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May 04 2022

Team Boycotts New Doc Before She Even Starts

Uncharted Veterinary Podcast Episode 176 Cover Image

This Week on the Uncharted Podcast…

Can the team sabotage a new doctor before they even start? This week on the podcast, Dr. Andy Roark and Stephanie Goss are tackling a letter from the mailbag. A medical director colleague wrote in and shared with the team that they have a doctor coming on board that has worked previously as a tech in their hospital. Should be a major win, right? Our medical director says to hold your excitement because only now that our new vet has been hired is our Medical Director informed that the team does not like the new vet. The team says they have a bad attitude; techs have said the vet has had rough handling of patients… but none of this was noted by our Medical Director when the new doctor was a tech, and none of these things have been addressed with the new hire doctor during their previous employment. Sounds like a management headache worth talking through. This is a lively one, let’s get into this… 

Uncharted Veterinary Podcast · UVP 176 Team Boycotts New Doc Before She Even Starts
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You can also listen to the episode on Apple Podcasts, Spotify, Google Podcasts, or wherever you get your podcasts.

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

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

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You can be the leader of a happier, more satisfied team, and it starts with understanding how each person in your practice feels the most valued.

Practice owner Dr. Tracy Sands is going to teach you about the languages of appreciation and how they can help you motivate, train and retain your staff in this 2-hour, LIVE workshop.

June 8: Creating Content That Clients Crave with Bill Schroeder

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This extremely interactive session will explore the types of content that are most valuable, the potential impact of such, and proven methods for great content development.

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Episode Transcript

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


Dr. Andy Roark:
Hey everybody. I'm Dr. Andy Roark and this is The Uncharted Veterinary Podcast. Gang, we have got a fantastic episode today. We are talking about something from the mailbag. We got reached out to. Somebody said, “Hey, we hired a new veterinarian,” and I thought, “Yay!” And they said, “I think the staff may already be trying to undermine this vet and she hasn't even started yet,” and I thought, “No!” And that is what we are talking about today. I am thrilled to unpack this and get into the head space and the action steps that we can take right now to set our team up for success. Gang, before I do, though, I got to get a shout out, I got to get some love to Banfield the pet hospital. Guys, they have stepped up and supported us in getting transcripts for both this podcast and the Cone of Shame Veterinary Podcast, which is the other podcast that I host.

Dr. Andy Roark:
They do it to increase accessibility and inclusion in our profession. That is a big point for them right now. It is something that they are doing for our whole profession and industry. And they've stepped up and put their money where their mouth was and said, “How can we help you?” And I said, “Hey, this is a thing that people have asked for and it's a big lift for us.” And Banfield said, “We got you, buddy.” And they have made this happen. So if you want transcripts for our podcast, we got them. Head over to unchartedvet.com. You can see all of our podcasts and you can see transcripts for those there. Feel free to share them and help us get the word out, but I just got to give some love to Banfield, because they didn't have to do that, but they did and it is awesome, so thanks to them. Gang, without further ado, let's get into this episode.

Announcer:
And now, The Uncharted Podcast.

Dr. Andy Roark:
And we are back. It's me, Dr. Andy Roark and Stephanie, over before it starts, Goss.

Stephanie Goss:
Well, that's a good one. How's it going, Andy?

Dr. Andy Roark:
Oh, man. It's good. I can't complain.

Stephanie Goss:
Good.

Dr. Andy Roark:
Except well… Oh, let me… Yep. Yeah, I can. Spring is springing all around me and it is gorgeous, but I am getting hit with some allergies. I just got the itchy, running nose and it's like, “Yep, I take my antihistamine every day and the pollen in South Carolina laughs at it.

Stephanie Goss:
Well, I am jealous of your springtime because we had snow yesterday.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
So I will-

Dr. Andy Roark:
Yeah.

Stephanie Goss:
… I'm very much looking forward to some warm Greenville weather, so I can't wait to see you guys because when we are recording this, I will see you in a week in Greenville for April Uncharted, which is going to be a lot of fun and I'm super excited. But I would take some spring allergies over the snow and rain that we have had here this last week.

Dr. Andy Roark:
When you fly here, you're just going to land in a cloud of pollen.

Stephanie Goss:
A cloud of pollen.

Dr. Andy Roark:
You're going to come up… It's like when you come out of the clouds, except it's a big yellow cloud-

Stephanie Goss:
Green, yellow, okay.

Dr. Andy Roark:
… And then you'll descend back into it.

Stephanie Goss:
Okay. So I need to pack my Claritin is what you're telling me.

Dr. Andy Roark:
Yeah. Oh, yeah.

Stephanie Goss:
Okay. I'll be prepared.

Dr. Andy Roark:
Yeah, totally.

Stephanie Goss:
Okay. So we have got a great episode for this week. I am excited about this one. We got a letter from the mailbag that came to us from a friend and colleague that you and I both know and who has been a repeat contributor to the mailbag. And so I want to give this person an anonymous shout out, because they have given us several great questions, which are awesome and this is no exception to that. They are struggling with something. They are a medical director overseeing a couple of different locations and they are struggling because they have a new doctor who is going to be starting with them, which they're super excited about. Now this new doctor was a technician in the practice before they went to vet school, which is awesome, right?

Dr. Andy Roark:
Mm-hmm.

Stephanie Goss:
I love that. When you have somebody who comes up through the team and who works for you as a technician and then goes to vet school. So they were a technician, they went to vet school, they are coming back to the practice and this medical director is struggling because now that everything is set, and in motion, and the doctor has been contracted and getting ready to start, now they are hearing feedback from some of the team who has worked with this doctor as a technician saying that they are not a good candidate, that they have a bad attitude, that they previously were rough with some of the patients and animals. However, our friend who's the medical director is struggling because none of this was shared previously when this person was working as a technician and none of it was addressed with this doctor before they got hired. And so this medical director is looking at this going, “Okay, new doctor, they just finished vet school,” clean slate, right?

Stephanie Goss:
And they are struggling because the team is looking at it from, or some of the team, from the perspective of, “We have a history with this person and it is not a clean slate. We are not so happy about this.” And our friend is struggling with, “How do I reconcile those two things? Because in their mind the time to address it would have been when they were working as a technician and the behaviors were happening and now that time has passed. And now the doctor is coming on board and our friend who is a medical director is like, “How do I handle giving this person a clean slate to start new as a doctor and set the tone properly with the team when there are members of the team who are looking at it like this doctor coming on board is going to be the end of the world?”

Dr. Andy Roark:
Yeah. Want to just… Quick side note, if you have not had the leadership experience of your team coming to you with something and you having the strong thought, “This would have been good information yesterday,” that's waiting for you. That's coming. “This would have been helpful six months ago.”

Stephanie Goss:
It's so funny that you say that because when I was reading this mailbag submission, I immediately thought of one of those moments for myself where I wanted to look at my team and shake them and say, “Oh my God, you could've told me this three days ago.”

Dr. Andy Roark:
It's like, “Oh, you're marrying that chick?”

Stephanie Goss:
Right.

Dr. Andy Roark:
“Bad choice.” Like, “Oh, man, thanks buddy.”

Stephanie Goss:
So funny. So funny.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
So yeah, so how do we start, right? How do we set this doctor up for success?

Dr. Andy Roark:
Yeah.

Stephanie Goss:
And how do we deal with the team's concerns, because they are being vocal about it and there are some of them, maybe, who are dead set that this is a bad choice? How do we change the tide here? How do we get this moving in a positive direction?

Dr. Andy Roark:
Yeah. So, okay. I mean, the first thought is, “Are you doing this? Yes or no?” And it seems like the clear answer is yes.

Stephanie Goss:
Mm-hmm.

Dr. Andy Roark:
At this point, the documents are signed, we have come all the way down this road.

Stephanie Goss:
Right.

Dr. Andy Roark:
I have a hard time, again I don't… Unless there is some specific information that comes out that invalidates this person, which it doesn't sound like there is. It sounds like there's some hearsay and some rumors-

Stephanie Goss:
Right.

Dr. Andy Roark:
… but nothing specific that was ever levied against this person or has been brought forward that would change your mind. So at this point, are you going forward or not? If the answer is yes, then I would say you're in this now.

Stephanie Goss:
Mm-hmm.

Dr. Andy Roark:
Right? And just accepting where we are and in making that first decision. You've got two options right now. Do you move forward with this person or not? And it sounds like we're moving forward with them.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
But let's just verify that that's the case because if we're not going to move forward with them, then say something sooner rather than later. But decide what you're going to do. Yes or no, are we in this? It sounds like we're in it.

Stephanie Goss:
Mm-hmm.

Dr. Andy Roark:
And so then the first piece of advice I have is don't get spun up, right? Worrying is like a rocking chair. It gives you something to do, but it doesn't get you anywhere.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And that doesn't mean we're not going to do anything, but it means worrying for the sake of worrying and fluttering our hands and chewing our fingernails, that's not helpful.

Stephanie Goss:
Mm-hmm.

Dr. Andy Roark:
I think sometimes about the vet clinic and you see these scenarios, and the staff is all wound up, and they're all running around, and they have strong feelings, and let's be honest. A lot of times they have spun themselves up-

Stephanie Goss:
Yes.

Dr. Andy Roark:
… Meaning one person is like, “This is going to be bad!”

Stephanie Goss:
Right.

Dr. Andy Roark:
And somebody else says, “Oh, my God.”

Stephanie Goss:
It's the Chicken Little, the sky is falling. Right?

Dr. Andy Roark:
Yeah.

Stephanie Goss:
It's contagious.

Dr. Andy Roark:
The sky is falling!

Stephanie Goss:
Uh-huh. Yeah.

Dr. Andy Roark:
Yeah, and everyone says, “Oh my God, the sky is going to fall.” And I'm not saying that that's what's happening, but I'd say… I will say, I have seen that-

Stephanie Goss:
100%.

Dr. Andy Roark:
… a number of times. And again, maybe this is all warranted, it's justified. We should do some research and we should do some digging and be like, “What exactly are we talking about here?” But to me, it kind of feels like we never heard about this and now we're hearing about it now. And there may be some wind up, so look out for that. When I start to see stuff like this, I imagine the vet clinic as a fishbowl and you've got all your fish and they're all just going in different… They're all chasing each other around and going in different places.

Dr. Andy Roark:
And they've all got these thoughts and concerns and ideas and stuff like that. And I think the goal as the manager. When you find yourself in that situation or the goal is the leader of the medical director, or even just a veteran tech trying to keep your mind. I think the goal is to remember, to try to be the bowl and don't be the fish because you can very easily become one of the fish that's streaking around the bowl from one place to another, as fish do. Be the bowl.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
Hear the people, see the people, let the people move around and their ideas move through your consciousness-

Stephanie Goss:
Mm-hmm (affirmative).

Dr. Andy Roark:
… But don't tie yourself up in this and don't become one of the chasers or the chase.

Stephanie Goss:
Mm-hmm (affirmative).

Dr. Andy Roark:
And so that's the first thing is, try to get some distance and perspective on this thing. That's my first sort of piece of head space.

Stephanie Goss:
I love it. I love both of those, not getting spun up and being the bowl, not the fish because it is… I laugh really hard when you give the Chicken Little or the fish starting around-

Dr. Andy Roark:
Yeah.

Stephanie Goss:
… The bowl example, but it's true. It's very easy to slip into that head space of, “Oh, well maybe I should worry about this. And this wasn't a thought that was in my mind two seconds ago,” but now it's like the world is ending kind of thought. It's really easy because we care. Right?

Dr. Andy Roark:
Yeah.

Stephanie Goss:
We care. We care about our team. We care about the job we're doing. And so it was really easy to fall into that place of, “Oh. Well, if I care, then I should worry about this.” And there's enough to worry about.

Dr. Andy Roark:
I've messed this up both ways. I've messed this up both ways. I have a hundred percent messed it up by getting swept up into the anxiety.

Stephanie Goss:
Sure.

Dr. Andy Roark:
And the chicken, and the sky is falling.

Stephanie Goss:
Sure.

Dr. Andy Roark:
And having a panic attack about… You know what I mean? About something that had not happened and did not happen. And didn't know, and was never a problem-

Stephanie Goss:
Sure.

Dr. Andy Roark:
… But it was like, “Oh my God, what if this thing happens? And it turns out to be awful and this person is toxic and they're horrible to the pets, and somehow we don't know about it and no one reports it and-“

Stephanie Goss:
Right.

Dr. Andy Roark:
Nothing is done. And you go, “Oh, wait, wait, wait, wait. In what scenario is this person going to be horrible and toxic and not live up to our standards of care and do so repercussion free and under the radar of everyone else?”

Stephanie Goss:
You're not going to know about it.

Dr. Andy Roark:
And we're not going to know about it. And I'm going to tell you for a fact, that's not going to be tolerated. We're not going to… It's not going to happen here.

Stephanie Goss:
Yes.

Dr. Andy Roark:
That's not who we are. And so that… So I've messed it up by getting swept up into the anxiety nervousness part. And I am also messed up by just crossing my arms and saying, “You guys need to get over this. This is… We're going to do it. And it's fine. And stop it. Just stop panicking.”

Stephanie Goss:
Yes.

Dr. Andy Roark:
It's like crossing your arms and saying very earnestly, “You need to calm down,” which is never a good idea.

Stephanie Goss:
Sure. Yeah.

Dr. Andy Roark:
But I have a hundred percent crossed my arms and told the whole team they need to calm down-

Stephanie Goss:
Simmer down.

Dr. Andy Roark:
… And it is… Calm.

Dr. Andy Roark:
And they felt ignored which ratcheted their panic up another three clicks because they're like-

Stephanie Goss:
Oh.

Dr. Andy Roark:
“And now the boss isn't listening to us. Oh my God.”

Stephanie Goss:
I think our listeners just got some insight to what an Uncharted team meeting could have looked like when one of us was in a state of panic.

Dr. Andy Roark:
Yeah. And so it is… But that's why I say the cheesy Zen thing about be the bowl.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
It's because you do need to… You need to not-

Stephanie Goss:
Sure.

Dr. Andy Roark:
… Get sucked up into this. And at the same time, it needs to be a part of your thought process so that people know that you're taking it seriously. Because if these people feel dismissed, your staff-

Stephanie Goss:
Yes.

Dr. Andy Roark:
… They will panic. Right?

Stephanie Goss:
Yes.

Dr. Andy Roark:
Because remember, a lot of the anxiety, a lot of this stuff, it comes from fear of losing control.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
Your staff is panicking because this person is coming in and if they're negative, we can't do anything about it and they're going to affect us and they're going to have this negative effect on the culture. And there's nothing that we can do is the idea. And so it's a loss of control. And when you cross your arms and say, “Look, this… We're doing this. I need everybody just to let this go.” You can make that feeling of lack of control worse. And so to your point, I think when we move into action steps, giving the team some feelings of control is an action step that we want to take.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
That is part of making this work.

Stephanie Goss:
Yeah. Totally. Totally. Yeah. I think from a head space perspective too, I think that there's got to be some mechanism, to your point, for people to feel that control and feel heard. And so, I would probably… It's a head space and an action step, but I would figure out how to hear them-

Dr. Andy Roark:
Mm-hmm (affirmative).

Stephanie Goss:
… And then tell them that you hear them, and those are action and head space. But I think it is really important to say, “Okay, this is an elephant in the room. I don't want it to be an elephant. I want to hear you. So tell me more,” and gather information. You're not committing one way or another, how you're going to solve the problem, but you can absolutely make them feel heard. And so I would… If our medical director friend hasn't and I… Knowing them, I'm sure that they have, but create the opportunity for the team members, particularly the ones who are running around screaming, like Chicken Little, ask them, “Hey, I want to hear more. Can you tell me more?” And gather the info.You're not committing to anything. Just hear them out. Make them feel heard.

Dr. Andy Roark:
Yeah. I agree with that. The other part of it is you can often elicit empathy in other people. And I think that that's a good idea.

Stephanie Goss:
Yes.

Dr. Andy Roark:
And so if this person is coming in, saying to the staff probably individually, when you're talking to them and just say, “Hey, this person has been gone for four years and they've gone to veterinary school. And they're most likely a different person than when we knew them before.”

Stephanie Goss:
Yeah.

Dr. Andy Roark:
I mean, it's been a good chunk of time and they've had a lot of life experiences and they've gotten training and support and education in vet medicine. And it's very likely that this person is not going to be very similar to the person that you knew four years ago.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And imagine if that was you. Imagine if you went and you did something and you got training and years went by and people immediately held you to the worst thing that you had done or your worst days from four years ago or five years ago.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
That would be hard. And so, again, I'm not discounting what you're saying, but people do grow and they do change, and this is where we are now. And so we owe it to this person to give them a fair shot because it's what you would want if you were coming back in and that's what I would want to give to you. And so we are going to pay attention. We are going to watch out for these behaviors because we know that there have been reports in the past and we're going to pay attention. And at the same time, we are going to give some grace and we're going to let this person come in and do their best-

Stephanie Goss:
Yeah.

Dr. Andy Roark:
… And we're going to support them and mentor them and try to help them become the best doctor that they can possibly be. But I don't want to write them off before they've even set foot into the building. That just doesn't seem like a right thing to do or the way that we treat people.

Stephanie Goss:
Yeah. And I think the other thing too, is that even if there hasn't been a lot of time, even if they were working during breaks and they were there in your practice this year, there's a big, fundamental shift that can and does take place for a lot of people shifting from being a member of the paraprofessional team, into being a doctor. And I have worked with people who have gone from being a technician or being a CSR, working in the practice to being a doctor. And even if they were working in my practice this year during their final year of vet school, right on breaks or whatever, I still have the opportunity to say to the team,

Stephanie Goss:
“Look, their role is very different and here is the expectation that I have for them, and the expectation that I am going to set with them as their boss and as their mentor and the person who is guiding them in this process.” And I would try and talk through that with the team to say like, “Don't think that I… Please know that I hear you.”

Dr. Andy Roark:
Mm-hmm (affirmative).

Stephanie Goss:
“And this is how I'm going to create the opportunity for there to be change for this person,” because there is a fundamental shift happening, not just in the four years that they went to vet school. Right? Because we all change as a person over a four year period.

Dr. Andy Roark:
Sure.

Stephanie Goss:
But-

Dr. Andy Roark:
Especially when we were young in the twenties.

Stephanie Goss:
Right.

Dr. Andy Roark:
And the difference in me at 28 and me at 32, I was a different person.

Stephanie Goss:
Right. But-

Dr. Andy Roark:
I mean a baby at that time, that's part of it. But I was a very different person.

Stephanie Goss:
Right. But also there is a shift and a change that is happening in changing roles from a member of the paraprofessional team to moving into a doctor role. So, so I think, to your point, being vulnerable and talking to people about that and also reminding them, “Hey, how would you want to be treated?” is a really good way to approach it and talking to them about, “Here's what I am going to do to set the stage in a positive way.” Right? So you're making them feel heard and you're giving them some reassurance and asking for their commitment to buy into this process. Right?

Dr. Andy Roark:
Mm-hmm (affirmative).

Stephanie Goss:
And let that new page turn. Let's start over fresh. This person is a doctor and this is what-

Dr. Andy Roark:
Yeah.

Stephanie Goss:
… That looks like in our practice.

Dr. Andy Roark:
Yeah. And it just, in the back of my mind, I sort of articulate this, is… Well, two things. Number one, I'm sitting here and I'm like, “Man, it would be interesting to put all on her Facebook page,” and I might do it… But like, I wonder what percentage of people that you have seen in your clinic who were techs or assistants and then went to vet school and came back, did they seem like different people? And I would love to put that out there and be, as a poll and be like-

Stephanie Goss:
Yeah.

Dr. Andy Roark:
… “Okay, think of people you worked with. And then they went to vet school and then they came back. Were they the same person, just with a white coat? Were they a little bit different or were they radically different?” I would be really fascinated. There's one in my mind. And it was a guy that was an assistant and he went to vet school and he came back and man, he's a different person.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
He was a laid back, funny guy and he went to vet school and he came back and not that he's not… Or wasn't wonderful, but he was no nonsense. “We're getting this right,” when he came back-

Stephanie Goss:
Yeah.

Dr. Andy Roark:
… And I was just like, “Wow.” Not bad. Just a-

Stephanie Goss:
Different.

Dr. Andy Roark:
… Radical shift-

Stephanie Goss:
Yeah.

Dr. Andy Roark:
… Over four years. I was like, “That's incredible.”

Stephanie Goss:
Yeah.

Dr. Andy Roark:
Just different person.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
But anyway, that's part of it is that I wonder how much of a shift people see. The other part is, it's just in the back of my head, that it's kind of rare for someone to work at a place and then go to that school and then come back to that place. And a lot of times people want to go to places that are different than where they were before. And it's also rare that someone has a very positive experience while the team around them has a negative experience.

Stephanie Goss:
Mm-hmm (affirmative).

Dr. Andy Roark:
Think about the time that you hung out with somebody and they really liked you and you didn't like them. It doesn't happen a whole, whole lot for. The most part, if someone really likes you, you tend to like them and it seems to be fairly mutual. And so the fact that this person liked this practice enough to come back after they graduated, I go, “Huh.”

Stephanie Goss:
Yeah.

Dr. Andy Roark:
That's just kind of interesting. And again, it just makes me wonder, “What was the experience when they were there because they liked it enough to come back when they clearly could have gone a lot of other places.”

Stephanie Goss:
Yeah.

Dr. Andy Roark:
What does that mean? So I don't know. And again, we don't have specifics on exactly what people said or things like that, but it just… I can't help, but roll that around in my mind a little bit of, if this was super toxic world, then I wouldn't expect this person to come back.

Stephanie Goss:
Right.

Dr. Andy Roark:
No one's like, “Oh, it's miserable there. Let's sign back up.”

Stephanie Goss:
Right. Yeah. No, I agree a hundred percent and that makes sense. And so, I think that's worth looking at, and I also think it might be worth reminding the team gently, figuring out how to remind them of that too. “I hear you,” and not in a way that makes them, their concerns, invalidated-

Dr. Andy Roark:
Yeah.

Stephanie Goss:
… But I feel like if the relationship was so bad that nobody liked working with this person, that would have come out-

Dr. Andy Roark:
Yeah.

Stephanie Goss:
… Before this point. And so I hear you guys. I see you, I hear your concerns. I'm going to address them. We are going to talk about this. And this is, again, moving into action steps, but I see you, I hear you. And we also got to move on because nobody said anything then.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
So I can only work with where we are now.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
And so here's what I can commit to you moving forward. Right? It's about, how do we transition that conversation? But I agree with you. I feel like, and we don't know, but I feel like if it was an awful situation or there really was something super concerning beyond maybe some rough animal handling, which… Let's be honest. I have worked with team members and even myself, what I learned in terms of animal handling almost 20 years ago when I first started in the field-

Dr. Andy Roark:
Sure.

Stephanie Goss:
… Is radically different than what we're learning now.

Dr. Andy Roark:
Mm-hmm (affirmative).

Stephanie Goss:
And even in just the last five years, the shifts in fear free approaches-

Dr. Andy Roark:
Yeah.

Stephanie Goss:
… And low stress handling. And the changes that we, as an industry, have come a long way, in terms of everyone having exposure to those things. And so I think reminding the team like, “Look, we're all growing and changing, and this is all changing. And it doesn't do any of us any good to hyper focus on this. Here's what we can do moving forward.” Again, it's solution oriented. But I think your point is really good and worth reiterating to the team.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
And when you do it one on one, or you're talking to a small group of them together and circling up and saying, “Hey guys, I've heard your concerns. I want to hear them.” And then… Because I want to help you. I want to come up with a plan to set this doctor off on the best foot possible. And I feel like if we don't talk this out, there would be potential that this would not start off on the right foot. And I don't want that. And I know you don't want that either.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
So let's talk this out and let's come up with a plan together for how are we going to start off, with a clean slate, on a fresh page and move forward together as a team.

Dr. Andy Roark:
I think that sounds great. Let's take a break and let's come back and let's do that.

Stephanie Goss:
Okay. Sounds good.

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

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

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

Stephanie Goss:
Yes.

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

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

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

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

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

Stephanie Goss:
Two workshops coming at you from our dear friend, Dr. Tracy Sands. Tracy is passionate about amazing teams, building an intentional culture of appreciation. And that is exactly what she is going to talk to us about. She is leading the first workshop May 21st and it is retain your team, speak the languages of appreciation in your workplace. She's going to talk to us and work with us on how to learn about the languages of appreciation, but also talk about how do they influence our team and clinic cultures. That is happening May 21st at 2:00 PM eastern. That's 11:00 AM here on the west coast.

Stephanie Goss:
It is $99. You can participate if you are not an Uncharted member. And if you are an Uncharted member already, it's free as always. And part two is happening in June. It is June 25th. It is also a two hour workshop, also $99 for our non-members and free to our members. And it is be a part of a happier team strategies to build an appreciation culture in your practice. So this is going to be an even more in depth look at workplace appreciation, but the actual practical, how do we apply it in our practices to find out more head on over to the website at unchartedvet.com.

Dr. Andy Roark:
All right. So we are ready to make a plan.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
We talked about… We need, we want to adjust the team's mindset a little bit to give some grace.

Stephanie Goss:
Mm-hmm (affirmative).

Dr. Andy Roark:
We want to make them feel safe and make sure that they feel that their concerns are addressed. We want to set our new grad up for success.

Stephanie Goss:
Mm-hmm (affirmative).

Dr. Andy Roark:
We want to make sure that our patients are set up for success and that we're not going to have these problems, which again, if it sounds like I'm blowing them off, I'm definitely not. It's just when we don't have specifics and people are talking about things that are subjective that happened years ago, you go, “I don't know,” again, “If I'd had that information earlier on, it might have affected where we are, but here's where we are.” And so how do we address the concerns in a way that's not undermining the new grad before they start and setting them up as… Put them on a house arrest their first day out of training.

Stephanie Goss:
Yep. Yeah, no, I love that.

Dr. Andy Roark:
So yeah. So, a couple of things that I would do. I want to pick back up on your point and the conversation about… This vet knows you guys and she still chose to come and work here.

Stephanie Goss:
Right.

Dr. Andy Roark:
A lot of times you can diffuse some of this stuff by pointing those things out to the staff and say, “It's interesting to hear these concerns because this Dr. New Grad, she really likes you guys and she could have gone anywhere, but she wanted to come back and work here. And so she obviously had a positive experience and she speaks very highly of you guys in the team and wanting to be here. And so it's just interesting, you guys had a negative recollections and she obviously has positive recollections because she's enthusiastic about coming back.”

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And it's just a way to put it back and be like… It's when you're like, “I like this person,” and somebody goes, “Well, they said such wonderful things about you. They're a big fan of yours.” You're like, “Really?”

Stephanie Goss:
“Okay.”

Dr. Andy Roark:
“Maybe they're okay.” I am a hundred percent that I did a “hangry”… I'm a grumpy old man. I'm like, “Don't like this person.” And they're like, “Andy, it's so good to see you again.” I'm like, “Oh, Hey. You are charismatic. I do,” I'm not sure, I'm not the only one who's been like-

Stephanie Goss:
[crosstalk 00:30:26] Sorry for the things I said when I was “hangry”.

Dr. Andy Roark:
A hundred percent… Things when I'm “hangry” and then someone is just nice to me and I'm like, “I was wrong about you.”

Stephanie Goss:
No, I think that's totally, totally fair and valid. And I think… So our mailbag writer definitely is approaching it, I think, from the right perspective. Right? Which is, “Okay, I got to talk to them about this.”

Dr. Andy Roark:
Yeah.

Stephanie Goss:
“I've got to make them feel heard.” Right? And so they said, “I've already talked to them one on one and I've validated their concerns. And I've also discussed the fact that I feel like we can't hold somebody accountable now-

Dr. Andy Roark:
Yeah.

Stephanie Goss:
… “For stuff that happened in the past.”

Dr. Andy Roark:
Sure.

Stephanie Goss:
And that is totally true.

Dr. Andy Roark:
It's not that it wasn't reported.

Stephanie Goss:
Exactly.

Dr. Andy Roark:
And we don't have any information on… Yeah, I agree.

Stephanie Goss:
Exactly. And so they said, “Okay, I have this expectation that this is how we're going to set this person up for success and what that should look like.” And so I think from an action step perspective, I think that's a really smart approach. I think having the conversation, doing the head space work, having them feel heard and validating their concerns and then… Okay, how do we move forward from here? And if you lay out… We're not going to address things that happened in the past now.

Dr. Andy Roark:
Right.

Stephanie Goss:
And we're going to start with clean slate and you lay out that plan and they are still… this is of the opinion that this is going to be the end of the world. Then I think it's a very different conversation-

Dr. Andy Roark:
Mm-hmm (affirmative).

Stephanie Goss:
… Because that's about buy-in and support and positive attitude as a teammate-

Dr. Andy Roark:
Mm-hmm (affirmative).

Stephanie Goss:
That's a very different feeling conversation than someone who just hasn't felt heard and validated and who is not sure what the plan is. And so I think it really is important to be able to tell your team and know… What is your plan for developing a new grad? What does that look like? And sometimes it's providing the team insight because they don't-

Dr. Andy Roark:
Mm-hmm (affirmative).

Stephanie Goss:
… They don't always see what is happening behind the scenes. And this is a good opportunity for you as a leader, to part the curtains a little bit-

Dr. Andy Roark:
Mm-hmm (affirmative).

