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Jul 19 2023

Lessons Learned from Leadership – Part Two

This week on the podcast…

This week on the Uncharted Podcast, Dr. Andy Roark and practice management geek Stephanie Goss are picking up where we left off after last week. If you haven't listened to Episode #240 – STOP RIGHT HERE and go listen.

Stephanie recently was asked a question by a fellow manager who is newer to their management position “What lesson(s) do you wish you had learned about being a leader BEFORE you became a leader? Andy and Stephanie got SO into this topic that this is part two because we just couldn't fit all the amazing conversation into one episode. Let's get into this…

Uncharted Veterinary Podcast · UVP – 241 – Lessons Learned From Leadership – Part Two

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

Submit your questions here: unchartedvet.com/mailbag


Upcoming Events

December 7-9, 2023: Uncharted Practice Leaders Summit

All Upcoming Events


Episode Transcript

Stephanie Goss:

Hey, everybody. I am Stephanie Goss, and this is another episode of the Uncharted Podcast. Andy and I are back this week to continue a conversation that we previously started. Now this episode is a little bit different than our normal. We got a question from a colleague who wanted to know, “Hey, what are some of the most important lessons that you and Andy wish that you had learned before you became a leader?” We thought it was such a wonderful question. Both of us had extensive lists and actually I think that we wound up talking about not a whole lot that was on the original list because we got so into the discussion. We had so much fun making this. I'm just going to say let's get into it.

Speaker 2:

And now the Uncharted Podcast.

Dr. Andy Roark:

Asnd we are back. It's me, Dr. Andy Roark, and the one and only Stephanie “Part Two” Goss.

Stephanie Goss:

That was such a cop out.

Dr. Andy Roark:

I thought that was great. I was like-

Stephanie Goss:

I was like, what great song lyric does he have for this?

Dr. Andy Roark:

I know. You're like, ha, ha.

Stephanie Goss:

There's no.

Dr. Andy Roark:

He's going to have to get real creative.

Stephanie Goss:

This part.

Dr. Andy Roark:

For this part two.

Stephanie Goss:

Part two.

Dr. Andy Roark:

Episode of the podcast.

Stephanie Goss:

Yeah. How's it going, Andy Roark?

Dr. Andy Roark:

It's good. It's really good. Yeah, man. Holy crapes. A lot going on. We are in the swing of things now. We got a lot of stuff going on. Enjoyed talking with you earlier today about some logistics, some hotel management and a room arrangement for the Practice Leaders Summit, which is open to practice owners and practice managers only at the end of the year. That's right, it'll be only practice owners and practice managers. Those are the only job types that we're going to take. They're going to separate and have a day to themselves in only manager group and an only owner group, and then they're going to come back together and do a manager-owner working collaboratively type day.

It's going to be really good. Then there's some people who are like, “I work at a practice. We don't have a practice owner.” That's totally fine. We've got a work around for that, but that's going to be the idea is separate groups. My idea is to try to have too many conferences at the same time and then bring them together for this magical everybody back together taking what they used in their separate sessions and doing something awesome with it at the end of the event. So that's what's going to happen.

Stephanie Goss:

And my idea is that the most valuable time we spend out of the clinic is when we work together. So you're going to take your idea and my idea, and we're going to mash it up. We're going to do work time, and we're going to have separate group conversation time. We're going to make a new baby project. I am so pumped for this, and I imagine some of our listeners who are going, “Well, but I'm a practice leader, but I'm not a practice owner and I'm not a practice manager.” We hear you. We are working on practice leadership is you and I's jam, and we want to continue to create spaces. So this is just the starting point. In December, we are starting with our owners and our managers and bringing them together. But fear not, if you do not fall into one of those two categories, because we have got all kinds of stuff coming and I am so excited.

Dr. Andy Roark:

Yeah. Yeah. I'm super pumped. We're going to start. We are really bracing out, and we are going to go hard on our medical directors and our team leads. So we've got virtual events for them, and then next year we'll see what happens. I'd like to keep rolling people together.

Stephanie Goss:

We're going to be in Greenville in December as we do, which is beautiful. I love how Greenville gets into the holiday spirit, and you and I are getting ready to take our show on the road a little bit.

Dr. Andy Roark:

That's right.

Stephanie Goss:

So we've got some new events this year, one of which is happening in the fall. There'll be more info coming, but we are going out on the road. So if you're like, I haven't been able to get to Greenville, but maybe-

Dr. Andy Roark:

What? Uncharted?

Stephanie Goss:

I would like to do Uncharted on the West Coast.

Dr. Andy Roark:

What? On the West Coast?

Stephanie Goss:

It's going to be fun. It's going to be fun.

Dr. Andy Roark:

I told you guys. This year, bonkers.

Stephanie Goss:

We're shaking it up.

Dr. Andy Roark:

Oh man.

Stephanie Goss:

Okay, so you called me Stephanie Goss, Stephanie “Part Two” Goss because we are picking up where we left off earlier today when you and I were recording.

Dr. Andy Roark:

Yeah.

Stephanie Goss:

But I don't know how that shakes out with our episodes, but you and I recently did an episode because I got asked by a newer manager in our Uncharted community, “Hey, I would love …” Even though it doesn't fit your mailbag format, I would love to hear you and Andy talk about some of the lessons you wish you had learned before you became a leader or some of the things that you wish that you knew or learned with hindsight. If you haven't listened to that episode, you should go back and listen to it because we had so much fun and we got about a quarter of the way through. I think we both looked at each other. It's kind of weird how we can read each other's minds now at this point sometimes.

Dr. Andy Roark:

Yeah, yeah.

Stephanie Goss:

We both gave each other that look of like, “Oh, this is going to be two parts because we're never going to get through all of this.” So here you go, part two.

Dr. Andy Roark:

Here we are.

Stephanie Goss:

Here we are.

Dr. Andy Roark:

Yes.

Stephanie Goss:

We're going to pick up where we left off and talk about some more of the lessons that we wish we had learned.

Dr. Andy Roark:

I've got one.

Stephanie Goss:

All right.

Dr. Andy Roark:

I've got one. So just hear me all the way out before anybody reacts.

Stephanie Goss:

All right.

Dr. Andy Roark:

Okay.

Stephanie Goss:

Is that me included?

Dr. Andy Roark:

That's definitely you included.

Stephanie Goss:

Yeah. okay I'm going to sit on my hands and zip my mouth.

Dr. Andy Roark:

That's 100% of you included.

Stephanie Goss:

Okay. I'm listening.

Dr. Andy Roark:

I could see you not liking what I'm going to say.

Stephanie Goss:

Okay.

Dr. Andy Roark:

Ultimately I think you'll come around, but I think your initial reaction may be-

Stephanie Goss:

Challenge accepted.

Dr. Andy Roark:

Okay. Caveat. You need to care about how your team is feeling, but not that much. Okay. Not that much. I say that not in like … okay. It probably depends on who you are as a person, but I would tell you again, I'm giving advice, things that I wish that I knew before I got started.

Stephanie Goss:

Okay.

Dr. Andy Roark:

I always allowed myself to hear and internalize the feelings of my team and the people that I was leading. That is good because we want people to be heard, and we definitely want to empathize with the people that we're leading and understand them. All those things are true.

Stephanie Goss:

Sure.

Dr. Andy Roark:

However, for me, that led to wild fluctuation in my experience day to day. It took me a decade to realize that somebody is always going to be upset about something. If you internalize the feelings of everyone who comes into your office, you are going to be manic. You are going to be on this high and low rollercoaster all the time. Honestly, let's be honest, it's usually low to horribly low to terrified. It's usually fear to anger, to frustration, back to fear.

Stephanie Goss:

Sure.

Dr. Andy Roark:

Because people are like, “Andy, I need to interrupt you and share my positive feelings with you.” That doesn't happen.

Stephanie Goss:

Once in a blue moon.

Dr. Andy Roark:

Once in a blue moon.

Stephanie Goss:

Somebody comes in and is like, “Andy, I'm so excited to tell you about this thing I just did.”

Dr. Andy Roark:

Right. But there's two reasons for this. The first one is if you just take in the feelings of the people that you're leading, you will go bonkers because it will just be this constant emotional rush. It's like if you were to internalize. I guess this is a good metaphor, it's like if you were to internalize the feelings of the pet owners you're taking care of. I think every doctor knows that's a bad idea because it's exhausting. It is a path to burnout. You cannot feel the euthanasia the way that the owner feels the euthanasia. If you do, I'm worried about your longevity of this profession because you just can't. You just can't put that on yourself every day. Can't. It's the same thing with staff.

Stephanie Goss:

That doesn't mean that you can't care.

Dr. Andy Roark:

Right.

Stephanie Goss:

Because a lot of people would go, “Well, what do you mean I can't care about my patients and I can't …”

Dr. Andy Roark:

No.

Stephanie Goss:

Hear you. That's not what you're saying.

Dr. Andy Roark:

I think that's why it's a good analogy, right? Because no one would be like, Andy doesn't care about the patients that he euthanizes. Anyone who knows me knows that's not true. I cannot internalize the emotions of those people and make them my own emotions or it will drown me. That's how I think everybody is. But I think that you put your finger right on it. It is a hundred percent possible for me to say I am not going to empathize, emotionally empathize, but I can still care, but I don't need to feel those feelings. So I think that that's key just because … part one is because of the volume of feelings you're going to get because everybody's got feelings, and they're going to have struggles and you can't … it sucks that throughout the course of the day, say half the team has some a negative experience, if every one of those experiences then comes together and gets handed to you, you're toast.

Because no one person should have those experiences just piled on top of them, but a lot of people do. So I had that experience just because it comes at you so fast. That's one. The other reason that I didn't understand until much later on is people react in the moment, and they get mad.they come and they bring to you this in the moment emotion. At least for me, I didn't cognitively put that together as a, “This is an in the moment motion.” Right? The truth is if your staff gets hacked off at the front desk, the texts are mad at the front desk. They come to you and they're like, “This is a disaster. Nothing is right. Nobody can get along. We're not communicating. They don't seem to know what's going on.” The truth is if you said, “Great, let's talk about this tomorrow morning. I'm going to make some notes. We're going to meet up tomorrow morning and I just want to sort this out.”

Tomorrow morning, they are not going to feel that way. They might have some of those ideas, and there might be validity to what they're saying, but the whole, “This business is crashing. Our practice is a sham. We say that we care, that we have compassion, and clearly we don't.” And blah. All the emotional stuff has generally gone away. But I was never good at that in that when people come to me and something bad has just happened and they're like, “I am so mad.” I at some level believe that they went home and continued to be mad. They were mad the next day. They just weren't saying anything about it. The truth is that's not how emotions are. People tend to come to you when their emotions are at their zenith. So you are seeing them at the height of their emotional output. That's not how they're living their life, but I thought that it was at some level.

Stephanie Goss:

Sure.

Dr. Andy Roark:

I was like, boy, when I saw her, she was so upset. It's like, yeah, she was upset for about 10 minutes, Andy. Then she kind of moved on. That doesn't mean that you're going to not care about this. It doesn't mean you're not going to wade in and fix it, but this person is not going home and sobbing themselves to sleep in a puddle that you have to fix this immediately or else they're going to leave. I think I thought that it was at some level. Does that make sense?

Stephanie Goss:

It totally does. I think the other benefit of that too, so I have yet again, things that were not on my list, so I'll give you the one that goes to this and then I want to go back to where you started.

Dr. Andy Roark:

Sure.

Stephanie Goss:

So going along with this, I think the reality for me was I had to create. When I was a young manager, I am … soaked up everybody's emotions very similarly to how you were talking, both clients and team. It was overwhelming for me at times. So I also have a very fiery temper. I have three brothers, and I am scrappy and I learned to fight early and often. So I have a temper. So one of the most painful lessons that I had to learn as a leader was to create the space for myself to have the 24-hour rule because I did a lot of being the person who tried to deal with the things, including my own problems in the moment, emotion like you're talking about.

When you're at the pinnacle of your anger or upset or frustration or sadness, whatever the emotions are that you're feeling and you try and deal with it, usually is not … you might get to the end result that you need to get to, but it is a messy winding road to get there because you're still processing in realtime. One of the most helpful tools that I learned, again better living through therapy, was this rule for myself that is hard and fast, which is I have to give myself the space of 24 hours.

What that means is I try and walk away from emotionally charged situations, whether it's someone else bringing me their emotionally charged situation or me bringing myself to the place where I'm going to deal with an emotionally charged situation and process through how do I actually feel about this? Because to your point, maybe I do go home and cry myself to sleep about it. Maybe I am that upset or maybe I go to bed and I'm just like … I wake up the next day and I'm like, I still want to shank somebody. I am that hacked off about it. That tells me that I need to deal with that problem. But if I wake up … To your point, if I wake up and I'm like, “I'm pissed off about it. I would really like this thing to change in the future, but I'm not screaming mad and ready to smack somebody the way that I was yesterday when I was in the clinic.” Right? I've moved past that place.

Getting to that point of resolution is going to be so much easier because I've dealt with that emotion. So the 24 hour-rule for me was really key. I think you taught me to one up that even more in terms of not only processing the emotional situations, but allowing yourself some time and space to let your team figure it out. Because I was always the one who was like, “Oh, they have a problem, like my job is to help them, so let me help them with the problem.”

You taught me the lesson of don't answer your phone. Don't answer the text. Don't answer the slack message right away and give them the time and space. It was amazing to me. I thought, well then I'm just going to have a whole stack of problems tomorrow, Andy, to deal with or at the end of my shift to deal with. What I found was that you were right. I did say that on record so you can keep that.

Dr. Andy Roark:

I'm like, holy moly.

Stephanie Goss:

Dustin is going to create the best Easter egg I've maybe ever have given Andy. Andy Roark, you were right. That when you give them the space, a lot of the time they figure it out. They either calm down, and they have a more coherent like, “Hey, I need your help and here's what I need your help with.” Or they're like, “No, I got it. I figured it out, nevermind.” So giving myself the 24-hour rule and applying it also to the don't respond to every message right away was really key to me finding balance as a leader because there's always something.

Dr. Andy Roark:

Yeah. Give them 10 minutes and text back, do you still need help with this and see what happens. Usually the answer will be, “No, we figured it out. No, I got someone else to take care of it.” Great. Okay, good. Yeah. It's funny, sort of wading back into this for a second. There's emotional empathy, and there's cognitive empathy. Emotional empathy is feeling the feelings of others. Cognitive empathy is understanding how that person feels.

So we were talking about euthanasia before, cognitive empathy is what we want. It's like, I understand the experience this person is having, but I don't need to feel it that way. I go back to that as far as you're talking about being an emotion sponge and soaking it up. I think that's really what I'm trying to put my finger on is cognitive empathy is important when you're leading a team is to say, I understand that this person is being affected.

I guess here's the other part when I said, “You should care about how your team feels, but not that much. You should care about what your team needs, and you should care about that a lot.” So when someone comes and they're like, I'm so mad because this happened, that doesn't mean when I say you shouldn't care too much. You're like, “No, I should get over it.” Like, no, you should look into this, and we need to figure this out. However, I don't need to take in that knowledge. I need to fix this.

With the emotions tied to it that this is horrible, and people are upset, and everything's on fire, and the whole team is going to boycott and leave tomorrow morning because they're not. I'm going to deal with this, but I don't need to have that fear, anger, frustration that someone else brought to me while I do it. So I think that's true. To your part, I like where you went with this as far as the 24-hour rule because I have emotions. I really like that too. I think what I would say … so I don't have a temper. I really don't have a temper. I don't tend to get mad. It happens, but I am not calm. I would not say I'm calm. I would say I don't tend to get angry. That's not usually how I go. Anyway, sorry. We'll take that again.

Stephanie Goss:

You're like, no.

Dr. Andy Roark:

No. Do you think I get angry?

Stephanie Goss:

No, I don't think you get angry. I don't think you-

Dr. Andy Roark:

Okay. When you said you're really calm and then you didn't say anything else, I was like, “Am I?”

Stephanie Goss:

No. That's how I know. Because you don't get angry in the sense. When I get angry, I get loud, I get intense, I yell. I have brothers, I like to hit things. I truly have learned to manage my anger as I've become an adult. You, I can tell at least … I can count on six years of working together, I can probably count on two fingers the numbers of times that I've seen you actually where I think you were angry. You are very calm, which is abnormal for you. You are not a calm person.

Dr. Andy Roark:

Yeah, I need quiet. Okay.

Stephanie Goss:

You get very serious and calm. It's just this is how it's going to be. I can tell that it's not like … that's the scary Andy. It's like, oh, okay. You're normally very expressive, like the opposite of that. So I don't think it's like, “Oh, you're a calm person.” I think that's how it comes out when you're angry.

Dr. Andy Roark:

Well, yeah, exactly right. You're spot on. But when you said, “Oh, you're calm.” I'm like, “Wait a second.”

Stephanie Goss:

He was like, “Has she ever worked with me ?”

Dr. Andy Roark:

Me? I thought you were being facetious. I was like, “Hey, is this me?” Anyway, no, you're exactly right. I'm glad that you say you can count on two fingers because it does not tend to happen.

Stephanie Goss:

No. Yeah.

Dr. Andy Roark:

It's not how I roll.

Stephanie Goss:

Yeah.

Dr. Andy Roark:

However, I do … obviously .. that doesn't mean I'm a robot and I absolutely do get affected. So there are things that happen to me or something will happen to the team. Whereas other people might get really angry, I won't necessarily get angry, but I will be affected. I will ruminate on it in a way that's not productive sometimes. So I will fall into that. The 24-hour rule, I think it's really smart. That's why we talk about … when we talk about safe conversations, can you sit next to this person? Can you smile at them? I think it's right there.

The thing for me that I didn't … the skill I did not have when I was a young leader that I got later on that's really been valuable for me is the ability to get present in the moment. This is not going to be a sales pitch for meditation, but that is what some people do is mindfulness stuff.

Stephanie Goss:

Sure.

Dr. Andy Roark:

For me, I had to realize that rumination is not good for me, and I had to come up with a couple of things that helped me to get out of that trap of just fruitlessly burning my mental gas as fast as I could.

Stephanie Goss:

Well, because let's be real, you end up in a cardboard box in the woods, and so you need a coping mechanism to get yourself out of that box.

Dr. Andy Roark:

Yeah, I'm going to talk about the cardboard box in the woods in a second, where that comes from, because that's a big thing for me is the cardboard box in the woods. But I do, but I have that coping mechanism to get out of that. So the big things for me, the first thing I would say is everybody's got to find their own thing.

Stephanie Goss:

Right.

Dr. Andy Roark:

Right? Everyone's brain is different. So I'll tell you what works for me. It probably won't work for you or it won't be the best thing for you. You'll have to find your own thing. But every leader should figure out how to get present and set that stuff down. If you cannot set that stuff down, if you're like, “Nope, I get anxious. I get worried. I start ruminating. I get stuck in this toxic fake argument in my head, you've got to figure out how to get out of that.”

So everybody's got to find their own way. So for me, one of the big things that I came to was … there's definitely some mindfulness stuff. Right? Just taking a moment, getting present, paying attention to your breath, stuff like that is really good. But then I got into this series of questions that is helpful where I will just ask myself, “What am I doing right now? What should I be doing right now?” Then I will look at the problem and say, “Do I have a plan for this problem?” If I don't have a plan for the problem, then I will start making the plan. That switching into action mode is huge for getting me out of my head and moving in a productive way. So what am I doing right now? Do I have a plan for this problem that's clearly bothering me? If I don't have a plan, I'm going to make it.

If I do have a plan, then I'm going to say, “Am I doing the plan right now?” If the answer is yes, then I'm done. And that actually is my path out is, yep, I have a plan. I am doing the plan. I am having a meeting with this person tomorrow morning when they arrive at the clinic, and I have texted them. They said, “Great, see you then.” So the plan is set and I am doing the plan, which means there is no reason for me to continue in this head space. Do I know what I'm going to say tomorrow? If I don't, and that's bothering me, then part of the plan needs to be prepping for my meeting tomorrow, figuring out what I'm going to say. And I go, great. Then I take action again. I'm sure it sounds really dumb.

Stephanie Goss:

No.

Dr. Andy Roark:

But for me, it was just a big deal of, “What am I doing now? Do I have a plan for this?” Yes. Great. Then I should feel good because I'm doing the plan. If it's like, yeah, but now I don't exactly know what I'm going to say in this meeting, great, switch that back to action. But I have found that I can take action, make a plan, write it down on paper. Sometimes living in my head is not enough. I need to make it into something I can see.

Stephanie Goss:

Yes, yes. Same.

Dr. Andy Roark:

But now I'm taking action and getting this out of my brain. Guys, that's just been a huge thing for me. Mix that with a little bit of mindfulness, some breathing, maybe a post-work exercise session, walk the dog, something like that. But I have gotten much better at being able to put that stuff aside and not just grind the gears and grind the gears and grind the gears when I'm troubled.

Stephanie Goss:

Yes. Yeah, I am two ways very similar to you in that regard. I am super hippie, for anybody who knows me pretty well. So a big thing for me besides the breathing, and that's actually been a challenge for me because I don't pause, and I don't slow down, and I don't breathe. So learning how to be intentional about breathing and some breath exercises was really helpful. But also I practice what's called grounding. So for me, what is really, really helpful is I go outside. I put my feet on the ground, I take off my shoes, I take off my socks. I don't go where we let the dogs pee, but I find some ground at the clinic and just sink my toes into the ground and just breathe. That makes a world of difference if I have the capacity to then go for a walk or get myself out.

But there's something about, even though we don't get a lot of sunshine in Washington, just being out in the outside and connecting with the ground, it's hippie woowoo. It's not for everybody, but it makes a huge difference for me. Then your other one was writing it down, and I found an outline or a template that was shared with a practice, a consultant that we worked at my very first practice, and I've kind of stuck with it.

It goes along with our safe, but there's a series of questions that I ask myself like, “What meaning have I attached to this problem? What am I trying to figure out? What am I actually worried about? What else could this mean? Is there information I don't have?” I forced myself to go through kind of a flow chart to write the things down, to figure out, okay, ultimately to land where you landed, which is what is my plan? How am I going to deal with it? Do I need more information? What do I need to be able to move forward? Is that moving forward with having a hard conversation? Is it dealing with an emotion? What is that plan? But the writing it down and getting it out of my head really makes a big difference.

Dr. Andy Roark:

Yeah, I completely agree. Everybody, like I said, I love the know you talked about grounding. Maybe it's yoga. Maybe it's mindfulness. There's a million different kinds of mindfulness. I love your idea of grounding, but what is your thing that can get you out of your head and just present in the moment so you can let some emotions roll on by and then go on and not carry this stuff around with you? So I think that's huge.

Stephanie Goss:

I want to go back to where you started a little bit because one of the lessons, and again, this was not on my list, but I love where you went with it, so I'm going to roll with it.

Dr. Andy Roark:

Sure.

Stephanie Goss:

One of the most important lessons I think that I learned as a leader, I learned from Legally Blonde. I'm just going to put that out there because it's going to make you laugh, and it's going to give you fodder for teasing me. So in the movie, Legally Blonde, Elle's sorority sisters, they have a snap cup. It is bedazzled and jewelled. And the snap cup idea is that you write down positive things. I remember the very first time I brought the snap cup concept to my practice. I had the cup and I bedazzled it, and I glittered it because that's me. I brought it to my team. I was like, “Listen, we need to find the good.”

It was an uphill battle at first because I didn't have the tools to get team by. I didn't know a lot of the lessons that I know now, but I just knew that there was something so inspiring to me about the positivity of what is the good and where can we capture the good. When you said care about your people, but don't care that much, for me, it was your point about there will be something wrong for somebody all day long. If all I hear as the leader, it is very rare that the team comes, that I am one of the first people to hear someone on the team come to you and say, “Oh, I just learned how to do this thing or I just did this.” I got to the place where they wanted to come tell me those things.

As you get further and further up the leadership chain, you're removed from that, and so I wasn't there to celebrate those victories. I wasn't on the floor all the time, so I didn't see a lot of that. I spent so much time hearing the problems and none of the good. For me, this snap cup was a way for me to intentionally learn about what is good about our jobs and be reminded not only for myself, but to help the team remind each other about why do we like each other. Because it's really easy to get caught up in the, oh my gosh, the techs aren't doing what I need them to do, or oh my gosh, the CSRs are a pain in the today. It's really easy to get caught up in that frustration because we are people dealing with people all day long.

There will always be problems. There will always be conflict. There will always be emotion. It's really easy for any one of us, regardless of our position in the hospital to sink into that problem or the negative side. The snap cup really, really helped say what was a good thing that happened. What do I want to say thank you to somebody for? What made me laugh today? The more and more that we were intentional about it, the better I learned how to see the team and to stop seeing just the problems.

Dr. Andy Roark:

Yeah. Yeah, I think that that's another … I'm so glad you said that. I put that down with sort of the mindfulness part of getting present in the moment. Another part of that for me is knowing that we tend to remember the negative stuff. Right? It's called negativity biases sticks to us. Part of being mindful is like, what's going on right now? The other part is, “What is good today?” I think that part of that's getting present and putting things aside. It's really easy to not stop for a minute and say, “What was good?” I don't have a whole lot of woo woo therapy type stuff that I do, but I do have one thing that I have done for years, and it is journal. But it's not traditional. It's not journaling where I write in. All I do is the whole notebook is just the date and three things that were good today, and that's it.

If I have more than three, I keep going. But for the most part, I want three things. I have that notebook by my bed. I can just look and I look at that notebook, and I believe I have a good life because of all the things that are there. They're not the things that you necessarily think of. They're just things like, I had a great cup of coffee with Stephanie Goss today and really enjoyed our conversation. Man, if you look back at the end of the day and you are like, I had a great cup of coffee with Stephanie Goss, and I enjoyed the conversation. I went for a beautiful walk at lunchtime, and I had dinner with my family, and my daughter cooked it. You're like, that's it. That's a simple, stupid … I think you're living a good life.

To me, to be able to look back and objectively see, oh, there are a lot of good things here, that has been a big deal as far as me feeling good and just … I don't know. It's one of those things now at this point, I just kind of enjoy it. I flip back through that a lot because you'll look back at a date and you'll be like, “Oh man. About four months ago we had those people over for dinner. It was really wonderful,” or “Oh man, I remember the last time I had coffee with Stephanie was six weeks ago. We should do that again.” I don't know. It kind of fits in that whole sort of mindfulness and holding onto what's good.

Stephanie Goss:

Hey, friends. Are you a veterinary practice owner? No? Well, are you a veterinary practice manager? If the answer to either of these questions is yes, I want you to keep listening. If it's not, yes you can take a quick pee break or get some water before we head back into the podcast because I've got something for my practice owners and my practice managers. We are hosting our first ever Practice Leaders Summit. If you're not an owner or manager and you're still listening, and you're thinking, “But I'm a practice leader,” don't worry, we've got you. We've got more events coming, but this first one is happening in December in Greenville, South Carolina.

It will be decorated for the holidays. We are going to come together. Now we're going to come together, but we're going to be separate. What are you talking about, Stephanie? Well, Andy and I have planned a whole bunch of new content with our team, and we are excited to bring managers together to talk to other managers, and owners together to talk to other practice owners.

Then we're going to put everybody together, and we are going to get to work. That's right. We are going to work on our practices. Our ideal hope would be that manager and owner combos can come together, but we recognize that won't work for some practices. So we have plans to hook you up with other owners and managers, if you're coming solo on either side. So don't worry, but don't delay.

