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Dustin Bays

Sep 07 2022

Practice Manager Seeks Fun Veterinarian for Work Marriage

This Week on the Uncharted Podcast…

Practice manager and owner Jenn Galvin joins Dr. Andy Roark to tackle a tough question from the mailbag. If you're a practice manager who wants to find a new veterinarian business partner, where do you even start? In this episode, Jenn and Andy talk about setting expectations, maintaining relationships throughout the current hospital, growing and using your personal network, and achieving cultural alignment with someone you just met. This episode has all the drama of a reality dating show (not really, but we talk a lot about how business partnership is a lot like life partnership)! Let's get into it!

Uncharted Veterinary Podcast · UVP – 194 – Practice Manager Seeks Fun Veterinarian For Work Marriage

You can also listen to the episode on Apple Podcasts, Spotify, Google Podcasts, Amazon Music or wherever you get your podcasts.

About Our Guest

Jenn Galvin is a spreadsheet-loving Veterinary Practice Manager with over 20 years of experience in the field. Growing her hospital and helping her team succeed through hard work, positive leadership, and humor is what gets Jenn up in the morning. She's an introverted “inventory nerd” that loves bratty beagles, dungeons and dragons, and the outdoors. She loves sharing the mistakes she's made, and the things she's learned, with other hospital owners and managers so they can grow their hospitals, teams, and themselves! Jenn will be talking about writing better job ads at the upcoming Get Sh*t Done Shorthanded virtual conference! You can save your spot here!

Got a question for the mailbag? Submit it here: unchartedvet.com/mailbag


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Episode Transcript

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This podcast transcript is made possible thanks to a generous gift from Banfield Pet Hospital, which is striving to increase accessibility and inclusivity across the veterinary profession. Click here to learn more about Equity, Inclusion & Diversity at Banfield.

Dr. Andy Roark:
Welcome everybody to The Uncharted Veterinary Podcast. Guys, I got a great one for you today. I am here with my good friend, the one and only Jenn Galvin. I'm bringing Jenn Galvin in. She is practice manager and co-owner at Advanced Animal Care in Fort Mohave, Arizona. It is a great practice. She is amazing. They have a great culture and they are doing great things. I am bringing her in because she is equipped to answer this question I got in the mailbag more than anyone, definitely more than me, and I am thrilled to have her here. Guys, I have a practice manager who is going to be buying into the practice from a veterinarian who's retiring. The original plan was that this veterinarian who owned the practice is going to retire and the practice manager and the associate vet were going to buy together as partners.
Something has come up. The associate vet can no longer buy in. The practice manager still wants to go forward, but they need or feel that they need a business partner. How do you find that? What do you need to look for? How do you talk about this? Where can this go wrong? Guys, I hope you're going to enjoy this episode.

Meg:
And now, The Uncharted Podcast.

Dr. Andy Roark:
And we are back. It's me, Dr. Andy Roark and not Stephanie Goss, but the one and only, Jenn Galvin is here with me today. Guys, for those of you who don't know Jenn Galvin, she is a dear, dear friend of mine. We talk pretty much every week about life. We play games together like board games and nerd games, D&D stuff, things like that. We do all the nerdly things together. She is a dear friend of mine. She is a teacher at Uncharted. She runs, with Stephanie, our inventory workshop. She does our financial dashboard workshops. She has a workshop coming up at our Get Shit Done Shorthanded conference, which is a virtual conference in October. Jen, you are doing your workshop. That's hiring based on culture, right?

Jenn Galvin:
Yeah. It's using your culture as an advantage in your job ads and turning them into something that's actually going to get people that you want in the seats that you need on your team.

Dr. Andy Roark:
Well, I love it. And also, when we were laying out the content for the conference and everything, it's how you can compete in a super crowded field where everybody is looking for talent. It's to say, “What's special about your practice? What is your culture? What are your values? What do you care about? What makes you unique?” and then how do you really use that to hire? I had Jason Szumski on the podcast a little while ago, who I love. He's on about two weeks ago. I love that guy. He's actually doing a presentation at GSD about what new grads want when they're being hired. He started laughing at one point. He said, “Your mentorship is what new grads are saying they want and you look at the job ads and every single job ad says it offers mentorship. And you go, look, when everybody says it, nobody's saying it.” So anyway, I'm really excited about what you guys do. You guys have a phenomenal culture at your practice. You are a co-owner with Dr. Erika Cartwright.

Jenn Galvin:
Yeah. Dr. Erika Cartwright.

Dr. Andy Roark:
I know. I completely had a brain fart there. I was like, “Dr. Erika. Oh, god, what's…” and then I was like, she does CrossFit and if I forget her name on the podcast, she's going to break me.

Jenn Galvin:
Yeah. She can bench you, Andy, so.

Dr. Andy Roark:
She totally can, so yeah. I'm like, don't mess this up, Roark and then I was like, Cartwright, yeah. So Erika Cartwright is amazing. You guys have such a fun practice. I will never, ever, ever forget. You really made an impression on me. The day that we became friends was when you and Erika showed up at the Uncharted conference in your dumb and dumber suits. One of you has a powder blue, three-piece suit and a top hat and the other has a neon orange three-piece suit in it, suit and tie [inaudible 00:03:57]. I was like, I think I just found my friends. I found my friends forever-

Jenn Galvin:
That was a lot of fun.

Dr. Andy Roark:
… and then some.

Jenn Galvin:
Now, we just have to try to up that every year, so that's going to get interesting as the years go by.

Dr. Andy Roark:
Yeah, we're going to need more insurance at Uncharted. Okay. Well, thanks for being here. You are here because I need your help, because I got a great question in the mailbag that I really, really like. Honestly, there's no one else in the entire world that I think is better suited to answer this question than you are. So let me break this thing out. I'm going to grab it. It is right here. Are you ready for it?

Jenn Galvin:
I am. Shoot. Shoot it.

Dr. Andy Roark:
All right, perfect. I am a practice manager and currently own with the managing veterinarian who's approaching retirement age. Our plan was for myself and our current associate to buy the practice together fully next year. Unfortunately, our associate's going through a tough divorce and no longer wants to purchase the practice with me. I am now looking to find what I call a business marriage, and this is when you came into my mind, to find a veterinarian that wants to become an owner with me. My question for you both is do you have any recommendations for veterinarians and managers owning together and how to navigate that? I have found that in my current partnership that having both a veterinarian and manager as owners really allows us to lean on each other and have support. All right. So that is when you popped into my head, business marriage. What makes it work? Actually, do you want to go ahead and start to talk about Advanced Animal Care and how you came to be an owner with it and what your partnership with Erika, the veterinarian, looks like?

Jenn Galvin:
Yeah. We had the fortunate circumstance of working previously together and so we got to know each other a lot. I think just like other relationships, you have to know who you're going to partner up with. Because we came from another hospital where we knew each other and knew that we would work well together, we were fortunate enough that when the opportunity came to buy a practice together, we knew this was going to work. Our personalities mesh really well. Here are the things that are important to me and this is what's important to you and do those things align? For instance, if staff appreciation is not high on my partner's list, that's not going to be a good match for me because that's very high on my list. So I think you have to have aligning goals and beliefs and culture though. If those things don't match up, that's going to be a bummer.
A lot of those boxes were checked for both of us and I feel like we were very lucky to find each other. So we purchased the hospital, worked 24/7 on getting it built up. We bought it on April Fools' Day, which that still makes sense for Erika and I. We opened July 25th in 2012, so we just celebrated our 10-year anniversary, which we're very excited about.

Dr. Andy Roark:
Congratulations.

Jenn Galvin:
Yeah. It's been really great. I can honestly say every year, it just gets better and we understand each other better and we work on it. It's just like any other relationship, you have to work on it. It was funny. She sent me a text this year on our anniversary and she said, “Happy 10-year anniversary. Yay, we still love each other,” and it's true because I've seen those go sour.

Dr. Andy Roark:
Oh, totally. I think that's a whole other podcast. We'll see if we can touch on it today. You guys do love each other because you take very intentional steps to continue to be good friends. I'm going to try to touch on that in this episode because it's something that you guys do that I've thought a lot about. I think you've got so many things figured out there. Okay, here's how I want to do this. I want to turn this around to you and say, okay, Jenn, you've been through this. It's Jenn Galvin in the multiverse and in the other multiverse, there is no Dr. Erika Cartwright. You are going to have to find a doctor that you are going to partner with to own a vet practice. You have that realization. I want you to walk me through how you would go about doing this.
So start in a headspace place and let's always start with headspace. How do you get your thoughts aligned? What are realistic expectations? How are you going to get yourself into a place where you say, “Okay, I have to do this. What am I thinking?” Then I'm going to push you into make me some action steps of how you would go about finding this partner for you based on the experiences that you had.

Jenn Galvin:
Yeah. Obviously, I would panic first because this person has every-

Dr. Andy Roark:
Yeah, of course you panic.

Jenn Galvin:
… right to panic.

Dr. Andy Roark:
Yes.

Jenn Galvin:
Have that moment. Get that out of your system. Get that all out first, then actually think about what do you want this person to be like. What are you looking for? If you don't know what you're looking for and you're just out there like, “I need a vet. I need any vet. Any vet will do,” that's bad. Avoid that.

Dr. Andy Roark:
That's desperation.

Jenn Galvin:
Right. Let's not get desperate. Get all that out of your system and then really think about what boxes does this person need to check, and that has a lot to do with your own personality, because you don't want a clone of yourself. That's a terrible idea. If I had to work with me every day, it would be awful. I couldn't work with myself. I think in our partnership, we have a lot of aligning things where we believe the same things, but we do not have the same personality type.

Dr. Andy Roark:
I think that's important, yeah.

Jenn Galvin:
It is very important. Erika is an extrovert. I am an introvert. I am softer with the team and she drives. She wants to go, go, go and I'm the one that steps back and says, “Maybe we should just pump the brakes.” So I think you really need to see, who am I? What kind of person am I and what do I expect out of the business and my team? What things do I see in the future? How do I want to grow and what do I want a partner to bring to that? What puzzle pieces need to fit in? Maybe this person can look at the current partner that they have and make that list of, what do I admire about this person? What good things do they bring to the partnership? What things do I wish I could change maybe about… Maybe don't show them that part of the list, but-

Dr. Andy Roark:
Yeah, no, keep that to yourself.

Jenn Galvin:
What things do I maybe wish I could change and tweak? I would start there, honestly. That's where I would start is who is filling this role? What do they seem like? What's their personality like? What skills do they have? That sort of thing.

Dr. Andy Roark:
Yeah, I like that a lot. I love the fact that this person used the term business marriage because I do take a lot of these things back to a relationship level and say, “This is going to be your partner. They are your business partner. That's what they are.” Just like a relationship partner, we should stop and be like, what are the deal-breakers for me? What am I looking for? It's not someone who's exactly like me. I think that I completely agree, that's not a good partnership. A good partnership is complementary people. I really believe that. I love how you said it. It's aligned beliefs with complementary skills.
I think my wife and I share very similar beliefs about what's important in life and what makes a good life and we are very different people, but we have that same north star. I think we've been successful in Uncharted because me and Stephanie and Jamie and Ron and the rest of the gang, we share a north star and we're all very different people, but we're all looking at the same thing as far as what we think is important and how we make a difference in the world. So I go back to this. I really like that idea of going, what's important to me?
What I'm taking from you as well is I think you have to know what your beliefs are and what do you care about. You said we have to have the same goals and beliefs and culture thought and staff appreciation and staff support. If that doesn't matter to you, we're probably not going to get along because that's a key driver for me. So I think those are really important. Would you make a deal-breaker list? Are there things before-

Jenn Galvin:
Yeah.

Dr. Andy Roark:
… you even talk to someone, you'd be like… Yeah? What would be your deal-breakers? Because I need to get my head around what a deal-breaker would be that I would know going in. I'm sure I would see it immediately and be like, “No,” but I'm trying to think of what that would be like.

Jenn Galvin:
Yeah. If you have somebody that if the staff gets paid, that's enough. I shouldn't have to do extra things. Staff appreciation's way high for me. You have to laugh. If you were the super serious, for me, I can't work with somebody that is the hammer that we don't laugh. We don't have fun. This is serious thing because vet med is serious enough. So big sense of humor is really far up there for me, so that would be a deal-breaker. Somebody that definitely works hard when you are an owner. It's different than being just a DVM. It's different. I was support staff for a lot of years and you think you know what ownership is like. You don't know it until you do it and you know how it's different when you own it. It's your baby and I think that's going to be difficult.
It's different when you go into a partnership together and you build something from the ground up. I think something this practice owner and manager has to be wary of too is you're bringing somebody into that baby, so just keep that in mind. So I think having somebody that's flexible. It's that rigid personality that would be a deal-breaker for me in that situation.

Dr. Andy Roark:
I think one of the big things for me that I think about these days is practice style. I think that there's a lot of different ways to run a practice, but I think you and your partner need to be aligned. Meaning, are you a white-glove, high-touch practice or are you a high-volume, lower cost practice? They're not better or worse, they're just different animals. If I'm trying to be white-glove, high-touch and you, Jenn, are trying to be, let's keep prices affordable and get them in and get them out, we're just going to have a fundamental difference about what we're trying to do. You can't run a business when the ultimate goal you're trying to achieve is polar opposite from each other, so I think that's really important. I really like your idea. I think one of the things that's weird here that makes this a little bit harder is our manager who's writing to us.
They've already got a practice. When you and Erika did it, you were starting a practice and I could see that if we're going to go in and we're going to figure each other out and we're going to attract people that fit with our vibe. There's an existing thing here and so we got to bring somebody who fits with that culture. A lot of it goes back to what your core values are. I think if you don't know what your core values are, one of the quick exercises I really love is, think about the employees that you have or the people that you work with or the people in your life who you would love to clone. If you could clone them and put them to work in your practice, you would take over the world. Once you've made that list, I want you to think about those people and then I would say to you, what specifically do they do? What are the characteristic or traits that you really love about them?
And that, my friends, are often your core values or at least you're starting to get into the realm of your core values, because the things that you admire in these people are enough to say, that's the person I would clone. That's something that you care about. So for me, work ethic is a big one and I think that you pointed that out too. I think my own personal hell would be a partner with someone who was not as invested as I am or did not want to work as hard on the thing as I do. It's that classic, imagine doing a group project when you're the one who does all the work and the other people hang on, except it's your life. That's how I feel about that. I'm like, that can't happen.

Jenn Galvin:
Yes.

Dr. Andy Roark:
I would lose it.

Jenn Galvin:
And I was that person in high school chemistry who did the diorama myself or what because I just wanted it done right and everybody's like, “Just let her do it. Whatever.”

Dr. Andy Roark:
That's my wife 100%. She will carry the load and I'm like, I'm partnering up with her and I'll carry my share, but I want to be with somebody who would do that. Integrity is one of my core values. I don't want to work with somebody who's going to have shaky integrity. I think it's really hard to figure that out. I think you try to vet these people as best you can. It's a small profession. You're about to make a big commitment. I would try to ask around and see what you can learn about people in an ethical way, of course. We're not going through their trash. That's frowned upon apparently, I found out, and so we're not doing that, but things like that. What are your core values? All right. So that makes sense to me. Anything else in the headspace where you're like, okay, I get it. I'm looking for values alignment. Some people are going to ask, how do you know if they align with you on values? Let me ask you that. How do you determine that?

Jenn Galvin:
You're never going to 100% know, so let's just put that out there, because you don't know anybody truly until you are with them. We all have the honeymoon phase with new hires. We've all done the like, “This person's going to fit great,” and then three months later, you're like, “What was I thinking? They had me fooled.” This goes into next steps, but if you can network enough and find out, “Hey, who has this person previously worked with?” I'm going to talk to those people and see, how was it working with Dr. whosy-whatsy?

Dr. Andy Roark:
Oh, yeah.

Jenn Galvin:
You know what? How did they make you feel, I think is an important question to ask, not just, yeah, they gave great vaccines and did a good spay. Great. Okay. How did they make the people around them feel is going to tell you a lot more about, how are they going to make my people feel? How are they going to make me feel? So I think you have to really dig and ask other people that have worked with this person because you're not going to know. You're never going to know until it's you in that seat with this other person that you're now sharing a big chunk of your life with. There are weeks where I spend more time with Erika than I do my husband. It's just the way that it goes sometimes. You're not going to know until you're in it, but I think there are ways that you can figure that out, at least get a good feel from others that have worked with that person.

Dr. Andy Roark:
Yeah. I like that a lot too. I love that you're saying that. You're not going to really know. I think one of the scariest things in life is when you're like, I'm going to make this big commitment and hope that it works out. I always find that to be terrifying. The other thing I found though, is that I can generally avoid those situations if I really try to. I think anytime that you're like, “I hope this works out. Let's go,” that's very rarely really required. Go back to marriage, for example. Unless you're getting married on a reality TV show, you've got the potential to try this out for a while. I must be honest. I lived with my wife for two years before we got married. I think we were both, let's see how this goes. We got a dog together. My mom was like, “Are you sure about this?” and I was like, “Yeah.” That's pretty much when I knew we were going to get married. We got a dog together and I was like, “I really love this dog. I guess-

Jenn Galvin:
I'm not going anywhere now.

Dr. Andy Roark:
… I'm getting married to this woman. I'm not going anywhere now.” But I had a long time to warm up to that before we actually got married. So the takeaway is get a dog with this person. No.

Jenn Galvin:
No.

Dr. Andy Roark:
The nice thing about having an existing practice is, is there a pilot program?

Jenn Galvin:
Yeah.

Dr. Andy Roark:
Is there somebody that we can talk to about why don't you come in and in 90 days, we're going to start to talk? We're going to revisit this and if you still think you want to do this partnership thing, then come on in and if you don't, then that's okay. I think using the time that we have now to get somebody in and now talk to them openly, because what you don't want to do is bring someone in. They're there for 90 days and they're like, “Oh, no, I never wanted to be an owner. I just want to punch out at 5:00 and go home,” and you're like, “Oh, I wish I'd known that 90 days ago. I would still hire you, but I would not be sitting around waiting to see how you felt.”

Jenn Galvin:
Yeah.

Dr. Andy Roark:
So yeah, I think that's really insightful. That's a benefit that you have when you're not starting up because you've already got a practice, so can we pilot this thing?

Jenn Galvin:
Yeah.

Dr. Andy Roark:
I also don't like to set these things up because you can imagine being the person coming in. You're the vet and you're brought in and like, “Maybe you can be the part owner here. We're going to watch you like a hawk and see how you do.” That's really weird too. I think I would frame it as you come along and then at 90 days, you're going to see how you feel and you're going to talk to me and I'm going to see how I feel and I'm going to talk to you and this has got to work for everybody. I don't like the idea that this is some interview where the current manager has the power and the new person is begging. That's not how I want to do a relationship. We're both coming together to be like, “Hey, how is this for you and how's this for me? This is how I feel and this is how you feel and let's continue on or let's not.” I like that.

Jenn Galvin:
Yeah. They have to date for a while, I think, is if you're going to do an analogy about it. I think if you have somebody that is willing to not know your practice, not know your people, not really know you, but they're going to come on and be your partner immediately, that tells you a lot about that person. That's scary.

Dr. Andy Roark:
I think that's true. Yeah. It is funny when you put it that way. Yeah, that's a rather bold, possibly impulsive person that I would have questions about. Yeah, that's really insightful.

Jenn Galvin:
Yeah. If I got a phone call from a vet that said, “Hey, you want to come partner with me out in Florida or something?” I would not just say yes to that. If that was on the table, it would be like, “Oh, how about we do six months of just me being a practice manager, feel out your practice, see if it's a good fit and then…” I think that's a really smart way to do it, is just put them in a role of associate and date for a while and see how that goes.

Dr. Andy Roark:
It sounds ridiculous when you say like, “Oh, this person would come out and just be our partner.” I see that stuff all the time. I'm not kidding. I see a lot of people who are like, “Hey, come and run this practice and be a co-owner with me.” I 100% see those offers all the time and they never feel good to me. I'm not going to say they don't work out because there's probably people out there who's like, that's exactly what I did and it was great. It has always skeeved me out a little bit for whatever reason. I've always felt like this doesn't feel good. I'm much more of a, let's take this slowly and figure out how to move in that direction and make sure everybody's okay before we lock ourselves in.

Jenn Galvin:
Yeah, for sure.

Dr. Andy Roark:
Cool.

Jenn Galvin:
Andy, do you want to take a break maybe?

Dr. Andy Roark:
Yeah. Let's take a quick break and then we'll get right back and we'll talk about action steps. Where do we go from here?

Jenn Galvin:
Yeah.

Dr. Andy Roark:
Hey guys, I just want to jump in here real fast and give a shout out to Banfield the Pet Hospital for making our transcripts available. That's right, we have transcripts for The Cone of Shame Vet Podcast and The Uncharted Veterinary Podcast. You can find them at drandyroark.com and at unchartedvet.com. This is part of their effort to increase inclusivity and accessibility in vet medicine. We couldn't do it without them. I got to say thanks. Thanks for making the content that we put out more available to our colleagues. Guys, that's all I got this time. Let's get back into this.
All right. Let's get back into this real quick. We've talked a bit about what we're looking for. Let's get in some action steps to help this guy out. So we've got our practice manager and he is looking to bring somebody else in. Let's talk about some action steps. We've thought about what's important to us, what our values are. We're bonding on the north star. We maybe like to take it slow and try this out and see if we can set up a system to date a little bit before we throw into a work marriage. I like all of those sorts of things. Where do you start to solidify this, Jenn? How does this turn from ideas about what would be good into action?

Jenn Galvin:
Yeah. I think once you know who you are and what you're looking for and you know what that other person looks like, I think you really have to put yourself out there. It's going to be hard. I don't know if this practice manager is an introvert like myself, but you have to get out there. I think networking is going to be a huge part of finding someone. We all know trying to hire a veterinarian right now is super difficult, and so that alone is going to be a barrier for this person. I know that from coming to Uncharted and going to different conferences, I've met a lot of people and I tended to put myself in a little bit of an introvert box because that's who I am, but I think in this situation, you have to get out there and you have to start rubbing elbows, getting to know some people and then start putting your feelers out and just have some honest conversations. I think it's time to be brave and say what you're looking for.

Dr. Andy Roark:
Yeah.

Jenn Galvin:
You can't just wait to see. If I sit in my practice and put an ad out, I'm sure somebody will answer, but that's not going to work in this situation.

Dr. Andy Roark:
Yeah. I completely agree. I love that. I think you're totally right. I think a lot of people would sit back and maybe send some emails or put an ad out because that's how you find people. I agree with you. I'd push back strongly against that and say you have a unique opportunity for a veterinarian and what you can't do is sell yourself short. Hopefully, you have a good clinic, a good culture. It sounds like you do, but there's a lot of vets out there who would love to be an owner and they especially love to have a partner and there's a lot of us who don't. This is scary to be a practice owner alone, but I would totally be a practice owner with a partner, especially someone who has experience running the practice who's done it for a long time, who's not green like I am, as someone who's never owned a business, let's say.
I think you've got a really unique and interesting offer. I think mistakes that people make is they don't put themselves out there. They don't go to the local vet conferences. I say local. You can go national. Honestly, people would probably travel for a position like this, but at least the local stuff, and get out and start to talk to people about what you're doing and what your hopes are. It's a small profession, guys. People are networked. Ask people, especially people that you respect. When we were looking to hire an executive director of Uncharted, the way I started was I went to people that I admired the most in this industry and said, “Hey, I know this is probably not a position that you're looking for,” because they're generally farther along in their career.
I said, “This isn't a position that you are looking for, but I really need this person and this is what's really important to me. Is there anyone that you can think of who you think I should talk to or reach out to?” and I got such a great list of people who said, “Well, these are people that I would talk to.” Ultimately, we ended up with just rockstar candidates and got an amazing, amazing executive director. But that's how I started, because I don't know. It was in an area. Our executive director is an operations person. It's an area that I don't know all that well and so I had to ask other people, “Who do you know who could run an organization that's [inaudible 00:27:36]?” and we found it and that was great, but it was really that this is what's important to me. This is what they would be doing. Do you know anyone that you would recommend?
I just found that to be the most effective thing I've ever done as far as going in, not knowing people myself, hardly, and still coming back with really great recommendations of if you haven't looked at this person. And it turns out, I even knew some of the people, but I just didn't know that there would be something they'd be interested in. So anyway, I like that a lot, going out and rubbing elbows. I think that makes a ton of sense, but you can't be a shrinking violet. You can't be a wallflower about it. You really do need to put them out.
I also think that that's a whole lot easier to do when you settled on this onboarding pilot trial program, because then it's not like, “Oh, my God, what it is…” It's like, “Hey, is there anyone who wants to come along?” I'm going to talk to a number of people and then we're going to bring some people in and try them out and see if the partnership might work and take our time and go from there, but that would be a path to ownership, not in years, in months, potentially. I like that a lot.

Jenn Galvin:
I really love what you were saying about don't sell yourself short because this practice manager, if they know that end of it and they can say, “Hey, I have your back. You can practice medicine and you'll still own a clinic and you'll still have input and you'll still be able to do all these great things that you don't have to do yourself because you've got somebody that has your back,” that's huge and I think that's really appealing to the veterinarians that want to own and work. That's huge to me. Erika and I talk about that a lot. I don't know how people do this by themselves. It is really scary and it's stressful, and to have that other person that you can lean on, I think putting it out there and saying like, “Hi, I've got half the load. I'm going to do this part. You're not going to be stuck by yourself doing this. You can be an owner and I have your back,” that's a huge thing you can put on the table. So I love that you were touching on that.

