to pursue them. Constantly boosts me up, tells me to join you guys, tells me to take the risk, tells me that people need to hear these messages. And I'm so thankful for him. You guys, I'm so grateful. As I say this and like, I'm not gonna lie to you, all of you,   should go tell your team how much you love them because me just doing this podcast helps me see how lucky I am to be surrounded by brilliant people. You guys had so many be like, I look at last year to this year. My team has almost doubled in size. If you've listened to this for the years, you've heard me just go through this every single year. And I will continue to do this forever because my team deserves public recognition and private recognition. These men and women are here as amazing people that make me better.   that push me, that challenge me, that make me laugh. And this is a team of virtual people. So I want you just to love on your teams, to love on yourselves, and to really, truly, truly know that like, we are so blessed to live this world, to be able to be a part of this. I'm so thankful for my team. And if you didn't know, that's just our team. That's all of us. And I'm so grateful for them because I really would encourage each of you to do what I just did to your team.   in some way. And as you guys wrap today, I just hope that you have the most magical day, that you have a ton of fun doing whatever it is, and that you really do check your vital of how is my giving KPI? Am I giving? Am I feeling fulfilled? And if not, I would encourage you guys to choose one thing, one area of your life to make it just a little bit more bright, a little bit more giving, because honestly, the secret to living is giving.   And I hope that you know that I adore you, that I cherish you, that I'm so excited for you and me to be hanging out on the podcast. And I want you to know how much I value you, how much I appreciate you. And I hope you know that and I hope you feel loved. I hope that you feel appreciated. I hope that you remember that you are so blessed to be doing what you're doing, to be living the life that you're living, no matter how great or hard it is today, you are so blessed to be able to do this.   One day you dreamed about this life and now it's yours. And I'm so, so, so grateful to have you guys here. I'm so grateful for all the blessings that we get to be. I'm so excited for this next year around us. I'm so excited to work with you. I'm so excited to see you in person. I'm so, so, so excited for this beautiful life. And I'm honored and blessed to be able to serve you, to love you, to encourage you, to inspire you, and to be in this journey and this part of your life with you.   And if I can serve you in any way, reach out, Hello@TheDentalATeam.com Go have a magical Thanksgiving. Love people, give them hugs. Remember, we get one life to live and I hope that you make it the most magical you possibly can. And with that, thanks for listening and I'll catch you next time on the Dental A Team podcast.  

The Dental A-Team often hears from team members who feel like they're not good enough. In this episode, Kiera shares with listeners how to switch from harmful self sabotage and comparison to a healthy awareness of growth and positivity. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera and today I want to dive into something that I think is really important. I feel, hear this from a lot of people. I've coached a lot of dentists. I've worked with a lot of team members. And so I feel like I've got a pretty good background on how to talk about this. And I think just as human nature, and I'm not saying that all of us are there, but   Every dentist, every office manager, every team member I talk to, no matter how successful or how terrible they're doing, they say, I'm not doing well. I'm not doing enough. Like I'm not doing good enough. And I just wanna like dig into this a little bit today because I think it's a lie that we all believe to some level. We feel this imposter syndrome. We feel this... ⁓   I don't know. It's just this weirdness that I want to help you rewire that story and to maybe give a different perspective on that, because the reality is you're doing better than you think you are. And I want to reset and reframe that internal dialogue because I believe being your own best cheerleader or your own worst critic, both of them have pros and cons. And I think like there's so much icky in the world that why don't we start to become your best cheerleader? I truly do believe the quote that ⁓ Tony Robbins says like where   where focus goes energy flow. So if we're focused on not being good enough or why am I not good enough or I don't know how to do this. Well, yes, there's a line of humility that I appreciate. There's also a line of self sabotage that I think we need to start to cut that script and become even stronger. really, Dental A Team's mission is to positively impact the world of dentistry in the greatest way possible and to help you build thriving practices, thriving leaders, not just surviving, not just hoping and like skirting along. Dentists always want to know how they're doing compared to other dentists.   And so really just giving you kind of that baseline to help you out. ⁓ This is the emotional side of leadership. This is the self-worth, the confidence that rewiring the not enough trap that I wanna just like dig into. And it's just more of a conversation and hopefully bringing some insights and some highlights to help you stop that narrative to really highlight the growth that you can have and just to give you some better. I don't know, just a hug. You're doing so good out there. And I think like as a proud mom of you.   ⁓ Just reminding you of how good you are doing, not better than you are, not worse than you are, but realistically where you are. And I think so many of us accidentally self-sabotage the goodness that we have rather than celebrating how great we're doing. ⁓ And again, momentum builds. So let's build momentum of positivity rather than momentum of negativity. So ⁓ I think the first thing that I like to look at is like, what is the root belief that causes you to have it? So like these thoughts are coming from somewhere. So is it past experiences? Is it comparisonism? Is it perfectionism?   ⁓ I went to a Tony Robbins conference. I do love Tony so much. I have a great time there. I don't think everything's perfect, but I think a lot of great things are, are good in it. And I went to, my favorite thing is date with destiny. And I went to it last year and, ⁓ Tony always has this talk about our towards values and our way values. And, he says, why is it that we try it? We do so good in life, making it hard to feel good and easy to feel bad. And I think about this a lot. And so last year, my word was comparison and.   He actually has you go on this whole rant. So if you can imagine, I feel I present in such a different way than how I was at that conference. ⁓ The beast was unleashed, we'll put it that way. One of my dear friends was with me and they said that they've never seen Kiera like 4.0 version come out. And what Tony has you do is you actually go through, cause comparison was actually one of the biggest things that was holding me back in life. I was comparing to all these other women about my body, about my looks, about my business, about everything.   I realized that my self-sabotaging was from a deep-rooted piece and like prior to that, ⁓ was fear that I let go of. was fear of all these things. And what Tony has you do is you go on this monologue, this rant to basically just see how much of life you've lost by having this. So I went into comparison and I said like, Kiera Dent, see, hear, feel, and know that I will never, ever succumb.   to the limiting and self-sabotaging and ludicrous lie of comparison. And then you go on a rant. And luckily Eminem, I do have a side nickname of DJ Skittlez. Yep, I wanted to be a rapper with Eminem. So I figured Skittlez with a Z was gonna be my rapper DJ name. So if you ever come voting with me, DJ Skittlez does come out voting to make your perfect playlist.   But Eminem was on and it was such a good thing for me. And I remember just unleashing the beast of this comparison and you yell and you scream and you just like, you know, like, and the goal is that you, you look at your life from this lens of how much has this self sabotaging piece taken from you. And when I looked at it, like I wasn't participating fully with my family. wasn't working out at the gym because I didn't want to be compared to other women. I wasn't, ⁓   being as bold in business because I was comparing myself to what other people did and just how much of life was being sucked away from me. And so with that, if that's something like for you to just look to see where is it and what's maybe the one or two ⁓ values that you're holding onto that make you feel bad, that I would encourage to be a way value, not something we want to go towards. So for me, I have on comparison and like comparison only shows up for me when I forget that I am like just, ⁓   For me, like what I will say, I do believe in God, that I am God's greatest creation. when I, so now what I've done is I've taken comparison and I flipped it. So like, if I ever start comparison, it's only due to me forgetting that I'm God's greatest creation. And that quickly for me eliminates that. And so, and it's like fear only if I forget that I have like magic and brilliance that spews from me.   So what the goal is, is you take that root belief and you flip it and you figure out what it is. And then what is something like, it's only if I were to forget that I am like brilliant and have like unlimited potential within me. So like for fear or comparison or perfectionism or whatever it is. And so what is that? Where did that story begin? And maybe you don't know. ⁓ And maybe go through a rant if you want, or maybe just write a new definition and make it harder to feel that. So for me,   It's actually pretty hard for me now to feel comparison. Like I can go back to that, like Kiera 4.0, if you were to call my friend Pierce, he's been on the podcast, he will tell you Kiera 4.0 came out on that comparison rant to where I feel like I literally was able to obliterate it to where it's not there. And for you looking at why am I not good enough, maybe if we can find one or two of your route towards values and away values, what are those away values? And could we...   Could we acknowledge it? Could we see why it's there? And could we maybe decide to put that to rest for a little while? ⁓ And I think when I do this exercise and I write out what success means, it's crazy how many weird rules I have to put in to be successful. And maybe even for yourself, writing out like today what you feel you have to do to be successful. Oftentimes this is why we feel like we're not enough is because we've made this laundry list where it's impossible for any person.   ourselves or someone else to ever hit that level. ⁓ I talked to a friend once and she was like, yeah, for me to be successful, I have to have, I think she told me like 10 million in her bank account, which she was not even close to that. She had to have her body size be X. She had to drive a certain car. She had to live in this. And it was like, wow, well, no wonder we feel this. That's the root belief. It's so hard for us to even feel successful versus I feel successful anytime I make a patient happy.   What you do on that is we're not changing the rules of the game, but we are making it easier to feel good and harder to feel bad. So the only time I'm ever going to feel comparison is when I forget that I'm God's greatest creation. Well, yeah, like I'm not going to forget that. Like I really do think that. And not to say that I'm better than anybody else. I just truly do believe that all of us in our own way are truly God or the universe or whatever's greatest creation. I, gosh, like I feel emotional about that. I really do just believe that that's who you are.   I believe that human souls are that way. I believe that. and so it's one of those things like as a proud mom for you, if you want to take that on for a hot minute, go for it if you want to write it. But when doctors can rewrite, when you feel behind or you feel like you're not enough, maybe what enough feels like you could look at it, like list it off, but then maybe make it a bit easier for you to feel enough today. maybe being enough is reminding myself that like just being alive is enough.   Like think about how the magic of being a living soul is. Well, shoot, that is enough. And like, what does enough even mean? What does success even mean? And what's wild about that is this, there's maybe a few pieces to it. So call to action on it. Cause I like to make this tactical, even though it's such a soft skill is one, let's think of where these thoughts came from. So like, what are the top two things that are holding you back?   from feeling like you're enough. Like what are those? Is it comparison? Is it experiences? Is it like maybe someone told you that? I don't know what it is, but like, can you identify what that is? Then can you find an area where you don't feel like you're doing enough or you're not good enough and ask where that belief started and then rewrite how you're going to feel that. So what does enough mean or what does being perfect mean or what does success mean? And can we change the rules of making it harder to feel bad?   and easier to feel good. Now I know this won't be perfect and I know you're gonna like be clunky with me doing this, but really try it, take it on because if we can even change it just a smidge, I feel like that's a win. That's number one. Let's identify the root. Let's change our identity. Let's let it go. Let those pieces go and make it harder to feel bad and easier to feel good. Okay? Then we wanna measure what like honestly matters because sometimes we might be measuring against the wrong measuring stick.   So many people are like, well, I'm not enough or I'm not far enough along. And I'm like, but why? And like, because I have to be like so and so. And I'm like, but do you want their life? I'm not here to say like compare, like, I just want to know what's your life, what's your version of success. And that's where in Dental A Teaem people are like, well, Kiera, what do all your clients have to hit? And I'm like, there is no standard of what you have to hit. You have to be profitable. Yes. And you have to be growing for your own self. I don't care what that looks like, but those are like pretty much the only measurements that we have. There's no set standard. There's none of that because I want you to   truly be measuring against your own yardstick. So ⁓ for this next piece is going to be like, let's measure what success really is for you. ⁓ Maybe it's on value, values, maybe it's on lifestyle, but not on volume. And then I want you to like reflect on your life of what have you done to get closer to that, that goal or that success or being enough. ⁓   where you're focused more on that outcome and the life you're living rather than measuring up against someone else's yardstick. So, and sometimes it's like pilots, right? Like if you were a pilot and you're on a course and you're like, well, shoot, I'm going to end up over in Sweden, but I was really trying to get over to Bora Bora. Well, great. We just were on the wrong path. We're, focusing on the wrong target. And so for you measure what really matters and go for the right target, go for where you ultimately want to end up in life, go for those pieces rather than just like,   I don't know, being on the success metrics that doesn't actually matter for you. When I wrote out success last year, it was like, I have to be making XML, I have to be working this amount. And I was like, Kiera, you know better than this, why do you do this? And I think it's like, I don't know, I don't know where this stems from. I don't know why as a society we're obsessive with not being good enough, no matter how great we do, not.   Not being proud of ourselves, not being our biggest fans. ⁓ And so for that, I really think like step one is find the root. Step two is going to be figure out what success is and rewrite it to where it's easier to achieve it rather than harder to achieve it. And again, I'm not trying to move the goalpost on you. I'm just trying to build the momentum and fuel because the happier people do better in life, the more depressed and the ones who feel worthless and that they're not doing well enough, they don't do as good. So I'm trying to make it easier for you to hit success today and to realize you are successful rather than   having a harder to ever achieve it and making it so impossible you'll never achieve it. And then number three is, rewire this. So kinda like what I did, we're gonna rewire. So ⁓ confidence, certainty, being proud of yourself is a muscle and you have to train it. So every single day I literally write in my journal, things I love about myself or things where I've been successful or things that like whatever it is,   where like I've been proud of myself or whatever it is, but you start to train in an actual way. So like we can replace our negative thoughts with affirmations. We can surround ourselves with people who are great. We can celebrate the the wins. Like every day I have to write down three great things that I did from the day before. Sometimes saying it out loud, sometimes writing it down. But when you start to do this and you start to even shift that into your team where we start to focus on the wins that we've had every single day.   Like we always heard our offices out of like, are the wins you've been having? And it's purposely because I want to build a snowball of momentum rather than a snowball of negativity. It's very easy when we've trained ourselves, like a pencil groove in like old school desks when we used to be in school and we'd have those pencils and we just keep digging deeper and digging deeper. We are now rewiring you to start focusing on how you've been successful. Like for me, like comparison, like it used to be like, my gosh, like every day, like I literally, you guys used to be consumed by comparison.   I would sit here day in and day out and be like, I'm just not that great. I will tell you, and it's been seven months since I did that exercise. I'm not exaggerating. I can count probably on one hand, the number of times I've compared and I catch myself pretty quickly. I'll tell my husband like, gosh, like there was one time and I'm like, business are doing X, Y, Z and like, like, why am I not doing that? And I'm like, because I'm living my own freaking life over here. Like, yeah, I can be doing different things, but   I am so intentional with the life I'm building and I'm so proud of what I've done. And then I just like flip into this, like, Carrie, you're freaking killing it. And like, these are the great things that you've done. I'm like, let's start celebrating the wins. while yes, like comparison serving me nothing, you playing small is serving you nothing. You thinking that you're not good enough is serving you nothing, but you having the confidence in yourself, you reminding yourself of the good things you freaking took a risk to be a business owner. You go in day in, day out, you have led a team. became a dentist.   Those are some pretty big milestones and to be proud of yourself and then to figure out how we can start to do this every single day and to train that muscle. ⁓ I know this sounds fluffy and I know this sounds woo woo and I know this sounds like I'm not doing that. I would just encourage you to try to figure out one, where's the root and what are the one or two things that are really keeping you back. Then two, what's your success ladder and how can we make success more achievable rather than further away?   And then three, can we rewire that and make it to where we are continually writing who we want to become? ⁓ Another great quote by Tony Robbins, I tell you, it just comes to me constantly. He says, are you the creator of your life or the manager of your circumstances? And I think by all these things I've talked about today on the podcast, this is helping you be the creator of your life, not the manager of your circumstances. You're creating the success you want. You're creating the identity that you want. You're creating the person you want to be.   And if it's tricky for you, reach out like I have literally there's a client, Corey. I'll actually say his real name. I know he listens to the podcast periodically. Uh, and I know he's an amazing human and Corey will tell you that I have done these exercises with him and we joke about it, but he and I have such a close relationship. And I'm like, it's because we saw the real raw versions of each other. We created these new pieces. We celebrate the wins together. We don't allow each other to get into these darker holes. We remind each other like   It's accountability buddies on living our best life. And so for you, get the identity right, redefine your success metric, measuring thing, and then retrain your brain and the words you say to where hopefully in six months from now, when we come back to this, you can say, just like I can say, I'm not perfect. And I literally was able to let go of so much of the comparison that used to suffocate me from the joy of life that used to rob me from that.   and to not have it be obsessive. Now there's other obsessive things that will come up, but at least that one I feel is tempered, is tamed, is not there as much and being able to bring that on. So for you, you already are enough. gosh, like if you could look back at who you were when you were 10 and then tell them who you'd be today, I you'd be shocked and so proud of that. If you could think of like a little child, think of yourself that way and like, you're not going to tell that kid like, hey, freaking walk already, like stop crawling.   You'd be so proud of them, of the little milestones. And we celebrate children. And I feel like let's celebrate ourselves as adults. Let's change that if we can. Let's create a different path. Let's create a different model. That way you can thrive. And really, truly leading from the truth that you are enough, not the insecurity of that. I believe that this, like doing this is just as important as systems and strategy. I believe that doing the inner work makes you the   The boss, the leader that your practice, your team and your patients need you to be. And it's not fluff and it's not that. So don't skip this inner work. ⁓ And I'm happy to help you share this with someone that you know, needs to hear that they are enough ⁓ that you're doing better than you think you are. That your success is so freaking amazing. It doesn't matter what other people are doing. We look at other people for examples, if it's what we choose to do, but we're so committed to living our best lives and the best version of ourselves.   ⁓ I only use other people as an example of what's possible, not of a comparison of what I'm not doing. And for you, whatever it is for you, truly, let's help you achieve that. And if I can be a cheerleader in your back corner, if I can be like a little Jiminy cricket on your shoulder, if our team can help you, this really truly is a zone for you to look to see where is it coming from? What can I change? How can I make it easier to feel successful today and that I am enough today? And then reinforcing that with daily habits.   It sounds so silly, but I promise you the fastest, the strongest force in the human nature is the need to stay consistent with who you believe you are, not who you actually are. So let's change that belief. Let's change that identity and help you get the happiness that you deserve. This is something I'm very passionate about, something that I love so much. And I'm so grateful to be able to chat with you guys on the podcast. So reach out if I can help in any way. Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on The Dental A Team podcast.  

Tiff and Trish spell out exactly what practices should do to shift into growth mode — whether that's case acceptance, patient base, or whatever else — as well as how to commit to positive changes long-term. (Positive changes, by the way, including what's too much for a team member or practice's workload.) Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review  

When it comes to scaling smarter, not scattered, there are three mistakes owners make that hurt efficiency, profitability, and leadership. Kiera talks about how Dental A-Team helps practices simplify methods so that success is humming across all locations. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and I hope you are having such an amazing day. Today is podcasting day and I actually did a little reel for you guys to come and enjoy getting ready for me on podcasting day. My husband and I, we did this funny thing when I got like amped myself up and we're like, I love my life. I love my job. I love podcasting. And I don't know if you guys have seen that little girl.   who does that where she gets so excited about life and it's like, I love my bed, I love my hot tub, I love my view. And truly I love all of you. And I'm just super excited to be here with you podcasting, to be talking about great things in dentistry. And today I think that this one's going out to our multi-practice owners. And these are three costly gaps that I've noticed within multi-practice ownership that really try to highlight some of the gaps because at the end of the day, the podcast was created   to help all dentists elevate, to help all of us rise, to positively impact the world of dentistry in the greatest way possible. And that's what we're about. That's what our mission is. That's what I'm about. And so today going out to those multi-practice owners, or for those of you thinking about multi-practice ownership and do you want to do this? do you want to like, what are some of these gaps that maybe could also impact solo practice owners? So at Dental A Team, do work with solo practice owners, multi-practice owners. We work with...   like from basically one million, you know, you're maybe at that 650, one million range, all the way up to that 10, 15, $20 million range as well for practices. And there is a no one size fits all in Dental A Team I'm very, very, very, very big on who we hire and who the people are within our company. And with our clients that this is your life. This is your dream. There is no ultimate destination that we're trying to get all of our practices to. There is no final   You've got to hit this in order to be excellent within Dental A Team. is what is your life? We have some owners that are working at two or three days a week. We have some owners that are working six days a week. We have some that want multi-practice ownership. have others that want solo practice ownership. We have some that are solo practitioners doing 4 million in one location of about six to seven operatories. We have others that are in multi-locations doing 2 million. So really there is a no one size fits all. It's more what do you want to be? And we call this the yes model. So where do you   personally and professionally want to be. stands for earnings to make sure you're profitable and S stands for systems and teams to support that. So really making sure that way you can say yes to your life, yes to the things you want in life. That's what we're about. So with that, like when you look at multi-practice ownership, it does not necessarily mean adding more profit. I've talked to several multi-practice owners that are actually making less money in multi-practice ownership than they are.   prior to expanding to multi locations. Think about it. You've got one location that's doing really well, the other one's not doing so well, well, your good one has to then support your not so cash flowing one. So sometimes it actually can be a lot more costly for you. And so for you to just realize that some of the ways that we can do this will actually impact solo practitioners. ⁓ And so the three things that we're gonna work on today are like,   things that hurt efficiency, they hurt profitability and they hurt leadership. So when we look at this, doing a deep dive on that, that's really what I want you to look at of like how you can scale smarter and not scattered because really with multi-practice ownership, I remember the day we opened our second location. Our first practice was doing, it was 500,000 to 2.4 million in nine months. And then we opened our second location and you better believe that it was like just adding more fuel to this already burning chaos fire. I think that's really, really clear. And I hope you heard that it was adding more fuel.   to the chaos fire, not to the profitable fire, but to the chaos fire. ⁓ And that was really, really, really struggling. ⁓ It was hard on me. It was hard on our practice. It was hard on the team. I was not showing up as a great manager. I was not showing up as a great ⁓ leader. I was not showing up as a great partner. ⁓ I was not showing up great in my marriage. It was like literally just trying to swim through and feel like I was trying to survive rather than doing it smart. And so that's something really big that we've been wanting to do for all of you is   to give you this smarter way. Dental A Team was really here for you. It was built by people who are just like you, who have been in your shoes, they don't just understand you, but have actually been in your shoes, who's walked the walk, talked the talk, and we've done it very successfully. So I love to help offices. Hopefully we're helping you. ⁓ And if you love this podcast, please be sure to like it, start, share it, because that's how we're able to help and influence more people. number one, the biggest number one miss is no centralized operations. So that means ⁓ we don't...   we don't have a central plan and instead our practices are individual islands. This was very much my practices. We had our one and it was doing certain things and we had our second one and it was not doing certain things. And so going from each practice felt like I was going to multiple different locations, multi different pieces and that really gets hard. And so we have inconsistent systems which means we have unpredictable outcomes. And then on that, like we did not have a set way that we'd schedule. So we'd schedule one way at our first location another way at our second location.   Our billing was not the same. The way we were insurance verifying, our fee schedules weren't even the same because we were in two different cities. And so we had different fee schedules. ⁓ Reporting was not the same. We did not have leaders in both practices. We did not have SOPs that could scale. Like truly our operations manual was not done and we just thought buy another practice and let's go through this. Rather than having a set standard, and this is something I'm really big on when people want to go to multi-practice ownership or they're already in multi-practice ownership. This is really where we start. There's a practice that we're working with and   I think about them, were, the solo doctor was running around to every single location, trying to out-produce the problems instead of fixing the problems at the base level. And that's going to be through this of like centralized systems and getting systems in place and like having our scheduling and our billing and our cashflow consistent and looking at each of the individual practices ⁓ to make sure that they are centralized. And so when we work with multi-locations,   What we do is we actually simplify it down. So you don't necessarily have to have centralized billing or scheduling like right away. Once you get to that four or five, usually it's very recommended to have centralized billing or I've got some practices that are multi like it's one location, but they have about 15 to 17 operatories. Well, that does count in my opinion as multi ops, multi practices, cause a lot of times multi practices are like five ops or more. So you think about a 15 op practice that's like three practices, but just under one roof.   So even in this larger practice, I often recommend we start to centralizing. So we have a set standard of how we're doing billing. We have different reporting metrics. You've got to have the KPIs. We've got to have the set system. So what we started to do is we standardized the operatories. So all ops are the same. We standardized how we're scheduling. We're all in the same softwares. We have an SOP. So we've got our front office, our back office teams, and we do the exact same way. So how we're doing it. We had both practices auditing each other so that we standards were not getting missed and it wasn't.   Well, this practice does it this way and this one does it this way. No, we're trying to make these standardized. that way, again, it's not so that way we can't have our own flare and variety at the different locations, but it's so that way when practices show up and doctors show up, we're actually able to be efficient and effective because we're able to have it be the same. It's like, could you imagine ⁓ if your practices were like everybody's varying different houses? So the way I put my silverware in my house might be very different than where you put your silverware in your house.   So just imagine we've got five different houses, how much easier it would be if we all walk in and we all agree that silverware goes to the right of the dishwasher. Well, now, no matter where the dishwasher is placed in a house, we know silverware will always be to the right of the dishwasher. Just like when we walk into an operatory, we always know that the ⁓ disposable, so our gauze, our cotton, is always to the right of X. It all practices. So as much as we can get them similar, so that way it's just more efficient, it's more streamlined, everything is working together rather than against each other.   but truly getting centralized operations in multi-operatories or multi-locations is going to be one of the biggest ways to cut costs, to save time, and to make it more efficient for a better patient care all the way around the board. So really look at your practice and see, do we have inconsistent systems? Are we doing things differently? Do we have different flares and flavors? Do we have like five different houses within our multi-practice ownership? And what could we do to unify it across all of the practices this quarter? And usually when I'm starting with an office,   I'm going to look for the scheduling because that's usually the fastest. Then the operatories will be my next piece that I'm going to go for. And then after that, we're going to go into our billing tactics and making sure that goes into it, which leads me right into point number two. And this is gap number two and it's profit per location is not being tracked. A lot of times when people get multipractices, what they do is they just keep it all under one tax ID number. I understand your reasoning. I did that when I started my multiple businesses. It actually gets really hairy scary. And so ⁓   Yes, like let's untangle this. I'm not a CPA. My job is not to be giving you financial advice. My job is just to help you as a consultant. We pair really well with CPAs. And so miss number two is when we don't have profit being tracked per location, but overall as total revenue, but not knowing which practice is profitable and which practice is struggling. That's a really, really, really big miss as a practice. So helping you just understand that you've got to a hundred percent.   make sure we're looking at the profitability and breaking it apart. So each practice has its own tax ID number. Yes, this is annoying. Yes, you have to fix the billing pieces for it, but each practice needs to be treated like its own individual business unit. within the bigger whole. So it's like we have the same standards, we have the same operatory setup, we have the same softwares, we have the same billing tactics, but what we have is we make sure each practice is profitable.   So we know how much are we paying for all the fixed versus variable costs and we're tracking those within each location. When team members travel between each location, they're actually paid out of two separate entities. So they could be technically putting in more than 40 hours, but if they're only putting 20 hours here and 30 hours here, technically that's not over time. It's like working two different jobs. Now you have to be careful with that to make sure that those employees are not overworked.   But making sure that like when I've got team members going to multi locations, I am tracking it per location. I am tracking it per practice. When I've got regional managers separating out that regional manager salary amongst all the locations to make sure is this practical profitable? And if not, what are the underperformers? What are the root causes? How can I get this profitable? Can we do block scheduling in there? Can I work on my costs? I've got two practices right now and their rent is much higher in one location. Well, if I've got higher rent over there and higher costs,   I have to produce more in that practice than I do. So I can't have the exact same block scheduling in both locations. I can still block schedule similarly, but I have to make sure that I'm hitting my correct overhead percentages and that each practice is profitable. We have separate credit cards for each location. So we're ordering on those separate credit cards. So it is per location. We have different bank accounts for each location. So the money's coming in so we can see what it is. And what's crazy is when offices actually do this, what they find is   they're actually able to quickly identify what the root causes of that practice. They're able to bring it up to par. like one practice, they're losing money due to not having hygiene reappointments in there. So like the hygiene team is not as profitable as they should be. So we laser focus in on that. We fix the systems across the board, but we laser focus on the practice that's struggling. And we're actually able to boost them by 400,000 per year just by fixing that one small problem, because we're not looking at the organization as a whole. Yes, you do need to look at the organization as a whole.   but you do need to like scope it down to how each practice is performing. And this should be weekly, monthly, quarterly to then assess how we're doing. ⁓ When people get into multi level DSOs, you better believe they're looking at their top performers and their lower performance. And a lot of times they cut those lower performing offices out because that's hurting their overall profitability of the business. So many offices have really high producing practices and they're dumping it to go save the other ones. Just like thinking about a real estate portfolio.   they're looking and rebalancing those portfolios, but for you to rebalance it is to make sure you're tracking the profit per location and we're fixing the issues at the base root problem. ⁓ And so really what it should be is you should A, make sure you're running them individually, B, do a P &L by location and let's figure out where our gaps are within the finances to see how can I make each location profitable and set that as the target as the goal for your regional, for your office managers.   This is the goal per location. I work with an office and we have six locations that we go to quarterly. And we are looking at their scorecards every single week, every single practice. And then we look collectively at the whole to make sure organization as a whole is profitable. Yes, when we started new and of course we're going to be dumping money into it. But the goal is for that new practice to be profitable. Six months to one year max is when they need to start breaking profit. And so when teams know this, when office managers know this, what happens is the whole   portfolio actually does better and the businesses are running much more effectively, efficiently with better patient care, better team awareness all around. So that's miss number two, ⁓ gap number two. Miss number three is not having consistent accountability. So when you have it, oftentimes it's just this chaos. Like I said, like we're adding more fuel to a chaos burning fire. And so ⁓ when we have that there's no roles, there's no structured check-ins, there's...   It just feels like hope and pray. And then we're trying to like get the profitability margins. We're trying to do all those pieces. So we've got to have cadences in there of weekly calls, having weekly scorecards and quarterly reviews. ⁓ And so when you have leaders at each location, what they do is they, get all office managers together on a weekly call. They look at the scorecards for their practices. They look cross company so they can look at all the other offices. So if I'm struggling with a profitability, but this office over here is doing really well.   office managers sync up, let's have you two work together, let's have you see what you're doing differently. That way everybody's able to be profitable. So that really helps. And then you empower all the leaders to own their KPIs and report back. So they're owning their teams, they're owning their departments, they're owning the profitability of their practice. And then this way we're able to have metrics that are the same across all locations. So having a set scorecard that's used, when we do it within our company, we have practice A, practice B, practice C.   Right now I've got an office I'm thinking of and practice A is super profitable and practice B is not. And they're just looking at it collectively as a whole versus saying, my gosh, we've got to get like practice B profitable. Practice B is not producing and it's not collecting what it should be. A lot of times also that profitability margin is hurting because we're not collecting. And so one practice is very much collecting, paying for the other practice, but it's just due to broken systems and not having that O-M responsible. And it's because we're spread across trying to be   ⁓ efficient, which is true, but we have to have individualized centralized accountability frameworks in each location. So it reports up. People know who's ultimately responsible for that practice for the different pieces, rather than it being we're all responsible for everything. That means nothing is actually truly being tracked. So ⁓ when we've implemented these scorecards across practices, usually what you start to see is you see an increase in profitability, an increase in collections, an increase in case acceptance, because everybody's looking   Like we're looking side to side, it's like Sudoku. I'm looking to see how am I comparing with my other practices and how can I get the support where I'm struggling? And then you also start to create cohesiveness as a unity. You start to create cross collaboration. And this is a huge, huge, huge mess in multi-practice ownership and even in bigger practices. So when you look at this and you have that weekly reporting rhythm, you have this weekly accountability, and then you start to empower your leaders to meet with their team members once a month.   and then have quarterly cadences where we're looking to see how we're doing, you start to see teams rise up. Because now it's like, great, we know what the scoreboard is. We know what we're aiming for. know everybody knows what they're accountable for. There's no more of this confusion of what should we be doing or should my practice do this, but your practice doesn't. You try to get them as standardized as possible. And what I will tell you is working with multiple multi-practice owners, this is not a dream. This is a reality that you should be striving for and that you can do. I love to work with Mac.   multi-practice owners because I love to take the chaos and turn it into simplicity. I love to help you see which like it's like a ball of yarn and you're like, my gosh, like pull this string or pull this string or pull that string. And like, we don't know how to untangle what we've created. And so doing these three misses of not having centralized operations. So making sure we're centralized across the board, making sure each practice is profitable and then having accountability across the board. When you streamline those across all your locations,   instantly things get better. Scaling is not great when it's chaos. Scaling is great when it's tightened, when it's predictable, and when it's consistent. That's when it becomes fun. That's when it becomes fun to be multi-practice honored, but it is not fun when it is the chaos. And so when we do this, this is something that I'm obsessed with. This is something I love to help offices. This is where I love to help regional managers figure out how to do this because a lot of times they don't even know. They've never done it before. They've just been a great office manager and doing one baby versus five babies.   We all know as parents and siblings and aunts and uncles, we know that one baby is a lot easier than five babies. However, five babies can actually be easier on certain levels when we have set standards and we have set processes and we have set things in place and we've got rhythms and we've got routines that actually sometimes can be easier than just one because it forces you to actually rise up. It forces you to be better than what you've been. And so with this, just know these are some of the three big gaps that we see in multi-practice ownership or large practice ownership.   These are some of the areas that we really expert help. And hopefully for you to just have a quick like checklist of like, where am I doing on my standardized ops? How am I doing on profitability of each location? And how am I doing on accountability, KPI tracking, scorecard accountability, weekly check-ins, implementing just a few of these things will radically help you. But sometimes it's so hard to lift your head up out of the bubble when you're living in the bubble. And so if you're struggling with that, reach out.   Like let's just have a conversation. Let's see if we're a right fit. If nothing else, we'll give you a lot of gaps, a lot of tools, a lot of tips and help you out. reach out, Hello@TheDentalATeam.com. Go to our website, TheDentalATeam.com and click on the book of call. This is what we do. We create structure for scale, clarity for leaders and profit for every location. Like that is what our obsession is. And so I'd love to help you out. As always, just know dentistry is the greatest place we could ever possibly be in. We are so blessed to be a part of dentistry.   And I just want you to remember like if multi-practice ownership or larger practice ownerships on the horizon, these are things to do. If you're already in the weeds of it, you know, it's a lot harder to actually do than you thought it was. And so reach out. There's no reason to do this alone. The industry is hard as it is. So there's no reason to do this alone. Reach out. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.  

Fostering leadership growth within a team takes intentional execution. Tiff and Trish discuss what it takes to lead a team versus managing, including self-awareness, delegation, team-wide trust, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review

Operatinging a practice is very, very different from owning a practice. Kiera walks listeners through what the path to CEO ownership looks like, including the difference between the clinical and business sides, how performing a time audit will get you started, the ideal approach to establishing a vision, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:01) Hello, Dental A Team listeners. This is Kiera and today is a great day. I am so excited for this podcast. I am excited to be chatting with you. I feel honored. Where are we at? Are we hanging out? Are we going on a walk together? Are we getting ice cream together? Are we picking up the kids? Are we driving to work? Are we driving home from work? Are we sitting in traffic? Wherever we are, I hope it's a great day. And I hope that even if it wasn't the best day that you're choosing to make sure that today is going to be an epic day, that you're choosing yourself, that you're choosing happiness.   that you're choosing this incredible life. And you remember at one point, at one point, the life you're living is the life that you were dreaming of. And how blessed are we to be able to live this magical life that we get to. So today I just wanna walk you through how to go from a practice operator where you're doing all of it to a true CEO and what needs to change to be able to lead at the next level. So I think this is so fun because owning a practice is very, very, very different than   operating a practice, would you agree? And so like if you're still in the weeds, you're still doing the day to day, you're not yet the CEO of your practice. And so this is something where I wanted to kind of walk you through like, what does that even look like? Because for some of us, we don't even know what the destination looks like. So we're like, well, I can't even visualize it. So therefore I can't even like create it. And I want to make sure that I help you see what that path can be, help you understand what it can look like if you choose that you want to do it.   This is something where Dental A Team's mission is to truly help doctors stop running on survival mode and start leading strategically. So whether you want to be the CEO where you're out of the chair, whether you want to still be the operator where you do some dentistry, but you have the options because you know what that can look like. So that's what we're about. And today it's going to be going from busy operator into visionary, going from day to day to the big picture. And so fun because I actually was talking to a client this morning who actually it's been about a three year journey has now   rounded the bend to where they had their last day of clinical dentistry and they're stepping fully into the CEO role. And as we were chatting, we talked about how it's a mind trip. It's a full blown mind trip and how I told them, said, it's crazy because I'm actually doing this podcast today. I had already planned that I wanted to talk about this. It was so serendipitous that we chatted today. ⁓ But I said, isn't it wild how like what we dreamed of, like you go through dental school and you go through all these things. ⁓   to walk away from that, have associates, to have different people. Just like me, I consult, I still do some consulting, but I do a lot more of running the business, owning the business, and not as much in the day-to-day anymore. And I'm so grateful for the team of Dental A team that allows me to be in my sweet spot, the visionary role, to enjoy it and to allow them to be in their sweet spots. And this doctor and I, were chatting and he just said like, Keir, it's weird.   I don't even know what being a CEO looks like. And I have another doctor and he said, Garrett, it's so weird to go from being clinical all the time to working on the business, but it's so fun to work on the business and to be the CEO that can look. And as I was talking to the doctor this morning, they're thinking about doing a DSO and wondering what they want to do with that. And he's just like, you know, I don't even know. So we started talking and we were rattling off all these things. And he was like, that's what I need to be doing as a CEO. That's why I need to have the time not in the chair is so that way I can.   I can drive this business in the direction it needs to go. And so again, today's podcast is not to say that you need to step away from the chair. As you can see, there's one client who is completely out of the chair. There's another client who works one or two days clinically. Myself, I still do ⁓ a day of consulting and then I still do podcasting and I do the things that light my fire that I still enjoy doing. But there's a path of how do you get there? And it was kind of like when I used to be a treatment coordinator and a dental assistant and I became an office manager and I'm like,   I don't even know what I'm supposed to do. All of these are different layers. I almost want you to think kind of like the wifi symbol. Like you just, you go through different layers and it's different identities. And it's kind like you pop through and you look around and like, don't even recognize this neighborhood. Like I don't even recognize the neighborhood of CEOs. I don't even recognize the neighborhood of working two days of clinical. I don't even recognize the neighborhood of where my leadership team does the bulk of all the pieces that I'm doing. Like I don't actually have to do the hiring and firing anymore. I don't have to do all the one-on-ones anymore.   you pop your head up into a different neighborhood and it's a loss of identity and it's a taking on of a new identity and it's a morphing. I remember talking about this, gosh, this is like in the archives of podcasts. If you wanna go look, go to TheDentalATeam.com, click on podcasts and type in like sloughing and snake and you'll probably find it. But I talked about this years and years ago of how when you evolve from being this operator to this owner, it's kind of like a snake and you have to like literally like slough off.   the old version of you to allow space to become the version that you need to be. And so just kind of going through like, what does it even look like? And if I wanted to, or just maybe propose or think about, because I always believe like the more knowledge you have and the more, I think vision or maybe just like thought, right? Like I never even thought about it. Like I never even thought that my practice could make a hundred thousand. Like what if it made 200,000 a month or what if it made 300,000 or.   There's a practice doing 550 a month or there's a practice who's literally doing a million a month. I have an office that like all their offices are producing. They've got multi offices and they're producing between 350 and 450 a month. Every one of their offices. And I say this not for you to compare and to beat yourself up and say like, my gosh, I'm not even there, Kiera, I'm only doing 30,000. I want all of us just to say there are other neighborhoods, there are other visions. And I wanted today to just show a picture.   And then you get to pick up whatever you want or don't want from this vision. There is no right you have to get here. It's just, I want to show you and paint a picture in case you're thinking about it. So that way you look at life, look at your practice, look at your decision-making differently at whatever stage you are in your business. So there's no judgment. There's no expectation. That's something I love about Dental A Team is I've got clients that are producing 7,000 a month and I've got clients that are producing, oh gosh, like 1.2 to 2 million a month.   It's insane. I've got clients that are at 80 % overhead. Don't worry, they're brand new. All the way down to a 35 % overhead. All of us are in different journeys, we're on different paths, we have different priorities. And there's not a one size fits all in Dental A Team. It is a one size fits you. And then let's just make sure that we expand your knowledge base. That way you're making decisions educated rather than placed upon you. So step one, as you're kind of shifting into this role, is going to be...   shifting from doing to delegating. And this is something where I think as founders, as owners, myself included, we build the, like we've built this so we know how to do all the pieces and it's very hard to let go. The CEO builds the machine, they don't run every part of it. And so really thinking about that, like your job is to build the vision, your job is to do these bigger partnerships, your job is to build the culture, to be the lighthouse on the hill, but not the one rowing the boat. And so,   The way we do this is kind of like a time audit. So we write down every single thing that we're doing and we look to see who could do this 80 % as well as I can that we could delegate. And there's ⁓ in some of our other podcasts and on our summit and in some of our things, we talk about a delegation ladder. And basically we like look at administrative tasks and scheduling tasks and TC tasks and then all the way up to marketing and leadership tasks. And so how can we start to delegate these tasks out? And so you're not doing them all.   And then what we do is we have leads and we have scorecards and we have ⁓ decision pieces to help people understand what decisions they can or can't make. And what happens is when doctors start to let go of this, empower their team without letting go, so they're still in the reins, they're then able to work on growth and strategy and you're able to build the vision. You're able to have the time to go to those big networks. Like the doctor here, like Kiera, all the people you told me like, that's why I need to go make phone calls with. making those phone calls are big decisions for the business.   don't happen between patients and they're not happening after hours. They can, but when you really do shift from this, it's crazy because you start to actually have the time, the bandwidth, the depth, the breadth to be able to even think in this way. And so my suggestion is like whether you want to become this CEO that's owning the business rather than operating the business, I want you to truly look at this to see what's one task that you could delegate or even do a dump. Like this is how I first learned that I needed to hire a personal assistant.   I did a dump and I looked at every single thing on there and I like took a pink highlighter and we're like, what are the that only Kiera can do? And I realized that my list are like three out of like 50 that truly were only things that I could do. I just was obsessed with doing it. People are like, but Kiera, you let someone book your travel. You better freaking believe I let someone book my travel. I don't even know where I'm going half the time. Can I still do it if I had to? Yes. But is there someone who can do it way better than I can and can also help me have time to do other things that they can't do?   The answer is yes. So I want you to just like look to see what are you doing all the time that maybe you could delegate. Start there. This is for CEO or non-CEO. This is for every single team member, business owner out there. Dentist is literally do an audit and see what we can delegate, what we can shift to make sure that we're optimizing ourselves in the best way possible. And then number two is going to be ⁓ the CEO's job is to   literally set up the one, three, 10 year vision of the company. It is to set the culture. It is to make sure that you're evolving it. And so what you're doing is you're helping your team rally around these one, three, 10 year goals. And then we use our weekly meetings to align on those goals rather than like being constantly on fires. Like truly, there was a team I was working with and I'm like, okay, we're talking in fire land all day because we have no clue where we're going.   We're just walking in the desert with no destination. And so you have a vision for your team and you're just constantly harping on that. And so what happens is like as a CEO dentist, what you start to do is you start to do vision. We run this off of traction as my preferred method by Gina Wickman. And you start to set then quarterly meetings and weekly meetings where we're focused on this bigger vision rather than on the fire. So you really go from like,   I don't know, like head in the sand almost and like trying to just figure it out to like, where are we headed? What are the biggest issues? Like that practice, were walking around in the desert with no destination. We gave them a destination. There's still all these fires, but we can then prioritize which things need to get done this quarter and actually start to move the boulders, move the practice, move the progress ⁓ without it just being, I don't know. just, like, I use a really great analogies. It's just a like,   we're focusing on goals rather than on fires. We're going about priorities rather than like just in the minutia. And so when you start to shift this out and the way to have this is like, my question to you is what is your one year goal? What is your three year goal? What is your 10 year goal? Does your team know this? Do you know this? And I don't care what they are. There's no right or wrong, but we start to have it to where we're building it this way. We're moving in this direction. We're not moving in a, it's like a swirl when your head's   like walking in the desert, right? You're just swirling around. You don't know if you've made progress. You don't know if you're going forward or going backwards to where there's a lighthouse. There is a direction. We're moving in that way. And without that teams feel very lost. And so you start to move in that where you're, that's your focus. And then you have your meetings and you get all your departments going and they have department leads that are running them. They're all in line with the vision. And your job is to keep expanding this vision, to expand the pieces. And that does not necessarily mean expanding more practices.   but it's expanding the vision of your location of what you're doing. And then number three is ⁓ there's scalable systems in place that are not dependent upon you. And so what it is is there's consistency. So we've got consistent new patient exams, we've got consistent treatment planning, we've got consistent marketing, we've got consistent ⁓ billing and AR, we've got consistent hygiene protocols, we've got consistent room setups for all of our dental assistants, we've got consistent onboarding for associate dentists.   All of our associates are doing the same type of dentistry. And you really have these scalable systems that are in place, not necessarily put by you, but are guided by you. And so you've got these key players. So when you become the CEO, you've got to also have key players. So you've got an incredible office manager or regional manager. You usually have a personal assistant or executive assistant that's with you. You have your hygiene lead. You've got your dental assistant lead. You might even have a marketing team, depending upon if it's outsourced or internal. ⁓   But those are the players at the table. You have a clinical doctor at the table. And so we have these scalable systems where they're constantly able to be able to have the same results without the effort of needing to recreate it every single time. Like I remember Tiff and I, when we would bring on new hires, it was like, gosh, like build a new thing and build a new thing. And I was like, no.   we have onboarding documents, we've got videos, we've got the way we do it. And there's still so much autonomy within all of it. But these are systems to where at a $1 million practice up to a $20 million that these can scale. So like the way you onboard at 1 million versus the way you onboard at 20 million will be very different. And I just want you to see like, this is where we actually can assess, we can grow, we can evolve. And we've got these scalable systems. I recommend two times a year that you actually assess them. So we look at   What's our operations manual? What's our onboarding? How are those? we need to change them? Do we need to adapt them? Do we need to morph them? And so this is where we start to build it out. This is where operations manuals become very paramount because as a CEO dentist, your job is to delegate more. So you've got more time to vision. You lead with that vision and you help make sure all your leads know where they're going. They're leading and empowering their team. And I have this quote over here by Gandhi that says, a sign of a good leader is not how many followers you have, but how many leaders you create.   So as a CEO who stepped out of clinical dentistry and you're now owning the business, you're creating, you're delegating, you are leading with vision and having your ⁓ leaders in your practice and everything is systematized. Like literally everything is systematized and automated as much as possible to where the business really is running whether you're there or not. And that's the true thing. Can I remove you?   Keep the vision, so your job is to keep the vision, but I take you out, slide you out, and you're not there for a month, for two months? And would the business still perform? Would the quality care and the patient care still be as optimal? Would the billing and the overhead and the accounting, would those all work, whether you're there or not? And if we lost a key player, could we replace them with another key player and it would still run? This is how you start to create a business rather than a job. This is how you start to have team members that know   how to scale and how to evolve and how to help and serve more patients with the same quality of care that you've set up. This is where it's no longer dependent upon you being a part and like having your hands in every single pot to make sure everything's going because the pots get too big. There's too many pots for you to be able to handle. And so whether you want to become the CEO visionary owner or you want to just have less like dependent upon you, these are very tangible and tactical for you today right now where you are.   So this is where it's like, if I'm exhausted and I'm tired of running on fumes and I would prefer to have more time in the visionary role and less time in the doing role, that doesn't, again, it doesn't mean that it's wrong. It just means that you're morphing. Like again, we're popping through a new neighborhood, a new vision, a new level for you. Then this is where we just, we choose one of these things or something in all the areas and we start to implement small little changes.   that start to make big changes over time. They say the days are long, but the years are fast. And so how can we start to put little things into place to help you scale, scale your impact, scale your bandwidth, scale your time and help empower other people that are going to be able to scale right along with you. So this is a sign for you to just think a little bit differently, to start looking at the broader vision, the bigger vision, the what could be possible, and then start to put things into place today.   I do not care what your vision is. do not care what you want to do. I do not care any of those things. Whatever your vision is, is perfect for you. I just wanted to paint a picture of what could be. What are other people doing? What are maybe some possibilities to where you start to think differently, you start to create differently, you start to hire differently, you start to train differently, you start to lead differently, you start to become the next best version of you because you knew you wanted to evolve into this. No person wants to be doing every single thing and burnt out and burnt to a crisp.   No person does. Everybody wants to feel balanced, feel satisfied, to feel happy, to feel growth. Growth equals happiness. And so evolving into the next version of you is something that I feel is very paramount for you and your team to do. So think about this, on this. This is maybe a sign to think differently. And for all of you out there, I hope that you're thinking differently. And if you need somebody to coach you, to guide you, to get your team on board, you're like, gosh, I like, don't want to be in the chair as much, but I don't know how to get my team on board with that. That's what we do.   This is what we're experts with. So reach out. Hello@TheDentalATeam.com. We're happy to help you. And today I hope you just think a little bit differently. Maybe question a few things. What could I delegate? How could I look at this differently? Do I have a vision for my team? Do I have scalable systems? And if not, pick one or two that you can do. And as always, we're here to help you. We're rooting alongside of you because your ultimate vision is our ultimate. Like that's what we're passionate about. We want to help you get your ultimate vision.   So reach out Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.  