Head over to the website at UnchartedVet.com/Events because we want to see you there, and that means you have to sign up because this will sell out. Don't miss your chance to come work on your practice with your practice owner, with your practice manager. You can find out more information, including a letter that you can use to convince your boss if you are a practice manager or maybe practice owners, some reverse psychology to use on your manager to get them to come to Greenville with you. Again, it's all up at the website at UnchartedVet.com/Events. And now back to the podcast.

Dr. Andy Roark:

Let's flip gears for a second. I want to talk about the box in the woods. So we joke a lot that my fear is always no matter what happens, it's going to go bad, and I'm going to end up living in a box in the woods. That's where all of this cascades. There'll be a one-star review, and there'll be a cascade of events that leads to complete financial ruin. I get divorced and my children won't talk to me anymore, and I live in a box by the woods or in the woods. That's where things go. So we joke about that a lot, but the box in the woods comes from a real place. It comes from here, and this is sort of a part of the leadership advice, stuff that I wished I had understood early on. We're all running a hardware system that was built a million years ago by our cavemen ancestors.

The way that our brains are wired, we are wired for survival 30,000 years ago. That is how we are wired. So there is parts of our brain that are just set up this way to keep us alive in a nutrient scarce environment.

Stephanie Goss:

Sure.

Dr. Andy Roark:

Which is why, I call it the caveman. The caveman wants to drive. We all have a caveman or cavewoman. The caveman wants to drive. So if you let the caveman drive, you get wild behaviors that a caveman would like. My caveman believe … People are like, “Listen to your body.” My body believes that the pizza tree blooms once a year, and so we better get it while it's here right now today. My body thinks that famine could come at any time and completely ignores the fact that I am never more than 10 feet away from food throughout my entire day. It's like, “Nope, famine's coming.” It's like that.

So a couple of things the caveman cares about that I think are really important. One of them is status. Right? Status is important to the caveman. Status is important because in tribes, well, what happened is if you had a lower status, you had limited access to resources and to mates. If you were removed from the tribe because your status became too low, you were dead. That was it. A person by themselves without a tribe was dead. So status matters and being included in the tribe, it matters. I say that because for me, understanding the caveman means going, “Oh, my brain thinks that if I don't have high status with this group of people, I might get kicked out of the tribe,” and that's not true, but that's the emotional experience that we have is we're like, oh, I need to virtue signal at these people or I need to make sure my status is good.

All of the stuff when I say, “Oh man, it's important that people like me or I really struggle with making everyone happy or making people happy,” that's caveman pushing that lever, going, “Hey, we need some status here. We need to make sure we're in a good position in the tribe. Make sure everybody likes you because you're more likely to be able to eat first and to have a mate and to not get kicked out, to freeze to death.” So the caveman drives that desire for status is baked in. The fear, it's more important the fear of losing status is baked in. The other part of that that's related is in the caveman brain, for a lot of us, failure when you're a caveman means death, like you are dead. Our modern mind hasn't changed that much. So we still attach these 30,000-year-old stakes to modern events that do not carry those stakes at all.

So I joke about the idea that I'm going to get a one-star review, and it's going to end up with me in a box in the woods. That's not really what my caveman brain says. My caveman brain really says, “You are going to die.” That's what it says. If this fails, you are going to die, and that is so ridiculous. But at some level, basal lizard brain level, that's what my body believes. So when I joke and say, “I'm going to live in the box in the woods,” what's really happening behind my eyes is I am calling that out. I'm going, the idea is if I fail, if my employees decide they don't like me, they're all going to leave, and I'm going to starve to death and no one's going to like me and I am going to die.” That's what my caveman says.

You go, that's ridiculous. Of course when you lay that down and you call it out, you know it's ridiculous. Then that fear goes away. You go, that's ridiculous. None of that's going to happen. But boy, if you don't call it out, and you don't catch it, I have a hundred percent seen people reacting emotionally to basic HR situations as if their life, they are scared to the level that you go, “None of this is worth what you're talking about.” None of this is worth the weight and the fear that you're giving to it. I just say, I've seen doctors be like, she's really angry. I'm like, okay, what does that mean for you? Well, she might write a one-star review. I'm like, “Are you going to die from that?” No. She might file a board complaint. And I'll go, “That would be a crappy couple of months.”

Stephanie Goss:

But did you die?

Dr. Andy Roark:

But don't get me wrong, but you will not die. What if they took your license away? Seriously, what if they took your license away? Then you will do a different job, and you will not die. Again, I bring that up. These are all weird constructs that I have in my mind and things I've thought a lot about. I don't know if they're helpful to other people. I hope that they are. But the caveman mind of, “Andy, if this goes badly, you are going to die.” But that's why when we talk about me ending up in a box, that's shorthand for that type of fear of if this goes badly, all is lost. I'm like, “No, no, it's not.”

Stephanie Goss:

I love that. I think my last one, I'm going to piggyback off of your fear because I think this was a big lesson for me. So I came from the team. I was a CSR, and then became an assistant, became a CSR lead and then an assistant manager. So I wish I had learned the lesson much earlier on that there is a huge difference between love, respect, and fear in the team. When I stepped up above my peers positionally, I reached for the fear lever a lot because I was like, “Well, I want them to respect me, and I need them to understand that I mean business. And I can't have them look at me like their friend.” My immature management brain thought, “Well, I need them to be afraid of the consequences or they're not going to take me seriously.” You're laughing and it's like, now I look back and-

Dr. Andy Roark:

No, no, of course. Well, that's good to know.

Stephanie Goss:

Laugh at.

Dr. Andy Roark:

But I can see this. I know you well enough to say, okay, I can see this. Also I know you will enough to say, “This is so funny.” It's like the Little Mermaid has had enough, and that's it, Crab, I'm going to kick some butt if you don't get on board with this.

Stephanie Goss:

But it really was like … I was like, okay, I'm going to reach for the fear lever. Then there were times to the point that you and I have already talked about where you want to care about your team. So I leaned too far in the direction of I want my team to love me. How they view me matters so much to me, and I need to be loved and adored. I need to make them happy. As we've already talked about, you can't freaking make them all happy. Someone is always going to be pissed off about something that you did as a leader. That's just the reality of the position.

So both ends of that spectrum, I wound up screwing myself over leaning too much into either one of those sides. What I found and what I wish I had found much earlier on in the process because there was a lot of painful lessons at both ends of that spectrum is that the respect in the middle is where I want to be.

That comes with time and patience. It isn't a lever that you can pull. You have to earn it. Showing up for my team, doing what I said I was going to do, caring about them, but not caring too much, not being afraid to hold them accountable, but not being a dick either, that middle ground is what earned me the respect. I wish that I had known that lesson way earlier on because I burned myself. I burned some bridges along the way trying to lean into the love or the fear too much.

Dr. Andy Roark:

Well, it's so unsexy and so unrewarding when you say, “What is the answer?” Well, it's a little bit of both. It's kind staying in the middle. That is not the answer that people … people want to be like, “No, tell me how to yell at people so that they respond.”

Stephanie Goss:

Well, I can tell you how to yell at people.

Dr. Andy Roark:

Or tell me how to love them unconditionally and have infinite … it's like neither of … it's a case by case basis, and you're going to have to keep feeling it out. You're going to swing a little bit like a pendulum, and that's okay. But it's the middle path. It's finding balance. We talk about that every week on this podcast, but that really is what it's about.

Stephanie Goss:

Yeah. I have learned. Sometimes I pull a little from both sides, do you need me to mom you right now? I've stopped yelling at people. I've stopped being the one that's like, “Let me make you afraid of me. Do you need me to mom? You? Do you need some accountability? I can do that.” Do you need a hug right now? Just like, do you need some love right now? Because I can lean into that too, but from the middle ground.

Dr. Andy Roark:

I've heard the question, do you need to be heard, hugged or helped? I'm like, no, nothing. Do you need to be heard, hugged or helped.

Stephanie Goss:

I like it.

Dr. Andy Roark:

Yeah. There was this bit on The Office, and they asked Michael Scott, “Would you rather your employees fear you or love you?” He said, “Easy, both. I want them to fear how much they love me.” I'm like, I can relate to that. I get that. Yeah.

Stephanie Goss:

I love it.

Dr. Andy Roark:

Yeah, it's some of that. I got my last one that I'll put down is again, I am still not a patient person, as you know.

Stephanie Goss:

You're not? I'm shocked.

Dr. Andy Roark:

Boy, I've come a long way. I have come a long way, but I had a long way to come. So yeah.

Stephanie Goss:

Yeah, you have.

Dr. Andy Roark:

I'm still not a patient person, but I've gotten much more patient.

Stephanie Goss:

Yes.

Dr. Andy Roark:

I did not understand the value early on of slowing down to go fast. I didn't believe it. I heard people say things like that, that slow is smooth and smooth is fast and as far as working with your team. Either I didn't believe it or I didn't really understand. The number of times that I have tried to cut corners and he's like, “Just tell everybody. Don't go through the process of asking what they think. We don't need to pre-wire. We don't need to have side conversations ahead of time. Just get them in there, and let's tell them what's up or what's going on. We'll tell them what the deal is and they'll understand.”

Those things have gone wrong so many times, so many times. It's taken me 20 years to get to the place where I truly recognize that sometimes slowing way down and bringing everybody together and having the conversation and listening and walking people through what the idea is is so much faster than trying to just tell them what the deal is and what we're going to do.

I just didn't get that. Also, in the same vein, I always wildly overestimated how much I could accomplish in a year. Always. I was like, this year we're going to do these things, and we're going to do all. I was always way short of what we could do. I would look at a team of 25 and be like, “We'll get them on board in a week.” No, we won't. No, we won't. There's nothing we're doing with 25 people in one week. It's just not. But I've come a long way in that regard where we overestimate what we can do in a year, and we underestimate the distance we can cover in 10 years. So getting my head into a more mature place of like, “You know what, we're going to think about what we're doing by quarter and say in three months, what are we going to fix? What are we going to do?”

Then the next three months, we're going to fix something else. People go, “God, that's slow.” I was like, “Yeah, but I'm not going to stop. I'm not going to stop. We are going to keep fixing things, and we're going to keep going.” Yep. We're going to take our time, and we're going to explain things to everybody, and we're going to pilot things and make adjustments, but we are going to keep going. I just didn't get that when I was young. I wanted to put the pedal down. I really thought that if you had great ideas and you had the right answer, people would hear you and know it was the right answer and get on board. That has not been true. I think there's this thing where people come out of meetings and go, “God, that meeting could have been an email.”

I've come to hear that and think could have been an email if you would read email. If you would read email, it could have been an email. If you could read email thoughtfully and deeply and then ask questions in response to the email, could have been an email, but that ain't happening. None of that is happening. Especially it's not happening across a group of 25 to 50 people. It's not happening.

Stephanie Goss:

True story.

Dr. Andy Roark:

So it could not have been an email. It had to be us all coming together, and walking through, and taking questions, and working together, and everyone doing the new process so they could see how it felt. That's the level of slow one foot in front of the other baby steps that had to happen in order for us to actually get traction and make this sink in and people to actually do it, make the changes we're talking about.

Stephanie Goss:

It's funny because we have been going through incredible growth as a company over the last two years, but really over the last nine or 10 months. It's funny because you and I have had some conversations about walking our talk. You and I have talked about how we talk about this stuff every day. You and I are teaching. We're doing workshops. We're lecturing. We're doing the podcast. We're talking to people. We're engaged in the community. We're having the conversations, and we're talking about these lessons. The slowing down to go fast is a really good example. We have to force ourselves to remember. We're talking about it, but this is hard work, everybody.

We are not immune to it. You and I have had that conversation and have grown in our relationship to be able to say, “How are we doing?” On a scale of one to 10, 10 being where we are listening to every piece of advice we would give a mailbag listener who writes into the podcast, and zero being it's a freaking free for all, where are we at? Having to look at ourselves honestly and hard as leaders and say, “Are we showing up the way that we want to show up?” The answer is not always yes. The answer sometimes is no. It's really hard work. So there's lots of times where people look at us, and they're like, you and Andy just … you always have great answers, and you know what to say. I'm like, “Oh, that's because we get it wrong sometimes just as much as we get it right.”

Dr. Andy Roark:

Yeah. I think a lot about running teams and running businesses is it's a lot going to the gym where, yeah, there is technique. You can learn the proper technique for lifting and things like that. You still got to pick up the weights, and the weights just get heavier. As you move up, they're just heavier weights. So you always … again, I'm working hard not to do crossfit metaphors.

Stephanie Goss:

I was waiting for it. I'm like, he's talking about the gym.

Dr. Andy Roark:

No, I'm not doing it. We're not. We're just talking about a gym, a random gym. But it is that. Right? It's simple. That doesn't mean it's easy. Some days you're tired, and some days you just don't have it.

Stephanie Goss:

You want to cut the corners.

Dr. Andy Roark:

Exactly right. Some days you cut corners, and then you're like, “Oh, I got to go back and fix this now.” Again, it's simple, but that doesn't mean it's easy. The unfortunate thing is, and I've heard this from the absolute top people in massive corporations, that you're like, “Those people are crushing it.” They're like, “It never gets easier.” I'll give you just a random example, I don't give my … I talked to Paul Pion, Dr. Paul Pion, who's the founder of Vin. And Vin is a huge company and a wonderful company. They do so much for our profession. I called Paul Pion one time. I was like, “Hey, I got this thing I'm wrestling with. What are you thinking?” I sort of talked to him a little bit. Basically, I was like, “Have you figured out how to make this problem go away?” He was like, “No, no.” I was like, “You got advice?” He was like, “Buckle up. It doesn't get easier.” That was it. He hung up the phone. Anyway, thanks. He hung up.

Stephanie Goss:

Andy's like, well.

Dr. Andy Roark:

It was not the pep talk I was looking for, but it also made me feel better where it's like, I don't know what the hell you're supposed to do. I've been doing this a lot longer than you, and it still bugs me. I'm like, okay. I found comfort. I found comfort in that well, least I'm not suffering alone.

Stephanie Goss:

No one's got it all figured out.

Dr. Andy Roark:

Yeah, exactly. Okay. That was it.

Stephanie Goss:

Oh, this was fun.

Dr. Andy Roark:

Oh man. Thanks for doing this with me.

Stephanie Goss:

It's always a good episode when we end and we're both laughing.

Dr. Andy Roark:

Oh yeah. It was so fun. I love this job.

Stephanie Goss:

Yeah, yeah.

Dr. Andy Roark:

I love this job.

Stephanie Goss:

Me too.

Dr. Andy Roark:

It's not easy, but man, I do love it. I tell you, just turn it back real quick on Uncharted for a second. I was like, the best thing is being with people who have shared hardship. It's never easy.

Stephanie Goss:

For sure.

Dr. Andy Roark:

The weights are always heavy. As you get better, you just seem to find bigger weights. Then that's just what it is. So everybody's struggling, I think.

Stephanie Goss:

Well, and I think that's one of the things I love the most. What I love about your conversation with Paul is he could have leaned into the toxic positivity and been like, “Oh yeah, you'll figure it out and everything will be great.” But sometimes the best thing you can hear is like, “I get it. I don't have the answer. I got nothing. The suck doesn't go away.”

Sometimes just hearing that and just hearing … and I get it, I see you, the virtual hugs, that's one of the things that I love the most. I think is one of the hardest things to explain to people about a community like ours. It's just that shared connection of like, “Yes, sometimes you have all the advice in the world.” Sometimes it's just showing up for each other and being like, this does suck, and you'll get through it, and being the cheerleaders for each other.

Dr. Andy Roark:

Oh yeah. Well, there's that old story I like to tell about the person who falls in the hole and a bunch of people walk past him. He calls for help, and then they superficially try to help from up high. Then his friend comes and jumps into the hole with him, and the guy's like, “Oh, I really appreciate you jumping into this hole with me. But now we're both stuck.”

The friend goes, “Yeah, but I've been down here before, and I know how to get out.” You go, “Ah, that's really useful.” So it is kind of that thing with Uncharted is to be like, “I've been down here before.” Sometimes that's all you really need to hear is not like … there's problems we all wrestle with that you don't expect there to be a magic solution that makes everything go away. Sometimes you just want to hear from somebody else who's like, “Man, I had the same feeling. I got stuck in the same way. This is what I did and it took some time, but I called my way out of it, and you will too.” You go, “Okay, cool. So I'm not a doofus for ending up here.” The answer is no.

Stephanie Goss:

Well, have a great week, everybody.

Dr. Andy Roark:

Yeah, thanks everybody.

Stephanie Goss:

Take care.

Well, everybody, that's a wrap on another episode of the podcast. Thanks so much for spending your time with us. We truly enjoy spending part of our week with you. As always, Andy and I enjoyed getting into this topic. I have a tiny little favorite ask, actually two of them.

One is if you can go to wherever you source your podcasts from and hit the review button and leave us a review. We love hearing your feedback and knowing what you think of the podcast. Number two, if you haven't already, hit the Subscribe button. Thanks so much for listening, guys. We'll see you soon.

Andy Roark, you were right.

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: hindsight, lessons, Practice ownership, reflection

Jul 12 2023

Lessons Learned from Leadership – Part One

This week on the podcast…

This week on the Uncharted Podcast, Dr. Andy Roark and practice management geek Stephanie Goss are changing it up big time today. Stephanie recently was asked a question by a fellow manager who is newer to their management position “What lesson(s) do you wish you had learned about being a leader BEFORE you became a leader? Andy and Stephanie got SO into this topic that this will be part one of a two part series. We just couldn't fit all the amazing conversation into one episode. Let's get into this… (and stay tuned next week for part two!)

Uncharted Veterinary Podcast · UVP – 240 – Lessons Learned From Leadership – Part One

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

Submit your questions 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. Well, this episode is going to be a little bit different from Andy and I's usual. We're not getting into headspace or necessarily action steps in this episode. What? Yes, I mean it. We're doing something different, and I am so glad that you all are along for the ride. I'm not going to spoil the surprise. I'm just going to say, “Let's get into this.” And now the Uncharted Podcast.

Dr. Andy Roark:
And we are back. It's me, Dr. Andy Roark, and the one and only Stephanie, I'm learning to fly, and I ain't got wings, Goss.

Stephanie Goss:
How's it going? Andy Roark.

Dr. Andy Roark:
Holy moly. It's good. It's good. We're in the summer here. Things are good. The kids are doing some camps and stuff. They started sewing camp yesterday.

Stephanie Goss:
Oh, fun.

Dr. Andy Roark:
Yeah, at… What's the place called? It's called something like Sew Enjoyable. S-E-W.

Stephanie Goss:
Oh, that's cute.

Dr. Andy Roark:
Oh, it's just led to so many puns-

Stephanie Goss:
Uh-huh.

Dr. Andy Roark:
… in our house.

Stephanie Goss:
Dad jokes.

Dr. Andy Roark:
Yeah. Oh, it's so expensive. And so, yeah.

Stephanie Goss:
You are already good at puns and bad dad jokes. I can only imagine your poor daughters and your poor wife the last 24 hours.

Dr. Andy Roark:
I've been needling them. It's a whole thread. It's a whole thread. Yeah. It's been constant. It's been constant since yesterday, so anyway.

Stephanie Goss:
Oh.

Dr. Andy Roark:
So anyway, how are things with you?

Stephanie Goss:
We're starting the summer off with a bang. Got a kid that's got the stomach flu and another kid that had to go and get vaccines and is not feeling so hot. So you know it's-

Dr. Andy Roark:
Oh boy.

Stephanie Goss:
… why not? Let's just get it out of the way. But overall, it's great. It has been sunny. Today is…we're back to rain in Washington, but it's been sunny and beautiful, and I cannot complain. Things are good.

Dr. Andy Roark:
Oh man, we've got big stuff going on at the Uncharted World that you and I have been working on.

Stephanie Goss:
Yes, we do.

Dr. Andy Roark:
Holy moly. July 11th is a big day. That is when we are launching a number of registrations for all the different stuff we got going on in the fall. Guys, holy crap, Uncharted is blowing up in the back half of 2023. I told you guys, I told you this was a huge year for Uncharted. We're going to keep rolling out stuff.
You ain't seen nothing yet. But on July 11th, we are putting on sale our first-ever Medical Director Summit and our Team Lead Summit. Both of them are one-day virtual events that are only open to medical directors, and the other one is open only to team leads. So when I say team leads, I'm talking about head technicians, head CSRs, kennel leads.

Stephanie Goss:
Head kennel. Uh-huh.

Dr. Andy Roark:
Yep. Head kennel, things like that. And again, and that's why I call it team leads because every hospital is a little bit different in how they break those things out and what they call them. But this is for people who are leading a team. I really hope that doctors come to this. I hope that doctors who are dedicated to working hand in glove with their technicians and are like, “I run a team. It's a tech team.
And so me and my technicians and assistants are a team, and I am a team leader, and I might not have a title. I might not have an official designation, but I see myself as a team lead and I run this team.” I want you to come there because we are going to be working on the skills that you need to be a team lead. Meaning you don't own the place. You're not the high boss. You've got bosses you have to keep happy, and you're also looking out for your people and making their lives better. So that's our Team Lead Summit.

Stephanie Goss:
Yeah, you're leading from the middle. I am super excited about that one because when I was a lead CSR, there was not community. There was not a place that I could go where I could connect really easily with other lead CSRs who understood the challenges of being on the floor and being… trying to lead people and trying to have private one-on-one conversations and see what the pulse was of the team, right. It is a balancing act, and I'm excited for that.
And I am really excited for the same reasons, but for our Medical Director Summit because that is a challenging job whether you're in private practice or you're in corporate practice when you're balancing the medicine side of things. And usually, that role means balancing a partnership with the practice manager on the other side. And so I am super excited to get into that relationship structure and how do you lead as a team of two and stay in step and do kind of all of that focused stuff for medical directors. I'm super excited for that.

Dr. Andy Roark:
Yeah. I don't think anybody has done more work with medical directors than we have in the last three years, three to five years. I really don't. Literally hundreds of medical directors we work with. I mean, this is going to be all about managing down while managing up, while also working with doctors and focusing on doctor retention and building culture and things like that. People don't realize your medical directors are stuck where you're like, no, not stuck in a bad way. But you have definitely got pressure. You have a direct boss. You have to manage. You have to… It's the medical director role is this amazing challenging place of balance.
It's balancing what the team needs. It's balancing the doctors and maybe some egos of the doctors and different perspectives of the doctors. And also balancing operational pressure coming down to shield your team and then also meet objectives. And you are trying to do so many different things with so many different pressures. And that's why we wanted to break out and have a one-day summit just for medical directors. It's like there's not another role that has these same pressures coming from different places.
And it's like we've just got so much experience balancing these things and working with these people, and I was like, “Man, we are going to have…” And it's just one day it's going to be a deep dive, but it is going to be something that people are going to really come away and go, “Oh, man.” If nothing else, you're not going to feel alone. If you are like, “Oh man, this is kind of a lonely job.” Come on, buddy. Come and come and see what we're doing and come and be a part of it, but you're not alone, and we're going to go ahead, and we're going to help you out. So anyway, that's the Medical Director Summit too.

Stephanie Goss:
Yeah. And then we are getting ready to go back together in person. We've got another virtual event in October. We're doing our Culture Conference, but then we're back in person in Greenville in December, and that is also going up an opening for registration. So there is so much happening July 11th. And so if you were like, “I need to know what they are doing,” we got you because it's coming July 11th.

Dr. Andy Roark:
Unchartedvet.com, check out our events. Boy, we got a lot going on. So anyway.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
So we're great.

Stephanie Goss:
Okay, so we were talking about leaders, and I'm excited because today's episode is probably going to be a little bit different. I don't know so much that we're going to break out into headspace or action steps, although you could convince me otherwise. But I got asked a question recently by someone in our Uncharted community who is a newer leader, and they said, “Well, I have this question, but I'm not sure that it fits your mailbag format, but I would love to hear you and Andy talk about it on the podcast.”
And I was like, “Great, tell me what your question is.” And they were like, “I would love to know what some of the lessons you and Andy wished that you had learned before you became leaders. What are some of those things that you look back in hindsight, you're like, ‘Oh man, I wish that I had learned this lesson or I had been able to get this knowledge before I stepped into this role.'” And I just thought, how fun is this going to be for you and me to talk through?

Dr. Andy Roark:
I love this. I saw this, and I was like, “I'm so happy to do this.” Yeah. So yeah. So I went after this. I started jotting things down on a post-it note as I do, and it's a full post-it note. So we're going to see how this goes. The first thing I thought about when I started jotting this stuff down is like, “Are there things that I know now that I did not know early on?” And I wonder if I could have known them-

Stephanie Goss:
Sure.

Dr. Andy Roark:
… without having gone through it.

Stephanie Goss:
Perspective. Mm-hmm.

Dr. Andy Roark:
There's a saying that I like. I've said it recently on the podcast, I think, “But the owl of Minerva spreads its wings only with the falling of dusk.” And the idea is the owl of Minerva is this symbol of knowledge and wisdom, right, and it spreads its wings only at the falling of dusk means basically we get it at the end.

Stephanie Goss:
Sure.

Dr. Andy Roark:
We only get knowledge and wisdom at the end.

Stephanie Goss:
Sure.

Dr. Andy Roark:
And I'm like, “Is that really true, or are there things that we can learn and avoid headaches?” So I don't know, I'll start laying some stuff down. I don't know if I would've understand what I'm going to say at the very beginning, but I think some of it would've sunk in. I think so.

Stephanie Goss:
Yeah. I mean, I think that when I sat down, and I started making notes for myself, I was like, “Either what are the things?” There were things that I think I would have understood then I wouldn't have understood them with the depth and the context that I can understand and appreciate them now.

Dr. Andy Roark:
Yeah, yeah.

Stephanie Goss:
Because as you walk down the road, sometimes you learn the same lesson more than once in a different way, and it gives you new perspective and it gives you more dimension to the lessons that you learned previously. But I would agree with that. I think sometimes there are those things that, until you go through it, you just don't appreciate it the same way.

Dr. Andy Roark:
Yeah. Oh, absolutely. Yeah. Well, let's just jump in this.

Stephanie Goss:
All right.

Dr. Andy Roark:
Let's go back and forth. You want to trade?

Stephanie Goss:
Okay. Yeah. Let's…

Dr. Andy Roark:
Do you want to go first or do you want me to?

Stephanie Goss:
You go for it.

Dr. Andy Roark:
Okay. Well, I will start with a big one for me.

Stephanie Goss:
Okay.

Dr. Andy Roark:
So one of the big ones in my career that I really wish that I could have known would have saved me from burning out three years ago. So when I burned out 2019, it was not fun. I would not recommend it. I would not do it again. But I learned a lot.

Stephanie Goss:
10 out of 10 would not recommend.

Dr. Andy Roark:
Yeah, exactly right. But I learned a lot. I learned a lot about myself. I learned a lot about life. It's one of those things where I wouldn't trade the scars away if I could because I learned a lot.

Stephanie Goss:
Sure.

Dr. Andy Roark:
And I will say the number one thing… I learned a couple of things, right? I learned mostly you can't make people happy, and you need to know that. And I think-

Stephanie Goss:
Mm-hmm. Sure.

Dr. Andy Roark:
… I would say that I'm going to leave that as my opening statement there is you can't make people happy. Only people can make people happy.

Stephanie Goss:
Sure.

Dr. Andy Roark:
Only they can make them happy. And I started off as a young leader, and I was like, “If someone is unhappy, I'm going to fix that.”