Dr. Andy Roark:
Well, I think that you're totally right. How many veterinarians out there would love to own a practice? When they think about practice ownership, what they're really thinking about is the client experience and the patient care and things like that, but the whole business thing is a big, scary black box and that's a lot of veterinarians. That's why I say you can't sell yourself short. This is really a neat opportunity to come in to affect the culture, to make the practice what you want it to be, especially on the medical side and do the things that you're excited about without the scary part of business if it's a scary part to you, and I think that's true for a lot of vets. One of the things I want to put on the action list, and I think people assume this, but I just want to call it out really clear, there's some behind the scenes work that you've got to do as well.
I want to keep my relationship with the current owner good while we go through this process. So if I can keep the current owner around and engaged and on board with me working on this, bringing someone in, trying them out, being flexible, not feeling threatened. And you're like, “Why would they feel threatened? They're retiring.” People are weird. You know what I mean? And people get worried about when I leave, what are they going to do with my baby? There's still some real emotions and stuff, and so I would make sure that I'm keeping that relationship strong and trying to include that person while also controlling where we go and what we do, but making sure they feel heard. They don't feel discarded or cast out or cut off because they do have the potential to make things really hard on you before they go.
So keep them in. Keep them involved in the conversation. Ask them for advice that those are just basic things of… And there's all the benefits that come with it, but it prevents some of those hurdles of the person who's headed out the door, torching the place as they go. Again, I'm sure this person would never do that, but there are people out there who would. The other thing I would say is I would keep this current associate who's going through a divorce. I would keep him or her in my thoughts as well. I would also try to maintain that relationship because that would have to be hard, especially I would ideally probably like to keep this other associate. Maybe they wouldn't. I don't know. Maybe they want to be a two vet practice. That's all they want to be. I don't know, but if I want to keep this other associate again, I'm going to invest some time into this conversation. I want to be really supportive.
I think this would be emotionally hard for that person who is like, “I was going to be the owner and now I've had this crappy thing happen in my life and it really sucks.” I've not gone through a divorce, but I know people who have, and none of them recommend it as a fun hobby that you should pick up. So I think that that would suck. How bad would that suck is you had this-

Jenn Galvin:
Hell, yeah.

Dr. Andy Roark:
… big plan and you go through divorce and then not only are you dealing with divorce, but you're also not doing this thing that had been your plan. That'd be freaking awful, and so be compassionate to that person, but also mostly because I want to retain that person and also when I get another owner in, I want our previous associate to be supportive and not to be jaded and angry. All those things are just keeping balls in the air and keeping relationships strong to make us ultimately a better, stronger practice in the future. Anyway, you can't control other people, but-

Jenn Galvin:
And that associate, they may change their mind maybe in a year-

Dr. Andy Roark:
Totally.

Jenn Galvin:
… or two. If you've burned that bridge or they felt segregated or that there's hard feelings there, maybe that will take that off their plate, but maybe in a year or two, I don't know how long this other doctor that's retiring is going to stay on in this situation, but maybe that associate will change their mind. The other thing that I thought of as you were talking is maybe these people are a good source of networking. Maybe the doctor that's retiring out, maybe they have a really great relationship with the local VHMA or maybe they know other people that they can introduce you to. Use those people. I know if I'm leaving here, if I left my partnership, I don't want to just walk away and be like, “Best of luck finding a practice manager. Good luck to you.”
I'm going to help find that replacement, at least in the channels and places that I can do that. Maybe that's somebody that this practice manager can turn to and say, “Hey, I know you're looking to retire. Do you have ideas? Do you know people? What thoughts do you have?” and maybe that's somewhere that they can turn.

Dr. Andy Roark:
Yeah. I suspect I could say how I would feel if I was going out retiring. I would feel some type of a legacy there or I would want some sort of a legacy. I don't think that's too arrogant to say-

Jenn Galvin:
No.

Dr. Andy Roark:
… because you would like to feel like you have an impact that lasts beyond the time that you're gone.

Jenn Galvin:
Yeah.

Dr. Andy Roark:
I think everybody wants that and so I think keeping that person there is really important. One of the other things I think is understandable if you are the manager bringing someone in, and that's why I see this a lot, I think one of the biggest mistakes that people make is they float an offer like this to a veterinarian and they're like, “Come in. This other person is retiring at some undisclosed time in the near future and then you will have an opportunity to be the owner assuming everything goes well.” That sounds like a really fair offer and a truthful offer and everyone's intentions are good. I counsel veterinarians all the time to turn that deal down, all the time. The reason is because the veterinarian, this is where we have to put ourselves into the shoes of the person who would be the partner, if they come to your practice because of an ownership opportunity or potential ownership opportunity, that's what they're coming for. I have seen too many vets dragged along, strung along with this carrot that keeps getting pulled away.
It's like, “Yeah, I'm totally going to sell to you. I'm just not ready to retire yet, but soon I'm going to,” and I've seen people just feel very, very resentful that they imagine they'd be a practice owner in a year and a half and it's five years and it's still not materialized into a contract. I see that a lot. I think what's fair to the veterinarian is to be up front and say, “This is the timeline that we're working on. This is what we expect the retirement to be. This is what our grace period, our trial period's going to be. At this point, we are going to make a decision. I'm not going to string you along. I'm either going to say, yes, let's do this or I'm going to say, no, let's don't this.”
But if I was the vet coming in, I would very strongly push for that to say, “Is it a three-month trial? Is it a six-month trial? How long are we going to try this for before you say, ‘Yes, we're doing it' or ‘No, we're not'?” And we sign a contract saying that this is our intention and we're moving forward. Because I don't want to come in and get strung along under promises that some point, I will be let to know that I can now become an owner. So I would push hard for that clarity if I was coming in. I just think it's something that the manager should maybe expect as they make a plan.

Jenn Galvin:
Yeah, 100%. They can talk to their legal counsel and get that written up so that everybody understands this is the layout. This is what we're doing. Again, I think that setting expectations from the beginning is always better than trying to catch up later, so make sure everybody is on the same page. Even the employees, when you think of those guys, don't leave your support staff flapping in the breeze not knowing what's going on. They're going to see, okay, one of our doctors is retiring. What does that mean for us? Are they going to have to fire half of us? Employees can spiral way out, which I think it's important-

Dr. Andy Roark:
And they do.

Jenn Galvin:
They do.

Dr. Andy Roark:
They do.

Jenn Galvin:
They absolutely do, so I think it's important to think of who is affected by this and who needs to be kept in the loop and know what's going on.

Dr. Andy Roark:
Yeah. Well, those clear expectations as well. I push this back to the other relationships in the practice. I think having that expectation of, hey, we told this person they were going to be the owner and they're coming in and we have this agreement about how this is going to go, I think that that can be valuable if our other associate who has backed away starts to feel resentful or starts to come back and go, “You know what? I think maybe I would like to do that.” I would like to say, “Hey, we brought this other doctor in and she's got this agreement and this is what we told her was going to happen. So the door right now is closed for that.”
You should know that before you fall in love with the idea or start to think, hey, now that I see how this is going, I think I would like to be involved. Maybe we could have three partners instead of two, it's good to say, “You know what, buddy? That's just like a great idea. I'm sure you'd be amazing at it, but we don't have that option because we set these expectations and this is what's in writing.” The same thing with the current owner and that actually may end up being the hardest part of this, is in order to really do this in the way that we're talking about with clear expectations where people feel good, I need to have a commitment from the current owner about when they are going to step away because what I can't do is have the current owner who's like, “I'm going to do it soon.” It's like, “I need to communicate what the timeline is for this other person to come in and move into an ownership position, which means I need to have a timeline from you for when you're trying to transition out.”
I think what I would probably say to the owner is, “This is what I need in order to keep the practice going. I would play to what is good for the practice owner who's leaving is you want a legacy. You want a smoothly running practice. We want to get the best person in here. I need to have this clarity so I can attract that person and build a good footing.” The other thing I think I'd probably say for the current owner is, “This doesn't mean you have to leave. You can be a part of what we're doing, but you do need to transition out of the owner position so that we can move on. We'd love to still have you here and have you around in the short term, at least, depending on how things go, but we'd love to have you around, but you do need to set an ownership transition plan and a timeline so that we can hire for that.”

Jenn Galvin:
Yeah. I think maybe you have new grads that want to step into the ownership role, but that's tough. You're right out of vet school and that's scary time, but you want to own your practice one day. Maybe the other owner can stay on and that can be part of that agreement, that they're there to do the mentorship thing and then they hand the whole thing over. There's so many ways to do it.

Dr. Andy Roark:
Right. I love that idea and that also might affect your timeline. If you have a new grad who comes in who says, “I'm here. I want to get mentored. I would like to own the practice in a year and a half or in two years, I would like to take ownership.” I think that's a fair deal, and a lot of times, I think a lot of new grads would say, “I want to be an owner, but I really want to focus on getting this medicine down. If I had two years to really just see cases and work and integrate myself into the culture, then I think I could pick this owner thing up.” Honestly, I'd say that's probably pretty much your perspective to have.
Really, if you got another vet who's been out eight years and they're like, “I'm ready to go. Let's come in, figure out if this is going to work and I'll take over or I won't and I'll move on,” that's just a different timeline. It's not right or wrong, it's about what the person needs. So it's just good conversations. The current owner can really help you out by being supportive of how this transition looks and that transition is going to depend on the person who's taking it. Awesome. Do you got anything else to add to this, Jenn?

Jenn Galvin:
I could talk about vet med for hours and hours, but I think we've covered a lot of it. I think just really defining what you're looking for and being honest and open with all of the people, that's going to really be a huge thing. Get out there and network the heck out of yourself and your practice. Go to vet schools. Talk to grads that are coming out. Talk to your reps. Talk to your [inaudible 00:41:34] rep and your Patterson rep and whoever. Talk to those people. They know a lot of vets. They talk to a lot of people. You have to put yourself out there and now is not the time to be shy.

Dr. Andy Roark:
Yeah. I'm glad you said reps. I should have mentioned that. I mentioned that a lot to students over to veterinarians looking for jobs. Your industry reps are in all the practices and, especially the ones who've been around a while, they tend to know the gossip in the practices. They know who's happy, who's not. They know who has been standing in line. They own a practice for a long time and is really frustrated because they're not getting the opportunity they were promised. They tend to know things like that. They tend to know who's really popular with the staff, but is not currently an owner or an upper management or medical director. They tend to know that stuff. I don't think that's dirty pool, I think that's just saying to these people, “Hey, you see a lot of practices. If you see anyone that you think would be a fit for this specific role, let me know.”
I think it's different if you use those people to try to hire support staff or things like that, but this is you're looking for someone to run your hospital and it's a narrow role. It's one job position. I don't see that as a negative as well. Anyway, that's the thoughts. I want to do a shameless plug for the Uncharted community here. Jenn Galvin, you've been with us a long time. You've received the Founder's Award, which is the one award that we give in Uncharted for people who are other members have said, “This person helped me more than anyone else. They made the biggest impact on me and they didn't have to.” So you have received that. It's the highest honor that we can bestow and you have gotten it. You were one of five people who have gotten it in the five years that we have been in existence. What is your favorite thing about the Uncharted community? Why are you part of it?

Jenn Galvin:
Oh, man. There are so many things I love about our community. I think that we are real with each other, is probably that is my favorite part, is that no one is going to make you feel like you're a crazy person or a bad person. You can just put your stuff out there and say, “Hey, I need help. Here's my thing.” Even if you yourself are embarrassed of that thing, I don't know all the things, nobody does, but you can go to our community and say, “Hey, I've got this issue or this is the crazy thought I'm thinking. What do you guys think?” and you will get all of these people that, “Hey, I've been there. Hey, I dealt with this. Hey, you're not crazy. You're not on an island.” That is my favorite thing is that we are real with each other and they are genuine, kind, wonderful people that will help you. You just got to ask for it.

Dr. Andy Roark:
Yeah. Oh, man. Thanks a lot for being here, Jenn. I really appreciate you.

Jenn Galvin:
Yeah. I love being here. Anytime.

Dr. Andy Roark:
All right, guys. Take care of yourselves. That's it, guys. That's what I got for you. I hope you enjoyed it. I hope you got something out of it. Thanks again to Jenn Galvin for being here. Guys, if you want to check out Uncharted or the Uncharted community or the Get Shit Done Shorthanded conference, head over to unchartedvet.com and get registered to join the community. Check out our online conference if you want, if want to go that way first. It is October 6th through the 8th. Go ahead and march yourself off at the clinic so you'll be able to participate in what we're doing. Our conferences are super interactive. This is not sitting and watching webinars. This is hands-on working on your own business type stuff. Gang, that's what I got for you. If you got a lot out of this episode, please share with your friends. Feel free to write us an honest review wherever you get your podcast, all those things that people ask for. Gang, that's it. All right, I'm done. Take care of yourself. Have a great rest of your week.

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: business, manager, partner, Practice ownership

Aug 31 2022

We Have A Manager…They Don’t Manage

Uncharted Podcast Episode 193 Cover Image

This Week on the Uncharted Podcast…

Have you ever worked somewhere that the team felt frustrated at the lack of accountability for repeated mistakes and the drastic differences in work ethic between staff members? When frustration like this extends over time, the result can be cultivating an office environment with a huge increase in tension, gossip, and bickering. Dr. Andy Roark and practice manager Stephanie Goss tackle a mailbag question from a veterinary technician who is grappling with a hospital environment like this. They feel like their practice owner and manager haven't really addressed things from the perspective of the team but this tech feels they might be open to suggestions on what to do and how to approach the situation. Our vet tech says they are “not really sure where to even start with coming up with an overhaul in training/rewards/consequences..” and asked for input from Andy and Stephanie. These are great questions and common challenges we are excited to talk about so let’s get into this…

Uncharted Veterinary Podcast · UVP – 194 – We Have A Manager…They Don't Manage

Got a question for the mailbag? Submit it here: unchartedvet.com/mailbag

You can also listen to the episode on Apple Podcasts, Spotify, Google Podcasts, Amazon Music or wherever you get your podcasts.


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Thank you to our sponsors! To learn more about this week's sponsor, GuardianVets, check out their website HERE.


Upcoming Events

October 6-8, 2022: Get Sh*t Done Shorthanded Virtual Conference

This 3-day live, interactive virtual conference features a customizable learning journey for practice leaders who are tired of being overwhelmed and want to get their practice back under control. Explore how you’re working, isolate challenges, diagnose pain points, share best practices and pull together a sustainable plan to overcome obstacles.

While Uncharted Membership is always encouraged, you DO NOT have to be a member to join us for GSD! Non-members, here’s your chance to see what all the buzz is about and get a taste of the Uncharted experience.


Episode Transcript

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This podcast transcript is made possible thanks to a generous gift from Banfield Pet Hospital, which is striving to increase accessibility and inclusivity across the veterinary profession. Click here to learn more about Equity, Inclusion & Diversity at Banfield.

Dr. Andy Roark:
Hey, Stephanie Goss. You got second to talk about GuardianVets?

Stephaine Goss:
Yeah, what do you want to talk about?

Dr. Andy Roark:
Man, I hear from people all the time that are overwhelmed because the phones never stop ringing.

Stephaine Goss:
Yes.

Dr. Andy Roark:
And I'm sure you hear from these people, as well. Like, “Our caseload is blowing up and the doctors are busy and the phones just don't stop.”

Stephaine Goss:
They never stop. That is a true story.

Dr. Andy Roark:
I'm amazed by how few veterinarians know about GuardianVets. This is a service where you have registered technicians who can jump in virtually and help you on the phones. You can flip the switch and GuardianVets can jump in and take some of the load off the front desk, and they can handle your clients and get them booked for your appointments and give them support, and it really is a godsend.

Stephaine Goss:
Pre-pandemic, it was amazing to me how many people hadn't heard about it for after-hours call help, but at this point, I can't believe how many people don't realize that they are offering help during the daytime as well, which I would think right now is a huge benefit to practices because everybody is shorthanded. Everybody is drowning in phone calls, and so we talk about it. We've talked about GuardianVets a lot on the podcast, and every time we do, we always get somebody who says, “What is that?”

Dr. Andy Roark:
Guys, if you're not familiar with GuardianVets, if you think that you could use some help on the phones or up the front desk, check them out. It's guardianvets.com and if you mention our podcast, me and Stephanie Goss, you get a month free. So check it out, guardianvets.com.

Stephaine Goss:
Hey everybody. I am Stephanie Goss and this is another episode of the Uncharted Podcast. This week on the podcast, Andy and I are diving into another letter from the mailbag. It came to us from a technician who is a senior technician in their practice and they are struggling with feeling like they're in a practice where they have a manager entitled, but they maybe are not actually doing what should be done as a manager and this goes to talking about addressing behavior, bad behavior on the team, accountability, consequences, policies, procedures, protocols, culture as well. This one is a big giant can of worms and Andy and I had so much fun opening it and diving in. Let's get into this one.

Meg:
And now, the Uncharted podcast.

Dr. Andy Roark:
And we are back it's me, Dr. Andy Rourke and Stephanie gossiping folk Goss. Some Missy Elliot gossip. I'm not going to rap like Missy Elliot does not because it can't just because no one will listen to the rest of the podcast. So I'll just be like, “Play that again. Rewind that.” So we can hear Andy rap like Missy Elliot. Hello there Stephanie Goss, how are you?

Stephaine Goss:
I'm good. How are you?

Dr. Andy Roark:
I'm good. My pitiful dog is stuffing his face between the arm of the chair and my leg. You know what I mean? His golden retriever part is coming out. He's a love sponge. He's not good, but he is a love sponge. Don't stop petting me, dad. Well yeah, and let's just be honest. He has reason to be concerned because he's feeling insecure and he should be because his position was definitely threatened recently. So I took Allison, we went hiking and we drove up to this trail.

Stephaine Goss:
Okay.

Dr. Andy Roark:
And it's up, it's up near Bristol, Tennessee and it's called the Devil's Bathtub and it was this awesome trip. It was like eight or nine miles long, but you have to cross the Creek like 10 times, so you have to take your boots off and everything.

Dr. Andy Roark:
So anyway, so I am not taking this fluffy, goofy dog, but he's being boarded as Allison and I take full advantage of our kids being at camp for the last time of the summer. So we go up there and we get to the trail hit and I get out of the car and this dog, he was some sort of a rat terrier mutt. He comes tearing up to me like, “Oh man, I've been waiting for you.” I mean you know that experience where they… He came running straight to me like, “I am so glad you're here.”

Stephaine Goss:
Right.

Dr. Andy Roark:
And he had a tag that said Bandit on it, and so Bandit was all about hanging out with me and Allison, and so as soon as he comes and he celebrates, he's like, “Let's go.” And Bandit leads the way to the trailhead.

Dr. Andy Roark:
And I'm like, “This is kind of weird.”

Stephaine Goss:
Where are your people?

Dr. Andy Roark:
Yeah, was like, “Where are your people?” Yeah and he's an intact boy too. So I'm like, “It's not unusable I bet for Bandit to be out.” And so anyway, so bandit decided he was like, “Yep, I'm with you guys. Let's go hiking.” And that dog, Stephanie, he stayed with us for like five hours. He navigated the entire trail all the times we had to cross the stream. He would go down. He knew exactly where he was going. He would run down and then cross over a log that's like 25 yards off the trail, or he would just hop from stone to stone. And it's funny, we'd watch him and would see what stones were loose because he'd jump on some of them they would shake.

Dr. Andy Roark:
And I'm like, “Oh, I'm not stepping on that one.” But I told Allison, I was like, “We're like six miles in and I was like we might have a new dog.” And then whenever we stopped to take a snack, he was right there. He was insistent that he also have a snack, and I was like, “This is not your first rodeo.” This dog has 100%, I bet he hikes that trail every day and suckers every day, give him granola bars and all sorts of things and so we got back to the house or to coming back down the trail.

Stephaine Goss:
Didn't his people ever turn up?

Dr. Andy Roark:
No. Oh no. So we're we're we are a half a mile from the end of the trail, and I was like, “Seriously, what are we going to do with this dog?” Do we just drive away and leave this dog?

Stephaine Goss:
Right?

Dr. Andy Roark:
He definitely seems to know what he's doing and so anyway, in the last half mile he just started getting farther and farther ahead of us and he didn't even say goodbye, which kind of hurt. It kind of hurt when he didn't look back over his shoulder. He just kind of ultimately left and Allison and I were leaving and we went to the trailhead, we got in a car and as we drove away, he was there laying on a front porch of this little shotgun shack.

Stephaine Goss:
Oh my gosh. How funny.

Dr. Andy Roark:
And I was like I bet Bandit's life is greeting people with the trailhead, hiking with them, eating their granola bars and snacks, and then coming home and crashing out at his house. Like I bet that's 100% his life. So anyway.

Stephaine Goss:
Oh my gosh, that's funny.

Dr. Andy Roark:
Yeah, so Skips a little bit insecure and he should be because anyway, I am confident Bandit is also not a good guy. Like Bandit is probably aptly named. I think he's a con man the whole way. He was super fun. He's like that friend in college you had. Super fun, cannot be trusted. That's Bandit.

Stephaine Goss:
You already have a dog that cannot be trusted. So adding another one into the mix.

Dr. Andy Roark:
Oh yeah, totally. Yeah, exactly.

Stephaine Goss:
I can only imagine.

Dr. Andy Roark:
Like a rugged outdoor bad dog. Yeah, I don't need two bad dogs together. They would run cons as a team on me and my wife.

Stephaine Goss:
Oh my gosh.

Dr. Andy Roark:
So anyway, that's what's going on. So Skipper is still insecure ever since I came home and smelled like Bandit, and oh well. Sometimes you got to get the pressure on. You just be like, “Hey buddy, I could have you replaced in a heartbeat if you eat my sandwich off the countertop again.” 100%, you know how many dogs would love to live in this house with me? You better get your stuff in line.

Stephaine Goss:
Get it together Skipper.

Dr. Andy Roark:
Yeah, that's right.

Stephaine Goss:
Oh man. Well, I'm excited we have a great mailbag question today or series of questions. So we got a letter from someone who is a technician and they have been at their practice for six years and they have kind of grown in their role after having joined the practice as a technician, and now are one of the senior techs on the team and they love surgery and they love their team. They love the overall experience at their practice. There's a lot of good. They're really struggling because there seems to be a big problem and it has to do with what they say is a lack of structure, and that's one of the questions I want us to dive into. I think they do have a manager, but it sounds like maybe this manager, the actual job for this manager is maybe not practice manager.

Stephaine Goss:
So we're not super confident on what their responsibilities or the level of duties being assigned to this person, but they do have a manager and they are not actually managing because there is a lot of lack of accountability with the team when it comes to the jobs. So when mistakes get made, things happen over and over again. Doesn't seem like anybody's really held accountable and then sometimes there's consequences, sometimes there's not. They said sometimes someone has been talked to about issues and nothing seems to be getting done, and then other times people are randomly let go and nobody sure is this an accountability thing, is it not? So there's that challenge and then in addition to that, that has been helping cultivate in an environment where there is tension and gossiping and backstabbing, bickering kind of behavior amongst the team, right?

Stephaine Goss:
Because people are not being treated the same and everybody is seeing that, and so they said, “Well, the practice owner and our manager, haven't really dealt with it and I do feel like I have a good relationship with them, and I feel like they might be open to trying to put some policies and protocols in place.” They're not doing that on their own and so could I suggest things to them that might be helpful? And they said, “I'm not a manager, I haven't been trained and so I don't even know where to start.” And in particular where to start when it comes to overhauling training, rewards, consequences, those kind of things because that's where they see the challenge in this, and so they were asking if we had any input or advice because they would take it all.

Dr. Andy Roark:
Yeah. Let me tell you what I love about this format is when things come to the mail bag, they generally, by the time I see them, they get to my desk, the identifying information has already been stripped out of them, which means I have no idea who writes to us and I really kind of like it because then I can always just say, “Look, I don't know what's going on your practice.” I don't have any idea who this is. I just read what you send me and take that as the full context that I have and then I tell you what I think. And I have the feeling if someone came up to me and spoke to me and said to me directly, this is what's going on. I would really have to balance their feelings a lot more. You know what I mean?

Dr. Andy Roark:
And things like that, but when I'm like, “Look, I just read what was there and I told you what I thought.” And I don't know what else is going. I don't know what the story is.,I'm not there. I haven't seen your practice. If I have seen your practice, I don't know your practice you're talking about, and it liberates me to be much more honest and candid than I would ever be. If someone raised their hand at a lecture in front of 300 other people and were like, “What do you think about this?” And I'd be like, “Oh boy.” I have to make sure I take care of this person who's been brave enough to ask me a question, and so with all that said, let me just say at the very beginning, everything in this letter could be 100% accurate and starting in about three minutes, I'm going to act like it is and go based on that belief. Between now and then I'm going to point out.

Stephaine Goss:
I can't wait to see where this is going.

Dr. Andy Roark:
Oh yeah and again, this might mean absolutely nothing and I don't want to even get upset or anything. Whenever I see a letter that comes and it says, “This is my first practice that I've been at.” There's immediately some flags for me about questions, right? And again, and so the writer here is like, “Hey, this is my first practice and I've been there for a number of years and this is what I see.” And I always point this out because when people ask about management stuff is if you've only worked it one practice and you've only seen things one way, there's always the possibility that the grass is greener on the other side and again, I'll come back to this, or what you think, you go, “That can't be normal.” And the truth is that's 100% normal. All practices are are in the same weird boat and do these annoying things.

Dr. Andy Roark:
And so I have to just put that out of like, “No one's held accountable and people disappear, and blah.” And I go, “Okay, if this is the first practice that you've been in, it is quite possible that what we're seeing is the normal level of people not being held accountable and just trying to make a business go.” And so I don't have enough information to know whether what we're perceiving is really truly over the top or if this is a normal level of dysfunction of an American business. American or Canadian business. Does that make sense why I say that?

Stephaine Goss:
It totally does and I think you're not wrong. That's one of those things where one of the biggest pieces of advice that I give to people is work at more than one practice. Even if you love your practice, spread your wings, girlfriend or guy because whoever you are, you got to get out there and you got to experience things because every practice is different and there are so many different ways to do it, and only with that experience and seeing you… Three things can happen. You can go somewhere else and the grass can be greener and you can recognize, “Oh, that was a mess and there really is a better way to do this.” You can also go somewhere else and realize, “Oh my God, this other place is so much more of a dumpster fire. We actually had our shit kind of more together than we thought we did.”

Dr. Andy Roark:
Yeah.

Stephaine Goss:
Sometimes that's a surprise and I think your point is a solid one, which is a lot of the times you go other places and you recognize this is a variation on a theme, and everybody really struggles with some of these issues.” And it is actually yeah normal and it falls… If you imagine normal like a shade of gray, there's lots of different shades to it, right? And there could be things that are more normal and less normal and so I think this is one of those things where you're not wrong. It is worth recognizing that every practice goes through this at some point or another.