Stephanie Goss:
… And let them see the magic behind the curtain so that they understand this is what development looks like. These are the meetings we have. This is the structure. This is the kind of things we were talking about. And I want you to be active participants in that. So when this person starts, when this Dr. New Grad starts, if you have concerns, this is how I would like to address them. This is how I would like to know about them. Because I want to be able to talk about things in the moment. Right?

Dr. Andy Roark:
Yeah.

Stephanie Goss:
I want to be able to give course correction. I want to be able to say, “Hey, when we saw this case yesterday, you were working with Sarah and she mentioned that this happened with the patient. Tell me more about what happened,” because I want the ability to hear your side of the story. I want the ability to hear her side of the story. And then I want the ability to set her up for the best success possible by me supporting her as her mentor. And here's what that looks like. Here's what those conversations can look like and inviting the team to be a part of that conversation, I think, is really, really important.

Dr. Andy Roark:
Yeah. I completely agree with that. So I think there's two pieces to it. There's one that is, “Okay, this is how you guys are going to give me feedback on how the new graduate is doing.”

Stephanie Goss:
Yes.

Dr. Andy Roark:
The other part is even, “Can I include the staff in the onboarding of the new graduate?”

Stephanie Goss:
Yes.

Dr. Andy Roark:
And that is really a way to… Again, because it goes back to these people don't feel like they have control and they're worried about this person coming in. Can I give them a feel of control either by saying, “Hey, this is how you guys are going to give me feedback to let me know that things are going.” And that may be enough of a safety break that they're going to feel safe-

Stephanie Goss:
Mm-hmm (affirmative).

Dr. Andy Roark:
Or they're going to feel like they have enough control. Okay, we have a voice. If there are problems, that we have a mechanism that we believe is going to be effective-

Stephanie Goss:
Mm-hmm (affirmative).

Dr. Andy Roark:
… That might be enough. And the next part is to say, “Hey, when we talk about onboarding, can we involve the staff? How can we have them involved in what's going on? Are we going to do rounds with the new grad and have the technicians come to the rounds as well?”

Stephanie Goss:
Yes.

Dr. Andy Roark:
And we're all going to be here together and things like that. And just say, “Hey, we're going to bake this cake with everybody in it together.” That's a terrible metaphor. I don't know. We're going to cut. We're going to peel this potato so that all the strips land in the same trash can. Metaphors that never caught on and took off. That's it. We're going to devein all the shrimp with the same knife.

Stephanie Goss:
That's a fun one.

Dr. Andy Roark:
I know. All right.

Stephanie Goss:
Reel it back.

Dr. Andy Roark:
Yeah. Reel it back. Okay. All right.

Stephanie Goss:
Reel it back in.

Dr. Andy Roark:
But-

Stephanie Goss:
No, I think that's-

Dr. Andy Roark:
The fact remains-

Stephanie Goss:
I think that's super fair.

Dr. Andy Roark:
Yeah. How can we get this in control?

Stephanie Goss:
Yeah.

Dr. Andy Roark:
If their concern is this person's going to come in and tank the culture. Hey, how are we going to communicate? And when we see behaviors, I think to your point, is important. I don't want to find out about them a week later on. I want to find out about them the day of. And let's be honest about what's probably going to happen. Right? Even if this person tends to be a negative person, let's say, they're going to come in. And most people are going to come into a new job and be on their best behavior.

Stephanie Goss:
Yes.

Dr. Andy Roark:
And really try to be the veterinarian that they want to be coming out of that school. And so even though the staff is like, “Oh my gosh,” this person's probably going to come in and be their best self, at least for the first couple of months anyway, and everybody will calm down and then we might start to see some bad behaviors creeping in as we do, when people get comfortable in a job. We're just going to manage them.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
But that's the most likely outcome in all of this.

Stephanie Goss:
I think the other way too, to actively get them bought in and participating in the process. The other thing that I might try is to ask them, “Okay, thinking about the concerns that we have, what can we do to train, not only this new person, who's stepping into a doctor role, but any member of our team-“

Dr. Andy Roark:
Mm-hmm (affirmative).

Stephanie Goss:
… “So that we don't have to address these concerns, so that you guys feel like the education is there ahead of time,” and get their participation and help in creating, whether it is training or protocols to address the concerns. Right? So if they were like, “Hey, this handling of the patients was rough. And here's what that looked like.” Say, “Okay, can we get them to help in the training piece of it?” Because maybe Kelsey is a rockstar patient with naughty cats and maybe Dr. New Grad was nervous handling naughty cats when she was here in the practice. So how can we have Kelsey help demonstrate and work on that with her so that it becomes a partnership. Right?

Dr. Andy Roark:
Sure.

Stephanie Goss:
And it becomes an opportunity for her to use her leadership skills and her skills as a technician to teach that new grad. I loved working with new grad doctors as a technician in the practice, because for me, it was an opportunity to work together.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
It wasn't about, they're smarter than me, they're in a higher position than me. I can't teach them things. I always approached it very much from a place of, how do I teach you things that you need and how do I learn things from you that I need so that we can work together?

Dr. Andy Roark:
Yeah. And that has to come from leadership. Right? That's not the technician being like, “Hey-“

Stephanie Goss:
No.

Dr. Andy Roark:
… “Let me show you how to do this.”

Stephanie Goss:
Yes.

Dr. Andy Roark:
It needs to be part of the onboarding process. It needs to be part of mentorship. I would even make that even larger. And it really depends on the team and what you're trying to do. But if you are one of the practices that has a learning focus, which I always think is great. If you want low stress handling to be your learning focus for the team-

Stephanie Goss:
Mm-hmm (affirmative).

Dr. Andy Roark:
… Then I think that that's a good thing. We've got a new doctor coming in. We're going to circle back up.

Stephanie Goss:
Yes.

Dr. Andy Roark:
We're going to be having some presentations on low stress handling. This is something that we're going to be prioritizing in our practice. We're not calling out the individual-

Stephanie Goss:
Right.

Dr. Andy Roark:
… At all in any way, shape or form, but this provides us a platform for everybody to raise their game on low stress handling. And then it also gives us a platform to have conversations if we see lapses in low stress handling. A lot of times what's funny about, say “rough handling”, is there's a lot of clinics that never do any formal training on animal restrain or animal handling. And then they say, “Oh, this person was rough with a cat.” And sometimes if you don't give people better tools and they use the tools they have, again, it's almost like we've set this person up to fail.

Stephanie Goss:
Yes.

Dr. Andy Roark:
And get that as an excuse. And I'm imagining the best intention, which is this person's not trying to be rough-

Stephanie Goss:
Right.

Dr. Andy Roark:
… But they are worried about getting hurt-

Stephanie Goss:
Right.

Dr. Andy Roark:
… Or they're worried about getting bitten or they don't realize the perception of the way that they're handling a patient, something like that.

Stephanie Goss:
Yes.

Dr. Andy Roark:
And it's just a lack of training, a lack of knowledge, a lack of awareness. And people say, “Well, they really… This is unacceptable.” And you say, “Yes,” but is it on them or is it on the practice-

Stephanie Goss:
Right.

Dr. Andy Roark:
… That never trained them and gave them guidance or set standards-

Stephanie Goss:
Yes.

Dr. Andy Roark:
… About how we do this? And I think that's an interesting question.

Stephanie Goss:
Yeah. No, I love that. And I will say as a manager, if you are not taking the opportunity… Really, any time that you have a new team member, to try new things or to change things that didn't go right in the past and leveraging that, you're missing a trick opportunity big time there, because that is the best way to have a clean slate, is be like, “Hey, look, we have new doctor shorting. And so we're going to talk about this altogether as a team.” You're not calling out any one person and you have the opportunity to all collectively get on the same page and the team can get united over that reasoning in a way that doesn't happen if you're like, “Hey, this week, we're going to talk about fear free behavior.” It gives a reason for them to get bought in and participate actively from all sides-

Dr. Andy Roark:
Mm-hmm (affirmative).

Stephanie Goss:
… Without it being about, “Hey, we had this incident happen with this one person.” And so the whole team is going to get training as a result of this one person.

Dr. Andy Roark:
Right.

Stephanie Goss:
It doesn't have that same feel. It has this feel of, this is something that we are doing together to become better and-

Dr. Andy Roark:
Yeah.

Stephanie Goss:
… A better version of our ourselves as a team. And so that is definitely one of those things that, as manager, I always looked for. “Oh. Hey, we have a new person starting,” or, “Hey, we're trying a new program,” or “Let's take an opportunity to use it as a clean slate and start over.” So I think that that's super important and I think that getting them bought in and participating actively-

Dr. Andy Roark:
Yeah.

Stephanie Goss:
… In the process really, really is helpful too.

Dr. Andy Roark:
I agree. But I also really want to hammer on the point that you make, because I think that's really important. This is not something that we are doing. The whole team is getting trained because we don't trust Sarah.

Stephanie Goss:
Right.

Dr. Andy Roark:
And it can't be that. And I would just be up front and I would say, “This is not about that.” Right?

Stephanie Goss:
Right.

Dr. Andy Roark:
This is not about a new person coming in. I know that it is a concern that people have had. We are due for this. It seems like a good time. But yeah, this is not, “Hey, we have concern about one person so the whole team is going through training.” This is honestly where our practice is going and what we need to do. And it's something you guys are showing interest in. And so we are doing this together.

Stephanie Goss:
Mm-hmm (affirmative). Mm-hmm (affirmative).

Dr. Andy Roark:
Yeah. I think that that's really good. I think, in that same vein of onboarding the person, ask the other doctors to help mentor and support this person coming in.

Stephanie Goss:
Yes.

Dr. Andy Roark:
And it's just getting other doctors on board, it's building a support network. People want to know what the expectations are and having other doctors work with them and mentor them and support them is a great way to just bring a new doctor in and to adapt them culturally to the practice.

Stephanie Goss:
Mm-hmm.

Dr. Andy Roark:
It's funny, every practice has cultural norms about how we talk and how we talk about each other, how we treat each other, the things that we do. And if no one teaches you those cultural norms, you're going to have to stumble around until you find them.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And we've all seen some awkward onboarding, where someone has come in and they've been awkward or they haven't really fit. And then, after months-

Stephanie Goss:
Yes.

Dr. Andy Roark:
… They figure out what's expected and they get on board. And everyone just forgets the awkwardness of when they first arrived. But man, we could have avoided all of that. We could have streamlined that process by having some mentorship, having somebody take them in. Ask the new grad if they're open to mentoring and support. Ask them what they want to do to get up to speed. I would really stress… I guess, the way that I would take it is I would trust a new grad and say, “Hey, I know you've worked here before, but I don't want that to detract from the opportunities that you get to be successful and from the launchpad that you get and from the support that you get.”

Stephanie Goss:
Sure.

Dr. Andy Roark:
It's easy to say you've been here and you know what's going on. I don't think that's fair to you. I think that that's short changing you in opportunities that you should have.

Stephanie Goss:
Yes.

Dr. Andy Roark:
And that's how I would phrase it, but I wouldn't allow the person just to slip in and go straight back to what they've always done.

Stephanie Goss:
Yes.

Dr. Andy Roark:
I would really push them into being mentored and supported.

Stephanie Goss:
And in that same vein, the other thing that I would do is call out that elephant in the room with the doctor in the sense that I would ask them, “Hey, coming into a practice that you have worked in before and working with team members that you have worked with before, is there anything that you are thinking about or worried about or feeling challenged by stepping into this environment?” Because you're not walking into a brand new practice where you don't know anybody. Right?

Dr. Andy Roark:
Mm-hmm (affirmative).

Stephanie Goss:
Call out the elephant in the room and ask them the same way that you're asking the team members who are voicing the concerns. “Hey, tell me more.” Ask Dr. New Grad because maybe she has some concerns of her own and maybe she'll acknowledge it. Maybe she's got some things that she's thinking about.

Stephanie Goss:
And again, this goes back to where we started in terms of the info gathering. It wouldn't be fair to have that conversation with the technicians who are voicing the concerns and not also have a similar conversation with Dr. New Grad. You don't have to say, “I had a conversation with some of the technicians. They brought up these concerns.”

Dr. Andy Roark:
Yeah.

Stephanie Goss:
This is where those mind tricks come in handy, those tools. But to say to them, “Hey, I want to make sure that you get to start off to your point, Andy, from a good launchpad.”

Dr. Andy Roark:
Yeah.

Stephanie Goss:
And you've worked in this practice. This is not your first time here. I don't want to assume. I don't want the team to assume that we're starting from a different place than we actually are. And I want it to be a clean slate for you. So is there anything that you're concerned about or any thoughts or challenges, worries, whatever. Let's talk about it.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
And just have an opening conversation.

Dr. Andy Roark:
Yeah. How can I help you? And then there's the flip to that, which is, “Hey, so you are coming in as a new doctor and here's how you can help me. You are a leader in the practice now. And I really want to make sure that we have a strong, positive culture and I need your help-“

Stephanie Goss:
Yes.

Dr. Andy Roark:
… “As a leader in the practice, can you help me build a positive workplace, be supportive of the staff? I really need you to cheerlead for me and help keep morale up. And that's what I'm looking for, for a new doctor joining our team.” Remember relationships are a two way street.

Stephanie Goss:
Right.

Dr. Andy Roark:
But you can frame this as what support do you need from me? And maybe they'll throw you a bone, right?

Stephanie Goss:
Yes.

Dr. Andy Roark:
Maybe they'll give you what you need or if… even if they do or whether they don't, they say, “Here. Let me ask you for help, because this is what I need help with and this is what I'm looking for from you. This is how you can help me. I want to have a positive, supportive culture here. And my doctors have got to be positive, supportive culture leaders. And you can always bring me concerns and you can always voice your struggles, but I do need us to be… but it would help me greatly if you led the culture charge on the ground.”

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And a lot of times it's amazing. When you ask someone and say, “Hey, can you help me with this? Will you lead this charge?” They will.

Stephanie Goss:
Yes.

Dr. Andy Roark:
And even people who may have a tendency to be a bit negative, if you say, “This is what I'm struggling with-“

Stephanie Goss:
Yes.

Dr. Andy Roark:
… “Can you help me in this way?” They say yes.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And then you're just opening the door to giving them feedback later on very gently. And so when, if you start to hear negativity, things like that, you're not saying, “Hey, I need to talk to you about your negativity.” You're saying, “Hey, remember when you came on, I was asking for help and that trying to build a positive and supportive workplace is the number one thing for me.” And so, “I'm starting to see these behaviors,” or “I'm feeling like that's slipping. And I just wanted to bring it to your attention and ask you about it.” And it's, again, by just laying that expectation, asking for help at the beginning, hopefully you'll never need to do that.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
Hopefully the person will come in and they'll be positive and happy and everything will go great. And all of this will fade in the rear view and nobody will even remember that it was a consideration five years ago. It's laying some groundwork before you need it is never a bad idea.

Stephanie Goss:
Mm-mm (negative). Mm-mm (negative). No, I love that.

Dr. Andy Roark:
Yeah. I mean, that's about it.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
For me, the last thing is just go back to… Don't get wound up. Resist the urge to jump ahead.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And that is the one thing, and it can be sort of frustrating is… And this is where it gets sort of unfair to a person, is if we make preconceived notions about someone and they walk in and do some small thing.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And everybody flies to 11.

Stephanie Goss:
Yep.

Dr. Andy Roark:
That can be frustrating. That can be hard. The best thing is to hope that doesn't happen and try to prime the situation by asking about positivity. I… Yeah. I've just seen that a lot.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
It's confirmation bias.

Stephanie Goss:
Yep.

Dr. Andy Roark:
People, they'll make a preconceived judgment about someone. And then as soon as that person does or says anything that sounds supportive of that bias, people will jump on it and go, “Yep. I knew it. I knew it.”

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And again, that's a bias and it's a pain in the rear to manage against, but just be aware that it is there. And, again, we'll work through it. But the big thing I would say to you as a leader is everybody should get treated fairly. And also in our standards should be upheld. And so the big things I say to the staff is, “Hey, you know the process. You know how this goes. Everybody gets treated fairly. We're going to work through the process and we're going to manage what comes,” and one of the big things that I've said to you guys, Stephanie, and the team is, “We'll come to a place where we don't know what's going to happen.”

Dr. Andy Roark:
You know what I mean? Or “We're making big changes in the organization,” or “We're doing different things.” And I've just found for me, the only promise that I can make for my team is to say, “You guys know I want you to be happy and if something breaks, we're going to fix it.”

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And that's all I can promise you. And I've found that to be well received, but I think it's probably only well received if you actually do your best to fix it.

Stephanie Goss:
Yeah. And knowing our friend, I know that this is the case and I would agree with you. And I would think the last thing would be… I would probably ask the technicians whether you do it one on one with them individually, or if there's two or three of them that are really having some concerns, just saying to them, “Hey guys, I need your help. I want this to be successful. I want you to be successful. I want you to be able to build a good relationship with Dr. New Grad as a doctor moving forward. I want you to be able to help teach her and lead, and I want this to be successful. Here's what I need from you.”

Dr. Andy Roark:
Yeah.

Stephanie Goss:
And then just ask them for what you need. Talk about the fact that you need them to be open minded.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
That you want them to assume good intent and tell them what that means to you-

Dr. Andy Roark:
Yeah.

Stephanie Goss:
… And ask for their participation, because then you can have an accountability conversation with them as you go if there really are concerns to your point, Andy, addressing their concerns.

Dr. Andy Roark:
Mm-hmm (affirmative).

Stephanie Goss:
So if things happen and there are concerns with Dr. New Grad, talking it out and addressing it quickly and not ignoring their concerns, but also from their perspective, asking them for their help and support. And if they go to that place of like, “Yep. See, I knew this is what was going to happen.” Say, “Remember I asked for your help. This is an example of where I feel when you say this, it makes me feel like you're not actively on board and trying to help me. I need you to change your attitude. I need you to-

Dr. Andy Roark:
Mm-hmm (affirmative).

Stephanie Goss:
… “Change the words that you're using, the tone that you're using,” whatever it is that is frustrating, right? Because we are humans. And by nature, we are going to change. We are going to slip up when we're changing our habits. And they are thinking about this person in one way, and you are asking them to change that habit. And you're asking them to have a fresh start. They're probably going to slip up. There's probably going to be something that happens that sets one of them off. And having the follow up conversation becomes easier when you've had the conversation and laid the groundwork to start and say, “Hey, I need your help. I would like you to get on board with me and this is what I need for that to happen.”

Dr. Andy Roark:
Yeah.

Stephanie Goss:
It becomes easier to have those follow up conversations.

Dr. Andy Roark:
Yeah. I completely agree. So, yeah. Awesome, man.

Stephanie Goss:
Oh. This was-

Dr. Andy Roark:
Thanks for talking through this with me.

Stephanie Goss:
Yeah. This was a good one. I hope that I hope that our listener friend finds it helpful and yeah, have a fantastic rest of the week, everybody.

Dr. Andy Roark:
Awesome. See you, everybody.

Stephanie Goss:
Take care.

Dr. Andy Roark:
And that is our episode is what we got. I hope you got something out of it. I hope you enjoyed it. I always love these conversations, man. Stephanie Goss is amazing. She is the best. Guys, I don't have anything else for you. Take care of yourselves. Be well, take care of your team. Remember you can't make people happy, but you do have the ability to make positive differences in the day of the people around you, just with a kind word and a smile. Just be the person that you would want to work next to. I think that's… I want to leave us with that because man, it was shown to me again today that we may not all have a ton of power, but we've got power to influence the people around us for good, or for ill. And hey, let's just do some good. All right guys. That's enough of that. Take care of yourselves. I'll talk to you soon.

Written by Dustin Bays · Categorized: Blog, Podcast

Apr 27 2022

Exactly How Do I Talk to a Negative Staff Member?

Uncharted Veterinary Podcast Episode 175 Cover Image How do I talk to a negative staff member

This Week on the Uncharted Podcast…

Are you a leader in your practice whose palms sweat and you might completely forget how to say what you need to say when confronting a negative staff member? Dr. Andy Roark and Stephanie Goss are tackling another letter from the mailbag this week. A long-time podcast listener wrote in and asked Andy and Stephanie to do some actual role play on how to address a team member who is (and I do quote) “the most pessimistic person on the planet!” Our listener is a manager in a corporate practice who has a negative staff member and they just don’t know WHAT to say or HOW to say it. They are reaching out for help to navigate some crucial conversations because this behavior is just not acceptable. This is a fun one, let’s get into this…

Uncharted Veterinary Podcast · UVP 175 Exactly HOW do I talk to a negative coworker?
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You can also listen to the episode on Apple Podcasts, Spotify, Google Podcasts, or wherever you get your podcasts.

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

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

Upcoming Events

May 21: Retain Your Team: Speak the Languages of Appreciation in Your Workplace with Tracy Sands

You can be the leader of a happier, more satisfied team, and it starts with understanding how each person in your practice feels the most valued.

Practice owner Dr. Tracy Sands is going to teach you about the languages of appreciation and how they can help you motivate, train and retain your staff in this 2-hour, LIVE workshop.

June 8: Creating Content That Clients Crave with Bill Schroeder

Many practices have heard that “content is king”, but few have systems in place that actually generate impactful content.

This extremely interactive session will explore the types of content that are most valuable, the potential impact of such, and proven methods for great content development.

All Upcoming Events

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


Episode Transcript

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

Stephanie Goss:
Hey there everybody. I am Stephanie Goss, and this is another episode of The Uncharted podcast. This week on the podcast, Andy and I are tackling a letter from the mail bag. This one comes to us from a fellow manager and longtime podcast listener. And they wrote in and said they are struggling with exactly how do I talk to a negative team member? They have to have a difficult conversation and were wondering if Andy I could do some role play around what a difficult conversation with a team member who is always so, so, so negative could look like. And this person happens to have an answer for everything. And this manager said, “That is part of my stumbling block. This person makes everything a big deal. They can't seem to get out of their own way. And I would love to hear how it actually should be handled. Because sometimes I find myself so sure that I understand the principles that you guys are talking about on the podcast. But then in the moment, I get stuck and worry that I'm screwing it up.” So I thought this was a great challenge. And I'm excited about this episode. Let's get into it. Shall we?

Meg:
And now, The Uncharted podcast.

Dr. Andy Roark:
And we are back. It's me, Dr. Andy Roark. And Stephanie say it like it is Goss.

Stephanie Goss:
How's it going, Andy?

Dr. Andy Roark:
Man, it's good. We are just a week away from, as we're recording this from, the April Uncharted conference. It will be over by the time this comes out. But boy, excitement is high here. I have an extern from the University of Illinois College of Vet Medicine Jason Szumski is here with me. He's living in the basement of my house, which is a heck of experience for him.

Stephanie Goss:
Did Jason bring his Energizer bunny batteries? Because keeping up with you is hard.

Dr. Andy Roark:
He did. I'm actually super impressed. I have not had an extra in a long time just because excuses, and time, and energy.

Stephanie Goss:
And a global pandemic.

Dr. Andy Roark:
And a global pandemic. I thank you for that. That was a big part of it as well. Man. Boy he's busting his hump though. I got to tell you. I got to tell you.

Stephanie Goss:
I'm excited. Our Uncharted team and our community adore Jason. He's great. He's been a student volunteer for us for virtual conferences over the past couple years. And it's going to be so fun to have him in person. I can't wait to see him and everybody else. The excitement level is getting sky high for everybody. As you can imagine, we haven't seen each other in three years at this point, and we are so excited to be able to see each other. And there's a frantic, frenetic, exciting energy happening in the community. And can't wait to see everybody. It's going to be so much fun.

Dr. Andy Roark:
He's going to get mobbed. He's a fourth year vet student who hasn't signed a contract with anyone yet. It's going to be like torn clothes.

Stephanie Goss:
It's open season.

Dr. Andy Roark:
Yeah. Oh boy.

Stephanie Goss:
It's a good thing this episode comes out afterwards and they don't already know that because once the attendees hear that, it's going to be open season on Jason Szumski.

Dr. Andy Roark:
Lot of head slapping, like, “That guy didn't have a job? Oh my gosh.” Oh yeah. All right. I mentioned this episode a couple weeks ago when we were talking about good stuff coming in the mail bag. And this was one of the ones I had seen. And I was like, “Man, this is a good episode. I'm excited to talk about this.”

Stephanie Goss:
Yes. Me too. This is a fun one. We got something through the mail bag, through a call from a colleague that you and I have worked with before. And they were just like, “Hey, I have been listening to some podcast episodes, and I've gotten some really good ideas for high level how to address some of the concern that I have. But I would really love for you guys to do some actual role playing and discussing exactly how you would have some conversations like this.” Because this letter came to us from a manager who is struggling because they have a team member who is super negative. Feels like they are always negative about things. And there's always an answer for everything. They're the kind of person who makes everything it seems like dramatic, and argumentative, and has an answer. And really just kind of in the words of this manager, can't seem to get out of their own way.

Stephanie Goss:
So it's funny because when I got this message in the mail bag, I emailed this person back and said, “Hey, give me some examples. Tell me what this looks like, because it could look a million different ways. And I want to make sure that we have a good understanding.” And they came back in and gave us some really good examples, because they said, “I listened to some episodes. And I felt like I understood the principles, but I wasn't sure how to actually do it. And I feel like in the moment, I always screw it up. I would just love to know how to say what I'm supposed to say.”

Stephanie Goss:
And it's funny because you and I both get asked that a lot. I think when people talk to us individually is like okay, I get that idea behind it, but how do I actually do that? And I think that's one of the challenges I know I had a lot managing. You would go to a conference or you would hear somebody speak and they would give you the high level overview, which was fantastic. Because you wrap your brain around it. And you're like, “Yes, I understand the direction I need to go in.” But actually, what does the roadmap look like? How do I get from point A to point B?

Stephanie Goss:
So yeah, so this one, we got some really good examples. One of them was they had some changes happen. They became a corporate practice, and everybody in the team was understandably concerned about what the changes would look like. And some of the things that started changing were for this manager, that they were looking in a more formal way at budgeting, and staff hours, and how to use everybody's time. And they were talking as a team about the changes. And this person in a team meeting made some comments like, “Does corporate not care that we need to pay our bills? They're trying to screw us by shortening our hours.” Then this manager was like, “I tried to talk about that. The volume of work we have.” The clients coming in the door, that dictates our hours. Not a corporate office that's saying, “These are the hours you have.” We're trying to actively look at what is coming in the door and use our time, our resource of staff smartly. And the comeback basically was, “I just take corporate practice. All they want is money.” So I was like that's a really good example of not only is this person giving negative responses, but they're doing it in a public way.

Stephanie Goss:
So I think you and I have some thoughts about the list of examples. And we'll use some of the other examples that were shared when we start talking through this. But let's start where we always do from a head space perspective and talk about when we have somebody on the team who's just really negative and who is this kind of person that always seems to have a comment, can't keep their thoughts to themselves. Always seems to share. And often from the example sounds like, does this in a very public way. How do we deal with that person?

Dr. Andy Roark:
Yeah. There's good head space here. Let's always just real quick lay this down to start off with is you got to get safe for the conversation. So don't talk to this person if you're triggered. Safe is can you sit next to this person? Can you smile at them? Are you assuming good intent? Meaning are you assuming this person is trying their best and they're not trying to undermine the practice intentionally? Do they really think that they are the voice of the other coworkers and that they're looking out for the other people? That's a way to assume good intent. They're doing it badly. But maybe that they're trying to do.

Dr. Andy Roark:
Has this person been set up to fail? Have they not been communicated with? Do they not know things that they need to know because they haven't been told or there are nuances that haven't been shared? That's F. And then E is the end result, is what do you want? What do you want the outcome to be? So part of it is get safe.

Dr. Andy Roark:
In these situations when someone is behaving this way and being combative, yes, we need to get safe. Another piece of that, this variation is the best way to deal with a combative person is you have to care, but not that much. You have to care, but not that much. Which means when you're dealing with a combative person, someone who's negative, and they're going to turn this into a thing. If you care a lot, then they're going to bait you into an argument or they're going to make you really mad, and that's going to make you less effective. So you need to be a bit more emotionally detached than you would otherwise be to compensate for the over emotional attachment the other person has, in my opinion.

Dr. Andy Roark:
I'm not saying I don't care. I do care. But I have this conversation, I am going to have a little bit of detachment just because I know everything is going to turn into the worst possible explanation of other people's behaviors. And I know that this person is not going to give me any grace, and I'm just prepared for it. And maybe I'll be wrong and I hope I'll be wrong. But if I just go ahead and plan for that and go, “You know what, they're going to react emotionally. I'm not going to take the bait. I'm not going to rise to it. I'm going to talk to the person about what we need to talk about and go on.” That helps me get in a very calm head space where I can work with this person and not be on pins and needles, and not lose sleep because I have to just detach and say at some point, it's going to be what it's going to be. And I just need to be okay with that.

Stephanie Goss:
Yeah. Yeah. I think that's super smart. I think the other thing for me is I as a manager, that advice I would give to myself is put on the hat that you wear if this person was a client. So I think through what are the things that I do?

Stephanie Goss:
Because there are people in the world who really always look on the negative side of things. There just are. Just like there are people who always look on the positive, always bright side, always happy. There are also people who live in the negative. They just love that head space. So for me, I am not that kind of person. And I really struggle when dealing with those people. So what I had little mental checklists that I always run through in my head when I knew that I was going to have to talk to, there was a couple of them who we had as clients, who never did anything to warrant firing, but just were generally negative people. And there was always something, some complaint, something to be worked up about.