Stephanie Goss:
Fix it.

Dr. Andy Roark:
“I'm going to be so good that they have to be happy.”

Stephanie Goss:
Sure.

Dr. Andy Roark:
And that is fantasy.

Stephanie Goss:
Right.

Dr. Andy Roark:
You can't make someone happy. You can only do what you can do, and then they can be happy or not. And so then you say, “Okay. Well, I've always thought…” And again, that's how I was as a young leader. “I thought I will know that I'm good at my job because people will tell me I'm good at my job because they'll be happy.” They'll be happy with me. They'll say, “You're the best boss ever. Hey, I love what you guys are doing. And it's incredible.”
So if you can't make people happy and you buy that, then the question then becomes, “Well, how do I know that I'm doing a good job?” And the answer to that that I learned over the years is you need to know what your values are. You need to know what you care about. And so, you and I talk a lot about core values and things like that, but you need to know what you care about. So at the end of the day, do not look around and ask yourself, “Did I make everyone happy?”
Look around and say, “Did I live my values today? Was I patient? Was I kind? Was I honesty… Was I honest? Did I [inaudible 00:12:07] with integrity? Did I work hard? Did I learn something? Am I a better doctor or team leader today than I was a year ago? Am I compassionate? Was I empathetic?” And if the answer to all those things is yes, then good, God man, you are good. You're doing great. But I think a lot of times, we ask ourselves the wrong question because we think we can make people happy, and we just can't. And I wish I had known that.

Stephanie Goss:
Yeah, I can… That totally sits with me as well. And if I think back to my early days as a leader in my team was honestly before I even had an official role or a title, I just was someone on the team who stepped forward and said, “Well, I could do this thing, and I could get my peers excited about doing these things.” And there was a lot tied for me in terms of my own happiness with everybody else being happy because the drive was, I like coming to work, and I like hanging out with my friends, especially as a leader from the middle of the team. I was like, I'm friends or friendly with everybody on the team. I like coming to work. I like having fun, and therefore I'm measuring a good day and I'm measuring success on whether we were happy today. You know?

Dr. Andy Roark:
Yeah.

Stephanie Goss:
And whether we enjoyed it. And so when the bad days were bad it was really hard for me not to take that personally and be like, “I'm the cheerleader of the group. I could have made it better.” And I definitely… that resonates for me because I think I spent a lot of time in that place of feeling like, “I can do a better job at this.”
And I think your point of coming to that realization that the only person that I can control is me. And I can control my reactions to things, and I can choose my state of mind, and I can't help anybody else do that. I can influence, and I can support, and I can coach, but at the end of the day, they have to choose it. And I don't have any control over that.

Dr. Andy Roark:
Yeah. It's like I want to hold myself accountable to be the person that I want to be. And if… It's all I can do, and good things will radiate out from that, I believe it. But not every day. Some days you'll be the person that you think is the right person to be. That is a good person. That is the person you aspire to be. You will be your best version of yourself. And someone will still get angry at you and call you a jerk.

Stephanie Goss:
Yep.

Dr. Andy Roark:
And tell you that they're never coming back to your clinic again.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
It'll happen.

Stephanie Goss:
Totally.

Dr. Andy Roark:
But you can't get distracted by that. You have to keep leaning into being the person you want to be. The other thing I took out of just really burning out was the story I tell about there is no dragon. And the story about there is no dragon, if you've never heard me tell, it basically comes down to this is I truly believed for 40 years basically I believed that there was some magical dragon that I had to slay that some challenge, some accomplishment that I could do. And if I did it, I would know I was successful. I would know I was a good person. I would know that… Yeah. I would know that my life had been important or meaningful. And anyway.
But for 40 years I… And the dragon would change, right. It would morph. At first, it was, “I'm going to go to a good college.” And then it was like, “I'm going to go to medical school.” And then it morphed into, “No, I'm going to go to graduate school, or I'm going to go… And when I get… if I get into vet school. And then if I graduate from vet school and then if I get this certain job.” And it just never… “I'm going to get married. I'm going to do.” And it just kept going and kind of morphing in different types of ways. And it was like, “Then I'm going to work for myself, and I'm going to do all these things.” And man, it never ended. And I would pick a dragon, and then I would… I'd get there, and I would slay it. I would graduate.
I would find the girl I was going to marry. I did the things, and the emptiness never went away. And I never felt like, yep, that I'm done now. And I think I always thought that you would pick a dragon and you would slay it and then you would live happily ever after and that the scene would fade out and the credits would roll, and you would know that you were done and you would just be satisfied. And the truth is, guys, we are as human beings, we're not made to be satisfied. There is no dragon that you're going to slay that is going to make you feel the way you think you'll feel when you succeed. And that may sound really horrible. And I don't mean it to be. I think it's just the truth of human nature.
And so when I say there is no dragon, what I learned because I went through this burnout. I burned out because, man, I travel all the time. I work constantly, and I wanted to be all things to all people. And I mean, I just poured myself so into what we were doing at the time. And it was good stuff and meaningful stuff, and it was all the right stuff. And I hit all the measures that people seem to care about. I had the dream job and you know, a super happy family life and everything. And I just still just kept being like, “Why am I not happy? Why am I not satisfied?”
And there was just no way off of this treadmill until, finally, I burned out. And that is when I realized there is no dragon. The thing you're trying to slay, it doesn't exist. And so I wish that I knew that of the thing that you think you're going to accomplish is going to make you happy or make you satisfied or make other people know that you are valuable. You know what I mean? That you're worthy. That thing is not real, and it doesn't exist. And you can go try to slay it, but it's not going to solve what you're looking for.

Stephanie Goss:
That's a tough one, right. I think-

Dr. Andy Roark:
That's heavy. Yeah.

Stephanie Goss:
I think about it in the context of, and I think you're spot on, and the reason why I think you're spot on is because I think about the studies that they have done on people who have won the lottery. And I think for a lot of us, we look at, “Well, if we had more money, I could not have to work as much, or I could pay off my bills, or I could travel.” For each of us, it's a different personal thing that we think that we would do and improve our lives in some way when you have more money than you have. And that's an exciting thought. And they have done the studies to show… to look at the happiness and the success factors after people win tons of money in the lottery. And it doesn't. You just trade one set of circumstances for another is what they've shown time and time again.
And so I think your thought about human nature there is spot on, that we're not… that's not… that's the story we are told from the time we're little children is if we just do this thing or we just get to this next place, then more will come, or the next reward will come or whatever. We're just conditioned that way. And I remember vividly actually the first time you talked about the dragon, and you were working on a keynote for, I think it was our very first virtual Uncharted during COVID. You were working on something that was… Everybody was tired. Everybody was overwhelmed. Everybody was like, “Oh dear Lord, what are we doing?” And I remember you and I having this conversation and talking through it, and I was like, “Ooh, this is going to be good.” And I remember when you did the keynote that involved this story, and I remember this feeling of the light bulb went on not only for me but for so many of my peers.
And you could kind of see it on the screen as like, Oh. Oh. That resonates.” I have been chasing a thing, whether it's practice ownership or something in our personal… Whatever it is, so many of us are looking at that dragon and trying to figure out how to slay it. And what I loved was the way that you tied it up, and you talked about what if the question wasn't how do we find the dragon and slay it, what if the question was about what are we going to do along the way? What are the stops that we're going to enjoy on this adventure? If you look at it from a quest. And I love it because it was super nerdy, and that's something you and I share together, and I love this story aspect of it. And I could picture myself on dragon slaying journey.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
But stopping and thinking and thinking about our lives, and it's very… there are people who would be like, “Oh, that's so touchy-feely, philosophic.” But I really think that it's true. If we think about what are the things we want to enjoy along the way because the dragon's still going to be there. Slaying it is not going to make the difference. So what if we just leave the dragon alone?

Dr. Andy Roark:
Yeah. Yeah. So you're exactly right. So the research on lottery winners, I'm glad you brought it up because I love that. The research says that if you win the mega bajillion dollars in the lottery, your happiness will increase for about three months on average. And after about three months, you are back to being… you are at the same level of happy as you are now. And the reason for that is what's called the hedonic treadmill, which means it's just we are wired to whatever the great thing is that happens to you, it becomes normal for you, and you adjust back to where you were before in this new normal.
And that's how we're made is the hedonic treadmill. So you're exactly right. So you're exactly right. The key to there is no dragon, the answer that I had to burn out to find is if there is no dragon, then what the heck are we doing? And the answer is you have got to focus on and enjoy the experience that you are having, not the outcome you are trying to achieve. It's not about killing the dragon. It's about enjoying the quest to find the dragon and finding meaning in that quest.
And that's the real beautiful part. That's the take home. Whatever it is, when you are like, “I'm going to do that thing, and it's going to make me happy, or it's going to make me satisfied.” What I would say is, “All right, tell me about how it's going to make you feel when you accomplish this?” And the way you imagine it. When you imagine slaying this dragon, how is that going to make you feel? And then I would say, “Great, just so you know it's not… that's not going to happen.”

Stephanie Goss:
Right.

Dr. Andy Roark:
However, what can you do right now to feel that way?

Stephanie Goss:
Sure.

Dr. Andy Roark:
What can you do right now, in the moment, if you're like, “I'm going to do this big thing, and my team will love me, and I will be popular” I'll be, “Great. Just so you know, that's not going to happen.”

Stephanie Goss:
Right.

Dr. Andy Roark:
You're going to do it. Hey, you might crush it, and they'll be happy for a week, but that is a home run grand slam right there-

Stephanie Goss:
Not necessarily.

Dr. Andy Roark:
… is a week.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
But that's all it's going to be. So the real thing is, what can you do to be popular with your team right now? What can you do to make them smile or even… They don't have to all be together, but what can you do to make your team know that you care about them that doesn't involve having the best year ever so you can take them on a cruise. What can you do today just to tell them that they matter to you. And to show them. Go write a thank you note. I mean, seriously, that doesn't mean give up, keep going after your dream, but man, write a thank you note and mean feel good about it. And say, “Man, I'm so grateful for my team. I'm writing them a note. That's what I doing.”
And just hold that trophy and be happy about that because that is the quest towards the dragon that you're trying to slay. And it's like, “Man, 40 years, I didn't enjoy that. I didn't write the note because I thought I was going to do the massive thing at the end that would make everybody know and then make me know that I had accomplished the thing.” And I was like, “No, write the note. Ask somebody to go out to lunch bring them ice cream sandwiches.” Just whatever the thing is you're trying to do. If you are like, “I want to be rich. Well, it ain't going to make you happy.”
How will you feel when you're rich? “Well, I'll feel safe.” I go, “Okay, good.” Let's start to make a little emergency savings account that's going to make us feel safer because that is something we can do right now, and we can start to have that experience of building some safety. That's the thing that we're really looking for. So anyway, that's that sort of the takeaway from there is no dragon is remember that. I got to tell you guys. I think the number one thing… Now I'm all fired up.
I think the thing [inaudible 00:24:43]. This is about being in medicine. It's also been about being a leader is there is no dragon. The best part of medicine is the mundane thing you are doing today. It is going into the exam room and talking to the pet owner, who does half of the things that you recommend, right. That's it. Go. So enjoy it. Go enjoy it. Just decide that, “I'm going to go meet a new person. I'm going to talk to them, and their dog is nice, and I'm going to work with my assistant, who I really like, and I'm going to crack some sewing puns, and we're going to chuckle.” They're like, “Good. That's the good stuff, man. That's it. It's the day-to-day just I get to pet dogs and cats all day.”

Stephanie Goss:
Yes.

Dr. Andy Roark:
And I'm going to fix this thing. And man, when a thank you note comes, don't wait to win the vet of the year award. Just hold onto that thank you note and be like, “Yeah, this is the good stuff.” And that's what I mean when I'm like, there's no dragon. It's all the mundane things of just chuckling with the owner when she tells you about how her dog does this goofy thing.

Stephanie Goss:
Mm-hmm. Mm-hmm.

Dr. Andy Roark:
Just like everybody, you know exactly what I'm talking about. We've all had those interactions that they don't mean anything, but you are laughing, and they're laughing, and the dog is just wagging his tail. And I'm like, “Man, that's the good stuff right there.” And so the key, I think, is to wring all the enjoyment out of that you can and hold onto it. That's how you make it. That's what success looks like.

Stephanie Goss:
Hey friends, as you heard Andy and I talk about in the beginning of the episode, July 11th was the day, the big special, amazing day when we were launching registration for a whole bunch of new programs that we have coming through Uncharted. Today, the day that hopefully you're listening to this episode is, either July 12th or it's after July 12th, which means registration is now open for our upcoming October virtual Culture Conference for our Medical Director Summit, for our Team Lead Summit, for our practice owner, practice manager, practice leaders summit, in person in Greenville in December and more. So as a podcast listener, I want you to head over to unchartedvet.com/events, that will show you all of the amazing things that we have coming because I want to see you at an event.
There is going to be so much fun happening this fall, and you do not want to miss out. Head over to the website now, and now back to the podcast. Okay. I was going to go a completely different direction with my first one, but I'm going to completely change course and piggyback off of what you were just talking about. It wasn't even on my post-it, but since you were talking about that, I think that is so… it set off a light bulb for me because I'll tell you, when I hit the point of burnout for me as a manager, I was kind of at the top of my career in the sense that I had all the promotions. I was at the top. I had been… had ownership experience at that point. I was making decisions. I was truly a hospital administrator running my practice. When you think about the path to leadership in veterinary medicine for a manager, I was there.
And all the things that I loved about veterinary medicine and all of the reasons why I got into veterinary medicine, I spent very little time doing any of that. My time, day-to-day, was consumed with meetings and planning and spreadsheets, and all of the administrative work, which I also love. I love a good spreadsheet. We know this. And getting to be in an exam room and have that mundane conversation to see a client the first time their puppy comes into the vet or to be in the room when somebody says goodbye to a member of their family. Those are the things that I enjoy. And it doesn't have to be the big… I was never the technician that liked the big splashy things. I freaking hate surgery. I was never the one who was like, “Ooh, get me in the middle of a big giant bloody mess.” That was never me.
Put me in an… I will sit in the lab and do parasitology all day long. Put me in an exam room for the boring ear and skin conversation. I will gladly do that because for me it was about the little moments helping an owner have that light bulb go off where they're connecting what they're doing at home and what they're feeding their pet to the problems we're seeing in the exam room, whatever. That was the joy for me. And what I realized as a leader when I got to that point was to not allow myself to become so disconnected from that why. It was really easy when I sat back, and I was talking it through with my therapist. I was shocked at how easily I let all of that go and how quickly I became disconnected, not only from my joy and excitement about my job but from my team.
And so I would be on the floor, and I would be working with them and hearing what's going on and hearing… I was still doing that, but my mind was on the other things that were sitting on my desk that I had to deal with or the phone call… the difficult one-on-one that was coming up at the end of the day, or the angry client I knew that I had to call back. My mind was somewhere else a lot of the time, and I wasn't actually being present in the moment with my team. And so, I really worked hard to spend intentional time. It was really hard for me. It was a lot of change. It was turning off notifications on my phone. It was turning off my Apple Watch.
So I stopped getting some of the notifications, really truly being present with my team and making intentional time. And I'll never forget. I had a team member who made probably one of the biggest differences for me. It was actually a team member that I really kind of struggled with managing. But she came into my office one day, and she had a little puppy, and she was just like, “Isn't this thing cute?” And it was so… It was one of those puppies that's so ugly it's cute, and you can't just help but oooh and aah over it because it's just so not cute, but it's cute because all puppies are cute. And I was loving on it and being all excited, and there was lots of high-pitched Stephanie squealing. It was… And she said, “This is the happiest that I've seen you at work in a really long time.”
And, in the moment, it didn't take me. I wasn't as taken aback as I was when I processed it later. But it was funny because, later that week, the same person came back into my office, and she was like, “Ooh, look at this little kitten.” And the second time she came into my office, she was like, “You know, I'm going to make it my mission that when we have puppies and kittens in the building, I'm going to make sure you know about it because you look different.” And I was just like, this is a person that I thought didn't like me as a manager, that I thought didn't care about me. But that was potentially the most caring thing that she could have said to me because I realized she saw me. She saw the look on my face. She saw my enjoyment, and she was true to her word. And she not only came and told me, but she told the rest of the team at our huddle that day. She was like, “Hey, listen up. When we have cute patients that come in the building, Stephanie needs to be told.”
And it was like my team was just like, “Uh.” And she was like, “No, I mean it. The really cute puppies and kittens, but also the really cute gray muzzles. She needs to know about it. And if she's free, you need to make her come out of her office, and you need to make her come pet.” She's like, “Make her hold them, whatever.” And at first, my mind went to that place of, “Oh my God, this is going to be the biggest interruption to all of the things that I had to do.” And I'll tell you, Andy, being forced to put something down that wasn't really that urgent, but I gave urgency to it because I felt like I needed to do it to do my job. My job was really being able to be present with my team and be present for the clients and the patients and have those conversations. And I found myself gladly saying, “I'll go and do that exam room for you. Why don't you get some other things done or take a break or whatever?”
I'll step in to do that mundane stuff, right, because it really connected me with that why and the joy of… the happiness that I actually get in veterinary medicine. And it was really, really easy for me to let myself disconnect from that as a leader. And so I would say I'm glad you said that because that's probably one of the most valuable lessons that I learned was like, don't let yourself lose that. Don't let yourself get so easily disconnected from it because there will always be an email or a meeting or a stack of bills that need to get taken care of. There will always be that administrative work. And unless your power for the clinic is about to get shut off, there's really probably not something that needs to be done right this second that you can't stop and take that moment and just enjoy that for yourself, but also for your team and to connect with your why.

Dr. Andy Roark:
Yeah. No, I love that. As far as connecting with your why. And again, I get the example of sort of being in the exam room is what matters, and you talk about cuddling puppies and kittens. I tell you, one of the things that I got my head around recently is I enjoy leading people. I enjoy mentoring and growing people. And one of the things that makes me deeply happy in the moment is working with my people. It's coaching them. It's talking to them about how things are going. It's asking like, “Well, what do you think? What do you want to do? What are you excited about?” And it's just I really enjoy that. And so I'm going to sort of… There's so many ways I want to engage with what you said kind of all at once.
One of the… Good gosh, I could do a lot of different things here. I guess here's where I'm kind of going. I think this is where my inertia is going. One of the things that I would go into from here is I would tell my young self beware of monkey management. And so we talk a lot about monkey management of everybody's got a monkey. It's like a thing that's going on with them. It's something they're struggling with, and they want to give you their monkey. Everyone's like, “Hey, I got this thing. Will you take it?” They're like, “I'm really struggling to get the rest of the front desk staff to do the AAHA standards that we need to do.” And you, at least I, forever was like, “You know what? Servant leadership, I will get involved. I will wade into this.” And essentially, what I'm like is like, “I will help you take care of your monkey. Give it to me.”
But the truth is, as you become a leader and you move up, people are like, “Oh man, she's really good at this. Let's let her deal with this monkey.” And so people get real comfortable at bringing you monkeys to deal with, and then it's off their back, and it's on yours. And I have at times let myself get covered in monkeys because I leaned into servant leadership and been like, “Yep, you tell me what the problem is, and I will wade into it.” And that's… In my mind, I was like, “This is what servant leadership is.” And so what I learned over time is you should be very, very aware of monkeys and who's trying to give them to you. And you should resist them in almost every opportunity, which means it is so easy to say when the person says, “Hey, I'm trying to get the rest of the CSRs to get on board so we can do our AAHA standards.”
It is so… You feel like the right thing to say is, “Let me come and help you.” I would say that's the wrong thing to say. The right thing is, “Well, what has been your plan thus far, and what has happened? And given this is what happened, what do we need to move forward? What does your plan look like?” And just coach instead of wading in unless it is absolutely necessary. And when it's absolutely necessary, try to jump in, do the one thing you said you were going to do, and get back out. But I have gone because I thought I wanted… because I was like, “This is the job, and this is what I need to do,” I have 100% gone way too hard into jumping in and helping people. And then what happened, and the reason I brought this up was I had done this to the point that I have not enjoyed my work in the past.

Stephanie Goss:
Mm-hmm. Oh yeah, for sure.

Dr. Andy Roark:
I have gone, and I'm like, “Man, I'm doing 15 different projects, and none of them are interesting to me.” I didn't start any of them, but now I'm doing all of these things because they need to get done, and I don't enjoy doing these projects. What I do enjoy is coaching and mentoring, and leading. But I took myself out of the coach, mentor, leader role and put myself into the coworker role, and now I felt stuck there. And so I had to hit the reset button and go, “You know what, guys? I'm stepping back from this, and I'm going to need you guys.
We're going to come together as a team, and I am letting you know that I am stepping back from this project, and I am elevating a new leader, who I will support.” And then I got back into, “Yes, I really enjoy this. I enjoy working with people. I enjoy the strategy. I enjoy the leadership, but I don't enjoy working on AAHA standards at the front desk. I have no interest in that.” And so anyway, beware of people giving you their monkeys, and you taking them on and resist the short-term goal or the short-term benefit of jumping in and helping people in a way that leads to your own long-term detriment.

Stephanie Goss:
Okay, so I'm going to… we're going to go two for two because I'm going to piggyback off of that with something that was on my list. So I think that's so great, and I'm glad that you said it because that also contributed to my burnout as a manager to your point. I was like, “Oh, yeah, okay. I can help you solve that… because I want to help. I want to help you. And so sure, I can help you solve that problem.”
There will never not be someone else's problem, though. And to your point, if you just keep letting the monkeys get dropped off in your office, soon you turn around in your chair, and the office is full of monkeys, and none of them are yours. And because yours are running loose in rampant through the clinic.

Dr. Andy Roark:
Oh, yeah.

Stephanie Goss:
You know?

Dr. Andy Roark:
Well, because your monkeys are important but not urgent. You are working on the things that matter in the long term, and what the monkeys people bring to you, they're on fire.

Stephanie Goss:
Yes.

Dr. Andy Roark:
These are now monkeys that are on fire, and you're like, “I have to deal with the monkey that's on fire.” And so you leave your important monkey that will one day rule over humanity because it's so important and smart. And you're taking care of some moron flaming monkey that like, “Why am I the one dealing with this?” But here I am because it's on fire.

Stephanie Goss:
Yes. Yes. No, it's totally true.

Dr. Andy Roark:
Let's just stretch this metaphor a little bit farther.

Stephanie Goss:
Okay. Well, I'm going to take us away from the monkeys for a second because you said something that made the light bulb go off for me. So one of the things that I was really good at, and I know that I'm not alone. One of the things that I was really good at as the CSR was problem-solving. I like to solve problems, and veterinarians generally like to solve problems. And I've known a whole heck of a lot of really good kennel technicians, vet assistants, techs, CSRs, who really like to solve problems, and we're really good at it. And so someone comes along and says, “Hey, you're really good at solving problems. I would like to make you in charge of all of these people who have problems.”
And I think one of the most important lessons that I learned was very painfully that the things that made me good at my last job won't necessarily make me good at this job because leading people… And I can't wait. I'm hoping someday we get into the argument about managing versus leading. But managing people leading a clinic is a radically different job than being a doer of things to your point. And so I think that I really struggled with that because I had a great practice owners who looked at me and saw potential in me and said, “You know what? You would make a great leader.” And I'm really glad that they did. But the skillset that I had that made me a great CSR did not equip me to be a practice manager and understand the basics of HR or to understand the intricacies of conflict management, or to understand finances and spreadsheets and how to talk to the CPA, right.
And I learned that lesson very much the hard way that I was a really good problem solver, and I could… people could hand me their monkeys, and I could help them. I could help them with that. But that skillset as a leader, when I just let them give me their monkeys, and I tried to help them solve their problems, that made me a really good teammate as the CSR, right. And the other CSRs could be like, “Hey, what do we do about this? Hey, what do we do about this?” And it was fine. I excelled in that role. But when I am sitting trying to figure out the strategic plan for the business for the next year, and everybody's like, “Hey, what do I do with this? Hey, what do I do with this? Hey, what do I do with this?”
That problem-solving skill does not make me a good leader in that moment. If I let them release the monkeys into the office, I am doing myself a disservice, and I'm doing the team a disservice. And so remembering the fact that the skills that made you good at your job won't necessarily make you great at your next one. And that goes in two different directions. One is figuring out for yourself what are the deficiencies and asking for help, right. So getting the training, figuring out the gaps for yourself, really understanding what is the job that you're being asked to do and going after it. And for me, that was a great challenge. I was excited. I love learning.
Let me go to CE. Let me learn all of the things. I was like a little sponge. And I have worked with so many, particularly team leaders, but also with managers who are like, “I got promoted because I was really good at my job. And I like this, or I could do this, but I'm not really happy. And I really liked that job better.” Right. And so a lot of times we promote people because they're good at a thing, but they don't have the skills to make them be equipped for this job. And so I think we all have to remember that as leaders that the skills that made us good at one job don't necessarily make us great at a different job.

Dr. Andy Roark:
Yeah. I have a related one that is in my head, so I agree. So completely agree with what you said. I will also say this is a similar but different thing that I learned along the way. I learned that dealing with people is the job. It is the job. It's not this obstacle to me doing the job. And I've very much had that mindset for-

Stephanie Goss:
Yes.

Dr. Andy Roark:
… 10 years.

Stephanie Goss:
Yes.

Dr. Andy Roark:
I was like, “Man, you know what I'm here for. I'm here to accomplish this goal. And what's in the way? This person who's crying. This crying person who should just deal with it and go on.” And I'm like, “I'm going to talk to you, and I'm going to be nice to you. Do you know why? Because you are in between me and the objective that I'm trying to accomplish, and so I'm going to be nice to you.” They think I was heartless, but I was like this drama, whatever it is, with these people not getting along or being upset, a big part of me was like, this is a distraction to me getting the ultimate outcome I'm trying to get, which is to have the most successful practice in town or to implement this wellness plan.
Like the pushback from the other doctors was an obstacle I had to overcome. And it was just… it was this byproduct, right. The work of relationships, and listening and things like that was an unfortunate byproduct on my way to getting the thing done that I needed to get done. And I mean wouldn't say that out loud, and I don't think… I know that would've verbalized it that way, but to some degree, it kind of was. And what I've come to realize and believe is dealing with the people is the job. That is the job. And by dealing with the people, we'll get that wellness plan done. And by dealing with the people in a really great and productive way, we'll have the best clinic in town because people will stay motivated and feel supported and be engaged in [inaudible 00:46:47].
And they'll feel like they have a mission and purpose and value in their work and things like that. But it's not that you have to deal with their drama so that you end up with a great culture. It's you need to deal with their drama full stop because dealing with people and building those relationships is how you ultimately get the great culture. It's not that the drama is a byproduct. It's that the great culture is a byproduct to you dealing with the people. And when I did that, I suddenly found so much more purpose and meaning and value in sitting down and saying, “All right, tell me what's going on. Help me understand this.”
And I'm going to coach you. I'm like, Right, let's get… I'm getting my notebook here. I want to walk through this with you.” And I did it because this was not a distraction in my way to building great culture. This was the work that builds the great culture. It was the purpose. I was suddenly working on what actually mattered. The whole time I didn't think that. I thought this was in the way of what actually mattered, and it's just not. So anyway, I think I feel like that's related in that way of how we look at people and how we engage with them and how we think about engaging with them that matters.

Stephanie Goss:
For sure. I feel like we are going to have to have a part two to this.