Dr. Andy Roark:
Totally. Well and so I just wanted say that and that's why I said we're going to take about three minutes here just to call out and go whenever I see somebody who works in one practice and they say this is abnormal and these are not meeting standards, I always go. Hm, I don't know. I try to kind of gauge this and say okay, is this the grass is greener. I haven't worked other places and so I think that we're doing bad, but maybe we're not doing bad. I always like to put that up front and say, “I don't know this practice. I don't know this person.” From now on, I'm going to assume that the level of transgressions that we're talking about exceed, well, what is normal? And we're going to spend the rest of the episode going on about that.

Dr. Andy Roark:
But I always just like to call that at the beginning and go sometimes people don't get held accountable or it doesn't feel like they get held accountable, and sometimes there's not a plan, and sometimes there's chaos and sometimes we're not privy to the conversations that happen behind the scenes. And there's a certain level of that, that's just normal. I'm just going to go forward and making the assumption that we are beyond that, but it's just important to call it out just so that when people start to talk about these things, they don't immediately jump to this is awful, or Andy says that no one should ever be uninformed about what is happening. I go, “Okay, that's not what I'm trying to say.”

Stephaine Goss:
Okay and I would agree with you, and I think for me, there's a big split here in both of us say should is a very dangerous word, right? And there are two things here. One is HR related and disciplinary and what does accountability look like, right? And the other is cultural, is teamwork, is gossiping, is bickering, is talking behind each other's backs, right? And those two things can be tied together and at the end of the day, the hospital leadership should be responsible for both of those things, and as a team member who is a leader within the practice, but not necessarily the manager, you have a responsibility when it comes to the cultural piece as much as your leaders do when it comes to the HR piece, and the rules and protocols and policies and all the accountability piece. That is something that you can help and support and be a part of, but I'm glad you brought up the point Andy, that it's HR related, right?

Stephaine Goss:
So it will always live in a world of gray because you cannot know everything. You are not in a position where legally, you should know all of the things, and so that's one of those things where there's a split here for me and there's two separate issues to be talked about, but I think from a head space perspective, the important part for me is what you said, which is that when it comes to the HR stuff, you just have to remember that you are never going to know all of the things nor should you know all of the things, and so you have to start from a place of assuming good intent because you don't know the whole story.

Dr. Andy Roark:
Yep. Totally. All right, I love that and that's the opening head space place I think is let's just put it on the table and say a lot of this stuff sounds like HR issues because we're looking at management and we're questioning HR policies and procedures. No, I'm sure this varies by the state. You and I speak nationally and internationally to people so we tend to speak in the most rigorous of terms. You are not supposed to know what is going on from a disciplinary standpoint with other people in the practice. You're not supposed to know that. It may look like people are just getting verbal warnings, and then one day they're being fired. There may be a robust process going on behind the scenes of writing people up of corrective plans. It is illegal for the people doing that to let the practice know that's what they're doing.

Dr. Andy Roark:
And so you might say, “No, I am very aware that these things are not happening.” I just always put that forward and say just know that you are not going to be privy to all the things that are happening and that's a frustrating thing and we talk to employees all the time who go, “I make these reports and I tell people what is happening and this is going on and they say, okay, and then nothing seems to happen.”

Dr. Andy Roark:
And I always have to try to talk those people down and go, “Hey, I don't know what's happening. You can assume good intent and believe that a lot more is happening than what you know about, and the company, the business, the practice is not allowed to give you updates or tell you what they're doing.” They simply cannot do that, and so there is some of that. So I think know that's the thing. Come with a positive outlook and believe that, “Hey, maybe there's a lot of things going on that I don't know about and that may be going on.” And so that's just a good positive head space to start from.

Stephaine Goss:
Yeah, I love it.

Dr. Andy Roark:
So start with empathy is the other thing, and I say this, and I hate you say start with empathy because I am the boss who tries to run the show and you try to make a great place for people to work that's not a military installation where there are rules and drill sergeants yelling at people, do this, don't do that, and there are punishments being meted out. And at the same time, people still need to treat each other in the ways that mash up with the core values, and they need to treat each other in ways that are professional and in ways that get work done. And so it's always that balance and I just have to say that as a business owner, I don't think people generally realize how hard that balance is to strike of this is not a police state.

Dr. Andy Roark:
And at the same time, we still need people to do what they say they're going to do and treat each other with respect, and so man, that balance is really hard to strike and it's easy to stand in a place and say, “Boy, we should have more structure. We have more accountability.” And then it's also easy to have too much and go, “Oh, this is awful. We can't do anything. We're being in trouble all the time. My boss just rides me. I'm getting written up for everything.”

Dr. Andy Roark:
I've seen both of those scenarios and everybody who's managing a practice is trying to balance those things and so there is some giving grace. That doesn't mean that we don't need to fix things because we all, we always need to work on them, but again, this is just about giving grace, starting from a place of empathy and saying, “I bet these people who are managing the practice are doing their best and they're doing their best.” And they push in one way and then there's push back and they sort of wrestle back and forth with that, but anyway, that helps me get into a positive healthy space where then I can start thinking about what am I going to do in this situation? But I don't know. That's about it for me for Headspace.

Stephaine Goss:
I think the other piece of empathy, I'm glad you said that and the piece that I would tie to that is as a team member, in veterinary medicine, one of the best pieces of advice that I could give is something that I learned the hard way, which is that I don't know, I wish there was an actual percent, but I'm just going to give you Stephanie's gut sense.

Dr. Andy Roark:
Sure, shoot it.

Stephaine Goss:
90%. I would say 90% of the people in veterinary medicine who are running practices as either a manager, owner, medical director, combination of all of the above have no formal training in business and leadership. It's really high, say 90, maybe it's less than that. Vets went to school to be vets. They didn't go to school, the vast majority of them to be MBAs. We have some doctors who are vets and who have their lodge degree or whatever, and have supplementary education that supports it, but there are way more managers and practice owners in veterinary medicine that don't have that kind of education and support than there are managers who do, and so one of the things that I always tell the team is when it comes to getting into that head space, just taking a step back and remembering that it makes it so much easier for me to assume good intent, because we don't know what we don't know as human beings.

Stephaine Goss:
And if I can look at somebody and be like, “Oh, Andy went to vet school, he didn't spend all that time learning the ins and outs of HR and management, that's its own separate degree.” Right? And so if I think about it in that context, it becomes a lot easier to ratchet down my frustration or anger or whatever to a level that feels manageable sometimes, and so I agree with you, I think the big part of the head space for me is that you have to start with empathy and that makes it easier for me I think to start with that empathy, because I can look at them as a person and be like, “Yeah, it's easy to give you the benefit of the doubt. You didn't go to school for this.”

Dr. Andy Roark:
Yeah, I think that's super important. I really like that a lot. The last thing about head space that I want to put honestly, I'm done with head space, but there's one more thing I want to put on just as I'm thinking about our action steps that's what thinking ahead is there's a bunch of things going on here, right? There is accountability, they said there's not a lot of structure, there's gossip, there's these people not only getting verbal warnings and then being let go, and there's a lot of different things here and so know that there's a lot of different things going on in this question about what's happening, and again, Rome wasn't built in a day and this is not one question of how do I get my practice organized so all these things goes away.

Dr. Andy Roark:
It sounds like there's a lot of different things going on and we need to make some structural modifications and changes, and that's going to take time because it's not a one tweak, one light switch flipped problem. This is a lot of different things. So again, settle in a little bit with some patients and then let's take a break and then we'll start to work through this, shall we?

Stephaine Goss:
Yeah, sounds good.

Dr. Andy Roark:
Hey guys, I just want to jump in here real fast and give a shout out to Banfield Pet Hospital for making our transcripts of available. That's right, we have transcripts for the Cone of Shame Vet Podcast and the Uncharted Veterinary Podcast. You can find them at drandyroark.com and at unchartedvet.com. This is a part of their effort to increase inclusivity and accessibility in vet medicine. We couldn't do it without them. I got to say thanks. Thanks for making the content that we put out more available to our colleagues. Guys, that's all I got this time. Let's get back into this.

Dr. Andy Roark:
All right, let's go ahead and talk about where we are, and let's talk about trying to work this into a reasonable place. My goal coming out of this is to have an action plan for the team I guess is what it would be. What I'd be working for is not to have all the problem solved because there's a bunch of different things going on and I don't have clarity on exactly what that is and it's just too much. So I think when we talk about action steps, my idea is not to build an action plan that solves the problems. My action steps are to build a collection of action steps that will walk us down the path of solving the problems in an organized, ongoing way. That how I'm looking at this. How do you feel about that, Stephanie?

Stephaine Goss:
Yeah, I think I'm heading the same direction you are with where to start because for me, I think some of it, a big piece of it is what are you trying to get out of this? Because there's so there's a lot to unpack. To your point and it is a multi-pronged challenge and so before we can say where do you start? The best question I could give you is what do you want to get out of this?

Dr. Andy Roark:
What does success look like?

Stephaine Goss:
Yeah because if you can't define that for yourself, I don't think you can figure out where to start because where you're going to start is going to depend on that question, and there's a couple different ways they could go, right? But think you got to ask the question.

Dr. Andy Roark:
Yeah, I like it because it's a big multi tentacle beast problem. This is mixed metaphors. We need to get a North star. Sorry, I'm going to step back and go this a long journey we're talking about. We need a North star. We need to know where ultimately trying to go and that's the first thing is what does this look like when it's done? What do you want the practice to be like? How does that actually look in your mind as far as finding the balance of accountability and autonomy for people to kind of do what they want and to be themselves and express themselves and interact independently, things like that. So where are we trying to go? What does that look like?

Dr. Andy Roark:
So set that North star and so I would start with that. The other thing that I would say is remember the spiral staircase, right? And business is a spiral staircase, which means you're always looking and you're like if I could just get to that next level, everything would be great, and so you work hard and you get to the next level of staircase and it turns and you know what's there? Another staircase and guys, that's life and that's business and there's always going to be next staircase and so just put that in your mind. The big thing for me is North star, what does this look like? What do we want our practice to be like? If you haven't done your core values exercise, I would do your core values exercise. If you don't know what that is, consider getting your leadership to join Uncharted and check out our core values workshop that we do where we figure out what do these people care about?

Dr. Andy Roark:
What does the team care about? What do you want the practice to be from a meaning and purpose standpoint? And when you have those things, it makes your priorities a lot more clear. It makes your action steps a lot more clear. You understand kind of what needs to happen first that's going to make the biggest changes to the things that you care about. As a start, we start with the core values exercise. What is our practice, meaning and purpose? And I guess that's kind of North star as far as where you want to go, but I really would do that exercise because it's going to get everybody speaking the same language. It's going to get everybody talking about where they want to go and what they care about, and once I have my core values, how do you eat an elephant?

Dr. Andy Roark:
The answer is one bite at a time. I would start to pick my priorities of what are we going to tackle first? And then I would just start to chip away at the problem, and I love it's a truthful reality, it's backed up by research, but I love the truth that we as human beings tend to overestimate what we can accomplish in a year and underestimate what we can accomplish in 10 years. It's just know that this is going to feel frustrating as you start to work because it's going to take a lot longer than you think it will, but if you stay at it, in five years, you are not going to believe where you are and how far you've come.

Stephaine Goss:
Yeah, I like that and I agree with you about the North star piece of it and so to help get to that point and to get to the point where you could start to look at core values in some of the things there that are cultural and that require some experience to help set up and facilitate and figure out where do you even start with that? For me, I would start with a brainstorm and kind of a brain dump, and whether you do it on paper or you do it in your head, I would ask our listener or our writer and anybody else who's in this situation to think about what actually is bothering you? What is frustrating about your practice and make a list and write it all down and be as specific as you can.

Stephaine Goss:
Is it how the team is treating each other? Is it that people are getting let go, and you don't know why? Until you pinpoint what is actually bothering you and what's bothering the rest of the team, I think it will be very hard to figure out what that North star is. So that step number one for me is doing that brain dump and trying to actually get it all out and figure that piece out of it because the first piece for me I think falls between that brain dump, which is a personal thing and you can do on your own, right? And the North star, which is going to have to involve the rest of your team. If you're talking about core values in figuring out who you are as a group, there's a step in between there for me for this person, which is something that anybody on the team could do.

Stephaine Goss:
And so our writer said, “Look, we have some challenges with the team, gossiping, feeling like there's tension amongst ourselves, and bickering.” And this is where you don't have to be the manager. You don't have to be a senior technician. Any member of the team could have the daring and the bravery to say, even if it's to one other person, “Hey, I feel like we have been really stressed out. We've been picking at each other lately, validate the scenery and find out do they see it the same way? Are you seeing this in your head one way and everybody else is seeing it differently?” And so for me, it would start with what can I do as a team member in this position and where I'm going with that is trying to figure out why it's happening.

Stephaine Goss:
Because one of the most powerful tools that any member of the team can put in their toolbox is having a set of rules that you guys as a team agree to play by, and that I don't mean rules like what are your policies and procedures and how do people get disciplined for things? What I mean is we're all human beings, we're going to show up at this place and we're going to work together. How do we show up for each other? Do we tolerate talking about each other behind each other's backs? Is that a cultural standard that we have set, and if it is and you want to change it, take someone being brave and speaking up and saying, “Hey, I think that this is a problem.” Right? And that's a really scary place to be because you run the risk that you stand up and you be brave and you say it and no one else backs you up.

Stephaine Goss:
But I pretty much could guarantee you that if you're feeling the way that our writer is feeling, there's probably somebody else on your team who's feeling the same way too, and so it's about taking that step for me, it's about starting with doing some sort of brain work and self work to figure out what is actually bothering you so that you can kind of figure out your plan of attack, and then as far as the cultural stuff goes, I think you're spot on Andy and I would say to this team, they need some work figuring out where to set up their culture and a good in between step for me that doesn't require it coming from a leader is the ability to say, “Hey, I feel like maybe we've been having some gossiping and it doesn't make me feel good. I don't like getting talked about and I don't like talking about other people. Would you guys all be willing to agree that we're not going to talk about each other behind each other's backs?”

Stephaine Goss:
And then say, “Okay, we're going to agree to this.” And I love writing it down and capturing it and putting it up on the wall. It could be as simple as writing it on your board in the treatment board. Maybe it starts with one rule. Maybe it starts with 10, it's different for every team, but being able to say like, “How are we going to show up? How are we going to treat each other at work?” That for me is a place to start with the cultural issues if this team has never done any cultural work before.

Dr. Andy Roark:
No, I agree. I like that a lot. I think you're right on it. So I think it's funny. I like your approach better than mine. My thought was…

Stephaine Goss:
Wait, let me revel in that for a second.

Dr. Andy Roark:
Yeah, I like yours better than mine. I would abandon my plan to do your plan. So I was about to start talking about priorities and how we set priorities of the things that we change first, okay? And so we talk about the North star, we talk about the team core values and then I was like, “All right, then we're going to set priorities.” But I really like where you were is if you set the North star and you set the team values and you include the team in those values, then the next smartest thing is not for me as a leader or a leadership team to start hacking away on things. It's to go to the team and say, “What about this really bothers you guys? What changes would you like to make? How do you guys feel? What would you like to do?”

Dr. Andy Roark:
And you are always better off to do what the team wants to do as far as making cultural changes because that is where their energy is. The hardest part of making changes as a leader is getting the team energized and bought in and motivated to make those changes, and so the smartest thing, especially when you've got a list of 50 things that you could do, the smartest thing is to say to the team, “What do you guys want to do?” Because that is going to require less management, less motivation, less coaxing, less following up, less holding people accountable than anything else. And so that's why I say I like your idea better than mine. I missed that trick there in the setup. I'm really glad you said that.

Dr. Andy Roark:
So the first thing I do is take that list and go to the team and say, “How do you guys feel about this? We're going to focus on one or two things, what would you guys like those things to be?” And then let them do it. At some point, you're going to have to start driving the bus and making decisions yourself about what you want to fix, and when you do that, my sort of shortened, dirty, priority sitting exercise is to say, “Okay, you're looking at these things that you don't like or things you want to fix and you don't know where to start.” The worst thing you can do is not pick something, it's to try to hack away at everything, you'll always feel overwhelmed, you'll always feel like you're failing. It's just too big. You have got to pick a small thing and do it and then pick the next thing and do it, and that's why I said the thing about we overestimate what we can do in a year, underestimate 10 years. You've got to start walking.

Dr. Andy Roark:
You can't stand in the parking lot with Bandit, looking at 15 different trail heads and not deciding where you're going to go. Pick one and walk, and so that quick dirty way is what causes you the most pain, which means what is the thing that is triggering you, that's making you angry, that is causing the most fallout with the pet owners. What is the biggest pain point that you have? Number two, what is the greatest frequency that you have? What is the one that is bothering you every other day, every other day we have a client complaining that they can't get on the schedule. I'd say, “Well, that sounds like a frequency driven issue that we should prioritize.” And the last thing is what can be one and done meaning what is a thing that we can do, and then it's done and everything else benefits from knocking that thing off the list.

Dr. Andy Roark:
So for example, let's say that you have this big list of things that are causing problems, and one of them is the printer is broken and I'm like, “Oh, that's a thing that we can fix today and then the ability to print will help us get everything else done.” And so go fix the printer today. It's low hanging fruit, it's visible, get it done and then print to your heart's content and that will help you get other things done. So those are my things, and again, there's not one that's like, “Oh, take pain over frequency or one and done over the other things.” I think for me, my mindset is if this is a Tetris game, what is the annoying piece that is blocking up all the other pieces?

Dr. Andy Roark:
I'm going after those first and then I'm either going to go after what is causing me the most pain or what is happening again and again, and if I could just get it fixed, then that pain would go away and right now, it seems like every time I turn around, I'm dealing with this issue, and so I don't think there's a right answer. I think it very much depends on the circumstances, but I would start using those criteria to pick things off of your list, work on one thing at a time. If you fix one problem a month, you're like, “That takes forever.” It's like, “No, it doesn't.” In 10 months, if you fix 10 cultural problems, you have done an amazing turnaround.

Stephaine Goss:
Yes and I think too, the writer asked, look, I recognize I'm not the boss, I'm not the owner, I'm not the manager, but I feel like they would be open to feedback or suggestions. Lean into that. Have the conversation with them and just saying, “Hey, I've been thinking about this and this is what this is what's really bothering me and I just really would like to know how you guys feel about it because I'm not the leader and this is bothering me. So I can't imagine how you must be feeling about it.” And see if they bite. See if they see if they give you anything. See if they're willing to help you because even if, look, this could turn into a full-time job for you if you let it. Sometimes this is how people become. This is sometimes how people become managers because they can't keep their mouth shut, and that is the story of how Stephanie Goss became a manager because I asked the questions, right?

Stephaine Goss:
And yeah, there's a longer story to it, but this could become a full-time job for you writer if you want to and it also could just be you've been at this practice for five plus years. Lean into the relationship you have with these people and just say, “Hey, this is stressing me out. I've been thinking about this a lot and I wanted to know how you guys feel about it and help them figure it out.” Because maybe it's just that they need a push. Maybe they need to just hear. I can't tell you how many times in my career as a manager, I had a team member who I had a relationship with who I valued their opinion, and I respected them, asked me a question that turned on the light bulb or was eye opening of like I knew that it was bothering me, but I didn't realize it was bothering everybody else.

Stephaine Goss:
And that was all of the motivation I needed as the leader to jump into the deep end and say, “I'm going to work on this, I'm going to tackle it. I'm going to fix it.” And so it doesn't have to be you learning the skills to do all of the things that you just talked about, Andy because I think that could be really daunting too, right? Like if you don't have any of that experience, how could I learn about priorities setting? How could I learn about how to talk about vision and mission and core values with people? That can be really intimidating. It could be as simple as giving somebody the push to figure that out on their own. If you are the writer and you're like, that this is something I'd be interested in learning more about, there's also nothing wrong with educating yourself.

Stephaine Goss:
And this is the last piece of advice I was going to say or suggestion would be this sounds like great potential where if you are a floor leader or you are a middle level leader in your practice and you have an interest in continuing your own development, this is a great time to find a mentor. Find somebody who is an experienced practice manager or a hospital administrator who has a different job than your practices, office manager, or homegrown manager who doesn't have any training and learn about their experience, learn about their skill sets and figure out how to bridge that gap and that education and that learning process is not a quick one. So it's not the first place where I would start, but it certainly would be an opportunity for you to learn more and connect with your peers and just soak it all up and because you can learn so much, and really quickly I think.

Dr. Andy Roark:
Yeah, I completely agree. All right, I think there's been a wildly big beastly question to get our arms around, but we did it and so yep. So there we go. Guys, that's what I got for you. I think that's sort of where I am. I hope that we gave people good things to think about and didn't muddy the waters too much as this was a big unwieldy, tentacle beast that's in between us and our North star. How hard is that to follow?

Stephaine Goss:
I think it comes back to it takes a little bit of positivity. Just to start with some good thoughts and say, “I don't like this. This feels negative and feels not good to me and this is how I can be more positive about it.” And if that's you dealing with it, if it's that asking somebody else to deal with it, but figuring out what exactly is really bothering you and what feels the most important because you're not wrong, Andy. It is beastly and there's multiple things happening, and so I think figuring out where do you start is the heart of it. So this was fun.

Dr. Andy Roark:
Awesome. Cool. Thanks guys, everybody take care of yourselves.

Stephaine Goss:
Have a great week everybody.

Stephaine Goss:
Hey friends, have you been over to the website lately to check out all the fun and exciting things that are coming from the Uncharted Veterinary team? If not, you should stop right now and head over there because we have got some awesome stuff coming late summer and into the fall and winter and I want you to be there with us. We have our Get Shit Done Conference coming in the fall that is happening in October before that, we've got a workshop coming in September from my dear friend, Dr. Phil Richmond. He's going to be talking about avoiding toxic teams, how to create psychological safety in our practices. We've got the amazing and wonderful technician, Melissa Entrekin, who is leading a workshop in October about leveraging technicians, making practice less stressful for you, them, and your patients, and all kinds of other fantastic things you are not going to them to miss out on.

Stephaine Goss:
So if you haven't been over there lately, head on over to unchartedvet.com. You can hit forward slash events if you want to go straight to the events page, but that will show you everything that is coming and remember, if you are an Uncharted member, your membership gets you access to all of these workshops that we do on a regular basis for free, and if you are not currently a member, you can check out the membership information because it will save you big bucks throughout the year on accessing all of the workshops, and it scores you access to the conferences when we have them, like Get Shit Done for less money. That's right, get a discount and who doesn't love a good discount.

Stephanie Goss:
Thanks so much for listening guys, we'll see you soon.

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: boss, lazy, manager, toxic

Aug 24 2022

How to Compete For New Grad Hires

Uncharted Podcast Episode 192 Cover Image

This Week on the Uncharted Podcast…

Jason Szumski, a soon-to-be new grad c/o 2023, joins Dr. Andy Roark to share some research on what new graduating veterinary students are looking for in a first job hire and to answer the burning question so many independent veterinary practices have: “How do I even compete to hire new grads?!” Let's get into this episode!

Uncharted Veterinary Podcast · UVP – 193 – How To Compete For New Grad Hires

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Episode Transcript

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This podcast transcript is made possible thanks to a generous gift from Banfield Pet Hospital, which is striving to increase accessibility and inclusivity across the veterinary profession. Click here to learn more about Equity, Inclusion & Diversity at Banfield.

Andy Roark:
Hey, Stephanie Goss. You got second to talk about GuardianVets?

Stephanie Goss:
Yeah, whatever you want to talk about.

Andy Roark:
Man, I hear from people all the time that are overwhelmed because the phones never stop ringing and I'm sure you hear from these people as well. Our caseload is blowing up and the doctors are busy and the phones just don't stop.

Stephanie Goss:
They never stop. That is a true story.

Andy Roark:
I'm amazed by how few veterinarians know about GuardianVets. This is a service where you have registered technicians who can jump in virtually and help you on the phones. You can flip the switch and GuardianVets can jump in and take some of the load off the front desk and they can handle your clients and get them booked for your appointments and give them support and it really is a godsend.

Stephanie Goss:
Pre-pandemic, it was amazing to me how many people hadn't heard about it for after hours call help. But at this point, I can't believe how many people don't realize that they are offering help during the daytime as well, which I would think right now is a huge benefit to practices because everybody is shorthanded. Everybody is drowning in phone calls and so we talk about it. We've talked about GuardianVets a lot on the podcast and every time we do, we always get somebody who says, “What is that?”

Andy Roark:
Guys, if you're not familiar with GuardianVets, if you think that you could use some help on the phones or at the front desk, check them out. It's GuardianVets.com. And if you mention our podcast, me and Stephanie Goss, you get a month free, so check it out, GuardianVets.com.
Welcome, everybody, to the Uncharted Veterinary Podcast. I am your host, Dr. Andy Roark. Stephanie Goss is not getting to do the introduction this week. Oh, no, I get to do this. In fact, Stephanie Goss isn't even on this episode. I am talking to a good friend of mine, a young almost doctor that I am so proud of and I am so pleased to mentor. He is someone that I expect amazing, outstanding things from in this profession. And I am so thrilled to have him here to talk about a question that a lot of people ask me. “How do I hire new grads, Andy? How do I even compete with the big dollars and the big budgets that are out there? How do I even get access to these people when other groups are able to go straight into the vet school? What do I do?” I have a magnificent fourth-year veterinary student who has got his thumb firmly on the pulse of the vet students in the United States and he knows the stuff and he's got some research he's going to unpack for us on what vet students want in their first job. It's a really good episode. It's really fun. You guys are going to really fall in love with Jason, if you have not heard him before. He is really amazing. But anyway, guys, that's enough. Let's get into this episode.

Meg:
And now the uncharted podcast.

Andy Roark:
Welcome to the podcast. Jason Szumski, how are you, my friend?

Jason Szumski:
I'm doing great. How are you, Dr. Roark?

Andy Roark:
Man, I'm good. It's good to see you again. For those who don't know you, which is probably, let's be honest, that's probably most people because you're just getting started. You are a fourth year vet student at Illinois College of Vet Medicine. You are the current class of 2023. You are the class president. You have been the VBMH chapter president at Illinois. You did an externship with me, which is super rare, because I quit doing those a long time ago, but you just wore me down, to be honest, and finally convinced me to take you on. And so you came and you stayed with me at my house with my kids and my wife and then helped me put on the Uncharted Conference back in April, and so you and I know each other really well. I am super glad to have you here because I have some questions that I have gotten through the Uncharted mailbag that I think that you're the guy to answer. Are you ready?

Jason Szumski:
I'm ready. Let's rock and roll. I'm glad to see you too, and thanks for having me.