When it comes to assessing practice success, understanding various returns on investment is critical. Kiera and Kristy explain what the Dental A-Team is looking for when it comes to understanding the success (or lack thereof) of various investments. They specifically touch on the power of five different KPIs that'll keep your practice in line. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: K iera Dent (00:00) Hello, Dental A Team listeners. This is Kiera and today it's the KK podcast. Kiera and Kristy hanging out today. Kristy, how you doing today?   DAT Kristy (00:10) Good, it's a good day.   Kiera Dent (00:12) It's a great day. you like, I feel like I want to like KK. I mean, it's not, it's only two K's everybody listening, but I feel like it's like the Kit Kat. I don't know. It feels kind of like that between you and me. don't know why, but yeah, double the, or we could be like double mint, like double the flavor, double the fun. It's Kieran Kristy on the pod. Like there's just the two of us cause there's no other K names in the consultant world. It's just Kieran Kristy. So I mean, we got   DAT Kristy (00:36) That's right.   Kari and Kristy, you got it.   Kiera Dent (00:40) Kiera and Dana, so that could be my initials, cute. Then there's Kiera and Trish, but there's Trish and Tiffanie. Then there's Kiera and Brittany, no BS, Britt, she's on her own realm. And then we've got Monica. So, see, it's the two Ks, it's the double the, like, we're just gonna have fun here. Like, you get two of us, two brilliant brains. And believe it or not, Kristy and I actually might just be rivaling for like some of the biggest gains this quarter, so.   DAT Kristy (00:55) Yes, it does.   Kiera Dent (01:07) ⁓ not that we're here just for gains on clients, but Kristy does give me a run for my money, which all the consultants do. And Kristy's just like, she's, she's coming on hot this, this quarter. So I thought it'd be really fun, Kristy, for us to kind of dig into. Like either quarterly or twice a year annual reviews that we kind of do with clients and how you assess it. And we show the ROI that clients are getting, just cause I think it's important for clients to see like, what should you be assessing in your practice quarterly or two times a year?   How's the practice going? And Kristy, I think you're really, really strong in this. And I think you're really talented at looking at the practice and about their numbers and about, like, you love that. You and I will geek about numbers all day long, which is why it's the KK club, the KitKat club. Like we're here for the numbers. We're here for the fun. ⁓ But yeah, Kristy, kind of take it away of how do you set this up? What do you look at with clients when you're assessing their practices? Because always client style is like, I want ROI on consulting. And you do like,   amazing job at showing that ROI. So kind of take it away of what do we look at? How do we determine ROI? And I know this is your jam. This is what you love to do.   DAT Kristy (02:15) I love it. You're right. I do. You know, we all.   Kiera Dent (02:18) Do hear that little   giggle? I hope everybody heard that. Like that's Kristy's like. Kristy lives for this stuff and it makes me so happy because I do too. Like it's fun. It's fun to get the gains.   DAT Kristy (02:28) Yeah,   absolutely. Well, you and I have talked about this before. So many doctors just look   their bank account to see if they're on track or off track. And it's such a false sense of security looking at or lack of security, one of the two. with that being said, ⁓ there truly is like five   Kiera Dent (02:36) you   Mm-hmm.   DAT Kristy (02:48) KPIs that we're going to look at. And a couple of them are lag measures. A couple of them are lead measures.   ⁓ first view would be production net production collections. Yeah.   Kiera Dent (03:01) Yeah, don't even get into that gross. We don't want gains that are fake all y'all, okay? Like get   out. ⁓ Jason and I were talking the other day about guys, there's this, okay, Kristy, I'm gonna go on Tanger for a second. There's this really attractive actor on this show we're watching and I'm like, truly I was so disappointed when they kind of cut him from a couple episodes. I was like, no, she's gotta get back together with this guy because he's so good looking. And my husband and I, we look, because he looks pretty short.   DAT Kristy (03:13) you   Kiera Dent (03:28) So I like scoped him and I was like, how tall is this guy? And he says he's six foot and Jason's like, there's no way he's six foot. He's like, but do you ever hear some guy come in and they're like, yeah, I'm like 5'11". He's like, no, they all push them to the six foot. And I feel like that's what gross production is. It's like all of us are like, yeah, like I'm basically six foot. Yeah, I'm basically like a millionaire. Yeah, I'm basically there. Like, so we're talking, no, get out. We're here for like actual gains that you're actually getting net production.   my little side tangent, it's okay. It's okay if you're 5'10". It's okay if you're 5'9". It's okay if you're 5'11". We in production want to know the real number that we can actually collect, not the artificial one that makes you feel good when you're chatting with friends. You can fluff your height, but don't fluff your production.   DAT Kristy (04:15) love that 100%. So we got the net production and then the collections,   Kiera Dent (04:16) you   DAT Kristy (04:22) dollar for dollar percentage. Obviously we want them to be 98 % or higher. And then on the flip side, where are we diagnosing? What's our case acceptance? And so many people just look at the percent of case acceptance, but I also want to look at the dollars of what you're diagnosing because is it enough to reach your goal?   you know, where's your profit point at and what do we need to hit? Because we can celebrate 100 % case acceptance, which I don't think anybody ever has 100%, but you know, if you're getting 50 % case acceptance, which is still a very good percentage, 50 % of what? If we need to hit 150 every month and we're only hitting 100, it's not enough to get us there. So those would be the main five KPIs that   ⁓ tell us the health of your practice, right? And go ahead, care.   Kiera Dent (05:18) I   was gonna say, and Kristy, as you said that, diagnosing, don't think people realize is as important as it is. For whatever goal you wanna hit, there's a industry standard that you need to diagnose three times what you wanna produce. So if you wanna produce 100 grand, you need to be diagnosing 300,000 minimum to be able to get there, and you better hope you've got a great treatment coordinator who can close. And this is actually like...   I'm gonna like give a little secret away that we'll see if people are smart enough to pick up on in future years. This is the number one thing I actually look for in a consultant. I look to see, do an interview, we give them some stats and if a consultant cannot pick up this practice like without fail, they come in and they wanna talk block scheduling, they wanna talk other things. But I need a consultant to be able to see that a lot of times the reason a practice is not hitting their goals is due to a lack of diagnosis. And another reason we do that is because   Kristy and I are not dentists and we're not here to tell you how to diagnose. We're just here to help you see that based on industry standards and what you should be diagnosing of a healthy practice. If you're not getting enough diagnosis and doctors, you've got to hear this. If you are not diagnosing enough, this is a doctor issue and we're not saying to overdiagnose, but you have to diagnose enough. If you're not diagnosing enough and there's not enough treatment coming through, your practice will not grow. And that's not your team's fault. That's a you problem.   And so making sure that you, your hygienist, you use AI, but Kristy, I'm so glad you brought that up because production collections are always easy. But what impacts that, like you said, is the diagnosis, then the case acceptance, the new patients. And that's where it says lead and lag. Like everybody's looking at the lag of production collection, but it's like, what did we do to get there? And Kristy, I love that you bring these five things up every single quarter, every single, like twice a year with your clients, because people don't realize your bank account is a lag measure.   of what you've been doing in the practice. And then like another one is your overhead and what are you spending? Because if those things are in check, but we're spending everything we're making, we're not saving for taxes. Well, yeah, that's a real fun moment. Your bank account's really gonna look bleak, even if everything's working in the practice. So I really hope people take note because it's such a good thing for people to be aware of.   DAT Kristy (07:09) .   Absolutely. to that point, Kiera, like so many people think if that number isn't where they want it, let's go get more new patients. And then they want to spend more money on more new patients. And nine times out of 10, this is exciting time of the year because we're halfway through the year. Take a look at what you did treatment plan. I mean, I see a lot of practices, you know, let's for easy math, they're diagnosing a million dollars and we've closed 500,000. Holy cow. Even if you captured, you know,   percent of that difference like what would that mean to your bottom line and this is a perfect time to take a step back and go my gosh we have five months left in the year what would that look like break it down chunk it down to simple   pieces that your team can digest and you guys have fun with it. It's all about getting patients healthier. Let's face it, you're not diagnosing things patients don't need. So let's go get it. Let's get our patients healthy and gamify it. See one more crown a day or one more implant a month. What is it? Right?   Kiera Dent (08:35) Yeah. And Kristy, I think something you do so well that I hope people heard is you're not going for the big gains. You're going for the little like squeeze the juice, like get the last bit of toothpaste out of the tube of toothpaste. And I don't think people like that's not sexy. It's like, hey, I heard this podcast that I'm supposed to like go look at these small things versus we're getting all these new patients and we signed up for marketing. Well, but like this is where the elite practices shine. This is where the like really superior   Practices go people are like here. How do you do it? How do you guys like add? 20,000 40 that I Kristy I was looking at some of your stats girl. You're like, like I said, I love a good hustle and some of your practices you're adding like 50,000 a month to their practices and that's Incredible and people like how you do it Kristy's literally telling you it's through squeezing the tube of toothpaste in these small little moves that actually are not that hard going and getting new patients and signing up for marketing and all that that to me is actually hard fixing your diagnosis   getting your whole team on board, looking to see at what our production collections are, making sure our collections are tight. Those things are way easier. They're not as fun, they're not as sexy, but way easier than having to go like hunt and fish for new patients, even though it's way more fun to tell people you signed up for marketing. It's not fun to be like, yeah, we got a new billing thing in place. Like we got our AR fixed. That's not fun to admit, but it's way fun on the bank account and the profitability side too.   DAT Kristy (09:58) Yeah,   100%. And again, ⁓ so going back to the new patients, they want to spend more money to get it. But then have you looked at like, how are we answering the phone? How are we capturing the patients that are calling? Maybe you really don't need to spend any more money to cap, you know, they're coming in, we're just not capturing them, you know, and I'm always a fan of, you know, there's the internal marketing and external.   everything Fred Joyle said it best right everything is marketing we are marketing so get real intentional and get in relationship with your patients figure out what they want and tie their care back to it you know   Kiera Dent (10:39) Mm-hmm.   Yeah, I think it's brilliant. And I think it's like you said, everything we do is marketing. And so if we realize that and so many people want external marketing, and I think to me, the reason people want external marketing, and I'm not here to say not to do external marketing, I think it's a, it is a piece and a part of it. But I think it feels like a diet pill sometimes, like, let's just let's just throw money over there. And let's hope it fixes our problems. Let's out produce our problems rather than fixing our problems. And I really want people to realize like,   elite business ownership and being part of the elites, and we're not talking big practices, there's no right size to it. That all comes actually from doing these small little things and internal marketing, once again, is so good. These patients already love you. You already have a base of people that love you. And if you treat those people really well, rather than constantly going to try and swoop and get more people in, those people then refer, they refer better people to you.   It's easier. I have a practice and it was wild. They're like, Kiera, we signed up with marketing and we're trying to get it. And again, this is not a bash on any marketing companies. It is definitely necessary. ⁓ but they're like, but we're just not getting more, more new patients. Talk to another client. They're like, we, we just signed up with a marketing company and it's actually gone down. And I'm like, well, tell me what were you doing before to get patients? And they're like, we were at the church, we were in this magazine. And I'm like, well, get back in that because it was, it was showcasing the good things you're doing. It was being this like,   more B2B, it was being more connected rather than just trying to go for the masses and it's wild because internal marketing can be so much more effective if done right. And like you said, be in a relationship with your patients and know what they want. And great Google reviews, great Google reviews are your fastest, easiest marketing. So pay with Swell, like let's throw another plugin for Swell. It's been a few months since I put them in.   Go to Swell, SwellCX.com. Tell them Dental A Team sent you. Literally Zeke and I met when he founded the company. So you still get like founding prices, because that was the promise he and I made that you guys would get that. But honestly, just get your Google reviews up. Save the money. I don't know. Kristy, you and I are such birds of the same feather. That's why we're KitKat over here. We just think very similarly. And I think that's why we get very similar results as well.   DAT Kristy (12:55) Yeah, I think that the other big thing here is to recognize so many people are afraid of numbers. The members just start to tell a story and what we fail to realize is there's a system behind every one of those numbers. And if the number isn't where we want it, we need to pull up that system and figure out the system's a recipe, right? It's our cookbook. If it's not where we want it, then let's go back and figure out, did we mess up the recipe? You know, or   is the recipe, we're following it to a T and we just need to change up and find a new recipe because it's not getting the result. So ⁓ I love digging into those numbers because that tells us where we need to focus on this quarter to get the results we want.   Kiera Dent (13:40) And I really love that you said numbers just tell a story and there's a system behind the number and this makes it so much easier like going back There's a podcast I did a little while ago where I talked about the yes model and Dental A Team to help you say yes to more It's focusing on you as a person your vision which Kristy alludes to like are we on track or not for that vision and then E stands for earnings and profitability and S stands for systems and if you put them in that order So you've got your vision then we look at the numbers just like Kristy said   then you put into place the systems based on what those numbers tell you, it becomes a much more manageable and easier to digest process rather than being like, I need all the systems. And it's like, no, no, no, you just need the systems based on what the numbers tell you because I'm sure you're doing a lot more right than you think you are.   DAT Kristy (14:25) Absolutely. And I also think, you know, it's a good time to take a step back and evaluate where you are on the culture scale too, right? Happy team creates happy patients and happy patients pay and refer. So it all goes hand in hand.   Kiera Dent (14:39) Good   thoughts on there. Okay, so what else do you go? You go through the production collections, diagnosis, case acceptance, new patients, lead lag measures. Then you move into, we on track, off track for our goals of where we're at this year? What are the things that we could do now to get there by end of year? Are they still relevant? Are we still on track? What else do you look at with your clients when you're doing these assessments, Kristy?   DAT Kristy (15:02) Yeah, well, I always like to start the year off with projecting where we're going. And so also calculating back to that. And you and I talked about overhead. If we take what our average overhead is for the year, are we on track for meeting that or not?   Right? Because we can project all day long. I can want to make $3 million, but this $3 million cover overhead expenses and our savings for the year. So always measuring back to that. And if we're off track figuring out how can we get on track, right? Did doctor take off more time or do we need to add in a Friday to get to goal? You know, those types of things. Or are you, ⁓   okay with where we're projected to land and you feel confident about that. You know, once in a blue moon, well, I shouldn't say once in a blue moon because you and I do get them up there, but you know, it also relieves them and they can maybe even take an extra week off or a few days off because they're ahead of goal. Yeah.   Kiera Dent (16:06) Totally.   And those are the fun ones. That's what we want. We want to be ahead. We don't want to always be behind. And I agree with you, Kristy. The offices that are ⁓ diligent and consistent at looking at these, we look at these monthly, we look at these quarterly, we look at these annually, we assess, we redirect. It's like, I don't know. I feel like what you do is there's a plane. I just flew back from Greece, which was a very long flight. And it was very fun. This is where I watched.   DAT Kristy (16:13) Mm-hmm.   Kiera Dent (16:35) so many of these shows of this very good looking actor. I thought I was like, how tall is this man? While my husband's sitting next to me, it's okay, it's all right. We're allowed to have a few celebrity crushes. ⁓ But on our flight back, it was like a 12, 13 hour flight home. And I think about if that pilot would not have checked to see if we were a few degrees off, I could have easily ended up somewhere else. And that's just by a few degrees. And so what I feel you're doing, Kristy, on these quarterly, these monthly, these annual check-ins is making sure   that we're still navigating towards Greece or towards wherever we're trying to get. And are we on track or like you said, do we need to do a small navigation at a Friday, change this, look at our spending to be able to end up there at the end of the year or like, are we so far off course? So we need to like correct a little bit and then get back on track for next year. But the hope is that we catch that soon enough because we're never gonna go in a straight line. It will never be perfectly across. There will always be hiccups, there will be turbulence, there will be.   things that you gotta go around, you gotta redirect places. But if we're constantly looking at it, we stay much more on course and charter to where we want to go rather than like hoping and wishing we end up where we actually set out to go.   DAT Kristy (17:43) Yeah, 100%. And sometimes it's also looking, where are we spending? Right? Is there something that crept in there? We talked about this before too, with, you know, the subscriptions or, I mean, it's funny because the very first doctor that   I remember him telling a story about an airline and I was just sharing this recently with a client. I think it was like American, you guys could probably Google it and find it, but it's back in the day when they would serve meals to everybody and this airline decided that they could cut one olive.   Kiera Dent (18:17) Hmm?   DAT Kristy (18:17) and it cut their bottom line by a ton. Like what is the cost of one olive? So where can we tighten the ship a little bit? Those things are kind of, again, have fun with it, gamify it. Get your team involved. Let them be part of the solution.   Kiera Dent (18:37) Yeah,   and Kristy, I love that because we talk about this olive, the FedEx trucks and then chicken nuggets. And going back to it, the black olive airline cut, it was one olive, saved them $40,000 annually. I just pulled it up to sea and it was on American Airlines. And Tiff and I talk about the chicken nugget, like they used to serve five chicken nuggets, which was the right amount. Well, they dropped it to four. Four is not enough, so now you...   Upsell to 10 and I'm like that's one chicken nugget. This is one olive and I agree with you Kristy for me This is the fun of business like how can I go find that one olive or that one chicken nugget Tim and I get really excited when we find a whole chicken farm. Like that's a good one I'm like, wow, that was that was like a really good idea or a whole salad But again, it's to cut costs but improve patient care. Like what are they? mean even today Kristy, Shelbi, Britt and I were going through our expenses in dental a team   DAT Kristy (19:25) Mm-hmm.   Kiera Dent (19:30) and we looked and we have Adobe and we still use Adobe for contracts. But Shelbi looked at it, we're paying 65 and we use Canva and our marketing team doesn't need all the entire suite of Adobe anymore. But that was something we put into place like five years ago. We've been paying 65 bucks every single month when we only need to be paying 19. Not that that matters. And so many people are just like, well, here it's 40 bucks. And I'm like, okay, you want to play a game with me? I'll play a game. It's 65 minus 20.   DAT Kristy (19:57) me.   Kiera Dent (20:00) Okay, so 45 times that by 12 times that by five years is 2,700 bucks that I've been overpaying just on a subscription that's doing nothing for our company that I could have cut. And I'm like, I know you might not get out of bed for 2,700 bucks, but I'm like, you find that subscription, you find this subscription, you find that one, all those little, do you think someone really was excited on American Airlines to save $40,000 when it's a multi-billion dollar business? But 40,000 here, 20,000 there.   DAT Kristy (20:26) Right.   Kiera Dent (20:29) 50 bucks here. also think Kristy, to me, it's the discipline of auditing, of looking. It's more than I think the olive or the Adobe subscription or the chicken nugget. It is the constant innovation to look, to be the most savvy business that we can possibly be. And then we flip to the other side and give the best service that we can as well.   DAT Kristy (20:51) 100 % I agree with you, Kiera. Yeah, it's just those small incremental things. And it's about being intentional versus doing it by default, right? Let's do it intentionally so that when we get to the end, there's no surprises.   Kiera Dent (20:52) you   love that because I hate surprises in December as a business owner. Oh, I used to dread December's like and it's a great time to travel. It's a great time to hang out with family. But I used to cry like beginning of December, it was tears every single year. And then by the end of the year, I was exhausted. had nothing left for family and it's supposed to be such a fun time that I agree with you, Kristy. It's like no tears. The projections are there we were prepared. I don't know there really is a saying like if you are prepared, you will not fear and I'm like, it really is that case and also   Like CPAs, I'm gonna rag for a second. They rag on consultants. This is a love relationship we have with CPAs and consultants. I get so annoyed that like CPAs don't tell you till December. And I'm like, no, have the meeting in July. Have the meeting in October. Figure it out because you still have time to pivot. And that's what Kristy and I wanted to come on today is there's still time to pivot if you look at these items, you look at the things we're discussing, you look to see what can we do. There's still time. It's like, we're not at the 11th hour.   hoping to try to make up time in such a short amount of time. call your CPAs, find out where you're at on your tax liabilities. Are you on track for saving that? There's so many times that we have our meeting with the CPA and he's like, Kiera, I need to up and increase and start cutting. And I'm just annoyed every time, but I'd rather do that over the course of six months rather than one month, because I still have time to make that correction with it, not hurting as much as it could.   DAT Kristy (22:30) It's so true, so true. And the efforts to get there are a lot smaller when we can dilute it over five months versus two weeks, because we didn't look till the end of the year.   Kiera Dent (22:42) especially the two weeks in December where we're not producing so we're not even collecting and we have to pay more. It's just a really like nasty path. So I'm like, no, no, no, just don't plan for December. Have that be your gravy slush time. Get it all done in 11 months. But like even that kind of thinking, Kristy, I don't think is common. I think it's very abnormal to think, well, if my December is only going to be two weeks, why am I banking on that as a full month? Why don't I bank on? And this is back to mine and Kristy, like we love the projections. We love to think of like   DAT Kristy (22:59) No.   Kiera Dent (23:12) How could I get this done in 11 months? How can we give you vacations? How can it be done in this many weeks? And that's something, Kristy, I really do feel like it's the Kit Kat Club over here. Like we really do think in such a similar way, but I want you to realize like this is how Kristy and I are able to throw gains. We're able to help practices get to where they want to be, but also with it being easy, happy teams, happy culture, not a lot of stress, ⁓ and just kind of doing the small minutiae things that actually make insane gains.   for a practice. We help find the olives, Kristy. Every so often we might get a tomato, but it's the small olives that actually make the huge impact for a practice.   DAT Kristy (23:42) Right? Yeah, let's get the olives. Yeah.   100%, 100%. And hopefully we can show it's easy. It's not hard. It truly isn't hard. It's one patient at a time and just capturing a little bit more.   Kiera Dent (24:03) Yeah. And then Kristy, I think it's really fun what you do for your clients too, is you show them the ROI that you brought to them through AR, through production, through overhead savings. So that way a client, regardless of their bank account saying, can literally see that in the course of working together, this is what we've been able to accomplish together. Because I think as a business owner, it is so easy to forget like what it felt like when I couldn't lift 20 pounds, now that I'm lifting 50 pounds.   Like it's so easy because 50 pounds becomes your new normal, but you're like, no, no, no, no. Remember how we started and you couldn't even lift like five pounds. Then you got up to 20, then you got up to 50. I think it's very easy for clients to forget where they started because their new norm is where we've grown them to.   DAT Kristy (24:48) Yeah, it's so true. mean, you know me, I love analogies and it's almost like your periopatient that's been coming in every three months and now they're healthy and so they want to push it back out and it's like you forgot it's this effort coming every three months that's gotten you healthy and the minute we change it, things start to slide, you know, so. ⁓   Yeah, mean, hopefully, hopefully we can always show that value in it. They still have to do the boots on the ground hard work, but you know.   even Tiger Woods has a coach, right? And that coach can see around corners to see things a little bit faster maybe when things aren't moving the same. You your swing's off, what's happening, what's going on, you know, and to keep you back on track. it's fun, it's fun partnering with clients and being able to see that and course correct and help them achieve their goals.   Kiera Dent (25:43) ⁓ I love it. Kristy, I agree with you. And I think that that's why we have the passion for consulting. We have the passion for practices. We have the passion for wanting you to strike. It's crazy because like, I don't know, we have a tagline, which marketing told me I need to get rid of because it's more about me than it is about you. And it does not make sense to me. ⁓ where it says like your success as a practice is truly Dental A Team's passion. Like this is what gets me and Kristy up out of bed. This is what makes us want to get on a podcast and share with you is   you being successful, you getting your dreams, you hitting these goals is what we are obsessed and so passionate about. So I think it's so fun. So I'd say, Kristy, if practice is listening right now, what would be kind of like your bow on our podcast today that you'd say like, okay, from everything we've talked about, what do they take away? What can they go implement? ⁓ Because sometimes it can feel like, well, what's my first step to be able to get on this path of slight course corrections to get to my final destination with ease.   DAT Kristy (26:42) Yeah, well first off, if you haven't figured out your goal, maybe look at what you finished at last year and at least strive for 10 % above that because we know that that's at least keeping up with inflation. Again, I don't know if that's meeting your overhead needs, but at least it's a good point. And then reverse engineer it. See how far you're off track from that for the year.   and ⁓ what's one more day or one more thing every day. Hopefully you're doing some sort of morning huddle and ⁓ inside of the morning huddle, everybody has a part to play, right? So admin, look, is there any balances that need to be collected?   ⁓ patient wise in doctor's schedule, is there anybody that could come back in through hygiene? Hygiene, if we have undiagnosed treatment and we know there is, because we see those numbers every day in morning huddle and it's almost like crazy alarming the amount. Usually it's more than what you're even producing for the day. So, gamify it and try to turn those patients into healthy patients by converting their treatment. ⁓   know just those simple things right there is going to make a big difference to your year end.   Kiera Dent (27:55) I that. I love it, Kristy, so much. And I love that you have the passion and the love. I love that you will also sit down with your clients. And I think that that's the discipline and maybe like the fast track of using a consultant is, Kristy, you prepare these for your clients. You think about it. You're looking down the line of things they're maybe not even considering doing. They're not thinking about midway. How are we doing? What are our projections? Are we on track? Are we off track? Where are we at? And I think having a consultant, like you said, with even Tiger Woods,   looking around the corner, looking down the line. Kristy and I are both like, we're watching the clock. We know we only have so many more months in the year. Where are you at? How can we make sure that we're constantly keeping you on track to get to your goals? Where maybe you're just having a fun summer vacation or you're just coming back. Like we know that that's our job is to be looking down the line for you, watching out for you, projecting for you, course correcting with you. ⁓ Even when you're in the day to day problems. And I think Kristy, that's just a   a shout out to you and a shout out to consultants because this is why we do what we do. So if you, if you are like most business owners, including myself, when I first started and you hate numbers, that's why there are people like Kristy and myself that exist because we love to get into the nitty gritty. We love to look for those olives. We love to help you go do the dentistry and we're going to sit here and help make sure your business and your team and your practice is flourishing. So that way the hard work you put into being a dentist pays off for you in the end. So Kristy love this, love what you do for our clients.   Love being the, the KK Kit Kat, whatever we want to be over here. mean, it might stick. We might be Kit Kats for Halloween. You never know, but Kristy just super appreciate you and all that you do for our clients and for our company and you as a human being, you're just a gem. And I'm so freaking lucky to work with you.   DAT Kristy (29:28) Yeah.   Thank you. It's my honor and you know what? We're stronger as a team, I have to say. So no matter what consultant you have in our company, you get all of us. So we collaborate, we cheer each other on, just like hopefully you're cheering your team on. So happy to help.   Kiera Dent (29:49) Bye.   Kristy,   you said that so well and it is true. I see you and all the consultants like have little meetings on your calendars of connecting and chatting and I do agree. We all help each other out. We want all of our clients to succeed no matter who you're working with. So for all of you, if you're struggling or you're like, gosh, I really would love that help or just having someone, I'll just put our arm around you and like, we're here to help you. We're here to support you. We're here to guide you. We're here to look around that corner. Reach out, Hello@TheDentalATeam.com. And as always, Kristy, thanks for being with me. Thank all of you for listening.   and we'll catch you next time on the Dental A Team Podcast.  

Revamping your financials is as easy as … Kiera shows off her savvy financial skills by sharing what it takes to know what's being spent in your practice. Her spreadsheet tips will answer such questions as: What can be cut? How can you make sure your overhead is in check? What do you need to produce? And much more. Want a sample spreadsheet to get started? Email hello@thedentalateam.com.  Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners, this is Kiera and I hope you're just having an amazing day. Like a great, great, great, incredible day. ⁓ just, today's topic is one that makes me excited and it's so dry and boring, ⁓ but I love it. And I'm like, that's probably a buzzkill for the podcast, but you know me, one of my core values is fun. And Dana, shout out to Dana, DanyDane over there.   ⁓ She gave me one of the best compliments. We do a thing on Wednesdays called core value shout out in our company. And I will tell you if you do not have this in your company, I would strongly advise you do this. What we do is every single Wednesday, our company goes and our whole team says that this is our favorite. You guys, we have gone from a very small team to a much larger team and we still do this. So just know small teams, big teams, it is doable and it is very   relevant and very essential. And I think it just goes so well. I am okay to take a little bit longer on this morning huddle because of how good it is. so core value shout out is where we just randomly will pick somebody and then it's popcorn after that. So they'll choose the next person. So for example, we would start and I would say, okay, Shelbi starting today and everybody chooses somebody on the team and they highlight them for a core value and it has to be a core value. It has to be something specific. And so Dana gave me one of the greatest compliments.   She said, Kiera, she said she wanted to give me the core value of fun, because fun is really one of our core values. And she said, I want to give it to you for fun, because she said a lot of times topics that are so hard ⁓ or things that people wouldn't necessarily find fun. She said, you just know how to sprinkle the fun and the confetti and the glitter and make things that are hard or something that teens wouldn't want to do or doctors wouldn't want to do.   you make them really fun. And honestly, that has stuck with me. It is a few days later since she gave me that compliment and I'm still remembering it. So not only is core value shout out day amazing, it also helps you just enjoy and to have like, to be happier. ⁓ It also infuses core values into your company. And I'm excited and grateful that I'm able to bring fun things to the podcast, a dry topic. I hope I've teed this up enough to where you're excited about it.   But this is, think, the discipline side of business of owning a dental practice that you need to do. And this is really, think, for office managers or billers and doctors. And this is something that I think will give you so much confidence. it came actually from our doctor mastermind. We have ⁓ a private doctor only mastermind that we run every single month. It's a virtual one. And then we do an in-person one ⁓ that's more for doctor and leadership teams. But our monthly one, call it Think Tank, and it's on the first Tuesday of every month. And a doctor was saying, she's like,   I just don't know where to cut. I said, send me your PNL and tips like, and she's going to want your credit card statement and she's going to want all your stuff. And while yes, I am obsessive on this. have helped family members. I've helped offices. I've helped myself. something that I will like toot my own horn on it. I actually think I'm very talented with money, with saving, with figuring out solutions and helping people understand where you can cut. This podcast also came about because this morning on my, ⁓ Shelbi Britt and I were meeting and we were literally going through.   our finances to see where could we maybe squeeze the tube of toothpaste a little bit more, where could we maybe change a few things. And I think that that's just so relevant and so helpful. And so this is something I do in my day in day out life. It's something that I think for you to go from chaos and lack of financial clarity to confidence is something that I really want to just bring to the table today on the podcast. If you're new to Dental A team, welcome. We are obsessed about helping you have your best life and ⁓ doing it in a fun, easy way through dentistry. And so   helping you with our yes model. So you as a person getting your life, your vision, all of that in place, then moving into earnings. So ⁓ financially, that's the piece today. And then using those financial pieces. So your analytics, your PNL, your overhead to also help us figure out what systems and team development need to go into place to make sure you have this thriving practice. Because honestly, I believe that being successful, being a successful dental practice does not have to be hard and it can actually be easy. So that's what we're here for today. ⁓ With that.   So today it's going to be like, how do you actually like figure out your costs? So I did this a long time ago and then I like met a lot of really smart financial people. I'm not a financial advisor. I will throw that out there. So just make sure you talk to them and you have your, ⁓ like you chat with them of what's best for your state, but I will teach you how I do it. This is annoying. It's a little cumbersome, but people love to hear like, how do you actually do this? I'm always like, how do people get like jacked? Like how do they work out? Like.   me like what time do you work out like what do you do for your nutrition and just so I understand the full landscape and then I'm going to pick and choose of what's going to work well for me that I'll actually implement so hopefully that will be effective for you today as well.   So this is what we do. I have a spreadsheet that I have for monthly costs. We do this with all of our clients too. So if you're like, this feels too hard, don't worry, join the Dental A Team. We'll help you get it put together. So we have a monthly cost. And what I do is on the monthly costs, and this is probably my most visited spreadsheet of my entire company. And I'm super excited because we're bringing in another team member who does financial.   Forecasting and has a whole background in finance. So my method might get revamped to 2.0 and there's always another layer. But what I have is I have on our monthly costs, I have all the salaries and all of the pay. Now for offices, I do include doctor pay. Again, I'm not a CPA and I do believe that doctors should be paid. So I put in either your W-2 salary and or your doctor compensation of 30%. Now I do lose numbers. So our consultants are paid very similar to how doctors are paid.   ⁓ And so you can get a general idea. So mine are general ideas. It's not my highest month. It's not my lowest month. It's the average is what I've selected to do for these costs. So again, this spreadsheet will not be absolutely perfect, but I think it's a really great tool to figure out what can I cut? How can I make sure my overheads in check? What do I need to produce? How do I basically figure out my BAM, my bare ACE minimum in a company? And so that's what we're gonna be looking at. So with that, I first list all the salaries and...   I want everything in there. And then what I have is a current. So I'm gonna have a current and then I'm also going to have like a future. So for example, if you're planning to hire somebody, but they're not hired yet, that's something that you're going to wanna know, what is my cost now? And what is going to be the future cost? Because those two things are actually different numbers. And so for me, it's really helpful so that I can look at you guys honestly.   When I started this, had like three team members and now we have tons of team members on there and outsource people and virtual assistants. And ⁓ the list just gets bigger and bigger and bigger. I can go back and I can look at things that we've done before. And so mine's on Google Sheets. And again, we've built one of these and I'm even happy to share, reach out, Hello@TheDentalATeam.com. But this is something, so I go through all the salaries. And then for me, ⁓ if you do health insurance or you do a health stipend or whatever it is, you add that in.   as well, but then what I do, and again, talk to your CPA, see what your payroll tax are. For me, I just estimate 10%. I always like to air higher. So you will notice in all of my projections and everything I do, I'm going to always air higher than it actually is rather than lower. And so just looking at that, just so you know, that's how I do. So my CPA told me 10%, we have business in four different states. I think we're actually up to five now.   So I estimate high, no matter what state they're in, I just do a 10%. So I'll do my total salaries of the month, an estimated 10 % payroll. And then I've got that in there, my total payroll. Then we have our health stipends or health insurance, our 401k costs in there, how much it costs me per user, what the 4 % is. I actually go grab people's salaries and their bonuses, put it in there. So I have a pretty good idea. Then what I do is I check every single month to see based what I have here, is that close?   to what I'm actually paying or is it not? I know some of you might be like, well, here, I just get it from my CPA, I get a P &L. I agree, but this is a good checks and balance between my CPA and myself. And also when I'm trying to project and forecast, can I add people in? How much is this gonna have? Where can I cut? If I can see it all line itemed out, it's actually for me at least much easier for me to see what are all my costs and where can I squeeze the tube of toothpaste to get a little bit more ⁓ toothpaste out of that tube or a little more juice out of the lemon.   So that's what I have. And then what I have down below is like outsource. So if you've got VAs or you've got ⁓ different people that are contractors or things like that, I have that in there and that one EBS and flows mostly that hangs in my marketing department. That's where I have a lot of those. And then also VAs and EAs that'll be in there that are virtual assistants that are through other companies. So they're not running on my payroll, but they are down there. Like I have some consultants on there. I've got some coaches on there that will be in that section for me. But those again are not up in that payroll section because I'm not paying that.   payroll tax on them and I'm also not 401k on them, but that helps me see how much am I paying in outsourced resources to see should I cut that, should I keep that, how much do I have on the top, is my payroll heavy. You also can break this down by department. So you can see how much am I paying in my hygiene department, are they offsetting, how much am I paying my doctor department, my front office department, all those different departments. If you want to get even more granular, you can. And then below that, I have all of the office expenses and this is something really great.   This year Britt she ⁓ 2.0'd us and she put in their end of year expenses because there's a lot of things that I just pay at the end of the year that are annual subscriptions that will save money on but the reality is I should probably be saving that money throughout the year, right? Because every single month there would be an expense allocated if I didn't pay it annually. So we should be adding that in so we're saving for that. We're preparing for that for the end of the year. We have different things in there. So like all of our subscriptions that we have you might have Netflix, you might have Audible, you might have   Canva for marketing, ⁓ ChatGPT if you're paying for those subscriptions, anything. And I'm constantly updating this like as you hear ChatGPT and how many do we have for that? ⁓ We use our project management software is on there. I also know that every single month I have a budget allotted for employee gifts and anniversaries. And so we have an allotment of how much we spend. I do double check this, but I try to break it down. Also I have in there my merchant fees and how much my merchant fees are on average.   ⁓ And I literally list everything out. So whether it's personal, because like Audible and my phone, I do have those on there. Those are personal things for me that do run through the business, but there's still business expenses that will need to be on there. ⁓ And then we've got our bookkeeping and our accounting or CPA, our lawyers, all of that in there. If you have vehicles that your CPA said is okay for you to run through, all of that, your rent, your mortgage, your supplies, your internet, all of that in there.   to where at the bottom of this list, you can get a complete grand total for the month. And what's really awesome about that, you can actually break it apart so you can have doctors where they're not in there. This then tells you basically your BAM, your bear ace minimum. And then what we can do from there is we can figure out what you need to produce to be able to hit. So hopefully all that was like not too much. just rattle, I'm like literally looking at my spreadsheet as I'm telling you this, all of that. Then below that, we're gonna wanna also add in debt services because debt services are also going to hit your cashflow side of it.   So when you have these two tools together, then you can figure out what's bam, my bare ace minimum, what's my overhead and then what can I cut and then what do I need to produce? Then we can figure out what we need to produce with block schedules. There's like a whole other zone, but back to the client's question. She said, I don't even know what to cut. So today me and our leadership team, we were going through this and we literally looked to see, okay, what's on our office expenses? And I know this sounds so dumb and so like trite.   but I think it's the discipline of knowing how to do this because you better believe when I'm looking at my monthly expenses, which are outlandish and they're very high. When I look at this, saving 40 bucks a month is not like, it's truly a literal spit in the bucket. But when I think about it, it's $40 here, it's $20 there. It's just like your credit card statement at the end of the month. I'm always shocked at how much is on there and it's $20 on Amazon here, $30 over here.   $20 there and all those $20, $30 purchases add up to multiple thousands of dollars every single month. So when we look at this, I look at every single office expense and I'm like, okay, is Adobe something that we need? And this was actually a catch that we had. I was like, we're paying $65 a month for Adobe. Do we still need the entire suite? The answer is no, we don't. We only need it for a small thing. And then we started thinking like, softwares are evolving. So we're like, does G Suite ⁓ actually cover that? Or...   does another one of our subscriptions cover it? Because so many times our subscriptions that we're paying are like duplicates of something else. G Suite has expanded and I'm like, do we still need to use boomerang? I use boomerang all the time. I love boomerang so much, but I'm like, has G Suite evolved to where they have something comparable to it that we could cut the boomerang is 120 bucks a month for us. And Shelbi was like, wait, not all of our team members, like our marketing team does not use boomerang. They're not doing client facing emails. They rarely are in their inbox. They're in Slack all the time.   she's like, what if we reduce the number of people on boomerang that would actually cut our costs down. So again, it's this like fine tuning revolving through it looking, do we need this? Could we reduce this? Do we need to, are all the people that were still on there, do we still need to pay for all those people? Could we change it to this? Are we still gonna be here for that? And you go through and you literally ask, is this a want, a need, or is there a better way that we could spend our money on this? And again, I know it sounds so dumb. Like this, this is not fun.   This is not something that I'm excited to share with you on a podcast, but I'm so excited because the discipline of doing this, the doctor, the reason it came up is because she wants to sign up for AI, ⁓ Pearl or Overjet. Back and forth, we talked about it at length of which one's better. This is why I love our Dr. Mastermind. And it's about $130 a month. And she just like, I'm so sick of these subscriptions. And I'm like, well, go get rid of Netflix or go get rid of one of these things or don't have all the beverages in the   in the refrigerator, maybe just choose one of them. Like there's so many things like, but this is where you look at your list because you have your entire list in front of you. And my office expenses right now, and this is where I look at my credit card. I look at every single thing on there. Right now we have 39 different things that we pay for of monthly subscriptions or annual subscriptions, different things. It's got our insurance policies on there. And then what I can do is I can come in and assess and say, okay, of all these high expenses, like if I need to cut expenses very quickly,   I could look to see, all right, my highest hitters are XYZ. This one's $500, this one's $1,000. Do I still need these? Are we still using them? Is there a cheaper competitor that I could switch to? Where am I at? And all these things. What I love about this is it helps you just look to see where your money's going because at the bottom it has a grand total. And then what's nice is I then can look to see, is this grand total what my CPA is telling me I'm spending every single month? Do they line up?   And if not, where's the discrepancy and where is it? I also can look at future things. if I'm going to be increasing or I'm going to be adding team members or we're going to be looking to add say another subscription or another piece, what is that going to change my monthly amount? And am I okay on my production and collection side to be able to afford it? So many people are like, I talked to my CPA to see if I can afford it. And I want to just say that yes, it's great to have a CPA there. It's also better to know instead of being like a parent child.   if you can spend it. I want my CPA to give me my books, my reconciliation. I want them to talk to me about my tax strategy, but I don't want them to be the ones telling me, can I afford something or can I not? I wanna go to them and say, I know I can afford this. This is what I think. Do you think it's a good idea? Then I'm counseling with them rather than being told. And this goes for all of my executive board. I want to know as much as I possibly can. So that way when I show up, like even financial advisors, even my...   My lawyers, like I do a lot of research before I go into those because I don't want to just blindly follow. I want to actively participate. So we're making the best decisions. I believe they're all in the best interest. I don't believe my CPA telling me to do something or not to do something is the end all be all. I feel like we are great at counseling together. They give me their opinion. I know the numbers. They know the numbers. We know where the business is going. And then my job is to make the best decision for the business and for myself.   So this is where I just really obsessed because right now I'm looking and I'm like, wow, what I'm currently paying based on bringing in some new hires, we're gonna do a $30,000 increase. And I look at that I wonder, is that wise? Is that what I wanna do? Is that what we as a business wanna do? Is that smart for the business? Or is it something like, then I get to sit here and I get to innovate and we get to think of like, what other ideas could we do? That's why I went down the list, because I wanna hire some more people. It's a little premature for these hires.   So I was like, okay, let's go back to the list. Let's look at the list. Like where could I like cut some costs to see, could I free up any cash in other areas or do we need to make different decisions? Or is it like, I need to put a pause on hiring that person for a little while until the business gets to X amount and then we can bring on those different hires. So when you look at this, that's how I do it. I use this spreadsheet. I'm not kidding. I I hold, I can tell you exactly because what's great on Google Sheets is they can literally tell you all the different versions. Okay.   So let's just go back to, I'm going to go, this is embarrassing. I'm going to go to June. Okay, so I'll just go back a few months for you guys. I logged into this spreadsheet of the monthly costs. June 5th, June 10th, June 16th, June 19th, June 24th, June 24th, again, June 25th, July 2nd, multiple times, July 7th, July 8th, July 9th, July 10th, 15th, 16th, 17th, 18th, 24.   The only reason it stopped there is because I went out of town August 3rd, August 6th, August 7th. As you can see, I'm in this spreadsheet almost daily. If not every other day. That's insane. I mean, I can go back to April. I can go back to March, February, January, December, December. I'm in here all the time. November, October of last year. I'm just going down. October. I was in there 10 because that's when I started to do projections. So you better believe I was in there a lot more during that time. October. There's about 20 entries September. So when I tell you this is a tool,   that I have found that works so insanely well. Clients love it. Cause then we're like, our overhead's high. We can go over to our costs and say, why is it high? What is causing this? I'm looking at people's loans that they have and I'm like, do you really use the Seric? Do we need to continue to use this? Are we using all these different like plan Mecca and all these other loans that we have on the practice? Are we still using that? And if so, that's fine. But let's at least know where our money's going.   so then we can make better decisions of do we wanna continue that? And so hopefully, like I said, it's not a fun topic. Like it is, this one, if you can't tell, the passion, the fun, like it's really fun for me to look to say like, okay, where is it? This is where I decided it was time for us to close our headquarters down in Reno. We used to have one, but I was looking for how can I cut costs? Where can I, because for me, I'd rather not spend it on a physical location. I'd rather buy, like spend that money on different softwares that are gonna make us more efficient, being able to hire better employees.   Like I'd rather reallocate those dollars to something that's gonna benefit the company more. And so for you, just feel like this is such a great tool to help you truly know where your money's going, know where you can cut. And like I said, I do this for personal. I'm like, all right, give me all your costs. Give me your credit card. We're gonna look at every single thing. And then like, what could we do differently? I mean, my cell phone, let alone, I used to pay almost a hundred bucks a month for my cell phone. It's now, hold please. I'll tell you the exact amount. Cause I can tell you it's literally right here.   Um, it is a telephone right here, $35 a month. And I used to pay 95, but that was once again, like Verizon got a competitor. have a sister company called visible. I could even get it down to 20, but I didn't want to like drop that far. But we went from 90 to 35 and there was no change or disruption. I watched it for several years. I had people do it, then made the change. Is there a better company out there for X, Y, or Z? Is there a better processing company? And I know again, this seems annoying.   But annually around September, October is when I start to do projections and I start to look at everything. Cause I'm looking at costs. What could I cut? But monthly, daily, I'm looking to see who can I hire? Where can I do things? Change it, adjust it. And what's amazing is when doctors and OMS have this tool available, now you're like, can we afford to hire this person? You can answer with confidence rather than hoping and praying you're going to be able to make it. Just like what I used to do. was like, let's just hope and pray we're going to hire them and hope it works out.   now I can have way more confident decisions. And like, think as a business owner, being able to have confident, like one of the strongest things you need to do as a business owner is be able to make decisions. And I think the second piece to that is being able to make more confident decisions, utilizing tools like this one that I'm sharing with you. So if you want help, reach out, Hello@TheDentalATeam.com. Like I said, I love to put this together for clients. I love to give them the tools and resources to where they can actually be here and know. And also I say if you're here,   Like go get your credit card, list everything out that you're spending money on. Look at your P &L, see if it matches up, see if you can figure it out. And this was something that's been evolved over the course of honestly, probably eight years. I started it when I was really new into the business. I made this myself because I'm like, I don't even know where my money's going. How am I supposed to be able to make decisions? And I could not figure out why my overhead was so high. Now I can tell you exactly this is what we're spending every month. This is why we're spending it. This is what we want to do. This is where we're going. These are the numbers that we need to do.   It just gives you so much confidence, clarity. And so that's why I just love to share it and to help you. ⁓ I believe, like we said in the yes model, you as a person need to know where your vision is. Then we need to have your earnings and your profit where it needs to be. And then we need to figure out the systems and team development to support all of those pieces. And that's what we love. It's what I'm obsessed with. So reach out, ⁓ even if you're like, I don't know. I don't know if I'm a good fit. Let's just have a call. It's literally no commitment, no stress.   just clarity and confidence to get you the momentum that you deserve. So reach out Hello@TheDentalATeam.com. Go fall in love with numbers and spreadsheets. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.  

Tiff and Kristy spell out what it takes to onboard to the best of your ability. They touch on the questions a hiring manager should be asking themself during interviews, how an applicant will be learning about your practice, the appropriate vibes to give out for your business, and more.   Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello Dental A Team listeners. I am here with you again today with my fave podcaster I'm sorry rest of the team. She's got that title right now. She's got the crown Miss Kristy is here with me today And this one we had to talk about it beforehand and I'm excited. I'm now excited for this We had to brainstorm a little bit before recording this podcast to ensure we were on the right track and like minded on this which I think speaks volume to the   you know, podcast topic, but also to how well our team works together and how well our team really is bonded. And Kristy, before we get into today's topic, first of all, welcome. Thank you so much for giving me, it's Monday today, so giving me your Monday afternoon so we could record a couple of podcasts. How are you?   DAT Kristy (00:50) Good, I always look forward to my Mondays when I get to spend them with you.   The Dental A Team (00:54) Thank you. I used to do these on Fridays, which was like, it's a fun way to end of the week. But I was like, I think it's a fun way to start the week too, because we get time together. And then I just like them better on Mondays. So hopefully you guys do too.   DAT Kristy (01:08) I agree.   The Dental A Team (01:10) So today's podcast, you guys, if you're subscribed to our newsletters, you know that our podcasts kind of follow the same topic and genre of our newsletters. If you're not subscribed to our newsletters, hop over to TheDentalATeam.com, hit subscribe because there's actually, I mean, we follow the same cadence and the same topics, but they're gonna be a little bit different. So if you're looking for more information, a lot of times they have downloads in them too. So if you're not subscribed, go do that.   Our marketing team would love me for that little plug, but truly if you're not getting those yet, you should be, so go grab them. ⁓ Today's topic may be, I think today's topic on podcast might be a little bit different than topic by newsletter. And Kristy and I wanted to take a stab at really kind of switching the mindset on this space. And Kristy, think I'm gonna like boost our egos. I think you and I actually do really, really well.   at seeing something and flipping it and being like, well, what if we looked at it from this angle instead of that one? I think you and I actually do really, really well at that. So thank you for working together with me on that. Today, you guys, your newsletter coming through, like I said, it's gonna be a little bit different. Today's podcast, we're really gonna be talking about not off-boarding, like what to do, how to let someone go, because we're really not here for that. Like the consulting team is here for...   doing everything we can to hire the right person and to make sure that there's complete clarity around everything that each individual is doing, that the path is set and you actually have no questions about keeping them on or off boarding them. Like that's in your court, that is not in our court. So we thought it would be more beneficial and more fun for the two of us to really talk about onboarding correctly and like even before you're onboarding, what that looks like.   Kristy, I think this might actually be fun. I'm just spinning us a little bit, but I kind of want to talk about us attracting you into the Dental A Team because you haven't always been here, right? We have met you, Kiera, I have met you a long time ago, but you haven't been with the Dental A Team forever, even though to us and likely to all of our listeners, it does feel like you have been a part of this team since   DAT Kristy (03:20) No.   The Dental A Team (03:33) the very beginning, which I think also speaks volumes to our topic today because that goes right along with what we're thinking. Now, how did that happen, Kristy? Like, how did Dental A Team, how did we attract you? You found us. ⁓ We are so thankful for it. But how did we attract you, who fit so seamlessly into the dynamics of our team, our goals?   you literally like consult just like we do like everything about you embodies who we are. How is that possible? How did we do that?   DAT Kristy (04:11) Yeah, you know, with every place you go, there's little things that may change a little bit, but the heart of things don't change. And so you're right, if we align not only in process, but also culture. so ⁓ when it came time for my journey to shift and change, it was important to find the like minded space and people. ⁓   not only for me to help them grow, but for you guys to help me grow, right? Like they say, look around who you surround yourself with because you're kind of like the top five people you hang around, right? And so ⁓ it was really important for me to find that culture and process both, you know, and I'll make sure we were aligned.   The Dental A Team (05:05) Yeah, thank you. I think if you guys can hear what she's saying, right, Kristy's saying that she was able to see that she was in alignment with who we are as humans, that our goals, our vision, our company standards really aligned with Kristy. While there might be some caveats and some spaces of learning or some spaces where it's like, okay, I thought it would look like this, but let's try this or and let's try and let's create this. ⁓   DAT Kristy (05:07) Yeah.   The Dental A Team (05:34) That's massive because offboarding, offboarding does, it's not easy, you guys. It's not, there's not an easy peasy process that takes emotions out and just makes it to where you're the robot that can easily just fire people whenever you want. What I do instead is I try to make sure that I'm representing our company to the best that I possibly can in everything that I do. So when I'm going through, I'm the hiring manager for our consulting team.   When I'm going through, I'm doing the same thing Kristy said she's doing. I'm looking to see, does this candidate align with who we are? the response is coming back in alignment with how we speak to each other or how we speak to clients. Is it in alignment with what I would love to see a timeline as, right? Like I've gotten, I've had candidates where I'm like, my gosh, their resume is fantastic. This is the experience that I want, spot on.   I'm gonna reach out to them and I don't hear from them for like a week. I'm like, well, that's not in alignment with us. And so ensuring that on both sides, we're taking a step back and we're questioning the alignment of those pieces, I think is a huge, huge reason why it's been successful. Now, in order to do that, this is a caveat, you guys. You can't just show up and just,   expect everyone to know how to show up, right? You've got to really lead by example. And in my opinion, we are leading by core values, mission and vision. We are driven by the why of this company. And that is what attracts people. That's what attracted Kristy. Kristy was attracted to the why of our company, our mission, our vision.   and how we show up, which are our core values. I show up in our core values, Kiera does, Britt does. When Kristy came to the interview, she was like, okay, got it. I can see it in real life. So Kristy, as an outsider, you're applying for a job. In what ways were you able to see that we did have an alignment or at least enough alignment to say, let's explore this in that... ⁓   hiring process, like in the application process, you're sending your resume outside of listening to us on on podcasts, I'm thinking how can offices kind of emanate and represent that in a space where like minded people can find them?   DAT Kristy (08:06) Yeah, if I'm understanding you correctly, think it's truly... ⁓   You have to make sure you're painting clarity for people on, you have to speak your culture. Like for instance, how many times do we talk to our own clients and say, do you have a mission statement? Do you have core values? And they'll be like, yeah, we do, somewhere. You know what I mean? You have to live it and you can't just say, yes, I have it. You have to show that you have it and you use it and it means something.   The Dental A Team (08:37) Mm-hmm.   DAT Kristy (08:47) Right? And so when I found you guys, you could recite it. You lived it. You wove it into your process. Right? And it told me that it means something to you and you live by it. Like it's our code of conduct, if you will. Right? And it can't just be put in a drawer. You have to keep it alive in order for it to serve the ultimate goal and mission, if you will.   The Dental A Team (09:15) Mm hmm. Yeah, I totally agree. And it's just a it's a rep an outward representation. And so I think even in our job ads, right, and I know I work a lot with clients on this. I know I see you guys doing it, too. I know Monica just helped a client last week with some job ads. But making sure those job ads speak to you because I can write a job ad. But if you copy and paste the job that I wrote, even writing it for you, even my clients that I've worked with for seven plus years,   DAT Kristy (09:16) Thank   The Dental A Team (09:44) I can write it for you and I know you, but unless you go in and speak some of yourself into that ad, it's not gonna hit, it just doesn't resonate. And so a lot of practices too are very different than who I am. So if I write your ad and I attract me to your practice and your practice doesn't, you're not me, that person is likely not gonna be a good fit.   DAT Kristy (09:51) Mm-hmm.   Right.   The Dental A Team (10:13) Right?   It's just, she could or he could for sure for the, maybe for the long run, but attracting that like-minded person takes really being able to know who you are and who you want to show up as and then doing that every single day. It makes me think of like, if I went and applied at Chick-fil-A, I know exactly how I'm supposed to show up. If I apply at Target, if I apply at Starbucks, I know exactly how I'm supposed to show up.   Dutch Bros. I wouldn't apply at Dutch Bros because it's too much energy output. I know that, right? But if I can go to Starbucks where it's still energy output, but not quite as much, it's a little tamer of a coffee process, I really want to be a barista one day. That's why I'm saying these. I would love to be a barista. ⁓ But I'm going to judge it. I'm going to judge where I'm applying based on those aspects. My son did the same thing. His first job even, he's looking at, is this a company I want to work for?   Is this a company that I can represent and be happy at? Because no matter what he understood as an employee, he's walking in as a representation of that facility. And if it's not a company that he is in alignment with, either what they're doing, he doesn't understand what they're doing, or he's not excited to be there himself, he knows that he's not gonna be able to represent that and he's gonna be a really just angry human.   And if they're not happy, that's where off-boarding comes in, right? Like now you're into the space of like this kid, dang it Brody, like you suck. He's like, yeah, cause I hate working here. Got it. Right. Or he sees like team members, employees that are like not loving life. Like he's judging these entry level positions based off of that. So to be in a position where we're high level, we're getting paid way better. We've got some schooling behind us.   DAT Kristy (11:48) See you.   The Dental A Team (12:07) Most of us at least see ease at least some sort of knowledge base or trying to get our foot into dental We're looking at those things as well Like how are people showing up and Kristy as I'm saying that I'm like that might be something that even is lost in the old like drop your resume off at the front desk like used to be able to drop it off and see what it was like to be like, ⁓ This is a place. I want to go or ⁓ okay, like   DAT Kristy (12:26) Yeah.   Mmm.   The Dental A Team (12:32) on and jot that down.   Yeah, so we lose some of that like visibility. But I do think this day and age people are looking at social media, people are looking at websites and people are researching. I know when we get when we get finally to the interview process, if I'm talking to a person who hasn't researched us, and they don't know who we are, they don't know how we show up, they haven't looked at the website, I'm like, well, that might not be a great fit. Because for our culture,   You've already done that. You know you fit and you're excited to work with us. You know?   DAT Kristy (13:04) I agree with you,   Tiff, so much. And I love that you use Dutch Bros. Hopefully everybody, even if you don't drink coffee, they have other things. But ⁓ I'm with you. I couldn't work at Dutch Bros. I appreciate what they do. But it's funny how many times that situation happens in practices and we want to make the employee wrong. And truly it was our process because we attracted the wrong person. I mean, if Dutch Bros. was attracting an introvert,   The Dental A Team (13:26) Hmm.   DAT Kristy (13:33) they'd be off boarding a lot of people, right? And so instead of, I mean, I like to say, I mean, when you and I looked at this topic, I literally was like, well, heck, if we're off boarding that many people, we've got to take some ownership on that side. You know, just like our patients, if there's attrition, we have natural attrition, they move away or death, that's gonna happen with employees too. But if we're having to off board a lot of employees, I think it's time that we take a step back.   The Dental A Team (13:36) Agreed.   DAT Kristy (14:01) and go, how are we attracting and who are we attracting? ⁓ One of the things with, we spoke about core values and our mission statement. I also think like, it's just not our why. And you made mention of this. It's also how we behave and how we show up. It's the why, the what and the how. And we get commitments around that. And if we're not getting that,   I'm always about extreme ownership. So how can I take a step back and attract the right person, attract the extrovert to Dutch brothers, not the introvert to, right? Because we're ultimately setting ourselves up for failure and for the person too. We didn't do right by them if we hired the introvert at Dutch brothers.   The Dental A Team (14:39) correct. Yeah.   I agree. And I think something you said there,   that's the like Simon Sinek, like what, what, how and why, right? And I think something that most practices nail is the what. We know what position we need to hire. We don't nail the how that position shows up for our company. So what, what is the how behind how that position contributes to our team? How do they show up for our team? And how do they show up for the patients? Meaning what is the job?   DAT Kristy (15:03) Thank   The Dental A Team (15:19) that they're doing and what are the metrics that tell us they are doing that job or not? Because oftentimes we also get stuck in the ⁓ mundane like feelings and emotions. And I'm not here to say that a stellar person, know, somebody, I've seen it. I've seen a manager who had stellar collections and like top-notch collections but couldn't communicate with the team. That's an issue, but that's a metric too. Like are we,   You know, how can we tie those things to the metrics? So if we can say your extreme ownership is massive, because if we can say as a leadership team or as an owner, I've done everything I can, they have complete clarity, I've had the conversations, offboarding then is much easier. Offboarding is difficult when there's still confusion, when either that person is gonna be confused because you let them go because they had no idea they did anything wrong.   or if you're confused because you can't even pinpoint why this person doesn't work with your team, you just know they don't work. That's the confusion. the what and the why. So what is the position? Why do you need it? And then how do we show up for that position? And what's the clarity around what that person's supposed to be doing?   DAT Kristy (16:41) I love that you say that, Tiff, because how many times do we even identify, let's just take an easy one. I need to hire a greeter, right? And they need to smile and they have to be able to answer the phone too, but it isn't just answering the phone. It's hearing the warm smile and we do it this way. How much of that did you portray? And even how much of that did you include in your interview process?   The Dental A Team (17:07) ⁓ uh-huh.   DAT Kristy (17:08) you know   what I mean? Did you have them answer a phone? This is really ⁓ a different way of looking at things, but I learned a different process when I was in practice where ⁓ at the end of the applying, it says, do not submit your resume. And we wanted somebody with detail. And so the people that submitted their resumes, mean, some of were great, but we threw it out, right? And we never ever   We also took bias, like people bias out of it. And so our first interview was always over the phone without seeing them. And we would instruct them to call at a certain time and how to handle the call. Like you're gonna schedule me an appointment for, and we wanted to hear, like we gave them specifics and hear how they deliver. Can you see how that then starts to align with our how and why? We painted the clarity of what to do.   and then listened for the results and saw how naturally they fit, if you will. It's a different strategy, but.   The Dental A Team (18:11) Absolutely, we used,   it totally is. used to do, ⁓ what's your favorite, respond to this with your favorite ice cream in the subject line or your favorite candy or your favorite baseball team. I've got offices that are in Chicago and you know, there's the Cubs and the White Sox are both Chicago. So it's like, what's your favorite ⁓ baseball team? Not to say, I love that baseball team too or yes, Sprinkles ice cream is the best, but to say, you caught that detail.   in there and I love that you said that, Kristy. used to, Kiera and I once upon a time had a recruiting company. We are not doing that anymore, everyone, and it is hard. I hated it. It was a long time ago. We don't need to go back there, but that's how I used to schedule the interviews. I would say, awesome. I will chat with you on Tuesday at 2 p.m. You call me. So if they didn't call me, if they missed that interview, they were out. It was an automatic out for me, or if they called late, but I do agree.   with getting the preliminary done, not having a face-to-face for the first time, listen for the details of what you need for that position. So if you're hiring a billing rep and you get someone you're like, I didn't love her on the phone, well, she's not talking to you, she's talking to insurance companies. So that might be okay. But if you're hiring a greeter that you're like, she was super shy, she didn't really, like she wasn't super forthcoming, she didn't have any questions for me, it wasn't engaging, is your patient gonna enjoy talking to that person on the other side? But then flip side of that, Kristy, I think you mentioned   something really, really beautiful you said, if we're hiring a greeter and we want that smiley personality, we want that bubbly person, like you're hiring for those things, but I've also seen practices, and this drives me a little nuts, I've seen practices that are like, I want the bubbly person who's building relationships with the patients, they're smiling, they're making eye contact, and they're excited to see the patients as soon as they walk through the door, they also answer the calls and they can pass it off. You find that person.   DAT Kristy (19:52) You   The Dental A Team (20:08) Right? And then they're like, her details suck and she can't multitask. Well, guess what? Those are two very differing personalities and you got to choose your heart. If she's stellar at building the relationships and your patients are fine waiting five minutes in the front lobby because she's sitting there talking to them and they're not angry when they go to the back, might be okay that she didn't call the insurance company for whatever, you know, whatever detail was.   miss, like then at that point it's do we have clarification of roles and are the duties in the right seat? Because personality will make a massive difference to the results that you want and you've got to figure out the type of person that you want in those seats as well.   DAT Kristy (20:46) Okay.   Yeah. The other factor in that too, Tiff, and I think in a way you touched on it was, it a skill thing or a will thing? You know, we've got to understand and also set benchmarks for time, right? I literally was talking to a practice last week and I just kept hearing, don't have time and we don't have time. And I'm just thinking, you know, we can always say, well, when I learned back in 19, whatever,   The Dental A Team (21:04) Yeah.   DAT Kristy (21:24) go there, but you know, we were just thrown in and that doesn't mean it's the right way. It doesn't mean it's the right way. And you know, we owe it to people to give them the time to onboard them and show them what we want. And it goes back to how you said, choose your heart. The time we spend early will reap rewards.   The Dental A Team (21:48) Totally agree. I think that's brilliant. we have worked so hard on our onboarding process to match it with our expectations and to match it with our core values and our mission and our vision because we want our team to be onboarded correctly, not willy-nilly. It was kind of like haphazard. honestly, we've hired a lot of amazing people and a lot of people who   They were, they are amazing humans. We've not hired anyone who's not an amazing human. I have loved everyone that we hired, but they may not have been the right fit for us, either at that time or just in general. It doesn't mean that they're not a good person. It just means that it didn't fit. And I am a firm believer in any aspect of life. If it's not fitting for me, it's not fitting for them either. It's not, there's no way.   we can coexist with one of us not working out and the other one working out. It just doesn't work that way. So this was so much more fun than the original topic we looked at. Thank you for taking that.   DAT Kristy (22:53) Yeah, agree, agree. Yeah, I'm with you   Tiff. mean, if we're off boarding so many people, let's just take a step back and focus on our onboarding and how we can choose differently. So, cause it's not fun off boarding. It isn't.   The Dental A Team (23:08) No, no,   and I don't want that to be like, eventually that is gonna be a conversation. It is a protocol that you do need to have in place. It should be very simple. There should be no questions asked and the person should be like, yep, got it, okay. They might still be angry, that's fine. That's an emotional situation, but there shouldn't be questions around it. And if you need help building that, fine. We've got references, we've got information, we've got documents we can help you with, but realistically,   take a step back and say, how can I prevent the need to off board someone? I want everyone here forever. having that protocol, sure, got it in our back pocket for if it is necessary, but how do I prevent that need? I don't want that at all. So go back through your hiring process and look at the team members that hired well. Like I'll look at Kristy and say, how did I attract Kristy to my team? How did I attract Trish to my team? Like Monica, to my team, Monica was a   referral from Trish because Trish knew that this was a fit for Monica. Trish knew it was a fit for us for the same reasons Kristy did. I actually, we didn't even realize until after Trish started the hiring process, she knew me previously, didn't even realize because it was a different space of life that we were connected. She applied to our company because she wanted to work with our company, not because of me. So it's just really cool to watch those things happen. So moving forward with hiring, I look at   DAT Kristy (24:28) Yeah.   The Dental A Team (24:34) the consultants that I have, Dana, and I say, what attracted this human, this perfect specimen of a consultant to our company? And how do I emanate that in the information I'm putting outward? Like the podcast, the job ads, those pieces, how do I make sure that I recruit those people again?   DAT Kristy (24:54) I agree with you. And you mentioned this early on too. One of my biggest tips would be make sure you're speaking to that employee in the beginning of your ad. So many times people write it about themselves. This is why, you know, but they're buying into what it's an emotional thing that it's going to bring to them. So make sure you're speaking to that, you know, on the onset of your.   The Dental A Team (25:20) I totally agree with you. That is a massive point. We get caught up in wanting people to want us. We want people to want to work with us. And I do want people to want to work with us, but I want people to first see themselves in the job, in the person that I'm describing. I want them to be able to check, check, check, say, yes, that's me, yes, that's me, yes, I want this, yes, I want to work with this company.   DAT Kristy (25:43) 100%. Yeah.   The Dental A Team (25:45) Awesome. All right, guys, I hope this was beneficial. think biggest takeaways, biggest action items, make sure number one, we talk about this all the time, you guys, core values, mission, vision, job descriptions are in alignment. We preach on this because you guys, it is the core of your company. So if those things, your org chart, those pieces are out of alignment, they're not solid yet, reach out, Hello@TheDentalATeam.com We can get on a call, kind of figure out what needs to happen. If you are our client, reach out to your consultant.   Easy peasy. Okay, don't reach out to hello. That gets a little confusing when things like that come through. So if you have a consultant on your team already on your side, reach out to your consultant. ⁓ Secondary to that, check and see like what's working, what's not working, and how can you duplicate what's working? How can you duplicate that higher and keep people for the long haul? I would love if every time we quote unquote off boarded someone, it was truly because they had a life change, not because   it was the wrong place for either of us. And sometimes we do outgrow each other. I do have to put that out there. If you're a team of seven today, and in a year and a half, you're a team of 13, 14, sometimes those team of seven team members need a team of seven. And that's okay too. That's an out, that's a life change. That's a, this space is no longer working for me. That's a life change. It's a growth space. That's okay too. It doesn't mean that there was something wrong. It just means that we're in a new space. So go check those pieces. If you're in the hiring world right now,   Check your ads, make sure your ads are speaking to you, and then check the kind of applicants that you're getting to your ads. Is there a trend in the type of applicants you're getting? Are they all wrong? Are they all right? Are they mediocre? Kind of check that and then revamp your ad to fit to attract someone different if you're not getting the right people. Kristy, thank you so much. This one was, like I said, this was really fun. At first I think we both were like, wow, that's a little wild. ⁓   DAT Kristy (27:39) What?   The Dental A Team (27:42) But I had a lot of fun with this one. So thank you for taking that journey with me, Kristy.   DAT Kristy (27:46) Yeah, absolutely. Thank you. Always a pleasure.   The Dental A Team (27:49) Thank you. Awesome. All right, guys, go drop us a five star review because you know this one was amazing. This was super fun for us. And also let us know what you loved. Let us know if there's anything we can do to help you. Again, if you're not yet a client, Hello@TheDentalATeam.com is a really easy space to reach us at. If you are a current client that we love and adore, we love and adore you on a consultant basis. So reach out to your consultant. She is here waiting to help you. All right, everyone, we'll catch you next time.  

