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TylerG

Dec 15 2021

Making Staff Meetings Worth It

Uncharted Veterinary Podcast Episode 155 Cover Image

What's This Episode About?

This week on the podcast, Dr. Roark and Stephanie tackle an email from the mailbag. We received a note from a multi-site Medical Director who is feeling very frustrated with the way that their practice managers are running staff meetings. Meetings happen once a month and seem to have become a two-hour laundry list of things to lecture the team about, sometimes the same topics over and over. Our medical director is wishing that the staff meetings would become something that the team not only wants to have but look forward to leading! Let’s get into this.

Uncharted Veterinary Podcast · UVP 155 Making Staff Meetings Worth It

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

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

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EPISODE TRANSCRIPT

STEPHANIE GOSS:

Hey everybody. I am Stephanie Goss, and this is another episode of the Uncharted Podcast. Andy and I got a great email in the mail bag that we are going to dive into this week and I love it, it is definitely one of those episodes where both of us are probably going to soapbox a little bit. We got an email about staff meetings, and making meetings worth it. And it comes to us from a multi-site medical director who is really struggling with the fact that all of their practice managers at each location that they're in charge of seem to have a similar problem.

STEPHANIE GOSS:

Which is that the team meetings seem to be a drag, they are boring, they are two hours filled with checklists and to dos, and things, and information that needs to be disseminated to the team, but this medical director is really struggling with feeling like this could be more fun. This could be way more engaging and they want to know how do you decide what's most important to discuss because every time it gets close to a meeting, it feels like there's hours worth of things on the agenda. How do you keep everybody on track during the meetings? And most importantly, how do they turn the meetings into something that the team actually wants to participate in, and is in fact taking ownership of and making their own? Let's get into this one, shall we?

STEPHANIE GOSS:

And now the Uncharted Podcast.

DR. ANDY ROARK:

And we are back it's me, Dr. Andy Roark and Stephanie. Where does the time go Goss?

STEPHANIE GOSS:

Where does the time go? How's it going Andy?

DR. ANDY ROARK:

Good gosh, here in the middle of the holiday rush that is what I am asking myself. I can't get anything done.

STEPHANIE GOSS:

I know.

DR. ANDY ROARK:

No one is available and then I'm not available, and there's emergency elementary school drama practices being called that I'm like, “I'm sorry, that's not a thing.” And then it is a thing and I'm like that's ridiculous. And there I am at 2:55 PM on a weekday in the parking lot of the elementary school, and I'm like if you said to me, these people have so much power over you I would've been like [inaudible 00:02:16] no they don't. Elementary it's an elective program. Let me tell you Stephanie Goss, these people have me by the ear lobe and they take me where I'm supposed to be.

STEPHANIE GOSS:

Oh, that's funny.

DR. ANDY ROARK:

I am a captain of industry, I publish podcasts that thousands and thousands of people listen to every week and they're, “Shut up and be at 2:55.”

STEPHANIE GOSS:

Shut up and be here on time.

DR. ANDY ROARK:

And I'm like, “Okay, I'll be there.”

STEPHANIE GOSS:

Oh, that's funny. It is a very, very busy time of year, and the time is flying. We just got back, I just got back from being in Greenville with you for Practice Owner Summit, and I sat down at my computer this morning and looked at the calendar and went, holy crap. I haven't finished Christmas shopping. And it's funny because I started Christmas shopping like in August thinking, oh, all of this stuff is going to take forever to get here this year, and I did start ordering stuff early, but I left the bulk of the big things that I hadn't done yet. And I sat down this morning, I went, oh my God, is Amazon going to get things here in time?

DR. ANDY ROARK:

Yeah.

STEPHANIE GOSS:

And had that moment of panic. So yeah, the time is flying, I can't believe the new year is almost here. And when we were in Greenville and we were saying goodbye to everybody, and normally when we leave it is very sad because it's like, oh, it's going to be like six months until we see each other again. And it was very exciting and also scary that I was having conversations with people and I was like, “Oh, I'll see you next month in Orlando.” And it tripped my brain out because I'm like, wait, are we actually going? Are we traveling again next month? It's crazy how fast the time is flying.

DR. ANDY ROARK:

Oh yeah, I agree. I heard reports from the Fetch Conference in San Diego, and I like that conference.

STEPHANIE GOSS:

Yeah, me too.

DR. ANDY ROARK:

I really like San Diego and they got a great venue and the people are really good. Adam Christman is-

STEPHANIE GOSS:

That's where we met for the first time.

DR. ANDY ROARK:

Say what?

STEPHANIE GOSS:

I said that's where we met for the first time.

DR. ANDY ROARK:

It is, it is where we met first. See, I knew I had a warm nostalgia feeling there. Yeah, Adam Christmas, Adam Christmas, Adam Christman over at Fetch he's doing a real good job and he should be really proud. So they're doing good work, but I heard great stuff from that conference and it's like, oh yeah, it's good to have people that I know saying, “Hey, we got back together and it was really good.” And then we were at the Practice Owner Summit and people were like yeah, this is great to be back together. And I'm going, oh, it's happening?

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

It's actually happening.

STEPHANIE GOSS:

Yeah. I'm excited, I'm very excited for everything that to 2020 has in store for us, 2022, I mean, has in store for us. Let's not repeat 2020.

DR. ANDY ROARK:

It's still 2019 for a lot of us.

STEPHANIE GOSS:

That's kind of how I feel. Time has ceased to exist. Anyways-

DR. ANDY ROARK:

Pick up where we left off.

STEPHANIE GOSS:

Speaking of being very, very busy, we had a great question from the mail bag about making time for something, and I thought this one would be a great one for you and I to get into. So we had a message from a medical director who is overseeing a couple of location practices, and they are really struggling to plan team meetings with their practice manager. Because they said there's always so much to go over during meetings, and they are having them currently two hours once a month, and they are struggling with fitting all of the things in during those meetings. And so what it winds up being is discussing the same things over and over again; communication, training, client problems, time and attendance issues, scheduling tips, et cetera.

STEPHANIE GOSS:

Like the list that people sometimes have in their clinic of we need to talk about this at the next team meeting, and then it winds up being a whole laundry list of stuff that could have potentially been an email. I know we're going to talk about that, but it's like the to do-ey kind of stuff and not actually working on the business. And this medical director is really struggling because they're like, how do we make this more or impactful first of all? And how do I get the managers to lead the meetings in a way that makes it feel like it's the team is leading the meeting, and not so much a we're the leaders and we're going to tell you what we want and how we want it. Which is how that checklist of things that need to be talked about comes across, and so they were asking for help with how do I do this?

DR. ANDY ROARK:

Yeah. No this is a great question, there is a lot of stuff here. I think we're going to have to pick and choose how we navigate this because there's so much stuff here, but I think we can do a good job of helping this person. I think that's how I'm going to set it up is let's help this person as much as we can in the amount of time that we have.

STEPHANIE GOSS:

Love it.

DR. ANDY ROARK:

And then this is always fertile ground, and you and I talk a lot about this in a lot of other places, in a lot other ways so we will ultimately make our way across all of it, but today let's do the most good in the time that we have

STEPHANIE GOSS:

Love it. So-

DR. ANDY ROARK:

Which is the takeaway from the question overall, is how do you do the most good in the amount of time that you have? There's a comment that I reference a lot when we talk about staff training, we talk about staff retention and people leaving, and it's got two veterinarians and one of them says to the other one, “What if we train these people and they leave?” And the other one says, “What if we don't train them and they stay?” That feels very much like this problem with meetings.

STEPHANIE GOSS:

Sure.

DR. ANDY ROARK:

Where it's we take so much time meeting with people and we don't have time for it, and the other vet would say something like, we don't have time not to meet with these people because we're so busy.

STEPHANIE GOSS:

Yeah.

DR. ANDY ROARK:

That is going to need some editing, that's not exactly the flow, but hopefully that makes this like I can feel that way, right?

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

The initial thing is what if we train these people and they leave? And it's sort of like we just don't have time to have a meeting, and I'm like, that's the same, that's the same thinking it's the same mentality where on first blush you go, “I totally understand why someone would feel this way.”

STEPHANIE GOSS:

Sure.

DR. ANDY ROARK:

It really is one of those things. Meetings have a terrible reputation, right?

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

Everyone's like death by meeting, and we always have meetings, and I can tell you that Os our little team has grown to a half dozen of us and is growing beyond that. I am looking at our calendars and going, man, we have a lot of meetings. We have a lot of meetings. At the same time I go, this is what it means to run a team of this many people. And I look at our metrics and I say, oh, we're crushing it.

STEPHANIE GOSS:

Yeah.

DR. ANDY ROARK:

We are doing so much work. Our work output is going way up, even though I feel like we're doing lots and lots of meetings. The reason is because we know what the point of meetings is, and we don't do crappy stupid meetings. And so we can come back to what that means and how it means.

STEPHANIE GOSS:

Yeah.

DR. ANDY ROARK:

So anyway, all of that to say death by meeting is a thing, I think meetings have a bad reputation, and the idea that we are going to run teams that busy beyond their capacity without meetings or with few meetings, I think that's false thinking.

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

Team meetings like this fall very much into that category that you and I get into when we're wrestling with practice leaders and medical directors and stuff, and they're like, “I don't have time to have one-on-one conversations.” And we're like, “You don't have time to not have one-on-one conversations.” It's same thing and that's where I see this conversation going is I got news for you, less meetings, more efficient meetings probably not the answer in this case.

STEPHANIE GOSS:

I would 100% agree, and I probably would start off by saying that this is a subject that I'm passionate about, and I will probably soapbox a few times during this podcast episode, but I will tell you guys as listeners I have been in this doctor's shoes in terms of feeling why are we even doing this? Because it feels so wildly inefficient and ineffective. And I hated meetings, and I was like let's just not have any. And I will tell you that there is a book that I read at that point in my career that changed my perspective and ultimately the outcome of it, and learning how to have better meetings changed my life from a career perspective.

STEPHANIE GOSS:

And that sounds crazy dramatic, but totally true, and I am a 100% in the camp of you don't have time not to not work on your business and am really passionate. I mean, we just talked for a week with practice owners about how do we make the time to work on the business? And meetings is a big piece of that, but I think that it's a struggle for people to get their heads there because to your point, meetings have such a bad reputation. And so I think the head space piece of it when tackling this is really, really important.

DR. ANDY ROARK:

Are you not going to mention the name of it? You're like, “I read a book that changed my life. I'm not going to tell you what it is.”

STEPHANIE GOSS:

I'm going to get there, but we got to talk about the head space first.

DR. ANDY ROARK:

Oh, okay good because there's people losing their minds right now with pen and paper, they've already got audible open on their phone, and you're like, “No, I'm not going to tell you that no.” The reality is meetings have a purpose.

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

And you cannot fit 10 pounds of content into a three pound bag, and that's what this sounds like because we're meeting once every four of six to eight weeks and surprisingly, we don't have enough time. And because we don't have enough time, everyone is frustrating and so you know what we do, we do less frequent meetings because they're so frustrating. And I'm like oh, that's a bad spiral to get into.

STEPHANIE GOSS:

Oh yeah.

DR. ANDY ROARK:

That's like saying I fight with my spouse, so I'm talking to my spouse less frequently, you know? I get it and it makes sense at a very base level, but we all can see this is not how we get where we want to be.

STEPHANIE GOSS:

I agree. And this is a really common space to get to especially right now, right? We are overwhelmed, there is so much happening in everyone's practice, and the idea of how do I take time off of the calendar because you can't squeeze it around other things. I mean, when I talk to people who are like, “Oh, we meet quarterly or we meet twice a year as a whole team.” The reason that that is the case is usually because they're like I don't know where else to make this fit, and this is the only time in the schedule. It's such a hassle to get everybody here, this is how we approach it.

STEPHANIE GOSS:

And then it becomes really easy to get overwhelmed because you're trying to cram three months worth of stuff that has happened to your point, you're cramming your 10 pounds into a three pound bag and it is so overwhelming. And so I think I totally see why you get to this place, because when you think, okay, these meetings you're sitting through it and you're suffering, you're suffering through it, and at the end of the meeting you're like, “That was so damn ineffective, we did nothing. That was a waste of my time.” Why would you want to do it more frequently?

STEPHANIE GOSS:

I can totally understand where that mind frame comes from now, is my mind frame is like screw this, we're spending so much time and so much energy and from the practice owner perspective, so much money to get everybody here to close the doors or to have relief come in to cover the phones, or however you're managing it at your practice. That is an investment financially in the team, and when it feels very wildly ineffective, it is very easy to push back and be like no, let's cut this off of the list, but I think that that is very much the wrong way to approach it.

DR. ANDY ROARK:

Oh yeah. I agree. I think there's two different things there, right? There's meeting failure because of not having enough time to do what you need to do. There's meeting failure because you have a poor plan or you have failed to plan. If you fail to plan, you plan to fail. And then there's the part of a lack of engagement, meaning we don't pull the agenda off, we have the agenda and it's a great agenda, but people don't engage. And I can tell you buddy, you and me as professional lecturers and speakers when you're talking to an audience that's not engaged, it's Sisyphus pushing the boulder up the mountain only to have it roll back down. Sisyphus is a guy, he pushes a boulder up a mountain and that's it, that's what I was trying to get at. Holiday brain. So anyway it's brutal, and all three of those things are different reasons that meetings fail and most of us dabble in all three of those frustrations.

STEPHANIE GOSS:

Yeah, totally.

DR. ANDY ROARK:

So let's get into the head space here.

STEPHANIE GOSS:

Okay.

DR. ANDY ROARK:

So how do we fix this? So we're looking at it, we've got these challenges, where we're infrequent staff meetings how do we get everything done? Where do we go from here? And so for me with head space the first thing we have to do is unlock this problem. Because when I'm looking at what our writers sent to us, this person is locked into the idea of okay, I have one meeting every four weeks and I have X amount of content and it's too much content for that meeting and so people are getting frustrated. How do I say the content in a different way so that it gets into this format that we have? Or how do I add another meeting, and then how do I break this stuff apart?

DR. ANDY ROARK:

But it's very, very easy to say my meetings aren't working, and so the solution must be centered on meetings and meetings themselves. And the first thing of head space I want to do is unlock that thinking, right? I want to open this up and give us a lot of options, because there are so many options for how we handle this and it's easy to get myopic and that's a trap, right? That's inside the box thinking, so how do we unlock it so we can think outside the box? The way that I have had success in unlocking it is to say, what's the point? The point is not to have a staff meeting.

STEPHANIE GOSS:

Right.

DR. ANDY ROARK:

And there's so many people who are like yes, the point is to have a staff meeting.

STEPHANIE GOSS:

Right, you're just checking that box.

DR. ANDY ROARK:

I read in a book that we should have staff meetings, I went to a lecture and some management guru said every other week we need to have a staff meeting, and once a month at minimum. And that's what they said, and now I am required to do this once a month because that is what I've been told I have to do. And I'm like, that's nonsense. What is the point?

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

And so this is where I start to people a little bit, and I'll say, “Is the point of a staff meeting to share information?” And they will say. “Yes.” And I will say, “No, there are so many ways to share information and a staff meeting is one of them, but if you are just passively giving information to other people, there are more efficient, more effective ways to do that.”

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

Like an email or Slack, or Workplace from Facebook, whatever the thing is that you're on, or Post-its in the break room, or printed off letters that go into their mail. I mean, there's a million things if you think outside the box, right?

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

It's videos of you talking to a camera and saying the things and then sending it out. If there's no back and forth, if this is not a collaborative thing, it shouldn't be a meeting it should be an email, and we've all been to meetings where we're like, “That should have been an email.”

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

And so if it's just to give the staff information, that's a poor use of meeting time which is super valuable. Is it just to ask questions? Probably not. Again, same thing as if I just need to know, “Hey, straight up I have a question, I need a response from you.” Again, there's other ways to do that, I can use our team communications, I can pull my key opinion leaders in, I can do a survey of three or four people instead of the whole staff and just say, “Hey, I'm trying to get a feel for where people's heads are.” I mean, there's a lot of things that I can do that don't take meeting time where I can get my questions answered, right?

STEPHANIE GOSS:

Yeah. Mm-hmm (affirmative).

DR. ANDY ROARK:

Is it to get consensus? Yeah, now we're getting somewhere. Is it to show transparency and say that we're open to feedback, to make people feel heard, to make them feel like they have autonomy and agency and that management cares what the workers think.

STEPHANIE GOSS:

Right.

DR. ANDY ROARK:

That they're not just cogs in the machine, and that's a big part of this. Getting emails with directives makes you feel like a cog in the machine, so the big things for me is okay, what is required or what requires a meeting? And if you do that, 80% of the thing that I see in staff come off meetings come off the list.

STEPHANIE GOSS:

Yeah, for sure. I agree with that a 100%, and I think the way that I now approach it is I would say your number one rule for yourself is to ask yourself that question can I share this for information with my team any other way besides the meeting? And if the answer is yes, then it probably is not worth having it as a meeting. Now, I would say that sometimes you need to share information and most people are well, but I'm sharing important information and it needs to be personal. You guys, we live in the current millennia, there are so many other ways that you can make it personal without it just being a faceless email.

STEPHANIE GOSS:

You can record a video for your team, you can have them have a short meeting with their department and have a leader deliver that information, you can break it up into a bunch of different ways. And I think this is where to your earlier point Andy, it's very easy for us to get stuck in the box and think that this is the only way we can use this tool. And so I would say tool number one is to ask yourself the question that you did Andy, which is what is the point? And then when you know what the point is, ask yourself can I deliver this information any other way? And if the answer is yes, probably a meeting is not the best way to deliver it.

DR. ANDY ROARK:

Yeah. I mean, think about the alternatives, right? So here's the next part of the head space, right? So we've sat down and we're like, okay, why a meeting? And what requires a meeting? So here's a list of things I have to do, what of these things requires a meeting? And then the next question is what are the alternatives to the meetings? And you and I have already mentioned a number of them, right? There's email, there's the communication platforms like Slack and Workplace and things like that, there's one-on-ones with your team leads.

DR. ANDY ROARK:

Do you need to get everybody to gather, or can you get your head techs together and have a talk with them and then say, “Hey, pass this down in your rounds.” And people are like, oh, no rounds. Yes, rounds or whatever ways that the team leads, that your head tech communicate with your other techs. Is that effective? And if this is like yes, this is a technician thing, and we need to advance this idea, this program, we need to get feedback, whatever can I have one-on-ones? Or can I gather my head technicians together and have a meeting of just the four of us?

