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

Re-releasing a DAT listener favorite! Dr. Dave Moghadam joins Kiera to discuss getting your hygiene team on the same page and at the same point of understanding. He shares his approach, and goes deeper into the following: Gather all information and establish a flow of procedure Hold a longer meeting for your hygiene team to review and add their own ideas Allow a period of follow-up for questions Transition into monthly or quarterly meetings to continually update Dr. Moghadam utilized the Dental A-Team's hygiene course to help him come up with this approach to calibrate his hygienist team. 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 am so excited to bring back on one of my favorite guests, one of your favorite guests, somebody who is in the real life with you guys. He is a practicing dentist, rocks our office. I've known him for quite a while. And he's a man that creates systems, implements and executes. And today I'm jazzed to bring him back on. Dr. Dave Moghadam, how are you today?   speaker-1 (01:13) Wonderful, Kiera. Thanks for having me back. appreciate it. It's gonna be a blast as always.   speaker-0 (01:17) It's   gonna be great if you guys have not heard his other ones we've talked about we've gone from acquiring practices Bringing on associate doctors. We've talked about team quarterly calibrations and now we're gonna dive into something that you started I actually think you started it maybe COVID maybe you're doing it pre-covid ⁓ But but it's going to be diving into hygiene calibration, which I think is so relevant. I mean right now hi, Janice are like more Harder to find than unicorns in my opinion. They're like real real tricky   But we just know that they're real. I think it's a great time actually to bring this in. So Dave, kind of walk us through, like I said, you're practicing, Dennis, this is your real life. This is what you're doing really in your practice, which is why I love having on the podcast. So kind of take us away on this hygiene calibration, how you even got the idea for it, what spurred that. I'd love to hear.   speaker-1 (02:08) Yeah, so I think as far as like, how did this come about? What was the situation? Everything like that. Some of the key things that were happening were I had focused a lot on a lot of the rest of the practice, like a lot on systemize this, do this, let's grow and everything else was just really just taking off. But the one thing year after year after year that was kind of like fairly consistent, not really like, my God, really, you know, growing was the hygiene department.   So I started to look into things of, how can we just improve? And I always feel like if we improve some of the other basic stuff, the numbers fall. So I think a lot of the things that I was ⁓ looking to do was just getting some consistency, make sure everybody's on the same page. At that point, had gotten, yeah, this was about two years ago. So we had just gotten a new hygienist to join our team who's been with us ⁓ since then.   We had another hygienist who was only there a day a week at that time. So it was kind of a little difficult to try and get everything all buttoned up. the way I went about it was one, I first took the big chunk of what we had in our operations manual, such as protocols, expectations, standards, record keeping, all that stuff. And then the other thing is I   contacted you and I said, Hey, what do you have for this? Because we're all going to be on our butts for a while when the world closed down for a little bit. we went through the hygiene course. I took some, some pearls from there. tried to organize things a little bit more. Uh, we did a little bit of coaching with, Tiffany as well, uh, virtually then. So we basically, the, outline for this, you know, it was basically protocols standards, you know, what   ⁓ record keeping, know, what if you encounter some hiccups with patients, you know, as far as, know, those types of situations, ⁓ you know, what's the appointment flow like, what's the communication, like what are the key points that we want to hit on, ⁓ teeing up the doctor, pre-teeing up the doctor, which I'll get into in a little bit. ⁓ And then, you know, a lot of this is kind of reviewing our, basically chunking out our routes.   is very detailed and that kind of like highlights a lot of this stuff. And then we get into you know some basis of treatment planning, incorporating some bundles which is a concept that you guys helped us you know incorporate and bring in, and then just talking about some of the other basic stuff like how do we talk about fluoride, you know why is it important to ask for referrals, and then you know financial discussions which basically means just don't have the financial.   speaker-0 (04:56) Right. Yes, I love it. Well, and I love it. Something I wanted to point out is I feel like there's actually a ton of opportunities all around us. It's just, we willing to see them and then actually execute on them? So you saw COVID as a time we're all hanging out. We've got nothing to do. This is the area that I haven't spent any time on. So like, let's make this rock solid. And I think there's so many opportunities like that. Hopefully not another pandemic shutdown, but there.   all around us all the time. So Dave, let's actually deep dive if you don't mind on a lot of these topics. I know that's kind what we came today for just so people get an idea of how you calibrated your hygiene team on this. Like you gave the resources. Yes guys, if you want to get our hygiene course, we're constantly updating it. It's getting ready to move to all videos. Once you purchase the course, you have it for life. definitely   speaker-1 (05:43) You're kidding, right? I wonder who gave that suggestion.   speaker-0 (05:46) That was Dave, which is great because I came in with steal of a deal and said like give me honest feedback and then I felt bad your team was going through as we were rampantly   speaker-1 (05:56) That's really going to button it up. ⁓   speaker-0 (05:59) Good   good. So we're working on videos working on audio, but we're constantly updating and innovating it and asking for your guys's feedback So if that's helpful for you fantastic, like Dave said we did do virtual calls with his hygiene team very spot specific but kind of like walk us down through this Of like what exactly does this calibration look like you listed those items kind of deep dive with us on it. Yeah   speaker-1 (06:19) Yeah,   that was just a lot of verbal diarrhea there. I just kind of threw it out there. So we'll break it down. We'll go section by section. Yeah. is what happens. So basically, as far as protocols and standards and things like that, I mean, that's just kind of the basics of what are we expected to do. It's kind of like if you think of onboarding, it's repetitive. It's a review. But kind of like, what do you expect to do in the morning, during the appointment, at the end of the day, kind of going through, making sure everybody knows what the   all that looks like, making sure that they're very clear on like what's expected for the end of day sheets that, you know, that they take pictures of and turn in every day, all that stuff. You know, record keeping, you know, how often are we doing, you know, probing, how often are we taking x-rays, you know, what kind of photos do we expect? And then as far as like pickups that relate to that, I mean, we, I think of it in a positive way, half our patient base is 60 and a   I love it. It's a really a wonderful type of practice, but in over the past five years of, ⁓ know, initially early on transitioning and taking over a practice like that, and then taking in other practices like that, we get a lot of stuff where people think that the X-ray head is gonna melt their faces. And, you know, because of that, it's kind of like, well, let's figure out a way, what's gonna be our kind of standardized way of how we're gonna address these concerns.   What are we going to go ahead and do? So we like a little pamphlet basically that shows some examples of things, why we take x-rays, what could be missed, all that stuff. Very simple, very straightforward. Has a little chart that we just kind of found somewhere on Google about radiation, the mouse, like that. And they kind of have their set kind of like, hey, we go through all that stuff. And if it kind of becomes a push versus shove moment, they have to come grab me, which I don't really love, but it is what it is.   And then we kind of go from there. So that's not to get sidetracked, but that's kind of, you know, one of those things. Like when we have situations where things may not necessarily go smoothly, it doesn't matter what the actual answer is. Everybody just has to know it.   speaker-0 (08:23) Right, right. No, I love that. And I was going to say, Dave, based on our last podcast we did, you know, they've to come get you maybe throw that into your calibration role play. What do we say to these patients? ⁓ But I really do.   speaker-1 (08:36) I don't necessarily want to encourage.   I like to do dental treatment and sit at my desk and drink water.   speaker-0 (08:43) I definitely agree and that's what I feel like most dentists feel. So I like that. So with that, I like that you do that. So how does this kind of hygiene calibration look? Do you do it consistently? Is it like once a year that you do it? Did the hygienist help create it with you? They brought up the issues that they were coming with. I kind of break it down. Like if I'm a brand new office, I don't really know. I want to do this. I'm hearing you do this. What are kind of the steps to be able to actually get this into my practice and start running it?   speaker-1 (09:10) Yeah, so I think the big thing is I think you gotta just like deep dive into it, like do it once over whether it's like one really long appointment or like maybe a couple of weeks of a couple of hours. I think it's a lot to try and like just be like, yeah, you're gonna like remember all of this stuff. Like even if we do every three months, stuff like that. ⁓ And right after we did it, we were doing weekly hygiene meetings.   So we kind of will like chunk out, you know, little pieces of this to kind of get a little bit more granular or kind of talk about how we improve doing weekly meetings is a lot, it just was really, and we were just being very, very inconsistent with it. So I was kind of like, ⁓ like it's Tuesday and yesterday was Monday and Monday was really hard. And now I'm really tired and you know, Dr. Seth's not here today and I'm around all morning. So you know what? I just feel like,   not doing this at once. That's what would happen. So now we basically have at least one scheduled each month and a second one that's kind of like floating. Where so that one we're going to no matter what kind of go through some of this. And then if there's another topic that we kind of want to dial, you know, dive into a little bit more, that's at the second one. It makes it a lot more manageable to go ahead and do things that way. I think when you chunk it out like that, these are not like 20, 30 minutes. You know I'm saying? Like, you know, after everybody's kind of   had some time to relax before we're to start to see our patients again. But I think the first thing is really making a big, you know, let's get all the information organized together. Let's go through it all. Let's make sure somebody's on the same page. ⁓ I would assume, you know, as we're going to hopefully be onboarding, we'll find an onboarding another hygienist, you know, over the next several months, it would be something that would be a big chunk of the onboarding process. But I think, you know,   we'll get to it. I mean, there's a lot, a lot more to go through, but I think having done this for a while and I realized sometimes when you kind of have this, even if somebody, if they've helped make it and you're kind of just driving those points home sometimes, you know, like we talked about in our podcast, things will get stale or there's a way to do it better. And I really have felt that, you know, uh, over time, if I've in the times that I've tried to really, you know, ask for feedback and listen in an environment that doesn't seem so   confrontational, know, hygienists and all my team members really sometimes bring these just like amazing, wonderful ideas that I never really would have thought of about. And that's really how I think it really kind of starts to really grow and evolve. And that's hard because, you know, a lot of times everybody, every team member is different. And we have some that are a little...   touchy about things. And a lot of times I try and explain that, you know, everything that we were talking about here is not like, Hey, you did like a crap job at this. It's kind of like, Hey, like, I want to try and see how we can make this a better situation for our patients, for you, for me, is there a way that we can maybe try this to see if this is better? Like what suggestions do you have? want to make sure you know, overall,   That's the thing, because I always am that type of person that's like, let's make this better, better, better. Sometimes people think it's like, hey, you're doing a not good job. like, no, you're doing a great job. I just don't sit still. And that's kind of a problem. I'm sorry it comes across that. So I've gotten my office manager a little bit more involved as far as like, you know, she's in the meetings as well and asking some more of these questions that I think it's led to a little bit less of a like.   confrontation, a lot of this confrontation, but less, you know, heated kind of environment. That's a great idea has come out of things here.   speaker-0 (12:53) Well, I think it's because you're also getting into that. Yeah, you're also calibrating with them. And so it becomes more of a learning versus a dictation. And that's where I think the freedom is the freedom to come up with ideas, the freedom to give that feedback when it's when it's coming together to calibrate and to connect versus judging critique. And so I feel like you did a good job of spinning it getting everyone there. So if I'm breaking this down for an office, it sounds like one.   gather all the information of like kind of the flow of the procedure. Like what is it, what's involved in that? Thinking of, mean, Dave gave you a really great checklist real quick of those items. And then from there, it sounds like set up a time, maybe over lunch, maybe do a longer one to two hour meeting where you kind of have the outline of it, go through it all. I did this with an office that I was consulting with and I literally gave them about an hour and a half. They went through the whole process, looked at everything, added pieces in. And then the next day we followed up, it was very short.   Just to make sure like what questions that they have Then they can roll into like monthly meetings on this or or every quarter just kind of calibrating reviewing checking to see But I thought you also brought up a good point of making sure that once it is solidified Which again duns better than perfect because guys it will never be perfect. It will constantly updated So don't spend your next three and sixty five days trying to perfect this darn thing like get it done So it's at least something for when you onboard people and then continually update it as well. So   Dave, you had said there's more that you want to dive into. So take it away. I'm not going to stop you. Give some examples.   speaker-1 (14:20) No,   for sure. mean, there's a lot. we've gotten talked about, you know, protocols, standards, record keeping stuff, you know, kind of any hiccups like in that, you know, so making sure everybody knows what the expectations are, you know, what to do if there's there's pushback there. The next thing we kind of will dive into is the flow of the appointment. You know, every office is different in how they want to go ahead and do things. You know, I always feel and I'm not the best at this, even though I preach it all the time.   that if you wait until like the last five, 10 minutes of the appointment and you sell somebody like, hey, you have all this stuff that's wrong inside your head, like you just run out the door. So I always feel that in the first 20 minutes, should be, records should be, ⁓ all gathered together, hygienists should start reviewing everything that they potentially see as a problem, kind of warming things up in a sense with the patients there.   and the doctor in that sometime in that next 20 minute window, ideally, somewhere between 20 after 30 after can get in there, talk about what the situation is. And then this time the patient has more time where they can ask questions, go over things. The front office has the heads up if it's something that's involved. Although a lot of times, honestly, if it's more than, it kind of moved more towards this.   If it's more than a couple of things and somebody is going to be in a sense spending more than 5,000 bucks, may want to set up even a small appointment just to re-review things, you know, with the doctor or somebody upfront or something like that. Cause it's all, it's a lot that they can. And honestly, a lot of times, you know, five, 10 minutes doesn't really do the justice that some people will need to really understand what the problem situation is and really own that.   speaker-0 (16:10) Right.   speaker-1 (16:11) comes   across as kind of like, my God, they want like, you know, 10 grand from me. I don't even know what the hell's going on.   speaker-0 (16:17) Mm-hmm, mm-hmm. No, you're exactly right. And I think something I love that you just talked about on that is you actually helped your team make better decisions without you always having to answer it by saying, hey, I want a consult if it's over 5,000, this is where we should be setting up a consult. I literally just had an office ask me, hey, Kiera, when do you recommend setting up a consult? And I'm like, it's doctor dependent. Because some doctors are presenting 30, 40, 50,000 and they're like, those are fine. It's just laissez faire.   Other dentists are saying, like, no, over, you know, five grand, 10 grand, let's bring them back for a consult. But by having this, like, just expectations and helping your team know the parameters, they can then make a lot smarter decisions moving forward. Independent and confident.   speaker-1 (17:03) There may be other people out there who are very slick and can get somebody to give them $30,000 in three minutes. That's just, that's.   speaker-0 (17:10) Right, right, exactly. Exactly.   speaker-1 (17:12) But   at the end of the day, wouldn't want it to be like that. The way we kind of do everything is like, let's really kind of make sure somebody understands something, makes feels comfortable with the decisions that they're making. Because I would much rather not do anything if somebody doesn't feel comfortable with it than do it and have an issue.   speaker-0 (17:29) For sure, absolutely.   speaker-1 (17:31) So I mean, think that's a newer thing that we're kind of moving towards. I think we kind of ballpark it in a sense. Sometimes it's not even a financial thing. Let's say somebody has been going to the same dentist for a long time, they show up and then it's like, my God, there's like, know, 16 surfaces of decay. And like, it's just like, okay, well, yeah, this is not gonna be a two minute conversation. This is like, hey, I see a lot of things going on. Let me highlight them for you, but let's have you come back and let's really talk about, you know,   what the options are and if something really involved I encourage them to bring a friend or a family member or a second set of years somebody that they can rely on as well because it's a lot of information you it can be overwhelming.   speaker-0 (18:12) Wow.   Right. Exactly. But I think like overarching big picture on this is you got your hygiene team calibrated with you. You got them because at the end of the day, I feel like hygienists tee up so much for the doctors. They're the ones who spend so much time with these patients. Doctors run in, run out, like you said. I also love that for you. And again, this is doctor preference. Some doctors don't like to do exams when they're not polished and clean, but I like your actually really love your thought process on it. You're right. If you come to an exam,   Lastly, right before that patient leaves, there is no time for them to ask questions to anybody but the front desk. And oftentimes if they have a lot of questions, they're out the door if they plan to be there for an hour. Whereas if they had exam can be in the middle of the appointment, they can ask questions to that hygienist. That hygienist can re-emphasize treatment as well, helping them see like, this is why, can you fill this catch with my instrument here? Like this is what Dr. Mogadam was talking about. So I really love that philosophy and I love that   Again, I think what I'm pulling from this that I hope a lot of other offices are hearing is that you are giving them confidence to make decisions independent of you that are in a line with the direction you want the practice to go. And when people have confidence, they know how to win the day, they've helped co-create it with you, they know how to give the patient the best experience, that gives team members freedom. That gives team members so much, like, just...   just help and greatness that they can do. So I really, really love that you brought that up and how you calibrated your hygiene team. Any other thoughts you have on it, Dave?   speaker-1 (19:43) other thing that I would mention that it's kind of beneficial if I actually get off my butt and show up at the time that I'm supposed to is let's say somebody has something that's not like, my God, over the top, like, you know, taking out a tooth, graphing it, placing an implant, restoring it, lot of in that. And we have like explosion codes in open dental, but somebody still has to kind of organize it. And then I always want that double checking kind of, you know.   What are we anticipating that their insurance may help them with all that stuff, kind of doing the breakdown. So, oh, know, a lot of times if it's something a little bit more involved, we don't need to bring somebody back though. I'll just walk up front and just say, hey, you know, we're doing this, this and this for Mrs. Jones. Just make sure you have that ready. So it's a much quicker, easier checkout process and just immediately get them scheduled. know, anything beyond like a couple of things, I usually make an effort to walk up there, give them a heads up and, you know, sit at my computer for a minute or two.   a fish, not a   speaker-0 (20:38) For sure. I love it. And again, I think it's important like guys, Dr. Dave here is telling you like this is what he prefers. This is his style. This is his flow. This is the vibe he likes to have and he's been able to create it in his practice. I will tell you from a team member's perspective and I'll be all I want my doctor super happy. That's literally what makes me so happy. So if I know that Dr. Dave wants to go drink his coffee and wants me to take care of everything else and he's given me the parameters of what to do. Awesome. I'm going to take it on.   If I know Dr. Dave's a dentist who doesn't want to let go, I'm probably going to push him a little bit and remind him he should let go because I got this for him. But at the end of the day, I'm going to do what I can to make him super happy because I know when my doctor's happy, that's one, what I'm there to do as an assistant, as a front office. I'm there to help my doctor's lives be so simple and easy and also to give our patients the best experience. So I just love like you, you looped it all together. You gave the parameters, you co-created with them.   and then you, now you get to have the life that you want to have. Go drink your coffee before seeing your patients, whatever it's needed, because then you also probably have a much smoother day that you look forward to. You probably enjoy dentistry a lot more, which means you're probably going to be a better diagnoser. You're probably going to be better to our patients, probably do better clinical because you are happier. You've got it set. We're able to all flow and gel, which is how the whole practice can move smoother.   speaker-1 (22:00) definitely. And not to sidetrack us, I'm going to forget if I mention it now. could set something up another time to kind of talk about scheduling protocols as far as how to remember to put borders together for bigger procedures that are multi-step and even also actually creating a schedule where everybody's going to be happy. Because there's the concept of block scheduling, but there's also the concept of what we started doing. I mentioned this to you a little while ago where we schedule based on the types of   procedures that we want to do, not necessarily financial values and stuff like that. And just like with most things that I do, that's not something that I learned myself or created out of thin air. You know, it was something that I heard in other podcasts that I love. They call it in their terms, they call it priority. You know, creating priorities for the types of dentistry that you want to do, which in my mind is way better. You know, I always gear towards things of like,   How do we want to go ahead and make things a better experience for our patients? How do we want to do more of the types of dentistry that we want to do rather than like we're chasing this magic number at the end of the day? Because as for myself, for my team, I know that doesn't really push the needle. But when we kind of talk about all the steps of what's going to get us there, all the stuff that the numbers go up and down, it's good. And then we keep the lights on and we continue to grow and we help more people and employ more.   speaker-0 (23:19) I love it. I love it. And I'm so glad that you said that and I agree. I think that'd be a really fun podcast to dive into. Because again, scheduling, and I love hearing it from a doctor's perspective, because I will harp on this all day long and say a schedule that you want is actually the best schedule for your patients. Because you're happier, you deliver better dentistry. And when you guys have those boundaries in there, it's so much happier for everybody. So I definitely want to dive into that. I also want to dive into our IT podcast as well, which will be a real fun one.   But to wrap up on hygiene calibration, how often, Dave, do you recalibrate with your hygiene team?   speaker-1 (23:58) So it's not something that we've done. It's just mostly because we do our meetings. So we kind of loop around on areas that are kind of falling through the cracks a little bit and then expanding on other teams. And a lot of times, you know, we'll get, ⁓ because of what we've talked about where we have like these discussions, ⁓ we'll incorporate some other great things. like we were kind of at certain times where things were getting a little bit lost in the shuffle as far as like, consistently doing probing at the times that we want to or basically having the ⁓   the appropriate codes in for when we're checking the patients out and you something gets lost in the shuffle of the handoff and this and that. So one of the hygienists thought of a great idea of, why don't we create just a dummy code for probing as well? And then, know, when then we talk about how like, you know, when you're creating your next appointment, put everything in that's going to be there, you know, put in put in the probing, put in whatever x-rays are necessary, put it all there. And then when you're doing you're basically you're setting up for the morning huddle.   in six months, it's very easy. All that stuff is basically there. And then we can start focusing on some of the stuff that I want to focus more on as far as like this stuff that actually relates to the patients, what's going on with them, their lives, because everybody can read the schedule, you know? So if that part is not important. Yeah. Yeah. Side note, I don't really love our morning puzzles. That's something we're going to work   speaker-0 (25:18) That's the next calibration one there Dave. So don't worry. got lots of tips on morning huddle I've revamped those many times and many practices, but I like it. ahead   speaker-1 (25:30) Yeah, I think getting back to some of the other things that we kind of talk about aside from, you know, appointment flow and everything like that. A lot of what we want the, you know, to all talk about, we have a nice route. So if it kind of goes over, like these are all the things we're checking. So, you know, that makes kind of teeing up the doctor pretty, pretty easy there for the most part. What I wanted to mention about pre-teeing up the doctor is let's say you get another doctor in the practice and it's   it's the first time, it's the second time, it's the third time, whatever time it is, people are going to be like, who is this human being that is walking in the door? So, you know, I think really, you know, taking a second and making sure that, you know, the hygienist know, you know, when they know it's going to be that doctor doing the exam, they know what to say. So what we kind of scripted out here is, you know, we've been fortunate enough to continue to grow as a practice to make sure that we spend enough quality time with each patient.   You know, Dr. So-and-so has joined our team. We're happy that we found another great doctor who shares our philosophies to join us and help take care of our patients. I'm so excited for you to meet them. I love it. know, something like that ahead of time is disarming. It sets everything up. It shows that we have, you know, confidence in this other person who's joined our team, that it's not a second rate situation and they're being pushed to the side. I love And then, yeah.   speaker-0 (26:55) Well, and something else that I want to point out is Dave, you have this all on a PowerPoint. You actually shared it with me, which I appreciate a ton. and something I love about is you've got pictures in there, you've got verbiage in there, you've got links in there and you update it, but that's a very quick, easy onboarding packet as well to give a new hygienist joining your team. It's also very quick for you to update it. And then there's no question of what is that? And so, and I also love that you guys use the route slip. I think that's a pro tip. If you guys aren't doing that open dental.   This is only for our open dental offices. There might be some others, Dentrix and Eaglesoft. Sorry, Charlie, you're out. But you can actually edit your route slips and you can put these questions in there. So a lot of the things like I'm big on not depending on human memories. I think the human brain is brilliant. I also think a lot of times in practices we try to implement new behaviors, but it takes quite a while for that new behavior to actually take off. So constantly thinking of if you want this to be hygiene checklist.   how could you make a quick checklist? If you can't put it on your route slip, you can create a laminated checklist that they check off for you for every patient. Some offices who work in Dentrix and Eagle Soft, they literally have their hygiene checklist printed on one piece of paper and then on the backside of it, that's where they print their route slips. So lots of ways to get creative with this. But what it sounds like you've done, Dave, is you went through the philosophies with your hygienist, you had them help co-create it, you've given them the parameters so you have a great schedule.   And then we also put into play a way for them not to forget. And that's, think, a key piece to success. And then you're continually talking about this in your quarterly meeting. So I would say for offices wanting to do this one, just start, like start right down every piece, get information, learn, get your hygienist together and get it all put together. Again, Dave, I love that you put it in a PowerPoint. Two, make sure that everybody's aligned. Three, add to it, have a set cadence of when you'll do it. Are you going to do it on a quarterly calibration?   Are you going to do it once a year where you review it, make sure it's up to date. But that's where oftentimes these great systems, these great protocols come into play, but fall off the bandwagon because we don't have a set cadence to do it. So Dave, I love it. I love you guys like breaking it down. And I'd say for all those offices wanting to do it, go for it. Reach out to Dr. Dave. He's awesome. start though, he gave you a really great list. Read, listen to this podcast, write it down. He gave you a lot of step-by-steps. know that's hours and hours of work that he put into this.   Lots of resources, lots of time that you guys already have a jumpstart. So take what he's given you, execute on it, and have a really calibrated hygiene team. So Dave, any last thoughts? I love what you've done. Thank you for sharing. It's always fun. You have so many great ideas that you love to share.   speaker-1 (29:34) I mean, I think there's a lot more that we could dive into. I think some of the other key takeaways is, I mean, working with somebody like yourself or other people, they can kind of give you some more of these ideas. Like we wouldn't have thought about kind of bundling procedures, things like that, trying to make things a little bit more clear overall. ⁓ Other key things as far as,   new patient blocks, lot of these key principles, all these other things, incorporating them and making sure that everybody's on the same page. Because we started to do that, didn't really have a discussion with the hygiene team. They started just not, you know, regarding or understanding that and putting things in. Then it's a whole big to do in a sense to try and reorganize the schedule there too. So one, if you're going to continue to learn and grow and incorporate new things, one, I encourage it and you should, but you should probably talk to everybody and not forget to do that.   speaker-0 (30:28) Amen, I do it all the time guilty Guilty people like care you forgot. I'm like, yeah There's like seven other people attached to this decision and I forgot to share with all of you and Dave Thank you for that agreed if we can help you guys I know Dave you reached out to us for resources. We also did virtual training with your team. We come to your practice So if there are ways this is something that you guys want help getting kicked off the ground by all means Please reach out to us. You can email us. Hello@TheDentalATeam.com   this is literally what we are made to do. This is what we love to do is where we are passion lies. and just kind of being that outside, think outside the box, giving ideas to, to make your life easier and more efficient. So Dave, as always, I appreciate you. Thanks for being on our podcast today. Thanks for sharing your ideas. You're just a wealth of knowledge. So thank you. All right guys, that wraps it up. Go execute. Don't just take this knowledge. Think it's a great idea, but actually execute, stick it in your planner, in your schedule, on your calendar, wherever you need to.   so you actually make it happen because you are always just one decision away from a completely different life. All right,   always, thank you for listening and I'll catch you next time on the Dental A Team Podcast.   That 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.  