Dr. Andy Roark:
I think so. Yeah. I agree. I was just thinking that [inaudible 00:48:16]-

Stephanie Goss:
Because…

Dr. Andy Roark:
… given that we're halfway through our lists.

Stephanie Goss:
We're not even halfway through our list.

Dr. Andy Roark:
I know. None of what we've talked about is actually on either of our lists. I think it's great. Oh, no, this is much better than what I had.

Stephanie Goss:
This has been so much fun. And in fact, I think we're going to have to put a part two on the calendar because…

Dr. Andy Roark:
[inaudible 00:48:36] let's do it.

Stephanie Goss:
This has been great. Thanks for having the conversation with me. This is fun.

Dr. Andy Roark:
Oh, always. It was super great.

Stephanie Goss:
It was fun departure from our normal structure.

Dr. Andy Roark:
I agree. I agree. I love the mailbag. And if you got-

Stephanie Goss:
Me too.

Dr. Andy Roark:
… something [inaudible 00:48:49] mailbag, send it on.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
But this is fun every now and then.

Stephanie Goss:
Yeah. All right. Well, have a great week, everybody. We'll talk to you again soon.

Dr. Andy Roark:
Yes. See you everybody.

Stephanie Goss:
Well, gang, that's 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 at podcast@unchartedvet.com. Take care, everybody, and have a great week. We'll see you again next time.

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: hindsight, lessons, Practice ownership, reflection

Jul 05 2023

I Can’t Afford to Give Them All Raises

Uncharted Veterinary Podcast Episode 239 Cover Image

This week on the podcast…

This week on the Uncharted Podcast, Dr. Andy Roark and practice management geek Stephanie Goss are in the mailbag to take on a question from a practice manager colleague who is struggling with hiring. They have a candidate who feels like a good culture fit. This is a huge win and probably has you wondering “What is the problem???” Well, this candidate is a good culture fit and they are less skilled than the manager's current assistants. And they are currently making a wage that is both higher than the existing assistants AND over the top end of this practice's pay scale. The manager is wondering what to do but more so, how do they know when it is time to adjust the pay scale? Because they thought they were paying well. This sparked some lively discussion between Andy and Stephanie. Let's get into this…

Uncharted Veterinary Podcast · UVP – 239 – I Can't Afford To Give Them All Raises

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

Submit your questions 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. This week on the podcast, Andy and I are jumping into a letter that we got in the mailbag from a manager who has a good cultural fit assistant candidate that has been working for another vet in town. And this assistant is making quite a bit more money than this manager's existing assistants. And they are wondering what to do about the situation, but their question isn't what you might think given the situation. This was a really fun one for Andy and I to debate. Let's get into this, shall we?
And now the Uncharted Podcast.

Dr. Andy Roark:
And we are back. It's me, Dr. Andy Roark and the one and only Stephanie I guess the change in my pocket wasn't enough Goss. Ah,

Stephanie Goss:
That's funny. I was like, where's he going with this? And then…

Dr. Andy Roark:
Then you got it.

Stephanie Goss:
And then I realized where you were going with this.

Dr. Andy Roark:
Ah, then you got it.

Stephanie Goss:
How's it going?

Dr. Andy Roark:
It's good. It's good. Yeah, things are good. I can't complain. I've been doing the driver's ed with my daughter where she has her learner's permit and so we go out and we drive. And so yes, last night she was like, “All right, we are going out on this big…” It's like it's five lanes in each direction, a big road. And she's like, “I'm doing it.” And my mom was down visiting and I think she wanted to show her grandmother what a good driver she was. And so she was like, “I'm not afraid. We are going out past Target on the big road.” And so she gets in the big road and she's in the center lane and we're just driving and we just keep driving. And finally I was like, “Jacqueline, where are we going?” We've left Greenville, like we're leaving Greer South Carolina. We're in different county.
She's just driving on this big road always in the center lane. And she's like, “No, I'm going to turn around and we just keep going.” And I was like, “Jacqueline, what are we doing?” And I realized that the traffic was whipping by and she was afraid to change lanes and so we were trapped in the center lane of this big road because every time she would like… And then she really started to feel pressure and so she'd put her turn signal on and people were just kind of jerks.
And they would just move into her blind spot. We went another 15 minutes before she could get out of the middle lane. And it was one of those things where you were like, I wanted to be “Jacqueline for God's sake, figure this out.” But that doesn't help the 15-year-old girl who's driving the car-

Stephanie Goss:
Poor Jacqueline.

Dr. Andy Roark:
… feeling a lot of anxiety and she desperately wants to do everything right. And so giving her a hard time is not helping. And also we should apply some pressure here. So I did what I do, which is just lean into humor and I started texting people that I was glad to have known them.

Stephanie Goss:
You're never coming back because you're going to be stuck in the middle lane forever.

Dr. Andy Roark:
Exactly right. I was like, “Tell Hannah her father loved her and I'm sorry I wasn't there for her 12th birthday, but just know that somewhere I'm still driving in the middle lane.” At that point I was probably somewhere around Milwaukee.

Stephanie Goss:
Oh man. Hey listen, I've driven out by your Target and it is crazy. So-

Dr. Andy Roark:
It is crazy.

Stephanie Goss:
… I don't blame her.

Dr. Andy Roark:
No.

Stephanie Goss:
Okay. I hate that part of town.

Dr. Andy Roark:
No, just the whole thing reminded me of European vacation with Chevy Chase-

Stephanie Goss:
That's so funny.

Dr. Andy Roark:
You know when he's stuck in the roundabout?

Stephanie Goss:
Yes, yes.

Dr. Andy Roark:
I'm like, “That was it.” So the roundabout was just a straight road.

Stephanie Goss:
That's so funny. So I had my first driving experience with my kid this last week. Now she does not have her learner's permit yet. She's 14.

Dr. Andy Roark:
So you're just breaking the law.

Stephanie Goss:
Yes.

Dr. Andy Roark:
Okay.

Stephanie Goss:
But I was on our property.

Dr. Andy Roark:
Okay. Was it like a lawnmower driving experience?

Stephanie Goss:
Nope. Nope. She's done that. She's done the golf cart. So we progressed to an actual car and I had to move the cars around in the driveway and I was like, “Sissy, do you want to want to back the one car up and then we'll move the other car and then you can drive it back up the driveway.” And she was very excited.

Dr. Andy Roark:
Yeah. This sounds like an idea I would have. This is 100% sounds like an Andy Roark idea of-

Stephanie Goss:
Mow my driveway is-

Dr. Andy Roark:
Just going to get her to park down the driveway. What's the big deal?

Stephanie Goss:
My driveway is not as steep as your driveway, but it is steep and it does have a ditch off to one side. I did not learn my lesson from listening to you talk about Jacqueline, however, there was no falling off the side of… She did great. But what I is, my poor kid is going to be the kid who's literally in a booster seat to drive. She is my grandmother.
Our driveway is steep. And so it's hard enough when you're short to see over. I am very short. It's hard enough to see over the dashboard when you're short. Going straight uphill when you're short is a significant challenge. And bless her heart, she was just creeping because she's like, “I don't want to crash into anything.” And I'm like, “Thank you for not crashing my car, but also can you step on the gas?” Taking 20 minutes to go up the driveway. Oh. But it was that moment of “I'm not ready for this.”

Dr. Andy Roark:
Yeah. Oh, it's a whole… Yeah. The joys of parenting never end. But you know-

Stephanie Goss:
I'm not ready.

Dr. Andy Roark:
… philosophically it's funny. That's life in a lot of ways because we don't give ourself enough credit for the hardships that we've overcome. We were all there at some point where we were freaked out to change lanes and now we don't even think about it, but we don't go back and pat ourselves like “Yeah, I got past that.” We get past it and we go on, but it's just funny that that's life. And so I really love where my daughters are right now sort of developmentally in that I'm watching these wonderful people figure out what it means to be an adult human being. And the challenges they're facing are challenges that I can relate to. I get traffic stress, I get it. I didn't necessarily get… I can't find my video I want towatch on YouTube anymore.
That was not a part of my childhood that I relate to. But the stuff when they start acting like real adults, I'm getting it. And so Jacqueline, I think she's going to do some work for us over the summer at Uncharted probably doing some website stuff and some data management stuff, which is sort of an interest of her, but she has to interview for the job. And so she's going to come meet with Tyler and Stephanie-

Stephanie Goss:
I love it.

Dr. Andy Roark:
… and Danielsson and she's going to have an interview with them later this week. And so she's stressing about her job interview at her dad's company.

Stephanie Goss:
Oh my gosh, that's so funny.

Dr. Andy Roark:
But I'm enjoying it. So it's awesome. It's awesome.

Stephanie Goss:
I love it. I love it. Well, I'm excited about today's episode. So we had a mail bag that I just loved and it was from a manager who was struggling because they have a good cultural fit candidate who has been working for another vet in town who is older and getting ready to retire. And they've been with that practice for a long time. And so this assistant unlicensed is making more than the high end of this new practice's assistant pay scale. And so the manager was like, “We have good culture, it's a good environment. There's lots more opportunities at our practice, but when I just look at the finances, this assistant would be taking a pretty significant pay cut to make the change over to our practice.” And they were like, “I really don't feel like I can justify paying them more than the current assistants because my current assistants have more skillset than they do.”
So this is an experienced assistant, but they have a lower set of skills because they have not been doing the same level of things in their current practice. And so that's the backstory. But what the manager was asking was that this made them reflect about their current hiring process and they were like, “I'm worried that I'm not attracting good candidates at our current pay scale, which I thought was pretty competitive and I'm looking at increasing the whole scale, but I have no idea how to tell if I can actually afford that, when I can afford it, how I can afford it.” And they were like, “I've raised prices and I'm planning on a significant price increase again, but how do I know when I can afford to give people raises essentially by increasing my pay scale?

Dr. Andy Roark:
There's a couple of things here. So let's start with head space in general. And so I want to immediately push back on where this is going and just, I'm not saying… Just hear me in terms of head space is where we provide context and we try to zoom out and look at the whole picture. And so one of the things that I want to say, and there's some baseline assumptions here, I think this is interesting. I understand this is definitely coming from a place of privilege, but just hear me out. There seems to be this idea in our culture that as you go through life, you will always make more money. You will make more money and more money and more money. And the idea of making less money than you made before is somehow innately a failure. And I see that a lot and I kind of look at that idea and I push back on it a bit.
Now, I'm not saying I think this sounds a lot differently when we're talking about people who are not making a living wage or things like that. But I'll give you an example. I saw there was this consultant in our industry, he's in vet medicine and he does a bunch of positive psychology and stuff like that. And he's not associated with Uncharted in any way, but his business was growing and he wanted to hire another consultant. And he said, “I'm looking for a young consultant or someone who doesn't have experience. And I would train them and help them and they would work with me and this is a position that we would like to grow.” And he could pay the person something like $60,000, right?
And then I saw a discussion of this in some of the manager groups and stuff in Facebook and uniformly, they were like, “This is offensive that he would offer this job because we make so much more now doing what we're doing managing this hospital. It would be a massive pay cut to go and do this.” And some people were really upset that this job offer existed. And to me, I just sat and looked at it and again, this idea that you have to move upward in pay in your life continuously. I don't think that that's true. And I think it's possible that this person who wants to hire and grow a young consultant and says, “This is what I can pay.”
I don't know that it's about worth or someone says, “Oh, you're not worth that or anything.” It's just a simple matter of this is the opportunity that “We have and this is what it pays. And you have to factor that into your decision of do you want to do this work or not.” And as someone who owns his own business, let me tell you, I have not made more money every year. That has not happened. There's good years and there's less good years. You know what I mean? And I could tell you the first year that I stepped back from being full-time in practice to try to do some of my own weird writing and speaking things, my pay went down. And that's not failure. That's just me saying I'm not being a full-time doctor anymore. I'm being a part-time doctor and I'm doing these other things and that job just doesn't pay as much as the other job.
And again, so there's not anything right or wrong about it and I hope people aren't hearing this the wrong way. My whole point in this is just if this person is a great fit and they think that they would be a great fit and you have a really good opportunity for them, they don't necessarily have to make the same money that they made in their last job in my mind, to come there. I will tell you, I have worked at a couple of places that I would take big pay cuts to work at because their culture was great. And I would say, “Yeah, I get it.” And again, all this is based on I had my needs met, my wife works full-time, like I get it, that's not everybody. But the idea, just this is part of pay scales. If you put pay scales in place, the benefit to pay scales is wage transparency and people kind of know what they make and you get some standardization.
The downside is that sometimes people are going to come and they're going to say, “I'm worth more than what your scale has put in place.” And that's their perception of what they're worth. But they're going to say that and then you are going to feel trapped because you either have to change your scales, which has a big weight attached to it, or you're going to have to say to the person, “I'm sorry, this is what I can offer you based on the scales that we established.” And sometimes I think people think that that's a deal breaker right away. Well this person said “That's what they're currently making and I can't offer them that, so they're not going to take the job.” And I would say “Maybe that's true.” I think that if it saved me 25 minutes of driving in each direction and I was coming to work at a place that had a great culture as opposed to a toxic dump, I would take a rather significant reduction in pay to have that job.
And so anyway, I just want to kind of open up with head space and say, I don't think that we're obligated to match someone's current salary or to give them a raise as they come in. If we have standard pay scales and we have a good reason or just say “This is what we can do,” that doesn't make us bad. And again, the person might not take you up on it, that's their right and their prerogative is to say, “No, I really need to make what I make now because that's what my budget is on.” And that might be a deal breaker for them.
But anyway, I just want to start with that and say just because you have someone who you think would be a good fit and they don't match up with your current pay scale, that's not necessarily the end of the world. It's something that you would need to talk about with that person. But I always put that forward because I feel like people think that it's an assumption that's chiseled in stone is whatever the person has made before we have to match that. And I don't know that that's true.

Stephanie Goss:
Okay. So much to unpack there. So two things I want to pick apart. One is I totally agree with you on the taking a step sideways in terms of pay for the right position. And I think that that is totally true and I am 100% on board with that. And I think for a lot of us being in veterinary medicine, we have historically, when we're talking about the paraprofessional staff, we have historically a lot of, I would say as a whole grossly underpaid our paraprofessional staff.

Dr. Andy Roark:
Mm-hmm. I agree. Yeah.

Stephanie Goss:
And so when we talk about the paraprofessional staff, I feel like the conversation has to separate a little bit from the professional staff because I will agree with you 100% like the tracks for me, when I was in the beginning of my career, I had to keep moving up and up and up because I was a paraprofessional staff member who was living on my own and paying my bills and I had to keep making more money because we weren't talking about vast amounts of money, we weren't talking about salary level money, we were talking about hourly wage. So for me, that upward mobility meant changes in my life and my lifestyle and that was a need at that point in my life and allowed me to accomplish desires as well beyond basic needs. And when we talk about the professional staff, I absolutely agree with you and think that I was really happy when I got to the point in my career where I could have the choice to make a move sideways when it came to pay.
And my last two jobs actually, I have taken both when I moved to my last practice, and I'll be candid and share with everybody, when I came to Uncharted you and I had honest conversation because I was making significantly more in the practice when I tied everything up together, my base salary, bonuses, all of those things. And you and I had an honest conversation of this is where the company is, this is the salary schedule that I've set. And for me it was very much to your point about considering what are the things that I'm gaining that have nothing to do with money, the schedule flexibility, the culture, the ability to be doing something that I'm passionate about, all of those things that you spoke to. And it was the same for me in practice. I moved from a practice where I was working 60 hours a week to a practice where I could set my own schedule, where I was able to do Uncharted things as well as be in the practice where I had flexibility.
All of those things had worth and value to me. And so I'm absolutely a believer in that cultural component of it. And I think that it would be tone deaf to not speak to the fact that that freedom and flexibility comes significantly easier when we are professional. And I mean high salary level professionals. The difference between that and paraprofessional staff that is hourly pay wages. Because I think that that piece of the conversation to your point is important and people have the right to say “No, this is a need. I need to make this amount because my budget is set off this.” And professionals have that right as well. I could say as a new vet, that's the conversation that we have a lot of times when it comes to recruiting is like, “Look, if a new grad tells me that they're not going to take less than $150,000 as base salary, great more power to you. If that's what you need, you go, I can't give you that.”
To your point, that may be something that my practice can't do. And I think that when it comes to the wage scales, I love that they're asking this question because I think that the whole point of the pay scales is to have that transparency that you were talking about and to set some equity across the team. And the way that this manager is asking the question, they're talking about it being a good fit and taking the pay cut, and they're talking about the fact that at least they're looking at the fact that they have assistants now who have higher skills and more training and therefore should be making at the high end of their pay scale. And this is how we got to where we are at veterinary medicine because for years and years and years, we as untrained business professionals, managers and practice owners gave into, “Well, this person feels like they're a good fit and they're telling me that they make more money, so therefore I must pay them more to get them on the team and get them in the door.”
And this is what created the inequity in our industry when it comes to pay. And so I'm so proud of this writer who was just like, “Dude, I've already got the pay scales and they're asking great, great questions.” And I think that a lot of us are not even there. And so I love that you opened with that point that if you don't have scales starting with just the thought process that it shouldn't always mean that we increase and increase and increase I think is so great. And I love that.

Dr. Andy Roark:
Well, I appreciate you saying that. I agree with everything. I agree with everything you said. Yeah, I wanted to hit that point on pay scales is to say that's the downside of scales is there will be some person and you're like, “God, they're perfect, but they want more than our pay scale and-“

Stephanie Goss:
Then they're not perfect

Dr. Andy Roark:
And also it's not a pay scale. If you have a pay scale and you break it to get somebody that is unethical. That you've told everyone this is what the deal is and then you've kind of gone and made a deal that doesn't adhere to those guidelines with somebody else. That's not fair. So anyway, but I wanted to put that out just to say I felt like, and I don't know that a writer meant this, but I have seen this very simplistic logic of we have a pay scale. There's someone else who's come to interview, they were getting paid more than our pay scale, which means our pay scale must be raised across the board to match what this other person was receiving. And two things I want to point out to that is just to say, and again, I know most everyone who listens is going to immediately know this or pick up on this.
Just remember, salary and total compensation are not the same thing. And if someone comes to you and goes, “I made this amount of money,” and they're like, great, “Did you get a CE budget? Nope. Did you get vacation? Nope. Did you have a 401k? Did you get any sort of retirement matching? Did you get health insurance? Any of that?” Like “Nope, nope, nope, nope, nope.” Then you're comparing apples and oranges to say this is the salary. And so anyway, just remember to think in terms of total compensation for sure. And then the other thing is there are some simple things like geography where this person was working in downtown San Diego and now I live an hour and a half outside of San Diego and well, you are not going to make what you made in downtown San Diego because we can't charge what that clinic in downtown San Diego charged.
Those are some basic realities that most people would sort of understand, but also I just want to put them out and go, “Just remember that as we start to talk about this.” I think everybody should hold those numbers loosely. And at the same time, let me just say that sometimes there is this painful thing where someone says, “I want this job,” and you say, “I want you to have this job.” And they say, “I really do need to make this amount of money to make this work for me.” And you say, “I can't give you that amount of money.”
And man, everybody feels bad, but that's not an ethical failing at all. Sometimes it's just the way that it works and that's heartbreaking for everybody when it happens, but sometimes it just happens. And so I think that that is a good opening head space is what we need to look at this with clear eyes and just look at what's possible and set aside some preconceived notions about this person's never going to come here or they can't come here if we can't match what they currently make or we're obligated to give them what they currently make or we're somehow disrespecting them.
I think we have to set those things aside.

Stephanie Goss:
And I love that point and I think that the piece that I would add to it from a head space perspective in terms of trying to make a decision about potentially changing your pay scales. You said, “Do you have this one person who has come and is like, ‘I need to make this amount,' and you're bummed and you're looking at potentially changing your whole pay scale because of this one person.” I would say that the better head space would be to zoom out and say, “This manager asked the question, they're concerned that they're not attracting good applicants.” Are people going on a regular basis? Have you been trying to hire forever and you aren't getting applicants even in the door? Is this the first person who's walked in the door?
Or are you in a space where you do have long-term employees, you're not losing people because of pay and this one person who feels like a good fit has said that this doesn't fit for them. This is where the challenge with scales is because we're driven by people and we're driven by the emotion. This is where we're letting the emotions guide potentially the decision making process and where we have to zoom out and say, “We established the pay scales for a reason,” to your point. “And is there actually a motivation to change the pay scale or are we being swayed by the emotion of the situation because we like this person and we want to hire them?”

Dr. Andy Roark:
Yeah, I love that. I think if you're going to have pay scales, there's a couple things you have to own and one of them is you should not fall in love with the idea of the new employee. And if you have scales and you're like, “This is what I'm bound to.” This person comes in, they're a great fit, it is easy to fall head over heels and say, “Yes, this is the person for us. We've been waiting for this.” Don't do that because it's going to break your heart really badly when it doesn't work because they don't match into the scales that you have set and the way your business is set up. And that's going to hurt. The other thing is you can't take this personally, which means if this person says, “I'm sorry, I can't come here because my needs are not going to be met.” That's not a judgment on you as a person.
It's not a judgment of your business. It's like you have pay scales and you set them up this way and this is what you're able to do. You can't take it personally. And I think I see both of those things all the time. People fall in love with the hire that they're hoping to make and it breaks their heart when it doesn't happen. And when the person says, “I'm sorry, I can't do it for that,” they take it personally and they're like, “God, my business is a failure. No one wants to work here. I'm the worst. This practice is terrible. Everything is going down. Clearly we're going out of business very, very soon.”

Stephanie Goss:
Get out of new manager Stephanie's head because that was, I remember vividly, it's so funny that you just talked about that because I remember vividly as a new young manager, I was trying to hire a lead receptionist and I had an ad that I had worked really hard on and I found this candidate and she was amazing. And she came from outside veterinary medicine, but she had all of these relatable skills. She was personable, she was warm. I fell in love with her on the phone and then she came in for her interview and I was completely head over heels, like “Will you marry me?” So excited. And then I got to the point in my interview process at the time where I was like, “Tell me what you are looking at for salary.” And she told me a salary that was more than double what my pay scale was because she was coming from outside vet med and she had all these experiences and it was totally justified for the prior industry that she'd been in.
And there was zero correlation at the time to veterinary medicine. And I was crushed. And I was like, “Well, our salary range is here.” And she just looked at me and she was just like, “Oh,” and she was very kind and she was just like, “I am really sorry.” And she had great boundaries and she was like, “I'm really sorry.” She was just like, “That just is not where I need it to be.” And she's like, “I really liked you.” She didn't try and put pressure on, which was great and we parted ways, but you were in new manager Stephanie's head because I was like, “I totally failed. Nobody wants to come work for us. This is awful.” And once I got through all of that, the lesson that I learned the really, really hard way was there are limits, right? There is a structure.
And I knew going in into it, and that was the moment where probably 15 years ago where I started publishing in all of my ads, what our pay scale was and what the position paid because I never wanted to get to that point again where I was heartbroken and I had fallen in love with somebody and then here they are telling me that their expectation and my abilities are two wildly different planets and we're not even in the same solar system. I did not want to get to that space ever again. And so that's kind of an action step thing for me when it comes to hiring, but it seems so simple, but it's amazing to me how many of us do it to ourselves over and over and over again where we have this plan and we don't put it out there. And so I think that's really important, both the, not falling in love with it, but also putting up those boundaries and sticking to them.
And this would be a case where I think our writer said “We have a pay scale. We have a pay scale for a reason.” And if you immediately drop those boundaries because you've fallen in love with somebody, it's only going to hurt you and the rest of your team who is going to be frustrated when you have higher skilled people. We look at our peers who do this, you get somebody who is, you're desperate for a person and somebody comes in and they feel like a good culture fit and your head is telling you “Don't do this,” but your heart is like, “I want to help my people.” And so you do the thing and then one of your existing assistants finds out that the new person who has less skills is making $2 an hour or more. Yeah. And now your whole team is p off.

Dr. Andy Roark:
Exactly.

Stephanie Goss:
That's the exact reason why we create pay skills in the first place.

Dr. Andy Roark:
Yeah. Oh, you're exactly right. And I'll tell you this, the other emotional part of it too in head space for me very much is offering someone a job is putting yourself out there for judgment. Like asking someone on a date kind of. You know what I mean? Where you're like “Hey, I don't know if you'd be interested in this. I think you're kind of great.” And you're like, “Andy, that's ridiculous because one of them is clearly you putting yourself out there and the other one is just this company that you work for.” And I'm like, “I don't know.” Maybe it's just because I own, it's because I own the company that I work for, but you know what I mean? It sure is. There's a lot of identity tied up in that of I work so hard in a leadership role and I think most managers feel this way and a good manager feels pride in the place that they work and they should because they should be a big part of it.
And so they should, you do feel pride. And so when you're saying, “Hey, this is what I can do for you and we'd like to have you here,” there definitely is some fear of rejection there where someone goes, “No, I can't know, oh, I'm doing so much better at this other place.” You go, “Oh, maybe my practice is not as attractive as I thought. Or maybe we're not doing as good a job as I thought.” And I think a lot of people feel that pain a lot. So anyway, I think for me, all of this kind of comes back around to that head space of try not to fall in love with the idea, try not to take it personally. This is a relationship and it's kind of got to work for everybody. And so let's just start with that and kind of shake it out because I think as soon as we buy into the idea of salaries can never go down.
People will never, ever take less money than what they had before regardless of extenuating circumstances. And if they don't take the job, it's because you are not worthy. I think those are emotions that people actually have, even though they sound ridiculous when you say them out loud, I think you have to set those things aside. That's kind of my big thing. I think the last part of head space that I would say is there seems like there's a number of questions bundled together here.
And whenever I have a bunch of questions bundled together, it always feels like the Gordian knot, meaning it's the magical untiable knot and I'm like, ah, I can't figure this out. And the truth is usually what happens when I'm having feelings like this, I'm having questions like this, one of the healthiest things from a head space standpoint I can do is sit down and say, “What are the questions that I need answered in order to move forward?” And that's the mental process that I use. And so just sort of stepping back, what are the action steps? Well actually you know what, I'm going to put a pause here and say, how do I untangle this? How do we break this down into the action steps or into the questions that we need to get figured out? Let's take a break and then we'll come back and we'll do those as action steps.

Stephanie Goss:
Okay, sounds good. Hey friends,
I just wanted to talk for a quick second about some maths with you all because I've been thinking a lot about the workshops. And normally here's where we tell you what's coming up and we've got some great stuff happening. So you're going to want to head to unchartedvet.com/events and check out the upcoming calendar. But I want to talk about maths because if you are not already an uncharted member, you can attend any one of our workshops and pay $99 a piece. Most of them are just 99. You can do it as a one-off, great and fine. However, that adds up really quick. And if you do the monthly workshop with us, and I've seen some of you there as repeat customers, which is amazing, but you could spend almost $1,200 over the course of the year doing workshops with us.
Or you could pay $699 and get a 12-month membership, which means you get all of the workshops that we do at no extra charge. You also get access to our amazing conversation in the community, our community members and all of our community resources. And it is hopping over there. We've got conversation 24/7, we have got activities, we've got book club. We're writing our handbooks together in Handbook Helper Group this year.
We are talking about development and leadership growth, doing our development pathway this year. We are doing hallway conversations where we're talking about topics. These are sessions that are community led, community driven. It is topics about things that are going on in your practice that you want to talk about with your peers. All of that is happening and it's all included for your $699 membership. So simple math, do you pay almost $1,200 for the year or do you pay $699? If you're not currently a member, you should head over to the website and use this argument to convince your boss, “Hey boss, I need to be a part of this amazing community because Stephanie told me so and because she's telling you that you will save money.” Hopefully that works, but I couldn't resist. I hope to see you at our upcoming workshops again unchartedvet.com/events for everything that's coming. And now back to the podcast.