DR. ANDY ROARK:

And we all talk about it and hammer everything out, and then they go forth and carry the message and make sure that the other techs know what's going on. That's a huge deal, and most of the default is, oh, I'm going to just tell all the techs at once and I'm going to do it at our staff meeting. This is just one example of how you get the word out. Can I have a doctor meeting? Can I talk to the medical directors and have them communicate this to the other doctors in a doctor meeting? It's a lot easier to have smaller meetings than it is to everybody together, it just is.

DR. ANDY ROARK:

One-on-ones to your champions if you will, it's a really effective alternative. Video messages as you said, that's a great way for me saying, “Hey guys, here's a thing, and I'm going to send it to you. And in this video, I'm going to ask you a question and I want everybody to respond to the question and send me an email with the answer to the question, whatever.” But just things like that to try to get people to engage and make sure that people have signed off on the video or whatever. But they can watch it on their own time on demand, they can come in at the start of their shift everybody watches the video, just let people know, but then it's not gathering everybody together.

DR. ANDY ROARK:

And it's asymmetric, they can do it again, they should get paid for it, they should be on the clock, it should be a work thing, but I can let them know. And the last thing is you said are the mini meetings, which are like hey, can we just pull the CSRs together and do this? Can we just pull the techs together? Can we just pull the doctors together? And a lot of times that's an efficiency that makes a lot of sense, and again, it minimizes what we have to do when we get the whole team together because that should be really very valuable time.

STEPHANIE GOSS:

Yeah I agree with that, and I think that those are great ways to approach it. And again, you guys it doesn't have to be this huge orchestrated thing, and I know that we have some people listening who are like but then I have to record a video and I have to edit it and… No, no, it doesn't have to be big and fancy, and it also doesn't have to be awkward. Think about like when you're Face Timing or video chatting with somebody, you're seeing their face, you're capturing the emotion and you're not face to face. And it's thinking in that perspective and our friend, Stacy Santi is the one who got me turned onto using a product called Loom in my practice a few years ago.

STEPHANIE GOSS:

And she started using it with her team, and she was just like when I used to have to send an email, but I wanted them to see my face I started doing this with my team and it was a game changer. It's a free app and you literally just use your webcam to record your face, and I just sit there and would tell them, okay, hey guys, here's this thing and present the message with the same emotion and the same them being able to see my face and my body language that I would in a team meeting, but now we're not having a meeting. And now I took that thing that would've taken 10 minutes or five minutes out of the meeting, and I sent it to them to watch.

STEPHANIE GOSS:

And it doesn't have to be like big important stuff either, it can be a hey guys I wanted to tell you all that I was thinking about you this weekend. I'm so excited about our holiday party coming up, don't forget that it's on this day and time, make sure it's on your calendar. Can't wait to see you, right? It's about making things personal, and I think that that's what a lot of us by default use our team meetings for, for a really long, it's all of that stuff that I want to say because I want to say it to their faces. And I think we can limit ourselves in terms of how we think outside the box because we think it has to be this big production, and that's not what we're talking about. They're really, really simple ways to capture that energy and excitement and pass it on to the team.

DR. ANDY ROARK:

I would push that even harder, and so this goes right back to my thing of what is the point of this? Why exactly are we doing this? I'm sorry, if you are like I'm going to make a video because I want to impress my staff with the level of polish of my video editing skills to make them think that I am much more handsome than I am in real life. Like got to look good, I'm going to need some foundation, all right? Get the glare off my nose, gotta make them think that they work for a top shelf organization, that's all lunacy.

STEPHANIE GOSS:

Right.

DR. ANDY ROARK:

None of that stuff is the reason that you're doing this, and honestly it's counterproductive.

STEPHANIE GOSS:

Yeah.

DR. ANDY ROARK:

If I was an employee and my boss was like here's a highly polished video of me asking you to please remember to clock out at the end of the day, I would be like what is this nonsense? I'd be like this is why I make the wage that I make because you have a video editing thing to do. The point of the video is not to impress them, honestly, it's to humanize yourself to them. That is the benefit of the video over the email, and so filming it on your phone is not just equally good, it's probably better because it's you saying, “Hey guys, I wanted you to hear this from me. This is the unpolished truth, I'm not editing this because this is not a script, it's just me telling you the truth and just trying to be open.

DR. ANDY ROARK:

So you understand, you hear it from me, and you hear why I'm doing what I'm doing or hear why this decision was made.” That's it, and so honestly it's amazing how much people think that the point is to make something that's polished and professional. And it's like no, the point is to humanize yourself and have them see you as a real person talking to them, and that's what we're going for with the video. And so if you take that mentality, doing the types of videos that we're talking about it'll get a whole lot easier and less stressful.

STEPHANIE GOSS:

Totally. So from a head space perspective, I think the three things that we covered are super important, right? So get out of the head space of meetings have a bad reputation, they can be very effective and very useful, and you have to plan smartly for them. Looking at it from the perspective of what is the point of this? Why are we doing this meeting? And to that end limiting things that really only need to be delivered in a meeting format, the things where we're getting the team feeling excited, where we're getting them feeling seen and heard, and really it's a collaborative process.

STEPHANIE GOSS:

That stuff stays on the meeting schedule, and we look at leaning into alternatives for all of the stuff that can come off the meeting schedule now. So reminding everybody, “Hey guys, you have been doing a really bad job of clocking out, I've been fixing lots of time card mistakes. I need you to start to do this thing.” It's amazing to me how often that kind of stuff is on meeting agendas, and that is the first kind of thing that should come off the list because there's about 16 other ways that you could deliver that message to a team in your practice. So is there anything else that you can think of from a head space perspective, or should we dive into how do we actually attack this?

DR. ANDY ROARK:

The last thing I'll say about a head space perspective, right? Is when we go the meetings and we're trying to figure out what to do, it's in line with thinking outside the box, but it's more about thinking what is possible. It's easy to go in and say, “This is too much and we have these meeting and we don't have enough time.” And that's a very closed mindset. Really, it was funny I heard some of the Uncharted practice owners talking months ago and we were talking about rising wages of support staff and these people were going, “How do I pay for this? I want to keep my staff and I want to be competitive and I'm just trying to make these numbers work.”

DR. ANDY ROARK:

And one of our practice owners said, “We have to shift our mindset not from what's going to happen, but to how do we do this? And really just think about how do we make this happen because it's required.” And I thought that was really powerful, the idea and shift in mindset to all right how do we make this happen? As opposed to, oh my gosh, I can't believe this is happening and this is the pinch that we're in. I think it's the same thing with the meetings, I think shifting it to, how do we make this happen? I think that's really the mindset we need to get into.

DR. ANDY ROARK:

Is not a scarcity, not a limited mentality of, there's not enough time, there's enough time, but okay let's look at the things we need to accomplish and how do we make this happen? Let's get creative and I think that is a fun head space, I think it's a rewarding head space, but I think that that is a requirement if we're going to be able to move things around and make this really go.

STEPHANIE GOSS:

I agree. I love it. Okay. Let's take a quick break and then come back and talk about how do we actually do this thing and make them more productive?

STEPHANIE GOSS:

Hey everybody, it's Stephanie. I just have to break in here for one second and make sure that you know about an awesome opportunity that is coming up that we do not want you to miss. We are back, we are back in person in April in Greenville. That's right, our flagship conference in Greenville, South Carolina is happening in person for the first time in three years, and we are so, so excited to be back with you guys. It is happening April 21st to the 23rd, so put that on your calendar now. And if you head over to the website at unchartedvet.com/April, you can find all of the details as we sort them out.

STEPHANIE GOSS:

You will get to see the schedule as soon as we have it, you will get to see information on the speakers, we've got an event FAQ, you can shop our uncharted gear, we've got safety information if you're wondering about being back in person. So if this sounds like something you would be interested in, head over to the website at unchartedvet.com/April and reserve your spot. This event will sell out, we cannot wait to see you so don't wait to put this on your calendar. You do have to be an Uncharted member to attend. You can find out all the details at the website. We'll see you soon. Now, back to the podcast.

DR. ANDY ROARK:

All right. Let's get into what we're actually going to do with this.

STEPHANIE GOSS:

Okay.

DR. ANDY ROARK:

You ready?

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

We've beat around the bush a bit here, but let's get into some action steps.

STEPHANIE GOSS:

Okay. So before we start action steps I'll say that if you are struggling with getting into a good mindset about meetings, I'm going to tell you guys the book now. So if you are really struggling with that and you're I don't know how to like meetings, there's a book that I read, it's called Death by Meeting it's by Patrick Lencioni and I'll put it in the show notes for you guys. But it changed my mindset so radically about I was in that space of hating meeting like why are we doing them? And I really struggled with how do I make that switch to where you and I are going next, which is the action steps.

STEPHANIE GOSS:

And reading it changed my perspective entirely, and made it so much easier for me to flip my head space perspective and think about how do I actually do this thing? So if that's you and you're struggling check it out, it's a quick and easy read. You can find it in the business section at your local bookstore, but it's totally worth reading because getting into the action steps and the starting, especially if you're living in that place of I just want to cancel all of the meetings because I just hate this, we're not getting anything done, it really helped me make that mindset shift.

DR. ANDY ROARK:

Yup. Let me go ahead with action steps. I'm going to put a simple little thing on the table that sometimes doesn't occur to people, virtual attendance is a thing.

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

And so is recording the meeting for people who can't make it. And I'll just say it up front because the amount of headaches I have seen with people going, “But people are on different shifts and they don't want to come in on their day off.” And I go, “I wouldn't want to come in on my day off either.”

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

I totally get it. It's a vortex for me, I go in there and then four hours go by.

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

I get it and so hey, it's not that hard to set up a laptop in the back of the room and put Zoom on it and send people a link. That's not a problem, get the nice Zoom that lets you be on for more than 40 minutes and just do it.

STEPHANIE GOSS:

Yes. Absolutely.

DR. ANDY ROARK:

Whatever your jam is, there's Google Hangouts, whatever works for you, but it should be easy for people to jump on from home and at least see what's going on and participate as needed. So think about virtual meetings just as far as people jumping in. Honestly, even just getting things done in some cases just a good old virtual meeting where people don't have to drive in, that means a lot so I like that. And then also recordings, because I see people who are like, “We've got three people that can't make it.”

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

Record it and those three people can see it. It's not ideal obviously, I want everybody to be there bright eyed, bushy tailed, ready to engage. This is the real world and it's real practicalities, and sometimes we have to get done the best that we can. Sometimes good enough is good enough.

STEPHANIE GOSS:

Yeah. So I think that's two steps in one. So step number one is stop thinking inside the box of everyone has to be at this meeting, and if everyone isn't here we can't hold this meeting. That's step number one, and step number two that can help you with that, but also can just be for other is to record the meetings. You have a record, you can go back to it, it makes it easier to take notes and make sure you didn't miss anything, and also it helps you eliminate that thinking of everyone has to be there. And then the step 1(c) I guess for me is look, if people are spending their time dealing with your meetings, whether it's in person or recorded, you have to pay them.

STEPHANIE GOSS:

So quit thinking that we can have people just remote in from home and we're not going to pay them for their time, or we're not going to make it worth their while. You need to be very aware of what your state rules are as well, because if you ask them to participate and work, you may have to pay them for a certain period of time. So this is time that is so well worth it to me, and it's an investment and there's no going around it. Investing in your team by having them participate in the meetings is one of the best investments that you could make as a practice leader I think, and just make sure that you're paying them for their time.

DR. ANDY ROARK:

Let me tell you, and we should look at it that way which again, goes back to my point of what do we need to accomplish here? What is the point? Because these are not cheap, I think a lot of the staff doesn't think about the fact it's like oh, everyone is here and they're all getting paid and no clients are coming in the building. And I think I can tell you as a business owner that exact thought has driven me up the wall before, I'm like, “This is so expensive and there is no revenue coming out of this.” It is the cost of doing business, it is an absolute requirement to have these meetings and get everyone on the same page.

DR. ANDY ROARK:

And if you who don't believe it, you are in for a long time of frustration before you figure out that this was worth the investment. What's funny with staff meetings is, and this is why they're so much of a problem with this, this exact question is because staff meetings are that thing that when you don't have them and you don't have them things just to break, and there just starts to be friction and tension.

STEPHANIE GOSS:

Sure.

DR. ANDY ROARK:

But there's no one who bursts into your office and says, “I'm quitting because we haven't had a staff meeting in forever.” No one says that, there's never this direct pain where you're like a lack of staff meetings or a lack of good staff meetings are the reason we're having these problems. That never happens, all that happens is when you start doing staff meetings and you do them well, like when you start doing one-on-ones and you do them well. Over time and it's not the first time you do it and everything is fixed, it is over time your life gets better.

DR. ANDY ROARK:

And your business runs more smoothly, and your practice runs more smoothly, and you are more profitable, but it never comes back to your staff meetings are the reason for it. I've talked to so many people who have gotten on the train and they have done it and their practices have done well, and they've fallen off the wagon and they've seen those tensions creep back in. And they will say to you, I know it's because we're not doing a good job with staff meetings. And that brings me to the next head space point that I want to make, and I say this just because of our conversation at the very beginning about this is holiday season when we're recording this and things are bonkers, be kind to yourself.

DR. ANDY ROARK:

There's always going to be times when it's easier to do these sorts of things, and at times when it's harder to do these sorts of things. And if you're hearing this in the holiday season and you're like, “We need to have a staff meeting immediately.” I would say, oh, whoa, whoa, this might not be the time right here right now to pull everyone together. It might be the time that we start to make a plan and we figure out how we're going to start moving in this direction, and getting people back on board and starting to work a program that works for us.

STEPHANIE GOSS:

Yeah. I love it. So to your point, I think where we have to start action steps wise is begin with the end in mind, and ask ourselves what is the point? Why are we having this meeting? And then prioritizing what are we going to do within the context of the meeting, right?

DR. ANDY ROARK:

Yeah. So first thing is remove the things that can be done in other ways, things that can be emails or multiple emails or whatever. Just remove the things that can be done in other ways, remove the things that are information that are passive, that are non-emotional, right? So take this off and then let's prioritize the things that are left. And the way that we prioritize, it will be different depending on where you are in your business and what's going on. If you're up to your neck and you're like we're drowning then you should still have a staff meeting, and your staff meeting should be all about how do we not drown?

DR. ANDY ROARK:

That should be it, anything that is focused on us handling our caseload without just being swallowed up that should all make the list. And what are we going to do about birthday parties now that the cake store we like is not in business, you know what? We can just talk about it, that's one of our key opinions we'll find another way to sort that out. That might not make the list. And right now there's people slamming their hands on their desk going, “You don't understand the cake store's importance in this. Everybody's going to quit if we don't find a comparable cake store.”

DR. ANDY ROARK:

Anyway enough silliness, it sounds simple, people get it wrong all the time, they're like, “We need to do announcements.” I'm like, “No, you don't you're buried, cut to the chase.” I know everyone is tired, I know everyone's working hard, I am so proud of you, I want to help you. Let's go ahead and start to brainstorm ways that we can make our workload lighter. What can we do to make our job easier so that we are not so exhausted all the time? Everyone take a couple minutes, write down on a piece of paper ideas that you have just think about your job and how you might make things easier or what could be made easier for you, and take a few minutes to write that down.

DR. ANDY ROARK:

And we come back, we're going to discuss in small groups what we think might be a good idea, or what are some small things that we can do, and what's some big things that we can do and boom, and go. And now we're off and running in a meeting, cut to the chase, talk about the things that matter. So what do you need? What is mission critical for the team to move forward? What empowers others to move forward independently? It's amazing how often as a leader or a manager, I will carry these things around on my to do list and I'm like, I don't know and this is not all that important and blah, blah, blah. And it's something where if I just met with Stephanie and talked to her, then I could delegate this her and she would go and do it and it would move forward and it would be off my list.

DR. ANDY ROARK:

But until I talk to her she's unaware and this thing just sits there, and so anything where you say, “Aha! I'll have a team meeting and I will hand these things off, and then they will disappear from my plate and other people will be able to implement them, and our team is a whole will move forward.” That is a good thing. Anything where I am holding up the process that should get prioritized so that I can push this thing off my two do to list and get it rolling forward through the efforts of others, right?

STEPHANIE GOSS:

Mm-hmm (affirmative).

DR. ANDY ROARK:

Things that are likely to spark emotions should get prioritized. People misuse email all the time, and I see people who are having these heated exchanges and they're writing paragraphs and paragraphs long emails explaining themselves because they're clearly fired up. And I go forget it, if you're writing more than three paragraphs this is not an email. If this is something where you are feeling emotions or the other person is feeling emotions get off of email, that's not an email conversation. It's too easy to misinterpret tone and things like that, which is why we end up explaining ourselves and it's becomes this massive stupid thing that's multiple pages that no one's going to read, and the whole thing is just a nightmare.

DR. ANDY ROARK:

If it's something that people are going to be emotional about at all, it needs to be done face to face. It may not need to be in a whole team meeting, but at least needs to be face to face and so that stuff gets prioritized. And then the last thing is what's the best return on investment? When you're looking at this, and our writer says, “We've got so much to do.” And I'd say, “All right, what's your 80/20?” Meaning what is the 20% of things that will give you 80% of your rewards? Let's do the things that are either urgent and important, or that are important, let's not do the things that are just urgent or that aren't even urgent, they're neither urgent nor important. So where do you get the biggest return on investment?

STEPHANIE GOSS:

And I think that's the hard part is because for people who don't like meetings or people who don't understand why you're having meetings. And a lot of times unfortunately, leaders in our practice fall into one of those two categories and from the email that we got, I suspect that our medical director here is struggling because there are some practice managers within their team that fall into one of those two categories. They either don't understand why you're having it, or they are not excited about having the meeting, and so the hard part is that they tend to drive it not from the place of investment and return on investment, but from that place of I'm checking the box. And these are just things that I feel like we have to do, and so I'm going to talk about it at the meeting. And so I think that is a really important thing is why doing this?

DR. ANDY ROARK:

Yeah.

STEPHANIE GOSS:

Why are we doing this?

DR. ANDY ROARK:

And be ruthless.

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

Be ruthless.

STEPHANIE GOSS:

Yeah.