Andy Roark:
Oh, man. My pleasure, my pleasure. Well, you actually, not only having you on the podcast, you are definitely the first veterinary student who's ever going to speak at an Uncharted Conference and so you've got that coming up, which is going to be pretty … No pressure. No pressure at all. We're definitely not going to do this again if you drop the ball.

Jason Szumski:
Right. Yeah, no pressure on that one.

Andy Roark:
But yeah, I'm sure you'll be fine.

Jason Szumski:
Yeah. I'm ready to rock and roll. It's going to be great.

Andy Roark:
It won't end your career before it starts. It will just cripple it if it goes badly.

Jason Szumski:
I can't wait. It's going to be a blast.

Andy Roark:
It's going to be great. All right, sweet. Here's what I got for you. Here's what you're talking about. At the GSD Conference in October, you are doing a presentation on effectively recruiting graduates from med school. And what I want to talk to you about was the number of questions that I get from frustrated, independent practices, small business owners, who say, “I don't know how to talk to vet students or how to get them to even look at us because there's so much noise and there are bigger companies that have big budgets and I just don't feel like there's any chance in the world that we can recruit a new graduate to our practice.” That just doesn't seem right to me, so let me go ahead. I'm going to open this up broadly and can you just speak at a high level, looking around, class of 2023, what do you think are the main concerns that new graduates have? What are they looking for in an employer?

Jason Szumski:
Right. Yeah, that's the question, right? And as a little guy, it's hard to compete with these offers that the corporate groups are offering, right? They can offer, they have deep pockets and big budgets. And so really, we wanted to try to figure out … I put a survey together, me and a classmate of mine, Natalie Whalen and now Dr. Aaron Kaplan over at Virginia, Maryland, put together a survey that just asked people, what are you expecting from an employer as a new grad and then a ranking system. What do you rank these things? We talked about schedule flexibility, corporate versus private, continuing education loans, location, the number of vets, the benefits, the salary, and the mentorship and then we had everyone rank it. We got 300 responses from four different schools around the country, so we have a good base of what we wanted to do and the results were overwhelming. Everyone wants mentorship. By far, the number one thing that people requested was mentorship. And that's not breaking news to anybody, but what is mentorship, and that's different. That's person by person and that's why I think it's different.

Andy Roark:
Well, I was writing that down as my next follow up question. What is mentorship, because we throw this word around all the time. And I got to be honest, from a practitioner standpoint, it's super frustrating because vet students are like, “I want mentorship.” And you're like, “What does that mean?” And they're like, “I don't know.” I want to go through the rest of this list and then we're going to come back and I want to crack into mentorship with you a little bit, because I want to try to figure out what people mean when they say that and how to ask questions so I can figure out what they're saying when they say they want mentorship. So mentorship, number one with a bullet, what else did you come back with?

Jason Szumski:
Sure, so mentorship, by far, number first, the first thing that people asked for. And then number two, three, and four were pretty variable. I'd say upwards of 80% of people wanted mentorship as number one. Benefits and salary are number two and three, but not a close number two and three. It's mentorship, by far number one. And we also broke it down by class to see which class wants mentorship more than other classes and it's pretty interesting. There's a huge jump from second year to third year, where people are starting to realize mentorship is really important. When they start to get those looks for jobs and they're starting to break down the barrier, it was a huge jump.

Andy Roark:
Well, the clinical rotation part, too. When you're doing textbook work, when you're taking exams like you've always taken, you're like, “I got this.” And then when you actually have to stand in the room, you're like, “Oh, I don't got this.” Yeah. I think it makes a lot of sense to me that you would see this increase at that time.

Jason Szumski:
Right. Yeah, until you're standing next to your first spay in junior surgery, you don't realize how important having someone that can help you out that knows what they're doing is, right?

Andy Roark:
Yeah. It's a security blanket.

Jason Szumski:
Exactly, a security blanket, and that's one of the many things that we saw, was what people wanted in mentorship and it's very, very different, which was great. That was one of the questions we asked. What is mentorship?

Andy Roark:
Okay. Before we get into that, let's tease out the other two that are easy, so benefits and salary. What are you seeing as far as benefits and salary? I know the students talk. I think that there are some things that vets underestimate and there's some things that vets wildly overestimate. Can you talk to me just in general, broad terms about that? When vet students say benefits, what do they care about? What are the things that seem to impress people or that seem to make a difference?

Jason Szumski:
Right. And right now, most benefits packages that I'm seeing are pretty similar. I mean, you talk about health, you talk about disability insurance, you talk about liability insurance. I include CE in benefits. Some people put it separate and say they want a different CE balance, but I think that's included in benefits there. And those are the kinds of things that are looking for. PTO is a big one. Right now, there's three job openings per vet student, so the market is crazy for vet students right now and vet students know that if they want a couple extra days off per year, they're going to ask for that, so those are the kinds of things that they're asking for in terms of benefits. PTO and CE are really important right now. Those are the two of the bigger ones.

Andy Roark:
Yeah. That totally makes sense. All right. And then salaries, I'm assuming that you see pretty broad variation, depending on where people are going to go practice.

Jason Szumski:
Yeah. It's definitely dependent on where they're practicing and what they're practicing. I mean, mixed animal veterinarians will make a little bit less, but as I heard on an earlier episode with you, we're breaking the six figure mark pretty standardly now. And then I know it's different from even the last couple years, but most of vet students coming out are expecting an offer to be at or around six figures right away.

Andy Roark:
Yeah. That's what I'm seeing as well so yeah, I think that's definitely a trend. I think that's good for veterinarians. I think it's good for practitioners. I think it's where we're going. I think a lot of vets, a lot of practices get stuck in their head and they're like, “Well, why do these people make more money coming out of school than I ever made coming out of school?” And you go, “That's not an important question. That doesn't help you at all.” The question you need to ask yourself right now is, “This is what's happening. What are we going to do about it?” Not should we adapt, but how do we adapt? How do we make these things happen so we can be competitive?
Well, let's give the answer to that. Let's start to tap into mentorship because if you've got 80, 85% of vet students saying this is the number one thing for me and putting it over salary and benefits, well then obviously, this is a differentiator. And one of the things I think is really great, it actually makes me really happy as an entrepreneurial, optimistic, innovative person, is to say, “I think this is great,” because I think this is where individual practices can shine. I think this is where you show your culture and your values. I think it's where you can make up a lot, as far as dollars and cents, by giving people safety guidance feeling, that they're going to be brought up, grown, and developed. I think that's worth a lot more than dollars, once you hit a certain dollar threshold for sure. And so what is your take when we start to talk about mentorship, how it applies to different people? How do we crack this open, Jason? Are there broad categories that you think exist when people say mentorship? How do I start to get my arms around this concept?

Jason Szumski:
Sure. I think the number one most important thing that you can do with regards to mentorship is be flexible. Every single vet student that's coming out of school is different and their experience is different and what they want is different, so be flexible. Don't go in with the standard, “We're going to do hour appointments for the first six months and then half hour appointments after that.” Be flexible. Meet with your vet student weekly, biweekly. Get the get gauge on how they're doing comfortability wise. Do they want to move up? Do they want to see more sick patients? Do they want to see less sick patients because they're not comfortable yet? So those are the kinds of areas that you can really get a leg up, in terms of the competition and being flexible because you have that flexibility as a smaller practice to be able to leverage that.
We ask that question, what is mentorship? What does that mean to you? And we got so many different answers. Everyone answers it differently. And the great thing is that we have tons of ideas on how people are thinking. So some people like to walk through cases, just, “Hey, for the first three weeks, let's just walk through some cases. Let's make sure that I'm thinking about things correctly.” Like you mentioned earlier, the security blanket, “I know how to do things. I just want someone to be there in case something goes wrong.” And then after a little bit of time, you realize that you know what you're doing and that security blanket is less and less and less. Some people like that.
A big one, comfortability, asking questions, you have to be open to receiving questions from new grads. And I know that's time consuming, but that's what new grads want and they want to be able to, “Hey, I'm struggling with this lung pattern. Can you help me out and help me differentiate a couple of things that I'm looking at here,” and being able to, “Oh, of course. Let's go look at it right now,” is huge for vet students. That's what we're looking for. We're not looking for someone to do the cases for us. We're just looking for someone to help us along in areas that we're not super confident in quite yet.

Andy Roark:
Yeah. I'm working with a recent grad in practice right now and I think the world of her. I'm so I really like her a lot. I think she's going to be such a great doctor. And I was asking her recently, “So how are things going? Are you struggling with anything?” And she said, “Honestly, would you listen to me do some phone calls, because my phone calls take forever.” She's like, “I feel like I'm on the phone all the time and I don't know if I'm not doing it right. I don't know …” It was funny. I was talking to her. And so she's on the phone all the time or for a long period of time and she's like, “I can't get out of here. I'm on the phone all the time,” and she was asking me about it. And I said, “Yeah, I'll listen to your calls,” and we started going through it and talking through it together.
One of the things I think is fascinating is she thought that she was on the phone for a long time because she was slow. The truth is, I think the other doctors in this practice have been there for a long time and they have an established clientele. And so they get all these wellness appointments when people come in and say, “I want to see this doctor. I want to see this doctor.” And because she's the new doctor, she's picking up all the walk-ins and the emergencies and the people who are like, “I don't care, just get me in,” and that's just part of being a brand new grad. And so she's going, “Man, I'm spending so much time on the phone,” and I say, “But my friend, it's because you are doing these deep, hard cases,” and her whole day is full of sick things because she hasn't built a clientele yet, where she just has people asking for her to do wellness things.
I am overstating as far as her whole day, but you get the point of she thought she was not doing it right. But the truth is like, “No, no, you're doing fine and there's some dials we can turn and some nuts and bolts we can crank down,” but I was really impressed that she figured that out and said, “Well, this is what I think,” but now that we're going through it, I see that this is the pattern.
I say that just to your point of everybody's different and she does not want you to do the case for her. She's a very competent, impressive doctor. There's just stuff like that she goes, “Check me on this and make sure I'm not doing something wrong that's making these phone calls go on much longer than they should.” I think that's really insightful. Let me circle back around. Let's talk about some language here. Let's say that I'm a practitioner. I'm really trying to convince a new graduate to come and to be mentored and to grow in our practice and things. For a long time, there were practice management gurus who were saying, “You need to have a mentorship plan, a mentorship program.” I still agree with that to some point. You can't blow this off. You have to be serious about mentorship, but I think what you said really resonated with me before about, don't just say you're going to do hour long appointments because maybe that's not what I need or maybe I've seen that before.
People say for the first six months, hour long appointments, and there's a very gung-ho veterinarian who, six weeks in, is dying. And they're like, “Come on, You're killing me here. Let me do some things.” I think it's a balance, isn't it, of having a plan of saying, “This is how we're going to start out and we're going to have an assessment period in four to six weeks. And depending on how you feel, we're going to make some adjustments to that and it's going to grow with you.” I don't think I've ever heard that really laid out that clearly, but as you said that, it made a lot of sense to me. Does that sound correct in your ears?

Jason Szumski:
Exactly. And that's a great way and that's exactly what vet students look for and that's a great way for you to leverage your practice is, everyone should have a mentorship program and you should be advertising that you have a mentorship program, 100%. But what's within your mentorship program is what's really important and you have to be able to communicate that to the new vets, because if you look on ads on all those websites that have the ads, every single one of them's going to say mentorship, but what is that mentorship? So if you can articulate well what your mentorship program looks like … It's flexible. We meet weekly and talk about your goals and your comfort level and we go out to lunch and we talk about the cases that you had the previous day and make sure that you're comfortable with follow-ups and make sure that you're comfortable with your client communication or that your phone calls are taking too long and you want someone to overlook you there.
That's exactly what we're looking for and it's really flexible. So to have a super structured mentorship program, where every single new vet does the same thing, I don't think that's going work. I think that you should definitely make it flexible and adjust it as needed. Like you said, gung ho veterinarians are going to just take off and hit the ground running, but there are some people that need that reinforcement right away and that's okay, too. Some people just need that little extra, “You're doing great. Keep going. I'm here if you need me.”

Andy Roark:
Well, I think you just called out one of the real truths in all of this, is the talk is cheap. And every advertisement for a recent grad out there is going to say mentorship. We do mentorship. It's ubiquitous. Everybody says it. Most practices don't really have it. I have a strong suspicion that if you asked the practices, “Do you mentor your new grads?” and you recorded how many said they do, you would get a wildly different answer than if you went to those grads and said, “Do you feel that you were well mentored?” Those are just very, very different numbers, I think. I think a lot of us practices go, “Oh, no. They're getting what they need,” and the person is saying, “Hey, I'm really not being engaged this way.”
These are skills that were never taught to doctors in vet school. At no point in vet school coming through do they say, “This is how you're going to invest into new graduates when you are a seasoned doctor.” And of course, there's only so much time in vet school. How do you even teach that? Most of us are flying by the seat of our pants.
Let me give you a hard question here, Jason, and say let's pretend for a second that you have a vet practice and you are 3, 4, 5, 6 years out of school. You've got your own little startup now. You are trying to hire your second doctor or maybe your third doctor and you're talking to a new graduate and you say to them, “Hey, I'm really serious about mentorship.” And she looks at you and says, “Yeah, buddy, you and everybody else says that they're really serious about mentorship. What do you mean when you say that and how can I know that you are telling me the truth when you say this is important?” And so role play that scenario for me, Jason.

Jason Szumski:
Sure. I think first things first, if you are hiring a new grad so that you can get time off, you're hiring a new grad for the wrong reason and new grads will pick that up very quickly, very quickly. That is number one big red flag, as you're saying, “Oh, yeah. You're going to get all the time and whatever hours you want,” and then you leave, “I'm going to go on vacation because I have a new grad,” big red flag, so I'm going to make sure that I am very clear that I will be there as long as you need me there. And I know that can be frustrating, but in order to develop your practice and to get it bigger and better and to develop this new grad into someone that you're proud to have in your practice, you have to put in that time and effort, so I'm making that very clear.
And one other thing that you can do is not just new grads. You can get vet students in the door through externships during their first or second year. Especially like I talked about that jump from second to third year, that summer of your second to third year is a great time to get vet students in the door, bring them into your practice, let them see what the culture is like really before they're job hunting. Let them get used to who you are. Teach them, start to mentor them, give them little nuggets here and there about, “This is what I like to do in a surgery. Do you want to scrub in so that you can feel what an ovary feels like so that when you go into junior surgery, you're prepared for it?” Stuff like that really, really helps.
And one other thing that's a little bit small but it's really helpful, paid housing for externs. I mean, there's a lot of externs that would be like, “I'd love to go to your clinic, but I'm in so much debt right now that I can't afford to go to your clinic.” And if you pay for their housing and their travel, so many more vet students will flock your away. So that's just a little thing and it's not too much of a hit to the pocket, but that's a little thing that could definitely get a little bit of edge and get someone in the door.

Andy Roark:
And an Airbnb can be a good investment and probably pretty darn reasonable. It's just something that I think a lot of people don't think about, but that's the difference between me getting a student to come and not getting a student to come. That's a small price. That's some play money that I'm hoping pays off, but I can put it up, even if it doesn't work out.
I think you're you're spot on. I think your answer's really simple, as it stunned me in that way to say, “Well, the best way to convince them what you mean by mentorship is to get them in for two weeks and show them what you mean,” because talk is cheap. But if they came for two weeks and they said, “Oh, he's really easy to ask questions to and he sticks around and he walks me through cases and he lets me try things and he does and he doesn't get irritated when I ask him questions. He's open and happy and genuinely makes me feel comfortable asking him,” that's really smart. And again, it's so simple and I go, “Oh, that sounds right.” I was waiting for some, “Okay. Well, you show them this and you tell them that.” And they're like, “No, you just get them to come for two weeks and then do what you're going to do and then they see it,” that makes a ton of sense.

Jason Szumski:
Exactly.

Andy Roark:
Hey guys, I just want to jump in here real fast and give a shout out to Banfield, the pet hospital, for making our transcripts available. That's right. We have transcripts for the Cone of Shame Vet Podcast and the Uncharted Veterinary Podcast. You can find them at drandyroark.com and at unchartedvet.com. This is part of their effort to increase inclusivity and accessibility in vet medicine. We couldn't do it without them. I got to say thanks. Thanks for making the content that we put out more available to our colleagues. Guys, that's all I got this time. Let's get back into this.
Talk to me a little bit about externships. How do you think that vet students become aware of externships? How can veterinarians, who are like, “Hey, I am totally open to having a student for an externship. I think I would have a good program,” how do that students find these programs?

Jason Szumski:
Sure. And as a completely separate survey, I wanted to get the gauge of what my graduating class before me was doing, how they found their first job, and answers were widely different. No one found their first job the same, so there's no real way that these are what the good people are doing. The best thing that I can say is get into schools and talk to students, whether it's through clubs, like the VBMA. We at Illinois, our VBMA brings in speakers all the time and our goal is to set up students and speakers together, students that like speakers, speakers that like students, and then get them matched like that. So you can go into schools, give a little lunch lecture, buy some lunch for some students, get your name, your foot in the door, and get those students thinking about you.
That's a great way to get your foot in the door and get some students to come see. And then once your foot's in the door and you have these students interested in you and your clinic, you can bring them in for that externship. And when I talk about externships, I'm just talking about one to two weeks, get them in your clinic, let them do some things, make them think like a doctor, but support them. Those are great things that you can do and during that summer is the perfect time to do it. Bring out a vet student for a week, pay for their housing, and show them what your clinic's all about. And if they're a good fit for you and you guys will hit it off and they'll be looking to come back.
And at the end, this is big and so small. Again, these are just small little things that are really helpful. Make sure you tell them how you feel. If you really enjoyed them, tell them that you enjoyed them and that you would really like the opportunity to continue moving forward and talking. Make sure you are saying those things out loud, because you might think, “Oh my gosh, that student was awesome,” and you're telling the whole hospital how great it was, but unless you tell the student that, they don't know that you're thinking that. And they might think, “Oh my gosh, that one answer I missed, he probably doesn't even want to think about me anymore.” But if you say, “Hey, you did a great job. I really enjoyed you. Let's keep this conversation going,” great way to get in the door there.

Andy Roark:
Yeah. Recruiting is a lot like dating, I found out early in my life, and everybody wants to be wanted. That is a huge thing. I have been really blessed and lucky in my career for making fantastic hires. And you know this from working with the Uncharted team, I have great, great people that work for me. And I go, “Man, that's been amazing.” The greatest strategy that I have had is going to those people and saying, “I see your potential. I see what you do well. I want you to be on our team and this is why I want you to be here with us.” It's an approach that has always worked for me and it comes from the heart and I'm always honest.
But everyone, they love to have someone come up and say, “I see what you're good at. I see your potential. I see how well you work here. I see what your talents are and you're going to fit well here and I would be really happy to have you.” That sounds so simple again, but man, it really does make a big difference. And especially you've got vet students coming in and they're a bit insecure in their talents and they want to work with someone who wants them to be there. Not just tolerates them being there, not who says, “Ah, we really need a vet and yeah, you're a new grad, but I mean, we're going to take the long view and hope this pays off.” Man, that's not attractive. That's not the dating opening that you want, like, “Ah, you're a six, but I'm pretty desperate and we'll see if this works out.” That's not what you want.

Jason Szumski:
Exactly. Red flag. Those are the red flags we're talking about.

Andy Roark:
Red flag. Red flag. Yeah. I think that totally makes sense to me. I love the ideas of getting into the vet schools. That does make sense. I love that you mentioned some specific ways that people can get in there. More and more of the vet schools are having job fairs. Have you seen these? Have you attended some of the vet school job fairs?

Jason Szumski:
I have. That's another great way. A lot of our vet school fairs are within our state. So people travel down for the day, meet tons of vet students, and these can be … Make sure that you're open and clear that you're looking for first and second years to do externships. That's a great way. But yes, of course, meet with the fourth years and try to get them to come to your clinic too, but those first and second years and upcoming third years are great people to recruit to come check out your clinic as well and that's a great way to get your foot in the door and get an initial conversation going. That's an excellent point too, Dr. Roark.

Andy Roark:
So you've seen these, and I know you and I have talked about them before a little bit in the past. Give me a quick prep run through what I should do to be ready to come to these job interviews because everyone thinks of them like speed dating. They seem super awkward. They're really intimidating, because you're like, “I'm going to go talk to these people and they're not going to want to hear about my little practice.” I think we get up in our heads and there's a lot of insecurity about having these conversations.
I think the point you already made about one really great play is going there not trying to hire someone that you just met in this awkward environment, going and trying to get them to come for a week, come up and just check out our practice, see what I'm doing. Come for a weekend. Come up, work Friday afternoon and spend a Saturday with me and just see what we do.
Again, I go back to dating. I keep going back to dating. It's really a great analogy, I think, as far as how you build relationships is. You don't ask someone to go on vacation with you the first time you meet them. Ask them to go to lunch and just, “Can we get some coffee?” That's basically what we're trying to do here. It's just too weird to, I think, walk these places and say, “Hey, you never heard of me. I've got a three vet practice 200 miles from here. Want to come and spend years of your life there?” It seems like too much of a jump for me. So beyond that, beyond smaller starting point, other advice that you have for people going in here? What do they need to have in their mind? Are there things that can bring with them that students actually find value and are going to take away, they're going to consider? Anything like that?

Jason Szumski:
Sure. And now that you've heard this students are looking for mentorship. You could hit them hot with something about your mentorship program right away. “Come out. Hey, this is how we train our new grads. This is what we like to do for new grads.” And understand that yes, you're going there as a small practice a little bit insecure, but these students are also a little bit insecure. They're nervous that they're not going to find the right first job. They're nervous that they're just going to be another number. Let them know that they're valued and that you would really appreciate the time to bring them into your clinic. And that you have a great mentorship program and that this is what it looks like and you can have examples of …
And another great way is if you are, I know some of the one doctor practices, it's a little bit harder, but if you do have a new doctor that you did mentor, bring them with, too. Have a little two person attack. “Hey, this is my mentee. Ask them whatever you want to ask them.” And then there you go. Now your mentee is talking about, “Oh yeah, he had a great mentorship program. I'm two years out and now I can do spays in 15 minutes and I'm starting to do cystotomies and I'm doing this and my client communication is … And it's all thanks to him.” And then now I'm like, “Wow. That's awesome. I've seen that firsthand that you do know how to mentor someone and that you have mentored someone and that it worked well enough to the point where they're coming with you to these job fairs.” So mentorship, we've talked about it the whole time, but it's so, so, so important to vet students right now. And the imposter syndrome is so real in vet students and making sure that you're acknowledging those feelings and making them feel comfortable, that's a huge, huge way to start.

Andy Roark:
Yeah. That totally makes sense. It's funny you say that. I think bringing another doctor that you've had that you have mentored along, I think it's a great idea. It's funny. When you were saying that, I was thinking about it. It feels like testimonials could be really valuable. So for example, if you had a doctor who was mentored, even if you just said, “Hey, is there a testimonial that we could say …” If I'm going to do a leave behind say, “Hey, Dr. Soandso, hey, I started my job here. It was the best decision I've made. I really got this great mentorship,” I think that's awesome.
If you have vets in your practice, this is the only job they ever had, so they came as a new graduate and they've stayed along, I think featuring those doctors, talking to those doctors, bringing those doctors along if you can, to say, “Hey, I got what I needed here. I grew here. I really felt very good about how I was supported,” I think that stuff is irreplaceable. There's nothing else other than them actually coming and participating, that I think works that well, so all of that totally makes sense to me.
Let's see. Anything else? I think that makes a ton of sense as far as resources, setting these things up. The last thing I want to ask you is, what pitfalls should vet practices look out for? What are the things that you have seen, don't name names, for God's sakes, don't name any names, but what are things that you have either seen or have heard that are mistakes that practices have made to try to recruit new graduates?

Jason Szumski:
Sure. Yeah. I mean, that's a tough one. I say this out loud because some people just need to hear it and be like, “Oh, yeah. That's obvious,” but I say this because it's not that obvious because I've heard stories of these things happening, where you are leaving the new grad alone, you jump into a room by yourself and say, “Oh, I don't know where the vet student went. I'm just going to hop into a room.” And now they're standing in the treatment area and they don't know anyone else because it's their first day and they don't want to step on anyone's toes but they want to be helpful, but they know that there's no liability insurance for them and now the vet is gone and now things are awkward and you're just waiting for them. So make an effort to grab the vet student and bring them into the rooms and engage them in these conversations and supervise them when you can because especially on that first day, that is a tough day.
I struggle with first days myself because I'm like, “Oh my gosh, I don't want to step on anyone's toes but I want to be helpful. How do I balance that? I want to make sure that people know who I am, but I don't want to come off overbearing and I don't want to waste people's time.” So grab these students and bring them in and then as they get more comfortable, they can start to spend a little bit more time here, spend a little bit more time here. But for those first couple days, grabbing those students and making them a part of what you're doing and making an effort to make them feel included is super valuable.
And it's way too often I just feel like I'm too busy to have a vet student follow me. If they're not with me, I'm just jumping in the room. And I'm like, “This is a person that you're going to mentor, but you can't even bring them into a 30 minute appointment?” Those are not good things to do. That's, again, just a little thing that you bring a vet student, you grab them, you bring them in the room with you not, physically grab them, but make sure that they're with you and that they know what's going on.

Andy Roark:
I just get them.

Jason Szumski:
Yeah. I know you just grab them, but …

Andy Roark:
That's why they wear white coats, just so you can just snatch them.

Jason Szumski:
Exactly. Exactly, so that's just a good one.