Do you want your patients to feel confident and cared for and to become raving fans about your practice? Kiera takes listeners through specific steps to help practices refine what their patients go through upon entering to exiting your office. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Dental A Team listeners. This is Kiera. And today I'm excited for a quick tactical practical tip for you guys that I just think is magical. And I'll start with like a story about it to kind of kick us off. ⁓ Jason and I, we just recently went to Ruth's Chris. We decided we were gonna do a day date and Jason and I, went to the spa. I convinced him to go to the spa. He's not like obsessed about it, but really loved in like the hot tub room that they actually turned on a football game for him. So.   I don't know how the spa gods were on my side that day, but they definitely were. And then we decided to go to Ruth's Chris. And if you guys are familiar with Ruth's Chris, ⁓ it's ⁓ an amazing steakhouse. And ⁓ I noticed when we went in there, there was just a different vibe. And I've been very obsessive about high-end restaurants, reading the book, Unreasonable Hospitality. I think I'm more aware of it. If you guys haven't read that book, I definitely recommend putting that on your book wish list. And what was interesting is,   When we came in, they said, hi, Mr. and Mrs. Dent, great to see you. And they took us back to our table and the waitress was so kind to us. And she said, here's this information. What information do you guys need? There were seat spot for us. The busser came through and was like, we really love working with people like you. You guys just make our life so much easier. They're like, here, let's just box this up for you. You made great choices for you. They had all of our stuff boxed for us. The presentation was beautiful.   They didn't come by and they weren't annoying to us, but they were so genuine to us. And then as we were leaving, they said, thank you, Mr. and Mrs. Dent. And they knew all about us. Okay. So that was one experience. Another experience has been Jason and I were in Bali and we went to the four seasons and I remember if you've been to Bali, you'll understand. Jason and I both got Bali belly. And if you haven't heard mine was, I got it on our flight home. I've never in all my years of flying, knock on wood, I've never once thrown up ever on a plane.   Mine is my flight home that was a nice nine hour flight from Taiwan to San Francisco. And I threw up and had diarrhea the entire freaking time of that flight. I had thrown up about 13 times in two hours and I figured out, if I can make a system for this, like it was hold the vomit bag, go to the bathroom and brush my teeth all at the same time. I realized you can create a system for anything. So that's a little bit beside the point. So I'm here to tell you about great experiences. But at the four seasons, they were top notch. They had an app. They would text us.   When I asked them like, hey, you guys have any medicine? They're like, ⁓ we don't have medicine. Here's the pharmacy. We can get it for you. We'll have it to your room. They had it to our room for us. They brought different things for us because they knew that we were sick. They had a turndown service for us. They paid attention to our likes. Our wants, made sure everything was done every single night for us. It was one of the most incredible experiences. And I think about it, like people are like, Kiera, you traveled all over the world. You've gone to Antarctica. You go to these places. And I'm like, Bali, even though I threw up for eight hours on my flight home.   Bollywood one of my most amazing experiences and I'm like, what was it? Like it was how I felt at Four Seasons. It was how I felt of everybody was so happy for us to be there. They were so grateful for us to be there. People would say hello to us. They knew our names as we walked through. And ⁓ I've just been paying attention to like Ruth's Chris was recent. The Four Seasons was another one. And then I think about other experiences that maybe weren't as great. I think about...   Hotels Jason and I we flew home. We missed a flight coming home from an international flight So we had to snag a hotel the only hotel available for us was a hotel I will not say But it was we'll just say a budget-friendly hotel and I remember we checked in and no one was there They weren't happy to see us. They were annoyed to see us the shuttle. I'm not joking you It was supposed to be there in 15 minutes We waited two hours to get our shuttle and they kept telling us one's on the way one's on the way. They were like you need to call this person By the time we got there our bed was dirty   The bathroom was broken. And I just thought, man, I remember that experience. I don't remember the Four Seasons experience, but which one do I want to go back to? Which one do I tell my friends about? Which one am I like, I threw up and I was so sick from Bali. You guys, would never recommend doing a cooking class internationally. I know exactly what caused our sickness. my gosh. And my stomach like to this day still hurts about it. But yeah, I loved that trip so much because of how I felt. And so that's what I want to go into today of   the patient experience in designing and creating a journey that the patient wants to be a part of and they want to rave about. And I know we've talked about this at several other times ⁓ because it's something where I remember I was at a conference once and they said, Kiera, what people remember is the beginning and the end. They don't really remember the middle. And so in dental practice, it's our beginning. It's our first phone calls and it's the end on how they leave. Yes, they might remember the middle of the procedure, but typically speaking, it's those, those two points in anything like think about a show you go to. You usually remember the beginning.   You remember the end. think about Taylor Swift and I'm like, definitely remember the countdown clock. Like I can remember that. remember everything coming out. Middle, like there was a lot going on and the ending, everybody can remember that. But, and yes, there are still things and that's not to say the middle can't be great, but we want to make sure that it is this experience that people are so obsessed with because we want to help them feel so good. And I think the dental office is such an intimate space. Dentistry is intimate. Everything that we do in dentistry is intimate. And so if we can help patients feel   a certain way and that doesn't mean we have to be perfect, but it does mean that we create a patient experience and a patient journey for them. So for me, even in Dental A Team, it should be that the patient experience, our customer experience is very intentional and not accidental. So we kind of think through it, like what do want our patients to feel? What do we want our patients to say about us? And it's also crazy because you can go look at your reviews right now and see what the patient experience is today.   what you've created maybe not intentionally or intentionally. Just go read it. What is it? For us at Dental A Team, I want people to feel like it's fun. I want it to feel like it's easy. I want people to feel like, my gosh, like they understood me, that they're thinking ahead of where I'm at, that they can guide us and that we are non-judgmental and that you and your team are gonna rise to the next level. Go read our reviews. That's what it is. But that's by intentionality and design. That's our core values. That's what we talk about constantly. It's how we onboard our consultants.   It's how we refine. how we take feedback from clients of if they're not getting it, how can we make this process easier? How can we make it easier for our consultants? How can we give better education? Like what can we do because that's the experience we want them to have. And so, ⁓ this is going to be an episode. If you really want patients to feel like super confident and cared for and to become raving fans for you to where they love the dentist, you have an opportunity to change how people feel about going to the dentist. And I think it's an amazing opportunity if you choose to do it. So   Number one is like, let's think about first impression. Remember, like it's the it's the end caps. And I think if we can even just design those two really, really intentionally, like four seasons and Roos Chris, did you notice in both of those? And this is not on purpose. I just sharing the story. I talked about my entrance and my exit at Bali. We were freaking sick on that last day. And I remember that the most more than anything. Yes, they did the turn down service and that was great. But I didn't talk about our New Year's Eve dinner that we had. I didn't talk about the waiters like none of that.   And as I think back, I'm like, yeah, that was really nice. I remember our first initial and our ending. Same thing with Ruth, Chris, how they entered us and how they exited. I talked about both of those. Go back and rewind. And that was not on purpose, but this even just proves my point that the experiences you remember are those end caps, the beginning and the end. So what is our presence? So number one is how do we answer the phone on the first new patient impression? That's going to be it. I talked about this just recently. If you haven't heard that, go back and listen, but like, how do we greet people? And are we like smiling when we answer? Are we excited or are we like,   Oh my gosh, another freaking phone call, like, hello. Right? I don't know if any of you had a mom who had a mom voice where she's like, Kiera Cherie. And I was like, hello. My mom was like, I didn't do that. I'm like, oh mom, you did. And you had the snap and you'd give me those mom eyes, right? Moms had those two voices. My sister's husband, he was like, my mom used to like snarl at me with her teeth. My mom didn't do the teeth, but we all know like, and I feel like that's how it should be like, we could be busy in the patients, but as soon as that phone rings, I want our front office to feel like.   my gosh, I am so excited to be answering this phone call. We are so excited you're here. Like almost like buddy the elf, like you're so excited. Maybe not that enthusiastic, but like that same sentiment. We are so excited. So we want it to be this like welcoming. We are happy you're here. We're not annoyed that you're here. And that's the very first impression. And then when they come into the practice, this is our next first impression. And if we botch our phone, we oftentimes can make it up on our second, but I will tell you that first phone impression is going to be paramount. So get our best person answering those.   best person and all of our front office team needs to realize when you answer the phone, you go on stage and you like sit up and you smile, even put mirrors up there so they can see themselves. You guys, not a joke. My mom said I was so vain. She gave me a like desk with a mirror and I used to sit there and talk on the phone in front of the mirror. And I was like, why do you do this? And I'm like, mom, like watch how I talk and I look at things and I look at, I practice my smile and it could have been a little vanity. Uh, but I know it's helped me present and be able to speak. And I guarantee you a lot of that mirror training.   is why I'm able to go present on stage today and be able to engage and invoke emotion because I practiced for a long time in the mirror. So having that mirror, having people see how they are, because if I'm sitting down, I'm like, hey guys, welcome to the podcast versus, hey guys, welcome to the podcast. You feel two very different things. And I feel too, I'm like super jazz on the second one. The first one I'm like, cool, I got a freaking podcast today. No, like I'm excited. I'm excited to hang out with you. I'm honored that you share your time with me. So we want it to be, and whatever your experiences, and some doctors you might not be like Kiera level 20.   Well, guess what? My team is Kiera level 20. We want to answer the phone in that level. If you are more like subdued and you're more like spa boutique, your phone needs to answer. Like I would be utterly shocked if I called the spa and they're like, hi, welcome to the spa. I'd be like, whoa, tone it down. Like this is the spa. And that's even Kiera who's excited. The dental office, it's like welcoming and engaging and like, hi, I'm like so excited you called. We're truly going to take great care of you. And I'm really excited to bring you into the practice. Notice I even have a patient voice that's different than my podcast voice, which is different than a spa.   My spa was like, hi, welcome to Serenity Spa. I'm so glad you're here. And I'm Kyra Dent and I'm changing right here, but it's because I feel that. And that's what I want people to experience in our phone and how people walk in is going to be our first step. So we need you to truly train and what is it? And if you haven't built this for your front office team, help them see this is what our, this is what our patient experience is. We want a confident, energetic, calm, whatever it is, first interaction. And we want our   online experience. our website, our scheduling, our messaging, our phone messaging to follow that same experience. So if that's our first impression, they're still filling it. Then they want to make the phone call. And we want to just like reduce any friction. How can I make this easier? I'm going to send you the paperwork. I'm going to schedule you now. I'm going to make sure I get this back in 48 hours. So I've got your appointment confirmed. This is how we're going to work. And I'm also setting clear expectations of we are so excited to have you here. And these are the rules of the game that we play by.   You notice like I even feel myself go into like a confident and welcoming human. That's our first experience. And if you will refine this, you will start to notice you train your patients from day one of we are so happy to have you. This is how we operate. We have you run on time. We have you send in our information. You always confirm your appointments 48 hours ahead of time. And we are so excited to welcome you to our family, whatever it is. listening to our new patient phone calls, experiencing that, putting the mirrors up there.   And then it's a, when the patient comes into the practice, let's make sure that that's an amazing experience too. Is our waiting room area clean? Do we have our front office person? You guys like, it drives me wild when I walk into a practice and it is cluttery with paper. You guys clear that clutter and make it clean. Dental practices need to be sterile. Yes, you can have cutesy stuff, but it still needs to feel clean and sterile. Front office team members, I'm gonna be a little bit hard right now. Do not freaking eat food in the front where patients can see you.   Go to the back. watch it so often. You're just sitting there like you break your crack or anything. No one can see you. They can. They see crumbs. It just feels. People can feel perfection. They can feel cleanliness. They can feel dirtiness. And this isn't me like ripping into you. I bend that person. I used to my snack drawer down there. That's not professional and that shouldn't be in the front office. Get it into the back office. Let's make sure it's clean. You can have all your cups. You can have all the things, but it needs to be clean. It needs to be sterile. It needs to be welcoming and inviting. Think about when you walk into a hotel. It's very inviting. Some   junkie janky and you're like, I don't want to stay here. Some are like, my gosh, this is amazing. Same thing with restaurants. How do we want our patients to feel? Let's make sure that the ambiance feels the same way. Even if your front office is on the phone, you can always welcome and say hi. Like while you're on the phone, I'll be right with you. That way they can feel super welcomed or like, hey, here's an iPad. I'll chat with you. And then as soon as like, Kiera, I'm so happy you're here. Welcome to the practice. Let me grab you a bottle of water. Do you prefer stilled or, or like do you prefer room temperature or chilled?   little small things that does not take a lot of effort, but that sets a very different impression rather than welcome to the practice. Okay. So let's make sure that first impression is very, very important. This is that first end block of the practice and patient experience. It's going to make it radically different for you and your practice. Then on the other side, is it's going to be during the visit? We need to make sure that we're still well oiled because if our front and end of those bookends are good, but the middle is ick.   They're going to actually remember that more than they remember these polished pieces. So the middle doesn't have to be like perfect perfection every time. what? Dentistry runs long. But as often as we can, let's be on time to our patients. Let's make sure that we have really clean handoffs. Let's make sure that when we are presenting our exams doctors that we use that NDTR. What's the next visit? What's the date? What's the time to return and make sure our re-care cleanings are scheduled. Make sure that the patient has that every time. Look me in the eyes. Involve me in that experience of patient, doctor, clinician. We're here.   All right, Kiera, we wanna see you back in two weeks for that crown on the upper right. We're gonna take great care of you. I need about an hour and a half for that. And we'll make sure that sister Susie over here gets you scheduled for your cleaning. What questions do you have for me? I'm really excited to work with you. Great, they know. And I will tell you if doctors will take the little bit of time to be super concise and clear on next steps, next visit, that's what people are remembering. So again, remember, yes, you've got the bookends of the appointment.   but also within the appointment in the chair, they're remembering how you seat them and how you end. Doctors, the essay heard the exam, but they're remembering your anchoring point of your end point. So nail that end point. Clinical team members, remember the end point. I used to try to like make jokes at the beginning and then have a good time at the end because I knew that that's what they were going to remember. Even if the procedure was hard, I still made sure that they had a great experience at the end. And if it was a hard procedure, I'm like, gosh, you did such a good job. I'm really, really proud of you. You did it.   you're gonna have the best results after this, whatever it is, but just make sure that they're clear, especially on exams. There is nothing worse than confusion. Confusion is the enemy of execution. So be crystal clear on where we're headed. And then after that, what we're gonna do is we're gonna let them know like, here's the next visit, here's what's gonna happen, we're gonna move them through it. This way your patients are so crystal clear on what's going on. And then at the end,   We have an amazing experience. So front office team, you're back on the, you're the shining stars. You welcome them in, you talk to them on the phone, and then you're the last impression. So making sure your people who are sitting in those seats recognize their role and their value in this whole experience. So on this, it's a perfect, let's get you scheduled. I make this really easy for them. Beautiful. What questions do you have for me? We say the same thing from what they said in the clinical team to the front office team. Front office has really good notes. So the clinical team just picks it right up.   And we have this in here of a very, very, very good experience at the end. Then if they had a great experience, I asked them for a review and say, Hey, I'd love you to share your experience with us. I can't wait to see you next time. Gosh, you're seriously one of my favorite patients. And I'm so grateful you're a part of our practice. That's not that hard, but what's that patient? You remember, gosh, they loved me when I came in, they loved me when I went out. And what it is, is it's not all these little pieces. It's the experience of how they felt just like me. I didn't tell you all the nuances of Ruth's Chris   I didn't tell you that my steak was amazing. I didn't tell you I had sweet potatoes. None of that. What I did tell you is how I felt at both. And guess what? I could have told you any experience, but I told you what's crazy is even at the spa, the football game was at the end. I didn't even tell you about my massage. I told you about the little thing that stood out to me. And remember, bad things actually could be what your patient's experiencing, even though you think you've got good pieces. If I've got an amazing welcoming, but I've got a jerk of a team member who's rude,   they're gonna remember that, cause that's gonna stand out way shinier than this one. And sometimes my doctor can be amazing, but your front office cannot be the same experience and it feels disjointed. And so you gotta make sure that you're, you have a team that's very similar and that we talk about what is our experience? How do I patients to feel? What are our core values? This is culture, but it's patient experience too. And if we get a whole team rallied around this, you're going to be able to have massive raving fans, but it's done with ease. So doing simple little things. So what I would say is when we have this of,   Let's go through number one, what is our patient experience? How do we want patients to feel? Look at our reviews and see what are they already saying and is that what we want? And if not, let's change it. Then let's make sure our phone calls, our website and our first impression when they come into the practice is dialed in and exactly what we want. Let's make sure are in the middle, pretty dang good. Doctors, you're ending with great exams. Clinical team members were ending with a great experience at the end of the exam. And then we take them up to front office and front office, we shine, we dazzle and we are so grateful to have these patients.   Now, if you're listening as a front office team member, you're like, I absolutely don't want to do that. It might be a wrong seat for you. I'm just going to say that front office team members are on stage. Just like I don't want to put a Disneyland, like someone who absolutely hates greeting guests and like putting them through the ticket counter. If they're like, I hate this job. They're, they're not the person. Cause that patient's going to feel that that guest is going to feel like, ⁓ checking into a hotel. I've got the person who's like, gosh, here you are. This is just a job and you're driving me nuts versus the person like, we are so happy you're here.   Make sure I've got right people in right seats for this experience. And that's critical. They could be the right team member, just the wrong seat. So let's make sure if you're listening to this, that you love this. I truly do. And I know Tiff does, and I know Kristy does, and I know Dana does, Britt actually, she's not the front desk. She doesn't like that guys. So she's not always on the podcast. And if Britt was listening, she'd be like, that's correct. I prefer back scenes. She likes to be there. Shelbi, you've never heard Shelbi on the podcast, cause she's like hard past no Kiera, that's not who I am.   but I've got all my consultants who would be like, yeah, Trish put her on. She'd love it. She'd say to the friend, she'd make everybody her best friend, Monica, Pam. They'd love it. So make sure you've got right people, right seat, and then make sure you really commit to having this incredible patient experience and you can check it. Let's do a monthly review, like do an audit of what are the top things the reviews are saying, have Chat GPT help you. There's easy ways to make sure that what we want of our patient experience is what patients are saying. And if not commit to change, it's how patients feel that they're going to remember more than it's what you say.   And if we can help you guys reach Hello@TheDentalATeam.com. These are the small annoying like cobwebs that make the big difference for patients that we are obsessed about helping you with. So reach out, running a successful practice does not have to be hard and it can be very easy for you. So reach Hello@TheDentalATeam.com. And as always, thanks for listening and I'll catch you next time on the Dental A Team Podcast.  

This episode is all about the (sometimes surprising) benefits of comprehensive financing! Kristy breaks down why putting together a FULL plan for health will help patients and your practice in the long run. 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. Thank you so much for being here. I want you to know that the Dental A Team, we truly, truly love what we do. And I wanna start this out by just thanking all of you for allowing us to be here. I know we're with you in your car or while you're getting ready in the morning or while you're falling asleep at night, I don't know, maybe in your team meeting, but we're here with you somewhere or I wouldn't be able to say this and we value and appreciate that, the consulting team specifically.   We love what we do, we love helping clients, we love helping people, we love helping practices and practice owners build a business that works for them and not them always working for the business. So I'm just super excited to be here today. I wanted to just shout out you guys, massive thank you for the support that you give us, that you continue to bring to us and just know we're here. Dental A Team is here for all of your needs and just reach out, Hello@TheDentalATeam.com anytime you need us. And I have with me today,   Kristy, Miss Kristy, I adore you. Thank you so much for being here. I said on a different podcast we recorded that we have a slew of time together today and I'm just, I love it. It is the best way to end a call week. So thank you, Kristy, for being here with me today. How are you? And I'm excited because I think you're really excited about this topic. So how are you doing, Kristy?   The Dental A Team (01:17) Yeah,   I'm doing well. I'm grateful to have time with you. We don't always get time during the week, so I'm getting some extra Tiff time and it feels good to end the week this way.   The Dental A Team (01:30) I agree. I agree. I committed recently, just so everyone knows, to being more intentional about my one-on-one time with the consultants. it really made me not just podcasting, but like actual one-on-one time. But it made me think yesterday while I was going through the schedule, kind of figuring it out, it made me think of doctors too and practices. And this is not in alignment with our, get to it, we'll get to profit in a second, but it is kind of in alignment with profit because   We tend to forget, we just get in the machine of doing and in the machine of business and we forget that there's people and that you're not the only one who's busy or stressed or what have you and that the team is counting on you, the team needs you. So my leads and my doctors, it's just like a friendly nudge, a friendly reminder that if you're feeling stressed, you probably need to open up some time in your schedule to insert some team time. And while we push our clients to do one-on-ones, I do one-on-ones every month.   with our consultants, but sometimes you just need one-on-one time that's not a one-on-one. You know what I mean? You just need connection. And that's what I call it, is I call it our connection time. So we have our one-on-ones, and then we have our connection time. And I think in office, it's a little bit easier, because you guys are side-by-side and you're talking, but still, to just have that 10, 15 minutes, it's like, hey girl, tell me how your life is. What's new? What's going on? And really connect with people.   It's my strong nudge to remind you guys to give the kudos, give the connection, and make time for the people who are there doing this with you. So, Kristy, thank you. Thank you for bringing that up. And I am thoroughly enjoying this because I've had so much Kristy time and I get time tomorrow morning. So I am really enjoying this week and it really lights my life up. So thank you. Now.   The Dental A Team (03:17) You're welcome.   I was going to tell you, I love that you say that and I truly do believe this does tie to profits. And I know in practice we're super, super busy. I like to call it, go break bread with your people. Like be intentional with the time, even if you have to combine it, go break bread, take them out, get the work done on reviewing what you need to review, but then connect as people. And I do think that that reaps rewards in your profits because   The Dental A Team (03:24) I agree.   The Dental A Team (03:47) The teams that do this are more connected and they jive together. So I do think it ties together.   The Dental A Team (03:53) I agree, thank you, I agree.   Now tell me, Kristy, we've got quick tips to increase profit, and honestly, this is a quick tip to increase profit. We'll get you a couple more, but Kristy, tell me, because I agree, I think the connection does, but what about the connection do you think it is that does help the profit? It does help people really be on the same page and same team? What is that doing for the bottom line from a numbers standpoint? Because we can see it from an emotional standpoint and the relationship, but from a numbers standpoint, what do you see?   in those practices that do go break bread together.   The Dental A Team (04:26) Yeah, I love that you say that because it's connecting as humans and also like letting us see each other in different ways. It again, we talk about this so much. We look through loops, the providers do looking for problems. So really good at being nitpicky and finding problems. And you know, maybe you have the teammate that was late three times this week. And when you actually sit down and find out   my gosh, their grandma's going through cancer and you didn't know. It just sheds things in a different light and it lets us serve each other versus when we're in that critical mindset, we pull apart. So it really does connect us together. And when we're connected together, even the person that's going through the trauma or turmoil, they feel safe in the environment and protected and lifted up by their team. So they can leave it at the door.   I know we talk about that all the time and as humans, it's almost a false thing to say, because when you're in turmoil, it just doesn't stop. But when you know people understand, it can be your freeing space for just a few minutes or a few hours while you're at work. So it creates a different understanding and it allows you to connect as a team.   The Dental A Team (05:42) Yeah, and thank you. I agree. And that in itself, I think allows you all to be on the same ⁓ wavelength, like the same page we're connected where we're able, well, we're able to ask better questions and we're more comfortable, we're more vulnerable, and we're able to say when we need help. And I think that's massive because when we can be vulnerable with each other and say, hey, I'm not, I don't know what this means. I don't know how to credential a doctor.   tell me what do you suggest? Where can I learn it? Or we're just able to speak to problems that we're having or areas we need help in. Makes it easier to ensure that we are hitting those goals, because otherwise we're kind of faking it till we make it, thinking I'm the only one with an issue and I'm the only one who's stressed out and I'm the only one sitting in this space. But when you do have that alignment and connection, it's much easier for a team to be vulnerable with each other.   And then we actually can push KPIs and we can push goals and we can create profit because we're in alignment.   The Dental A Team (06:46) Yeah, you know what's funny? I went through a HR course one time and I remember them saying the biggest thing that's going to determine a new employee staying is how well they feel received. And I like to say truly, like, that goes for all your team members. And sometimes when we get in the rut of our day to day and we see the same faces every day, we forget to take care of each other. And so taking   Like I said, it doesn't have to be fancy, but get out of your space and reconnect as a human. It's gonna reap rewards on how they serve your patients too. They're gonna show up differently for each other and patients.   The Dental A Team (07:23) Yeah. Yeah.   ⁓ that's a massive one. Yeah, you're right. You're right. I love it. Thank you, Kristy That was that was fun. I know that wasn't ⁓ what you had in mind yet, but I it. I liked it. So everyone, there's one quick tip. ⁓ I think it's quick. think it's it's easy, but it's intentional. So you have to be very intentional about your schedule and how you're going to accomplish it. So set your goal. Do the thing. Now, Kristy, I am really intrigued and excited to hear your   Quick tip on, what do we call it? Increasing profit is what we're calling this one. So your quick tip on increasing profit. What is your, what is it? I'm so excited. You guys, she just like lit up when I told her. She's like, I've got an idea. And I'm just as shocked as you all are to hear it here. We're all hearing it the first time together. Let's go, let's hear it.   The Dental A Team (08:15) You think I'm going to say AR and I'm not.   The Dental A Team (08:18) I did!   The Dental A Team (08:21) Actually, it is part of it and we'll get to it. But the one that I'm thinking about right now is get to comprehensive financing. Everybody wants to just phase out phase one and you guys are tripping over dollars to make two. Like find a solution that gets people healthy. Then you can always back up to phase one if we can't find a solution. But so many times we dive into just the first phase.   The Dental A Team (08:29) Mm.   The Dental A Team (08:48) and we tap people out and then it's not till next year. So just try something different and get permission to share all you see clinically so your TC's can present comprehensive finances.   The Dental A Team (09:05) my gosh, you did. You came in swinging with that one. Okay, thank you. That is brilliant and I love that. And it is a quick tip. Now explain, define, make definitions here. So what would comprehensive financing by that, what do you mean?   The Dental A Team (09:19) What I mean is out of everything the doctor talked about, the total cost to get you healthy is, right? Presenting and finding a solution so they have a plan to get healthy. We're always gonna let the patient be in the driver's seat so we can do it in their timeframe or however their budget allows. But for the most part, give them a plan to be healthy, especially if that's what their goal is versus I don't wanna shock them. Literally the other day I had   a doc on and I was like, okay, so what you're telling me is if I come into you as a new patient and you're my doctor and you think I have cancer, you're not going to tell me that you're going to like just plant a little seed and then you're going to it come back and you're going to spring it on me. get permission. Well, number one, get in relationship with your patient and find out what their goals are and then get permission to share. And then also tell them we're going to   The Dental A Team (10:01) haha   The Dental A Team (10:15) we're gonna do this, they get to decide how fast or how slow we go. And so with that, then it can guide you because so many times I was telling, I remember back when I very first started, there was a doctor and he'd treatment plan crowns in all quadrants. And of course it was an elderly lady that had a budget, lived on a fixed budget. And I thought I was doing great, because I was just gonna get the first tooth done that was broken and obvious.   And one month later she called and was like, all I was doing was eating bread and that tooth broke. And I was like, so truly had I presented a solution that fit in her budget and she could get them all done at the same time, it would have been better for her and the practice. So I'm just challenging you to start with everything and then you can always go backward and you will capture more.   The Dental A Team (10:48) no.   The Dental A Team (11:12) doing that.   The Dental A Team (11:14) I love that idea. how does, thank you for the definition, how does that improve the profit point for them?   The Dental A Team (11:22) Yeah, you're doing more treatment on one person. It doesn't take as many patients and ⁓ I can schedule it all right now. And in fact, know, the same doctor that I was talking about, and I say this when I'm coaching my clients, I wish I was a brilliant person that thought about it, and I didn't even think about it at the time. It was years later when I learned better, but that doctor used to do wisdom teeth and practice.   And so I'd sit there and we'd diagnose people with fillings all over their mouth and he'd say, ⁓ you don't want to be numb on both sides. It's so uncomfortable. We'll do this side, then that side. And the next patient would come and they'd need wisdom teeth and he'd go, ⁓ you want them to do them all at the same time. You don't want to go through that again. Just we'll up everything. And I'm like, wait a minute. It was good for this person, but not that. How about we just let them decide? Do you want to do more, right? Versus, or do you want to do less and come more often?   The Dental A Team (12:13) Yeah.   The Dental A Team (12:19) So again, it doesn't take as many people and it slows down your day if we're doing getting people healthy.   The Dental A Team (12:19) Yeah.   Yeah, I love that because it's building better blocks in your schedule. It's utilizing your time. Your dollar per hour is going to increase and you're not as busy. You're not running around from patient to patient and room to room quite as much because you've got bigger cases that you're working on at a time. Yeah.   The Dental A Team (12:49) You got it. And naturally,   your overhead goes down. I used one instead of five bibs. I used one saliva ejector instead, you know.   The Dental A Team (12:53) Yeah.   Mm   hmm. Yeah. Yeah. And time in the chair, marketing dollars spent. Yeah. And you're targeting a different demographic of patient avatar, because you're targeting a patient avatar that wants to get healthy and can figure out the finances with you rather than just new patients who might need things diagnosed. I love that. Well, you you shocked me. You did it. I love that. So   The Dental A Team (13:03) Yeah.   You got it.   Yeah.   The Dental A Team (13:26) And I think actually those really tie in together now that I was going to repeat them and really in order to comprehensively diagnose and finance, right, to get the dollars for that, the team has to be in alignment. Like those things just don't, they don't happen for teams that aren't on board with your dental philosophies. And in order to be on board with your dental philosophies, you got to be connected as humans.   or they do start, I'm hands down telling you the truth from experience. If you lose the connection, they start to doubt you and what they're doing and what you're doing. They start really looking with a fine tooth comb at the things and it's just not worth it. So the connection piece, I do believe, like you said, it helps the profit points in multiple ways. And I think that's how to spearhead the comprehensive diagnosis and financing.   The Dental A Team (14:00) you   The Dental A Team (14:23) Also because then I can see a hygiene department who's on board with getting people healthy, co-diagnosing more comprehensively and pushing doctors to remember to diagnose comprehensively, which also will help on all areas, obviously.   The Dental A Team (14:38) Absolutely. I love that you say that. And I always use the saying Tiff, ⁓ happy team creates happy patients. You know, it happens by default. If you have a happy team, they serve the patients well and the money follows.   The Dental A Team (14:53) Yeah.   Yeah, absolutely. I totally agree with you. think everything that we do in life, if we can come at it with the right mindset and the right energy, we're pouring out the right, if we're pouring out the energy we want to receive, we can only see that energy. And so we only receive that energy. And even when people come across with a different energy, we're like, ⁓ dang, but it doesn't hit, it doesn't penetrate. It doesn't shake our whole days. And I remember so many times having team members that are like,   this Tiff, this patient said this, this and this that ruined my whole day. And I'm like, well, why the, why are you giving them that power? Like, what do you mean? It's 11 a.m. Like we got, we got six more hours together, lady. Like, what are we doing here? So when you have that connection and I have had, know, when I was in office, I was office manager, I did all the things wrong and I did some things right. And I learned and I, and I failed and I stumbled and I got back up and   I know one of the hardest pieces of culture was towing that line of being the supportive, you can come vent, friend, manager, and being the accountability space of like, we're gonna find solutions and just building the culture and the energy. it's not easy, it's hard and it takes work and it really takes, think everyone, you said it earlier, just really being in alignment.   with where we're headed and being connected on a relationship level that isn't just, it's personal and we've got this tangible relationship in between us, but it's also here because of those goals, because of what we're after, because of what we're doing, if that makes sense, rather than it just being the friendship. Yeah.   The Dental A Team (16:45) Yes, 100 %   I agree with you.   The Dental A Team (16:49) ⁓ I love that. So comprehensive diagnosis in general, I think helps profit points and then allowing your team the space and the ways to finance. What have you seen, Kristy, in your ⁓ experience, the best ways to do that? you said, within a budget, what are they doing? How are they doing this?   The Dental A Team (17:12) Yeah, well, again, I think it's getting in relationship with the patient and finding out what they really want, what's bringing them in. I mean, we talk about you got to, I say patients buy what they want, not necessarily what they need, right? And in dentistry, again, I'm there with you, we do things backward. We all want to say they're buying implants. No, no, no, they're buying what the implant gives them. They're not buying implants, but we want to   focus on, look at this, you know? And so we have to get to their level and figure out what is it gonna give them and tie everything back to that. And when you achieve that and you can show them how to get what they want, you're gonna win, you're gonna win. And then it's just about making it fit in their budget. So.   The Dental A Team (17:43) Yeah.   Yeah, to the patient drivers. Yeah. Yeah,   I remember I had ⁓ one of the first all on four cases that my doctor I worked for ever did. He, it was in the TC room and I remember hearing the treatment coordinator being like, what about that? Like, what do you miss eating? And the guy was like, I want a steak. I haven't had a steak in so long.   because he just had regular dentures. He's like, I want to chew a steak. And I remember, he wasn't buying an all-in-four denture. He was buying the steak. He was buying the lifestyle that he wanted to live. And I remember him coming back later and being like, I ate so much steak. He was just so happy. And the issues or the... ⁓   Like the rubbing, know, there's just so many, there's so many tweaks all in fours. They come with so many headaches, that's okay. He was like, I'm fine with it. I can still, I can eat my steak. Like let's fix it, let's keep going. But you're right. And anything we do in life in general, Brody used to say to me, we go to the store. He still does this, he's 17. But he's like, is it a want or a need? Mom, is it a want or a need? Yeah, my little four year old in the cart. I'm like, bro, we're here for me. So you don't need to ask me those questions.   But is it a want or a need? And I'd be like, well, it's a want that serves a need. And so we're buying, I'm buying it, right? But those are the spaces that we think people are buying for need, right? And that it's like, I'm buying an implant because I'm missing a tooth, but we're buying an implant because I want to be able to eat. We don't buy things just for need, we buy things typically.   I'll buy the expensive toilet paper because I want an expensive toilet paper lifestyle. I need the toilet paper, right? Like you're gonna, everything you do in life is based off of a want. So I love that you said that, Kristy, thank you. And you did, you came in with a shocker. I was so excited and my gosh, you nailed it. It was a home run. So I love it. I think we gave two quick tips on how to increase profit. I think they're very easily implemented. Again, easy versus intentional.   The Dental A Team (19:52) Yeah.   The Dental A Team (20:15) Be intentional and Kristy, thank you so much. I can go all day on action items, but if you had to serve them with two action items today, what would you tell them to do?   The Dental A Team (20:27) Ooh, boy, get in relationship with your team and see them as humans first and foremost, and then choose to get out of your comfort zone and share with your patients everything. Get permission to share everything and ease them and tell them you're gonna be here for the journey and we're gonna do it in their timeframe. Let them choose, don't choose for   The Dental A Team (20:49) nailed it. Yep, I love it. Thank you. Awesome. All right, listeners, I hope you loved this one as much as I loved this one. I had fun. Kristy, thank you for taking us down that journey. It was beautifully expansive. And if you guys can even just take a little glimpse into what it's like working with Kristy, today was your day. And Kristy, your phenomenal consultant, all of your years of experience and intuitiveness, if I might say.   Really provide you with some stellar services to give to our clients and the the Dental A Team listeners So thank you for being here Kristy and thank you for your knowledge everyone listening Drop her a five-star freaking review you guys. This is Kristy nailed it today and I want to see those five stars So drop us a five star below. Let us know that you enjoyed this topic Let us know what you're implementing right away and as always you can reach out to us at Hello@TheDentalATeam.com and   at TheDentalATeam.com website. You can sign up for a quick little consult with us, you guys. Our team is phenomenal. We're really great at keying in on some easy, implementable things that you can do right away, whether you start working with us or not. We will always give you some tools. go reach out and we cannot wait to hear from you all. Thanks.  