Kiera shows listeners multiple places in life where there's likely opportunity for more balance, freedom, play, and ease by: Maximizing the hours you already work. Protecting your time like a CEO. Empowering your team to own their roles. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners, this is Kiera and I am so excited because I love this topic and I hate this topic and it's such a great one and all of you are gonna be so excited about it and it's work-life balance without sacrificing production. Yep, you better believe that it is true and I'm here to show you today how you can do this.   but I really hate this terminology of work-life balance. So if you're new to the Dental A Team, welcome, hello. I'm so excited to have you here. If you've been here with us for a long time, high five, hugs. I'm so grateful you've been a part of this journey and I'm so excited to share with you tips, tricks. ⁓ And again, remember, sometimes the greatest form of learning is remembering what you already know. So these might be tips that you've heard before, but hopefully today it hits you differently because no man who's walked through a river is ever the same man because he...   is not the same man and the river is not the same river. So you today, you're not the same person, you're not the same practice, you're not the same scenario. So wherever you are, I'm super excited for you to figure out how to get this like balance and bliss in your life. And I hope you're ready for it. So the reality is like, I used to feel, and I don't know where this came from, like, why do we feel that we always have to like grind like our nose to the brim? Like we have to work so hard and we have to just grind so hard to get to success.   that like you just hate your life. Like why is it, why is it this like busyness and this exhaustiveness and this tired to be successful? Like why, where? And so I do believe that you can have balance and performance that can coexist, that you can be productive and balanced. And so the reality is we're going to walk through some of these pieces for you to help you see where could I maybe strike a little more balance, a little more freedom, a little more play, a little more ease in my life.   And that's maybe the better term of like work-life balance is more ease. It's more flow. It's more, I think just intentional. And how can I do that? So you guys, I love this. think that you should be something that I'm really passionate about is work and life. I'm very passionate about you being the best version of yourself in your life. That way you can show up as the best version of yourself for work. do not believe, Tiff and I talk about this all the time. Like outside of Dental A Team public's eye.   all the time about how work and life are not separate. It's like we think about these two halves and it's like, no, it's one. You're one person. You're going through this and it's like, well, here's half of me that's work. Here's half of me that's life. And it's like, no, no, no, no, no. How can I, Kiera, be the best version of myself that like feels balanced or ease or flow or calm or any of those things? Cause balance to me, don't love. Balance feels like I've got to like have my weight in front of me be equal.   ⁓ But flow to me is like a river flows and sometimes it's faster and sometimes it's slower and all of that's correct. And so this is something where for you to be the best version of yourself, for you to still be productive at the office while being the best version of you, ⁓ I think is what today's podcast will be about. So this is something where it's like, if you feel you are stretched thin or overwhelmed or you don't know how to produce without overworking and if you stop or slow down and get off the hamster, well, you're afraid that it's all gonna crash and burn. Well, hi, I'm Kiera.   I'm your personal therapist today ⁓ and I'm here to help you realize that that's not the reality, that there's a better, easier way to do it. And I'm here to give you a couple of quick steps that hopefully will take you through that ⁓ because I was there, I've seen offices do it and we've helped offices, hundreds, like literally hundreds and thousands of offices get out of that hamster will.   and into the flow that they were looking for. Tiff said it once and she was like, imagine Phoenix traffic. If you've never been to Phoenix, we'll do Chicago traffic, we'll do Texas traffic. Like you name it, big city traffic. She's like, just imagine if you're sitting there and this is like your life and you're sitting there and you're in this bumper to bumper traffic. And then all of a sudden you see that like better than even like an HOV or carpool lane. Like there's just like the way it strikes me like a lucky charm. Like it's like, ah, like the angels are singing. It's this gold path over there or like the yellow brick road. And you're like,   say, well, like I could get out of this nonsense over onto that lane. And like everybody, there's no traffic. There's no slowing down. It is just this easy breezy, like truly like, hope you guys can visualize this like golden path road with gold light over it. And everybody on that road is just so happy. And yet you're sitting here hating your life because you're sitting in all this nonsense traffic. Well, that's kind of hopefully how this feels of like, let's teach you how to get over into that.   that lane that you didn't even know existed today and give you some tangible tips to that. So number one is going to be maximize the hours that you already work. So let's have it like, ⁓ we did this awesome thing ⁓ at a conference and ⁓ we're talking about this and this is so fascinating to me, okay? So in a given week, there's 24 hours in a day. Yes, everybody following? And there's seven hours or seven days in a week, okay?   So if we take that, I love some good numbers, I love some good math. So 24 hours in a day, and we have seven days in a week, that's 168 hours, all right, in a given week, okay? So now, let's say I'm gonna be really generous to you. We know, let's say, let's just, mean, Dennis, let's give you, like, we're gonna work 40 hours in a week. You might say I work more than that, that's okay. I'm just gonna subtract 40 right now, okay? So that leaves us with 128 hours in a week.   Now you're like, well, Kiera, we also have to sleep. I got you. I'm going to be real generous and I'm going to give you eight hours of sleep times seven days. That's 56 hours. None of you are out there probably sleeping eight hours. As you should be prioritizing this, I do not want to be scrimping on sleep because I think sleep is one of the most important things you can do for yourself. So we have 128 hours after the 40 hour work week. We've got 56 hours of sleep minus 128. That leaves us with 72 freaking hours a week. And my question is, what are you doing with those hours?   Now you might say, Carrie works 60 hours. Fantastic, you still have 52 hours if you're working a 60 hour work week, which I hope and pray you're not working 60 hours. So let's get it to where maybe I don't wanna be working even 40 hours and I would prefer to even work 30 hours. Well then if I gave you 30 hours, you're up to 82 hours a week of extra time. And people are like, Carrie, I don't have time, I don't have time. 72 hours, 72 in a week outside of sleeping and work.   Now you're like, well, I've got to make dinner and I've got the kids fine go for it, but there's still so many hours. And I, when I heard this, I was like, yeah, what am I doing with those 72 hours? Like, all right. So maybe I could do like an hour of workout every day. All right. So like, let me just put out like seven hours there. Like, okay, 72. Let's just take this down 72 minus seven hours. All right. I'm down to 65 hours. Well, you know, I've got to like, hang out with my kids. Like we're at soccer, we're at camp. Like that takes, okay. Count it up. How many hours? Like drive time and all of that.   Let's give you like, okay, shoot, you're at 15 hours a week, which honestly, I guarantee you're not putting 15 hours of soccer and camp and all that in a given week. Maybe you are, but honestly, that's a lot. That's like two full days of work plus some extra time. So if we're at that, you're still at 50 hours and we're not scrimping sleep. We're not scrimping work. We're not scrimping kid time. We gave you an hour of workout every single day.   something to think about. So in this step one, to be able to have this balance or flow or best version of you is to maximize the hours you already have. So ⁓ me and Chad GPT, I named her Wanda. I hang out with Wanda all the time and I'm like, all right, you're the most brilliant scheduler of all time. You're the most productive business coach. Like you teach me how to maximize my time. And Wanda gives me some really good things. And it was interesting because I started looking like I realized   that I was spending an extra 30 minutes going to the gym every single day with how far away it was. And I was like, all right, well then that actually adds up. What if I just bought a home gym? Like there are solutions. What if I got weights, free weights? have my personal trainer. She could create some. So I go to the gym X amount of days and I work from home X amount of days. Could that help out? Like that would give me some time back in there. And so it's really like, how can you maximize the hours that you already have in your life to then maybe have a bit more fun?   Like I don't want all scheduled. I want fun. I want to hang out with Jason. I want to be able to like you guys I used to not watch TV at all because I felt like it was an absolute waste of time because I wasn't making money and I wasn't doing something productive. Literally I was like, nope, this is an absolute waste of time. And I'm like, but I like to watch a show and laugh with my husband. I like to be able to go hot tibbing at night with my husband. I love to go for walks with my husband. I love to go hiking. I love to spend time with my parents and I want to do it.   without guilt. It's like being able to like eat all the ice cream that you could ever want to eat without gaining any weight or whatever your favorite thing is that you're like, I just wish I could eat all that, not worry about the calories. Well, this is how you can have un like guilt free time for yourself, guilt free time with family, guilt free time with friends, because we have like, you break it down. I guarantee you, we're still going to find hours for you. So how can we better use it? And then what's awesome is when I work with offices, I'm like, sweet.   You only working four days a week? Fantastic, let's go for it. Let me do 32 hours a week. Beautiful. And you know what's crazy is I usually can help them produce the same as they were producing in five days and four days and then they're able to get a whole day back in their world. Or they're like, I have nowhere I could ever put admin time in. And I'm like, sweet, challenge accepted. How much time do you want? Two hours a week, three hours a week? Great, I'm gonna block it on Wednesdays from eight to 12.   I'm taking four hours out and I'm gonna show you how we can build a schedule that will produce more than you're making right now and give you the four hours of admin time so you don't have to take this home with you. So we block schedule, we prioritize, we put things in place. You literally like, we eliminate gaps, we're proactive, we ⁓ maximize our time and our schedule, we have our morning huddles to align our teams, everybody chart preps, we look through what we need to have. We're all doing the pieces and we're maximizing our time that we already have. Front office team members, seriously like.   Don't insurance verify every single person like in order call Delta Dental and get all of them done and then all your MetLife's and all your Etna's so we're not spending time like wastefully and you can maximize this and I will tell you when doctors shift like this and teams shift like this, we're talking 10, 20, 30, 40, a hundred grand extra a month that we're able to squeeze in the juice with no extra time. Usually even less time. I don't want more hours. I don't want more work for teams. I want less work and more efficiency.   So that way you have guilt free time with family. You have guilt free time on vacations. You have fun being able to take off and not stress about it. So this is where it's like, let's maximize the hour. So the call to action on this is, I want you to audit your current schedule at work and figure out where are we losing production and time and how can we just like, literally I'm talking on one change. Kind of like with FedEx or with, I don't remember what airline it was, but FedEx drivers found out if they took right hand turns at stoplights in the US, they can actually cut down the hours and cut down the routes and actually get more time and.   more efficient packages delivered to all the people. That's the type of like small little shift that we're looking for. Just one little change and then look at it in your personal life. Are we scrolling in doomsday scrolling? Are we spending time? I don't know, audit your day, but it's wild when I'm like, I gave you so much time and there's still 50 hours in a day, like a week. What are you doing there? Like, Kiera, I go to church. Great, put it in there. Kiera, I do community service. Great, put it in there.   I'm not kidding. When you look at it, it's because we're not efficient with our time and we don't schedule our time. And I want you to have breaks in there where there's nothing time in there too. But what's wild is when you do this, you'll realize there's so much more time. And if you're effective and efficient with this, you'll see that you actually can get more done with less time, less energy, and be more happy and have that flow, that work-life balance just by maximizing the hours you already have. Next up, number two is protect your time like a CEO. I want you to be so rock solid on this because we have to have like CEO time.   So this is what I was talking about. You've got to protect your admin working CEO time like a boss. And you've got to actually do high productive work there. So for me, it's called Deep Work Time. It's by Cal Newport. You can read the book. I'm like absolutely non-negotiable. This is when I'm working on the business. And it's wild because I'm always like, there's so many screaming problems that come at you, but you have to say no. Discipline equals freedom here. You've got to stick to your cutoff time. I'm out the door at 5.30. Go, leave, be done.   We don't need to constantly run over because what we do is we teach ourselves that what we say of our boundaries or what we say of our commitments don't matter. Stop lying to yourself and start protecting your time. Start putting you first. Like if you say, I'm gonna be out at 530, be out at 530. If you say, I'm gonna go to dinner, go to dinner. If you say, I'm gonna work out, work out, but don't go lofty, go small. Start small, train yourself that you can trust yourself and then get bigger and better and better. And what's wild is when offices do this, when doctors like,   Truly, my most elite doctors do this. The ones that produce the most have the best family time. And I'm talking like, there's a doctor that I know. He told me, said, Kiera, we've done a lot. They own six practices. He's got like crazy amounts of success. They're going for it. ⁓ Tons of kids, amazing relationship with his spouse. And he said, Kiera, my year working with you was the most transformational, inspirational year of my entire life. And I take that as one of the biggest compliments because this person was so efficient and effective.   And yet we were able to find ways to fix their time, maximize their time, buy back their time, protect their time, make sure all the things that they want to do as a human and as a business owner, they were able to get there. This doctor is celebrating their first day out of the chair and being a true CEO. It didn't happen overnight, but these are things of like, you have better clarity, you're better as a business owner, you're better as a spouse, you're better as a mother, father, you have more time to work out for yourself, but it's like...   being very disciplined, this is the secret. People are like, Kiera, what's the secret? This is it. They protect their time and they act like the CEO that they are. And then number three is your team, empower them, help them to be like truly owning their role. So you've got to set up and have it to where there's clear roles and definitions of what each person does. They have their KPI and their number that they own and you train them to lead and come with solutions. I have a three solution rule. If you've got a problem, you've got to create at least three solutions for it, one of which can't cost money.   So that way they're coming with solutions, they're thinking of solutions. They're empowered so things don't come to me. ⁓ There's the book with the one minute manager, I think. ⁓ It's about the monkeys on your back. I think about this all the time. How many times do my team members come to me and put their monkey and their problem on my back? And I'm like, yeah, give it to me. I've got it. I'll just solve the problems because I'm Wonder Woman over here. But you told me you actually want to stress free. You want more work life balance, but you don't want to cut your production. We'll start empowering your team to actually be the team that they're meant to be. And team members rise up.   Rise up, solve the problems. This is for you. Like we have a culture of ownership. Ownership is one of our core values. And honestly, I shout that core value out so hard every single week on our core value shout outs because I want our team to know that that's one of the top things that I look for. Our team members that own their role, own their KPI, find the solutions. Because guess what? Then I'm able to do my job and my job as a CEO. Your job as a CEO. And I also want to be an amazing wife. I want to be an amazing sister. I want to be an amazing family member.   I wanna do all those things. I wanna show the best for myself. I wanna work out. I wanna be this amazingly fit, ripped, super energetic, 95 year old woman in my life with cotton candy, pink hair. Like that's the vision of Kiera in the future. What's your vision of the future and how do you do this? And what's wild about this is when you empower your team members, you give them clarity of what they need to do, team members now can focus on what they need to do and they can be more efficient in their time. Tiff and I talk all the time about how she's the efficiency queen and how like,   I hope she never dies before me. And if she does, it will say efficiency queen on her headstone because literally we're able to do so much more with less time because we have the team using it. So doctors before you even, and office managers before you even think about putting something in your calendar, ask yourself, am I really the best person who needs to do this task? Or can someone else do it just as good, if not better than I can and delegate it out.   I look at my calendar all the time and I'm like, that could go to Tiff, this could go to Britt, this could go to Shelbi, this could go to this person. Like all these people are better, more equipped and have the time to do it. And then they should do the same thing with their schedules as well. So when you have this, I want you all, every single team member to look at our schedules and see, is this something that a team member could own? Is this really who should be doing it? Are our lines clean? Do we have clear job descriptions, clear KPIs? This way it's not all happening for me. So when you look at this, you see the flow of number one, I'm using the time I already have.   Number two, I'm thinking like a CEO and I'm actually maximizing the hours working on the business. And then number three, I have a team that's fully capable. They're not dependent on me. You have, we broke down the math. guys, the math is there. What are you doing with your time? This is how you have guilt free fun. Like I want you to just think like eating like a big giant scoop of your favorite dessert or whatever your favorite thing is. You're, you're, you're indulgent. And I want you to think of that as your time. Like I'm just taking this big old scoop of like   delicious ice cream, no calories, guilt free of your lifetime, of the time that you get to have your life. Your life is all mixed up of so many pieces. You've got work, you've got family, you've got schedules, you've got appointments. This is how you have guilt free time. This is how you're able to have that flow. This is how you're able to have the balance or whatever it is for you. It's not passive, it's built. It's not passive, it's built. And you would honestly do this while growing your business.   while like all the different things that you're doing, you can have this. And this is something I'm obsessed about. We did this at our last mastermind and it was so fun for me to like show them like, what are we doing with our time and how can we better maximize, squeeze the juice out and have more guilt free fun time of whatever we want to do. This is how you have hobbies. This is how you expand as a human. This is how you read books for fun. This is how you get gardening or biking or surfing or whatever it is that you want. This is how you get more time with your family, more time for yourself is by actually doing these three things. So   You honestly became a practice owner for freedom. It's my hunch. You wanted to run the business how you wanted. You want to have things with the team. And so let's make sure that you're not fatigued out, that you're burnt out, but you actually get that freedom that you wanted when you built the practice. Like let's get you there. That's the ultimate goal. Let's help you see where you could like maximize your time. Let's help your team maximize their time because sometimes we don't even know what we could be doing better because we're just, this is all we know. So let's be smarter. Let's reach up.   Let's ask for the help and let's get the freedom and the fun and the joy that we know we're meant to have. So this is where we're at. This is where I want you to just realize like, where am I at? You're at a crossroad. Do you want to continue down the path you're going or do you want to get into that fast lane over there that you're sitting in bumper to bumper traffic and you're like, there actually is that magical, glorious, gold paid route. Like honestly, I hope our marketing team like, please marketing team make this Vividial.   Put it on social media. There is like literally I see like all the lines like we got like ten lines of traffic We're sitting there and then it's like ⁓ like the angels are singing over there Like are you gonna continue to sit in this bumper to bumper bag? Yep I'm gonna just keep doing it my way or are you going to venture over? Navigate through the traffic across ten lanes of traffic to get over to that magical Lane that can be yours the questions yours the forks in the road literally we're in a road like that was a great analogy unintended   The forks in the road, like you are here, you're at a pivotal spot, the door is open, you can choose to do it differently. Let's do it. You deserve it. Reach out, hello, at the W-H-U dot com or stay in bumper to bumper traffic. Both are fine. There's no judgment on either side. I just want to let you know that that magical lane is incredible. Life over there is happy. Life over there is not stressed. Life over there still does with issues, but life over there deals with issues in stride.   Life over there has a team that's able to run the practice whether you're there or not. Life over there empowers their leaders. Life over there allows you to have a life on your terms. Life over there allows you to show up for your family the way you want. Life over there allows you to work out the way you want. Life over there has you sleeping better. Life over there has you not stress out every single day of every single hour. Life over there truly is flying through traffic because there's another lane over there. And I hope you choose you and I hope you choose the easier path.   and reach out Hello@TheDentalATeam.com if we can help you, because I'd love to. And this is literally what we do is help you get into the fast lane, get into the easier path. It's not overnight. It's not a diet pill, but it is sustainable. It is long-term. And our job is to teach you to fish, to teach your practice to fish so you are forever self-sustaining. And hopefully you're like that client I told you that said your year with Dentalyteen is the most transformational year or years of your life.   and I would love you to be a part of it. So reach out Hello@TheDentalATeam.com. And as always, thanks for listening and I'll catch you next time on The Dental A Team podcast.  

Tiff and Kristy provide guidance on how to assess your practice's financial health as 2025 begins to wrap up (and what to start thinking about for 2026). They touch on… Reviewing those P&Ls monthly Aligning spending habits Keeping emotions in check And more! Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review The Dental A Team (00:01) Hello, Dental A Team listeners. I am so excited to be here with you today. I truly love this portion of what we get to do in our worlds and getting to get you so much valuable information out to the masses is something that Dental A Team has worked and strived just so hard to achieve in our.   consulting world of just getting you all this information and I have with me today one of my faves. I seriously, I have the most amazing consulting team and if you guys haven't heard from all of them yet, you soon will and if you don't know them personally yet, they're not your consultants. I hope that you get to meet every single one of us even if you're just coming to the events, however it is, but I...   have a personal favorite here for recording podcasts with. She calms me, she just keeps the energy light and fresh and I love any time that we get together. Kristy, thank you so much for being here today. How are you doing? The weather is like weird today. I always tell everybody about the Arizona weather and it's so much fun to have everybody here in the same place. We all live in Arizona in the Phoenix area. Jane is down in the Tucson area, but.   We really love it. And Kristy, how's your world over there? You're just in the beautiful little pocket of Phoenix. And how is it?   DAT Kristy (01:23) Yeah, it's awesome. I love that you say that because we do pride ourselves on the weather here, right? But even with that, this weekend we got a lot of rain, what they say the most in like seven years. Yet all of us, even as close as we are, we experience it so different, right? Like some places flooded. I didn't get flooding, thank goodness, but it downpoured. It was fun and it's made it for cool mornings. So we're taking it.   The Dental A Team (01:42) Yeah.   I agree. I agree that humidity is hitting us hard. So we're not super used to that, but it is making for some, some really beautiful mornings. totally agree. And yes, Britt and I were actually in Reno at our quarterly in-person traction event where we have a, implementer who comes in and leads it for us. And he helps us to build out the company structure and,   teaches and trains us on how to run large meetings like that. So it's always super cool. But we were up in Reno with Britt and or with Kiera Shelbi and Britt and I actually got stuck. Jenna got out. She got back to Denver, which is crazy because Denver always shuts down. And so she got back to Denver. But ⁓ we got stuck until Saturday because the airport was shut down. And then there was a storm in Vegas because we thought, OK, well, we'll fly to Vegas because it's only a five and a half hour drive from there and we'll still get home. And then ⁓   that flight got canceled too. So it was wild. was meant to be, got more time in Reno and got to spend a little bit more time with Kiera. So that was great, but it was kind of crazy. It's not usually Phoenix that disrupts the flight patterns. And it was a hundred percent Phoenix. There were so many flights canceled because so many planes were stuck here and other planes couldn't get in. So it was wild, Kristy. It was wild to watch it from afar. We just got like TikTok notifications and you know, news articles are like, my gosh, all the Waymo's stuck in the puddles and things like that. So.   DAT Kristy (03:15) Yeah,   they just stopped in the middle of the road like what the heck.   The Dental A Team (03:18) Yeah,   that's why whenever somebody says, you use the way most? I'm like, heck no, I have seen them stuck in the middle of intersections far too many times. I'm sure one day it's going to be fantastic, but I haven't built that trust muscle just yet.   DAT Kristy (03:30) Yeah, agree. Well, I'm glad you made it home safe. And ⁓ yeah, the humidity is odd for us too.   The Dental A Team (03:34) Thank you.   Yeah,   yeah, it totally is. And my son was like, Oh, you go to the East Coast enough, Mom, you're fine. Stop complaining. And I was like, Yeah, that's fair. That's fair. But but in the spirit of planning, we we truly had an amazing time really just one getting the time together as a leadership team and then to really looking and projecting like where are we at? What's Q4 going to look like? And then also kind of prepping and planning for 2026. So super relevant in this conversation here.   today and really looking at ⁓ practice health from a financial standpoint. And this is something that your CPAs and your financial advisors and all of those professionals should be looking at with you as well. This is the time of the year that we're really looking at what is this last year? Because we get to Q4 and it's like, well, it's kind of like the end of your senior year, right? You get to the end of your senior year of high school or college and you're like, well, everything's kind of basically submitted. So from here,   It's really just like, let's do our best and make sure that we really cross that finish line strong, but there's not a ton of pivots to be made to really change the game. So kind of prepping and planning. And I think looking ahead at 2026, putting in some really solid ways of checking in on that financial health, something that I've seen that, Kristy, I know you do this as well, but something I've seen a lot of clients really ramp up is a monthly pulse and even like,   weekly sometimes pulse on what the financials of a practice actually look like has really been beneficial in helping them to really reach those goals. And Kristy, you are really fantastic at figuring those financial goals out and then like backtracking them to see, okay, well, what do we need to do to get there? And how do you help practices really keep that financial pulse top of mind and that   running that way so that they're constantly looking at those numbers without feeling overwhelmed and also without losing sight of it. Because you know sometimes you do something too often, you start glazing over it. What's that fine balance that some some tactical tips that you have that you and your practices are working on right now?   DAT Kristy (05:52) Yeah, well, first and foremost, I believe that you have to be getting your P &Ls from your accountant monthly, right? We can't be waiting. I have seen some clients where they're begging for them for three months ago, you know, and it makes it really hard to stay on top of it if we're not getting them monthly. So first and foremost, make sure you're getting them from them monthly so that we can take a look at them and evaluate. And I like what you said, Tiff. ⁓   you can be, you can go over the top. It's a fine line, right? So I love looking at them every month and I'm not going to freak out if something's out of whack one month, but certainly let's look at the quarter, right? And make sure that those metrics are in alignment for the quarter. And to your point, I always like to speak in terms of like, we're going to crawl before we walk and we're going to walk before we run. Like,   In the crawling stage, let's just make sure where's your overhead, right? What percentage are we at there and what is our profit or EBITDA, so to speak, right? Where are we ranging there? That would be my first little steps to take and start looking at it.   The Dental A Team (07:10) Yeah, yeah, I totally agree. And I think what time of the month do you usually push for those PNLs to be received? I have my judgments, but what are yours?   DAT Kristy (07:21) like to say by the 15th. I'll give you a little grace and give you by the 20th, but the 15th is my ideal target.   The Dental A Team (07:28) Yeah, yeah. I think I'm a little stricter. If I don't have those CPAs reaching out to us by like the eighth to the 10th, I'm like, my gosh, how are we supposed to work with this? There's a lot of, and I ask that because there's a lot of clients out there that are getting them like the first week of the next, next month. And so maybe December, we're finally looking at October.   DAT Kristy (07:35) Thank   The Dental A Team (07:53) And that is like, gosh, such a lag that we've got these questions floating around of like, where's my cashflow TIF and how do I fix this, Kristy? And it's like, I don't know, because I don't have eyes on what's happening. The P &Ls should be much quicker and much cleaner than that. And realistically, it's just it's the bookkeeper going in and allocating the certain expenses to the category that they should be in. So it's time consuming.   but it shouldn't be too crazy. And if yours is too crazy, then we probably need to look at your spending. Do we need to dial back the number of orders that you're placing every month? Do we need to make sure that things are a little bit more simple on that side, that it can be done quicker? Because we wanna be able to make real-time adjustments as quickly as we can. If we're on a two-month lag.   then we're adjusting for two months ago, it could look totally different. And then next month we get two months ago and it's like, it was totally different. We didn't need to change it. And so we're just constantly spinning our wheels in that way if we're not getting the data fast enough. And that is, in my opinion, one of the easiest ways to ensure that you're financially healthy is really just ensuring, like you said, Kristy, that on an overtime basis, things are consistent and they're clear, that they make sense.   DAT Kristy (09:08) 100%. I like that you said push to the 10th, because obviously if, you know, in the walk or crawling stage, we're just learning, right? We have a little bit of buffer, but as we get to the top of our game, it should be more. And if everything is electronically done, it really is in there already. It's just a matter of organizing it, right?   The Dental A Team (09:30) Yeah, and I like to give myself the grace because I know or give them the grace. I typically know if we ask for it by the 10th, we're getting it by the 15th to the 20th. If I give them that leeway, they'll take it. And we know that's just how it works in that world. That's fine. We work with what we've got and figure it out. And I think it's a massive place to start, Kristy, is those P &Ls. And I think the P &Ls really outline   DAT Kristy (09:39) Thank   The Dental A Team (09:56) the financial health in so many different areas because it gives us insight to what is actually happening. Having those categories split out, we've talked about that a ton, we've done a ton of webinars on it and if you need help with that, reach out. We've got really simple sheets and documents that you can even send over to your bookkeepers and your CPAs that kind of outlines what we like it to look like so that it's simple to review.   But being able to see those over time is huge. I know I have a client that like one month was 48 % overhead and that's before Dr. Pay, that's before loans, right? And it's like, holy cow, we killed it. But then it's like, okay, but hold on, because the next month was 64%. So taking an average there because likely something got shifted, payments got posted, or I don't know, I've had some clients that's like, my gosh, I forgot to pay Henry Schein for two months. So then it's like that third month had this massive Henry Schein payment.   but over the quarter, it wasn't that bad. So making sure that we're looking at it month by month and over the quarter is huge. ⁓ Something that we've done, that we've ramped up ourselves and that we do ramp up with a lot of clients is really looking at our bank accounts constantly. And I know that Kiera and our financial team, they look at our bank accounts weekly on a weekly basis to make sure that everything makes sense, that things are.   where they're supposed to be that, you know, that we're not getting charged for things we shouldn't have been, et cetera, but then also that we're staying in alignment with the budget that we had set. And those budgets come from those P &Ls and those total numbers. Kristy, something I've realized recently in the recent years is while I was in practice, I would build our budgets for our spending. like our...   you know, five to 8 % for supplies or what have you or ortho budget, things like that. I would build it based off of our collections, air quotes on that word, and it would be our collections from Dendrix. I'd pull the collections for the last month. I'd build that budget based on the collections. And then Doc would be like, where's all the money? Like, well, I don't know, it should be there. But there's such caveats to what's been posted in Dendrix or your operating software.   compared to what's actually in QuickBooks, I found that I was running this like ragged race of trying to play catch up all the time with like even just the percentages for credit card fees and third party financing being taken out of our payments, just those simple tweaks make a massive difference. So building those budgets, Kristy, off of our actual P &L numbers, our actual QuickBooks collections has...   made a massive difference, I know, for a lot of my clients. How do you see that working for clients? And also, how do you see that working with a leadership team that maybe doesn't have access to or not looking at those P &Ls together? How do you suggest for financial stability and health in the practice, they really get that information down to the people that need it?   DAT Kristy (13:08) Yeah, absolutely. One of the things, ⁓ well, there's a couple things. We at Dental A Team keep scorecards for our clients and it could be as simple as adding that line in there and having the doctor put that dollar amount and having the budget calculate right there. Everybody can see it. They know what to spend. The other thing to that point Tiff is,   You know, a lot of times we look at the practice management, we see our collections, but how many times do we reconcile it with our QuickBooks? Like, really look at that and see. And obviously, just like you said, it could be a matter of when something was posted or when it came in, right, to the bank account. But I think that's an area that sometimes is overlooked. You know, there can be variance in there, obviously, for when things post, but...   what is that variance and how consistent are we having that variance? again, depending on which method you're using, if you're using the collections from your PMS or the collections that are posted in the P &L, we better be clear what that difference is and ⁓ account for it for sure. Right.   The Dental A Team (14:25) Totally agree.   And you actually reminded me just last week, I was in an office and I was like, what is happening here? I was going through their P and L and I'm like, okay, we've got, we've had some changes in the office. We've got some places that it was decreasing. Some places we spent more, some places we actively spent more on purpose. Like, but things just weren't adding up with what was coming through from the software. And I realized after an hour and a half of digging, I'm like, why is...   I put a line items, I updated the scorecard and I put a line item for like QuickBooks collections and then the PMS collections. And in comparison, I had it subtract and like tell me the difference in numbers. And there were months that were coming up $30,000 different that it looked like we collected $30,000 more in their software than what QuickBooks was showing us. Luckily, I know this office manager very well personally, like familiarly.   And I'm like, I know there's no conclusion to jump to here. Like something is not reporting correctly. And what I realized is they specifically use Dentrix. Dentrix will allocate any positive write-off or adjustment. if there's an adjustment that's adding money, it'll allocate it to production. If there's an adjustment that's removing money, it automatically adds it to collections.   So when you pull up the adjustment space in Dentrix, it'll show all positive production, all negative collections. So it was showing drastic differences. And so I was like, gosh, I totally forgot about this space in Dentrix that it does this. It's just, I call them the Dentrix-isms. It's just a Dentrix thing. It's very frustrating, but it just is what it is. So when I went through, I reallocated where the write-offs should be coming from. Now, caveat, messes up.   production collections for forever because it's now correcting it. So what you thought you had done, you didn't, and it fixes it. So the new numbers are more accurate, but you're going to be frustrated because it's different. But what it did when I did that and re-put in the collections numbers is that it brought that $30,000 difference down to a more manageable $1,200 to $3,000 difference, which is what we tend to see with the   care credit fees and all those different credit card processing fees, we typically see, I say like 5,000 or less, I'm not going to freak out about too much as long as it's inconsistent. I don't want to see consistency. I want to see really low numbers. And then again, sometimes some of that money is going to be pushed over to the next month. So quarterly, it made sense. Quarterly, it was beautiful. Month by month, it was a little wonky, but just making that   change because we were checking the financial health of the practice because things didn't feel like they were making sense. So we, the office manager and I pulled the full year's PNL and we did line item by line item comparison 2024 to 2025 percentage change on each space, went through and figured out where the spending was, went through and line itemed everything and then added it like you said to the scorecard to see those differences, massive.   massive improvements where the docs were feeling like cashflow was like, ⁓ we were freaking out. And it was like, well, these are the areas where you intentionally spent money and were actually only a 16 % difference overall year to year. And they were like, ⁓ so we didn't increase enough, but their spending was purposeful for taxes. We just didn't look that way yet on paper.   Regarding financial health of the practice, that was exactly what we did, but adding it, like you said, to the scorecard and looking at, I think the scorecard's just really cool because it allows you to see over time. Whereas a new sheet is I'm only dealing with today. So I'm only looking at today. I might look at it and say, oh my gosh, my employee percentage was 42%. That's real life, I've seen that in an office. It was 42 % this month, and you're like, cut hours. But over the quarter, it was,   30 % or 31%. We had a spike because we had a collections dip or whatever. So I think adding it where you're seeing that kind of comparison allows you to see what is the trend here or is this an abnormality? Does this level itself out? Am I on track for over time or do I need to jump and hot fire? And Kristy with that said, like, you think, as I'm saying that I'm thinking,   Is that a space where we could even tame our emotions around finances? Because we're seeing so much data in a bigger spectrum where we can see trends, uptrends or downtrends, rather than this like, my gosh, payroll was so high, I've got to tackle that. It's allowing us to see a broader picture. Do you think that helps reduce some of the emotional, like just quick fixes?   DAT Kristy (19:34) Absolutely. And we don't want to react, right? Many times we go to that mindset of cut, cut, cut. you, and you know, one of the things that I learned a long time ago is you can't focus on the opposite. So if we're focused on cutting, then we're not focused on producing, right? And so yeah, you're 100 % right, Tiff. I think it does calm the reactionary, right? It's good to know, notice, but then look at the bigger picture.   The Dental A Team (19:48) Yeah.   Mmm.   Yeah, gorgeous. As I was talking like, my gosh, Kristy, that's why you do so well with coaching in my opinion, because you are very, very good at being data and results driven, acknowledging the emotional aspect and not discrediting that by any means, but being able to focus back to what the drivers are and then being able to acknowledge and address any emotions that are still present. But you do well removing that because   we're looking at data and data is non-emotional. You can come up with something and there's been so many times where I could think of so many offhand where I've data-drivenly discussed something with a client and they're like, ⁓ and the emotion kind of disintegrates, it dissipates because it was attached to what they thought to be true. And when they saw the reality, there was no need for that emotion anymore.   DAT Kristy (20:59) Exactly. Well, and to be honest with you, it goes both ways, right? It's the same thing as if we're only looking at the practice numbers, sometimes they think they're doing very well or not doing well, either one. And then once we look at the overhead numbers, it's like, actually, you're here, you know? So ⁓ it goes hand in hand both ways. I always like to say, you know, if I had a pizza business and I was going to sell pizzas,   The Dental A Team (21:18) Yeah. Yeah.   I love that.   DAT Kristy (21:29) I need to break it down and figure out what it cost me to make the pizza, then I can go sell the pizza. But so many times we don't do that and we just put it out in front of us, right? And then on the back end of it, we do have to measure how many pizzas did we sell and how much did we actually spend. Sometimes we forget to go back and look at the cost too.   The Dental A Team (21:34) Yup.   Yeah, wow, that's a very good point. Very good point, which is where the P &Ls come in handy and the line items. And I think the P &Ls will group it and lump it into categories, but every now and again, maybe like once a quarter or so, really looking at what are they putting in those categories so that one, you're making sure they're still super accurate from the bookkeeper and two, that you're not like Amazon spending. There was a couple clients that I saw.   DAT Kristy (21:56) Mm-hmm.   The Dental A Team (22:19) I'm like, what is going on? Why is this category so jumpy? One month it's massive, another month it's not, and they get lumped into office supplies and front office supplies, and all of a sudden it's $3,000 when realistically budgeting-wise it should be $1,200. I'm like, what is in here? And they're like, Amazon goes in there. Every time we want something or Doc says something, we just press the order. And I was like, ⁓   Got it, we need some systems around Amazon or Walmart. I've seen like, I just run to Walmart and I grab what we need every week. And I'm like, my gosh, there's weekly ordering will hurt you every single time. Any kind of weekly ordering. If you can't budget the ordering in a monthly fashion or maybe twice a month, I'll give leniency on twice a month, then we need to talk. Cause that weekly ordering will hurt you every single time.   I think this is all really good, Kristy. I love this. I love this. And I go ahead.   DAT Kristy (23:16) Yeah. I was   to say, I agree with you. mean, we can liken it to our own space if we go to the grocery store with a list or without a list. What is our end result when we pay? You know, so I'm with you. I'm with you. I'm like for dental supplies, we can go to twice a month, but have it fixed and then make sure you're staying within the confines of the budget.   The Dental A Team (23:27) Yeah.   Yes, yeah, that's actually brilliant. Yeah.   Yeah, I agree. And I think that was that was a super great thought process there. Because if you're not planning even your dinners, right, I'll plan my dinners for the week. So then I know what ingredients I need and what ingredients if I know what ingredients I need for specific dinners, I know what I can reuse as well. Otherwise, I'm going to the grocery store just kind of getting random things that I think I can make into something. And I'm ending up at the grocery store a couple times a week to replenish or, you know, supply those missing pieces.   And so if you know what your schedule is, if you know on average how many crowns you're doing, how many fillings you're doing, how many implants you're doing, you can have an average guesstimate of how much of each supply you need to keep on hand, which is then going into your budget for your ordering. So that was beautiful. Yeah, good job. All right, guys, financial health is massive. And it's something that I think all of us, Kristy,   Trish, Monica, Dana, myself, we all just work really, really hard to ensure that it's top of mind for all of our clients. But if you're here listening and you're not yet a client of ours and you're a Dental A Team podcast listener for life, we love you and we wanna make sure you have this information too. please, by all means, somewhere around the 10th of the month, because we know it's probably gonna go longer, make sure you've got those panels in there. Talk to your bookkeeper. If you are the bookkeeper, I have a couple clients like that.   Put it your calendar, you guys. If you are your own bookkeeper, that's fine. I'm not gonna judge you. I think it is a task that you can easily pay for, but I'm not here for that. If you are your bookkeeper, put it in your calendar and you should have that sucker done by like the fifth or the eighth of the month because everything should be closed out. Review your PNLs monthly and quarterly and yearly. Review your spending habits constantly. I have a lot of practices that'll look weekly.   I have a lot of practices that'll look monthly, whichever works best for you. Just make sure you're reviewing those spending habits and then budget for your team. So your supplies ordering, your front office, those are the easiest places to budget. Make sure that you've got an ortho budget added in there. If you have ortho fees and ortho costs that are outside of like Invisalign, things like that. I have a lot of practices that do bracket style ortho and they need a lot of supplies that has to be separated out.   Those are your pieces, you guys. Those are the easiest ways that you can tackle real life, real life, in time, financial health. And we want you to go do that. Kristy, thank you so much for your insight. You truly do so well with your clients and we get to see their progress constantly and those needles are always moving. And I know that it's because you can take that black and white results driven perspective. So thank you for everything you do for your clients and everything that you bring to Dental A Team every day.   DAT Kristy (26:33) Thank you, it's fun.   The Dental A Team (26:35) I know,   I know, I love watching you do it. You really do love it. And it makes me really happy. All right, guys, that's a wrap for today. Go leave us a five star review. Let us know what was super helpful. Maybe there's some tips and tricks you've got that you can share with the world. I'm telling you, people really do go read those. So if you have things in there, they will see them. You can drop us an email, Hello@TheDentalATeam.com. We'll be happy to get you over any documents that might help. We do have some.   budgeting information, we do have some overhead spreadsheets, things like that. If you need help with that, just reach out and we'll catch you next time on the Dental A Team podcast. Thanks guys!

A practice built with character is a practice made up of loyalty, positive culture, and long-term growth. Kiera provides listeners with a list of questions to ask that will set the tone for showing up as the best, truest version. She then gives specific takeaways to meet that ideal culture and stay consistent. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:01) Hello, Dental A Team listeners, this is Kiera. And today, I hope you're having an amazing day. I hope you're having fun. I hope you remember that dentistry is honestly the greatest profession we could ever get to be a part of. So I hope you're just so excited. I hope you're loving your life. I hope you're happy. I hope that if you're not, that you're committing to make a change in the next week so that way you can be happy. My husband showed me this reel the other day that said, it was from like, I don't know, a Buddhist monk, I think. And he said that yesterday is dead.   Today is all we have and tomorrow is not born yet. And so don't wait for the happy life. You want the happy day. And I've thought about this so much because I think so many of us wait for happiness. We wait and we think, once I get this or once I do that or when I have the team or when my practice doesn't have this, then I'll be happy. Then I won't be stressed. And it's like, no, it's actually on the day. It's today. It's the decisions I'm making today. It's the pieces that I'm doing today and finding that happy.   And they said when you can have a happy day is when you have the happy life. I think when you can have the less like the more stress free day more consistently, it's when you have the more stress free life consistently. And so with that, just reminding you that it's okay. You don't have to do this alone. And I'm here for you and our team's here for you. And dentistry really is one of the greatest professions you could ever be a part of. So welcome. I hope that if you're new to the podcast, welcome. I'm Kiera. I love dentistry. I love helping people. love life.   And I love helping people get the life that they always dreamed of and making that a reality. Today, I wanna talk about ⁓ character. My dad and I were talking and my dad said, in the word character, there's the word act. And I had never picked up that the word character has act. ⁓ And I wanna talk about some leadership pieces today and culture pieces for your practice on building a practice with character and how people act. And...   I think character is something that you hire, yes, of like how people are naturally and who they are naturally, but also I think it's something that you do lead. ⁓ when we look at this, like when you have a practice of character of how people are acting, it does create loyalty, it does create culture, and it does create long-term growth. And so for everybody just going through that, ⁓ looking at that and seeing what is your character possibly? What is the character of your practice possibly?   And what things can we do to evolve your character to make it be a place of things that you want, of the loyalty, the culture, the long-term team. ⁓ And when I look at really awesome practices, the way people act and the character that that practice has is truly something embedded deep into the roots of that practice. going through that, ⁓ Dental A Team's goal is to help offices build to scale, to have the life that they want, ⁓ but to do it in a way that's meaningful.   that it's fulfilling, that it has purpose for you. And so ⁓ this is truly trying to help build a culture for team members to stay, for patients to be raving and for leaders to truly be proud of the practice that they built. So character with this act, like step one, if you want, like we'll just kind of go into this whole process is like how you act when it's hard. ⁓ And I think when I look at teams,   Culture is something that's like not built during easy times, it's revealed during the hard ones. When our production's not hit, when the cash flow's not there, when like all the things are pushing upon you, how do you act? Do you respond with conflict with consistency, clarity and compassion? Do you admit mistakes as a leader? Do you prioritize long-term trust over short-term comfort? Like how is your character in those hard times? And for you as a doctor, and there's the book, Extreme Ownership by Jacque Willings, and I think about this so much of   Like, okay, what is my culture of my company? But what is the culture of me? Because my team ultimately is a reflection of me and how do I act? In high school, I was nominated as most poised and I thought that was such a weird phrase for me to get like most poised. But I actually think about that a lot and like when things are hard, do I lose my temper? Do I yell? Do I shout? How do I act? For me, I almost think like I have the tiger like queen strength. Like what if I was the queen of this   I don't know, like kingdom, my business. Who do I need to show up as? And that character, like really looking to see how do you act. And it's crazy because when you look at a team and you want a team to be a certain way, you got to look at the leaders and how are they showing up? How are they acting? And when my dad talked about this character, it's all about how you act. It's how you act in the hard times, how you act in the good times, how you act when no one's watching. It's how you act when people are watching. And what is your ultimate character in your practice? And so, ⁓   When doctors start to have consistency, clarity, and compassion, when you say like, kind is clear, ⁓ when you're more clear, when you admit mistakes and you have humility, but in addition to that, you also are focusing on making sure that I don't just admit the mistake, but I find the solution to the mistake so it doesn't happen again. ⁓ When we're doing long-term, we have uncomfortable conversations and we're building trust over short-term solutions. Like I'm not just saying things.   And who I was at a leader at the beginning of the NLA team compared to who I am today, she's a much more mature grownup version of herself. ⁓ And it came through a lot of these hard conversations. It came through a lot of these hard awarenesses. It came from asking people, but also asking myself, did I show up as the person that I want to be and the leader that my team needs me to be? And if not, what do I need to do to change that? And so   Thinking about that, that's the culture you're building. And as much as I don't want to be like a rip on leaders, leaders are the mold. Like how you, what you do and don't do is a subconscious theme that runs through your practice. And so I think when people feel like they have no hope and they have no way of changing things and there, there is no solution. The answer is like, there actually is a solution. There actually is a process and a path out. It just sometimes is starting with you.   and not sometimes starting with you, it's always starting with you. And so if you can focus on building that and the culture you're building constantly, that's going to help and that's gonna lead into the next phase and that's gonna be through core values. And core values, I used to think were so laissez-faire. I was like, yeah, yeah, yeah, core values. But ⁓ really it's hard to hire the character you want. It's hard to continue to create it if you don't even know.   what it looks like in your practice. so core values kind of give this like framework. call them like, to me, they're like a cookie cutter is how I envision it. Like here's the cookie cutter, not like that we're a cookie cutter practice, but it's the shape. So a cookie cutter shapes the dough into what they want it to be. And core value shape the practice into what we want it to be and helps us have this, I would say filter of who we're hiring for. And so it's, what are the three to five core values that define your team and how you work? Now owners,   Go back to when you first started your practice and what were the three core things that really made your practice what you want it to be? For me, it was always do the right thing, fun and ease. Like from day one, those were the pieces. Those are our core. And if you look at it, it's do the right thing for the company and the practice. We like to have a ton of fun when we're doing it. I I love sprinkles. I love to the sparkles. I love to add the glitter. I love to add the fun. I love to surprise and delight. And then it's to do everything with ease. How can I make this easier for a practice? I don't want things to be hard for an office.   But like that's truly the core of when I started a Dental A team. Now we've evolved into who we want people to be on our team. We have other people, pieces of ownership. We have pieces of passion for excellence and results focused. We have pieces of grit. And so there's other core values that have come and there's core and then there's aspirational. ⁓ But I want to make sure that the people we're hiring and filtering through have that character in them already. I don't want to try to develop that in them. I want to expand it once they're a part of our company.   but I don't want to try and convince somebody to have grit. Like grit's a core portion of you. So what that does is once we figure out what our core of our company is, then we have those in our hiring, we have those in our reviews, we have those in our meetings and decision-making. I can't tell you how many times I've gone to the core values when I've been looking at team members and I look to see rating this person on our core values, how do they fit? And a lot of times the people that are not elevating our team are the ones who usually are getting lower scores on the core values.   And it becomes very crystal clear for me. And so what we do is we hire. So when you're having this, you hire based on core values. You filter your company right now based on your core values. And again, this is the code of conduct of how we act. This is the character, the culture that I want to have in my practice. And when you start to bring people in like this, when I start to have people who naturally do the right thing, naturally look for ease, naturally have passion for excellence and results focus, naturally have grit, and they've got life experiences to teach me about that.   They fit into our company. And when I started to really like, I'm not talking service level, but dig into this and to have the character and the culture and the company, this is when team alignment flourishes. You get reviews, things feel easy. Like there's this mystical flow of businesses that I always thought was so impossible to get. And I found out that actually it's real. And so when you have it, you start to build this culture.   And so what I say for you is write down your values. do assess ours. get our core values get assessed every single quarter. We define them. We have them there. The team works on them every single Wednesday. We have core value shout out every single Wednesday in the company. We have them on their monthly one-on-ones. We have them in their reviews and we review them every quarter to make sure these truly are the guiding core values of our company. I have changed them multiple times throughout ownership ⁓ because it's about the character and the culture of how we act.   And then this is something that goes up on the wall. So for you guys in your offices, have your core values everywhere. We review them every single quarter. The team knows them, but they're part of the core of who you are and what you guys act and believe in. And the number three is like having a culture of accountability and grace. so that's balancing. Like I found leadership as a balance of high expectations and genuine care. And I actually think Britt on our team does such a great job of this, of like, these are the expectations. These are the standards. This is our culture.   but there's also like a care of you as a human and being fair to you and ⁓ having that. it's like, and Britt is so good at clear expectations and follow through consistently where we don't just say this is how we act and this is what we do. And then that's kind of like tossed in the back corner and how we truly act, that's your true character. So it's one of those things like we don't want our core values and our company to be aspirational. We want it to be accurate. And so,   Use feedback as a tool and not punishment. I used to be really, really bad at this. This is a zone that is like a huge growth for me of giving honest feedback. And I remember I had a team member tell me once like, Kiera, you don't always have to tell me I'm doing a great job. If I'm not doing a great job, I want you to tell me and give me that feedback so I can get better. so it's having a culture of how we act, if we give feedback and we have honest feedback, we don't shy away from those uncomfortable conversations, but we do them with grace and true, genuine care.   And then I think about my husband in their hospital and they have a culture where it's a no fault culture. And what they want is they want people to bring their mistakes to the table with the solutions. That way they can continually fix and improve the culture there and improve the protocols. And working in a hospital, think that's so important because at the end of the day, we don't want patients to die. And so if people do make mistakes, which are going to happen, they're celebrating those. They're celebrating the wins and they're...   just as often as we're correcting and fixing mistakes. But we're doing it in a way where that's our culture. So it's these high expectations with this genuine care. And when I found that leaders actually have these feedback loops, when they give them on their one-on-ones, when they tell them true feedback or there's true ownership within an organization, your morale improves, the passive aggressive nature diminishes, ⁓ people feel less egg shelly. There's a culture of trust. There's a...   There's a culture of ⁓ being around people that you enjoy being around because you're not scared of what are people saying about you. But when this doesn't happen, people walk on eggshells and it's artificial harmony. And I think artificial harmony is one of the best ways to describe it. And so looking at your practice to see, do we have feedback? Do we have artificial harmony? ⁓ And don't lie to yourself. Don't make it worse than it is and don't make it better than it is, but make it realistic up to what it is.   because this is something where if we don't have feedback and we're not having one-on-ones and we're not able to have like open to where I'm giving feedback on a consistent basis rather than just when you're in trouble or when you've done something wrong, I'm doing it when you're doing something right, I'm doing it when we're doing something wrong, all of that's gonna be super important for us. And so looking at that to see where is the true character and culture of my company. And so when I look at this, it's like characters in hard times, core values are part of the core.   and then we have accountability with grace. Like that's the formula. Like who are we, what's our culture, what's our character, what are our core values? And then how do we have accountability with grace and love? And I think when practices really take this on, you're able, and like owners especially, that's gonna trickle down to the rest of your team. It's gonna trickle down to every other person in your practice. So for this, this is how you build a legacy practice. This is how you build.   a culture that can withstand the growth and the bumps and the hard times and the great times. It's the one where you know these people are gonna be with you for a long time. And so this is where it starts with character, not just KPIs. Like both are important, but having a practice of character of how we act and really thinking of how do we really act on the hard times, on the good times, on the bad times, on the rocky times? What are our core values? And then what's our accountability and check-in and feedback? When you get those pieces in play,   It's magic. It's incredible. And it's not overnight. These things don't happen overnight, but they are incredible for you. So I would just say like, this is leadership. This is leadership 101 for you. This is how you build it. And hopefully just giving you another perspective and some ideas of how you can improve the culture and the character of your practice with ease. If we can help in any way, we want to help you build a practice that stands out because of who you are, to where you get people coming to your practice because of the raving reviews in the community.   of the culture of the reputation and so building that for you and you might not be there today, but that's okay. We can get you there as long as you're willing to put in the work you're willing to change and you're willing to evolve. And that's something I'm obsessed with. So let us help you reach out and ⁓ you can reach out at Hello@TheDentalATeam.com. can go to our website, click on a book, a call, let's talk about it. It's okay. It's a no judgment zone. It's just there with true love, with true solutions to help you.   This is what we're obsessed with. This is what we do. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.