DR. ANDY ROARK:

Be cold and calculating not to your people, to your agenda. But when you are looking at the meeting, you need to be ruthless, is this what we are here for yes or no? If the answer is no, no. If we start to go down side paths and tangents, we say, “Hey guys, it's a great point. We really do not have time to explore this very much today. I'm going to put it on our parking lot, I'm going to add it to the agenda for the future. I will meet with the people who brought this up and we can talk through it a little bit after the meeting is over in the coming days so I can process it.” Just do not let this meeting go away, pull it back, be nice, but be firm and just say guys, we have very limited time and I really want to make sure we hit the things that are maximumly important for all of us. And so this is very important it's very good, but we need to put a pin in this.

STEPHANIE GOSS:

Yeah. And I think that there's two things there that I would like to unpack a little bit when we get there, because I think it's important to talk about how set up the meetings and I think that's where we're going next. But when it comes to the agenda and also to the team and during the meeting, I agree with you, you have to be ruthless and I have some suggestions for how do we get whoever's leading the meeting, whether it's the practice manager or the medical director or just a team lead, whoever is running your meetings how to get them thinking about how do I be a little ruthless?

STEPHANIE GOSS:

How do I take things off the list? Because the reality is you made the point earlier about the work always expands to fill the time, and it's the same with a meeting. You could go into a meeting with a plan to talk about three things, and if you let it 95 different things could come up from your team. And half of them, more than half of them probably were not worth discussing at a meeting, and it's so easy to get sidetracked.

DR. ANDY ROARK:

It's so easy. The best meetings are ones where you go in and you think there's no way I have enough content to fill this time, we're going to be done in 20 minutes. That's a great meeting because you're not going to be done in 20 minutes, it's going to be a jampacked thing. So not only do you have to go in with the idea of, oh, there's no way I have enough content to fill this time, you also have to be ruthless on top of. Because a lot of people are like, “We've got plenty of time.” I assure you that you do not, and if you are slack about it then you will have no time, and you won't even get to number three on your list of three things.

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

It's ridiculous, you got to be ruthless.

STEPHANIE GOSS:

So how do we prep?

DR. ANDY ROARK:

Yeah, I was going to say the next thing is not putting together the agenda, the next thing is prep, right? So pre-wiring is a huge thing, I don't to go into meetings if I do not know what is going to happen. I do not like to put forward ideas if I have no idea how people are going to feel about them. Ideally, I want to go into a meeting and know exactly how everybody feels, and I want to know what people like and what people don't like. And I want to know who is going to be for it, and who's going to be against it, and who doesn't care, and what it would take to get the people who are against it to just not care?

DR. ANDY ROARK:

And what it would take to the people who don't care to think this is a good thing? I want to know all those things as best I can, and that's pre-wiring so start the meeting before the start of the meeting. Start to talk to the people who are going to be involved, encourage your team to prepare so that you have greater efficiency at the meeting, right? If things they can be thinking about, if there's things that they can be working on, if there's things they can bring with them to the meeting so that they're looking on it, let them know that, right? Going from zero to 60 at the start of the meeting is really hard, if you say to people, “Meeting tomorrow, here are three questions you need to have thought about when you come.”

DR. ANDY ROARK:

Bang, bang and bang, you're going to get better meetings. And yes, some people are not going to read them, and yes, some people are going to totally ignore them, but some people are going to read them and those people are going to get the ball rolling, and they're going to be more prepared and we can move forward. So encourage prep before the meetings, have the conversations with your people ahead of time so you know what's coming and this is not, I'm going to ask a question and I have no idea what's going to happen. That's how we end up getting derailed because someone will say, “I hate this thing with a burning passion.” And no one will want to respond to that and you're blindsided by it, and you don't have a good response to the thing that they said because this is news to you, that stuff just derails meeting so fast.

STEPHANIE GOSS:

Yeah. Part of-

DR. ANDY ROARK:

Get your-

STEPHANIE GOSS:

Oh, go ahead.

DR. ANDY ROARK:

I was just going to say get your key opinion leaders on board, right? So this is the last thing I would say in the prep is every practice has got key opinion leaders, they are non-positional leaders, meaning they may not have a title. Some of them do have a title, of course, but they may not have a title, they're just the technician that everybody looks up to, or they are just the CSR who's got the big personality that guides others along or sets the tone. Don't be surprised by those people, if you can recruit those people in one-on-one conversations before you have the meeting and ask them for their help in getting conversation going at the staff meeting, again, these are all shortcuts that gets you to engaged meetings faster.

STEPHANIE GOSS:

Yeah. I love it. Part of the prep for me and because it relates to the agenda, it for me is what are we going to talk about? And what I would say to this medical director is if your practice managers are leading this meeting, have them write their agenda and then review it. Okay, if there's something on the list about the team holiday party, I want to know what are we talking about relating to the team holiday party? Are we getting a poll to talk about where we're going? Are we talking about budget? What is it? And I think a lot of times too many of us make the mistake of letting the agenda be way too broad, and so part of the planning and the prep for me is writing an agenda and then refining the agenda.

STEPHANIE GOSS:

Because part of it is looking at the time constraint that we have for this meeting, and getting a sense of how long are these things going to take us? Because when it comes to running effective meetings, part of it has to be sticking to the agenda and staying on time, and so one of the things that I would ask myself as a manger and if I was the medical director and my manager was running the meeting is what is going on this agenda? And how much time do you think that we need to accomplish and feel like this is resolved and we can cross it off of the agenda? And get them thinking about that ahead of time, and have some back and forth. So me that's part of the pre-wiring is some conversation from a leadership level perspective of what are we doing?

STEPHANIE GOSS:

Why are we doing it? And how much time do we think that this is going to take? Because I think you have to look at the whole agenda very holistically and say, “Okay, we now have six things on this list. It's probably going to take us an hour to get through are the first three, so we might need to take three things off the list or restructure what we're talking about in this first meeting, because there's no way that we're going to get through all six things.” Stop setting yourself up to fail before you start. That is one of the biggest flaws for all of us with meetings is that we shoot ourselves in the foot before we even get started by putting way too much stuff on the list, and not having a plan for dealing with how do we get through that list? And also what do we do when things come up that don't pertain to that list?

DR. ANDY ROARK:

Yeah, I completely agree. One of the simple tricks that is super helpful, I like to have some clock times picked out, meaning let's say I have three things that we're going to do in this meeting. So let's say, I know it's going to take a few minutes this to get people in and get them sat down, I want to be on item number two by 25 after, and I want to be on item three by 40 minutes after. And those will be the numbers that I'll have in my head, is we are off of this at this time. The reason that I say that is because a lot of people will say, “Item number one is going to be 15 minutes, item number two is going to be 15 minutes, item number three is going to be 15 minutes and then we'll have 50 minutes for questions.”

DR. ANDY ROARK:

No, you won't. No you won't because it will take time for people to come in, and people will want to talk more about this and that. And the other thing is you will forget what time you started and you will say to yourself, we're on item number one and it's 25 minutes after, and you're but I don't think we started, we definitely did not start at the top of the hour. And you lie to yourself and then you look around and your 15 minutes have gone out the window. You've got to have some clock times where you look up and say, at this time I need to be moving to the next thing.

STEPHANIE GOSS:

I like it. And then I think the other that is super helpful tool wise is that as you get started and as you're focusing on making your meetings more effective, the person who is trying to run the meeting should not be the person who is also keeping track of time. That should be a separate person whose sole job is to focus on to your point Andy, if by 11:25 we want to be on agenda item number two, someone who's not trying to herd the cats and direct the flow and the conversation needs to be the one to keep tabs on the clock. Or if you're running a timer or a stopwatch that has to be a separate person to help make that most effective, because it's way too easy to get lost in the chaos when you're trying to do all of the things.

STEPHANIE GOSS:

And that's how so many of us set up our meetings is okay, the practice leader, that was my job for a long time as practice manager you're going to lead the meetings, and I thought I had to do all the things. Keep track of the clock, take the notes, lead the meeting, and my meetings were an absolute disaster for years because I was trying to do all of the things. And so there are some very specific jobs that you can set up and get the whole team to help support and make it go much more efficiently and effectively.

DR. ANDY ROARK:

Yeah so love it. Delegating jobs like that I love it, super important. I'll give you another trick is to give those jobs to the employees that tend to check out, or that are distracted, or the ones who can't stay off of their phone. And you can be like, “Hey person on your phone, you're going to be the note taker.” And now they are taking notes.

STEPHANIE GOSS:

Mm-hmm (affirmative), they're engaged.

DR. ANDY ROARK:

And say, I'm going to collect these notes and I really appreciate you having good notes. “Hey, person on your phone you're going to be the timekeeper, and you're going to let us know at these times.” And put some stress on them, put some pressure on them where they're like oh man, I better pay attention because this is a thing. And if they don't do it, then we're going to talk to them after the meeting and be like, “Hey, what happened? I asked you to do this thing and you left me hanging there.” Again, it's just a nice way honestly to draw some of those people back in or people that you want to engage with bring them into the meeting and give them a role, and that is a way to just pull those people into what you're doing.

STEPHANIE GOSS:

Yeah. I think the last like big chunk is, as we mentioned, I think you have to be ruthless when it comes to staying on track and on time. And so from an agenda perspective, I would say that you probably could get through a fraction of what you actually think you can get through. And so being ruthless with what stays on the agenda and what are you actually going to try and talk about, I think is really important. And one of the things that was most helpful to me, because you and I talked in the beginning about if we're eliminating all of the at busy work stuff from our meetings, and we're having meetings to talk about things that make the team feel seen and heard.

STEPHANIE GOSS:

One of the most important pieces of that is creating a parking lot or a dumping ground where you put the things that are said, or that are brought up that need to be circled back to. Because if you let things come up and you don't follow up and come back to those things, that is the quickest way to make the team feel like well, I spoke up in a meeting and then nothing happened with it so nobody listens to me, nobody cares, right? So in order to stay on time, there is going to have to be moments where you say, “I think that we need to talk about this and we don't have time to talk about that today.”

STEPHANIE GOSS:

And I will tell you that the Yoda level trick for me has become to ask my team, is this new thing more important than this old thing that you guys said you wanted to talk about? And I only use that when I don't have my own agenda. Sometimes as the practice leader there are things that you have to get done and have to talk to the team about, and sometimes there is no choice and things have to stay on the parking lot list whether I like it or whether the team likes it or not. Because I have to have some hard conversations with the team.

STEPHANIE GOSS:

However, if it's the kind of team meeting where we're talking about something that the team brought up and it's a problem, we're having a client service problem repeatedly and we're trying to brainstorm how do we fix this problem? If something new comes up and the team feels really into it, and the timekeeper has called, “Hey, we're at time,” one of the Yoda level tricks that I have started to use with my team is to ask them, okay, we're at time, do you want to table the next piece of the meeting that you guys said we needed to talk about to talk about this new thing? Or are we okay as a group with putting this new thing on the parking lot list and we'll put it at the top of next meeting's agenda, right?

STEPHANIE GOSS:

This is where getting their buy-in and having them actively engage in making the thing their own is so, so important. And so a parking lot list for those of you guys who are what is she talking about? Is really just a list where you are writing down all of the things that come up that are not a part of your agenda that you need to talk about, that need further small group discussion, that need input from your practice owner or somebody who's not there that day. It's anything that can't get addressed in that moment in time during your meeting, and you're just making a list.

STEPHANIE GOSS:

And then the most important part about the parking lot is you figure out how are we going to come back to this? So at the end of every meeting you need to take some time to say, this is when and how we're going to address every item on this parking lot. And then put an action plan so that the things get dealt with before everybody breaks up and everybody knows what the plan is moving forward.

DR. ANDY ROARK:

I like it. I think that's good. The last thing I would say is, and we bring this up every now and then when we get into leadership meetings, I think a lot of people feel the stress or the pressure to have an answer, or to have a response, or to have a plan, or to commit to something when the team gives it to you.

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

It is always fine to say something like this is really good stuff, I need time to process it. I'm going to follow up outside this meeting with some more questions and that's it. And put that pin in it and just step away. So I think that's a good, and it's a good way to stay on time too. This is a great discussion, I want to get through the things on our agenda. I have heard a lot from you guys, this has giving a lot of ideas, a lot of processing. I'm going to be following up with some of you guys and asking some more questions. Thanks for having the conversation, let's move on to the next thing.

DR. ANDY ROARK:

And remember, if your why is to make people feel heard, and to see how the team is doing, and to get their buy-in, you can accomplish those things and still step away and say, this is always great. I heard what you said, I took that away, we're out of time we need to move on. And yup, you may not have come to a a 100% uniform consensus today, but you moved the ball forward, you got the discussion going, you communicated the information, you got the feedback, you made it feel collaborative, and you made people feel heard. Just take the win, take the win and go on.

DR. ANDY ROARK:

And now the big win is can you stay on schedule and get through as many things as you can on your list as possible? And if you came in with an agenda and you get through your agenda, you should take some time, you should have a bath and some champagne. That's a big win, people don't give that enough credit for the win that it is.

STEPHANIE GOSS:

And I think that that is applicable on the flip side as well, sometimes stuff comes up that is your team might need some time to process, or during your pre-wiring you discovered information that has yet to have been brought up in the meeting. That has happened to me a lot, where I know something is coming, but nobody has had the guts to say it yet and so I will say, “You know what? Okay, we're going to pause this here, I would love everybody to think about this over the next week or whatever.” And then if there are any remaining opinions before the leadership team discusses this further or whatever your next move is, invite them to give you that feedback privately or in a follow up meeting.

STEPHANIE GOSS:

Because sometimes we all just need to process and think, or especially if you have people on your team who are working on their emotions, or they're the ones who tend to have big opinions, like if I've been told, “Hey, you have a lot of strong opinions and we need the opportunity for other people to talk in the meetings.” I'm not saying that I've ever been that team member before, then I might be really trying to sit on my hands and bite my tongue and let other people talk. And so having the opportunity to follow up and say, “Everybody think about this, and then we're going to circle back to it,” can be just as an effective tool for your team as it is for you.

DR. ANDY ROARK:

It's also quite possible that you had things on your agenda that you said, does this need to be involved in the meeting? And the answer was, yes, this is a meeting. And then you had the conversation, you didn't get to resolution, but it may no longer need to be in the meeting. It may have been you did the meeting part, and now this can be an email, or now this can be a small group meeting, or now this can just go to the front desk and we can talk up to them and get consensus, because that's where this is going to happen.

DR. ANDY ROARK:

And so just because you didn't reach ultimate resolution, one of the things I've seen people do is they just keep things on their meeting, on their meeting agenda for the next time and you go, did you do the meeting part? If you did the meeting part, we may be able to do this another way and keep the ball rolling and not take up time in the next meeting.

STEPHANIE GOSS:

Yes.

DR. ANDY ROARK:

Stephanie that's all I got. You got anything else?

STEPHANIE GOSS:

You just sparked me, the very last thing we talked at the beginning about what is the point of this? And if we could disseminate this information in another way, we need to look at alternatives. The other question that I would ask myself when I'm asking does this need to be a meeting? Does everyone need to be involved in this discussion? And we didn't really talk about that, but that is such an important question because if you have stuff on your whole team meetings that's really only pertains to part of your team, it doesn't need to be a part of the whole staff meeting. Especially if you're struggling to get everybody together, that is another question to ask ourselves on a regular basis.

STEPHANIE GOSS:

And to your point that you were just making Andy, if you've had the discussion now it might be able to be a CSR team meeting to come up with a resolution. Like we've talked out the client service problem, everyone's weighed in and given their opinions, and now I'm going to let the CSR team and their team leader figure this out and come up with a solution to present back to the whole team at the next team meeting. But that subwork can happen in smaller groups, and I think that that's a trick that a lot of times we miss because we think, well, we have everybody all together so we'll just talk about these things that really only pertain to one group.

DR. ANDY ROARK:

Yeah. Great points Stephanie and thanks for talking this through with me.

STEPHANIE GOSS:

Yeah. This is a good one. Have a great week guys.

DR. ANDY ROARK:

See you guys.

STEPHANIE GOSS:

Well, again that's wrap on another episode of the podcast, and as always this was so fun to dive into the mail bag and answer this question. And I would really love to see more things like this come through the mail bag. If there is something that you would love to have us talk about on the podcast, or a question that you are hoping that we might be able to help with, feel free to reach out and send us a message. You can always find the mail bag at the website, the address is unchartedvet.com/mailbag, or you can email us at podcast@unchartedvet.com. Take care everybody, and have a great week. We'll see you again next time.

Written by TylerG · Categorized: Podcast

Dec 08 2021

Has the Age of Pet Insurance Arrived?

Uncharted Veterinary Podcast Episode 154: Has the age of pet insurance arrived? sponsored by pets best insurance

What's This Episode About?

This week’s episode is brought to you, ad-free, by our sponsor – Pets Best Pet Health Insurance. This week on the podcast, Dr. Roark and Stephanie have the pleasure of spending some time with their friend, Dr. Peter Weinstein. Our conversation takes a winding path through some timely and relevant topics in veterinary medicine – There is a lot of chatter about money right now in veterinary medicine, in a variety of contexts. We wanted to talk today about where we are when it comes to pet owners paying for services, how to get access to services for more clients and how we communicate with clients about pricing and any financial concerns they have. All of these things are tied to the level of care and service we provide to our patients. Let’s get into this…

Uncharted Veterinary Podcast · UVP 154 Age Of Pet Insurance
Pets Best Pet Health Insurance Logo

Sponsored by:


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Episode Transcript

Stephanie Goss:

This week's episode is being brought to you by our sponsor, Pets Best Pet Health Insurance. Hey everybody, I am Stephanie Goss and this is another episode of the Uncharted Podcast. Andy and I are having a great conversation today with our dear friend, Dr. Peter Weinstein. For those of you who don't know Peter, he is an author having co-wrote the E-Myth Veterinarian with Michael E. Gerber. He's a veterinarian, he's been a practice owner, he sat on more committees and boards in the veterinary industry than I can count, and as always Peter is willing to share his ideas and thoughts freely with Andy and I.

Stephanie Goss:

And so when Andy and I were thinking about a series of conversations about money in veterinary industry, we could think of no better person to have some of this conversation with than Peter. Because he's got a lot of experience, he's got some unique perspectives, and Andy and I wanted to talk in particular a little bit about where are we at when it comes to pet owners paying for services? Do we really have a problem? If so, what problems do we have? How do we get access to more service for clients? And how do we communicate about pricing? Let's get into it. And now the Uncharted Podcast.