Andy Roark:
I think you're right. Well, I think one of the things I've seen work really well in that regard is you don't have to go this alone as the mentor either. Bring the students in. Get your techs on board, say, “Hey, don't let this person stand around without knowing what to do or where to go. If you see them, if I run off into a room or something and you see them, bring them to where I am. I want them to be there. I might have to run off and they're doing something else where I don't know where they are. When you see them, bring them to where I am. I'll introduce them and get them right back in.”
The other thing is mentorship doesn't have to be a one on one game, and I think a lot of people say that. “Well, there's a mentor and there's a mentee.” And I go, “Well, yes and no.” I think that there's value in young doctors working with multiple other doctors. I don't think that I am the one who has to teach this doctor everything. I think that working with me is great. Working with the other doctors around our practice are great. I think where people make a mistake is they don't have that clear communication with the other doctors or with the support staff about, “Hey, would you help me with this? Would you support the mentorship program? Would you be willing to take this person? And this is generally what I'm looking for,” because a lot of times people will turn to you. I mean, I remember being an associate doctor early on and somebody would be like, “Hey, we got a new grad coming. Will you mentor them?” And I'm like, “I have no idea what that means.” And it would've been really nice to say, “Hey, would you be willing to take them into the rooms with you? Make sure they know what's going on, show them what you're looking at. Walk them through these processes. Just make them feel comfortable.” Just make sure they have other people that they can turn and talk to and ask questions to, not the one person.
We've all said, and I don't know about you, I feel like I've been this person a million times, of the lost puppy who has exactly one contact and that person disappears and I'm just looking around and the techs are looking at me like, “What is this man doing standing in the back in the back of the building? I don't think he's supposed to … Sir, did you get lost?”
It can be a team game. I think a lot of people get really overwhelmed. They go, “I don't have time to mentor a person.” Well, great. You need to pull three other doctors together and you guys all get coordinated on this and tag team it and pass the person around and do a half day each for two days and they're going to cycle through and you're going to have them for half a day. Then you're going to see how that goes and then we're going to modify as we go along. It's doesn't have to be everything on one person, but I really do.
As a busy doctor, I can empathize with the people who disappear and go, “Look, I got to go,” but that's a bad, bad investment choice for sure. All right. Any final pearls, Jason? Anything that you feel like people really need to get right? Anything that you think are keys to success that people might need to hear one more time?

Jason Szumski:
Sure. I think also one of the things that you can do for mentors is if they're volunteering their time to take on a new grad, give them a little bump in pay. Make sure that they know that their time is worthwhile, so just a little something actually that you can do there. And like I said, this is all about building relationships. Get that foot in the door, build a relationship with these students, make sure that you're in it for the right reasons because if you're not in it for the right reasons, then the vet students are going to pick that out and that's not going to get into a good situation.
So make sure that you're in it for the right reasons, you're in it because you want to develop your practice. You want this new grad to have a great clientele in the area. You want your practice to be more profitable and you know how to develop your new grad. Take that time to do that. Build that relationship with that new grad starting in early year, especially that second to third year jump. That's a huge time where people start to really value that mentorship. Get into schools, job fairs, clubs, give lunch lectures. You could even do little wet labs, where people can come to your clinic and do some supervised spays and neuters with your doctors and those are things that can get people in the door, too.
So little things like that, and schedule flexibility. I mean when you're talking about mentorship, making sure everything is so flexible, you're checking in weekly, you're checking in biweekly. You're there if you need them. For the first couple weeks you and the new grad are on the same schedule. You're always there if you need them. Those are little things that the small guys can do that cost no money that give you a huge leg up.

Andy Roark:
Yeah. That's the last thing that I would add to this, and this is a philosophical thing, but I think it's really important. I understand when this happens. I feel like a lot of vets are overwhelmed and they're like, “Oh, we really need this help,” and they think about themselves and they think about getting someone in who can help them and help their business, and I think that's very understandable. We all know how people can get in that mentality, but it's almost this weird paradoxical trick.
If you can get past that mindset into the more Buddhist zen way of thinking, if you can really convince yourself that, “I want to hire this person because I want to work with good people and I want to grow this person and I understand that this person might outgrow our practice. They might work with us for three years and then go on.” And rather than being resentful of that or saying, “Oh, I really messed up because I had them here for two years or three years or four years and then they left,” if you can say, “I had this person here. I'm going to be proud of the time that they were with us and I'm going to feel that we did right by them and supported them in the three years that they were here,” and who knows what's going to happen in life?
We've all had spouses that got new jobs and we moved or we've had family members get sick or we've had just our general life change. I don't think you can hire someone with the idea, and I think a lot of people do and I think it's a big mistake. I think it's a mistake to hire someone with the idea that you are going to have them for 20 years. And if you don't have them for 20 years, then they somehow let you down or this was some a failure. I don't think there's anything productive in that. I don't think that's the way the world works anymore.
I think you should hire somebody because you want to work with them, because you want to grow them, because you think that you can help them and they can help you and know that they might move on at some point and you need to be okay with that. And honestly, you should feel good about that because you can feel bad about it. The outcome is still exactly the same. It's only how you feel and how you perceive this. And what I found, though, the crazy thing is that when you decide that you are taking this long view and you're just going to do your best and try to hope that it works out and you're going to feel good about it, often you end up with a much more positive, healthy, happy relationship, and the person's more likely to end up staying around. It's funny the way that works.
The last thing I would say is, I brought this up a number of times. Whenever I'm talking with Stephanie on the podcast, I'll talk about the cartoon. There's this cartoon I've seen and it's got two veterinarians and one of them looks at the other and says, “Well, what if we train these people and they leave?” And the other one says, “What if we don't train them and they stay?” And I think that's true too, so I think about that a lot as far as investing into new talent. Jason, thank you so much for being here, man. I really appreciate you.

Jason Szumski:
Yeah, of course. I'm glad I got to hang out with you and I'm really looking forward to your October conference, where we can dive deeper into this and really figure out what new grads want.

Andy Roark:
That's right. Guys, October 6th through the 8th is our Get Sh*t Done Shorthanded Conference. Get Sht Done Shorthanded. It means recruiting people too, and that is going to be one of the things that we're going to be talking about. We've got workshops. Jason is running a workshop for us. We'll have discussion groups. We'll have all sorts of things to make your life easier if you're feeling overwhelmed. So block your time off at the clinic and it's virtual, but you can do a little clinic time and then get in and work with us in the day. So anyway, guys, take care of yourself. Jason, thank you again for being here. I cannot wait to see you in October.

Jason Szumski:
Can't wait. It's going to be a blast.

Andy Roark:
And that is our show, guys. I hope you enjoyed it. Hope you got something out of it. Like I said, if you haven't registered for the Get Sh*t Done Shorthanded Virtual Conference, it is October 6th through the 8th. Get more information at unchartedvet.com. Check it out. You're going to want to block some time on your schedule at the clinic because you don't want to multitask. You're going to want to be a part of this because our conferences are super interactive. Jason's running the workshop for us on hiring new grads. It's going to be really discussion based. You're going to hear a lot more than you heard here today and there's going to be other practitioners that are talking about what they do and it's going to be really an awesome time. Don't want to miss it. Guys, thanks again for being here. Be well. Talk to you later on. Bye.

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: culture, New Grad, New Hire

Aug 17 2022

What To Do With A Judgmental Manager

Uncharted Veterinary Podcast Episode 191 Cover Image, photo of a cat in a paper bag

This Week on the Uncharted Podcast…

Have you ever judged someone on your team when you happened across them sitting down at work and staring into space? Or heard someone say “If there is time to lean, there is time to clean!” Dr. Andy Roark and practice manager Stephanie Goss loved this short but complicated question from a manager wondering what to do about a fellow manager on their team who tends to look at things from a snapshot perspective – they see what is immediately happening and judge, without giving the team the benefit of the doubt or asking more questions. As you can imagine, this doesn't always go over well with their fellow managers or the rest of the team and they want to know what to do to help teach this fellow manager to stop being so judgmental and start looking at things differently. Let’s get into this…

Uncharted Veterinary Podcast · UVP – 191 – What To Do With A Judgmental Manager

You can also listen to the episode on Apple Podcasts, Spotify, Google Podcasts, Amazon Music or wherever you get your podcasts.

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Got a question for the mailbag? Submit it here: unchartedvet.com/mailbag

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Episode Transcript

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This podcast transcript is made possible thanks to a generous gift from Banfield Pet Hospital, which is striving to increase accessibility and inclusivity across the veterinary profession. Click here to learn more about Equity, Inclusion & Diversity at Banfield.

Andy Roark:
Hey, Stephanie Goss. You got a second to talk about GuardianVets?

Stephanie Goss:
Yeah. What do you want to talk about?

Andy Roark:
Man I hear from people all the time that are overwhelmed because their phones never stop ringing.

Stephanie Goss:
Yes.

Andy Roark:
And I'm sure you hear from these people as well. Like our caseload is blowing up and the doctors are busy and the phones just don't stop.

Stephanie Goss:
They never stop. That is a true story.

Andy Roark:
I'm amazed by how few veterinarians know about GuardianVets. This is a service where you have registered technicians who can jump in virtually and help you on the phones. You can flip the switch and GuardianVets can jump in and take some of the load off the front desk and they can handle your clients and get them booked for your appointments and give them support and it really is a godsend.

Stephanie Goss:
Pre-pandemic it was amazing to me how many people hadn't heard about it for after hours call help but at this point, I can't believe how many people don't realize that they are offering help during the daytime as well which I would think right now is a huge benefit to practices because everybody is shorthanded, everybody is drowning in phone calls and so we talk about it. We've talked about GuardianVets a lot on the podcast and every time we do, we always get somebody who says, “What is that?”

Andy Roark:
Guys, if you're not familiar with GuardianVets, if you think that you could use some help on the phones or up the front desk, check them out. It's guardianvets.com and if you mention our podcast, me and Stephanie Goss, you get a month free. So check it out, guardianvets.com. Hey everybody. I'm Dr. Andy Roark and this is the Uncharted Podcast. Guys, Stephanie Goss and I got a good one from the mail bag today. Have you ever worked with someone who judged the people around them? They would look, they would see somebody sitting and eating their lunch and be like, “She never does anything.” And they would make these snap decisions and judgements about people. They would sum up their whole character based on the behavior that they saw at that moment. That is a judgemental employee.
What do you do about it? How do you fix it? How do you talk to this person? How big a problem is it? Do we need to work with the whole team on it or is this an individual problem? Gang, Stephanie Goss and I unpack it all. If you have got a Judgy Judgerson in your practice, we got you covered. Let's get into this episode.

Speaker 3:
And now the Uncharted Podcast.

Andy Roark:
And we are back. It's me, Dr. Andy Roark and the one and only Stephanie, no judgment, Goss.

Stephanie Goss:
I love it. That might be the most appropriate title for this episode ever.

Andy Roark:
Totally.

Stephanie Goss:
I love it.

Andy Roark:
Yeah.

Stephanie Goss:
How's it going?

Andy Roark:
It's good, man. Again, Summer winding down. My youngest daughter has been talking all Summer about how she wants to go to a baseball game-

Stephanie Goss:
Yeah.

Andy Roark:
And we went to the local minor league game last night.

Stephanie Goss:
How fun.

Andy Roark:
It was flipping great. We got these great seats. Big spender, I spent $13 each for them. Yeah.

Stephanie Goss:
Amazing.

Andy Roark:
Amazing. I honestly… There is something really wonderful about minor league baseball, like $13 for a seat. You know what I mean? You go, you don't have to really… You hang out and you got to half watch it and half hang out and-

Stephanie Goss:
Yeah.

Andy Roark:
And she got to eat hot dogs and we got shell… The peanuts and shells.

Stephanie Goss:
Yeah.

Andy Roark:
And so we broke the shells and she was like, “Can we do this?” And I was like, “Yeah, you just drop them.” One day I'm going to find a Texas Roadhouse and just blow your mind.

Stephanie Goss:
Wait till she finds the bar where you can just drop the peanut shells.

Andy Roark:
Yeah.

Stephanie Goss:
It's college kid.

Andy Roark:
100% why.

Stephanie Goss:
That's going to be right up Hannah Roark's alley.

Andy Roark:
Yeah. It was a big win. So yeah, we went… It was not a good game, but she didn't know. She was like, “This is great.” I was like, “Good.”

Stephanie Goss:
That's so fun.

Andy Roark:
We may or may not have had ice cream in the seventh inning. It was-

Stephanie Goss:
Don't tell our mom.

Andy Roark:
Yeah, totally. It was pretty fantastic. So that's what's going on with me. How about you?

Stephanie Goss:
I love it. About the same, the kids and I are just hanging out and enjoying the heck out of Summer. They were like, “Can we have ice cream for dinner?” And I was like, “Yes. And then we'll eat second dinner and…”

Andy Roark:
Yeah.

Stephanie Goss:
It's just that it's about having fun. We did a hunter killer mystery together last night, which is-

Andy Roark:
That's fun.

Stephanie Goss:
Like an escape room in a box kind of situation.

Andy Roark:
Yeah. I did those.

Stephanie Goss:
And it was you uncharted and you introduced me to escape rooms and I fell in love with them and then I introduced the kids to them and they have totally been digging it. And we did one with their school, through somebody we've used for uncharted and they loved it so much. And so my mom got them this one and I loved it because it was Nancy Drew. So total nostalgia for me-

Andy Roark:
That's cool.

Stephanie Goss:
Growing up when I did. And the kids have no idea who Nancy Drew is, even though they have books on their bookshelf that are Nancy Drew books but so it was great. We had so much fun and it was good. We're trying to lean into spending some intentional time together and turning off the phones and doing the fun stuff.

Andy Roark:
I think that stuff is really important. I think a lot of people are really looking for that these days. I found myself playing a lot of board games-

Stephanie Goss:
Yes.

Andy Roark:
Recently. And there's one and I can't remember what it's called, but it's this weird… It's this puzzle game of just wooden blocks that have to fit together in a certain way and it's just really ingenious in how it's made and I'll come up with the name of it in the future. But Hannah and I… She's out of camps and stuff and so I'm looking for things to do with her.

Stephanie Goss:
Sure.

Andy Roark:
I'm working and everything but when I get loose, I can't come home and flop down. I want to come home and engage with her because I know that she's hanging around and waiting for me to get finished. And so we've been playing board games and stuff like that. I am a huge escape room junkie. I love those. Hunter of killers are fun, my wife and I did those. The ones that I really love and they are challenging, but a quick gift recommendation for anybody out there who likes puzzles or mysteries or things like that to do together with people, there's one called Curious Correspondence.

Stephanie Goss:
Yeah.

Andy Roark:
And that's… This is not sponsored by Curious Correspondence but if anyone from Curious is listening-

Stephanie Goss:
If you want to sponsor us.

Andy Roark:
Yeah. Give me a call. Let me know because I'll be your guy, because I am 100% on board with your product. Allison and I have done the first adventure, the whole adventure and they send you like one thing a month, but their puzzles are really good. And they are not easy. It takes us a couple of days to work through the things. But those are really well done, but I am 100% with you as far as trying to find things that are intentional that people could do together.

Stephanie Goss:
Well, and it's always hard, right? Because you guys might not know this about me, but I'm a bit of a control freak. And so when the kids drag out a book or drag out a board game and they're like, “Can we do this one?” And my first instinct is if it's something that I don't want to do or the book that I hate, my first instinct is to be the mom that's like, “No, not going to do that.” And so I really do have to fight that instinct sometimes. And then last night it was like, Riley pulled out this one and she was like, “Let's try something we haven't actually done,” because we have a whole stack of things and I had had it in my head when now you said let's do a game, I was thinking of the thing that I wanted to do and I was like, “No, let's do it.” And we had so much fun and it was great. So yeah. Summer's going well. It's a lot of fun.

Andy Roark:
You told me a long time ago your favorite board game. What's your favorite board game?

Stephanie Goss:
God, I really… The kids and I really dig this game called Fluxx is-

Andy Roark:
Yeah. Okay.

Stephanie Goss:
And we now have like seven different decks and I really enjoy that one. It's a game where their rules change constantly throughout the game hence the name Fluxx. And they have all different versions and they have a super nerdy fantasy version now that's got like Harry Potter, esque and a Lord of the rings esque characters and cards. And it's a lot of fun. What do you guys… You guys play a lot of games.

Andy Roark:
We play a lot of board games. Yeah. I picked up Fluxx after you recommended it and it is fun. I had a good time. We played as a family. You played Ticket to Ride-

Stephanie Goss:
Yeah.

Andy Roark:
Recently, which is a train game. I tell you when you get four people playing, it gets really fun really fast.

Stephanie Goss:
Yes.

Andy Roark:
That was… That way… I'm not a train guy, I was like, “We have a train game?”

Stephanie Goss:
Yes.

Andy Roark:
I was really impressed with that. There's a couple of games that we get a ton of mileage out of, the Exploding Kittens. We play a lot of Exploding Kittens. We play one called Trash Pandas, which is a card game.

Stephanie Goss:
I love Trash Pandas. So fun.

Andy Roark:
Yeah. We play a lot of Trash Pandas. And then we play… I'll give you my recommendation, there's one called Kingdomino-

Stephanie Goss:
Yes.

Andy Roark:
Which is super fun and we play a lot of that one as well. So-

Stephanie Goss:
We have that. I haven't played it with the kids yet. We have that one. I think the one you were thinking of the kids and I found it is called Dragonwood and-

Andy Roark:
That's what it was.

Stephanie Goss:
I love that game. So much fun. If you like D&D kind of style games, Dragon went super fun and even my… Jackson was I think seven or eight when we started playing and he could figure it out. So it was great. Great for them and they actually… We got the harder version of it. I think it's Dragon Quest or Dragon Realm, something like that. And it's… They love it. It's so much fun. And that was… It's funny that you said that, because that was the game that in my head, I was like, “We can play Dragonwood, we play Fluxx and…” Right? Because that was the Nancy Drew mystery, but it was so much fun and I would 100% do something like that again. I was like, “This is not… This is definitely one of those one time use games,” because now that they've solved it, obviously we can't do it again, but totally worth the time.
Because I thought about it and I was like… My first thought as a parent was, “Well, that was a waste of money,” and I know my mom spent $25 on this thing and so I'm thinking, “That's it.” But when I stop and step back and think I would've spent way more than that if I took them to the movies for two hours or if I took them to a baseball game or whatever. And so I'm like, “That was actually…” We spent an hour and a half together and we had a lot of fun. It was totally, totally worth it. And it can have new life with another family.

Andy Roark:
Yeah.

Stephanie Goss:
So it's super, super fun. Anyway-

Andy Roark:
That's my gauge on entertainment. That's how I gauge entertainment and I think a lot of people get lost in that. I gauge everything against the fact that a two hour movie cost me $15 right now if I go to the theater. And so if I do something with a family of four and it takes us three hours and it costs me $50, I'm like, “That's a reasonable deal.” If everybody was into it and we had a good time, I'm like, “That's what entertainment for a group costs.”

Stephanie Goss:
Yeah.

Andy Roark:
But that just… Anyway, that makes a lot of that stuff more paldo to me, because I'm totally with you, it's $25 and then you do it and you're like, “Well that's done.” Yeah. I can't look at it as a comparison to a deck of cards. You got to look at it as how many people enjoyed it and for how long do they enjoy it? All right, let's let's do some actual work here. Yeah.

Stephanie Goss:
Let's get to work. So speaking of judgemental and judging, because that's how you kicked me off with my name today. We've got a great mail bag question. I actually really like this one and it's funny because it comes from a colleague and someone that I actually know in real life who I have worked with before. And when I saw a pop up in the mailbox, I was like, “That's a great question.”

Andy Roark:
Yeah.

Stephanie Goss:
But it also has sat there for a while because I thought, “How do we…” This is a… It's a big one and it's a vague one and so I'm super interested to dive into this with you. So we got an asset said, “How do you get coworkers to move past a snapshot mentality?” And they said, “I have a fellow manager on my team who sees everything in a single view format without doing a deep dive into what's really going on.” And what they mean is, they gave an example. Like for example, if this person sees someone sitting down their automatic assumption and where they go to every time is that person is not doing anything or that person is lazy. Right? And it's those kind of snap judgments and they said this happens repeatedly and with people across the team.
And so it causes grief, obviously, as you can imagine with the team there's perception that this person is mean, that they're picking on people, that they're a jerk and also it causes conflict amongst the rest of the managers, because there are lots of people on the team who are like, “Dude, what's your problem? Why do you have such an attitude?” And so they were like, “How do I get… How do I teach that? This person happens to be the lead of this management team and was like, “How do I…” This has to be a skill, right? “How do I teach people to have some empathy and compassion and be a better leader and not make such rush snap judgements.

Andy Roark:
Yeah. I thought that was really an interesting… That was an interesting question. It was an interesting question. I think there's plenty of stuff here. I think that the important thing to think about is the question here is how do I deal with this behavior in my peer? Because that's what I'm hearing.

Stephanie Goss:
Yes.

Andy Roark:
The way I would do it if I was the boss of this person is a little bit different, but not wildly different, there's a lot of similarities. Well, let's start with some head space, you're ready Right.

Stephanie Goss:
Yeah.

Andy Roark:
So do not fall into the trap of doing to the person what you complain about the person doing to other people.

Stephanie Goss:
Yes.

Andy Roark:
Meaning say, if this person is always coming up with snap judgements and labeling people and then they're grumpy and I'm not saying that's what we get from the letter, but you know what I mean?

Stephanie Goss:
Sure.

Andy Roark:
I immediately want to make sure that I'm not following into the thing that I don't like about this person.

Stephanie Goss:
Right. It's easy to get into the negative head space.

Andy Roark:
Exactly right. And say, “Well, this is what they do.” Look, everybody's got their strengths and everybody's got their weaknesses, right? And everybody's got mental shortcuts that they take and they have ways that they look at the world. It's just interesting. So I coach improv comedy and I really enjoy it. And I had a player. As part of the coaching… So I'll coach a team for a season and so I work with this group of people throughout a whole season and one time I was halfway through the season. And generally at the halfway point, I sit down with each of the players individually and say, “How do you think the season's going? What do you see your strong suits as? What are your weaknesses? What do you want to focus on in the second half of the season. These are the things I see you doing well and this is where I think that you can grow.”
And I do a one-on-one evaluation with each of these players. And so I have… I love the diversity of people that we play with. And we have some people who are older. And so I don't think you'd mind me telling the story. When I was talking to one of my friends who is on the team and he came in and he's 78 years old and he does improv with us and he's great. And he had a frustration. He said, “I get so frustrated because other people see me doing a scene. And then they jump in because they think they can do it better than me.” And that really bothered him. And I talked to him about it for a while.
And ultimately what I said to him was, “You've made this assumption that people are jumping in because they think they can…” They're jumping into the scene that he's putting on or he's creating and making him leave that scene there, they're tagging him out of that scene.

Stephanie Goss:
Sure.

Andy Roark:
So he's being moved off the stage and they're continuing on with this thing that he helped create. And I said, “You make this assumption, these people are jumping in because they think they can do it better than you.” I say, “I watch you do these things. I think that you are creating things that are fun and exciting and people want to be a part of what you've created and so they're jumping in because they want to be a part of what you're doing. I don't think that anyone thinks you're not doing it well, I think that you've succeed in creating a thing and then other people want to play in the universe that you have created on this stage. And I was going to say I think that, that's a real strength and I think it shows what a strong season you're having as far as creation and comedy and theater and things.”
And so anyway, I know that's a weird story to bring forward, but it stands out to me is I have this person who was having great success, but in his mind, the explanation was, “These people make… They jump into my scene because they think they can do it better than me.” And I look at it and I say, “I think these people are jumping into your scene because you're doing a great job and they want to be a part of what you're doing.” And that's the story that's in my head as I look at this question about the manager and they see these people in a snapshot and we make assumptions about why they are behaving the way that they are. And so if I was going to talk to the person, I would tell them that story because it is a story I say, “Hey-

Stephanie Goss:
Sure.

Andy Roark:
This is a thing that I've seen in my life and I want to tell you a story about someone in improv comedy.” And then I would bring it back in order say, “My friend was wrong because he… These people had great respect for him and they were doing these positive things, but didn't look that way.” And I would say, “I see you sometimes and we have these conversations and I wonder if you don't have a similar perspective sometimes of making assumptions about what people are doing and things like that, that aren't exactly accurate.” And so anyway, that's… If I was their boss, I would probably maybe tell that story and things like that. But I don't know, I just want to be… From a head space standpoint, that story of my friend at improv is very similar to how I look at these experiences when people make snap judgments. They tell themselves stories about what other people are doing. And the sad thing is my friend was unhappy doing improv-

Stephanie Goss:
Right.

Andy Roark:
Until I got him to believe, no, this isn't happening because people don't like you or they think-

Stephanie Goss:
Right.

Andy Roark:
Less of you, this happens because they do like you and they're and you're and got him to look at this different way and suddenly he was thrilled and he was happy to be on the team. And he took this as a compliment and praise and then I told him, “I'm going to lean into making sure that people don't jump in just because they want to participate in what you're doing. They need to… I'm going to make sure people don't take this away from you, just because they're excited about what you're doing. They need to bring something new and different.” And I could communicate that to the team as I saw it and say, “Hey, pay attention to these things and…”

Stephanie Goss:
Right.

Andy Roark:
Anyway, I was able to adjust the problem in a way that was positive for everybody.

Stephanie Goss:
Yeah. I really like that. And I think that there's a piece of… I think it's a good example and illustration, as you were telling the story and you… The clear difference in mindset between thinking that people are jumping in because they could do it better than him versus they're jumping in because they're excited. Those are two radically different things and there's this quote that I love by Steven Covey and it says, we judge ourselves by our intentions and others by their behavior.

Andy Roark:
That's good.

Stephanie Goss:
And it's such a good quote. And I heard it when I was just getting started as a leader and a manager and realized a few things about it. It resonated with me so strongly and I realized like, it is true. And to your point, we evaluate ourselves using this exclusive access that we have in our heads to the story that we're telling ourselves in our heads, right? Only we know what's going on in our minds. And there are… We know about our intentions, we know about our motivations. We also know about our own insecurities, our own worries, things that have happened in the past that have hurt us or who have gone really well. All of those things go up and roll up into a ball and are part of the self-evaluation that we make on how we're choosing to act, right?
And those internal thoughts at best are only partially known by the people around us. And even when they know they may not be understood well, or they may be interpreted very differently. The actions that we live by and our behaviors is what counts to the people around us. And so for me was always a reminder to say, “Hey, look, the team doesn't want good intentions, they want good actions, they want to be supported because they will judge you like.” That is human nature. We are all judgemental. There's no escaping, every single one of us on the planet at some point throw stones and judges other people. Right? And so I think it's really important to think as a peer, if you can recognize that and you can recognize that how you act matters, you can have some influence over your peer and to your point early on, how you address this as a peer and how you address it if you were their boss is two different things.
And ultimately, I think this might be a little bit of an episode where we visit camp tough love, because if you are truly just a peer, at some point, your hands may be tied.

Andy Roark:
Yeah.