Kiera is joined by Alexis Gallati, founder and lead tax strategist at Cerebral Tax Advisors, to talk about tax strategy not just for 2025 success, but 2026 and beyond. They discuss asking your CPA the right questions, shifting income from your higher tax bracket down, the Augusta rule, 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. This is Kiera and today I am super jazzed. I have an incredible guest joining us on the podcast today ⁓ to talk about last minute tax strategies before April 15th. Like why not? I mean, hey, maybe you were like, you're not the early bird. You were like, shoot, I forgot. Like what things can I do? And so I'm super excited. Alexis Gallati, she reached out to us. ⁓ She is founder and lead tax strategist at Cerebral Tax Advisors.   Ansari Real Wealth Academy. And I was so excited about this topic because I know you guys know I love to geek out about this and I have it on my vision board of tax expert ahead. Like I hate taxes. I love taxes. I believe that taxes are such a beautiful way for us to pay to be in this incredible country. But you better believe I don't want to pay a penny more than I need to. So really figuring that out just a little bit about her is she is got a dual master's degree in business administration and taxation, which is super rad because   Let's be real, she gets the business side of it. She gets the taxation and we were chatting before and she was like, what people make like their top line revenue versus their take home pay are two different things. And I was like, amen sister, preach on. She's enrolled agent, NTPI fellow and certified tax strategist. She also is the author of advanced tax planning for medical professionals. She specializes in high level strategic tax planning and multi-state tax preparation for healthcare professionals and business owners. She's raised in a family of physicians and married to one.   She empathizes with the financial challenges medical professionals face. This personal connection inspired her to create accessible, unbiased tax solutions tailored to their busy lives. Driven by passion and guided by cerebral thinking, Alexis forms Cerebral to help professionals keep more of their hard earned money. Amen sister. That's what we want. That's why you're here. Their approach breaks the mold of traditional financial advice, offering a unique perspective for medical professionals and business owners. So while yes, she's not 1000 % dental guys were in the healthcare world and she's so brilliant. So Alexis, welcome to the show today. How are you?   Alexis Gallati (01:54) Thank you so much for having me. I'm doing very well. Hope you had a wonderful holiday season.   The Dental A Team (01:58) Yes, likewise. And I was so excited when I heard that you would be a guest on our podcast. I geek out about this, Alexis, I know it's like our first day meeting, but ⁓ I just think the world of tax is such the game of monopoly. And I'm like, if you would have just told me that rule, I could have played and won the game better. But I feel like it's always as ever changing, ever evolving. And I know there were some big things that happened in 2025 that are impacting like our our taxes. And so, yeah, definitely a timely and   exciting podcast to throw out there. So Alexis, I know I gave you a very welcomed ⁓ bio and intro, but yeah, tell us a little bit about who is Alexis. You're married to a physician. You're in this world of tag. How does one become obsessive about CPA? I'm truly just curious. How do you like, how does this happen? How did you become this?   Alexis Gallati (02:49) Yeah, so I love law and I love money. And so when I was in undergrad, I took a tax and accounting class and loved more the tax side than the accounting side, I do admit. And so after meeting my husband in college and us starting to go through that full medical journey, was about a year and a half out from him.   The Dental A Team (02:54) you   Alexis Gallati (03:18) from him finishing his residency. And I really saw the writing on the wall. Even at that time, with him being in residency, about four months of his salary was going towards taxes. And I was like, that's not right. That's not right. With   The Dental A Team (03:36) No.   Alexis Gallati (03:38) hard he works and how hard   medical community works in general. ⁓ my gosh, that's not right. So that's when I really dedicated myself to   finding out, why do the Warren Buffets and the Bill Gates of the world have this really low to sometimes non-existent tax bracket? And I really dove into that tax planning. ⁓ And so, you know, what's very unique about, ⁓ you know, the way that I work and my business is that my husband and I are in the same exact position as majority of our clients. And so, yes, I'm looking for   strategies for my clients, but I'm also looking for those strategies for myself.   The Dental A Team (04:19) You're like, hey,   it's me. I'm going to help myself out. I'm very motivated to do this.   Alexis Gallati (04:25) Very motivated. And I love it. I love it. It's like you said, it's ⁓ Congress keeps us on our toes, changing the laws consistently year after year. ⁓ it's like a puzzle. Like, hey, how can I just keep more of what I'm earning?   The Dental A Team (04:43) Yeah, and I, this is what I get obsessed about. what I learned, gosh, it's like, I was so naive when I started the company. was like, marketing is marketing. I just need to hire a marketer they can do everything. And then I was like, oh, there's a content marketer. There's a copywriter marketer. There's a strategist. There's a growth marketer. There's like an AEO marketer now. There's an SEO. Like you guys, this thing is like a web. They're a content marketer. And then I started realizing it's similar to CPAs and financial planners that like,   I thought you hire a CPA, Alexis. Like I'm so naive to business. I'm shocked that I've made it this far. Like truly I'm proud of like the journey we've been on, but like not all CPAs are created equal. And then I realized like CPAs play by different rules. Like it's the same rule, but there's shades of gray. They're how comfortable are you with this and how uncomfortable are you with it? Like there's one CPA that told me like, here, you can totally go skiing in Tahoe. Just like put your logo on your skis and you can totally ride it off and like put your logo on your boat and you can ride it off.   And then there's like the Alexis of the world was like, oh, hard pass. No, you're going to like totally get flagged. But I'm like, what rule is right? And so I realized that there are, like you said, tax strategy and for higher wealth earners. I do believe that there's a game, like you said, how did the Warren Buffett's, how did the Bill Gates, like they're not paying this. And then you get into the real estate game and you get into all these other things. You're like, how can we do this? And so Alexis, I'm just jazz. This is me being nerdy. And I'm going to ask you a bajillion questions and I can't wait.   to learn. So let's kind of talk about most of your clients, what's the size of take home net pay that they do. So that way we know like what brackets were in. So that way right clients come to you. I also learned not all financial advisors take all people. I was like, I make 30 grand. They're like, great. So we're going to help you out just a little bit. And then like, when you get to this level, we'll chat with you. ⁓ tell us kind of that. And then let's dig into how do we keep more money, Alexis, legally.   Alexis Gallati (06:10) I love it.   The Dental A Team (06:39) I'm here for legal advice. I'm willing to go gray, but not go to jail. So that's my line. So as long as we're on the same page, I think we are, I'm here for it.   Alexis Gallati (06:40) Yes.   Definitely, yeah. I am more than happy to play in the gray areas. We just have to feel comfortable defending it in an audit. And so that's our line in the sand. ⁓ But yeah.   The Dental A Team (06:55) Mm-hmm.   She's like, this is why I went to law guys. This is why I like the law side and the CPA.   I like it. I like your style. It's so unique and I just am excited. So, okay, I'm ready.   Alexis Gallati (07:07) Yeah.   Yeah. at Cerebral, we work with those that earn at minimum $400,000 per year in taxable income. So we have lots of businesses, which by the way, 99.9 % of our clients are medical professionals. I think we have like maybe two clients that have zero ties to the medical industry. And so the practices we work with, you know,   generally range from anywhere from maybe about $700,000 in gross revenue all the way up to eight figures. So we tend to not work with those that are larger practices, that usually over 50 employees. And that's just because once you get above 50 employees, yeah, it changes quite a bit. So we're definitely in there with those smaller to medium sized practices.   The Dental A Team (07:56) Tax co-changes. Yep.   Amazing. No, that's super helpful. And I know we were talking before, like the average of your clients, about 700,000 like net pay is typical where you guys are at. You have some that are higher, but that minimum of 400,000, which is great because I do think that there are thresholds. ⁓ And I did learn through going through business that who Kiera needed as a tax support and advisor when I was in that 30,000 range compare and as a business owner, I thought it was so funny.   Gosh, taxes, like they hurt so bad sometimes. Like, whoa, easy come, easy go. Like I've never, I've always been a W-2. So that was such a fascinating world for me. But yeah, let's dig into some of the things you've seen for the medical world. Cause I know I have friends that were physicians and they're really big on real estate. And like I took the real estate Kool-Aid and I'm just like, is this really real? There's gotta be easier ways than doing this. And so I'm just jazzed to kind of go through what are some of the things we can do now before April 15th.   What are things that we can do even past April 15th to set us up for great success for 2026? So Alexis, this is your show. I'm just excited, kind of riffed us through it. Of course, I'm gonna geek out and ask probably about way more questions than you care to even be asked, but I'm really excited to learn more today.   Alexis Gallati (09:20) Yeah, great. Well, yeah, I hate to be a little bit of a Debbie Downer in the beginning and that when your past December 31st, ⁓ the number of tax strategies that are available to you are before you actually go to file your tax return are limited. It's just the nature of the code.   The Dental A Team (09:37) I agree. was super, when you were   like, what are the tech? I was like, I want to know because most of the times like when the clock strikes midnight on December 31st, it's like game over and we start again. But yes, which is why I want to know what are like the small ones, but then also Alexis like, let's set our listeners up for like, what things can they do this year to be better prepared for it in conjunction? So yes, before April 15th, but selfishly I want to know what else can I do this year that maybe I haven't thought of.   Alexis Gallati (09:52) Yeah.   you   The Dental A Team (10:06) because the clock hasn't struck midnight in 2026. So like we've got time. So yeah, for 2025 filing, but also for 2026 as well.   Alexis Gallati (10:09) Yeah.   Yeah, so let's talk about 2025 filing first. Especially if you're a business owner, there are actually a number of things that you could still put together for yourself that can impact your 2025 financials. ⁓ So even basic things like if you haven't been taking advantage of your home office deduction or ⁓ vehicle expenses ⁓ and unreimbursed business expenses. So those are expenses that you paid   personally, but our business expenses. So all of those items, you can still go and report on your 2025 return. So if you haven't taken the time to sit down and say, how much should I pay in my home utilities or insurance, repairs, et cetera, and take the percentage. So let's say your home office is 7%.   of your total square footage of your home. Well, then you can write off 7 % of your home expenses on your taxes. the treatment's a little bit different depending upon if you're a sole proprietorship or an S corporation. But in general, you still have that time to take advantage of that. And a lot of you might be like, oh, Alexis, it's such a little amount. I don't even know if it's worth it. Believe me.   All these little things can really add up together. And easily, I usually see between $10,000 to $20,000 of really ⁓ easy to grab savings for yourself if you just take even a few hours to gather all the information. ⁓ And you can even use ⁓ personal financial apps like Monarch Money or You Need a Budget, things like that to help.   organize that information for you throughout the year so it's a little more automated.   The Dental A Team (12:10) Yeah, that's amazing. I do love the YNAB. You're throwing me back to like pharmacy school days of you need a budget. I was like, oh my gosh, got to answer this every time. They have updated so much, but I love that you said like 10 to 20 grand, I think is worthwhile, but more than it being pennies or dollars, I think it's the discipline of having it prepared for next year too. So that way we don't, I think it's like, well, it might not be enough this year, but I'm like, you take that this year and we compound over the next year and the next year and the next year. I think these little things to me at least,   Alexis Gallati (12:15) Ha ha ha.   The Dental A Team (12:41) Like I said, it's their game of monopoly. And I'm like, okay, maybe I didn't get it that time, but I'm going to take that rule and I'm going to apply it this year and the next year and the next year. So I'm even taking notes over here, guys. So Alexis, if you see me, I'm writing it like, okay, I'm going to check in on that, check in on that. So make sure, make sure that they're being taken into consideration because I don't prep my own taxes. I don't even know half the stuff. Like they just tell me. So I also think being a good steward as well and always double checking your CPA to make sure like, are we maximizing every deduction we can?   Alexis Gallati (12:53) Good, I like it.   Of course.   Yeah. And being proactive is like you said, the number one thing because the IRS can deny deduction if you don't have that itemized receipt or you don't have the proper documentation. And 99 % of any fight with the IRS is that documentation. And I did a three year fellowship in IRS representation. So I'm obviously very focused on that tax savings, but also very focused on making sure   that everything's set up properly. So if the IRS were to challenge it or even the state, you're in good hands. then that way, you can just give them the stuff and say, go away.   The Dental A Team (13:51) Exactly. And I heard somebody once tell me, they're like, Kiera, it's not a matter of if I'll be audited, it's when. Like every business will most likely be audited at some point. I hope and pray like we're not. I think about that a lot of like cross my T's, dot my I's, make sure that I'm constantly trying to be compliant with things. But your wealth of knowledge on that Alexis of what things and how to become, I mean, shoot three years of IRS. Girl, you got my vote. That's impressive. And like love the love the authority piece that you're bringing to our podcast today.   Alexis Gallati (14:20) Thank you. Thank you. So some other things that you're able to do before you file that tax return, and this is a big one, is retirement. So you actually have until the filing of a tax return, and that includes extensions. So for example, if you're an S corporation or a partnership, have the original due date, which is March 15th, or the extended due date, which is September 15th, to go and   open and fund that retirement plan. So if you have employees, it can get obviously a little bit more complicated, but you still are able to do it and ⁓ do that employer contribution. And that's obviously really one of the lower hanging fruits when it comes to not only tax savings, but also wealth generation.   The Dental A Team (15:12) Yeah, no, I love that. That's a great idea. And I think a lot of people miss that. And again, CPAs, tax strategists, wealth advisors, they're all playing in their own lanes, but how can we make sure all of them are maximizing together? Because you as a human are trying to build that wealth. So I love that.   Alexis Gallati (15:30) Yeah. And don't forget as well, you know, kind of in the same vein as retirement is that health savings account. So if you had a high deductible plan throughout the year, but maybe your employer didn't actually provide a ⁓ health savings account, like so if you're a W-2, for example, or even if you're self-employed, you can still go open up your   own Health Savings account through, I think Fidelity has some, ⁓ Optum Bank, HSA Bank. So there's a whole bunch of different providers out there. can just Google and find the provider that works best for you.   The Dental A Team (16:07) Interesting. And I know like I just wrote that down because a lot of dentists don't have HSA. Like we are the providers for it. But hearing that that might even be a resource to attract people into your business if you were able to like, don't necessarily provide it, but these are some companies that we could help our employees get if they wanted to have an HSA because I know that that's something that my husband works at a hospital. So there's an HSA there, but as sole proprietors and S-Corps, a lot of times they aren't provided. That's actually really like, I think just a great tool and resource to   possibly provide to our employees, depending upon what it looks like for your business.   Alexis Gallati (16:40) Yeah, definitely. And then one other thing that you ⁓ may be able to do, depending upon your state, ⁓ to help with state taxes, is go and contribute to a 529 plan, which is for education for yourself or other dependent. And some states like Georgia, Indiana, Michigan, South Carolina, there's a number of them. They allow you to make that contribution all the way up to the   filing of the tax return.   The Dental A Team (17:13) Interesting. I did not know that I wrote that down. That's fascinating. I love this. This is like so fun. Keep going.   Alexis Gallati (17:20) Yeah. Yeah. So that, you know, is, a good, especially for, you know, higher earners. ⁓ that's kind of a good summary of what you can be doing before this, ⁓ April 15th or even the extended due date as well. ⁓ but when you start looking into 2026, who, that book, that book opens up, there is.   The Dental A Team (17:39) It does, right? It's like the   monopoly Bible. Like it's so big. Like how do I play the game of taxes? So I truly, and I think like for all the listeners, like the home office, the HSA, ⁓ retirement, the 529 plan, like there's still time. So go look at those things. And even if you can't contribute or do those things now, having that set up for next year, like, Alexis, truly, I'm like, I'm getting the popcorn. I'm getting my notepad. Like,   I am so excited because half these things I haven't heard of. And so it's very fun to just hear different perspectives. And I do love that you've got a legal background too. I love that you're in IRS. I love that you're in medicine and healthcare and like for your own personal savings too. It's like you're the Nancy Drew of like, how can I do the most amount through all of this? It's a very fascinating perspective you bring today.   Alexis Gallati (18:27) thank you. I appreciate that. yeah, when obviously when you are a W-2 employee still that your options are not as open for those that have a business. But ⁓ besides obviously retirement HSA that you can do all year, one thing that a lot of W-2 employees forget is to actually check with your employer to see what their reimbursement policy looks like.   The Dental A Team (18:29) course.   Alexis Gallati (18:55) because if you're maybe in a private practice with a large group, and I mean, these could even be groups that have sometimes hundreds of physicians in it, or even if it's just a hospital system, they'll have actually pretty generous reimbursement policies for things like your CME, your new loops, or going and   doing your mileage in between different hospitals or clinics, things like that. So making sure that you are keeping track of those things. Obviously, if you're a business owner, you definitely want to keep track of those. But some of my favorite for those that own their own practices, my absolute favorite is hiring your kids.   The Dental A Team (19:36) Of course, yeah.   Alexis Gallati (19:48) It seems so basic, but believe me, there are definitely steps in place that have to be done in order to make sure they ⁓ qualify. for me, the ⁓ court tested age is seven. So I usually don't recommend my clients going and hiring their kids until they're at least that age. You can do it younger, but the old my kids are models strategy is kind of ⁓ antiquated now just because ⁓   everybody has these great cameras now on their phones. And so it's kind of devalued, being a model ⁓ for those that aren't professionals basically. ⁓ But that's a really great way to shift income from your higher tax bracket down to their non-existent tax bracket.   The Dental A Team (20:21) Totally.   Right?   Alexis Gallati (20:40) and you can then put that money into a Roth IRA for them. And if you do that, let's say over like a 10 year period in 2026, that amount is 7,500 is the max you can put in. They're easily, by the time they're age 65, gonna have at least 2 million plus dollars in savings. So it's a really great way to create a legacy for your kids and give them a little headstart.   The Dental A Team (20:48) Mm-hmm.   Yeah, that's amazing. And I think so many people are like, I don't know how to help my kids with college or different things like that. And it's like, these are great ways to prepare them for the future for when they retire for things like that. I mean, how awesome I know a couple of ⁓ doctors because   The bulk of our audience, Alexis, are not W-2 earners. They are self-employed, like dental practice owners. ⁓ But I know that there were several that didn't tell their kids that they had done this for them. And then the surprise when they graduated college of, we've been putting this into place for you. I mean, shoot, that money's going to go to the government or to your kids. Why not invest in your children? You're going to pay that money regardless. So ⁓ definitely think that that's such a brilliant idea. And I've heard people, they're like,   their real job, like they have to have a real job. They're like a paper shredder. Like they like literally shred the paper or they open the mail or they like pick out the cards or they pick out the toys for the prize boxes, like actual legit jobs that they employ them for. But I think what an amazing gift and legacy to give your kids as well.   Alexis Gallati (21:51) they   Yeah, exactly. All four of my children are, obviously cerebral isn't a dental practice, but they're hired through cerebral. So that way they are earning enough to put that money into their Roth IRA. ⁓ And a lot of ⁓ my clients are like, man, I don't know what my kids can do. And like you said, there's a lot of admin work that they can do. Even a seven-year-old can.   like you said, shred paper, stamp envelopes. They can help with doing their ABCs and filing things away if you're an older ⁓ practice owner and they have ⁓ still the paper file system. ⁓ yeah, it really is a wonderful way to not only teach responsibility, but also to save. ⁓ I highly recommend ⁓ doing that. And even if you have parents that you financially support, you could even   The Dental A Team (22:45) Yeah.   Yeah.   Alexis Gallati (23:02) go and hire your parents through your practice ⁓ and write off their support. Of course, again, they need to also have a legitimate job in the business. with parents, you have to be careful if they have any benefits like social security or Medicare. Then you just want to make sure that you're not pushing them out of those benefits because of their income ⁓ or making any part of their social security taxable. So that takes a little bit more. ⁓   finesse than hiring a child.   The Dental A Team (23:36) No, that's great. That's a really good idea too, because I hadn't thought about parents. I have heard about children, but you're right, parents are retired. And if there's ways that you can support and give back rather than like, again, I love the government. I am happy to pay taxes, but if there's ways that I can support my own family, ⁓ I think it's great because I'm going to pay that money anyway, but paying it to people that I love and care about is really a great idea.   Alexis Gallati (24:00) Yeah. Another popular one I'm sure that you've seen on TikTok or other social media is the Augusta rule. ⁓ and this is where you're renting your home to your business. ⁓ and this is perfect example where documentation is absolutely critical. ⁓ but basically what happens is you rent your home to your business for 14 days or less. Those days do not have to be consecutive and your business gets to   The Dental A Team (24:07) Mm-hmm.   Alexis Gallati (24:28) right off the cost of that rent. So obviously lowers your taxes. But then you as the individual do not have to pay tax on that rental income. Now, if you do it for 15 days and you've ruined the strategy and you have to pay tax on all 15 days. So that's really important you do 14 days or less. But this is again a really great way if you have monthly board meetings, that's 12 days right there.   Or if you have employee parties, if you have colleagues over in discussing business, though, as long as you have a rental agreement in place between yourself and your business, and you document through meeting minutes everything that occurred during that event, then that is the documentation that the IRS would need in order to substantiate that.   strategy. And obviously a reasonable rental rate as well.   The Dental A Team (25:27) Yeah, no, didn't realize,   I did not realize that you needed a rental agreement. Can you expand more on that? like we check all the Airbnb's and the VRBO's in the area to see what does our house actually go for and like keep that documented every single year and then have an actual agenda and like have it in the calendar. So it's in our Google calendar. It's got an agenda. It's got a PDF didn't attach. But how does the rental agreement work? like, yeah, how do you, I didn't realize that that was a necessary piece to it.   Alexis Gallati (25:57) Yeah, so you can even just use ChatGPT to create it. ⁓ But essentially what you do is it's just that agreement between the business and personal. So ⁓ you just want to think about it like any other rental that you would do. If you were to go to a conference room in a hotel, for example, or go rent that Airbnb, you're going to be signing some sort of agreement saying that this can happen.   that this event can happen on this date. ⁓ you can either do one agreement for the entire year, spelling out like, here are the days that we're going to be doing these things, ⁓ or you can have an agreement for each time that it happens.   The Dental A Team (26:43) Very cool. That's super helpful. Yeah, I do love the addresses for all anything people. And I mean, I've had CPAs and like, don't go crazy. Like that's where I say like check Airbnb, check VRBO like what you think your house is worth versus what market value says your house is worth. Like, let's make sure that we are accurate on that. But yeah, that's definitely an amazing one that I think is great for offices to surely do.   Alexis Gallati (26:51) Yes.   Yep. Go and get two to three comps. So then that way can just take an average. I feel like that's a very safe way to, ⁓ show reasonableness. You're not just like, Hey, I'm taking the highest one on the block. You know, it's taking a few of them.   The Dental A Team (27:21) Totally. No, definitely agree. I love that. Okay, Alexis, what other ideas? know we're, I'm like just like sitting here. I'm like, I love this writing it down. Great ideas. What are some of the ones that like, yeah, anything else that's going to save us? Um, because like taxes are taxes and we are going to pay them, but like, what else can we do to, like you said, Bill Gates or, um, like Warren Buffett, what are the things that you found for like these higher net worth earners? Like, do they need to get into real estate and like use the big, beautiful tax bill or like,   Alexis Gallati (27:23) Yeah.   Okay.   The Dental A Team (27:50) anything else that you've seen that like really moves the noodles or is like, no, just the small consistent things are really going to help them out.   Alexis Gallati (27:57) Yes, well, they all help out. ⁓ But if you are looking for more of that, hey, Alexis, what's like Hail Mary that I can be doing to act to really save? ⁓ You can look at real estate. ⁓ That could be a whole podcast by itself. ⁓ But in general, you you tend to ⁓ get into real estate when you're not talking about like reets or things I can do through the stock market.   The Dental A Team (28:14) Right.   Alexis Gallati (28:26) ⁓ You're either doing like real estate syndications, ⁓ direct ownership, like long-term rentals or short-term rentals. And ⁓ each of those are treated differently and have different ways of making that ⁓ a tax deduction for yourself. So when it comes to, in general, ⁓ real estate syndications, this is where you're   The Dental A Team (28:49) Mm-hmm.   Alexis Gallati (28:54) buying into a partnership that maybe owns an office building. And you go in with other partners and ⁓ it's syndicated. So it's very passive. There's no way for you to write off any losses in that current year. ⁓ When it comes to direct ownership, the IRS basically says, hey, that real estate is considered passive unless you have real estate professional status or you do that short-term rental   deduction or excuse me, short-term rental exclusion. And so what ⁓ happens if you can qualify for the short-term rental exclusion or real estate professional status is that those what would have been passive losses that you can't use against your current income will be considered active losses. And then you can use it against your   active income, when I say active income, things like your W-2 or your business. So you're getting a current year deduction from that. And you can do cost segregation study to help accelerate depreciation. ⁓ So this is very, very much in the nutshell sort of explanation. ⁓ But it can really be a great way to lower your taxes if   The Dental A Team (29:57) Mm-hmm.   Yeah.   Alexis Gallati (30:16) you essentially want a second job. Just know that real estate is not as passive as the social media gurus go and ⁓ try to glamorize. It really does take a lot of extra work. You want to make sure that you are following the rules properly so that you can get that tax benefit in the current year. ⁓ But if you   The Dental A Team (30:19) Yeah.   