Dr. Andy Roark:
All right, so let's come back here. So I just said the last thing for me with head space is whenever I have something like this that feels tangled, I need to break it apart. And the way I break it apart is to say “What questions do I need to have answered in order to move forward?” And so the questions here are, what is my current scale really? Which means do not get drawn into the dollar for dollar salary comparison. You need to look at your total compensation package and say, “What are we really doing?” Because it's easy. And I know a lot of practices that are like, “God, we can't pay people.” Well, other people pay them and I'll look. And I was like, “Man, you, you're offering health insurance and you are matching their retirement contributions and you have an EAP and you offer all these other services and you have a generous paid time off plan. No wonder you're not offering the salary that other peoples are.”
That's not right or wrong, it's just different. And beating yourself up because the salary offer you make while you've got these wonder, this nice collection of perks and supplemental things is that that's comparing apples and oranges. So what is your actual scale when we look at total compensation? Because that's what we want to compare to others. The next question for me is, is my pay scale competitive? And I don't know the fact that this one person comes and says, “I made more, I have less skill but I make more of this other place.” Maybe I'm not wrong. Maybe the other place was wildly overpaying this person and I'm sorry-

Stephanie Goss:
That's a thing that happens.

Dr. Andy Roark:
There's a 50% chance that if you go, “Either I'm low or she's high,” or they're both a little bit true, I don't know. And so is my pay scale actually competitive? If my pay scale is not competitive, can I afford to change it right now? And if it's not competitive and I can't afford to change it right now, how can I change it going forward? Meaning I might not be able to afford this person's salary now, or make, make the pay scale shift now. However, if I'm not competitive, I can make a plan to become competitive and maybe I can get this person to come along for the ride and maybe not, but I will remedy this problem and I'll be more competitive in hiring in the future if my pay scale is competitive and I say, “You know what? I'm doing what I can do. I feel like this is a competitive offer. I don't know that this person is going to find someone who will pay her or him what they were being paid at their last job.”
I'm not going to say that necessarily, but I am going to figure out how to present the fact that our scale is competitive and we'd really like to have them there. And I encourage you to shop around, obviously look and look and see what other places can do. This is what we can do and we would like to have you and I think you would be a wonderful fit here. How do I present that knowing that I'm not going to change my scales? And so those are the questions that I have. And if I can go through and answer each of those questions, bam, I'm golden.

Stephanie Goss:
Well, I thought kind of the same way because when I started reading the email, I thought they were going to go in the direction of, “Well, what if I wind up paying them more than I'm paying my existing team?” Which is one question, what is the potential risk factors there?

Dr. Andy Roark:
Yeah. Because the answer is don't do that.

Stephanie Goss:
Right.

Dr. Andy Roark:
The answer don't do that.

Stephanie Goss:
But then they-

Dr. Andy Roark:
You have a pay scale. You bought into it. Just so many bad things can happen.

Stephanie Goss:
But then they steered away from that in their email and were like, “That's not actually what I'm asking. What I'm asking is how do I know if I can afford to adjust my current pay scale?” And I think we talked from a head space perspective of do you need to adjust the pay scale? And I think you have to look at that. And I think your point about looking at is this a one off, is this an outlier or is this a consistent trend? And then I love your point about looking at is your scale competitive? Well, how do you know that? Well, you have to know what goes into your scale. To your point, it has to be about total compensation. You have to be able to compare apples to apples instead of apples to oranges. And you have to look at what other people are paying.
And that often is very, very hard to find in veterinary medicine because we are secretive AF. We don't share pay scales freely. We don't advertise as a whole and change is coming. There are lots of us who have been doing that for some time and now states are making it easier because states are requiring employers to provide pay information in their job ads, which I love. I that level of transparency. I think it's only going to benefit us in veterinary medicine. But being able to look at what is actually competitive and then looking at your own team. Are you losing people because of the pay or do you have really long-term satisfied employees? Is there a reason to make this change? And then to your point, the question that they actually asked, I love, and this is where I get super nerdy about how do you actually figure out if you can afford it? And I'm going to give a shameless plug for myself, which is really hard for me to do.

Dr. Andy Roark:
I know, do it, get up on the stage.

Stephanie Goss:
But also for our community. So I have a workshop in our community, in our knowledge library, which is where we house all of the materials from prior workshops and conferences that we've done. And I love this topic. This is a soapbox for me for sure. And I actually have a workshop that I've done about exactly this. How do you figure out how to afford it? And as part of that, I put together a spreadsheet for everybody. And so if you're a community member, you can access that in the library. And if you're not a community member, I'm just saying that's the kind of resources that we share in the community on a regular basis. But that's where I would start as a manager is it starts with a spreadsheet. And I know that not everybody loves spreadsheets as much as I do. In fact, I know Any Roark does not like spreadsheets.

Dr. Andy Roark:
It's not that I don't like them. I do like them, I don't love them like other people do.

Stephanie Goss:
But I have a color-coded spreadsheet for you guys for this.

Dr. Andy Roark:
I know I-

Stephanie Goss:
But I'm going to break it down.

Dr. Andy Roark:
I like a basic spreadsheet that's just-

Stephanie Goss:
I'm going to give the-

Dr. Andy Roark:
… plain numbers. It's just like a vanilla spreadsheet.

Stephanie Goss:
I'm going to give you the vanilla recipe right here. Okay? So the question is how do we actually know if we can afford it? And so what you have to know is what are you currently paying? What is your existing team cost you at their scale? Which means looking at their current wages and also their current average hours. And then you're looking at that as a percentage of your revenue and that's your pay, the percentage of your budget that makes up your paraprofessional wages. And now for most of us, the initial knee-jerk reaction is to say, “Well, my staff ratio is 25% or 19% or 28%,” whatever it is. And to go say, “Well, what does the industry tell me that that percent should be?” But that's the wrong question. The question we should be asking ourselves is where are we compared to where we have been before?
Which is are we trending up, are trending down compared to ourselves year over year? Because it doesn't do me any good. To your point about the pay scales and having, what did you say, Fort Jenkins, Texas. Having a practice in or outside of San Diego. Having a practice an hour and a half outside of downtown San Diego and a practice in the middle of downtown San Diego in the Gaslamp, just the rent alone on those two practices going to be wildly different. So there's going to be different expenses. It goes the same to staff. And so if I look at the industry trends, I do get some value by comparing myself to average practices. And AHA summarizes this really, really nicely. There's two resources that I would say AHA's benchmarks around compensation. And VH made us one as well, but the well managed practice study gives some really good industry benchmarks as well.
But it still doesn't do me, I don't think enough good to say, “Well, three to five doctor practices in a suburban area.” Well, what does that actually mean? Because the suburbs of San Diego could have wildly different pricings than the suburbs of Des Moines, Iowa. They're still suburbs, but those are two wildly different locations geographically. And so what I want to do is look at where am I trending as a practice? And so looking at that percent of gross revenue and then using that spreadsheet to play with the numbers. And so there's two ways that we affect change here. We can pay people more and not change the revenue and there's three pieces at play. There's our gross revenue, there's our cost to employ our team, and there's our other costs of running the business. So to impact those numbers, there are really three levers that we can pull.
We can increase our revenue, which would decrease the other two percentages because when we make more money and the costs stay the same, the percent goes down. We could increase the cost to our staff and not increase the revenue, which means that that percent is going to go up and then we have to cut costs elsewhere. Or we could do some sort of balancing of all of the things. There's a lot of things that we can do here, and this is where the spreadsheet comes into play. Because if you put in the simple numbers, you have your team, you list everybody and you just list them by their initials, put their salary, then in another column, put their average hours, get the total of your team's hours and the total salary that you're paying on them on average, and you can pull that straight out of your timecard software.
How many hours have people worked on average over the last quarter through the last three months? And then you look at that total wage and you look at it relative to your revenue, then you have the ability to say, “Well, if I gave everybody a $5 an hour raise,” and you can just plug that into the spreadsheet, Excel's going to do the work for you and tell you what that does to your percentage without changing your revenue. So then you have the ability to know, “Well, can I afford to do this without making any changes? Yes or no?” It becomes very black and white. You also have the ability to say, “Oh God, that number looks really, really high. If I give everybody $5 an hour raises, that's a,” I don't know. I'm just going to pick a number out of thin air, “that's $40,000.”
Well, that's a big scary number to a lot of us who own businesses, right? $40,000 is not chump change. So then I have the ability to go in there and play with it and say, “Well, if I cut some costs in other areas, what does that do to the percent? If I increase my revenue, if I make $10,000 more in that same quarter, how much does that suppress the percent?” It gives you the ability to play with those numbers. And that is by far the best way that I have ever found to do… You have to run projections and it has to do with the math. And not everybody loves math, but this is where you have to play and figure out how can I afford it? And most of us are afraid of this because we don't have the training, we don't have the knowledge.
I didn't know how to do any of this until I got got training and honestly, until I took business math class at the community college, I had no idea how to do any of this. And it made my life so much easier once I figured out how to do it. And I will tell you that I think that's where we got to in veterinary medicine is because a lot of us are either afraid of it don't know how, or a combination. And so we make those emotional decisions. Instead, we've fallen in love with the idea or we're like, “This is a good cultural fit,” or “My team is working so, so hard and we just need another person.” We make that gut emotional decision to say, “I'm sacrificing for the greater good. My team needs another body, so I'm going to pay this person $2 more than everybody else because it's going to make them happy.”
Well, guess what? In the long run it won't because someone will find out that the new person is making $2 an hour more than them and it will cause havoc in your staff. That's why we set up pay scales in the first place. And so I think that that's where we make the emotional decision because we don't know how to do that math. And that's a huge part of what made me so excited when we got this email. Because I was like, “Oh my gosh, this is a huge soapbox and I want to nerd for a minute, even though Andy's just going to sit there and give me the stare like ‘Really, you're talking about spreadsheets?'”

Dr. Andy Roark:
This is much spreadsheet time airtime as we've ever given in everything. There's never been –

Stephanie Goss:
Thank you for indulging me Andy Roark.

Dr. Andy Roark:
… this much airtime devoted to a spreadsheet.

Stephanie Goss:
I'm just saying.

Dr. Andy Roark:
No, it's good. It's good. It's just…

Stephanie Goss:
Andy's like “If you didn't understand any of what Stephanie just said in the last five minutes, you can go check out the financial workshops that her and Jen Galvin have done.”

Dr. Andy Roark:
There you go. We have financial workshops that cover exactly this. If you're like “Uh oh, tell me more. My heart purrs.” If you're just like, “I want more of this specific spreadsheet focus,” then we got you covered. We totally got you covered.

Stephanie Goss:
We do. We've got t-shirts.

Dr. Andy Roark:
You do have a t-shirt that says something like, “I have a spreadsheet for this, don't you?”

Stephanie Goss:
I do. I do. It was given to me by one of our community members who knows my love of spreadsheets.

Dr. Andy Roark:
Speaking of our community members, getting this back on the rails here. I was talking to one of our community members recently and he was talking about at his practice, they did some surveying of their staff, which I always think is great. And they're like, “What are the stresses of our staff?” It was a burnout type survey. And they were actually really surprised to come to understand that their staff was feeling a lot of financial strain. They live in a major metropolitan area and they didn't recognize how difficult it was for a lot of their staff to live in this area getting paid what they were paying. And of course they felt like they were doing a good job of trying to compensate their people. I think it's hard to get your head around what it really costs to live in a major urban area today.
And so anyway, but they saw that and when they saw that, they said, “This is not okay, we want to fix this.” And so they actually decided they were going to raise their prices and give 100% of that raise to the staff. And so they said to the staff, “We're going to raise prices and 100% of this goes to giving you guys cost of living raises.”
And then they sent an email to the clients and they said, “Just so you know, prices are going to be going up and here's why they're going to be going up.” And they explained that they needed to raise prices so their staff could have a living wage and not be financially strained. And so 100% of this price increase is going to the staff. And I said, “How did it go?” And he was like, “Oh, great. It went great. The clients seemed to understand. We didn't get any pushback at all. The staff were in board on implementing the raise in price because they knew it was important and they knew where it was going.” And I was just like, “That's a beautiful thing.” I just thought it's, again, thinking outside the box and being like, “Oh, we have a very specific problem. We're going to come up with a very specific solution to said problem. And here we go.” So anyway, there's definitely things that we can do.

Stephanie Goss:
I love it. And I think about that from my own behaviors as a consumer. And I think about, I lived in the Bay Area in California and they implemented healthcare for the restaurant industry and for restaurant workers, which is unheard of in the service industry that you would have healthcare coverage. And the business owners, restaurant owners were like, “How the hell are we going to afford this?” And so the conversation was, “We have to increase prices. There has to be something to offset this.” And so I know some of my favorite places who did exactly what you're talking about, and they just went to their clients and they're like, “Hey, this is why we're doing it. This is what we're doing with the money and we hope that you'll go along with us for the ride. And if you don't, we understand.” And I remember being impacted by that.
I would have paid it and I probably would have paid it and grumbled about it if they hadn't have been so forward. But once I got that, I remember seeing a notice when I went into one of my favorite restaurants and I was just like, “Okay, that totally makes sense.” Not only will I be happy to pay that extra amount, but I actually changed my behaviors to think about it and was like, “Here, let me tip.” Let me… I'm going to tip, I'm going to tip more. Which is I recognize not necessarily normal, but it was that emotional heart connection. And to your point, when we think about it and we put it in that context, it goes back to something you and I talk about all the time on the podcast, which is we can't be all things to all people. And we are going to have clients who would get that email and would be like, “I don't want to go there. I need a budget conscious vet practice.”
Totally understand. Totally understand. We might not be your people, and that's okay. It's the same as when the candidate that you're interviewing says, “Well, this is what I need to make for my budget,” to say “I totally get that. And I wish you the best of luck.” Because to your point earlier in the episode you talked about how do we have that conversation with them and explained to them like, “This is what I can offer you.” And for a lot of people that fills this with anxiety because we're just like, “How do I have to explain myself?” You don't have to explain yourself. You just say, “Thank you. I completely understand and I wish you the best of luck,” and move on because it's not going to be the right fit. You cannot be all things to all people, whether it's your team, whether it's your clients, stop. We've got to stop. And so I love that you use that example.

Dr. Andy Roark:
Yeah. Oh, good deal. All right. Well, that's what I got my friend. I don't think I have anything else.

Stephanie Goss:
Okay. I love this. Thank you for letting me talk about spreadsheets.

Dr. Andy Roark:
Oh, my pleasure. I'm so glad we got to do this.

Stephanie Goss:
You're not, but thank you for lying anyways. Take care everybody.

Dr. Andy Roark:
See you everybody.

Stephanie Goss:
Well, gang, 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 at podcast@unchartedvet.com. Take care everybody, and have a great week. We'll see you again next time.

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: compensation, culture, Practice ownership, raise, wages

Jun 28 2023

How Do We Speak Their Language: The Next Gen of Pet Owners

Cover Image for Episode 238 of the Uncharted Veterinary Podcast

This week on the podcast…

This week on the Uncharted Podcast, Dr. Andy Roark and practice management geek Stephanie Goss are in the mailbag to take on a question from a practice manager colleague who is wondering what they can do at their practice to support the next generation of pet owners. Andy and Stephanie face up to their age a bit as a genXers, acknowledge that we need to stop thinking/talking about millennials being the new “young” clients and start really looking at the next big leap forward. Stephanie immediately ran wide with ideas on technology and Andy had a little more reserved approach. They managed to find middle ground and talk options in the end. Let's get into this…

Uncharted Veterinary Podcast · UVP – 238 – How Do We Speak Their Language- The Next Gen Of Pet Owners

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

This episode is made possibly by SimpleTexting. For more information about helping your clinic communicate effortlessly with your clients, check out the SimpleTexting website.

Submit your questions here: unchartedvet.com/mailbag


Upcoming Events

This is your LAST CHANCE to register for our upcoming workshop happening July 1, 2023, 4-6 PM ET/1-3 PM PT with Maria Pirita, CVPM – EFFECTIVE & EFFICIENT TEAM MEETINGS

Have you ever felt like your team would benefit from meeting more often, or maybe a little less often? Do you struggle to find techniques that truly make your team meetings effective? Finding the right balance between improving team communication and a meeting cadence that is respectful of people’s time can be a challenge. In this workshop, Maria Pirita, CVPM will review the 40-20-40 principle and help you learn to properly plan, execute, and follow up after meetings to ensure that you and your team are getting the most out of meetings at your veterinary practice.

When: July 1, 2023, 4-6 PM ET/1-3 PM PT

$99 to register, FREE for Uncharted Members

Register here

Upcoming events: unchartedvet.com/upcoming-events/


Episode Transcript

Stephanie Goss:
Hey, everybody. I am Stephanie Goss, and this is another episode of the Uncharted Podcast. Today's episode is brought to us by our friends at Simple Texting. I love this because Simple Texting believes that better care starts with better communication. Today's episode is all about better communication. Andy and I got a letter in the mailbag from a practice manager colleague who was wondering what they can do at their practice to support the next generation of pet owners. Very sadly, Andy and I realized that we are old AF, because we are not talking about Gen Xers. We are also not talking about Millennials because they're old too.
We are talking about Gen Z and maybe even the generation that comes after Gen Z and what we can do to lean into communicating and meeting them where they are at. We want to take into account all the different styles of communication that our clients, regardless of generation, want to use. This was a fun episode because I definitely ran wide with the ideas on technology and Andy had a little bit more of a reserved approach, but as we usually do, we've managed to find some middle ground. So, let's get into this. Now, the Uncharted Podcast.

Dr. Andy Roark:
And we are back. It's me, Dr. Andy Roark, and the one and only, Stephanie, do you speak-a my language, Goss.

Stephanie Goss:
How's it going, Andy?

Dr. Andy Roark:
She just giggled and gave me a Vegemite sandwich, Goss.

Stephanie Goss:
Oh, I am not a Vegemite fan.

Dr. Andy Roark:
Yeah, I think I've had it one time. I think it's an Australian thing.

Stephanie Goss:
It is.

Dr. Andy Roark:
I don't even know where you find it.

Stephanie Goss:
It is.

Dr. Andy Roark:
But every kid of the '80s knows exactly what a Vegemite sandwich is, at least in concept.

Stephanie Goss:
Oh, true story. How's it going?

Dr. Andy Roark:
Oh, man, it's good. I took Hannah… I'm hoping that she'll run cross country over the summer, so they've got cross country practice. Okay, so here's why. There's a backstory here. I remember when I was a young doctor, I was working in Washington, DC and I'll never forget this family. I don't know why they stuck in my head because they had a sick pet. I don't even remember the pet, what it was sick about, but it was an ongoing case when I saw this family multiple times over a two-week period. Every time I saw the family, it was the father, the mother, and the three daughters. Every time I saw any of them, they were decked out in full running gear. They were ready to take flight. You know what I mean?
Windbreakers, shorts, all of them in different levels of warmup suit, but I felt like their clothes were breakaway. I could just snatch them off and run. They always had running shoes on. They were 100% dressed to run away right now. I said to the father at one point, and Jacqueline was probably two years old at this point. I said something to him, “Yeah, it's great that your whole family's into running.” He was like, “Yeah.” I said, “I have a daughter.” He's like, “Let me tell you something, get them into running. They're too tired to be interested in boys.” I don't know that that's true, but in my head somewhere, some part of me was like, “Write this down, Andy.” So Hannah is my girl with attitude.
So, I'm like, “Well, I don't know about boys,” but she'll be less bad if she's exhausted is what I think. So, anyway, I've got it in my head just from a long time that this is a good thing that Hannah would do and that she could be good at. So, I've wanted to get her into cross country and she's just finished the sixth grade. So, she's going to the seventh grade next year. So, the middle school coach has reached out. So, she texted me and said, “Hey, this is Coach Connolly. Hannah is a great runner. We're doing cross country, and I really think she should check it out at the high school. It's the parents' information meeting, bring your kids.”

Stephanie Goss:
Sure.

Dr. Andy Roark:
So she says, “You should go and also tell Hannah, I'm going to be involved with the girls team, but just make sure she knows that.” I'm like, “Okay, I'll tell her.” Okay. So, anyway, we go to the information gathering and we get there. It's at the high school and Hannah's going into the seventh grade. So, this is real intimidating. We get there and there's three coaches that present themselves, not the female coach from middle school. It's the quintessential, if Saturday Night Live did a sketch with football coaches, it'd be these guys.
You know what I mean? Two of them in their 60s and one of them in his 20s, and they've all got thumbs and belt loops rocking back on their feet. The young one looked like he could run. The other two have not run in a long time, I'm confident. They start to have this informational meeting.

Stephanie Goss:
Sure.

Dr. Andy Roark:
Stephanie, it was the strangest informational meeting I've ever seen. It wasn't like this meeting could have been an email. I don't think it could have been an email, but the most infuriating thing was this could have been a 10-minute meeting, but it was an hour.

Stephanie Goss:
Oh, geez.

Dr. Andy Roark:
Because the head coach liked to tell stories, and so he was telling stories. So, at one point, we're sitting there in the bleachers. Hannah's seventh grade. There's like 12th grade boys around. This is a tense thing. I'm like, “Baby, everything's cool. This is going to be good. Just stay with me. Just check this out. It's going to be fine.” The guy is just going through the handout they gave the parents. He's like, “Yeah, we got to have a waiver because things happen. I mean, we're not going to let anything bad happen. The kids have to run beside the road, but at the end, they're not going to get hit by a car except one time there was a kid who got hit by a car.” He's telling us at the informational meeting, he's like, “There was a kid that got hit by a car.”
So all the parents get real quiet. Really it's a good story. He says, “There's this kid Jimmy and Jimmy is out.” This is why the meeting took an hour because he just kept going. He was like, “There's this kid Jimmy and Jimmy is out and he's running. He was a knucklehead. So, he's a knucklehead and he is running by the side of the road. He is not paying attention to where he is going. There's this woman and she pulled up at the stoplight. She's sitting in a stoplight and she's just minding her business and the car's at a full stop. Jimmy just runs into the side of her car, wasn't looking, just came right off the sidewalk, ran right into her car. That wouldn't have been bad except the windows were down because it was a nice day. Knucklehead Jimmy just bust right through the window.
He went bang into her car. His head goes into the window. She thinks she's being carjacked because he screamed when he ran into her car. So, she punches the gas and runs through the red light with Jimmy hanging out the window.” Everybody's sitting there just wide-eyed staring at this informational session about why you should send your seventh grade daughter to cross country. The whole meeting went that way. That was just one example of where the meaning went wildly off the rails. As soon as it was over, I got a text from Coach Connolly saying, “Don't leave. Don't leave. It's not that way. It's not going to be that way. I promise your child will not get hit by a car. I promise I will be the girls' coach. I will be there.” So anyway.

Stephanie Goss:
Oh, my gosh.

Dr. Andy Roark:
The jury's still out on whether or not we're going to do cross country this year.

Stephanie Goss:
I was going to say, what was Hannah's reaction after sitting through the hour of that? She's a kid who will tell you how it is.

Dr. Andy Roark:
Yeah. Yeah. She basically said, “Those guys are scary.” She was like, “Those guys are scary.” That's it. That was funny. It affects some of my thinking here too is it was right as school was ending. So, she saw Coach Connolly the next day and the coach came up to her and said, “Hey, I really think you should do this. I really think your friend should do it as well and do it with you.”

Stephanie Goss:
Sure.

Dr. Andy Roark:
I reached out to the parents of the best friend and we're like, “Hey, do you guys want to do this over the summer? Maybe they can just drop in and do some of these running practices and see what they think.” When the other kid got on board and Hannah wasn't alone, I think, she's come around to this might be a thing that we can do together. But it was just funny. It was obviously really important to both of the girls that this female coach who's young and energetic and positive be there. It's just really interesting to look at my daughter and see the effect that these guys who I'm sure are really nice guys. You know what I mean? I am sure they are really nice guys, but they don't present necessarily a welcoming facade to a 12-year-old girl.
So, just the importance of having this younger coach there was really big. I wish she'd been more involved in the program, even just from a representation standpoint of just being there and standing up with the guys. I might say that to her at some point because she was there, but then she just disappeared into the background and she sat with the parents. Anyway, I think you never understand the politics of what are going on. I think she wants to be involved. I suspect she's new and getting going, but anyway, it's really been just interesting in thinking about that of what makes people want to be a part of things and how we present what we're doing funny. So, I don't know.

Stephanie Goss:
It's funny.

Dr. Andy Roark:
It's been an interesting time. I don't think I care that much either way. I really don't because she's really young to be going and doing this. Boy, I'll never forget about knucklehead Jimmy running into that car and the woman thinking she's being carjacked and punching it through the red light. Oh man, parenting. Nobody tells you how to do this stuff.

Stephanie Goss:
Oh, man. That's pretty fantastic.

Dr. Andy Roark:
Just another day in high school sports.

Stephanie Goss:
Oh, man. Well, I'm excited for our topic today.

Dr. Andy Roark:
Speaking of high school.

Stephanie Goss:
Speaking of high school, not even high school at this point. So, we had a great question in the mailbag that I'm super excited about discussing with you. So, it was from someone who was asking about supporting younger client basis. So, they were talking about how COVID has really launched the majority of veterinary medicine, at least into the texting realm and how their clinic has been doing some online booking and they started doing some preventive care plans as a way to give a subscription model or payment options beyond the traditional ones, but they were saying that it feels like as an industry as a whole, we're almost always playing catch up. So, they were asking how do we speak their language? How do we focus on younger clients?
I think it's a great question for a whole bunch of reasons, least of which is that we know that younger pet owners. It's so funny because I think it says how behind the times we are in veterinary medicine that when we talk about younger clients, we're still using millennials as the example.

Dr. Andy Roark:
Millennials are 35.

Stephanie Goss:
Right? That's the thing is that I hate to break it to us all, but millennials are old. So, when we look at the makeup of pet owners and all of the market research that is out there that has nothing to do with veterinary medicine, but just pet ownership in general, Gen Z is the fastest growing segment of the market when it comes to pet owners. They have been for some time, and there are things that set millennials and Gen Z wildly apart from the generations that came before them. So, I thought it was a great question and I'm really looking forward to going through it with you.

Dr. Andy Roark:
Yeah, no, I always like this stuff. I think this is really interesting. Obviously, I like innovation, I like change. So, I have a lot of feelings of excitement around that. At the same time, I can be crotchety and I can be crotchety.

Stephanie Goss:
You can be a 60-year-old track coach.

Dr. Andy Roark:
I can loop my fingers through my belt and say, “One time…” I don't know about this whole Texan thing. At one point, one of the coaches said… I don't know if this is true or not. It was the assistant coach. They refer to each other as coach. So, if you all look in the handout there, you'll see Coach Daniels and you'll see a cell phone number. That's my cell phone number. You will not see a cell phone number for coach. Why? Because coach doesn't have a cell phone. I'm his cell phone. I was like, “Is that real? Does he really not have a cell phone or are you setting boundaries to prevent people from texting the head coach?”
But looking at him, he might not have had a cell phone. It's been a couple days. I'm like, “Does that man really not have a cell?” I mean, it's possible he just did. He just smirked and rocked back on his heels. If ever there was a man who didn't have a cell phone, it could've been that guy. I'm like, “That's ridiculous. Also, I'm into what you're doing there, buddy. I'm into this.”