Stephanie Goss:
So smile. Taking a second to take a deep breath and smile before I respond to this person. And put myself at mental checklist of how do I smile at them? How do I kill them with kindness? How do I have empathy without caring too much? Like you were saying, how do I care about them? I care about them. They're a member of my team. I care about them as person, but this is not about me. They just are a negative person. Or they're choosing to act negatively. That's not on me. I don't have to own that and let them rent that space in my head.

Stephanie Goss:
So for me, it's a lot about thinking about okay, I'm not going to take this personally. I'm going to put on a smile and I'm going to say, “How can I help you?” Because that is really easy to take someone who looks at things negatively, it's really easy to take that personally. Those clients used to get under my skin because I knew that they were going to have something to complain about. And I would find myself at the end of the conversation feeling really, really worked up. But when I would take a step back and think about it, the reason I was worked up is because I was taking it personally. I was letting it get to me because I was looking at it as a failure on my part. So part of it for me is how do I just put a smile on my face?

Stephanie Goss:
And ask them a how I can help, you know? And if I approach it from the perspective of I'm not taking this personally. I'm caring a little less, as you said. It made it easier to interact with someone who had that kind of negative outlook on life.

Dr. Andy Roark:
Yeah. I completely agree. Jamie Holmes has the saying that I use all the time, and I use with my kids. And I think it's been really helpful in talking to my kids a number of times in their life. And it's hurt people hurt people. And a lot of times when we have people who are really mad or really combative, they're responding because they've been burned in the past or because they're afraid, or because they're angry or they're hurt. And probably again, doesn't have anything to do with you, but hurt people hurt people. I see clients losing their mind. And yes, as a doctor, it makes me mad. I don't like people to yell at me, and I don't like them to yell at my staff. I think it helps me to look at that person and recognize that's a hurt person. That's a person who is afraid, or that is a person who is carrying a lot, or that person is really struggling. And they're lashing out because they hurt. And yeah, I've found that to be helpful again in my life. And I find it helpful in these situations.

Dr. Andy Roark:
Before we talk about how to have the conversation, let's talk about what conversation we should have. And that color as what I said a little bit about being a little bit detached. So as I said that, I said I haven't really shown my cards here yet. So that might sound a little bit strange or different from my usual advice of compassion first.

Dr. Andy Roark:
There's three highs of conversations that are like this. That looks similar, but to me are very different. And it really depends on what you're into. So as you said, there are people who have a negative worldview. They are loss-averse people.

Dr. Andy Roark:
So there's two kinds of people, right? There's people who look at opportunities and they say, “What's in this for me? What is the value? What is good?” And there's other type of people who look at it and go, “How am I going to get screwed? What is bad? What am I going to lose?” And that's just the innate wiring that people have is what is the cost versus what is the benefit? And we look at different ways. So a lot of times we look at people who are negative people, that's just their worldview. That's their mindset is they look and their first thought is, “How is this going to go badly for me?”

Dr. Andy Roark:
And again, it's not good or bad. It can be frustrating when you are the idea person, and your job is to get this on board, and their knee jerk reaction is going to be negative. But that's a lot of people. My wife would say that a bit about me, and I've just always been very open. And I would say, “Hey, just know when you pitch an idea to me, my first reaction will probably be negative because I will immediately go, ‘What's wrong with this idea?'” And I don't know why that's my first thought. But 100%. It's just before I can get excited about something, I have to run the caution list of how does this blow up in our face? Even if I see how it can blow up in our face, after I have ascertained that, I can then go ahead and circle back around and be like, “Okay, now I understand the risk. Let's talk about the benefits.”

Dr. Andy Roark:
But it can be really frustrating when you're bringing the idea. I sing the praises to these people a lot too, as someone who often sees what can be bad. Those people can be really useful. And those are people who spot problems. And if you talk to them in the right way and engage them, they can really help you to figure out what's good. Go to one of those people and say, “Hey, what do you think the main client complaints about our practice would be?” And they'll tell you exactly what the clients are of, “They complain about this and they would hate this, and they would not like that.” And then you say, “What do you think we could do about those things?” And they might very well give you some good answers, because they understand the problem. So those people, that's just one example, but they can be really valuable. So that's the person who's, that world view is just them. That's it, right?

Dr. Andy Roark:
The second type of conversation is with someone who's struggling. There are people who are overwhelmed, or they are afraid, or they have other things going on in their life. And they are reacting negatively because of their anxiety, because of their stress, because of their overwhelm, because they don't have the emotional support that they need. And those are struggling people. And often, what happens when you see these people is they will have a negative response or a competitive response to a particular scenario or topic. Or they will behave in a way that's out of character. Meaning I did not see that coming from him. I did not anticipate that reaction. That that may be a struggling person.

Dr. Andy Roark:
And the last is the undermining person or the toxic person. And this person has a pattern of negativity, but it's not just that their responses are negative. it's that their responses are negative and trickle out to other members of the team. They're not saying, “I don't like this idea.” They are saying in front of the rest of the team, “This is garbage,” and it shows that they don't care about us. That is a whole different ball of wax than, “I don't want to do texting in our practice. I don't want to do this new practice management system.”

Dr. Andy Roark:
This is something different, and it is not acceptable. Right? Yeah, it's not acceptable when people start undermining where the practice is trying to go. that that can't happen. And that is the definition of toxicity, right? That leaching out of negativity into the surrounding culture. Like yeah. That's toxic. That's a toxic waste leak.

Stephanie Goss:
Yeah. And it's funny because when I was reading through the responses that this manager sent back to us with examples and stuff like that, they summed up that section by saying, “These are just a few examples of what has become everyday toxicity.” And it was funny because I read through it and my first thought when I was outlining this and the episode and what we're going to talk about, I thought why are we even having this conversation? You have just documented a whole list for me of things that are unacceptable, truly toxic behaviors. And this is a person who before we talk about how do we talk to them, my question is should we even be talking to them? Because my answer was this is a really clear example to me of someone who needs to be let go to find opportunity elsewhere that's going to be a better fit for them, because they're clearly not a good fit for you or your team.

Dr. Andy Roark:
It was like, “What do you say to this person?” It was like the line that I heard once was, “I don't know how we'd get along without you, but tomorrow we're going to find out.” What are you saying? That's one option.

Stephanie Goss:
Yes. So that is for me, it is okay, we are going to talk about how do we have some of these conversations, because I think that makes a really good episode. And at the same time, I think where this conversation, if anybody is listening to this, and I know that this is going to be one of those episodes where people are listening, going, “Feel like they could be talking about my practice.” We've all been there. We've all worked with someone like this. I worked with the someone like this as a coworker. I have worked with people like this as a manager. And the real question I will tell you is if you're looking at the examples, if you've challenged yourself to really write down some concrete examples of this person's behavior or things that are happening. And as you said Andy, it's the kind of things that are happening consistently. They're happening in front of the whole team. The behavior and the negativity is leeching out to the rest of the team.

Stephanie Goss:
If you write those things down and you step back and look at it, and that's what you're seeing, for me the question is okay, you've moved well beyond what do I say? What do I say and how do I say it? And really the question you should be asking yourself, is should I even be having this conversation? Or is it time to look at it and say, the question is actually how do we part ways? Not how do I have this conversation?

Dr. Andy Roark:
Yeah, totally. And so the two things I would put down real quick, because I don't want people to think we're jumping to conclusions. Like I said, there's a laundry list of examples here of one person publicly pushing back and saying things repeatedly like, “I hate corporate. I hate this company.” And that's not okay. It's not okay to say it. It affects everyone else.

Dr. Andy Roark:
So two things I put down. Number one is toxic people generally don't get rehabilitated. Once someone becomes a toxic person that is having daily negativity, the research is pretty strong and supported. You are not coaching that person back. Once you get to that level, they are too far gone. People don't tend to be toxic when they arrive in a place. They become toxic overtime.

Dr. Andy Roark:
In this case, it sounds like there was an ownership change and there were significant changes. And this person may have gone this direction very fast. Because of the significant management change. But the ultimate outcome may very well be the same. And I'm not going to write this person off immediately. But I am going to the process of moving this person out. Giving them plenty of time to get on board or giving them opportunities to get on board, but they have to want it. And if you have a toxic person that does not want to not be toxic, they're not going to change their behavior. They're just not. And you are not going to be able to manage a toxic person. I see people all the time who are like, “Can I hide them somewhere?” Maybe if they worked in the back. And I'm like, “Nope. Nope. Nope.”

Stephanie Goss:
Oh my gosh.

Dr. Andy Roark:
They need to go. So the first part is toxic people don't tend to get rehabilitated. They generally need to be liberated. And the other thing is, we've talked about it a lot before. One of the things that helps me is management is all about picking your poison. So you have two nasty drinks in front of you. You can have the nasty drink of continuing to engage with this person every day, and try to lead a team with this person leaching their toxicity, and undermining what you're doing, and accusing you of having the worst motives you could possibly have again, and again, and again. Or you could go through the firing process. I know which one I'm going to drink. But you get to choose. Pick your poison.

Stephanie Goss:
Yeah. Yeah. No, I think that that's a good call. So I think part of that for me is you have to have some structure in your practice to figure out whether someone is toxic or not, and also to look at their, this falls into their fit level with the team. Right? So when we talk about assessing employees, we're assessing them based on their skills. And this is where a lot of times, people struggle. I have seen a lot of myself included, and my friends, and peers struggle with doctors or technicians where they have really high skills. They are really capable of their jobs. No matter role in the position, CSR, doctor, technician. They have a skillset that makes them excellent at their job from that perspective. And the other half is the fit, right? The soft skills. The can they talk to people, can they get along with the team? Are they supportive? Are they positive? Do they jump in? Do they involve themselves group projects? All of those kind of things. And this is where people struggle because they look at them as two independent silos.

Stephanie Goss:
And there are so many people that choose the poison of, “Well, I have somebody who is really high skill. So I'm just going to ignore the fact that they're not a fit. And I'm going to choose that poison of having that person there and having that daily interaction that is just negative for the rest of the team as a whole.”

Dr. Andy Roark:
Well, the vast majority of toxic people I see in practices are high skill. The reason is because no one would ever put up with them if they weren't technically good at their job. If you're like this person is horrible to be around. And I'm like, “Are they good at their a job?” And they're like, “Nope, they're awful.” That's a no brainer. You go nope. There are [inaudible 00:25:52]. Now I do see those. I agree.

Stephanie Goss:
I was going to say we have a lot of conflict adverse people in veterinary medicine. So there are lots of people in practices that are neither high skill or high fit. Because we don't want to deal with conflict and we don't want to say I've created an opportunity for you to be happy somewhere else, you know?

Dr. Andy Roark:
Yes. Yeah. I do agree with that. I do agree with that. So that's where, look at the big lessons that I learned. One of my mentors told me … I remember he had bought a practice and he was a partner in the practice. And I was working with him at the time. And he is gone to this practice. And he was talking to this brand new staff that had just come into their ownership and everything. And basically what he said to the group, and he said in a very nice way, but basically what he said was, “Hey, you guys are doing a great job. We're going to be making some changes. We're really going to the next level. And we want you guys to be a part of that. We would love for you to be here and be a part of what we're doing. And if you don't want to be here and be a part of what we are doing, that's totally fine. We will write you letters of recommendation. We will help find you other positions and other places. And there's no hard feeling, and the door will be open if you want to come back. What you can't do is stay here and fight against or work against the changes that we're going to make and where we're going.”

Dr. Andy Roark:
And to me, that's what this reeks of is to say to the person, “Hey, I want you to be here and be happy. And you are welcome to be here and be on board with what we're doing and be happy, or you're welcome to leave. And I will support you.” And anyone who asks, I'll say, “Hey, we went to a corporate ownership structure. It was not for her. And she decided that she wanted to leave. And that's what it was, and she was great. I'm happy to support you there. But what you cannot do is stay here and be miserable, and undermine what we're doing.” So those are sort of the conversations that we have with that person.

Dr. Andy Roark:
And before we start to talk in more broad terms about having harder conversations, the conversation I would have with this person is basically I would try to come from a place of compassion and say something along the lines of, “Hey listen, you seem wildly unhappy here.” And then I would recap. “Just in the last three days, we talked about these three or four different things. And I'm worried about you. And I don't like how unhappy you are here. And you're clearly pushing back against where things are going. It's not good for you. It's not good for the team as far as moving forward and getting on board.”

Dr. Andy Roark:
And then I would go into my, “I want you to be here and be happy. But look, if this is making you miserable, you are important and you are valuable. And you should do what's right for you. And I think that's probably leaving and finding something else where you're going to be happy because you clearly are very unhappy here.”

Dr. Andy Roark:
And that's the opening conversation for me is what do you think about this? Am I wrong? Am I misreading this? And if they come back and go, “No, I'm actually really happy here.” Then I'll say, “Well look, we need to talk about some changes so that you can continue to be here, because this is getting really bad.” And you hear that I did not say, “You're getting really bad, or even that you are unreasonable. I'm saying you are wildly unhappy, and it shows. It's not going to be able to continue on this way. So I want what's best for you. It sounds like that might be for you to find another place to work where you're going to be happy. And I don't say that because I don't want you here because I do. But man, I'm worried about you.”

Stephanie Goss:
Yeah. I love that. I love when you say, “You can stay and be a part of what we are doing here. Or you can leave. But what can't happen is you can't stay and you can't choose to fight against what we're doing.” What I love about that example you gave Andy is that it puts it in the future. And it takes the personal attack feelings completely out of it. They could still choose to take it personally. But the way that you're framing it is not personal at all. Because they haven't done anything wrong. You are setting the tone for the future and saying, “Hey, we're starting a fresh chapter. We are going to be making some changes. These are things that we are going to do in the future. We would like you to get on board.” And they are then actively making a choice from that point forward. It's not punitive. You're not looking back at the past. You're not talking about things that have happened in the past. You're talking about future behaviors.

Stephanie Goss:
So when they make their choice, are they going to stay, get on board? Are they going to choose to leave? If they choose to stay, then the conversation becomes, “Okay, you chose to stay here and be a part of the team. And today this happened,” right? Then it becomes future facing. So I love how you frame it because it takes that personal attack. It takes them from interpreting it in a personal way and going on the attack mode, because that's really hard to hear. Because when somebody tells you, “Hey, in the last three days, you've done these things,” right? That immediately is going to put someone on the defensive. And it is important. And we're going to talk through that. And that is giving concrete examples and showing with your words the behaviors is really important.

Stephanie Goss:
It's really hard for us as human beings to separate out ourselves from the behaviors. Right? And those are two separate things. So what's really important from an HR perspective is that we're keeping this in the behaviors category. We're not talking about her as a negative person. And that's where we struggle because for so many of us as managers, it's like when you're talking to someone in the moment, it's really easy to let the emotions become the leader in the conversation. And this is very much one of those conversations where you need to stay in the specifics and talk about the things that are being said or done in a specific example format to help move them forward. Because that is actionable. Saying that there's a negative person is not something that you can use as documentation to terminate someone's employment. Right? Or I guess you can, but you shouldn't. Should be more concrete than that.

Dr. Andy Roark:
Yeah, weak sauce.

Stephanie Goss:
Anyways, do you want to take a break here before we get into how to say what to say and how to have these conversations?

Dr. Andy Roark:
Yeah. Yeah. We can take a break here. The last thing I just wanted to say was circling all the way back around the beginning, this is exactly why I said at the beginning, a bit of emotional detachment is good. And why I said there's that extra you got to care, but not that much. It's because it is very hard to let these other things go and just have a future facing conversation. And act like the old stuff is water under the bridge. You know what I mean? That is very hard. The flaming, raging sword of justice calls your name from this person who has undermined what you're working on so hard and is crapping all over the hard work that you're trying to do. That is fully understandable why people want to grab that sword and take heads. It is the wrong move. The best thing is emotional detachment, and be smart, and play it as we kind of laid down. So anyway, yeah. Let's take a break here.

Stephanie Goss:
Okay.

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

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

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

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

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

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

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

Stephanie Goss:
Are you a super sad panda because you didn't get to join us in Greenville last week? Or were you with us in Greenville and you miss us already? We miss you guys too. In fact, I would love for all of you to be able to join us at some events that we have coming up, that you are not going to want to miss. Next month in May, we have the first, it is part one of a two part series. You can take them independently. But it is two workshops coming at you from to your friend, Dr. Tracy Sands. Tracy is passionate about amazing teams, building a intentional culture of appreciation. And that is exactly what she is going to talk to us about. She is leading the first workshop May 21st. And it is retain your team, speak the languages of appreciation in your workplace. She's going to talk to us and work with us on how to learn about the languages of appreciation, but also talk about how do they influence our team and clinic cultures. That is happening May 21st at 2:00 PM Eastern. That's 11:00 AM here on the West Coast.

Stephanie Goss:
‘It is $99. You can participate if you are not an Uncharted member. And if you are an Uncharted member already, it's free as always. And part two is happening in June. It is June 25th. It is also a two hour workshop, also $99 for our non-members and free to our members. And it is be a part of a happier team, strategies to build an appreciation culture in your practice. So this is going to be an even more in depth look at workplace appreciation, but the actual practical how do we apply it in our practices. To find out more, head on over to the website at unchartedvet.com.

Dr. Andy Roark:
We are going to hit the pause button for one second, because I have to give some shout outs. I have to say a huge giant bottom of our hearts thank you to some of our industry partners who just joined Andy and I, and the rest of the team and, the Uncharted gang in Greenville for our April Uncharted conference. Because without our industry partners, we could not continue to do the good work that we do at Uncharted. And we especially couldn't continue to have live events and make them amazing and fun. And that is exactly what we did this past week in Greenville. So I just want to give out a huge shout out and thank you to our friends at CareCredit, at Hill's Pet Nutrition, and Nationwide. Patrick, Emily, Sharon, Omar, Mike, you guys are amazing. It was so much fun to spend time with you in Greenville. And Andy and I just want to say thank you from the bottom of our hearts. And I know that the Uncharted community wants to thank all of your companies. Because you guys are amazing, and we appreciate your support.

Stephanie Goss:
All right. So let's talk a little bit about having these types of conversations before they get to the critical breaking point. We have situations where management structure changes and people make significant changes to their behavior. Usually these things come on more slowly. Usually we start to see negative behavior pushback questioning. It usually starts small, right? It's called a shifting baseline. And usually, it starts with a little bit of eye rolling. And then there's some grumbling. And then there's a little bit of complaining in the hallways. And then there's walking out of the staff meeting, which is a big thing. Not saying anything, but leaving. And then there's the open this is not working. How can you say this?

Dr. Andy Roark:
And it creeps up to that. It doesn't usually start that way. So the first thing that I always like to say is address it early. That's the action step is don't let it become a pattern. And it becomes a pattern because as you said earlier, and you're right, we have a lot of conflict-averse people in vet medicine. We have a lot of people who want to be liked by everyone. And these are hard management lessons to learn. I always feel bad when I'm like, “Look, everyone's not going to,” and you and I talked about this when we talked about being friends with the staff. You said, “Look, some people are not going to like you. You need to suck it up. You need to accept that.” And I'm like man, that sounds so harsh. And neither of us mean that in a you're in charge now. That's not how we mean it.

Dr. Andy Roark:
But there should be a little bit of internal toughening and understanding of you are the maker of hard decisions. And there will be people who don't come down on what you decide every time. And that's it. And as such, it is your job to balance the needs of the staff and to make the environment a positive place for everyone. And that means that you are going to have to have some uncomfortable conversations with different people to maintain that balance. Because otherwise, you're not going to balance it. And some people are going to ride rough shot over others and their behaviors are going to grow.

Dr. Andy Roark:
And it goes back to what I said before the break, which is a big thing in management for me is you pick your poison. Which is, would you rather have an awkward conversation now, or would you rather do significant cleanup in three months? And you've got people who are ready to quit. You've got five people who are angry, and you have one person who's put themselves in a position and has built a track record of breaking the rules and acting in a negative way. And now, you got to figure out how to deal with that. Yeah.

Dr. Andy Roark:
You know what? Over time, I have just come to believe with certainty that the awkward conversation is better. The other part of this I will say too is it doesn't have to be wildly awkward. I had a conversation recently with someone who was like oh my gosh.

Dr. Andy Roark:
So the story is, so I do improv comedy. So I was playing improv comedy. And someone who was on the improv comedy team that I was on, we were practicing improv comedy. So there wasn't an audience. We were just messing around. We were doing funny stuff and the person just, and again, in improv comedy, you make up everything on the spot. So it's all off the cuff, and it's fairly high stress and high pressure, right? Because you're creating this theatrical performance out of thin air. And a lot of times you react on instinct and things like that. And this person made a choice that could be conceived as stereotyping or be conceived as racist in the choice that they make. And it wasn't wildly awful or anything, but you go you know what, this could be conceived in a negative light. So we sort of finished up what we were doing. And then the discussion among a couple people was, “Well, what do we say about this?” And the discussion came down to we know this person, and they're a very kind and nice person. And we don't think that they're our intention was to offend or to belittle anybody at all.

Dr. Andy Roark:
So we want to say something because we don't want that to happen on stage or in front of an audience. And we don't want to continue to have that just be a part of our, it's not who we are. It's not what we represent. And it's a behavior that needs to be corrected. But the question is, how severely do you approach that? Do you call a team meeting and sit this person down and say these things? Or do you have someone sort of pull them aside for a second and say, “Hey, I just want to put something in your mind.” And just say it.

Dr. Andy Roark:
And a lot of times I think we know we need to have the ‘awkward' conversation. And to us, we take it seriously enough where it's about something that's important that we think it needs to have formality to it. And my point is a lot of times, you can absolutely correct behaviors, and make changes, and make people aware of things with minimal fanfare and in a very soft way. And we know that this guy, if we mention it to him, he's going to feel terrible. And he's going to say, “Oh my God, I did not even than think about that. I'm really sorry.”

Dr. Andy Roark:
And that's going to be the end of it. So there's no need to have a make it a big thing, but it needs to be addressed. So anyway, I use that example of something I saw fairly recently of there can be a tendency just to be heavy handed. When in reality for most people, they're having a bad day. And if you just say a little something and say it with some compassion, they're going to get it, and they're going to change behavior. And they're going to see oh yeah, I can understand why that was maybe perceived that way.

Dr. Andy Roark:
I think a lot of times we either air by not having the conversation or a lot of times we air by making it a big deal. And that adds to awkwardness and all adds to fall out, and makes us not want to have more of those conversations.

Stephanie Goss:
Yeah. You said something that's really important to me, which is when you're thinking about it and processing it, your response was, “Okay, I know this person. And I know that that would not be their intention to use racist language, or make a statement the way that they made it, or whatever.” Because if they knew the impact, if they knew my reaction would be X, they would not have done Y. I know who they are as a person.

Stephanie Goss:
That for me is one of the foundations. That idea, I learned it when I was learning how to have hard conversations. And one of the tools that I learned about was this idea called nonviolent communication. And for me, that is a foundation part of this. When I'm having a conversation with somebody, it makes the conversation easier to have to just say, “Hey, when this thing happened, I had this response to it. I know you. Based on our relationship, I know that you would not intentionally want me to feel like this. So I just wanted to say something about it, because it made me uncomfortable or it made me feel very awkward.” Or whatever the feelings you have are, right? You're sharing your experience with that person. You are framing it for them. “I'm not angry at you. I'm not upset. I'm not taking this personally because I know you. We have a relationship. And I know that inside of the context of that relationship, you would not want this to be the case.”

Stephanie Goss:
And I think that that's such a great example because it ties back directly to this person. If you have somebody on your team, you have a relationship with them. Even if they're a brand new member of the team. When I think about team, to me, that looks like people having each other's backs. And it looks like people who are supportive and who care about one another. And if I shared with somebody on my team, “Hey, you did this thing.” Or, “Hey, you said this thing this way. And it made me feel like this.” And I asked them for their help in not making me feel like that again. Shouldn't somebody who's on your team who you have a personal relationship with, shouldn't they want to change their behavior very simply and easily to your point, right? It's not a big production. It's not a big, “Hey, we're having a formal disciplinary conversation because this behavior can't continue.” It's, “Hey, “I value you as a person. We have a relationship and I need your help so that this doesn't happen again in the future because of the consequences or because it made me feel.”

Stephanie Goss:
Those are all setting it up correctly so that you are sharing your personal experience and using I statements, and all of those things that you learn about when you were learning about formal communication. But your point is such a good one, that it doesn't have to be this big overworked thing. Right? It can be a simple as, “Hey, I know you didn't probably mean for this to come off this way.” This what I heard when you said. Just that this is the response I had on an emotional level, because then you're taking it into you. Like it is about you not about them. It takes the anxiety level down a few notches and it becomes easy to say what were you, even if you're wanting to ask a question, what did you mean by that? What were you trying to do? What was was the intention asking them without accusing them, “Hey, I think you had the wrong intention?” That changes the entire dynamic of the conversation. And I love that. I think it's so important and that is a tool that I use a lot when I'm looking at these conversations because it is a really good one to use.

Stephanie Goss:
Just like you have a relationship, a personal relationship with your improv comedy team and your partners. You as a manager, speaking to our writer and our listener here, you have a relationship with this person. And you should leverage that relationship and say, “I care about you as a person. I care about our relationship. I care about our team. This is how this made me feel.” Or, “This is how the team felt.” Nobody wanted to continue the meeting, and we had to end early and everybody walked out feeling really uncomfortable. I felt uncomfortable. Whatever it is, it creates the opportunity for you to give them your personal experience there and ask for their help moving forward.

Dr. Andy Roark:
Well yeah. Whenever you start to have a conversation that feels like you are in the manager role and they are in the employee role, that's a high stakes high stress situation. The best feedback is feedback that people don't even know they got. That is the best feedback. You know what I mean is when you bump into each other and you have a couple of quick words and they say, “Hey, I saw what you did. And I was thinking about I think that in the future, it may be more helpful or more productive, or I think it'd be received better if you considered making this change. What do you think about that?” And you're like, “You know what? That's a good idea. That is a good change. Thanks for that. Great, buddy.”

Dr. Andy Roark:
And then it goes on and like I've heard those feedback conversation. You go, “That was a Jedi at work.” That was it. It was just low stakes, low stress feedback. And I think that that's what we should aspire to. The other part of it too, is there's, and this is just another trick out that same toolbox is seek first to understand when the person walks outta the staff meeting. If I'm at my best, my conversation with them sounds like this, and we're talking about what do you say? I'll say, “Hey, I saw you walk out of the staff meeting. What happened? What's going on?” And that's it. And I'm going to listen and they're going to say, “Well, I don't like this.” And I'm going to say something like, “Look, you seem to have really strong feelings or you seem to be really reacting emotionally to what's what's happening. Help me understand where you're coming from here.” And we'll have that conversation. And I'm listening to this person. Because I think a lot of times, the emotional reaction from a leadership side is how dare you disrupt this meeting? How dare you walk out? How dare you-

Stephanie Goss:
Because you're taking it personally.

Dr. Andy Roark:
100% you're taking it personally. Versus saying, “Hey, you were reacting very strongly. Help me understand why you feel this way.” And then when it's over, I probably can validate a lot of this person's feelings and say, “I understand this is a lot of change. And I do understand that you have concerns about getting the hours that you need. That makes a lot of sense why you would feel that way. And I'm going to commit to you and say, “I am going to do what I can, and I will work with you to make sure that your needs get met because I want you to be here. And in exchange, I need to make sure that you're not going to do things like that that are public, that send a message to the team that you're not on board, or that you're angry, or that sort of tank at the meetings. I'm always here and I'll always listen to you. But I need you to bring it to me this way and not to do public that things in front of the staff that are going to undermine what we're talking about or just distract people from the task at hand. Is that a fair agreement?” And again, it works better when these are not a pattern. That's the thing is once we get into dealing with a pattern of behavior, it's much more of an uphill battle.

Stephanie Goss:
Yeah. No, I love that you gave the example of how you do the mention, because you do that so well. And I think one of the challenges for so many of us as managers is that we do have a lot of conflict averse people in our field. And it may not be you as the leader that's conflict diverse. Might be of the other person. So as a manager, I've experienced that where pinning that person down and having conversation with them is real hard, because they don't like conflict. And if they know that you need to talk to them about out something, they're going to make themselves scarce, make it really hard to have a conversation because they already know. Right? So this is where I kind of have the 24 hour rule for myself.

Stephanie Goss:
So sometimes, it's always best when I can give that kind of feedback in the moment. And to your point, I think it actually is a great example. I've had that happen to me as a manager. Somebody walks out of the staff meeting and I'm like, “That's unacceptable.” You cannot choose to just walk out and not say something. That's not how we agree as a team to work together.

Stephanie Goss:
But if I chose to address that person after the meeting, it would be really hard for me on a personal level to keep my emotions under control, and not get hotheaded, and not go raging flaming sort of justice. And make it into a big disciplinary conversation. So one of the things that I had to learn how to do as a manager was give myself the space, calm down, take a walk, take a deep breath. And now sometimes, I can go take a walk, and come back, and have those conversations 20, 30 minutes later. When I was a young manager and just learning how to do this, I would give myself 24 hours, because I would need to go home and vent or decompress and really unload the anger because I leaned into those emotions very strongly at that point in my career.

Stephanie Goss:
But I would force myself to make a decision coming back to work the next day. I'm either going to say something about it now, or I'm going to let it go. I'm going to really truly let it go. I'm not going to let it go in the way that I'm still thinking about it and I want to reach for this as an example in the future and use it punitively, right? That's how our subconscious works. It's really easy for me to say oh yeah, I let it go. But I'm going to bring it up six months from now when the same thing happens again. Right?