Alexis Gallati (30:41) do have that prerogative and you want to learn and get do things properly, then it can really save you quite a bit of money.   The Dental A Team (30:48) Yeah. Are there any other things, Alexis, that are like real estate that save that much but don't require that much work? I'm asking you for the weight loss drug of taxes, please. What's our easiest way with the most amount of bang for buck that you've seen? These are the big hits that if you want, because agreed, real estate's great. If you do that short-term thing, but it is a lot of work. With the big, beautiful tax bill that came through, that 100 % depreciation is pretty fantastic. But like you said,   Alexis Gallati (30:54) Yes.   Mm-hmm.   The Dental A Team (31:17) got to have it rented out, you got to have the pieces, you got to like reno it like there are and you have to have it done by the end of the year and like it's a stressful zone. ⁓ So are there other things that you've seen that might be like 50 or 100 or 200,000 off taxes that aren't necessary real estate? The Augustus one, yes. Like paying people, there's things but is there anything else you've found that are like some of those bigger chunks that maybe people don't think about they don't recognize? Yes of course they're going to take a little bit more work but...   Alexis Gallati (31:17) You gotta work for it.   The Dental A Team (31:45) that you found that could be benefits to our audience.   Alexis Gallati (31:48) OK, so let's talk about my Hail Mary for tax savings. I   love this one towards the end of the year because you're going to want to know, have a good idea of where your tax situation is going to end up. So I use this a lot for year end planning. And this is oil and gas. When you ⁓ invest in oil and gas, again, just like with real estate, there's a lot of different options.   But my favorite is our drilling funds and this is where you invest in a partnership that owns oil and gas wells and these this allows you in that first year to Essentially write off usually somewhere between 80 to 95 percent of the investment that you've put in So let's say you invest a hundred thousand dollars Then you're getting about and let's say conservatively an eighty thousand dollar deduction that can go a   against your ordinary income. So if you're W2 or your business. usually, a good rule of thumb is that, let's say, if you're putting in $100,000, you're saving $30,000 in tax. You're putting in $200,000, you're saving $60,000 in tax. And then after year one, you're earning overall, during the life of the investment, about a 2x   The Dental A Team (33:10) Bye.   Alexis Gallati (33:11) you put   100,000, you're getting about 200,000 back. And so it's considered a very conservative investment. And just because the length of the investment, and this is one of the cons of it, is that it's usually about a 10 to 12 year period. So it's generally only about a 7 % return on investment over the life of the investment. the great thing about it is that   you let's say if you did put in that hundred thousand, you're getting that 30,000 in savings, and then you can go put that into something else that will earn you even more money. So then this is something that you can do every single year. And, you know, just depends on how much money you want to save and so that how much you put in for that investment.   The Dental A Team (33:57) Gosh, that's such a good one. And these are things of like just fun, like tips and topics. Like I said, it's the rules of monopoly. I caught like, how do we play tax strategy better? Alexis, what are any like resources? I feel like you guys have some resources. Like I feel the world of tax is so daunting. And so it's like, we hear from podcasts and we hear snippets and we see TikTok and it's like real estate games. like, where do people go if they like want to dig a little bit deeper and really become like more tax expert and more tax savvy and.   like tax strategy, like what are any resources you found or ways for people just to become a little bit more literate in the tax world.   Alexis Gallati (34:33) Yes, so ⁓ of course I'm to do a little shameful plug. My book, The ⁓ Advanced Tax Strategies for Medical Professionals, it's really just that it's a brain dump of all different types of strategies, whether it's for your business or W-2 only, charitable, these alternative investments. And so it's really a space.   The Dental A Team (34:36) as you should.   Alexis Gallati (34:58) for readers to learn more about their options. So then that was the way they can go online and do more research or bring it to their current advisor. So, you know, it's just about opening those possibilities. Otherwise, you know, one resource that is really great for especially medical professionals is the White Coat Investor that Dr. Dali, he has a wonderful, wonderful site and he puts out really good material.   The Dental A Team (35:11) Yeah.   Alexis Gallati (35:25) when it comes to not only taxes, but also for ⁓ just finances in general. And then, of course, on ⁓ CerebralTaxAdvisors.com, our website has wonderful ⁓ material that I put out all the time. There's lots of goodies there, as well as ⁓ different resources and worksheets and stuff like that.   The Dental A Team (35:52) Yeah, no, that's super helpful.   But Alexis, what do you find ⁓ as you go through this? Like one, how often are you meeting with your clients? Because I feel like so many CPAs and tax strategists meet with them in like December 1st and they're like, hey, you owe this much money. Is that how you guys plan? Like how should tax planning actually work?   or is that normal? Like I'm just trying to find a vibe of how this should work in the industry.   Alexis Gallati (36:15) Yeah.   Yeah. So when a medical professional first starts working with us, I design a tax plan for them. And that's really critical because right then and there, OK, what can we be doing to dramatically lower your taxes, legally, of course, and set you up for success? And then we meet with our clients at minimum twice a year. So we do a mid-year tax projection and a year-end tax projection.   The Dental A Team (36:34) course.   Alexis Gallati (36:45) And especially with medical professionals, your income is so variable throughout the year, depending upon insurance reimbursements or seasonality and things like that. And so we really want to make sure that we have a good, clear understanding, good six plus months in advance. Hey, what are you going to be owing tax wise? What does cash flow look like? What quarterly estimated payments do you need to make?   All of these things should not be a surprise. So that's why when I built Cerebral in the packages we have, I was really focused around how do we eliminate those surprises.   The Dental A Team (37:23) Yeah, no, I love that. that's super helpful because I feel like so many just wait till December and it's like, no, like there's things I could have been doing and if I would have known. So that's super helpful. And then I think the other question is like, okay, you guys are tax strategy. Are you CPA? Are you bookkeeping? Like kind of differentiate. Are you in the financial advisor world? Like what specifically would we say I need you for XYZ, but I'm going to need these people again, like marketing, right? Like what facet of my wealth management are you?   and who do I need paired with you?   Alexis Gallati (37:54) Yep, so we are your tax compliance, tax planning, your bookkeeping, and CFO services, and also business advising as well. So we're able to set up entities for you ⁓ as well as provide ⁓ just a lot of the years and years of experience that we have in running businesses and seeing different types of practices, et cetera. ⁓ We are not investment advisors, so we won't   say, buy Coca-Cola versus Pepsi. But we will introduce you to different investments that have tax benefits. And one very unique quality of Cerebral that's very different from other firms is that we do not take any commissions or kickbacks on any strategies we recommend or vendors we recommend. And we don't sell any products. So we're very education-based. I'm very focused on   you understanding your options so you can make a educated decision on what you want to move forward with. And then we are a white glove done for you firm that will implement those strategies on your behalf and make sure they're reported properly on your tax returns. Because that's what we've found being in this industry, especially specializing in medical professionals, is there's a lot of people out there that know about these strategies.   but they do not know how to implement them properly. And that honestly is 80 % of the fight when it comes to doing any of these strategies.   The Dental A Team (39:26) Yeah, no, that's incredible. So, and again, this is just like naiveness on my side. Do I need a CPA or are you guys the replacement of a CPA?   Alexis Gallati (39:35) Yeah, we're the replacement of CPA. We are CPAs. We are EAs. So we are taking care of your tax preparation, so personal and business. We do it all. I try to keep these packages as comprehensive as possible because I hate being nickel and dined. communication's a top priority for us. And so we don't want our clients to hesitate whatsoever to connect with us. And so that's why we don't.   The Dental A Team (39:56) Totally.   Amazing.   Alexis Gallati (40:05) shot like I, my gosh, I just got like a bill from my attorney the other day and it was for stuff that I talked to him about like in August. I'm like, I hate those pop-up bills. So that's yeah, that's, why I try to make it as comprehensive as possible.   The Dental A Team (40:10) Yep.   Right.   Awesome.   No, that's fantastic. That's really helpful. And I know a lot of people are very nervous to switch from their CPA. CPAs, feel like we're so embedded and we trust them with our souls. Truly, I see this. ⁓ So is there complementary calls we have with you? how do we start with that? Because I know, honestly, untangling from a CPA is such a pain. It is so annoying. so ⁓ how does that process work if people want to work with you, Alexis?   Alexis Gallati (40:46) So the best thing you can do is go to our website and go to the contact page. And you will ⁓ go through a very quick questionnaire to make sure that you're a good fit for us, because we also want to make sure we're a good fit for you. And we will ⁓ have a tax discovery session. And during that session, we will. We'll talk about what your needs are and what it's like to work with us. ⁓ I'm very focused on that return on investment. We actually have a guarantee.   with the design of our plans that I will save you at least two times what you pay us in ⁓ tax savings or you get the plan for free. And on average, our clients actually achieve 4.5 multiple with the design of our plans. So again, it doesn't make sense for us to work together if I can't save you more than what you're paying us.   The Dental A Team (41:39) That's amazing. No, that's incredible. And that's a great guarantee. And ⁓ then let's say hypothetical, we do get audited. How often do you guys go through audits and like success rate? Like I'm imagining if you were three years in IRS, you're probably pretty fantastic at that. But these are always things that I'm just curious. Like how does that work? And how often are your clients audited? And like, how is your success rate on that? And if you don't want to share this, I hope you do. We're just going to go for it. Like, yeah, I'm just going to ask the weird questions. Why not?   Alexis Gallati (42:01) Yeah.   I love the weird questions. They're the best. So yeah, that's one thing I can never guarantee that you won't be audited because of course there are always random audits that happen. We've only had three audits since I started Cerebral over 10 years ago. In 2014, I started Cerebral. ⁓ And ⁓ one of them was for the mortgage interest deduction. there's a limitation in that.   The Dental A Team (42:18) It's incredible.   Alexis Gallati (42:28) Um, and that was just, unfortunately, a client had not provided the correct information. And so we were easily able to just change it and be on our way. Um, and then another two were regarding actually real estate professional status. And that was just New York state saying, Hey, like we don't, we don't think that you're actually qualified for this. we're like, Oh, yeah, we do. Here's the paperwork. And they're like, Oh, okay. See you later. So yeah.   The Dental A Team (42:50) Yeah.   That's amazing.   That's a huge thing. And I'm so glad I asked the question because I think for me, that's something I'm curious on of like, I get it. Like you said, you can't guarantee that, but as long as you back in, do you guys charge extra for those audits or is that part of the plan? Like, nope, we stand behind it. Like, how does that work? Cause I know there's some firms that I have chatted with and if we do get audited, it's like 375 an hour for the audit. And I'm like, okay, like I'll just plan for that. But how does that work for you guys?   Alexis Gallati (43:18) Yep, so we back up all of our work and all of our packages. If you do receive a notice for anything that we prepare, you send it to us and we help you take care of it. So yeah, we 100 % back up our work. If you come start working with us and you have some a notice from a year that we didn't handle, like we didn't prepare, we'll still help you handle it. But that would be just.   at our hourly rate, depending upon the extensiveness of the notice. But to go back to your original question about making that change, I 100 % get it, especially if you've been with somebody for so long. And so you just have to look at that cost benefit and see, hey, staying with this person, how much is that costing me in tax savings versus   The Dental A Team (44:01) Right.   Alexis Gallati (44:12) going with somebody like cerebral and we try to go and make that process as seamless as possible when it comes to getting ⁓ up to date in your history and then ⁓ getting access to your bookkeeping and getting your tax returns. ⁓ And so, because I completely understand it can be daunting, but. ⁓   Happy to have a conversation around it when we meet about the discovery session and to see if it's something you'd want to move forward with.   The Dental A Team (44:43) Amazing. Alexis, has been such a great podcast and I just love meeting great individuals. I love how much you have a passion for the law and for the tax wealth and it's your own life and your own livelihood. So if people want to reach out, I know you said it before, how do they connect with you? So yeah, they can get started if they're interested.   Alexis Gallati (45:01) Yeah. So you can Google us or just go to CerebralTaxAdvisors.com. And which by the way, the reason why I have cerebral is because my husband is a private practice neurosurgeon and my dad's a retired private practice neurologist. hence cerebral in the brain. So if y'all can remember. But yeah, so CerebralTaxAdvisors.com is the best way to get a hold of us.   The Dental A Team (45:14) There you go.   I love it. Yeah.   Alexis Gallati (45:27) ⁓ And I look forward to potentially talking with y'all.   The Dental A Team (45:32) Well, Alexis, thank you so much for this. And for all of you listening, I hope you take advantage between now and April 15th. I hope you just like have a conversation. I'm always pro. I love CPAs. My CPA listens to this podcast and I'm always interested in meeting new people like Alexis, chatting with them. Are there different ways that they can benefit me? Because yes, I love my CPA, but I love more than that saving money and learning new strategies that maybe I didn't know about. So Alexis, I really hope a lot of them reach out to you, connect with you and for   All of you listening, thank you for listening. I'll catch you next time on the Dental A Team Podcast.  

Kiera is joined by the tooth-healer himself, Jason Dent! Jason has an extensive background in pharmacy, and shares with Kiera where his pharmaceutical experience has bled over into dentistry. This includes the difference between anti-quag and anti-platelet and which medications are probably safe, what to do to shorten the drag time in the pharmacy, how to write prescriptions most efficiently, 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 today is a really awesome and unique day. It is, think the second time I've had somebody in the podcast studio with me live for a podcast and it's the one and only Jason Dent. Jason, how are you? I'm doing well. Good morning. Thanks for having me. It is crazy. I I watch Instagram real like this all the time where people are like in the podcast and they're hanging out on two chairs and couches and now look at us. We're doing it. Cheers. Cheers.   That was a mic cheer for those of you who are only listening, but yeah, Jace, how does this feel to be on the podcast? It's weird. Like I was not nervous at all talking about it. I got really nervous as soon as you hit play. So if I stumble over my words, please forgive me ahead of time. Well, Jason, I appreciate you being on the podcast because marketing had asked me to do a topic about teledentistry and I was like, oh shoot, that's like not my forte at all. so   You and I were actually chatting in the hot tub. call it Think Tank session and you and I, we have a lot of good ideas that come from that Think Tank. A lot of business. no phones. That's why. We do leave our phones out. But I was talking to Jason and this is actually a podcast we had talked about quite a while ago. Jason has a lot of information on pharmacy. And if you don't know, Jason isn't really, we were going through all of it last night. It's kind of a mock in the tub. And I think it's going to be great because I feel like this is an area, I'm working at Midwestern and   knowing about how dentists, pharmacology was surely not your favorite one. Jason actually helps a lot of dentists with their clearances. And so we were talking about it and I like it will just be a really awesome podcast for you guys to brush up on pharmacology, different things from a pharmacist's side. So Jason, welcome. Thank you. Yeah, no, we were talking about it and here's like, what should I talk about on the podcast next? I have all these different topics and she's like, what do you know? And the only real interaction I have with dentists is doing clearances for procedures. We get them all the time, which makes sense.   Lots of people are on blood thinner, I've always told Kiera, like, hey, I could talk about that. Like, that's kind of a passion of mine. I'm not a dentist. Or my name is Jason Dent. So in Hebrew, Jason means tooth. No, no, no, sorry. Nerves are getting to me. Jason means healer and Dent means tooth. So my name means tooth healer. So, here's a little set. Hold on, on, hold Can we just talk about? I brought that up before you could talk about it more. So.   My name means tooth healer but I did not become a dentist. I know you wanted me to become a dentist. did. I don't know why. I enjoy medicine. I know what you're going to get to already. The things you're going to ask me. There's been years of this. But nevertheless, that's my name. We'll get that out of the way. But you did give me a great last name. So I mean, it's OK. You're All is fair and love here. SEO's up for that. But yeah, Jason, I'm going to get you right into the show. And I'm going to be the host. And we're going to welcome to the podcast show. Jace, how are you?   Good, good, good. Good, good, good. So by getting into clearances, right? This is what you're kinda talking about with you know, before we get to clearances, I actually wanted Jason, for the listeners who don't know you, who haven't talked to you, who don't know, let's kinda just give them like, how did you go from, Kiera wanted you to be a dentist, to now Jason, you are on the podcast talking as our expert on pharmacy. fantastic. I've always really loved medicine, a ton. As a kid getting headaches and taking Excedrin, like you just feel like a miserable pile of crap.   and then you take two pills and all of a sudden you feel better. Like that's amazing, like how does that happen? Also getting ear aches as a kid, just being in so much pain and then taking some medicine and you start feeling a lot better. I always had a lot of appreciation for that. I've always been mechanically inclined. I went to, started doing my undergrad and took biology and learned about ATP synthase, which is a spinning enzyme that's inside the mitochondria, like a turbine engine. I used to work on small engines on my dirt bike and thought that is so cool. So I really got wrapped up into chemistry.   All the mechanics of chemistry really pulled me in. I'm not getting goosebumps. checking. I usually get goosebumps when I think about chemistry. But it's so cool. You think an engine's awesome, like pistons and camshafts and pressures, the cell is the same thing. It's not as loud, so it's not as cool. But it's fascinating. that's why we're like. ⁓   chemistry and really got into coagulation. So I did my residency after pharmacy school. we went to Arizona for three years. ⁓ You did and your main focus, you were never wanting to be the guy behind the counter. No, I haven't done that. Yeah. No, I love them though. I've always really want to go clinical. ⁓ But I love my retail ⁓ pharmacists. They're amazing resources. And ⁓ I use the retail pharmacist every day still to this day, but I went more the clinical route, really love the chemistry aspect of it.   did my doctorate degree and then I did my residency in Reno. Reno's kind That's how we got here everybody. Welcome to Reno. Strategically placed because I was really interested in critical medicine and where we're located we cover a huge area. So we pull in to almost clear, we go clear to Utah, clear to California, all of Northern Nevada. We get cases from all over. So we actually are kind like the first hub of care for lot of areas. So we really get an eclectic mixture of patients that come in that need-   all kinds of different cases that are coming to them. So it's what I really wanted. So I did my residency in critical care there. And then for the next 10 years, I worked in vascular medicine with my final five years being the supervisor of the clinic. Ran all the ins and outs of that. So my providers, two doctors were on our view. So when we talk about dentistry, talk about production, those kinds of things, totally get it. My doctors were the exact same way, my vascular providers. ⁓   There's some pains there, right? You wanna be seeing patients as much as possible, being able to help as many people, keeping the billing up. And had other nurse practitioners, four practitioners, a fleet of MAs, eight pharmacists. We also had that one location we had, going off the top of my head, I think we had eight locations running as well. And we took care of all the different kinds of vascular cases that came to us. Most common was blood clots, ⁓ which is just a...   which is an easier way of saying VTE. There's so many different ways to say a blood clot. Like you might hear patients say, I've had a PE or a DVT or a venous thromboembolism or a clot in my leg, right? They're all clots, but in different locations. Same with an MI, and MI can be a clot as well. ⁓ there's a lot of, everybody's kind of saying the same thing, but sometimes the nomenclature can make it sound hard, but it really is actually pretty simple.   No. And Jason, I love that you went through, you've been in like, and even in your, ⁓ when you were getting your doctorate, you were in the ER. You also worked in retail pharmacy. remember you having a little sticker on your hand. And retail pharmacy, I have a lot of respect for those guys. They have a lot of pressure on them. and then you also, ⁓ what was that test that you had to take that? I don't know. You were like studying forever for it. ⁓ board certification for, ⁓ NABP. Yeah. So I did that board certification as well.   And now you've moved out of the hospital side onto another section in your career. Now in the insurance, right? So it's really, really interesting. So now I'm on the other side reading notes and evaluating clinical appropriateness and trying to help patients with getting coverage and making those kinds of determinations. So yeah, I've really jumped all over. Really love my clinical days. I know. don't I don't I do miss them. But yeah, kind of had a good exposure to a lot of.   pharmacy a lot a lot of dentists actually with all the places that come through which Jason I really appreciate that and honestly I know you are my spouse and so it's fun to have you on but when I go into conversations like this I don't know any of this information and so finding experts and Jason I think here's me talk more about dentistry and my business than I do hear about him on pharmacy so as we were chatting about this I really realized you are a wealth of knowledge because you've been on the clinical side so you've done a lot of patient care and you've seen how   medications interact and I know you've had a few scares in your career and ⁓ you've known some physicians that have had a few scares and ⁓ you've seen plenty of patients pass away working in the ER and gosh in Arizona drownings were such a big deal. I remember when you were in the ER on your rotations I'd be like who died today? Like tell me the stories and you've really seen and now going on to the insurance side I felt like you could just be such a good wealth of knowledge because I know dentists are sometimes so   I would say like maybe just a little more anxious when it comes to medications. I know that dental students from Midwestern were like here was like four months and we had to like pass it, learn it. And Jason, you've done four years plus clinical residency, plus you've been in it. And something I really love about Nevada Medicine is they've been so collaborative with you.   like your heart, your cardiologist, they diagnose and then they send to you to treat with medicine and... Yeah, I've been really lucky being here in Reno too. The cardiology team has been amazing to work with. We started a CHF program, sorry, congestive heart failure program for patients. So we would collaborate with cardiologists. They'd see the cardiologists and then they send them to the pharmacist to really manage all the medications. So there's pillars of therapy ⁓ called guideline directed medical therapy and the pharmacist would take care of all that. So that's gonna be your...   your beta blockers, your ACEs, your ARBs, your Entresto, which would be a little bit better, spironolactone. So just making sure that all these things are dosed appropriately, really monitoring the heart, and make sure that patients are getting better. we've had real positive outcomes when the, sorry, this is totally off topic. do, talk about that study. When we looked at when patients were coming to see our pharmacists in our clinic that we started up, the patients were half as likely to be readmitted. And this was in 2018, and our pharmacists,   We're thinking about all the medications. We're usually adjusting diabetes medications too at the same time. Just kind of naturally just taking care of all the medications because we kind of got a go ahead from the providers, a collaborative practice agreement that we could make adjustments to certain medications within certain parameters. So we weren't going rogue or maverick, but we were definitely trying to optimize our medications as much as possible. And then years later, some studies came out with, I'm sure you've seen Jardins and Farseegh. not trying to, I'm not.   I don't get any kickback from them. I have no conflicts to share. But because our pharmacists were really optimizing that medication, those medications were later shown to reduce hospitalizations and heart failure, even though they're diabetes medications. Fascinating. So it wasn't really the pharmacists. It was just the pharmacists doing as much as they can with all the tools that were in front of them. And then we found out that the patients were going back to the hospital.   half as much as regular patients. So, yeah, being here, it's been so amazing to work with providers here. the providers here want help, want to help patients, don't have an ego. I mean, I just, it's awesome. I love it. I do love how much I think Jason sees me geek out about dentistry and I watching Jay's geek about his pharmacy and how much he loves helping patients. And ⁓ really that was the whole idea of, all right.   Dentistry has pharmacy as a part of it. And I know a lot of dentists are sending in clearances and I know working in a chair side, it would be like, oh no, if they're on warfarin or on their own blood clot, you guys, honestly don't even know half of what I'm talking about because this is not my jam, which is why Jason's here. But I do know that there was always like, well, we got to talk with their provider. And so having Jason come in and just kind of explain being the pharmacist that is approving or denying or saying yes or no to take them off the blood thinners in different parts, because you have seen several dental   I don't know what they're called. What is it? Clarence's? that what comes to you? don't even know. All day my mind, it's like, here is the piece of paper that gets mailed to you to the pharmacist and then you mail it back. So whatever that is. But Chase, let's talk about it because I think you can give the dentist a lot of confidence coming from a pharmacist. What you guys see on that side. When do you actually need to approve or disapprove? Let's kind of dig into that. Yeah. Well, first of all, I think I'm not a replacement for any kind of clinical judgment whatsoever. Every patient's different. But the American Diabetes Association, you   I work with diabetes a lot. American Dental Association has some really great guidelines on blood thinners and I would always reference them. I actually looked at their website today. Make sure I'm up to speed before I get back on this again. They have resources all around making decisions for blood thinners. And I think the one real important thing in putting myself in the shoes of a dentist or any kind of staff that's around a patient that's in a chair, if they say I'm on a blood thinner, right, a flag goes up. At least in my mind, that's what goes up.   Like, okay, how do we get across this bridge? And I think the important thing to really distinct right then when they say they're on a blood thinner is that is kind of a slang word for a lot of different medications, right? Like it's the overarching word that everybody pulls up saying, I'm on a blood thinner. It's like, okay, but I don't know what say. It's like, I have a car. You're like, okay, do you have a Mazda? Do you have?   