Stephanie Goss:
Oh, okay. So, you can be crotchety.

Dr. Andy Roark:
Okay. So, you're not going to get a rah-rah technology lecture from me, I'll tell you that. You're going to get a weird mixture of enthusiasm and caution.

Stephanie Goss:
Okay, fair.

Dr. Andy Roark:
So yeah, that's what I will do.

Stephanie Goss:
I will pick up my pompoms for us on the technology side.

Dr. Andy Roark:
Yeah. I know. I saw your notes and I'm like, “Well, gosh, let's pump the brakes here.” This seems to be one of those conversations where your friend is so positive that you feel obligated to take the other side. We have to keep this in proportion here. That's going to be me.

Stephanie Goss:
All right, fantastic.

Dr. Andy Roark:
All right.

Stephanie Goss:
Should we start with that? Should we start with headspace?

Dr. Andy Roark:
Let's start with some headspace. All right, let's start with some headspace. So, I appreciate this. I appreciate this letter a lot and it is undeniable that the world is changing and it is changing faster than it has ever changed before. I mean ever. The industrial revolution did not cause us to move as fast as how we are changing right now with artificial intelligence. I use artificial intelligence today. Today, I took handouts, right? I took a bullet pointed outline of a presentation I'm going to be giving. So, I've got all bullet pointed out. That's all I've got is the bullet pointed outline. I put a lot of thoughts in this outline. I took that thing and ran it through ChatGPT and said, “Make me slides.”
It was like, “I'm a text thing. I can't make slides, but if I made you slides, here's what would be on them.” It just said, “Bam.” So then I took that slide. I copy and pasted. I dropped it into PowerPoint, just straight up, dropped it in, and then I hit their automated graphic design button. Voila, I got a slide deck. It's beautiful. It's much better than what I used to make in old school. I had the old school PowerPoints that look like a middle schooler's project with just solid color backgrounds and what looks like five by seven pictures laying next to some text.

Stephanie Goss:
On top.

Dr. Andy Roark:
Yeah, on top. That's what I used to do. This thing is so far better than what I used to do. That's just today. It took me 12 minutes to do something that used to would've taken me an afternoon. The outcome is much better and I'll tinker with it, but for the most part, it's done. So, boy, that's just happened in the last year. So, anyway, things are changing like crazy. The idea that we don't have to keep up, that's ridiculous. The way we communicate is different. The way we use technology is different. Change is coming and we need to be thinking about it. I think our clients are absolutely going to expect us to be… I don't think they expect us to be bleeding edge. I don't think they expect us to be innovating. The truth is, I think about it as a consumer too.
I don't want people asking me to download apps or register for weird stuff. I want you to only ask me to do things that are going to make my life more convenient. Technology for the sake of technology I think is bad. However, our world is changing fast and I like the fact that this is a recognition of that. Given the world is changing, what do we do? So that's my first part of headspace is look around you. The world is not what it was 10 years ago and it is getting faster and how it changes. So, I think this is a worthwhile conversation. Do you agree?

Stephanie Goss:
Oh, totally. Totally. I also agree with their sentiment that we are behind the curve. So, I agree with you. I don't think any of our consumers, even the ones who wish that we would get more ahead than where we are, I don't think that they by and large want us to be cutting edge. I think to your point, they just want it to be more convenient.

Dr. Andy Roark:
Well, cutting edge means so many things to so many different people. I don't think people want us to be less human than we used to be. I think that that's really important to people. I don't believe that people are pushing to have less interaction with the healthcare team. It was funny.

Stephanie Goss:
I would agree.

Dr. Andy Roark:
Well, you and I were talking with people on our team and we were talking about paying for bills at restaurants and somebody was saying, “I think we should have a tablet at the table. You just do all of your transactions there and you don't talk to the waiter or the wait staff.” I was just like, “I could see that.” In another way, I was also like, “Ooh, I don't like moving away from the human aspect. I don't like us not talking to each other as much.”
At the same time, paying on the tablet that's built into the table is probably a much faster way to get things done. Also, it's cheaper for the restaurant and all those things. So, I get it. I don't know that when we say get cutting edge, I think it's important to remember that people don't want less human interaction with their veterinarian or vet team, I don't think.

Stephanie Goss:
Yes. Yeah, no, I would agree with that.

Dr. Andy Roark:
So yeah, I think that keeping up is a process and not a destination. I think that's important to remember too. I think a lot of people look at getting on board with technology. They used to look at having electronic medical records.

Stephanie Goss:
Sure.

Dr. Andy Roark:
Oh, boy, this is a huge lift, but once we do it, then we'll be done. I'm like, “Hmm, I don't think this is ever going to end.” I think that that's a good headspace to get into is this is a process.

Stephanie Goss:
Yeah, for sure.

Dr. Andy Roark:
I don't think you're going to make it if you don't start with why. I think the idea that we need to embrace technology full-stop, I don't think that's motivating enough to actually get it done for most practices and most people.

Stephanie Goss:
Sure.

Dr. Andy Roark:
I think the first part of this in a headspace is to say, “Why do we need to embrace technology? What are we accomplishing?” I think that that's a big thing in technology overall is a lot of times people are like, “Oh, we need to upgrade because upgrades exist.” This is the crotchety Andy is going, “Just because you could do something in a more fancy way, to me, that doesn't mean by itself that you should do it in a more fancy way.”

Stephanie Goss:
Yes. So, I would actually agree with that. I think anybody who has used some of our traditional practice management softwares for a long time would agree. I never had the most up-to-date Avimark version. You know why? Because there's always bugs. So, if you're upgrading just for the upgrade, there are cons to that. There are pros, right? You get new features, you get things ahead of the curve, but there are also significant cons and the learning curve that goes along with it. The reality is in your average veterinary practice, to your point, nobody's got time for that. So, yeah, I agree with you. I don't think that that is where most of us want to strive to be. I think it's about finding that balance.

Dr. Andy Roark:
Yeah. Well, I mean, think about technology in general. There are definite downsides to racing to be a first adapter for technology. You think of the old Betamax and no one had that after any of my time. What were the DVDs that were really big? What were those things? They weren't Blu-Rays because that became a thing that stuck around.

Stephanie Goss:
Yeah, they had them at school. When you moved off tape, that's how you would watch your science videos and stuff. The hell were those things called.

Dr. Andy Roark:
It was like a record sized DVD is what it looked like. I remember that. Those things, I remember seeing them at the stores. Nobody that I knew had them except for my uncle. So, my uncle was one of those. He loves technology stuff. As soon as it came out, he had it. As a result, he had a lot of cool stuff. He also had a lot of weird stuff that was going to be big and then just never was. I'm like, “Why do you have this?” He was like, “There was a time that this was the next big thing.”

Stephanie Goss:
The laser discs.

Dr. Andy Roark:
The laser discs, yes.

Stephanie Goss:
I was like, “Google, what the hell are those things called?”

Dr. Andy Roark:
Imagine going hard on laser discs. There's definitely a problem with racing to get up first in technology. So, that's why I say I can be a little bit crochety here. I think it's wise. There's definite downsides to racing ahead and being super cutting edge. Unless that's your jam, unless you're like, “I love it. I want to do this. I've got the resources to do it. I'm all about it.” I think for most of us, it's okay to look at where people are. I guess this is part of my big takeaway with keeping up with the times is I want to meet people where they are. We talk about that a lot in a lot of different contexts. Same thing here. It's like you know where people are? They're on their phones getting texts, they're not in their voicemail, they're not talking on the phone, but that's where they are right now.
I think people are looking for more telehealth and more convenience. I think convenience is where people really are. What can we do to bring convenience about? At the same time, we have to balance those things and say, “Okay, I want to meet them where they are and I need to be able to balance the needs of our practice and not feel like I'm a slave to technology innovation necessarily.” Again, it goes back to what is the why? Why are we doing this? Why are we making these changes and where are our clients?
I mean this metaphorically, where are they? But I also mean it literally, which says you should consider the clients you actually serve, not the clients that you imagine in your mind. Because if you are in Downtown Manhattan, you are going to see a different clientele than if you're in Fort Jenkins, Texas, which is not a real place in Texas, but just you know if it does exist, if it did exist, it would be a small town in Texas. That's not at all like Manhattan.

Stephanie Goss:
Fair, but here's the thing. I think that that is true, and I think that there is a lot to be said for looking at the data and the research and who do we serve. Because I'll tell you, so when I moved here, this is largely still a retirement area. Everybody advertised in the phone books still when I moved here, and that was only eight years ago. Yet when I looked at our actual client base and I started asking questions of the actual client base, they were online. They're older people, but to your point about your track coach, maybe he didn't actually have a cell phone, but maybe he did and just didn't want everybody having the cell phone number.

Dr. Andy Roark:
Which is super progressive. That's why this blows my mind so much, because he could be a complete Luddite. He could also be living in 2030 where people are like, “Hey, the cool thing is to not tell people you don't have a cell phone.” I can't tell where that guy is, but I'm sorry, but go ahead.

Stephanie Goss:
For real, we know that the generations, I mean when you look at who is using a social media tool like Facebook, which is where a lot of veterinary practices still are, the fastest growing market segment for them is older people. So, I think part of it is to your point about meeting our clients where they are at, I do think that part of the headspace is about doing your homework. Really I think as a whole, we need to open up our minds and look at what the research is saying. It was really interesting to me. So, those of you who have been listening to this podcast now, I like spreadsheets, I like numbers, I'm super nerdy. My brother-in-law and my sister-in-law are both in marketing and my sister-in-law in particular is in human healthcare market research.
So, I really like super nerdy market research stuff. So, I was looking at some studies in preparation for this episode and I thought that it was super, super interesting, because in the human healthcare side, 40% of people were saying that they find barriers to online access to healthcare. I was like, “Well, that tracks with veterinary medicine, because by and large, the majority of us put up significant barriers for our clients to have access to us.” Now we do it for a good reason because we're trying to protect our team and we're trying to find balance. To your point, it has to fit with what we're doing.
So, there are reasons for it, but when we look at the reason that in the veterinary space that clients are switching practices is super interesting to me, because Weave did a study and 35% of the pet owners in the study listed a lack of digital access as a reason for switching vets or the access to digital care and/or digital access to the practice as being a reason why they were attracted to a practice. That 35% is huge. So, I think it is really important to look at our existing client bases and start asking the questions of what do they actually want. So, from a headspace perspective, I do think it's important to do some homework, look at the studies. There's numerous ones.
Banfield has done a lot of research with outside companies outside of veterinary medicine looking at market research from a pet owners' perspective. There's some great research out there about what pet owners are. People are asking the questions of what do they want and they are telling us. If we are not actively as practices looking at the answers that they are giving us, we are behind the curve.

Dr. Andy Roark:
Yeah, I completely agree with that. I do agree with that. I think that we've both see 100% utility in being honest about who we're serving and what they want. I think that when you look at the world, as I said at the very beginning, there's clearly momentum in this direction. Everything is moving towards a more connected digital interface. I think we all have to own that. The other part I want to say as we start to think about technology and making technology changes in our practice from a headspace standpoint is remember to think outside the box. I think a lot of the real kickback resistance to technology we get is because people make assumptions or they lock their brain in linearly.
So, they decide what getting on board with technology or what keeping up with technology means. They say, “I'm not doing that.” They dig their heels in and they react to this imagined reality. So, I'll give you an example because I am guilty of this as well. I think everybody is. We make an archetype of an idea, meaning we get a picture in our head of what something means and that's all that we can see. So, keeping up with technology is a nebulous term as far as what the heck does that actually mean. So, I will tell you there is technology that I am radically opposed to and it's TikTok. I have railed against TikTok for years. I am not on TikTok. I don't want to be on TikTok.
I cannot tell you how many people who work for me and who don't work for me have been like, “Andy, you know what the future is?” I'm like, “Don't say it.” They're like, “TikTok.” I'm like, “Damn you.” Here's why. Because when I imagine TikTok, I imagine me dancing like a doofus. I'm 46 years old. Me dancing on TikTok is not good for anybody. It's not. I'm talking to Kelsey Carpenter. I'm like, “This is not a brand builder, Kelsey.” It's growing like crazy. So, I have this knee-jerk negative reaction to TikTok because I have the picture of people dancing and popping little information bubbles and I'm like, “I'm not doing it.” No shade on people who do do it. It's just not my thing. It's not going to happen. It's not going to happen.
If you hear this language I'm using, that's exactly the language that people have when they're like, “We're not texting people, we're not texting,” or “We're not doing telemedicine.” I'm not doing it because they get a picture in their head of what it would be like and they're like, “We're not doing it.” I was talking to Caitlin DeWilde who does all sorts of marketing and social media stuff recently, and I was like, “I don't know. What do you think about social media? So how do we still use this as a tool?” She's familiar with all of our stuff and everything. I was like, “Do you have any advice?” She was like, “You should get on TikTok.” I was like, “Caitlin, I'm not doing it.”
But here's what she said. She said, “You are imagining you dancing on TikTok and it doesn't have to be that. You are already doing video content. You already talk constantly. You're telling stories, just put them on TikTok and it'll be fine. No one said you had to dance. That's not even a thing that anyone wants.”

Stephanie Goss:
Nobody wants you dancing, Andy.

Dr. Andy Roark:
I'm like, “Well, good.” Then of course, I was like, “Well, I could dance if I wanted to,” but as soon as I was told not to, I was like, “I could do it if I wanted to.” But all of that to come back around and say it just didn't occur to me that this could be a useful tool that manifests in a different way than the weird way that I latched onto. That's true in telemedicine. They just don't immediately imagine not being able to leave their house because people were just constantly blowing them up and they would lose their day off. I think for a lot of people, they're like, “The only respite I have from work is leaving the building. If we start doing telemedicine, it doesn't matter that I left the building because people can pop up on my cell phone and there is no off switch from me.”
That's exactly what I say is I get it. I deeply, deeply get it. You have to reject that thinking. You have to reject the I'm going to lose my free time if I do this. You have to say, “Okay, this is a tool and it could be used in a way that would be beneficial to us.” I'm open to discussing what those ways might be without just having a knee jerk, dig your heels in, stomp your feet, I'm not doing TikTok reaction. That's my headspace piece.

Stephanie Goss:
I love it so much. First of all, I love Caitlin so much.

Dr. Andy Roark:
I know. She's not afraid to tell me things I don't want to hear. That's been our relationship a long time.

Stephanie Goss:
You just made Tannetje Crocker's day. She's going to hear this episode. She's going to be like, “I told you so.”

Dr. Andy Roark:
Yeah, Tannetje, I met her when she was at a bar and she saw me and I'd never met her in my life. She was like, “I heard you talking trash about TikTok, Roark.” That's how I made a friend.

Stephanie Goss:
I love her, but I'm going to take yours and I'm going to one up it because I love it. I think this is a great veterinary example. So, your example of TikTok is so great because you had that kneejerk reaction from a brand perspective with inside veterinary medicine. You said, “The dancing and the pointing at things, how is that going to resonate with the people that I serve? It doesn't make sense. It's not me. It's not who I am.” You attach to that linearly. The same is true in our practices. I've had this conversation with so many managers and veterinarians about online booking, right? Which when we get to action steps is one of my basics. If you're not doing it, I'm going to get on that soap box real hot. But here's why.
Because so many people, to your point about telemedicine, think that if I open up my schedule for clients to be able to book appointments online, it means that inmates are running the asylum and it'll be pandemonium and clients can be just putting crap on the schedule whenever they want. But people think about it so linearly that the only way that they can see it is wide open and clients are going to do whatever they want or not at all. There is no in between.
We have that very black and white thinking for an industry that lives in the shades of gray every day, all day when it comes to how we make decisions about clients and patients. We do so much of our thinking, particularly when it comes to technology, as one end of the spectrum or the other. It is black or white. There is no in between. We have to shift our mindset.

Dr. Andy Roark:
Yeah, no, I get it. I completely agree. So, that's my thought on technology. I think one last way it's been put to me in the past was… I love our practices at Uncharted. I love our get-togethers. I love our live events so much, and it's for reasons like this. I remember being in a room with some really smart practitioners and we were talking about wages going up in our profession. This was a lot of practice owners who were in the room and they were like, “I don't know how I'm going to pay for this.” That was the discussion until one of the practice owners stood up and said, “Hey, listen, the thing that has helped us the most is recognizing that we've got to raise our wages. We've got to. So, given that we have to raise our wages, how are we going to do this?”
That's the question we've been asking ourselves. That was transformative to that session and to that conversation, because suddenly, it went from a lot of I don't know and I don't want to do this and the client pain is going to be this and all this wrestling with this idea. But when it was reframed as, “This has to happen, how can we make it happen?”, suddenly, the conversation got so much more productive and it was so much more problem focused and just the whole thing unlocked. So, I say that, because to me, technology is a lot of that way as well where we can absolutely wrestle with I don't want to do this. This is going to be so much work. It's going to be such a headache and it's going to be expensive and there's going to be so much training, but we can have these thoughts.
At some point, it's helpful to step back and say, “This is going to happen. We are going to have to move into the new era. How are we going to do this?” Then start getting serious about what your options are and what you're going to do and what you're not going to do. But getting past that whole circling around wrestling with anxiety and the headaches and woe is me, I have to do this, and just going, “Nope, given that it's got to happen, how are we going to do it?” How is a wide open question. I really do think that that's a very productive mindset.

Stephanie Goss:
I love that and I think that's a good spot to take a quick break and then come back and talk about the actual how. How do we do the thing? Hey, friends, it's Stephanie. I wanted to pop in here for a second because I never thought at this point in 2023 we would still be having this conversation, but here we are. Every day, I see posts in the manager groups that I'm a part of from practice managers and practice owners who are still, despite where we are in 2023, not using texting to communicate with their clients. It boggles my mind, because we know that 90% of text messages are opened within the first five minutes after being sent, which makes it a great way for us to reach our clients.
Now, I know a lot of you who weren't already texting picked it up during the pandemic and you have been off to the races, which is wonderful. This episode is all about ways that we can take it one step further. So, our friends at Simple Texting wanted to bring today's episode to you because they believe in helping us help our clients because we know that our clients want to text. It gives them the freedom to reply when they can. How many times have we gotten a call from our doctor's office or our dentist's office and we're at work and we can't answer the phone? But if we get a text, we can probably reply much faster than finding time to step off the floor for five minutes and call them back.
So, if you are interested in looking at a texting option for your practice that is simple, that is easy to set up, that integrates with tools that you're already using, like Google, Facebook, and tons of others, head over to simpletexting.com/uncharted. They have put together a promo for you and you can get $100 worth of free credits when you sign up to try Simple Texting. Again, that is simpletexting.com/uncharted and you'll be able to get $100 worth of free credits if you sign up today. Now, back to the podcast.

Dr. Andy Roark:
You've got some action steps, Goss. I've got two action steps. I've got two action steps. That's all that I've got because this is a nebulous philosophic question and episode.

Stephanie Goss:
You went with the headspace. I went straight into dumping down my ideas for action steps.

Dr. Andy Roark:
Here's where you go. So, the reason I don't have a ton of action steps is because of what I said before about know thyself and know what your clients want and who you are trying to reach and what is going to benefit your culture and your values and the practice you want to have and the people that you serve. So, I think that there's a lot of personalization here. There's not many things that I'm like, “Yes, every practice should do this.” There's just practices are so different. So, I don't necessarily jump right into that. The big things I would put forward as far as action steps are consider what you might do.
Going back to what I said right before the break of if we're going to get on board with technology, if we recognize the world is going this way and we're going to have to go in this direction, how do we want to do that? Then start looking at what your options are. Then the two big things that I would say to get this done is first, remember your 80/20 rule. There are some things that you can get on board with that are going to make a significant impact, that you are going to be able to do them. People are going to use them. You are going to have a big impact on what you're doing. There's lots of other things that are bells and whistles that really are not going to do that much for you. They're not going to shake the earth.
The clients are probably going to largely not notice them. You're only going to use them with a certain small number of clients, things like that. This is change management 101. Think about the changes that you can make that you think are going to most significantly positively impact the experience of your clients, your clients, and which ones are going to be simple to implement. Which ones do you think you can get your team on board? Then you're going to find the balance of what is simple to implement, what can I get my team on board with, and what are the clients going to find the most value in? Then just do those. Beware of doing summer of technology where we're doing 10 different things. No, just pick one, implement it, and then in three months, you can move on to the next thing.
But my advice is slow is smooth. Smooth is fast. Go slow and implement stuff in a way that makes sense. So, remember your 80/20 rule. 80% of your success comes from 20% of your efforts. Pick the 20% that are going to give you 80% of the client experience you're trying to create. Then after you get that laid down, you can tinker, you can add some bells and whistles, but just be smart about what you pick up because you will always be able to find more things to add if you want to. The other part is this. It's just a little action step about getting inspired. You know and I work with a lot of consultants. We work with presenters, speakers, writers, people like that in our industry.
One of the things that people have said to me again and again is they'll say, “Well, I need to get inspired.” If I was inspired, this would be easy. I look at TikTok and I'm like, “If I was inspired, I could jump into this.” You know what I mean? And really have fun.

Stephanie Goss:
Sure.

Dr. Andy Roark:
But I'm not inspired and so I'm going to wait until I'm inspired to do this. So, I have young consultants and speakers who are at Uncharted that say that to me all the time. I'll say, “Look, I get it. It's wonderful to be inspired, but inspiration to some degree is for amateurs and professionals hit deadlines.” What that means is I can't sit on my hands until inspiration strikes me because sometimes it doesn't. So, in those cases, my advice is generally this is. If you're someone who's going, “Boy, if I was inspired, I could get to work on this. I could really figure some stuff out, but I just need to get fired up.”
This may sound silly, but I promise you, it works or it can work. Imagine for a second that you were inspired. What would you do if you were inspired? Then write that down and that's your to-do list and now go do it. You're like, “But I'm not inspired.” It doesn't matter. You have a to-do list. Go do your to-do list. Hopefully, you'll find inspiration on the way. But it's just silly. It's funny.

Stephanie Goss:
Sure.

Dr. Andy Roark:
I'll have people that come to me and they're like, “Well, I want to renovate this practice, but God, I'm just not feeling it. I'm just not inspired.” I'll say, “Great, if you were inspired, tell me about what you would be doing. Just imagine that.” They'd be, “Oh, well, I would be pulling magazines of vet magazines and looking at photos. I would be messaging some of my friends and asking who had a hospital design that they really liked. What do they liked about it? I would be doing all of these things.” I'm like, “Great, why don't you just go ahead and start doing those things and then we'll see if we find inspiration along the way?” So anyway, that may sound silly, but guys, I promise for things like this, it can be a really helpful tool.

Stephanie Goss:
Okay, so I'm going to take your what if you were inspired, and I am going to flip it because I know that we have a lot of veterinarians and a lot of veterinary practice owners that listen to the podcast. We probably have a lot of people listening right now who are feeling a lot like you and TikTok and they're just like, “Technology does not inspire me.” This whole conversation that you all have just had makes me want to run screaming into the forest and live in a box in the woods. I have no desire to do it. It doesn't have to be you. This is another aspect of our linear thinking is that it doesn't have to be you. It doesn't have to be you as the manager. It doesn't have to be you as the practice owner.
If we want to know how to communicate in another language, generally, the best success is immersion and we find someone else who already speaks that language. So, as adult learners, that is the number one tenet for learning a new language. It's the same here. We're talking about learning how to communicate with the younger generation. Pick someone who's younger. It could be somebody who's on your team now. If you have a team that doesn't have somebody who's younger on your generation, younger generationally on your team, you can outsource this because there is a lot of the things. To your point, pick one thing and do it slowly. I would agree with that 100% when it comes to implementing things that impact the team and the workflow.
I think that there are a lot of things when it comes to technology and communicating with clients that happen on the backend that can have very little impact for the team. I think that's where we can start if you are worried about it. You can get a lot of traction and a lot of motion by having one person on your team or somebody that you outsource, whether it's using one of your third-party vendors and leveraging somebody on their team, whether it's hiring someone to just do this work for you. Because believe it or not, in this crazy world full of technology, there are websites that exist to solely hire people to help with projects like this. You can outsource this. This is something that you can ask for help getting done. There are things like putting online booking in place.
Now, yes, your team has to know how it integrates with your software and what the appointments look like when they come in, but that piece of it is so small and the vast majority of it is client facing. It has to do with getting it on your website. It has to do with getting it on your social media. It has to do with getting the things set up. That's an area where you can work in tandem with someone else to put a system in place that is immediately going to drop a barrier of access for your clients and give them more accessibility to you using technology that they are asking for to be able to get in and see you. That is going to drive revenue, which in turn is going to allow you to do the things that you care about in your practice.
Pay your team more, buy new equipment, all of those things come when we practice good quality medicine and we get more clients in the door. So, I think some of it is I see where you're coming from in terms of looking at the 80/20 rule and picking one thing to focus on at a time and doing things slowly. But when I sat down and I was brainstorming a list of things, there's probably 10 things on my list that are what I would consider basics. At least half of them are things that someone could help you implement in your practice that are on the backend, that are going to be client facing, that are going to have minimal implications for the team in terms of management. Because they are things that someone who speaks the language, who likes using the technology could run.
That person doesn't have to be someone on your team and they're things that you can do to be talking directly to your clients, which was the question at the very beginning. So, I think for me, I think the action steps have to start with looking at the basics. There are some barriers that we know we put up for clients. The phones is a big one. How many of us are still using the phones in our practice as our primary source of communication with clients? Yet we know that the studies show that clients are almost always put on hold. Think about the last time that someone called your practice and somebody on your team didn't have to put them on hold either at the start of that conversation or during the course of that conversation.
We know that after being on hold for 1 minute and 55 seconds, so it's less than two minutes, the majority of clients will hang up and a huge number, 34% won't call back. So, think about that. If we put clients on hold, 34% of those clients that we put on hold are walking out the door and not coming back. That's a huge number. So, when I think about that barrier, we have to think about basics. It's doing the things like texting, which our writer at the start talked about, which is awesome. But believe it or not, we still have clinics out there who haven't started texting. We have clinics out there who are not doing online booking.
I mean true booking, not having clients request, “Hey, I'd like to come in on a Tuesday and see Dr. Roark,” and sending an email and going back and forth, but actually when I book an appointment, I went this weekend, I took my kids. We went and got pedicures. I can go on the salon's website. I can look at their calendar. I can see what the options are. I can book the appointment. I don't have to talk to anybody. I can pick the thing that works for my calendar. We have to start to think about reaching those clients where they're at, and we know that that's something that they want. We've been talking about forward booking in veterinary medicine forever.
If you're not looking at how do we get clients in the door ahead of time, that for sure has to go on the basics list, because it helps us communicate better with them when we already know what the next touchpoint is. When they're already on the schedule, yes, they may have to reschedule the appointment because we're booking it 6 months or 12 months in advance, but it gives us that next point of contact versus making our team do the work for it. The clients are already there. They're already saying yes, right? So there are things like that we've been talking about. Since COVID hit, we've been talking about digitizing our forms. A lot of us did that in the beginning for the basics, but how many of us have continued that?
There are still so many practices that are paper forms for all of the things, new client forms, anesthetic, permission forms, boarding forms. We have got to think about how do we lower that barrier so that clients can come in, drop their pet off, and go out the door. So, I think for me, the basics really start with some of those things, but there's all kinds of cool things that practices are doing. This is where, to your point about inspiration, one of the things that I love the most about our Uncharted community is that we have some of those practices that are doing things that when I heard of what they were doing, I was like, “Holy cow, that seems so cutting edge, so progressive.” But it's about finding that inspiration.
So, it's about talking to your peers, seeing what other practices are doing, because to me, the basics, the things that I just talked about, those are things that we should have been doing 5 to 10 years ago. If you're not doing that, that's where you have to start, but for most of us, we're doing those things. So, what is that next step, which is what the writer was asking, right? How do we go beyond the basics? How do we start engaging with them? To me, it's about getting inspiration. I would look in veterinary medicine, but to be honest, this is where I as a manager always leaned outside of veterinary medicine. What is human healthcare doing? What are dentists doing? Dentists have a very similar model to veterinary medicine in a lot of ways.
I have been consistently inspired by what my colleagues in the dental field have been doing for years. Things like being able to offer preventative care plans, looking at making it personal, knowing our clients, knowing who they are, using a client relationship management tool, a CRM, to know who our clients are. When you go to the dentist, my dentist, anyways, always asks me, “Hey, how are Riley and Jackson?” They know the kids' names. They know what activities they're involved in. They know about my family. They know what I do for work. Hey, how are things at the clinic? They don't remember all of that. They write it all down. It's things like that that millennials, that Gen Z, when we look at the data, there are a few things that they really care about.
That personal touch, that small business feeling statistically in market research has been proven over and over again that it is something that Gen Z cares dramatically about. So, starting to look for that inspiration, both inside veterinary medicine in places like the Uncharted community, even some of the groups that you can find online and on Facebook, seeing what your peers are doing, talking to them when you go to a conference, having those conversations. That's why I love Uncharted so much because we have that community that feels like the conference that never ends. So, we don't just go one time and the conversation ends, but asking your peers what they're doing and looking outside the box of veterinary medicine.
I think to your point, when we were getting ready to start this section, I was like, “Dude, I have so many ideas.” I think this is one of those episodes where I'm going to be like, “I want to write a blog article about this.” Because I think that there's so many things that we can do. For me, to your point, it's about finding that inspiration and really doing our homework. So, for me as manager, it was about who is my client and making that archetype, looking at the research, finding out what is it they're actually asking for when it comes to pet ownership. For millennials and Gen Z, there's five real buckets that market research has demonstrated. So, I would approach it like, “What are the buckets? What are the things that they care about?”
Then to your point about how do I minimize the impact on the team, what are things that we're already doing that fall into one of those buckets? Then what are simple things that I can build on, that I can put in each of those buckets and slowly but surely work on strengthening those relationships and speaking their language in more intentional ways? You can't go from 0 to 100. We prove that over and over again in the practice, and we most often fail. We've got to figure out what are those baby steps to get there.
So, for me, it's about doing your homework, looking at the data, looking at the data that has been brought over into veterinary medicine for us, figuring out who our existing client base is, looking at what are the things that we are already doing, and then getting that inspiration and figuring out how do I put that system in place. We have to stop thinking linearly that we have to be the ones to do all of this and think about what are those things that we can do in the background that don't impact the team's day-to-day workflow that can allow us to speak to the younger generation of veterinary medicine in ways that they are going to immediately soak up and love.