Stephanie Goss:
So I would ask myself, am I going to choose to let this go or am I'm going to say something? And then I would say, “Hey, yesterday this thing happened. And I felt really strongly about it. And I really just want to talk to you. Can we just take a second to chat even privately?” Because for a lot of us, that's how do we have these conversations in a hallway full of people? We're in the pharmacy, we're in treatment, whatever. For a lot of us it's, “Hey, can we talk?” It takes practice, and it takes setting the tone and the culture for your team to feel like it's not weird to say, “Hey, can we go outside and have a conversation for five minutes?” And just truly have a conversation and not make a big thing out of it.

Stephanie Goss:
But for me, that was something that I had to set a rule for myself of okay, how do I mention this in the moment and also give myself the time to not get emotional about it and have that detachment? Because in the moment, that was really, really hard for me. And it stopped me from being able to not create a pattern, right? Because I would avoid the conversations, because I was angry or I was upset. I would let it go, but I didn't really truly let it go. And then I would find myself in a position where now instead of one example where I could have given them feedback in the moment about how I felt or how I wasn't okay with their behavior, now I'm talking about repeated incidents. And now I'm talking about a pattern instead of one single thing. And I think a lot of us as managers as we're learning and growing, find ourselves in that position where we're trying to deal with it when it's already become a pattern. And it's really hard to start that mention, the hallway conversations. It's really hard to have those when it's been ongoing, repeated behaviors that have happened over and over again, because now we've tied a lot of emotional energy into it. And now it becomes harder to stay detached like you were talking about.

Stephanie Goss:
So for me, I think your words are so, so important. Look, think about it. Maybe you're not even thinking about it for this person because maybe the pattern is already there, and it's not going to be possible for you to have those conversations without taking it personally and being able to mention it in the moment. But think about it for the next person that, “Hey look, the goal should always be start small when the stakes are low,” and just be able to say, “Hey look. This is the thing. This is how it made me feel. In the future could we do this?” Simple, easy to walk away, right?

Dr. Andy Roark:
Yeah. I agree. So let's land this thing. Do you want to run through some wording stuff or some examples? How do you want to do this?

Stephanie Goss:
I would love that. So maybe I'll share the formula that I use, because this is how my brain works. And then maybe you want to tack on anything else in terms of how your brain would work. So for me, I am one of those people where I get nervous when it's emotional. And I can often stutter. So I have to process it for myself. Just how my brain works. So I have a little formula that I work myself through to frame a conversation in my head. But for me, it is very much about okay, I have to start with when the thing happens. So when I see you, when I hear you, when you say this, right? And I want to give them a concrete example. And for me, the most important part of it is when I'm using an example, I want to make them see it. I want it to be really crystal clear. I want it to be objective, not subjective. So for me, that's about thinking about what happened, saying it out loud. And the test I have for myself is if I look in the mirror and say out loud the thing that upset me and I can't in my mind see exactly what happened and how it happened, I say it over, and I reframe it. And I work myself through what is the example?

Stephanie Goss:
And it was funny because when I was reading through, I asked a writer to give us some of the examples, and some of them were great. And other examples, I was like I still don't know what that looks like. I need more information, more details. Right? So that's litmus test for myself is can I look in the mirror with my eyes closed? Would I be able to see in the mirror what is happening? And if the answer for me is no, then I start over. But it has to be this is the concrete example. And then it has to be about me. How did that make me feel? What was the impact, right? The impact of their actions. So the first part is their actions. The second part is their impact. So, “Hey Andy, yesterday when we were in a team meeting and you said no when I suggested an idea for how we could handle something as a team, that made me feel,” whatever. Angry, upset, emotional, right? I'm telling you the action that happened, making it concrete, giving them examples the day when it happened, stuff like that. How did it make me feel? What was the impact?

Stephanie Goss:
“I know that you wouldn't intend for me to feel excluded from this process. So in the future, could you do this instead?” Right? So I'm saying, “When the thing happens, this is the impact. This is how it makes me feel.” Think whatever. In the future, what is the change that I need to see? What is the change the team needs to see? It's not about you are doing this thing and it's unacceptable. It's you are doing this thing. This is the impact to the team. In the future, this is what I need to see from you. Because if I'm giving them all of those things, especially then if I'm following it up with, “I can support you as your manager by doing this,” right? “I'm going to commit to touching base with you once a week and seeing how it's going as you try and change this behavior because I know that changing habits are hard. We're building a new habit. We're doing something new.” This is how I'm going to support you.

Stephanie Goss:
Whatever that looks like, when they're committing to making that change and you're supporting them, if the behavior continues now all of a sudden it's not about this incident happened, this one thing happened, and I'm having a conversation with you about one thing. Now we're having a conversation as a manager of, “Hey, we had a conversation. I asked for the change. This is how I asked for the change. This is what you committed to me. You told me that this is what you were going to do and how you were going to do it. The change in the behavior is not happening.” Now we're talking about a pattern. Now we're talking about refusing to make changes after they have committed to it. That's a very different conversation from a disciplinary process, from a documentation process. That is very different than, “Hey, this thing happened one time and I gave you some feedback or some correction information.” Right?

Dr. Andy Roark:
Aye. Aye.

Stephanie Goss:
That's a fun edit for Dustin.

Dr. Andy Roark:
Yeah. Yeah. I completely agree. So as I'm sort of going through this with you, I go okay. I definitely see this. I like your system. I think it's very similar to generally what I say, you know? So for example, thinking about sort of kicking this off and say, “When I see you on your cell phone during the staff meeting, it makes me feel like the work that I put into the meeting is not being appreciated. Or it makes me feel like the staff meeting is not valuable, because the whole point of having it is to communicate and to have people be present together. In the future, can you keep your cell phone put away and just be present with us? And I'll support you by trying to keep the meetings short, have an agenda. Make sure that they are maximally valuable. I'm not going to have you guys at meetings if you don't need to be there. Because I know your time is valuable.”

Stephanie Goss:
Dude, how could you say no to that? If somebody says that to you, I could give you an excuse. Or not an excuse. I could have a reasoning for why I did what I did. I was checking the timer on my phone because we have a patient who needs an insulin check. When you check their blood sugar at a specific time. So, “I was checking the timer on my phone. I'm sorry. I didn't mean for it to be the case.” Right? Because there are often, there are always at least two sides to every story. Right? And the truth is almost always somewhere in the middle of those things.

Stephanie Goss:
So you're creating an opportunity by saying exactly what you said and how you said it to me. You're creating an opportunity for me to maybe give you more information. And that is one of the important steps as a manager. That a lot of times I know emotionally, I tend to skip that step. I go from this is what happened. This is what I need to see happen. And it's hard for me because I lean into the emotion. It's hard for me to say, “You might have more information that when I find that information out, changes the way that I'm thinking or feeling.” Maybe it doesn't, but often time it will. So you by saying what you said create the opportunity for me to give you that kind of information. And maybe there's not. Maybe I was just checking Facebook, and maybe I feel guilty and I'm caught.

Stephanie Goss:
And I'm like, “Look, I'm really sorry. I really felt like what we were talking about in the meeting didn't pertain to me. And I was thinking about all of the other stuff on my list, and I just checked out, and I was checking Facebook, and I'm really sorry.” Right? But it creates that space in a way that doesn't feel like I'm in trouble, and I can't have a conversation with you.

Dr. Andy Roark:
Yeah. And you could even go softer than that too and say something like, “Hey, I saw you on your phone during the meeting. Is everything okay?” And then they'll go, “It was daycare.” And you go, “That's fine.” And some people out there are hearing this and they're like, “I was doing whatever. I was getting a text from whatever,” blah, blah, blah. And they're like, “Well, what do you say when they make an excuse?” And the answer is you don't say anything. You say okay. And generally, most people if they're on their cell phone and the boss says something to them after the meeting like, “Hey, I saw you on your cell phone. Is everything okay?” The message being sent is, “I am aware that you were on your cell phone and that is abnormal behavior, which is why I'm asking you if everything is okay. And hopefully, we will not have to have this conversation again.” Right?

Dr. Andy Roark:
The point is I don't need them to apologize for being on their cell phone. I just want them to not be on their cell phone in the future. Right? Another example I was thinking of that this goes right back to our original letter is the person says, “Well I hate corporate.” So I think, “When I hear you say you hate corporate, it makes me feel really defeated because I'm doing everything that I can to try to make this transition positive and good. And I'm working really hard. And as the manager, I kind of see myself as part of corporate. So when you say I hate corporate, it honestly hurts my feelings. And I hope in the future that maybe you won't say that. I will keep doing whatever I can do to try to make this transition better. And you can always come to me with feedback and tell me how I can try to support you guys. But I want you to know that I feel really beat up when I hear that language.”

Stephanie Goss:
Yes. Yeah. That's great. There was another example about this manager is trying to shift because they used to be on the floor. And they're trying to shift into taking a more active manager role. And they had been having a conversation with the team about why they weren't wearing scrubs, and working on the floor, and jumping in whenever anything was needed anymore.

Stephanie Goss:
And this person's response was, “Well, are we all just supposed to suffer because you won't help us?” So that's a great example of where you can say, “Hey, when you said that, it made me feel really defeated. I'm really trying to make a better environment for the team. And I feel like I really jump in and help when help is really needed. And I took that personally. And I know, at least I hope that you wouldn't intend to say that and mean for me to take it personally. Because I feel like we're teammates and I wouldn't want to be on a team with somebody who meant to intentionally hurt me. So I just needed to say something because it really bothered me. It really hurt my feelings.”

Stephanie Goss:
Because it's okay if that's the case. Whatever your response is as a manager, and this is where it gets into Andy and I can only give you ideas of what to say to a degree, and then it has to be about you and how did it impact you? What was the impact to the team? What was your own emotional response? But to be able to give somebody that example and just say, “Hey, this bothered me. I need to let you know that it bothered me.”

Dr. Andy Roark:
Yeah. It's definitely leaning into vulnerability. But vulnerability, it's a powerful tool. That one about, “So the rest of us are just supposed to sufferer.” That was the exact one I thought to myself emotional detachment. That was the one when I was like, “We're going to have to practice some real emotional detachment.” Because especially if someone says that in front of other people, it's hard not to react very strongly and very negatively. And that's also if I started the episode and you're like, “Boy, Andy's not messing around with this person.” Yeah. I don't see this working out.

Stephanie Goss:
Yes. And that was also where I immediately thought of the client example, because that felt like emotional blackmail a little bit to me, right? It's like the client who says, “Well, because you won't do this thing for free, just don't care about animals.” That's where really have to lean into that detachment. And put this smile on your face because it's not about me. That's about you. And that really for me is an example of where if somebody is saying things like that in front of the rest of your team, that's toxic behavior. That's the kind of client where they're standing and grandstanding in the lobby. I don't keep those clients. Same as the team. When somebody is acting toxic in that way and it's affecting the rest of the team, that should be a good, hard conversation.

Stephanie Goss:
So look, you have the conversation and then you document it. And it can be a simple as saying a note in there file that says on the date at this time, we had this conversation. This was what was committed to in terms of change of action. Everybody thinks about documentation in terms of I move from nothing to a formal writeup. And most of us skip those steps in between that are the informal ones. It's just documenting that you had the conversation, what was said, and why was it said. And what was the outcome coming out of that? Because at some point, if someone is truly toxic like this, you're going to move in the direction of HRing them out of the position, right? Out of their role. Creating the opportunity for them to be happy somewhere else involves documentation. So you need to know, what are you going to do? And you need to follow that process. But before you get to that process, it doesn't mean that you can't and shouldn't also document that as well.

Stephanie Goss:
And I've got some links I'll drop in the show notes for you guys for some good tips on how do you do that? What does that look like? Because it is really important to have the conversation, document it.

Stephanie Goss:
And then something that you taught me is that look, the follow-up to these kind of conversations cannot just be negative, right? If we have a conversation about negative behavior and then the next conversation that you and I have is the fact that you're still doing this behavior and it's pissing me off, there's no reason why I'm giving you to change the behavior other than, “Hey, if you don't change this, you're going to lose your job.” Then I'm just banging you with a stick. Right? I'm smacking it against your head. There is no carrot. I have to have the carrot. So there has to be … look, look past the behavior that they're doing that is frustrating you. Not saying forever. Look beyond that. Are there things that they are doing that are positive? Because there has to be some sort of positive reinforcement. When you catch them doing something good, say something. And give them a little bit of reward, because we know how we train simple animals. Right? What you always say. We are as human simple animals. And we learn how to be motivated by treats, and rewards. And it's the same with our team.

Stephanie Goss:
So I think that is really important part of the step is don't just look at them, and it's really easy to do human nature. I have done it countless times as a manager where I'm working on a performance improvement or disciplinary action plan with somebody. And it's really easy for me to only see the negative and only look for the infractions. And it takes a lot more effort to look beyond that and look at the positive. But that step is so much more important if you feel like the relationship is worth trying to save. Especially if you feel like the relationship is worth trying to save.

Dr. Andy Roark:
I agree. Steph, we're out of time. That's it from me. Man, that was a good episode.

Stephanie Goss:
Yeah. I hope this one helped.

Dr. Andy Roark:
Awesome guys. Take care everybody.

Stephanie Goss:
Take care everybody.

Stephanie Goss:
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 favor to 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. And number two, if you haven't already, hit the subscribe button. Thanks so much for listening guys. We'll see you soon.

Written by Dustin Bays · Categorized: Blog, Podcast

Apr 20 2022

Do You Really NEED an Online Pharmacy?

Uncharted Veterinary Podcast Episode 174 Cover Image

This Week on the Uncharted Podcast…

Are we still talking about needing an online pharmacy this far into the pandemic? Apparently, we are and for a different reason than you might think. This week on the podcast, Stephanie Goss is joined by Jenn Galvin, Practice Manager/Practice Owner to discuss a fun topic that came into the mailbag. A manager of a corporate practice wrote in and asked about our take on the “encouragement” they are receiving from their corporate leadership to begin outsourcing a lot of products off their shelves into their online pharmacy for home delivery. This is a lively one, let’s get into this…

Uncharted Veterinary Podcast · UVP 174 Do We Really Empty The Shelves?
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This episode is sponsored by:

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Upcoming Events

May 21: Retain Your Team: Speak the Languages of Appreciation in Your Workplace with Tracy Sands

You can be the leader of a happier, more satisfied team, and it starts with understanding how each person in your practice feels the most valued.r

Practice owner Dr. Tracy Sands is going to teach you about the languages of appreciation and how they can help you motivate, train and retain your staff in this 2-hour, LIVE workshop.

June 8: Creating Content That Clients Crave with Bill Schroeder

Many practices have heard that “content is king”, but few have systems in place that actually generate impactful content.

This extremely interactive session will explore the types of content that are most valuable, the potential impact of such, and proven methods for great content development.

All Upcoming Events

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


Episode Transcript

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

Stephanie Goss:
Hey, everybody. I am Stephanie Goss, and this is another episode of the Uncharted podcast.

Stephanie Goss:
This week on the podcast, Andy's taking a bit of a break, but I have got my partner in crime Jenn Galvin here with me today. For those of you who don't know Jenn, she is a practice manager and practice owner of a multi-doctor practice in Arizona. She is so much fun. And when I saw this letter come through the mailbag, I thought there's no better person to talk through this challenge with than my friend, Jenn.

Stephanie Goss:
So we are going to talk through a mailbag letter about some inventory questions and I want to thank our friends at Vetsource for bringing you this week's episode ad free. Let's get into it.

Meg:
And now The Uncharted podcast.

Stephanie Goss:
And we are back. It's me, Stephanie Goss. And this week I am without my partner in crime, Dr. Andy Roark, but I have a fantastic guest host here with me today.

Stephanie Goss:
I have my friend and wingman and partner in crime, Jenn Galvin. And for those of you who have never met Jenn, she is an Uncharted member. She is super, super funny. She is smart and sassy and she is a practice manager like myself and she is also a practice owner. She manages her practice in Arizona with her partner, Erika Cartwright who is the DVM. And how long have you guys been in practice together, Jenn?

Jenn Galvin:
It is going to be 10 years next month.

Stephanie Goss:
My gosh. That is awesome.

Stephanie Goss:
Well, thank you for being here with me today. I am excited to have you.

Jenn Galvin:
Yeah, I'm super excited to be here.

Stephanie Goss:
I am excited for more people to get to know you. Our community obviously knows you really well. And you and I have done a bunch of workshops through Uncharted together now at this point over the last five years. And we have done some about this topic or pieces of this topic because you and I have traditionally tackled some of the more business heavy content that we have done for Uncharted. So talking about KPIs and inventory and the business side of things.

Stephanie Goss:
And so we got a letter in the mailbag recently and when I looked at it, I thought, “Okay, I would love to talk through this with Jenn,” because this is the kind of stuff that you and I both nerd out about. So I thought… No offense to Andy, I love him so much, but this will be a much more fun conversation with Jenn.

Jenn Galvin:
Now, without him here, do I have to give you a funny middle name or…

Stephanie Goss:
I mean…

Jenn Galvin:
Do you just… We skip that.

Stephanie Goss:
I think you could probably make one up, but we also can just skip that ride along.

Jenn Galvin:
Okay.

Stephanie Goss:
But this week is going to be a fun one, you guys. We have a letter from the mailbag we got from a manager who is working at a practice that is corporately owned and they are feeling a lot of “pressure” to outsource medications and preventatives to their online pharmacy or home delivery service. And so they were saying that their practice is having a lot of reservations about online pharmacy in general but specifically this manager is really concerned about the reduction in income to the clinic as well as feeling like isn't this going to make pet care less convenient for our clients.

Stephanie Goss:
And so this manager had three or four really specific questions. They want to know how do we explain to our clients that we're no longer carrying their favorite products, is this the direction that the industry as a whole is headed in, and do the pros outweigh the cons in the long run. And they said, “I would love some help as we grapple with this issue and prioritize what we keep on the shelves and whether we should fight for a bigger budget for our products.”

Stephanie Goss:
And I just thought this was such a great conversation to have. And so I am super excited to have you here and nerd out on this with you because I think you and I both have… I think this is going to be a very fun soap boxy episode.

Jenn Galvin:
I was just going to use that word like this is a soapbox topic for me. I know it's one for you. If we could both just have megaphones and scream from the hills.

Jenn Galvin:
Yeah, yeah. And this comes up all the time. In our classes that we've done, in people that we talk to at conferences like pharmacy is a huge topic and people are always worried about it and they're afraid and I understand why they're afraid-

Stephanie Goss:
True stories.

Jenn Galvin:
… to let it go.

Stephanie Goss:
I think let's start-

Jenn Galvin:
Yeah.

Stephanie Goss:
… as Andy and I always do with the headspace on this. And so when I sat down to think about how are we going to talk about this topic, for me, the headspace really was we've got to start with the why. That is the be all end all in this conversation, I think.

Stephanie Goss:
And so this manager actually asked a great question because they didn't put it as one of their question but they said they were feeling pressure from their corporate partner to outsource medications and preventatives to their online pharmacy and so that's where I would start the why honestly.

Stephanie Goss:
And the questions for me are why are you being asked to outsource things because understanding why they are asking you to do it is key to planning how you approach it, not only with your team, but also with your clients because there's a whole bunch of different reasons why you might want to outsource more of your pharmacy from your brick and mortar location to an online pharmacy.

Stephanie Goss:
So some of the things that immediately come to mind for me are, are you over budget in your cost of goods? That's a really easy place that a lot of people start when we look at the cost that it has to the clinic to carry product and have it sitting on our shelves.

Stephanie Goss:
You and I talk about this extensively when we talk about inventory and we talk about practice financials. It is often a place where practices struggle and it is not uncommon for you and I to hear from a practice when we start digging into their budget and looking at numbers. They're like, “We're at 24% of our revenue as being carried in cost of goods or 25%.”

Stephanie Goss:
And then when you and I talk about where our practices have been or are and it's a significantly lower percent, they're just like, “I don't understand how-

Jenn Galvin:
[crosstalk 00:06:36].

Stephanie Goss:
… you get to that lower number.”

Jenn Galvin:
If people come out and they're at a super high COGS, the first thing that I ask them to do is look at the amount of money on your shelves and that starts with actually recording your inventory correct which is a whole another ball wax. But if you look at what is the money sitting on your shelves, oftentimes in most practices, it's so big, it's such a big number.

Jenn Galvin:
I know that you have to have products. There are some things you have to have on your shelf, but if you could liberate half of that amount of money and put it in your bank account, what could you do with that? It's huge. It's a huge number. And I have practices that… It's a couple doctors, it's nothing huge and they're coming back with 40,000, 50,000, $60,000 of inventory at their hospital. What could you do with $30,000 back in your pocket?

Stephanie Goss:
Yeah, I think that is definitely a piece of it and I want to talk a little bit about some of the things that we could do with that money because I think that that goes to the last question that this practice manager asked us about whether we fight for bigger budget for products.

Stephanie Goss:
But I think the other things they ask for me when it comes to the why and trying to understand. And so if you are in a practice where you're looking at pressure outside of yourself whether it's coming from your practice owner or your corporate partner in this case or even from your vendor, if you have a home delivery service or if you don't have one and you have sales reps coming into your practice asking you why don't you have an online pharmacy, there are good reasons why you're getting some of that pressure.

Stephanie Goss:
And so I want to talk about some of those things that we should all be examining for ourselves and we should be able to have a concrete answer on the why. So are you over on your cost of goods? The other really, really common one that we see is when practices have a lot of duplicates of medications.

Stephanie Goss:
I think I have shared this story on the podcast before, but maybe not, maybe just in our inventory sessions that you and I have done, but when I started at my most recent practice, I came in and I remember when I went for my interview and the hospital has a beautiful, big, giant lobby. We're very blessed with space but you walk in to the right of the front door are these floor to ceiling shelving units and they're pretty built in.

Stephanie Goss:
You walk in and there's literally full floor to ceiling of pet food and they had Hill's, they had Royal Canin, and they had Purina and they had one of everything, all of the common diets. And then on the opposite side, it is full, shelves are full of parasiticide products and they had chewables, they had topicals, they had flea, they had tick, they had flea and tick. They had all of the combos.

Stephanie Goss:
And I remember standing in the lobby waiting for the people who were interviewing me to come out and get me. I remember just thinking, “Oh my God, I want to know so bad,” just for my own curiosity “what their cost of goods is.” And it was so funny because we went into the interview and I bit my tongue and made myself sit on my hands so that I didn't just immediately blurt out for the love of God please tell me what your COGS are. That was all I could think of when I was standing there staring at shelves.

Stephanie Goss:
It looked beautiful and robust and full and all of the good things that we want to consider when it comes to product marketing in our practices and at the same time, I was horrified by what I knew must be the dollar volume sitting on those shelves. And I also wanted to know why.

Stephanie Goss:
Why are you having every option under the sun? Because we also know that when we offer everything to our clients, we're not actually offering them anything. Our clients are more likely to say yes to a recommendation when we give them a clear recommendation and maybe one alternative as option whether it's medication like an antibiotic or a parasiticide, it doesn't really matter. The clients are looking to the veterinarians and to the hospital team to say, “This is what I want to use for Fluffy and here's why.”

Stephanie Goss:
And so when we have all of those options on the shelves, we think about it in terms of feeling good about trying to offer our clients options and convenience. And that's how a lot of my friends that our managers have looked at it, they're like, “Well, I carry everything on the shelf because we want the clients to be able to get whatever it is that they want.” And I can totally understand that.

Stephanie Goss:
And that was actually honestly part of the answer from the practice was like, “We want the clients to be able to have choices.” And so I said, “I can appreciate that.” And to your point, I knew thousands, tens of thousands of dollars that were sitting on those shelves. And I was looking around and just thinking, what else could you do with that money?

Jenn Galvin:
Right, right. Well, and so many practices, and I get the mindset, I do. But you're not a big-box store. You're a veterinarian. You're not trying to be a Walmart or a Costco or… That's not our job. Our job is to pick something to feel really confident about and whatever that product may be, it is, and that's fine and that's the beauty of having an online pharmacy versus carrying all that stuff in your practice because you get the positives of being a big-box store or if you have that client that comes in and says, “Hey, I've used this particular product for 10 years. It's what I like. I'm not switching.” You can say, “Great. We have that over here where it's not sitting on our shelf, collecting dust-

Stephanie Goss:
Let me have that delivered to your house.

Jenn Galvin:
… eating up [inaudible 00:13:13] and I can bring it right to your door.” It's such a better way to do that.

Jenn Galvin:
The other horrifying thing when you said that I was like, “I wonder how much people are taking off their shelves [crosstalk 00:13:24].”

Stephanie Goss:
That was a hundred percent. I was standing there thinking, “Mm, I wonder how much of that inventory is walking off,” because it's out. It's out. And it's in the open. And I'm like, “If you have that much product…” You and I both know when it comes to managing inventory, when you have that much product sitting on the shelves, if you are not doing daily counts of that stuff, stuff is walking off every single time.

Stephanie Goss:
Everybody likes to think that it's not and then it's not going to happen in their practice and, “Oh, we know our clients, we know our team,” but the reality is it happens. It walks off the shelf every day. And so that was the other part of it for me.

Stephanie Goss:
And so it was funny. I did finally get to the point and I asked the medical director and the regional manager who were interviewing me. I asked him, “Tell me about the products that are on the shelf and tell me about why you guys have the volume in stock that you do.”

Stephanie Goss:
And it was interesting because the practice had been… They were like, “Well, we want to be able to offer convenience to our clients and the closest store that carries stuff like this is a little bit of a drive and so we want them to be able to access stuff.” And I was like, “Oh, okay.” And I was like, “Is that the only reason?” They were like, “Well…” I said, “Well, tell me about the parasiticide for example.”

Stephanie Goss:
And what it came down to was that this practice had been largely managing for a good period of time with one regular doctor and a lot of relief help. And so it turns out that they had started ordering things because someone would be doing relief and they'd be like, “This is what I'm used to using. I'm going to prescribe it for the client. Can you get it?” And instead of… They didn't have an inventory manager or anybody who was in charge of that at the time and so they just asked whoever was on that day and they were like, “Yeah, sure. We'll get it ordered for the client.”

Stephanie Goss:
So instead of looking at how do I have one single order sent to this particular client or even the five clients that associate vet saw that day, it was like, “Sure, let me buy a whole carton and have it delivered to the clinic. And then the other eight boxes in that carton are going to just sit on the shelf until the end of time.”

Stephanie Goss:
That's the next piece of the why for me that I would ask you when trying to unearth why are you being asked to do this is, are you overstocked? So we know that duplicates and overstock can cause massive chaos when it comes to inventory.

Stephanie Goss:
And so that would be something else I would look at is, do you have the duplicates but also even if you only have one product, let's say I walked in and they were only carrying one of the parasiticides, if every single one of those shelves is full with multiple cartons of backstock sitting there, the next question in my mind is like, “How often are we actually turning over that product? How often is that product sitting on those shelves?” Because that also contributes to the problem just as much as carrying all of those duplicates?

Jenn Galvin:
Oh, for sure. And you can get caught in the trap. I love my vendors. They're fabulous people, all of my reps are wonderful and they've gotten to know me and the kind of manager I am over time so they know when to give me a deal and when not to give me a deal?

Stephanie Goss:
Right.

Jenn Galvin:
But you have a lot of these vendors that will come and it's their job to sell you product. That's what they do. And so they'll come in and say, “Hey, we have this special on X parasiticide. And so if you buy 45 million cartons, we'll give you three for free.” And so you think, “Oh, man, three? It's 350 bucks a carton. Who would pass up over a thousand dollars in savings? Give me the 45 million cartons.” And then before you know it, you're sending back expired product and you're eating a ton of money and it totally wasn't worth it. And I see so many places fall into that trap and then they've got all this extra stock that it just eats your wallet.

Stephanie Goss:
And then I think the last piece of maybe the why that I could think of would be one of the benefits to having been in corporate practice is that we often had access to data that was greater than what I might have had access to in private practice.

Stephanie Goss:
And so one of the questions I would ask is, are we looking at data that is showing that my specific hospital, my specific clients are already shopping elsewhere.

Stephanie Goss:
And that is something that all of us should be looking at whether we're corporate or private practices doesn't matter and I used to have a spreadsheet in my private practice where every time we got an online pharmacy request for another pharmacy, didn't matter whether it was 1-800-Petmeds or Chewy or the Costco down the street when we got an outside pharmacy that was something that got logged on the spreadsheet so that we could see where our clients were shopping, what they were shopping for in other places, and be able to make decisions for ourselves.

Stephanie Goss:
That occurred because I'm super freaking nerdy. And I love spreadsheets.

Jenn Galvin:
No.

Stephanie Goss:
Big surprise. Big shocker to anybody who listens to the podcast. You guys should all know this about me by now.

Stephanie Goss:
And because I grew up in a practice where one of my practice owners was a CPA and so numbers and data mattered and that was how I was trained and that was what I did. And yet I think that was one of the things that I appreciated when I worked in corporate practice was that I often had access to correlated data like that that was telling me specific narrative about my own clients and my own practice. And so that would be another question that I would want this manager to ask.

Stephanie Goss:
But I think all of those questions aside, I think the number one thing from a headspace is I would start with why. Get curious and not in a, “I'm going to tell you no because I don't agree with you,” way but in a, “Tell me why. Why here? Why now? Why is this important?” Because understanding the why I think is where we should always start when it comes to making decisions in our practice.

Jenn Galvin:
Yeah. And I think you have to feel good about it too.

Stephanie Goss:
Yes.

Jenn Galvin:
If you're going to do this, if you're going to start to outsource, if you're just doing it because your mom told you to, it's that same thing as when we were children like, “My mom says I have to clean my room before I can go sleep over at Stephanie's house. It's really stupid.”