Office autopsy time! Kiera and Dana review a "practice" that went from broke to success in a handful of months, and how tracking their numbers saved them. Every single office will go through a cash flow crunch at least once, so it's important to understand the right flotation devices to utilize. This could mean pulling overhead apart, identifying production and collections percentages, analyzing fixed costs, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera and today is a special day. I have the one and only Dana Morsell on the podcast today. And prior to this, asked her, she's gone through a few nicknames and Dana, believe it or not, I was actually thinking about this last night. No joke. I was thinking like, there's Spiffy Tiffy and there's no BS Britt. And I was like, Dana, you've been with me for a long time. Like, why have I not gotten like a good nickname for you? And like, Britty Gritty. And I was like, okay, I just like throw wise on the end of these names like Tiffy, that is their TT DM does not sound quite right. Like that's like DMing on Instagram. And so I thought like, it's just Dainey. And now you told me I to do it with a Southern draw. So it's going to be like Dainey on the far. So well. Dana (00:44) Yep, it has to have it. I feel like it reminds me so much of my dad and like it just has to have that. Kiera Dent (00:51) Well, it's my dad. grew up on a dairy farm for all the listeners. Don't worry. We have like a really good podcast today. It's an office autopsy that Dana has taken these three incredible practices, like one owner, like they went from just stress and chaos and burnout to complete an absolute just like freedom, which and Dana has done it so quickly. So we're going to get there. I'm just going to tell you about this dairy farm real fast. ⁓ my dad grew up on a dairy farm and he used to say his mom would always like, Ricky, like that's how he would call him. imagine myself on this like beautiful estate and like sweeping my porch and having this like big white porch out there. And I'm like, Dainey! So that's how I envisioned this so, you know, that's that's the vision over here So whether you like it or not, otherwise we can go back to donuts with Dana. What do you prefer? Dana (01:38) ⁓ I actually love you standing on your white porch shouting that, so we'll take it. Kiera Dent (01:41) I think it just fits and if you haven't heard other podcasts, if you haven't been with us as long, Dana has the most random stories like running her bicycle into a deer. She has so many animals. She's got kids like Dana will always come to the table with the most random stories and she whoops everybody on trivia. We play games in our company and it's always like team trivia. Dana will whoop them. So, you know, here we go Dana. Welcome to the podcast. How are you over there Dana? Special Dana? Dana (02:09) doing pretty good. Yeah, doing pretty good. think all of my wild stories and my trivia comes from like, I don't know, I just have this like weird memory thing where I can like memorize things very quickly. Even like applying for a car loan, they're always shocked that I know all of my account numbers, all of my balances down to the penny, like just off the top of my head. And so I think that that's kind of where some of that comes from. Kiera Dent (02:28) No. I didn't even know that about you. So that's also a really interesting thing to note. All right, so Dana will remember, mean, is this okay? Is it something where you can remember numbers like past past? Or is it like your banking out is just current right now, but you couldn't remember like a month ago. Dana (02:47) No, so it is past-past, but it's because I don't know, my brain does this weird, like I make a riddle out of everything and I'm constantly like, okay, well, if I run and remember something, like if it's, you know, two, three, six, I'm like, well, two times three is six. And like, I just, I don't know, create like weird connections, especially with numbers in my brain and like riddle it so that I remember it. Kiera Dent (03:07) Fascinating. Fascinating. Okay. Well, there's another random fact about Dana. So Dana is one of my absolute fave humans in the entire world. Dana, truly, I say that on the podcast and I genuinely mean it. And we have talked about it on show, off show. Dana is just a super incredible human and offices who get to work with her are so lucky. So we thought it'd be fun. Office autopsy time. If you're new to the podcast, this is where we kind of go behind the scenes. ⁓ We mash up a few practices. just so you know, you'll never really fully know exactly who it is just to keep a client patient confidentiality. But we want to highlight of things that we do in real life, because I think consulting can be kind of hard. Like what do you actually do and what are the results you actually get? And so Dana just had some really solid wins with some practices. And I thought, Dana, let's get on the podcast and do our office autopsy, where we lift up the hood and we look behind the scenes. And what were some of the things you as a consultant did for this practice? What are some of the wins and gains that they've had? ⁓ that I think will just be fun. So Dana, let's take it away. ⁓ kind of like, where did this practice start? What have we implemented and where are they now? Maybe even tell them like where they started, where they got to. And then we'll talk about the how, because that's really fun. I don't like to wait for the like end result. I want to know quickly like, okay, they were like dying, drowning, broke, and then they got like hundreds of dollars and they got it in like a month. How did they do it? So take us away. Where were they? Where did they get to? And then let's go into the house. Dana (04:30) Yeah, and I think that this practice is just a really cool example of like the importance of knowing your numbers, especially when you have multiple practices and knowing what each practice is bringing to the table and having really clear separated numbers for those things. And so it was just really fun and I think a cool way to highlight how when you know those things, then you can fix systems that are broken or aren't working to see massive progress. So when this office came, they were at a negative profit. ⁓ each month and Kiera Dent (05:03) We're talking like they're losing money, losing sleep, stressed out of their minds. Dana (05:04) Yeah, yes. So stressed, they're pulling personal, you know, they're pulling boatloads of personal cash every month to cover expenses to keep these practices open. ⁓ You know, doctor is going from office to office. And it's truly, truly really stressful time and they don't really know where the leaks are coming from. And they can't put their finger on what's going on that's causing it. And yeah, stressed out to the max and just really, really wanting help and wanting to kind of pinpoint and give them a clear picture of why they are so stressed and why these practices that feel as if they're booming or are starting to get busy aren't profitable at that point. Kiera Dent (05:35) This And I think this is so common for so many practices, which is why we were talking morning huddle. We share all of our client wins every single day. You guys, we have a morning huddle. It's very fun. We talk about team wins, client wins. And when Dana talked about this, I'm like, Dana, we're podcasting. Like, can you get on the podcast with me? I think this is such a big win because it, yes, it's, it's quote unquote one practice that we've kind of mashed a few of them, but this is like every single office. And so many of them don't realize what's going on with my profit numbers. They feel like it's booming. but they have no money left over and then they're stressed to the max and they're countless hours. And this isn't just a brand new practice. Like this is a business owner who'd been in business for a long time. Like it's almost that I should with air quotes know what I'm doing, but I just don't know where it is. And Dana, I'm so proud of you for saying like they need to know their numbers. We harp on this like crazy because when you actually can dig in, which I'm excited for you to kind of do like the grand reveal and then the how, but I mean, how many practices, Dana, this is, I hope people realize one, practices all go through this. So this is not just a siloed to one or two practices. This is every office at some point is going to go through cashflow crunches, stressed out, working all hours and not being able to pinpoint. And just because you're profitable today does not mean you're forever going to be profitable. It is something you have to constantly work at, constantly be vigilant on. And it's not just like, set it, forget it, we're on our way. And so I think for that, but also I think so many people because they don't know what to do. they spin their wills that creates this cycle of death in my opinion. Like you truly are spinning, you're burning the candle at all ends. I remember when I met, cause I'm, I talked to this office when they were joining our company and I'm like, my gosh, like I can't want this more than they want it. Like they have to make the decision to join us, but my gosh, I see your problem. see your pain and we have got to fix that like an ASAP and get CPR because the owner was just running frantic and it was impacting family life and financials. And to me, you worked so hard that you should not be living that life this far into business ownership, whatever stage you're in. So I'm ready for the grand reveal. I hope people just realize this is not siloed and it's not something that's permanent. And it's also once you become profitable, that's also not permanent too. No season is permanent, but we want profitability to be more permanent because you're vigilant on it. Dana (08:07) Yeah, yeah. And you know, after looking at things, developing systems really honing in on their numbers and kind of what they were telling us, we were able to get them to be on track to hit 16 % profit in August. So going from negative profit to actually having a decent amount of profit sitting there, and they're producing in one less office now too. So. Kiera Dent (08:30) Okay. So breaking this down, how many months are we talking? Is this like five months, 10 months, 12 months? How long of a timeline did we go for? Five months. Okay. Again, why I wanted Dana to come on because consulting is not an overnight diet pill. It's not something that we can just inject and say, here you go. Like you're on your way. It is something. And also I want you to realize that any person listening, getting to negative profit also did not usually happen overnight. Now buying a practice, you might be a little bit negative. So there is a space where that can be negative. but this was someone who was running multiple offices and Dana kudos in five months, you got them from negative cash. We're talking like broke. There's no money to a 16 % profit. So there is, and we're talking, we're in the multimillions. So you can just do some math that even on 1,000,000 10 % profit is a hundred grand. Okay. You add 16 % that's 160,000 of profit. Now you can do the math for your own practice of a 16 % profit. and that was done in five months. So can you just imagine this practice going from like, my gosh, I'm broke to having this much slush on the other hand, and you got one less practice. There was multiple practices. You got rid of a practice, which there's strategy behind. Do we keep it not? What do we do there? And this doctor I guarantee you is having way more time, less stress as well. So the numbers, the money is always what people want to hear. Every time I talk to people on like... sales calls, wondering about working with us. Like what's your ROI, Kiera? How are we going to like make sure we pay for this? And I'm like, well, the numbers will be there. But what I actually care more about is the life you're living. Yes, I'm going to always cover numbers. Like that's the result. People need to have that. But I think the piece that people don't realize and why you're usually reaching out is you're looking for life of no stress. You're looking for your problems to actually get resolved. And Dana, that gift in five months, like, and that's fast. That's a fast turn. Not all practices are this quick. so I'm really curious, what did you guys do? How did you get that turn? I'm really proud of you. That's why I wanted you on the podcast to highlight dynamite Dana. mean, this one feels a little bit more like Dainey on the white porch. get, but dynamite Dana, being able to get those results in five months. That's impressive. Like that is dynamite to be able to do. So walk us through what were some of the pieces of how did we do this? What did we do? Five months is not, it might feel long to people, but when in the grand scheme of things, that's not even half a year to go from net negative. to positive 16%. Dana (10:48) Yeah. And I think sometimes too, it just helps to translate. Like what that looks like is we really cut expenses, right? Some of the expenses and they on average are collecting about 35,000 more per month too. Kiera Dent (11:01) Nice. Dana (11:02) ⁓ So it really came down to first step was getting them to understand which of the offices were profitable if any of them and you know what each individual office looked like. So we basically did an office autopsy. We pulled apart overhead. We pulled apart fixed costs for every office. We pulled apart their percentages of production and collections over the last year and really created a very clear picture of how each practice was doing as well as then moving forward what numbers do we need to hit in each practice to hit various profit points. Kiera Dent (11:40) Awesome. So breaking this down, I think when people have multi-practices, this is a huge problem that offices do is they bundle it all together and they have no idea where the true cashflow week is. And what I found is in multi-practice ownership, usually it's one practice that is the bleeding child and all the rest of them are doing well, but you don't know that. And so I did this, I had multiple businesses, I had all lumped into one and I didn't know, you have no idea where to fix things, where to move levers. what needs to happen. And so what we do is we do this like buckshot approach where we try to do everything for all of them, but don't actually know when we can pinpoint. So we're working hard or not smarter on that. So I love that you broke it apart. So basically you got to have separate tax IDs for each practice. I know that seems annoying. It's also annoying to break it down for your insurance companies, but choose your heart. Would you rather know where you are profitable or where you're not? The answer is hard pass. Yes. Like we absolutely want that. And so from there, then you looked at how much it's costing each practice. And this is so fascinating to me and people are like, but Kiera, Dana, like people travel with me to all the offices and I'm like, fantastic. You have to actually put that salary, that amount for that practice. So we know, and what's wild is that team member technically is working for three different companies. Technically they are, when you break it down this way. So technically they could work 40 hours at each location. That's technically okay. Talk with your, like, we are not CPAs. We're not financial advisors, but you have to look at this. They're separate tax IDs. used to do this at multi practices. So pending upon how it structured. not to say to work your employees 120 hours a week. That's not what I'm saying. What I am saying though is if you've got a regional, you've got dental assistants that are going with you, they need to be clocking in at one location, clocking out, clocking in the next location, clocking out. And if you're paying them like gas or whatever in between, they need to actually be allocated to each practice individually so you can see actual costs per practice per business. This is how you run multi-businesses. You like think about it. If I have a dental practice and I have a coaching business and I have my real estate, they're like, all the money technically comes to you as a person, but you have to have those separated to see which business is doing well. And when you can look at all three of your practices as separate businesses under one roof of your own, this then helps you. Like you said, Dana, you laser focus and you pinpointed. So I'm very curious when you did this and you broke it apart, what did you find on expenses? Like how, like was one like just so expensive? I imagine it probably was just like cashflow negative. Like it was just gobbling all the money and the other ones were probably doing fine. Dana (14:05) Mm-hmm. Yeah, that's it. Pretty much exactly what we found ⁓ and in breaking down all of those things then secondary to that just like you were saying with with team members We had team members doing various roles depending on which practice they were in and so there was just a lot to really clean up clarify and streamline per practice ⁓ outside of even just expenses and knowing financially where the practice stood. So that was our second journey kind of after we figured out the finances and you know once they had a reality of each practice then it was really easy I think to hone in on what systems we had to work on and make some tough decisions too. Kiera Dent (14:48) And when you said that, I was just thinking it also creates clarity for team members too. I know you've also been helping like with the regional manager and like what system should be in place. So mind you, yes, we're working on profit, but then we're also putting all these systems into play looking at all of them. But I will tell you when I had team members traveling to multi offices, that's hard on teams too. They have no clue. They don't have clarity. So they're just kind of like running with you. So everybody's running at full steam, but actually not making progress. I want you just to imagine like you are literally spinning your wheels. So it sounds like you're making progress. but the distance you're going is so minimal versus we want less sound, AKA less chaos and way more forward momentum. And so really love that you were able to do that and dial it in, figure it out. Now, how did the conversation go to sell a practice? Cause I mean, five months and selling a practice, like what did that even look like? How do you even have that conversation? How did this practice execute that quickly? Cause I'm actually really proud of them on that too. Dana (15:42) Yeah. So honestly and truly when we review the numbers, I think the conversation just naturally happened because you could clearly see, you know, that they're ultimately either we need to pump in a fair amount in team expenses, marketing and things like that to get the practice to where it needed to be or ultimately make the other decision. so I think just reviewing the numbers, the conversation naturally came up because it was a glaring, you know, kind of red light. ⁓ and honestly and truly it just was kind of a luck of knew someone in the area that was looking for a multi-practice venture and like just having a network and connections that it worked out so quickly and honestly it finalized within 60 days so it was a very very quick but it just you know happened to be that it was a very strong network ⁓ and made a local connection Kiera Dent (16:13) Mm-hmm. incredible. Yeah, which is also incredible to like have good connections and people often say, think it's, think kudos to this office that you worked with of they were willing to execute and take action quickly and not sit here and give excuses and say, my gosh, there's no one that will ever be there. It was great. see the bleed. And what I love when you talk about numbers, and this is why I think we're so passionate in Dental A Team like numbers, numbers, numbers. Like I harp on this day to know that I am like, ladies, what are the numbers telling us? Look at the numbers that's going to tell you. where you need to go and what you need to get. And like it's literally the treasure map to what needs to happen. But sometimes we're so in the weeds. I do it too. This is why I have coaches for Dental A Team. I'm so in the weeds and I need to get somebody outside of that. But looking at this, there are decisions now to be made. And I think numbers create clarity. So this practice could have like another scenario if we want to choose our own adventure, there are offices that see this practice is bleeding money. So then what do we do? How can we stop the bleed? Let's look at our costs. Let's look to see where we're producing. And sometimes it's a slow grow. So we're only gonna open up one day, but we're gonna open up on Monday, be closed Tuesday, Wednesday, Thursday, Friday. The next week we're gonna be open Tuesday. The next week we're gonna be open Wednesday, next week Thursday, next week Friday. So we can say we're open five days a week, but we're not putting the cost in five days a week. So we're strategic on doing this. We can also have it to where we don't have to staff it as high. So if we know we've got doctors in there that can produce. bring them in for hygiene, if there's dentistry to be done, do the dentistry, move hygiene over to a Friday where a lot of hygienists are off. You can get a part-time hygienist that can come in as that Friday hygienist. You can stack a whole hygiene schedule so we're not paying a hygienist to be on staff every day. ⁓ There are ways that they can do it. They could bring on an associate. They could look at, like you said, the marketing costs, but when you look at the numbers, numbers give so much clarity and then you can make decisions. And then the decision's pretty simple of, Do we need money right now? This practice was needing money. They needed to have the bleed stop. They needed to become profitable. And for them time and profit was more important, it sounds like, than growing and expanding. For other people, like, no, we need to grow and expand. So we're to pump money over here. We're going to grow this, but we now know a more strategic path. So I just want you to know, like, you don't have to sell. But I think being realistic, I remember listening in ⁓ early on in my career and it said, like, sometimes knowing when to close a business. is actually one of the smartest things that a CEO can do. And I remember I listened to that. were doing Dental A Team, tip or no, a Spiffy Tiffy back to dental placement pros days when we used to do recruiting. I should have stayed in that business Dana, like man recruit. I was starting at, I think I charged, I think a thousand, maybe 3000 max to hire and place an associate doctors. should have like hired me. Like I was a hot cake. Like I was so, I mean, now it's like 15 to 50,000 bucks. Like man, but Dana (19:19) Yeah. Kiera Dent (19:26) I remember listening to that podcast and dental place and pros was taking so much time and was so unprofitable. like we had higher and then people would wait the like 90 days and on day 89 they'd like we're terminating them. I was like, my gosh, I gotta go higher again. That business was consuming so much time, energy and effort when it wasn't the one that was going to, it wasn't my passion. It just was out of necessity. Dental A team was my passion by far. And I remember like it, as a business owner is actually really hard to admit that a business is failing. I'm not going to lie. Like I remember driving. I remember exactly where it was. It was like a snowy day. It was very overcast. And I just like had to have that hard, honest conversation with myself of you need to close dental placement pros and you need to put all your focus on Dental A Team. That's actually the, like the practice, if you will, the business that makes me excited. Um, and I think swallowing ego, I think looking and learning what I did wrong in that business. Today, I do that way differently. I'd run it so much differently. It'd be completely separate. I wouldn't be pulling my employees. There were just so many things I did wrong. But I think having the humility and knowing when it's time to close something down versus open something up, I think sometimes it can feel really sexy and exciting to grow. But if we're just growing for the sake of growth, but we're not getting the time and profit that's truly our driver, I think those are great questions to ponder when we're looking at this. So those are kind of my thoughts. Any other thoughts you have? It's such an amazing. Dana (20:45) And then. Kiera Dent (20:48) like transformation story. Dana (20:49) Yeah, and it's been really fun. you know, you're absolutely right. And we spent a lot of time on our calls kind of choosing our own adventure. What would it look like if you know, what's been our average marketing budget? And and and if we spent more and we had this book, what would that timeline look like to get it to what is the active number of patients we need to make it profitable? We did say, okay, if we pull and we add days, what does that pull from the profitable practice if we move the doctor, you know, to the other practice, we talked about expenses for an associate and what we felt like they could produce as we added a certain amount of new patients each month. And so it's been also fun for me as a consultant to kind of do that choose your own adventure with them and honestly and truly just give them the numbers and give them the timelines that then they can really, really make a decision that I feel like they were super confident in because they had all of that information and kind of made the decision I feel like eyes wide open. Kiera Dent (21:48) Yeah, and I think as consultants, this is what drives us. This is our passion to help practices and owners be empowered to make decisions that they want, not ones that they have to make. And so it's a, you're not forced into a decision. You made it with eyes wide open. You had all the numbers. You had all the facts you knew. You knew the pros and cons. And like you said, it is a choose your own adventure. And I think when we can take the, I don't know, it's almost like the stress, the heaviness of business. and turn it into a light, fun game. like, yeah, pretend we're reading a book and your book is your business. And it's like, I could do this way and end up at this chapter. I could go this way and end up at this chapter. Both endings are great. Both endings are your story. Both are filled with highs and lows and all the way around. But I agree with you, Dana. I think it's a beautiful thing to be able to empower our clients, to help them see, to get them out of the death spike, like, sirel downward and help them actually come to like a space of I don't know. It's almost like what you, took this. I feel like the way this office probably felt is they were walking in a heavy, dark cloud, like head down, hunkered down, staring at the ground and just trying to figure out how to get there. And you took them into this like beautiful new neighborhood. It's bright. It's cheery. The birds are singing. They're skipping along there with their family. Like they are living their best life. And that was done in five months. And so just really an incredible thing for us to look at. And so I think for you listening, like, where are you at? Maybe you're on cashflow row. Maybe you're on growth row. Maybe you are on trying to figure out your next adventure. But I don't think this practice even knew that this is their choose your own adventure. think Dana, you are able to be that guiding light shining for them, helping them see, peel apart under all the pieces. And I think really giving them the guidance that they need. So any last thoughts you've got on the choose your own adventure, going from negative to 16 % profit in five months, dang, that's a title and something you should be proud of. Dana (23:41) Yeah, this is definitely an office that I'm super proud of. ⁓ And you're right. These are the things that I think we live for. We love, we hope we see, you know, and we want to see for every client that comes our way. ⁓ And I think it just shows possibilities. And when you really hone in and you are able to make decisions with ease and clarity, it just massively, massively changes your stress level and just your entire life. Kiera Dent (24:11) Yeah, we say is life and business on purpose. so Dana, just love, love, I mean, Dynamite Dana, might stick girl. That is a dynamite story and really freaking proud of you and proud of the client too. Proud of them showing up. It takes grit, it takes humility, it takes courage. And I think just if you're sitting in that boat, if you're wondering, reach out. ⁓ This office five months ago did not know how to see forward. And now they're able to live a much different life very quickly. And I think if that's you. if you can relate to this office autopsy. That's why we do office autopsy sharing it. So hopefully you can see yourself painted in the fabric of someone else's story, knowing what's possible, what's real for you. You don't have to have multi-practices. You don't have to have any of that, but it might be you're on cashflow row. You're negative. You don't know how to see out. You're at a spin or you want to optimize you like this. came to us literally. They came in wanting to have help with systems and training a regional manager and look at what was uncovered. So what you might think is your pain point might actually not be the true pain point. there might be something deeper below. So Dana, real proud of you, real proud of this client. For all of you questioning, wondering, reach out. Hello@TheDentalATeam.com. This is what we live for. Truly seeing you succeed is what makes us so lit up. Like it's, it is the highlight of our year, our week, our month. So for all of you, take the call, let's, let's chat and let's get you these same success stories. So Dana, proud of you. Love having you on the podcast. Thanks for being here. And for all of you, of course. And for all of you listening, thanks for listening. And I'll catch you next time on the Dental A Team Podcast. Dana (25:34) Thanks for having me.

Are you starting to panic over how to reward your team for another year well done? Should you show appreciation in the first place? Kiera gives advice on how to figure out those end-of-year bonuses, parties, trips, and more, plus how not to stress about it. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:01) Hello, Dental A Team listeners. This is Kiera, and I hope you're just having an amazing day. I hope you're loving your life. I hope you remember that, honest to goodness, this is such a blessing. We get to work in dentistry. How fun is that? And I just hope you remember that we are so blessed to give back to people. We're blessed to be in dentistry. Dental A Team's mission is to positively impact the world of dentistry in the greatest way possible. So that's what we're here for. And the job of this podcast is to give you tactical practical tips that elevate your mind, elevate your thinking. help your practice be more profitable, more fun, more successful. That's what we're here for. So with that today, I just thought it'd be fun. Like end of year bonuses, trips, parties, like how do you even decide what to do? This comes up often in our consulting offices, like I don't know what to do. We had an in-person mastermind meeting and I remember the doctors, there were team members there too, so we had it. Doctors and leadership team members and the doctor was like, team members, just tell us what you want. And the teams are like, we just want to be appreciated. And they're like, we know you want more than that. And so I just thought today it'd be fun to just kind of do a rift with you of what are some of ideas? What are some things you can do pros and cons? So doctors, you can work with your team of really what can I do for this end of year and what's the most powerful and hopefully just giving you some food for thought today, making this tactical for you. So when I'm looking at end of year bonuses, number one, ⁓ I hate surprises. So me as a business owner, I actually set a budget for what our end of year will be, whether it's bonuses, trips, parties, I don't care what it is, I try to set that. And right now I'm trying to release this early, so hey, you could be proactive on it, but for me, we actually have a budget for it. And then I don't like to do big expenses, that's just not my jam, I don't enjoy it, unless I'm buying like a big vehicle or something like that, that I can have an immediate write off. But even that, I try to keep my cash and just get the write off for it. So with that, when I'm doing end of year, like I said, budget it out, project it out, and then start saving. whatever month this is releasing, however many more months you've got through end of year, let's say we're going to do $5,000. We'll break that up over the next, let's say we've got five months left, save $1,000. I put mine into a high yield savings account. That way the money's there, I can spend it it's not hitting me in December when everything else is hitting me. So that's what I'm going to do is whether it's a bonus, trip or the party. Like you can set a budget, doctors, you don't have to let your team decide what you're going to do. And oftentimes I like to set that as a percentage. of what we're doing. So if I know that we're going to do XYZ and I know my overhead's at 50%, well, I could do like 1 % or 2 % of that. That way my overhead's at 51 or 52 % with this cost, right? That makes it really nice and easy. And then I'm going to be able to figure out the budget from there. So that's one piece. Or you can just say, I want to do $5,000 or I want to do this. Or like, let me look this up if we want to do a trip or a party, let me figure this out. So for our team, we figured it out. This is how much we spend every single year per number of team members. I can then plug that into my projections for the next year. So I know based on the size of the team, where we're going, how much this is going to cost us, it's really going to help you then just budget it out. And I think knowing the budgets, putting it into our projections, then we're not getting these psycho surprise expenses. This is hopefully going to help you not cry in December, because so many offices are like, I had the worst December. And I'm like, well, yeah, we have all the holiday time. We're not doing as much dentistry. And we get hit with all the expenses. Double, triple, quadruple whammy. not a super fun month. So let's cut the crying in December and make this easy. Now, how do I decide if it's going to be a bonus, a trip or a party? Well, that depends on your team, depends on what you're doing it for. What's our why behind your, why you're doing this? What do you want to achieve out of this is really something I want you to look at of why are we doing this? So for some people it's like, Hey, we set this huge lofty goal. So we're going to do a bonus of X amount. Again, looking at your numbers to determine that amount. I love percentages. ⁓ or dollar amount so that way you just know what you need to do. So that could be a bonus system that you put into place of, hey, we crush it, we hit this. It could be for your leadership team possibly. It could also be for your teammates, whatever it is, but that can also, that could be a bonus. It could also just be, we want to thank you. ⁓ Do we go on a trip? That's again, dependent upon your team. Is your team more bonus? Are they more trip? Are they more party? Is it a combination of it? And also what feels good to you as the owner? What do you want to do? What's going to help you celebrate this? That's going to be a decision for you to make. And so when I'm looking at this, you can have an anonymous survey. Some people get so excited about trips, but then when you start to get into the logistics, it's like, well, how much is this going to cost? we do a plus one? How much time is that going to be away from the business? What is this really going to cost all the way around? And is that worth it? I tell teams, I'm like, rock on. If you want to do this, figure out the cost. Let's figure it out. Put it in our production. Let's add it into our monthly piece. That way we can pay for it. Awesome. Again. I don't want these things coming out of craziness. I like to plan for them, prepare for them and have the whole team help you. Now, if you're gonna do a party, a lot of times I like parties over bonuses. And I know I might have unpopular opinions on this, but what I found is as a team member, like X amount of dollars doesn't weight as heavily as something that maybe I wouldn't buy for myself. So for example, ⁓ those like red light masks, that's one of the things that are out there. The Dyson and then if you don't know what I'm talking about, go check these out. The Dyson blow dart. Like that thing is insanely expensive. I'm probably not gonna spend it on myself, but it would be awesome if I were to get it. ⁓ What other things? The Aura ring. A lot of people want the Aura ring. They don't wanna drop 400 bucks and they don't wanna pay the monthly subscription. ⁓ Other gift ideas like a Roomba, a Roomba lawnmower, a fire pit, a, I don't know. We've done like AirPods. We've done the virtual realities. ⁓ Like the Apple Vision Pro. Those are the things people are not going to buy for themselves oftentimes, but that weights heavier than if I were to give you 500 or a thousand dollars. Now I understand that people like cash, but as a team member, what I will tell you is I had an office, give me an end of year bonus. We got it in our card. It was based on longevity. It was based on these pieces. That cash did not actually weigh as heavy because what I did is I went and spent it on bills. And so instead, like getting an Apple Vision Pro, I remember the day I got that, I was like, oh my gosh, like this is so rad. I never would have bought it for myself. How incredible, or getting a KitchenAid, or getting a Louis Vuitton wallet. And I understand that not everybody's going to want these things. like, no, I don't care about those things. But what's fun sometimes on the parties is you're able to have this really fun time. We do a raffle in our company. That's what I've decided to do. And I picked this up from Midwestern University's dental college, is every year we did a raffle. We all got to do that. all these awesome prizes. And then every year they gave us some type of swag and they gave us like a holiday party. So I didn't get an end of year bonus. And what I noticed was people enjoyed those so much. Everybody looked forward to it. Everybody got excited about it. Everybody walked out with these awesome gifts. Nobody knew what they were walking out with. We could see all the gifts. So was like, oh my gosh, who's going to get the huge TV? Who's going to get the MacBook Air? Who's going to get XYZ? And they like, all the gifts weren't super high end. All of them weren't low end, but it was something really, really awesome. And then I thought they were so smart because they gave out branded swag. So it was umbrellas, jackets, ⁓ just things that we would use like lunch bags that were super appropriate. But think about it, that's amazing marketing power. I was walking around with this swag. I still have it to this day. I have a lot of the stuff that I got from it. But that's what I decided to do because it would just be fun. So for us and our company for end of year, our team knows. I do it on Cyber Monday, happens every year. We do a holiday party, we dress up, we have an ugly sweater contest, and then we raffle off. So we play fun games at the company. We all just get together. We're a virtual team. Otherwise I take everybody to dinner or we do an awesome fun experience. And then we raffle. And I go hardcore on these prizes. I go do fun things for our team. And for me, it's more fun for me to do this than to write them and just give out an end of year bonus. That doesn't mean that I don't also have end of year bonuses for certain team members, certain players that we do put into place. We used to do trips, we used to have retreats, we used have those pieces. ⁓ And then my teams are telling me that the retreats were actually not that fun, the trips, because they had to find childcare, they had to add another day on the road. We already are a traveling company. So could we just combine certain things and actually stop traveling? So when you're looking at your end of year bonus or you're looking at these ideas, how do you decide is one, know yourself and what do you want to do? Two, look at your budget of what we can do. And then three, figure out what's going to motivate your team. And ultimately what we're trying to do with this is we're trying to show appreciation. I truly did survey a group of people, a group of team members, and they said, all we actually want is just to be appreciated. Now, I hear that, but I think that's something you can do consistently. So I have some doctors who have like literally rocks in their pocket and they like move it over for every team member that they compliment throughout that day. I have some team members who will write letters to team members. I have some who just have genuine one-on-one check-ins. But I think overall, the ultimate goal is that we want to show appreciation throughout the whole year and then do something fun for end of year to celebrate, to get into the pieces. But what I will tell you is some people, they hate these end of year bonuses because it feels like it's met not with the appreciation that people were hoping for. So for you, I feel like figure out what's going to make you so happy. Figure out the budget based on your numbers of what you're willing to spend. and then figure out what's going to motivate your team. And it's an easy way for you to figure out how do I decide? Well, here it is. And guess what? You're not going to get it right. But for me, I look forward to our holiday party every single year. I know our team looks forward to it. I know we have a ton of fun and we've paired it with our live to give. So we do a team portion and then we also go out and we give back to our community and we do that as a bonding thing together as a group. And I think it's so special and that's what we've chosen to do. And for me, that lights my fire. I know my budget. I know what I can do and I get so excited. So really mull on this. Of course, we're happy to help you talk about these ideas. This is what we help our clients prep for. This is how they don't have those end of year like, my gosh, this is so hard. So with that, reach out if we can help you. But hopefully this gave you a couple of ideas. And if you have great ideas that you're doing or how you set up, email us Hello@TheDentalATeam.com. I'd love to hear your ideas. I'd love to hear what you're doing. I'd love to hear the successes because at the end of the day, this should be fun. It should be a celebration and team members. I just want to highlight for you, say thank you. because your doctor and your owners don't have to do this for you. Not all offices do that. So if you have a doctor and owner who's doing that, it means the world to them if you'll just say thank you, because they truly love you. They want to take care of you. They want to surprise and delight you. so acknowledging that is always going to reinforce great behavior. So team members say thank you, doctors show your appreciation. Reach out, Hello@TheDentalATeam.com. Enjoy the end of the year. Start budgeting now so it's not chaotic. And as always, thanks for listening. I'll catch you next time on The Dental A Team Podcast.

Tiff and Dana discuss how to achieve full team alignment on periodontal policies and protocols, even when it's the last thing you feel like doing. Their tips include which habits to build upon, which templates for conversation with the patient are most educational, maintaining team alignment, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript The Dental A Team (00:00) Hello Dental A Team listeners. We are back with you with us today I have Ms. Dana and I'm so excited to do these podcasts. I have podcasts all day I have podcasts with you Dana. I podcast with Britt today I never get Britt on these suckers anymore and then I think I'm Kristy later, too So it is a whirlwind of podcasting day. Thank you for letting me, you know Just bust it out and get all of you guys here today I'm really excited. I'm really excited for the one we just did. We record these just kind of like back to back to back just so you guys know in case you were wondering how this actually happens. We're not live right now. I wish we were. That'd be super cool. But it'd be really time consuming at the same time. But we just did a really fun one. I'm excited for them to hear about it. Dana though, I haven't asked you lately just how's life. had, it sounds like a full weekend of kiddos sports. Dana (00:54) Mm-hmm. The Dental A Team (00:54) ⁓ But you personally, you guys, talked about consistency in this last one. And you personally, you have some of the best consistency that I've ever seen anyone maintain. So number one, I think my big question that might be on everyone's mind is why? How do you maintain that consistency? You show up for everyone, but you still show up for yourself. You still do your workouts. You still make sure that your path for your own health is one of the most important aspects of your life. So Dana, how do you maintain that? Dana (01:29) Yeah, I think that just I learned early on in life, right? Like, especially with my health, like I had a point in my life where my health cup was pretty much empty and I had nothing to pour from. And so I just promised myself when I made it through that, that like, I would always prioritize keeping that like as a priority. And ⁓ it's just something that like, I've shown up for for myself. ⁓ And to like, because I've shown up, it just, I don't know, like it just keeps me saying it makes me a better mom, it makes me a better friend, it makes me a better partner, it makes me like, just better in so many ways, because I do take that space. And I don't always like, there's guilt, for sure that I do it and that I take the time and that you know, like I put other things aside to do it. But I think what it like, reaps and benefits and rewards for me outweigh those things. And so I'm truly on to the point now where I have kept it so consistent that when I fall off I feel terrible. The Dental A Team (02:43) Yeah, yeah, that's the real deal now. Yeah, I love that. I think that the things you pointed out there just your why is big enough. And I think a massive reminder to everyone that typically for a human being to make a change in life, it has to be hard enough. Like, we don't change things that don't feel like they're not working, right? That haven't like sprung up as a quote unquote, like broken piece of life yet, right? Like however you want to word it. If it's not hurting, we don't typically think, we're not thinking about it. If it's not hurting, we're just not thinking about it. So why are we addressing things we're not thinking about? So when it finally does get bad enough, I think I had a similar story, not the degree of health, but a similar instance where it was just like I hit the spot where it's like I actually don't have a choice. I either take care of myself or my health continues to deteriorate. So was honestly, it was easy at that point. So it's interesting because it's so easy, I think for us from the outside, especially for you and I for fitness and health, like I think you and I have, I can imagine you're the same like my whole life. It's been in my, it's been in my being for as long as I can remember. So it was very easy to see that in myself and to see that in my life and to see where. the consistencies or the inconsistencies are, but it's interesting to take a step back and see how relatable it is to just so many aspects of life. And if we applied those same steps and processes, the same thought to other aspects of life, how different things could look. And we narrow that focus because I think fitness and health just like, I don't know, I feel like it's like a box to check instead of like, away and for you and I like it's a way especially for you and so it's just gives you the template for other areas which I think for us makes a lot of times consulting fun. I think it's more fun and it's a little bit easier for us to sometimes see the structure of what needs to happen because it's literally mimicking the results that we've seen in other areas of our life and first So happy you're here, Dana, because had you not taken that initiative, things could look very different today. And I'm very happy that you did and that you dedicated to yourself and that you continue to. Second, you were teaching your kids the most important valuable lessons of their entire life. And it's so cool to watch you do that and to watch you show up for yourself, but for them too. I've always taken that stand with it. They're like, Brody's going to know that exercise is for health. It's not for the other. ideas in there. So I never wanted him to, you know, have whatever complications with health and fitness in his life. So I made it a priority for me pretty early on in his life because of that. And then really had to about six years ago. So I applaud you for those pieces. And I just think it's really, really cool. And I think it kind of stems and spurs into a more fun version of today's podcast. Because I really do think that that consistency and again that template that you have for like no I'm just going to do it and some days, you know I'm sure you wake up like I do or I'm like today's not the day and then it's like no just go just go it's 30 minutes It's an hour of my life. Like just go and you will always feel better afterwards So sometimes life comes in and this task or this duty comes in and it's like this feels like it's gonna be really hard I don't really want to talk to this person about this thing I'll do it next time. And the I'll do it next time only slides us backwards. And we see that with the health and fitness very easily. If we don't go to the gym today, like we're sliding backwards to tomorrow. But in these conversations that we're talking about today with the perio, everyone's favorite word, perio, and being in alignment on the periodontal care kind of makes me think of those areas where we really do slide backwards because we're like. I don't really want to have that hard conversation or, that kind of borderline or I don't know what we would classify this as. I'm just going to probe you today. Maybe they'll see somebody else next time. Like you're my, you're one of my favorites, Brits, my other favorite, ⁓ perio brain to pick when it comes to stuff like this, because really getting alignment on that can look like so many different things and consistency on the alignment I think is one of the key pieces. And Dana, there's so much to pick apart in there. I'm obviously alluding to have the hard conversations with the patients when they need deep cleaning, even if they've been coming to your practice forever. I don't care, just do it. But how are the doctors important in your opinion and from a hygiene standpoint in gaining the alignment within the periodontal care, within the periodontal policies and protocols? Because we can tell a hygiene team to go do it, but I feel like without the doctor, we're like 90 % there. Dana (07:22) Mm-hmm. ⁓ Yeah, and and I really and truly feel like the doctor is so crucial in to me. It's like, ⁓ we have to do in this situation is build a plan and then create habits stacking for our hygienists like to do it right. And I think that the doctor is so crucial in setting up the standard of care for perio like what are the expectations for the hygiene team for each specific perio service within the practice? What are our parameters? What are our guidelines? That way, when a patient walks in, no matter which hygienist they see, the same thing is recommended. Also too, it gives a very clear roadmap for the doctor to back you up. You've built it together. So you know that if you follow the protocol, the doctor can confidently back you up. You know that you'll get that every time that they walk in the room. And then lastly, importantly, just as important, it allows you to ⁓ confidently have the discussions that maybe you haven't. And I've seen an office as to where we built the protocol and there are moments of maybe we disagree, right? Maybe we see something different on an x-ray or maybe we see, you know, we probe slightly different or our angles are a little bit different or I've got a doctor versus a hygienist that one presses a little bit harder when they probe, right? But it allows us to definitively be able to make a decision and say, we default to the protocol. This is what the protocol The Dental A Team (09:08) Yeah. Dana (09:16) says when we have this many millimeters in probing depth, this many, and this is how often we do those things. This is the cadence in which we bring them back. These are the results that we expect to get it. And so when you have that outline, whether you are so far from it when you start or whether you're like pretty close to it when you start, it's okay. It's just build your roadmap of what you want your The Dental A Team (09:23) Yeah. Dana (09:41) period to look like in your practice first. And doctors play such a key role in developing standards of care with hygienists. The Dental A Team (09:50) Yeah. my gosh, that was beautiful. something you said at the beginning was the habit stacking and then something in pieces, ⁓ kind of pulling those together, the habit stacking, mentioned, basically you mentioned templates, right? Templates of how to get there. So I think the first template that a doctor in that habit stacking, which is 101 of anything, accomplishing anything in life, it just generally gets put on the health and like fitness industry. ⁓ side of it, but anything is habit stacking to create any kind of habit you're going to have it stack. So what you're saying there and what it makes me think of is like realistically the initial template, like what do I do with my patient? So you mentioned probing. So I think that habit stacking is like probing how often that's your, that's your first habit. Like how do we implement the x-rays and the probing at a certain interval to get the result that we want. And if we want to be able to diagnose periodontal disease, we've gotta have the x-rays and the perio charting. So then it's like, okay, our first habit is getting these things into the appointment. Our second habit is diagnosing accurately and having those three to four periodontal classifications, that's the word I want there, that we can choose from and making sure that we're in alignment on those. There's so many, you guys, you can get recommendations. You can get 15 recommendations on anything anymore. So just be careful what you're looking at. That's a true space of alignment. What is a one to three periaprobe? One to three millimeters, what does that mean? What is three to five? What is five plus? And then what is, we're referring this out. So I think when you're talking habit stacking from an outsider's perspective, I am not a hygienist, I would imagine if I were to sit in your seat, these are the things I would need. to get this started and the consistency on time, like how often are we periaprobing? How often are we taking these x-rays? Dana, I think those come from the doctor and I know I might've just made so many hygienists so angry because I know that I have this conversation so many times. You are a provider but at the end of the day, like it is the doctor's practice and the doctor's license and those types of recommendations have to come from Dana (12:11) you The Dental A Team (12:15) him or her where they're saying, I want bite wings once a year. I want bite wings every six months. I want perioprobes once a year. Dana, is that the kind of habit stacking and templates that you're looking for too? Dana (12:27) Yep, You're spot on in there. How do we gather the information that we need to make our period diagnosis or to make our cleaning recommendation with our patients and outlining and defining how often we do that, when we do that. What it means to do that, like what are we doing ⁓ is your first and foremost foundation. And then it is like bridging into what we do end up diagnosing, right? So what treatments do we choose and when do we choose them? So that's your perioprotocol, right? That is when do we do localized SRP? When do we do generalized SRP? What is scaling in the presence of gingivitis in this office, right? Because that's a term that's very broad. So how many bleeding points? do we have to have? it have to be in all four quadrants? Does it have to be 20 bleeding spots? What does that look like in your office? ⁓ What is a perio maintenance? What do we do? mean, even farther as far as, when do we refer out? If we... aren't, that's one time that I see that hygienists maybe sometimes disagree because it's hygiene comfort. Then I always say default to who you recommend to. If you have a periodontist that you love in your area, call them and say, hey, at what point would you really like to see them in your office? And we start to kind of go back and forth with this patient. So that way it's a very, very cut and dry of what we follow. Right? And then, you know, then it becomes then it's templates for the conversation. Right? So how do we get to the conversation to educate the patient? What do we say if this has been a long term patient? What do we do if a patient refuses? Right? If they just want the cleaning that insurance covers, what do we do once they've had each of these? Right? Is it are we a yes please, perio for life, right? Like once perio, always perio. Do we have wiggle room in there, right? Like what is our, like what's our protocol for all of that? The Dental A Team (14:27) Mm-hmm. Dana (14:28) And I do feel like a lot ⁓ of doctors take the place that like, hey, my hygienists are my perio experts. And I think that like, that is a great stance to have, but I think doctors, need to be a part of building the standard in your practice. And then yes, trusting your hygienists to follow that standard for sure, and make the recommendations on the things that they see. Absolutely. But I do think it's crucial that the doctors are part of the standard setting within their own practice. The Dental A Team (14:54) Yeah. Oh, you nailed it. I couldn't agree more. And that's coming from a non hygiene standpoint. And you just heard a hygienist word straight from her mouth. And I think even the most, I'm gonna say it stubborn and hard headed hygienist who are like, no, this is my world. It is your world. But I think even the most stubborn, hard headed or strong willed is probably a better word to use. Hygienist will agree that structure. helps progress. And if there is a structure to be had, there's input to be had, I think anyone would prefer that input upfront and honestly than on the back end saying like something went wrong, right? I didn't do something correctly. Well, we've all said it like, well, you didn't tell me that I didn't know, right? Or I didn't know you wanted it that way. This is the space to get all of that stuff out on the table first. And doctors, for you to be like, my standard of care is X, Y, Z. And a hygienist to be like, well, tell me more about that because I think this. You know, I think ABC. And a doctor's like, cool, this is why I think X, Y, Z. Why do you think ABC? This is a space to have conversation. it's not, Dana, what you're saying is everything you said was a conversation. So it's more about Everyone being able to bring to the table their own knowledge, what you guys have learned, we've all gone, everyone likely has gone to a different school, right? Hygienists go to a different school, typically university, than the doctors do or trade school or wherever it's from. Doctors in most practices, it's rare that you have even associates that have gone to, everybody's gone to the same school. So there's different schools of thought depending on where your training was. And there's different opinions. I walk into some practices that floss is floss. I walk into other practices that there's like, do not use glide, or do not use whatever on the wall, and it's coconut floss. And then there's other practices that are like, don't eat coconut. You just pick and choose. It's all just the best that you guys can come to terms with. And so I think that it's more of a sharing of ideas coming with the standards and protocols. Now, there are things that will be like, There are things that will be a discussion and I think everything is a discussion. ⁓ There are things that will be flexible, there's things that won't be super flexible. Like x-rays are probably not a super flexible spot. How often are you periaproping? Because these are based off of standards, literally standards of care for their licenses, but it's still a discussion. And I know I've had hygienists that are like two years bite wings, but doctors are firm on one. Like, cool, just take the bite wings. That's the standard of care. and come to an agreement. And Dana, think that based off what you're saying, like that alignment is not just a, this is the box you stay in, but it's a conversation. And what you said earlier kind of resonated with me too, because I do see sometimes, oftentimes where doctors are like, yeah, we'll do a perio alignment meeting and meeting Mondays, we'll do meeting Mondays and we'll do perio alignment meeting. And they've got a patient, they're doing a crown while hygienists are meeting. And then hygienists come out. They're like, this is what we decided. And doctors are like, OK, I'll review it. I was like, come on, just be at the meeting. Right, Dana, do you think? Dana (18:16) yeah. Yeah, I see that a lot. And then, you know, then it sits on a doctor's desk or, or a doctor does review it and has notes, but like the notes don't get to the team or then it doesn't get even fully rolled out because we're still kind of waiting to see like, did we agree? Do we agree? Like, where is this? Where is this thing? And and I think the doctors being part of the meeting and part of the The Dental A Team (18:33) Mm-hmm. Dana (18:42) conversation, I just feel like you leave with alignment and you leave with buy-in. When a doctor is just is a part of that because I feel like, As a hygienist, I never wanted to feel as if like I was doing something that was outside of what the doctor wanted as far as care for their patients. And so I think when they're part of the discussion, they're part of the building the standards, they're part of mapping out those habits stacking and the pieces that they want to see. I think then it makes sure that no matter what patient is in the chair, no matter who they see, right, everybody is aligned and everybody is doing like what is desired for that specific office. The Dental A Team (19:29) Totally, I agree. think this was so cool. And I think we spun this in some fun directions today that were a little bit different than ⁓ areas we've spoken before where it was much more structured. This one is a little, slightly less structured. There's still structure to it, but it's more giving you guys the knowledge base to understand that you get to build the structure as a team together too. Our structure, our recommendations, your action items today. Schedule a perio. alignment meeting. A lot of times these get put in the schedule as a hygiene team meeting or a hygiene department meeting and they're going to talk about perioprotocols and doctors don't think they have to attend or it's not on their schedule at all. But doctors who are listening, hygienists who are listening, office managers who are listening, schedule a full team alignment even if you're like, hey, we don't have issues, we diagnosed just fine. I just come together once, at least once a year, probably once every six months or so. Just make sure we're all on the same page, you guys. And I think Dana, Something I've seen happen the most frequently is any kind of addition to the team, even Steril Tech, who's helping turnover rooms, any kind of addition to the team, those are the pieces that get lost first. That consistency becomes inconsistent and we lose the template. So first and foremost, make sure you guys have alignment meetings and then make sure you have some sort of a structure or a checklist on what are the things that these alignment meetings... One, what are we trying to gain? Like what is the goal of the alignment meeting? And what are we going to cover? So templates A to Z, our x-rays, our perioprobing, our exams, how often do you have to have a doctor in the room for an exam? All of these pieces that might to some of you guys listening now be like, that's crazy that practices deal with this. But if you don't have it, there will come a day, there will be someone that it gets lost on. So just make sure it's there. So Dana. Let me know if you have any more action items. My first one, schedule that alignment meeting. Second, make sure there's templates. Make sure you guys know what you're working towards and why. And then implement. And I think, Dana, when we're building out Perio protocols, I think it would be safe to say you should be able to implement those within a quarter. So if you've got the alignment meeting scheduled, you hashed out on the meetings, you should be, if you do it quarter one, you should quarter two, be able to roll out those Perio protocols. Do you agree, Dana? Dana (21:51) Yeah, I do. I agree with that for sure. And then I think the last action is if you already have a perio protocol in place, make sure that every hygienist on your team knows it and make sure it is updated. Right. I think that, you know, there are some things that in the perio world have changed and will continue to change. And so I always say when you build these protocols or you build these templates and you have alignment, it's not just like set it and kind of forget it. Make sure it gets added to onboarding packets for new hygienists. Make sure that we, you know, continue to kind of check in and see what we're doing. Make sure that we've got tracking in place and make sure that we update those things as Perio changes because, you know, grading and staging is now here and pieces that if you've had a long term Perio protocol, we may need to add or consider updating. The Dental A Team (22:40) Totally, beautiful, thank you. I am leaving it at that. Everybody, if you were listening in the car, go listen again, write these things down. If you were listening, I don't know, anywhere else, I hope that you were taking some awesome notes. If not, listen again. The recordings are here for just that. So, share this with a friend, you guys. Everyone needs to know these Prairie Protocols. This is massive. It is a huge space that is underdeveloped in a lot of practices, I would say most practices. the perio space is underdeveloped. So these are some really quick, easy tools to get that ball rolling without having to take extra courses and laser certifications and all of these things. Those would be like step two or three. These are your first steps. So go do the things you guys drop us a review. We always like to see those five stars and know what you loved and any ideas that you have to add to what we talked about. And then Hello@TheDentalATeam.com. That was a hard one to say today. ⁓ is where you'll reach us. If you have any questions or you want any templates or ideas, just shoot us an email, you guys. do, Dana and I do get a lot of those requests straight to us from our Hello team. So just let us know how we can best help you and we'll catch you guys next time. Thank you.

Kiera joins the Raving Patients Podcast to talk about obtaining that CEO mindset to systematize your practice. This mindset does not mean doing it all yourself, but leaning on others to maximize their skillsets. Kiera also discusses with Dr. Len Tau how to separate yourself from having your entire identity associated with dentistry. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Speaker 1 (00:00) Hello everybody and welcome to another episode of the Raving Patients Podcast. As you know, I'm your host, Dr. Len Tau, and I am super excited today for multiple reasons. Well, first, before I get there, I want to first thank my sponsors, both Dental Intelligence, CallRail, and a new one, Net32. You'll be hearing their commercials as well, so check out those companies. And again, the only reason I'm able to do this every single week is because of their support. I also want to remind everybody about   my event, is only one week away. One week from now we'll be gathered in Fort Lauderdale for Supercharge with Dental Practice 2025. If you wanna be a come out last minute registrant, you can reach out to me. I will be glad to add you as a guest of me. So please reach out to me. You can check out the content at SuperchargeYourDentalPractice.com So I said I was super excited and I'm super excited because of our guest today. And she's been a guest before and I just recorded an episode with her on her podcast. ⁓   We're talking about Kiera Dent, who is from the Dental A Team, and we're gonna be talking the CEO mindset systematizing your practice for freedom and growth today. So before I let ⁓ Kiera take it off, I'm gonna go ahead and introduce her. So she is the founder and CEO of the Dental A Team, an entrepreneur, consultant, speaker, and podcast host dedicated to helping dental professionals reach their highest potential. Through customized in-office and virtual consulting,   She empowers dentists and their teams to cultivate an ownership mindset and achieving lasting growth. With experience spanning every role in the dental practice, front office, dental assistant, regional manager, and even practice owner, here brings unique first-hand perspective to her coaching. Alongside her team of expert consultants, she has partnered with hundreds of practices nationwide, leading them to greater efficiency, profitability, and fulfillment. As she often says, we don't just understand you, we are you.   So please welcome to the Raving Patients podcast, Kiara Dent. Kiara, thank you so much for being a guest on my podcast today.   Speaker 2 (02:03) Oh, Len, thank you so much. so excited to be here. I loved our podcast we did together. I love the podcast we did in the past together. I'm super excited about Supercharge. Everybody should go. We're going to like sneak peek, be there in 2026. Like Len, huge fan of you guys. Just excited to be here with you. So thank you. Thanks for having me. And yeah, it's always a little weird and fun to hear your bio read right before you get on. So just grateful to be here and just like have a good time with you. It's always a great time when we podcast together.   Speaker 1 (02:30) Well, I'm excited to spend the next 30 minutes or so with content from you. So I always like to ⁓ start off for people that don't know who you are. I obviously read your bio. Can you just tell dentists and other people reading or listening and watching this episode how you help dental practices?   Speaker 2 (02:50) Yeah, absolutely. So with the bio you heard, I started out as a dental assistant and then went throughout and I've owned practices. My first practice I took from 500,000 to 2.4 million in nine months and opened our second location. And that was with a Midwestern grad. I worked at the dental college there. And so helping practices, what I learned was   I've been a team member, I've been in so many of the team roles. And then in addition to that, I've owned dental practices and I understand the business and I've run multimillion dollar practices and businesses. so bringing that perspective, I feel like there's the dentist perspective, there's the owner, the CEO of the practice, and then there's the team perspective. And both are necessary for practices. And so Dental A Team, say like, it stands for dentist and team. So what we really do for practices is whether it's virtual or in person, it's...   I call it the yes model line is what I like to say is number one, you as a person, we're going to focus on your vision, where you want to go as a doctor. Like what is your vision? The practice should serve your life. ⁓ because I believe that when you're supported, you're actually a better owner, a better boss, a better dentist. And then we go to E stands for earnings and profitability. We've got to make sure it's a profitable practice. And then we use those things, the vision and the numbers to then tell us what systems and team development we need to put into place. I'm really much a custom.   Let's see kind of like dentists do with patients. Like let's do a comp exam. Let's see where we're at. And then let's go for what's going to make the biggest impact with the least amount of effort. And being team members ourselves, I really think that we're able to like, Hey dentists, we want to hear your vision. We need to know where you're going and then go do your like favorite thing. It's dentistry. And then let's help your team be empowered to learn how to run the practice. So it truly is like a self-managing team, utilizing every single player in the team to their highest potential, but doing it with a ton of fun and ease. Like as a team member, I didn't want more hard work.   As an owner, do not want you to give me more homework. I'm already busy. So I feel like we really come in and bridge that gap of like where we are to where we want to go and do it in the easiest, most efficient and most fun way possible to help like team and patient experience be the top that it can be.   Speaker 1 (04:48) So I guess someone's listening to this podcast and they say, you know, want to, I want to change the culture in my practice, but I'm very much a micromanager.   So which means they're not focused on their dentistry, they're focused on managing the team. Do you help with that? Because there are so many micromanagers out there. I always wanted them for a very long time. And honestly, wasn't until I gave up that micromanaging and I just did the things I was going to do that my practice excelled. So ⁓ that's something, if someone's a micromanager, do you get them off doing that? Or how do you deal with that?   Speaker 2 (05:19) Yes, and I'm so glad you said that because I think most   Founder owners are micromanagers. think leadership we believe I I think so many there's this belief out there that we just come into this world as great leaders and we should just know it like you went to dental school you should just know how to be a leader and leadership is a journey and so for those micromanagers I think it's really fun to have the doctor and the team perspective and to be able to help both of them say like no doctor like these are the things but what I found is doctors micromanage because there's a lack of communication feedback loops so it's a lot so it's either a lack of communication and feedback   loop, a lack of knowledge, or they just like genuinely want to be a manager and they don't want to be an owner. And I'm like, great, let's just figure out what the the reasoning is. And then let's find the solution to that. So if team members have doctors that are micromanaging, first question I'm looking at is like, where's the feedback loop and what are we missing? Next is like, hey, doctor, I understand that this is where we're at. This is where I need you to be for the growth of the practice. What do you need to feel confident to be the dentist, to be the like not micromanaging like   there's a lack. And when I realize there's a lack and when teams can realize that there's a lack, like there's just something missing, we fix that, dentist is now able to be happy, team's able to flourish, everything starts to move in in a good motion. absolutely. I think being team members ourselves, we're not doctors, we're not dentists. Like, Len, I'm gonna lean on you for clinical. Like, that's not my world. I'm not here to even discuss it for one minute. But what I am here to do is to bridge that gap between doctors and teams.   Because ultimately it's same team, like everybody wants the best experience for the patient. We want the practice to flourish. So if we're all same team, let's help get people right seat, right person, help them understand what they should and could be doing. But also like office managers, there's this whole weird world for them too, where they've never been taught to be managers. They've never been taught what they should or shouldn't be doing. They've never been taught like what the difference between an office manager is and a biller and a scheduler and a treatment coordinator and how all those roles are different. And so helping people understand even what their job entails.   I think really can cut that micromanagement passion project. It's just a lack of knowledge and so teaching teams and teaching people, but we're very hands on. I really don't like fluff. That's why think when you and I get along well, I want it to be tactical. I want it to be practical and I want it to be something that's sustainable as well.   Speaker 1 (07:34) And that makes a lot of sense. And that was a great answer, by the way.   We're talking about, obviously you're very systematized. You put systems in place, the team follows, everybody knows what they're doing, runs like a well-oiled machine. Okay. And that's how my practice was when I left, when I was traveling. ⁓ I knew things, I didn't worry. I knew that things were going to be done like this. They knew the roles, team members didn't need to be scolded. They just knew what their role was in the practice. So, ⁓ I know there are things, I like a term here you use the chaos creators. So there are chaos creators in the, in the office. So what are some of these, these common chaos creators?   ⁓ that actually can be helped by putting systems in place.   Speaker 2 (08:13) Yes, and I love that you brought that up because that's the ultimate goal. That's why I wanted this to be called like the CEO mindset. Like doctors, like you should be a dentist and you should own your business. You should not be the one managing. And when you recognize that this actually can be one of the biggest chaos creators in the practice of doctors trying to be the doctor, the dentist, the CEO visionary, plus the manager, plus all the other parts of the practice. Like that is a chaos creator, not knowing right person, right? See is a massive chaos creator. Number one thing I hear every time I go into an office or I work with someone,   is it's communication. And communication is again just a system that needs to be put into place. So how do team members know? Like what is our true morning huddle? It's not a time for us just to hang out. Like why do football players huddle? Why do basketball players huddle? They huddle to win the game. So what does winning on our practice even look like? Making that very clear for our team. Other things like handoffs. That's another communication drop that's a chaos creator. What doctor says to the patient, to the hygienist, to the front office,   It's such fun. I feel like we play a game of telephone. So putting in a little simple system there where we've got a great communication handoff and a process. I know Len, you and I are very big on this case acceptance process of just really having a great clean experience for the patient. These are chaos creators. Also, team members even knowing what their job should be, understanding how they go from where they were hired to how they can get raises. Those are chaos creators. The scheduling. How do we schedule? Let's have block schedules in there. Let's have   a way that we do this in our practice. I remember when I was a scheduling coordinator, my office manager said, Kiera, do not even think about scheduling outside of the blocks until you learn why we schedule the blocks the way we do. And you're right, like when team members know the rules of the game, so much chaos gets eliminated from the practice. like quick things are have great meetings and truly great meetings. If you don't know how to run a great meeting, Traction by Gina Wickman.   It's a little bit of a dull book. However, there are so many paramount pieces in that book and great meetings could be in there. Doctors and OMS have a same page meeting where we're looking at it. Get our KPIs in place where we know where is the practice even going? What is each person's number that they can like impact and improve in the practice? Have like set job descriptions, have protocols of how we treat a patient. What's our hygiene period protocol? Let's just have like really simple systems and I'm big on I don't like to remember things.   Like I love holidays, holidays are on a cadence. So how can we actually get cadences within your practice to where things really can run on more of an autopilot rather than trying to constantly like catch all the balls and remember things? That's the chaos. The chaos comes from the like not knowing and trying to scramble and being in reactive rather than proactive modes.   Speaker 1 (10:53) But that's really good, that's really great. So another question I have for you, there are dentists who are just dentists, and I don't mean that negatively, but they go in with the expectation that they're either gonna be an associate forever, or they're just going to practice and let everybody run the practice and they're just gonna come and do the dentistry, okay? Versus having the mindset of and acting like the CEO, okay? And there's a big difference. One, I believe, has a lot more stress.   I like to talk about it because I was the CEO of the practice. I handled everything. I handled the marketing. I handled the HR. I handled all of the things that makes it different than just being a dentist and putting your hands in the mouth and treating a patient. So if someone wants to act and think like a CEO, what does it really mean to do that versus just practicing dentistry and doing the dental work?   Speaker 2 (11:51) Yes, I'm so glad you brought this up. I've been like crushing on this idea. We actually just ran a three day CEO dentist workshop. like.   obsessing on this right now because there is nothing wrong. And I think that there's a few hats that people wear. I wear a consultant hat. I also wear a CEO hat. And they're actually and I think about big companies like let's look at Google. I know that CEO is not coding. They're not. They're not building it. They're truly in a CEO realm. And so when we look at like what does a CEO do, they are the chief executive officer. Like their job is to execute. Their job is vision. Their job is culture.   and their job is to like really steer and guide the ship and to come up with great ideas. And so when I look at that, I think that there's two hats for CEO dentists to wear. There's the true clinical dentistry, if that's what you want to do and continue to do. And then we really do need somebody who's guiding and leading this business. And I think when dentists, I know this can be a little like not favored, ⁓ dental practices are multimillion dollar businesses and they are. when we realize that they're   They are businesses and like you said, the HR and the marketing. But when you look at large businesses outside of dentistry, they have other players in the realm and in the rink with them to make it actually run as a very successful business. And so I believe that when we understand the business portion of dentistry and we have great clinical care, that's when we're able to serve and help more patients and more team members. And so helping these dentists realize what does a CEO do? And I actually pulled from Dan Martel.   the author of Buy Back Your Time, like obsessed with his book, met him in person, like raving fangirl. It was like slightly embarrassing, like how big of a fan I was of him. ⁓ But he has his delegation ladder in there for businesses and actually created a delegation ladder for dental practices of when CEO dentists go from like your right line, a lot of them do it all. And that's, think, where the burnout is and the chaos is to where when can we start to delegate? Like, do you have a personal assistant who answers all of your emails for you? And if not,   Administrative tasks are one of the best things to delegate. Then we move into like our scheduling and then into our customer service and the patient experience. And then we move into treatment planning. A lot of doctors do that on their own. And I'm not here to say you have to give up anything, but I am here to say that when you truly take on the role of CEO, trying to do it all actually creates chaos. And you actually, you're the bottleneck of the business. And so then we start to delegate out the case acceptance if you want to. You're allowed to keep whatever you want, whatever you're great at.   Then we delegate out the marketing, then we delegate out the, actually, me and my operations manager were talking that I believe that there's two spaces within leadership. There's the executive side, that's these big picture visionary pieces. And then there's the management side, which is the HR, the protocols, the accountability of the team. And when we had that like, and I believe that there's, it's like a black and a white, yin and yang, perfect whole, you need both sides of this leadership within that CEO realm.   But when you're trying to do all the pieces as a CEO, you need to know every aspect going on in the business. But that does not mean you need to do every aspect of the business. And so I think it's like figuring out which colors you like to paint with, which ones really are your zone of genius and then starting to then delegate in strategic manners, delegate and elevate, not abdicate ⁓ really are how you can make this where you become truly the CEO of your business and your practice. And you're able to have great players around you that are able to then.   Make sure every other part of your business is thriving and flourishing too.   Speaker 1 (15:19) Got it.   Speaker 2 (15:20) So   much line, I hope it wasn't lying.   Speaker 1 (15:22) No, that was great. That was great. I mean, they should replay that because I think there was some really good nuggets and pearls that they can take back. So, you know, I want to talk about delegation. ⁓ you know, Invisalign is a great product ⁓ to bring into the practice or aligners in general. doesn't have to be Invisalign, just aligners. And aligners are really good, but they become really profitable ⁓ when a dentist is willing and able to delegate the tasks to other team members.   And personally myself, I used to do it all. And then I took a class by somebody, can't remember who it was, but it was all about giving the empower your team to do things and delegate the services to them where you're literally kind of just doing the initial consultation and whatever is required by your license in the realm of the things. But the team is able to do mostly everything else. And once you do that, ⁓ Invisalign becomes a very, profitable procedure.   So what advice do you have about delegation to somebody, to a dentist who really feels like they need to do it all and does not want to give up control of anything?   Speaker 2 (16:28) Len, I'm so happy you asked me this question and I'm so happy that I'm a team member and I'm gonna put on a team member hat, not a CEO hat on this one. ⁓ Number one, I really, really hope, and dentists, if you need to pause, replay, record this and listen to it every single day, I really hope you do. ⁓ As a team member, my number one job, genuinely speaking, and doctors have told me so many times when they've heard me say this, it...   hopefully will strike you to your heart as well. As a team member, my number one, like genuine number one objective was to make my doctor happy and to make their life easier. And that was honestly what I did every single day. As a dental assistant, I'm looking ahead. I want to be seven steps ahead of you and I want to make sure that you're truly like set up for success. I want to make sure that patient's back on time. I want to make sure that hygiene exams are on time. And I think that while yes, you might have some team members that make you question this statement.   I think 95 % of the population is genuinely good and they want you to thrive and they want the patient experience to be great. So when you hear that and you truly honor that and you respect that and you trust that, you then will realize that one of the best things you can do is, I don't believe in delegating. So like I can empower, but if I empower and don't hold accountable, then I've created entitlement within my practice. So I want to empower through delegating of this like.   As a dental assistant, do know how happy I'd be if you gave me, can fit a line. I understand I'm going to make a few mistakes, but oh my gosh, the growth, growth equals happiness. So for your team to be happy, give them opportunities to progress. Like that's what creates the happiness and the sparkle and the zest in life. And so really when you empower your team and hold accountable, you don't get this entitlement. When you empower and don't hold accountable, that's when we get these entitled teams that genuinely then it just becomes mayhem in your practice.   So like you said, delegate these tasks that one, either you're not good at, or I do think about everybody should be working at the top of their license. What are you able to produce per hour? If there's a task that I can hire somebody for less than you can produce an hour, it's probably something that we shouldn't be using your time for. And I know as a CEO, as an owner, this is actually hard for me because you strip me of things that I'm actually really good at, but reality is there's better uses of my time. And when you can recognize   giving everybody the best use of their time. Me as a dental assistant being able to do Invisalign, you've now just lifted and elevated me to the highest level of my license as well. And so I really do believe like doctors, one, believe that your team is truly here to support you. And if they're not here to support you, they're not your right team players. they like, great, let them graduate to somebody else and you bring somebody else in. Two, empower them and hold accountable to ensure that it's like how you want it done. And team members like,   You can share this with your team. I'm happy to share this one reason I like to do this. Team members, give the feedback to your doctor. They are going to trust you so much more when you come back to them and you show them the things you listen to what they say, you create the protocols, you do it exactly how they want you to do it. That will build trust and confidence so quickly. Team members lose doctor's trust so quickly when they like lacked to follow through and like truly do what the doctors have given them like stewardship and ownership over. So for those doctors and like you said, Len.   You won't understand until you try. And when you do try, you will make mistakes. But I believe, this is my philosophy, anything that I've delegated never gets to come back to me. And I think when you have that notion and that idea, well, I know it could never come back to me. You actually make it really, really great. You train your team. You help them have this. ⁓ And I then believe everybody's able to flourish so much higher. So hopefully that answered of like, one, you need to delegate and you should delegate.   Two, what are the tasks that you can be doing that are like helping you work to the highest level of your license? Everybody working at that is going to make a better team experience, a better patient experience, and all around a better practice for you as well.   Speaker 1 (20:20) I think you, I mean, the content you're providing, the listening and viewing audience is spectacular. you know, one of the, I guess, negatives about being a dentist is a feeling of being overwhelmed. A lot of stress. You know, that's part of the reason why I think you've got, you know, dentists with the highest, one of the highest suicide rates out there is that, you know, it's a very stressful job. I mean, you've got a lot of debt, you've got a lot of, you know, people relying on you for income as well. So what mindset   do you think exist ⁓ that or traps do you mindset traps do dentists fall into that that keep them feeling overwhelmed and and what do do about that?   Speaker 2 (21:00) Yeah, this is something so real to me. My first practice, I mentioned it briefly at the very beginning of we took our practice from 500,000 to 2.4 million in nine months. And when I present and I speak, I often will bring up like the success story and I list off my stats of our practice. I asked the audience, said, who wants this practice? And like hands go up and people are like shouting like, yes, I want this.   And then I say the other side of success is that this person, is me, like, spoiler alert, I was 98 pounds and I'm 5'8". I ⁓ had divorce papers on the line. I remember like I walked out of my practice that like one day and I remember just like standing on the sidewalk and being like one step and all this could be over. Like it was, and I'm not a dentist. I didn't even have the pressure of having to be in the exam rooms, but I do understand the pressure of business. And that's actually what's like fueled my passion in consulting is.   Because I thought like if this is how so many of us feel to get to success, Tony Robbins has a quote that success without fulfillment is the ultimate failure. And that was curidant in a nutshell. We had success on paper, but fulfillment was lacking and my entire life was falling apart. And so when you ask like, what are some of these zones that keep people in this mindset is one, I think that we believe that to get to success, we have to grind it out. We have to hustle. We have to do it all. Like it's this hustle mentality that I believe is so false.   Yes, I do believe that hard work is required, but I don't believe you have to do all of the work. Just like we talked about before, also think delegations paramount. I think so many of the doctors that I see there in this burnout are just, it's like grippy. Like they want to hold on to everything and they're not willing to let go and they're not like, also you're telling your team that you don't trust them and you don't believe in them when you do that as well. So you're actually causing like this double-edged sword on it. And then third, I think ⁓ we just don't take time to stop and pause and realize like what really is necessary.   I think so much like when I sold out of the practices, my whole identity was associated with that. if we have our identities associated with these practices and with the success, well, I can imagine that that feels like chopping off your arm and your leg if you were to fail. therefore, if it's literally my physical body and I feel like it's my whole identity, I literally remember the day that I sold out of the practices. I felt who is cura dent, who is she? Like I have no purpose in this world anymore. Nothing is important. Like I don't even have a family. I have no practice.   I felt nothing and I think when people's identities are associated with this rather than having something else. So I talk about like what makes all of you up and I remember like like looks like this weird little doll. Like it's such a weird outline that I make people do but I'm like draw to me like how your life is and when I do this usually it's like from your neck to like your ankles that's work and if that much of your identity is associated with work in your practice.   What could we shift this to more so your whole identity is not associated with that? So that's like we go work out, we have time with family, we book the vacations and when you start to realize that there's more life outside of the chair, more life outside of it and you being a well-rounded human that truly and I don't like the word balance, I just love the word well-rounded and fulfilled. When we start to add some of those pieces in which again feels contradictory, it feels like if I give this up that I'm not making money. I used to say I don't want to sit on the couch and watch TV with my husband because I'm literally not making money.   That's one of the the grossest statements I've ever said, but Len, it's truth. I really truly felt this way. Like the only purpose is to be producing and to be productive. But I didn't realize that. Like you look at that athletes have to take a break and they have to reset. They have to recharge. They have to like the best time is actually the recovery off season. ⁓ no, no person can continue operating at 110%. And when they are operating, they're actually not their best self. So there's just as much beauty in the recharge off time.   as there is on the productive on time. So when we can delegate, when we have more purpose beyond just our practice, and it's okay, work to me is very fulfilling. It's such a big part of my life. I love it. ⁓ But it's not all of Kiera's identity. So if I were to lose work, Kiera and hopefully you can still exist outside of that. ⁓ And then truly having shut off time. A lot of clients when they come on board, I tell them, I'm like, I'm giving you the greatest gift. You're out of work today at 4.30 and I don't want you to talk about work. Close the laptop, walk out and literally leave it at work.   And what's crazy is people don't realize that you can actually get a lot done within your four or five hour, like four or five day a week work week. And to be home with your kids, to be home with your family, to go to the gym, to replenish your bucket that gives out so much every single day ⁓ really is what you actually need to be doing rather than trying to produce more. And it sounds contradictory, but it's true. You will actually produce more and be a better producer and happier business owner if you will do that.   I know that was a long-winded answer, Len, but I really hope that people can see there are two sides of success. The word itself of success has a portion of suck. Like there is a side of business that is really hard that does require that grind and that hard work, but there's also a beautiful side. And I think when people can dance in that, can see that their whole identity is not the practice. It's not all dependent on that and they fill themselves and fuel themselves. Literally, I feel like the burnout can be dissipated very quickly.   If you've been going on it for a long time, it will probably take a little bit longer, but these small, simple steps will make you so much more fulfilled. And honestly, I hope nobody listening to this podcast hit success without fulfillment. I hope all of us commit that while we're giving the great patient care, we're giving back to all these people, we equally get to deserve and we should deserve to have a beautiful life of our own as well.   Speaker 1 (26:39) So nicely said, very eloquent in way you said that as well. last thing I want to cover is, we talked about being overwhelmed. stress is also part of being overwhelmed. very stressed. What are some ways that you think a dentist can reduce the stress on a day-to-day part of his practice? If someone said, hey, I'm so stressed, I don't know what I'm going to do. And you hear it a lot. I I talk to dentists all the time. And one of the common denominators is that they're   You know, when I sold my practice, I was never truly, truly stressed out. The stuff that stressed me out, honestly, was stupid stuff. But since I sold my practice and retired, I don't really have much stress in my life anymore. It's very interesting. But what are some things that dentists could do to reduce those stress they see on a day-to-day basis?   Speaker 2 (27:29) Yes. Okay. And I said, yes, because I'm to go back to the S model. The S model is literally like my stress booster buster for you. Number one, where do you want to go and why? Like figure out you that truly if you don't have a North star, you don't know what you're going for and reassess to make sure that's really where you want to go. So many people put this like, I want to have four practices and I want to have this. And I'm like, why? You got to be able to tell me why I'm making sure it's your dream, not the dream you think you should be living.   That's like number one to get rid of stress, like truly living your dream. And I will tell you, you're allowed to like, it's in pencil, it's not in permanent ink. You can erase it, you can recraft it, you can recreate it. That's going to cut stress. I was chasing after a mountain, I didn't want to climb anymore. And when I realized that, that was a pivot shift. So number one is like, make sure you're actually truly going where you want to go. And that's the you. Earnings like profit, like Len, so much stress comes from not knowing the numbers.   And I know people sometimes want to avoid it. They don't want to look at it. Like I'm just going to go do production. I want to do ethical dentistry and I will tell you both exist. It's not an or like you will you as a human are going to naturally do ethical dentistry. Like you can't go against that. That's who you are at your core. And by knowing the numbers, you're not going to go and overdiagnose like I promise you it will not happen. But knowing the numbers and actually like looking at your cash, what are you spending money on? What do you need to produce to be able to afford the business?   Doctors learn the numbers and they actually use the numbers to make their decisions. Stress dissipates. I have so many doctors that reach out to me because they're cash flow poor and I'm like, you're producing 200,000 a month, how are we broke? ⁓ So actually understanding how to use numbers and not to be used by numbers and knowing how you actually can get money and like what can you live on and understanding tax brackets and savings like that discipline might seem constrictive, but I will tell you it is the most freeing stress free piece that you can have.   And then third, our systems and team. Like I'm going to like just really keep like painting this picture for you. Delegate to your team, use your team, put the systems into place. And we don't go for the whole elephant. We don't do the entire thing in one night shift. What we do is we look at the numbers. Where are numbers low on the KPIs? Let's go fix a system over there. So we fix that part of the leaking bucket. Just that alone, like even myself, I felt it like the hoosh of reducing that stress for you. ⁓ Start with your vision.   know your numbers and then put systems into place and team delegation and elevation ⁓ that will immediately reduce stress. And then like just quick, what is the one or two hot pain points right now causing the bulk of your stress? Let's figure out how we can eliminate those right now. And I want to, everybody always says, Kiera, there's no way like I can't do this. The answer is yes, you can. Yes, you can. And when we get out of this, I can't get that, I can't do this. We actually find the true core of what we can solve. Usually the answer is pretty simple and it's pretty immediate.   if we're willing to just let go and take action. So those would be kind of my like four little steps to reduce stress quickly and easily. And if you can't see it, sometimes having an outside voice and outside perspective, sometimes you're too far in the weeds, that can be very beneficial for you as well to like take you by the hand and say, here's step one, two, three, four, and they're there to guide you as well, rather than you trying to figure it out yourself.   Speaker 1 (30:35) amazing. This is great. ⁓ I want to shift for the final few minutes that we have together. I want to shift to my lightning round Q and a that I like to do with guests. We're going to get through eight to 10 of these. Okay, ready? The rule of thumb for this one, you like long winded answers, which is great. But for this one, it's very, fast. No long, no long winded. We'll never get through this.   Speaker 2 (30:47) So   You got it, Len.   Speaker 1 (30:58) So I opened my app up. First question, what book do you want to go back and reread as it's made a great impact on you the first time you read it?   Speaker 2 (31:07) I would go back and reread Bye, Your Time by Dan Martell. I feel like there's a lot that I could relearn from that where I'm at today.   Speaker 1 (31:14) repeat that one more time.   Speaker 2 (31:17) Yep, buy back your time by Daniel.   Speaker 1 (31:19) Buy back your time. I'm just writing it down. All right. Who has been your greatest inspiration?   Speaker 2 (31:25) Gosh Tony Robbins hands down. I love Tony so much. I look up to him a lot. I've been in his Lions group ⁓ the reason I look up to him is because He said one time the Tony you see in front of you is the Tony I created it's not from my parents It's not from business. It's not from anybody else It's who I want to be and who I esteem to be and he said life is always happening for you and not to you and those two pieces have Resonated with me so much in my life ⁓ truly one of the like   biggest, greatest mentors and I've been really blessed and lucky to have him directly mentor me, which have truly changed the trajectory of my course, of my life as well.   Speaker 1 (32:04) Awesome, amazing. ⁓ If you could take a class to learn anything, what would it be on?   Speaker 2 (32:10) marketing. Len, hate marketing. Call my Achilles heel. I learned so much and I think I know more. But man, if I could like understand it on a really high level easily all day every day and I take a lot of them. But man, one like magic one that would teach me everything. Yeah, it'd be amazing.   Speaker 1 (32:26) Amazing. Do you believe there is some sort of pattern or formula to becoming successful?   Speaker 2 (32:33) Yes, I do. It sounds like cliche. I didn't like, I think the yes model came from what I believe success is like you having a vision, looking at your numbers and then putting systems into play and using your team ⁓ and surrounding your yourself with people that are living and doing the life you want. I really do believe we become like the people we surround ourselves what we listen to. So that's what I would say is the path to success.   Speaker 1 (33:01) Amazing too. Has anyone in your network other than Tony Robbins, has anyone in your network been important in your journey or to your journey?   Speaker 2 (33:09) Absolutely. There's a lot of people. think my husband, that's a huge support for me. He believes in me, even though maybe he shouldn't believe in me, but having that rock. And then also my team, truly, I look at all the variations of Dental A Team and where I've gone as me as a person, they've evolved me as a human and they've also evolved our company and the good and the bad that have gone through.   They have truly shaped me, every single one of them, and I'm very, very grateful for the trust they put in me to create what we've built.   Speaker 1 (33:42) amazing. How do you develop how have you developed key partnerships?   Speaker 2 (33:47) Ah, that's fun. You go to events, you talk to people, you look to see how can you add value to their world, to their life. And I think partnerships, partnerships to me, I don't try to figure out like how to do something. I look to see like, who do I know that knows how to do this? That's how I use partnerships in life and vice versa. Like bring more to the table than you take from people. But I look at people have just like, what's their secret sauce? How can I like, like connect them to other people? To me, it's a fun connect the dots of just getting great people together. That's how I believe that like.   To me, that's how all boats rise is through partnerships like hands down. One of the best things was networking and meeting people. You will learn more from the minds of men than you will be able to like mine out of this world. Like there is more gold there than anywhere else in this world.   Speaker 1 (34:32) Got it. What has been your most satisfying moment in business?   Speaker 2 (34:39) Most satisfying moment? There have been a lot. I think recently my most satisfying moment was when I wanted to give up and I really was so burnt out and I was exhausted and I was tired and I hit that breaking point again in my life. And for the first time in my entire career, I took an entire month off and I reset and it was the most scaring. There was a lot of really bad backlash that came from it.   But me as a human, re-centered, refocused, re-prioritized. And I think that that was one of the most satisfying moments to realize, at the end of the day, CEOs and business owners have to show up for themselves first to be able to give to their entire team. And I'd never, ever, ever, ever done that. So like me personally, that was one of them. But man, like the hundreds and thousands of clients lives, Glenn, you and I both know, I think as consultants, when you hear people's lives changing,   like clients who are broke and literally had no money and now they're buying their kids their dream lives, that to me will always be the clincher of everything but like beautiful and why I show up every single day to do it. So there's a personal and a professional win that was like just super satisfying.   Speaker 1 (35:47) That's really great. All right, three questions left. Let's get through these quickly. What deserves all your attention but seldom gets it?   Speaker 2 (35:57) I would say probably my body like working out.   Speaker 1 (36:00) Okay, what three adjectives describe your strengths?   Speaker 2 (36:06) Adjectives. ⁓ I would say grit. would say fun. And I would say passion.   Speaker 1 (36:16) Great answers. Last question I ask is to everybody. So it is one subscription, either business or personal, so something you pay for either monthly or annually, that you simply cannot live without.   Speaker 2 (36:33) ⁓ Len.   I would say I can't live without, honestly, boomerang. That sounds so ridiculous. I would not be able to follow up with all the millions of things that I do day in and day out without boomerang as a person, like professional. Like I would pay for that all day every day. ⁓   Speaker 1 (36:53) I haven't heard that one before, that's a good one. you go. ⁓ So Kiera, how can people learn more about how you can help them if they want to learn more about your consulting agency? What's the best way for them to reach out and find out more?   Speaker 2 (37:03) Yeah, thank you so much Len. Best way is listen to the podcast, the Dental A Team podcast. Reach out on our website, TheDentalATeam.com. You can book a call with us or you can always reach out. You can text us directly, 775-243-5100. Like we will get back to you. I'm happy to share any tips, any insights. Find us on Instagram, Dental A Team. Truly, we try to be just like you are Len, available in all aspects and just really, really grateful for this opportunity today.   Speaker 1 (37:30) Well, this was great. Thank you so much for ⁓ spending 30 plus minutes with me, really educating the audience on things you're passionate about. And just like I did on yours, you can see the passion when you talk, you can see the passion in how you answer the questions. So I truly appreciate you kind of giving it all to us. So thank you again for being part of the Raving Patients podcast. ⁓ Guys, if you like the episode, please like us, please review us. If you think you or yourself or one of your colleagues can use what the Dental A Team can do for your practice, please reach out.   let them know you heard about them through the podcast that I just did with Kiera. ⁓ And as I end ⁓ every single one of my episodes, remember your reputation matters until the next episode. Thank you so much for joining me and we'll talk to everyone soon.  