Toyota, Honda, what do you have? or even worse it'd be like saying I have a vehicle, right? So when somebody says they're on a blood thinner, it opens up a whole box of possibilities of what they're Blood thinners are also, doesn't, when they're taking these types of medications that are quote unquote a blood thinner, it doesn't actually thin the blood, like adding water to the blood, if that makes sense, or like thinning paint, or like thinning out a gravy, right? It doesn't do the same thing. Blood thinners, really what they're doing is they're working on the blood, which.   which is really cool, try not to tangent on that. ⁓ When they're working on the blood, it's not thinning it per se, but it's making it so that the proteins or platelets that are in it can't stick together and make a cloth quite as easy. So whenever somebody's on a blood thinner, I usually ask, what's the name of the blood thinner that you're on? It's not bad that they use that slang, that's okay, on the same page, but it's really broken into two different classes. There's anticoagulant and antiplatelet.   And a way to kind of remember which is which, when residents would come through our clinics, the way that I teach them is a clot is like a brick wall. You know, it's not always a brick wall. Usually the blood is a liquid going through. But once they receive some kind of chemical message, it starts making a brick wall with the mortar, which is the concrete between the and the bricks, the two parts. When it's an anti-quagent, it's working on that mortar part. When it's an anti-platelet, it's working on the bricks part, right? You need both to make a strong clot or strong brick wall.   But if you can make one of them not work, obviously like if your mortar is just water, it's not working, right? You're not gonna make a strong brick wall. So that's kind of the two deviants right there. So that's what I do in my mind real quickly to find out because antiplatelets are usually, so that's gonna be like your Plavix, Ticagrelor, Brilinta. And hold on, antiplatelets are bricks? Good job, bricks. They're the bricks. And so the reason I was thinking you could remember this because I'm, antiplatelets, it's a plate and a plate is more like a brick.   And anti coagulant, I don't know why quag feels like mortar to me, like quag, like, know, it's like slushy in the blood, like it's coagulating. It's a little bit of that, like, honestly, I'm just thinking like coagulated blood is a little bit more mortar-ish. And so platelet is your plate, like a brick, and anti-quag is like.   the gilly between the bricks. Okay, okay, I got it. Yeah, so there's an exception to every rule, but when they're on that Don't worry, this is Kiera, just like very basic. You guys are way smarter listening to this, and that's why Jason's here. No, no, you helped me pass pharmacy school. When we were doing all the top 200, you helped me memorize all know what flexorill is, all right? That's a muscle relaxant. Cyclo? I don't know that part. It's a cyclo, because you guys are cycling and flexing. I don't actually know. just know it's a muscle relaxant, so that's about as far as I got. When we're looking at antitick platelets, so that's the brick part, so that's going to be your, you know,   Hecagrelor, Breitlingta, Clopidogrel is the most common one. It's the cheapest one, so probably see that one the most. Those, I mean, there's an exception to every rule, but that's generally being used after like a stent's placed in the heart. It can be used for VTE, there's some out there, but that's pretty rare. But also for some valves that are placed in the hearts, it can be used for that as well. So antiplatelet, really thinking more like a cardiac event, right? Like I said, there's always an exception to every rule, but that's kind of where my mind goes real quickly, because we're gathering information from the patient.   They're on anticoagulant. Those are like going to be the new ones that you see commercials for all the time. So Xeralto, Alequis, those are the two big ones right now. They're replacing the older one. And also we were supposed to do a disclaimer of this is current as of today because the ADA guidelines do change. this will be current as of today. And Jason, as a pharmacist, is always looking up on that. I had no clue that you are that up to speed on dental knowledge. so just throwing it out there that if you happen to catch his podcast,   a few years back that obviously check those guidelines for sure. But the new ones are the Xarelto and Eloquist. They're replacing the older ones of warfarin. Warfarin's been around for a really long time. We've seen that one. Those are anti-coagulants. So when you're looking, when a patient says that, generally they're on that medication because they've possibly had a clot in the past or they have a heart condition called atrial fibrillation. Those are kind of the two big ones. Like I said, there's always caveats to it, but that's kind of where my mind goes real quickly. And then,   as far as getting patients cleared, the American Dental Association has really good resources on their website. You can look at those and they're always refreshing that up. They even say in their own words that there's limited data around studying patients in the dental chair and with anticoagulants or anti-platelets. It's pretty limited. There's a few studies, some from 2015, some from 2018. There's one as recent as 2021, which is nice. But really, all of those studies come together and it's really more of an expert consensus.   And with that expert consensus, they have kind of simplified things for dentistry, which is really nice. ⁓ comparing that to, we have more data for like total hip replacement, total knee replacement. We have a lot of data and we know really what we should be doing around then. But going back to dentistry, we don't have as much information, so they always say use clinical judgment, but they do give some really great expert guidance on that. So if a patient's on an anticoagulant, ⁓   they generally recommend that it doesn't need to be stopped unless there's a high bleeding risk for a patient. as a provider or as a clinician in the practice, you can be looking at high bleeding risk. Some things that make an oral procedure a little bit lower risk is one, it's in the compressible site, right? Like we can actually put pressure on that site. That's the number one way to stop bleeding is adding pressure. It's not like it's in the abdominal cavity where we can't get in and can't apply pressure. So number one, that kind of reduces the bleeding risk.   is number one. Two, we can add topical hemostatic agents. Dentists would know that better than me. There's a lot of topical ways to do that. So not only pressure, but there's those things as well. And also, but there are some procedures that are a little bit more likely to bleed. And that's where you and dentists would come in hand in What's the word in APO? Oh, the APOectomy. I got it right. Good job. like, didn't you tell me last night that the ADA guideline was like what?   three or four or more teeth? great question. So you can extract one to three teeth is what their expert consensus One to three teeth without. Without really managing or stopping anticoagulation or doing anything like that. I think that's some good guidance from them. I'm gonna add a Jasonism on that though. So with warfarin, I do see why dentists would be a little bit more conservative or worried about stopping the warfarin because warfarin isn't as stable as these newer agents. Warfarin, the levels.   quote unquote levels can go really high, they can go really low. And if the warfarin levels are high, they're more likely to bleed. So I do think it makes sense to have a really recent INR. That's how we measure what the warfarin's doing. I think that makes a lot of sense, but the ADA guidelines really go into the simplification version of all these blood thinners. Generally, it's recommended to not stop them because the risk of stopping them outweighs the benefit of stopping them in almost every case. Almost every case.   ⁓ So when you're with that patient, right, they say I'm on a blood thinner, finding out which kind of blood thinner that they're on, you find out that they're on Xeralto, right? How long have you been on Xeralto for? I've been on it for years. You don't know exactly why, but if they haven't had any recent bleeding, you're only gonna remove one tooth. ⁓ You can do what's called a HasBlood score. That kind of looks at the bleeding risk that they'd have. That'd be kind of going a notch above, but in my mind, removing one tooth isn't a real serious bleeding risk. I'd love to hear from my dentist friends if they...   disagree, right, but ADA says one to three tooth removals, extractions, that's the fancy word. Extractions, yeah, for extracting teeth out. Is not really that invasive. Sure. It's not that high risk, so it's usually perfectly fine. So if a patient was on Xarelto, ⁓ no other, this is in a vacuum, right? I'm not looking at any other factors, which you should be looking at other factors. I would be perfectly fine to just remove one to two.   And when those clearances come in, because dentists do send them, talk about what happens. You guys were working in the hospital and you guys would get these clearances all the time. do. We get them so often. I mean, we get like four or five a day. We'd love to give it to our students, student pharmacists, and ask them what to do. And they would usually look up the American Dental Association guidelines and come up with something. We're like, yep, that's what we say too. In fact, we say it so many times a day that we have a smart phrase.   which just blows in the information real quickly and faxes it right back to the So it's like a copy paste real quick. So what I wanted to point out when Jason told me this is dentists like hearing this and learning this, this can actually save you guys a ton of time to be able to be more confident, to not need to send those clearances on. And we were actually talking last night about how I think this might be a CYA for dentists. like, as we were talking, I think Jason, you seeing so many other aspects of medicine, like you've literally seen patients die, you've seen other areas.   And so coming from that clinical vantage point, we were realizing that dentists, we are so blessed to live in an injury. I enjoy dentistry because possibly there's someone dying, not super high, luckily in dentistry. The only time that I have actually had a doctor have a patient pass away, and it was only when they were completely sedated and doing ⁓ some other things, but that was under the care of an anesthesiologist. And so that's really our high, high risk. And so hearing this, Jason,   That was one of the reasons I wanted him to come on is to give you doctors more confidence of do we have to always send to a pharmacist? I mean, hearing that on the pharmacy side, they're just sending these back and not to say to not see why a to not cover this because you might be questioning like, well, do I really need to? But you also were talking about some other ways of so number one, you guys are just going to copy back the 88 guidelines. So so 88 guidelines. Yeah. And I think that that gives a lot of confidence to a provider or a dentist is that you can go to the 88 guidelines and read them, right? Like you're listening to some   nasally monotone pharmacist on a podcast. Rumor has it, people love him at the hospital. were like, you're the voice, he's been told he has a good radio So for the clinic, I was the voice. Like, yeah, you've reached the vascular clinic, right? And they're like, oh my gosh, you're the voice. But sorry, you me distracted. That'll be your next career, Jace. You're going to be a radio host. OK. I would love that. I love music. But you're hearing from a nasally guy, but you can actually read the ADA guidelines. You just go right to the ADA, click on Resources, and under Resources, it has the   around anticoagulants, I think that's the best way to get a lot of confidence about it because they have dentists who are the experts making calls on these. I'm just reiterating what they say, but I think it makes a lot of sense to help providers. And the reason why my heart goes out to you as well is having the providers that used to work underneath me, they're always looking for our views, which is a fancy way of making sure that they're drilling and filling. Can I say that? Yeah, can say drilling and filling. They're being productive, right? They're being productive, right?   They're always looking to make sure if a patient's canceling, like get somebody in here. Like I need to be helping people all day long. That's how I, we keep the lights on. That's how I help as many people. And so if you have a patient coming in the chair and it has an issue, they say I'm on Xeralto. Well, you can ask real quickly, why are you on Xeralto? I had a clot 10 years ago. my gosh. Well, yeah, we're pretty good to go. Then I'm not worried. We're only removing one tooth or we're just doing a cavity or a cleaning. Something like that. Shouldn't be an issue whatsoever because there's experts in the dental. ⁓   in the dental society, the ADA guidelines that recommend three teeth or less, minimally invasive. They really recommend if it's gonna be really high bleeding risk. And clinically, that's where you would come in, ⁓ or yourself. know, apioectomy is one that's like on the fence line. I don't know where implants set. though, and like we were talking, implants aren't usually like a date of procedure. Most people aren't popping in, having tooth pain, and we're like, let's do an implant. Now sometimes that can be the case, but typically that one's gonna have   a few other pieces involved. And so that is where you can get a clearance if you want to. ⁓ But we were really looking at this of like so many dentists that I know that you've seen will just send in these clearances because they are. And I think maybe a way to help dentists have more confidence is because you know, I love routines. I love to not have to remember things. So why don't we throw it in, have the team member set it up where every quarter we just double check the ADA guidelines. Are there any updates? Are there any other things that we need to do on that? That way you can just see like   getting into the language of this, of what do I need to do? Because honestly, you guys, know pharmacy was not a big portion for it, so, recommending different parts, but I think this is such a space where you can have confidence, and there's a few other things I wanna get to, and I you- I some pearls too. Okay, go. I'm so when she get me into talking about drugs, I'm not gonna stop. So, some other things around that too is these newer blood thinners like Xarelto Eloquist, they now have reversal agents, so a lot of providers in the past were really worried about bleeding because we can't turn it off. We can turn those off. Warfarin has reversal as well, right?   So I'm looking at these patients. It's really low risk. It's in the mouth, generally speaking. Very rarely are they a high bleeding risk. Now if you're doing maxillofacial surgery, this does not apply, right? This does not apply whatsoever. you're like general dentist, you're pediatric dentist. Yeah, yeah, and it's kind of on the fly. So just trying to really help you to be able to take care of those patients on the moment, have that confidence, look at the ADA guidelines, have that in front of you. I don't think it's a bad thing to ever...   check with their provider if you need to. If you're thinking, I feel like I should just check with the provider, I would never take that away from you. But I just want to kind of steer towards those guidelines that I have to help. But what did you want to share? No, yeah, I love that. And I think there were just a few other nuggets that we were chatting about last night that can help dentists just kind of get things passed a little bit easier. So you were mentioning that if they were named to their cardiologist, what was it? was like, who is the last? Great question. Yeah, when a patient's on a blood thinner,   It could be prescribed by the cardiologist. It could be prescribed by the family provider or could have been punted to like a vascular clinic like where I was working. It can go to any of those. And when you send that fax, right, if it goes to the cardiologist and it's supposed to go to the family care provider, like it just kind of goes, goes nowhere, right, from there. So I think it's a really good idea to find out who prescribed it last. If the patient doesn't know who prescribed their blood thinner last, you can call their pharmacy. I call pharmacies all day long.   I have noticed in the last year, they are way easier to get a hold of, which has made my job a lot easier, working on the insurance portion. So reaching out to the pharmacy, finding out who that provider is and sending it to them, because they should be able to help with that. I thought that was a good shift in verbiage that you had of asking instead of like the cardiologist, because that's who you would assume was the one. But you said like so many times you guys would take care of them, and then they go back to family practitioner, and you guys would get the clearances, but you couldn't clear because you weren't overseeing. So just asking the patient.   who prescribed their medication for them last time. That way you can send the clearance to the correct provider. then- And they might not know. You know patients, right? They're like, I don't know, my mom's or else, I don't know who gave it to me. Somebody told me I need to be on this. But at least that could be another quick thing. And then also we were talking last night about-   ⁓ What are some other things that dentists can do when like writing scripts to help them get what I think like overarching theme of everything we discussed is one how to help dentists have less I think drag through pharmacy. ⁓ Because pharmacy can take a little while and so perfect we now know the difference between anti-quag and anti-platelet. We know which medications are probably safe. We know we can check the ADA guidelines so that we were not having to do as many clearances. We also know if they're on a medication to find out and we do need a clearance.   who we can go to for the fastest, easiest result. And now, in talking about prescriptions, you had some really interesting tips that you could share with them. Yeah, so with writing prescriptions, right, pharmacies are pharmacies. So I'm not gonna say good thing or bad thing. There are challenges working with pharmacies. I'm not gonna play that down at all. ⁓ If you're writing prescriptions and having issues and kickbacks from pharmacies, there's some interesting laws around ⁓ writing prescriptions. Say that you're trying to ⁓ prescribe   augmentin, you know, 875 BID, and you tell the patient, hey, I want you to take this twice a day for seven days, and then you put quantity of seven, because you're moving fast, right? You want it for seven days, quantity of seven. Quantity would actually be 14, right? It's not that big of a deal. Anybody with common sense would say if you're taking a pill for twice a day for seven days, you need 14 tablets. But LAHA doesn't allow pharmacists to make that kind of a change, unfortunately. They have to follow what you're saying there. So you're going to get a...   An annoying callback that says, you wrote for seven tablets. I know you need 14. Is that OK? Just delays things, right? So ⁓ I really like the two letters QS. That's Q isn't queen. S isn't Sam. Yeah. It stands for quantity sufficient. So you don't have to calculate the amount of any medication that you're doing. So for me, as a pharmacist, when I was taking care of patients, I hated calculating the amount of insulin they would need for an entire month. So I would say.   Mrs. Jones needs 15, I'd say 15 units ⁓ QD daily. ⁓ And then I say QS, quantity sufficient, ⁓ 90 day supply through refills. So the pharmacy can then go calculate how much insulin that they need. I don't have to even do that. So anytime you're prescribing anything, I like that QS personally. So that lets the pharmacy use ⁓ common sense, as I like to call it, instead of giving you a call. I think that's super helpful. I also thought of one thing too.   going back to blood thinners is when it's kind of like a real quick, like they're not gonna have you stop the blood thinner at all. like you're seeing if you can stop the blood thinner for a patient, there's some instances it's just not gonna happen. And that's whenever they've been, they've had a clot or a stroke or a heart attack within the last three months. Three months. Yeah, that's kind of like the.   Because so many people are like, they had a heart thing like six years ago. And so I think a lot of my dentists that I worked with were like, we got to stop the blood thinners. But it sounds like it's within three months. Yeah, well, I'm just the time. Like this is general broad strokes. What I'm just trying to say is when you want to expect a no real quick. Got it. Right. So because benefits of stopping a blood thinner within those first three months of an event is very, very risky versus the, you know, the benefit of reducing a little bit of blood coming out of the mouth. Right. Like that's not that bad.   when somebody's had a stroke or a heart attack or pulmonary embolism, a clot in the lung, like we can't replace the lung, heart or brain very easily. We can replace blood a lot better. We've got buckets of it at most hospitals have buckets of it, right? So I'm always kind of leaning towards I'd rather replace blood than tissue at all times. So that's kind of a quick no. If they've had one those events in the last three months, we are really, really gonna watch their brain instead of getting.   root canal, right? Like really worried about them. So you'll just say no. And they could the dentist still proceed with the procedure or would you recommend like a three month wait? Or is it provider specific way the pros and cons because sometimes you need to get that tooth out. Great question. think then it's going to come into clinical. That's that's when you send in the clearance, right? Like, and it's great to reach out to the provider who's managing it for you. But I think it's kind of good to know exactly when you get a quick no quick no is going to be less than three months.   ⁓ Or when it's going to be like a kind of a typical, yeah, no problem. If it's been no greater than six months, they're on the typical anticoagulants or alto eloquence. Nothing crazy is going on for them. You're only removing two teeth. This is very, very low risk. But again, I'd urge everybody to read the ADA guidelines. That way you feel more comfortable with it. I'm not as eloquent as they do. They do a real good job. So I don't want to take any of their credit. I think they do a real good job of simplifying that and making you feel confident with providing.   more timely care for patients. Which is amazing. And Jayce, one last thing. I don't remember what it was. You were talking about the DEA and like six month rule. yeah. Let's just quickly talk about that and then we'll wrap this because this is such a fascinating thing for me last night. Yeah. So when comes to prescribing controlled substances, most providers have to have a DEA license. OK. First of all, though, what's your take on dentist prescribing controlled substances? ⁓ I don't think, you know, I worked on the insurance side of things. Right. And I look at the requirements for the   as the authorizations, what a patient, the criteria a patient needs to hit in order to qualify for certain medications. A lot of times for those controlled substances, they have pretty significant issues going on, like fibromyalgia or cancer-related pain or end-of-life care versus we don't, in all my scanning thread, I don't have a ⁓ perfect picture memory. Sure. But I don't usually see oral.   pain in there. There is some post-operative pain that can be covered for those kind of medications but I really recommend to keep those lower and in fact in a lot of our criteria it recommends you know have they tried Tylenol first, they tried, have they filled NSAIDs or are they contraindicated with the patient. So really they should be last line for patients in my two cents but there's always going to be a caveat to the rule right? Of course. comes through that has oral cancer and you're taking   like that would make sense to me. Got it, so then back to the DEA. Yeah, okay. Okay, ready. So as a provider, you should be checking the, if you're doing controlled substances, you should be checking the prescription drug monitoring program, or sometimes called the PDMP, looking to see if patients are getting ⁓ controlled substances from another provider. So it's really just a check and balance to make sure that they're not going from provider to provider to getting too many narcotics and causing self harm or harm to others.   And so with checking that PDMP before prescribing, I think a lot of providers do that. A lot of softwares that I'm aware of, EMRs, electronic medical records, sometimes have links so that you can do that more quickly. However, I don't think it's as intuitive that they need to be checking that every six months in some states. And like here in Nevada, you're supposed to be checking it every six months, not for a patient, but for your actual DEA registration to see if anybody else is prescribing underneath you. Because if you don't check that every six months, you could get in some serious trouble with...   not only DEA, but even more the Board of Pharmacy and your state. Now, I don't know all 50 states, so I check with your state to see if you need to be checking that every six months, but set an alarm just to check that real quickly, keep your nose clean. ⁓ I've had providers, I've had to remind to do that. And if somebody was using your account, prescribing narcotics, you'd never know unless you went and checked that PDMP.   Yeah, I remember last night you were like, and if that was you, I would not want to be you. The Board of Pharmacy is going to be real excited to find you. So that was something where I was like, got it. So, and we all know I'm big on let's make it easy. And Jason, I love that you love this so much and you just brought so much value today. And like also for me, it's just fun to podcast. fun. Yeah. But I got a nerd out on my world a little bit. Bring it into yours. I work with dentists or at least you know, when I was working in Vascular Clinic all day long. Great questions that would come through. Yeah.   So I think for all of us, as a recap on this is number one, I think setting yourself ⁓ some cadences. So maybe every quarter we check our ADA guidelines and we check our, what is it, PDMP. PDMP. so each state, so they call it Prescription Drug Monitoring Program. We need that. Yeah, but there are different acronyms in different states, though. That's just what it's called in Nevada. I forget what it is in California, but you can check your state's prescription monitoring program, make sure that opioids aren't being prescribed under your name. Got it. So we just set that as a cadence.   We know one to three teeth most likely if they're on a blood thinner is According to the 88 as of today is good to go You know things that are going to get a quick know are going to be within the last three months of the stroke the heart attack or the Clot I'm thinking like the pulmonary embolus. Yeah, that's what we're trying to prevent   Those are gonna be quick knows and then if we're prescribing, let's do QS. We've got quantity is sufficient so that we're not getting phone calls back on those medications that we are. And then on narcotics, just being a bit more cautious. Of course, this is provider specific and in no way, or form did Jason come on here to tell you you are the clinical expert.   Jason's the clinical expert on medications. And if you guys ever have questions, I know Jason, you geek out and you want to talk to people so that anyone wants to chat shop. Be sure to reach out and we'll be able to connect you in. we've even talked about possibly, so let me know listeners. You can email in Hello@TheDentalATeam.com of ask a pharmacist anything. I talked to Jason. I was like,   We'll just have them like send in questions and maybe get you back on the podcast or we do a webinar. But any last thoughts, Jace, you've got of pharmacy and dentistry as we as we wrap up today? No, I think that's pretty much it. So check the ADA guidelines. I think it's really good to have cross communication between professions. Right. If you're working with the pharmacy, CVS, Walgreens or something like that or Walmart, I know that it can be challenging. Right. They're under different pressures. You're under different pressure. So I think ⁓ just coming in with an understanding, not being angry at each other.   you know what mean, is super beneficial and working together. When it comes to it, every dentist that I've talked to is actually worried about their patient. Every pharmacist that I've worked with is really worried about the patient as well. So we're trying to accomplish the same thing, but we have different rules and our hands are bound in different ways that annoy each other, right? Like I know Dr. Jones, want 14 tablets, but you said seven. And I know Common Sense says I should give them 14, but I've got to make that change.   knowing that their hands are tied by the law. They can't use as much common sense, which is aggravating. I mean, that's why I love what I gotta do here. I gotta just kind of help a lot more and use common sense and improve patient care. But those kinds of things I think are really beneficial as you work together and then not being so afraid of blood thinners, right? So I think those guidelines do a great job of giving you confidence and not worrying about the side effects. And there's a lot of things that you can do locally for bleeding.   You have a lot of control over that. I think that's pretty cool, the tools they have. Yeah. And at the end of the day, yes, you are the clinician. You are the one who is responsible for this. so obviously, chat, but I think collaborating, talking to other pharmacists, talking to them in your state, finding out what are the state laws, things like that I think can be really beneficial just to give you peace of mind and confidence. And again, dentistry, are maybe a bit more risk adverse because luckily we don't have patients dying That's great thing. Yeah, that's fantastic. I want my dentists to be risk adverse. I think so too. But Jason, I appreciate you being on the podcast today.   And for all of you listening, ⁓ more confidence, more clarity, more streamline to be able to serve and help our patients better. if we can help you in any way or you've got more questions, reach out Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.  