Jenn Galvin:
If corporate is telling you or if your practice owner is telling you like you have to clean your room, you have to outsource your stuff. If you're just going to go into it with like it's because I have to, that's… Really why though? What is the true reason? And find something that you can embrace.

Stephanie Goss:
And so I think the embracing it is big. I think the acceptance and the embracing are two separate steps because when your mom tells you to go clean your room, I love that analogy, there's always the like, “I'm going to fight against it,” and then at some point comes the acceptance, which is usually done with a pout and an irritated face and attitude. And then eventually some of us get around to the embracing part, not all of us, but some of us get around to the embracing part.

Stephanie Goss:
And I think Jenn and I are hoping that by the end of this conversation that we have encouraged and cajoled and supported and loved on you guys enough to get around to the embracing part of it because both of us are going to shout loud and clear about our love for online pharmacies.

Jenn Galvin:
Well, you do like to hug people so I think the embracing thing…

Stephanie Goss:
I do. I do. That is a true story. That is a true story.

Jenn Galvin:
Yeah.

Stephanie Goss:
So headspace, we are going to start with why and then I think actually this episode is going to be less about the plan of attack and a little bit more about headspace. And so I think there were three other questions that our listener asked that I think are important to unpack in terms of headspace.

Stephanie Goss:
And so the first one is they asked, “Is this the direction that the industry as a whole is headed in?” I think what they were specifically asking is maybe not just about online pharmacies because I got the feeling that they were on the fence there but most specifically about outsourcing “a lot” of our medications and preventatives. And so my question there is picking things apart.

Stephanie Goss:
But the reality is, are you being asked to outsource your pharmacy as a whole by and large? Or are you being asked to outsource a lot of medication or preventatives because of some of the reasons that we just talked about?

Stephanie Goss:
Because how you feel about that and your response to it are probably going to be different. If someone came in and said, “I want you to stop carrying all products in house and send everything out to an online pharmacy.” And there are practices that run that model now that has shifted to the doctor's office where you don't carry anything in house and you send them to the pharmacy just like they do in human medicine.

Stephanie Goss:
But the most of us are still living in that hybrid space where we're trying to adopt the model of we carry the necessary things in house and the things where, to your point, we want to be able to provide clients with multiple options or we want to reduce some of the duplicates that are on our shelves or we want to be able to carry a variety of sizes and choice, like we want to give clients choices, I think that's the bottom line behind online shopping.

Stephanie Goss:
When you or I go flip open to Amazon to find something, part of why I'm doing that is because I know I'm going to have a variety of choices and a variety of price points at my fingertips and I'm not going to have to think about that.

Stephanie Goss:
And so I think a lot of us approach what we carry in our own practice with that same rule of thumb. And that certainly was the case in my practice because one of the things that I looked at in horror when I was standing in that lobby is that they had single doses, they had three packs, they had six packs, they had 12 packs, and I was like, “Oh my God.” Stop it. Just slow, stop.

Jenn Galvin:
Slow your roll. Slow your roll. Yeah. And that was something like immediately, it's the light bulb moment where you're like, “You can just carry six months packs,” and that's how people buy it from you. And that's okay. And that's really-

Stephanie Goss:
[crosstalk 00:24:28]. Changes heart.

Jenn Galvin:
Mm-hmm (affirmative).

Stephanie Goss:
And the funny part about that is I guarantee that most practices did not start with all of those options on their shelf. They started with a couple and then slowly over time something got added and then it was like, “Well, if we're going to add that we might as well this and then let's have this option for clients as well.”

Stephanie Goss:
And so that change doesn't occur overnight either which is the funny part to me is that we all dig in our heels when it comes to eliminating that change. But most of us are really willing to embrace that change on the front end in terms of adding things. It's the taking away where we're just like, “Let's dig in our heels and scream about this.”

Stephanie Goss:
So I think is this direction that the industry is headed in a whole? Hell yes. Right.

Jenn Galvin:
Yeah. We're just so far behind on that train. The ship has sailed.

Jenn Galvin:
I know we were talking earlier about… Look at the pandemic. If that was not a reason to jump on the online pharmacy ship it to people train, that was fireworks in your face like get on the boat of getting that done. And we were talking about how much ecommerce has grown time and yeah, this is definitely where we're going.

Stephanie Goss:
Yeah. So it's funny because when we looked at that question you and I both emphatically said yes and we're laughing because both of us have been on board with home delivery.

Stephanie Goss:
My prior practice was one of the very first practices with MWI's proxy program. Do you remember that? Like way back when?

Jenn Galvin:
Oh, that's old.

Stephanie Goss:
Right? I'm dating my-

Jenn Galvin:
We're very young. Okay. We're both very young, beautiful women. But yes, that's old.

Stephanie Goss:
I'm dating myself with that. I've been on board for a long time.

Stephanie Goss:
And I think your point is really valid which is that the world shifted radically under all of our feet in the last couple of years. And so I have seen a lot more practices make the leap which is amazing and exciting and at the same time, it never ceases to amaze me how many practices I talk to who are like, “Eh, we haven't. We're not really into it. We haven't. We don't see the value in it. We don't understand why. We don't want to give up the profitability.”

Stephanie Goss:
And so I think those are all things that you and I want to get into, but it was interesting because when you and I were having the conversation about setting this episode up to your point about the pandemic, we know…

Stephanie Goss:
So there was a white paper done on why online pharmacies and why now and had a lot of statistical information from completely outside the online pharmacies themselves within veterinary medicine. And so there was a statistic that came out of that from the American Pet Products Association and they did a bunch of studying during COVID and their estimate was that 11.4 million, million, households got a new pet during the pandemic and those numbers were significantly higher amongst millennials and Gen Z.

Stephanie Goss:
You and I were looking at that and for me, my first thought was I don't know a single millennial or Gen Z who doesn't shop online. I shop online. I'm not a millennial, but I shop online. You shop online. My freaking grandma who's 96 years old shops online now and has groceries delivered and things sent from Amazon. This is not just…

Stephanie Goss:
And I think that's one of the things that drives me crazy is often we get so laser focused on, “Well, it's just the young people. It's the millennials, it's the Gen Z, they're driving this,” and they are because statistically numerically they're way more of them that are doing it at a faster time speed than a lot of the other generations, but it's not a generational discussion anymore and it hasn't been for quite some time. And so I think we need to look at our own behaviors.

Stephanie Goss:
It's amazing to me. I have watched Andy asked this question and in lectures and our friend, Eric Garcia, has some lectures that he has been doing recently about ecommerce and I watched recently when we were in Florida him asked the question of the audience. Who here has shopped on Amazon in the last week? And almost every single hand in that room went up and it was a big room, a lot of people in it.

Stephanie Goss:
The reality is we are all used to the ecommerce model now and there's tons of statistics and we can drop some of them in the show notes because I think they're actually really, really interesting but I think the reality is the pandemic has forced ecommerce growth to explode. And I think veterinary medicine, like we do, has done some serious digging in of our heels and folding of our hands over our chest like, “Yeah. We're not into this.”

Jenn Galvin:
And you know what this reminds me of? Do you remember… And this is going to age me a little bit, but way back in the day, it was all about print ads in the phone book.

Stephanie Goss:
Yes. Yeah.

Jenn Galvin:
Computers, they were not our thing. We were not actually going to use computers. This was back in the nineties. And computers are not here to stay so let's just keep print ads. People were spending crazy amounts of money there.

Jenn Galvin:
And it took forever to get vets to stop paying for these huge color page ads. It's like I'm talking to my practice owner like, “Please, for the love of God, stop paying for print ads in the phone book.”

Jenn Galvin:
I feel like we're kind of there where life went on. Computers are… That's what we do now. Who has a phone book? And they come. They come to your house and you're like, “Do I sit on this? What is this for?”

Jenn Galvin:
It's only computers. That's where we are. That's reality. And that's where ecommerce is. I don't go to the store anymore. Stuff's delivered. That's real life.

Stephanie Goss:
It's so funny that you say that because when I moved here to Washington… You guys, I've been living here seven years, so that's math that's too hard to do this early in the morning, but whatever seven years ago was 2016?

Jenn Galvin:
15.

Stephanie Goss:
In the teens, right? In the 20 teens. I'm not kidding, my practice still had ads in the phone book and were pay… And I looked at when I first started it and I dug it and I looked at the budget and not $1,000 plus a month expense to have these giant ads in the phone book and I was like, “Oh my God. Why? Why are we doing this?” And the conversation was…

Stephanie Goss:
I understood why they were thinking this way for a little bit. I could have some understanding. We are actually the second most concentrated place in the entire United States for retirees other than somewhere in Florida. And so they were older people want their phone book and they don't have cell phones and they're not looking at information that way. And I was like, “Ooh, I beg to differ.” I'm going to push the buttons here.

Stephanie Goss:
We looked at that but it's so true and I think a lot of us in veterinary medicine have looked at online pharmacy in that way like we're just going to fight it and we're just going to fight it and dig in our heels and dig in our heels. And it irritates the hell out of me because I'm just like, “We are so far behind the curve.”

Stephanie Goss:
I think when we looked at the question is this direction that the industry in a whole is heading, it was a resounding heck yes from both of us. And I really feel strongly and this is where Jenn and I both get on the soapbox on this. If you are running your practice and you do not have a home delivery option for your clients, you are failing to serve your clients. Fight me on that one.

Stephanie Goss:
Because we do a disservice to our clients when we cannot provide them with options and to your point, when you have those clients who come in, who are like, “I've been using this product for years and it works for me and I would like to continue it,” there may be some validity and some updating of the medicine that has been done and we should be educating them if we have a newer product or a better product that could serve their patient.

Stephanie Goss:
I'm not saying not to have those conversations and I would rather be able to serve that client and meet their needs and meet them where they're at than have them walk away and buy from someone else and we know that is exactly what is happening because hello, have you checked your fax machine lately, how many faxes do you have sitting on it from Chewy or 1-800-Petmeds. The reality is… Or even Amazon. We know that clients are shopping other places now.

Stephanie Goss:
And again, this is where I really meant it when I said, this is not a generational problem, this is not millennials. It's not just the Gen Zs that are shopping online. It's all of our clients. And often when you start to dig into the data about your specific clinics' clients, it's some of your best clients that are probably shopping online.

Stephanie Goss:
And so I think it's really important to start with that headspace of even if you don't think that this is the right fit for your practice, I'm going to really push you or your practice owner, whoever is providing the resistance and the drag on this because the reality is we're here. The ship has…

Stephanie Goss:
I loved how you said that Jenn, the ship has already sailed. The rest of us have been on the ship for a while and we're waving it at you from out in the ocean and there are still colleagues of ours who are standing back on the shoreline going, “I don't know,” but you are losing out. If that is you, you are losing out on the opportunity to serve your clients. And so I would challenge you to think about it in a different way.

Stephanie Goss:
For me, that is often a lot of the conversation you and I have had with our colleagues when we're talking about this. It is about reframing the way we think about it because we are so concerned in veterinary medicine about losing. Losing clients, losing profit, losing margins.

Stephanie Goss:
And when the conversation is often had about home delivery, the number one thing that comes up is, “Well, they're going to take all the profits and what's the point if I'm only going to get a couple of dollars out of that prescription. I could sell that in my clinic and mark it up 75, a hundred percent.” Because a lot of times the conversation is about parasiticide which is a loss leader.

Stephanie Goss:
And for a lot of us, we do charge lesser markups on that because it is something we're providing because it's good quality medicine and we want all of our patients to be on it. And I would rather sell the higher volume of it at a lower cost and generate the same amount of revenue than have the markup be higher and have clients buy it from other sources online.

Stephanie Goss:
That's one of those ones that's really common and the argument is, “Well, I don't want to lose that money because if I'm already selling it at a lower markup and then I move it to my home delivery or my online pharmacy, then I'm going to lose even more money because they're going to take fees and credit card fees and all of that kind of stuff. And so at the end of the day, if I'm only getting $2,” let's just pick a round number out of there, ” for that NexGard prescription, it's not worth it to me.”

Stephanie Goss:
I think that's one of the things that I have always been most puzzled by that line of thinking because-

Jenn Galvin:
It was like, “I will arm wrestle you to fight you on that one.”

Stephanie Goss:
And because… Yes, and more it's hard for me because I'm like, “I would rather have $2 10 times a day than $0 10 times a day.” That argument, I have really struggled with that and I've had the conversation with people and I've never really heard an actual explanation that has made logical sense.

Stephanie Goss:
I think the drive for that conversation comes from a place of fear. I can understand that because for the first probably 10 years that I was in practice and you and I have both been in practice about the same amount of time, we had raging markups on our pharmacy.

Stephanie Goss:
I remember a time where a lot of products had multiple hundreds of time percent markup on them, right?

Jenn Galvin:
Yeah.

Stephanie Goss:
And those days are gone as things have shifted and people are buying online and they're shopping around. They're doing all of the same things that we all do in our personal lives. They're doing that for their pets as well. Those days are gone.

Stephanie Goss:
And so for me, I have never understood that rationale of I'm just going to keep fighting and keep fighting and keep fighting. I think you and I are both solidly in the yes camp.

Jenn Galvin:
Yeah. And the bummer is the battle's lost. And I hate to say that. I do. Because the battle, we fought it for a long time. We really did. And we did well for a long time, but it's gone, it's lost. And a lot of people forget the time and energy you have to put into carrying everything that you want to, paying somebody to order it, paying somebody to put it on the shelf, paying somebody to sell it. I see a lot of practices paying production on these products. And so really by the time you do all of the things, you're making 15 cents on a product.

Stephanie Goss:
If you're not actually-

Jenn Galvin:
[inaudible 00:38:44].

Stephanie Goss:
If you're not actually losing money because how often do you and I talk to practices where we dig into that and we ask them how their pricing is set up and then we ask them what their average staff hourly wages and we calculate out what it costs to order to carry, to do all of those things and then we ask them about production and that's where my horrified…

Stephanie Goss:
I always have to struggle. I struggle, you guys, to control the horrified look on my face because when somebody tells me that then they're paying production and we actually do the white board math with them. So many practices are actually losing money on those products when we do the full math because there are so many practices out there where the price that gets put into the computer and their inventory setup is what is my hard cost and that's all that's being looked at and all of those other associated soft costs are not.

Stephanie Goss:
If you are listening and you're like, “This is all stuff that I didn't know,” or “Well, maybe that's us.” You are not alone and it is something that you can help change for your practice by getting some education and support and there are a lot of places now in veterinary medicine where you can get that support.

Stephanie Goss:
We both are huge advocates of our friend, Nicole Clausen, who's actually doing a podcast with me that is coming up as well. She is an inventory super nerd and she's got a whole community on Facebook for the Inventory Nation and a place where people in veterinary medicine.

Stephanie Goss:
Because a lot of times the person who gets put in charge of inventory for the clinic is an assistant or a technician or somebody who just got handed this thing. They don't actually have any formal training. There hasn't been a whole lot of thought put into how do I train them, what do they need to know, why they need to know it.

Stephanie Goss:
And I can't tell you how many times every single practice that I have personally worked in where I have gone into and I have looked at those numbers where it hasn't been the case that there are charges that are not included and how those prices are factored and when you actually do the math where there are things where you're losing money.

Stephanie Goss:
And so I think that's a super important point. And I think not to look at it in a negative perspective but it's time to stop having the conversation about should we because the answer is hell yes. We should have 10 years ago.

Stephanie Goss:
And the question in my mind is how do we. And so you and I, when we have had these conversations before we both are very strong proponents of I don't care which pharmacy you use, you just need to have one because the answer there is that look, it needs to be the path of least resistance.

Stephanie Goss:
And every clinic is unique. You have different team members, you have a different team makeup, you have a different workflow from the practice down the street, you have different clients from the practice down the street. And at the end of the day, the way that you go about choosing your partner should include thought into all of those things and then you should be looking at what product out there because there are a lot of them now which is great.

Stephanie Goss:
When I started, literally proxy was the only option. We had one and you worked with what you had, and now there are a multitude of home delivery options for veterinary practices.

Stephanie Goss:
And so I think what you and I both try and encourage people to do is look at what is your workflow, what are your problems… Going back to the why. Why are you trying to do this? And what option out there is going to be the best fit for your practice? And the answer's going to be different in every clinic, and that's okay. That's why we're so glad that there are multiple options that work.

Stephanie Goss:
And then I think the other big question in caveat that you and I both encourage people to ask is what partner matches your values as a business? What partner do you feel like you get excellent customer service from that feels like an extension of your practice?

Stephanie Goss:
Because if I'm going to work with a third party partner, I want my clients to have the same kind of experience when they have to call customer support for a question, their pet won't eat the food or the product caused a reaction. Or they're trying to do a return because… whatever the reason is. I want whoever they get on the phone to feel like an extension of my own practice. I want there to be a similar experience.

Stephanie Goss:
And so again, because we all run our practices differently, each of the options out there for third party partners are going to have a different experience and feel. And so that should be part of the decision making process, for me, is what is going to be a natural extension of that process.

Stephanie Goss:
But this is where you go back to the why. Why are you trying to partner with somebody? Are you trying to outsource some of the duplicates? Are you trying to provide clients with additional options? What is the why and how does the partner that you choose serve that why I think is really important.

Jenn Galvin:
Yeah. When we looked into ours, I remember, there's a lot of options that will integrate with your software, of course. And we actually wound up picking something that didn't because we like the company better, they did a better job with customer service. We just felt like they would get a better client experience and we are trying to convince these people don't buy from these other places. We can have the stuff delivered to you and you're going to get great customer service and that's what drove us to pick the pharmacy that we ultimately went with.

Stephanie Goss:
Yeah. Yeah. I think the next question that was asked after that is do the pros outweigh the cons in the long run and I think we've talked a little bit about that. And again, I think our answer is a resounding heck yes.

Jenn Galvin:
Absolutely.

Stephanie Goss:
I think that's where we are and I think you bring up such a valid point. We need to be able to provide for our clients because if they're not going to get it from us, they're going to get it from somewhere else. And so we can control that. We can control that narrative but so many of us don't do a great job of self-promotion in this regard.

Stephanie Goss:
I see so many clinics who say that they have an online pharmacy when I ask them, “Well, how are you using it?” And they're like, “Oh, well, when a client asks us for something we don't have, then we fill it through our online pharmacy.” And I'm like, “Wow, you guys are missing a big opportunity here in a whole variety of different ways.”

Stephanie Goss:
I think it's interesting this email from this listener was they're getting pressure to outsource a lot of medications and I know that's a scary thought for a lot of practices.

Stephanie Goss:
I certainly had anxiety myself when I shifted probably about seven or eight years ago now the practice that I was in. We started shifting more of our product to our home delivery service because I was really trying to free up capital in the practice and I was trying to free up capital that was sitting on the shelf.

Stephanie Goss:
And so we as a doctor team and myself sat down and looked at what were we carrying and why we were carrying it and really tried to pare down some of what we had on the shelves because part of our why was we wanted to bring on more team members and as much as we all wish…

Stephanie Goss:
And I'm going to soapbox for a hot second here. I talk to my friends and colleagues in private practice and so many times I have knowing full well that I worked in a corporate practice, people would look at me and say, “Well, corporate just gives you the money to do things. You can pay the signing bonuses. You can pay your team more because you're a corporate practice.”

Stephanie Goss:
And I can't tell you guys how many times I looked at people and had to have the conversation about there is no magic NBA money tree that I went and shook or magic [inaudible 00:47:06] money tree that goes and gets shook and the money just falls out and the things happen.

Stephanie Goss:
The way that my budget worked in corporate practice was the exact same way that it works in private practice which is that it's a pie. And I decide as the practice administrator or my medical director and I decide together or my practice owner and I decide together how that pie gets divided up and it's no different in private practice than it is in corporate practice.

Stephanie Goss:
And so I think when we think about shifting that for online pharmacy, part of the goal with my doctor team and I was we wanted to hire more team members and we were at a place where we were really squeezed for that extra money and so we decided to take a hard look at what were we carrying and why were we carrying it and try and free up some of that capital because we were facing a state minimum wage increase.

Stephanie Goss:
I was looking at our team and I knew we wanted to add more team members and I also wanted to be able to increase the wages of the team that I already had. I calculated out what that was going to cost us and we were looking at $43,000 that we were going to have to shake out of a money tree and I knew that there was no money tree that I was just going to go shake. And so I was like, “How are we going to do this?”

Stephanie Goss:
And so one of the options I looked at is look, do we have stuff that we can eliminate and can we get this number down because if we can get this number down, then it's going to free up capital in other pieces of the pie that I can then reallocate to paying the team. That for me is a really, really strong example of a pro that far outweighs the con.

Stephanie Goss:
And I think the other big one for both of us is the understanding that not every single one of our clients is going to be able to take our recommendations at face value. We have done an incredible job in veterinary medicine I think over the last 16 years that I have been in practice elevating this standard of care and shifting and we've got more pets on preventative and we're doing more preventative education and we're addressing whole patient care and wellness care in ways that we never had before. And I think it's amazing.

Stephanie Goss:
I think that there needs to be room in the conversation for not every client that we work with is going to be able to, for a variety of reasons, not all of them that have to do with money is going to be able to take our recommendations. And so I think it's really important that we start to have a really serious conversation about how do we meet our clients where they're at.

Stephanie Goss:
This is where I feel like home delivery and online pharmacy for your practice absolutely makes sense and support that because now I have the capacity for my client who is a snowbird who now is in Alaska for the summer and needs their prescription. Well, I can let them go be seen at another practice locally and get the medicine from somebody else or I can let them order from an online pharmacy that is not mine, or I can say, “Yeah, no problem. Let me have it shipped to you and it'll show up where you're vacationing for the summer and not a problem. We'll see you when you're back in town for the winter,” because we've got the reverse snowbirds.

Stephanie Goss:
And same for you. You get the clients who come down for the winter and are in Arizona and enjoying the sunshine and you have the option to… You know that they might see a vet where they live the rest of the year or you might be their primary vet and you're providing services while they're there and you want the ability to continue giving them those products and services that they need when they're back home here in Washington for the spring and summer.

Stephanie Goss:
I think it creates an opportunity for us to start to have some of those conversations about how do we meet clients where they're at whether they need a lesser expensive option or a product that they started on when they lived in the South that covers things that… Parasites and things that they have there endemically year round that we don't have here on the West Coast or… Those are just some examples and they're easy ones. But I think that it's part of the bigger conversation about the pros outweighing the cons here.

Jenn Galvin:
I think part of that, too, and something that was very eye opening for me, number one, you get to be there for your client all year round from a pharmacy standpoint which is great, and we do. Our population goes up by like,000 people when we have snowbirds here so it's crazy.

Jenn Galvin:
But number two, I had a client and this was, I don't know, year two, I think that we were open and we were trying to sell her I think it was HEARTGARD and we sell it in either we have six-month boxes. That's how we sell it. So you can either get six months or you can get 12 months. That's what we have. And she said, “I can't afford that.”

Jenn Galvin:
I had this light bulb moment where it was like, “Oh, our online pharmacy offers a remind me where they just send a monthly dose to that client,” and that's such a more affordable option for that person where they're not having to shell out a 12-month fee of HEARTGARD spending over a hundred bucks. This lady couldn't do it. But once we sat down and I said, “Oh, you know what? Our online pharmacy, this comes right to your house, you give it to your pet so you're not forgetting to do that, which is a great feature of that. So the pet is getting better standard of care. And on top of that, you have to pay for it monthly instead of all out at one time.” And the lady was so ecstatic about it.

Jenn Galvin:
And so it's just a win-win and now we're not denying that pet a needed product because that client couldn't afford it. It's just something I never thought because for me, I'm like, “Yeah, you just buy six months and you do this thing.”

Stephanie Goss:
And it's so funny. I love that you use that as an example because I will tell you guys, I am that client, but in a different way.

Stephanie Goss:
My problem is not that I couldn't or wouldn't spend the money to buy a six-month or 12-month box. I am your stereotypical non-compliant preventative client because I, for the love of all that is holy, cannot remember with all the chaos in my life to give the dose when it's supposed to be given. I'll buy the box. I'll give like the first two doses and then the rest of that six or 12 packs will sit in the cabinet in my house and will not get given because life is a thing.

Stephanie Goss:
And I will tell you that very early on, I made the transition to similarly getting the remind me dose. It shows up once a month in the mailbox. I would go walk. I lost my dog in this last year but [Bird 00:53:53] and I would take a walk down to the mailbox and we would go get her dose and literally standing at the mailbox I would give her monthly dose because that was the only way that I could guarantee that it would go into her because otherwise forget it.

Stephanie Goss:
It was a game changer for me in terms of feeling like now I'm not lying to clients when I tell them I give my pet preventative monthly because it's actually a thing that's happening.

Stephanie Goss:
That's where I think I challenge us as colleagues to start to open our minds beyond the first thing that comes to mind which is we need to offer options because it's not affordable. I think that's a fantastic reason because we need to meet people where they're at and recognize that there are other reasons why people want things shipped to their home that don't just relate to the cheapest possible option.

Stephanie Goss:
I think unfortunately, there are a lot of us where that is the lens we have narrowed down and viewed home delivery and online shopping through is that we're just talking about the clients who want the bargain basement pricing and that's why they're shopping online.

Stephanie Goss:
I think we know that the reality is, look, we all get on Amazon and order stuff because I don't want to have to leave my house. I want to be able to at 11:00 PM when I remember, “Oh crap, I'm out of toilet paper.” I want to be able to order it and have it show up at my house. That's where we live now.

Jenn Galvin:
Yeah.

Stephanie Goss:
I think it's the same for our clients when it comes to what are they ordering and why are they ordering it.

Stephanie Goss:
I think the last question was do we fight for a bigger budget for our products. I think you and I talked already like don't you want to put that money towards something else and I think the first thing that came to both of our minds is let's put that money towards our team.

Stephanie Goss:
We're having these bigger conversations about wages and wage equality and how do we do more for our teams and how do we support people who stick with us and are there for us. A guy would way rather take some of that money that's sitting on the shelf in terms of inventory and buy things for my team, pay them more, buy new equipment, do those things. And when you start to look at your pharmacy as capital sitting on the shelf, it's fun to do some hallucinating and think about what else you could do with that money.

Jenn Galvin:
It sounds super nerdy, but for me, that's such a fun thing to think of if I had like X amount of money. If I got rid of some of these meds and I had the ability to still carry them on an online pharmacy, you're not taking anything out of your hospital that you can't give back to your clients. So it's not like you're like, “Eh, we're going to get rid of x-ray.” This is something that it's easy to figure that out.

Jenn Galvin:
But what you can do with that money? I've seen practices that they have actually been able to free up enough space getting rid of products to put in another exam room. You want to talk about profitability.

Stephanie Goss:
Yes, absolutely.

Jenn Galvin:
What could you do with that space? It's not even always about the money, but it's how much space is that stuff taking up.

Jenn Galvin:
When you're talking about a full shelf up front of pet food and preventatives and what could you do with that space.

Stephanie Goss:
I will-

Jenn Galvin:
Let alone, what's getting stolen [crosstalk 00:57:00].

Stephanie Goss:
I will tell you that although I'm not at the practice because I am not in full-time practice anymore but they are putting two exam rooms in the lobby in that space that previously had inventory just sitting on it and to your point, those exam rooms are going to generate revenue now for the practice in a capacity that far exceeds the $50 box of heartworm preventative or a hundred dollars box of heartworm preventative when we're generating an ACT of 250 or 300 bucks every time a client walks in that exam room. That's super smart.

Jenn Galvin:
And I think trying to figure out what are your team's pain points and trying to turn that into why are we making this shift can really be beneficial.

Jenn Galvin:
I think if it's, “We need more team members,” you can spin, moving product out to be able to generate the revenue to do that and free up that money, if it's, “Man, we don't have enough exam rooms. Our wait times are forever. Our doctors are sitting on their hands because they don't have another exam room to go into,” if you free up the space, maybe you can get another exam room.

Jenn Galvin:
If you can think of things that are a problem for your team and then turning that into the solution is exporting that stuff out of your practice, putting that on an online pharmacy, that's a great way to motivate them to be part of that transition, which is, I'm not saying…

Jenn Galvin:
It's scary, guys. We did it out the gate starting our practice and it was still hard because we had so many professionals that came from the dig in your heels, you don't migrate that stuff out of practice kind of places and it's hard. It's a hard transition. I'm not saying it's… Yeah. You just tell them, be excited about it and they're going to do it and it's going to be great. It's hard, but you can do it and you just have to find the reason why.

Stephanie Goss:
Yeah. Yeah. I think… As usually occurs with you and I, we get to talking and the conversation is so good and we could talk about this forever and I think we're at the wrapping point for today because I think we answered all the questions with yes, yes, and yes. And-

Jenn Galvin:
Let's just do it.

Stephanie Goss:
Let's start with the why and that's a big part of it. And I love the point that you just ended us on which is it's not only about why you're being asked to make the change and why would you want to make the change, but also what is the why in the practice, what are the pain points for the team, what are the pain points for the clients, what do you want to have more money for, why do you want to have more money in the practice, what could you do with it if you free it up, I think all of those things are great reasons to take a look at shifting to an online pharmacy if you don't have one.

Stephanie Goss:
And yet I also can see… I would love it for us to do a part two on this and talk about… You brought up the team and it's hard and change is hard. I think the plan of attack when I sat down and looked at this because usually Andy and I talk about headspace and then we talk about, “Okay, how do we actually tackle this problem?”