Tiff and Dana discuss what they've seen across hundreds of practices as the best time to hold those weekly meetings. They also touch on the benefits of third-party insight, finding pockets to create consistency, the right cadence for your team, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. We are so excited to be here with you today. I snag Dana once again, and I always say that I snag Dana. I say that because I pre-schedule these, you guys. Pretty far out in the calendar, I always have the podcasting scheduled. And then I do a really great job of being like, ⁓ actually, I know that it's on this specific date, but maybe we could squeeze it in here. I am always looking for ways to try to maximize a schedule, but sometimes it.   requires me moving things around. So I do really truly snack, Dana, where I can and push it into our schedules, typically somewhere else other than where it had originally started. So Dana, thank you for always knowing your schedule, always considering it, and always, think, one, we typically are able to just pop it in there, which just reinforces my bad habit, but... ⁓   I do know without a shadow of a doubt that if it doesn't work, you'll tell me too. So thank you for being the kind of person that can look at something and can confidently say like, oh, great idea, Tiff, but I can't do it that day. What about this day? I appreciate that about you, about your leadership style. And it makes me super confident in you training leaders and practices out there in the world. So Dana, welcome to the show today. Thank you for all that you are. How are you? It's the beginning of our week. How's your Monday so far? And again, thank you for.   just sliding this in here today.   Dana (01:24) Yeah, of course. Thank you. And you know, like, as a fellow efficiency hacker, I love when you look for ways to just pop it in spaces, especially with how busy our schedules are. I definitely always appreciate the snag and the time with you. And yeah, my Monday starting off pretty good, you know, meetings, catch up, client projects, all the things Monday can be a fun and yet sometimes wild day.   The Dental A Team (01:49) It's so true. It's so true. My boyfriend's always like, gosh, it's Monday and like, why are you always so exhausted? Isn't this your meeting day? And I'm like, yeah, well, you know, we got lots of meetings and today I decided to snag everyone possible for podcasting. So I've got meeting on meeting and then podcasting and you're totally right, Dana. And I think it's actually really beautiful. Something we did a few years ago. I don't know, Dana, if you remember when we started, probably, probably pretty close to when you onboarded as a consultant, we started shifting.   into Monday meeting day and Friday kind of meeting slash catch up kind of admin work day because we were getting really wild with our schedule. And it's just something I think that has changed and shifted the culture of the company pretty drastically. And it gives us that space to really dial in and work on the company and not just always working on client stuff or our own personal stuff that gives us space. So kudos to the Dental A Team there and Dana that was really   really kind of ties into today's content, honestly, of really structuring a schedule and being able to see where we can best create, you know, which I know like people, gosh, what am I trying to say here? Practices are like, where am I supposed to do a meeting? Where, and then where is it most beneficial? And I know I get asked a lot and Dana, you might too, like, can I do my meeting on a Friday? I'm like, totally, you sure can. But I think from our experience, what we've seen is Mondays tend to be the best because it sets the week up.   in advance. You can set it up on Friday for sure too, but I think it really just starting the day with our Monday meeting that first, you know, level 10 style meeting first thing in the morning on Mondays really gets the whole team energized and aligned on what our week is going to look like. And for me, working from home, like it really like motivates me to get moving. And Dana, do you, do you kind of feel that same way? And do you see that with practices?   Dana (03:41) Yeah, I do. agree with you. think if Friday is the only time that the entire team can get together for a meeting short have it on Friday, but I do feel like end of the week meetings, whether your last day is Thursday or your last day is Friday. It doesn't allow us to really jump off and get started right away. There's this whole weekend kind of a lag. And sometimes I feel like we come in Monday and it's like, we maybe lost some of the priorities that we talked about, or they get filtered through our weekend a little bit. So if it is the only time that you can, absolutely. And then I think Monday just a little like, guys, don't   forget, right? Bullet points of what we talked about, what we're working on this weekend, again, just to start the week fresh. But I think if you can do them on Mondays, it is a great way to really get everybody focused for the week to be super intentional with the week and with your time and just a jumpstart for everybody.   The Dental A Team (04:27) I totally agree. I think that's super important. I love how you brought that back together on Monday morning as a refocus moment. So maybe it's not the whole hour to hour and a half, however long meeting, but it's a quick like 15, 20 minutes. Let's just jumpstart this week to get us off on the same foot and make sure we remember the things we committed to. So I love that. I think that's brilliant. And again, it ties into what we're going to talk about today. I   Love stats. love pulling the consulting team's stats. love seeing what you ladies are doing for your clients over there and really just seeing the successes of the clients. And I love sharing those successes and those tools. Something that my team loves to do is just really share all the tools we possibly can. And when you're ready to work with us, we do it side by side with you. But until then, you've got these resources that you can kind of self-implement to the best of your possibilities. And we are always here to help as much as we can.   So Dana, I know we've chatted about this client ⁓ ourselves and we're not going to get into the specifics of the client, but the specifics of the results itself. And kudos to your diligence, ⁓ to your accountability and really staying on top of what a client needs. And I think what we've seen a lot is that mostly a client needs someone doing it side by side with them as in,   sharing the emotional load and being willing to have the hard conversations when they need to be had and answer the text when they need to be answered and get on those calls every single month for an hour and a half and really bust through the struggles that the numbers are showing us and really implement the right tools and put the accountability lines into it. So when I say we do it with them, Dana, that's like a very hard line that we've learned to take.   And we do it with them by ⁓ actions of training and support. We're not doing it for you. not calling your patients. Dana's not calling on unpaid balances. But she is someone who has been able to support many clients, but specifically these results. She has been able to support practices in achieving this specific one is tripling their collections within two months of working with Dana.   That sounds magical. It sounds beautiful and it is. And the clients who do experience these kinds of results, which all of our clients experience some tremendous results. But something I do want to put a caveat on is that our clients experience results in varying degrees. And there are just so there's so many results to be had and so many results to be shared. And I think something that has to be taken into consideration is where you come into the game.   Where are you starting and where are you going? Right. So this practice had some room to grow coming into it and as do many practices. so generally speaking, Dana, I think my first question is tripling collections. Number one freaking fantastic way to go. You offered some incredible support, some incredible training and awesome, awesome tools that they will be able to use for the rest of their careers.   What did you, when you see practices come in like this and you're like, holy, holy cow, there's room here to triple your production or your collections. Like, let's do this. What kind of demographics are they coming in with? What are you seeing their stats as when they onboard?   Dana (07:52) Yeah.   Yeah,   yeah, and I will say a client like this is really exciting to onboard because when you can kind of instantly see where you can help, right, you can instantly bring some relief, you can instantly reduce stress because, you know, collections is an area that can cause a ton of just.   emotions, stress, because that's money in the bank, right? And, and that is the money that we use to pay our team and pay for expenses and keep the doors open. And so to be able to have a client come in, I can just like instantly pinpoint where I can be super helpful and massively impact just their life and their practice. It is really, really exciting. Now to get results like triple the collections, this office came in with collections sitting at around 40 % as well   as needing some growth in their production, right? So ideally what they were needing to collect, there was a fairly decent gap ⁓ there that allowed for these results, but it definitely was hugely impacted in their just willingness to jump in and get to work too.   The Dental A Team (09:04) Yeah, I totally agree with you. I think that that space is super fun when clients come in and I'm like, heck yeah, here's a target. And most clients, whether it's the collections or overhead or production, most clients will come in with something that we can just narrow in on right away within the first 30 days and get momentum and get movement. And I think once we get that movement going, whether it's small or drastic, that's when the momentum catches with the team.   and the doctors and the leaders, and they're like, ⁓ this isn't as hard as we thought it was. We can do this one strategic piece at a time. And so when you're looking at a whole practice, it can be super overwhelming. And when you're working in the practice, hence the reason we do Monday meeting days, right? It's really hard to work on and in something at the same time. And when you're doing that, everything that quote unquote needs to be fixed or needs to be worked on or needs to progress,   is a hot fire and is a stress. And you're like, how do I do it all? How do I do everything? So what we end up doing, I think most often in practices, Dana, I know that I did this as a leader, is we try to fix a piece of multiple things. And so we get nowhere really fast. And we get like a 3 % movement on 10 different things instead of really being able to narrow down the focus into that one thing.   that can be done now that will progress you, that can spiral and domino effect into the next thing. And Dana, I think that's something that you were able to do with these, the results that you got here with this client, but specifically with any client, that third party kind of bird's eye view perspective of massive issues, it's easier for us to come in and say, well, why don't we work on this is the biggest thing, or this is the thing we can fix right now.   those other pieces might have things tied to them that we can't resolve. So we're gonna start here and finding that starting point seems to be the magic sauce of like one thing, one focus. And Dana, you do really well keeping them in line with that and being like, ⁓ yeah, those are great questions. What about this? Yep, those were great options. What about this? So bringing them back in alignment to that. And for these results to triple their collections,   What did you see right off the bat that you were like, is our focus. This is where we're gonna keep coming back. And how did you continue to pull them back into focus for that? Because I know they squirreled, everyone does.   Dana (11:38) Mm-hmm. Yeah. They do.   And everybody squirrels, and I think, too, like...   Doctors come in with I need to change this thing because it's the thing I can control, right? So a lot of times when it is a collections issues, doctors will come in and say, just need to produce more, right? I got to get in there and I got to produce more. And while that will help collections, right, it isn't going to fix whatever the root causes that's really thrown it off. And I will say for this practice, like there was quite a bit of opportunity in there, meaning that both sides of collections were just   not kept super consistent, not really great systems in place. You know, a lot of the parts and pieces in the background were a little bit off kilter or broken, if you will. And so instantly what I could see was, because I will say,   front office turnover, there's only one person that works in the front and it turned over quite frequently during the period of time where they saw a huge drop. knowing that, I could see that insurance AR really hadn't been kept super consistent. And honestly and truly the first thing that I did was recommend that he outsource it to somebody that could keep it steady. First and foremost, I can see we don't have hands on deck. Our clinical team doesn't know insurance well enough to pivot and jump in in those areas. And we really need somebody that is strong.   The Dental A Team (12:46) sense.   Dana (12:56) and can get in there and can get you results very quickly because honestly and truly at that point there was not a front office person on the scene. So it was I've got a great resource for you to outsource your insurance billing and get that started right away and honestly and truly that made a huge jump just having somebody consistent work on it.   The Dental A Team (13:18) Yeah, and I think that's a huge point. So whether you have somebody in the office or you have to outsource, ⁓ the thing that you said there was consistently working on it. So if you do have somebody, which a lot of practices do, you've got somebody in the practice, but I think that like squirreling on trying to figure out or decide what's the most important thing to work on right now, I...   think my assumption is, what I've seen is that those insurance follow-ups, those claims follow-ups, even claims processing, like sending the claims and prepping the claims, those get pushed to the wayside because they can be theoretically done at any time, right? It doesn't require me answering the phone and talking to a patient right now. It doesn't require me checking in a patient right now or answering the 15 questions that the doctor's coming with me.   to me with today because he doesn't have a patient, right? It doesn't require my immediate attention. So I can kind of push it to the back of my pile and handle other quote unquote hot fires. So that consistency gets lost. And back to our Monday meetings, would you have, if they had someone in this practice, and I know you've done this with other practices too, or I assume you have, would you have them structure so that they had specific times for that consistency?   Dana (14:31) Okay.   The Dental A Team (14:32) how do we help a billing team? Because I've had it too, where they've got somebody there and they're just like, Tiff, I don't know what you want me to do, I've got all these other things. And it's like, well, we need a structure built in. So what does that look like,   Dana (14:44) Yeah, and we did build a structure with the patient side with them. And so I think that there's a structure for both sides and you have to figure out about how much we can set aside every week. Right. And I like just a very simple cadence. Week one and three is patient AR. Week two and four is insurance AR. Week one is sending statements. Week three is your follow up calls and texts.   for your patient AR, for your insurance AR, usually I say week two, I'm working oldest forward, right? So I'll do my 90 day, my 60 day week two, week four, then I'm hitting my like 30 to 60 and whatever I can work in the current. ⁓   And so I think when you break it up into chunks like that, and whether it is, hey, you spend an hour every day each week, or you pick Tuesdays as your AR day, and you lock yourself in whatever space you can that you're uninterrupted, or you just let the team know, hey, come to me as little as possible for the next four hours, it's my AR time, and you mark it on your schedule. But I think developing, because AR is the one thing that the second you let off the gas, right, it will spiral on you.   It   will continue to grow. It will take off the second that you look away from it. And so, so often that's really just what it is, is you're doing the things. You're doing follow-up calls. You are...   Reaching out to patients you're sending statements, but we're doing it sporadically versus consistently We're doing it when we have pockets of time versus making the time to keep it consistent And when we're looking for pockets of time in a busy dental practice as you know Tiff like things always will come up   There's always a way to fill your time and there's always things that feel really pressing. And so AR is one of those things because it's just follow up that gets pushed to the side or is like, I'll tackle that next week or Hey, I'll tackle that at the end of the month. And by the time we get to the end of the month, it's grown to where we actually can't manage it now because there's so much in there.   The Dental A Team (16:44) Yeah, well you made me think of the reference that people can kind of look at this as, especially for our doctors or our managers who maybe don't do this part of the job. It makes me think of gym workouts. And when you're going even three times a week, so you've got three days a week, Monday, Wednesday, Friday, every week you're gonna go to the gym and you go to the gym and two, three, four weeks go by and you're starting to increase the weight.   on the exercises that you're doing. So maybe your bicep curls by week four, you're able to do a five pound heavier dumbbell. You start at 10, now week four you're at 15. And then life happens and you're like, shoot, we've got Christmas, we've got New Year's, we've got family in town, and we don't prioritize getting to the gym or getting those workouts in. So we lose the reps, right?   your reps aren't just like the single exercise reps. Your reps are the repetitions of actually going to the gym. So what happens then, you lose the reps of the gym and you were going three days a week and you were just killing it for like four months and you're like, I see these great results and this is working. And then you're like, shoot, it's holidays. And you just don't make the time for it. And you say, I'll get there when I can. And it starts as two days.   Fridays are out, there's too much family stuff going on. I can't do a Friday, that's crazy. So Monday, Wednesday, and then all of a sudden it's like, shoot, by Monday, I'm really tired by the end of the day, so I'll go at least Wednesday, but Wednesday's hump day. So then by the end of January, you're like, now I need a resolution created to get myself back in the gym because I'm starting over. And so I think that's what happens with AR or re-care calls or unscheduled treatment calls. We do them and we do them and we do them and then we're like,   Gosh, Dana, I've got to do this thing or I'm exhausted of this. I can't make any more calls. So we stop and then we're starting at the beginning again, even for re-care calls. If you've called a patient four times to schedule and you're like, Tiff, they're just not coming. You don't know that until they tell you they're not coming. So then in two months, you're starting again at ground zero. That's your first call. It's not your fifth call. You haven't called them five times. Now you call them once and you're starting all over again. So Dana, I think when you talked about the consistency in AR, that's what it made me think of.   Brody does great, my kid does great, and he'll start seeing results and then he falls off and then he's like, my squats are, I can't do as much on my squats again. And I'm like, well, you know, your legs are the first to go, buddy. Like your biggest muscle, those are the first to go. And he's constantly restarting. And I see people do that all the time in the health industry, but I don't think we relate it necessarily to our tasks in our daily job.   And I think Dana, you keyed in on that. And so building that consistency for them, the consistency with the offsite billing company obviously helped this practice alone, but building that consistency on the patient AR and having those two, if it's in office, if you're using an offsite company, matter what, consistent follow-up on offsite company is a thing as well. So no matter what you built, you helped them see where they could build that structure into their schedule, build the systems that needed to be followed.   and stay consistent on it no matter what happened. And Dana, I would have to assume and surmise here that that's where the results really started to trickle in. Because had they done that really well in month one, they may have only had 10 % increase. But because they stuck with it, they were able to triple their results in two months by utilizing those structures. Dana, do you agree? Yeah. Yeah. Awesome. Well, you've   Dana (20:12) Yeah, absolutely. Yep.   The Dental A Team (20:18) killed it and you guys again like this comes from you have to start where you are and if you don't have you guys if you're calling us and you're like hey I have ten thousand dollars in my over 90 AR okay great when order to increase collections we're gonna have increased production like great AR I want that but when you call and you say hey Dana I have two hundred fifty thousand dollars in my AR that's an easy space to be like awesome we need to get this collections ramped up there's a lot to be collected here   So start where you are, know there's always consistency to be found. There's always something we're doing inconsistently and I always say anything you do consistently, even if you're consistently inconsistent, okay, if you are consistently inconsistent, you are going to produce a result. Anything you do consistently will produce a result. It's just looking to see is this producing the results I want or not. And if it's an or not, look at your real consistency.   Are you actually doing what you think you're doing? Or are you a little lopsided and topsy-turvy and maybe only making insurance calls once a month? Because that would suck.   Dana (21:23) Yeah, and it's one of   those spaces to like you said hard conversations, right? And I think that numbers make those conversations a little bit easier because I can say it may feel as if it is consistent, but there's something happening because the result   isn't there. And if we kept it consistent, we can certainly look at what you're doing and is that effective. But so often when we work with teams, it's the consistency piece that we're missing. Offices come in and like they want systems and they want help. And it turns out that a lot of them have systems, right? It's the consistency piece that they haven't quite figured out or, or how to even see that or build it in, like you said, creating that cadence. ⁓ And sometimes it's like you can   makes such massive movement with just one small tweak in consistency.   The Dental A Team (22:13) Yeah,   beautiful. I think that is wonderful. And Dana, if I were to force you to wrap this into some action items, with that said, what would it be?   Dana (22:23) Yeah, I would say just pull your AR, right? Know what your AR looks like. Know what your collections percentage is for every month. Remember, we're targeting less than one month's production for AR, 98 % for collections. But the biggest piece is if those numbers aren't where you want them to be.   Build your cadence. Make sure that those pieces are consistent. Talk to your billing coordinators. If you are the billing coordinator, look, where can I make it consistent in my schedule? Map it out, put it on the schedule, tell the team, ⁓ and get to work because it'll make massive change.   The Dental A Team (22:57) Awesome, I love it. Thank you, Dana. I think that was a beautiful wrap. ⁓ And guys, I just, I love our clients and you guys work so hard for the results that you get and the space to allow us to come in and support you on that is just really, really fun for us. So thank you to all of our clients. Massive thank you to all of our listeners, whether you're a client or not. You are here, you show up with us and hopefully you get some really fantastic.   actionable items and pieces that you can take away to your teams or individually implement within your own position in your company. So you guys, that's a wrap for today. I hope you enjoy. Drop us a five star review. Let us know what you think. And if you have any tips or tricks that you've implemented that have helped increase your collections, we'd love to hear about them. You can leave them in your review. People do read those. tell you that all the time. Or let us know Hello@TheDentalATeam.com. If you have any questions or you want to give Dana some massive kudos or   just pick our brains, Hello@TheDentalATeam.com works as well. So thank you guys and until next time, we'll see you later.

When it comes to the goals you're setting as a practice, it's important to establish a strategy to reach them. In this episode, Kiera walks listeners from wishful thinking to goal-driven execution. Email hello@thedentalateam.com for your goal-projection calculator today! Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team Listeners, this is Kiera. And today I like to get out of the hopes, the wish, the like, my gosh, are we gonna be able to hit our goals or not? ⁓ To actually set you and your team up to hit goals. this is just a true like, is your team set up to hit what you guys have set up? Or are we hoping, wishing, wishing on stars, doing all the like magic dance? ⁓ Let's truly, truly, truly help on this. We even have...   a goal projections calculator. So you guys can use that. And something email is Hello@TheDentalATeam.com. I'm gonna go through a bunch of these pieces today, but truly this is something that I think is gonna be so helpful for you guys. Let's not hope, wish, pray, like do that, but let's have it be a bit more predictable. ⁓ We've got to get it to where it's real. Somebody asked me like, I just wanna hit this amount. And I'm like, cool, why? And do you have a plan to get there? Every single piece. I don't care if you wanna hit.   2 million, 5 million, 20 million, all of it's doable. Let's just figure out the strategy. Let's figure out the plan. Let's create it. And then let's execute. Let's not just talk in hopes. Let's actually execute. ⁓ But it has to actually be founded actually. It has to be foundational. Otherwise, no matter how hard they try, they will not hit it. So we're gonna go from like wishful thinking to goal-driven execution. That way you guys can execute consistently.   Dental A Team's obsessed with this. Our mission is to positively impact the world of dentistry in the greatest way possible and to help you have every possible amazing life opportunity that you possibly have ever dreamed of. ⁓ We want you to lead with numbers, not just motivation. We want you to be confident in your decision-making. I want you to be able to say yes to more things in your life and that's focused on you as a person, earnings and profitability and systems and team development. The yes model, making sure that you are truly set up for success.   We're gonna teach you guys how to actually reach goals that you've set, how to be more consistent. It ties into quarterly. We talk about that on podcasts. Like really it's tracking, it's measuring, but it's like foundational. We've got to make sure that we've got step one is clear, measurable, visible and realistic. So, often offices I'm like, what are we even working towards? Like, I don't know. It does not have to be number centric either. It can be patient centric. It can be whatever it is. And I help offices see that like,   the numbers equate to the number of patients. And so when we look at this back and forth, it's really gonna help us like drive these things forward. And so whatever it is, you just have to make a goal clear, measurable, visible and realistic. So I'm talking like have a thermometer in your back room and we like fill it in every single month to see how close we are.   I do not want you just to be talking about it just as noise. It's got to be visible. It's got to be specific and it's got to be realistic. And then it's broken down into daily, weekly, monthly goals that are going to help us with benchmarks on it. So, so many times you're like, it's so hard care to add an extra 20 grand. And I'm like, but is it? If we're working 20 days a week, a month, that's an extra thousand dollars. Let's talk about how easy is it to add a thousand dollars a day? Like just rattle off, what could we do?   We could do fluoride. We can make sure our X-rays are there. We could add one extra, a couple extra fillings. Like that's all it is to add an extra 20 grand to a practice, but that's broken down into a daily realistic goal. This is going to help people also know what's their number that they actually can influence to drive the goal forward. So I'm very specific. If our goal is X, Y, or Z, we're going to then make sure every single department has something that they're driving this goal forward with that they can influence. And then we have a scoreboard.   Like truly teams do not win games by hoping, wishing that they got enough baskets in the hoop. They have the scoreboard there. They see, are they behind or they on track? Are they above goal? Are they behind goal? The entire game. It's not like, well, we're going to just like look at it once a month and hope like one time during the game, we're going to just throw that score up there real fast. Hope nobody really looks at it. Cause you know, we just want them to play ball.   No, we're here to win. We're here to make sure your practice is thriving. We're here to make sure that your systems are in place to make sure that you give the best patient and team experience. We need that scoreboard visible. Otherwise, how does the team know if we're winning, losing, or if we're on track? So break it down, monitor it. And I will tell you when practices implement this, they instantly grow 10 to 25 % consistently. Like it's a no brainer because we're like what you focus on, you achieve what's in your mind's eye. It's like when you want to go buy a car,   Well, instantly you start seeing that car everywhere and like, my gosh, there's that car again. Well, Toyota don't just like pump out a bunch more cars. You were focused on it. So you started to see it more. And what this is doing is it's focusing all of us on the goal and it's going to make it visible. So step one is you need to have your goal clear, measurable, visible, and realistic. And you need to post it this week. That's step one. Get it in there, physically post it and start measuring on it. Now every goal needs to have   the role tied to the goal. So this is going to what we talking about, like you have to train each role, what metric they can control. So hygiene reappointments, that's a big portion, hygiene fluoride, hygiene production per day, having it visible, having them have their own metrics so they can see what should my daily goal be. You just give a hygienist this information, your hygiene production will go up naturally. If they start looking at it, you have them turn in their end of day production reports, they check it off compared to where they're supposed to be.   Even if you have nothing tied to it, no pain, no gain, no nothing other than telling them what it is, you will increase because now they know for an office, your billing, it's our AR needs to be X amount. This is our goal. This is our standard scheduling. We need to have our schedule filled 80 % or 90%, whatever it is. That's less than one opening per day. We track it. We measure how many days do we not have? It's like how many accident free days did we have? Doctors hitting their dollar production per hour goal.   And checking out like literally I've helped associates increase their associate production goal just by giving them a little calendar where they check on how many days they hit their goal. That's it. That's it. People love like I used to work at the dental college at Midwestern. If you don't know that, well, welcome. Hi, I'm Kiera Dent. I used to work in Arizona's dental college and it was crazy. Our endo buckets were a hot mess. I had made these pictures. I had protocols. had it. The number one thing that worked for me to get those endo buckets back clean.   was giving out gold stars to students. I kid you not, these are dental students. I had 140 of them in two different classes. So 280 and I had to get these buckets in. You can only imagine the amount of work I had to do and that we're talking gut a purchase, like the whole nonsense of these things. And the piece was if I gave them a gold star and then what people started doing was putting those gold stars on their name tags. And believe it or not, people were obsessed with getting those gold stars and tracking and measuring just with a simple gold star.   And if their bucket wasn't perfect, they got a red or green. They did not get the gold or they had to go back and fix it to get the gold star. And it's crazy. Cause when you do this, what it does is it connects the dots for team members. And then we're reinforcing good behavior of what we want more up. So when you start to have like every single role having their goals. So hygienists know what their metrics are. Dental assistants know their metrics. Front office knows their metrics. Doctors know their metrics. And we're tracking it.   They're closing, like we are hitting our goals with so much more ease and continuity. This is how I take practices from producing 150 to 500,000. Like it's not sexy, it's not crazy, it's not hard, it's just consistent and being focused on the right things. So in your next meeting, like we've got the goal posted, it's visible. In the next meeting, ask each department like.   I break this down quarterly usually with departments and I say like, all right, build your quarterly goal. What are we gonna focus on? What are gonna be the metrics that are going to help us get to this mountain over here, this big goal that we're focused on? What does your department need to do? Where are we lacking? Where are the gaps and where can we improve? And then we start tracking it every single week. We review it every single month and we start to help them exponentially grow. This is how we do it and you can have that as a piece. And then third is we need to...   track the progress and adjust it weekly. we're literally like I said, you've got the goals, we're tracking it weekly. It's on there. And when a goal is read, we talk about it that week and we say, all right, this was off. What do we need to do? If hygiene teams are behind, the hygiene team gets together and we calibrate on how we do perio. If the doctors are not hitting their hourly goal, well, let's look, what are they diagnosing? What's our case acceptance close? What are our block schedules? When high gents aren't able to hit enough perio, let's go look to see, do we have enough perio spaces within our schedule? ⁓   but we start to identify these gaps early on, of course, correct quickly so that we were able to hit the goals consistently. And then like we celebrate those wins. So when you look at these things and you have your departments, this is where you have your department meetings every single week. People are like, what am I supposed to talk about? You talk about this. You talk about like, how can we win? We've got our scoreboard there. We're looking, are we behind, are we ahead? And if we're ahead,   Great, how can we calibrate the whole department? How can we look for other things that would drive it forward? And it's not driving the practice forward so much as it is great team experience, great patient experience, great practice experience. It's not one is better than the other. All three of those are interconnected. And so start doing this, start tracking every single week, start having each team member tied to a goal, start having it because when you do this, you're not just hoping and wishing.   You literally know the score every single week. Owners, you will be so obsessed about this because now you know like, are we going to win the game or are we going to lose the game? You're not hoping and wishing. You literally know at any given moment so you can fix it out like at halftime. Can you imagine, like my family, we all played basketball. So can you imagine for one second a basketball team that's like, well, it's halftime. We don't know if we're winning. We don't know if we're losing, but we're just going to go in there and we're going to pep talk.   No, they're like, all right, we're behind. need to go strategize. We need to go figure it out. Like, how are we changing this? Let's look back at our plays. What have we done? Well, what do we need to change? And they fix it to win the game. That doesn't mean we win everything, but it does mean that we're more consistent. It does mean that we're more focused on it. It does mean that we're more aligned because honestly, what you focus on, you achieve. So go post your goals, make sure they're realistic. We do have a whole projection calculator, which is really awesome. And it helps you figure out   who's gonna be off, how many providers you have, what their dollar per hour is, you can figure out what it is now, you can project out what next year's goals should be. At a minimum, every single office, if you're not in massive growth mode, should be growing at a minimum of 10 % every single year. That's just healthy business. So you have that. If you want to look at this to help you set up your realistic goals, by all means, reach out, Hello@TheDentalATeam.com. I'm happy to share it with you. This is a great time of year also to be doing it. So you can get our free goal projections calculator. It's something that you guys can do.   You guys can easily, easily set this up to now have every role have their role tied to the goal that they need to do. And we start to measure it. And then we're able to check it every single week in course correct quickly of what do we need to do? Are we tracking the right things? Are we not? Are we set up to win the game? And I think about like, let's again, go back to basketball. If you don't watch basketball, we'll change it to football. In all of them where they're going to win, when they're looking at the score, if they're behind, it's not like   keep doing defense guys. No, what they do is they change it. They change the strategy. They say, we're going to do X, Y, or Z. We're going to switch out these players. We're going to course correct faster and see if we get a different result. So for you and your team, have this as a rhythm, have it to where people own their roles, have it to where it's realistic. And I will say when we're setting up goals, don't go so hard that people feel they can achieve it. Make sure it's realistic and achievable and attainable for people. I'm not going to go from   I give you your hit 75 % overhead. I'm not gonna be like, let's get you to 50%. Ultimately, yes, I want you to get to 50%. But I'm gonna go, okay, we're at 75. Let's get to 70 this quarter. You're like, here, that's 5%. Like, of course I can do that. Great, because what I'm trying to do is build massive momentum for you to where you hit these things with ease and you build the momentum rather than it being so hard that you give up before you even start. So with your team.   commit to this, reach out for that projections calculator so you can set up a realistic goal for your practice of number of providers, when you're gonna hire new ones, all the pieces. It's really awesome. I'd love to help you out with that. Or if you're like, gosh, like I cannot figure this out. I cannot get my team bond in. I feel like I'm so scattered. Reach out. We're here to help you. Hello@TheDentalATeam.com. This is what we do. You guys, this is where we wanna help you lead with confidence and not chaos. And honestly, if you know a practice struggling with this, you're not struggling, send this podcast to them, help them out.   because I believe that the success platform, I think all of us are climbing the mountain to success, it's huge. Everybody's welcome and we want everybody there because we want to ultimately help more patients get great dentistry and help more dentists and more practices thrive. So share this, give it to somebody, help them lead with confidence, not chaos. And as always, this is what we do. So reach out and as always, thanks for listening and I'll catch you next time on the Dental A Team podcast. ⁓  

Tiff and Britt celebrate all the leaders in the dentistry for National Boss's Day! They talk about key qualities the best leaders have, maintaining a humility/confidence balance, how leadership is entrepreneurship, and a ton more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript; The Dental A Team (00:00) Hello Dental A Team listeners. I am here today. This is a special drop-in This is an extra podcast this month from the consulting team You guys know our avid listeners know that we do quite a few podcasts every month here It takes a bulk of podcasts every month But ours always kind of coincide with the information that we're working on the newsletters that you guys are getting So if you're not subscribed to the newsletters go pop in there on that but we have an extra one today and I have a special guest with me I'm calling you a guest now because   Britt (00:00) Yeah.   The Dental A Team (00:30) I don't pull you in on these as much, Britt, and I have Ms. Brittany Stone. And Britt, I mean, it's gotta be nice over there, like, floating through life on the HR side, you know? But every now and again, I gotta pull you in and wrangle you back to the consulting side. So welcome, and I'm just, I'm excited to have you here today, Britt. How are you?   Britt (00:50) I like that you call it floating through life over there, Tiff, right? I'm happy to ask a person what it is.   The Dental A Team (00:54) I'm just, I'm projecting it for you. Yeah, I'm projecting   it. That way you can like create it. What we say we create, right?   Britt (01:01) Exactly.   We do have an amazing team. It's fun to be here. know consultants get the opportunity to be on here. Even Eve with marketing, so proud of her that she did a podcast as well. So I'm happy I get to stop back in for a little bit.   The Dental A Team (01:17) Yeah, I mean, you reminded   me that Eve was just on Not That Long Ago now, and I'm just mixing it up for these listeners right now. You guys are welcome. This is this is becoming a spicy podcast. So here we go. I love it. Full team. know. Next thing you know, we'll see who I pull in. But probably nothing any more exciting than this. You guys. They're behind the scenes for a reason, right? They are behind.   Britt (01:29) The whole team, the whole team.   Good luck on any of the rest of them. ⁓   I really enjoy   being in that spot.   The Dental A Team (01:46) Yeah, Britt did not, you guys. Just a quick tidbit. Britt has come out of herself quite a bit. And do you remember, Britt, I was just thinking like one of the first, I remember where we were sitting, where I was sitting, at least in my apartment when we had to do the Zoom, because Kiera's like, we got to do videos. People are doing video podcasts now. We got to keep up with it. We got to do videos. And you and I were like, what? Like, I am not dressed for this. Like, and we were so awkward and uncomfortable and it was so weird. Do you remember?   Britt (02:14) I do and you know that's like voice was weird enough for me at least you know karma works in my favor that I didn't have to go full throttle from the very beginning of doing things I got an intro of just doing voice and then eventually adding video   The Dental A Team (02:23) there.   Very fair, very fair. And I think as a leader on our team, that kind of spurs right into what our conversation today is about. And Britt, you are an incredible fearless leader on our team. And I think doing this podcast with you is divine and just meant to be. are someone that I look up to, that I know the whole team looks up to. And just that in itself, like the things that you have worked through, overcome. I remember when you first came on, I'm like, talk to yourself in the mirror. You're like, okay, crazy. Like, yeah, I am.   I am crazy, but it works. And you did it. Like you just jumped in and you were like, I'm going to figure this out. And that is just a piece of leadership that I think you're naturally born with, the figure out-ness. Like it's fine. Anything can be figured out. Whether you do it for the long run or not, you can figure it out and train someone else to do it. So having you on on the leadership piece here is actually just super like natural, right? Like it just is natural. So thank you for being here.   Britt (03:26) You bet, you're generous, Tiff. I problem solving for sure. Kiera will say there's always a solution and that is yes, being a leader, there's always a path through. I don't know exactly what it might be right now, but there's always a pathway through. And ⁓ yeah, it's, ⁓ I think also being a leader, it's a constant ⁓ humble of being able to learn is helps you continue to learn skills to be a better leader over time.   The Dental A Team (03:51) I totally agree with you. And we learn from each other, I think, and we continue to grow. We continue to refine those aspects of ourselves and those aspects of who we are and who we want to become. And it just makes it really, really cool. And today's special podcast, you guys should know. Hopefully, you know, this is dropping on a very special day. It's it's considered Boss's Day. I wish it was like Leaders Day. I don't I don't love the word boss in 2025. Yeah.   Britt (04:17) Can we have a for you to end that a little bit?   The Dental A Team (04:19) We've rebranded so many holidays and so many names of things. I think this one's definitely on the list of need. But I think of Boss' Day as like Leader's Day. I think that it's just a day to celebrate leadership and it's a day to celebrate today of all days the reason that we have, we'll say jobs, right? The reason that we're here today, the reason that we have a company to work for. And I just think it's really cool to take a moment and a special time to really thank those   those people, the entrepreneurs that we work for. And the other day someone said to me like, I'm not an entrepreneur. I'm like, they're an entrepreneur. They own a business. Like they're dentists. know they are entrepreneurs. Just like Kiera is an entrepreneur and she is the leader of this ship and she is to be celebrated today just the same as the rest of you guys are. And Britt and I thought we would take a moment to celebrate Kiera. We will get there. Kiera, don't you worry. Keep listening. We are going to get there.   ⁓ celebrate Kiera, but also to just celebrate you guys too and to really highlight some fantastic leadership skills that we've seen come about in our journeys, but also things that we see practices doing that set them apart from other practices in the leadership spectrum. And Britt, I think that it would be wild to start anywhere else. You tell me I might be totally wrong, but I really believe that leadership is a culture that you create.   and learning how to hone in leadership, think people kind of start all over the place. They're like, well, start with accountability. I'm like, well, first you gotta start where you want, how do you want to show up? Like, how do you want people to view you? How do you wanna be seen as a company and as individuals? And I think that culture piece, can be hard to understand. I might be like making things up, but I think it's something that really great leaders get.   is that they are the culture of the company. And from your perspective, Britt, you've helped create the culture of this company. You're a massive leader within our own company, but you've also worked with many, leaders, even before Dental A Team, to help build businesses, to help build successful entrepreneurial businesses and sectors. What have you seen as just important leadership qualities that really hone in   that culture that doctors and owners can take away from today.   Britt (06:44) Yeah, I love it, Tiffanie. It truly does start at the top. And I think that's probably one of the most important things for anyone who's an entrepreneur, anyone on the team who's got some sort of influence upon other people, which is pretty much everyone, is to number one, like recognize that, yes, you are a leader. And number two, like you said, recognize that it really does start with you and the impact that you have and what it shapes your culture.   I think some of the best leaders that I've had the privilege of being around or working with, I think number one, there's like a confidence humility balance that happens with them because they are confident enough, more confident than I, to like go and take this big chance and go have this business, make that investment, it's gonna be successful. So they've got that strong confidence piece in them.   while also realizing that yes, there are human sides sometimes we've got to shape ourselves a little bit to become that leader and create that culture within our team. And so being able to recognize that and acknowledge it and take that responsibility on as a leader, I even have to catch myself doing it sometimes. Right, sometimes, well, it's just, that's the way I am. No, that's not a good answer, right, for something. That's not a, that's an excuse 100%. It's not just the way I am or I'm learning about that.   thing or I'm working on becoming better at that thing instead of saying, well, that's just what it is and move on and deal with it because that doesn't get us anywhere. So I think kind of that humility, confidence mix. you know, I think anywhere you go and you've heard it before, right, people remember how you make them feel. And I think really good leaders have a genuine just want for their people to do well as humans and in their job.   And it's amazing the power that comes behind that. I'm thinking of, just had the opportunity to see one of my old bosses recently. And just like the excitement he has for what I'm doing now. And I quit, I left his office to come and do this. And he's still so excited about it. I think that goes a long ways for team members and building leaders because it builds confidence in your team around you.   and helps you to one, not only build up your team, but also build up more leaders, which everyone needs.   The Dental A Team (09:10) Yeah,   I love that. love that I actually get to see my boss that I left next Monday. So I'll probably have a similar experience. But I love the way you said that, Britt, that confidence, but with that humble and I kind of as you're as you're talking, my brain's kind of putting it in steps. And it's almost like you've got to develop yourself to the point that you have the confidence to say yes to take that step to run for it. But then the next layer is peeling back enough ego.   can't rid of the whole ego because you need some sort of ego. Ego is good, but it can be too much. It's peeling back the ego and realizing that you're not losing confidence or losing status by being humble or by being vulnerable in your leadership. And so I actually find vulnerability to be a space of higher confidence. I feel like the more confident you are, the more vulnerable.   Britt (09:54) Mm-hmm.   The Dental A Team (10:06) you are able to be with like that true confidence definition. And so it's kind of that like you needed the momentum. It's it's kind of like Brody. He's 17 and he has all of these things that he wants to do and he has all these decisions he's trying to make. But he doesn't have his brain hasn't developed yet enough to see the logistical steps that happen after that decision is made. Like it's like this decision and then the next one. Right. So it's kind of those   steps of entrepreneurship is like, had to have enough confidence to make this first decision, but now I'm no longer 17 years old, my brain needs to develop, right? So it's almost like you get here and now you're developing that skill of humble, vulnerable leader and peeling back those layers to say, is now where we're at. And that's where that culture piece comes in. And I think it's where the culture   shifts come in for so many practices because we had to hire people, we had to have what we have, and then we get to a point, I would say, I would venture to say three to five years in, you get to the point where it's like, okay, this feels chaotic. How do we back up and almost restart because we're backing up, peeling off those layers, and then adding something back in. And I think, you highlighted that really well.   Britt (11:08) Thank   you   The Dental A Team (11:31) and those characteristics ⁓ being developed over time are like, it's just the only way to really do it. And to think that right off the bat of practice ownership straight out of school, you're gonna have all of those skills is kind of crazy. So I love the way that you had said that. And I think we've all had the opportunity on some level or another to watch each other grow in those spaces, ⁓ but to highlight Kiera in this moment for Boss's Day.   she's an incredible boss, is really watching her develop those is something that we all get to take away. So she has that humble vulnerability. Doesn't always come easily and you guys, like you'll stumble. You're gonna have to have some space where you're like, that wasn't my best foot, which it almost was because it created the situation we're in to have the conversation we're having. So I just don't ever look at anything as a total loss. I look at everything as like a step forward.   but she's able to do those pieces for us and with us because we're all growing at the same rate she is. We're like a percentage or two behind her, right? But she's leading the pack and creating that culture. if Kiera's turbulent, we're turbulent. If Kiera's, she doesn't even have to be in the company, you guys. Like she does not even have to be here with us, we know. We're virtual.   Britt (12:41) Mm-hmm.   No.   virtual or virtually.   The Dental A Team (13:00) Good, yeah, good point because I have a lot of doctors that are like, how do I get this culture to work without me here? This is that space where Kiera has led us in this fight of culture to where we've all been able to pick up those pieces and embody them. We embody who the Dental A Team is and it's not necessarily Kiera. We're not mini Kiras by any mean. We are embodying the Dental A Team culture.   so that the company can be successful and we can carry the culture without care of being here. And I think that comes from that next layer, right? We push forward, we have the confidence, peel back the layer, we have the vulnerability, and then we train and teach that by showing and doing, by being. Like, you live it so that people can live.   Britt (13:53) Tiff, and as you were saying that, right, that confidence piece, and we've all experienced it. I don't care who you are, right? You've hit that point where like it's just a tough spot. Whether it's a tough thing you learn about yourself, whether it's a tough spot business-wise, right? We hit those tough points and that the confidence that leaders have is the confidence to say, all right, and...   We keep going and this makes us better, right? Like that's the confidence to where it's not, they're not backing down, right? Have their moment great. As my brother tells me, you got five minutes, go cry about it and then let's move on from it. You know, something like that. It's like, fill your emotions, let it out, but then it's time to move on and start progressing from here instead of letting that derail us completely.   The Dental A Team (14:45) Absolutely, absolutely. And when we're given that availability, it changes and shapes who we are. Because I think then the last thing people want to do is take stuff home to their families. And that's where people come in, they're like, tiff, right, how do I get this work-life balance? I'm like, I hate that word. You guys know that, you've heard me preach about it. We're not going to go down that rabbit hole. This is where it happens though, where you can show up and be respectful, but be yourself and be able to work.   through things together, that you don't take things home and then you come to work worse. Like it's this bad spiral. And when the culture does start to shift in that direction, it's having the confidence plus vulnerability to be able to say, we need to have a conversation. Like something's off, we're off. Kiera and do that a lot, right? We'll say something feels wrong. the words aren't matching the tone or like the way I'm hearing them, it doesn't match what I   think your intention is, so like, let's squash through that real quick because what happens is if we stay on that space, it's just like a battle of egos at that point and you think I'm showing up confidently, like I'm showing up strong. Sometimes, but mostly we need to be like, wait a second, what is that that I heard? Walk me through that first. That's the vulnerability space, because you might say, well, you said something that really hurt my feelings. Got it, tell me, let's work through it.   Britt (16:10) I   The Dental A Team (16:12) And I know we have been trained in our lifetime here that work is not a space for emotions, work is not a space for feelings. And that's just not, it's fine if that's what you want your culture to be. And I'm here to stand on the fact that create your culture to be what you want it to be. Our company's culture is to tackle things as they happen. And it's something that we've been able to develop over time. ⁓   with respect to one another and respectful communication. So thank you, Britt. That was beautiful. I think the doctors that we attract and the teams that we attract kind of, I think we attract, like attracts like, and we attract practices that are looking for culture similar to ours or have culture similar to ours and need to step it up a little bit more or just get to that next level. And   think now, Britt, is there anything else you wanna add to that before?   we start our brag   Britt (17:10) I   only other thing I would add to that, right, as you listeners are out there, whatever stage that you are in, right, we worked with a lot of leaders as well and people we learned from all the time from our clients and also that we get to help them along that journey of leadership. Because I don't know about you, Tiff, but thinking back on clients, right, I've got clients where the leader they were when they opened the door with four employees is different than the leader they are now.   where they're going into multiple locations and have now leaders built up underneath them who do a lot of things for them. I think giving credit to the amount of personal growth and leadership growth that takes to transition within your business to a different stage and a different size even. And so it's a lot of fun for us to be able to be a part of that and help out with that.   And also I know a lot of our doctors who come to us and there's a lot of things that as a leader, you cannot complain down. That's just one of the things you can't complain down. And so you've got to have someone to work through things with. And sometimes it's not the prettiest when you're working through those things. And so being able to be that outside person so that our doctors can work through those things with us and we can work through it so that they can go present to their team.   as the leader that they want to show up as. That's ultimately who they are, but right, we're all growing and changing. And so it's helping them to be able to have that support, to be able to go and then present to their team as the leader that they want to be. So I think that's the only thing is everyone is always learning. Perfection is never something that you are gonna reach. It's a constant growth that we're looking for. And as we work with our leaders, is the leader you are today.   will not be the leader you are in five years. Thank goodness. We will all be better than we are currently.   The Dental A Team (19:05) Yeah.   Yeah, I was thinking the same thing. Like, thank goodness I'm not the mom I am today, the same as the mom I was when he was four. Yeah, that was beautiful. Thank you. I totally agree. And acknowledging that, like you said, being okay with it, ⁓ understanding you're not going to be the same as you were and your team shouldn't be either. So I know a lot of leaders will feel held back where they're like, gosh, but my team knows me as this person. And it's like saying, well, my husband knows me as my 20 year old version.   Britt (19:11) huh.   Okay.   The Dental A Team (19:37) self. So me taking these new courses or expanding my thoughts or doing yoga instead of workouts at the gym would be different. How will he view me? It's kind of the same. Like you guys grow together or you grow apart. And if you've got team members that aren't ready to take that next stage with you, that's okay too. Just know if you hold yourself back, you're holding your team back too. So perfect, Brett. I love it.   ⁓ so I have, we have, we have something fun for Kiera. I know she listens to these. I know specifically she's going to listen to this one cause it's freaking boss's day. And she knows that something fun is coming out. And what we did today, Britt and I pulled the, ⁓ consultant team specifically, and we asked for one to three qualities that they see in Kiera that she brings to our team as our leader.   I thought these would be really fun for Kiera to hear, for Britt and I to talk about, and for you guys to take away as leaders, because I do think that they are, there are so many, are 20,000 words we could choose from, but it is really cool to see how a company has grown and what they're showing up and embodying now. And I wrote them all down for us, Britt, and then I've got a couple that I just want quickly you to kind of expand on for us.   There were a few that were repeated, which I thought was really, really cool. One of the ones that was repeated was integrity, doing what they say they're going to do. And that's something that within our company we have had as a piece of our core values for as long as I can remember. And I think for Kiera in general, she works really hard to do what she says she's going to. And if she, for some reason, misses that step, she definitely takes ownership of it. Another one that came up, well, it was kind of worded.   in different ways. So it's kind of, it's actually kind of cool because execution and vision came up, which I feel like Kiera is our visionary and we learned, I called her out on it and I love you Kiera. I hope you're listening. You know, I will call you out every single day. When she loses her vision, our whole company spirals. There was a point in our lives where I was like, we just need to know where you want us to go. We just need it. So having that on this list actually made me really, really, really happy.   Britt (21:51) Yeah.   The Dental A Team (22:02) And I think it'll make Kiera really proud to hear that that was one of the words that came up. But I also think that vision kind of flows in with execution because she executes on the vision, which helps, she executes on most things she puts her foot forward on, but it helps us to execute on the vision as well. But then ⁓ decisive came up and those kind of all clumped together for me in my mind. Decisive, I think Kiera is gonna get a kick out of that one as well.   that is something that she has honed a skill in on. ⁓ Accountability, empathy, confidence, passion to make a difference, inspiring, transformational and resilient. well, first off, Britt, what's your favorite leadership quality that was given to us from the team for Kiera, but just for a leader, not necessarily for Kiera.   Because we don't need to make it all about her. She's already like blushing over there, but I wanted her to hear these words But what out of out of those what do you feel like you pull out as a baby leader as a grown leader? Like what word stands out to you the most?   Britt (23:12) Yeah, I do love that decisive was on there as I know Kiera will love that one on there too. I think that's one of my favorites Tiff to your point. Right, we can't have too many cooks in the kitchen on what direction to go because it really does get wild even within your dental practice too many cooks in the kitchen gets very wild. And so that leader who can be decisive and I think it goes along with vision as well of like   The Dental A Team (23:17) Same. Yeah.   Britt (23:42) keeping the course of what direction are we going, even though that direction is moving or growing or where are we headed to, and that'll adapt over time. A good team, right? Good team members. All we wanna do is like help you and make it happen. It's kinda like, well, we just, what direction? Because I know if I start going my own direction, it's gonna get wild and I'm gonna be off track. So like what direction? And then,   give me a few words and let's go and let's make it happen. And I think that's huge. And I know that that's a tough spot to be in sometimes. Our business owners, our entrepreneurs, you guys have a lot on your shoulders and it doesn't always go recognized. And I know like it's pressure on you sometimes, but keeping, for you to keep a space where you can have that clear direction and be decisive about where we're going is a game changer.   The Dental A Team (24:39) I agree. I agree. I think execution goes along with that. And the vision plays such a huge role too, because as you were speaking, I was thinking for visionaries, for entrepreneurs, for people who start businesses, it's very difficult for them to see outside of being a visionary. Just like when you're not a visionary, when you're an implementer, which most team members are not going to be visionaries. You guys are probably on their own companies, just saying.   Britt (24:43) Thank   Yeah.   The Dental A Team (25:06) They are implementers on some level. You are the visionary, but it's very difficult to see the other side. It's like it's difficult for you to put yourself in those shoes. So the visionaries are like, no, like you want space to create because that's what they want. But they do have a very clear picture of what they want, but they don't know how to narrow it down. Right. So it's kind of this like mix and teams sometimes go a little wild. They're like, just tell me and   they get into the spin. And so I think that decisiveness, that execution narrows down to the vision. When you know the vision, when you have a clear picture of the vision, that is your go-to spot, you guys. Decisions are so much easier when you know where you're going. When the vision of your practice is super clear, those decisions, big or small, come down to, they match our vision? Does this go with our team values? Does this match our culture?   or is this completely opposite of what we're heading towards? Do we wanna add a new product to our product line? Do we wanna add a new procedure? Well, what's our vision? What's our goal? Is this in alignment with what we're working towards? Because then visionaries, you can say yes, no, maybe here's the outline, here's a template, go create. I can be very creative when I know what the direction is. So to your point, Britt, I think those all go hand in hand. I totally agree. And I think it's something that as a company,   We've pushed for and narrowed down really, really well. Our style of meetings help, and I know we work with practices all the time to get those narrowed down. We have practices coming into town soon to do just this thing. so those were so perfect. And it's something that we constantly refine. Doctors, think actionable pieces here, leaders, office managers. When I was an office manager, you guys, I told you, I'm gonna see my doc in a week. I love him. He, Debrit, I think we're like the same, like they are just   family to us.   Britt (27:04) Always a cheerleader.   The Dental A Team (27:05) Always   a two-year-later, constantly. But I had to be the one that created this stuff, right? Like for slash with him. And so office managers who are here today that are like, yeah, this sounds great guys, but like my doc's not gonna listen to this podcast or my doc's not on the same page as me. That's totally fine. Go create it. Create something so that your team can be decisive in their roles too.   when you can narrow down that vision, no matter who you are right now, whatever leadership position you hold in your company, narrow that down and make it easy for everyone, because it's going to make it easier for you too. So, Britt, this went longer than I thought it would. Thank you so much for being here. I love celebrating everyone. And Britt, you're just one of my favorite humans. And I knew you would have so much to pull out of this on leadership side.   Britt (27:54) Same Tiff, I mean, Kiera deserves all the credit in the world as someone who like, even I've been here for four years now and Kiera now is different than the Kiera back then and is only getting better and better. So thanks to her. I know she and you owners don't always get a lot of the thanks and support and you deal with a lot of things. So it's a thank you for me, one to Kiera and two to all of you out there who take on that responsibility and that.   The Dental A Team (28:23) That was beautiful, thank you. And with that, you guys, go do the things we kinda talked about here too. Go narrow in your vision and your focus. If you haven't narrowed in, go talk to your team about it. Even if you talked about it yesterday, say, hey guys, let's talk about this again. Talk about it enough that that becomes your culture and your drive within your practice. And most of all, go have an amazing Bosses Day.   I hope you are celebrated. I hope you feel loved, even if it's just this today and nobody else knows. Shelbi told us, you guys, I'm gonna let you in on a secret. Like that's how I know the date, okay? So you guys, if you're listening and you didn't get the flowers, like this is your flowers, okay? We're all here for it. We're all celebrating each other. And Kiera, like Britt said, we are so, so incredibly grateful for everything you do every single day, every way that you show up for us and the way that you grow us individually and as a team every single day.   So with that, you guys, go have a great Boss's Day. Catch you next time.  