Dr. Andy Roark:

And we are back. It's me Dr. Andy Roark, along with Stephanie Goss, and the one and only Dr. Peter Weinstein. Peter Weinstein, thanks for being here.

Dr. Peter Weinstein:

Dr. Roark it is an honor and pleasure to be able to hang with you, but more importantly it's an honor and a pleasure to hang with Stephanie. So thank you for the invitation.

Stephanie Goss:

Thanks, Peter. It's so good to see your face. How are you doing?

Dr. Peter Weinstein:

I'm doing wonderfully. And of course those people who are listening to this can't see my face, but I'm glad you can.

Dr. Andy Roark:

Yeah. I remember we did a live podcast episode one time in Kansas City, and I was introduced and people were like, “Yay.” And Stephanie was introduced and the place just went bananas and I thought, that's how this is. That's what it is.

Dr. Peter Weinstein:

It's the way it's supposed to be.

Dr. Andy Roark:

It is.

Dr. Peter Weinstein:

The technicians never get the respect that they deserve, and Stephanie got it there and you got dissed.

Dr. Andy Roark:

Stephanie you were never a vet assistant were you? You were always a practice manager, correct?

Stephanie Goss:

No, I started at the front desk and then went to school and became a technician, but I did that about the same time I became a practice manager. I quickly realized that while I really liked nerding out on the medicine, I was really good at working with people, and the business side was really interesting, but I have done both.

Dr. Andy Roark:

Knock me over the feather, that is a part of you I can't believe I didn't know that or I didn't even remember that, that's incredible.

Stephanie Goss:

That's so funny. I thought you were going to tell this story about Kansas City when the lights went out and we were having technical difficulties.

Dr. Andy Roark:

Yeah, that was another one.

Stephanie Goss:

And we just kept going.

Dr. Andy Roark:

Yeah, we were recording a podcast and hundreds of people were watching and then all the lights went out I think it was on a timer and we we're plunged darkness. And I was like, “Just act natural Goss. Just act natural and keep talking.”

Stephanie Goss:

It's perfect for today Friday, it has been a day with technical difficulties, but we are all here and I am excited for this podcast because the three of us are going to nerd out about stuff we like talking about.

Dr. Andy Roark:

We are. I wanted to talk a bit about some, I always like to have these high level conversations, I very much enjoy having with Peter and always with Stephanie, we talk about stuff all the time, but high level conversations. There's a lot of chatter about raising staff pay which is happening and which is good, there is a lot of chatter about keeping vet medicine affordable for people, and that manifests in a lot of different ways. There's talks about pet health equity and things like that, and underserved communities, and also equity and availability to help drive diversity in our very white profession.

Dr. Andy Roark:

And so there's a lot of talk about money and medicine, and I wanted to unpack some of that today because it's hard for me to determine what is real in this conversation and what is hand waving. And so I just want to go ahead and open this up with the question of where are we when it comes to pet owners paying for services? A lot of people say that price is a problem, do you guys think that that's true or do you think that we are just biased towards the bad experiences when we have people who are not able or willing to pay for services? So let's just open with that, do you think that pricing in medicine at present is a real problem?

Dr. Peter Weinstein:

Well, I think that pricing is a problem in everything, and it's the cost of gasoline in Southern California is $2 a gallon less than it is in Texas. So pricing is going to be an issue for somebody somewhere, we've got such a discrepancy in income amongst the American population that within our own practices, we have pet owners with different levels of income. So I'm not sure we can talk about pricing, I'm not even sure we can talk about cost without talking about truly diverse demographics that we serve in all our practices, and trying to be everything to everybody makes it very challenging as well. So affordability, equity, availability, spectrum of care, all of these Pandora box topics I'm not sure we can cover in 45 minutes, or an hour, or even weeks because there are so many variables that you're getting at right now.

Dr. Andy Roark:

No, I agree with that.

Stephanie Goss:

To your point Andy, I think that it is very easy for our teams in particular to latch onto the negative experiences or the bad experiences with clients, right? It's the client who comes in and is ranting at your front desk and shouting at them, literally shouting because they don't want to pay for an exam to get their rabies vaccine. And they're mad that it's costing what is costing to get that, right? Those are the kind of experiences that stick out in our brains, and so it is very easy for the whole team to paint a very broad brushstroke across the client experience when it comes to price and say, “Well, clients are mad about our prices or clients are upset.” Especially when they are living day in and day out with people as a whole that are frustrated with life.

Stephanie Goss:

There's a lot of people that are mad about life right now, and who are tired and exhausted, and the last two years have been crazy for everybody. And so I think to a degree, I think the team's response right now is particularly colored by that maybe more than it has been in the past. And I also think that we are still struggling as an industry to Peter's point, to look at all of the things that make up how do we approach pricing? Because it is so varied, the demographics are varied, the cost factors for individual practices are varied, and we as a industry have really struggled with how do we educate clients on that? How do we explain that? Because the ones who try when we have tried, I know I have done this, I've been in that conversation with a client.

Stephanie Goss:

And I think about it at the end of the conversation and I go, “They didn't care about any of that.” Like I'm trying to explain to them why the fact that we have a $60,000 x-ray machine sitting in our hospital and being used makes the price of their pets exam what it is, right? We've all been there and struggled to communicate to owners why our pricing is the way that it is, and so I think that that is something that we have to deal with, but to Peter's point it is really hard because there's so many factors that complicate the money conversation in veterinary medicine.

Dr. Andy Roark:

Yeah, I agree with that. I think it's very regional, right? I mean, I've worked at some practices where I felt man like I am having money conversations all day, every day, and I've worked at other practices where I go, less so, not zero, but less so. I'm convinced that specialty medicine probably talks less about medicine without money than general practice, and did the general practice money conversations seemed to me to be much lower stress and lower stakes than what the emergency clinics have. And that's just because these people are showing they have an emergency and now they're talking about money as opposed to me saying, “Hey, here's a vaccine that would be good for your pet.”

Dr. Andy Roark:

And they're kind of going, “No, I don't know, or do I really want the flea medicine? My pet doesn't currently have fleas.” That's not how it is in emergency medicine, no one's there for preventive care, they have a pressing need and so those problems are really hard. At the same time Steph so you brought up the $60,000 x-ray machine and stuff like that, I was in the treatment room yesterday and I had this Dalmatian and he was like one year old, ad he was a nut ball. I mean, not bad, I mean he was wound so… You know those dogs that are just like a spring that is way overwound? That was this guy. And it was me, and a technician, and an assistant all just trying to get him to calm down so I could just do a physical exam that wasn't a rodeo.

Dr. Andy Roark:

And so I've got somebody who's helping to hold him, and then someone else who's trying to just talk to him and give him some treats and things like that, and I'm trying to just palpating these abdomen and stuff, and it tied the three of us up for 15 minutes probably, and that's just for the exam. And then by the time we run him back and forth and stuff and you go this pet owner came in for a 30 minute appointment, that's a half an hour of doctor time, it's a half an hour of licensed veterinary technic time, and a half an hour of assistant time. Plus, the front desk person is sitting up front and they're also being paid for their time.

Dr. Andy Roark:

And you go, I don't think that we're wildly overpriced for what people get when you look at the labor that it takes to do our job and do it well, and especially do it in a low stress or minimal stress environment. And so I never handle it well when people are like, “Oh, we charge too much.” I go, “No, I don't believe that we charge too much.” I 100% understand that people can struggle to pay for it, and I'm not saying it's not expensive because it is expensive, but when I look at what we provide I go, well, this does not seem unreasonable for the services that we provide to me at least.

Stephanie Goss:

Yeah.

Dr. Peter Weinstein:

I concur, it's just the perception. I mean, it's all about perception. And if you think about it Andy, if you were to take a $200,000 salary over the year, it's equivalent to $100 an hour, so half an hour of your time would be $50. Your tech time is probably $20 an hour, there's another $10. And then your assistance time might be $15, so maybe it's another $8. So there's $68 for that visit, and I don't know what your office call is, but that doesn't include all the overhead. So the price that the clients see doesn't reflect the cost to deliver those experiences, and what I don't think that we've done a very good job of as a profession is clearly giving a good value for the price and explaining the cost. Probably about 20 years ago out of Tampa Hillsborough County produced a flyer called the Cost of Compassion.

Dr. Peter Weinstein:

I don't know if you remember that, you probably were still nursing. And we haven't done a really good job of self-promoting the value proposition of the veterinary profession globally. We've spent our time pumping vaccinations and selling vaccinations and giving away exams for free, instead of charging for exams and giving vaccinate for free. So we need to be our own best cheerleaders so people truly can understand all of the different services that veterinarians can provide, because think of the convenience by going to your hospital. They don't have to go to another place to get a blood test done, they don't need to go to another place to get a radiographs taken. Can you tell me a doctor Stephanie or Andy where you can go in and get a colonoscopy, a dentistry, go home with a pedicure, a manicure, a bath, and a bag of food all in one location in one day?

Stephanie Goss:

No.

Dr. Andy Roark:

No.

Stephanie Goss:

No. And that's the thing is that when we have those conversations, I've had these conversations with family and I have put it in that frame of reference Peter, and every time it's like the light bulb goes on, but the problem that we have struggled with as an industry is how do we turn that light bulb on for more people more often? Because when people really stop and think about it and understand what we're offering, it's the question of when's the last time you went to your doctor and they recommended blood work or x-rays and you didn't have to go to at least two other places to get that done, right?

Dr. Andy Roark:

Yeah.

Stephanie Goss:

And so when they think about it in their own context for their own health they understand it, but we struggled to help them connect the dots back to this is A, why it's expensive and B, why it might take more time or there might be more steps involved. We have really struggled to connect those dots for people I think.

Dr. Peter Weinstein:

Stephanie one other thing, they can pick up a prescription before they leave and they don't have to go to the drug store as well. I mean, we just have done a really poor job of self-promotion, we really need to put on a cheerleader outfit, and I'm looking forward to seeing Andy in a cheerleader outfit, and start to be a cheerleader for our profession.

Stephanie Goss:

Yeah.

Dr. Andy Roark:

I did an interview with David Besler, and he's one of the co-founders of VEG, the Vet Emergency Group, and I really liked the interview with him and I think he's fascinating. And one of the things that he said, so we're talking about at VEG, they have these policies where it's things like as soon as the pet owner comes in they go straight to see the doctor before they fill out paperwork even, and that blew my mind. I was like how do you even do that? But he said it was important, and what he talked about was he said, in emergency care people are mad a lot of the time, and we talk about everybody being burned out because the clients are mad. And he said, “We do these things that make them angry.

Dr. Andy Roark:

We put barriers in that tick them off, and then we deal with them being ticked off all the time.” And he said, “If we just stop doing these things that make people mad, they're a whole lot easier to deal with.” And I've just been thinking about that a lot, and so let me put this back to you guys and say, are we doing things that just make pet owners mad, or that escalate these situations that we don't need to be doing? To me this feels very much like we don't promote ourselves and let people know what we're doing that's part of it, are there other things we do that unintentionally make the situation worse?

Dr. Peter Weinstein:

Well, depending on your definition of mad, are you talking about from a sanity level or from an anger level?

Dr. Andy Roark:

Raving mads. Frustration level, yeah.

Dr. Peter Weinstein:

All right. Because honestly the last 20 months or so have created a tremendous amount of mental health issues, not just in the veterinary profession, but in the world in general, but we still had issues prior to COVID and we will have issues after COVID because we have put up barriers. We have not made access easy, we haven't communicated clearly, and when somebody answers the phone and says, “Please have $500 ready and available before you come in,” we just set up a barrier to access. So I think part of what we need to recognize in this profession is that we have moved from the healthcare world to the service world, and that we should start to create a service based industry that clearly focuses on the needs of the pet and the pet owner from a service standpoint, and that we provide those services.

Dr. Peter Weinstein:

We need to listen more and talk less, we need to be listening to what our clients want and start to build practices for their needs. And so what VEG is trying to do, and some other companies are trying to do is to meet those needs. We really have not listened to what clients wanted and cost of care, access to care. And access to care isn't just financial, access to care is hours that you're open, locations for practices, it's the time that you're open in a two income community so that people can drop their pets off on their way to work. So again, we have to start to think of us maybe more as a service industry, and less of it as a healthcare industry.

Dr. Andy Roark:

Yeah. No, I like that a lot. I think that one of the things, I completely agree with thinking about the needs of pet owner and can we do that, I think that listening to what they want and what is important to them ideologically is also a place that we need to go. I think so many of us have spent so much time fighting with pet owners about what is important, as opposed to just saying, “Look, they think that this is important.” So I'll use example of nutrition, and they say, I want organic foods, or I want a minimal ingredient foods or things like that. And I go, I can fight with them about it, or I can try to understand why they feel that way, and then talk about our services and the things that we provide, and we recommend in the context of what they care about as opposed to trying to get them to care about what I care about. And I see a lot of people fighting that battle and I go, “God, there's got to be an easier way.”

Stephanie Goss:

One of the things that I think we have always struggled about or struggled with, at least as long as I've been in veterinary medicine, is nobody has enough time. And I don't know how important this factor is, but I noticed a dramatic difference in the ability to lower some of those barriers to Peter's point, and to your point Andy, to have the conversations that exists in a bubble where time exists. And so if I'm trying to do back to back 10 or 15 minute appointments, it is far harder to have a conversation with your one year old Dalmatian pet owner about why you might want to think about lifelong care for this pet, right? To have the nutrition conversations, to have the conversations about pet insurance, or the things that are not a two second blurb out of my mouth, right?

Stephanie Goss:

And so I think that that has been a challenge for a lot of us is that we have struggled particularly during this last two years because we have all been so overwhelmed. And I think we have been seeing more patients, and we've also been really inefficient due to the changes we've had to make in our workflow. Some of us have become more efficient with curbside, but some of us have also become incredibly inefficient, and that impacts the time that we have to have some of these conversations and really figure out how do we lower these barriers for the owners? How do we find out what's important to them? How do we meet their needs? And I think that that's to your point Peter about becoming a service industry, that's a big missed opportunity for a lot of us.

Dr. Peter Weinstein:

So here's a thought, you have 30 minutes if you want to stay on time. Now, I jest in lectures and I ask how many of you would be willing to give away a free office call if you had to make your clients wait 10 minutes or more? And 99% of the people would never do it because they can't stay on time, but you almost have to look at that 30 minutes and break it down to a minute by minute experience. How much of that time has to occur in the exam room? How much of it can be done in YouTube videos that are sent ahead of time? We have this cost of care conversation at the front desk, which is tantamount to having it at a Broadway theater.

Dr. Peter Weinstein:

Where somebody's on the stage wanting to perform, and they happen to be a really pissed off Hamlet or Othello or somebody and they're at the front of the stage wanting to put on a performance for everybody who is sitting in the lobby. Probably the best thing about curbside is taking payment at the car window, and they have to shout through the window, but the bottom line is we could be doing a lot of communication beforehand and afterwards so that there's no surprises. I think the role of the veterinary profession going forward is to be totally transparent and to avoid surprises.

Dr. Peter Weinstein:

Cost of care, I mean, maybe we should start publishing our fee schedules on our websites, and so people can see what the cost of care would be. Why don't we share our financial policies and have clients read them and sign that they've read them ahead of time? I mean, we never talk to a dentist about the cost of care, you never talk to your doctor about the cost of care. When I had Lasik $5,000 for a 15 minute procedure, I never talked to the doctor about the cost of care. It was presented to me well ahead of time, but we get stuck in that conversation.

Dr. Peter Weinstein:

So we really do need to rethink that 30 minutes and how we want to break it down, and really, I mean, if Andy's time is 10 minutes out of that 20, but Stephanie or some other team member could handle the other 20, the clients are going to probably get an even better value proposition because they're getting a full 30 minutes of team time and it's not as doctor centric from that standpoint. And I'm sorry, I went off on a tangent.

Dr. Andy Roark:

No, I think that's totally fine. I thought a lot about increasing transparency in this way, in a lot of human hospitals you go in and they have patient rights and responsibilities. And it used to be, it started off it was a patient bill of rights, and then it generally changed to a patient bill of rights and responsibilities. And I think that that's good, and I hear a lot of us talking about personal boundaries and boundaries in our practice, and clients beating people up. And I go, we should have client rights and responsibilities that say, “This is what you can expect from us. This is how you will be treated, and we will treat you this way. And this is what we expect from you in return, and if this doesn't work for you then you can go somewhere else.”

Dr. Andy Roark:

And I'm a big believer in that, in that empowerment of this is a relationship that we have with clients. And in order for it to be a healthy relationship you have to tell people what to expect, and then you have to deliver what people expect from you. And that's just basic relationship and trust building, but I think it's where we need to go in vet medicine as well. But the whole thing of like, “Hey, pet owner guess what this is costing or guess this is going to go,” that's not healthy. I think our society as a whole is moving much toward more towards, “Hey, here's what it is. You can Google around and find whatever you want to buy costs, and have an idea of what you're walking into.”

Dr. Andy Roark:

It still feels a bit opaque I think when they come into vet medicine, and we all know why that is. It's like when they walk in, I saw a little dog yesterday just in for lethargy and I'm like, “I have no idea what's wrong with that dog before they come into the building.” There's always going to be some of that, but I do think that we can increase some transparency. And if they're going to have a problem with the price, then it's better for everybody if they know it at the very beginning and we can just talk about that. I think people underestimate how much of an extra headache it is to not have money conversations until the end, or to get down this path of we've done these diagnostics and now let's talk about your budget.

Dr. Andy Roark:

It was like well, we should have talked about your budget before we started running that blood work. And so I think that that's the future, to Peter's point I think a lot of transparency there is… When I ask the question of, do we do things that tick pet owners off or that make them mad? I think this is a pretty darn good example of things that we do to make them mad, which is we bury the lead when it comes to talking about money, and then we wonder why tensions are high and they're frustrated. So what do we do about it? So Peter you and I have talked in the past about inefficiencies in practice and ways of becoming more efficient. So inefficiencies, financial vehicles, things like that like I said, I don't believe that vet medicine generally, and this is a broad generalization, I don't believe it's generally overpriced.