Stephanie Goss:
And for me, the tackling of it comes down to clients really don't care. At the end of the day, they really don't care what you carry or why you're carrying it. They just want you to tell them what they need and how they get it. And so that is a training issue all day long and we need to teach our people what to say and how to say it.

Stephanie Goss:
I could totally see you and I jumping on and doing a part two of this and really diving into that because that is its whole own separate thing. But the why, I feel like this has been really fun going back and forth and talking about some of the reasons why we need to do this. But I think the answer to all of the questions from Jenn and I is a resounding yes and I have had so much fun talking through all of this with you.

Stephanie Goss:
Jenn, thanks for being here with me today and for talking this through. This was fun.

Jenn Galvin:
Yeah. Oh, man. I love chatting with you any chance I get, so thanks for having me.

Stephanie Goss:
Of course.

Jenn Galvin:
And yeah, I'll be back if you want to discuss how to get your team to do this, I'll be back. You just have to say the word.

Stephanie Goss:
Sounds good.

Stephanie Goss:
Take care, everybody. Have a fantastic week and we will talk to you guys again soon.

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.

Stephanie Goss:
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 an unchartedvet.com/mailbag or you can email us at podcast@unchartedvet.com.

Stephanie Goss:
Take care, everybody, and have a great week. We'll see you again next time.

Written by Dustin Bays · Categorized: Blog, Podcast

Apr 13 2022

I Don’t Like My Boss’ Style

Uncharted Veterinary Podcast Episode 173 Cover Image

This Week on the Uncharted Podcast…

When your direct boss sucks the life out of you, what do you do? This week on the podcast, Dr. Andy Roark and Stephanie Goss are talking through a mailbag letter from a veterinarian who transitioned out of their old practice and into a new one. They love the team, the clients and the work. There is just one problem… the medical director has a polar opposite leadership style from our vet friend and it is sucking the life out of everything at work. Let’s get into this…

Uncharted Veterinary Podcast · UVP 173 I Don’t Like My Boss’ Style
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You can also listen to the episode on Apple Podcasts, Spotify, Google Podcasts, or wherever you get your podcasts.

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

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

Upcoming Events

May 21: Retain Your Team: Speak the Languages of Appreciation in Your Workplace with Tracy Sands

You can be the leader of a happier, more satisfied team, and it starts with understanding how each person in your practice feels the most valued.

Practice owner Dr. Tracy Sands is going to teach you about the languages of appreciation and how they can help you motivate, train and retain your staff in this 2-hour, LIVE workshop.

June 8: Creating Content That Clients Crave with Bill Schroeder

Many practices have heard that “content is king”, but few have systems in place that actually generate impactful content.

This extremely interactive session will explore the types of content that are most valuable, the potential impact of such, and proven methods for great content development.

All Upcoming Events

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


Episode Transcript

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

Stephanie Goss:
Hey, everybody. I am Stephanie Goss, and this is another episode of the Uncharted Podcast. When your direct boss sucks the life out of you, what do you do? This week on the podcast, Andy and I are tackling a letter from the mail bag about that exact topic. We have a veterinarian who has gone to a new clinic, loves the clients, loves the work, loves the team. There's just one big drawback and that is the new medical director, they have radically different styles of leadership. And our vet friend is really struggling to find a common ground with this new medical director and they are wondering when styles of leadership are complete, opposites within the practice and it creates tension, how do I manage this? Let's get into this one. And now, the Uncharted Podcast.

Dr. Andy Roark:
And we are back, it's me, Dr. Andy Roark and my co-host, my wingman, the one and only practice management goddess, Stephanie like paper and fire Goss, like paper and fire. Oh, how you feeling?

Stephanie Goss:
It's a good day. It's sunny here in western Washington for the first time in weeks so I cannot complain. How are you?

Dr. Andy Roark:
I am good. The spring is coming here in Greenville, South Carolina. I'm looking out into the trees in my neighborhood and they all have those green buds, you know what I mean? They are opening up. At first, they're just naked trees and then there's like this green haze and now they're not leafed, but the leaves are actively unfurling and I'm like, “Oh buddy, spring is about to explode.” The Uncharted Vet Conference is less than three weeks away.

Stephanie Goss:
I know.

Dr. Andy Roark:
It is coming down, it is sold out. We are cocked, locked and ready to rock it is going to be a great time with great people and I could not be more excited.

Stephanie Goss:
Yeah, I cannot wait. We have got a fantastic group that is coming together. It's just going to be so good. You and I know because we both have done some traveling and have gone to conferences so far this year, how good it feels to be with people. But there is something very, very unique about being able to be with our Uncharted family and I cannot wait. We've got some awesome newbies who I'm very excited about meeting who are coming to Greenville for the first time and people who are returning for the first time in three years and I cannot wait to see everybody. There's going to be lot of squealing in the lobby of the Westin.

Dr. Andy Roark:
Yeah, I agree. Think about all the people that we've met virtually over the last two years.

Stephanie Goss:
Yes.

Dr. Andy Roark:
And we talk to them a lot and we're going to see them for the first time, that's going to be amazing. Now, I can get super geeky about this, but I don't want to because it's sold out and I just don't want people to feel bad because it's sold out. So anyway, it's great. Sorry if you're not coming,

Stephanie Goss:
But you know what, if you miss the boat, you definitely should keep an eye on the website because we are going to open registration here in a few months for the virtual conference in October, we're doing Get Shit Done again and there's no better way to ease yourself in if you're like, “I don't know, I've heard these guys are really crazy, I've heard they're really loud and it makes me a little bit nervous.” There's no better way than dipping your toe in virtually and come and hang out with us in October before you come hang out with us next April.

Dr. Andy Roark:
You can just turn the volume down-

Stephanie Goss:
Exactly.

Dr. Andy Roark:
… if you want. All right, let's get into this episode here.

Stephanie Goss:
I am super pumped man, the mailbag has been on fire. You guys have been sending in stuff left and right and it is so much fun.

Dr. Andy Roark:
Honestly, we've been getting a lot of from the mail bag and man, it is good stuff. So I am really excited for episodes that we have coming up, really good stuff. I saw one pop into the mail bag a couple of days ago and they were like, “I listen to all your podcasts about this and I understand in my mind what I'm supposed to do, but I don't have the words to say it. Could you guys role play it or do things like that?” I'm like, you know what? I think we can.

Stephanie Goss:
I know.

Dr. Andy Roark:
So I saw that and I'm like, “We have not really done that before, but a 100%…” Whenever we do stuff where we actually role play a little bit or we make it sound like the conversation itself, I generally get emails from that when people are like, “That was so helpful. It's not exactly how I'd say it, but I needed to hear someone say it just so I could really get the vibe of what was going on.” So I thought that was a great question, it made me really excited.

Stephanie Goss:
Yeah. We've got a bunch of stuff coming up and this is one of those emails we got, and this is such a good one. This is a veterinarian who has moved into a new practice. They went from their prior practice, which was sold to corporate and felt like that was not the right fit after some time for them and so they have moved over to an indy, newer startup practice and they are super stoked. They're having a great time, they're loving the work, the clients are great, the team is fantastic, but there is a big drawback for them. And that is that the medical director is their polar opposite. They feel like the medical director seems to be a very reactive person and our writer describe themselves as very proactive and kind of calm. The medical director seems to be very unenthusiastic and that is probably the thing that is stressing this doctor out the most.

Stephanie Goss:
It feels like all the suggestions and ideas from the team are really met with negativity unless they're coming from the medical director themselves. Then of course it's the greatest idea in the world. And there's not a whole lot of praise for the team, the leadership style seems to be really focused on highlighting mistakes, highlighting errors, asking for corrections and this doctor is really struggling because their style feels like the opposite.

Stephanie Goss:
And so when they are trying to engage and direct the team and that style is present and it's radically different from the medical director, it is creating tension between the two of them. And so our writer is asking, “How do I or we manage this relationship and this person to have a better outcome?” And I just thought that this was such a great one, because there are so many different leadership styles and it is not uncommon to be in a situation where your boss is different from you and you got to figure out how to make that work.

Dr. Andy Roark:
Yeah, definitely. Oh, definitely and there's two pieces to this too. There are different leaders styles, and then there's also being a bad boss, those are different. At some point you're like, bad is not a style. If that's true, then I have my own style of basketball that is like, “No, I'm just not good at it.” Some people play fast, some people set up and very strategic, I flail around. It's not a style, it's a lack of skill. And so anyway, I'm not saying that's what the boss has, but let's call a spade, a spade here from the beginning and say, sometimes it's a style difference. And style differences can be wildly frustrating. It's just, it's not how I would do this or it's not how I like to be communicated with.

Dr. Andy Roark:
And I'm not even saying the person's not effective, they may be… The worst thing in my mind emotionally is when the person is hugely effective and their style is not mine and I'm like, “Ah, I can't even console myself with the fact that they're not good, they are good and I don't like it.”

Stephanie Goss:
That's a good story.

Dr. Andy Roark:
And so that's even worse. So anyway, those are not the same thing we'll say at the beginning and so we will start to parse those things apart because they are important. The point I'm trying to make here right off the bat at the beginning is, bad bosses are not bad, they're not bad. They're either different or they're struggling. And let's be honest, a lot of us got into leadership roles because nobody else did it. We were there and they needed a medical director, or we were the most senior person and that's how they decided who would be the head technician and that's how the person got there. They're not generally a jerk. I don't tend to a meet bad people who are bosses, bullies, things like that. I know they exist, but they are in the vast minority.

Dr. Andy Roark:
Most people are doing their best. Nobody trained them on how to be a good boss or a good leader, or it's not in their natural skill set or things like that. And so the first thing in all of this is start from a place of compassion, realize that people are probably generally doing their best and it's easy to roll the person and the behavior together and say, “This person is unenthusiastic and they're reactive and they don't care.” and you go, “No, this person's probably a good person who's trying to run a vet hospital and do a good job. They have behaviors that are frustrating or counterproductive.” And if you can just do that simple little surgical procedure of separating the person from the behavior, that's the first step and one of the most important pieces in actually being able to work with this person.

Stephanie Goss:
Okay. So separate the behavior from the emotion too, that is a hard piece of it, and I think that's that falls right too where we usually start when conversations are going to be hard, which is that emotionally we have to get ourselves into a safe head space and we have to be able to live out our safe acronym. So our S which stands for, can I sit next to this person?

Dr. Andy Roark:
Yeah. Can I smile at them?

Stephanie Goss:
You're giving me this look like, is she going to remember what they stand for?

Dr. Andy Roark:
No. I was like, are you passing this to me or are you like, which is… And am I supposed to come in with the answer here? No, you got it. Safe is, can you sit next to this person? Can you smile at them? And if you are too triggered to sit next to them and smile at them, then this is a bad time to have this conversation, don't do it. You can talk to them tomorrow, write it on your calendar for next week so that you don't forget, so you're going to hold yourself accountable, you don't have to do it right now. I think a lot of people are like, “If I don't say something, I won't say something.” If you can't sleep on it and still decide that this is worth having the conversation, then you're are probably coming from an emotional place and that's probably bad.

Dr. Andy Roark:
A is assuming good intent. That goes back to what I was talking about before. I don't suspect that your boss is trying to undermine the practice or trying to make people miserable, he or she is probably just struggling to communicate effectively with you and, or with the rest of the team. F is, well, here is my fault. How have I set this person up to fail? And have you communicated the best way to work together? Have you communicated how you like to communicate with people, set expectations? Have you communicated what you need to do your job effectively or to feel included so that this person knows? “Oh, I need to loop this person at this phase.” Or, “These are the types of communications that make this person feel valued.”

Dr. Andy Roark:
And if I haven't given that information or we haven't discussed, “Hey, let's talk about how you and I can work together in the best way possible.” maybe I haven't shared enough with this person to make them successful. And the last thing is, E is what is the end result? What do you want in this? Yeah, what do you want the outcome of the conversation you're going to have or this ways of working approach? What do you want that to be? And I think that takes us really nicely into setting realistic expectations.

Stephanie Goss:
I think for me, where it starts is sitting back and thinking, “Where are you trying to go? And the end result is really important here. And for my pre-work, I would start with E and work myself backwards from there, thinking about, when somebody moves into an independent startup kind of environment, there are some people that fall into that. There is also a type of person that is attracted to that independent, fast moving, growing environment. There are challenges with entrepreneurship that come there and so if you, as an associate doctor are attracted to that because you want to be a part of creating something new from the ground up, that's a conversation that has to exist outside of your head. You can't just want that and not share that with the other leaders in the practice, including the medical director.

Stephanie Goss:
And so for me, I would start with thinking about what is the end result? What do I want out of this? Why did I join this practice? What am I attracted to? If you want to be able to actively engage in helping lead the team, in being a role model for the support staff, you can do those things without permission, that it's not about needing someone's approval to do those things, but it is about creating an environment where you can work together as a team, because for most of us, that is what we want.

Stephanie Goss:
And for most of us, that conversation exists in our head. And so for me, the safe part of it is taking some time to figure out what is it that you actually want from this? And then working your way backwards. I would say you have set yourself up to fail and set the other person up to fail if you haven't had that conversation.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
And so thinking about what do you want? And then thinking about it a little bit from a clean slate perspective, even if you've been working with this person now for 12 months, there's no reason why you can't say, “Hey, I've been doing a lot of thinking about this lately and I would love to have a conversation with this about you. Can we carve out some time to sit down and talk about this one on one?” Or whatever that looks like.

Dr. Andy Roark:
I want to put my finger on something that you said as an example of the importance of setting expectations. Because when you said this is a small, fast moving, independent practice, and you can change things and you want to grow things and you want to do things like that, I think you and I have that expectation about what it means to be an independent practice. But I think there are other people who very much have the expectation of, I want to be in an independent practice because I don't want to have outside pressure or downward pressure about meeting growth targets or meeting sales goals or things like that.

Dr. Andy Roark:
And I a 100% understand not wanting that, but if your expectation is, “We are at a small, independent practice because we want to grow, and be nimble and try new things.” and their expectation is, “We're a small, independent practice because we very much like the way that we do things now and we like to move at our own speed.” that's a recipe for disaster at least until you get your head around, “Oh my expectation for why we're in this place and your expectation are wildly different.” And now I've got some options and eyes wide open, I can try to collaborate with you. I can stop doing what I'm doing and just go, “Okay. Well, I guess that's how it is here, because that's what the medical director wants.” or I can leave and say, “This is not my expectation of what a small practice should be, I hate to leave. I love the clients, I love the culture, but I'm not going to be happy if I feel like I'm stagnant and that seems to be what is in store for me here. And so I'm going to pick my poison.”

Dr. Andy Roark:
So anyway, when I come back to setting expectations, I think that's really it. Is like, what does this person want? Where are they trying to go? What do they care about? And just start to grasp those and say, well, if their expectation is, “We're staying still, we're treading water, I better get on board with that or I better figure out what my other options are.” The other part of expectations is, what is in your power and what is not in your power. And I can tell you that was one of the hardest lessons for me as a young associate vet, is to work in a practice and come slamming into the wall and realizing that there's things that I wanted or ways that I wanted to do things and that was not going to happen.

Dr. Andy Roark:
The people above me, the leadership structure that was in place, they did not like that I idea and they did not want to practice that way. And they didn't care that what they did, in my opinion, was wildly inefficient or frustrating every day that I saw it happen. They were like, “Nope, we heard you, we understand.” I can be negative and say don't care or I can say they did their math, which I am not privy to, and they know things that I don't know and they have concerns that I am wildly unaware of. And so when I take the most positive view on it, I don't know what all they weighed in their decision. But ultimately their decision was-

Stephanie Goss:
We're moving in a different direction.

Dr. Andy Roark:
Yeah, we're going in a different direction. There is peace and acceptance. And part of acceptance is saying, “I have the power to work with my staff on the ground. I have power over how I engage with my technicians and the front desk and the assistance every day and how I treat them and how I talk to them and how I work with them up to the point that I'm allowed to have that flexibility and that control. I have power in how I treat the clients. I have power in how I practice medicine. I have power in how I behave and how I present myself. And all of those things, I have power in.” If that's not enough, and sometimes that's not enough, then we start to have real conflict here.

Dr. Andy Roark:
And so expectation is, what is in my power and what is not in my power. And once I recognize these things, these three things over here that I care about, they are not in my power, that is the first step in acceptance and saying, “Well, I need to either accept these or I need to go somewhere else or I need to work to change what's there.” But you got to recognize what's in your power and what's not. And the last thing is, you got to have realistic goals. So when you said we have to have these conversations and decide what do we want? And I'm like, “I want us to be best friends.” That's probably not going to happen. If your ways of communicating and leading are radically diametrically, opposed to the person who's there, if your expectation, if your endpoint, if your goal is, “We are going to be the best friends and we are going to see eye to eye.” I think you're probably going to be disappointed.

Stephanie Goss:
Sure.

Dr. Andy Roark:
I think realistic goals are to say, “Okay. I'm working with someone who's very different than me, they see things differently than me, they lead in a way that's not exactly how I would lead. And if I can just recognize I am going to always have to be a little careful about how I communicate with this person, I'm going to have to practice patience because the way that they're going to approach things is just not how I would approach things. And I'm going to have to learn to accept that and be okay with that.” A realistic goal of, we are going to have a functional work relationship and respect for each other, that may be the best goal that you can set. Functional relationship, respect for each other. We might enjoy each other in non-work capacity or talking about non-work subjects.

Dr. Andy Roark:
And if you get to that point, that's not failure. That can be a 100% functional success. But if your benchmark is, we are great friends and they talk to me the way that I like to be talked to, and they make decisions the way I think they should make decisions, I think you're going to continue to be frustrated. So you've got to get your head on what is realistic here and decide if you're okay with that. And, that sounds hard and when we start talking about realistic expectations, the last place and head space that takes me, is setting realistic boundaries.

Dr. Andy Roark:
And you see how these sort of things all dovetail into each other of what is the end result you want? Okay, what is realistic? Okay, given what is realistic, what are the boundaries that I have to set? Because this situation can suck the life out of entrepreneurial can-do people. If you're like, I cheerlead, I leave in my heart, I'm excited, I love it, I want to jump in, do stuff, change things, try new things and you have a direct boss over you who just shuts that stuff down again and again and again and again, it can bleed the life out of you. It can make you feel hopeless and it can make you feel terrible. And I feel like I'm being very negative on the boss and there's two sides to every story.

Dr. Andy Roark:
And again, there are much more measured people who are not the enthusiastic people and they're not wrong and they're not bad, they can be great leaders. In fact, a lot of people like myself at a younger age, very much needed to be reigned in so I didn't exhaust every everyone.

Stephanie Goss:
Totally.

Dr. Andy Roark:
A 100%. You're like, still today.

Stephanie Goss:
Sometimes we have to bust out the shock collar, it's fine.

Dr. Andy Roark:
Yeah, that's exactly right. And anyway, you have to set personal boundaries which means… And I hate to say this because you guys know how much I love vet medicine and I love practicing and all, being in practice, I love being part of a team, there a 100% have been times in my career when I have had the mantra in my mind, “This is just a job. This is just a job.”

Stephanie Goss:
Yeah.

Dr. Andy Roark:
Or, “This is not my practice. This is not my practice.” And I feel like that can be more important in an independent practice because theoretically it could be your practice. You're like, “Well, it's an independent… I could be the medical director and then we would make these changes.” but having the mantra, this is just a job or this is not my practice. Those don't have to be toxic, negative things, they can be words of affirmation-

Stephanie Goss:
And super healthy.

Dr. Andy Roark:
Yes. I agree, super healthy. That's my big thing is don't be afraid to set those boundaries and just say, “What are the must haves for me in this job?” And if I have all the must haves and I like my clients and I like my team, then when it comes to dealing with management or making changes, I'm going to repeat to myself, “This is just a job. This is not my clinic.” I'm happy to share with you what I think, I will give you honest feedback, I will listen, I will honor the decisions that are made, but I am not going to beat my head against the wall trying to make changes that are not going to be received or they're not going to go forward or my input is not going to be appreciated. I'm going to set that boundary for myself of, I'll put it forward and then I'm going to let it go.

Stephanie Goss:
I think the thing that's important is if you do set that boundary can be very, very healthy to say, “This is just a job for me. I'm okay with this, it is what it is. I'm going to do my best.” I will also say that the hard work then falls to you to maintain that as a healthy space and not let it become toxic. And I say that is really hard because I like you, have been in a situation where that was the case. I was at a point in my life where it was like, it has to just be a job, because I have to let go. It's unhealthy for me to feel like I've in conflict all the time and so I'm just going to let go and I'm going to show up, I'm going to do really good work, I'm going to do my job and then I'm going to go home and I'm not going to worry about the rest of it.

Stephanie Goss:
And it's very easy to let your thoughts and even your actions become negative when there is still existing conflict over time. It's very easy to maintain in that space for a short period of time and keep a super positive, happy, healthy attitude. And I will say that when you are picking your poison and you're thinking about the way that you want to proceed in the long term, know that the head space work here in terms of positivity is going to fall to you. Because if you're not actively participating in work to help this other person grow in ways that will help better the relationship with you, the healthy, positive head space work is going to fall to you. Otherwise, it can very easily switch over that line to negative. “Well, I don't agree with what they're going to do so they can just do whatever they want.” That is the unhealthy and it's really easy for our mind to switch over into that unhealthy place very quickly.

Dr. Andy Roark:
Yeah. I completely agree. So I want to add one more personal boundary, because it's important. Remember that you cannot change anyone. You cannot make anyone be who they don't want to be, you cannot make someone grow, only they can change themselves. And so if you're going back to the realistic expectations and setting healthy boundaries, you can work with people, you can give them feedback, you can talk to them, you can support them, but you cannot make them change. And if they don't want to change, that's not on you, that's on them. And I love that you said this takes muscle to say, “I am going to detach from my need for control here and step back and say, ‘Not my circus, not my monkeys.' But I am not going to become negative, I'm not going to become fatalistic. I'm not going to become resentful and undermine what is going on here.” And I think that you have to hold that mental space.

Dr. Andy Roark:
There's a couple things that not allowed in this head space, in my mind. Number one, you are not allowed to detach and then become toxic. You are not allowed to detach and become resentful because if you are resentful, then you are in the wrong place. Life is too short, you it to go through exactly one time. I don't know why it's happening right now, I have a number of friends who have very severe physical ailments, cancer survivors, people like that, going through chemotherapy in my life and it just seems to be happening a lot.

Dr. Andy Roark:
And boy, it is really made clear to me you get to go through this life one time and nothing is guaranteed. And if you are resentful at your job or you are miserable, you are too valuable and your time is too valuable and you need to go somewhere else and do something else that will make you happy. And so it is your responsibility to hang there but two things you're not allowed to do. Number one, you're not allowed to be there and be resentful. That's not okay, you deserve better for yourself. And number two, you are not allowed to martyr yourself. And you and I have a podcast, is one of my favorite podcasts that we've done, it's something like, I can't remember what it's called, but it was about, I can't quit because I protect the staff. And it was about someone, they were a manager and they were in a practice they thought was toxic and they were like, “I am miserable, but I can't leave because I don't want to leave my staff behind unprotected.”

Dr. Andy Roark:
And I said, “That's not allowed.” You're you're not allowed to be a martyr, you're not allowed to give yourself to this organization, to sacrifice for other people. Nope. You have to take care of yourself, you have to take care of your family. You're not going to do anyone any good if you're burned out and broken down. And so you can be there and figure out a balance that works for you with good boundaries and a good head space and some acceptance, or if that's not possible, there's no shame in that. But you need to recognize that acceptance is not working, that you are becoming resentful and then you need to take care of yourself.

Stephanie Goss:
I love it.

Dr. Andy Roark:
Cool.

Stephanie Goss:
Is there anything else that you can think of from the head space perspective?

Dr. Andy Roark:
No. I think that's a good breakdown of kind of how I think about these things. I think we should take a break and then come back and let's talk about how we actually navigate these waters? How do we make our lives better?

Stephanie Goss:
Love it.

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

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

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

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

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

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

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

Stephanie Goss:
Hey everybody, I'm just going to jump in here for one minute and say a few thank yous before we get back to the podcast. First of all, I am headed to sunny Greenville, South Carolina in about a week actually, when this episode comes out and I cannot wait to spend some time with some of my best friends and some of the people who are going to be joining us are our Anchor Gang sponsors. And I have to give a huge, huge, special shout out and thank you to our friends at CareCredit, at Hill's Pet Nutrition and Nationwide, we absolutely could not make our live events happen without their support. And so from every single attendee and our Uncharted team, from the bottom of our hearts, I want to thank you guys for your support, we couldn't do this without you and I can't wait to spend time with all of them and our attendees in Greenville.

Stephanie Goss:
Andy and I are both so excited to have everybody get to town and join in the fun because we are finally going to get to meet some people that we have spent the last three years face to face over the internet with and it is going to be awesome. There is going to be a lot of squealing in lobby at the Westin Poinsett in just a week. And I also have to say thank you to our friends at Banfield, they deserve a huge shout out of appreciation as well because they have stepped up to the plate in a big way for 2022 for us. They are helping Andy and I make the podcast more accessible to the entire veterinary community by providing transcripts for every episode of both the Uncharted Veterinary Podcast and the Cone of Shame Podcast for the entire 2022 year.

Stephanie Goss:
This falls right into their wheelhouse of striving to increase accessibility and inclusivity across the veterinary profession. To check out the transcripts, if you know somebody who would benefit from being able to read our transcripts versus hearing accessibility of the podcast, head on over to the blog. You can also check out more information there about equity, inclusion and diversity at Banfield, the address is unchartedvet.com/blog, you'll find every episode transcript in order, along with more information about E, I and D at Banfields. And now, back to the podcast.

Dr. Andy Roark:
All right, let's jump back into it. Let's get started here, let's take some action steps. What are the tools in the toolbox to try to improve this situation where the medical director is reactive as opposed to proactive, where they seem to suck the energy out of ideas? Where they generally sort of seem to turn off the employees. How do we help this person? How do we help this situation?

Stephanie Goss:
Okay. I think it starts with having some conversation with that person. And for me, there's three big steps that are solution steps that fall into kind of the head space realm before I ask them to have that conversation. It is really easy to look at someone whose style is radically different from you or who acts a way that is very different than you and interacts with the team very differently than you and focus really on the negative. When we talked in the head space section about embracing the positive and so for me, that starts with trying to get myself into a good head space about it. And so the three things that I would say to start with are, I would spend some time observing their team.

Stephanie Goss:
And what I mean by that is everybody has a rock star or a person, even if we try to not play favorites, everybody has someone that we just click with really well on the team generally. And so I would look at the team that they work with regularly, and I would look at what works really well between them. Whether it's one tech that always works with them or who just knows how to get it done for that doctor. I would look at what is going well and I would also look at what are the things that that person or those people are struggling with to get yourself some concrete examples of things that they are doing well.

Stephanie Goss:
Because if you're just focused on the negative, the conversation is going to stay in the negative. But if you're trying to focus on the positive and get some concrete examples of, “Okay. Look, this is something that they do really well with some of their team. And so how can I draw that out and bring it across the rest of the team as a whole, or translate that into how they work with me?” So looking at the way that they interact with the team, what are some of the things that are working well? And then what are some of the things that even the rock stars on your team struggle with, with this doctor?

Stephanie Goss:
And then the second piece of it for me is really head space work for you or yourself, which is look, you have to accept that their weaknesses and their flaws are going to be much bigger in your head than they are in actuality. Because the reality is when we are struggling with someone, we have conversations in our head and we blow things out of proportion, even if we think we're being perfectly rational about it.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
And so really taking some time to look critically at some of the things that they're doing and ask yourself, is this really as bad as I'm telling myself it is in my head? Because the reality is there are lots of things that is probably out of proportion. And so trying to do the head space work to bring it into proportion and say, what are some concrete examples of things that I can actually be concerned about? And the flip side of that is shifting now focus then to the positive. So what are those strengths? How do I shine a light and call out the good behaviors, the things that they are doing well, how do I focus on that so that I can try and get them to repeat that behavior?

Stephanie Goss:
Where can I find the positive reinforcement? And so all of that is mental games, mental gymnastics for me that I need to do before I sit down and have a conversation with them, because if I have done those things, then I generally on a personal level have a capacity to bring much more of a positive head space to a conversation and I'm much more likely to be able to be safe when I say it down to have this conversation with this person.

Dr. Andy Roark:
Yeah, I love that. And I want to expand on that because I think that's so smart and I think it's really good. We have, what's called negativity bias, which is just the way that we're made and we're wired, is we tend to remember the negative things. The things that we don't like, we definitely remember. The things that we do like, we just kind of overlook. We don't even think about them and then we go on. And so I think a great idea for getting ready for this is what are the good things this person does so that we can throw those in and we can be fair to the person. The other thing is just in an ongoing fashion, this is just good communication, good managing up, positive reinforcement is your friend. Is when this person engages in a way that's positive, when you guys are on the same page, celebrate them.

Stephanie Goss:
Yes.

Dr. Andy Roark:
Just let them know that you felt really heard. “I appreciate that you really seem to consider this idea and that meant a lot.” And yeah, that's the slow game, that's the long game, but it costs nothing. And I think a lot of times when we are working up the chain of command, we forget that positive reinforcement works great up the chain, which means when your a medical director or whatever, when they make the call that you like, when they move in a direction you think is positive, positively reinforce that. Don't just not say anything and because they don't know how you perceive that. So yeah, I thought that was really great. I think you're doing a good job of being fair to the person.