Kiera and Trish apply their dentistry expertise for another practice autopsy! This episode looks at a legacy practice that was experiencing stagnation in production because of numerous challenges. Kiera and Trish walk through what exactly was changed to allow this practice to hit its production goals for the first time in over a year. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners, this is Kiera and today is such a fun day. I have one of our incredible consultants, Trish, on the podcast with me. Her nickname in Dental A Team is, go ahead Trish, say it. And explain what to da means Trish, because it's my favorite nickname of any, like it's one of the best we've come up with.   DAT Trish Ackerman (00:11) Ta-da!   Well, it definitely got sticky, that's for sure. so TADA stands for Trish Ackerman Dental A Team Ambassador, because I love referring anybody I can to us. That's either a client or somebody to come and work with us. I love this company and I want everybody that I love to come and work here too. I want clients to join, so yeah, I'll take it.   The Dental A Team (00:27) you   Trish, like it is one of the like biggest compliments that you you have referred people to our company. You have brought tons of people to us. Like you are a walking little dental A team advertisement. And to me as a boss, as an owner of a company, like that is music to my ears. But like, didn't you just take that name on for another name in your life? Like this is this is sticking. So tell.   DAT Trish Ackerman (01:02) I did, I did. It got   that sticky. So I'm going to be a grandma very soon, which just sounds awfully strange to say out loud. But we had my original grandma name all picked out, which was going to be Cha Cha. But when I heard Ta Da, I'm like, that, that is really classic. That's going to stay. And my daughter and family, they're like,   The Dental A Team (01:26) Yeah   DAT Trish Ackerman (01:29) okay, we might have to grow into that a little bit. I'm like, well, get ready to grow anyway, because it's staying.   The Dental A Team (01:34) Well, our marketing team has already been working on some pretty fancy swag for you Trish, because TADA, if you don't know Trish yet, you're gonna get to know her. If you haven't heard her as much, Trish is one of the most funny, like she, I feel like you're just confetti in a human form. Like you literally just like burst confetti everywhere you go. You make people laugh. Like you have made me almost spit water of laughing so hard on calls together. You're just a good time. And so,   If you haven't gotten to work with Trish or you haven't got to meet her yet, welcome. She's one of my absolute faves. So excited that you're on our team and that you are the to da of the company. ⁓ but today I wanted Trish to come on because I love a good office autopsy and Trish has been consulting some clients, rocking them out, having some really incredible massive wins. And so we thought, let's like, let's go behind the scenes. Let's see what that to da consultant over there has been doing in her spare time, consulting some awesome offices.   And with that said, whenever we do an office autopsy, what we do these for is to help you see yourself in other practices fabric. I think a lot of times people think dentistry is lonely and isolated and it does not need to be. So what we're gonna do today, we do mashup practices. So if you think this is you, there might be parts of you, it might be parts of another practice. We try to do that to keep practice confidentiality. But really I also hope when you are a practice that's being highlighted in an office autopsy, just know that you get highlighted because...   We're freaking proud of you as the owner too. These things can't get done without owners executing and implementing. And while yes, we as consultants are really good at what we do, we truly are magicians. We're able to grow into ways that you couldn't even imagine, but we can't do that if you don't execute. So Trish, take it away. Let's kind of talk this office. Where were they when they like joined Dental A Team? Then I always love to say like, where are they now? Like how long did it take us? And then we'll get into the how of how did you do it? What were some of the things you implemented? So take it away Trish.   Where was this practice when they joined us and now where are they at ⁓ a couple of few short months later?   DAT Trish Ackerman (03:30) When this practice came to us, this was a really, really special situation because this is a legacy practice. And it was originally owned by grandpa and then the current owner's father. So this is now the third generation of a dental practice. And when this practice came on with us, they were doing many, many, things right.   but there was no traction taking place and they were very stuck. They were very stagnant and the current owner, this is a really big deal. know, this was again, because of the legacy that it's holding and he was struggling. He was struggling financially. He really was. There wasn't a lot of, there wasn't a lot of knowledge. He didn't have a lot of knowledge around like the current overhead, what it should be.   And things were feeling, he was feeling a pretty big pinch. And I had to give him so much credit. I think it takes a lot of courage to reach out to get the help. you know, it's like, practices don't typically reach out to us because everything is going so great. It's usually when they're starting to feel something's not right, something's uncomfortable. And he did just that. And they had an extremely congested schedule.   The Dental A Team (04:46) Mm-hmm.   DAT Trish Ackerman (04:57) They have a large patient base, as you can imagine, because many are still, you know, that were patients of his father. So what was happening is because of the congestion, they weren't able to see new patients right away. was like a six week wait for that. There were several patients in the hygiene that were still active that weren't able to get in. And then again, there was just kind of like a bunch of stuff on the schedule, just stuff. So they were working really hard.   And what I did is I really walked through the specifics of his patient base to show him you actually have way more patients than you do available hours, which is why you're stuck here. And how do we do this? Well, we were also a little restricted on that because this is a five op practice. So we had an op for each doctor, an overflow, and then the two hygienists.   But what we did is we got creative because we knew we had to add hygiene. That was a must. And we also had to allow more openings much sooner for the new patients because what was happening when I pointed out that he was basically giving his new patients away to his competitors because they were waiting so long that really got his attention. we ended up, the first thing that we did is added a hygienist.   The Dental A Team (05:57) Mm-hmm.   Absolutely.   DAT Trish Ackerman (06:20) which now brought those two doctors down to one op each. And that really scared them because we were handcuffed. It was like we were handcuffed in every direction, but we got very creative and we designed very strategic doctor schedule blocks so that they know when there's gonna be production.   and they know when they can make the time for like the sand and the water appointments, post-ops and things like that. But the staggering of the schedules made a huge difference. The practice was also only open Monday through Thursday. So we changed it to Monday through Friday. So on Mondays and Fridays, those doctors do have their two ops again. So that has worked well. When we implemented that design, we also implemented some patient filtering.   so that they could get in the new patients, not emergencies, but they could get in the new patients with significant needs right away and also not take the risk of giving those away to a competitor. If they have significant dental needs, get them in right now. And we took away the focus of like, they have the protocol, a lot of doctors like for those new patients to go through hygiene first and that's a great structure. It's a great structure for patients without   The Dental A Team (07:21) Mm-hmm.   Thank   DAT Trish Ackerman (07:41) significant dental needs. So that all of a sudden opened up the door to where both of the doctors were getting very comprehensive new patients on their schedule right away that needed significant amount of dental work. Then they could eventually get into the hygiene department. With that, when we designed that, within six weeks, this practice had hit their production goal.   The Dental A Team (07:43) Right.   DAT Trish Ackerman (08:10) for the first time in over a year. The team was starting to get very numb to goals. They weren't even looking at the numbers anymore. The numbers weren't mattering to them. And then all of a sudden there was this light coming at the end of the tunnel where they hit the goal. Then they hit it again and they've hit it again. He has not hit goal in the last four months. And the trend that they're on,   The Dental A Team (08:12) Wow.   Wow.   DAT Trish Ackerman (08:37) Well, running parallel with getting the new patients with the significant needs and such. What I also did is ensure that both him and his associate were really polished on presenting treatment. ⁓ They had intraoral cameras that were collecting dust like a treadmill in a living room that a lot of people have seen happen or hanging clothes on. They got those dusted off. They use them on every single patient. There's a way to use photography.   The Dental A Team (08:49) Mm-hmm.   you   DAT Trish Ackerman (09:05) And there's a way to use photography. And this doctor, anything I encouraged him to try, anything, he did it. There was zero pushback on any of the recommendations. I've seen, I know how this works. I know what doesn't work. And when these doctors, like this practice, when I broke it down, like here's how you use photography and here's how you share it with the patient, it just continued to skyrocket.   The Dental A Team (09:07) Absolutely.   DAT Trish Ackerman (09:35) The whole team was on board with him. Then we got the associate, the associate dentist on board and we are now getting ready to, he's getting ready to start construction. We're doing a build out. We're adding ops.   The Dental A Team (09:49) Nice.   Wow. And how long has this been? So you started with this practice, they're not hitting goal, they're not doing the things that they wanted to do at legacy practice to now hitting goal four months in a row. How long has this client been with you? Since April. So right now we're recording, that's about five months that this client's been with Trish. And to hear that.   DAT Trish Ackerman (10:05) This is April.   The Dental A Team (10:13) ⁓ what I think is magic one Trish shout out to you, think beautiful job as a consultant, because when we go into an office, there's literally thousands of levers that we could go after. And I think something that consultants have to really do in something I'm very sticky on any consultant who works with us and Trish kudos to you. Is finding the one lever that's going to move the practice forward the most, the quickest, the fastest for fastest ROI that's going to get there because Trish, could have gotten in and implemented, you know,   X, Y, or Z, and they would not see the results. you saw, I mean, you got tight, you got tight space. And I think also having a consultant that comes to the table that's willing to think outside the box. I mean, you got five operatories, two doctors, that's squishy. That's a squishy. And for you to realize they're not maximizing all the days that they could be. And to do it in a way to help both doctors. I also know that you have maybe played a little competition game.   because you realize and you find out that when doctors are a little competitive, it works for some, doesn't work for others. But then they start to watch to see, if this doctor can do it, I think I can do it. And it's not doing anything unethical. It's truly making sure that they're looking for opportunities, using intra-orals, like stuff that was already there. And I think this is what I love about being consultants are we see the entire treasure map. We see all the different things we could do. And we're like, all right.   This is going to be a fun game. And Trish, this is why I think you're Tadda. You're the confetti, like in a human form. You look at this and say, how can I make this fun? How can I get these people bought into it? And then we go for the harder pieces, but you, you dug gold. found the intro oral cameras and you taught them a few things. You figured out how to change the scheduling. And what I hope people hear is Trish that in about three, four moves very quickly and they're hitting goal. So when you're sitting here stuck at the ceiling and thinking, Oh my gosh, there's no way to get there. I just want to help you see that.   The answer is probably much closer than you think it is. You just are buried and you can't see it you need somebody outside who's not sitting in it that can guide you. like, shout out to this doctor, these offices, they take your lead. I feel like it's like, if you're gonna hire an expert who's been there, done that, done that successfully, Trish, I'd like to highlight, tell me how many team members before you came to Dental A Team, how many team members were you overseeing?   DAT Trish Ackerman (12:30) In my past, oh gosh. think at the max at the end, was close to 160.   The Dental A Team (12:31) Yes.   160 and how many practices were you overseeing at that time? All right, so you have a consultant who has worked with 16 practices, 160 employees overseeing them. Do you think she knows a thing or two of how to help a five-op practice with two doctors and a smaller team turn a few levers very quickly to get them up to where they need to go? The answer is absolutely yes. And I think Trish, that's the magic, that's the beauty that you were able to do so quickly, so thoroughly, and just something real fun.   DAT Trish Ackerman (12:43) 16.   The Dental A Team (13:09) I know like we, this is a quick podcast. I asked you to come in between client calls. So I know there's so much more magic I just want to share with everybody. But as we wrap up, cause I do know like you guys, they're consultants, they podcast in between coaching calls. They're here to deliver to clients and to also share with you. But any last thoughts you want to add as I know we wrap up so you can get on your way to another client, help them get their magic. Any last thoughts you have of this very quick office autopsy that you think people should recognize, maybe they're in the same boat as well.   DAT Trish Ackerman (13:38) Getting uncomfortable. Getting uncomfortable is going to be very important and it's okay. This doctor got uncomfortable. During the implementations that we were making, there was a team member that was not on the bus ⁓ and that was also holding the practice back a little bit. When we go in to make these types of changes, it's like, it's the unknown.   I do certain things a certain way every day the same and I understand how it feels when you're asked to do it differently. But when I first go in, that's the first thing that I will kind of announce and ask. Are you going to be okay getting uncomfortable with me? Because I promise, I promise I'm here. I'm here. I'm in your corner. And my job is to not watch people fall. My job is to watch them rise.   And I use the six pack analogy. We all want the six pack of abs. And it's going to require a lot of sit ups. And our abs can get a little bit sore, but the outcome is just really, really magical. And so once they make the commitment, like, OK, yeah, I'm ready. Let's get uncomfortable. That's when it really takes off.   The Dental A Team (14:55) That's incredible. And I think Trish, like you said, we can give you all the tactics. We can help you with all the how, but you've got to be showing up as a practice. So if you're not ready to get uncomfortable, it's not the time for you to do consulting. But I would say, like you said, most people call for consulting when they're much further down the path of hardship than they should. So if you're kind of like, all right, I know I could do some help. I know I could make some changes. Now's the time. But you also have to be willing to be uncomfortable. So Trish.   DAT Trish Ackerman (14:57) video.   The Dental A Team (15:22) I know you've got to run. I appreciate you so much being on the podcast. I think you just bring so much magic. You're so welcome. And for all of you listening, if you can see yourself maybe in this story that we shared, I know it was a very small snippet today, but there's so many things that we do, but I hope you can see in just a couple of months, this practice's life was changed, utterly changed. This doctor is having more fun. They're more excited. They're dreaming again. They're living their best life. They're loving it. The team's excited. The team's re-engaged. So if you're maybe in that like, gosh, we're kind of like losing momentum.   DAT Trish Ackerman (15:25) Thank you, Chair.   The Dental A Team (15:52) Reach out, we'd love to help you. Hello@TheDentalATeam.com or head on over to our website, TheDentalATeam.com. Book a call. We're here, we'll do like a totally complimentary practice assessment. Look to see where you are. Look to see some of the gaps. No pressure, just massive momentum for you. If we're a great fit, awesome. Otherwise we're gonna send you on your way with a lot of great tips. You're gonna have a lot of fun. And hey, you might even get to dodge your consultants. So reach out. Trish, love having you. Go have the best day. And for all of you listening, thanks for listening. I'll catch you next time on The Dental A Team podcast.

Expert consultants Tiff and Kristy give listeners a look inside their head when it comes to scheduling the most efficient and optimized way possible — and in a way that won't feel overwhelming. Their advice, which includes the right verbiage and what to do when schedules change last minute, will start all team members with their best foot forward for various tasks throughout the work week. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. We are back today. I have Miss Kristy with me. I stole her for the afternoon. If you listen to the job description, I don't know what they're gonna call it, but we talked about optimizing your job description basically and metrics. And if you listen to that one, you know Kristy is like my calm in the storm.   and ending my day with her today, I was like, there's no better way to end a Monday. So if you have the opportunity to work with Kristy one-on-one, she is your consultant, you guys. I envy you. You get more time with her every month than I do. Truly, I envy you. And you also know exactly what I'm talking about, Kristy. Your calm is just incredible. I will never not talk about it. So thank you for ending your day with me today and ending. It's a good day.   It's an exciting week for us, so thank you for being here.   DAT Kristy (00:51) Yeah, thank you for having me. It is a good Monday ⁓ ending with podcasting with you and then we're on the heels of our live event. So excitement all around this week.   The Dental A Team (01:02) I know, I agree, I agree. There's so much just, there's so much to be thankful for, so much to be excited about, and I think something that's been coming up a lot, and something that we do a ton in our own schedules, even just talking about, Kristy, your client's getting more time with you than I do, like even individually, you guys, individually, I think you see her more than I do. And there's no bad feelings, I promise, I harbor no anger. I am just slightly jealous. ⁓   But I think on that note, like it requires some really, really specific special skills to be able to plan a week and plan a day. luckily it's something we train on because I think we're really good at it and we have to be even within our own position. like Monday, we're ending our Monday with podcasting because Monday is kind of our meeting slash admin day. Friday is our secondary admin day. And then we have all of our calls Tuesday through Thursday. There are some.   people in there that slide in other days, but they know the caveat is it may have to be moved because these are our admin days. So Kristy, I think it's just like divine that this is the conversation we're having. Today's conversation is all about optimizing your schedule, making sure what you're doing is optimized. But Kristy, before we really start talking about the in practice, like dental schedule, I think it would be smart to maybe even tell me how do you...   when you look at your schedule, what is the thought process that goes through your mind on optimizing your schedule? Because I think business is business, schedule is schedule, how I schedule anything is how I schedule everything, and how I do anything is how I do everything. So how do you look at your schedule and think to optimize it?   DAT Kristy (02:47) Yeah, well, I love that you started it with us and our schedule because with anything, you're either going to be doing it by default or you're going to be intentional about it, right? And so a lot of times when we do it by default, we'll look back at the days and we're like, my gosh, it was such a crazy day. And we look at the end dollar that we produced and it was like, ⁓ why am I doing this? And then there could be another day where we hardly did anything and it felt like,   The Dental A Team (02:58) Mm, I love that.   DAT Kristy (03:17) We won the world, you know, we hit our goal. And so I think just to your point by being intentional, it's not about being crazy, right? But to your point, Tiff, we have to start somewhere. And I think sometimes people get very overwhelmed with where to start. And so obviously I like to start with where were we last year? You know, what is my goal this year?   ⁓ Obviously, doctors have to look at things from an overhead and business perspective, which is smart, and what percent are we expecting to grow this year. So knowing those benchmarks, first and foremost, but when it comes to specifically team and scheduling, ⁓ we need to know if that's our goal, where are we at today, and how can we bridge that gap to get there? So looking at what's our procedure mix.   How many, you know, take your procedure count and how many have you done in the last year? I can want something all the time. And we hear this Tiff, we were kind of joking about it earlier, but you know, doctors want to do more implants and we do their procedure count report and look and go, I want you to too, because last year you did two. just, you know, a lot of times people, you know, go to fill the dreams, build it and it will come.   The Dental A Team (04:34) Yeah.   DAT Kristy (04:41) And there is a little bit of truth to that, but I also think it has to be realistic.   The Dental A Team (04:45) Yeah, I agree. I agree. like when you look at your schedule, I look at my schedule, the first thing we're going to do is we're going to look at how many clients do I have? What's my call time? My call volume? And then we're going to add on top of that, how much time per client do I need for admin style work? I'm creating things for them. I'm looking at trends. I'm working on P &Ls.   So then we go through and it's not just call time. It's like, cool, I'm gonna bust out this many calls, but then I'm gonna give myself creative space for this. Or maybe Wednesday's my PNL day and Tuesday and Thursday's my calls, but we're gonna build it to where we can work with it. And something that I have learned over the course of eight years of this is spreading it out and allowing calls to be scheduled wherever does not breed productivity.   What happens is I'm exhausted constantly because switching from consulting brain to even podcasting brain, so even being on client calls to podcasting, being on client calls to writing a newsletter, to creating some sort of content, to doing a one-on-one with one of the team members on our team, going from one mindset, one space of Tiffanie's life to a different space, even in the same position.   is jarring and it slows down the process. And I like to say you're just not, you're not getting enough of me when I have to do that. And so a lot of times clients are like, can we do it on Monday? I'm like, I would love to give you Monday, but I'm not my best version for what you need me for on a Monday, on a Monday. Because the version of me on a Monday is Dental A Team meeting, leadership calls, like we're GSDing for the business. And so switching from that,   to a client coaching call is a different set of brain cells and it just makes it really hard. So Kristy, what I think that flows into in your conversation is a doctor who's like, yeah, I can do a root canal anytime, who cannot do a root canal anytime. Like you don't wanna do a root canal at 3 p.m. when you close at five. I don't think you do. I don't think I've met a doctor yet who wants that. But a doctor who's like, you know what, I can do root canals on Wednesdays at 10 a.m. every time.   Great, because it builds in predictability and sustainability, I can sustain that. I know what to expect with my schedule and when there is some realm and version of predictability, when the chaos comes from the outside, when things change, when things are thrown at us and people are asking us questions, it doesn't feel quite as bad as when your schedule feels like chaos, right, Kristy?   DAT Kristy (07:33) Yeah, I agree with you. I always like to say too, ⁓ I know most of us that got into dentistry have that S profile from the disc assessment, right? And we want to please, but we're never going to please everybody. And so I hope that you look at your schedule as your team and protecting your team, right? And so   The Dental A Team (07:42) Yeah.   DAT Kristy (07:56) If you're saying yes to the patient, most of the time you're saying no to your team and the schedule and your guys' sanity. So I say the schedule's a baby, protect the baby, right? Don't, yeah. And you guys don't get upset with your doctors either if they want things scheduled at a certain time. ⁓ We've all probably experienced it either ourselves or a loved one when...   The Dental A Team (08:07) I totally agree.   DAT Kristy (08:21) A surgeon says, do surgeries on this day at this time. And it's for a reason. It truly, it's not to give our patients grief, you know? So give them a little grace when they want those specific times.   The Dental A Team (08:35) I totally agree. Even just orthodontists, right? I know we've got orthodontists who work with us, orthodontists who listen to the podcast or GPs who are practicing orthodontia, but I talk to my GPs constantly. They're like, but that's not what my patients want. And I'm like, well, what do you want? You think an orthodontist is going to be like, yeah, sure. I'll ban you anytime. No, they are banding on Fridays. Like they are banding on Wednesdays. Like they're choosing it, right? My oral surgery practices are not doing   all on fours or thirds at any day of the week. They're doing thirds on Fridays. They're doing all on fours on Tuesdays and Wednesdays so that they have two or three days left of the week to troubleshoot things going wrong, having gone wrong. So, or troubleshoot just any needs, not even something gone wrong, but they're leaving that availability for themselves. And I think that's truly optimizing the schedule. Optimizing the schedule is looking at what do I need to accomplish? So what is the end goal of my schedule?   one of the end goals of my schedule. My schedule is to deliver all the things I'm supposed to, but stay sane. I have to be a sane human and a good person at the end of the day. So add that into your goals. But what are you trying to do? And then I think there's that vision, right? What is the goal? What's that vision? But then Kristy, what you're saying is like, how am I gonna get there? And that's like your procedures, right? Like, what are you doing procedure-wise that's adding up to that goal?   and then looking at optimizing your time. And Kristy, you mentioned, and I want you to like expand on this a little bit, you mentioned the implant piece. Tell me more. We kind of briefly joked around about that, but it is very fair and very valid. Tell me about optimizing that space, because I have a few practices that are working on this right now.   DAT Kristy (10:23) Yeah. Well, again, I like to ⁓ do your procedure count and get an actual where you want to go.   if you're only doing two, could we maybe set a goal to do 10? And then we can template that into our schedule next year. And and what we focus on usually tends to happen. Right.   But with that being said, ⁓ I think people need to realize when we do do our template, it's not a one and done. It's always a moving target, right, based on our goals. So don't think that you're gonna get it in there and it's never gonna change. We need to take a look at it because our procedure counts may change. And guess what? Now that we're starting to focus on implants and schedule them, we might need more than 10, right? But with that, look at your procedure counts and see where you've been.   make some goals for growth realistically and then begin to formulate your template.   The Dental A Team (11:25) Yeah, I loved that. I wanted you to dive into that because I thought it was so important. There are so many times that, yeah, I want you to do 10 implants a month too. I really, really do, like more than you know I want you to. But if we just strictly optimize the schedule based off of what we want to do procedure count wise, we don't look at what we have done, like what's our trend, and then how can we grow it. So that's a smart goal, right? A measurable amount that stretches you just slightly. And so...   That was beautiful. So if we wanna get to 10, but we've only done three, cool. Well, maybe we block out four spots and then we start tracking the conversations we're having. Because when you start doing that, that's where you're gonna grow it and seeing the consultations that we're having and then adding more blocks in there truly optimizes that. Now, Kristy, hygiene spectrum and I think we'll use the dreaded word cancellations. ⁓ I hate that word, but.   DAT Kristy (12:20) Mm-hmm.   The Dental A Team (12:21) What do you suggest to practices optimizing their schedules when they do have things that fall off the schedule? What's a good way last minute to optimize a schedule and kind of maybe help rebuild that?   DAT Kristy (12:33) Yeah, well, first of all, are we making it easy for them to fall off? Are we expressing empathy and concern and trying to save that? I always like to say ⁓ the only thing that you can do is offer same day. But if not, then how are you creating value? Are you saying, hey, we're already booking out till fall or winter?   I'd really like to help you keep this appointment. I know doctors can be concerned or your hygienist is gonna be concerned, right? So first and foremost, try to save it and create the value for it. And then you guys as a team also have a system in place where we're all following the same rule of thumb. For pushing them out four to six weeks, then everybody pushes them out four to six weeks, right? And creating that ASAP list to get them back in.   The Dental A Team (13:23) Yeah.   DAT Kristy (13:27) Again, watch your verbiage because just like you Tiff, I'm a huge proponent of verbiage and if you're saying, can add you to my cancellation list, you're sending the message that cancels are okay. So check your verbiage as well and literally all come from the frame of getting our patients healthy and keeping them healthy. So if they're missing their appointments, are they staying healthy?   The Dental A Team (13:53) Yeah, totally agree with you. I think you are right. That's why I hate that word cancellation. Even if you guys, even if you're saying, we've got you scheduled here, but if you need to cancel, just give us 48 hours notice. Like, cool, we accept cancellation. So just don't tell them that it's OK, right? And just be like, my gosh, this is crazy. Nobody ever reschedules their appointments. Like, what's going on? OK, it's wild that anyone wants to come off the schedule. I totally agree with you. Make it a big deal. ⁓ But this is brilliant. So basically, what I'm understanding, one,   DAT Kristy (14:14) Yeah.   The Dental A Team (14:23) Create your templates and create what you want that to look like. You guys, we have templates available. Please reach out. Hello@TheDentalATeam.com. are happy to send over some awesome templates. Now templates are called templates for a reason. They are a template and you make it your own. Okay, ideas are ideas. We have a million of them. But Kristy, what you're seeing is really go through and figure out what your ideal schedule is based on the goals that you have, which again, create a self-fulfilling goal to be your best self at the end of every day.   Optimize the number of the procedures that you're able to do, which means I too scheduling you you mentioned ⁓ Kristy and something I want to pull back in is scheduling for not only the patient but the team so happy doctor happy practice most of the time Happy team right happy everyone and I've seen those teams and I've been that team that's like my gosh, like do we always have to work through lunch or do we   Like could we not do this procedure somewhere else? Like I used to have a doctor that would do late evening or late afternoon root canals and they would be late constantly. They were always staying late because they're unpredictable. Or doctors who don't schedule, they don't schedule quite enough time for the procedures that they   truly when we're talking about optimizing, that's the space that we're looking at. We're looking at like, what does this look like to get all of this done in the best ways possible? Those templates help with that, but then you've got to do the due diligence to go through and do it. There's a million podcasts on block scheduling, there's a million webinars we do. Go find them, we're not gonna go through all of those details today. Part of the optimizing and what I just had you bring in is,   really making sure that we've got contingency plans as well. So making sure when things do fall off the schedule, we're looking at, where do we pull patients back into the schedule from and to, right? Like if we have an appointment open up at 10 a.m. tomorrow, where are we pulling this patient from future, from where are we getting them from to fill that hygiene gap? So making sure we've got those contingency plans, but then also something that offices   can occasionally miss is the block schedule rule. I call it the 48-hour rule, right? Or 24-hour rule. And it's when can we break a block? Our teams are oftentimes very skittish of implementing block scheduling because they are concerned that they're not gonna fill the blocks and that they narrowed into this can only be this thing. But Kristy, I like to, and tell me what you do for teams too.   I like to say, listen, if it's not filled by this spot based on the time that's available on the schedule, we fill it with something. And that's to where that's a contingency plan. And that's either like, it was diagnosed now, can they come in or pulling in again from those lists that you mentioned? And Kristy, how do you handle that with Teams and how do you get them to utilize that?   DAT Kristy (17:22) Yeah, well, I'm with you, Tiff. Obviously, if they're really, really busy, ⁓ a 24-hour ⁓ block or 24-hour, I guess, time limit could be very achievable with a very busy office. But I like them to come up with their time, you know?   The Dental A Team (17:37) Mm-hmm.   DAT Kristy (17:44) Typically 48 hours is what most practices do because it gives you a little leeway. Again, I do have an occasional one where it's 24 hours because they're so booked out that they have a short call list that is very easy to pull from. But also to your point, I think so many people miss the opportunities from their morning huddles. Many times the patients are already coming in in your day.   You might have a patient in the doctor's schedule that is doing fillings on the upper right, but still has fillings in other quadrants. Could we keep them and do more? And they'd appreciate that not having to come back in another visit. Or, you know, look at hygiene. Usually in any given hygiene schedule in an eight-hour day, there's probably two to three people that have outstanding treatment that maybe we can convert them. In fact, maybe we could call ahead.   and ask them to come earlier because doctor had a hole in the schedule, right? So many times it's not having to fish from somewhere else. It's literally right there within your schedule.   The Dental A Team (18:41) Mm.   Yeah, and that's the contingency planning every day. So we're constantly looking and building that predictability. Because even that right there, what you said, was an unpredictable moment, but you just built predictability into it by looking for an option that we can foresee and maybe even plan ahead and get it fixed to help that. So beautiful, Kristy, I know you'd have all of the pieces that I wanted. Thank you. I love that.   DAT Kristy (19:16) ⁓   The Dental A Team (19:20) If you guys wanna optimize your schedule, like Kristy's your gal. Kristy, I have watched you in person, hands-on, optimize schedules and block schedule. You are so fantastic at it. I know our whole team is, but I really, really hand pick when you're gonna do these and what the content's gonna be. So this was strategic for you. So Kristy, thank you for those tips. think maybe, let me know if we need to add on to this, but I think action item-wise, it's, I would say look at what you're doing now. Look at your schedule now. Look at your goals.   Look at your procedures and look at how can I streamline this? How can I make this any more efficient? ⁓ Time journaling is a fantastic version. So looking at your procedures that you're doing, your procedure mix and how many, and then time journaling how long they take you. And then looking at where do you want to do these things? Do you want a three o'clock root canal? If you do, more power to you. You just let your team know, whatever you want that to look like.   And then really looking at those contingency plans as well. So how do we build in the contingency plans? Morning huddle is a great space to do that on the daily, but giving the tools and the empowerment to the team to have contingencies prior to that too. Kristy, anything I missed that you want to add in there?   DAT Kristy (20:30) think that's really good, but even in morning huddle, don't forget to not just look at today, look beyond, because if tomorrow's not at goal, starting today would be a little bit easier for the team to call on patients that are already within that day, right? So don't forget to look ahead also. And truly, as you're starting to implement templates, doctors...   work with your team, get in the habit of looking a week or two out and just looking at the schedule, explaining to them if it doesn't work here, why, you know? And, you know, look at the days, you guys add them up, add them up and make sure it's equaling your goal. When you see, I like to call it a wallpaper template where it's like, we just cleared all, you know, made sure all the white space was filled. ⁓ That's truly not the goal of a template, if we're being honest.   The Dental A Team (21:20) I love that.   DAT Kristy (21:25) ⁓ so add up your days, make sure it's equaling your goal and kind of gamify it. See how we can get better at it, you know? Yeah.   The Dental A Team (21:33) Yeah, I think those are great. Good job. Thank you, Kristy.   And you guys, listen to this a few times. Kristy is full of, she's just a wealth of knowledge and she's got so many tips and tricks. So I want you to go back, listen to this, take some notes if you weren't able to yet. Kristy, thank you for letting me pick your brain. Thank you for being here on this Monday afternoon with me. And I'm just, I'm so grateful for you and your brain. So thank you.   DAT Kristy (21:57) Thank you.   The Dental A Team (21:58) Yeah, and everyone go listen to this again. Drop us a five star review below. Let us know what your favorite tips were. And if you have anything to add to it, we'd love to hear about that too. Either within your review or Hello@TheDentalATeam.com. That's where you'll snag that promised template as well. My marketing team is on it and they want to give it away to you. So email us Hello@TheDentalATeam.com. You can also book a strategy call with us and get the template as well as strategy. We can help walk you through this ⁓ at our website.   TheDentalATeam.com. So those are all the pieces you guys. Go make life wonderful. Trish always says go be wonderful and go change lives. Thanks so much. We'll catch you next time.

Kiera shares specific tips for how practice owners can gain consistency, confidence, and calm in their day-to-day unsteady of chaos and surprise at the unknown.  Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:01) Hello, Dental A Team listeners. This is Kiera and today's a fun day. ⁓ think how to get more stability and predictability in your dental practice. I think this is a zone where people don't know how to have stability, predictability, growth, and how to do that in a consistent way. so ⁓ some practices feel like it's like a freaking rollercoaster. Like your systems are wild and it's like, what?   flavor of the day should I be choosing? I fix my system? Should I go for a new patient? Should I be working on my P &L? And I think that that's just like what people do. And they're like, how do I get this stability? How do get this predictability? Now I heard this quote and then I tried to find this quote. So I'm just going to tell you, because I love it. I don't know if it's real or not, but I'm just going to say it's real. They said that Walt Disney said, and I love Walt Disney and I'm obsessed with Disney, but they were able to create predictable magic with systems behind the scenes.   And I think about that for practices of like, can I help you create predictable magic, predictable cashflow, predictable, ⁓ profitability, predictable, like new patients. Well, it's through the systems behind the scenes and the team that's in place. so today really working on that of like how we can go from chaos and like whack them all of like, and I feel like I do this too in my company. just so you know, I don't think anybody's ever perfect at this, but I think we can actually cut out a lot of these pieces for you to create less chaos.   more predictability, more predictable magic in your practice ⁓ to give you that consistency, confidence, and calm in an owner's life rather than the chaos and the surprise and the unknown of will I be able to make it next month? Will I be able to make it in six months? I think for me as a business owner, is the hardest part of being a business owner is that unpredictability. so trying to give you more, ⁓ more predictability and stability. So if you're tired of   the revenue swings, you're tired of the no show surprises, you're tired of the last minute team drama, like you're just tired and exhausted of that. This episode's for you. This is where today we're gonna really go into our mission of positively impacting the world of dentistry with tactical advice ⁓ from experts who do dentists and team consulting. We've been there, we've done it, we've done it multiple times, we've run it in our own practices. ⁓ Every single consultant on our team has had to have a proven track record of going through exactly what you go through.   coming out on the other side with ease and grace. So that's what we're here for and so I'm gonna just break it down into a couple quick steps for you today of just some different things that can probably help you create some more predictability in your practice to create more stability and to get you out of that, like I said, the revenue swings and no-show surprises. Now, this isn't something that's going to come easy. This isn't something that happens overnight. ⁓ I have a sign up in my kitchen that says discipline equals freedom. This is a disciplined act.   This is what the high achievers do. These are not the small practices that are doing this. And it's the, like, I feel like it's investing. Someone once told me investing is like vanilla ice cream. It's not sexy and nobody gets really excited over vanilla ice cream, but it's predictable and it's always good. And that's what I feel this is like, let's create your practice into the vanilla ice cream practice where it's not sexy. It's not flashy, but it is predictable and it's stable for you. And then from there, like add the sprinkles, add the toppings, add the chocolate. Like you can make vanilla ice cream awesome. It's a great base and a great foundation.   So today I wanna help you create that in your practice. So step one is a daily and weekly rhythm. ⁓ I found that structure is something that's so paramount. Even my mom, like there were seven kids in my family and my mom had to create structure. Like I remember summertime, a lot of parents hate summertime because their kids have no structure. They enjoy school time, there's structure, there's a rhythm, there's something that they can count on. Kids go to school at this time, kids come home at this time, there's predictability in there. And so for you within your practice, let's kind of take what we do.   in parenting and in growing up. And let's apply that to your practice because the same principles apply. And so having these different pieces ⁓ in place of how teams communicate, of how we review performances. So it's a cadence. Like I hate remembering things and I love cadences. just a couple key strategies on this daily and weekly rhythm would be morning huddle. And in morning huddle, morning huddle is one of my fastest ways that I'm able to create stability and structure within a practice if it's a good one. So we're looking at patient.   patients, goals and priorities. And we're doing it consistently and we're looking for opportunities. So a great morning huddle, Kristy and I were talking the other day and she said, I can add 10 to 15 grand to most practices just with a great daily huddle. And I love that because I agree with you. If you use a huddle strategically, it's like, why do team members like in basketball or football, why do they huddle? They huddle to win the game and that's what your huddle should be. So we have our daily morning huddle to look for opportunities to prioritize, to align, to make sure our goals are actually where we want them to go.   Then after that, we have a weekly leadership and team meetings. We're looking at our numbers, resolving obstacles. We literally teach our teams traction style ⁓ L10 meetings so that way you can run it. So we're talking about our data, any of our numbers that are off-track or an immediate issue. We teach you how to solve issues. We teach you how to rate a meeting. So they're very effective and efficient meetings using data. So we're not just sitting here like vomiting our problems. You vomit the problems, yes, but we're also going to have a strategic way of how we solve them.   And then this way we're able to catch our problems earlier. So between those two things of a daily and a weekly, so we're having a daily huddle that's focused on strategy. It's focused on winning. It's focused on opportunities. And then we have a weekly leadership. So your leadership team gets together and departments. And I know you might be like, that's so many meetings. It's fine. You're welcome to do that. But I'm like, if you want to know how the big players are hitting, like I'm talking the practices I work with that are 20, 30 million annually. This is what they're doing. And at a small level on a big level, this works.   When I had one team member, did leadership meetings every single week because I figured we need to start, like that's a big practices to do. That's a big organization to do. So why am I thinking I'm so small not to implement that? When you do this, you typically will see a 10 to 20 % increase in revenue and decrease in overhead. You'll increase your schedule. Like just doing this, you'll look for opportunities. Your schedule will start to get hit more consistently because we're tracking it. We're tracking it every single day. And people like don't love to talk about this, but I'm like,   I also don't love working out, but I want the six pack abs. So it's choose your heart. Like would we rather sit there and like hope and pray and want to have it? Or are we going to start to put in some of these daily practices and weekly practices that work for other ones? So that way you can have more predictability. I promise you what, where your focus is, like where energy goes, focus flow, like where focus goes, energy flows. Let me get that one right. Where focus goes, energy flows. So if I'm focused on the numbers, I'm focused on the things we should be doing. I'm focused on solving problems sooner.   That's where my energy is gonna go. So we're gonna start to like, if you read the book essentialism, they talk about like, don't spin your wheels on a million things, spin your wheels on the most important things and laser focus on it and get everybody rowing in the same direction, you're ultimately gonna grow so much faster. So when we're doing these little pieces, this is what it is. So I would, if I was you, add these meetings into it, but I would make sure my meetings are powerful and impactful. I wouldn't just do meetings for meeting's sake, meetings need to be done with intentionality. Number two is tracking.   Leading metrics, not just lagging ones. So a leading and a lagging, I really hate these, they're really hard for me, but it's leading ones are things we have control over, lagging is the outcome at the end. So for example, like pre-appointment, how pre-appointed are our books? What's our unscheduled treatment? What's our AR aging? What's our same day conversions? What's our diagnosis rate? Like all those things are leading measures that will help us know if our outcome is going to actually get met. So if we're looking at pre-appointment, like,   how many patients in our database are pre-appointed for appointments versus how much re-care and reactivation do we need to do? So it's these two things like, if I wanna schedule full, I can pre-appoint, I can reappoint, I can look at all those different pieces to make sure my schedule's full. Schedule full is the outcome, the pre-appointment, the reappointment, all of that is a leading measure that's going to help me get to my outcome. And then we wanna actually look at those. So, ⁓ and a lot of times it's like, we want to hire somebody.   Well, let's think about the leading metrics that would help us. It's how many ads did we place and how many interviews did we perform? Those are things we have control over. I don't have control over if I hire somebody or not. I don't have control over the candidates that come to me, but I do have control over how many ads I place and how many interviews I perform. So let's track that versus tracking somebody being hired. Let's track how many reappointments we have and pre-appointments we have. Those are things we can control versus as our schedule full.   I still want to track both. Those are still important, but we have, your team can influence the leading measures. They can't necessarily influence the lagging ones. And if we have great leading measures that we're tracking, our lagging outcomes should actually be hit. Then we look at those in our weekly meetings, not just at the end of the month. And then this way, like it's a KPI scorecard that the whole team's looking at and they're watching. So when we do this, what you find is our reappointment. Like, so in office, when they start tracking their reappointments,   And we started doing it consistently. go from 80 % to 85 to 98. And people are like, but Kiera, I already do this. We're already doing it. And I'm like, great, then let's just make sure that the data proves what you're already doing and you're getting the gold stars for what you're already doing. What's crazy is when you start tracking these little things, your practice, that's gonna get a lot better. And it's crazy to how quickly it does. So if I was in your shoes, I would look at where are my gaps and where are the things that I felt, like I said, the...   the schedule gaps. So what could I do if I've got gaps in my schedule that would be leading? Well, it'd be how many outbound calls did we make and how many patients did we get scheduled off those outbound calls? Those are things I can control. So this is on my re-care. Tiffanie, she used to make her practices call 50 patients a day. I am not exaggerating that. I think it was actually a hundred. Like it was so many, cause she's like the more I have to have so many outbound calls cause she had tracked it. I have have this many outbound calls in order to have my schedule stay consistently full.   I can't just call when I need an opening. I need to be constantly putting those phone calls out there so patients are calling me back and I keep my schedule full. That's something. So when you're looking at like, well, I'm so tired of the cashflow dips. I'm so tired of the schedule gaps. My question is, what are you doing proactively? Like those are the systems behind the scene that create the predictable magic. I guarantee you Walt Disney's not like, you know, we should have fireworks. Well, no, there's all these systems in play before they even get to firework show.   to make sure the firework show is a success. So for you looking at what are the predictable things I should be doing. So the way you break this down is what are the three big stressors I have? And then what are leading measures that I could add into place to prevent that? So instead of me looking at the end of my PNL and be like, well, shoot, I don't have money. Could you look at your bank account every single day? Could you look at your PNL every single day?   could you look at your diagnosis and your production? If you want to produce a hundred grand, you've got to be diagnosing 300,000. That's something within your control. You could start to say, am I diagnosing $300,000 a month? I break that down to how many dollars I need to do a day. I watch my daily production diagnosis. I work with my hygiene team. I integrate Overjet or Pearl as AI solutions to it. That's how you can start to move this one forward for you exponentially rather than hoping and praying that we're hitting our cashflow at end of the month.   That's how you start to be a more strategic, getting out of that chaos into consistency and predictability. And then step three would be like building capacity plans. when I look at this, sometimes we like, so back at the beginning, I mentioned to you, said, are you tired of the revenue swings, the no show surprises, the last minute team drama? Well, cool, this is around like the team culture and all that. So.   People and time are gonna be a big piece for that. So based on our production goals and where we want to go, based on where we are currently and in the future, I need to start planning and projecting out how many team members do I need for the production? How do I have block scheduling to make sure that I'm not having like up and down months? How can I forecast out on my schedule to see when are my down months? When are my up months? When are people taking vacations? How can I proactively plan for this?   And then we're going to plan PTO and hiring proactively. So when I'm projecting out with a practice, we're literally at like September. ⁓ So convenient timing of this podcast to release for you. I'm looking ahead to say, okay, let's plan out our entire year time off. When are we having meetings? What are the highs and lows? What are the peaks and valleys within our production? And how can I stabilize that? So I'm not having these huge swings in a practice. How can I either plan for providers to be there, not have as many providers off? I'm looking at past history.   How can I prevent sucked timber and have slammed dunk timber? Like what are the different things when I know I've got those lows? What could I do two months earlier to make sure that I'm not having these like high and low months and then I'm proactively doing these pieces. So if I need to hire or I need to do these different, I need to have a different schedule. Like a lot of you are out two weeks in December. So why are we setting our September goal the same as our say October goal? They're not, they shouldn't be the same. You should figure out what is my goal. So if I'm trying to produce   let's say 3 million, well, I'm not gonna do 3 million divided by 12 months. It's gonna set me up for massive failure. I'm also not gonna do it by 52 weeks. What I'm gonna do is I'm literally gonna look to see, let's say there's only 45 weeks that we're going to have, and let's say I'm gonna then do that by 12 months. Well, now what I've gotta do for there is if that's the case, I need to be producing every single month, okay? So what I did is I did 3 million, and I'm gonna do that by about 45 weeks, okay? Then I'm gonna divide that by 12.   And I'm gonna say, all right, this is what I need to do. So my 3 million divide that by 45 weeks, that gives me 66,666 per week. Now I'm gonna divide that by four days. I need to be producing about 17,000 a day for 45 weeks. Notice I took out some of our low weeks. We have 52 weeks in a month. So I just gave you seven weeks where that's gonna hit your December holidays, it's gonna hit your November holidays, it's gonna hit your ice days in February, that's gonna hit it.   And instead of just doing it haphazardly like that, you actually can proactively plan this out. We have a tool for this where you can plan this. When are people out? What do I need to do? And then based on the growth that I'm also gonna project for our business, based on my diagnosing, all these leading measures, how many team members do I need to have and when do I need to hire them? How you doing? Because that was so many words and I hope you took it and I hope you took notes on it.   because what this will do is it's actually going to create a roadmap for you for next year. It's going to create a way for you to have predictability. This is going to prevent those revenue dips. We've helped you already with scheduling gaps by being with leading measures and then with your team, like staffing issues, making sure we have enough team members. If we know we are always down an assistant, rock on, let me project that out. Let me figure out what I need to produce for that. That way I can hire an additional assistant without having it be chaos on me. These types of things, if I know I've got maternity leave coming out.   How can I proactively do it? What if I hired another hygienist? But I actually build this whole plan out as best as I can. Usually I do mine in September, August, September, October is when I start working on mine to have it ready to go for the next year. I always want to throw up when I look at how much it's going to be. And then I like go to work and figure out how we're going to make this happen. But that helps you be more proactive. So I would look to see these three things. One, do I have a daily and a weekly rhythm? That was the easiest thing and making sure that those have opportunities.   and looking for that and strategizing with that. Then having leading indicators, not just outcomes. And we're tracking that collectively as a team and in every department. And then we're creating this strategic plan and forecasting and projecting out. So that way that's in place. Those three little things right there are going to help you have so much more stability and capacity within your practice that you will just be able to sleep better at night. Like as a business owner who's done this, as a consultant who's done this for offices, as consultants who do this for offices, these are things.   that are so helpful for you. Like this is not just luck. I say create your own luck, create your own magic and do it through the systems behind the scenes. But the discipline there is required. The accountability to yourself and to your team is required. Sometimes when I listen to podcasts or I have coaches come in, I'm like, that feels hard. Well, it doesn't have to be hard. You don't have to do this on your own. Buying a practice did not mean you had to be a CEO and an operations specialist and a CFO. You don't have to do all these things.   What you do need to do is hire people that are smarter than you that know how to do this. And if you don't know how to do it, it is your opportunity and in my opinion, obligation as a CEO to either figure it out or I love the book, Who Not How, who knows how to do this that can help me and my team. And then I vet them, I interview them, and then I execute and I hire them. That way you're able to grow. So if this is something that I think resonates, like you're like, I want predictable and profitable practices.   I want to get rid of the stress and the chaos. want to get rid of the highs and the lows. Reach out. This is what we do. We build systems to scale and sustain. We create the predictable magic with the systems and the team behind the scenes. We teach you how to have the disciplines. We teach you how to have an effective morning huddle. You don't have to do this alone. People are always like, dentistry feels like an island. And I'm like, only if you want it to be. It doesn't have to be. You can be with all the other doctors. You can be with all the other people. We have a community of doctors that get together.   We have teams that get together. We have trainings across the board. We work with your practice individually and connect you with other people so you can learn from other people. You don't have to do it. So stop guessing, start growing predictably, start having more predictability and less chaos. This is what we do. So if this feels fun for you, reach out. Hello@TheDentalATeam.com. If it feels terrifying and intimidating because you're like, feel like I should know this, drop the ego and realize it's okay. None of us know what we're doing. Everyone's in your same boat.   Everyone doesn't know how to figure this out. Some choose to get help and some choose to swim it out and figure it out on their own. Both are correct methods. It's just what's method, Beth, for you. And if I was you, I would at least book the call, see what people could do and see if you could help me get more predictable, predictability in my practice. Because the biggest thing as a business owner that creates the most amount of stress are those upswings, those downswings. And when I have more stability, when I know more consistently, when I know what it's going to be,   I'm able to navigate those highs and lows a lot better because I know the long-term outcome. It's not like a shotgun, like, like scatter. It's like, my gosh. It's like, all right, got it. I can weather this. And I also have somebody who can keep me stable. I have coaches and they help me keep my stability there. So reach out. I'd love to help you. Hello@TheDentalATeam.com as always. Thanks for listening and I'll catch you next time on The Dental A Team podcast.  