No matter what position, no matter how many years someone's been in their position, every team member likes to know that they're doing a good job. Tiff and Kristy talk about why defining duties and responsibilities—and then measuring metrics against those duties and responsibilities—is so critical to "winning" at your job. 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 with you today I know I see that every single time but I hope you guys know how much I truly love podcasting it is a time away from like we'll call it work I feel like podcasting just isn't work for us and we love Speaking to you guys. love getting all this information out there for you and we love our time together So you guys afford us that and today I have an all-time fave I actually I know this is gonna make you blush but   I get some pretty incredible feedback. Kristy, I have Kristy here with us today. I get some pretty incredible feedback from a lot of our clients and a lot of listeners on the podcasts that we do together. So Kristy, I am here today in your presence and it just makes me feel so good. And I'm here to pick that brilliant brain. So thank you for showing up, bringing it and giving me, we've got an ample amount of time this afternoon together. So thank you, Kristy.   The Dental A Team (00:54) Yeah.   I always have fun when I'm here with you. You know that. It's just so natural that we can rip off each other. And ⁓ I don't know, you do a good job at picking my brain and pulling it out. So it's always fun. look forward to our time together.   The Dental A Team (01:09) Thank you.   Thank you. Thank you, Kristy. You guys should know something about Kristy. She is an incredible consultant and I know that this is our time that I get to kind of share and spread some light and joy on our consulting team. And Kristy, I think it's imperative for the world to know that, gosh, you have just an amazing list of clients who are really seeing some impressive results recently. We're into the new year. We're like,   Now when this releases two months into the new year, which is freaking wild, but that's fine. But so many of your clients saw so many successes last year and in those successes we're seeing systems development and within those systems development, really seeing goals being pushed, being reached, being surpassed. You've got some clients that I know you were looking at the goals that they were setting for themselves and you were like, yes, and that's one of my favorite Kristy-isms. Yes, and, yes, and.   I think you can do more. So you like are pushing them outside of their comfort zones and really projecting for them things that I don't think that a lot of your clients even see possible. I just think it's really cool. And today we're talking really about how accountability is gonna help reduce stress within the practice. And I say all of these things that you're doing really well for your clients right now, Kristy, because it takes so much accountability to be able to perform those pieces without   an overload of stress. You can grow and not have accountability. You can spin your wheels and cycle in the negative or however you want to say it. But when that accountability piece is also attached to the things that you're implementing, I think that's really where you see the true results. And that's where we've gotten some incredible feedback that Kristy is amazing. And ⁓ you've taught them so many skills that they can then take them themselves.   and carry it on. And I think it's really cool. It's just really valuable what you've been able to implement for practices. So my question, my first question to you, my first brain pick is why do you find it so important to uphold the accountability levels that you hold for your clients and that you train them to hold for their teams by proxy? Why is that so important to you and so valuable in the coaching that you do?   The Dental A Team (03:31) Yeah, I love that question because even us in what we do, we want to know if we're winning or not. Right. And so every team member, doesn't matter what job you're doing. You want to know if you're doing a good job and if you're winning. And if we don't have KPIs to measure or clarity in our roles, we're just, we're going day by day by default, you know, and we could have a success, but like you said, it's   How do we repeat it if we don't even know what we're looking for? So number one is defining those duties and understanding what am I responsible for and how do I know if I'm winning or   The Dental A Team (04:15) Yeah, I love that. you said a couple of things there that I keyed in on, but you said duplicate. So making it repeatable and making it so that that system can be driven by anyone. like anyone can do it, it can be duplicated and you can take a same or similar system and copy and paste it into a different department or a different goal. And I totally agree. Now, when you have something that's duplicatable, it's just kind of   I don't want to say on autopilot, but it feels more on autopilot because you're not having to put quite so much like thought process on everything, you know? It is kind of on autopilot. When you're able to do that, how does that, what level of accountability does that require? I guess is the question. Like we've got to, we can have all the systems in the world and the clarity and the job roles, we think we have the clarity and we hand it to them and then we walk away.   what's the next step? We've got the clarity, we've got the job descriptions. What does the accountability look like for those things and why is it so important to the overall stress of the team?   The Dental A Team (05:23) Yeah, again, in everything we do, it's either by default or by intention, right? And I'd rather be intentional. So using those duties and then following up. I'm a firm believer of performance reviews outside of wage reviews. Can they tie together? 100 % they can tie together. But I also feel as leaders in the practice, we have a responsibility to grow our people, not just grow our practice, but grow our people, right?   And so having those conversations to measure against their duties and the KPIs, not a feeling, I feel like I did a good job, right? ⁓ Having those to measure against, lets them know, they know before they even come in that they're winning or not. And it also gives us the opportunity to coach them up, right? If they're not winning or, you know, what's getting in the way of it, or really it could be an opportunity to coach them and train them.   And it doesn't necessarily mean us as leaders have to be the one to do it, but we can provide resources and we can get commitments around it so that we can measure, again, we don't have to hit perfection, but are we trending in a growth pattern? And the more that we grow our people, the more that our practice grows, you know?   The Dental A Team (06:43) Yeah,   yeah, that makes sense. So you're tying that accountability measurement, that accountability piece is less micromanaging and oversight and like, are you doing the thing but it's tied into the results being driven. So if we're tracking the KPIs, we're tracking the results that we're desiring and we're seeing, are we on track, off track? Are we growing? Are we declining? That's the accountability measurement and then inspiring our team to want to win within that.   that provides that feedback system, I guess, that loop back where they're like, hey, I'm seeing a downtrend. Maybe they're at a point now where they're inclined to speak up and ask for help or they see something that needs to be adjusted or switched and so they're doing it on their own rather than that micromanaged ⁓ over the shoulder accountability. Because I do think, Kristy, that a lot of times the definition of the word accountability can be   It's like ASAP, like when can you come ASAP? That could mean anything. Your ASAP versus my ASAP is who knows what that means. So that accountability piece, I think we all have our own definition or our own variation of defining it, but your version here is really looking at the results driving it and then constantly coming back to it. So I love that. are you having your doctors and your practices?   look at those results and talk about them because there's the one piece to assume that we're all adults and we're all going to look at them, we're all going to fill them in, we're all going to come to our leadership when we need help. But then that's where I get the phone calls from the doctors that's like, I thought I employed adults and they're not doing the thing. And they're well, we get busy too. So it doesn't always happen that way. So when are you suggesting or having your doctors and your practices really look at those results to bring that fold of accountability measurement into it?   At the one-on-ones for sure, is there anything else that you're adding in there?   The Dental A Team (08:42) Yeah, for sure. think that truly there's daily, weekly, monthly, quarterly, and yearly metrics, and they can be broken out. ⁓ Yes, one-on-ones are specific to them, but it's also a team sport, right? And so, again, I think I encourage everybody to be doing meetings.   If in a perfect world, I'd love them weekly and they're strategic to work on the business, not just in the business and in the ones that are doing it with intention and having those meetings and dialing in on those metrics. And, you know, they can tell if they're winning or not. It gives you the strategy to be able to course correct sooner than later. And it lets everybody know where they are and we can be support to each other. So to your question,   I don't think it's cut and dry, but I do think there's daily, weekly, monthly numbers that we should be having a pulse on. I don't want to wait till November to know I'm $100,000 behind for the year. It gets a little harder to chunk down. So ⁓ the other thing that you said, Tiff, too, is when you were saying accountability, I think that word in and of itself tends to have a negative connotation.   The Dental A Team (09:48) Yeah. Yeah.   The Dental A Team (10:01) I want to challenge our members and people listening to see it as a positive thing. Like literally it's your time to invest in your people. I literally just got off the phone with one that, and it's funny because our admin team, it's usually where it falls. It's like, hey, I need you to credential this doctor. Okay, I don't even know how to do that. whose doctors don't even know how to do it. So how is that team member going to know how to do it? Right?   Where do I start? And in fact, the doctor doesn't know how to do it. So sometimes it's, we can't just leave them out on an island and expect them to win. And if we check in early, we can provide resources. Again, I don't, a doctor, maybe they don't need to know how to do it, but can they guide them?   and give them the resource. And in doing that, look how much more valuable they've just made that team member.   The Dental A Team (10:55) I think you're spot on there. just that statement there of the team member, like I can picture is we want to talk about how accountability reduces the stress. And that's that scenario you just gave. I can picture the office manager being like, yeah, okay, I'll figure it out. And then all that does is add this underlying unknown stress in the back of her mind or his mind. They're thinking, I got to figure this out. I got to make this work. I got to   I gotta do it, but I've got all these other things first. And then dot comes in and is like, hey, did you do that? And they're like, no, like, right? And now we're stressed and we're freaking out. And it's like, there's that unknown space that we don't always know what we don't know. So we don't always know the questions to ask, but just really having that feedback system of accountability within the results, I think is the key there.   The Dental A Team (11:45) you one of the things we fail at as leaders is painting that clarity. Again, even if I asked you to do that, did you give me a timeframe? Because you might've wanted it done yesterday. I'm thinking, I could do it in the next month, you know?   The Dental A Team (12:00) Yeah, yeah, yeah, which is what I do, right? I'm like, yep, got it, it's on my list. But I've got 60 other things that are also on my list that if I'm not given a prioritization, I'm gonna prioritize it myself, right? And that's, it's gonna fall where it falls. And then you come back and you say, where's that thing? I'm like, well, it's on the back end of my list, because what does it trump? So what does it go above that I can replace?   it with, know, whatever. So you're spot on there. I love that, that it all loops together because in the beginning you said, then you just said to you like painting that clarity. And I always tell practices, and I know you do too, when you're building out the job descriptions and the org charts, you need one to three key metrics of results. What are the one to three things that this position is after? We want, you know, a schedule full to daily production goal. That's our schedulers goal.   So all of those little pieces that get us there, we don't tackle those until we're not reaching goal. So if we're not reaching that big overarching metric, that's when we say, okay, what system is broken? But I think, Kristy, what tends to happen is that people are like, no, accountability causes stress. Like Tiff, Kristy, you're crazy. The accountability causes stress because we're micromanaging the systems.   that get us to the result rather than holding the accountability lever to the result.   The Dental A Team (13:31) I agree with you 100 % and truly looking at the person as a human and how can I develop this within them, right? I don't think anybody walks in on any given day thinking how can I make this day horrible, right? They want to please their leaders and it's just sometimes they don't understand how. They don't really have the clarity on how and more so they don't know what   The Dental A Team (13:39) Yeah.   bright.   The Dental A Team (14:00) what winning looks like.   The Dental A Team (14:02) Mm-hmm. Mm-hmm. No, I think you're spot on there and you're making me think that clarity piece,   clarity piece and knowing how to make someone happy, right? How do I thrive in this position and make my doctor or my manager, whomever my lead, happy also ties back to when accountability is only held in the negative. It's very easy to start to feel like   you're not, you can't win. There's no positive being brought to light. So it's it's celebrating when cause for celebrating and it's tackling system when cause for tackling systems and never tackling the person. Unless it's a personality, personnel issue that's separate, but when it comes to accountability results and driving the practice, it's more about celebrating and tackling as you need to and not only tackling, which in the dental industry,   The Dental A Team (14:43) You got   The Dental A Team (14:58) Our jobs, I tell practices all the time, patients come here so we can tell them what's wrong with their teeth. They don't come here so we can say, my gosh, that's the best smile I've seen all day. Like we want to say that, right? But when we see that good smell, we're like, you're all good, nothing here, right? That's not a celebration. We're just like, no problems. See you later. And we tend to do that in our KPI meetings too, where it's like, cool, you're good, you're good, you're good. you're not good, let's focus on you today. And it's like, well, shoot, when do I win?   I think you keyed on something really big there. I think deducting all of those pieces that you mentioned today, Kristy, it feels like the stress is typically going to be seen in more of an emotional capacity than in a physical can-do capacity. So it's in a mental capacity that turns into an emotional capacity that brings on the stress of the world and really just keying in on how to remove the emotion.   from it, bring in the black and white and celebrate those pieces.   The Dental A Team (16:02) I agree with you 100%. And I think it's why we always are speaking to right people, right seat, right? And I always joke when I tell my clients this, I almost think it should be right seat, right people instead of, you know what I mean? Yeah. yeah, spot on.   The Dental A Team (16:14) Yeah. Yeah, no, that's fair.   I love it. If you were to pick two or three things that a practice could do today that might be not like, I don't wanna say surface level, because I don't think it's surface level, but maybe not digging deep and uprooting a whole system. But what are some things that they could implement today or they could take a look at flushing out if they were to try to reduce stress today in their practice?   The Dental A Team (16:44) Yeah, I truly, I think the first thing would be, there one or two metrics that aren't where you want them? Let's pull out that system or identify what duties or what things do we do every day that contribute to that number and then pull out those systems and figure out it. It can be process or it can be people, meaning   Maybe as a person, I change the recipe, right? I always tell people, you change the chocolate chip recipe for a cup of salt, when it called for cup of sugar, you don't get to say the recipe doesn't work, right? So pull it back out. Let's look at it. Is the recipe, we tailored it and it's not working? Let's just get back to it. know, recommit, recommit as a team or an individual and then remeasure. Is it working? Right? So,   The Dental A Team (17:22) That's fair.   Yeah. Yeah.   The Dental A Team (17:38) That would be my thing and get energized behind it.   The Dental A Team (17:42) I love it. Well, thank you. It amazed me. actually just last night I altered I altered a recipe. I make these biscuit things for Brody and I was like, I'll do a gluten free flour because then I can have some too. And I really like bell peppers. So I'm gonna take the bell peppers out. But I didn't change the amount of flour. So they are real dry, you know, and Brody this morning was like, maybe you need a new recipe. And I was like, well, no, it was.   because I didn't have enough wet ingredients because I didn't put the bell peppers in there and to it I didn't reduce the flour so it's just funny that you said that because Brody was ready to throw out the recipe and find a whole new recipe but it wasn't the recipe it was me so I appreciate that you say that at home today. ⁓   The Dental A Team (18:22) You   I think   the with that though, you know, the ironic-ness that you just said that my son has celiac. So in the very beginning, we were learning to cook different. It's funny how you have to transition. I would encourage you to use applesauce in your... It puts it back to nobody's trying to make the day difficult. We're all trying to do our best and, you know, celebrate your people. Try to recognize the wins.   The Dental A Team (18:28) Yeah.   Yeah.   ⁓ smart! Yes, I do forget about that.   The Dental A Team (18:55) and the areas that aren't improving, address them as needed.   The Dental A Team (19:00) Yeah,   I love that. Thank you. Thank you. And thank you for the tip. Everybody has a gluten-free flour tip now as well. We're here for all of the things. Awesome, Kristy, thank you. And I hope you guys can see some spaces in your practice where you can dial in the accountability. I don't wanna say ramp up the accountability. I think it just needs to be dialed in and it just needs to be in alignment with what your goals are.   The Dental A Team (19:05) Right   The Dental A Team (19:27) And if your goals are to have a stress-free practice, it doesn't mean you remove the accountability. It just means that you find the alignment of the accountability to sit with your goals. take a look. You guys, think you know, Hello@TheDentalATeam.com is where to send questions. We are here for it. And a lot of those questions, just so you know, if they are tailored to specific things like this, they get sent to the consultant team and we are the ones that are providing the answers for them to respond to you guys. So you have us at your fingertips, just like our clients do if you are a client.   Reach out to your consultant, she's there to help you. We love what we do. you guys, drop a five star review below. We love hearing what you love. And you know what, when you use that applesauce, let us know how that goes too. So, Kristy, thank you so much for your time today. And with that, you guys, it's a wrap. We'll catch you next time.  

Kiera is joined by Dr. Paul Etchison to talk about changing the mindset of turnover = failure. This transition is part of the evolution of leadership. Both Kiera and Dr. Etchison share their own experiences in remaining true to core values, and keeping their definitions of success separate from whether a team member stuck around or not. 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 an extra special day. I have one of my faves and every time we podcast, people say, you two just seem like you love each other so much. And I really do. I've been to this man's practice. We've been friends in the industry for I don't even know how many years pre-COVID. That's a long time. And we've been on each other's podcasts a lot. He has an incredible podcast. He's an incredible human, incredible friend, incredible mentor. I got the one and only Paul Etchison on the podcast today. Welcome. How are you today, Paul?   Paul Etchison (00:28) Hey, I'm good. And I was just thinking about how you mentioned like the pre-COVID thing. You texted me a picture of when you came into my practice for two days. And it was like before COVID. And what was funny about it, and I don't know if it's funny or not, but like I looked at it and half of my team has turned over. They're all new people. So I know. ⁓   Kiera Dent (00:36) cute.   Mm-hmm.   It's real life, Paul. That's real life. It is funny and isn't because I go back and I used to   be embarrassed about that. So let's just kind of highlight on that. I used to actually be very embarrassed of like, my gosh, I don't have senior team members. And like, I hate the question. There was a hot minute. The Dental A Team felt like I was Johnny Depp in the middle of the ocean and my boat was full blown on fire. And I was like, I just hope another one shows up soon. Like I hope something comes. ⁓   And then I realized that's business ownership. Like that's real life. And yes, we built these great cultures, but you outgrow team members and team members outgrow you in life circumstances. And I'd rather be honest and real rather than perfect. And so the fact that like teams shift in a lot, mean, shoot, I used to have this vision board, Paul, you want to hear how ridiculous this was? And I took the team and I put them in the one year, the three year, the 10, and I just had this like same team follow with me. That lasted me for like six months. And I was like, rip this thing up.   Paul Etchison (01:31) Yes.   You   Kiera Dent (01:40) It's   gotten better, it's stabilized, but I think that that's real life. So thanks for talking about it.   Paul Etchison (01:44) It's hard,   yeah, I mean, we look at it and I think like the beginning of my practice career, I had very little turnover, but it was, I had to put so much into keeping that. Like it was such a hard thing to keep going. there was a lot of team members that I kept and I was able to make them happy and I was able to have it be a productive relationship and they were good at the practice. But sometimes I look back on it I'm like, man, it was just, that was a lot of energy I put into one person. I should have just moved on.   So that's how I practice now. It's different. There's a little bit more turnover and I think that's normal and that's part of business ownership. So we're okay.   Kiera Dent (02:16) What changed in your mindset for that? I have so many questions for you today. You guys, Paul and I, when we get on the podcast, it really is just like a free for all. And Paul has no clue. I have a full plan of what I'm asking you today, ⁓ but it's going to be a free for all rift of business ownership of teams. How did you change that perspective? Because I think so many people chalk that up to, I'm a failure of a boss if I've got turnover. Like I had a doctor the other day on a coaching call and she's like, Kiera,   Paul Etchison (02:19) Yeah.   Kiera Dent (02:42) What am I going to do for PR? Like I've got people turning over and how do I PR this? So anything is twofold. One, how did you get like mentally change that mindset? Cause I think it's a big mental game.   Paul Etchison (02:54) Yeah, for me, was everything that I've done in my career as far as like leadership growth and stuff, I think has always stemmed from some period of just struggle and burnout to some extent. It was like, I got to the point where I was taking everything that happened at the practice personally, every upset person at upset employees, they're bothered about something. They're they always, I mean, they're telling you how you should be doing things that not realizing that there's very complicated solutions. And sometimes there's not perfect solutions. A lot of times there's   perfect solutions. So I think what changed for me is I started looking at it from a point of my mental sanity saying I can't attribute my feelings on the happiness of all these team members anymore.   And all I need to do is just be very clear on what I want, be very consistent with the way that I treat them and hold them to that standard. But ultimately, I'm putting the ball in their court. It's up to them. And if they want to play ball, cool. If they don't, that's cool too. We can still be friends and you can go to some other office where it's more to your liking. But the biggest change for me was just realizing I can't be everything to everybody. And I did it for a long time and it was really exhausting. And I worked through that and I feel a lot better   it.   I think my team   is better for it.   Kiera Dent (04:08) Yeah, no, I don't disagree. And I'm glad you talked about that. It's been fun. think Paul, you felt like, I don't know, a big brother to me when we met and I came out to your practice and the fun things we've been able to do together and just the differences. ⁓ I think as we've grown up in the industry together, but I, I admired that because I always thought you had this amazing team. And I think to hear your version and then my version at the same time was very similar. I just realized like,   We got a killer team. Like this is an amazing company. And I think when I evolved to you're so lucky to work here, you're so like not in an egotistical way, but I think in a confidence way of like, this is a great place and we're going to attract people. I started realizing like I had confidence to make offers of what we actually wanted to pay versus what I felt like I had to chase to get people to be here. ⁓ we pivoted and I used to like chase all the time and try to be everything for everybody. And then I'm like,   Why am I doing this? Kiera, like you have built a company and a culture and a space that people love. And yes, there are changes and I will continue on forever evolve. I don't think that we're a perfectly set company, but I think that we're a pretty great, awesome place to work. And I think when I became centered, confident in me and what I was providing in the culture without having to be everything, I noticed I actually attracted a way different type of employee. I attracted somebody who wanted that same style. They, it,   It was like no more like games. think in like compensation and all this, it was more just centered. It was like, this is what we do and this is who we are and I want great people. And I also think it was very much attributed to like, got dialed in on core values. And I was like, I'm sticking to these. These are like rock solid. do not deviate from that. And if you don't fit. Fantastic. There is another opportunity, like go find your dream place and we're going to find our dream team member. And I say that in a very like confident, hopefully not egotistical. And I think you, sounds like you did a similar thing, but I.   I will say, I think you go through a space of realizing you're not a failure. It's an evolution. I think of, of leadership. It's almost like going from, I don't want to say immature. It's more like children and how's they grow. Like, I don't think a little baby is a failure for having that knowledge and that mindset. And I think some of us, are toddler baby owners. Like we've never done this before. We don't know. So we're going to have a different mindset. And then you just start to morph and evolve just like   Children grow up and they morph and evolve into these teenagers, into these college students, into like the prime of their life. To me, that also feels like a maturity of leadership as well to being confident with that.   Paul Etchison (06:42) Yeah,   I love that you point that out too, because we do, we hear a lot of complaints from our team members and then we start to, it starts to add up and then we start to really doubt.   Did we really create a great work environment? I mean, we just had an all day meeting maybe about two months ago, maybe six weeks ago,   like that. And one of the questions I asked, we use this thing called Slido. It's just in real time, you put on a PowerPoint slide and everybody can vote on their phone. There's a million like programs that do this. But I asked the whole team anonymously on a scale of one to 10, how fun is it to work at Nelson Ridge Family Dental? And I was terrified to throw that   Kiera Dent (07:03) Thank   Paul Etchison (07:19) there. I had no idea what people were going to say.   Kiera Dent (07:20) I don't blame you.   Paul Etchison (07:22) It was everybody was like eight, nine. There was like three or four sixes. Now I have 30 something team members.   So the   Kiera Dent (07:29) Yeah.   Paul Etchison (07:30) of it was very good, but it was, it was scary.   if you would have asked me what I thought it was going to   Kiera Dent (07:35) Mm-hmm. Mm-hmm.   Paul Etchison (07:37) I did not think it was going to be that good because the squeaky wheel gets the grease. This, you know, that's what we hear. That's what we focus on. And it reminds me of this one coaching client I had, cause I coached dentists as well. had a coach coaching client named Isaac and he did very similar to you.   choir practice, he really got deep into the foundational core values of this is what the practice is. And   turned over his entire team and he said, I feel like such a failure. I feel like everybody's leaving. I feel like I'm just turning everybody off. Patients are coming in and asking where everybody is. I just don't think my leadership's good. And I told him, just hang through,   Hang, you'll find your people. And then six months later, he was like, I cannot tell you how much I love my team. And so I think the message of what you and I are saying, Kiera, is that no matter   Kiera Dent (08:12) Mm-hmm. Mm-hmm.   Right.   Paul Etchison (08:22) what you want to do with what kind of vision you have for your practice, your team's out there. They are there. They are waiting for someone to take charge and just make it a big deal that that's the type of people we have at this practice.   Kiera Dent (08:26) Mm-hmm.   Paul Etchison (08:33) So if anyone's listening thinking like, have this issue at my office, get those core values out, talk to the team about it. Don't just like leave it on a document, bring it up with ⁓ a meeting and say, guys, this is what I truly want.   And sometimes apologize. I'm   I haven't been holding everyone to the highest regard or the highest standard, but I'm ready to do it and I need your help. So I love that you brought up those two points. Those are amazing things and I think everybody struggles with that.   Kiera Dent (08:55) Yeah.   I think, and I think that that's something that I feel you and I both strive to do is tell people feel like they're not alone. I think so many doctors feel like I'm the only one out there. I'm the only one who can't keep my team there. I'm the only one who has team turnover. And like, this is not the path that we were even on my radar to head, but I think it's obviously the most important path for people to hear. ⁓ I think Paul, it's the no judgment. It's the hang through it. It's, ⁓ having a guide, a mentor who's been there, done that, done that successfully. I mean, you and I can both like,   Gosh, you like grit through that and it's painful. But I also believe that while yes, painful, I feel it's an evolution of soul that you actually internally are craving. I don't believe that we rise to the call until we're ready. Like Kieran 2020, when I'm sitting on Johnny Depp like boat in the ocean, it was on fire. I was not ready for the call and the evolution that came in 2024 for me.   Like I just, wasn't ready for it, but come 2024. And I think it's a, it's a shedding, it's a shifting. It's a, like, I call it like the skin sloughing. Like it's like a snake, like you're leaving it behind. It's, I watched penguins when I was in Antarctica, like small flex there, Paul. Like the Antarctica trip was pretty rad. And we watched it. Right? We went to Antarctica. Penguins are so cute and they smell terrible. Like they're like little ketchup bottles that just squirt poop all day long. And it's disgusting.   Paul Etchison (10:11) I was just going to follow up on that. Whoa.   Kiera Dent (10:25) but they were molting when we were there and they just looked absolutely miserable. Like they sat there and they told us like, please don't touch the penguins. like, these look just, they're like, it's very painful for them. They're having to completely molt off all of these feathers. And I think that that's how I feel a lot of business owners are like, are you going through that molting process? But again, just like those penguins, just like us, I really do believe that when we're ready to be called to that higher level, one, you're not alone, two, you don't have to go through it alone.   Three, it's normal and it's part of growth, but like, there's also, you don't have to grow until you actually want to. Like, it sounds like Isaac was just ready. Like, I'm ready, I'm done. Like, I've hit my limit. I was ready, I was done. I was like, we are having a complete culture shift. Like, we're done and like, it needs to evolve. Sounds like you had it. But I also feel, and I don't know how you feel, Kieran 2020, Kieran 2024, even into 2025, leadership culture company.   keeps evolving. don't feel like I have as many of those like huge molting in 2020, huge molting in 2024, 2025. It's more of a shift in a refinement rather than a full molt. But that's, think how, at least for me, that's how I think I view leadership is.   Paul Etchison (11:37) Yeah, totally agree. It's like we go through these stages of leadership growth. And I remember for me, like leadership all the way up to COVID was like system, system, systems, consistency with team. And my team grew to like 35, 40 people and it got really unmanageable. And then when we came back from COVID from being shut down, I really wanted to try to do something different. And I wanted to keep that. ⁓   I just loved when we were shut down for COVID. I loved how it felt. It felt easy. And I said, I want that, but I don't want that craziness when we open up again. And when I did, I started to feel that same craziness. And I was going to therapy at the time. And like the therapist will tell you, just change your expectations. Don't take everything personally. And what I learned through that is there's no amount of therapy that can   broken leadership   Is that I had systems, I had consistency, but my team   had outgrown those systems. We needed more systems of leadership. So the next stage in my leadership was learning how to lead leaders and truly delegate and truly give them the autonomy to do everything. And when we did that, everything got so much better. there was parts of me that was like, I'm not the right person for this level of organization. not the right person for this size of a dental office. I'm just too anxious. I take   Kiera Dent (12:41) Mm-hmm.   Paul Etchison (12:59) too personally. And ultimately, I think it was just I   Kiera Dent (12:59) you   Paul Etchison (13:02) set up, I didn't set up my organization the proper way. So that was the next level up for me. And I think that's me shedding my skin finally once and for all to learn how to lead leaders. And who knows what's   Kiera Dent (13:14) Paul, I think that you are actually a really good example of letting go of control. How do you do that? Like,   I remember talking to you one day, this is offline, hopefully I'm not oversharing. And you're like, a lot of people say, like, what are you going to do if you retire? And I know you sold your practice to a DSO and you're like, I've never looked back. Like it was great. Um, you're like, I'm actually the person who's okay to just like sleep in and do nothing. Like I really am okay with that. Like, how did you let go of that control with your team? Um, knowing that they weren't going to do it exactly like you, like, I think people have this in theory. They try to do it, but.   Paul Etchison (13:23) No, of course not.   Kiera Dent (13:49) Like that's another molting. That's another really hard gap to go from full control. You're in charge of everything to I'm stressed out. Now I'm going to let team members take over and maybe you're, maybe you're an anomaly, maybe you're a unicorn, but how did you do it?   Paul Etchison (13:59) Yeah.   I think it's like we talked about the growth, but I think where we screw up as practice owners when we do this is we get upset that the team members are not doing exactly the way that we would do it. And there needs to be some wiggle room. There needs to be a lot of forgiveness. But ultimately, there's got to be clarity. And not enough practice owners are having the conversations with their team members. Like I always say, like, I'm coaching dentists all the time, and they're telling me about these issues they're having at their practice. And I'm saying, well, why do you think that is? And the answer is like, well, it might be this.   kind of think it's this and it's like, well, get curious, ask, ask your team. So for me, it was about telling my team what's expected and when   Kiera Dent (14:36) Mm-hmm.   Paul Etchison (14:42) didn't meet expectations, instead of like dancing around it, just going right at the   getting curious, what is going on with this? What is, why is this not happening? And then always like, you know, if you ask the right questions, the next step for any leadership, any leader is to validate their perspective.   no matter what it is and that will go so far. If you take one thing out of this podcast, do that. When your team members share something with you or if you're getting curious, asking them why things are happening, how they're feeling about something, validate their experience and watch how much they open up and they're.   open to behavior change and other options. And then that allows you the opportunity to then ask and invite participation in the solutions. What do you think we should do?   I noticed our cancellations are getting up there. Like, what are we doing about this?   What do you see happening? Getting curious. And they're saying, well, I don't know. Like, I got to ask some more   OK. And then validate their experience. I totally see how maybe you got busy with your other things and you haven't been asking your team. But we've got to ask the team and find out just so many little things.   For me, was getting out of the way, being clear with expectations. But then instead of trying to go around my leads and my leaders, my practice and go around them and deal with the other other teams myself, I let them do it and I let them fail and I help them and I support them.   And I think I know there's a lot of like team members that listen to your podcast, Kiera. I would hope if you're listening to this and you're team member, I would hope you understand how valuable you are to an owner. If you can take things, find solutions and hold your, your team members, your fellow coworkers to a certain standard, like you would be so valuable. Everyone's like, well, how can I get a raise? How can I contribute more value? I would people on my team, my leaders that do this for me, they are so valuable to me and every owner.   is just waiting for somebody to step in and fill that role. I mean, every practice could use   Kiera Dent (16:38) team members, their number one objective is to make their doctor happy.   