Dr. Andy Roark:
And again, separating the person from the behavior here and go, “Hey, it's not that this person is bad or this person is awful to work with, it's that they have these behaviors that I don't like, and I want to parse out what those behaviors are. And I also want to parse out the behaviors that they're good at.” And that feels like a very fair, good, healthy conversation space. I really like that. I like the idea of trying to understand what this person cares about and what they're trying to do. This is seek first to understand. And so when I talked before, I said I worked at this place and I was super fired up and I ended up not feeling like my ideas were being taken seriously or people didn't care, and I kind of had to put up those boundaries to be fair to them. I don't really know where they were trying to go or what they were trying to do.

Dr. Andy Roark:
Especially, these are easy conversations when you come into a new place or you're just starting to work with people, it feels very casual. You can definitely do it later on, but basically having a conversation and just saying, “Hey, I'm thinking about the future and I'm kind of wanting to understand sort of where the practice is going and what's important to you guys. And I want to be supportive of you and make sure that I can be a good work colleague and help you get where you want to be. And so can you tell me what your main objectives for the hospital are in the next year? Are there programs that you're excited about? What does success look like? What do you most hope to accomplish in the next year or two? When you think back to what's happened in the recent past, what are you most pleased with? What are you most excited about?

Dr. Andy Roark:
And all of these things serve two purposes. Number one is they help me to understand who is this person and what do they care about? And are those cares compatible with what I care about? And a lot of times I'll get on board with whatever you want to get on board with, I have to believe we're moving forward. And there's a big difference in me saying, “This is maybe not the priorities that I would choose, but priorities have been chosen and we are making forward progress.” versus, “Priorities have not been chosen and we are not making forward progress.” Those would be very different experiences for me.

Dr. Andy Roark:
The other reason I want to have those conversations too, is because these are going to provide context for the ideas that I'm going to propose. When I go and I talk to this person about changes that we want to make, or things that I think that we could grow or develop, I'd like to know what their objectives are and what they're excited about and what they're most proud of, because then I can talk to them about what's important to me in a way that matches up with what's important to them. And now I'm building some commonality, “Hey, this is what's good for me. It also matches up with where you want to go. This feels like collaboration territory. Welcome to work together town.” That's what it seems like to me.

Stephanie Goss:
Sure.

Dr. Andy Roark:
But if you don't know those things, then you don't have that insight to the person and you also don't have that ability to build proposals that hit their objectives as well. And so I think that's just a good part of that conversation.

Stephanie Goss:
Yeah. I think that's great. Some of this is going to be hard because when you are polar opposite… I love the context that you gave for like asking them what do they care about, because then you have the ability, like you said, to frame the things that matter to you in the context of what matters to them and try and find that commonality. And when you get into some of the in depth conversations and start talking about how do you want to work together and how to try and build those bridges, they're hard conversations because it is emotional.

Stephanie Goss:
And the reality is if you're in a clinic where the medical director is your “boss” and you're in a hierarchy structure, you are managing up. And so for me, I love listening to your point and hearing that information. And I think when it comes to the hard parts of the conversation, what has been really, really helpful for me in terms of learning how to manage up is to prepare myself a little bit and do some mapping for hard conversations. What that looks like for me is thinking about kind of a formula, and over the years, I've developed a way to make it comfortable for me. And you have to make it feel comfortable for you otherwise, it's just going to sound like you're reading a script.

Stephanie Goss:
But for me, it has been about, okay, I want to balance the facts with also the emotions and how I feel. And where that often gets us into trouble is that we lean too much into the facts and we don't have actually bring up how we feel, or we lean too much into the feelings and then we get in trouble because then we get pissed off or we let our upset come out and then we're yelling at our boss, that's never a good thing. So for me, when I think about that piece of it, I try and think about how can I map this conversation so that when we get to the point where we are talking about working together and things that I need from them, I have a plan for how that conversation goes.

Stephanie Goss:
And so for me, I usually start with asking them for help, because when you ask someone for help, I have never had somebody not immediately take it down a few notches, even if they're upset about something. So for me, it's about, “Hey, I need your help.” When this thing, and this goes back to having those concrete examples and observing their behavior, when I tell the team to do X and you in front of everybody, tell them to do Y and you're giving them a concrete example that they can visualize, that they can see and hear in their own head, then this is what happens for me, this is my reality and I tell them. “I feel embarrassed. I feel like you are making me seem like I am not a valuable member of the team.”

Stephanie Goss:
This is where you have to think about how does this make you feel? And using I statements are really important here, and tell them, this is the impact of that to me on a personal level, and then ask for what you need. “I need us to work together. I need us to be a united front in front of the team. So in the future, if you disagree with something that I'm doing, can you pull me aside and have that conversation with me privately versus voicing that in front of the team? Would that work for you? Because you may still do exactly what you're going to do and disagree with me and that's okay as long as I don't feel like I have been embarrassed in front of the team, and that's how that makes me feel. Would that work for you?” Right?

Dr. Andy Roark:
Yeah.

Stephanie Goss:
Doing that kind of mapping for myself in my head helps me be able to kind of walk that middle ground between, this is a hard conversation. I know it's going to be a hard conversation. It helps me manage my feelings, particularly because I'm one of those people where I tend to hit the mad button, it's the Irish in me. And I lean into that and I have to reign it in and so for me, walking through these conversations, not rehearsing it, not practicing it so that like I said, it sounds like I'm using a script, but really in my brain getting clear about what exactly about this is bothering me and coming from a concrete example, helps me manage up because then I'm asking them for something tangible.

Stephanie Goss:
And it's really hard when I do that… Even somebody who is emotional in the moment, if you ask them for help, if you give them a concrete example, if you tell them why it bothers you or what about it is frustrating or angering or upsetting, whatever emotions you're tying to it and then you ask them for help, I have never not had that conversation at least go decently. It may not go spectacularly, a lot of times it goes way better than you think, but it may not go spectacularly, but at least it's always gone decently for me and that really helps me move through some of those hard conversations.

Stephanie Goss:
Because to your point earlier on when we were talking about head space, we've got some choices and we can choose to disengage and we still have to stay positive. And so some of that positivity comes from having some of those hard conversations. Like, “Hey, I need us to work together. And here's some things that I need.” You have to ask them for that, that's part of that managing up relationship, is navigating some of those harder conversations.

Dr. Andy Roark:
Yeah, I agree. And in having those conversations, I guess the last part that I would put in these conversations, learning to say no gracefully is an important communication leadership skill that generally doesn't get taught.

Stephanie Goss:
Yes.

Dr. Andy Roark:
And so when you're having these sort of hard conversations especially when you're working with your boss, you can say no, you just need to know how to do it. And so there's sort of three different ways that I tend to say no gently.

Stephanie Goss:
Yes.

Dr. Andy Roark:
The first one is from improv comedy that I love and do, it's yes and. And so when the boss says, “I don't think we're going to be able to do this.” And I'll say, “I hear that we're not going to be able to do it and I think that maybe later in the year, there could be a real window where we might be able to circle back because we had talked about doing these other things and maybe we could do it together at that point later on.” And so I'm going to say yes and agree with what I'm being told and not but, because but is a barrier word. When I say yes but, what it really means is…

Dr. Andy Roark:
We've all been trained that when someone says something, but something else, “Andy, you're a really great listener, but…” I just disappeared from my brain whatever you said before the word but, because I'm like, “That's fluff, now you're going to tell me what you think and we're going to talk about.” And so, “Andy, you're a great listener and I look forward to us working on your personal development program so that you can continue to grow in these other ways.” And you go, “Okay, great. I hear that.” Same thing, there are going to be things instead of having barrier conversations, instead of saying no, you can say yes and, add in what you need.

Dr. Andy Roark:
“Hey, Stephanie, I need this by the end of the week.” and you can say, “Yes, I understand this is important and what would you like me to deprioritize so that I can get that done because my calendar right now is really full.” And people are like, “Oh, you can do that?” You can totally do that. You can say, “Yes and what would you like me to put on hold to make this happen?” And that is a 100% reasonable. The second one is the basics of disagreeing. And the way that we disagree, the first thing again, is say something positive. And so they'll say, “Hey, I need you to be seeing more appointments in a day.” And you can say, “Yeah. You know what? We do have a lot of clients that want to get in. I'm staying late every night so how can we get more clients in given the time constraints that we already have? What does that look like in your mind?”

Dr. Andy Roark:
And so say something positive and then ask them a question and then see what they say and then engage from there. And so, “Andy, I need you to get more appointments done in a day.” And I'll say, “I totally hear that. I know that we're shorthanded, I know we've a lot of clients that want to get in and we don't want clients to be stuck out in the cold. And my question for you is given that I'm already not getting out of here until a half an hour past the shift, how do you see this happening? Where are our changes in efficiency that are going to make this possible?” And then just put it back to them in that way.

Dr. Andy Roark:
And then the last thing is summarizing and reframing. So it's, what I hear you saying is this and I'm going to say it back to them and then I'm going to present it in the way that I sort of see it and say, “Okay, I see what you're saying. Here's the challenge that I see us ahead.” And so now I have agreed with what you said, you know that I listened to what you said because I said it back to you, and now I have a question about how we're going to go forward or I'm going to look at this in a different way, from my perspective and say, “Great. From the perspective of the doctors, how does this happen?” And put it back to them like that and those are all very similar.

Dr. Andy Roark:
Basically the pattern that you see is agreement and showing that I understand and I heard what this person said and then coming back generally with either an addition, adding to what they said or giving them a question that illustrates my point or my position on the challenge that I'm facing and letting them wrestle with it a little bit to see where I'm coming from or validating what they're saying, and then sharing with them my perception of what the problem is to see if I can get them to engage with it in that way that's most relevant, I guess, to my priorities.

Stephanie Goss:
I love that. And it's funny while you were talking through that section, I was actually thinking about some hard conversation that you and I even had this last week that modeled this pattern. So if you guys are wondering what actually happens, this is real stuff. And even Andy and I put ourselves through this and it works because we had a moment where Andy was really mad at me for something that I had done during a team meeting and he was frustrated and I was also frustrated because I didn't feel heard, and we use this pattern. And it's so funny because as you were talking this, I was like, “Oh look, our conversation afterwards followed this exact model.” And the end result was we both were just like, “Oh, okay. Now we see where the other person is coming from.”

Stephanie Goss:
Like, it could have been the kind of thing where obviously I would've probably been ticked off and in a snotty mood for the rest of the day because of that kind of interaction before but literally, as soon as it happened, we both were messaging each other and within five minutes had had this conversation hashed out and both were in a place where I feel like we both felt like, “Okay, we can see where the other person is coming from. And even if we were still feeling emotions because it doesn't always dissipate right away, we could see a path forward to how are we going to work together to solve this problem.” And so that for me is the best possible course of action here because we do have to pick our poison.

Stephanie Goss:
And so for me, having the ability to have those hard conversations and manage up is so critical because if you can have that conversation and you can feel heard and if they can feel heard, there is always potential that someone can change. But I think your point that you made really early on was a good one which is that we can't make them change, we can't want it more than they do, it is not our practice and so at the end of the day, we need to be able to find acceptance and peace.

Stephanie Goss:
And so on a personal level, if you can have those conversations, if you can feel heard and if someone chooses not to do something with it, for me, that's where I can sleep at night because I'm like, “Look, that's on them not on me. I have engaged in the process, I have spoken up, I have listened, I have participated and I still can't change it. And okay with that because now I either can be okay with it and continue on because I've decided it doesn't matter enough or I can be okay with it and I've decided this is not something that I can continue on with and so I'm going to pick my poison.”

Stephanie Goss:
And maybe that means leaving or changing my position or whatever the end result may be, but I can be okay with that because I have worked through that hard work. And I think that's the kind of stuff that you don't learn how to do and the hard conversations, you can learn how to have conversations with your peers, we don't often learn how or practice, how to have those conversations up with our bosses. And it is just as important if not more important, I feel like.

Dr. Andy Roark:
No, I agree. And I think also that's part of a healthy work environment too, is that there are going to be times that you don't agree with people. And especially when people care a lot and they're really working hard, their feelings are going to get hurt or they're going to take things personally and-

Stephanie Goss:
That was a 100% in our conversation.

Dr. Andy Roark:
Yeah. And the goal should not be that no one ever gets frustrated or that things don't ever get tense. I don't think it's possible to do something that people care about without there being some frustration or conflict. And we talked about there's healthy conflict and there's unhealthy conflict and the goal should be healthy conflict where you say, “I don't agree with what you did or I don't agree with what you said or how you said it or this is how I felt when I heard that.” And then we talk about it, and we go back and forth and we say, “I understand that you felt this way and I understand why you felt this way and this is why I reacted that way. Had I known A, I probably would not have said B.”

Dr. Andy Roark:
And you said, “Yeah. Well, if I had known C, then I wouldn't have said A that way.” And then you go, “Oh well, there we are. Thank you for talking this through with me.” And you go, “Okay.” And then we go on with our lives and that's… But that's what good teamwork looks like. It's not sunshine and rainbows and happiness all the time, sometimes it's tense conversations where both people end up feeling heard and then they go on with their lives. And they're like, “Well, that's it.” Sort that out and it's not a thing anymore. And so anyway, that a great example. Steph, that's all I got.

Stephanie Goss:
Yeah. This was fun, I think. This is a hard one and the thing that I can say last to wrap us up I think is, it's really important to have a sense of community and so lean into that. Lean into your team if you are our mail bag writer, you might be in a place where you lean into your team and the good relationships that you do have and that might be enough. Sometimes we have to look outside of our team and connecting with people who are having similar struggles or challenges or who know what it is like or who have the perspective, and that's one of the things that I love most about Uncharted, is just being able to float those moments or questions out to a community and say, “Hey, here's what I'm struggling with. Does anybody have any suggestions for how I can approach this?” and be able to talk through some things is so, so valuable, I feel like.

Stephanie Goss:
And so finding your people, especially if you are in a position where you do feel a little bit isolated because of challenges or just the nature of your position, because wherever you're leading from within the team, it can be hard to be a leader.

Dr. Andy Roark:
Yeah. No, I agree. Well, thanks for doing this with me, I appreciate it.

Stephanie Goss:
Yeah. Have a great week everybody, take care.

Dr. Andy Roark:
Yeah. Everybody, take care.

Stephanie Goss:
Well, everybody that's 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 favor to ask, actually two of them, one is if you can go to wherever you source your podcast from and hit the review button and leave us a review, we love hearing your feedback and knowing what you think of the podcast. And number two, if you haven't already hit the subscribe button. Thanks so much for listening guys, we'll see you soon.

Written by Dustin Bays · Categorized: Blog, Podcast

Apr 06 2022

I’m the Boss Now, Can We Still Be Friends?

Uncharted Veterinary Podcast Episode 172 Cover Image

This Week on the Uncharted Podcast…

When you become the boss, can you still be friends with your team? This week on the podcast, Dr. Andy Roark and Stephanie Goss are talking through a mailbag letter signed “Another Lonely Manager”. This manager transitioned from being a tech to being the boss and they are struggling with two questions – Can you expect to continue to be friends with your co-workers when you are promoted and become their boss? And how do you deal with feeling like a lonely leader at work? Let’s get into this…

Uncharted Veterinary Podcast · UVP 172 I'm The Boss Now, Can We Still Be Friends?
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Episode Transcript

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Stephanie Goss:

Hey, everybody. I am Stephanie Goss, and this is another episode of the Uncharted Podcast. This week on the podcast, Andy and I are diving into another letter from the mailbag. We got a letter from another lonely leader. This is a manager who came up from the floor and has transitioned into the boss role and they are feeling a little lonely at the top. They are wondering, can you continue to be friends with your coworkers after becoming promoted and becoming their boss? More than that, how do you deal with these lonely feelings?

Stephanie Goss:

Man, this resonates. This is something both Andy and I have experienced and struggled with at points in our career. We're going to share some personal stories with you along with rolling this out as we do from a headspace and plan of attack perspective. Let's get into this one, shall we? And now the Uncharted Podcast.

Andy Roark:

We are back. It's me, Dr. Andy Roark, and the one and only Stephanie. (singing)

Stephanie Goss:

Oh, fantastic. I always love it when you sing for us. How's it going, Andy Roark?

Andy Roark:

Some of them, I'm like, “If I just say it, I'm on the outside and I'm looking in, it doesn't convey the emotion.”

Stephanie Goss:

So much better when you sing.

Andy Roark:

(singing). My favorite one to sing, it's not Michael Bolton, but the guy that sounds like… He's like, (singing).

Stephanie Goss:

Can you please go to Uncharted Karaoke?

Andy Roark:

Oh yeah. I will sing comedically all day long. I will not sing anything that actually attempt to carry a tune. I can't carry a tune a bucket. Oh. But I will 100% do bad impersonations.

Stephanie Goss:

So fun.

Andy Roark:

Singing other songs. Michael McDonald, that's who it was.

Stephanie Goss:

So fun. So fun.

Andy Roark:

(singing) Okay. People are like, “Why do we get this podcast?

Stephanie Goss:

What is happening? We're back.

Andy Roark:

If you ever wonder what the Uncharted staff meetings are like, this is what they're like. All right. I'm just kidding. We're high-performing, high-functioning adults.

Stephanie Goss:

Until Jamie's like, “For the love of all that is holy, can we please get back on topic?”

Andy Roark:

No, that's the real truth of it, is we are surrounded by high-performing, high-functioning adults.

Stephanie Goss:

And we are not.

Andy Roark:

And we've empowered them. That's exactly what it's. All right. That's it. That's really the whole secret. All right. Let's-

Stephanie Goss:

So fun. So fun. This episode is going to be fun. The mailbag has been on fire. First of all, I want to say thank you to all of you guys, because our listeners have been just shooting off emails to the mailbag left and right, which is amazing. We have got some good stuff. We got an email from another lonely leader, which is so good and I am so excited to break this one down with you today.

Andy Roark:

I love a lonely leader email. I'm like, “Yes, let's do this.”

Stephanie Goss:

It is lonely at the top. This is from another lonely leader. They have been commiserating recently with a fellow manager about how they are feeling excluded from feeling a personal connection with the rest of the team. The manager started out as a technician and then still in the beginning of being a manager, worked on the floor regularly. So they were still seen as a technician by the rest of the team, even though they were the manager.

Stephanie Goss:

Over the last couple of years, they have moved into a true manager role and are not on the floor. At the same time that has been happening, they have had some team turnover. And so, now the manager's long-time friends have been replaced, to a degree, with a lot of new coworkers. And so, in the past, this manager was always included when people went out for drinks outside of work, or went out for dinner after a long day. Now that they are not working on the floor and they are in just a manager role, they're not invited when the team is getting together outside of work.

Stephanie Goss:

And so, the question was, can you expect to be friends with your coworkers when you get promoted and become their boss? And how do you deal with feeling lonely and a leader at work?

Andy Roark:

Yeah. Oh, man. I-

Stephanie Goss:

I thought this was such a great one.

Andy Roark:

This is a great question, and I've gotten this a number of times in a lot of different ways.

Stephanie Goss:

Yes.

Andy Roark:

I have strong feelings and thoughts on it. I'll just say up front, they are maybe a bit controversial and I understand that. The first thing I will say is, every clinic is different and we all make different decisions. But I will show you some scars and I will tell you some stories. I will tell you why I think what I think and why I recommend what I recommend.

Stephanie Goss:

Fair. I like it. I like it.

Andy Roark:

Yeah. I don't even know how to necessarily break this part into headspace and action steps. It's almost like a philosophy sort of thing.

Stephanie Goss:

Sure.

Andy Roark:

Let me start with some headspace.

Stephanie Goss:

Okay.

Andy Roark:

And then we'll do a plan of attack. But this is probably more headspace than actual action steps.

Stephanie Goss:

Okay.

Andy Roark:

Okay. Let's put cards on the table so that people can look at the reality of the situation. And so, the first card I'll put down is I'll say, hey, we spend a lot of time at the vet clinic with people. In fact, we spend probably more than 40 hours a week, especially as practice managers, practice owners. We're there a lot.

Stephanie Goss:

Yes.

Andy Roark:

And we want to have good relationships with our staff. We want them to trust us. We want them to see us as a friend. We want them to believe in us and to be comfortable around us. We want them to enjoy being at work and us treating them well and making them feel included. That's part of making them feel good at work. When we go to work, we want to work in a happy place. We want to work in a place where we feel included, you know what I mean, where we have some relationships and some connections to people.

Andy Roark:

And so, that's true and we need to put that on the table and look at it. The second thing we have to put on the table and look at is, there is a power differential between the managers and the employees. And as much as we like to pretend it's not there, it is there.

Stephanie Goss:

Yes.

Andy Roark:

The fact that you could give this person a raise or cut them from their job and put them on unemployment, that's real and they know it. You have a hat on your head that says, “I can fire you.” I know you don't want that hat, and if you do want that hat, you're probably a jerk and you should change. You should change your… Yeah, that's not a thing you should [crosstalk 00:07:32]-

Stephanie Goss:

If you want to wear that hat-

Andy Roark:

If you want to wear that hat, you should probably not have that hat. Someone should liberate you of that hat. Because most of us, we don't want that. It's not how we want to be seen. But there is some credibility to the idea that it is there.

Stephanie Goss:

Sure.

Andy Roark:

And whether you do like it or not, that is real. We have different jobs and I think that's just an important thing to put down. And so, when we start to say, “Hey, can I be friends with these people?” I think that's the first question, right? Can I be friends with these people? Do you agree with that?

Stephanie Goss:

Yes.

Andy Roark:

Okay. Part of it, and I said I've gotten into hot water with this before, so here we go, is I've learned to say, “How do you define friendship?” I tend to say we should be friendly with the staff and the people who work for us. We can care very deeply about these people. But it really does come down to, how do you define friendship?

Andy Roark:

If you're someone who says, “I define friendship as, when you're my friend, I have got your back and I would never let you down,” then what I would say to you is, “Well, that's a hard spot because what if you're their boss and they send you a text that says, “I drank too much last night. I'm not coming in today.” You go, “Oh.” Are you their friend now? Are you going to be like, “Hey, yeah, you and me are cool. I won't tell anybody.” Or are you going to be like, “This is not okay”? What if your friend-

Stephanie Goss:

I'm laughing because I 100%-

Andy Roark:

I know.

Stephanie Goss:

… had to go through that scenario early on in my young managing career.

Andy Roark:

Actually, that's what popped into my head, because you have a great story of being the young manager and people are like, “Woo, Steph, Todd went on last night.”

Stephanie Goss:

They were still drunk and needed to be picked up because they knew they shouldn't drive. They called me and said, “We know we have to be at work. Can you please come get us and drive us so we can change and then go to work”? It was a really crappy position because I was like, “Okay, I'm going to go.” So I drove and I picked him up, and I'm evaluating in my head and I'm thinking, “All right. They can't still be drunk, right? They made a good decision. They walked to where they were. They needed a ride. They didn't have a car. I'll go pick them up.”

Stephanie Goss:

They got in my car and I could smell the booze coming off of them. I was like, “You cannot come to work.” I would be a failure at my job if I let you come to work today and had to navigate those waters of having that conversation and saying, “Go home. I will take you home, take a shower, sleep it off. I will see you tomorrow and we'll have a conversation.” It is hard, hard, hard, hard thing to navigate having those conversations.

Andy Roark:

Yeah. Could you tell your friend that you're not going to give them the raise that they thought they were going to get? Could you sit your friend down and do a performance evaluation, with your friend? Again, a lot of it comes down to, how do you define your friends? I need to make that really clear. It's like, I care so deeply about my employees. I mean really deeply, but I have to have a personal boundary there too to say… Do I treat them like friends? Of course, I do.

Andy Roark:

Do I care deeply about them? Yeah, I care as much or more about them than I care about people I do define as friends. But for whatever reason, for me, in my mind, I have to define my relationship with them differently, because I have to balance their needs against each other. I don't want to pick favorites.

Stephanie Goss:

Sure.

Andy Roark:

I don't want to have one of my employees is my friend and the other employees not, because that puts me in a hard place and it opens me up for charges of favoritism. I go, “Well, I don't want people to have those thoughts.” Yeah. There's a lot of downsides to me being one of the buddies or one of the friends. And so, again, I don't like conflict. It is just a thing about me. I want to balance all the things and that's a personal line for me that I had to step back from and saying, “I have not been able to think of the people that I directly lead as my friends,” and make that work out in my mind where I felt okay about it, and it didn't get me into trouble.

Stephanie Goss:

I agree and I disagree with you.

Andy Roark:

Yeah, yeah. It's hard. Yeah, go ahead.

Stephanie Goss:

You and I are both in the same camp. My style as a manager is that I am for friendly with my team, but I generally do not have friends. I don't consider my work friends in the same way that I would consider friends outside of work, meaning that while I might do social things in a group setting at work, like I'm not going to go out to the movies or go to the bar with people that I work with other than an organized work function. That's just my personal preference.

Andy Roark:

Sure.

Stephanie Goss:

I have friends who are managers, who are the total polar opposites, who consider some of their team members their best friends. I will say this, I believe really and truly that the dynamic always changes-

Andy Roark:

Yes.

Stephanie Goss:

… when you shift from a peer role to a management role, always without exception. There is always a dynamic shift. I do think that you can stay friends. However, I think that that requires excellent communication skills and very strong boundaries. Generally, those are two very difficult things to possess, and they are skills that take a lot of practice. And so, for most people, they go through a period transitioning from peer to boss, of going through difficult experiences where they learn about the shortcomings of their own or their counterparts, communication skills boundaries or both.

Stephanie Goss:

And for a lot of us, it winds up in the place where we are hurt, or we have a dissolving of friendships. And so, that was me. I tried, and for quite a few years, remained good friends and I would even say best friends with some of my colleagues or my peers, even after I was their manager. Then I went through a period where I had to make decisions and lead things that were not popular and tell them things that they didn't want to hear and have those hard conversations.

Stephanie Goss:

“You're not performing the way that I need you to be,” and have the disciplinary conversations, or the salary conversations or the, “Hey, I am suspending you. I'm going to drop you at home. I'm glad you called me and I'm glad you didn't drive drunk, and I really do appreciate that. You're suspended. Stay home for the next three days and then we're going to have a conversation about this when you come back to work.”

Stephanie Goss:

Having those hard conversations led me to a place where, on a personal level, my choice is I am friendly with my team and I have firm boundaries for myself. I generally don't socialize as social friends with the team members that I work with. That works for me. I also have respect for friends and for people who choose to live that differently and continue to be friends with their team. I will tell you that it does require excellent communication skills and boundaries, because the dynamic always changes.

Andy Roark:

Yeah. There's not a right or wrong way, although there are definitely ways that expose you to a lot more risk. One of the things I heard recently that actually blew my mind is you and I have… I think they'll be fine with me sharing names and stuff, but you Jen Galvin and Erica Cartwright are partners that own a practice. From the outside, it seems to be a great practice. They are two of my favorite people, and they are in such lockstep. I've done it for five years through Uncharted, working with them in their practice.

Andy Roark:

Jen especially has done some and teaching and lecturing with us. She's so smart and so sharp. I can't say enough good things about both of them. They were so tight, and they wear… They've come to Uncharted dressed as the dumb and dumber, blue and orange tuxedos. If anybody remembers those. I love them so much. We had our first ever practice owner summit in December, which was just practice owners, and those guys were there.

Andy Roark:

We were sitting and talking and everything, and they mentioned that they don't hang out outside of work. I was like, “What? You guys don't hang?” They were like, “No, it's just, we've decided it's better for us if I… We love each other at work. We hang out with each other. We are a lockstep. We work hard. And then we've been able to be such good partners because we go home and don't interact. We put our stuff aside and give each other a break from each other.” I thought that there was a lot of wisdom in that.

Stephanie Goss:

They do stuff together as a team.

Andy Roark:

Yes.

Stephanie Goss:

Their team socially interacts and engages regularly. They take their team on trips. They do stuff together and they have that sacred space of, we're going to go home and we're going to… They do do things together and have some social aspects to their relationship. They have really great communication of like, “I'm going to go home and I'm not going to talk to you for the next three days, unless the world is truly on fire because I need a break from you.” I respect those healthy boundaries so, so much,

Andy Roark:

Well, even not getting to the point where it's like, “I need a break from you.” It's, “If I don't take these breaks, then I will get to a place where I need a break from you.

Stephanie Goss:

Right. Right.

Andy Roark:

And if I do take these breaks, I will show up excited to see you and work together.” It's funny. I think you put your finger on one, which is the guaranteed shift you're going to see when you go from working with peers to managing peers. I agree with that. I think that there's also a shift that happens for sure with practice size. I think that when you're running the one to three vet practice and you've got 20 employees or less, you can probably be friends with everybody, you know what I mean? And it seems a whole lot easier.

Andy Roark:

But once you cross that threshold of about probably 20 employees, there's going to be people that your personality doesn't match up with, or you're going to have enough people who are vying for opportunities and things that there start to be some politics involved and friendship in politics. Friendship across the power dynamic, and politics, those things together, I think that make it exponentially harder. I think you see this a lot less in the bigger practices.

Andy Roark:

I can't prove that. I don't have research to back that up, but that has been my experiences. When you have a small practice, everybody works together, communicates, huddles together. You tend to build and maintain those relationships. And then, as the practice grows, it gets a bit harder. Favoritism becomes something that people look for a little bit more and it makes a difference. Again, you and I, we talk so much about our management philosophies, and we talk a lot about picking your poison.

Andy Roark:

We talk a lot about management and leadership being the ability and the constitution, the fortitude to make hard decisions. There's often you're making choices that don't have a great answer. You're choosing between two-

Stephanie Goss:

Crappy choices.