Did you know: Each position in your practice should contribute toward the practice's goals? Tiff and Kristy break down why each position should have a vision and specific metrics (starting at the job description), and how together, alongside all the other positions, they work toward the greater good of the practice. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript The Dental A Team (00:00) Hello Dental A Team listeners. I am so excited to be here today. I am always excited to be here today you guys I love podcasting I really really do and I love podcasting with other people more than solo and I get to pull consultants in and Britt from HR Headquarters over there HQ and Eve from marketing like I get to pull in just the most fun people from our team to Just double up and get some time with Kristy   I've got you today and this is like our special time together and I just love it. So, and Kristy, I put you specifically at the end of my podcasting day. I hope you noticed that not just because of timing, but because you bring a sense of calm to my life and podcasting with you, not to say that it's not easy with anyone else on our team, but you really like, it's just so easy. You bring a sense of calm and ease. And I was like, that's what I want to end my day with. So thank you for.   opening up your schedule to me and for being here today, Kristy, how are you?   DAT Kristy (00:59) Good, absolutely. I love it too. I mean, we were just talking the other day because we don't get much time together and so I know we look forward to this time. now that I know you put me at the end of the day on purpose, I love it. I love it. I love it. Yeah, it's a good way to end the day.   The Dental A Team (01:13) Surprise!   Good. Well, I'm glad. know Mondays are busy for you. Our team does, we do meeting Mondays and so it gets a little jam packed, but it's nice because we get it. I feel like we get all of that admin stuff out of the way and we get aligned on actions we need to take for the week kind of all together on the same day. And then we just spearhead our week ready to go. Well, Kristy, ⁓ today is exciting. I   I'm gonna actually pull in what we were just talking about. you guys, you guys know, avid listeners, you guys have been here. We've been doing this podcast for a really long time, you guys, and if you have ideas on things that you want to hear, please send them in because our little brains over here are just thinking of all of these things. Sometimes they feel like, did we just record this? It's like this content sounds so similar to something else we've talked about. And so I don't know how to label this one.   But I want you guys to know we are going to chat today a little bit about job descriptions. And this is something that we find incredibly important. So we talk about it a lot. So I want to drive that home. They are so important. And Kristy, something that I recently recorded a podcast with Brittany. And something we talked about, part of that leadership skill, was being able to give direction to the team to execute decisions.   as a leader, being able to execute decisions, being decisive and having execution as leadership, but also gifting that to the team. And we talked about the vision of the practice, kind of where the company's going and the leader, the owner, being able to utilize that for the culture of the company. But I kind of think right now, these job descriptions are the vision per position.   It gives us our heading so that within my position in the practice or the organization, I can say yes, no, maybe, yes, this is the right decision right now for the company. And it brings about some clarity for everyone. Kristy, you, what do you think?   DAT Kristy (03:28) Yeah, I love that you mentioned that because for so long, think we've all understood that job descriptions should have duties, right? I truly am a fan of duties versus titles, but also I think honing in on the other aspect of, think the duties, let me step back. The duties tell us what we're responsible for, but I think bringing in the other aspect   tells us how the person should behave. And so I think they go hand in hand. And I think oftentimes we miss that other piece of it and then we get frustrated when we don't hire that person.   The Dental A Team (04:11) Yeah, I agree.   in ⁓ a layer on top of that, you mentioned job duties and kind of how to behave. But even within that ⁓ what piece, the job duties, the clarification on the job duties, if I know that my job, my goal of my position is to have the schedule full, maybe I'm a schedule coordinator, and my number one metric is 90 % full on hygiene for the next five days,   80 % full doctor, like whatever that metric is. If I know that's my metric, then I think, my gosh, this one patient, my how-to says confirmations. And step one is text message, email, text message, email, but I know this person is 85 years old and they're not getting these text messages. I don't have to question, do I call this patient? My job, my goal is to get that patient here for that appointment, no matter what that means looks like.   So I think that vision and that ⁓ very clear cut, this is what the metric is of your position. I sitting in that scheduling coordinator position can say, Julie, at 85, I'm just gonna call her. I'm not gonna mess with the text messages and wait until three days before if I know she needs a call and we need to confirm her right. Like I have this information, but we often get asked, Kristy, I think.   by different team members that they're like, well, can I do this? I'm like, well, does it get you to your goal? Is it a part of what gets the practice to our goals? Heck yeah, I think that's a great idea. It gives you the space to be creative, to get to the results that you need to get to, that are set as parameters because you know what you're driving towards.   DAT Kristy (05:58) Yeah, you said that so well. So again, I'm with you. It's not just the duties and how we behave and perform them. But like you said, then we can tie it to what metrics am I responsible for? And one other piece behind that is painting the clarity. If it's 90 % reappointment rate or, you know, whatever metric I am responsible for. Now, what system   comes behind that metric if it's not where I want it to be, right? So then I can pull up the system and say, hey, am I not working the system properly or do I need to find a new system because our system's not working any longer to get the result we want?   The Dental A Team (06:45) for sure and that's where teams come to us, or office managers, and they're like, my team has no accountability, how do I hold them accountable? Or how do I get my team to hold themselves accountable? How do I get them to own their jobs? It's really hard to own something if you don't have complete clarity around that goal that you're working towards. And so having those smart goals with those metrics tied to them, Kristy, like you just said, allows that person then, like you've said, to work backwards from the result to see   What did I do that got the result? Because anything you do, I literally just said it this morning, I say it all the time, even consistently being inconsistent is going to get you a result. Consistently doing anything will get you the result. And if your consistency lies in inconsistently, I'm always inconsistent, you're going to get a result. So knowing what your target result is in comparison to the result that you got allows you to backtrack and say,   DAT Kristy (07:25) Yeah.   The Dental A Team (07:41) Was I inconsistent in my utilization of my systems? Or is the system just flawed and I need to reinvent that wheel? Totally fine too, but it allows the space for that. And Kristy, the way you said it was it allows the person holding that metric to see it themselves and can to it, which takes training and it takes consistency from leadership to constantly point back to the metrics, to constantly be like, okay, ⁓ what   what is your metric, your standard, and then what did you reach? And when there's questions that come up like, Kristy, like, do I call this lady? You're like, well, what is your metric? Does it get you there? And I think that consistency is that accountability piece that people are lacking.   DAT Kristy (08:27) Yeah, I agree with you. ⁓ Just like you said, it's very easy once we've painted that clarity and we have understanding also for the team to report back to you. You shouldn't have to ask. But I also would say don't just report back. Report back and let them know your trend because maybe it is 90 % reappointment rate that we're looking at. ⁓ Literally, I was just on with an office that was   It's almost embarrassing to say they haven't looked at their rates for reappointment. She's like 50 some percent and I'm like, yeah, that could be a problem, right? ⁓ Yeah, let's not focus on 50. Let's talk that the goal is 90 and let's start talking about your trend, right? So even if I'm reporting it talk about your trend where were you and where are we going? And then I also like to say with that TIF is recognize what's working well and   reinforce the good. gets reinforced gets repeated, right? And then get team talking about what they will do to overcome any opportunities if we're not at the mark we want.   The Dental A Team (09:36) Yeah, I love that. I love that so much. you just, you saying that about the practice, I'm like, my gosh, that's fantastic. Like 50%, that's not fantastic, but look at how much space there is to create something different. Like that's really freaking cool because practices come in and they're like, I don't know what to do. And I don't know why it's this way. And I just need this. And it's like, this is so cool because there are spaces.   that are really, really simple to tackle that you just didn't uncover yet. And we get to come in and help uncover those. So it's like 50 % reappointment rate. That's fantastic because now we can implement two to three daily actions that severely change the projection in a company that you may have come to us thinking, and I don't know this client, I don't know what she or he was thinking like, but they may have been thinking like, my hands are tied, what do I do?   how do I get more patients? I need more new patients. I hear that all the time and I'm like, well, what about the patients we have? It's so cool. So you just got me really excited about that. So I'm like, holy cow, I can't wait to hear these results. It's gonna be fantastic. But that's case in point. There's a couple of people that probably need that metric, right? A hygienist, hygiene team and scheduling coordinators, like they need these metrics because now they understand what their purpose is in the company and how they can contribute to the overall goals.   DAT Kristy (10:40) Yeah.   Yeah.   The Dental A Team (11:02) Many doctors, I think Kristy, you and I both come across this, many doctors are really afraid, or business owners in general, to talk goals. And I think the piece that gets missed is that goals drive the courage to push forward in life. Without a goal, without a drive, we're just complacent. And so not talking about them and not talking about how   each position can contribute towards those goals, I think is actually a disservice and holding people back.   DAT Kristy (11:39) Yeah, I agree with you, Tiff. think a lot of times people get stuck because goals are related to a lot of times in dentistry, monetary amounts, right? But truly, it's no different than us at home. We have a checkbook and we have a bank account and we have standard bills that we have to pay. And it's not that we have to get nitty gritty on that stuff, but we all have to understand there's a cost of doing business unless we're a   not-for-profit organization, you know? And so again, I love ⁓ how you and Kiera talk about the metrics aren't to beat ourselves up, right? It's not a stick to beat ourselves up with. It truly is just a measure of how healthy we're getting our patients. And the minute that we really get transparent about the numbers and what they mean and relate it to just like patient health and practice health, I mean, we always talk about getting our patients healthy.   What about talking about a healthy practice too, right? And we need to let team know just because, I mean, we hear it every day as consultants, a practice could do $6 million and I could have another practice that does a million and the 6 million inevitably people might think is more healthy than a million and truly that's not the case. So we need to educate our teams and let them know those numbers mean more.   And ⁓ truly it's a reflection of how healthy our patients are and how healthy the practice is.   The Dental A Team (13:14) Yeah, I totally agree. I totally agree. And your individual metrics then add up to those results. So those of you who are building out the job descriptions, like yes, you need like a how-to, we need to know what those systems and protocols are. But separate from that, they need a heading. They need to know how do I show up? It's like, what are our core values? How do I show up in this position? If we've got, I don't know, a check-in spot, right? We've got a patient coordinator who's at check-in.   DAT Kristy (13:19) Thank you.   The Dental A Team (13:40) and her job description does not say you sit up straight, you smile, and you greet patients with eye contact as soon as they walk in, you can't complain when she's got her head down on the computer or she's got her cell phone and patients are walking in and they're not being greeted. So get nitty gritty on those spaces because that's easy to achieve, right? If she reads that or he reads that, it's like, ⁓ that's the expectation, that's how I'll show up. And then now that feeds into your reschedule rate.   DAT Kristy (13:49) I can't.   The Dental A Team (14:09) Right? Patients are like, heck yeah, I'm coming back. I love seeing Sonia up front. Like it just all feeds into one another. So I think breaking that down into what is this position accomplishing for my practice within the goals that we have set. So if this is my vision, why do I have this position? Why do I have a scheduling coordinator? Why do I have a dental assistant? And then some pieces I think that I promised Kristy we would talk about some positions that you don't always think about. Right? So like sterile tech.   come on guys, there are so many sterile technicians running around that don't know what the heck they're supposed to be doing, there's no job description for a sterile tech and we just kind of run in the mill, let them figure it out, that's the dental way. So like sterile tech or, Kristy, one I know is really big right now is virtual assistants and I have a client who has an entire team of virtual assistants and Kristy, how important is it for the metrics?   the job description ⁓ just in the VA space, so for the VAs, but how important is it for the team to have that VA job description too and know what they can count on those people for?   DAT Kristy (15:21) ⁓ 100%. ⁓ The cool part with it too, Tiff, I mean, yeah, they need to know the expectations of what's being handled so they can hold them accountable just as any other team member, right? But also, I love, especially ⁓ offices where we're looking to develop leadership, when you have in an OM or a practice administrator, if you have a virtual assistant, what if...   great opportunity for them to work with somebody to develop them, right? And you're literally paying them to be there and do a service, but yet your leadership team or developing leadership team can help them be accountable to the metrics, right, that the virtual assistant is there for.   The Dental A Team (16:09) Yeah.   Yeah, absolutely agree. I have a practice that was like, well, like, I know they're doing insurance verification. I'm like, cool. Well, one, how far out are they supposed to be? Like, what's the volume of insurance verifications they're doing? Because we've got some shifts in the front office. Could they take on calling on unpaid insurance claims? And they were like, I don't know. haven't. I have no idea what their time is like. And I haven't talked to them in weeks. I was like, ⁓ hold the phone. I'm going to I got to pick myself up off the floor real quick.   Who's holding these people accountable? You've got to treat them just the same as you would if they were in your practice. And I think that's multifaceted. I have a practice who does really, really well with a couple of each spectrum. But one in particular does really well with virtual assistants because they create them to be part of the team. The virtual assistants do so much as to even show up for Daily Huddle. They're there with them. We have virtual assistants that show up for Daily Huddle. We know our VAs.   practices that it's just like, they're doing this thing and they think of them as a separate entity. I think the VAs get lost. I think the sterile techs get lost. The sterile techs of the world are just lost in our dental field. And they're looking for that direction and they're looking for that drive. I think our VA, right, we've got a newly onboarded one as well, but our VA who just celebrated six months with us, I found out, he has incredible direction in his position.   And I see that he finds fulfillment in the things that he does for our company. And that's really cool to watch and to see. I know we get fulfillment. It's very easy to get fulfillment as a consultant. Like we get to work hands-on with the clients every day. Same as a dental practice, you guys get to see the changes you're making in the patient's mouths, right? And in their daily lives, you know? So then to find metrics where it's like, no, even as a virtual assistant, even as an onboarded,   outsourced billing company, like these are the metrics that are going to show us that you're actually adding incredible value to our team. And how cool is that to have that heading to be like, I get to go to work every day and I get to help this team do better for their community. And that's the piece that I just feel like is missing in a lot of different spaces.   DAT Kristy (18:15) Yeah.   Yeah, I love that you say that, Tiff, because a lot of, I mean, we're familiar, probably the most popular one is in the insurance realm, right? And so I know even a lot of the virtual companies will set up time to meet with the offices weekly, right? And so again, for the OM or the practice administrator, I'm like, how often are you on those? Not very often. I'm like, man, what a missed opportunity, right? Again, to develop your leadership and share with them.   What's your expectations? We want zero claims over 90 days. And again, the metrics aren't to beat ourselves up. If it's not there, how fun to celebrate when, just like the re-care, right? When they hit 60%, we're gonna be celebrating because one little change, right? But painting that clarity, where are we going? What's my expectation? And then getting the team's commitment into how can we...   The Dental A Team (19:17) massive.   DAT Kristy (19:27) improve this, right? But I think you also mentioned something earlier, even outside of the virtual assistant realm, but all of our team members, how often are we meeting with them? And how often are we ⁓ taking the time away from the business to grow and develop them? Right? And review their metrics. Yeah.   The Dental A Team (19:45) Yeah, massive.   Yeah, and how do you do that if you don't know what you're reviewing? Like, how do you do that if you don't know what their accountabilities are? And how do you help grow someone? know one of the big pieces of leadership that we train on is being able to develop people and giving them a growth plan. And I remember being asked, oh my gosh, I don't even know. I was probably like 28, I don't know, 27. I might.   boss, my office manager pulls me into the office for my one-on-one and she's like, well, where do you see yourself in five years? And I was like, I don't know. Like I think my only, that could be your position. Like what, I don't know what, I don't know what that means, right? Because in those positions in the practice, they don't know. They don't know what's possible, right? Unless they've been there before.   There may be somebody who's maybe worked in another practice and she managed or worked in another practice and he saw this great manager he aspires to be, but most of the time we don't know. And so providing that growth plan, even within the job description of these are the metrics that I get to help grow those. So I can find growth and fulfillment within my own position because I'm growing the practice and growing these metrics. I don't need to take your job.   DAT Kristy (20:45) Mm-hmm.   The Dental A Team (21:03) I can be happy and satisfied in my own because it's written out for me and we're talking about it in the one-on-ones. We're seeing how, you know, where's my goal and how far away am I? Just the same as we're seeing the trends and everything else. So Kristy, I totally agree. Really my 28 year old brain would have been like, this is amazing if it had been like, here's some things that I see, you know? And otherwise I'm like, I don't know. Like how do I answer that? You know?   DAT Kristy (21:29) Yeah. Well,   and to your point, Tiff, with that being said, don't forget to rope in your virtual assistants and have those conversations with them too. Because I think, like you mentioned earlier, the practices that we see ⁓ truly utilizing virtual assistants well are incorporating them, right? They're sharing the expectation, but they're also giving them that feedback and they're treating them like a team member, you know? So if you guys are doing   a bonus system, don't forget your virtual assistants or your sterile techs, right? Include them. They're a huge part of the practice. So.   The Dental A Team (22:08) Yeah, yeah, and to your point, the team that I referenced that does really well with the virtual assistants, the virtual assistant that now does a lot of their scheduling started as insurance verifications and they grew her and she learned the schedule, she listened to the team on calls, they groomed her into that position so that she could take it on because she wanted growth. So I agree, I agree. So gosh, Kristy, this one became really, really fun. Thank you.   for that and taking that journey. And you guys, hope that there are some amazing tidbits that you're able to pick up from here. The biggest one is know your vision, know your goals. Like where is your practice heading so that you can then dial in where is each position heading within those goals. That's gonna be massive. So job descriptions, yes, we can talk about job descriptions all the time. Go Google it on our page, like search it. You're gonna find a million of them. The big point today is the metrics. Like what are these jobs providing?   towards your goal, what's inspiring them to do their work every day, and how are you talking about it and communicating it with them. So, Kristy, thank you so much. I love taking these journeys, and you made this really fun. I appreciate you today, and always every day. Yeah.   DAT Kristy (23:20) Thank you. Thank   you. Always back at you.   The Dental A Team (23:24) Thank   you, thank you. you guys, Kristy's always here for the fun, just expanding on what we're even talking about stuff.   for her name on these podcasts. You will never be disappointed. You're always gonna love them. And as always, leave us a five star review. We'd love to hear what you think and we'd love to hear anything that you guys have in addition to what we talked about. We know we don't know it all. Hello@TheDentalATeam.com.   You can reach us there and we cannot wait to hear from you guys until next time  

Part 2 of podcast guest Dr. Lauryn Brunclik (of She Slays the Day podcast fame) and her conversation with Kiera. In this follow-up to Becoming Business Savvy with a Clinician-First Mindset, the pair discusses seeking other revenue streams to obtain financial freedom. The chat includes fixing your pricing structure, living below your means, understanding the spender and saver mindsets, time management, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners, this is Kiera and welcome back to part two of my chat. If you liked part one, you are going to absolutely love this. I am so excited and I can't wait to dive right in.   Kiera Dent (00:10) Lauryn, I'm very curious. Like you've talked about it at length. Like what do people do? Like what's the how, how do we get into this?   How do we have multiple streams because agreed all eggs in one basket? gosh. It's, ⁓ to me, that's like just a ticking time bomb. Like one bad day, one bad patient, one bad procedure. Like it's just going to explode because you're sitting like you're sitting on the edge of fear all the time to where you are in like cortisol adrenaline, like you are pumping. And then what you do is you go into complete shutdown because you can't handle it anymore. So your body and your system literally like just shuts down on you. You become apathetic to life.   Dr. Lauryn B (00:23) Mm-hmm.   Kiera Dent (00:44) things aren't exciting for you anymore. You become very numb to walking through the world. And it's like, I feel like the world of color goes into very like gray. It's very subtle. It's like, it's, there's no, there's no life left. It's just, are living life, but you're not actually being and living day in, out. So what are some tacticals? Like I'm so curious. I love to hear that.   Dr. Lauryn B (01:04) Well, so,   I mean, ultimately what you have to, I'm no cashflow expert. My husband would like laugh, not, he wouldn't laugh. He'd just be like, what's she gonna say right now? So like cashflow will multiply the more you start putting your money to work, okay? So it's very, very, step one is simple. It's exactly what you said. You have to have cashflow coming from your clinic.   Kiera Dent (01:14) okay.   Dr. Lauryn B (01:33) You have to. Like, you need to spend less money than you are bringing in. Okay?   Kiera Dent (01:42) Ooh, love that. Ding, ding. All right, great. Got it, team. Got it all.   Dr. Lauryn B (01:45) Like, so it's   it's simple. what did you say? Like you said, there's only three ways to make it happen. Like lower your overhead. Yep. Yep. See more people. Yep.   Kiera Dent (01:50) There are, either cut your costs, increase what you're producing. like for how many patients you're seeing and   or collections, because a lot of times you're producing enough, but we're not collecting the money that we're actually producing. that then costs, people are have no money. And I'm like, you have 500,000 sitting in your AR that's not collected. So you actually have money. You just have a broken system of how to collect it. And to your point, my husband said this very early on when I started that company, he said,   I care, don't lose money. He was like, yeah, I'm not going to give you any rules, any parameters. He's like, just don't lose money because that's going to cause a lot of strain on us. And I thought about that a lot. It's like, ⁓ I guess that's a great, a great plan. Like it's really been a good thought for me. But it's like, if you are going to lose money on having a business, go be an associate for someone else. Like it's a hobby at that point. It's not a business. So I'm like, if you're not going to have your business make money for you, like truly no judgment.   Dr. Lauryn B (02:24) Thanks, husband.   Yes.   Kiera Dent (02:44) go honestly be an associate, go work for someone else so you're taking home a paycheck. When owners are working for themselves and making less than they are as an associate, I'm like, we have a big problem here. And now you're mad because you got way more problems. You can't just clock in, clock out and leave for the day. And I'm like, that's actually not a business. That's a hobby. And it's a bad hobby. You have no freedom. No, it's delusional. No.   Dr. Lauryn B (02:57) Mm-hmm.   And they're like, but I have the freedom when I'm the owner. You don't have freedom? can't afford a vacation. what? You have   no freedom.   Kiera Dent (03:11) Stop lying to yourself just because you own a business. People are like, I wanted this texture, have more time. And I'm like, yeah, tell me how that's going for you. Probably not great. All right, so we gotta have a business that actually cash flows. Simple stuff.   Dr. Lauryn B (03:16) How's that working for you? Yeah.   Yes, so step   one is very simple, but not is you have to fix the pricing structure, the collections, your payroll blow. You need to look at the profit margins of your clinic. Very easy, very difficult, but very easy.   Kiera Dent (03:37) And they're   industry specific too. I don't know how it is in chiropractic, but I know in like dentistry, we say right now, even with all the things like I want 30%, we're talking all things, fringe benefits, 401k. Like 30 % for payroll, 25 to 30 is about average. And we aim for, I don't know how it is in chiropractic, but I aim for a 50%, not including doctor pay, 50 % overhead in dental practices, 30 % of doctor pay, because I'm like, that's what you're gonna get paid as an associate. It's like, let's at least pay you that.   Dr. Lauryn B (03:45) No, that's pretty yeah, that's pretty healthy. ⁓   Kiera Dent (04:04) And then hopefully we've got a 20 % profit, but that profit debt services click in and that's a real fun zone and taxes. Like I love it. No, you're not getting your W two people are not taking taxes out. You own this business. All that money comes to you. So do not get trapped in that like tax trap. but like, like that's a very simple formula and you look, what is my supplies? What are my rent? Like, what are all those things? And if you figure out the benchmarks, then you know, which one am I bleeding money on quickly fix that hole. So we stopped bleeding it again.   It seems so hard. And you and I are on the other side of that equation saying, no, actually it's like real simple. You just look at it real quick, figure out what it is. You can build your practice to support whatever numbers you need, or we cut. Usually it's easier to increase production and collections than it is to cut. But a lot of people are just overspending in ridiculous ways that I'm like, no, no, no, no, no. Like I have a practice, I looked at their numbers. They shouldn't giggle. I did giggle, because I was shocked. They're like, here, we have no money.   And I was like, all right, send me your P &L. Let's take a look at it. So I did. Year to date, they produced 528,000. So they're doing about 85,000 per month is what I calculated when I ran the numbers. But when I looked at their take-home pay, they're taking home, so it's 528. I'm super happy for them. Like don't, there's no judgment on that. They're taking home 250,000 of that 528 is going to the doctor, which again, I'm happy that they're taking home the money. But what's happening is the practice is not producing enough for that.   They're running all their kids through it. They're running their cars through it. They're running everything through it, which again is not a bad thing. But if you don't have cash in your business to hire people, I was like, we're a little off on the percentages.   Dr. Lauryn B (05:37) Yeah. One of my favorite things to teach people   is because people are like, I just want to learn tax strategy. I want to learn tax strategy, tax strategy. And you're like, okay, here's the thing about tax strategy is you can only do tax strategy. Can't see I'm doing air quotes here. If you have money that you don't want to give the government, if you are spending   Kiera Dent (05:47) you   Mm-hmm. Air quotes, I see them.   it.   Dr. Lauryn B (06:06) much as you make and the government's like, yeah, you're good. You don't know anything. Like there's no strategy to be had. Strategy can only apply to profits. you know, like to money you've made. So, so that's where it's like, okay, I get that you really want tax strategy, but like you're, you don't need strategy yet. You just need to create more.   Kiera Dent (06:09) There is no tech strategy. ⁓ That is a tech strategy. No.   Yes.   You   just need money to then pay taxes on. Then we can talk about what it's gonna be. Yes.   Dr. Lauryn B (06:37) Yes, then we can talk strategy.   But yeah, so like that's where it starts. The next hard part, and this is where I kind of touched on like, we went into this career because we believed this career was gonna take care of us while we took care of other people. And so everybody's got a little different version of what that means. ⁓ What car they think they should be driving.   Kiera Dent (06:42) That's a point.   Ready.   Dr. Lauryn B (07:06) once they have made it, what ⁓ their house situation should look like, how many vacations, their spouse, if they're buying their spouse, designer bags and things like that. Like we have in our head once we make it, what life will look like. And so after you fix your cashflow thing, the next thing is like,   you gotta kind of continue to live below your means for a while. Because if all of a sudden you've fixed your profit margins and you have an extra $30,000 flowing into bank accounts a month that does not have a job, like, you're just like, we're gonna move into a bigger clinic, we're gonna hire another doctor, we're gonna do this. And all of a sudden that...   Kiera Dent (07:58) Let's go!   Dr. Lauryn B (08:04) that potential, but like you have to have money in excess to build wealth upon. If you fix the first problem, which is we don't have enough money, okay great, now you have enough money, and then instead of building wealth, you buy a Birkin, which I still keep sending my husband all of the memes and reels that like Birkins are apparently, you know, they are also   appreciating, they're beating the S &P. So I'm just saying maybe a Birkin was a bad example because that would be an investment. ⁓   Kiera Dent (08:36) See?   I why not? think there's a   lot we could probably justify in the investment realm. Like it's fine. I'm here for it.   Dr. Lauryn B (08:46) Right, right. But   no, you know, if it's like one of those things where if you just lifestyle inflate after you fixed your cashflow issue, what's going to happen is, is you're going to still be, you're going to have like golden handcuffs where you're like, well, yeah, the clinic is bringing in 1.2 and like, yeah, I do keep 350 of that, but I still.   like I'm paying off my student, because your student loan payment now is increasing and like this and like your mortgage and all of this stuff. And you're gonna, you have the potential if you're not careful to feel just as squeezed financially, even though you've gone to the next level of salary and income, but you can still feel that exact same financial scare. And so like that's another thing where it's like, okay, you have to figure out,   the balance for you and your spouse because like my husband, ⁓ my husband is definitely, so this is from Garrett Gunderson. He's a really great financial wealth advisor. don't know if he's in your guys's world. Yes. Okay. Yes. So he was on my podcast and he was talking about how basically within all the   Kiera Dent (09:53) I love him.   Definitely. We love him.   Dr. Lauryn B (10:04) that he's coached people through, there's basically, he used a different word, but right now I'll just call it the the saver and the spender. Okay.   Now the spender tends to be the visionary, the CEO. It tends to be the person that's like taking the risks to build the things. They're like, we had a record year, we're   reward ourselves, we're gonna do this, we're gonna do this, life is fun, this is great, this is like a... And then they often marry a ⁓ saver that is just like...   I don't need all of that. I don't need another vacation. I don't need a fancier car. I don't need this. ⁓ And it can actually make them very uncomfortable that, you know, so my husband is, we'll call it   saver. ⁓ And we go, I mean, our travel budget a year is insane.   we should definitely be putting that towards crypto and like buying a duplex and like building more. But   Kiera Dent (10:57) you.   But why? But why?   Dr. Lauryn B (11:04) If someone told me like, no, no,   no, here's the plan. You get one trip a year and then we're gonna just like   all of this money and then you can start around 45, like, know, and then at 50, it'll open up a little bit more. Like, I'd like, well, that's no fun. I don't want that. And so you have to figure out, because there's a ditch on both sides of the road, right? And so you have to figure out like, when do you want to retire?   Kiera Dent (11:28) Mm-hmm.   Dr. Lauryn B (11:33) Like what is that number? What is that freedom number? How much money do you need coming in in like passive investments? Like how much do you need your crypto portfolio to be doing? Like your real estate portfolio. What's that number of monthly income or annual income? And when do you want to get there by? And this is going to be so dependent on whoever you're talking to.   if you're 50 and you're like, I want to get there by 55.   and you're starting,   not great. Like, yeah, okay, you know what? Your travel budget, you just need to not worry about that for five years. Like, you got some work to do. But like, if you're sitting here at 35 and you're like, I'd like to retire by 50, and like, I still wanna take our kids on some vacations, but I do think we should be, you know, then you just gotta pick where are you pinching pennies? Like, because you gotta pinch them somewhere. So like, maybe it's...   not designer handbag season. Maybe it's not getting the newest vehicle. Maybe you'd rather live in a bigger house, but drive a more reasonable car. Whatever it is, maybe you have no problem giving up vacations, but you need that pool in your backyard. Again, there's a ditch on both sides. think that as this couple, you need to come together and figure out.   that equation where even after you're getting some of these doctor luxuries that you've worked hard for, there's still money left over that is being invested wisely.   Kiera Dent (13:13) love Lauryn that you talked about Garrett Gunderson and I love that there's the saver and the spender in every relationship because this happens like it's a real thing. ⁓ And I love that you talk about like, okay, one step one is like, you got to make money and you got to keep the money. So it's like, make the money and keep the money. I have like, okay, if we could just follow that. Jocko Willings, he's got a quote. This is like discipline equals freedom. And it sits in my kitchen, which I think is a very smart place to stick this sign. I see it all the time. And I'm like, that really is step one is like discipline on this.   Dr. Lauryn B (13:28) Make the money, keep the money.   Kiera Dent (13:43) And I think that there's like, one of our consultants, says, choose your hard. And I think about this, like both sides have a hard, like spending all the money has a hard of like being broke. Saving the money has the hard of you've got to actually put like parameters in place. So both have it. But for me, I'd rather sleep at night knowing I've got money in the bank rather than like sitting there wondering how I'm going to make payroll. Like to me, that's the hard I would rather choose. I would not rather not choose the other side. So I'm going to be disciplined there. And then,   I really started working on and I heard at a conference about like just an easy way. Cause my husband, I'm the spender. He's the saver. And it's really thrilling for me because I felt annoyed. I felt like I was dragging him like an anchor. Like we were going on vacation. We're buying the cars and like, don't like cut my wind out of my sails. Like I was so angry about it. So we actually had to make a vision board of both of us. Like what are his dreams and what are my dreams? And we like co put it up on the wall. It literally sits in our bedroom. And it was one of the best things I ever did because he wasn't able to see what inspires me and what I'm excited about what   what's important to me. And I was able to see what's important to him. We also figured out like what's our BAM, our bare ACE minimum as a couple and where we want that. And then when you're talking about like the savings, I really found this awesome principle where it's kind of like, ultimately, what does it actually cost you to get to financial freedom? And when I did this exercise and I do it with a lot of clients, you can actually break it down. like, what does that like, bougie, whatever life you want that to look like, what does that look like? What's your mortgage? What's your HOA? What's the internet? What's the utilities like?   What's our groceries? What's our food bill? What's our children bill? Like how many cars do we have on this? And like literally build that out to what's like my highest end. And then you actually scale it back down to basically like, what's my security bucket? Like for me to just survive, like you said, like the monks, like what is it for me? Like scrap it all down. Let's go back to dental school. Let's go back to chiropractic school. Like when I was at my like most broke, but I could scrap like you guys, can top around and like a boss, like I know I could get through. So like, what is my like minimum amount?   Then what I do, so basically taking that all the way up to my financial freedom, like where I've got money making money, it's a money making machine for me. And then how do I actually break that down? So I've got security, then I've got like growth, then I've got independence, and then I've got freedom. And then beyond that are like your prosperity and your legacy buckets. And so when I look at this, it's like, you basically just chunk it down. And what I mean, I'm such a nerd, I really am. I've like learned to fall in love. I like took that amount of like total dollars.   Then I looked at like, how much money do I actually need to make? What tax bracket am I in? How much do I need like pre and post tax? Like again, total nerd side on my side. But then I was able to look and I'm like, okay, for this practice, I know that for them to be like, just baseline, they need to be making about a hundred grand a year. Like that's pre-tax. So we know like we're to take tax out. We can survive. That's like our security. Then our growth goes up to 202 post-tax. Then our independence is at like 553. Well, now I know my mile markers of what I need to do. And I also have those parameters. you said, where am I going to penny pinch?   This does not mean that I don't have certain luxuries, but it means that I'm like, it's like a gradient and I'm able to see what I'm working towards. And I remember my CPA, he told me once he said, Kiera, it actually becomes a lot easier to make money. And like once you, like in a few years, once you've bought a few of the things that you really are looking for, and I was like, you're full of it. Like, I don't believe you for a second, but it's true. Like as you evolve.   You buy the things you want, you get the house that you want, you get the car that you think you want, you get the designer bags, like it's not all overnight. And then you're like, wow, I have a decent amount because I've learned to make the money, save the money, not spend everything that I've got. I'm able to then plan for these purchases that I want. I love Profit First, Mike McAllags. He's like my fangirl central every time he's on the podcast. I like just love him so much, but I'm like, okay, then I have buckets. have my travel bucket. And you're right, Mike, my travel.   Dr. Lauryn B (17:18) yeah. Sweep account. Sweep! ⁓   Kiera Dent (17:28) amount, that's something that fuels me. So we pump money into a travel fund, but we have those to where I now have budgets and our clients have budgets and you can have budgets. And it's not for me, clients have even told me that's more freeing than it is otherwise, because they actually know I can spend this money guilt free and go on the trip. can go and buy this car guilt free because I have the money.   Dr. Lauryn B (17:46) Mm-hmm.   And that's probably really   helpful for your spouse too. A lot of times the saver spouse, like it's hard for them until there's like an act, like that's the permission they need of like, no, we ran the numbers and we like this amount of money was proportionally taken and it's there. It's only to be spent on this. And they're like, okay.   Kiera Dent (17:52) Thanks.   Yes.   Yes.   Okay. And then the spender feels good because they're not just blowing all the money. So it's on this like, it's a good balance, but I love it. Like it's very simple. And now I'm very curious, Lauryn, because you've talked about like not having your business as your only asset, like that's cash flowing for you. Once we've got a simple, we like make the money and we keep the money like check that off. Then we go into these like, I love the idea. There's a ditch on both sides of the road. So which one are we going to do? We figure out like, what do need today? What are my future like?   Dr. Lauryn B (18:28) Mm-hmm.   Kiera Dent (18:41) kind of nice purchases that I want to, how do I build up to these other ones that I can save for? What's my total number? Like I know my number for financial freedom is psychotic. When I look at that, it really is. I actually have it.   Dr. Lauryn B (18:51) Is it really? Because I'm   interested that you said that because most people when they do that exercise are kind of like, ⁓ it's surprising to them that it's actually not higher. like, so.   Kiera Dent (19:12) Well, let me just clarify.   Let me ask this for you, Lauryn. What I found is for me to hit like my security, my vitality, my independence. Like we're talking like pretty much up to freedom. I'm actually it's good. Like we're there, but my absolute freedom, like where I never have to work another day in my life for me, that number, that number is a little more extreme. That one, but like even looking at it now, cause when I told you, I'm like, it's psychotic. I just pulled the spreadsheet up. What's fun though is I built this.   Dr. Lauryn B (19:30) ⁓ okay.   Yeah. Okay, the like I quit number, the like.   Kiera Dent (19:42) gosh, I like I should honestly look, I think I built this spreadsheet, I'm going to we're gonna hold everybody I know you're like on pins and needles, I'm just gonna scroll back to when I actually made this. It's on Google Sheets, you can go back to like when it was built. So I built this and I think this is really just telling for people I built this in 2022. So May 13 2022 at 1026 am is when I built it. We're now recording this in 2025. So we're only talking just over three years since I originally built it.   I told you Lauryn that my number for absolute freedom, we're talking like I put it all because I have a jet in there. I have a charter jet. I have a private like I put all these things like it was just I have like I want to   Dr. Lauryn B (20:17) You have a jet in there? Okay, well most people when   they do the exercise the way I have them do it aren't putting jets in there. I love you, Kiera. Okay, we're gonna stay friends because I want on that jet. Kiera error.   Kiera Dent (20:25) Like I'm telling you this is my absolute freedom. This is the absolute absolute like here is living this life I mean girl you can come cuz I just like   I wanted to see like what does this look like and I want to have like I don't want to retire in a retirement home I want to live in a villa like I've got some pretty lofty things in this like we're talking I went for like   Dr. Lauryn B (20:41) Right. Did you put the pilot   costs in there too or does that just come with a jet?   Kiera Dent (20:45) So my husband actually wants to be a pilot. So that's already like built in. So I've got like that. I also have friends that are pilots like, you know, yellow, we're gonna have that. Thank you, thank you. So on that, and I actually went through this, like I built it the first time, but we're talking three years. And I look at that to have that absolute freedom. The annual income pre-tax would be 4.6 million, which that can sound like an outlandish number. However, based on where the business is now, it's not that outlandish. And that was just a short.   Dr. Lauryn B (20:49) Okay. Okay. Okay. The jet makes a little more sense now, but yeah, got it.   No, it's doable.   Kiera Dent (21:15) three year period where I'm like, I mean, we got a jet, I got play money. mean, guys in-house chef, live in nanny, we've got all the cars, I've got my Lambo, I've got chartered flights in there, like you name it. And I look at this and I often assess because Kiera three years ago wanted some of these things and Kiera today might look at that and be like, know, I actually don't want these things, but this is what I'd rather. I'd rather like buy a house for my parents or I'd rather do this, but you will shift and change.   Dr. Lauryn B (21:16) And that's got a freaking jet in it.   Kiera Dent (21:45) But it's so crazy because when I look at that, I'm like, all right. So I know if things get tight in the business, I know, all right, rock on. Like pre-tax, we need to make a hundred grand. Like easy. We can handle that. We can create that. We can figure that out. That's it. Again, just a math equation. But then when you look up and you scale up, it becomes so much more doable and realistic. And then for me, I don't know how you feel, Lauryn. It's like, now the number doesn't feel like, got it. I know actually like what I'm working towards. I know how I can now do the math equation. It's not like I have to make   500 million to be free. It's like, no, I need this money because it will now go into investments. It will go into other places. I know how much that's going to generate for me. I know how much it's going to estimate grow. And I don't know. It just is pretty magical. So I'm very curious. Like, what are your other revenue streams that you recommend when we're looking at this and we're building that financial freedom? We're looking at like, okay, I kind of am. I'm hoping that people listening to this podcast are putting like dots together. Like, okay, got it. Like make the money, keep the money.   Dr. Lauryn B (22:17) Mm-hmm.   Hmm.   Kiera Dent (22:38) figure out how I'm gonna spend it, but not overspend it and still keep the money so I don't pinch on that side. Then I'm gonna look to see where I ultimately wanna get in my life. Now, like what are some other things like if we're there, how did you get it to where you weren't just reliant on your business anymore?   Dr. Lauryn B (22:52) So first I will say that none of this is any tax or legal advice and you must talk to your CPA or whatever. Yeah, here's my little disclaimer. I am not an accountant or anything, a lawyer or anything like that. So right now, so I just interviewed someone on crypto. So I am really, really lucky that my husband, he's a very early adopter. And so   Kiera Dent (22:58) This is true our little disclaimer there guys go talk to people that are not   Dr. Lauryn B (23:21) We have been pretty involved in crypto for   Kiera Dent (23:26) Which is why you said   do crypto like all the things like I should be putting this in crypto not going on trips. I now get it. All right, go on.   Dr. Lauryn B (23:33) So I just interviewed someone on my podcast who's like a crypto investor and like some of the predictions that the crypto people, the crypto people are saying about   going to happen with crypto, what could happen with crypto in the next five years,   4.6 million would be easy. So like if our current crypto ⁓   Kiera Dent (23:55) Chump change, like truly, truly.   Dr. Lauryn B (24:01) account like amount that we have invested   did even a fraction of like what like we'd be we'd be pretty   pretty pretty good even if that doesn't happen in five years if it like takes 10 so crypto for us   Kiera Dent (24:08) Mm-hmm.   Dr. Lauryn B (24:14) and like i said i just i knew that like that was the thing that for him but like i just really got i got off this interview and i was like how much did you invest last month we need   double it we need to like and he's like yeah   This is so exciting. Like I have been priceless. I've been really obsessed with a Cartier watch lately. Like a real like, and so I have was, I'm already   Kiera Dent (24:28) That's where he'll spend there, Lauryn.   Dr. Lauryn B (24:37) about my 2026 vision board because I'm in Enneagram three and we do weird   like that. And so I I was like, I want to go to Switzerland and   Kiera Dent (24:41) I love it.   Dr. Lauryn B (24:46) want to   to Switzerland and buy a Cartier watch. Cause that's where they're made. And like, and now I'm like, you know, maybe we should   Kiera Dent (24:52) Yeah.   Dr. Lauryn B (24:56) delay, that would be better put into crypto. And he's just like, this is the saver husband is just like, this is the greatest thing in the world. So anyway, so that's one bucket. ⁓ And you know, he spends a good amount of time each week, each day monitoring. So I won't even call that passive. I think that crypto can be a lot more passive depending on how you do it. I'm not going to get any deeper into the waters here because we are at my like limit of understanding of crypto.   Kiera Dent (25:02) He's loving it. Okay, so crypto. Okay.   Okay, perfect.   Dr. Lauryn B (25:24) I know   that you can   very active in investing and there are ways that can be much more passive. ⁓ So real estate, obviously   think that real estate is the secret of the wealthy for decades and decades and decades and it's not such a secret anymore. It comes with its own things. We both experienced 2007. I luckily had just gone into school, but there are people who lost their asses in 2007 with real estate. So not foolproof. Also,   Kiera Dent (25:50) only.   Dr. Lauryn B (25:54) not incredibly passive. We throw the word passive around way too much in this, but I will say where the majority currently and where we're like next year, how I'm getting to 3 million and this and that, a good percentage of it is very, very active in the personal brand coaching side of things.   Kiera Dent (25:56) I would agree on that. You gotta have a lot of doors, lots of doors, lots of time.   I agree.   Dr. Lauryn B (26:22) I have built and have continued building. ⁓ so, you know, podcast, sure, that makes some money, but like where very actively, where I spend more time on than in my clinic is in the online space of coaching courses, programs, webinars, membership. And that's when you find, and here's the thing.   is like every dentist listening, every chiropractor listening is like, okay, so I need to coach other dentists. I need to coach other chiropractors. And it's like, no, what I'm saying is, is online, there is a lot of money that can be made. It's not easier, but it's also not harder. It's its own hard. I just solved a different problem for someone. So I had the business that we solve this problem. And then I figured out a way. So we talked about the financial.   Kiera Dent (27:05) Right.   Dr. Lauryn B (27:18) freedom, but then I figured out the time freedom that I wasn't needed there all the time. So I could sit and go, what's another problem that I can sell a solution to?   Kiera Dent (27:33) Okay, let's like pause there. I'm very curious. How did you get, how did you solve the time solution? Like guilt free, like walk me through. I know it's like a pile whole nother episodes. Like do it in like a chunk or probably close to time.   Dr. Lauryn B (27:38) God, that's.   Yeah, well, I mean,   you ultimately, you pay for your time. So like, I am not collecting as much money from my clinic as I could if I was there doing the service. Like, that's just kind of obvious. ⁓ So I am paying for doctors that I wouldn't need a doctor. I could get rid of an entire doctor's salary if I just worked full time.   Kiera Dent (27:59) Right.   Dr. Lauryn B (28:10) I could also get rid of my amazing and well-paid director of ops. So this was a big game changer for us is so like, you may have a doctor on staff that's like your clinic director. You know, they're really in charge of like patient care, whatever, things like that. I recommend having a not office manager, a director of operations.   Kiera Dent (28:25) Thank   Dr. Lauryn B (28:39) Okay, like this is not an office manager. A lot of time your office manager is like by default, the person who's been with you the longest. Like we hired in a specific skillset that was going to be my eyes, ears, hands, feet, pretty much everything except my visionary brain.   Kiera Dent (28:40) Nothing.   and   Dr. Lauryn B (29:03) She does HR meetings, she does hiring, she does firing, she monitors stats. I meet with her once a week and I get reports. I pay her pretty well. And like honestly, she needs another raise and so does my other doctor. Like, so this is what's hard.   Kiera Dent (29:17) Yeah.   So let's just break it down. I   don't wanna know exactly what your Director of Operations gets paid, but let's give a range so people understand, because I think people don't realize what we're paying for that. So are we talking? Okay, perfect. And for some of you, might hear like, yes. And I would say that that, I would say it's probably 60 to 150 penny upon, for dentists, the size and practice, like I have seen that come through. So again, looking to see where it is.   Dr. Lauryn B (29:27) Probably 60 to 90 grand.   depending on your city and things like that.   can.   and   especially like if you're running multiple clinics. Yeah.   Kiera Dent (29:44) Yes. So   when you said that though, when we were talking about the audacious number and we're like, Hey, 4.6, like it seems so, but you're like, it's really big. But I think if people were to hear that and think K 60 to 90, if I were to pay somebody 90, but not have to do all the meetings, not all the hiring, not all the firing, what is your time worth? Go to Dan Martell, buy back your time. He's one of my favorites. Like what is your dollar per hour when you're doing dentistry or when you're doing chiropractic?   And could you hire that out? Like how many hours could you do or use your visionary brain to grow the business, grow other things? Well, yes, that's a great salary. It also, think when we put it with your time, I think a lot of people could see that on a balance sheet of a very good investment because I think time is one of your greatest assets. So again, I just want to highlight because a lot of people may think it's like 200.   Dr. Lauryn B (30:26) Mm-hmm.   Well, and I'm in a circle back.   So, cause I said, there's like the two different reasons you're burning out. Although I've listed like 17 at this point. You you've got the person who just wants to care for people and they have to run a business. And then you've got the person who's like, I've solved this. So like, I don't remember who said it, but they basically said there's like two types of people. And this is a really great question to ask when you're hiring. It's one of my favorite questions. ⁓ Are you the type of person?   Kiera Dent (30:39) Yeah   Dr. Lauryn B (30:57) who wants to solve the same problem every day and get more efficient and faster and better at solving that puzzle, or are you a person who would rather have a brand new puzzle every day and figure out   to solve that puzzle? There is no wrong answer here. You are not a less than person because people hear that and they go, oh.   I wanna be the exciting person. And this is why so many people end up in entrepreneurship that shouldn't is because they hear the air quotes, right answer there. the exciting answer is I want a new puzzle. Most people are not psycho like   if you   that you're that person, when you're really, this is totally cool to be like a more efficient problem solving, like same puzzle. But that's what a business is.   Kiera Dent (31:49) Yes.   Dr. Lauryn B (31:50) after a   certain point, you are solving the same problem. And so I literally couldn't. I couldn't, so like, yes, I could say like, well, I had the option of not spending that money on salary and just like stepping into my practice even more and being that director of ops and being that, I couldn't. I was done. At this point, this had been like 12 years.   Like, this is really more more recent. I've been in practice 15 years. So it was really more like three years ago that I was like, I can't, I want to. And I feel like a bad person that I'm like, I can still be the visionary. I can still check in and I still love hands-on patience. Like, ⁓ but like we need to hand this baton to somebody better because I will die if I have to keep hiring and doing some of this stuff.   Kiera Dent (32:47) You   How did your team and doctors take that? Because I think people are so scared of like, well, why does Lauryn get to go have one or two days in the office and we're here five days? Like, did you have any of that backlash? Like, how did that go?   Dr. Lauryn B (32:50) And so.   they're continue, you know, like, yeah, your people are people are people. And we can't, we can't, as if I don't get, my husband has to talk me off a ledge, you know, once a month about like, can you believe, like, we, they're just humans who are also living their experience and wanting more money and like seeing you live abundantly and feeling feelings of jealousy. Like you can't cure anybody who says like they've cured jealousy.   from their team culture, they are lying. So like feelings of jealousy and greed, these are natural human emotions that your staff is going to go through. And so, you know, I would say that more recently as we, because like we're talking about like, hey, the clinic numbers are not good enough for...   Kiera Dent (33:36) Yeah   Dr. Lauryn B (34:00) abundance and bonuses and raises. We've told you what we need the clinic numbers to be at in order for raises to happen.   Kiera Dent (34:06) I hope everybody listening   just heard how she was a CEO and she told them, these are what the numbers are. This is what we have to do. It's not, me give you bonuses and pay you more in hopes to get that number up there. Like rewind that, listen to that over and over and over again, because you have to have this team needs to see that. Otherwise, this is how you don't make the money and keep the money. You make the money and you pay more money and you're broke. Go on.   Dr. Lauryn B (34:27) Yeah, and for the first, that's   how I got to the worst, the best worst year of my life, you biggest revenue, but worst income was because we had been giving raises based on like effort and like they're working really hard. They deserve a raise. So an employee can deserve a raise, but there's not money to give them. So like we're simultaneously this year dealing with like, hey,   I wanna give raises, but like it's gotta be here and we're close, but we're not there. They simultaneously see me just fucking killing it in the online space and spending, because also like in the personal brand, like I coach healthcare providers how to launch a personal brand. And so like I talk about like, hey, I got a $2,000 affiliate check. We invested $13,000 from crypto. If you go find me on Instagram @DrLaurynB, you will see like,   My posts are about abundance and what a personal brand can do for you and how like the behind the scenes of like, yeah, we are, we're talking about diversifying income. Like this is how much our real   portfolio made last month. People want to know that, but my staff sees that. And so they're like, well, she rich. Why is she trying to tell us   she can't give us, why is it? And so, so like even literally this month.   Kiera Dent (35:45) that we don't have money. because the business, the business.   Dr. Lauryn B (35:52) We're in like calm, kind, one-to-one conversations having to be like, you know, but I will say my husband and I, like, this is like real life. These are conversations that literally happened like a week and a half ago where I came to my husband because prior the clinic was all the money. It was all the money. It was the biggest thing. It was really in the last two years that things switched.   where it was like, now my clinic is like, when do we call my clinic my side gig? Because I'm literally making four times as much on this personal brand in digital space. ⁓ And so we realized that,   Kiera Dent (36:20) Yeah.   Mm-hmm.   Dr. Lauryn B (36:32) there isn't money for raises that they want. There isn't money for bonuses. But can I,   Lauryn Brunclik.   who loves my employees, can I give them, can I shower them with birthday presents and anniversary presents and Christmas presents? Can I buy them lunch because they saved my ass because I came in late from a podcast recording or this or that? Yeah, because Lauryn can, like the personal, like we are fine. We are rich, great, this is great.   But like my head was so like the only money from a business mind that we can spend is the money that's allowed. And it's like, no, no, no, no. Now we're entering a whole new ball field where it's like, you know what? I can, but it's not gonna come from bonuses and raises. Those come from clinic performance. And so we are kind of going like, okay, FYI, this isn't coming from chiropractic. This is coming from me.   Kiera Dent (37:30) Right.   Dr. Lauryn B (37:41) loving and appreciating all that you do in this clinic so that I can. So what does this look like? You take a week off and you go golf the greatest like golf whatever courses and like you just like have this bucket list thing. This looks like you showing acts of appreciation, bringing gifts, buying them dinner, like whatever it is like.   showing appreciation for your staff that they are there so you can live your best life. They were there so you could leave early and go watch your kids dance recital. So like, although our natural instinct is to only show them that we appreciate them through raises and bonuses, and that's what they want. So like anytime you can do it. ⁓   Kiera Dent (38:38) I agree.   I agree. I feel like both.   Dr. Lauryn B (38:40) Sometimes   you have to figure out more creative ways to show your appreciation to them that they are doing that so you can't.   Kiera Dent (38:49) I love that. Wow. Lauryn, this is such a fun podcast. think like to put a pretty bow on this. What would you say if a doctor, your listeners, my listeners, if they're listening to this, what would you say would be like, wrap up takeaways from I mean, we have gone the gown. I love this. I felt like we were on the most random road trip of like we were going to this stop going to this one.   Dr. Lauryn B (39:08) I'm not sure if we took this entire transcript   and uploaded it to AI. It would be like, no, you guys are amazing. Here's your silver thread.   Kiera Dent (39:17) That would be amazing. So what would you say would be kind of like key takeaways or things that maybe we didn't get to that you just feel like listeners, business owners, those running the day to day clinic, whether you want to be on whichever side of this burnout coin, if you want to be there and serve the patients but are sick of doing the business, if you're on the side of like, gosh, I like just want to run the business and do other things outside of this, like looking at the burnout, looking at the generations that we're going through. I mean, we went the gamut of   from investments and passive income to appreciating your team as you as a person rather than the business. Like so many fun, different like ideas and aha moments. Any last thoughts you wanna add to put a pretty bow on today's podcast?   Dr. Lauryn B (39:57) All well, that's a really hard question, but you're lucky I actually do have something to say. was like, oh God, okay. All right, so was listening to a podcast this morning. Simon Sinek had Arthur Brooks on, and Arthur Brooks is, I don't know, political science, behavioral science, I think behavioral science. And he just very briefly in the interview said that like,   Kiera Dent (39:59) I know. Hey, good, good.   Dr. Lauryn B (40:21) It's human nature that we go through a reinvention of our career and have to reinvent ourselves every seven to 12 years. And that's just, that's gonna happen. So from the time that you graduate high school until the time that you retire, you're going to need to reinvent yourself multiple times. And the more that you fight that, the more that you, you you're at that seven year itch or whatever,   and instead of embracing reinvention, whatever that looks like for you, maybe you're bringing on new services into your clinic. like, it doesn't need to mean you need to lean out at that point, but you might just need a little, like, re-ignition, a reinvention of your brand. ⁓ The more that you fight that and go, I shouldn't feel this way, what's wrong with me? Like, like if you're sitting there broke and you're just stuck,   in a place of instead of reinventing yourself into this wealthy, healthy doctor that you know you can be, but instead you're like, God, I'm 39. I don't have my shit together. I should be making more money. I should, like, the more you just sit in this, what's wrong with me? It's just gonna torture yourself. I truly believe that people, you know, let's say they get 12 years into their career.   I believe that there are ⁓ too high of a percentage of people that literally just plan on embracing the suck the rest of their career instead of reinventing themselves for something joyful and abundant. And that just makes me so sad. So that's what I would say is my final thing is if you feel wherever you're at in your career, if you're feeling this, like this is your permission. It's not from me, it's from Arthur Brooks. He's some smart.   Kiera Dent (42:17) Yeah.   Dr. Lauryn B (42:18) Like you were smart enough to be on Simon Sinek, all right? He's giving you permission. This is not just a unique thing. This is human nature. And so figure it out. What does reinvention look like for you? ⁓ And just start doing the work.   Kiera Dent (42:35) Lauryn, that was absolutely beautiful and I hope people listen. I hope they take action. They take advice. ⁓ Because I think what you just said is so freeing and so beautiful. So I really hope people don't just listen, but actually take action. So Lauryn, I love this today. It was so fun. How can people get in? It's a great time. I'm like when we in person, I guarantee you'll be someone we will be fast friends in real life. Like just loved having you on here today. How can people get connected with you? How can they see your   Dr. Lauryn B (42:51) We should meet up in real life.   Kiera Dent (43:03) life again, I believe like when we watch other people we become like them. So it's like, I want people like you. I want people that are abundant. I want people like this is what the podcast is for. This is why we bring people together. How can people get connected with you if they want to know more about you see what you're doing? How can they   Dr. Lauryn B (43:07) Mm-hmm.   yeah, and if you   related to this, you'll love my Instagram, because this is everything that I talk about. So it's @DrLaurynB and Lauryn is with a Y. So ⁓ Instagram is definitely the place I hang out the most. Send me a DM if you listen to this. Like I am in my DMs all the time. And I would just, yeah, that's the best place.   Kiera Dent (43:34) I love it. We are millennials. Instagram's our jam. We're not on Snapchat, all right? It's Instagram, okay? It's gonna be that way forever. But Lauryn, I loved it today. Thank you for joining me. Everyone here, I hope you picked up nuggets. I hope you take action. I hope you truly commit to living your best life. And as always, thanks for listening and I'll catch you next time on the Dental A Team   Dr. Lauryn B (43:37) This jam. Yeah.  