Dr. Andy Roark:

I think people get what they pay for whether or not they realize it. I think that that's true, and I think that we can make them realize it, and that's something that we should do. I think that it may be possible, and then this is why I'm really enjoying seeing the spectrum of care discussion bloom, and people start to talk about, “Hey, maybe there's multiple standards of care that are acceptable.” How do we talk about those? How do we present those? How do we get pet owners to see the difference between them? How do we as vets handle there being someone else at a different part of the spectrum of care operating down the road from us? Are we going to be okay with that? Can we be okay with that? I think those are all really fascinating, but as I unpack those things for you guys, what are you looking at as far as paths forward to try to keep that medicine feasible for the majority of pet owners?

Dr. Peter Weinstein:

Well, I think you have two topics that we need to cover. One is the spectrum of care discussion, which is a practice act, state board, delivery of care discussion because that will be an issue in some fashions, and then the transparency on the cost of care discussion. I do think that the spectrum of care isn't important because we were always told to give the gold standard, or the Cadillac standard, or the Tesla standard, whatever you want to call it, and try to talk the client into that standard of care. But I think where we really need to do is one of the most important questions I had on our welcome to the practice forum was where does the pet fit in your household? Where does the pet sleep?

Dr. Peter Weinstein:

Because you've got to understand how important that pet is to the family to most importantly understand where their availability to pay may come in. I think the other thing is as Andy noted, we have the discussion of cost of care after we have created a level of anxiety about the concerns that the pet owner has. Whereas, we really should have, and especially with a new client, before they even come in send them your bill of rights, and send them a financial policy that talks about the variable choices that they may have in how to pay for veterinary services.

Dr. Peter Weinstein:

Whether it is a pet health insurance that they probably never even heard of or knew about, and maybe there are a couple of companies that you suggest that they sign up for and explain that preexisting conditions aren't going to be covered, et cetera. And then maybe some third party options, care credit, et cetera, that could fit into those discussions. Have those discussions ahead of time so that when they come in they can focus on what's best for their pet, and maybe can come in prepared on the financial side of things. So two discussions, one is a clinical discussion, and the other is a financial discussion when it comes down to it.

Dr. Andy Roark:

I think that there's a lot of knobs that we can turn in both of those discussions. I 100% think that there's things that we can do to better communicate, and I think there's efficiencies that we can build in our practice, and we're seeing some of those. I think the pandemic was good in that specific way of pushing us to make some changes, and pushing technology forward in a way that I don't think otherwise would've happened. On the financial side, I mean, there's a pretty good indication that we could significantly increase the number of pet owners that we see that have pet health insurance if we just made clear recommendations and put it in their mind. And so part of it is just making a recommendation and putting it on their radar at the very beginning when it's a low stakes conversation. The other part of it I really think is talking honestly with people about their chosen dog breeds.

Stephanie Goss:

Yes.

Dr. Andy Roark:

I mean, really I saw a new study out just this last week and it was amazing, it was the difference in cancer rates in Boxers versus chihuahuas is amazing, it was amazing. Compared to your average dog, a Chihuahua is 50% less likely to get cancer than your average dog, and your Boxer is a hundred and some percent more likely to get cancer.

Stephanie Goss:

Likely.

Dr. Andy Roark:

Yeah, it really was. The English Cocker Spaniel was the worst dog for getting cancer that was out there. Mixed breeds were less likely to get cancer than pure breads just in general. It's just all these facts I just thought were fascinating, but these are the things that we talk to pet owners about, right? And be like, “Hey, you've got a Boxer we should look at this.” Or every Dachshund puppy I see is an easy conversation about common health problems, and “Hey, if I were you I would take a look at pet health insurance just because these are things we want to look out for.” Westy with allergies, a Cavalier King Charles and heart disease, and just the list goes on and on, on, but just talking to the people about the pet that they have and being like, “Hey, this is a chance to protect yourself from the very outset.” And just I don't think that we talked to them about finance before they need finance, and I think that's a problem.

Stephanie Goss:

Yes, I think that's another example to the earlier point where we as a whole, as an industry really struggle to have that conversation until we're in the thick of it, and that immediately puts up a barrier for clients and pisses them off. Because they're like I've been a client of yours for five years, why didn't you tell me that my Dachshund could need to have surgery with a neurologist because disc problems are real, right? I've watched clinics struggle with that conversation, and it's hard for me, and it always hurts my heart when I hear about friends struggling with that because I'm like, why didn't you have that conversation with them, right? Why didn't the pet insurance conversation be in every single puppy conversation that you had with that owner because we know for a fact that the statistical chance is significantly higher.

Stephanie Goss:

And it may not happen to them, their Boxer might not get cancer, or their Dachshund may not need surgery, but we know the statistics of it, and so it drives me crazy when we as an industry as a whole don't lean in more to some of the practices that our human health care counterparts have done. To Peter's point, we're not doing a great job of sending them the information early and often, we're not having the conversations about how can they pay for pet care? We wait until they ask us, this could be a problem for me how do I deal with it? Versus being proactive, and so I think that it creates incredible opportunity for us.

Dr. Peter Weinstein:

So this is going to be a fairly long-winded answer I believe, so I apologize ahead of time. I've done a talk called creating a user's manual for pets, all right? You buy a car they won't let you drive it off the lot until they teach you how to use all of the features and fancy buttons and everything else. You buy a dryer, washer dryer and it comes with the user's manual. And if something goes wrong it's like what frequently asked questions about a dryer that's not drying or whatever the case may be. We need to create a user's manual for a puppy from womb to tomb, what to expect on a year by year basis and some breed specific testing that you would do so that you can get ahead of the curve for glaucoma, for dry eye, for arthritis.

Dr. Peter Weinstein:

And the focus on breed specific education needs to start at the first puppy visit that says, “God, I'm so glad you got a Cavalier King Charles, I'm going to go put my kids' college tuition in the bank right now because I can guarantee you that between EARS, skin, eyes, and heart, you have just paid for private school.” I mean, correct me I'm wrong, but… Okay, sorry about the sarcasm, but seriously this goes back to the transparency conversation, and let me go retrograde in just a second, why don't pet owners come to the veterinarian and ask which pet should I get? Because it's going to cost me $10,000 for a French Bulldog just to buy it, and another $80,000 just to get it through its first two years of problems that it's got.

Dr. Andy Roark:

And I'll take that back as well to what you were talking about earlier on when you were talking about the YouTube videos and things like that, why don't we have resources that don't involve us spending our time in the exam room? Things like this I think it's a fascinating idea of how do you take this puppy and kitten information and package it up so that you get pets to consume it not during their visit? I think it would be fascinating to get a new puppy or kitten in, and then have an email an series that comes that has once a day here's an email, and here's a link to a short video on one thing. And then here's day two, and here's day three.

Dr. Andy Roark:

And people go, “Well, I mean, they're not going to open all those. They don't look at them.” And I go, “Buddy, they're not listening to 90% of what you say in the exam room right now, at least this way they would have it in the inbox and they would be able to back to it.” And so I'm very bullish on opportunities to do education like that, I think it's fun for me as a vet who likes to teach and it's just interesting, but also I think that we can do real good with it.

Dr. Peter Weinstein:

Yeah. Well, count me in I'm in with you from that standpoint. We have done a lousy job of education at all levels, and I think it's because of time constraints. And we really haven't done a very good job of communicating clearly, and teaching our staff the language of veterinary care. And so I'm going to just do a shout out to AVMA for their language of care study that just came out because there's some great tips and tools on how to better communicate with clients at all different levels, including the cost of care and cost savings issues of those things. So I think it's important to start to shut down our practices for a little bit and learn how to communicate, because this goes back to transparency, it goes back to honesty and trust that we can create by having better communication. And I don't think the cost of care becomes this big an issue when there's trust. Have you read Stephen M. R. Covey The Speed of Trust?

Dr. Andy Roark:

I have not, no. I have not.

Dr. Peter Weinstein:

This is Stephen Covey's son, and basically when people trust you the transactions go much quicker.

Dr. Andy Roark:

Oh, yeah.

Dr. Peter Weinstein:

We need to do a much better job of building trust, and then that 30 minutes becomes 10 minutes because when you tell the client what the needs are, they trust you and you can move forward from that standpoint. So, I mean, we've talked about a heck of a lot of stuff, but honestly it's really all about communication, building trust, and transparency about the value, about the different services that we were there, and also about listening because I don't think we listened to clients enough.

Dr. Andy Roark:

The state motto of North Carolina translates from Latin to be rather than to seem, and I love that, and I think about that a lot to be rather than to seem. I think that it almost feels like sometime we try to present ourselves in a way to entice pet owners, and I'm wondering if we shouldn't be transitioning more towards a matter of fact presentation of this is who we are, and this is what medicine costs, and this is what we do, and this is why we do it. And just being very maybe even a bit more out in the open than we are, and I say that for a couple reasons, right? Number one, I think it increases transparency, which increases trust.

Dr. Andy Roark:

Which is we said this is what we are, we said this is what we do, and now you're here and now this is what we're doing. I think that that does help speed that relationship along, but the other reason to put that stuff out there is… Oh man, now I'm trying to remember what I going to say. Where was I going with this? Oh, no, oh man-

Dr. Peter Weinstein:

It's Friday afternoon.

Dr. Andy Roark:

Put it out there to build trust and transparency, but then also just to let us set boundaries. It takes the load off of our shoulders of trying to be all things to all people, we said, “Hey, this is who we are, this is what we do, and if you don't like that, that's fine.” There was a study that came out recently, it's in a Canadian journal, Canadian Veterinary Journal, and it was talking about the relationship between customer satisfaction and veterinarian mental health. And what it basically said was to some degree, after a certain point the higher the customer satisfaction, the more negative the impact on the veterinarian's mental health. Meaning that if you try to please these people and you do everything in your power to please them, it has a negative effect on you. And I think that that's true, and I think that having a cap of this is who we are, and this is what we do I think that's probably a very healthy thing for us as professionals.

Dr. Peter Weinstein:

Well, you want to talk about transparency, what do clients see in your practice? The parking lot, the waiting room and an exam room. So the value of perception to them is three things, a parking lot, a waiting room, and an exam room. Give them a tour, let them see the technology that you've got within your practice, and maybe they can truly appreciate things from an overhead standpoint as well. And I think that we're talking about access to care and cost of care and the concepts of communication, well, communication starts before they even come in. The client experience starts before the client even comes in, and what about even having a video tour on the website?

Dr. Peter Weinstein:

I love what some of these realtors are doing with these 3D tours of homes, why not do that for your hospital and have that as a welcome. “Hi, I'm Dr. Andy Roark. I'd like to walk you through our hospital right now, just so you can get an idea of all the services and technology that we can provide for you and your pet.” And so even when they come in they have a higher perceived value. I think we just really need to bring that value proposition up as well to go along with this transparency and other conversations.

Stephanie Goss:

So there's some good news, because I feel like all three of us have as we do soap box a little on things that we're doing bad, right? And that we're struggling with as an industry because we have a lot of areas of opportunity. And I feel like this conversation could very easily feel beat up because there's a lot of room for us to grow and improve, but there's really good news because we know that the numbers of pets that are getting help and care have gone up in record numbers over the last two years. And specifically to Peter's point, an area where I think we're succeeding in spite ourselves, there has been statistical information that's out of North American Pet Health Insurance has done a study, they do a state of the industry report, right?

Stephanie Goss:

And we know that pet owners are accessing care at really high rates, we also know they have said to us, pet owners have said 50% of them that they would be more likely to seek out insurance or alternative options like care credit if we talked about it. So they're telling us what they want and it gives us an incredible opportunity to turn around and give them what they want. We can make these changes to your point Andy, doing things like having the simple conversation in the exam room, or to Peter's suggestion, putting educational videos on our website. These are all controllable things that we can fix, and we also know that we're succeeding in spite ourselves because the number of patients and clients that are accessing pet health insurance is going up year over year for the last five years, almost 24%.

Stephanie Goss:

So if we're doing such a horrible job of educating them, which we all anecdotally feel like we are, they're still seeking out things and ways that are helping them access our care which is good news. So I feel like this provides us an incredible opportunity to sit back as a whole, as an industry and think how can we get out of our own way? And how can we stop putting up some of these barriers? How do we make it easier for them to tell us what they want and actually actively listen to your point Andy?

Dr. Peter Weinstein:

Well, and I don't know Andy if you knew that I actually worked for Veterinary Pet Insurance now Nationwide for two years?

Dr. Andy Roark:

I think you had told me that before, it was before I knew you.

Dr. Peter Weinstein:

Well, I think you were still in vet school. So I ran their claims department for two years, so I have an integral understanding of pet health insurance besides having insured my pets even as a veterinarian, and having ensured my employees pets. And I had a breakfast meeting with Jack Stevens many years ago, and we sat down and I said, “Jack, if you could have gone direct to consumer, if you had the budget to do so back in the eighties would you have done so?” And he said, “Absolutely.” He said, “The veterinarians have been greatest barrier to the growth of pet health insurance. The consumers would've bought into it if the veterinarians weren't such a barrier.” And I'm begging my colleagues to get a better understanding of where pet health insurance can fit in to the practices.

Dr. Peter Weinstein:

I know there's tremendous misinformation and disinformation, and if you go online you'll get more negative websites than positives, but from a practice standpoint when I was in practice pet health insurance definitely increased the number of visits that we saw from clients, and their willingness to spend. And I still have my pets insured, so I think we have to do a better job of advocating for pet health insurances as veterinarians, and I think we also need to do at least take a neutral role and not be so negative about it. And have a couple of policies that you've tried for your own pets or for your clients, your employees pets and advocate for those. There's plenty of great resources and plenty of great companies that are out there, do your due diligence and consumers want to hear about it. Who better to hear about it from than you and not Dr. Google?

Dr. Andy Roark:

Yeah. I think this is a good place to wrap this up. I want to leave this with this thought though, and I'm curious if you guys are on board, I am very positive about vet medicine in the future. I mean, you look at the care that we're providing pet owners and how they seek it out and the compliance that is there, our services are in great demand and they're going to continue to be in great demand. And we do work that matters and that people see value in, and I feel like yes, we're working through things and the world is changing around us, but my honest belief in the future is that vet medicine is going to be a great place to be. And again, this is access to care, pricing of care, all the sorts of things.

Dr. Andy Roark:

There are things that we're going to work through, but I think that if we just support pet owners, and take care of our people of our staff, and run healthy businesses, I think that we're going to come out in a very good place doing work that matters and that we enjoy doing. And that's just a sweeping generalization for the profession. I'm still very bullish about where we're going, I think that the pandemic has pushed us forward in a lot of ways that may ultimately end up being very good for us. So do you guys agree with that? Parting thoughts.

Stephanie Goss:

Yes. I'll take a line out of Peter's book and just say yes to all of the above.

Dr. Peter Weinstein:

No, Andy I fully concur. I mean, I think we have a world of opportunity, and I think we need to embrace change and we need to look for ways to continue to improve each day every day and not look back. I think COVID curbside forced a change, and that force worked out okay. Prior to that, nobody wanted to change and guess what? We survived. Okay? So I'm suggesting that if you make a 1% change every day in a positive direction, stop looking through the freaking rear view mirror and look through the windshield and look to improve your practice just 1% every day. I think your practice, and your team, and everybody else will be benefited, and I think the profession will be benefited as well. We've got a great profession, we've got a world of opportunity, we need to get our off the break, put our foot on the gas, look through the windshield and set our own direction going forward and make sure your windshield is completely transparent.

Dr. Andy Roark:

Yeah, that's awesome. Great. Thanks guys.

Stephanie Goss:

I love it.

Dr. Andy Roark:

Hey everybody, you guys have a wonderful day and Stephanie and Peter have a wonderful weekend. I'll see you guys next week.

Stephanie Goss:

You too. Take care guys.

Dr. Peter Weinstein:

Thanks Andy. Bye-bye.

Stephanie Goss:

That's it for or another episode. Thanks so much for joining us this week. I really want to thank our guest Dr. Peter Weinstein, and I especially want to thank Pet's Best Pet Health Insurance for sponsoring this week's episode. Take care of everyone. We'll see you again next time.

Written by TylerG · Categorized: Blog, Podcast

Dec 01 2021

It’s Not the End of the World

Uncharted Veterinary Podcast Episode 153 - It's not the end of the world

What's This Episode About?

This week on the podcast, Dr. Roark and Stephanie tackle a topic from the mailbag. We received an email from Dr. It’s Not the End of the World. They are struggling with a client service representative on the team who seems to catastrophize everything. Every client they speak with seems to be upset about something and yet when the team jumps in to help, the clients seem to simply be in need of help with something. Dr. It’s Not The End of the World wants to know – Isn’t helping clients why we are here? And how do we help this person learn to empathize with clients and de-escalate the client's stress instead of adding their own anxiety to the situation? Let’s get into this…

Uncharted Veterinary Podcast · UVP 153 It’s Not the End of the World

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

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

Upcoming Events

December 12: It's All Fun & Games – How to Play, Engage With and Reward Your Team with Jenn Galvin

LAST CHANCE TO REGISTER – DON’T MISS YOUR CHANCE TO LEARN HOW TO HAVE FUN AND PLAY WITH YOUR TEAM!

You don’t want to miss this. Jenn Galvin, practice manager, practice owner, and game-playing aficionado, is leading a workshop on how to engage and have fun with our teams. In a time when clinics are struggling with turnover, burnout, and disengagement, it is time to create a plan that will help you lean into the individuals who make up your team and get some tools that can help you work on keeping them happy! Sunday, Dec 12 from 4-6 pm ET/1-3pm PT, Jenn will lead us in discussion and brainstorming on:
– What employee engagement means for your individual practice
– Simple ways to measure engagement
– How to work through what to do with engagement results to create a response plan that matters
– Ideas for how to reward the team in ways that will result in a more happy and efficient team.

$99 Registration fee (Free for Uncharted members)

Register Here

All Upcoming Events

A UVC MEMBERSHIP IS YOUR KEY TO FINALLY GETTING THINGS DONE AND GROWING YOUR VETERINARY PRACTICE.