every day, all day. That's like what my job is. That's what I want to do. That's how I want to serve. That's how I want to help out. ⁓ And I think as owners, I think it can be easy to see all the problems in your team. But I think it's what pair of sunglasses do I want to put on? Do I want to put on the one where I see like, what's wrong is just as available as what's right. Both are always available in every single scenario, every single situation. And so what are we bringing to the table and how are we looking at these different things?   How are we guiding our teams? How are we guiding our leaders? How are we showing up as leaders? How are we like, what is the filter I'm putting on every single day? Like those, those two sunglasses are right there as you walk out the door and which pair are you choosing to put on? Cause you're going to influence impact and create a team. No matter what we see what we want to see. And I believe that we create our own realities. I believe that reality is what we believe it is. And so, ⁓ I think shifting that seeing that, and I think having just a bigger plan, a bigger vision. know when I got very crystal clear of where am I headed?   What is my role? Like, this is gonna sound funny, Paul. I literally Googled like, what does a CEO do? I think doctors come out of school, like you're a doctor, like you do the dentistry, like that's what I'm supposed to do. And I remember one day I was sitting there and I'm like, what is the CEO even supposed to do? Like, I don't even know, like, like really, like where is a CEO, like dictionary, like job description, I realized, got it. It's profit, vision, and culture. Like those are really my main things. Stay out of the weeds and like go for it. And...   Paul Etchison (17:43) you   Kiera Dent (18:04) That's what I'm bred to do. Bring the great ideas, bring those different pieces. That's my job. That's my responsibility. I think dentists also have the second tier of you do dentistry too. So you are a clinician in there and then you have those pieces. But driving culture, driving a culture of accountability of fail, fail forward. like, gosh, I just read this really awesome book and they said, we measure it by outcomes, not activity.   Like just stuff like that. Like you start to become this person who wants to evolve your culture, evolve who your team is, evolve who you are as a person. And I think Paul, even in just knowing you, I think there's been an evolution of who you are as well. ⁓ I think that is just, and hopefully I've evolved too, like fingers crossed there's been an evolution and I'm not as quite, I don't know. I think we keep the best of ourselves. And then I think just evolve into our 2.0, 3.0, 4.0 levels. I guess I just asked the questions of   Paul Etchison (18:42) Absolutely.   Kiera Dent (18:58) I think you've got a fascinating story. You were full, full practice owner. You were in there. You sold out to a DSO. You're still in your practice. You still train. You, you've evolved. If you were sitting back when I met you, what would you tell that Paul of what you know today that would have made that whole experience, whether you're selling, whether you're growing, evolving. I mean, you have a very large practice. It's been real fun to watch you and your practice and everything. What would you have told that Paul?   Paul Etchison (19:27) Yeah, and this comes up a lot with my coaching clients. A lot of people ask me that. And one of the things, if we're looking at our practice, and I'm going back to the beginning, is if we want to sell our practice, if we want to cut back our days, if we want to have the most profitable practice ever, a lot of the times the strategy is identical. We're just trying to go through and create more freedom for ourselves as practice owners by empowering our team, getting them to do a lot of the responsibility.   Kiera Dent (19:48) Mm-hmm.   Paul Etchison (19:57) to be accountable for a lot of the stuff. So I think if I could go back and tell myself again, man, first of all, just stop taking everything so personal. And you come in and you look at it with these different lens of leadership and maturity and all these leadership skills. It's not just at the practice. It shows up in your relationships with your spouse, with your friends, with your kids, like all these things. Like it's all intertwined. But I would have much earlier got the leaders going in my practice because one of the things   Kiera Dent (20:16) Mm-hmm. Mm-hmm.   Paul Etchison (20:27) happen through my practice sale is I just like I mentioned I felt like it wasn't I'm not cut out for this I'm sick of being miserable I'm sick of being stressed I'm sick of taking it home and I'm sick of taking it out on people that I love and so when I sold it I said okay I'm on my three-year exit plan I'm getting out of here I'm moving on I don't know what I'm gonna do but I'm gonna move on so I said you know my associate partner Dr. Kathy she owns part of the practice too   I'm gonna pass it to her and maybe she won't be able to do it as well as me. But I need to set this up so she is just, I wanna bless her with this amazing practice that runs on its own. And in the process of setting that up with my leaders, I realized, dang, I don't know if I would have sold. And I'm still happy I sold, don't get me wrong. I'm not saying I would have, but that's what I would have tried to do early in my career. I would have went, who are the leaders? ⁓ The whole thing with like the Dan Kennedy of the who, not how. Not how do we do it, but who's gonna do this?   Kiera Dent (21:11) Mm-hmm, mm-hmm, mm-hmm.   Right.   Paul Etchison (21:25) And I would have leaned into that a lot more because I think I would have been a lot happier. I would have been able to enjoy the journey more. But at the same time, it's like we learn from our mistakes and you got to make the mistakes to learn from. So it's like, so that whole Catch-22, would I change anything? I don't think so because I wouldn't be, if I didn't have the same experience, I wouldn't be the person I am today. But man, I wish I had learned it earlier. That's for sure.   Kiera Dent (21:45) Sure.   It's fair. And I'm actually happy to hear that because I feel like this is like the DSO conundrum and like the cell. And I'm happy to hear you say that because it validates what we try to coach on to. So many doctors are like, I'm just going to sell. And I'm like, well, let's just look at this. If you sell, let's look at what your life will look like on the other side of it. Let's look to see where you are today. And really, let's get to the root of why do you want to sell? And I think, Paula, if we would have asked you that same question.   Why did you wanna sell? My hunch is it was all these problems, all these issues. It was just like, I'm sick of it. Like, let's just pass this on. Let's move on. When a great leader, a great office manager, a CEO, a CFO could have easily come in, taken over for you. You could have had the exact same scenario. You just would have owned it and had more options on the table. Like you said, it's not right, it's not wrong. But I think like for everybody listening, I think today is a good reflection of one, are you going through a molt? Like, are we molting anywhere?   ⁓ and do we, or do we need to molt? Like, is there something we need to shed, let go of identity wise? And then two, I like to do this reflection a lot. And I encourage a lot of people to do it. It sounds like Paul, you do it. Like when we're in these issues in these problems, are we stopping and pausing and asking like, what is the root? Not the symptom, the top line symptom is like, I'm so stressed. And I got this and this and this, but like, do we ever stop and pause to dig to that route and find out   what is really at the root. For me, I often have many journals that are like this, this, this, and I just like list it all out of all these things are frustrating me. But what I'm trying to do is find what is a thread? What is the piece in that that's causing the chaos because then we go fix that. And that's what I love in practices because 99 % of the time what people tell you on the top line, so coaching offices, coaching doctors, coaching teams, like Paul, you know this, I know this. What people tell you at the top is not really what's the problem.   It's the bottom layered, there's something rooted, there's something under there. These are just symptoms on the top. Same thing with patients and case acceptance, right? It's the up at the top, what they're telling you is not really what they're feeling. And all you gotta do is just dig under, find out what that root is and stress and that will go away. And so Paul, thank you for, I just am curious. I've always been curious, like, would you have done something differently? Of course we never can, like, no, we're not going to. But if I could go back and tell that younger self things, like,   Kyri, get rid of your ego, honey. Like trust your team, trust that team to do amazing, trust them to do better than you are, trust them to be better than you, trust them to make better decisions than you do, because I want to create that kind of a team and me believing that is going to ultimately turn my team into that. They have the whole study about teachers with kids and IQs and like if they believe that they have a stronger IQ without doing anything different, that child actually ends up with a higher IQ. Well, why don't we take that same principle and apply it to our teams and see what happens.   Paul Etchison (24:23) Yeah.   It's so true. And I love that you say like the reflection that you did, because I noticed this with my coaching   is that there's a lot of, there's a lot of how, how do we do this? How do we fix this? But I think anyone listening, if you just sat down in a dark room, maybe not dark room, but you're sitting down in a quiet room for 30 minutes and you reflect it, what do I really, you know, I do this with my coaching clients. We call it a practice clarity and frustration exercise. What do we, what really bothers you with the practice? What is it that really just, you know, grind your gears,   it down and it sounds simple but once you write it down you can like visually see it and start to brainstorm for solutions and you start to make this progress that not only affects the way your practice runs but the way that you're the way that you feel and I think ultimately as practice owners we need to realize that the CEO hat you mentioned what does a CEO do we need time for that and we don't have time for that when you're doing four or five days of dentistry that's why when I'm working with clients the first thing I'm gonna do with a practice owner is I'm gonna get them down to three days clinic   Kiera Dent (25:10) Mm-hmm.   Paul Etchison (25:27) And it always works. so inefficient. There's so many things we can do with scheduling and efficiency and production that we can get you down to three days clinical. But now you've got that extra day to put on that CEO hat, to reflect on the things, to write down and figure out what your plan of attack is. I mean, that's what I've got a workshop coming up in February that that's focused on that. How do we get you down to three days? And that's all I want to do in this three day workshop. We're, of course, doing these reflection activities. But I think this is over the course of my career and working   Kiera Dent (25:27) Mm-hmm.   Paul Etchison (25:57) with people, that's what I've seen moves the needle the most. We need time and we need to give the energy where it's due. And it's not, we   be 100 % clinician. It just doesn't work that way.   Kiera Dent (26:09) Yeah, no, Paul, I love that. And think that's such a fun thing. I think dentists need this. Dentists need to have their vision, have their clarity. But I think from today, the wrap is it started out with a photo, unexpectedly, of this is what we're ⁓ kicking the day off of, going from where we were to where we want to be, ⁓ looking at that, reflecting back, seeing. Because   Paul Etchison (26:23) Yeah. How do we get here?   Kiera Dent (26:34) There's a client that you and I both know. They're pretty well known ⁓ that we work with. whenever I work with, gosh, it's so many practices. I think there's like 300 employees and I'm like, gosh, I remember all their names every time. ⁓ But they talk about how sometimes the best learning is just remembering. Remembering where we've been, remembering where we're going to go, remembering things that we've learned looking there. So it's like remembering where I've been so that way I can kickstart and project into where I need to go.   using your team to get there. Your team wants to be your best asset for that. So Paul, those are kind of my wrap thoughts. I know today has just been a real fun day. Always enjoy a good podcast with you. Any last thoughts you have?   Paul Etchison (27:15) No, you know, I would just close it off with   having the listener just believe, just believe in the possibility of what's going, what is possible with your practice. ⁓ There was a point where we talked about reflection. I reflected and I said, I wrote down everything I do at the practice and I wrote down how many of these activities bring me joy and how many of them I hate. And I believe it was something like 80 % of them I hated. So that's no way to live your practice life. You spend a lot of time at work. So why not do the reflection and put the time and energy into   Kiera Dent (27:38) Mm-hmm.   Paul Etchison (27:45) Making your practice a better place to be at it's not just gonna affect you. It's gonna affect your family. It's gonna affect your team ⁓ There's big your ripples that come from this little thing So I would say sit down find a coach find a mentor read some books it is possible believe in yourself and It all starts with the planning so sit down and write down some things journal love it   Kiera Dent (28:09) Journal it up. Well, Paul, I appreciate you so much.   I ⁓ just love what you're doing for our community. I love the things that we're able to accomplish together. ⁓ And yeah, guys, check him out in Dental Practice Heroes podcast. He's got some great stuff over there as well. ⁓ Paul, so good to have you on the podcast. I think you mentioned the event in February. If people want to know more about that, how do they connect with you on that?   Paul Etchison (28:35) Yeah, go to DentalPracticeHeroes.com slash freedom. So that's where the information on the three day workshop, it's going to   awesome. And I'm doing a money back guarantee. If you don't think you liked it, if you don't like what you signed up for, I'll give you all your money back. I believe in it that much. And I know from me coaching for the past six years, I know this is what produces results. So go check that out,   more about the courses, check out the podcast. And I'm always happy to talk to any listeners if they want some help or they just want to find out what we're more about. Please just go to the website, DentalPracticeHeroes.com.   dot com.   Kiera Dent (29:06) Amazing. Paul, thank you so much for being on the podcast. For all of you listening, I hope you do take the time to reflect. I do hope you think about where you want to go and what you want with your life. And just appreciate you guys all being here. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.  

Kiera is here with a gift to make your practice even better: The three most common mistakes dental practices make, and guidance on how to get out of them. Is your practice making one of these mistakes? Delegating tasks without ownership Avoiding hard conversations Flying blind on your numbers 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 one of my favorite topics of all time. It's how to avoid the pitfalls because I feel like these are costly mistakes that dental practice owners make. We make these costly pitfalls. We go into them. We don't know about them. And you guys, if you know me, I have a mantra and I say, don't lose money. I hate losing money. It's one of my biggest pet peeves and I don't want you to lose money. So I'm excited to talk about it. I hope you guys are excited because...   The reality is like so many people talk about like, success leaves clues and it does, but so does failure. And I I talk about this a lot when I present and when I speak and I say like success and failure are truly not radically different. They're not, they're like small little things. It's like successful practices are consistent. Successful practices put systems in, successful practices look at their KPIs, successful practices have team meetings that are effective. Successful practices have CEO time.   Successful practices have delegation and ownership. Successful practices ⁓ follow through. They look at their case acceptance. They make their re-care calls. They do their reactivation. They do different verbiage. Like that's what they do. Failure practices don't stay consistent. They always have an excuse. They're always blaming. ⁓ They don't check their case acceptance. They don't track their KPIs. They don't look at their numbers. They don't take CEO time. Like these are just little steps. And like with my fingers, if you're just listening, I'm like,   almost like scallops, like if we've got a middle point, success is I checked my KPIs, failure is I didn't check my KPIs. And while that's not like a huge move, it is moving you points away to where you end up either closer to success or closer to failure. And so I think when we realize this, these are the ones, like, how can I help you guys avoid these costs and mistakes? How can I like motivate and inspire you and like, not just motivate, but genuinely change you?   So that way it's not this I like, well, shoot, we're on failure row. Shoot, like, I don't really know about this. Like, I just want to talk about three of the most common mistakes that people make and how do you correct course because you're going to make mistakes. But like if I'm doing the scallops again, successful offices realize like we didn't do the KPIs. So we're going to start doing the KPIs and we don't miss those. We're going to hold the meetings and we don't miss those.   they course correct before they end up in the failure or the success bucket. They're course correcting constantly. And so this is just like where I'm at coaching hundreds and thousands of offices, team members galore, our team, like literally, I feel so blessed that we get to serve so many offices. I just saw like this really awesome highlight reel of all these doctors that came in person and I was watching it with Jason and I look over and Jason's just the sweetest thing. He's tearing up and he said, Kiera.   I knew when you started Dental A Team, it was going to be like, he's like, I never imagined it being what it is today. He said, but all those people's lives, including all of you listening to the podcasts, all of those lives that we've been able to change because of Dental A Team Gosh, that is just such a blessing. It's such a beautiful thing. And I just want to say thank you. Like, thank you for being here. Thank you for being a part of the offices. Thank you for being a part of my Dental A Team podcast family. Thank you for just showing up. Thank you for changing lives through dentistry. Thank you for giving people a gift of confidence. Like,   And for me to be able to give you a gift to make your practice even better, that's what I'm here for. That's what Dental A Team's about. So like we're here to help you recognize patterns. We're here to help you avoid burnout. We're here to help you make small changes before they become giant snowballs. And I think like my thought process has always been I'm here to positively impact the world of dentistry in the greatest way possible. We're here to share this podcast message with every single office out there. We're here to help offices realize like running a successful practice.   does not have to be hard. It can actually be easy. And let's give you the tools, the tips, the resources, all of that to make your life a grand success. So if that sounds great to you, we'll rock on. So step number one, mistake number one that's very costly is delegating tasks without ownership. So like so many offices, hear them like, Kiera, I listened to the podcast and we implemented it, but like it just didn't work out. And I'm like, yeah, cause you delegated it and you didn't have the structure, didn't have the ownership, you didn't have the accountability, you didn't have the metrics. Like, okay.   One of the doctors called this doctor out and they said, this doctor is a walking cheat, like cheat code. Go talk to him, go ask him what he does because he's been able to take his practice for massive success, which is true. When I met them, were doing about 1.5. Now we're clearing five. We're going to be crushing six to seven. And I just like, gosh, the giddiness in me for this office. Like they deserve the sun, the moon, the stars. Like you name it.   They're just such good humans. And so when I think about this, like we're talking, this is a practice that went from like 1.5, 2 million up to this six, $7 million practice now, something I've noticed. And like I said, this doctor is a walking cheat code. They, when we go in and we're like, okay, we're going to roll out this new process. So we're going to do a new process on how we do case acceptance, or we're going do new process on how we do cancellations. They don't just go to the team and be like, all right guys, we're going to do cancellations. They are like, we're going to build an SOP.   we're gonna have a team training, we're gonna have a metric, we're gonna do it for these four weeks. And they don't take a long time to execute on that. So it's like, perfect, we're gonna have this done in the next three weeks. But they execute, it's rolled out, it's like, it's very, very thorough. And this is a practice of a very large team and they all do it consistently. And when something gets off, they just go right back to the SOP, they update the SOP, where was it missed? What do we need to do? Let's do a team training on it. But I will say I've coached hundreds of offices and this is one office that I watch   constantly that is able to delegate, have ownership and be able to have a full team move and stay hyper accountable. So this is just like, you've got to have ownership. You've got to have SOPs. You've got to roll it out to the team, make sure everybody's aware. And then we've got to have the metrics and the check-ins to make sure something's not off. And if it is off, we follow through on it. So people know that when we roll out new processes, they're here to stick. They're not just like a flash in the pan of like, I heard it on a podcast. Let's try it out.   No, it's very, very, very thorough. So a quick check for you is like, go back and look at the last three things that you delegated. Did you assign them? Did you own them? And did you have follow up on it?   crickets. Yeah, yeah, because you did it. Darn it. But you're going to do it in the future. Or maybe you did. And I'm high fiving you. But most of the time, people don't. And this is so costly because then you can't ever be free. You think you're moving. You're taking one step forward, but you're actually taking like 500 steps backwards because nothing's actually getting delegated. Nothing's actually moving forward. And you're only relying on your A plus star players that are building all these ownership accountability pieces. And people are like, but I want everybody to be that way. And I'm like, human nature is not. Tell me how you're doing on your New Year's.   resolutions, probably not great because human nature by default doesn't stay accountable. Why do think I'm in business? because people, they know what they need to do. People are like, Kiera, I pay you to tell me like what to do that you do on the podcast. And it's like, yeah, because human nature is not follow through. Why do I pay a gym trainer? I've got all the resources, I got all the tools. I need somebody to literally hold me accountable to make me show up to work out. So look at the last three tasks. Did you delegate them? Was their ownership?   Did you follow up on them? Did they have a metric? If not, it up, fix that and start to delegate with ownership and accountability. So mistake number two, are you guys ready for this? It's avoiding hard conversations. ⁓ man, that's a crowd drop off. This is so real though, because we don't have like Patrick Lanziani has the five dysfunctions of a team. And if you and your team have not read this, I highly recommend it's a very easy fable. Have it as like some like,   evening reading. It's so fast, it's so easy and it's very, very great. And I think it's a reread. So if you've listened to it in the past or you read it, maybe do a reread. ⁓ But when we don't have trust and vulnerability and then we don't have healthy debate, AKA hard conversations, what happens is like little small issues become cracks and cracks aren't bad. But if cracks stay there, they actually break and then it becomes toxic and then it arose the entire team. So in leadership, we've got to have, let's like,   I coached his office. guys might know him. He's incredible. ⁓ They've got a lot of offices. think I did seven office visits ⁓ in three days. We were hauling booty. And I love this doctor because he pays for me to come in to coach his teams, to teach them how to have uncomfortable conversations, to remind them like this is why we're here. And the more we have just a few of these and we get away from the fear of discomfort.   and wanting to keep the peace, which is actually artificial harmony, we like care, we align and we move forward. And we use the sports analogy on this of, can you just imagine like pick your favorite sports team, basketball, baseball, soccer, I don't care what it is. Can you imagine for one second, like we'll just use basketball for instance, or football. Like if the quarterback or the point guard goes in, like let's do football, because they get thrashed. Like if that quarterback gets thrashed because his defensive line is not protecting for him.   or no one's open because they didn't follow the play, can you just imagine if that quarterback runs off the field and is like, hey coach, could you tell the defensive line to cover for me next time? Like absolutely not. Or if that quarterback is just like, I'm just so angry with my defensive line. Like they didn't block for me. Like, no, can you imagine? Like, no, they call it out. Like you got a freaking block for me. Like we need to win this game. I need this to happen. And they do it in real time because everybody on the team,   is committed to winning and they call each other in real time of their blind spots. Like my brother said, I'll play basketball. I played tennis. You got to call it in the moment. Like my dad is like, you got to call it in real time. You got to say, Hey, I need you to block. I need you to box out for me. I need you to like throw the ball. Like I'm here. Like I need you guys to get open, whatever it is. But like, if we can get a little bit better, that that's our culture rather than a, we sit here pretending to be perfect, but ultimately hating each other.   and hate's probably a strong word, but creating gaps. And so what I encourage is we normalize uncomfortable conversations. We normalize and encourage it. We push on peer to peer accountability. We have each other instead of it being up to the coach, AKA office manager or doctor, to each other, peer to peer, to where we talk about it. We wanna get the W, we wanna win. And so helping your team realize that this is going to be the best way for us to win is to have these hard conversations.   And it's not, I say it's not confrontation. It's just a conversation. Like let's take that hard out of there, but let's say what needs to happen. And so I would say, doctors, one of the worst things you can do to your great players is to tolerate the poor performance of a lower player. ⁓ Because they're watching you. They're watching to see standards are not what you say. They're what you tolerate. And so when you're A plus players are watching, like, well, doctor is going to do this constantly or doctors are not going to care about that. Now team members, can rise up and you can take care of things too.   Doctors, we've also got to make sure that we're encouraging and we're having the hard conversations too. I don't think you know how much I do not enjoy hard conversations, but I know as a leader, as a boss, as a CEO, as a consultant, I have got to have the hard conversations and I'm going to keep having them. They're not easy, but they are my responsibility and I'm going to show up as a good team member because actually that's better than living in artificial harmony. It's so much better. So there's a great quote.   If you want it, your success and happiness, that's my add on your success and happiness are directly proportional to the number of uncomfortable conversations you're willing to have. So if you want to grow, if you want to rise, how many of you look at your KPIs or your numbers like, gosh, freaking schedule is not full. Like, oh, like our profitability, like, but I go to my team meetings and I'm like, great job guys, you're doing great. Why don't we call it out? Hey, profitability is not where it needs to be.   What are our solutions to get it to where it needs to be? I'm not being a jerk. I'm not sitting here sizzling. Hey, our schedule is not up to goal. What are we doing to get that fixed? Let's have a conversation. Let's fix it. Let's normalize that. That's calling out in real time. Hey, our schedule is not to goal. Like what's our solution? How are we going to get there? It's like it's a huddle. It's a genuine huddle. Think about sports players. Like they get together. Like you need to block. I need you to call that person. I need you to do this. You guys need to call that all the hygienists. If you've got downtime, call seven patients, whatever it is. That's how we get the W.   something rude, let's normalize that we are a team. We call each other out. We celebrate when we win. Also like on the flip, like let's go to basketball, let's go to football. When they score a touchdown, the whole team that was just calling each other out of like, I need you to block, I need you to do this. They also go to the end zone and they freaking celebrate. They lift each other up, they're high-fiving. It's both. So let's make sure that we're calling each other out and normalizing that. And we're also celebrating and normalizing that as well. So this is something of, I would just encourage you to have   one honest conversation, and also I'd recommend in your next team meeting, let's have this if that's a standard, put it up in the break room. We normalize hard conversations. We encourage hard conversations. We are a company that does not sit in artificial harmony. Whatever it is, plaster that, build that into your culture. This is something you've got to like, if you guys could see, I'm like boxing out, like I'm pushing the defense. Like you've got to push this through all the way for you guys to get this to be that and to avoid that costly mistake.   All right, mistake number three. This one should come as a no brainer. You guys know I love numbers and numbers love me. It's flying blind on your numbers. So I think that production feeds the ego, profit feeds the family. So when I look at this, so many doctors are like, well, Kiera, I know you say that the numbers are there, but I don't have any money. And I'm like, yes, but making haphazard, crazy decisions because you're not looking at your numbers and you're not using them as a roadmap, you're just   flying by the seat your pants. And so when you look at this, you've got to know like, here's just a, guess, I guess to help you see like, am I flying blind on my numbers or do I maybe know my numbers? Question number one, what's your breakeven number? Now that's twofold. What's the breakeven number on the practice and what's the breakeven number paying you? Two questions, okay? My question is, what is your overhead on your supplies? What percent, what is your current overhead?   What is your debt services taken out of your overhead? What is your EBITDA? What is your net profit? AKA cashflow. Of that profit, are you saving your taxes? Hmm, something to think about. Fascinating, right? That's how you know. And if you can't answer those questions right now.   I know you're probably flying a little blind. Maybe you even just have like a eye patch on. That's okay. Maybe you're only half blind, not all the way blind. Or maybe you're like, Kiera, I'm walking in the dark. I don't even know any of that. don't even know where to find the PNL. It's fine. Wherever you are, you've got to get this dialed. Like I am a sticky broken record. haven't talked to her. Oh man, I'm so excited. She's going to get on podcast with me. And last year we were chatting and she was like, Kiera, like we were debating. Is she going to join consulting? Is she not going to join consulting? And she's like,   I have got to get profitable. And I said, all right, rock on, challenge accepted. We are going to get you profitable. I have been a broken record with this poor doctor for an entire year. It's production, profit, production, profit, production, profit, production, profit. Head down, produce, make sure your team's collecting and make sure we're profitable. That is what we've done all year long. And guess what? Come the end of the year, she's like, Kiera, I have so much money, I got to pay taxes on it. Like we did it.   and she did it in 11 months. So production, profit, production, profit. If you're producing, but you're not collecting and you're not looking at your numbers, you're not going to be profitable. If you're not planning for taxes and you're not saving for taxes, you're not gonna be profitable. If you don't know what your breakeven is on the practice and then what the breakeven is and what it needs to produce with you in there, you can't project this out and you can't forecast it and we can't figure out what your daily goal needs to be. And then you're just producing for the sake of producing for your ego.   Who was that a rank? Could you tell us there? If you like that email me Hello@TheDentalATeam.com. I might rap it. You guys, I used to have a rapper name Skittlez with a Z so I could wrap with Eminem. Tell Eminem I'd love to wrap with him. I've never gotten that far, but you know, Skittlez, Skittlez and Eminem. I don't know why I just told you that. Email me Hello@TheDentalATeam.com. If you think I should be Skittlez and rap it out. I'd love to hear from you. I genuinely love a good pen pal. So write me. But you've got to know your numbers. You have to.   non-negotiable. And this is, think, where accountability as a coach comes into play. I force our clients with our consultants to know their numbers. We call it the yes model. You've got to have your vision. That's the Y. E stands for earnings. You've got to be profitable, non-negotiable, otherwise go be an associate. And S stands for systems and team development. If we know the vision, when we look at the numbers, it's going to tell us the systems and team development we need to do, period. Period. That's the formula. That's all it is. So if you're flying blind on your numbers, like, ugh.   Guys, I'm scratching my head over here. This is stress. If you ever see me fluff my hair, it means I'm stressed, okay? My team has told me they're like, Kiera, what you do is it's a little like side fluff. And right now it's both hands fluff. Like I'm stressed out for you because I used to fly blind on numbers. So many clients flying by on non-numbers. They don't look at it. They've got multi-practices and they don't break it down. You guys, these are costly pitfalls. So remember, go back to the success and failure. They're not radically different. It's failure to look at the numbers.   It's failure to say like, I don't care if you don't know numbers or not, I don't know numbers either. But guess what? Kiera freaking loves numbers and numbers freaking love Kiera. That is how this works. It is, I'm going to force myself to learn this. You guys, on my goal board, I'm not joking you. I should like take pictures of this so you guys can see it. In my bedroom, Jason and I made this like joint goal board. If you guys wanna get your spouse involved in your life, cause you feel like you're just driving and growing without them.   Joint goal board between the two of us has been amazing and it sits in our bedroom. It's not pretty It was built on Canva. It cost me eight bucks. It took us a Sunday to do it together But I literally have this like sign and it says tax expert ahead. I Did not know taxes. I was getting burned every single year I was crying every single December and I was like I am never doing this again I'm going to become a freaking tax expert. I started reading books on it. I called up the CPAs. I started researching it I was like, okay, it's just a formula. Yes, of course. They're like all these ways I can reduce it   But at the end of the day, it's really just a very simple formula. Whatever my profit is, whatever my tax bracket is, I know, yes, yes, yes, yes, yes, this is a very simplified version. CPAs don't come after me right now. It's just truly like, if I can take that, I'm always gonna have a slush and I'm not gonna cry. And I figured it out. And for you, I want you to take it on like, you're gonna learn taxes. You're going to be profitable. I want your goal for 2026, 2027, 2028, 29, 30, 31, 32, 33, forever that you are profitable always.   I have a mantra and I say, Kiera Dent does not lose money. And I want you to be the same way. Always profitability, profitability, profitability, get the production, get the profitability. We got to, and again, the way we increase profit, increase production, increase collections, decrease costs. Those are the three levers. So look at the numbers, get your team bought in. This is a costly mistake that I don't want you to make. So commit that by Friday, you will have a KPI scorecard in place, or you're going to call Dental A Team.   TheDentalATeam.com go on over, email me, hello, book a call, whatever it is, I will help you out, but you are going to learn your numbers. There's no more excuses. It's not that hard. I promise you, our fee will offset the amount of money you are going to make. Most of our clients are like a two to one, eight to one, 10 to one ratio, meaning we are making that much more money. So a 10 to 30 % increase in production, 30 % would be a three to one ratio. Like you guys, it's insanity what we're able to do for offices. I love it. We usually pay for ourselves in the first couple of months.   So it's 100 % worth it. Know your numbers. You just knowing your numbers and tracking and measuring will make you more profitable. So don't be the person that has these costs and mistakes. You gotta take ownership. Like bottom line, the way we had this, mistake number one, delegating tasks and not having ownership. So think back to that. We gotta delegate like that office I told you about. Again, this is a $7 million practice. You wanna be like a $7 million? Do the things today to be the $7 million practice.   You've got to have the hard conversations, normalize that, have that be a part of your culture. And number three is you've got to freaking know those numbers. I love numbers, numbers love me. And if you're not great at this, that's why I've got the podcast. That's why we're here. Reach out, Hello@TheDentalATeam.com. Do not do this alone. Do not spend another minute struggling through these costly pitfalls. You don't deserve it. Your team doesn't deserve it. Your patients don't deserve it. So reach out, it's time. Hello@TheDentalATeam.com. But please commit to yourself that you're going to do this.   You're not failing. You're not clear over the failure bucket. You're just a few little shifts away from it. And again, remember success and failure are not radically different. They're just small little micro steps. You can quickly make those back and get closer to where you actually want to be. It's not huge. It's not hard. It's not all these crazy things. It's small incremental changes that are going to radically change your life. So make the call, make the changes, commit. You're worth it. You deserve it. And as always, I'm cheering you on forever and ever.   I'm here on your team. I'm here in your corner. I'm here in your air pod. Wherever I'm at, just know I'm rooting for you. You deserve it. Let's do this together. Let's have you do this on your own, whatever it's going to be, but commit to not having these costly mistakes be your mistakes. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.  