Dr. Andy Roark:
Yeah, no, I like that a lot. I think it's super smart. It's always good to take a data-driven approach. I think that's a great balance of, like I said, the non-linear thinking. It's about looking at state of best practices. It's about remembering who you are trying to serve. Like I said, there are people who have very progressive tech forward client basis and there's people who have the opposite of that, who are definitely not tech forward progressive audiences or client bases. Again, I think it's knowing your people. So, I like all that. I think that makes a lot of sense and I think that's just a good approach. Again, if you're starting to feel overwhelmed, fall back into keeping up is a process. It's not a destination. This is not going to end.
Pick the things that are going to help the most, that are going to make the biggest difference. Get them in place and move forward and move forward. Just know that we're going to have to keep adjusting. I am confident the world is going to look very different five years from now than it does now. So, people go, “Well, I'll just wait five years before I do anything.” I was like, “I'm pretty sure it's going to be a building process.”

Stephanie Goss:
Start now.

Dr. Andy Roark:
Again, starting now and being intentional I think makes a lot of sense, but yeah, I really like your idea of delegating it too. I think this is absolutely something that can be delegated. You can mentor a young leader, find someone who it's their passion and support them. Yeah, I think that makes a ton of sense.

Stephanie Goss:
I want a soapbox, but we're out of time.

Dr. Andy Roark:
We'll stop recording and then you can just soapbox to me if you want.

Stephanie Goss:
My mind is running. Yeah, this is one of those ones.

Dr. Andy Roark:
Soapbox in the Uncharted community. Just go in there and start posting and talking to people.

Stephanie Goss:
Guys, Andy wouldn't let me talk on the podcast today. So, now I'm going to give it all to you.

Dr. Andy Roark:
Everybody, huddle up. I got something to tell you. But yeah, if you're like, “Well, boy, I would really love to hang out with some really smart, innovative practice leaders, managers, head techs, medical directors, practice owners,” and get some ideas about what they're doing so I could pick the best path for me, come on over, join the Unchartered community, jump in 24/7, 365. It is a vibrant, engaged community that's always happy to help. So, anyway, that's all I got, Stephanie Goss.

Stephanie Goss:
Me, too. This was so fun. Have a fantastic week, friends.

Dr. Andy Roark:
Thanks, everybody.

Stephanie Goss:
Well, gang, that's a wrap on another episode of the podcast. As always, this was so fun to dive into the mailbag and answer this question. 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 at podcast@unchartedvet.com. Take care, everybody, and have a great week. We'll see you again next time.

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: closing, fear, Practice ownership

Jun 21 2023

Fear in Veterinary Medicine

This week on the podcast…

This week on the Uncharted Podcast, Dr. Andy Roark and practice management geek Stephanie Goss are taking a recent topic they were discussing with a colleague and diving in for a deeper conversation. Their colleague was pointing out the perspective that it feels like there is a lot of fear swirling around veterinary medicine these days. Veterinarians are afraid of being sued and board complaints; they and their teams are anxiously awaiting the next negative client interaction; they are terrified of online reviews especially the ones that go sideways and get mob mentality attached to them. Andy and Stephanie walk through their take on some questions like “Is this normal? Has the profession really changed that much in this regard in the last 20 or 30 years. Are all professions like this? And most importantly, can this be changed? Let's get into this…

Uncharted Veterinary Podcast · UVP – 236 – Fear In Veterinary Medicine

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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 continuing a conversation that got started recently with a colleague. We were talking about the current state of veterinary medicine, and one of the things that came up was that it feels like to some of us, that one of the predominant emotions in veterinary medicine right now is fear.
And we talked about a bunch of examples, and we'll dive into that in the episode. And there were some great questions that came out of the conversation that Andy and I really wanted to take some time and discuss in more detail here on the podcast. There was questions like, “Is this normal? Are other professions like this? Are all professions like this? Are we an anomaly?” We talked about, has the profession changed, and how has it changed over the last 20 or 30 years?
And I think the most important question of all was the hopepunk rebellion question of, can this be changed? If this is truly our state, is this something that we as an industry can change? Andy and I had so much fun with this one. Let's get into it.

Speaker 2:
And now, the Uncharted podcast.

Dr. Andy Roark:
And we are back. It's me, Dr. Andy Roark, and the one and only Stephanie. I want to see you be brave Goss. I want to see you be… I have a soft spot in my heart for that positive female empower… Like a small boat on the ocean. Anyway, I can't.

Stephanie Goss:
I was going to say, that's a little out of your range.

Dr. Andy Roark:
It is. It is. What is my range? I don't know. I just go for it and then we find out.

Stephanie Goss:
I don't think Rachel Platten's in your range.

Dr. Andy Roark:
Thank you. You knew what it was, which is great. As I said, I was like, “No one's going to know what that is.”

Stephanie Goss:
I totally knew what it was. That's one of my favorite songs.

Dr. Andy Roark:
This is my fight song, take back my right song, or turn on the light song. Anyway, it's something like that. I love that kind of empowerment music. When I'm in the mood, it's my jam. I just like it.

Stephanie Goss:
I know. Your playlist is full of that for when we go to events and stuff.

Dr. Andy Roark:
Yeah, I know. That's one of the hard parts of my life, is the Uncharted Spotify account is also the Dr. Andy Roark personal Spotify account. And so I get criticized for my music by… 11 employees are all like, “Look at this.” Oh man.

Stephanie Goss:
So fantastic. How's it going?

Dr. Andy Roark:
I've got a new segment of the show. I have a new segment for our show.

Stephanie Goss:
Okay.

Dr. Andy Roark:
It's life lessons from advanced beginner hiphop dance class, with Dr. Andy Roark.

Stephanie Goss:
Okay. So we've moved on from the garden to advanced beginner. Advanced beginner hip hop. Okay, lay it on me.

Dr. Andy Roark:
Advanced beginner hip hop dance class. I find inspiration everywhere in this joyful world Stephanie Goss-

Stephanie Goss:
Wait is it beginner, beginner?

Dr. Andy Roark:
It's advanced beginner.

Stephanie Goss:
Okay.

Dr. Andy Roark:
Advanced beginner. It's like there's the beginners, and then there's advanced beginners. And my daughter is in the advanced beginners class. And I saw they had their recital yesterday, and I was there.
And what was funny is, she's been working on… It's a dance. So it's a dance. First of all, the dance that they chose is Kanye West Jesus Walks, which is not remotely appropriate, not remotely appropriate for 11 to 13 year old dancers.
And yes, they play a clean version. But you can't find the clean version. So every time your kid wants to show someone, every time they want to practice, you're like, “Whoa, whoa.” It was just, the choice of song was real, I struggle a bit. It was a bold choice.

Stephanie Goss:
The adult oversight there.

Dr. Andy Roark:
It was. I was like, “Mr. Trey, we need to talk. I'm going to give you some feedback when we're done.” And so it's Jesus Walks okay. And every day, Hannah comes home from dance practice and she's flustered and she's like, “The kids. There's one kid that's not paying attention and the other kids are not… The spacing is not right. It's a trapezoid shape. We're doing a trapezoid shape on the stage. And this one kid doesn't know the difference in a square and a trapezoid.” She's very upset.
And so she's given this really specific critiques, like down to people are not hitting their marks, things like that. So I've heard this for eight weeks and I'm like, “Oh boy, this is a production. And Hannah is very serious about getting”… And I get there and it is exactly what you expect for an advanced beginner 11 year old hip hop dance class recital, as is to say it's chaos.
It's The Muppet Show up there. You know what I mean? The kids are looking at each other. You know what I mean? To make sure they're doing it right. It is not the Fly Girls from In Living Color or any other dance troop that you might associate with hip-hop dance.
Anyway, the life lesson I took away was make sure that you are not the person who's trying to perfect the presentation when you're in advanced beginner hip hop class. You know what I mean? We all know people who their perfection level is turned so far up beyond, of whatever is going happen in real life. And I'm like, “That's Hannah.” And so I had to have a conversation with Hannah about accepting that sometimes we're in advanced beginner hip hop dance and people aren't going to hit their marks. And we have to be a little bit careful about the trust fall part of the dance. And that's just what we have to be careful about. Anyway, so make sure that you are not going for perfection when you're working in advanced beginner hip hop dance, or else you're going to be frustrated. And that's life lessons from advanced beginner hip hop dance class with Dr. Andy Roark. I felt so bad for her because she was like, “Can you believe they didn't hit their marks?” And I'm like, “I can. I can believe that.”

Stephanie Goss:
“What I can't believe is that y'all are out here dancing to Jesus Walks.”

Dr. Andy Roark:
“Of all the things that I'm struggling to believe, that's not the one.”

Stephanie Goss:
Oh man. Okay. My face hurts from laughing already, and we haven't even started. We have a fun one this weekend I think. This one came kind of via the mailbag, but came from a community conversation in Uncharted.
And one of our friends was asking a question about fear in veterinary medicine. And I thought it was such a good question. And it was like this is an older veterinarian, and he's wonderful, and progressive, and was just like, “I've been around a long time and I feel like we've gotten way more fearful. And I feel like the profession has changed radically over the last 20 or 30 years. I feel like now we live as a whole collective group in this state of fear. We're afraid of being sued. We're afraid of negative client interactions. We're afraid of bad reviews online. We're afraid of not being perfect for everybody all the time,” and on and on and on. He was asking, “Is this the new normal? Have we really changed that much?”
And the other questions that I found were super, super interesting, are all professions like this? Is it just us in veterinary medicine? And the best question was, can we change this? And I would add, how do we change it, to that list of questions. And I thought it was such a fun one, and I said, “Hey, we would love to talk about this on the podcast, because I have thoughts and I bet Andy has thoughts.” I would love to do what we do best, which is you sit in your basement, and me sit in my closet, and let's soapbox about it.

Dr. Andy Roark:
Oh yeah. I'm all about it. I'm all about it. Yeah, I like this question. I think this is a big, sprawling topic, and I think it's good to talk about. I really do. I like this question a lot.
I think that there's two parts of this. There's the larger culture that we live in, and then there's the way that we communicate inside that culture. And that's kind of where I start.
So we'll start in head space here as we start talking about, “Man, why is everybody so afraid in vet medicine? Is it just vet medicine?” Stuff like that. I don't think it's just vet medicine. I'll just say that. I don't think that vet medicine is any scarier than a lot of other jobs. And people say, “But we have lives in our hands,” and we do. And lots of other people have lives in their hands as well, or they have other things that really matter.
And so I get it. I don't think that we own the market on… If things go bad in our job, they really go bad. And that's true for bus drivers as well, and airplane pilots, and all sorts of people, police officers and on and on. So anyway, there's that.
I think that overall, we live in a safety culture right now. And there's been a lot of research on this. And we have come to a place in a culture where we are very worried about things. And I think a lot of that comes from how we communicate stuff.
You and I have talked about this a number of times with our kids, and we talk about the kids. And I really like this because I think this is important. So I think about my own childhood. When I was 11 years old, I ran free in the neighborhood. My parents had no idea where I was until I came home at dark.
And man, there is no time in the day where I don't know where my 11-year-old is now. I'm not trying to enforce that… But can I just tell you, so my daughter's 11, my youngest hip hop dance class daughter. And I have a little apprehension about her walking the dog, and just by herself, and off in the neighborhood. And it is not rational. It is not rational at all, but I do. And it's just because people are like, “Oh man, you let your daughter walk away?”
We had this thing called Artisphere in Greenville last weekend. It's when they have all the little art exhibits set up on Main Street and everything. And I got there and kind of whispered to my wife, “Hey, are we okay if the girls go off on their own?” Man, my girls are 15 and 11 in downtown Greenville in the middle of the day. Alison was like, “Let's see if they ask.” She's like, “I'm happy to be together as a family, but if they want to go off, then we'll let them ask and do it.” But just the fact that I was like, “Hey, we should have a huddle about this.” And then I go, “What am I thinking? How did we get to this place where our anxiety is so ratcheted up?”
When as we look at the numbers, the chances of something bad happening to our kids are lower than they've ever been. Their safety is pretty flipping great, and we have this fear about it.
So anyway, I'm not trying to jump onto a parenting bandwagon, but I just use that as an example of the type of culture that we live in where we are so aware now and there's this sort of feeling of, “Oh boy, you do not want something bad to happen.” And I think it permeates everything that we do. I definitely don't think it's a vet medicine thing. What do you think about when I lay that out?

Stephanie Goss:
Yeah, no, I agree. You and I have definitely had this conversation about parenting. And there's a book that both of us have read that was written by a parent about the idea of free-range parenting and letting our kids have this space.
I'm with you. I vividly remember as a kid, free-ranging all over our small town. I mean, I would ride my bike miles. Because my parents worked both of them, and they weren't home. And we were, by the time I was my kid's age, I was a latchkey kid and had been for several years.
And so if I wanted to see my friends during the summer, get on your bike and go or get on your skateboard and go. That's your choice, or get on the bus. And I was like, “Dude, my kids don't know how to ride the bus by themselves.” I'd been riding the transit by myself for several years by the time I was their age.
And so I read that book, and it was after I had a conversation with my parents that dramatically changed my foundation of how I parent. But I'm with you. I think that I was sure in the course of this conversation that we were in a more dangerous place as a society. And I had an argument with my parents and my mom said what you said, which is that statistically, no, it's no different now. It's actually probably safer now than it was.
And I was like, “No way.” Because all you hear about is the bad things. And so I was like, “No way. This got to be up.” And so the C in me was like, “I'm going to go and get all the statistics, and all the facts and figures, and I'm going to prove my parents wrong.”
So I looked it up, and I looked it up for our small town. And sure enough, all the rates were less than they were when I was a kid. And I really sat back, and it was a self-awareness moment for me because I sat back and looked at it and I was like, “Okay, but why?” And I was trying to ask myself, why would I think this? Anyway, so I went down a rabbit hole as a parent, but I agree with you.
And where I landed was on a piece that I think really affects us fundamentally in veterinary medicine, which is that we as society have become more connected and we have social media, we have instant connection. When you and I were kids, if something happened in town, you didn't learn about it until you went to the grocery store, or until you went to church on Sunday, or you went to school the next day. You had to have the personal connection to hear about the things. Or it had to be printed in the newspaper, which had a 24-hour delay.
And now, there's instant news. Something happens across the world, and it starts broadcasting on the computer that we hold in our hands. And so there's this connectedness that accelerates the share of information, which is wonderful and is a very, very double-edged sword. And I think for us in veterinary medicine, and professions like ours, that connectivity and that ability for people to instantly connect in ways that they didn't before dramatically impacts our state of mind.

Dr. Andy Roark:
Yeah, so I completely agree with that. And I would take it one step further too, is to say, I would zoom out a little bit and just say, we live in the attention economy. And so what that means is we have in our media, accepted a business model that's about getting and holding your attention.
And I would say even before social media, the first thing I think that really started to amp us up towards being afraid all the time, it was 24-hour news. And going back to your point, it's very much in the vein of we used to get news when it came out in the newspaper, and there's only so much space in the newspaper. And then we heard it from other people.
Well, when the Nightly News came on at 6:00 PM and it was one hour, we got one hour's worth of news. And now we've got how many cable news channels or news outlets, not counting what's on the internet, trying to fill 24 hours worth of content. And they are just covering everything that they can find just to fill the day with a reason to keep watching. And so back to your point of we saw this thing that happened in your local town, the truth is there was something just absolutely bonkers that happened one state away in a small town, and you never heard about it, but you hear about it now.
I saw an extreme example. And again, I'm not saying the things that happened in other places aren't noteworthy or they aren't tragic or terrifying. They are. We just didn't used to know about them.
So I saw a great in depth coverage recently in the New York Times about a school shooting in Sudan, which is a country in North Africa. And I'm like, “This is awful.” And it's not remotely close to us. And that doesn't mean it's not important or anything.
But the problem I think that we have as human beings is we are really bad at maintaining perspective. We just don't understand how big the United States of America, or Canada, or Australia are. When we say, “Oh boy, this terrible thing happened at a supermarket in this town somewhere else in the US.” And you're like, “It is terrible.” And do you know how many supermarkets there are in this country?
And so we just don't do a good job of hearing a story and putting it in proportion with how actually likely is this to affect us, like ourselves. And that's not how we're wired. You think back. We're still running the hard-wiring from millions of years ago when we evolved as a species. You know what I mean? We have the absolute belief… It's funny.
When we're talking about fitness or whatever, people are like, “Listen to your body.” I'm like, “My body thinks that winter is coming and that the pizza tree is going to go out of bloom any time now. Anytime. And we better get ready.”
And that's the model that it's running on is there is a much better chance in my body's mind of me starving to death, you know what I mean, than anything else. That's the number one concern that my body has is, “But what if we starve to death?” And I am wired hard in that way.
It's the same thing here. It's like my body thinks that there's a tribe of maybe 50 people that we're interacting with. And so when it hears a story, it believes that it's a story from those 50 people that we live with. And it's like, “No, this is a story from some guy on YouTube that's in Switzerland.” But my deep lizard brain doesn't get that. And so I just think that connectivity, that battle for attention is a big deal.
And so besides filling up 24/7/365 on news networks and also on the internet and things like that, in social media, we know that the goal is engagement to keep people on social media. And we know that if you want to get attention there, emotion is what carries it. And honestly, fear and outrage are the two biggest, most sticky emotions that get people to pay attention.
And so look at our news and look at the headlines, and just look at how geared towards fear and outrage the headlines are. That's not a flaw, that's a feature. That's how they were made. They were tweaked and tweaked to get there. And I go, we swim around in fear. So again, I go back to, I don't think it's vet medicine. Do I think that we are more fearful now? I absolutely do.

Stephanie Goss:
Yeah, I would agree. And I think the other piece of connectivity that's important when we talk about this, specifically in the vet med context is that we have also… So we've experienced this cultural shift of going to the 24-hour news cycle and having instant connection. To your point, the whole world is in your hand if you have a smartphone, and you are connected to that guy in Switzerland or in New York City, in ways that you never were before. You would send a letter and it would take two weeks to get there previously.
And so for us in vet med, we also have the connectivity shift that has happened in regards to our pets. And so I remember when we were kids, our family pets, when I was young, our dogs lived in the backyard. They didn't come in the house. They were part of the family, but they were backyard dogs. And we loved them, but that was where they lived. And they had a two-story dog house because that's my dad. They lived in the backyard.
And so we have had this shift where our pets have become parts of our family. And I love this, and I think this is fantastic. And, we also have shifted as a culture to traveling and bringing our pets with us. And so with that has come this connectivity in our local communities in regards to pets in ways that we never had before.
So when our pets lived in our backyards, we didn't go to the dog park and have conversations with other people who were experiencing veterinary medicine in similar and also very dissimilar ways, because they're going different places. And so now, people are bringing their pets to places that are pet-friendly businesses, and they're going to the dog park, and they're talking, and they're connecting, and they're sharing experiences. Not dissimilarly to the way that social media allows us to share with people that are the same but also different from us. And so there has become this connection point that allows that information to spread significantly faster.
And it is good because we get tons of client referrals that way. We lean into that as an industry. We want our clients to go to the dog park and tell every Mrs. Smith and Jones that they meet, how amazing their experience is at our hospital.
And we also know, to your point, that as a society, we have been conditioned to focus on the sensational and the negative headlines. And so what is the vast majority of the information that's shared, especially on social media? It's negative. It's the bad. It's the one case out of 1,000 in your practice that went sideways or that went badly.
And it's so timely that we're talking about this, because I got an email, speaking of 24-hour connection. I got an email yesterday with the updates from Nextdoor, which is an online community for your local neighborhood. And I get it. Just because it cracks me up to see what the old people in our neighborhood are bitching about, I live in a retirement community, and they're around 24/7. So there's constantly conversation, and it's hilarious to me.
So I'm flipping through and there's an article about a local practice in our area, and the practice closed, and there was some concerns with the practice. But one of the comments really stuck out to me, which was someone who made the comment that, “Like pediatricians, there's no room for error when it comes to our pets' lives. Veterinarians should be held to a higher standard.”
And I have been sitting with that since yesterday because I was just like, “Are you kidding me? We're human. Mistakes are going to happen. No one of us is infallible.” And yet there is this sense… I knew that this person was not alone because the comments started and everybody was jumping on that bandwagon.
And I do think that that connectivity, if one person had a bad experience that led them to thinking that thought or one person had a frame of mind or a frame of reference, but they didn't have that connectivity before, they might share with the people that they interacted locally, but it wasn't on that global scale.
And so I think that that connection in vet med has helped us. And I think that it also has hurt us on a core level in terms of being fearful and being negative. And so I would agree with you. I think we are way more fearful than we were when I started in vet med 20 years ago. And I think that there's good reason for a lot of it.

Dr. Andy Roark:
Yeah. So I have a friend who does a standup set, and he talks about Nextdoor, the social media platform. And he's like, “Nextdoor is a social media platform that you would think would be the best, but it's the worst.” And it's the worst because it shows you so clearly how nuts the people who live right around you are. And it's just like you know these people, and they live next door. And you're like, “Oh boy, I'm learning things about people that I see that I wish I did not know.” And I thought that was super funny.
I think there's a lot in what you said just to unpack. I would say yes, the connectivity that we have means that unhappy people can now write online reviews and post in Facebook groups and things like that, that they did not used to be able to do.

Stephanie Goss:
Right.

Dr. Andy Roark:
So I do think that there's more potential real damage there, and that's true for everybody. If you run a restaurant and people have a bad experience, every profession has that. But that is an actual thing that has ratcheted up fear.
The other part about it is the changing relationship to pets… And I do think that there's some truth to that, and that's one place where I would say, here's a place where I could say that actually, the tension in vet medicine may have moved up a couple cliques when it wouldn't have necessarily, in a way it wouldn't have another professions. And that is just, people take their pets really seriously now. And yeah, it's not what it used to be.
But here's the other part too though, is while pets may have gotten more important to pet owners, I don't know that they've gotten more important to veterinarians or vet professionals, because we already cared a ton. I just think that the average pet owner is getting closer to where your vet professionals have already been. We cared enough to go into this profession. We were already at that level.
And so managing the emotional reactions of the pet owners is harder when they're more invested sometimes. And I do think that's true. So I would say I get that. And that may be a stressor that causes fear. That wasn't the way that it used to be.
There's two other things that I see a lot just in the way that we communicate. Well, three other things. So the three things, number one is before we had specifically social media, we as veterinarians or vet professionals did not see exactly what was happening in other people's clinics.

Stephanie Goss:
Right.

Dr. Andy Roark:
You know what I mean? If we had an angry client, we had an angry client. But we didn't have angry clients every day. It happened every now and then. But now through the wonders of social media, we can be immersed all day every day in people telling us the story about the angry person they just had.
And while absolutely nothing has changed in our practice, we can feel like pet owners are out of control and everyone is mad. And again, it goes back to that proportionality in our brain, that specific to vet medicine of people in the practice saying, “Boy, can you believe pet owners do this,” or, “This person did this thing.” And just someone in another town far away. But man, you feel connected to them because they're talking in a language that you understand. And so that connectivity is the first thing. The second one is the way that a lot of our media works to make us feel like individual one-off things are a pattern, that there's a sweeping change.
And so there's this thing in psychology called the Texas sharpshooter fallacy. And the Texas sharpshooter fallacy, the way it works is just imagine that you had someone with a gun, and you told them to shoot at a barn. And so they stand back and they just shoot, shoot, shoot at this barn. And then you walk up to the barn and you look at where all the holes are, and then you paint a bullseye where the holes are. And you go, “Look at this clustered.” It looks like they were shooting at a bullseye. The truth is, these are just random smattering across the side of this barn. But when you draw a bullseye and you say, “This is what it means, this is the pattern.” You can make a pattern appear where there absolutely wasn't one. And so we'll hear a lot of stuff in our news or our media and they'll talk about, “This shocking trend.”
And I think that that happens a lot when you say, “Boy, pet owners really are more difficult than they've ever been.” And I'm like, “You went and found five different instances across the entire continent of North America, and now you're calling it a trend. And the truth is, some of it's just coincidence, and some of it is just, ‘Hey, we happen to have angry people in our continent this week.'”
But you can package that stuff together and tell the story that it's a trend. And that makes it more scary, more sensational, more likely to get people to take a look. And so I feel like that's a journalistic practice that we see a lot online. And we get swept up into this as far as, “Oh my gosh, things are getting bad. Veterinarians are getting bullied in a way they didn't used to.”
And I think veterinarians are getting bullied more because there's more tools that people can use to bully people. But I don't know that it's a shocking trend that's going somewhere, that this is just building and building, and getting worse and worse. I don't know that, but it looks that way.
And then the last thing, I've heard it called nut farming. And nut farming is when we look at the continent and we find one example of one just wild, over-the-top example, of something scary, something bad. And we put it forward and say, “Look at this, it could happen to you.” And I'm like, “Boy, you went deep down a Twitter rabbit hole to find this one person,” that you're now holding up as if they're an example of what the average pet owner is. And that's just not true.
But we see it all the time, and it still works. I know that that's what's happening. And still, if they find the right person, it can make me feel angry, and unappreciated, and afraid. And I'm aware of this trick, and it still gets at me. So I think all of those things are things that happen, that I think add to our fear of practice.