Episode Transcript

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 tackling a topic from the mailbag. We got an email from Dr. It's Not the End of the World, and they are struggling with this CSR on their team who seems to catastrophize everything. I felt incredibly seen during this episode because you guys, I've been there. I read this email and I thought, oh my God, is Dr. It's Not The End of the World a fly on the wall at my clinic? Because I have been there more than once, in more than one clinic in this situation. And that is what do you do when you have a CSR who seems to catastrophize everything? Every client that they talk to is angry or upset about something and it always seems to end in chaos because other members of the team have to get involved and try and save the day. And when the other team members get involved, they find that these clients are just fine. They seem to just need help with something which leaves Dr. It's Not The End of the World wanting to know isn't helping clients while we're here. And how do we help the person learn to empathize with our clients and deescalate client stress instead of adding their own concerns and anxiety to the situation. Let's get into this.

Speaker 2:

And now, the Uncharted Podcast.

Dr. Andy Roark:

And we are back. It's me and Stephanie under pressure Goss. Under pressure. [inaudible 00:01:27]

Stephanie Goss:

Oh, that's fantastic. How's it going Andy Roark?

Dr. Andy Roark:

It's great. We're recording this right before Thanksgiving. We just opened up registration for the April Uncharted Veterinary Conference.

Stephanie Goss:

Yes. That's right.

Dr. Andy Roark:

I'm geeking out, geeking out. It's our five-year anniversary.

Stephanie Goss:

I know.

Dr. Andy Roark:

It's our five years of Uncharted. That's amazing.

Stephanie Goss:

I know. It's funny. We actually, I had to ask the question to our team because I was reading through everything for registration and I read it and it was like, this will be our first live event in three years. And I went, “No way. It's only been two years.” Then I had to look at the calendar and count and think, okay, that this really is going into the third year since we've done the thing and that's… It's crazy. It is crazy. It's also crazy to think we've been doing this together for five years. I remember our very first Uncharted like it was yesterday. It does not seem like it has been five years.

Dr. Andy Roark:

You were an attendee, which is great for me because I didn't have to pay for you to be there. You paid me to be there. We should go back to that. That was excellent.

Stephanie Goss:

That is a very true story. I had just joined the team and it was our first live event and we had so so much fun. I remember how anxious and nervous I was heading to Greenville, having started working with you and Jamie and not having met Jamie yet. I was very nervous about that.

Dr. Andy Roark:

It was intimidating. Jamie was intense.

Stephanie Goss:

Oh, it was so good though that we had so, so much fun at that first event. And I am just… I cannot wait to see people in person and…

Dr. Andy Roark:

Yeah. I've been thinking a lot about how we're going to talk about this conference and get people to recognize how awesome it's going to be. And so I have a plan and I just want to do it with you now. I want to do the first ever episode of Uncharted Playhouse. Uncharted Playhouse, a theatrical representation of what it means to come to uncharted and why [inaudible 00:03:32] to come. And so that's what I want to do.

Stephanie Goss:

Oh my God. Shut up. Are you kidding?

Dr. Andy Roark:

I'm not kidding. I have a script right here.

Stephanie Goss:

That you've not shared with me.

Dr. Andy Roark:

No. Well, I only have my half of the script.

Stephanie Goss:

Right, okay.

Dr. Andy Roark:

So you don't have-

Stephanie Goss:

I don't get a script.

Dr. Andy Roark:

I'm going to stick to my script and I just want you to react in character on your side.

Stephanie Goss:

Oh my God.

Dr. Andy Roark:

Okay. You have to stop laughing so we can do this. Are you ready?

Stephanie Goss:

No. Oh dear God.

Dr. Andy Roark:

Welcome to Uncharted Playhouse. Janet, I give so much of myself to the practice. I feel there must be a way for me to work smarter, enjoy practice more, grow our revenue and build an even better workplace culture, but I don't know what it is. Also, I believe my evil twin sister is having an affair with your husband.

Stephanie Goss:

But Dr. Andy, where would you find such a thing?

Dr. Andy Roark:

Do you really think so? Cannot really learn in an act of engaged, collaborative way that is wildly not boring and that will connect me to hundreds of amazing vet business geeks who want to help me succeed?

Stephanie Goss:

None of your sister's husband is leading classes.

Dr. Andy Roark:

I'll do it. I'll become an uncharted member to register now and I'll go to Greenville, South Carolina, April… Was it 22nd through to 24th? Is that what you just…

Stephanie Goss:

[inaudible 00:05:05].

Dr. Andy Roark:

I didn't… I put a blank in the script that I would fill in later. I'll go check that. [inaudible 00:05:16] 22nd to 24th then?

Stephanie Goss:

21st to the 23rd.

Dr. Andy Roark:

Oh go to Greenville, South Carolina, April 21st through the 23rd for an Uncharted Vet Conference. Thank you for all you've done for me, Janet. And I'm sorry about your husband.

Stephanie Goss:

My name's not Janet.

Dr. Andy Roark:

End scene. Nailed it.

Stephanie Goss:

Oh my God. I wish they could see me right now because I am tomato red, dying laughing.

Dr. Andy Roark:

I'll write both half of the script next time. All right, let's get into this [inaudible 00:05:55]

Stephanie Goss:

This is going to be the best Easter egg present that we've ever given Dustin Bays.

Dr. Andy Roark:

I expect high production value on this bit, Dustin.

Stephanie Goss:

Holy guacamole. No, but seriously, we're going to be together in Greenville, South Carolina next week. And it's our first time all being together in ages, and we are going to hang out with practice owners and I cannot wait. I am so excited to see everybody.

Dr. Andy Roark:

Yeah. Me too. The practice [inaudible 00:06:31] so that's going to be great. It's a-

Stephanie Goss:

And it will pump all of us up for April and I can't wait for that.

Dr. Andy Roark:

We're also running our strategic planning for our team, which will pump you and me up for doing some strategic planning workshops in the first of the year as we do.

Stephanie Goss:

Yeah. I am excited. There is lots of good stuff coming. And if you all think you have seen Stephanie turned up to excitement level 10 on the podcast, you have no idea.

Dr. Andy Roark:

Yeah, definitely. I'm looking forward to it. What do we got from… If anyone is still listening, they want us to get into the mailbag and what we're actually doing here.

Stephanie Goss:

Oh my gosh. We have a great one from the mailbag. We got an email from Dr. It's Not the End of the World and it is so fantastic. As I read this, I was like, is this person in my clinic? Because this has been my clinic and I felt seen in this email. So it said, “Hi, Stephanie and Andy. We have our CSR who is constantly catastrophizing everything. Every client that this person speaks to seems to be set about something. And as soon as anybody else talks to the client, it becomes clear that they aren't really upset, they just need help with a problem.” And Dr. It's Not the End of the World is asking isn't that why we're here? And so they said they've tried using scripts to help this receptionist, but if a client is asking questions that require the CSR to go off script, catastrophe tends to ensue. And so it resulted almost every call with a client being escalated to the manager or to a doctor. And it's very inefficient, as you can imagine, and extremely disruptive to everybody's workflow.

Stephanie Goss:

And the CSR is very young. This is one of their first jobs. And so Dr. It's Not the End of the World is wondering, maybe this is due to a lack of experience, both in the veterinary world or the real world, being one of their first jobs, but they're wondering how do we help this person empathize with clients and deescalate the clients' stress instead of adding their own anxiety on top of that? Any advice we could give would be appreciated?

Dr. Andy Roark:

Sure. Well, I think we can definitely tackle that. You want to start with some headspace?

Stephanie Goss:

Oh yeah. It's a good place to start.

Dr. Andy Roark:

The headspace is super important here because this behavior can be really frustrating. I've been this person and I've been very frustrated by this person at different times in my life. It's the little boy who cried wolf, right? At some point you got this person and everything is an emergency or everything is bad. And you either end up spending your life with high cortisol levels because this person has always got really bad things and I think this person is really upset, or you end up just putting yourself in a headspace where you're like, I'm going to ignore this person or everything that they say I'm going to radically discount the importance of…

Dr. Andy Roark:

And you and the person notices that because they think this is a big deal and you just don't seem to have time for them. And what happens is you end up in a place where your employee feels unappreciated, unheard, ignored. Because in their mind, remember people don't base their actions on truth. They base their actions on the perception of the truth, what they believe the truth to be. And so you might be able to have some grading system and you look at this and say, objectively, this is big deal. It doesn't matter. Subjectively to that person, it is a big deal and they have something that's a big deal and their boss, their direct supervisor is completely ignoring them and now you are the jerk boss who ignores your people when they're panicking or when they're “in trouble.” And so I have 100% been flummoxed by this very problem of, I can't emotionally continue to go here. And at the same time, if I don't figure out how to fix this, the person is going to feel very frustrated with me for not taking them seriously.

Stephanie Goss:

I feel even more seen right now because I don't know that I have been this person. I thought about that a lot leading into this, but I, 100%, have been the jerk boss trying to help this person getting frustrated by it and ignoring them and tuning them out for a period of time that a 100% resonated with me because I been there, done that. And it is hard.

Stephanie Goss:

And that, I think you put your finger early on the heart of it for me, which was, I didn't understand how someone could live their life so constantly wrapped up in anxiety because every time I talked to this person and looked at this person, it seems like they were having high cortisol levels because everything was stressing them out. And I looked at that and I was so baffled by how someone could live their life in this state. And I struggled with how to put myself in their shoes. We talk about headspace and that's a part of the headspace process for me is like, what could this person be thinking and feeling and trying to understand? And I will tell you guys, I struggled with that because I was like, I don't understand this. I don't understand it at all. It felt black and white to me. And I know to them, it probably felt black and white and it felt like they're on one side of the Grand Canyon and I was on the other and I had no idea how to cross this. And so to your point, Andy, I just ignored it for a really long time. And that did not go so well for me or for my team or that person.

Dr. Andy Roark:

No. No, it doesn't. So there's three general reasons that you get behaviors like this. And like I said, I'm very familiar with this behavior. I have been this person who has gone through periods of catastrophizing. And I have a 100% been the boss or the vet who works with the person who does this. And it has wildly frustrated me because I'm very goal oriented. And I am very much focus on like, let's not get wound up if we don't need to get wound up. And that's sort of almost wellness strategies, I think [inaudible 00:12:51]. And so with someone who's goal oriented when lot of energy and hand waving and excitement and emotion, I don't like that. And it can, especially if I feel it's getting in the way of us getting our work done for the day, I can get very frustrated.

Dr. Andy Roark:

So why does this happen? Generally, in my experience, there's three causes and they're all intertwined so give me a little bit race here as I lay these down, because I know how tightly linked they are.

Stephanie Goss:

Okay.

Dr. Andy Roark:

The number one reason I see this is anxiety. Catastrophizing, catastrophic thinking, negative thinking, those are all cognitive distortions that we see in people who have anxiety or who are manifesting anxiety. Catastrophizing is common. You guys have heard me joke on the podcast about there'll be something, something comes up and happens and I'm always like, I'm going to end up living in the forest by the river, eating salamanders to-

Stephanie Goss:

And the [crosstalk 00:13:46].

Dr. Andy Roark:

… stay alive. Yeah. And I joke about it, but that's catastrophic thinking that we're talking about everything is going to come crashing down. So people with anxiety tend to have catastrophic thinking. So when you see someone and they just constantly live with their cortisol level jacked up to 11, that's probably somebody who's wrestling with anxiety. And is it clinical anxiety? I don't know and neither do you. And I'm not trying to be this person's therapist, but I do recognize it for what it is and say, wow, that's a very anxious person.

Dr. Andy Roark:

The second part is control of the situation. A lot of times what happens is, and I know this is tied to anxiety is we get this catastrophic thinking in scenarios where this person who really wants control, doesn't have control. I don't have control. I did the thing I was supposed to do, and the person did not react the way that I wanted them to, and they want to talk to the doctor. And I do not know what they're going to say to the doctor. And I don't know how the doctor is going to handle this. And all of these things are out of my control. And for some people that loss of control can be very upsetting and can spin them up.

Stephanie Goss:

The tailspin.

Dr. Andy Roark:

Exactly. Right. In this exact way. And the last thing is, and this is the most benign version of this is sometimes it's a process person. It's someone who says I'm trying to do what's right, I want to get the right answer, I want to follow the rules, I want to do what I'm supposed to do. And now we're off the rails and the rules have been broken and I am no longer confident that I am doing what I'm supposed to do and I really don't want to get this wrong.

Dr. Andy Roark:

And again, I know that all three of those things, they're so overlapped and interrelated and everything, but in my mind, those are three really common reasons that I see catastrophic thinking and I see people getting wound up.

Dr. Andy Roark:

Now the reason I'll lay those things down is because pick any of those things. It's anxiety, the loss of control, the process person who's off the rails. Ignoring that person makes all of those worse.

Stephanie Goss:

Right. Yep.

Dr. Andy Roark:

If this person is having anxiety, because they're like, “I don't know what's going to happen.” And you're like, “I don't have time for this,” and you close the door in their face, you have made this significantly… You know what? I mean, imagine that, the door just slams in Janet's face. Boom. And she was panicked before and now her boss, the person who has organizational power, who can actually help her has literally closed the door in her face. And you just took her up three more notches in her belief that everything is melting down. The same thing with the control. And it's like, “Hey, I don't know what to do. Things are out of control. I'm going to go to my boss and try to get control of the situation through his or her help and they refuse to help me and now I have even less control because the obvious path forward has closed the door in my face and now I have less control than I did before. I don't have access to my boss or my direct supervisor. And this is worse.”

Dr. Andy Roark:

And then the process person is like, “I don't know what to do. I really desperately want to get the right answer.” And I say, “I don't have time to talk to you.” That is, I am not helping them get the right answer. I am increasing the chances that they are going to “get in trouble,” which is what they're generally really worried about.

Dr. Andy Roark:

So again is super understandable to get frustrated, especially if this is a pattern of behavior. I have a tendency to get frustrated, but I do know, I think discipline, as you get older, is knowing a truth and being able to adhere to it, even though emotionally you don't want to.

Dr. Andy Roark:

I was talking to one of my friends recently and I was like, the definition of maturity in marriage is not saying, “I told you so,” when it is so obvious. Being able to have the thing happen where you're like, “I told you so, [inaudible 00:17:41]” and just being able to not say it. There are people who die of old age having never reached that level of self-discipline where they could just take a pass and not say, “I told you so to their [inaudible 00:17:58].” And it is that exact level of control where you have to look at the person who is melting down and they're throwing their hands up and they're like, “And I told her that we don't do discounts for rescue groups and she said I'm coming in to talk to you. And here we are.” And you look at that person and you do not say, I don't know [inaudible 00:18:24] You look at them and you say, “I hear you and I understand you. Let's talk about what we're going to do to handle this situation.” And man, that is a test of willpower for most of us, I think.

Stephanie Goss:

Yes. Yes. 100%. And I think it was for me and I failed repeatedly over and over and over again.

Dr. Andy Roark:

Yeah, me too. I have blown this situation. I have a 100% just stomped on. I've cut the red wire many times and had it explode in my face.

Stephanie Goss:

Oh yeah. And it's just not worth it, because then you still have to deal with the thing and now you have another problem of going and trying to put the person back together after you blew them off. You still have to deal with the problem that they are upset about, which is generally a real problem. It's not of the proportion that they're making it, but now I have an HR issue, a person management, a relationship issue that I have to deal with and now it's a much bigger thing than it had to be. And so in the short term, me closing the door and saying, I don't have time for this is just going to make a whole lot more cleanup for me to do later on.

Dr. Andy Roark:

Yes. Again, I feel painfully seen in this episode because that was me. That's how I… I tried these things, but I totally feel it. And so I think I agree with you. I think I struggle. And I think it'd be interesting, I would love to know how you look at this in the end. And I think our listeners would all look at it differently, which is what's interesting about it. But when I think about those three things, I think about the anxiety, I think about the loss of control and I think about the rule-following. The hardest of those three, for me as a manager to deal with is the rule-following.

Dr. Andy Roark:

Really? That's the hardest one? That's the one you pick?

Stephanie Goss:

Yeah.

Dr. Andy Roark:

[crosstalk 00:20:19] I would pick. Okay. All right, tell me about that.

Stephanie Goss:

That's why I wanted talk about because I think that everybody's responses are going to be very different because I'm very much a compassionate person. I've always been the mom of the group. So somebody who is having anxiety or who I can recognize that they are struggling with the loss of control, I feel like I can cope with those two things in my role as a leader and as a boss. I feel like I can cope with those so much easier than trying to cope with someone who wants to follow the rules. Because what I know as a core truth in the depths of my soul is that veterinary medicine is not black and white. And I can't change that for someone. And that was what I struggled with in this situation in my clinic was how do… I want to help this person? I see the anxiety, I see the loss of control. I see the hurt feelings when I shut the door in their face. I see the giant mess that I'm cleaning up out afterward when I've shut the door in their face, or they don't feel like a boss is available to them and so they're like, I'm just not going to do anything because I don't want to do the wrong thing.

Stephanie Goss:

So then the list of things to do and clean up stacks up and up and up, and then I'm dealing with the giant mess. That was where for me, I froze because I was like, I don't know what to do about this because I can't change the fact that veterinary medicine is not black and white, 100% of the time. I can't change the fact that especially for the front desk, it exists in a world of gray a lot of the time. And that actually was the part that I found the easiest as a CSR is I never had a problem navigating those waters. And so for me, the rule-following and the structure and the ability to freestyle, that is a part that I couldn't relate to. It felt like in any way, shape or form. And so that was the part that I struggled with the most.

Dr. Andy Roark:

Yeah. It's very much a mindset, you know what I mean? And you and I are both very creative people. We improvise as you might have heard earlier on when we were goofing off talking about the conference. We improvise. It comes fairly easily to us. That is how you and I are wired and that's not how other people are, are wired. So there's a couple of things that we can do. So one of the first things that I want to try to do when we have a process person, and we hear a lot about this is process people are great. They're amazing. They just want to know what they're supposed to do so that they can do it every time and they can run it smooth as silk and get the right answer. It's like, don't look at that as anything other than a… That's not a flaw, it's a feature.

Stephanie Goss:

Right. Yes. Oh yeah.

Dr. Andy Roark:

But it does require some systems. And so I think for a lot of us, what we have to do is get a little bit creative in what our processes are. And you talked recently in a way that I… That's something I really liked. We talked about whenever there was… We talked about staff constantly coming to us to solve problems, and you talked about, at the front desk, you said, “Look, if you can solve this problem for $25, just solve the problem.” That's a process. That is evaluate the situation, present the options and try to make the client happy up to this point. And beyond this point, then elevate, escalate up the chain and you come and talk to me. And that's a very nebulous process, but sometimes that's enough of a process to make that person feel comfortable.