Stephanie Goss:
And there's not a whole lot that you can do, but you can always choose your behavior and how you interact and how you lead by example. And so for me, thinking about that quote and thinking about like, we judge ourselves differently than everybody else judges us. And if we want to think about not having judgment by the rest of the team or passing judgment, we have to think about how are they looking at it, not how are we looking at it because our perception is skewed.

Andy Roark:
Yeah. I agree. The big things for me when I start talking about things like this, the question that we wrestle around with is what is my responsibility to give feedback to a peer.

Stephanie Goss:
Sure.

Andy Roark:
And I don't know that. I wonder… It really depends on the culture and the structure. Are we in a place where we give feedback to each other, do we have a system to do peer evaluations?

Stephanie Goss:
Right.

Andy Roark:
Do they do 360 degree evals? Is this a thing where maybe that person's direct boss asks the other managers and says, “Hey, we're all going to give feedback on each other and you're going to give it to me and I'm going to use it to do evaluations with people. So tell me the strengths and tell me any weaknesses that you see in colleagues,” and-

Stephanie Goss:
Right.

Andy Roark:
There's a million different ways to do that sort of things where if the higher ups wanted to get feedback from others about how someone was doing so they could give that person that feedback. If this is drilled down to a PR, it seems like a pretty condensed nugget of pointed feedback to say, “This is a behavior that we see,” there may be mechanisms for that. And honestly, a lot of times I think that the easiest thing would be to go through that mechanism and say, “Here's what I see in Steve. He's great. These are the things he does well. This is the big thing that I think he struggled with.” And you may have a mechanism like that. And if that's the system and you give feedback to the boss and the boss gives feedback to the person, then I would just go through that system and that's not wrong.
It's like we like for the technicians to talk to each other and give each other feedback but honestly, a lot of times let's be honest, the best thing they could do is pass it to the practice manager and allow the manager to give that person feedback or to give them an evaluation or things like that. It really depends. We've all looked at people that are our colleagues or our peers in the workplace and been like, “Do I want to give this person some constructive criticism? Is it worth the risk to me to do that? Is it my place to do it? Would I want this person to give me feedback?”

Stephanie Goss:
Yes.

Andy Roark:
And I think a lot of us are like, “Sure, I would.” And go, “Would you really?” And I just think that those are all dynamics that are specific to an individual practice.

Stephanie Goss:
Yes.

Andy Roark:
And so I'm not saying don't do it, but I am saying we sometimes have to ask ourselves what feedback is appropriate to give to a peer versus what feedback is appropriate to go through a review process versus what feedback is more appropriate just to keep to ourselves, unless someone asks us. If this person isn't asking for feedback, do I go, “Okay, well, I'm going to let go.”

Stephanie Goss:
So I think I agree with you on a big chunk of that and I disagree with you on part of it.

Andy Roark:
Sure.

Stephanie Goss:
And so… But before I get into that, the disagreement piece of it, I think it's important to roll back for just a second, because I think your point is about what type of feedback you're giving is spot on. Right? And so here's the thing, the reason why a lot of us struggle with giving that feedback, particularly peer to peer, like is it actually my job to give them the feedback? My answer to that, this is where I disagree with you, is always yes. I don't have any right to say something to their boss or go above them if I haven't had the conversation with them directly, that's a fundamental core belief of mine.
I didn't always have that belief, but it shifted radically for me early on in my career. And I don't feel good. There were times where I said something to somebody else's boss and the change happened, but I never felt good about the change and what I realized over the course of working on communication skills and in therapy was that I felt guilty because yeah, the change had happened, but it had happened because I told on them or I [inaudible 00:25:25] knocked them out. Right? And so there was… For me, there was this guilt factor of like, “Okay, I really did want that change, but I didn't want the consequences of them feeling like they got told on,” because I went through that myself and it feels really crappy.

Andy Roark:
Yeah.

Stephanie Goss:
And so for me, a core fundamental belief is like, look, I can say something, but I have to have had the conversation with that person directly first. And so we've talked on the podcast before about some of the rules that I've developed for myself to make that an easier process. But I want to step back for one second because I think a lot of it has to do with the type of feedback that we're giving to that person. So I think that something that you and I are very passionate about is how do we give feedback? Because so much of our jobs… Especially as leaders, but everybody on our team should be able to give feedback. And unfortunately for all of us, peer feedback is not something that… It is a skill. It has to be learned and then it has to be honed and it is not something that most of us learn in everyday life.
We don't learn the tools to truly give constructive feedback. And we all know this because we felt the results of very critical and not constructive feedback where we felt like people are just being mean, they're smack talking us. Right? We've all felt that on some individual level in our practices, in our career. And so when I think about feedback, I think a light bulb moment for me happened when I saw this model in a class and I don't know, off the top of my head where it came from. I'll put it in the show notes for you guys, but there is this concept about this feedback bullseye. So close your eyes and imagine that there's a target, right? Like a shooting target and you have the rings and there are four rings and the big outer ring is green and that is the impact ring. Okay? And so this is about talking to people about what impact their actions or their words, or… Have on you, on the rest of the team, on the group as a whole. That's the first ring.
The second ring is behavior. So what behaviors are happening that are impacting the team and those two rings are tied together, right? That makes total sense. And then you get one ring down and you could talk to somebody about their motivation. What is motivating them to behave this way and act this way that then has impact on others around them, rippling outwards, right? And at the center of that bullseye is someone's motivation. What is motivating them to… Sorry, the center is their identity, who they are. They are a mean person. They are just a jerk and this is why they are motivated to behave this way and this is how it impacts the team, right? That ripples out. When I saw that and the person who was talking about it was explaining, “Look, your job should always be to stay in the outer two rings because they are the majority.
They are the biggest, they are the brightest. They have the most impact.” When we judge someone for their motivation or we talk about their identity as a person, we get nowhere. And yet that's where we often as humans lean into when it comes to giving peer to peer feedback. Well, I think you're just being a jerk. I don't like why you're choosing to do what you're choosing to do. I disagree with that, right? We are judging the identity and motivation. We can't change that. That's not something that we can affect change on. When we talk to them about the impact that their actions have on the team. When we talk about the behaviors themselves, when you use this tone of voice, when you speak to someone in that way, when you stand there and cross your arms, those are things that we can give clear examples for, and we can impact change.
And that's a behavioral model that we don't teach. And so most of us, when we're trying to give feedback peer to peer, we don't know how to phrase it. We don't know what to do with that feedback. So most of us, to your point, Andy lean into, is it really my job? I'm not really equipped to do this. So I'm just going to say something to their manager if I have the opportunity and it's probably going to course correct better if it comes from them. And I would really argue that it is all of our responsibilities to be able to have those conversations with each other and say to your peer, like I should be able to say to you, “Hey Andy, when you talk to Sarah like that, it makes me really sad because I actually… When I hear you, what I hear is judgment.
And if I was her, that would make me feel pretty crappy about myself or the job that I was doing or whatever. I don't want to feel like that. So how can I help you do that less because it makes me really sad.” Right? Then I'm talking about the impact that your behaviors had on me as a person. I'm not talking about how Sarah felt and being empathetic and I'm showing that I could have compassion for her. Right? And that feels very different than, “Hey…” I'm just going to go ahead and tell our boss when we have an opportunity to give feedback that, “Hey, Sarah's a jerk and she's managing in a way that I don't think everybody likes.” Those two things feel really different.

Andy Roark:
Sure. No, when I say I would talk to the manager, I guess what I was trying to say is, I think a good evaluation process involves feedback from multiple people and going and being like, “Hey, you work with Stephanie Goss, what are your impressions? What are her strengths? What are her weaknesses?” I would say, “These are her strengths and this is her weakness that I say.”

Stephanie Goss:
No one person has the whole story.

Andy Roark:
Exactly right. Yeah.

Stephanie Goss:
Right? You have to do your job.

Andy Roark:
Right. I am not going to go and tell Stephanie's boss, “Hey, I wasn't affected by this but she exhibited behavior that I was… It's not how I would do this.” I'm not going to do that. But that's what I meant when I said, “Is it your job to go and have these conversations?” And I still go back to it. Unfortunately it does depend on culture-

Stephanie Goss:
Yes.

Andy Roark:
To some degree and what is acceptable and how we do it. So, okay. So what I want to do here, I want to start to get into the meat and potatoes of this. And so I think the first thing we ought to do is… I think just to be complete, we should lay down real quickly, why is the behavior that's being exhibited a problem? And so I would just put forward, as you said, to me the big thing is assuming someone's identity based on a behavior is a dead end, right?

Stephanie Goss:
Yes.

Andy Roark:
Saying that person didn't show up and so they are lazy, not, they did not appear when they were supposed to be there because that's a one time thing that can be corrected, adjusted but no, they, as a person are lazy. That's lazy thinking and it's sloppy thinking and it leads you in a management hole because you can't change who someone is and it makes it easy to write people off. And that is a… Writing people off is not growing them, that's giving up on growing them.

Stephanie Goss:
Yes.

Andy Roark:
And so that is a problem. The classic ideas of seek first to understand, yeah, assume good intent. All of those things are important and take your pick of which one you want to motivate you. But they really are behavior, not identity when we give feedback. All those things are important in making people feel seen and still being able to give them feedback. And obviously when we look at people and make judgements about why they are behaving that way and who they are, we damage relationships. Right? We isolate things. I'll also call out. This is a classic anxiety… Yeah, this is a classic anxiety symptom of catastrophizing, right? When you look and you see someone not doing a thing, you go, “That person is worthless. They don't do anything. They get… They're so lazy.” I'm going… That's catastrophizing. You are looking at one thing and telling yourself a story in your head and then behaving as if that story was true.

Stephanie Goss:
Well, and for just a second, I think we have to normalize… This piece really resonated with me because I have been this manager where I've judged. I've looked at somebody who's sitting down and I'm like, “Dang it. There's so much to be done. Why are they just sitting there?” Right? I totally understand why you can make that judgment. We all do it. And I think we have to normalize the fact that it is impossible to go a hundred miles an hour, 10 or 12 hours a day, every single one of us is human. We need breaks. We need to sit. We need to do nothing. Just because someone works for me does not mean that they are going to move nonstop for the 12 hours a day that they are working on my team. That is an unrealistic, unfair assumption and I think we have to normalize the fact that everybody on our team deserves the opportunity to sit and stare into space or do nothing-

Andy Roark:
Yeah.

Stephanie Goss:
At times during their shift. Right? That has to be part of the conversation but because we do what you're talking about, because we have a lot of anxiety, because we have a lot of fear, a lot of concerns, we can very easily look at one time and turn it into a thousand times.

Andy Roark:
Yeah.

Stephanie Goss:
And I think that's where as a leader, your job is not to judge the one time it's to… And not even to go looking for the pattern, because if you go looking for it, you will find it and that drives you into the negative rabbit hole faster and faster. Right? But it's about when it actually happens. Being able to say, “Is this behavior happening over and over again? Does this have an impact on the rest of the team or do I need to recognize this, say this is a human being who's sitting here for five seconds, cool. Good for you. I'm proud of you for sitting here and taking a break,” right? When do we start to have that conversation as leaders?
And I recognize that, that's a little bit of a soapbox, but that is part of breaking that cycle because historically as an industry I have worked with and four way more bosses who look at it from the other side of the spectrum where it's like, “Oh my God, you're sitting down for five minutes, you're lazy. Why aren't you doing your job?” That's not normal. That is very abnormal behavior. And it is something that I think we need to recognize that we're doing and work on trying to fix.

Andy Roark:
Yeah. One of the, probably, the least enjoyable experience I had in that school was when I was doing large animal internal medicine rotation. And I was there during the day and I was involved in this ultrasound and so this clinician was doing this ultrasound and I was there and I was taking notes or whatever. And I was talking to him and I was really involved in what was going on. And it was a case that I was working on everything. And so anyway, so that happened in the afternoon. And then I was on call that night and I got called in about 10:30 at night and I was there until four in the morning and I don't do well staying up overnight.

Stephanie Goss:
Yeah.

Andy Roark:
I'm never an emergency. [inaudible 00:36:14] I just… I don't. And so the next day I'm back in rounds, it's like 3:00 in the afternoon and the clinician starts drilling me with questions from the ultrasound on the previous day. And Stephanie, I couldn't remember.

Stephanie Goss:
True.

Andy Roark:
It was… I just… I didn't-

Stephanie Goss:
You're half asleep.

Andy Roark:
I mean, I was dying and so I didn't… And he was hitting me and he was getting angry that I didn't know these questions. And he just came after me in front of everybody, as far as just asking me a question and then another question and another question on top of it.

Stephanie Goss:
Yeah.

Andy Roark:
And he got really upset and he was like, “Why don't any of this stuff? I was here with you,” and blah, blah, blah.

Stephanie Goss:
Right.

Andy Roark:
And really went after me. And I didn't say… I didn't tell him I was up all night because it didn't seem relevant at the time, but that was the one time in vet school I was publicly chewed out in front of my colleagues. And it was funny. He came up… I still think about it sometimes. He came up to me later in the day and he said, “Hey buddy, I just found out that you were here all night. I'm really sorry about that earlier.” And I was like, “Okay, well, thanks.” But it didn't change the fact that he embarrassed me-

Stephanie Goss:
Yeah, chewed you out in front of everybody.

Andy Roark:
In front of everybody.

Stephanie Goss:
Yeah.

Andy Roark:
And what's funny is I liked that guy. I liked him before and I still like him after. But I think a lot about it's he had no idea what I was doing and not what I was doing in my personal life, like what I was doing in the hospital in the middle of the night, doing these other things.

Stephanie Goss:
Right.

Andy Roark:
And so I think about that sometimes when I see someone sitting down or zoned out or whatever, and go, “I remember when that guy came after me and I had done nothing but work as hard as I could. And man, it made me feel so bad.” And so anyway, that's just a story from my life that I remember about making assumptions about… I wasn't sitting there, but I just… I didn't have the answers to those questions. And it's funny, everybody's fighting battle we don't know anything about and anyway, I've always remembered that. So that's a story that I file away for things like this. So I just think that's important to really remember.

Stephanie Goss:
And so it's hard, right? Because our writer can see that and they can feel that. And they're like, why can this person not have that similar mentality? Right? How do I get… That's why they wrote to us, they're asking, “How do I help this person who is a peer get over that?”

Andy Roark:
Yeah.

Stephanie Goss:
And I think that's where I said early on, we might take a trip to camp tough love. I think the reality is, I don't know how much control you have over that as a peer. And I think the things that you… So it's a little bit of head space, but also a little bit of things to control. You can control what you can and you can lead with empathy. You can lead with compassion, you can model the behavior, right? You can, Andy you as a leader, experience that. And so it enables you to look through the lens differently now when you see it happening to other people, because you had that experience yourself, right?

Andy Roark:
Yeah.

Stephanie Goss:
So our writer has the capacity to look through a different lens than the person who is… That they're writing about, who's doing the things. And the reality is you can only control what you can control. And so you can control yourself. You can control how you lead, how you engage with compassion, with empathy, with other people, and also with this person and you can model the behavior and you can talk to them. Those are all things in your control and are actionable steps and camp tough love, you can't control it all. If you're not their direct boss, there's only so much you can do to help affect change here.

Andy Roark:
Let's take a quick break and then let's take a crack at it. Let's see what we can do.

Stephanie Goss:
Okay.

Andy Roark:
Hey guys, I just want to jump in here real fast and give a shout out to Banfield the pet hospital for making our transcripts available. That's right. We have transcripts for the Cone of Shame Vet Podcast and the Uncharted Veterinary Podcast. You can find them at dr.andyroark.com and at unchartedvet.com. This is part of their effort to increase inclusivity and accessibility in vet medicine. We couldn't do it without them. I got to say, thanks. Thanks for making the content that we put out more available to our colleagues. Guy,. That's all I got this time. Let's get back into this. All right. So let's get into this here for a second. Now you're right. Caveats at the very beginning, you cannot change someone who doesn't want to change.

Stephanie Goss:
Yes.

Andy Roark:
And you should always remember… We talk about that a lot.

Stephanie Goss:
Yes.

Andy Roark:
You cannot change someone who doesn't want to change. You can always model the behaviors that you want to see in others and that you think should be part of your culture.

Stephanie Goss:
Yes.

Andy Roark:
And that is a power that you always have.

Stephanie Goss:
Yes.

Andy Roark:
And I do think that those two things are really important. If you want to have a chance of helping this person and you see these things, the first thing that I think is required is a trusting relationship.

Stephanie Goss:
Sure.

Andy Roark:
I think is extremely hard to have this conversation with someone that you don't have a relationship with-

Stephanie Goss:
Yes.

Andy Roark:
Or that you don't know or that you don't have any trust in.

Stephanie Goss:
Right.

Andy Roark:
Have you given them positive reinforcement in the past? Have you told them the things that they're good at? Do you know their hobbies? Do you know their spouse? Have you had dinner with them? Have you had lunch with them? Do you talk to them? Do you have… Just do you know them?

Stephanie Goss:
Do you have a foundation?

Andy Roark:
Do you have a foundation?

Stephanie Goss:
Yeah.

Andy Roark:
And if you don't have a foundation, I would say, you, my friend are on thin ice, and this is going to be very hard.

Stephanie Goss:
Right.

Andy Roark:
And that is something that you can't do right now, today, you have to build it over time, but there are… This is why we want to know our colleagues. This is why we give positive reinforcement whenever we get the chance. Right? Because when we have something that might sting a little bit to here, we can give it inside of a relationship of trust.

Stephanie Goss:
Yes.

Andy Roark:
And so that's the first thing I want to say is, “Well, you could… If you have a very strong trusting relationship, you could say these things.

Stephanie Goss:
Yeah.

Andy Roark:
I would say them directly to you and to your face and I wouldn't think twice about it if we were peers, because I care about you deeply and you know I care about you.

Stephanie Goss:
Right.

Andy Roark:
You know I'd anything for you.

Stephanie Goss:
Right.

Andy Roark:
And so if I said, “Hey, I see something, I just want to bring your attention because I've seen it a couple times and I just want to put it on your radar.” I would just say that to you, but I can do that because we have a very good-

Stephanie Goss:
Right. Foundation.

Andy Roark:
Trust-filled foundation and relationship. And so I just think that's a big part of it. And then I think you've really got two options. If you want to do this and you're trying to get your head around it, the first question I would say to you before choosing an option is what is kind. And I talk a lot about that. If you were this person, would you want to get this feedback? Would you want to know that you were getting this? And why would you want to… If you were… Sorry, if you were this person, would you want to get this feedback? Would you want to know that someone had seen these things and why would you want to know? And put that into your mind is what is kind, what is kind to this person, what is kind to the staff and what is kind to the other peers, the people who are direct… Weigh the options up and say, “Okay, is this the hill that I want to potentially die on?”
Which hopefully I'm not going to but is it worth this risk to me? So but-

Stephanie Goss:
Right.

Andy Roark:
But do it, right? Okay. So what is kind. And then you got two options. So the first one is to go, if it's bothering you and you feel like this is mounting, and you have a good answer to the question, why today. If you're like, “I'll tell you why I'm going to do this today,” and you have a good reason why this needs to happen today then your best friend, in my opinion, is developmental feedback. You go in and say, “Hey, I want to talk to you real quick about something that I'm seeing.” And then I would give them… I always give them the good stuff first, right?

Stephanie Goss:
Right.

Andy Roark:
Say, “I've seen you do a lot of things. I think these are the things that you are really good at. This is the stuff that you do that I admire the most. This is the things you do that really, really impress me. There's one thing that I look at when I look at you and I look at all the balls that you're juggling that I just want to bring to your attention as a potential for you to have an easier time.” Right? And that's what I call it developmental feedback. I'm not telling you, you're something wrong-

Stephanie Goss:
Right.

Andy Roark:
I'm telling you, I see an opportunity for your life to be easier. I see an opportunity for you to make better headway. I see an opportunity for you to get more out of your people. I see an opportunity for you to have less stress and get fewer people pushing back against you.

Stephanie Goss:
It's future facing.

Andy Roark:
Right. It's 100% future facing.

Stephanie Goss:
It's something they can do something about because it's not something that's already happened.

Andy Roark:
Absolutely.

Stephanie Goss:
Yeah.

Andy Roark:
And so definitely, if I'm giving peer feedback, I don't want to talk to my peers about what they screwed up last week-

Stephanie Goss:
Right.

Andy Roark:
Right? Because it's over, but it's future facing. Right? I can't fix what happened last week, but I can say, “Hey, I see an opportunity for the future to go more easily. And I just wanted to put it on your radar. This is a thing that I've seen.” And so that's the developmental future facing feedback. That's how I would say it, is not, “You messed up,” but, “I wanted to bring this up. I just want to tell you, I see you excelling in all of these ways. I think these are real strengths of yours. There's one thing that I wanted to put on your radar that I think could make your life easier and here it is.” I just say, “I've seen it a couple of times.”
And again, this may be… I may have seen it the only times it ever happened, but I just saw it a couple times and I just wanted mention it to you. And then you say it, right? The other thing is the mention, which is you say it when it happens. And so when they look at the person and they walk away and they come in and they close the door to the manager's office, say, “God, she's so lazy.”

Stephanie Goss:
Yes.

Andy Roark:
That's when you say, “Hey, I need to talk to you about something.” And then you say, “I've heard you say things like this a couple of times and I know why you say it,” right? Empathy first, show some empathy. I know why you say it. We've all felt that way.

Stephanie Goss:
Yeah. I recognize that because I have done the same thing. Right? You're setting the ground equally as peers.

Andy Roark:
Absolutely. And then you say, “When you look at… When you see someone sitting down, you seem to get frustrated with them in a much bigger scale than what is warranted given what's going on. And I just… I think it might damage your relationship with those people. I think it makes you unhappy. And I think it makes it harder for you to manage those people because you can't do anything with a lazy person-

Stephanie Goss:
Right.

Andy Roark:
But you can 100% address inefficiencies in time management.

Stephanie Goss:
Sure.

Andy Roark:
And so then I would have that feedback like that. And again, I call it the mention because I'm not going to give them a 45 minute guided lecture with PowerPoint-

Stephanie Goss:
Great.

Andy Roark:
And documentation, I'm just going to say, “Hey, I may be off base here, but this is what… This is a thing that I see. And I just… You said that, let me just say this and you can tell me if I'm right or tell me if I'm wrong. I don't know. This is what I see.” And then you say it and then you let it go.

Stephanie Goss:
Yeah. And I would add to that too. You can say, “I don't want you to feel native like that. So how can I help?”

Andy Roark:
Yeah.

Stephanie Goss:
Whatever you've told them is the thing… Because then it's a mention, like you said, you're doing it in real time, it's the thing that's just happened. And it isn't just like, “Hey, I think you just acted like a jerk and now I'm going to turn around and walk away.” And that's the end of the conversation, right?

Andy Roark:
Yeah.

Stephanie Goss:
Because that doesn't feel good either.

Andy Roark:
Sure.

Stephanie Goss:
It's like, “Hey what's… Do you need a break? Do you need to talk? How can I help?”

Andy Roark:
Yeah. This only works if you lead with empathy. You have to like this person-

Stephanie Goss:
Yeah.

Andy Roark:
And come to them as someone who is on their team and who wants to help them not as, “Hey, I'm not your boss, but I'm going to give you some tough love.” And so the tough love is for the writer who says you can't change anyone who doesn't want to change. I would not use tough love on this person because I'm not their boss. I'm going to use empathetic communication to say, “Hey, I see you and I hear you and this is my concern.” And then I'm just going to say, “What do you…” And then I'll even end with, “What do you think of that? Or does that sound reasonable? I might be completely off base.”

Stephanie Goss:
Sure.

Andy Roark:
And just let them go, but I'm not trying to tag them and say, “I have diagnosed you.” I'm going to say, “I don't know. I seen a couple things, let me ask you a question,” and then put it down.

Stephanie Goss:
And so here's where I agreed with you when I said I disagree and agree. So here's where I agree with you. So I think you have to… For me, my personal role is I… Look, I have to talk to you first. And if I talk to you, particularly, if we've now done the mention or had the conversation like, “Last week you said that too, and now we're having the conversation again,” then for me is… I have to ask myself the question, look, do I control their direct future? Am I their direct boss? And if the answer to that is no and I've had the conversation, particularly if I've had repeated conversation with them, then I have no qualms about talking to their boss and the context for me in talking to their boss, even if it's not a 360 review process is happening or there's something else that is happening that would make me give that feedback to somebody who is soliciting it.
But I would have no problem talking to their boss and the way that I approach that is to say, “Hey, I had an interaction with Sarah yesterday and I asked her how I could help and this is like the third time this week and then it happened again this morning. And so I could use your help as her boss in figuring out how I can be a better peer for her, how I can support her more.” Now you are effectively making them aware of the situation and you are doing it in a positive way because you are coming to them, asking them for your help, for how you can be a better peer. That looks and feels and is, I think, so much better than, “Hey Andy, you should know that Sarah's out there being a jerk to the rest of the team.

Andy Roark:
Yeah.

Stephanie Goss:
You're the manager, you deal with it, but I just wanted you to know.” How many times as a manager have I sat in the office and someone has come and unloaded on me and basically said, “This person's acting like a jerk, I don't want to have anything to do with fixing it, I just need you to be aware of the problem because it's your job to deal with it.” No, no, no, no. That's not how this works. You have some responsibility as a peer. And so I have no problem talking to the actual boss about how I can help them. And I'll tell you why, because the answer is that if you ask to actively be a part of the solution, it benefits you too. And that sounds crazy but follow me for a second. So if I say to them, “Hey Catherine, you're her boss and I'm struggling with this. I would like to be a better peer for her. Did you know that this was happening? I need your help trying to figure out how to address this.”
You're bringing it to her attention, then you're going to talk through it. Right? And ultimately if Catherine decides that Sarah maybe should have some leadership training or some sensitivity training or some critical conversations, training, I as a fellow manager, can also get in on that because I always want to continue to improve myself. Look, the fact that you writer are sending us this email tells me that you care, that you are doing good things as a manager and that my friend, that is the sweet spot because you always have room to learn new skills, to gain new knowledge to grow. And so if you engage with the leadership to help solve this problem, you have the potential to benefit yourself as well in terms of gaining skills and this person will benefit as well. And so it is a win-win I think on both sides in that regard, only if you approach it from the perspective of, “Hey, I want to help. I want to learn. I want to grow,” and not from the place of, “Hey look, she's a jerk. This is your problem.”