Stephanie Goss:
Yeah, I think I agree with you. And then I think from a head space perspective, the last thing… You and I have talked about this a few times because we've kind of come to this place as a industry where we're talking about the changes in veterinary medicine, which are good. We have seen radical changes in the 20 years that I have been in the field. And there is some of the trends that I think are maybe not as good.
And one of those has to do with the vet schools in the training, and the educational perspective, and this let's do the gold standard. And I think one of the things from a fear perspective… And again, now that we're having this conversation, I'm questioning, is it actually happening more frequently, or am I just thinking that it's happening more frequently because we're connected and we're sharing experiences? And so I'm hearing other people's, and so maybe it's happening at the same rate it was before.
But thinking about my own perspective, and having new grads in my practice, and having doctors who are just like, “I'm not qualified. Let's send this to the specialist. Let's send this for review. I want somebody to double check my work.” And I have to wonder, is that fear coming from the people themselves, or is that coming from the way that we're training them, or the way that we're approaching it in veterinary medicine?

Dr. Andy Roark:
I was doing a podcast with this neurologist, a veterinary neurologist named Dr. Sean Sanders. And I've really enjoyed talking to him. I've had him on The Cone of Shame podcast twice now. I don't know if the second episode's come out yet, but if it hasn't, it'll be out really soon. But it'll be out by the time this episode comes out. Anyway, he's a neat guy. He's interesting.
He makes this really strong point. And his belief is that years ago, maybe in the last 20, less than 20 years, up to maybe 20 years ago, we had these veterinary specialists coming out, and they were being trained at the vet schools. And the vet specialists would do our education in the vet school. We were trained by specialists. And there were plenty of specialists coming out, and they're sort of being put out.
And his implication was that there is a bias in teaching to train young doctors to refer things up to specialists. And when there was a really focus on delivering gold standard of care, we teach gold standard of care. That's what we want our doctors to know. Well, the gold standard of care is often to send this case to a specialist who's a boarded surgeon, who does surgery all day long, because they'll do a better job. And I go, “That's true.” If it's a splenectomy, or a GDV, or especially orthopedics, I assure you that a boarded surgeon is going to do a better job than me. And it is a better goal standard of care for you to go to that person.
And his idea was that because we were trained and trained, that line of where we refer, it might have been slipping farther down saying, “Well, maybe you should refer that as well, and you should refer that as well.”
And I do think, I remember in my training, there was definitely an inclination. I remember people saying things to me like, “Well, you're not going to actually do this, but I'm going to show it to you.” And again, we've heard a lot of doctors come out who are not comfortable doing advanced procedures and things like that.
And so I think that there is a certain amount of fear that the gold standard of care and the way we're educated puts into us of, “You want to send this away. There's someone else out there who has the appropriate training for this, and it's really not you.” And I do think that that approach in teaching has sunk into a lot of us.
From what I am hearing now, what I believe is the rise of spectrum of care approach and the idea that gold standard is getting maybe a bit unattainable for a lot of pet owners. Let's start to talk about what an acceptable silver standard looks like or a basic standard looks like. And we're starting to see some shifts in that.
And I've heard that education is shifting that way, and I think that makes me happy. I think that's a good place to be. But I do think for a lot of us, I think there's a lot of doctors out there who came out in the last 20 years, who have some concerns about doing things that they're not the best person to do. And I think that may have been baked into us a bit when we were coming out. And so I do think that that is a type of fear that probably did not exist in doctors that came out more than 20 years ago when it was much more like, “No, you're the vet, and you're going to go, and you're going to deal with what comes in.”

Stephanie Goss:
Right. All creatures great and small. Like, it walks in your door, you got to be prepared to deal with it.

Dr. Andy Roark:
Yeah. So I think that's the last thing. I'm totally with you there. I think there's a part of our education that may have caused that type of fear. So yeah. Anyway, I think from a head space standpoint, we always talk about, why do we feel this way? And we came all this way, what are we going to do about it? I think we could, let's take a break here, and then we'll come back and let's start to talk about how do we manage this?
Because I absolutely think there are things that we as a profession can do. Mostly, I think we as individuals can manage this. And I really like that because it empowers people to do it themselves. I think that we can control our own fear and how we go forward, and be really smart about it.

Stephanie Goss:
I love that. Let's take a break. Hi, friends. Do you struggle with finding the right cadence for team meetings in your practice? Do you feel like maybe you're meeting not enough, or maybe you're meeting too often and you're stuck in meeting hell?
I feel you. Finding that balance, trying to work on improving communication, make sure everybody stays on the same page, and getting things done in a busy vet practice is really, really hard.
But we've got a solution for you. Join the Uncharted community on July 1st, 2023 from 4:00 to 6:00 PM Eastern Time, that's one to 3:00 PM Pacific, for an Uncharted workshop presented by my friend and colleague Maria Pirita. She's a CVPM. And if you've not met Maria before, you are in for a spicy treat. She is amazing, and she is super excited to kick off the conversation talking about team meetings with her take on making them effective and efficient. That's right. It's called Effective & Efficient Team Meetings. It's $99 to register, but it's free for our Uncharted members.
Now, if you've never been to an Uncharted workshop before, this is not your traditional webinar where the presenter or the speaker sits there and talks at you for an hour. The goal for our community workshops is to make them live. We don't want you to sit silently in front of your screen. We want you to be engaged and interacting for the one to two hours that you're meeting with our speakers to have the chance to ask your questions, to talk to your peers, and interact with other rockstar veterinary professionals, because that's what you are, and we want to see you there. So head on over to unchartedvet.com/events to sign up for this workshop, and check out what's coming because we've got a bunch of stuff coming up in the future that you don't want to miss. And now, back to the podcast.

Dr. Andy Roark:
All right, so let's get into what we do about this. I don't like being afraid. Something I've noticed in myself over the years is having some anxiety about things that don't warrant having anxiety. And so this is something obviously, I've thought a lot about, and have really tried to build safety catches and pushbacks against into my own life. And boy, talk about return on investment. Getting out of a head space like this and feeling more comfortable, boy, it's worth the effort.

Stephanie Goss:
Yeah, I would agree. This episode really excited me, and I was excited to have this conversation. And I also had some trepidation, because I feel this when I look back at my own career. I quit being a veterinary technician because I was afraid. I was someone who had significant fear for some of the reasons that we talked about and their stories there.
But at the end of the day, when it comes to how did I have to deal with it, well, I was afraid. And so I had an opportunity to make a change in my career. And so I ran away. I was afraid and I said, “I'm just going to quit.” And I'm not a quitter. I've never been a quitter. You know me. That's not my personality.

Dr. Andy Roark:
Oh no, you stick around. You're like a non-healing draining track. You just keep going.

Stephanie Goss:
Thank you. Thank you for that.

Dr. Andy Roark:
You're like methicillin resistant Stephgossius.

Stephanie Goss:
I can't.

Dr. Andy Roark:
I wanted to agree enthusiastically with you.

Stephanie Goss:
Thank you. Thank you.

Dr. Andy Roark:
I like to make sure my employees feel empowered and supported. So I'm on board with this statement.

Stephanie Goss:
A draining wound track. That's me.

Dr. Andy Roark:
A draining, she's like nidus of infection, does not stop.

Stephanie Goss:
But I did. I did stop and I ran away, because I was afraid, and I had to do a lot of work. And for me, the work started completely unrelated. I was going to therapy and talking about some other things, and realized that I had some work to do.
And where it had to start was the question of why. “Does it all come back to Simon Sinek?” Well, let's start with why. But for me, when it comes to the fear and the action steps of this, whether it was me on a personal level, or team members that I've worked with, or industry as a whole, I think we have to start with the why.
And there's a whole multitude of reasons why. Whether it's individual. In my case, having some horrific experiences with anesthesia, and specifically having my own fears. Or whether it's us as an industry being worried about the increasing social connectivity and the ability, the fact that we're living in a litigious society and that we could get sued at any minute, or we could have a board case brought against us at any minute.
We have to start with examining where the fear is coming from, because I think the answer, the action steps are going to vary depending on where that fear is coming from.

Dr. Andy Roark:
Yeah, I completely agree with that. And so step one, when we're feeling fearful about practice or things in practice that give us an anxiety, I agree with you. So a couple things you put there. I'm going to start and say, “Why am I afraid? What does this fear mean to me?” I really do think that that is the underlying reason.
I think for a lot of us in vet medicine, a lot of us are perfectionists. A lot of us put a ton of weight on our shoulders. I have found, it is true for me. I found it to be true again and again with veterinarians that I have worked with, is a lot of times there's anxiety about or fear about doing things. I think a lot of us have this struggle with feeling worthy. We feel like imposters. And, what if people find out that I'm an imposter? What if I make a mistake and people don't respect me anymore? What if I make a mistake and they don't see value in me anymore as a person? And that may sound over the top, but I assure you it's not. And it is a very common approach.
It comes a lot from… As we do this, I'm getting ready to get in the car and I'm going to drive out to one of the veterinary schools, and I'm speaking at the graduation, which is always an honor. And one of the points that I've decided I want to make in my brief time talking to them is, I really do want to encourage them to remember that veterinary medicine is what you do. It's not who you are.
And some people don't like that. And we talk about the calling of medicine, but I'm really pushing back on the other side and say, the key for me to enjoying being a veterinarian is not defining myself as a veterinarian. I am a dad, and I am a husband, and I am a gardener, and I attend advanced beginner hip-hop dance classes, and things like… I have other things that I do, and then I do vet medicine. And if vet medicine doesn't go well, that's not devastating to me in my identity.
But boy, it was for a while. When I was getting started and I was Dr. Andy Roark, and social media was big, and I was doing a ton of stuff there. I really had a lot of fear about, “What if this doesn't work out, and what if I mislead people, or if some of my advice isn't good? Or what if someone who knows more than me about a specific topic, what if they challenge me, and what if they're right and I'm not?” I go, “Boy.” I was so wrapped up in this identity or feeling. And no one else thought that.
No one was like, “I need some real insight. Let's see what Andy Roark has to say on GDV surgeries,” like I'm not your guy. But I was very worried like oh boy if I say things, then people… And again, it was a feeling of worthiness and being seen as someone of value. And it wasn't until I really burned out back in 2019 when I really had to step back and look at my life and go, “Buddy, your whole identity is wrapped up in professional success and how you're being perceived, and it's killing you. And it's not fun.” And that was a big part is setting that aside.
So anyway, we got to figure out why we're afraid. Why does this bother us? And the answer may still be, there's a thing that I don't like to do. If you say, “I don't like surgery. It gives me anxiety. I don't like it.” I think it's worth exploring why we don't like surgery. Know thyself. There is nothing wrong with saying, “I don't like to do surgery, and I let the other doctors do it.” That's not bad. But I think there's real value in figuring that out. One of the things that you mentioned as well, as I say, I truly believe that therapy can be wonderful in that it helps people unpack that.
The way I look at therapy and I talk about therapy is this. There are times in my business when I don't exactly know what to do, or I kind of know where we should go, but I don't really know how to get there. Or, I'm just not the right person to fix the problem. And I say, “Okay, I need an outside perspective. I need different language that I personally don't have. I need a fresh set of eyes here.” And it's not that I'm not good enough, it's just other people have this expertise. It's hard to see yourself. It's really hard to get an outside perspective when you are up to your neck working on whatever you're working on.
And so at that point, it's worth hiring a business consultant. I say, “I'd pay somebody. I don't know how to get out of this hole, or I feel like I'm going in circles. And I just need a fresh idea, fresh perspective. I'm going to pay somebody for their time.” At first, I'm going to talk to my friends and things like that. But at some point, I'm going to pay somebody for their time.
And that's how I see therapy as well. It's like, man, if you're rolling around and wrestling with something, and you can't get a good perspective because you're so deep in it, and your friends and spouse are sick of hearing you talk about it, and they don't know how to help you anymore, or you don't want to talk to them anymore, well it's time to hire somebody and just be like, “Hey, I'm bringing you in.”
Again, people have different things that they want in therapy, and I'm not trying to tell people what you should want. I am super pragmatic, problem oriented. And so in times that I've used a therapist, I've been like, “Hey, this is what I'm struggling with. This is a thing I'm working with, and I could use some encouragement. I need to get a perspective on this. Help me work through this.” And then I do it. And then when it's over, I'm like, “Great, thanks a lot. Got what I needed. I feel good. I got this thing worked out. I'll call you if I need you in the future.”
That's it. It does not have to be an all-in. I think a lot of people are like, it's the lifestyle. It can be, doesn't have to be. But anyway, I just put that forward as to say this has been my perspective on therapy and how I have personally used it at times in my past when I've wrestled with stuff. So anyway, I know that that's a big soapbox that you love to climb on. And I don't mean to squeeze you on your soapbox, but I do think it's a good place if you're like, “Man, I really want to work on this.”
I think where you go from here is, what did you find? What did you find when you dug in? Was it like, “I'm not confident in these things”? I go, great. Can we do CE and training? You know what I mean? If it's, “I'm not comfortable, I'm afraid of anesthesia.” Great. Can we get educated on anesthesia? Can we go do work and put in time so that we go, “Oh, okay, this doesn't feel like such food anymore. I was okay before, but now I really feel good and sharp, and now I'm ready to give this another try, start slowly dip my toe in the water and kind of go from there.”
A lot of it is about getting comfortable, getting what we need, whether it's support. Some of it may be, “I don't feel comfortable because I don't have the relationship I need to have with this person that I'm working with.” I'm the technician, and then I don't have a good relationship with a doctor. Well, maybe we can work on that and see how it comes out.
I think a lot of times when we talk about being fearful, one of the big therapy approaches is cognitive behavioral therapy. Which is basically like, “Hey, if you're afraid of something and you want to do it, then avoidance is not what we want.” You know what I mean? We want to work towards it. We want to do scary things or do hard things so that we know that they don't have to be scary and so we can have some good experiences. But you want to be smart and set yourself up so that you can dip your toe in. You can do this scary thing in a safe way and start to build confidence.
And it's a process. And I think a lot of times people are like, “I'm afraid of this thing, and tomorrow I'm going to throw myself into it and I'm not going to be afraid anymore.” It's like, I don't know if that works for some people. I don't think that works for most of us. I think if there's something like this that makes you fearful or you struggle with, I think one of the kindest things can do for yourself is say, “This is a process.” I don't think it's wrong to say, if you're afraid of anesthesia to say, “My June 2023 to 2024 program self-development program, it's going to be about anesthesia. And by June of 2024, I want to feel comfortable.” And I'm like, “Man, you got 12 months to get there.” And so start small, set little milestones, and work to it. I don't know. I don't know. You're laughing. What do you think?

Stephanie Goss:
This is not Andy coaching Stephanie, because that will not be my 2024 goal.

Dr. Andy Roark:
Stephanie Goss, when I look at you, I'm like, “You know what Goss needs? Anesthesia coaching.” I don't kind of, because what would happen is I'm going to get tranquilized. If we were traveling together and you were reading a book on anesthesia, I would be so concerned, like this is-

Stephanie Goss:
No. I will leave that to McNerd all day long. That is never going to a thing. I will never be in Anesthesia Nerds. As much as I love Tasha, that is not my jam. And I did the work. I did the work to figure out the why. And then I put myself through the process of, I avoided the fear for a really long time. And then I was like, “Okay, I need to actually overcome this fear.” So I took the cognitive behavioral therapy approach, and I tried the thing in a safe environment and small doses. And at the end of the day I was like, “Okay, I can do this thing and I can survive. I am a sweaty, disgusting mess, but I can do the thing.” And it was enough for me to say, “Okay, I've done the thing and I am perfectly fine walking away and leaving the thing behind me.”
Because a part of it, to your point, was that identity work, and figuring out who I actually am. And saying, “I'm okay with this not being my whole identity,” because there's this whole new part of me that has opened up as a result. And I'm thankful. I love medicine. I love veterinary medicine. I love the science part of it. I could nerd out about so many facets of medicine from a tech perspective. And what I recognized is that my jam is not there. I love it and it's a happy place, but that's not my thing. I love the people piece of it. And I don't know that I would have ever explored it if I hadn't had done that piece of it. I might have just quit completely and walked away from it.
And so I think it goes back to that starting with why. And we were talking about the schools and coming out. And I've had a couple new grads now who have come out and they have been in that place to your point of referring, “Well, somebody who knows more than me should do this case. Somebody else should take care of this patient. I'm not qualified to do this thing.”
And I had a lot of guilt about pushing some of them to do the thing anyways, because I have practiced in places where we don't have a specialty practice down the street. They're going an hour to get critical care or specialty care, or two hours.
And so to your point, not everybody can afford it. Not everybody wants it. Not everybody wants that travel. And so we have a lot of clients who are like, “Oh no, I'm fine if you guys do the thing. Can you just do it?” And so that's part of the reality of practicing medicine where I live.
And so I went through that with some of our new grads and recognizing they have to figure this out for themselves. I can't want it more than they do, and I also have to figure out how to work with them.
And recognizing that if practicing medicine where I live means that they have to do these things, it's okay if they want to draw a hard line in the sand and say, “I do not want to practice surgery. I want to just do outpatient.” And the results of that might mean I might be able to get them a plan. I might be able to print out that blueprint, like you said, and work your way towards facing the fear. And, it might be okay that it's a line in the sand for them. And, the result of that might mean they're not the right fit for my practice.
And I think so many of us are so wrapped up in that identity piece of it, that we force ourselves to make situations work that that isn't necessarily the best choice for us, for our patients, for our peers. Because we're afraid of that identity piece.

Dr. Andy Roark:
Yeah, I agree with that. I can tell you one for me that I had to unlock, which all this code was kind of tied together, but I really stressed out about clients getting angry at me. I really did not want to have angry clients. And I very much wanted to make them happy.
Until I started to say, “Well Andy, why? Why does this bother you?” And then really started to go, it's because I am defining myself and my success by how I make pet owners feel. And until I unlock that, I was stuck in that kind of loop of, “Oh my gosh, this person's experience, their facial expressions, their online reviews mean so much to me.” And I go, “God, what a horribly unhealthy place to be.”
There's this part of the first season of Ted Lasso when Ted asked the star soccer player, he was like, “If you could be any animal, what would you want to be?” And he was like, “Why would I want to be any animal, I'm me?” And Ted goes, “I don't think you understand how healthy that is.” And it was like, that is healthy. It's like, “Nah, this is what I am.”
Again, it doesn't mean that I don't care. Of course I still do. But I think some of it was I had to go through those experiences of having clients get angry at me, and recognize that the sky didn't fall, and work past it.
So anyway, the next one I'll sort of lay down from an action step, and this has just been a big one for me and my career, is get present. I think we live in a state of perpetual distraction. And I think honestly, if there was one thing, and this is not easy to do. But if someone said, “Andy Roark, real quick, I've got 30 seconds left and I'm going to disappear, and you're never going to see me again, and I will do whatever you say. How do I be happy in practice?”
I would say get present. Get out of your head. Get into what you're doing. Be fully present with what you're doing right now in the day. Throw yourself into your work and just focus on being there with the pet, the pet owner, and with your team. And if you do that, you'll be great. And then they would disappear. And that would be my piece of advice. It's much easier said than done.
But I think a lot of us, we live up in our heads. We go, “What if this happens? What if this goes bad? What if this doesn't turn out the way that I thought?” Well, the truth is, you'll cross that bridge when you come to it. You can ask yourself this question then say, “Is this going to change how I am behaving right now, the choices that I'm making?” If the answer is no, then put it away. Get back into what you're doing in the moment.
I think another thing that I've been thinking about saying to the graduates when I get up there… And again, I won't be able to say all these things. It'll come together. I promise it will work, and it'll be better than I'm making it sound now. I promise. But if I can give them a piece of advice, it's try to love the mundane work of being a veterinarian. Not to define yourself by the outcomes, but to actually enjoy just doing the work. Being in the room, enjoy talking to the clients, enjoy talking to the staff. Just try to enjoy the mundane parts of actually doing.
And I think a lot of that is absolutely key to getting out of your head about being afraid, being anxious, being fearful. Just get present. Are you going to do this surgery? They're not going to the specialist. This dog's got a splenic tumor that's bleeding. Are you going in there, or are you not going in there?
And if you're going in there, get present, deep breaths, get your stuff together, what prep do you need to do? And then go to work, and just put yourself into it. And I think that that's really the key for getting past a lot of this stuff, and also just enjoying what we do for a living.

Stephanie Goss:
Yeah, I would agree with that. And I think that when I look back at my career and I think about some of the highlights, I think some of the best days are the days where you were fully present. Whether it was for a period of time sitting with the owner while they said goodbye to their best friend, or even doing the difficult surgery, truly being present and letting go of all of the distraction, and just doing the work. Those are some of the best days.
And especially as we shift in our career I, think to a leadership perspective, your point is such a good one. Because I think about how many days I showed up in the practice for my team, and I was thinking about 10 million other things. And I never did my best work when I was thinking about all of the other things, when I set it all down and said, “I'm going to give my full attention to this thing.” Whether it was holding a patient in the treatment room because they needed help or sitting down and having a one-on-one with somebody on my team, that's where we engage with ourselves, with our patients, with our clients. And also with our fears. Because if we're not really giving it 100%, we're never going to be able to address those.

Dr. Andy Roark:
Yeah, I agree. I saw an interview with basketball coach Phil Jackson… And the guy's like a legend, and he's won 11 NBA titles and whatever. He was just talking about his players and he was like, “Getting these players to be present in the moment when the media is around them, and taking pictures of them, and making stories, and people are trying to get their attention.” And it's so much distraction.
So he would have all of his players wear a rubber band around their wrist. And the idea was that they would snap that rubber band and that little ouch would bring them back to the present. But he was like, “Yep, everybody on the team wore it, and we would snap it, or we would have other people would reach over. And if they thought you were zoned out, they would snap it to get you to come back.” And the whole thing was meant to be, “Get back here in the moment,” right here in the here and now. I think it's a big part. So I've got that stuff. I've got one last piece for me. Are you ready for this?

Stephanie Goss:
Lay it on me.

Dr. Andy Roark:
All right. So this has been an important thing for me recently, and it's where I've been living. And man, I really love this. So I saw a quote. It was from Tumblr, and it was a science fiction writer. But she wrote this thing that said, “The opposite of grimdark is hopepunk. Pass it on.” And what she meant was, there's so much of a desire in our society to be afraid, and to be cynical and to say yes, things are bad and they're going to be bad.
And people seem to believe that if you want to look smart, you should assume that things are going to end badly, and you should expect the worst. And we all know people in vet medicine that as soon as a sick pet comes in, they go, “I bet it's got parvo.”

Stephanie Goss:
Right.

Dr. Andy Roark:
And they'll just go straight to the cynical, to the darkness, and they do it because it's a self-protection mechanism. If you assume that things are going to be bad, then you're not disappointed when they're not. And there's a lot of people who just live there.
So when I talk about the opposite of grimdark is hopepunk, the idea is I really believe that we have settled into a society that's built on fear, and it's built on cynicism. The idea that things are bad and they're going to continue to be bad, and it's all founded on badness, and everything is a crisis, and blah, blah, blah. And they hold onto that.
And I don't say that hopepunk, it's not a rejection of those things. I'm not saying that there aren't hardships in medicine. There are. I'm not saying you're not going to get a group of people on Facebook who hate your guts and are coming after you, or that a case isn't going to go bad and you're going to have a pet die. That's going to happen. This is a hard job and people are hard to deal with. They are. And anyone who tells you, “No, that's just a mindset.” Those people are out of their minds. It's not. That's true. That's real, right?

Stephanie Goss:
Yeah.

Dr. Andy Roark:
Things can be real and you can still push against them. You can still rebel against the system and the society. And that's kind of where I am, is I think it's time for rebellion. I think it's time for revolution.
And the way that we revolt against cynicism and fear in practice, it's not positivity. It's not saying, “No, things are good.” That's got its own toxicity, right? That's rejecting things that are objectively true, which is like, this is scary or this is hard.
The way we rebel against fear and cynicism is with optimism and hope, right? It's going in and saying, “Yeah, I get it. Things are hard. And you know what? I'm going to stick it to the system by believing that tomorrow might be better than today, by believing that I have the power to make something good right here, right now.”
And I get it. Life is hard, but I am going to go out of my way to help somebody else. Not because I want them to write a review, just because I want to push back against darkness in the world. And guys, I think it's time for rebellion in vet medicine. I think it's time for a hopepunk rebellion. I do.
I keep going back to punk, right? Because punk rock music, I like punk rock. I like the idea of people who are like, “You know what? I'm a misfit. I don't fit in with this, and I'm okay with it.” And I'm like, yeah, I'm a optimism punk. That's what I am. I've got a smile and a wink for a Mohawk, and I've got a freaking, “Hey buddy, let me help you out,” face tattoo. And that's it. I am going to wear that punk rock sneer, because I know that I'm going to jump in and help you. And if there's a change that has to happen, I'm going to say, “What if this works out even better than it has been guys? What if this turns into something really good?” Because that is punk rock today. The idea that things could be better in the future than they are now is so anti-establishment I love it. So last thing I would say is hope punk revolution in vet medicine. That's what I want.

Stephanie Goss:
Come over to our side. We have Andy and a mohawk, and tattoos, face tattoos.

Dr. Andy Roark:
That's right. Face tattoo that says, “Have a nice day,” and, “This might all work out great.” That's what my tattoos say. And that's it. Join the hopepunk rebellion. I don't know if there's anything better against feeling fearful than to say, “You know what? I am going to embrace optimism. In your face.”

Stephanie Goss:
With my face.

Dr. Andy Roark:
With my, that's it. That's all I got.

Stephanie Goss:
That's all I got.

Dr. Andy Roark:
All right, good. All right. I think we're out of time. I'm pretty sure we are over time here. Yeah, we better wrap this one up. All right guys, thanks for being here. See you next year… See you next week. I'll see you next week. You know why I'll see you next week? Because you're non-healing wound.

Stephanie Goss:
A festering wound of MRSA that's never going to leave you alone.

Dr. Andy Roark:
Yeah. Yeah. You were mine, met cell and resistance staph infection-

Stephanie Goss:
I'm with you for life now. Like a face tattoo. Have a great week everybody.

Dr. Andy Roark:
Stephanie Goss is my face tattoo like, “It might have been a mistake when I got her, but I'm in it now. I'm in it now.” All right. Thanks buddy. Bye.

Stephanie Goss:
Well gang, 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 at podcast@unchartedvet.com. Take care everybody, and have a great week. We'll see you again next time.

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: closing, fear, Practice ownership

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