Dr. Andy Roark:

Some processes can have things like evaluate the situation to determine how the client is feeling and then escalate if you feel that this person is not going to be satisfied with the results and you said that is what our process is. So in some cases it is about making more robust processes. When we are surprised again and again, by something, at some point it's not a surprise, it's our business model. Which means if this person is coming to you every week with similar problems or problems that have a similar theme, you should fix this problem. You know what I mean? The definition of a good business is probably solving one problem right after the other, the definition of a bad business is solving the same problem again and again and again.

Dr. Andy Roark:

So it's hard when it's always something different, but if it's always the same thing where this person has a client that they think is upset but is not upset, we need to look at what is going on here and what should the process be and how do we flesh that out with them? So part one is, can I build out processes?

Dr. Andy Roark:

And again, I agree with you. There's so shades of gray, these cannot be lab, bench processes like add a third of a milliliter, add a third of a cup to this and a 100 milliliters of that. It's not that prescriptive. It is more assess the situation, present options to the client, things like that. So can I flesh out these processes, is the first part.

Dr. Andy Roark:

The second part is training and saying, okay, we are consistently getting, whenever there's a client who seems like they might be upset, this CSR is getting very upset and they're coming to me and they think the world is ending. Can I work with them on their phrases and what they say and how they say it? Can we possibly get them some training on dealing with angry clients like perhaps the charming the angry client course, which is available for sale at drandyroark.com. It is me teaching how to handle angry and complaining clients. It's an outstanding resource. Take [inaudible 00:26:32] there. They might benefit from something I don't know, like that. Just put that out there. But is there, in all seriousness, is there-

Stephanie Goss:

That was a perfect plug.

Dr. Andy Roark:

Thank you. I thought that was pretty seamless.

Stephanie Goss:

Perfect. But it is a true story, and I'll tell you why. So Dr. It's Not the End of the World started this process by approaching it, I think from a clear head space. So to go back to thinking about things, I think from the message we got, they said, okay, how can I solve this? Well, maybe if we give them to your point, some training and some structure, and we give them a script that that will solve the problem. So I think that they're thinking in the right direction, it's exactly what I would've done and what I have done. And so I think that is good. I think the part about your plug that is important is that we are dealing with other human beings, we're not dealing with a solution on the lab bench. So I can put two drops in at the exact right moment and the thing will go, according to plan. I can give a client a response that is in my script. They have a 1001 and ways to respond and usually they respond in the 1002 way. It's not the way you're ever expecting. [inaudible 00:27:52] and that's the problem.

Stephanie Goss:

And so I think that Dr. It's Not the End of the World is doing the right thing and heading in the direction to your point of training and focusing on how do I support this person. And we have to remember before we start any systems or training or programs and processes that we are dealing with other human beings and so part of the training has to be addressing the human response, which is the unknown. You never know how they're going to react.

Dr. Andy Roark:

And that's how scripts can screw you up. And I'm not saying scripts are bad idea, scripts are a good idea, but often people get the intent of scripts are wrong or providing scripts. If you say, here is exactly what you say in this situation, you are going to cause more panic because they're never going to get set up to say exactly what is there, like the client will phrase their question in a weird way, or they'll ask it with some caveats. And [inaudible 00:28:49] just never going to get a chance to use this script right on the way that it was written.

Dr. Andy Roark:

And so scripts are still super valuable for giving people some phrases, some ways to say the messaging, here is the messaging they want to deliver. It's really, what we're trying to do is build systems where the scripts are a guide and they give you some ideas and some words to use and to practice with, but the scripts have to be held loosely. And if we have a hardcore process person or someone who has anxiety, they want to believe the script is exactly what they're supposed do. And that's not what it is, and we just need to be upfront about that from the beginning and say, “Here is the script I want you to read it through a couple of times. And then tomorrow I'm going to ask you some questions as a client, and you're going to work off the script and give me some answers.” And then just sit down with them and ask them the common questions from clients, but ask them in weird ways, because the clients are going to ask in weird ways. And just ask them in weird ways where the script doesn't really work and tell them, take the information on the script, reformulate it, so you can deliver it and deliver this information. And just let them practice how they would say it and how it fits.

Dr. Andy Roark:

And so that's generally how I use scripts. And we've used them a number of times in Uncharted for different things. Super helpful for people to know what's important to communicate, but they have to be held loosely or else they cause more headaches than they solve.

Stephanie Goss:

Yeah. Yeah, absolutely. And I think from a headspace perspective, I think the other thing that is important here, which always is is for doctors, it's not the end of the world when you're addressing this. I think some of it is sitting down and looking at where is your own emotional state, because when you address this challenge and you work with this team member, it is important to be calm and safe and not be frustrated and not be angry or triggered because that leads to shut the door, not necessarily in their face, but I'm just going to hide from this person. It leads of that kind of behavior. It leads to the avoidance. It leads to the frustration. It leads to, I will say I was guilty of this. It leads to the venting in the moment. When your work is interrupted for the sixth time in an hour to get asked a question, it leads to you venting to another person on the team. Those things are real. So I think from a headspace perspective, Dr. It's Not the End of the World has done, made some steps forward into solving it, which I think are great, and they're being proactive about it. And I think it's still important to sit back and say, what is the differences?

Stephanie Goss:

And look at those three things. I'm curious to know which of those three, you would struggle with the most, Andy, because I think, like I said, I think it's going to different for everybody and I think Dr. It's Not the End of the World should step back and say, what is it about this that is the most frustrating to them and work a little bit on trying to bridge the divide between themselves, because if you can't try and figure out how to pinpoint what is actually frustrating you, I don't know that you're going to be able to come to a viable solution for how to solve the problem.

Dr. Andy Roark:

Yeah, I just want to validate what you were just saying is not being triggered. Having this conversation is really important. And I know people listening are like, why does he keep saying that? Why does he bring that up? And it's like, because I see this conversation happening, in frustration, in response to you have interrupted me the fourth time in an hour, and I have had enough of this, and I need to talk to you right now about how you need to take care of your job and stop asking me to do everything. And again, that's terrible wording. That's because you're frustrated and you say that to the person. And if anyone out there is listening and thinks that could never happen, I promise you you're mistaken. That is how the conversation happens, because we're nice people in which when we want to assume the best and we do until we're having a bad day and then this person does this behavior multiple times, and then we just snap and we're like, I've had enough and so now we're going to have this conversation, and that is the bad time to have the conversation. So I see that a lot.

Dr. Andy Roark:

For me, the hardest one, the anxiety controller processes, the hardest is the anxiety part. Because that is a deeply internal struggle that I can't help you with all that much. And I can give you some guidance. I can give you some coaching, and we're going to do that in the back half of this episode. But ultimately, if this is something that a person struggles with, if that's how they're wired, if they're constantly, if they're an anxious person, there is some self work that they're probably going to need to do that is beyond employee coaching that I can do.

Dr. Andy Roark:

And so they have to need to see it in themselves. And it's like, I can't change someone. They have to want to change themselves. The need for control, at least we can talk a bit about control and help them create more of an illusion of control that they feel comfortable with. Then the processes, at least we can work on the processes, but if there's just someone who generally believes that things are going to go badly and just spin out of control, I don't know how to tell you that they're not going to go badly and they're not been out of control other than the coaching that we're talking about. I'm just pointing out how this has happened so many times and has never gone out of control. And I just need you to internalize that and believe that.

Dr. Andy Roark:

So for me, that type of stuff is always harder when I have someone who has these types of cognitive distortions they do, the catastrophic thinking, the negative thinking, finding the bad in everything. I'm always imagining the worst case scenario. That can be very frustrating to deal with because it's so internally driven and it is hard to give them clear, direct practice oriented feedback on that. That is really something that they have to own and work on themselves.

Stephanie Goss:

Yeah. That makes sense. Do you want to pause here and then we can dive into when you have a person on your team, who's like this, how do you approach it?

Dr. Andy Roark:

Yeah, let's do it.

Stephanie Goss:

Okay.

Stephanie Goss:

Hey everybody. I just want to jump in here for one second, because I want to talk to you guys about someone who has been one of the best gifts that Uncharted has given me, and that is my amazing friend, Jen Galvin. For those of you guys who don't know Jen, she is a practice manager and a practice owner in Arizona, and she is fabulous. We met at the very first Uncharted and I am so thankful that the universe brought her my way because she is smart and she is funny as all get out. She makes me belly laugh and snort laugh every time we are together. And she is kind, and what I love potentially the most about Jen is how passionate she is about her team and about having a great, happy place to work. And she is bringing that attitude to you.

Stephanie Goss:

She is going to be teaching a workshop or leading a workshop in December on Sunday, December 12th, from 4:00 to 6:00 PM, Eastern, 1:00 to 3:00 PM Pacific. She is going to be talking about how It's All Fun and Games, how to play with engage with, and reward your team. She is going to talk about what employee engagement means, but more specifically, what does it mean to you in your practice?

Stephanie Goss:

The group is going to brainstorm and talk about some simple ways to measure engagement within our practices. And then most importantly, what the hell do we actually do with this? When we do measure it? How do we create thing that is actionable and also matters to our individual teams? We're going to brainstorm some ways that we can reward the team so that they feel appreciated in a way that resonates and matters to them. It's going to be a lot of fun. I am super excited to get to be her wingman on this. And I hope that you will come and join us. If you head over to unchartedvet.com/events, you can find the registration page for Its All Fun and Games. I hope to see you guys there. Now back to the podcast.

Dr. Andy Roark:

All right. So let's get in the nuts of bolts here. So the number one takeaway from headspace is don't be triggered. So to summarize and expand a little bit what we said on headspace, don't be triggered. Remember to some good intent. This person is wound up because they care. And if they didn't care, they wouldn't be wound up. They would just say, eh, and they wouldn't come. They wouldn't come to you first of all. They don't care. And certainly, if they did come to you, they would just say, “Hey, here's a phone call you need to make.” And they wouldn't tell you that they think this person is upset or frustrated. This person is only chewing their fingernails because they want to do a good job and they want to provide good patient care and they want to be a good employee. And as long as you can put that in your brain and hold onto it, you can have better conversations with them.

Stephanie Goss:

And I would actually suggest, obviously, you don't want to make things up that aren't true. But if this person is having this behavior more often than not, what I found is that they are doing it because they genuinely care about the client experience. And yes, sometimes they are manifesting, upset or irrational thought or anger that is not present when somebody else talks to that client. And I would rather have somebody that is hyper aware of the client experience and the client response to how we are interacting with them than someone who is apathetic and who doesn't care. And so where for myself, where I started the conversation with my team member was saying, thank you and saying, I appreciate that you care deeply for the client experience. That is really important to me and I appreciate that. And because there's an [inaudible 00:38:54]. It's not a but. When you use but-

Dr. Andy Roark:

And don't say but-

Stephanie Goss:

… you're making it wrong.

Dr. Andy Roark:

Yeah, but is a [inaudible 00:38:58] word. Yeah.

Stephanie Goss:

But, there's an [inaudible 00:39:04] and there should be an [inaudible 00:39:05]. And so for me, it was thank you for this [inaudible 00:39:07], and then it was about talking about the impact. When you interrupt the doctor who is in surgery to ask a question because you think a client is angry and it's something that could have waited, here's the impact of that. Here are the responses because a lot of times they are so focused on getting the answer, getting it right, trying to help the client that they cannot see the impact of that action on the rest of the team, on the doctor, who's getting interrupted, on the manager who's on a phone call who's someone I literally… This was what drove me craziest and it was part of what made the divide. I would be on the phone and the person would just stand outside my door, waiting for me to be done because they wanted to help the client. And they had the client on the phone or they had the client at the front desk and they wanted the help so badly. And I could appreciate that and at the same time that had an impact for me. I couldn't focus. I screwed up on phone calls. I had things that came out of my mouth, because I was thinking about the fact that they're literally standing next to me, waiting for me to get on-off the phone.

Stephanie Goss:

So it's okay to give them the [inaudible 00:40:20]. But for me, the place where I would start with this is to look at the behavior and think about what are the positive outcomes of this. When you have someone who is detail oriented on your team, to your point, Andy, that is so important. We need the detail oriented people. We need the people who need a process and protocols because that's how we get those things developed in our practice. This is an opportunity where you can turn pieces of the behavior that Dr. It’s Not the End of the World Is probably feeling because this is how I felt. This drives me absolutely freaking insane and I just want to strangle this person. And yet it became an incredible opportunity for my team to harness that into where can we direct their focus so it's positive? Can we write some scripts? Can we develop some protocols? Can we come up with some black and white, this is where things are falling apart and can we use that to become better? And that is a much healthier place to be and don't get me wrong, I did not jump there immediately. I jumped straight to I'm going to start ignoring this person because they're driving me freaking bonkers.

Dr. Andy Roark:

Yeah. Oh I mean it's like being a parent trying to go to the bathroom and your kids are waiting outside. And it affects you at a level that doesn't make sense to anyone who hasn't been that first [crosstalk 00:41:41].

Stephanie Goss:

Oh my God, yes.

Dr. Andy Roark:

I don't know why it affects me so much, but I want to put them in the yard and lock all the doors.

Stephanie Goss:

Oh my God. Yes.

Dr. Andy Roark:

But that's it. And that's why said, these often are triggered conversations for the very reason. Okay, so I agree with that. Quick words of advice on this, it is very hard to coach this person in a positive way while the problem that they are stressed out about still persists.

Stephanie Goss:

Yes.

Dr. Andy Roark:

So regardless of the cause of why they're doing this way, if they're waiting on the client and they're trying to serve this client and you are trying to talk to them about why them interrupting you is bad, you are making this worse because they are panicking about the client waiting and now they're panicking more because they have to stand here while you tell them that what they did was not right instead of helping a client.

Dr. Andy Roark:

And it is very hard to coach someone who is triggered. It is very hard to coach someone who is panicking. The first thing we have to do is go with the flow and relieve their source of tension. So they're obviously freaked out about something, we are going to deal with it. And once the problem is resolved, they are going to come back down in their stress level to a more reasonable level and now we can talk to them about the process that they use to get there and brainstorm how to go forward. So for example… Well, I'll go into examples in a second. So resolve the initial point of conflict and stress so that this person is in a headspace so that you can coach them. And if you try to coach them before they get out of panic mode, you're wasting your time. So start with that.

Dr. Andy Roark:

The second thing is the way that we talk to them is very important. If I have of someone who has panic attacks because they don't want to get it wrong, me talking to them about how they got it wrong, is going to be hard on them. Now that does not mean I'm going to mince words or I'm not going to be truthful to them, I am. Remember clear is kind. Would you rather, if it was you and you were having panic attacks, then would you rather someone act like everything is fine until they've had enough of you and they just lose it on you or would you rather them tell you as you go along, “Hey, this is starting to affect our work relationship or hey, there are some things about what you're doing that I'm having problems with. Can I talk to you about them.” And so try to get to that place. Okay.

Dr. Andy Roark:

So how do we have the conversation without just saying to them, you are messing up, you are causing a problem. You thought you had a problem before when the client was upset, well now the boss is upset and now you got another problem that you're going to respond as you always do, which is [inaudible 00:44:38]. A lot of it's how we say it. And so it is easy to say, “Hey, when you stand outside my door, while I'm on the phone, you are wildly distracting and it makes me extremely angry, like I see red.” And you can say that, or you can say, “Hey. I am not a multitasker and I have to focus on what I'm doing. And so when I'm on the phone and I see you outside, my pea brain has a hard time keeping both of those things in check in doing the work that I need to get done right when you're there.” And I hope that that sounds very different because-

Stephanie Goss:

It does.

Dr. Andy Roark:

… it is very different. And it's not why you say it, it's how you say it. And so the message I'm giving to them is don't stand outside the door and wait for me to get off the phone. The reason is not going to be because you make me insanely angry and I want to-

Stephanie Goss:

Throttle you.

Dr. Andy Roark:

… throttle you. Yeah. The reason is because I can't concentrate on what I'm trying to do when people are waiting for me and that's a personal failing of mine. And so I need your help with that because I can't do it and I need your help.

Dr. Andy Roark:

And that's just sprinkling in a little bit of vulnerability. It's the way that we're phrasing it as… It's not a you problem, it's me problem. It's not you, it's me.

Stephanie Goss:

I love that.

Dr. Andy Roark:

That's exactly where we're going.

Stephanie Goss:

I love that.

Dr. Andy Roark:

Same thing with, well, interrupting the doctor in surgery to tell them that the client is angry. It's not about, hey, you really take off the doctor when you do that, it's hey, can you imagine being a doctor who's doing surgery and then someone comes and lets you know that someone's angry at you and how hard that would be. You go, “Ah, yeah. I'm sorry. My bad. I didn't think of that.” And so the reasons that we give about the behaviors and behavior change that we need, it matters. And again, that doesn't mean I'm letting off the hook, that doesn't mean I'm saying things that aren't true. It just means I'm thinking about how to deliver that message.

Stephanie Goss:

Yeah. I approached the situation from a different perspective, but I agree with you the words matter. And so the way that I looked at it was I see the anxiety, I see the loss of control, I see the physical manifestation of that in the nervous behaviors in the tone of voice, in the fact that they are telling the rest of the team how stressed out they are about being at work in the fact that they're cleaning that their stomach hurts because they're so stressed out at work, those things. Say, I am worried about you. This is how I see that this seems to be impacting you. Tell me more about this, because in the moment, I didn't know what to do. I just knew I needed to cast a wide net because I knew that I was frustrated and I knew that I was angry and I was like, I don't know what the hell to do with this because I'm not seeing it that way. And so I just said, this is what I see happening. Tell me more about that. And then I shut up and listened.

Stephanie Goss:

And I asked them for their help in figuring what it was that was actually the struggle for them and where they needed the help. Because like I said, I felt like the anxiety and the control of the situation was something I could support them with and the rule-following was the struggle for me and so I needed to figure out like what is actually triggering them. I know it's triggering me, but what is triggering them as well, to figure out a game plan for it. So I think no matter what, having a conversation is important. So I totally applaud Dr. It's Not the End of the World because their team is like, this is a problem, we recognize this, so we're going to try and solve it. So we've created some scripts. I'm hoping that they also had a conversation with this person. But I would say if they haven't, it's a good place to start and just say, Hey, this is, to your point, either this is how I am struggling and I need your help and bridge the gap with the ask of help or I see this and I'm worried about you. How can we…

Stephanie Goss:

But it is clear as kind and you have to have a conversation. You can't just ignore it and hope that giving them scripts, hope that training, hope that helping them is going to solve the problem. I think you have to be honest and you have to be empathetic and you have to be able to ask them, I see this as a struggle, tell me how I can help you. Even if they don't know, talking about it is going to help. You have to start the conversation somewhere.