Andy Roark:
Yeah, totally. I completely agree. Cool, man. I think that's the best advice that I got for this person. I hope it's been beneficial just to walk through the exercise of, do we have this conversation? Do we not have this conversation? How do we get our heads around this? What is the underpinnings of the problem that we're seeing in the other person and then how do we actually approach this person if we decide to do so. So-

Stephanie Goss:
Yes.

Andy Roark:
I feel like that was a good… We wandered a little bit there, but I think that we ultimately got around to all the things that I really wanted to get around to.

Stephanie Goss:
Because look ultimately you pick your poison and so you can be miserable and you can keep seeing this behavior happening over and over and over or you can do something about it and your hands might be a little bit tied if you're their peer and you're not their boss. And it's not to say that it's hopeless and there's nothing you can do. And so-

Andy Roark:
Correct.

Stephanie Goss:
Do what you have in your control, pick your poison and you can do what's in your control and you can try and impact the change. And then at the end of the day, you have to recognize, is this the hill I want to die on? And if so that's a choice or am I going to stay quiet about this and I'm just going to let it go, I'm going to ignore it? Those are all conscious decisions and that's ultimately where it's like, you have to pick your poison and figure out how do you want to live with this situation?

Andy Roark:
Yeah.

Stephanie Goss:
And hopefully it involves you wanting to change it because I don't want to be miserable.

Andy Roark:
Yeah. I'm with you.

Stephanie Goss:
Somebody like that.

Andy Roark:
I am with you.

Stephanie Goss:
Have a fantastic week, everybody.

Andy Roark:
Yeah, everybody. Take care of yourselves.

Stephanie Goss:
Take care. Hey friends, have you been over to the website lately to check out all the fun and exciting things that are coming from the Uncharted Veterinary team? If not, you should stop right now and head over there because we have got some awesome stuff coming late Summer and into the Fall and Winter and I want you to be there with us. We have our Get Shit Done conference coming in. The fall that is happening in October. Before that we've got a workshop coming in September from my dear friend, Dr. Phil Richmond. He's going to be talking about avoiding toxic teams, how to create psychological safety in our practices. We've got the amazing and wonderful technician, Melissa [inaudible 00:53:42] Inchkin, who is leading a workshop in October about leveraging technicians, making practice less stressful for you, them and your patients, and all kinds of other fantastic things you are not going to want to miss out on.
So if you haven't been over there lately, head on over to unchartedvet.com, you can hit forward slash events if you want to go straight to the events page, but that will show you everything that is coming. And remember, if you are an Uncharted member, your membership gets you access to all of these workshops that we do on a regular basis for free. And if you are not currently a member, you can check out the membership information because it will save you big bucks throughout the year on accessing all of the workshops and it scores you access to the conferences when we have them like Get Shit Done for less money. That's right. Get a discount and who doesn't love a good discount. Thanks so much for listening guys. We'll see you soon.

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: culture, management

Aug 10 2022

The Whole Team Says “I’ve Never Been Shown How to Do That”

This Week on the Uncharted Podcast…

The team has been together for almost a year and yet they seem to be collectively saying “I've not been shown how to do that…” about many things. Simple things. Are you ready to pull your hair out yet? We can understand why! Dr. Andy Roark and practice manager Stephanie Goss understand the pain and frustration this mailbag writer has over this exact situation. Plus they shared that when their leadership team gives corrections to the group, it is met with feedback that they are being mean or bullying the team into doing what they want. Our writer asks “How do we hold them accountable, in a safe space, but still correct the deficiencies?” This is a FANTASTIC question so let’s get into this…

Uncharted Veterinary Podcast · UVP – 190 – The Whole Team Says “I've Never Been Shown How To Do That”

You can also listen to the episode on Apple Podcasts, Spotify, Google Podcasts, or wherever you get your podcasts.

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Got a question for the mailbag? Submit it here: unchartedvet.com/mailbag

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While Uncharted Membership is always encouraged, you DO NOT have to be a member to join us for GSD! Non-members, here’s your chance to see what all the buzz is about and get a taste of the Uncharted experience.


Episode Transcript

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This podcast transcript is made possible thanks to a generous gift from Banfield Pet Hospital, which is striving to increase accessibility and inclusivity across the veterinary profession. Click here to learn more about Equity, Inclusion & Diversity at Banfield.

Dr. Andy Roark:
I have got to thank Banfield the Pet Hospital for making transcripts of this podcast possible. Guys, in an effort to increase inclusivity and accessibility in our profession, to get people the information, and to make sure everyone is included, Banfield has stepped up and made transcripts possible. You can find them at unchartedvet.com. Thank you to them. This is something I wouldn't be able to do without their help. And now, let's get into this episode.

Stephanie Goss:
Hey, everybody. I am Stephanie Goss, and this is another episode of the Uncharted Podcast. This week on the podcast, Andy and I are diving into the mailbag, and we've got a great letter from a medical director who says, “What do I do when the whole team says, ‘I've never been shown how to do that?”
We're not talking about super-complicated processes or protocols in the practice. We're talking about the basic things. How to do the laundry, how to sweep the floor, things like that. It's a real solid question and one that Andy and I have a lot of fun diving into answering. So, let's get into this, shall we? And now, the Uncharted Podcast.

Dr. Andy Roark:
And we are back. It's me, Dr. Andy Roark, and Stephanie, you can do it, put your back into it, Goss.

Stephanie Goss:
Ooh, I really like that one. How's it going, Andy Roark?

Dr. Andy Roark:
It's good. It is good. Things are good.

Stephanie Goss:
Yeah?

Dr. Andy Roark:
Yeah, it was heading into the back part of summer here. I can see people starting to think about taking kids back to school and some normalcy returning. I feel like we're in the last waves of people going on vacation. I'm going on vacation with my wife, a pseudo-vacation next week. We're going to go do some hiking while the kids are off at their last sleepaway camps and stuff like that.

Stephanie Goss:
Nice.

Dr. Andy Roark:
One of them's going to their grandparents' house and the other one is at sleepaway camp, and I was like, “This is our shot.”

Stephanie Goss:
Fun.

Dr. Andy Roark:
And so, we're going to get out of here.

Stephanie Goss:
I like it.

Dr. Andy Roark:
So, yeah, it's going to be good. But yeah, how about you?

Stephanie Goss:
Good. I have insane children who are so excited for school to start again, and I'm like, “What is wrong with you? It's not even August.”

Dr. Andy Roark:
I know. That's crazy.

Stephanie Goss:
But they love their school, and they love their friends and their teachers, so they're super excited to get back. We've already started thinking in that direction and I'm like, “When am I going to cram going back to school shopping into the schedule and all of the things?” But we are in the middle of beautiful summer weather here in Western Washington. These are the weeks of the year that we all live for, and I am soaking up every bit of the sun. It is wonderful, so I-

Dr. Andy Roark:
That is good.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
It is super-hot here. I was walking the dog this morning and some of the neighbors were out, and I was talking to them, and they were working in their yards, both of them. We all came together in the street, and we were talking there for a while. They were talking about the deer have been coming up and eating their [inaudible 00:03:13]. And I said, “Well, you know-“

Stephanie Goss:
I have a solution for this.

Dr. Andy Roark:
“I have not seen a deer in my yard in months.” I told them about chasing the deer away with the cowbell that I got from Mississippi State's College of Vet Medicine.

Stephanie Goss:
Did they ask to borrow it?

Dr. Andy Roark:
They did not seem sold on the idea. And I realized, I realized-

Stephanie Goss:
Shocker.

Dr. Andy Roark:
Yeah. No, well, let me just say, I realized that my solution might not work for everybody. It might be that my solution, which has worked like a charm for me, it might be that my solution worked just fine for me. Because maybe I don't have to convince the deer to leave. I just have to convince them that my neighbor's yards are…
I don't have to make a yard the deer can't eat from. I just have to make them less sure about my yard than my neighbor's yard, and then I'm golden. Especially when the neighbor's garden as well, I'm like, “Aha.”

Stephanie Goss:
Now they've become somebody else's problem.

Dr. Andy Roark:
Exactly right. I didn't have to figure… I just have to make it… It's like when a bear chases you. You don't have to outrun the bear. You just have to outrun the people who are with you, and that's the same thing with the deer.

Stephanie Goss:
Oh my God, I can't.

Dr. Andy Roark:
That's why I take you camping with me, Goss.

Stephanie Goss:
Because I just laugh and make enough noise.

Dr. Andy Roark:
Because you would… I would be like, “There's a bear,” and you would, “Hehehehehe.” And I would… I have longer legs than you do, and so, I think that I would… You are my primary bear deterrent because my legs are longer than yours.

Stephanie Goss:
Yeah, I mean I don't mind… Yeah, that is true, and you walk way faster than me. But I don't mind the wild animals as our backyard can attest. I was walking through the backyard this week, in fact, and I was like, “Oh, look, there's coyote poop, and deer poop, and bear poop. Come on, hang out in my yard.” So, you can send your deer over to my house, it's fine.

Dr. Andy Roark:
Yeah. Oh, yeah.

Stephanie Goss:
They're partying in the backyard.

Dr. Andy Roark:
Oh, boy. Oh, boy.

Stephanie Goss:
Oh, man. We have got a great episode this week. I'm excited about this one and I think it's going to be fun. I can't wait to see where your head is at. So, we got a letter in the mailbag from a colleague of ours who is a medical director at a practice, and they said, “Look, I have a team that has almost completely turned over about eight months ago. Less than a year in, it was all good reasons, and they really, I feel like, should be hitting the stride. They've been working together long enough now.
“I feel like this is the time where we really should take off, but we seem to be repeatedly hitting speed bumps where there are members of the team who are saying, ‘I've never been shown how to do that. Nobody told me that,'” kind of attitude about things that this medical director said are so basic that they have to have seen it before. They've all been in veterinary medicine for at least eight months. How could they not have seen this before?
And so, they were saying that when the hospital leaders, whether it's the practice manager, the medical director or one of their floor leaders, technician, team leader, or front desk team leader says, “Hey, why are you guys saying that you haven't been shown this before?” The team seems to be giving the feedback that the leadership team is being mean, or that they are getting bullied about things that they're doing wrong.
And so, the medical director is asking, “Hey, how do I hold people accountable in a safe space and still hold them accountable and correct their deficiencies because shouldn't they have figured this out by now?”

Dr. Andy Roark:
Yeah, this one spoke to me. It spoke to me for a couple of reasons I'll get into. Yeah, I really felt this. Let me start off by saying that this is wildly frustrating for me. This is my personality type, and so, I feel this in my bones when they're like, “We have all these people and I ask them,” I say, “Quick, do this thing.” And they're like, “I don't know how to do that.”
It reminds me of when my kids were little and I would look down at my watch and realize that we were going to be terribly late, and I would say to them, “Put your shoes on.” And I would say, “I don't know how.” And I would say, “What? What do you mean you don't know how?” “I don't know how.” Again, I don't mean to mock the people who don't know how, but that's how I feel myself when I'm going, “Guys, let's go.” And they're like, “We don't know how to do that thing.”
Let me tell you… So, anyway, let's get into headspace on this.

Stephanie Goss:
Yep, I like it.

Dr. Andy Roark:
The first thing on headspace is let me tell you why I hate this so much. It's because I want to get things done. I am a busy guy doing busy things, lots of people to see, lots of pets to fix. The fact that you don't know where we keep lint rollers is slowing me down and I have a fundamental knee-jerk reaction to this.

Stephanie Goss:
I laugh because that's the perfect example because we can-

Dr. Andy Roark:
I'm like, “You can't go in the room like that and then look like Chewbacca.” I'm like, “You can't go in the room like that.” They're like, “I don't know where the lint rollers are.” And I'm like, “Argh.”

Stephanie Goss:
That's the perfect example. Uh-huh, uh-huh, I get it.

Dr. Andy Roark:
Yeah. And so, it kills me, and then it happens again and again because if they don't know where the lint rollers are, they also don't know where other things are. Or if they don't know how to do a thing, they also don't know how to do another thing.
And this coming from the guy who didn't know how to put people on hold for the first year that I worked in a practice. I would just set the phone down because no one showed me how to use the phone. I just showed up and they were like, “You know how a phone works.” And I was like, “Of course, I do.” And then I hung up on the first six people that I tried to put on hold.
So, then I would just set the receiver down and be like… I would yell to the front, “Hey, front desk. Pick this phone call up.” And so, I throw stones from glass houses when I get mad at the staff for this because I am just as guilty as they are.
All right, so that drives me nuts. Then the other thing is I hear my own voice in my own head saying the thing that I say all the time, which is if you are surprised by a thing again and again, at some point, it's not a surprise anymore, it's your business model. Which is a favorite saying of mine, which I hate it when I say it to myself.
Haughty Andy will be in his own mind going, “Well, if you're surprised by this again…” I'm like, “Shut up, Andy.” I hate it because that's also the thing, right? So, when the whole team is like, “We don't know how to do this,” and it's not one person, it's all of the people around you, and they're all not knowing how to do different things. At some point, I can't be mad at them because having untrained people is my business model.
And then I'm like, “Dammit, it's me. This is my problem and it's my fault.” And I hate when I realize that it's my fault, but it's totally my fault. And then the last thing that I have… this is an emotional journey, I know. The last part of this emotional rollercoaster.

Stephanie Goss:
It's okay. I'm here for the rollercoaster today.

Dr. Andy Roark:
Oh yeah, the last part of the rollercoaster is the feeling of complete overwhelm when you are like, “Oh, crap. I have to teach a large number of people how to do everything,” and they get mad when I try to teach them all the basics because eight of them say, “How dare you teach us this?” And two of them don't say anything because they didn't know, and they needed to hear it. But I have to hear about, “How dare you make us sit through a class on how to use the telephone? What idiot wouldn't know this?”
But in all seriousness, it is overwhelming. And so, all of that comes around to the reason that you and I and our team is doing the Get Shit Done Shorthanded Conference in October. We're doing this virtually. In all seriousness, walk with me here, the reason I wanted to do this conference, Get Shit Done Shorthanded, is because that feeling of overwhelm when you're like, “Nobody knows how to do all the things and I don't know how to train a group of people to do everything.”
And we are so busy, and we are so frantic, the idea of starting over with, “Here is how you put someone on hold,” is soul-crushing. It just makes you feel like you are drowning, and honestly, it makes me want to just pack my things up and go home. I'm just like, “I just…” When you look at it and you're like, “Holy crap, we have not done training on any of this stuff, and the amount of work it's going to take to get everyone on board and all at the same levels where they need to be and to fill in all of these holes in everybody's knowledge is…”
It's Mount Everest. It is so demoralizing to look at. I have felt that many times in my career. I think a lot of people are feeling that overwhelm demoralization about a lot of things in their business right now.

Stephanie Goss:
Yes, sure.

Dr. Andy Roark:
And so, all joking aside, when I looked at this thing in the mailbag, I go, “I know how that person feels and I have 100% been there. And it feels like it is an insurmountable obstacle to get out of this and to get everybody on the same page.” And so, anyway, that is the emotional journey. The first thing is being frustrated at the people, and the second thing is realizing that if it's happening across the board with a lot of different people, it's not them. They have been set up to fail or we have holes in our business platform and our structure and our models and our training.
The last thing is then to let the fact that you have what feels like a completely overwhelming problem to deal with. You have that sitting on top of the full workload you have right now, and you need everyone to go 30% faster than they're going right now. And you have recognized that you need to go back over and start over with the basics, and it is soul-breaking.
And so, anyway, that's why I get excited about this topic. I love to talk about this, I think this is really important. We have a whole conference that is aimed at people who, whether you're an owner or a manager or a head tech or whatever, if you're feeling that overwhelmed, if things like this just feel super daunting to you, the Get Shit Done Shorthanded Virtual Conference is coming up in October.
It is a three-day… I think it's spread across three days, and it is virtual. It's 250 bucks to register, something like that. It's super affordable, there's no travel, no nothing, but anyway, that's the type of stuff that we're doing. But that's why I really wanted to wade into that specific topic. It's because so many of us are feeling this overwhelm. And I go, “No, we can…”
We had played with the idea of calling it Get Shit Done When You're Overwhelmed. That was the other title that we worked with. And so, anyway, that's the subject matter that we're putting a whole conference aimed at because I just think it's so prevalent.

Stephanie Goss:
Yeah, I think it's about talking about solutions, which we want to do on the podcast, and at the same time, the most common feedback that we get about the podcast is it made me realize that I'm not the only one. That is a huge part of you and I's individual whys for why we do what we do with Uncharted, which that it's about connecting with your peers and recognizing you are not alone, and your problems and your clinics are unique.
And they are different than everybody else's to a degree. At the same time, the underlying things are the same, and like you, I am looking forward to being able to talk about some of this when we get to GSD. When I saw this episode, I had a lot of the same thoughts as you because… I laughed through your whole rollercoaster because I see it and I recognize it.
And it is frustrating, it is soul-crushing like you said. I'll tell you, for me, where the headspace has to start is you've got to take a deep breath because it is frustrating as hell and we know that when we get frustrated, we tend to reach, most of us, for the flaming raging sword of justice. And we just want to strike down everybody in our path and be like, “People, get out of my way. I've got work to do. I don't have time for this crap.” That's not the right answer. You got to take a deep breath and we got to get centered.
The thing that stuck out to me in the email here was that our medical director friend said that people are saying I've never been shown that for things that are so basic, they must have seen it before. I'm going to tell you something. I'm going to tell you guys a story and I'm going to give you some real true honesty.
I will tell you I consider myself a pretty okay manager, and I've done a lot of things wrong, and I've done a lot of things right in my career. I will also tell you I will 100% cop to the fact that I had great training protocols and processes and levels and all of the things that you're supposed to have, and I guarantee you that I had multiple members on my team who did not actually receive the exact same training.
It's just the facts even if you have all of those systems and structures and protocols and processes, it's different. Every time you go through it. And so, do you actually teach people the same thing every time? I would say that most of us don't because the situation changes, the day changes. The patient in front of you changes.
And so, the goal for a lot of us should be shifting our training to doing things over and over repeatedly so that it's not, “I showed you this one time.” So, that you even out those bumps along the way. We're going to talk about that when we get into things to try, but I'm going to tell you guys the story, which is laundry is actually not simple.

Dr. Andy Roark:
Yeah, that's a great one.

Stephanie Goss:
And I'm going to tell you, at my last practice, I came in one morning and some of the members of my team said, “Hey, the laundry room is flooded.” And I was like, “I'm sorry, what?” And they said, “The laundry room is flooded.” So, I put on a person-of-all-trades hat, and I go into the laundry room, and I roll up my slacks, and I dig into why is the laundry room flooded?
I'm like, okay, so the wash was totally unbalanced, and it started flooding, and okay, we've made this mistake. So, I called over the team members that were there that day who had been working on the laundry and they said, “Hey, this happened. There was a really big blanket because we had had a large patient euthanasia the day before, and they said, “It was at the end of the day, so we didn't stick it in last night. So, it went in first thing this morning, and it must have been too heavy, so it was off balance.” Okay, great. Problem solved, cleaned it up, no problem.
The next day I'm like halfway through my afternoon and I get an emergency page and they're like, “We need you downstairs right now.” I run downstairs, the laundry room is flooded again. I'm like, “What happened? Tell me what happened guys.” And so, they're like, “I don't know. Water started appearing.”
So, I came out, I'm like, “Okay, it's flooded here again, and I don't understand. It is a pretty big load. Okay, we talked about this yesterday. Maybe we need to have a repeat conversation because, oh, look, Caitlyn is here today, and she wasn't here yesterday. So, let's have the conversation again, and let's make sure everybody knows. Oh, today I'm going to post a message on Slack. Kate, by the way, if you weren't here, so everybody's on the same page you got to check and make sure it's evenly distributed.”
I'm not even kidding you, every single day that week the laundry room flooded, and I was like, “What in the actual hell is going on here?” And so, I get to the end of the week and I'm like, I don't understand. So, actually, the last day, the washing machine isn't even on. The only thing running is the dryer, and the laundry room was flooded again. I'm like, “What in the hell is happening.” So, as it turned out-

Dr. Andy Roark:
How did you guys flood the room with the dryer?

Stephanie Goss:
That's actually a thing that I didn't know was a thing because when you overload the washer and then you take the sopping wet stuff that was in the washer and you put it in the dryer, the dryer actually also has an overflow valve. So that when it drains too much water at one time, it has an overflow, and it can actually flood. That is a thing that I learned at almost 40 years old.

Dr. Andy Roark:
Yeah, I was today years old when I learned that.

Stephanie Goss:
Exactly, right? I thought, okay. I thought… All these thoughts are going through my head, and I'm thinking, “I have a team full of all of these people who, they live on their own. Most of them have partners or spouses, lots of them have kids. They're all in their 20s and 30s.” I didn't think that laundry was so hard. I did think this was a skill that I was going to have to teach, and yet, I spent, at this point, once we figured it out and got the whole thing solved, almost two weeks into this process, I'm like, “Oh, wow. Okay. So, it turns out laundry is not actually that simple.”
After that week, I was raging. Man, I was like, “I'm going to murder all of you, all of you chicks.” I'm literally in the treatment room bright red, ready to throw down with somebody because I'm like, “You guys, I cannot with this. Come on.” The reality is laundry is not simple, and we had to take the step back and say, “Have I actually ever shown them what doing laundry in a veterinary hospital looks like? What it sounds like. What does it smell like when it's done and it's actually clean versus when it's not clean?”
So, I started asking them, and as it turns out, all of them had had varying different degrees of introduction to our washing machine, our system, things that they should check for that are different in our hospital that maybe weren't the case in their last hospital, or they've never worked in a hospital before.
And so, when I stepped back from the anger and the frustration, what I was able to recognize is, okay, before I go pointing my finger in the treatment room at all of them, and I'm like, “I'm going to kill all of you.” I have to look at the fingers that are pointing back at me and my team because what I recognized in that moment was, “Oh. Okay, so there actually is some ownership here on my part because I can't just assume that they must have seen it before.”
Because that was the assumption I made. I thought these are bright, intelligent people, at the time a hospital full of women. So, all bright intelligent women who live on their own, who do their own laundry, who have been doing their laundry for years, who have children who they're doing their laundry for. I think that they could figure out how to do the laundry.
Actually, that doesn't absolve me as the leader of doing my part to teach them how it should be done in my hospital and with our equipment. And so, it was a huge light bulb moment for me. And so, I share that for two reasons. One is that, look, it happens to all of us. There is always going to be that moment for all of us no matter how tenured we are in veterinary medicine or as a leader, where we have to look at ourselves and say, “Oh, okay. I actually do have some responsibility in this,” number one. And number two, the laundry isn't always that simple.

Dr. Andy Roark:
Yeah. Well, I'll use an analogy that spoke to me years and years ago when I came across it. I was reading a book on the legendary college basketball coach John Wooden. And so, he coached at UCLA, a Hall of Famer. He's amazing. I read this book on him, it was talking about he's working with college basketball players at the premier school in the country for college basketball players.
The first thing that John Wooden would do on the first day when new players came onto his team, was he would teach them how to put on their socks. They would all sit down together, and they would go through the anatomy of the sock and putting on the sock. I'm not kidding, this is 100% a true story.
People would ask him about it. I think it was probably mostly for show to say, “You guys don't know anything, you're here to learn. And I don't care who you were in high school, we're starting over.” But they asked him about it, and he would say, “I don't know these kids, and I don't know what they know, and I'm assuming nothing. And so, we start with how to put on your socks and shoes the right way.” And he would do that.
I've never forgotten that because it's such an extreme example, but in another way, it also makes a point of, “Hey, we have our way that we do it here at UCLA.” I just always thought that that was really, really interesting. I think you're exactly right on how to do laundry is we make a lot of assumptions about what people know and what they don't, and everything is different.
You know it's funny, I see a lot of times just in headspace, and I'll say this is another reason that this exact problem bothers me so much because there is a spectrum in what our expectations are, and it comes a lot from who you are as a person. On one end of the spectrum is I want people to jump in, take initiative, figure it out, get things done. That is 100% where I live. I live on that side of the spectrum.
On the other side of the spectrum is there's a plan and a protocol, and everybody should be trained, and we should all know what we're doing and how we do it and how we move forward, and you need to do it the Blank Animal Hospital way. That's not bad, they're just different. You can't have, “Don't touch anything until you're trained,” and, “Jump in and figure it out and get it done.”
Again, everything is a spectrum. I am far on the first side of that spectrum, which is everybody should be able to figure it out. And so, the natural progression of living on that side is ultimately, you have a lot of holes. At some point, you're going to realize everybody has figured out different ways to do it, and there's not a lot of uniformity.
It works great when you're a startup. It works great when you have nine employees and you hire good people and you lead with a good positive culture, and the clients generally love it because they have no idea about the inconsistencies that are happening there.
It doesn't scale, and I think a lot of what we're seeing right here in this exact episode is these people started out small. They probably started out with a good culture and good people and good leadership and probably a good mission and purpose. And everybody jumped in, and they figured it out and they worked hard, and they did things. And now we've had this turnover and the practice has probably grown, but we are now at this place where the systems are broken down and we are getting big enough that people doing things different ways is becoming obvious because they're not able to communicate across this larger organization well.
And so, that's where I tend to see these things a lot. I know that this person said they had a lot of turnover. I think that creates it too, but generally, I see it, not with turnover. I see it with growth. I see it when practices hit 20 employees, and now we have a problem. That's where this comes to me.
But anyway, I'm just being honest about the fact that I hate this problem with a burning passion because it's one of my own weaknesses. Because I am such a mission-driven person and a, “Let's go…” I do great at empowering individuals to do what they're great at. I do much less well at setting systems to get people on the same page.
I still maintain that there's a spectrum there and you can go too far in the other direction. Stephanie Goss, stop laughing at me. Stephanie Goss who had… Stephanie, what's in your handbook, Goss as we call her.

Stephanie Goss:
Exactly, it is extremely painful at times, speaking from real life, as our company grows, and as we learn to scale. Poor Andy, when I say, “Hmm, that probably should be in a handbook. That probably-“

Dr. Andy Roark:
I get so mad. I get so mad.

Stephanie Goss:
That probably should be an SOP because he knows that there are instances where I'm right, and it's give and take, right?

Dr. Andy Roark:
Yeah, totally.