Kiera is joined by Dr. Lauryn Brunclik (of She Slays the Day podcast fame) to take a good hard look at clinician burnout, different sides of the working mindset coin, generational styles of work, and so much more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera. And today I am so excited about our guest that's going to be on the podcast with me today. She is incredible. We're going to be talking about all things burnout, how to avoid it, how to just like live your best life. And so I have Dr. Lauryn Brunclik. She's an entrepreneur, chiropractor, business coach, podcast host, wife, mother, and sought-after speaker known for her high energy. You guys know that this is why I like her. mean, we're birds of the same feather, straightforward attitude and ability to make people laugh while discovering their truth.   In 2010, she founded Blue Hills Chiropractic building into a thriving seven figure practice. But after years of relentless hustle, she found herself overworked, tied to her clinic and craving more freedom. Dentist, can you relate? Now you see why I brought her on here. Now you can see why I want her here. ⁓ she truly is very similar to all of you out there. She was determined to create a business that worked for her, not the other way around. Lauryn built multiple revenue streams, streamlined her operations and reclaimed her time without sacrificing income.   She took that passion and launched She Slays the Day, a podcast helping professionals and clinic owners break free from burnout by creating multiple revenue streams, recleaning time and building financial and lifestyle freedom. So welcome to the show, Lauryn. How are you today?   Dr. Lauryn B (01:07) Thank you. As you   were reading that is so funny because like in this world of virtual assistants and AI, I'm always like, what bio is she reading? And I'm like kind of holding my breath like, ⁓ and I'm like, okay, yep, that's true. That's true. this is good. I did really get sad and burnt up. It's like, I just went on a journey with you while you're reading my bio.   Kiera Dent (01:25) Usually both.   You and me both. was on a podcast the other day and I had the exact same feeling because they were reading my bio and I was like, huh, I'm super curious. Like which bio did you get? And wow, yeah, like I did just get to go down memory lane. but   Dr. Lauryn B (01:40) You're   like, that's a good bio. Good job, AI. Good job. Which is like always waiting for like the wrong thing where it's like, no, I didn't do a stint as a clown or anything. No, that's not true. That's not true. So.   Kiera Dent (01:49) Exactly.   I, Shelbi got us connected and I was super excited and you know, I was looking up on it and she's like, here, I think you and Lauryn are going to have the best time on the podcast. She's like, you two are birds of the same feather, the high energy, the tactical, the like we talk about it's like life on purpose and business on purpose and not having it to where it's the other way around. I say all the time, like your business should be working for you, not the other way around. It should be supporting your life. So I'm just super jazzed. So Lauryn.   Dr. Lauryn B (02:04) Mm.   Kiera Dent (02:17) I mean, that was a great bio. agree like kudos to AI, virtual assistant, whomever wrote it for you. Kudos to you for living that actual bio and being the human on the other side of that. So anything else you want to add? I mean, we're here today to chat shop. We're here to ⁓ share with your audience, our audience, and just really collaborate together and talk about some things that you're super passionate about and that I am too.   Dr. Lauryn B (02:22) Right.   Yeah, so I think that one of the things is that, you you kind of address of like, I think you probably typically have more dentists on   of thing and your audience is like, wait, what's happening? So I started as a coach for chiropractors, you   Kiera Dent (02:51) you   Dr. Lauryn B (02:56) this is, I see this a lot of what we do ⁓ as especially high achieving people, you know, we spend a lot of money and time getting this degree. And then we kind of, when we start to get   bored, burnt out, ADHD, whatever it is in our career where there's this kind of a couple years in and you're like, wait, is this on repeat? What we tend to do is we repurpose our current knowledge set. And so it's like, I have this degree in this, so I'm gonna start a podcast for those people, right? And so that was kind of my experience too. She Slays the Day started as a podcast for chiropractors.   But then I started to realize like as we were having these conversations and you you're just networking, you're meeting. And I started to talk to dentists and veterinarians and you know, realizing like, ⁓ you guys deal with the same shit we do? I had an ENT on a private practice, ENT ⁓ on the podcast, on my podcast because I was following him on Instagram because he was hilarious, but I was like.   Kiera Dent (03:51) Yeah.   Dr. Lauryn B (04:02) you're dealing with the same stuff we do. And ultimately, that's kind of where I expanded in 2023 to be more for healthcare providers outside the traditional hospital system, because it's like, none of us learned business. Like, we, while we were doing anatomy and infectious disease and all of this stuff, there were people outside in the college getting like MBAs and entire business degrees.   Kiera Dent (04:18) Exactly.   Dr. Lauryn B (04:31) And we didn't take a single class. we just, there's such this atmosphere of shameful entrepreneurship. What I mean by that is like, especially within chiropractic, and I've talked to vets and dentists as well, that's like, well, if you're not gonna own your own clinic, are you even like really that good? And so there's this forced entrepreneurship in a society where only 10 % of   Kiera Dent (04:54) Mm-hmm.   Dr. Lauryn B (05:01) people truly have the grit and resilience for the shit show that is ⁓ entrepreneurship. But you have like 80 to 90 % of a profession going into it. And so it's just so natural that it's like, we didn't learn this stuff. It's so natural that burnout is such a common thing. So that's where really it's like, I've realized that like, yeah, I promise you that the same stuff we're dealing with, you're dealing with too because I've had these conversations.   Kiera Dent (05:13) Right.   Amen. And it's actually funny, and I didn't mention this prior, but we actually consulted a chiropractic office and we've consulted eye clinics and ⁓ optometrists and we've gone into CPA clinic firms. And I realized business is business is business and healthcare business is very similar. I think we do ⁓ outside of mainstream medicine, which is our chiropractic, our vets, our dentists.   We're not in the hospital setting. We have more of that autonomy to have our own practices and our own businesses and I agree with you. It is a I think I think the memes out there with business ownership are so accurate the ones where you're on a roller coaster and they're like it's the highs and the lows the ones we're like holding on for dear life and you're like giggling and then crying all within a matter of seconds and I'm like that is the role that is the realm and so that's why I really wanted us to collaborate together Lauryn to talk about because   What you see in chiropractic, what I see in dentistry, what we see across the board of these incredible clinicians. like you, go to school, you learn, you, you have all this experience in this knowledge. And like you said, It does not train you to be a business owner. yet also, like you said, it's well, why not? Like, and I think that that is kind of the, it's like for team members, like you want to graduate to be the office manager. You want to be the regional manager. You want to get to that level. Like that's where you like it. There's a ladder ascension. And I think in business ownership and with   Like you wanted to be a chiropractor because you wanted to help people. You wanted to be a dentist because you want to help people. You want to be a vet because you want to help people. You want to be an ENT because you want to help people. But it's, think that there's this unsaid natural ladder that people feel there's a push to go for a business ownership when it's like, but I just want to be a clinician. I just wanted to, to do my craft, but I also wanted to do it my way. And that's where I think the business ownership vibe comes in. But you're right. It's, it's stressful, not having profits, not having   understanding cashflow, not understanding how to run teams. Like awful.   Dr. Lauryn B (07:20) The number of people,   doc, clinic owners that have been in practice for 10 plus years that I am teaching what profit margins are and what is healthy and how to calculate it is astounding. It's like, So, you know, I think that ultimately when you, you know, the different personality types, you know, when they find themselves in practice,   Kiera Dent (07:31) Yes. Yes.   Yes.   Dr. Lauryn B (07:46) I feel like they almost burn out for two completely different reasons. So let's say that you have, know, so 80 % of humans are just more meant to be more like caregivers, supporter roles. I would guess that that's even higher in someone who's called into healthcare, right? That like, they went into this, believe me, if you are about to decide what you should do with your life and you are like, I'm an entrepreneur and I wanna be.   Kiera Dent (08:05) Mm-hmm.   Dr. Lauryn B (08:15) rich. Do not go into chiropractic. Do not go into dentistry. There is so much easier ways to make money. like 99 point whatever percent of people are called to this profession in healthcare because they want to serve. So let's say you start your clinic. There's a good chance you're going to burn out from one of two reasons. One, you don't want to run a clinic. You truly   And that's what's burning you out, is that you're just like, I am here for the patients. I want to pour into the patients and I want to serve and I want to do that. But like, I have to hire another front desk person? Didn't we just do that last year? I don't know what the ad should say. I don't know what we should pay them. Or like there's office drama and you're like, I have to create a SOP on that, what? And so that will burn you out because so much of being the CEO and the clinic owner is like,   pulling you away from patient care. So you either have to divide your patient care down or in half so you have time and now you're spending half of your time not doing what you wanna do or you just pile on the admin stuff on top of it so you're working 60 hours a week. So that person, obviously they burn out. Now the other one is I think a much more, like is much more my personal story and I'm so curious as to like why you started the podcast, why you started doing what you're doing but like.   Kiera Dent (09:30) Mm-hmm. Right.   Dr. Lauryn B (09:43) So this is, I was not someone that like was a natural entrepreneur. Like I never would have, you there's certain people you hear these stories where they're like, I'm kindergarten. was like, you know, I'm like, no, that wasn't me. Like I had no idea until really after I, you know, I started my practice, but that was out of convenience. Cause there was no job. Like I had kids and like somewhere along the line, the entrepreneurship bug just got me.   Kiera Dent (09:56) Hahaha!   Dr. Lauryn B (10:13) And then all of a sudden, that's what I wanted to be doing. Like I wanted to be scaling, looking at marketing strategy, looking at like growth projections, creating higher, like I wanted to do that. But then like Barb needs me in a room too. And I'm like, like I love, okay, I like serving. Yes, yes, yes. But like I really.   Kiera Dent (10:36) Yeah.   Dr. Lauryn B (10:41) This is what was exciting to me. And so then, and this is where I'll kind of like be vulnerable and share my story, because I know from stage that this helps people, people see this, but it's embarrassing to admit, but the patient care became boring. The patient care became repetitive. Like in the beginning, you're like, ⁓ how do I fix this? And like, you're not getting results, how do I do that? And it was this problem, like new problems to solve.   But once you've been doing it, five, seven years, I mean, for everybody it's different, you're kind of like, I can do that on autopilot. And it wasn't challenging a part of my brain that wanted to solve new problems. And so there was a lot of shame and guilt that came with, because at this point, I've been in practice seven years. I'm in my early 30s. Okay, well, you're doing this for the next 30 years. And I was like, I can't.   Kiera Dent (11:38) Right.   Dr. Lauryn B (11:39) can't do this for the next 30 years. And so that's just like, whichever side a clinic owner sees themself in, like, you you're not safe on either. You have to figure out burnout on either side, but ⁓ they're completely different reasonings. And I think understanding what, why are you feeling that burnout is really important.   Kiera Dent (12:04) Yeah, I love that you talked about both sides of the coin because I think there's guilt at least from what I see working with dentists working at myself. They actually got like I've heard I don't know like where this is coined but it's like the seven year itch or stitch like there's like you just kind of get into this and some people get it at five years some people get it at 10 years but there is ⁓ I also love Tony Robbins when he says like progress equals happiness.   Dr. Lauryn B (12:20) Mm-hmm.   Kiera Dent (12:29) And so if we're not progressing and some people love it, they love the autopilot of patient care is easy for me. But like when you first get out of school, all of that is hard. It's a puzzle. You're progressing. You've got to figure out how do you navigate and get patients to say yes to treatment? How do I run my books? Like how, like there's so much how, how, how to, how do I like serve my patients better? How do I make this for dentists? It's like, do I make that perfect crown margin? Like, how do get that perfect? I imagine in chiropractor, I'm actually a chiropractor.   all the time. I love her. She's incredible. We do talk business often. She's a fee for service. And I'm like, let's talk shop on like going fee for service versus in network, like, just like dentists, right, the fee for service versus in network. And it's how can I make this body like looking at people that have weird symptoms and trying to figure out how can I fix that? Like, I know there's a way to fix this long term. ⁓ But also the like annoyance of running a business and also be like,   need for growth. I really love and I never thought about those two sides of the coin until you mentioned that of that really is what causes people to stress. And I think that there is guilt on both sides. I think there's guilt of I want to be with patient care and I don't want to run the business, but I know I have to like, this is kind of the, the card I signed up for. And then the other side of I want to leave the chair. I had a dentist the other day and one of our masterminds say to me, I only want to work two or three days, but I feel guilty because my team's working five days. And I was like,   Dr. Lauryn B (13:52) That's   a really common one.   Kiera Dent (13:54) so good. And the great news is you built the business, like you provided them the job, like you've created that. That does not mean you need to stay in the day to day, five days a week, like whatever is best for you as the business owner and creator. And that can shift and morph. But there is a lot of guilt. I think that that creates, like you said, a lot of shaming and thanks for being vulnerable on that because I think so many people can relate to that. I think when people are listening, they're like, yes, yes. Like, I feel either side of that and   I think people don't know how to get out of it. So instead it's just this like, let me keep doing the same. ⁓ let me listen to other podcasts. Let me see if other people are like me. And I'm sure it's the same in chiropractic dentistry. say that it's like this isolated Island and I'm so grateful for podcasts. I'm grateful for communities, but I still think people feel that way because you're day in day out in your own clinic, in your own practice by yourself, even though you maybe know there's a few other islands out there that are maybe similar to you. ⁓ but I think it's such a, I think that's also business too.   Dr. Lauryn B (14:36) Mm-hmm.   Kiera Dent (14:52) I don't think it's just being ⁓ a provider in your own practice. I business entrepreneurs feel this way as well, like, how can everybody else figure this out? And I don't feel like I can. ⁓   Dr. Lauryn B (15:00) And you have no idea that they haven't figured it out. I was at   a seven figure female mastermind a month ago. so it's all seven figure females all over the board, as far as like industry striving to get to eight figures. And like, there were so many moments at this retreat that every single person just felt like their business was duct taped together. And it's just like, everybody's just doing their   Kiera Dent (15:07) you   Dr. Lauryn B (15:29) absolute damn best. And so it is really, ⁓ but you know, I wonder how much of how much of this burnout conversation has to do with like generational differences. You know, like, I'm assuming that you are a millennial. Yeah. And yeah, I know, we really are the best. really are. Don't tell everybody else, but we are the best generation. ⁓   Kiera Dent (15:46) Mm-hmm. Yep. I like the emojis. I'm here for all the millennial vibes. Like, I'm here for all of them. I feel like I really fit it.   Dr. Lauryn B (15:59) And so I will point this out on stage a lot because when you're talking, giving continuing ed, you'll have a lot of, Gen X is still in the workforce. Like they are still here. from the time I was in school up until like the last couple of years, they really were a lot of the stage presence at conferences.   Kiera Dent (16:12) Mm-hmm.   Yes.   Dr. Lauryn B (16:28) And so you being a millennial would sit and really just get advice, business success, career advice through the lens of Gen X. And why that's something that we just have to be aware of is like each generation has a very different script that they have downloaded, like they've just absorbed kind of.   automatically without putting too much thought into, know, it's just like the culture of their generation. And Gen X was like, shut up, don't complain about it. There is work life balance. Like your career is the most important thing. Like raising your kids, like you have a spouse for that and you will enjoy your life once you have accumulated enough money.   And if you've done it right, that'll happen by your like 60, between 60 and 65. But the goal is to hustle, hustle, hustle, accumulate, accumulate, accumulate at all costs. You can enjoy your life if you need a second, if you need to get a divorce and you just get a new spouse in your sixties, that's what like, and so like not trying to give them shit or anything. Their work ethic is phenomenal. My favorite employees are Gen X. Yeah. Yeah.   Kiera Dent (17:41) I always love to hire them. I was like, perfect, come on in, you're gonna work forever. Like, it's great, amazing.   Dr. Lauryn B (17:47) So they're great. But then like we come in and you know, I know that in chiropractic now 50 % of graduates are females. Do you know what that is in dentistry?   Kiera Dent (17:58) Dentistry   actually tipped over. There's more females that are graduating than there are men. It just recently tipped this scale, which I was quite impressed by, which is awesome. So it's exciting.   Dr. Lauryn B (18:09) It's so cool,   but we're kind of screwed because we as millennials, we're not going to not have children. We're not going to delegate that completely to somebody else. I mean, my husband, I'm definitely the primary breadwinner in my husband's profession or career has like molded to what our family needs are, but like.   Kiera Dent (18:13) Mm-hmm.   Dr. Lauryn B (18:35) So we're not gonna do that, we're not gonna do that, like we're not gonna give up our career. And so it's not like we're complaining about work-life balance, it's just a necessity. We're like, no, no, no, it's not like I'm like, like I, it's like, no, this isn't I want to raise my child, it's I have a child, I have to raise them also and the business. And so like we're trying to figure out, like, well, I can't follow that script.   Kiera Dent (18:47) Right.   Dr. Lauryn B (19:05) that script that we saw from stage for so long is just like, that's not gonna work for me. we're trying, that's why everything feels duct taped together is because we actively reject it. We were given a script to follow, like work six days a week, just do it. And we're like, nah, I don't want that. And it's like, okay, well then we're literally creating a new path. And so to any millennial, I would say like, if it just feels   Kiera Dent (19:15) Mm-hmm.   Dr. Lauryn B (19:34) messy, this probably isn't a youth thing. This is like, are truly carving a brand new way to do things, which we're kind of wasting our time because Gen Z is coming in like, no, I'm not doing that either. And we're like, we're fixing this for you. And they're like two months into their, yeah, they're like two months into their profession and like, ooh, 30 hours a week? That's not gonna work for me.   Kiera Dent (19:44) was going to say, they're coming right behind. Exactly.   They're like, no, no, no, no. We see that. We're not doing that either.   Yeah, not happening.   No, they're like, I could be a YouTube, like I could I could do all these different things. I can be an influencer for like five hours a week and make way more than you are not here for that.   Dr. Lauryn B (20:10) And you're like, well,   I don't know how to solve this for you.   Kiera Dent (20:13) they're like AI,   why are guys like still doing stuff yourselves? Like, no, we're gonna have robots to do all this stuff for us. Like, absolutely not. It's incredible. Like, good. But I don't disagree with you. I think it's ⁓ and as you said that I thought about how agreed and I think every generation actually makes it better from the last and I do agree that ⁓ I don't know, I started thinking about it. This struck me about probably, I don't know, eight years ago. And I'm like,   Dr. Lauryn B (20:20) He probably will. Like, damn it.   Kiera Dent (20:42) my gosh, like people used to get married because they needed to be married. Like you used to have to have like a husband and a wife to be able to have kids. And I'm like, you don't need that anymore. There's IVF, there's ⁓ different things that you can do. You do not need anybody anymore to live the life you want to live. It's very much becoming this like self ability. But I'm like, our parents couldn't do that. I mean, women even coming to the forefront to be able to have businesses.   to own land in our name. Like that has not been a long change and shift for women to be here. And then I also think that there's a whole dynamic for women as well coming into this scene. Like you said, they are coming in there. We're, having stronger professions. are being stronger business owners. We're like the kid having children is being delayed much longer in life. And so I do think it's a, a walking through and not understanding like where are we even supposed to go? Because what we've seen as the model isn't the model for us anymore.   like that doesn't work. Our lives look different. I mean, my mom, didn't work a lot of my friends moms didn't work or if they did, they worked at the schools or they didn't work like high level powered careers, a lot of them and I'm so excited that women are coming into the workforce and because there's so much talent and beauty. But I do think that there's a whole dynamic and for men too. think that the whole shifting like you said, a lot of women are becoming breadwinners. They do.   Dr. Lauryn B (21:41) Mm-hmm.   yeah, they want to be dads. Like that's the   thing too is like, they're like, hey, I just cause I'm a dude doesn't mean like I'm okay with missing my kid's childhood. It truly is a generational shift.   Kiera Dent (22:11) Exactly   Exactly. And so I think I just through all of it, I think you're highlighting what makes me excited. And the reason I'm just like jazzed about this today is it's normal. It's okay. And there's solutions around it. And also, I think just aha moments of, my gosh, like maybe this is why. And I do agree. Generations behind the millennials, you're probably giggling at our conversation right here. Like, yeah, yeah, yeah, you guys don't even know what you're talking about. But I think like we're in it. Exactly.   Dr. Lauryn B (22:41) Hey, we say you don't know what you're talking about.   Kiera Dent (22:44) I'm like, but we're in it and there has to be a solution here.   Dr. Lauryn B (22:44) Hey! I have the microphone.   Kiera Dent (22:48) Who's on this podcast and who's listening? All right. I think when I look at that, I'm like, but for millennials, think that they're, and most generations probably feel this. think we're a taffy stretch between one way of thinking and a new way of thinking. And we're kind of that like middle child syndrome right now where we really are trying to carve that new path that's making it easier for other generations behind us to see easier modalities.   But I do think that that kind of tug of war, I mean, I feel it, you felt it. We've had our personal experiences through it. We see people, we coach people through this, we work with people. But I also think in a way life has become easier to learn. I don't know how you feel. And like easier with air quotes, meaning there's so many things that do things for us. Like washer and dryers were so great for our parents' generations. But I'm like, for us, we now have, like you said at the beginning, we have AI that's writing bios for us. We've got virtual assistants that are doing it.   There's ways, like you said, there's easier ways to make money outside of just doing your day in, day out, eight to five job now. There's different ways that we can build retirement. There's ways like the Airbnb market and having real estate investments. Like there's so many different ways that I feel like wealth is oftentimes easier to achieve. But I think with that, because there's so many things and not to say that it's perfectly easy, but I think as we conquer in life, just like the washer and dryer, the cell phone, like those things were conquering big problems.   Google coming in and the internet taking over, those conquered a lot of challenges. I think so much of today's challenge, and I don't know how you feel, Lauryn. This is like Kiera going off on her own soapbox. I feel like you said so much of it now is our mind and that space of centeredness, of balance, ⁓ not having to work all the time. I think a lot of jobs have shifted from labor jobs to mental labor jobs. So we're not having as much physical.   Dr. Lauryn B (24:32) Hmm.   Kiera Dent (24:35) Like you said, patient care can be a lot of just like mindless. I miss the days sometimes of being a dental assistant, sitting there and having like hours of time to dream of all these ideas to where now I feel like I wish and crave for that quietness that my mind never gets anymore. And so I feel like even with some of those shifts and how we work and how our family needs are in the necessities of family dynamics in, we don't need to work clear up to 65, but people are able to retire now at 35, 40. And then it's like, now what, what am I supposed to do? So also then finding your purpose in life.   I think you combine all that into a cluster storm and voila, welcome to millennial dilemma. Like, you know, we can coin that of what do people do? How do they, how do they exist? And I think the future generations coming will have even more of this at more grand scale. So it's like, let's have conversations of how do we prevent that burnout? How do we have the conversations about not working in like having nothing left to give to our families of having that balance? Like you said, if I want to run the business and I want to progress, but I also want to be a human at the same time.   So Lauryn, think you're more the expert at this than I am. I'm just here for the like great conversations and talking it through because I think it's such a necessary conversation that now is starting to really bubble to the surface out of necessity and also out of curiosity and also out of like desire to fix this and not have it be our day in day out norm anymore.   Dr. Lauryn B (25:54) Yeah, well, so I'm gonna say another kind of controversial thing then. ⁓ So you touched on it and like with any time, we don't love, as care providers, we don't wanna come across as greedy, right? And so what we end up doing is like, we'll just be like, it would be great to be wealthy, but like not too much, like I don't need to be rich, and you didn't do this or anything like this, but like.   Kiera Dent (25:57) Ready, I love this.   Dr. Lauryn B (26:22) other people is just like, yeah, I would like to make a little more money. ⁓ so part of my story, ⁓ I'll give you the very short version, was ⁓ we had our most successful revenue year ever. And it was with like the least amount of money I had taken home in like seven years. Yeah, yeah, we call this payroll bloat. You need to fix your pricing structure so we could talk about pricing increases.   Kiera Dent (26:42) Happens all the time, all the time.   Dr. Lauryn B (26:50) And so like I'm a cash clinic. So like this was my own fault. This was, I set my prices and I just did a bad job at it. And so part of like, if when people are like, well, how did you like, were you burnt out? And I was like, yeah, I was burnt out at like 32. And you're like, are you burnt out? I'm like, no, I freaking love what I do now. I still serve patients 10 hours a week. actually.   as of last week went down to like seven. We got a chef, yay. So I still serve patients like seven hours a week. I still spend probably like three hours a week ⁓ running meetings and like running the clinic. ⁓ But now we have other investments. ⁓ Whereas that clinic portion that used to be all of our eggs were in that basket.   Kiera Dent (27:22) I'm not.   Dr. Lauryn B (27:46) Right? So like, as we had kids, my husband left corporate consulting to help our family and clinic grow. So all of our eggs were in this one basket of whether the clinic does well that quarter or not. we want to remodel the kitchen? Better go get some more new patients. Like, want to go to Disney? It's not in the budget, but like, ugh, like all of these things. And we're not even talking about time freedom. Like we're just talking about like the key to burnout is having time freedom and   financial freedom. When I'm working with docs, the ones that are like the hardest to fix are not the ones that are like, I am working 60 hours a week. I have like oodles of money that I know should be like, I should be doing something with in, but it's just like $50,000 in this bank account. And like, I wish I had time to go to Disney, but I don't, I don't want to belittle that. That is a different kind of burnout.   Kiera Dent (28:32) Mm-hmm.   Right,   it is.   Dr. Lauryn B (28:45) and   everybody right now is playing a little sad song for you, but I relate to you, we can fix this. But the harder ones are the ones that are broke. Like being broke, and this has to do with like just core psychological, like I reference Maslow's hierarchy of needs a lot in my talks because like.   Kiera Dent (28:49) Mm-hmm.   I agree.   Mm-hmm.   Dr. Lauryn B (29:07) You cannot get to the tip, the Maslow's for those of us that took Psych 101 10 years ago is the triangle where at the top is enlightenment and at the bottom is like your base survival, food, water, shelter. And if you are broke, now granted, monks, I'm sure they can figure out how to have enlightenment without having food, water, shelter. Most of us cannot, okay? We are doctors and there is a certain amount of debt.   Kiera Dent (29:12) Mm-hmm.   I agree.   Dr. Lauryn B (29:34) and a certain amount of expectation is maybe the right, I don't know if that's the right word, with like, I'm gonna serve people and this career is gonna take care of me. I'm gonna go into debt and it's a lot of debt, but this career is gonna take care of me. I'm gonna care for people, as long as I focus on serving, the career will take care of me. And we have too many people that it's just not. And they're like, I...   did not realize that I was going to struggle this much financially. These are not people that are like, can't afford a yacht. These are people like truly who are like my margins for financial investing and building wealth are a lot more narrow than I thought they were going to be. And that's a harder thing to fix, but that...   Kiera Dent (30:22) Hmm.   Dr. Lauryn B (30:27) is a deeper kind of burnout that we just need to be more comfortable. Again, following generational stuff, Gen X, like we don't talk about money, right? That was the script that we got from them of like, you just focus on the patients and the patients will take care of you. And you're like, ⁓ okay, so we don't talk about money. And then millennials are like, I think we need to start talking about money. I think we need to start talking about money because if you were being paid,   Kiera Dent (30:38) Bye.   Hahaha!   Dr. Lauryn B (30:56) whatever you feel is appropriate. If you were feeling wealthy. And again, I'm not talking about that. I'm not putting on you that like you feel like you need to be making $3 million a year. Like, although that is my goal for next year is 3 million. just, but like, you know, just so we're clear, that is my literal goal for next year. So you can want that. You have permission to want that if you want, but we're talking about like, I don't know. Maybe if you made $500,000 a year, life would be a little easier and you could breathe.   Kiera Dent (31:10) Yeah, exactly.   Dr. Lauryn B (31:26) And if you can literally financially breathe, you have more bandwidth   make calm decisions for your business. Where you don't feel like if you have a bad quarter, you're gonna have to lay someone off. And like that's one of the first steps to helping most people   burnout or recover from burnout.   is like, we gotta talk about money and we gotta fix your personal financial situation because if you're constantly in a place of fight or flight   you can give yourself an extra 10 hours a week and time to be the CEO if all you're doing is worrying about how you're gonna make payroll. Like, it's not, you're not gonna   from burnout.   Kiera Dent (32:22) think that that was such a good ⁓ way that you highlighted it. And I'm just very curious now, like, how's the how, because agree, like people, what you're saying, Lauryn, I can tell you've lived the like the life. This is something that you've done, you've been there, you can speak to it so authentically. I've been there many times. And I'm always like, I want our doctors to get paid so well. I see how much you go into school for debt.   I see the, and I think that that's a different piece too, if we're to talk generational, people who are not walking out like half a million debt.   Dr. Lauryn B (32:55) And y'all are way worse than us,   right? Like what's the average dentist, like 350?   Kiera Dent (33:01) Average dentists right now are coming out at almost half a mil of debt when they walk in. It's bonkers.   Dr. Lauryn B (33:05) That is bonkers, you guys. Like when I heard that, because I posted a reel that went   so viral and it was just about like healthcare debt and reimbursement rates. And that's when I learned they were like, 250? Talk to a dentist. And I was like, wait, why? How long? And they were like, yeah, 350 minimum. And I was like,   Kiera Dent (33:25) Yeah.   Dr. Lauryn B (33:30) That's insane. That's insane.   Kiera Dent (33:32) That's insane.   And then you go buy a practice. So the practice that I helped start with a dentist straight out of school, we were, I called her 2.5. I got to walk by and I'm like, get that spine up like you're 2.5. We were 2.5 mil in debt. So that was coming with student loans. So schooling was 500,000. Living expenses during that time were about another, you know, two to 500. So like they're walking out with this.   $500, $600, $700,000 worth of debt, not just including your schooling, but all of life expenses, because you're probably not working while you're going to school. And then we went and bought a practice that's about a $2 million practice. So we were like 2.5, not like we were 2.5 in debt. I was like, keep that spine up, like put your hands up when you walk across the street, like you've got to keep those hands in motion because otherwise how are we going to get out of debt? And I think for me, when I look at that much debt,   when I look at that much risk and I look at the benefits that healthcare providers are giving, I'm like, no. And I tell teams all the time, I'm you want your doctor to be ridiculously wealthy. Like I do, and I preach this hard and I say, no, you should and you deserve it. And we want you that way because you're a better boss, you're a better clinician, you are better at doing your services because you're not stressed about making money. So we're not like you said, like, I want to go to Disney, let me go find more patients. I get.   No, I have confident, predictable payroll or cash flow. I'm very successful in what I do and you can make the margins there. Like I was the girl who did business that did not understand numbers. And now I say like, I love numbers and numbers definitely love me. And I'm like, it's now just a fun math equation. If I want to make X amount, you just back it down. You figure out what your costs are and you figure out the three levers you can use. We either drop our overhead, increase our production and or our collections. Like it's very simple when I'm like, okay, got it.   Dr. Lauryn B (35:05) and   Kiera Dent (35:17) Like got it when it's just those three levers, people make it so much more complex. And I think it does feel complex. Like reading a PNL is ridiculous. If you don't know what that is, that's okay. We're here where there's no judgment. It's a profit and loss statement. And I love educating people on this. Like this is where the fire in the belly comes. This is where it does. We get lit up because when I have someone who's cashflow positive, like you said, they can make calm decisions. They're not sitting here stressing all the time, but Lauryn, I'm very curious. Like you've talked about it at length. Like what do people do? Like what's the how, how do we get into this?   How do we have multiple streams because agreed all eggs in one basket? gosh. It's, ⁓ to me, that's like just a ticking time bomb. Like one bad day, one bad patient, one bad procedure. Like it's just going to explode because you're sitting like you're sitting on the edge of fear all the time to where you are in like cortisol adrenaline, like you are pumping. And then what you do is you go into complete shutdown because you can't handle it anymore. So your body and your system literally like just shuts down on you. You become apathetic to life.   Dr. Lauryn B (35:54) Mm-hmm.   Kiera Dent (36:15) things aren't exciting for you anymore. You become very numb to walking through the world. And it's like, I feel like the world of color goes into very like gray. It's very subtle. It's like, it's, there's no, there's no life left. It's just, are living life, but you're not actually being and living day in, out.   The Dental A Team (36:33) that wraps part one of our part two series. Be sure to tune back in for part two of this podcast. And as always, thanks for listening and I'll catch you next time on the Dental A Team Podcast.  

Feeling stuck? Kiera helps listeners create a three-step framework to diagnose a growth ceiling and push through with strategy and confidence. The steps that follow can be done in order or reversed. Find your true cap rate (then get a second opinion) Rework your systems for scale Set a bold new vision Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and I hope today is just a great day for you. I hope that you're loving your life. Today's podcast date today is the day I get to share with you for whatever we're doing today. So whether we're driving to work together, whether we're driving home together, whether we're doing laundry or mowing the grass or traveling together or whatever you're doing today, thanks for taking me along with you. ⁓ it's truly something so fun. And today I think is going to be great for you to, what do do when you hit the plateau in your practice? ⁓ so   reality is we like didn't build our practices to be stuck or to feel like we're stuck or like there's no like we don't know our next move. ⁓ The reality is like if you plateaued or you feel stuck, it's just time to evolve. It's an indicator for you to know what the next step is kind of like when our seatbelt buckle beeps in the car, it's an indicator to put our seatbelt on ⁓ or we get the indicator from the gas light. It's an indicator to go and fill up our car with gas. Same thing when we're practices like it's plateaued or it's stuck. It's just like   Cool, let's diagnose, let's create a framework. Today I'm gonna help you have a three-step framework to diagnose your growth ceiling and how to push through it with strategy and confidence. So that's about what we're gonna do today. The Dental A Team is obsessed with you, I adore you. I'm so excited to be a part of your life or your practice. Our goal is to positively impact the world of dentistry in the greatest way possible and we do that through helping you say yes to more. So you having a vision for you and your life and your practice, earnings to make sure that you're profitable and it's predictable profit.   and then new systems and team development to ensure that everything you want to say yes to in life, you, your team and your patients is doable for you. And we do that with fun. We do that with ease. We do that with ⁓ creativity and love for teams. And we've been there, done that and done it successfully many times. I truly can hang my hat on the fact that I believe Dental A Team is the top notch consulting company. If you want to grow, if you want to do it with fun, if you want it to not just be directed at dentists, but you want your team involved in it and to do it from experts who have done it thousands of times successfully. And that's something I'm really proud of.   Most of our offices see a 10 to 30 % increase in production or a decrease in overhead within their first 90 days. We track these stats, we're very obsessive with it, and we do it through really fun, easy dial turns. So if that's something you're obsessed with, rock on. Let's work together. Reach out, Hello@TheDentalATeam.com. And as always, thank you guys for sharing this podcast. The goal is to get this into every dentist's hands, every single practice's hands. So please share, like, leave reviews, whatever you can do to get the word out and to help me on my mission to truly give back to our community. If you're ever looking for topics or   episodes head on over to TheDentalATeam.com click on our podcast page we have thousands like literally this is a free wealth of knowledge for you that we put on because we I truly just love dentistry and I want to help you have the best life life is my passion dentistry is my platform so head on over to TheDentalATeam.com click on our podcast page and you can literally type in anything so cash flow overhead ⁓ team growth leadership morning huddles case acceptance routes like you name it   type in any of those and of every single episode we've ever done, will actually filter for you and bring anything forward for you. So just make sure life super, super easy. Ease is one of our core values and trying to make your life easy is what we're obsessed about. So today when we're going to, a lot of times I see this in like a 1 million, a 1.5, a 2 million practice where they're just like, gosh, I feel like I've just like hit my level and I don't know how to grow beyond it. It's kind of like my hair. My hair grows to a certain length and it won't grow beyond that. Like I can cut it shorter.   but it just grows and it has never once grown beyond that. It's like, I don't know how to get my hair to grow past this level. Well, some practices feel like stuck hair, ⁓ but I just want to help give you this framework of three simple steps to help you diagnose it and then figure out what the next step is. So number one is to diagnose your true ceiling. And ⁓ this is where we're going to figure out like what the true cap rate is. Now, why we'll put this with an asterisk though, because a lot of offices think they've tapped out capped out.   but maybe they're just so used to sitting in there or they don't know how to have an eye for it. I went into a practice once upon a time. They had four ops and they're like, Kiera, there's nowhere else we could ever fit an operatory in here. So we're just gonna build out, we're building a building across the street. Well, within about 15 minutes, I was able to find another operatory. They added that operatory. They were able to add 200,000 to their practice just that year.   just by adding that one operatory in place. And they were like, well, we wish we would have met you like even a few months ago before we started building this huge, expensive building. I have another client where they got huge design plans out to like expand the building. It's a huge, huge expansion. They sent me a video of their downstairs and I was like, gosh, we could add like six ops down here with less effort, less reno. ⁓ And so I think also before you like truly say you pick capacity.   maybe getting a second set of eyes on it or a third set of eyes to see is there any hidden potential in here because we're looking at chairs, ops, providers, and hygiene days. That's going to truly be capacity of what can we do. Now again, getting creative because could we add maybe an hour in the morning? Have we maxed out all five days in the office? A lot of times people tell me we're maxed and I'm like, but you're not even working five days. That doesn't mean you have to work five days, but if you're practicing your building sitting empty, that space that we could actually grow that isn't the true ceiling.   So if we are not maxing out all five days, if we're not maxing out ⁓ all the operatories or all the space that we've got, you truly have not hit your ceiling. You might just not want to do the things that are capable for you. So looking at that, could I add more chairs? Could I add more operatories? What about more providers? What about more hygiene days? What about more hygiene hours? Is there space to expand any of that? Before we truly go to expand, these might be some areas that might be able to help you get past this plateau of some other areas. Also, let's look at our leadership.   ⁓ Is our owner acting as a manager and not a CEO? Are they managing the day to day? ⁓ Are they involved in all the meetings or are they truly as a CEO? And our office manager is acting as the manager within the practice. So looking for that because sometimes just freeing that owner doctor up to be a CEO actually can expand your practice very quickly with minimal effort. You actually can have all that in place and there's very little effort that you actually have to do because now the owner is able to look at things   It's like, give me a day of nothing and I will create so many possibilities. And so getting that owner out of the manager seat and into the true CEO seat, if that's the right seat for them, can also help. And then let's look to see like, what are our gaps? are there scheduling apps gaps? Do we have block scheduling in place? Can we maximize our schedule even more? What about our case acceptance, our AR? ⁓ What are some of the other areas of bottlenecks within our practice that maybe if we look to see changing them, like I've added hundreds of thousands.   including millions to a practice just by doing a different scheduling tactic, looking at the flow of the practice, just changing up the flow with pediatric practices, looking to see where do we put our ops versus our, our profis. You can actually readjust that whole schedule and actually squeeze out more juice in your practice, giving a better patient experience with little to no effort, just reworking how we're doing things. So I really, really, really love this. Like there's a practice.   that cure were totally maxed out. Like we don't know what to do and should we like expand our practice? They already have the huge practice and looking at it, I was like, but we're only here four days. So why don't we even consider that fifth day and or evening hours a couple of days? Again, that does not mean your current team. We could hire other team members for this, but like let's just run some numbers and see just adding that extra day, those lower, those evening hours. We were able to add over 550,000 to a practice just by doing that one simple thing.   no extra cost to the building. We were able to bring in two team members for that. Everything ran super easy. So I think I would go and look to see like in your practice when you're thinking I've plateaued, run a quick audit and say, where are we losing time? Where are we losing money? Or where are we losing energy? Like what are the true bottlenecks in our practice? And this is where like a CEO has to have that visionary time. Because if we ran a 60 minute audit on your office,   Could we quickly find those? When I walk into an office or our consultants walk into an office, that's what we're doing. We're auditing your practice. We're looking for these bottlenecks. So even if you can't figure out that, maybe it is time to consider bringing a consultant on site to just look at your practice to see. And we can do this virtually or in person. In person is obviously a little bit easier, but virtually too. Take videos and we can diagnose that space real quickly for you just to see what are maybe some of the options that we could do for you. So then when I look at this, SIP 2 is going to be like,   reworking all of your systems for scale. ⁓ It's like the saying is like, what got you here is not going to get you to where you need to go. So we've got to rework those. And like there have been practices that I walked in and they're actually too systematized. They're too in the weeds to be able to grow and expand it. And so for that, like, what do we need to upgrade? So like I said, for block scheduling or for handoffs or for our morning huddles or for accountability systems or reporting or KPI or tracking, like, ⁓   everybody doing a time audit to see what is on your schedule that should not be on your schedule that we could actually put into different people's spots. So often offices will tell me like, Kiera, we're so maxed. And I'm like, you're actually not maxed. Everybody's just overlapping. So we're like two or three people on the same task versus separating it out, delegating it out, getting everybody crystal clear.   ⁓ That way everybody can see and can have clarity. And I don't necessarily do it by person, but by seat. So especially for an office, we've got chair one, chair two, chair three. What do each of these chairs, what are they responsible for? What are the numbers and the metrics that they're responsible to do? So really like separating it out, dividing it out, making sure our systems are very scalable. So think like, okay, if we're a five-op practice doing 1.5 million today, what would a $4 million business that's maybe an eight-op practice do?   How would we have to change those systems and even starting to implement those systems now into your practice can exponentially help you go beyond this plateau space. So I really think like when you look at it, those simple changes like we're able to add 10,000, 20,000, 15,000 to a practice per month just by adjusting some of these systems, just by adjusting the KPIs, just by adjusting what people are doing because a lot of times smaller practices are more.   Overlappy, I think is the best way to say it rather than the larger practices the larger practices do read a little bit leaner they have more ⁓ More clarity of who should be doing what because they have to and so really looking to see what do I need to do? And how can I optimize the systems? What what's outdated in our practice that maybe we could revamp refine? Do differently now on the flip side sometimes practices that are so large actually have so many old dated systems that they just keep bringing forward that they need to actually   get rid of some of those dated systems and pick one or two systems to update. So like, are we so clunky in everything that we're tracking on our scorecard? Could we eliminate some of the things that we're tracking? So there's either, we need to track more or we need to track less. What is it and how can I actually update and rebuild our systems to be able to scale with ease? So that would be a quick thing to look at of like, what's outdated or what's to like, not like nuances.   what areas, and again, these are hard things to see. So fair warning, you've never done this before. So you might not even realize something's dated. And there was a practice who was still using paper charts. And I walked in and I was like, I've worked with you for a year. You didn't bother to tell me you had paper charts. But for them being in the day to day, they didn't realize that that was dated. So sometimes for you, you do need a bird's eye perspective. You do need someone who has seen hundreds of offices of what should be happening or what could be happening in your organization.   that maybe you're not even doing. So truly I am big on, yes, I am a consultant. So of course I have that. We do it within our company too. Bringing in people who are smarter than where we are. We know we've hit our ceiling and what we know how to update or what we think is outdated, we've already fixed. It might be time for you to also have that. And sometimes that's where the plateau happens is because...   You've grown as far as you know how to grow. You don't know how to go to the next level. And I've been there. I'm in there in my company right now. Like we're getting ready to bring somebody in from large, large, large corporation to still keep our like our boutique feel, but allowing us to scale in ways that I don't even understand how to do. So truly like even myself, I do this for our company because I think it's so wise to see somebody else who can help me figure out like what's dated, what's not working to help us scale even more while maintaining the feel of.   we are. Excuse me, step three.   Step three is going to be setting a bold new vision. So ⁓ when we feel like we've plateaued, we gotta figure out like, where do we want to go? Where do we want to grow to? And for me, it's like defining what the next level looks like. So is that team profit schedule lifestyle? When we work with offices, we set a one, three, 10 year goal that helps have this bold new vision. And sometimes you might be in this, I was in this and at year, gosh, it was year seven. ⁓   I like kind of lost the vision and I was like, I don't really know if this is where I want to go. And so we've got to just like clear up the vision and figure out where are we going? What does that look like? Team members schedule, like how many hours is the CEO working? Things like that. And then getting the whole team bought into it. And this is something I really love about leadership teams is we, build the vision together. So owner, yes, like I need to know where you want to go. You set the lighthouse for us and then we build around it. And so then what we do is we then tie quarterly goals into it. We run off of traction, but really like,   What I see happen so often is the owner doctor feels like they're just like dragging the boat along when they feel like they plateaued, but they don't have the whole team bought into it. And this is actually a question we ask offices when they're coming to work with us is it's your one through 10 year vision. Like how clear is that on a one to 10? And a lot of times you're like, well, I know where I want to go. And I'm like, great. Now does your team know where you want to go? And usually that's where it's fuzzy is the team has no clue. So the doctor really is like, just imagine like, this is how I visualize it. Like these huge chains and I'm holding them and they're like,   pulling this boat and I'm like sluggishly like walking down the beach like trying to pull this boat along versus throw the chains in the boat. So it's not on my back anymore as the owner. I hop in the boat with my team as a team collectively. We know that we're headed to this island at this time. We've got the map. We've got the road map. We've got somebody guiding us if we need to well now like everybody's rowing together right like that's so much easier like even like if you're watching the video you saw my like it's like this like   I don't know, hunched over, exhausted, like trying to pull this whole heavy boat versus like, we're all just rowing and I'm in my seat and I know what I need to row. And well, I guess rowing is not easy. It's much easier than trying to drag and force results. And so with that, a lot of times what I do is teams that do this, I have an office and they sent me a text and I'm like, yeah, remember when you were in our office and you helped us set the goal of hitting, I it was like 350,000 a month. They were like, we were barely producing like,   200 at that time. They're like, there's no way this is going to happen. Four months later, they were breaking 350. And like you went, that's 150,000 added to production. No extra days. Like all we did was we aligned the team to see where we needed to go. And what's crazy is when you get that alignment, well, now your system's become easier. Now the clarity is there. Everybody truly can figure out like where we're going and what our next level is because it's a collective group.   and it's a collective growth and it's a collective mission and effort that we're all headed to. I don't come in and say, you guys should be here. I come in and say, all right, collectively as a team, this is where we are. This is what industry standards are for growth. What do we feel as a team? And now when I'm doing this, also, I don't break it down and say like, all right, you have to add 150,000 a month. Well, no, if you're working 20 days, like I'm literally pulling out my calculator, 150,000 divided by 20 days, that's 7,500 extra a day. Well, 7,500 in dentistry.   is actually pretty easy to produce. And so what things could we do to get there? How could we have each department work on this? So now it becomes not 150,000. It's like, great. How do we add that 7,500? Why are we doing this? What's the purpose behind it? But getting that next level figured out really can help a practice get out of the plateau because now our sites are bigger. We know where we're headed. Then we can figure out our systems. Then we can figure out all the different pieces of like, what is my true ceiling? Am I really maxed out? You get more creative. So   For this, yes, I did these steps this direction, but really I would reverse them if I was listening to this podcast. And step one is I would figure out what my vision is. What's my next level and where do I wanna go? Then I'd look at my systems and what are my systems doing that I need to either add, take away or improve to get me to this next level and then figure out like the ceiling and is my practice truly maxed out or based on my next level vision, what could I do within my practice currently? And I think, yes, it's always fun to go buy a new house or a new car, a new   practice expanded out, but also cashflow wise and business wise and savvy business, if you can make it work where you currently are or just do a few small changes, is that worth it? And does that give it? For some people, they need to go build it. And the next level for them is to build something more dreamy, more fun. And that's like, what's going to ignite them. So everybody has to know what's going to be for you. But really, truly, I believe if you've got this great plan, you've got these pieces in play, it can help you get out of the plateau. It can help you figure out what your next level is.   honest to goodness, a lot of times you do need somebody outside to help you if you're not great at seeing this. And that's okay. I am not good. My husband and walk in a lot of rental properties and real estate properties. And I'm like, I wish I could see the vision on houses like I see in dental practices. When I walk in, I can see what needs to happen. Our consultants can see what needs to happen quickly. Where do I need to the numbers? What do need to do from that? That's something so magical versus like in a house. I'm like,   I don't know, I can't see where to move the walls. And some of you might be able to see in a house very quickly how to renovate it and how to change it. For me, that's not a talent I have. For you, a talent you might not have is being able to see how you can get beyond the plateau of your practice. Here are some tips for you. Hopefully you can take them on and try them out. But really, if you need help, reach out. This is what we do. This is what we do all day long. We've seen multiple practices. We've seen them from five ops. We've seen them up to literally have a practice of 25 ops.   The difference between those two practices and the way they operate in the systems and what we do for the large practices versus what we do for the small practices is pretty similar. Actually, it's very similar of what we do. ⁓ It's just on a different scale and it's growing the smaller practices into the larger practices. So for you growth, truly, I want to remind you isn't luck. It's leadership that has systems and clarity of where to go and what the next step is in the next vision. So if you feel stuck,   You're not failing. You might just need a new vision. You might just need a different perspective. You might need somebody to come in and help you see the gaps that you might not be able to see. And so truly I would love to help you. So reach out, Hello@TheDentalATeam.com. This is what we talk about on our practice assessment calls. We talk about where you are, the potential. There is a lot of free consulting on that for you, whether you work with us or not, just to give you what the next step is or what some of the blind spots are in your practice that maybe you didn't see because you're in a day in a day out. I do this for our company.   And it's such a joy and an honor to do it for practices, to be able to help you from someone who's been there, done that and done it successfully over and over and over again. So let's do it for you. Reach out. Hello@TheDentalATeam.com. It's time for you to grow into the vision that you were meant to have. It's time for you to have fun with it. It's time for you to get excited, to get reignited, to have the best time. And we're here to help you do that. So reach out. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.

Dentistry isn't always the front of the pack when it comes to innovation, but Tiff and Kristy tackle the topic with digestible takeaways from a marketing point of view. In this episode, they touch on easy questions to identify your practice's brand, why that patient avatar is so critical, and how to ensure your brand spreads through your office, down to the check-in staff member. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. We are back here with you today. This is Tiffanie, because I forget to announce myself, and Miss Kristy. I have Kristy for the long haul today. She's doing a couple of different recordings with me. And I can't wait for them to come out. Actually, Kristy, I have had so much fun. I think this one, I don't know what order they go out in. So whatever. If you guys have listened to the leadership ones we just did or have not, they're coming.   You're going to love them. So Kristy, thank you for taking this ride with me today and just busting out a ton ⁓ with me on this beautiful, it's a Thursday morning right now. How are you doing? You holding up over there? You got your water? Awesome.   DAT Kristy (00:40) Absolutely. It's always the   day goes by fast when we're doing this. love it.   The Dental A Team (00:45) Yeah, me too. I really do. I do love it. And I ⁓ love when we hear from listeners. I love when we get, you know, we get to go through the reviews below and see what people loved or I know a lot of people will leave like info of their own that there is suggestions I should say. And it's just a lot of fun. Always hearing from it. And I love hearing from my clients when they've listened to one. So I agree the podcast is fun and it's like a collaboration time for us.   I enjoy it. this podcast topic, the subject, is something I really, really love. ⁓ I was talking actually, it's on marketing guys. So don't fret. I think you already saw the title, but it's on marketing. ⁓ I joined a marketing call yesterday with a client and it was a marketer I've not worked with before and she was fantastic and she was very collaborative. It was great, but she...   She was like, is this something you guys do? You guys work, like you do marketing for them? And I was like, no, no, no, let's not get wild here. Like I don't do marketing, but I love it. And I know my consultant team loves marketing and internal is our jam. And we are really, really solid at that, but really finding different ways that we can leverage our skills to show patients and potential patients that this is the right place for them.   I think is something that consultants on our team are really fantastic at. And I wanted to dive into some of that with you today, Kristy, is really just like how to just innovate a brand. And the most fun part about this for me in today's market is that I don't think that dentistry has always been in a space of total innovation.   I think dentistry has always kind of innovated, like, my gosh, can we just talk about how long we've been using the same stuff for like root canals, right? Or whatever, like, come on, right? But there is a lot of innovation in like filling materials and scans and x-rays, the, know, CBCT scans, all of these different modalities, in-house crowns, like Botox, lip fillers, but I've got...   Practices that are doing facial aesthetics, know having estheticians in the office We do have a lot of innovation when it comes to that space but something I think is truly innovating within the last few years is the understanding of a Dental practice and a dentist needing to have a brand. I don't think marketing Has been easy in the dental world. I don't think it's been understood and I don't think it's been super effective if I'm honest and the   Idea of innovating is really cool to me. I love innovation. That's one of our, I don't think it's innovate, it used to be innovate or die, a core value of ours. I hated that. But innovate is just something that we live by at the Dental A Team. We're constantly looking for, okay, well that didn't get us the result we wanted. Let's do something different. Let's try this. And changing things and marketing allows for that in so many really cool ways. But really looking at it and saying, what's my brand?   Who am I? Like how is my practice showing up in our community is something that I don't think that, Kristy, we've really ever spent a lot of time diving into within the dental world. And I think it's starting to come up. But what are you seeing, Kristy, even with the practices you're working with today, do you see a lot of practices really thinking, what's my brand?   DAT Kristy (04:25) Yeah, no, I think we are still behind the time in that regard for most other industries. They've kind of dialed this in. ⁓ It's definitely an area I believe that we can do better. mean, obviously, I just moved from Idaho and there's like, I don't know, three or five dentists on every corner almost. Do you think I'm exaggerating? finding out and   The Dental A Team (04:49) Literally.   DAT Kristy (04:54) And brand again can be such a broad word, but to simplify it, I just ask doctors, what's your purpose? What's your niche? What do you wanna be known for? Start asking yourself some of those questions to identify and set yourself apart. Here's the thing, dentistry, it goes back to what you said, Tiff, we only offer so many things.   And so how do we put ourselves apart? Like why do they want a filling from you versus your three neighbors next door? So yeah, again, one of those words brand, it's like, it's so broad. So narrow it down. What do you want to be known for? What's your purpose and what's your niche? And if you've been in dentistry for a while and you still haven't done this, go look at your reviews right now.   The Dental A Team (05:28) Yep, I totally agree.   DAT Kristy (05:48) and start highlighting some common words. If they're saying friendly or, I don't know, nice, kind, whatever it is, start highlighting them and see, does that fit you? Right?   The Dental A Team (06:00) Yeah, yeah, I   mean you could throw that into chat GPT. You could say chat GPT, go look at my reviews and find commonalities. Innovation guys, innovation. 2025 chat GPT, that's our best friend. No, I totally agree with you and ⁓ you said a few things there that I just totally resonate with and it made me think of a client, ⁓ actually a conversation I had with my financial advisor boyfriend who is just like,   DAT Kristy (06:07) There you go.   The Dental A Team (06:28) He works with a few dentists here locally in Arizona and Phoenix and he asks me a lot of questions and he's like, how is this possible? And I'm like, you know, he sees the profit and he sees the things that dentists are able to achieve and what they're able to achieve for their team members and being able to see like how, they're the 401ks and there's the different things that they're able to do and there he's not seen that in another industry.   right, through the work that he's done at least. And the conversation we had was, we were talking about a cosmetic practice and he, I think I upset him if I'm honest with you, we just at the gym, right? And he was just like, I just don't understand how it's possible that one, because I said, don't know, it could be, you know, for this specific cosmetic dentist, it's probably $2,500 of an year, okay?   DAT Kristy (07:11) ⁓   The Dental A Team (07:25) pretty average honestly for a cosmetic dentist like 2500 a veneer and his mind was blown right because he's looking at like cosmetic procedures um at a plastic surgeon right like you can get minor cosmetic procedures for similar amounts of money on your physical body right and not just one single tooth and i said well you know while i understand where you're coming from like let me tell you the hours it takes   to do a cause, like what it actually takes and what a lab cost of one of those crowns could be, et cetera, et cetera. But long story short, he just was mind blown and was just like, that is wild. And I thought to myself, this is it. Like this is the marketing and the branding because you do have to set yourself apart and you have to reach the people that want to be reached by you, right? My boyfriend, I love him to death. He is not.   DAT Kristy (08:14) Mm-hmm.   The Dental A Team (08:18) this he's not a cosmetic dentist avatar, it's not their dream, right? Because you're going to be convincing him. Like nobody wants that. if you want to you want that number nine implant crown replaced by a dentist who's going to make it look 100,000 times better than it does right now, honey. It's you're going to pay money for that, right? But if you're not concerned about it, then you're not going to care, right? Who you go to. So   My conversation with him yesterday made me really really think how important it is for practices to understand their brand and their avatar patient. So what is it that you want to do and within the capabilities of your surroundings I think is a good statement. I have practices that are like I want to do cosmetic dentistry and I'm like well you're in a like this you've got   20 miles around you of Medicaid. People aren't coming here for that, so we've gotta move your practice or change your avatar, right? So within the confinements of where you're at, of course, but what is it that you want to provide and then who are you providing it to? And Kristy, I think one piece that's missed in the branding conversation, one, we all wanna be like, I wanna do this, right? But it's like, okay, is that avatar here? So then looking at what your patient avatar   Who is your patient avatar? Who is the person you're speaking to? And then what do they need, right? In our company, Kiera and I love nothing more than to brainstorm and innovate. Like we want to innovate. We want to change the world, right? And we get on these tangents and then thank goodness we have like Britt and Shelbi on these calls with us because they're like, okay, cool guys, this sounds like an awesome product. It sounds like something that is gonna be really cool and that you will love doing.   Does it speak to our client's needs? And we're like, ⁓ yeah, that's right. We can innovate and we can do all of these cool things, but are we meeting a need of the people who need us, right? Of our client avatar. We know who we wanna work with. Are we just creating to create? Or are we creating something that meets a need of that avatar, of the person that we want to work with? And if it does, then fantastic, then let's move forward.   DAT Kristy (10:14) You   The Dental A Team (10:37) And so I think with the branding conversation, we're speaking to those needs. So who are we looking to work with? ⁓ Who do we want to inspire to have better dental health? And then what are their needs? And how can we show up and speak to that? Where our brand, Kristy, tell me if I'm totally off here, but we'll add to it as well. I think our brand...   really is how we're showing up to speak to those needs, right? And how we're showing up in a way that those people who need those things find us, right?   DAT Kristy (11:14) Yeah, I agree with you 100%. And to your point, I know people almost have a adverse reaction when we say buying dentistry or selling dentistry, but in the big scheme of things, guys, we are selling dentistry. what are they looking to buy? And it's usually they're not coming in saying, I want to buy a root canal, right? They're buying health or they're buying   The Dental A Team (11:39) Yeah. Yeah.   DAT Kristy (11:42) They're buying something it's going to give them. And so I think sometimes we miss the mark by speaking our language instead of the language they're looking for. Right.   The Dental A Team (11:54) Totally agree. I remember one of the first like all on four over dentures, whatever that we did in my practice. I was like, ⁓ my gosh, I get it because the guy bought because he was like, I just want to eat a steak again. And I was like, that is brilliant. So that became our brand of our all on fours. Like eat a steak again because it fit our target audience, our avatar and our demographic. We knew.   DAT Kristy (12:10) Hmm?   The Dental A Team (12:23) the area that we were in had that need and those were the patients that we wanted. And so we took that as a brand of our practice and we were like, do you want to eat steak again? So it's like that, now we're speaking to their need instead of selling a denture, right? Like people might call the denture places, right? And I'm not talking about prosthodontists, I'm talking about these big   you guys have seen the commercials, they might, those are not your avatar. Those patients are not the patients that you want. You want the patients that are emotionally tied to being able to eat a steak again. I had a patient that had regular dentures. I will never forget this lady. She was so sweet and so sweet. She just had dentures and she would not go for.   the lower support adventure and we're like totally fine, totally fine. She came in like once a month for quote unquote adjustments because   She couldn't eat lettuce. And she brought in a piece of lettuce and she put it in between her teeth and then pull it out. Her need was that she wanted to eat a salad again. And I get that, I eat a lot of salads, I eat a lot of steak. So it became the brand of that specific procedure. And it became one of our brands. Lettuce gets you healthy in all the ways. ⁓   speaking to what you said, right? So I think something action-wise that I have a lot of practices do is, and we do this in multifaceted, ⁓ is building that avatar. We help clients build the avatar of their ideal patient, and then, side-step, I love avatars, building the avatar of your ideal team member. Because within the brand conversation,   If you, I like to think of companies who have a really, really easy brand, right? And kind of match up with, I think, what a lot of the dentists that we work with are kind of looking for, their style, right? Everybody says the Ritz-Carlton, but nobody knows what that means anymore, doctors. Please just know your team members don't know what the Ritz-Carlton is or how they show up, so it doesn't work. ⁓ But brands that do resonate with a lot of team members, and it's easy for a lot of doctors to understand the importance of hiring,   DAT Kristy (14:44) Yeah.   The Dental A Team (14:57) And emanating the brand that you want and I think Lululemon is a very easy one, right? Everyone knows there's not a soul who does not know what Lululemon is. They've done a phenomenal job. When you walk into a Lululemon, same, you could copy and paste that person. I've been to Lululemon's all over the country. Sadly, don't tell my boyfriend. I've been to Lululemon's all over the country and you can duplicate the way that they show up.   They are a brand, they are a piece of that company and they are showing up that way. Dental A Team, we run the same way. We are speaking the company culture constantly and we all show up the same. Chick-fil-A is another one. Yeah, great training, but also they're hiring the personalities that fit within their culture that they can train. Same with Starbucks.   All of these different brands who have and companies who have branded themselves really well are ensuring that that messaging and that branding is in all of those spaces. And something I see doctors do is really come to the space of like ready to elevate where they're at, but they're not fully ready to innovate in all the different ways. And narrowing those avatars down helps bring light.   to situations that maybe is kind of sitting in the shadows. And I've seen sometimes where it's like maybe our main check-in gal who's been there forever and she loves the patients that she loves and she's a great human and she doesn't need to go anywhere, but is she right person, right seat? Is she exuding your brand awareness of like, my gosh, we are so excited to see you today. Thank you so much for coming to our practice. We love new patients.   Or, right, is she like, I really love the patients that I know, thank you for being here, fantastic human, again, I'm not saying people need to be let go, I'm saying do you have them in the seat that's appropriate for them? Or is there maybe a seat that, like I walked into a practice yesterday, we were consulting, holy amazing find for their check-in girl. And I am telling you right now, I went through this avatar, ⁓   assignment, whatever you want to call it, with them, this exercise, literally within a week, this girl walked into their office randomly, walked in, said, I don't know if you guys are hiring or not, if you need it. Like I am not really looking, but like, are you looking for somebody? She is amazing. Dental experience, beautiful, beautiful girl, so happy, and just is like,   loving everyone and she just wants to help everyone to a T. I remember the office manager calling like in tears, Tiffanie, you'll never guess what just happened. And it was because they had it, in my opinion, so narrowed down that it walked right in front of their face. Had they not known exactly what their avatar was, they might've been like, that was really weird, right? Like, I'll take your resume, but like, you're cute and all, like, maybe I'll call you. But they were so dialed in on exactly who they wanted at that check-in desk.   DAT Kristy (17:57) Thank you.   The Dental A Team (18:13) She walked in and they were like, yep, she's the one. And that I think happens with our avatar for our patients too, for marketing. And I think that's our brand awareness. Like that's how we stay relevant is knowing how we wanna show up, who we wanna show up for, and how do we help their needs and speaking to that from our brand. Lululemon is not here to serve everyone. That's totally fine.   DAT Kristy (18:17) Pass it.   The Dental A Team (18:42) Talk to, I use Lululemon branding as an example in a lot of different ways with a lot of offices and I've had team members that are like, I'm not spending money on Lululemon. I'm like, you're not their avatar. That's totally fine too because you're someone else's avatar. You are a different brand's avatar and they need you. So what they've done is they've made it easy for people to say yes or no. And if you're a cosmetic dentist who is branding, right, you've got your brand so wide.   that you're getting calls for people who only want to do what your insurance is going to cover, that's not your avatar. That is someone else's let them have that patient. They are working their tail off for new patients too. Let them have that patient. That's not your avatar, right? And I think we try, Kristy, to bend to what is coming. And we're like, well, we can do that. And we don't hold our boundaries of what we actually want.   and what our practice needs and what fits us that we end up confused. And then we get the calls of the doctors that are like, I need systems because it's not working and not something doesn't work for everyone. Right, Kristy, do you see where I'm going with that?   DAT Kristy (19:54) Yeah,   I sure do. I love where you're identifying and it's not just the who, but it's the how behaviors too, like how will they show up, right? Identifying who is the first step for sure, but then take it one step further and identify the characteristics of how they behave as well because then you'll bring that in. Yeah, I love   I love everything you're saying there. think it's kind of bringing me back. I believe I had this conversation with Kiera the other day about... ⁓   a doctor wanting to elevate his practice and should I offer this service? And I'm like, well, have you ever considered taking a poll with your patients to see are they looking for this type of service? Yes, it's fine to, I mean, do what you love for sure, but before you get frustrated, go take CE for this course and learn how to, I don't know, do Botox and none of your patients are wanting it. And then you get frustrated and   fizzle out, you know what I mean? Find out first. And another cool area of that tip is, you know, have your admin team keep track of ⁓ how many patients are calling and asking for something that maybe you aren't offering and see if that's, you know, see if it's in your wheelhouse or is it matching your avatar?   The Dental A Team (21:05) Yeah.   That's a great idea. ⁓   Yeah, yeah, and I think to speak to that too, if they're calling asking for that and it's not something that fits your avatar or that you want to do, is your branding reflective of your avatar because somehow they found you and they called you. So what messaging is out there within your marketing that has attracted the wrong avatar? Yeah, yeah, yeah, yeah.   DAT Kristy (21:48) Yeah, 100%. So it works both ways, right? Yeah.   The Dental A Team (21:54) Love marketing. just it and I don't know I just I don't I truly don't know why I love marketing so much but it just gets me excited and the idea of being able to change something and really target in and achieve the result is really cool to me and the idea of being able to attract someone to something that they need and want by   saying things right by presenting right. Like that just gets me so giddy. So thank you for doing this podcast with me today is my point.   DAT Kristy (22:27) Yeah.   I was going to say to your point, you said something very poignant there that you have to be tracking it. You have to be paying attention to it and you have to be willing to test, track and adjust if it's not getting the results you want. Too many people start and they throw it out and then they stop there because they get frustrated that it's not bringing it. And it goes back to your innovation. You've got to be able to ⁓   try something different and it could be something very minute. A word, right, could make a big difference.   The Dental A Team (23:01) Yeah,   yeah, totally agree. I totally agree. And I think that's the most exciting space is what you just said. Like even the word, the one word in this sentence on this marketing, whatever this ad that's on Google or postcard that somebody's getting one word can totally change the outcome. And I think that's what gets me excited is like, okay, how can I, how can I get the result that I want with the words that I'm using? I love that. And when we can,   hone in on that, I think massive changes. I think there's a ton of takeaways here. think biggest action item, you guys, is really, really figuring out your patient avatar and your team avatar, honestly, your team member avatar, because I think that points you in the direction of your culture, how you want to show up in the world, what your brand is, and then start realizing and understanding that your culture, your core values, that is your brand, that is your brand awareness. And when we live and breathe,   By those, think you guys can, anyone who's listening and has listened before, anyone who's following the Dental A Team on Instagram, Facebook, clients of ours, coming to our webinars, we do free CE webinars every month, you guys, anyone who has experienced Dental A Team in the slightest, I think can agree that we emanate the Dental A Team. Every team member we have, as far as our virtual assistant,   Joe Ash, who we love and adore all the way in the Philippines. He emanates the Dental A Team because we understand that those pieces of our company, the mission, the vision, the core values, brand awareness, all of that is who we are. And we live, breathe it, we show up, we believe in it, we stand behind it and we're consistent. So it makes everything else kind of fall into place really easily. So.   Go do that, you guys, narrow it in. Don't let it feel so big. Just do one chunk. What is your avatar? Who is your avatar? How do they show up in life? What do they look like? What do they love to do? Narrow in your avatar of your patient and of your team members. Make sure your mission, vision, core values are in alignment with what you actually want. And then take a step back and look at it from bird's eye view of how you need to innovate your brand.   and how you can do that. And like I said, I love this stuff. The consultants loves this stuff. Kristy is fantastic with her clients. She's done this so many times and all of them have Dana, gosh, Monica, Trish, everybody, every single one of them have done these types of exercises with their clients and they're really good at it you guys. So reach out. If you're a client and you need this, you're like, need to innovate, reach out to your consultant. If you're not yet a client,   you're soon to be or you're just like, I'm just a podcast listener right now, that's okay too. Reach out you guys, Hello@TheDentalATeam.com. We have the resources that you need, we're here to help you. Instagram, Facebook, wherever you can find us and then as always you guys leave us a five star review below. Let us know how helpful this was and if there's anything you've done to innovate your brand awareness that you think people could benefit from as well, people really do read those comments and it could be super beneficial. So, Kristy.   Thank you so much. I love taking the avatar roads with you, because I think you're just really good at it and you love people. So really keying in on parts that you love about people's personalities, I think opens you up. So thank you, Kristy, for being here today. Of course. All right, guys, go do the Things Five Star Review. Reach out, Hello@TheDentalATeam.com. Follow us on social if you're not there yet, and we'll catch you next time. Bye-bye.   DAT Kristy (26:37) Thank you.