Tiff and Monica provide exclusive, step-by-step insight into creating hiring ads that both grasp your specific practice's strengths and needs, and attract those rockstar team members you've been looking for. 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 think we used to call it Consultant Takeover and now it's just literally a podcast, but it's my consulting team. And gosh, I love these days. You guys get to hear me just brag about the consultant team and the Dental A Team in general. And I have one of my faves. All these women are some of my favorite human beings in life. we got to recently, we were able to spend some really good quality time together and really just.   Honestly, it was just fun. Like it wasn't even one-on-one, like getting to know each other. It was just really getting to know each other by proxy of having fun together. And if no one here listening knows, fun is one of our core values. And that is one of the core values. I don't even know. You may know this, but it was one of the core values that Kiera and I have had literally since day one. That was one that has never changed. Fun has always been there. We did have it really high. used to be our number one core value. And then we realized like,   it was setting a weird precedent. So it's not quite as high anymore, but fun is massive for us. And we really, truly believe if you're not having fun, what are you even doing? I think there's oftentimes in life that things are not necessarily quote unquote fun, but there should be some air of sprinkles on top that can make life a little bit more fun in the end. So Monica, you make podcasting fun, your way of thinking. I like following.   Monica (00:59) Yeah.   The Dental A Team (01:22) your thought process. really, it is really fun for me to follow the thought process, especially because I tend to think I'm pretty good at knowing where someone's going or what they're doing, what their intent is. Like I'm usually pretty good at keying into it, but sometimes you catch me and I'm like, dang, I love how your brain works. So I love it because you make me think a little bit harder, like a little...   more intentional, I like the word intentional. You make me think a little more intentional than I do on my day to day. So thank you for being here today, Monica, and shedding your brilliance on the Dental A Team, listeners and team. How are you this morning? It's a Monday morning for us and we're just at it bright and early. How are you?   Monica (02:09) I'm doing great, Tiff. Thank you. Thanks for inviting me. You know, I think one of the things that attracted me and I was really curious about the Dental A Team was that core value of having fun because, you know, we just kind of get a little serious and boring as we become adults. And I'm like, gosh, I don't ever remember thinking like, my gosh, this work should be fun. Sometimes it is fun, but should it be fun?   And I was so curious about that. to be honest, I think I shared this. I struggled a little bit with adding the fun factor in, you know, when I think about work and in my day. And I'm so glad that I decided to join the Dental A Team because that is my core value. Every day that I wake up, I'm like, I'm going to make this so fun today. What's going to be fun about my day? And I think fun is just a mindset.   Right? Because you can do hard things. You can have hard conversations. You can have a hard day and still look for the fun and still make it fun. ⁓ So thank you. Thanks for inviting me today. This is one of my, I guess, new hobbies, newfound passions is podcasting, unscripted podcasting, ⁓ going with it. Right. And just seeing what our brains kind of like come up with. So.   The Dental A Team (03:31) Yep.   Monica (03:35) just so you all know, this is unscripted. This is ⁓ just real time and I love it. I love the authenticity of it, right? Because this is where great ideas are born with no agenda. it's, you you and I have like this really great kind of cadence and engagement. One thought leads to another. And sometimes I have to stop myself because I can see myself going down and, you know, a rabbit hole and just, you know, and so we'll...   We'll keep it short and sweet and impactful.   The Dental A Team (04:07) Awesome. I love that. Thank you. And I'm glad that you, I'm actually glad that you mentioned that I do. I do think it's important for listeners to know, like this is literally off the cuff. Uh, 99.9 % of it, have a topic and we like brainstorm for a quick minute, but really we have no idea what's going to come out of these podcasts until it's done. So it is a really magical experience. And I like it that way because I think that, like you said, there's, there's more ideas that are born in that kind of a mindset and it does, it keeps it fun.   Monica (04:12) Thank   Yeah.   Yeah.   The Dental A Team (04:36) Monica, been actually, it's been really fun. From my seat, I get to see the evolution of consulting and the evolution of ⁓ your position at the, at the company. And it's, was, it was been really cool. And I think for the listeners to know the Monica that you see today has always been here, but she was more reserved. And I think that comes from, it's fair. It's fair. comes from just, like you said, the older we get, more.   we lose that like the Santa Claus effect. Like we lose that magic and the sparkles and reality sets in and we get, my boyfriend likes to call himself a realist. He's a pessimist a lot of times, but he calls himself a realist, which is fair. But we do become this like realist mindset when we're just like factual and we're like checking off the lists and we're so diligent and we tend not to laugh as much as we wanted to before. for us fun just means that   We enjoy what we're doing. We bring an element of fun to our consulting. So when we work with you guys, like we're having fun. We're enjoying what we're doing. We're laughing. We're making light of the situations that we can. And we're making massive changes with easy implementations that totally just change the game for you guys. And that to us is so much fun for us to sit back and see. We can make a millimeter tweak on something that feels so massive in your world.   and then it all falls into place. And it's just really cool. think of like the implants, know, they're tweaking, tweaking, tweaking and torquing. And you can go a millimeter too far or be a millimeter too short or be like spot on. And that's what I think of like that, that implant torque. We're not making massive adjustments, but we're making massive impacts and implant changes someone's life, but it's minimal adjustments.   Monica (06:25) Yeah.   Yeah, I think ⁓ just to add to what you said, it's really important to take some time to see through the childlike eyes, right? With awe and wonder. ⁓ think it's also important not to confuse fun with playtime, right? Because work is serious stuff, what we do, right? We can have fun and get the job done and have those really impactful days ⁓ because it is a serious   The Dental A Team (06:45) Yes.   Yes.   Monica (06:58) business, right? ⁓ And fun doesn't equal playtime. And I remember a client of mine saying, well, you know, it's all you guys sound to like fun. And I'm like, yeah, because work should be fun. What you're doing is amazing. You are helping people achieve their goals, their wellness goals, the smiles that they've wanted, maybe relieving someone out of pain and, you know, shame and everything that goes around, you know, dentistry.   The Dental A Team (07:23) Yeah.   Monica (07:28) And you're impacting, you know, your team's lives and your community's lives and your own life. And it should be fun. You should see the beauty of that, right? ⁓ So it's not all fun and games, guys. It is serious stuff. When we say fun, that means live life, you know, with joy and wonder and childlike lenses. So ⁓ if you, I think if you approach, you know, the day with that mindset,   everything is lighter, everything is ⁓ easier, right? There's a place to things and there's just, you you're operating from a heart space versus your mental space, you know?   The Dental A Team (08:08) I agree. Yeah,   I agree. I agree. And I understand that everybody's going to have a core value of fun and that's okay, too. You don't have to. You truly don't have to. And you don't have to come in in the same mindset as we do. Just know that's how we operate. And when you work with us, that's what you're getting. You're getting that fun mindset of how can we make small changes that make massive impacts. And one of those spaces, I've actually watched you, make some pretty massive impacts with a client of yours. So this is   Monica (08:17) Yeah.   The Dental A Team (08:36) This is a good topic that came up for us. We get our topics from our list and I thought this was a great one for Monica actually because you have been working with a client recently. This is on hiring and building hiring ads and I know you've got at least one and you've got multiple that are hiring, but you've got one that you've worked like literally hand in hand as though you're part of their, you are part of their team, but if your boots on the ground, part of their team because of their capacity and the type of hiring that they're doing.   We've done this with a lot of clients, especially when they're hiring like office managers, because the office manager would do the hiring, right? So when they don't, which is the situation you're in now where they don't technically have like a dedicated office manager ⁓ with enough space in their world to do the hiring, even down to writing the ads and let's face it, the dentist CEOs, it's not your forte, first of all, most of the time, and you don't have time for it either. So building that out and Monica, have...   the reason that it's applicable is you have had fun doing this with them. And there's been challenges too, but I think you've made some massive strides with them in this aspect. And the first space that you started was really learning the team, learning the practice, and writing ads that attracted the right type of people. And now you guys are in the interview process, but Monica.   From the lens of consultant working with this practice or other practices you've done as well, how do you advise them and how do you help craft those ads to speak to their needs? And everyone's so different, right? So how do you do that and what suggestions do you think people could take away from today to do that on their own as well?   Monica (10:18) Yeah, that's a great question, Tiff. And you're right, I've had a fun time ⁓ kind of wrapping my arms around this one client that does need it. I think one really important factor is like, remember who you are. Why are you great? When we are in a space of lack,   whether we're lacking appropriate team members or we're not, you know, doing what we want to do. We're not doing the dentistry that we want. We're not where we should be. ⁓ I think we go down this rabbit hole of like, and almost inertia kicks in, you know? So let's reframe that mindset. Why are you great? Why did you start this? You know, how do you measure success? So I always say great leaders at   ask great questions. ⁓ Ask yourself those questions. Why am I great? What's different about me? Do I want to be different? And if so, what makes me different? What do I do differently than my colleagues in the area? And identify who you are. What's your persona? What do patients say about you? Go to your reviews, pull up your Google reviews, do a little kind of investigative work, a self-discovery.   about your practice. What are your Google reviews? What are patients saying about you? What do you want to be known for?   The Dental A Team (11:52) Yeah, I love that. actually, Simon Sinek, I listen him a lot and he speaks about your why, right? Finding your why. And he says often, if you're trying to figure out what is your special gift, like what is your talent? What is it that you're here? What is your purpose? He says, ask your friends. Ask your friends why they are friends with you. What is it about you that your friends...   Monica (12:16) I love that.   The Dental A Team (12:19) stick around for or that they lean on you for. And I think Monica, that makes me think of the Google reviews. Like ask your patients, like why do your patients come back? Why does your team who you have currently, why are they your team? What are they speaking about you? And I think that can go twofold, right? Cause you're gonna find out some things that you may not have, that might not be super fun. It might not feel really good to hear some of the things, but those are areas that fantastic. Let's pull that into a KPI.   How can we improve that? But you're gonna hear so many things as to why people love you, why they love your practice, why you. so I love that self-discovery start. I think it's really, really massive.   Monica (12:55) Yes.   Yeah, you're absolutely right. You're gonna hear some things that you may not want to hear, but I would say approach this exercise with the mindset of gratitude. Be grateful for the feedback. Be grateful for the positive feedback and be grateful for the not so positive feedback. That's a little harder to swallow, you know? ⁓ Don't attach yourself to the outcome. Attach yourself to the process of, right? And so even when you don't have a good   The Dental A Team (13:03) Yeah.   Monica (13:29) ⁓ you know, less than favorable outcome or response or feedback. would say, thank you. Thank you for sharing that because this is how I'm going to get better. That's not how I want to be perceived. Right. Would you mind sharing more? Would you mind if I asked further questions? Right. Get curious and be grateful, grateful that people are willing to step out and be honest. Right. ⁓ it takes courage. It takes courage for that. so I always say don't.   attach yourself to the outcome, but the process of. You can learn a lot about yourself in that process and your practice. I think Google reviews are really important because it's your patient's perception of their experience, not of you per se. And it may not be your reality, but it's their reality, right? So it allows us an opportunity to dig deeper and learn more, right?   Opportunity, gratitude, what's your story? I would say start with those things, those three things, right? One of the other things that I like to do is I like to see what's out there. What are other ads that are posted in my area? What are the competitors looking for? What are they saying about their practice, right? And I put on my hat of I'm looking for a job and I am a rock star.   ⁓ whatever it is, office manager, treatment coordinator. I'm a Rockstar treatment coordinator and I am looking for my next home. What ad calls my attention? Which one am I going to click on? What ads am I scrolling through? Right? Because if you want Rockstar employees, you have to have a Rockstar ad. Right? And so if your ad is ⁓   The Dental A Team (15:17) Mm-hmm. Mm-hmm.   Monica (15:24) the same as the other ads, ⁓ it's gonna be about the money. So who are you? Why should a Rockstar treatment coordinator come work for you? Start with your story. What are the qualities that you're looking for? What are the qualities that you have as a practice ⁓ to offer this Rockstar candidate? So start there, who are you?   The Dental A Team (15:49) I love that.   Monica (15:54) Why should I come work for you versus come work for me, right? Flip the framework of how you're posting your ad and how you're crafting your ad.   The Dental A Team (16:02) Yeah,   yeah, I love that because it makes me think of, you know, back in the day when I was in office and writing ads, it was like, I'm putting up like, five, six, seven sentences that's like, this is what we're hiring for. I need a treatment coordinator. Like, this is what you're going to get paid and people apply and we'd get thousands of applications, you know, and it's just, it's different now because I think people are looking for a place they want to have fun. They want to enjoy their job. They want to really work for a place that they feel   Monica (16:13) Yes.   The Dental A Team (16:30) seen valued heard and they want to know what that place is before they walk in and so rather than the old model of This is what we're you know, these are all of the things we're looking for ⁓ As far as the job. I think the new model is this is who we are. This is our vision These are our core values We're looking for somebody who aligns with that and this is the job that they're gonna do and I think it's flipped so much in the last five years Realistically almost six years now, right?   that we just have to think differently and we have to speak differently.   Monica (17:01) Yeah, and social media has also changed the game, right? mean, people can get an insight of your culture and who you are just by following your page, your Instagram page or your Facebook page or going on your website. But I truly believe social media and like those quick clicks, Instagram, Facebook are the persona of your practice, right? And so you gotta make sure that that's aligned with   The Dental A Team (17:06) Absolutely.   Monica (17:29) with the ad that you're posting and the reality of a day-to-day in your practice, right? And so social media can be so impactful, like Google reviews, whatever social media you use, a lot of people have TikToks, they have other things that I don't participate in because it can get overwhelming, you know? But social media is powerful. mean, you use that as your platform, your patience.   The Dental A Team (17:51) I can.   Monica (17:57) You best believe that people are going and checking your reviews and your space, your social media space, because they want to know. They want to know, is this truly who they say they are? Because we have choices, right? And let's be honest, our phone is glued to our fingertips 24 seven, even if we don't want to, it is. And there's power in that, right? So those platforms give a visual.   The Dental A Team (18:19) Yeah.   Monica (18:27) ⁓ to anyone basically. I mean, it's a world of referral nowadays, right? So I think use that to your advantage.   The Dental A Team (18:35) Mm-hmm.   Yeah, I do. I do too. I think earlier, I don't remember if it was this one or a different recording that we did, but you were speaking about, I think it was this one, being authentic. We're off the cuff here. And so being authentic in your ad and being authentic in your social presence. So what are people on the outside seeing of you is really, really huge because if you're saying you're someone and it   Monica (18:48) Yeah.   The Dental A Team (19:08) doesn't line up for you, first and foremost, the powers that you believe in are not gonna send you the people. They're not gonna come if it's not in alignment with who you are. But also, those who do come are gonna see that really easily, very quickly, and honestly, the ads usually, if we were to write an ad, if Monica wrote an ad, just blanket, wrote an ad, said, hey, five practices, you guys all use this ad. It might work for one of them because it may align closely   for one of them, but I think something you did, Monica, with this specific practice and the ones that you've worked with is you learned the practice. You actually, like you said, you put that hat on and you learned the demographics of the area and the demographics of other practices hiring, but you also learned that practice. You scoured their website, you talked to the team members, you asked them really hard questions, you scoured their reviews, you literally did your due diligence to learn who they are so that as you helped them   create the actual ad, it was speaking to them. And that authenticity really shines through. So if your social media is portraying someone that you're not, you're gonna hate it, you're gonna feel really icky, it's not gonna translate, and it's gonna make hiring really, really hard. So I think, these pieces, this introspection, this really knowing, this asking the questions, the hard questions, the easy questions, whatever you wanna call them, asking those questions and learning who you want to hire.   who you are and who you want to attract are gonna be massive pieces and really what highlights a good ad.   Monica (20:45) Yeah, I agree. And you're absolutely right. I I did a little bit of ⁓ of digging more than I than I normally would because I really want them to have the person that they deserve. And listen, sometimes we're not where we want to be. Right. So your reality right now may not be your desired space. And dream a big dream. OK, like create that that your ad can can be your future self.   The Dental A Team (20:53) Yeah.   Monica (21:14) But you need the right person to create that dream with you. So maybe you're not where you want to be or how you vision your office, but you want to get there and you're attracting, you want to attract the team members that will help you get there to that space. allow yourself to dream a big dream, be your biggest fan. I always say that, be your biggest fan, right? Fan your own flame.   The Dental A Team (21:20) Absolutely.   Monica (21:42) It takes, there's nobody else to motivate you but you. Motivation is from within, right? So yes, we have mentors and coaches and listening to them, they help us kind of reignite that flame that we all have, our internal flame, but you've got to be able to fan that flame. mean, if it's dim, you got to give it some air and some oxygen, right? And what gives us oxygen? It's all the feel good stuff.   What are my patients saying about me? Right. So one of the things that I did, cause it was, it was difficult for this client to kind of say like, gosh, what am I really great at? You know? And I'm like, well, let's go see what your patients are saying. And we pulled up some amazing reviews and here we thought like, nobody's asking for reviews. No one's giving us reviews. Well, guess what? There was some amazing reviews and I read them, you know, we, we went through the process of like, I went through the most recent ones.   The Dental A Team (22:14) Mm-hmm.   Monica (22:38) And I read this, not just one, but one that really sticks out. And I got to tell you, like, by the end of that, ⁓ reading that Google review, the doctor was sitting taller. eyes were like, there was sparkles in his eyes and, you know, his chest was out. I'm like, this is the kind of stuff that you need to be sharing on your social media stories. This is what people need to hear. He's like, wow, that's amazing. I said,   The Dental A Team (22:49) No.   Monica (23:06) print these every single day and read them to your team. Read them to yourself out loud. It feels good to know what others are seeing. We're our hardest critics sometimes. And we're not necessarily seeing the good stuff, because we're focused on all the other things that we haven't done and accomplished, but our patients see us through a different lens. And it feels great.   The Dental A Team (23:21) Yeah.   Mm-hmm. Yeah.   Monica (23:34) to be reminded of why you are who you are, why you have this amazing practice. you know, there's just so many things that we overlook because we're so focused on the things that we didn't do. Focus on the things that you did do great. What did I accomplish this year? If you change one life, guess what? That's amazing. You know, if you focus on changing one life at a time, at the end of the year, it's a trickling effect. I mean, you're...   The Dental A Team (23:57) Yeah, I agree.   Monica (24:05) your bowl is going to be or your cup is going to be overflowing. A thousand percent.   The Dental A Team (24:08) Mm-hmm.   Yeah, I totally agree. I totally agree. love the, ⁓ I focus on making, if I can make one person smile today, that, you know, I just want to make one person smile today. So I love this. Thank you, Monica. I knew it being so fresh, you're still in the process of helping them hire for this position, but I know it's been really, really close to your heart and you've been very intentional on getting them the results that they need and they need this hire to push for the results. I...   Monica (24:30) Yeah.   The Dental A Team (24:38) I've enjoyed watching you work with them and I know they've enjoyed working with you and will continue to enjoy working with you. You'll be hands on with them here this week. So I'm super excited for this. And Monica, think some of the pieces I've pulled out, we want those, know, actual pieces for you guys. And I think do the digging, do your research, figure out why people are referring you. Why do people want to come to you? What makes you special and different? And cultivate your ad around that plus   who it is that you want to hire and be super clear on what the position actually is. And front office reception is really hard to explain. So be super clear on what that position is, what will they actually be doing? What are your expectations so that somebody coming in can say, yes, I can do that. And Monica, thank you so much for your time. Thank you for everything you've poured into the clients that you have. But specifically today, we're talking about this one client and everything you poured into them.   Monica (25:18) Yes.   The Dental A Team (25:36) I know because I've chatted with them, I've talked with them, I know how much they appreciate it and how much they need your love and your support and your guidance. So thank you for everything you do for all of us every single day.   Monica (25:49) Thanks, Tiff. Likewise, thanks for your leadership, for your invitation, for this space where we can brainstorm and share our wisdom and ideas and impact the world of dentistry.   The Dental A Team (26:02) Yeah, in the greatest way as possible, right? I love it. That's our mission, everyone, just so you know. Thank you, Monica. And guys, I love podcasting. know that, Monica. She's a big podcast fan now. We're podcaster fan, which I appreciate and I love. So let us know what you think. Five star review below, but also Hello@TheDentalATeam.com. If you have further questions, if you need help, if you need guidance, or you're really not sure how to dig in and figure this out, please just...   Monica (26:03) Hahaha   The Dental A Team (26:29) Reach out, Hello@TheDentalATeam.com. We're here. A lot of those emails, most of those emails actually do get forwarded to the consultant team. So we are the ones that you're gonna be hearing from. Thanks so much and we'll catch you guys next time.   Monica (26:42) Thanks everyone.  

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. ⁓