Stephanie Goss:
There are also instances where Andy's side of the spectrum makes more sense and I have to let go of that control and let go of that need for there to be organization and structure because sometimes the spectrum works because you have the fluidity there and you move up and down the spectrum as needed, and that's part of the challenge. That's part of the give and take of being leaders. And so, it is-

Dr. Andy Roark:
To me, it is about ebb and flow. I don't mean to be cheesy, it's the yin and the yang.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
My experience, and just how I run programs and initiatives, are I do lean far into the, “Everybody jump in, let's figure it out. I believe in you. I believe we have good people. I've shown you the vision. I believe that we're all in alignment about why we're doing this work and this purposeful work.”
And generally, for me, it's that's how you start. What I've learned is you should start that way because we don't know enough to make systems. We've all worked in places where people start making systems that are stupid systems that don't work. And so, it is a great way to try new things, to figure out what works, to throw spaghetti against the wall, to leverage the skills of the group.

Stephanie Goss:
Yeah, see what sticks.

Dr. Andy Roark:
But then you have got to shift to the other side, which is now we've done this, it's time to systematize it. It's time to standardize it, it's time to get everybody on board and make sure that we all know what's going on. And so, I really do think it's that give and take.
And so, to the writers, I would say your frustration is 100% understood. I don't want you to lose heart, everybody goes through this, I think. Unless you start off making protocols, which you can if you came from a place that already had them or if you are just mega-organized person.

Stephanie Goss:
Even when you do that, I think you were spot on when you said everybody is going to deal with this at some point. So, I think the headspace piece really is you are not alone, and it is completely frustrating, and we see that and feel that. And so, you got to start with a deep breath and get it together because you can't attack this with frustration for sure.

Dr. Andy Roark:
Oh, yeah. And here's the sick twisted part of that is we say you can't attack it with frustration, but the truth, Stephanie, is you only deal with this when you are already overwhelmed and you're stressed and you're frustrated, right?

Stephanie Goss:
Yes. Yes.

Dr. Andy Roark:
Here's the thing. If you weren't getting your butt kicked, you wouldn't care that people didn't know things because then you would just take the time to show them. And you could walk along, and you could teach them as you went, and you wouldn't even notice you were doing it. The only reason that it hurts is because you're so busy and you don't have time to do this.
And so, it's funny, you don't have this problem if you have time to deal with it because you don't even know this problem is happening, you just fix it. You only have this problem when you don't have time to deal with it, which means by design, if you have this problem, you are stressed and frustrated, which is really hard.
The last part of headspace that I want to say before we start really getting into how to get out of this hole is it is hard to stomach this idea, but it is the best salve that I have found for my own irritation. Which is you need to believe that sometimes you have to slow down to go fast. You just do. You're sprinting and people don't know things and things are breaking and there's frustration every day.
I will talk to people, and I will say, “Look, man, you got a choice. You can keep doing this and dealing every day with the same problem again and again, and the fallout, and it's not going to stop. And you are going to be dragging this burden with you for the foreseeable future. Or you can slow down, and you can get your head straight, and in three months, you can make significant strides in actually putting this problem behind you.
“But for those three months, you are going to have to slow down, and that might mean you are going to have to find hours in your day to do training, or you're going to have to see fewer cases personally, or you're going to have to… Yeah, you're going to have to take your head technician off the floor seeing rooms and do training.” And people go, “But I can't do that.”
And I go, “Well, then you're going to continue to do what you're doing. Those are your two options. You slow down and work on the problem so that you can then get past it, or you can continue on as you're doing being overwhelmed and working with people who are angry then frustrated themselves because they're not getting trained. Which of the two poisons would you like to swallow? Because you're getting one of them.”

Stephanie Goss:
Yep, I love it. That feels like a good place to take a quick break and then come back and talk about, okay, so how do we actually hold them accountable?

Dr. Andy Roark:
Sounds good to me. Hey, Stephanie Goss, you got a second to talk about GuardianVets?

Stephanie Goss:
Yeah, what do you want to talk about?

Dr. Andy Roark:
Man, I hear from people all the time that are overwhelmed because the phones don't stop ringing, and I'm sure you hear from these people as well. Like, “Our caseload is blowing up and the doctors are busy, and the phones just don't stop.”

Stephanie Goss:
They never stop. That is a true story.

Dr. Andy Roark:
I'm amazed by how few veterinarians know about GuardianVets. This is a service where you have registered technicians who can jump in virtually and help you on the phones. You can flip the switch and GuardianVets can jump in and take some of the load off the front desk. They can handle your clients and get them booked for your appointments and give them support, and it really is a Godsend.

Stephanie Goss:
Pre-pandemic, it was amazing to me how many people hadn't heard about it for after-hours call help, but at this point, I can't believe how many people don't realize that they are offering help during the daytime as well. Which I would think right now is a huge benefit to practices because everybody is shorthanded, everybody is drowning in phone calls.
And so, we talk about it, we've talked about GuardianVets a lot on the podcast, and every time we do, we always get somebody who says, what is that?

Dr. Andy Roark:
Guys if you're not familiar with GuardianVets, if you think that you can use some help on the phones or at the front desk, check them out. It's guardianvets.com. And if you mention our podcast, me and Stephanie Goss, you get a month free. So, check it out, guardianvets.com
All right, let's get back into this and talk about what we're actually going to do with this. Have you got an action step you want to start with?

Stephanie Goss:
Yeah, for me, it goes back to the first part of our headspace, which is taking a deep breath. And so, I think you have to take a deep breath. And then because I think the first thing that you have to do is I think you have to look at your processes and your training and the teaching piece of it with some fresh eyes. You have to be able to look at this from that 30,000-mile view perspective, and you can't do that when you're frustrated.
So, give yourself the space, take a deep breath, get the frustration under control. And then, I think you have to take a look at what does your training process look like because, for me, a part of it is it goes back to the email that we got, which is there's team members who are saying, “I've never been shown that.” But they're things that are super, super basic, they must have seen it before.
For me, it's about asking yourself the questions like, “Does it define? Do my processes define clearly for my team what a great job looks like, what it sounds like, what it tastes like, and it smells like in my practice, in my building?” I think that there's two pieces to that. One is you have to define for yourself what a great job looks like, and I think part of it is in looking at what you have in terms of your training protocols and processes already.
And then the other piece of it is asking your team to tell you what they know. And that was painful for me when I learned about the laundry because I literally had to sit down with each member of my team and have a conversation and say, “Tell me how you do the laundry.” As I found, doing the laundry was a different process for every single member of my team.
Now, all of a sudden, I understood why the laundry room flooded for a week straight because I have 12 different people who are doing 12 different things. There's no consistency, and they weren't all aware of all of those pieces. And I would not have necessarily been able to see that if I didn't take a look.
I didn't tell them, “This is how you do the laundry.” I said, “Tell me what you're doing. I want to understand it. I'm going to close my eyes, I'm going to sit here. I need you to make me see it, I need you to make me smell it, I need you to make me taste it. What does that look like?”
In our practice, if you have done a stellar, I'm going to give you a gold star for having done this kind of job. What does that look like? And then the trick is you've got to be able to find the common ground, so you know what your idea of great sounds like. And now you've got an input from your team about what their version of great looks like.
So, how do you bridge the gap? Because usually there is a gap. You're over here, they're over there, how do I bridge these two things? Because it's not about reinventing the wheel. It's not about writing new protocols, it's not about necessarily writing new processes unless you look at this and recognize, “Okay, we don't actually have a process to teach people how to do the laundry or how to mop the floor or sweep the exam rooms after an exam.”
And you may find that you have deficiencies where you don't have protocols and processes. And that would be the exception where now here's your opportunity to use the same methodology and apply it to creating a brand-new protocol and say, “What does a great job for this look like in this clinic?” But otherwise, it's about figuring out what does that look like in your head, and what does it look like in the team's head, and where is that common ground?

Dr. Andy Roark:
Yeah, I agree with that. Okay, let me… Can I break that into some smaller pieces?

Stephanie Goss:
Yeah.

Dr. Andy Roark:
So, I'm going to lay down for you the steps that I have taken to deal with this in the past.

Stephanie Goss:
Okay, I love it.

Dr. Andy Roark:
Because it happens to me all the time. And so, I look around and people don't know things and there's holes in the system and people are doing things different ways. And it's because they have been buoyed on by my enthusiasm and by inspiring-

Stephanie Goss:
Not speaking from personal experience.

Dr. Andy Roark:
Yeah, my inspiring motivational speeches that I do.

Stephanie Goss:
Novels that you write.

Dr. Andy Roark:
Exactly, I do. By the pages and pages that I write into Slack to inspire and motivate the team. Okay, they-

Stephanie Goss:
We heard you, Andy Roark.

Dr. Andy Roark:
All right, so I've done all these things, and now people don't know things and we're not communicating. It's not working. All right, so I'll give you the Andy Roark process. Process number one, mourn. Mourn. You have to mourn. You have to mourn the reality where people just figure it out themselves.
I will tell you, for me, that is the longest, hardest process is just giving up on what people should do. It's me polishing the sword of justice and then putting it back away being like, “It doesn't matter that they should know how to do this. Who doesn't know how to answer the phone or do the laundry? I don't know.”
It seems like a failure of society to me, but I am going to mourn the imagined reality where people just knew what to do, and then I'm going to be like, “Okay, they just don't. It's acceptance of where we are.” And I say that in a joking but not joking way.
And then I have to say, “Okay, we are going to have to slow down so that we can ultimately go fast.” It is accepting that and saying, I am willing to make the short-term sacrifices, which are going to suck. But I am going to make those sacrifices because I believe this has to happen so that I can have the job that I want and the life that I want and the business that I want.
And then, I am going to go and recruit a process person. I'm kidding, not kidding.

Stephanie Goss:
Key step, mm-hmm.

Dr. Andy Roark:
Yeah, it is a key step because I am not a process person. I don't want to make a handbook. I hate it. I don't want to do it. I don't want spreadsheets, I don't want to do any of this thing. But I look at Stephanie Goss or I look at Jamie Holms who is my right hand for 10 years, and I'm like, “Hey, Jamie, what do you think about having a handbook?” And her eyes get big. It's like I looked at her and said, “Hey, Jamie-“

Stephanie Goss:
“Do you want a puppy?”

Dr. Andy Roark:
“… would you like a yacht full of puppies?” That's the look on her face when I say, “Would you help me get this organized?” And so, find someone whose heart flutters when you show them a spreadsheet with multicolored tabs and say, “Would you help me get this in order?”
I think you need to have that person. I think it's really hard if you don't have that person, so I would try to find that… I married that person. That was the best move I have made in my career. I highly recommend it. Not mine, she's taken, but find yourself-

Stephanie Goss:
Find your own.

Dr. Andy Roark:
Find yourself a partner. If you're me and you struggle with these things, find yourself a partner who loves the spreadsheet, and lock her down. Okay, get that process person and then you're like, “We're going to fix this.” That is when you look at the mountain of work ahead of you and you get overwhelmed, and then you're probably going to cry again and be like, “This is too far.”
The next thing that people really struggle with is you cannot just tackle the fact that people in your practice have holes in their knowledge. It is too big a… It's too big. It's just too big a problem. You have to figure out how to break this apart into pieces so that you're not so overwhelmed, and you have to forgive yourself…
And also, again, you have to accept that you can't do all the things. You're going to do some of the things. You're going to get started, and you're going to break this up into a chunk that you can attack and overcome, and then celebrate and feel good about. You need to do that, and that's where I think so many people just… They get option paralysis, they get overwhelmed, they just stop at the base of the mountain and stare at it.
You can't do that. You've got to do some priority setting, and so, there's a couple of different ways that you can do priority setting. So, one, I think it's funny, I think Stephanie mentioned it there, testing is not a bad idea. Especially if there's something you know you want.
Like the laundry, if you're like, “Hey, here's a quick test. Here's a laundry test. I just want you to run through it real fast. It's not for anything, I just want to see what you know.” Bang, and it's a quick way to just see, “Okay, we have some holes. We have some problems.” So, you can do some testing.
What is the most common headache that you have? If you have client complaints all day every day, you, my friend, have a common customer service problem. And if that is the most common headache that you have is sorting out unhappy clients who have dealt with your staff, that is the thing that I would do first. I would say we are going to work on our customer service protocols, and I would pull that out.
What is the most severe problem that you have? Oh, well, we had a pet die under anesthesia recently because we didn't have our crash cart ready to go, and everybody's really upset about it. I would say that, my friend, is your most severe problem, and maybe that is where we are going to start. Pick one. Something has to go first, but what is the most common, what is the most painful?
Do you want to do this by department? Is this a thing where you're going to say, “All right, the front desk is going to work on this, and the techs are going to work on this, and the surgery techs are going to work on this”? And then you can break it apart. Not everybody has to get trained on everything, especially at the beginning as you're developing this.
Maybe the front desk is going to develop the how to answer the phone protocol, and the surgery techs are going to develop the anesthesia pain management protocol that we start with. You can split it up by department.
And the last thing is you can split it up by focus and you can say, “Guys, we're going to work on customer service, and then we're going to work on anesthesia, and then we're going to work on our wellness plans and communicating about our wellness plans.” And you can break it up into focus, but you cannot do all the things at once. It's just too big for your own sanity.
And so you can feel like you're making progress you have got to break it out into these smaller groups. And then, once you've got that, you are ready to get started. So, once you've got your window, your area, “Guys, we're going to do customer service 101, and that's what we're working on.” Or, “We're doing anesthesia,” whatever it is, but you've got a bite-sized chunk.
Then I go to the team, and this is what Stephanie was talking about before because I don't know what they don't know. The other thing is the quickest way to screw this up, especially when you're starting with the basics, is to act like you are imposing this on them, and especially them as individuals.
We saw that with the writer being like, “Oh, they get offended when I say, ‘I'm going to teach you this basic thing.'” The way you get around that is you come to them as a group and say, “Guys, this is what we want to work on, and these are the objectives I want to achieve. And so, what I want to do is talk to you guys about what protocols do we need? What are the things that people do differently, not some might do them right and some might do them wrong, but what do we do differently? What are the steps that we need to take to check clients in, to get them into the exam room, to check them back out, and to get them out the door?
“What are the areas where you guys see pushback? What are the areas that clients get upset? When does that happen?” And I want to get them to reiterate, “Yes, we see this problem. Yes, we feel pain from this problem.” And I need them to understand, this is not about you personally, Donna. This is about the whole front desk staff coming together and us all going through the same program and getting on the same page about what we do and how we do it and recording that so that we can train other people in the future.
It is very much not about calling anybody out. It's about us coming together to figure out what we need to do to support each other, and what we as a group think is the best approach. And then recording that so that we can train other people in the future.

Stephanie Goss:
Yeah, I think you're spot on, and I think a lot of it has to do with this is an opportunity actually, even though it might be born out of frustration. This is an opportunity to develop a growth mindset in your team because the reality is there will always be change. That is the reality of life.
Someone will always get married, somebody will have a baby, somebody will move. There will always be change in our team, if not now, five years from now. At some point, it's every single one of us. It is unavoidable.
And so, we may be static. For as long as we are static as a team and work together as a team, it's not wrong to say, “We are doing a great job, and do we ever want to be better?” Because we could still be doing a great job and still want to get better. Those two things are not mutually exclusive, and where I think a lot of us screwed this up, where I have screwed this up more than once, believe me, is to look at it from the perspective as the leader of, “We are focusing on this because something is going wrong.”
If you develop a growth mindset in your team, it can be, “We are doing this right and we can still do better and leave room for ourselves to continue to grow as a group, as a team, as a hospital.” And so, we're going to look at it from that perspective.
And so, for me, this is a huge opportunity, and I think it goes back to what you were saying, which is that you take that step back and then you lean into talking about this with the team and really helping encourage them to develop that growth mindset.
Because let me tell you, the difference maker here, I have failed miserably at this, and every time I have failed miserably at this has been when it has been approached. Whether it's myself, a member of the leadership, or a practice owner. When it has been approached from the perspective of, “Everybody is doing the laundry wrong, and we need to fix this problem.”
That immediately puts everybody on the defense, gets everybody into negative headspace, and makes them feel like they are doing an insufficient job. And the reality is I did have members on my team who were doing an insufficient job. I also had members on my team who were doing a great job, and the reality was we probably were pretty balanced somewhere in the middle because the laundry room flooded every day for a week, but before that, I had months where we didn't flood the laundry room.
So, the reality is they were doing an okay job and we were in the middle. And so, when we approach it from that perspective of how do we ultimately do better as a group? Not because we were doing it wrong, but because there's always opportunity for improvement. That is a game changer.

Dr. Andy Roark:
Yeah, I'm really glad you said that. I think that's just such a great, great point. It's so important and I completely agree. Number one thing people get wrong is they pull the team together and say, “Guys, we are not doing a very good job. We are sucking this up. Guys, this isn't working. We've got real problems,” and everybody gets defeated. I've seen it a million times.
As opposed to saying, “Guys, you guys are working your butts off. I want to make sure we're all on the same page. I know how overwhelmed you are, and I really think that by getting some systems and programs in place and smoothing out what we expect from each other, we can go to the next level. And then we can make your lives easier because I know how hard you're working, and I don't want it to continue. I want to make things smoother and simpler for you.”
And that is 100% how I approach these conversations, not people are doing it wrong. And some people out there who are sitting cradling their flaming raging sword of justice are like, “But Andy, they did do it wrong.”

Stephanie Goss:
They are doing it wrong.

Dr. Andy Roark:
“And they should know about their failure. And the ones who did it right should know that they are superior to the ones who did it wrong.” And that I would say, “Continue to clean your flaming raging sword, just keep it in your office.” The truth is I don't give a crap about what happened last week, you know why? Because last week is over. It is unchangeable, it is chiseled in stone, it is in the books.
I don't care who messed up the laundry last week because that's done. You know what I do care about? I do care about not messing up the laundry next week. That's the only thing because I have control over that. I have no control over what happened last week, so no, I don't care who messed it up last week. What I do care about is I don't want to get messed up anymore.
And so, I'm not going to do the blame game. I see so many people who are like, “We need to figure out who did this.” And I was like, “No, you don't. Just fix it.”

Stephanie Goss:
It doesn't matter. Fix it, yeah.

Dr. Andy Roark:
Make it not happen again. And if no one ever knows who messed up the laundry, the world will continue to spin. And people are like… I know people whose heads explode. The idea of not Sherlock Holmesing this down until you're shining a lamp in someone's face, and they break and confess. I'm like, “No.” They're like, “That's how it has to go.” And I'm like, “No, it doesn't because there's no benefit to that over just bringing everyone together and saying, let's get on the same page and make this not happen anymore going forward.”

Stephanie Goss:
And I think the email speaks to that, which was their question was, “How do I hold them accountable?” In a safe way, sure, but how do I correct the deficiencies? I think that's because our human brains automatically jump to, if someone doesn't take responsibility for this, then I have not held them accountable. And those two things are not mutually exclusive.
You can absolutely hold the team accountable and fix the problem moving forward, without Sherlock Holmesing, without shining a bright spotlight on a person or persons. It is about… And so, this is where my answer for our writer was really, for this piece, especially when they're getting feedback from the team, that the leadership feels mean or feels like they're being bullied about things.
The transformation, for me as a leader here, comes when I personally chose to dig into the mean. That resonates with me because I have had that said to me. I have had people say to my face, “I think that you are being mean, and I don't like the way that you are approaching this.” And it's hard to hear that.
I'll tell you that on a personal level, the big change came from when I really let myself dig into that because the reality is I want change for them. I don't want to be mean. I didn't wake up today and say, “I want to be mean [inaudible 00:52:50] to my whole team.” I didn't choose that.
I don't know anybody who would. I'm sure there are some people out there who just love to be mean or love to be miserable, but most people I know, that's not the case. I didn't choose this, but I do want there to be change. When I can learn how to change the vocabulary that I'm using, and the body language that I'm using to convey the fact that I want to make change happen.
It's not about being mean. I'm not choosing to be mean. And so, I need to understand what they are perceiving as being mean or angry or bullying because it's a perception problem. You and I have talked about this before, I need to figure out, is it my tone? Is it the look on my face? Do I got some RBF happening? Did my tone reach into angry land? Am I raising the volume of my voice? Are my arms crossed? Is my body language…
And so, really, for me, it's digging into that and being vulnerable, and asking for some feedback from your team. And whether you do that with your leadership team because that's where you have safety, or whether you really generally do have safety with your team as a whole, and you can say to them, “Hey, look, I don't want you guys to think that I'm mean. I'm going to close my eyes. Can you please tell me what that looks like? When you feel that way, when I make you feel that way, what does that look like?”
And ask them to explain it to you so that you can see it. It's not about judging them, it's not about… “I hear you. I don't want to be that way. I'm not choosing that. I need you to help me to fix that behavior because I never want you to feel that way at work.”
You can only do that when you lean into vulnerability with your team, and you ask them for that feedback. But when you do that, then you have an incredible opportunity to say, “Oh, okay. I see now.” Maybe it is your tone, maybe it's your face, maybe it's your body language, whatever it is. Then that creates opportunity for you to address that.
And to your point, it is about talking to the team as a whole and saying, “How do we do better? How do we do this together?” Because it's not about Becky not knowing how to do this. It's not about Sherry as the new person being singled out in front of everybody because they're the only one doing it wrong and everybody else is doing it right.
It is about we always want to show up and give our best for our clients and our patients every day. So, how do we collectively as a group make sure that that happens? And if we're all doing things differently, if we've all been shown how to do things differently, maybe there's ways where I as the leader can help smooth that out.
But I don't know what I don't know, and you guys don't know what you don't know. So, until we talk about it and have that conversation, there's a lot of room for improvement on all sides left on the table if we don't have those conversations.

Dr. Andy Roark:
Yeah. No, I agree. The last thing that I want to say is about being perceived as mean, and also holding people accountable. So, the two things I want to just put down here right at the very end, holding people accountable is often seen as a negative reinforcement experience. Meaning I'm going to hold people accountable, which means they're going to get in trouble if they don't do what they're supposed to do.

Stephanie Goss:
Yes, they're going to get disciplined.

Dr. Andy Roark:
They're going to get disciplined, and then you're like, “Why do they think I'm mean?” I'm like, “I don't know, maybe-“

Stephanie Goss:
Because the only time you hold them accountable is when you write them up.

Dr. Andy Roark:
Right, exactly. Maybe because you have a whip, and you crack it on them when they don't do what they're supposed to. The two things for me that I put on the table to address this perception of being mean, and also to hold people accountable. Number one is remember to explain your why when you are asking them to do these things.
The why should mean something to them. If you say, “You are supposed to do this because that's the protocol.” And I know people who are genuinely process people who are like, “You're supposed to do it because that's the rule.” And they're talking to me and I'm like, “I don't care what the rule is. If that's the best reason you have-“

Stephanie Goss:
I don't care.

Dr. Andy Roark:
“… you and I are not going to get along because I don't care, that's what the rule is.” You need to convince me that this is worth something, and that's just how I am, and a lot of people are that way.
The why, when we talk about making policies and doing this training is not because you don't know what you're supposed to know. The why is because we want to provide great patient care and we want everyone to be on the same page, and we want to make our clients happy. And we want to get our staff out of here on time, and we want to have people being less stressed out, and we want to have people being less overwhelmed. That is why you are doing it. Not because that's your job, it's in your job description.
I'm not saying that that's what anyone said, but I have heard those things being said. And so, when we want to motivate people and have them be held accountable, you have got to talk to them about why they're doing this thing, and you have to use a language that resonates with them.
And the other part is remember it's a whole lot easier to positively reinforce culture than to negatively reinforce it. And so, rather than thinking really hard, “How do I catch people who are not doing what they're supposed to be doing?” Think really hard about, “How do I catch people who are doing what they're supposed to be doing and reward them and thank them and praise them?” And I promise you will have a lot, a lot of success, and not nearly as much pushback.

Stephanie Goss:
And when they feel the success and they participate in this, that look, the reality is… You spoke earlier about you're standing at the foot of the mountain and you're just looking up and you're like, “How am I going to climb this thing?” The reality is there will always be a mountain.
Protocols, processes, change in our practices are constant. There will always be something that needs to be grown and developed, and every single one of our practices is a never-ending cycle. As soon as you get the whole team trained, something happens, and you start all over again.
So, the sooner you accept that as a leader, and the sooner that you recognize that speaking their language, getting them to understand the why behind it, the sooner your job in the long run of climbing that mountain. You're climbing Everest for the first time and then you're climbing it for the second time.
The sooner you get to that place, the better off you are because then, when you have a team who understands the why and who's bought in, the next time you stand at the base of the same mountain, there are people on your team who are like, “Oh, cool, I know how to do this. I will take this piece on because I recognize this. We did this before. I will lead and I will take it off of your plate.”
And in the long run, it isn't you starting over without a group at the base of a mountain. Now, you've got some sherpas who are there to climb this mountain with you, who are willing to take on some of that burden. And that only happens when you really speak to them and get them to understand the why, and they're willing to come along that journey with you.

Dr. Andy Roark:
Yeah. No, I agree. All right, my friend. Thanks for talking this through with me.

Stephanie Goss:
Yeah, this was a fun one. Have a great week, everybody. Take care.

Dr. Andy Roark:
See you, everybody.

Stephanie Goss:
Hey, friends, have you been over to the website lately to check out all the fun and exciting things that are coming from the Uncharted Veterinary team? If not, you should stop right now and head over there because we have got some awesome stuff coming late summer and into the fall and winter, and I want you to be there with us.
We have our Get Shit Done Conference coming in the fall. That is happening in October. Before that, we've got a workshop coming in September from my dear friend Dr. Phil Richmond. He's going to be talking about avoiding toxic teams, how to create psychological safety in our practices.
We've got the amazing and wonderful technician, Melissa Entrekin who is leading a workshop in October about leveraging technicians. Making practice less stressful for you, them, and your patients. And all kinds of other fantastic things you are not going to want to miss out on.
So, if you haven't been over there lately, head on over to unchartedvet.com. You can hit forward slash events if you want to go straight to the events page. That will show you everything that is coming, and remember, if you are an Uncharted member, your membership gets you access to all of these workshops that we do on a regular basis for free.
And if you are not currently a member, you can check out the membership information because it will save you big bucks throughout the year on accessing all of the workshops. And [inaudible 01:01:15] you access to the conferences when we have them like Get Shit Done for less money. That's right, get a discount, and who doesn't love a good discount? Thanks so much for listening, guys. We'll see you soon.

Written by Dustin Bays · Categorized: Blog, Podcast

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