Dr. Andy Roark:

Yeah. One of the things that I think is make or break in these conversations that really is a leadership skill is identifying the pattern of behavior that you are seeing and that you're trying to manage. Because if you just get upset every time this person does something where they're panicking, it can very much be a whack-a-mole exercise where every day they're upset about something different. And it's really hard-

Stephanie Goss:

[crosstalk 00:49:37].

Dr. Andy Roark:

… to coach someone when every day… Yeah. It was really hard to coach someone when everything they do is wrong. That's a terrible thing to try. You can't coach someone. And the other thing is they are going to believe that they're destined to fail because how do you fix everything about yourself? The way out of this trap is to identify the pattern of behavior. Hey, when the protocols that we have don't cover the situation, you react very strongly. That's a single problem. That's just one problem. When the protocols don't cover, what happens? You have a strong, emotional reaction and we need to work on that. That's just one problem. And there's a million great things about you and just one problem, that's not a big deal. Have 99 good things and one single problem, which is very different than Jay-Z. Much, much more manageable, I think.

Stephanie Goss:

Oh.

Dr. Andy Roark:

Oh.

Stephanie Goss:

This episode is off the [inaudible 00:50:36]

Dr. Andy Roark:

Watching you not respond to that and then just see the pain on your face, is it sunk in, that made it all worth it. All right. One problem, the only way you can [inaudible 00:50:48] a one problem is if you spot the pattern and so you got to find the pattern. The person who goes and interrupts the doctor because the angry client is on the phone and the person who stands right outside your desk and drives you nuts because there's an angry client on the phone, they've only got one problem. They don't know what to do when they have an angry client on the phone. And honestly, guys, the answer is you need to take a message and tell them that we will call them right back and that you are going to take this directly to the practice manager and get them some answers. And we need to work on the wording so that you can get off the phone and get the resources that you need so this person can get taken care of.

Dr. Andy Roark:

And again, I'm not saying that that's exactly the policy you should choose, but if this is a recurrent problem of the person who is needed is not available and the front desk is just leaving the client on the phone, I would argue strongly. That is a worse scenario than coming up with wording to say, I have this. The doctor is in surgery right now and I am going to relay this to him or her as soon as they are done. You can expect a call from our practice manager probably the next few hours.

Stephanie Goss:

Well, and I think part of it for me in solution mode here is you have to figure out a way to bring objectivity to the conversation because Dr. It’s Not the End of the World said it seems when anybody else talks to the clients, they're not actually upset. And so that tells me when that is happening on repeat that something is happening for this CSR that may or may not be true for other people.

Stephanie Goss:

The only way to figure that out is to bring in a measure of objectivity into it. And so if you are not recording phone calls at your practice, that would be a very great way to start, because let me tell you, nothing is better than after the fact, being able to take a recording and sit down with your CSR and listen to it and say, tell me what you here. Try and figure out what are they hearing that makes them think that this client is angry because if Janet picks up the phone and her impression of this situation is that this client is totally hacked off and a manager needs to get on the phone right now, and I get on the phone and I think this client just had a question and their tone of voice maybe was really to the point and like, let's get it done but I didn't… That being able to see that and look at that objectively comes from hearing it, talking about it together, looking at it and analyzing it.

Stephanie Goss:

And this is the part of our practice to your point, Andy, that so many people dread. It's like the idea of role playing people don't want to feel silly or feel they're listening to themselves. I had a really hard time with this. I hate the sound of my voice. Listening to recordings is hard. And when I was in practice, watching myself on video, working with clients, listening to phone calls was a painful process for me. And I will tell you, I had significant growth in my customer service skills by being able to listen to it and talk about what other people were seeing and hearing in a way that was objective and not in the moment pressure. Because to your point in that moment, if this CSR picks up the phone and thinks that this client is upset, you're not going to be able to coach them. But being able to look at it after the fact and not look at it punitively like this one went bad, but just let's listen to this. What is different about this call than the last one we listened to? Having a measure of objectivity, there is hugely helpful.

Stephanie Goss:

So if you're not investing in something like that for your practice, I would absolutely tell you that that is one of the best things that I ever did as a manager for my front desk team was the ability to listen to phone calls and to work on it from a coaching perspective and get better as a team.

Dr. Andy Roark:

Yeah, I agree. So bringing us all back around into a nice little bundle, the big things and the action steps that we talked about, the first thing you got to do is relieve the tension. We can't coach our way out of this while this person is still panicking about the thing they're panicking about. So suck it up, get the problem fixed before we turn to the coaching. And then now that things are calm again, now that it's the day after, use the feedback model, hey, can we talk about that client that called in yesterday afternoon and how that went? And now we're having a conversation about that without the pressure of the incident. Look for patterns because I want to present them with a problem that is a simple problem. I don't want to present them with nine problems. Here's nine different things that you did that were really infuriating. That's too much. They feel like, “Oh man, I'm failing. There's so many things I'm doing badly.” No, you're doing one thing. There's one thing that tends to undermine you. And then maybe there's other smaller things, but we're only going to address the one thing now because it's the one that's the elephant in the room.

Dr. Andy Roark:

So what is the pattern? What are we really talking about here? And then go into protocols. Are there protocols that can support this person where I can give them guidance so that they know what to do on their own, and they feel comfortable making that decision? Beyond that, we're into training and coaching, which is what Stephanie's talking about with, “Hey, let's listen to some phone calls.” Let's go back and talk about how we're going to handle these situations.

Dr. Andy Roark:

What are we do when someone calls the front desk and they're really angry? Do we put them on hold and stand outside the practice manager's office? Is that our plan? It is bad plan. Yeah.

Stephanie Goss:

Right.

Dr. Andy Roark:

Is that [inaudible 00:56:19]?

Stephanie Goss:

Yes.

Dr. Andy Roark:

I think we need a new plan. And let's not point fingers. Let's just come up with a new plan that people are on board with and that they feel comfortable with. And then let's practice saying the words that communicate that plan to the client so that people are comfortable saying those things.

Dr. Andy Roark:

And then training rolls into coaching, which is, “Hey, can we talk about how things went yesterday?” When these scenarios come up, what are our options for handling them? Aside from coming directly to me, what other options do you think you have in this scenario? And there's some coaching things like that.

Dr. Andy Roark:

One of the other things that I have found to be very helpful for people who have the anxiety piece of this or who catastrophize and they seem quite nervous, a lot of times convincing those people that they're good at this and they have done this many times before and it has always turned out to be just fine, that has been a powerful tool. And so it's a lot of talking about how things went after they're over. “Hey, I wanted to circle back up with you about the client yesterday that you were concerned about. We had a really nice conversation. They were a bit frustrated at the beginning. We worked through it with them. They seemed just fine. I just wanted to give you a heads up.”

Dr. Andy Roark:

The reason I do that is because it's easy to not talk about those things. And of course we don't like to talk about the angry client stuff. The problem is that this person, they get this phone call, they have this emotional reaction, they hand the call away to the practice manager or the practice owner or the doctor and then there's no resolution for that situation for them. They never realized this was fine because they don't know because the manager went in their office and closed the door. Maybe the manager went home and cried all night and it was really honestly, as horrible as imagine it was. Of course it wasn't, but they don't know that. And so closing that loop to be like, “Hey, this was fine. You did a good job of communicating what to expect. You set them up. I think that you accurately interpreted where they were. I think that's great.”

Dr. Andy Roark:

And the same thing of coming back and being like, “Hey, I talked to this person. Just so you know, they really were not upset. It really was not that big a deal.” How in the world is the person ever going to learn, hey, maybe I over interpreted this person's frustration level unless they come back and hear again and again, hey, it wasn't that they were not that upset. And hopefully the person can start to say, oh, okay, I'm having these experiences. They seem upset to me. And then I'm hearing that they're not upset overall. Ultimately, how many times does it have to happen before the CSR realizes, man maybe they're not that upset when they talk to me or maybe it's going to go differently when I talk to the manager or, hey, I might give the manager or the doctor a heads up. Hey, I think this person may be a bit frustrated just so they can be aware. But I'm not go going to chew my fingernails off because this is going to be terrible because it's probably not going to be terrible. And I know that because a 100 times before it has happened and has not been terrible.

Stephanie Goss:

Yeah. I think that's so great. And I think the last piece from the email, which I think is important is that Dr. It’s Not the End of the World asked isn't helping clients with problems, why we're here. And they're concerned that the CSR is young and they don't have real world experience.

Stephanie Goss:

And so for me, part of the training process has to be what does customer service look like in your practice? Because we hire people and we think that they should know how to answer the phone and they should know, and be able to interpret when someone is angry or when they're not, or what the protocol or process to your point, Andy. But the reality is you can have somebody… I had customer service experience coming into my job in a vet hospital, lots of it. But that doesn't mean that I knew what customer service meant to my practice owners. And until I understood what that meant to them, I was being set up to fail.

Stephanie Goss:

And so I think where it has to start is what does that look like? And then developing systems and protocols where, especially, if you have someone who look the veterinary job, the veterinary CSR job is I have worked every job in the hospital other than being a veterinarian. It is the hardest job in the hospital. And I will tell you that if we don't set them up for success and we don't teach them what to expect, they will fail and they will fail miserably. And so we need to own that and we need to look at our processes and protocols and figure out how do we help them feel supported so that we don't throw somebody who has no real job experience or minimal job experience in the deep end, at the front desk and let them sink or swim. That's just a bad plan.

Stephanie Goss:

And I'm not saying that's what Dr. It’s Not the End of the World did. I know this person, and I know that that's not the case, but I would say that we need to think about how do we better support our team and ask smarter questions. And so stating the obvious saying, hey, we want clients to feel like they can ask us for help. And so when they call with a concern or question or whatever, I want everybody to look at it through the lens of, they're just asking for help. And if we can do that, maybe we can have a better head space collectively when we deal with clients, things like that that matter. And we skip that part of the process a lot.

Stephanie Goss:

And so I think thinking about what does client service look like here? How do we approach it? And then developing the systems and protocol so that they have a buddy, so that someone else can objectively listen to those calls with them, so that there is a process to help them figure out how to live a little bit more in the gray, because we need people who can see that at the front desk.

Stephanie Goss:

And maybe this person will never be that, but maybe they could exist just fine with rules and black and white processes if there's a person who can handle the gray sitting right there at the front desk for 90% of their shift. And maybe it's as simple as saying, for me, one of the solutions we came up with was to say, okay, we're going to tell clients, I will get back to you. I need to get some help. I need somebody else to take a look at this chart. Whatever the situation was, one of us will get back to you.

Stephanie Goss:

And instead of interrupting, they started writing down the list of the things. And then at every two hours, someone either was at the front desk, or I would pop up there and say, “Tell me, what's on your list.” And in five minutes, we would run through the 10 things that had come up that they felt they needed help with. And I could answer them in five or 10 minutes, rapid fire, versus getting interrupted every 10 minutes for two hours.

Stephanie Goss:

So it's about figuring out what is going to work for you, what is going to work for that person, and how do you put those systems and processes into place?

Dr. Andy Roark:

Outstanding. I love it. Well, thanks for doing this episode with me.

Stephanie Goss:

Yeah. This is fun. I hope this is helpful. I can't wait for more Uncharted Playhouse episode.

Dr. Andy Roark:

Uncharted Playhouse episode.

Stephanie Goss:

Next time I'll actually know what's happening.

Dr. Andy Roark:

Don't make promises that you don't have any control over.

Stephanie Goss:

That is the hashtag truth. Have a great week everybody.

Dr. Andy Roark:

See you everybody. Bye.

Stephanie Goss:

Well that's a wrap on another episode of the podcast. And as always, this was so fun to dive into the mailbag and answer this question. And I would really love to see more things like this come through the mailbag. If there is something that you would love to have us talk about on the podcast or a question that you are hoping that we might be able to help with, feel free to reach out and send us a message. You can always find the mailbag at the website. The address is unchartedvet.com/mailbag, or you can email us podcast@unchartedvet.com. Take care everybody, and have a great week. We'll see you again next time.

Written by TylerG · Categorized: Blog, Podcast

Nov 24 2021

We Aren’t Broken (The Stories We Tell Ourselves Matter)

Uncharted Veterinary Podcast Episode 152 - We Aren't Broken, the stories we tell ourselves matter

WHAT'S THIS EPISODE ABOUT?

This week on the podcast, Dr. Roark and Stephanie tackle a letter from the mailbag. We received a note from a veterinary technician who is feeling very frustrated with the language that our industry is using to describe ourselves and communicate the pain and frustration we are all experiencing, outwardly to the rest of the world. This technician feels like they see conversations happening where we vet med people say “This is a field meant for broken people” and they disagree. Andy and I are in their camp and want to talk about it, so… Let’s get into this.

This episode contains discussion topics (mental health, suicide crisis) that may be triggering. If you or someone you know are struggling with mental health, there are ways for you to get help. We've attached resources and links below.

Uncharted Veterinary Podcast · UVP 152 We Aren’t Broken (The Stories We Tell Ourselves Matter)

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

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

Resources & Links

National Suicide Hotline (United States) – 1-800-273-8255

https://suicidepreventionlifeline.org

International Suicide Hotlines (Outside US) – https://www.psychologytoday.com/us/basics/suicide/suicide-prevention-hotlines-resources-worldwide

Upcoming Events

December 12: It's All Fun & Games – How to Play, Engage With and Reward Your Team with Jenn Galvin

Don’t miss an awesome new workshop coming in December. Jenn Galvin, practice manager, practice owner, and game-playing aficionado, is leading a workshop on how to engage and have fun with our teams. In a time when clinics are struggling with turnover, burnout, and disengagement, it is time to create a plan that will help you lean into the individuals who make up your team and get some tools that can help you work on keeping them happy! Sunday, Dec 12 from 4-6 pm ET/1-3pm PT, Jenn will lead us in discussion and brainstorming on 

  • What employee engagement means for your individual practice
  • Simple ways to measure engagement
  • How to work through what to do with engagement results to create a response plan that matters
  • Ideas for how to reward the team in ways that will result in a more happy and efficient team.

$99 Registration fee (Free for Uncharted members)

All Upcoming Events

A UVC MEMBERSHIP IS YOUR KEY TO FINALLY GETTING THINGS DONE AND GROWING YOUR VETERINARY PRACTICE.

Written by TylerG · Categorized: Blog, Podcast

Nov 22 2021

The Uncharted Veterinary Conference Guide

Thinking about coming to the Uncharted Veterinary Conference but have no idea what to expect? Are you unsure of what it means to become an Uncharted Community member? Here is your guide to why Uncharted is unique and how it can help you well beyond these three days in Greenville, SC.

Networking at Uncharted

The first day of any Uncharted Conference feels like getting ready for the party of the year! The “Anchor Ball” is the introduction to what Uncharted is all about. The first thing to know: you won't be an anonymous face in a crowd of hundreds. We cap our live events at 150 attendees so no one feels lost in a sea of people and strong connections can be made.

Opening night is full of interactive table discussions, ice breakers, and introductions. You'll be moving around the Westin Poinsett ballrooms meeting speakers, sponsors, and other attendees. It's a great time to network and make some conference buddies. It's also the first chance at getting points for the Social Media Scavenger Hunt.

The Anchor Ball officially opens with introductions by the Uncharted Conference Founder, Dr. Andy Roark. He and the Uncharted Team mix in some group discussions to stimulate discussions about what YOUR Uncharted experience will be. After Andy's Keynote talk and a few other surprises, you'll head to bed feeling inspired and prepared for the Conference you've just helped create. (Want to know more? Choose Your Own Adventure is explained at the Conference!).

What will you learn at the Uncharted Veterinary Conference?

The Uncharted Conference in April is our flagship event. In celebration of 5 years serving the veterinary profession, we have shifted the focus of this conference inward. You’re not looking to grow your business outwardly – you’re looking for ways to build resiliency and reignite your love for your career. During this 3-day adventure in beautiful Greenville, South Carolina, you’ll be discussing topics like hiring for culture, creating the story that becomes your path, and building smoother, more simple ways to practice.

You will also learn about your fellow Community members. We offer opportunities like Mic Drop talks to allow attendees to share stories about their paths through veterinary medicine and beyond. They are a fan-favorite of our live events and a bonding experience for everyone involved!

How do we make the Uncharted conferences fun?

Uncharted live events are conferences that you create. The experiences you have depend on your readiness to jump in and learn in a whole new way. The Uncharted team works together to bring you the content you need now and find creative ways to address the problems in veterinary medicine with open and honest discussion. Mixed into every Uncharted event is a little bit of magic. Surprise outings and scavenger hunts are just a couple of the ways fun is infused into every Uncharted experience.

We encourage our attendees at every event, live or virtual, to take the Conference and make it what YOU need. No chains (except maybe that stubborn lap cat) hold you to our schedule. Make the most of your breaks and have coffee with a few new friends, compare notes with your leadership team that's attending with you or take that cat nap to recharge. You do you!

How will you ACTUALLY go back to your clinic and Get Sh*t Done?

The last part of every Uncharted Veterinary Conference is dedicated to planning how YOU will take what you learned back to practice. Led by Dr. Andy Roark and Stephanie Goss, you'll walk through strategic planning that will set you up for success in achieving your clinic culture goals. By the end of the conference, you'll have new contacts, new tools, and newfound energy to tackle your problems in practice.

What happens if you love Uncharted and want more?

If you don't want your Uncharted experience to end, the Uncharted Community is the perfect place to continue the conversation! Members get access to all of the previous virtual event content, free access to virtual workshops and exclusive entry to our live events. We are making our return to Greenville for the first time in 3 years at this event! You will be able to ask questions and reach out to any of the Community members anytime – which means you're even more likely to reach the goals you make at the conference.

Ready to find your tribe? Register now for the Uncharted Veterinary Conference! We can't wait to see you soon.


Photo of dog on beach, description of the Uncharted Veterinary Community

Written by TylerG · Categorized: Blog

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