Andy Roark:

… unfavorable options.

Stephanie Goss:

Yeah.

Andy Roark:

Yeah. You just are, and that's I think probably why the Uncharted community comes together and why the listeners on the podcast come together. It feels good to know that you're not the only one who's making hard decisions and making these choices. It's hard for me in relationship management to make unpopular choices and have the people affected by those choices be… I don't know, to feel like I have the responsibility of friendship to those people.

Andy Roark:

I can care very much about them and still make the unpopular decision or the hard call and say, “I know you're not going to like this decision, but I'm going to make it.” I think in your mind, the way you think about your relationship with the people that you lead, I think it's very important. Again, I try to avoid military metaphors or things, but I have a friend who went to officer training school. He's in the Marine Corps and went to Afghanistan.

Andy Roark:

We talked about it. In officer training school, they don't hang out with the troops and they don't eat with the troops. They eat with the other officers. The reason is because, hey, at some point, things might go badly and I'm going to have to make hard choices. And I don't want to be connected as a friend. That doesn't mean that they don't care about their people. The opposite is true.

Andy Roark:

But I don't want to push it that far in vet medicine, but I do think, to me, knowing that I don't like making unpopular decisions, there is some level of that too of, I don't want to be so tightly intertwined with people that my choices affect their life. For example, your best friend's a technician and he makes $17 an hour, and you have the ability to give him $1.50 an hour raise. That's a significant thing in his life, and you have that power.

Andy Roark:

If you're his friend, then it seems obvious that you're going to say. But that's not how this works because that means someone else doesn't get that raise and we need to look at, what is our system for deciding these things? Anyway, there's all these strings. I hope that makes sense when I say that the fact that you have… If we never had to make unpopular decisions, if we never had to pick priorities over other priorities, I think it would be a whole lot easier.

Andy Roark:

But the truth is, ultimately, especially as you go down the road and you grow a business, you have to make those calls. I think you can have very healthy relationships with people that you care a lot about, but just the way that you categorize those in your mind, that's important.

Stephanie Goss:

There's two other things that I think are really important. I agree with you 100% because we're going to make decisions that are not popular. I honestly love that you brought up the military reference because it's true. When you're a leader, you have to evaluate people, situations, performance, sometimes really quickly or under pressure, and equality matters.

Stephanie Goss:

It does not go well for anybody when there is an environment where equality doesn't matter in the workplace and where favorites are played, and there is that internal, “They are biased. They like this person better than me. This person got $1.50 an hour raise and there's no transparency as to why.” That never works out well for anybody. And so, I think that there is a significant value in that reference that you gave and I love it.

Stephanie Goss:

The other thing that I want to say is, look, it's totally normal to feel rejected. It sucks. When you're used to being included, and you're used to being part of the party, and you're used to everybody saying, “Hey, we're not going to leave without Stephanie. Let's help you get your work done so we can all go have drinks at the bar,” the first time, the first 10 times that you're in your office and you come out and all the lights are off and you walk outside…

Stephanie Goss:

This was me. We literally had a Mexican food place right across the street from one of my practices. The whole front of the building was glass. I came outside and the clinic was totally dark. I walked outside and I could see everybody sitting together at a table having drinks and dinner. I felt so left out and so rejected. And so, I want to normalize that for you guys because it sucks.

Stephanie Goss:

It sucks the first time. It sucks the tenth time and everywhere in between. That is normal. It's going to feel crappy and it's okay to feel sad about that. Or any other emotions that you might feel, angry… They're all valid emotions. And so, again, this is where I'm going to be vulnerable and say, “One of the best things for helping me succeed at making that transition and continuing to grow in feeling good about the choices that I have made as a leader and as a boss is going to therapy.”

Stephanie Goss:

And so, I took my ass to the therapist and talked through those emotions and said… It really hurt. I did not want to go back to work the next day and face them because I felt so… I was sad, but I was also angry. I was like, “Really? You guys left me out? This really sucks.” And so, being able to work through that is really important. And so, I have to normalize that for a hot second.

Stephanie Goss:

The other thing I think that I see from a headspace perspective, that's really, really important to consider, and this can be a soapbox for us, and so I think we have to be careful here from a time perspective. But one of the things that has shifted dramatically now is that social media and smartphones have connected us in a way or unlike anything we have seen before. And when I started managing almost 20 years ago, that wasn't a thing like.

Stephanie Goss:

I was connected with my university friends on Facebook. I didn't know anybody else on Facebook. That was what we used it for. I didn't know what the rest of my team was doing outside of work, unless I called them on their phone at home. And if they weren't in their house, I didn't talk to them. I could page them and maybe they would call me back, and I'm totally dating myself here. But the reality was, unless we were actually physically in the same space, I didn't know what was happening.

Stephanie Goss:

One of the things that I see a lot of managers struggle with now, is we are so connected and a lot of us are connected by our phones, by social media, by text messages. It is really easy for two things to happen. One, it's really easy for you to feel more left out because you're seeing and hearing things that are happening, that you wouldn't have seen or necessarily heard about otherwise.

Stephanie Goss:

You also are knowing more about what is happening in your team's personal lives in a way that you didn't necessarily before. I mean, let's be real, the OR has always been a confessional room and there's always been dirty secrets shared in surgery, but the reality was it was like those were where you had the deep conversations. Then you didn't hear about all of that drama as much as, “Hey look, I just opened Facebook, and oh, hey, Sarah called out sick today. But look, here she is sitting on a beach with a drink in her hand. What the hell?”

Stephanie Goss:

We have access to that kind of information. That alone has dramatically shifted the dynamics of people being friends with their boss. That's a position I've been in where I've been friends with somebody or friendly with somebody and have been connected with them on social media, and I find out things that I didn't need to know. It's connecting us in ways that we never had before and in a timeframe that we never had before.

Stephanie Goss:

There's 24/7 access to each other and it never was that way when you had to be physically in the same building for those connections to happen. And so, I think it's important to it to have that conversation about what we are facing now as managers, going through that shift, is radically different than what it was like when I first started, and that's a hard place to be in. So I think it's really important to normalize that as well.

Stephanie Goss:

That's the devil in your pocket, comes from that connection on social media, because you will find out things that you didn't necessarily want to know. It can be a good thing and it also can really add to complicating factors in the relationship. So I think it's important to look at that.

Andy Roark:

Yeah. I know. I completely agree with that. Yeah. I completely agree. To be honest, the last couple of years, social media connections with people at the clinic, staff and things, I learned more about people's politics than I wanted to know. I learned more about their entertainment taste that I wanted to know. And lots of other things that I go, “I did not need to know this.”

Andy Roark:

There's also, you and I have talked before about hiring and things, and there is a right to privacy. It doesn't matter what I think. What I think and what is the law are not the same. I think if people put things out into the world for public display, then employers should be able to look at them because they were put out into the world of free volition for public display. But that is not what the law generally says.

Stephanie Goss:

Look at you getting your gold star today.

Andy Roark:

I know. Was like but-

Stephanie Goss:

Your HR gold star.

Andy Roark:

That's not the rule, and no one asked me what the rule was and my magic wand doesn't work. You go, “Surely there's no downside to me even looking at this,” and I go, “I have to tell you, there actually is.” Anyway, we'll talk about this when we talk about some action steps. But honestly, social media is something to consider, especially if you're having these feelings of loneliness, is is this connection helping you? We'll circle back to that.

Andy Roark:

But before we take a break, I just wanted to share a story similar to yours. The story that I remember, similar to yours, going out and everybody's across the street, the Mexican restaurant. I remember, I wasn't even the boss. I was an associate vet, but I was starting to travel and speak more and do more stuff. I had cut my hours down at the clinic to part-time. And so, I was working at the clinic like two days a week, maybe two and a half days a week. It was like two days and every other Saturday, something like that.

Andy Roark:

I'll never forget the first time that I'd come in to get something at the practice and there was a doctor's meeting going on. They were just getting started. I wasn't there for the doctor's meeting, I was there for something else. Then they looked at me and then they closed the door and I was on the outside of the door.

Stephanie Goss:

Ouch.

Andy Roark:

Yeah. It wasn't that it hurt. I don't know. It was poignant. It was deeply poignant.

Stephanie Goss:

Sure.

Andy Roark:

It was deeply poignant because I was now out of the inner circle because of my frequency being at the practice.

Stephanie Goss:

Sure.

Andy Roark:

But I just want to tie that back to what you were saying and say, impermanence is part of our life, is the only constant is impermanence. For when we come back and talk about action steps, the idea that you are now in a different place and your world is different than it was before can cause an existential crisis. I think a lot of us have that moment of the door closing, of seeing our friends across the street, and it dawns on us that we're not the person that we were before, even if we feel the same way.

Andy Roark:

But let's be honest about our lives. Most of us feel the same way we did when we were 14, or when we were in college. But people don't see us the same way and we're not the same way. But everyone kept waiting for some magical event where they're like, “Now I'm a grown up,” and they were shocked it never came. So you see these external things that give you clear signs, like, oh, the past is passed and the page has turned and you're in a new chapter. A lot of times you're like, “I don't know what this chapter is.” And it feels like history has been cut off or taken away from us.

Andy Roark:

And so, anyway, I just wanted to validate that and say, “Yeah, I think a lot of us have that moment where we realize that we're not in Kansas anymore.

Stephanie Goss:

Not the same, yeah.

Andy Roark:

Things are not the same as they used to be.

Stephanie Goss:

Yeah. I love that. I think this is a good spot. Should we take a break and then come back and talk about some action steps?

Andy Roark:

Yeah. Let's do it.

Stephanie Goss:

All right.

Andy Roark:

Hey, Stephanie Goss, you've got a second to talk about GuardianVets?

Stephanie Goss:

Yeah. What do you want to talk about?

Andy Roark:

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

Stephanie Goss:

Yes.

Andy Roark:

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

Stephanie Goss:

They never stop. That is a true story.

Andy Roark:

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

Stephanie Goss:

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

Andy Roark:

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

Stephanie Goss:

Okay. Okay. Okay. It's time for read a break in here and make sure that you know about an upcoming event that you are not going to miss. Mark it on your calendar, Saturday, May 21st from two to 4:00 PM Eastern, which is 11:00 to 1:00 PM Pacific. We have got a workshop from Uncharted founding member and our friend, Dr. Tracy Sands. It is, Retaining Our Team, Speaking Languages of Appreciation in your Workplace. You know that feeling when you have done something that you thought was really nice for somebody on your team, giving them an extra weekend off, a holiday bonus, a pizza party, done a coffee run, and yet you're hearing rumors that people were not excited about it, and certainly not your level of excited about it?

Stephanie Goss:

Have you ever wondered how people could not feel appreciated by what you're doing for them? You're not alone, and that's where this workshop comes in. The truth is there's no single strategy to make your team feel appreciated and engaged as a whole. Every person has their own appreciation language. And a lot of them, especially in veterinary medicine, have nothing to do with gifts or food. Trace is going to teach about the languages of appreciation and help you unlock figuring out how to motivate, train, and retain your team.

Stephanie Goss:

It's a two-hour workshop. It is live and interactive. You're going to really enjoy this. You can get on board. It's $99 for members of the public. So if you're not an Uncharted member, you can still attend. If you are an Uncharted member, it's free, but you do have to register. So head on over to unchartedvet.com/events and you can find the registration information. Again, it's Saturday, May 21st from 2:00 to 4:00 PM Eastern, 11:00 to 1:00 PM Pacific. You're not going to don't want to miss this one.

Stephanie Goss:

Real quick, before we get back to the podcast, I just have to say a few thank yous. First of all, I have to give our friends at Banfield Pet Hospital a huge shout-out of appreciation. They stepped up to the plate this year for Andy and I, and really the veterinary community as a whole in a big way. They are helping us make our podcast more accessible to the entire veterinary community. They're helping us provide transcripts for every episode of both the Uncharted veterinary podcast and the Cone of Shame Podcast for the entire year.

Stephanie Goss:

It falls right in Banfield's wheelhouse of striving to increase accessibility and inclusivity across the veterinary profession. If you know someone who would like to access the podcast and hasn't been able to because we previously didn't have transcripts, send them to unchartedvet.com/blog. And if you would love to check out more information about equity, inclusion, and diversity at Banfield, you can head on over to the blog too. You'll find every episode transcript along with more information about E, I, and D at Banfield.

Stephanie Goss:

Lastly, I want to say, this is certainly not a last but not least moment. I want to say thank you, a huge, huge thank you to our anchor gang sponsors. We are heading to Greenville, South Carolina in just a few short weeks and we're having our live April conference. We would not be able to do our live Uncharted events without the support of our sponsors. We have some amazing anchor gang sponsor this year and they deserve a special shout-out.

Stephanie Goss:

To our friends at CareCredit, at Hill's Pet Nutrition, and nationwide on behalf of the entire Uncharted community, I say, thank you. We couldn't do it without you. I am so looking forward to spending time with all of you in Greenville. Now let's get back to the podcast.

Andy Roark:

All right. Let's start to unpack some action steps. The original question we got was, how am I supposed to feel and what am I supposed to do when everyone goes out for a drink and I don't get invited, and I feel like I'm on the outside? Yeah. Do you want to go ahead and start what steps we're going to take?

Stephanie Goss:

Yeah, totally. This is very much coming from my own experience, obviously. It's colored by that, because I went through feeling like it's very lonely as the boss. And so, when I sat down and started to think about, how do I attach this? I think the attack, for me, starts with acknowledging the dynamic shift. Regardless of whether you are going to try and stay friends with your peers or not, acknowledging the shift that has occurred is really, really, really important.

Andy Roark:

Publicly acknowledging or just for you?

Stephanie Goss:

I think both because… The reason that I say both is because I think you have to acknowledge it for yourself, first and foremost, knowing how you feel about it and just saying, “I am the…” I remember going through this period of like… It was disbelief. “I don't feel like the boss. I still feel like the same person I was yesterday.” That took some mental work for me, to realize like, “Oh, wait, I am in charge. I am the responsible grown up in the room now.” That is a shift that really takes some mental energy to work through.

Andy Roark:

Yeah, no, I'm still shocked by that, when I'm like “Who's in charge here? Oh-

Stephanie Goss:

Wait, it's me.

Andy Roark:

Oh, it's me.”

Stephanie Goss:

Right. It's totally true. I think if you do want to stay friends with your peers, I think it is equally, if not more important, to acknowledge the dynamic shift out loud to each other and have a conversation about, “Hey, look, this is a thing that actually has happened, and here's the impact that I can see. How feel about this? What are you seeing? How can we work this out?” Because I said in the beginning, the only way that you can stay friends is if you have really strong communication skills and really strong boundaries.

Stephanie Goss:

And so, for me, it starts with acknowledging the dynamic shift for yourself, but also acknowledging it with the people that you are concerned about staying friends with, or worrying about losing those friendships.

Andy Roark:

Okay. You're going to have to walk me through the second part here. “Now that I have risen above you all, I would like to point out that I am the boss and have the ability to fire you at my leisure. Let's go around the circle and you can all say what you think of me.”

Stephanie Goss:

Oh, God.

Andy Roark:

Yeah. I 100% agree with the personal identity. Help-

Stephanie Goss:

Are you sure [crosstalk 00:40:23]?

Andy Roark:

I'm asking you honestly.

Stephanie Goss:

Okay.

Andy Roark:

Help me understand. What does that look like when you're like, “All right. Just so you all know, I'm the boss.”

Stephanie Goss:

No. For me, what that looked like was, “Hey, I'm feeling a lot of anxiety about this. I am recognizing that we are really good friends. And to this point, we have approached the bosses and management together as a united team. And now I'm in a position where I value your opinion and I respect it, and I still have to learn how to work to manage together with our practice owner,” or the leadership team or whatever that structure looks like in the practice.

Stephanie Goss:

“I am worried that there may be conflict of interest. I am worried that you might tell me things that I feel duty bound to share. I am worried about…” For me, there was a whole list of things that came top of mind of like, “This is what I'm feeling anxiety about.” And so, it was just saying it out loud. I'll just say, sitting down with Sarah and having a conversation, “Hey, Sarah, this is stressing me out. I just need to talk through this with you, because I respect you and I respect our relationship, and our friendship means so much to me. And I want to keep our friendship. I need to talk through this.”

Stephanie Goss:

And so, it wasn't a, “I'm going to sit on my throne and everybody appreciate me because I'm now the boss.” It was very much like, “Hey, we have a friendship.” This is a normal conversation. If I was worried or stressed about something, this is the person that I would talk to about that. So it didn't feel weird at all for me to say, “Hey, I'm really stressing about this. Can we talk about this for a second? Because I don't want to lose our friendship.”

Andy Roark:

Yeah, no, I like that a lot. That totally makes sense, just to have that candid conversation and just be like, “Hey, let's talk about what our relationship is now.” I think that's interesting. I have to sit with that because I-

Stephanie Goss:

Because there's going to be things that you can't tell them, that they're going to ask you about and you're going to have to say, “I can't talk about this.” That is a weird dynamic shift. And if you don't acknowledge that, let me tell you, that's a hard conversation when all of a sudden you know information and they're pumping you for it. And you're like, “I can't talk about it.”

Andy Roark:

Yeah. It's a whole lot easier to have that conversation when there's not a piece of information that they're looking for… Now that, okay, I think you sold me on that. I think that makes sense. I think the bigger thing, yes. I think you sold me on that. Generally having communications about awkward things is definitely the right way to go. So it's not a hard sell, but I have to get my head around what that looks like.

Andy Roark:

I'll tell you, the bigger part for me was self-identity part. That was really it. And so, I think that the logical progression for most of us is, you have the moment when you come into your office and the lights are all off and everyone has left. You have the moments when you leave the clinic and the team is across the street at the Mexican place and they didn't invite you. You have the moments when the door closes as the staff is having a-

Stephanie Goss:

Meeting.

Andy Roark:

… talk amongst themselves. You walk in and people stop talking and you realize it's because you're their… and you have those moments. I think that hits a lot of us hard. When we find our moment, we have that. I think the step after that is that we get thrown in this existential crisis because we're like, “Who am I? If I'm not one of the gang, who am I and what does this mean for me?” You and I have done a lot of work with corporate groups recently, which has been super awesome. I love building communities inside of groups of practices and getting people to work together.

Andy Roark:

And so, that's been super great. One of the things that I've seen in these groups is there'll be doctors and the doctors will move up to be leadership over a division or over multiple hospitals. They're not in practice as much and they will 100% have that existential crisis of, “Who am I if I'm not seeing appointments? If I'm not a doctor in the exam rooms, what does that mean for me? “

Andy Roark:

And so, this same identity crisis manifests a couple different ways. The thing I say to them, because the thing that I had to go through when I looked at my weird career and started to think, is am I a real vet? Am I still a vet if I'm seeing appointments one day a week or two days a week?

Stephanie Goss:

Sure.

Andy Roark:

Or if I don't see appointments for a month because traveling continuously and then come back, what does that mean? I think most of us have to stop and we have to accept that we are in a different place, that our life has changed. The only way that you can do that, I think where people really screw themselves up is they tie their identity to their previous role. They say, “I am a CBT. I am a technician. I am a real doctor. That's what I am.” And they define themselves that way.

Andy Roark:

So then when they look around and they are not seen as a CBT, they still have that degree. They still have that credentialing, but they're not on the floor and they're not drawing blood. And no one cares about their clinical skills because they're not using them. They're thrown for this loop. And so, what has to happen after that is you have to be able to step away, in my opinion, and you have to say to yourself, “I am who I am, and I am a credentialed technician. I didn't say that I do blood draws. I didn't say that I did these things. I am the manager of this practice. I am the owner of this practice. I am a business owner. And I also practice veterinary medicine.”

Andy Roark:

As opposed to, “I am a real veterinarian and I don't have time to practice because I'm too busy running this business.” I think that latter, that really tortures people. And so, anyway, I hope I'm being clear enough about this, but I think you have to accept that your position is different. Then you have to look at how you identify yourself, because if you identify as one of the gang, one of the cool kids, one of the people on the inside, and then this thing changes and your friends from before indicate to you that maybe you're not on the inside anymore, that's fine if you also agree that you're not on the inside because you're doing something else that you're excited about.

Andy Roark:

It's not fine if you don't identify as someone who's not on the inside, because now you're in conflict. It's called incongruence, is when we look in the mirror and we see ourself and we see who want to be. And then we look at our actual self, and when those two things don't match up in our minds, that causes us pain. The psychological term is called incongruence.

Andy Roark:

And so, I think a lot of us, the pain that we feel of realizing we're on the outside is actually incongruence because we so see ourselves as being connected to the people that we worked with on the inner circle. And now we look around and we are clearly, as I see them at the Mexican restaurant, I am clearly not in the inner circle. That's incongruence in what I see myself being and what the evidence is showing me that I am. And so, you have got to step back and reset your mental expectations and your identity.

Stephanie Goss:

Yeah. The last piece of acceptance and mental gymnastics is I think that you have to make peace with what it means to be the boss, because you will be the bad guy and people will not like you at times.

Andy Roark:

At times.

Stephanie Goss:

That is really hard for… Especially like I am a people pleaser. I want people to like me. I want to be included. There's no one, I think, ever in the history of leadership who didn't piss somebody off or make somebody upset or make somebody mad like. The reality is at times you will not be liked. Everybody will not be happy with you. You will have had to be the bad guy. And so, it is really important ideally, before you step into that role, to make peace with that.

Stephanie Goss:

If you are already in that role, you have to make peace with that, or you have to get to a place where you're like, “Hey, I can't make peace with this. I'm maybe going to go back to just being a part of the team, because that matters more to me.” And that's an okay choice too. But if you are going to continue to be a leader, it is lonely at the top and you have to make peace with the fact that you are not going to be the popular kid 100% of the time and people will not like you. If you can't get okay with that, you are probably not going to be happy in the long term in a leadership role.

Andy Roark:

Yeah. I agree with that. You definitely have to accept that role. The last part I would leave on acceptance… This is my last [inaudible 00:49:11] on the acceptance part is, I think when you and I talk about it, we talk about you're in or you're out. And the truth is I haven't found that necessarily to be true. And so, if people are going, “Why would anyone ever want to lead when people aren't going to like you and you're going to get excluded?”

Andy Roark:

As the Buddhists say, the middle path is generally the right one. I have never been in a place where I go, “Oh, now I'm leading this team. I am now alone.” Like suddenly I'm Batman, I work alone. I am human resource vengeance. That's not how this works. I had to make peace with the idea that I'm not going to get invited to the social gatherings. But instead, when I go to the Mexican restaurant and I see my techs there, I'm going to buy them around of beers. You know what I mean? Or I'm going to send a couple desserts over to the table to show them that I appreciate them. You know what I mean? And just celebrate them.

Andy Roark:

I'll probably go and say hi. If I am invited to come and hang out, I generally go and I pick up the first round of drinks, and it's a nice thing that I do. Then I leave because I do not want to be there when people start getting sloppy. What they do is up to them. I don't want to be there to see it. And so, it's not like you're taking a vow of isolation. Yeah, you're not going into the monastery to not see people anymore. It's like, “No, you can still generally be a part of what's going on.”

Andy Roark:

Oftentimes, there's also this weird, awkward transition of, my role has changed and people aren't sure what to make of me. And so, they step back and go, “What's he going to be like in this role?” Ultimately, they're going to realize that, oh, he's still a nice guy. He's still trying to do his best. He's still going to try to look out for us, do everything he can to support us in our mission.” And things sort themselves out pretty well from there.

Andy Roark:

Anyway, I don't want people to be like, “Oh, they're acting like you just go lone wolf and leave.” No, you're still going to be involved in most things. You just have to realize that you're not going to be right in the middle of the drama and you don't want to be, but you're also not going to be cold and shunning and not involved in these people's lives. You still want to know them. You still want to earn their trust.

Stephanie Goss:

Yes. I feel very fulfilled from the relationships that I have with my team or I wouldn't do this job. The connection to them, knowing about when they get married or have babies, or somebody's spouse gets a promotion, or somebody's kid takes their first steps, I still celebrate in all of those things with my team and I'm perfectly okay having boundaries. Like I don't want to know what's happening in their sex life. I don't want to know about their boyfriend spending yesterday in jail because they got in a drunken fight at the bar.

Stephanie Goss:

I'm perfectly okay with there being some boundaries there and I can still feel very fulfilled and connected to them. That's the way that I choose to walk. And like I said, I have friends who were some of my peers when I was a technician. Now I'm a manager, some of my peers as technicians are still my best friends. I think that's fantastic. I think ultimately you have to decide and this is very much where you do you. There is no right or wrong answer, I don't think. I think it's very much individual.

Stephanie Goss:

I think that your point is so, so true, like you're not going to go lone wolf and be Batman, and nobody knows who you really are. There are people who choose that, and if that works for you, more power to you. I think on a personal level, you and I are not that.

Andy Roark:

Yeah. No.

Stephanie Goss:

We approach more of the middle ground and I am fulfilled by that. I really do enjoy that piece. But doesn't mean that I have to want to invite them over to my house for Thanksgiving dinner.

Andy Roark:

Oh yeah. I mean, I completely agree. So [inaudible 00:53:21] to that, I would say, and this is very controversial and some people will react strongly. But consider unfollowing your direct reports, like once you move into these roles. I say that for two reasons. Number one is, you probably don't want to necessarily know what's going on at home, and just that knowledge can cause problems.

Andy Roark:

The other part is, if it causes you pain because you see yourself not being included in the social things that are going on, you don't don't deserve that. And so, my advice to you is to say, “Hey, it's going to be what's going to be. It's not about you.” If it bothers you, don't expose yourself to that. Just unfollow those people. You can always turn them back on if you want to later on.

Andy Roark:

But my advice is just separate yourself. And if you're going to do that… Again, I am a very extroverted person. I get really lonely. I sometimes wonder, I was like, “If I wasn't married, how would I live?” I was like, “I'd have roommates.” I would be 45 year old with roommates for sure, because that's just how I am.

Stephanie Goss:

You're a people person.

Andy Roark:

Yeah, I'm a people person. And so, I am not saying, “Go be lonely.” I'm saying, “Take the bull by the horns and go make some friends.”

Stephanie Goss:

Yep. Find the third space.

Andy Roark:

Yep. We talk about third space here. First space is your home. Second space is your work. If your whole life is going from work to home and home to work and work to home and home to work, I worry about you, and I worry about your mental health, and I worry about burnout. You are going to be healthier and happier and more connected and more grounded if you have a place to go that is not the vet clinic and is not your home. It is a place where you go and interact with other people.

Andy Roark:

My advice, ideally, these people don't know that you're a vet. They don't know that you work with animals and or they don't care. Go and don't be Andy Roark, veterinarian. Go and be Andy Roark, blossoming potter. Go be blossoming painter. What if we want to do-

Stephanie Goss:

I was waiting for the garden reference.

Andy Roark:

Yeah. Yeah. No-

Stephanie Goss:

Sure.

Andy Roark:

Yeah. There's like-

Stephanie Goss:

The garden club.

Andy Roark:

Blossoming garden club secretary. Whatever it is, that's what I'd be. But no, I mean, I do… Yeah. I have ridiculous hobby. I do improv comedy and no one cares that I am a vet. I practice one night a week and we play in a bar/coffee shop one night a week. I love those guys and I have a rich social life through that outlet. My wife does curling where she slides the rocks and sweeps. I've done seasons of that in the past, and those guys are fun. It's just I find weird stuff like that to do and jump into and I make new friends.

Andy Roark:

I do that because I need to be a person outside of the vet clinic. Yeah, that's my advice, is it is not uncommon to have your whole social life and everything wrapped up with the people that you work in. At some point, you look around and you go, “That's not a viable strategy anymore and I need to find some things that are not tied…” Especially when you're leader, the best thing is to be around other leaders. Plug for Uncharted practice owner conference or, or Uncharted membership.

Stephanie Goss:

The practice managers group. Yeah. No, that would be me. It's not a third space. It very much goes to the second space. But I think the last big thing for me is there is a lot of danger in discussing the challenges of the job, because being a leader is very challenging and it can be very easy to want to vent to your peers. When the dynamic is different, venting is a recipe for disaster when you're doing it with people who now are subordinate and you are their boss.

Stephanie Goss:

So, for me, the hard and fast rule for myself was I had to put up some boundaries about talking about work things with my friends, because I was trying to preserve those friendships and stay friends with them. And so, the best thing that I ever did for myself was finding connections with other managers and or a coach, or a mentor. Especially if you're new to a leadership in a management role, finding someone disconnected from your practice is a game changer.

Stephanie Goss:

And so, for me, that started with a local managers group and connecting with other managers locally, who they weren't the practice right down the street but we had enough in common geographically. We could talk about things, bounce ideas off of each other. My love for networking connection very much grew from there. I joined VHMA, the veterinary hospital manager's association. Eventually led me to joining Uncharted.

Stephanie Goss:

Being able to connect in Uncharted does that, I feel like, so, so well. And it's not just a shameless plug because you have the ability to connect and really transition from that space of, “I am frustrated by this and I just need to vent,” into, “Here are peers who get it and I can say, ‘I'm really hurt right now. I did this nice thing for my team and nobody said thank you. I'm really upset about it. And how do I make this better in the future and be able to ask for help?'” Because people have been there.

Stephanie Goss:

That is the first thing that often happens, is everybody's like, “Dude, I've been there. It sucks. Be okay. Go get yourself a Starbucks, because today is a crappy day and let's figure out how to approach this better in the future.” So making those connections outside of work, I feel like, is so important. It is a game changer.

Andy Roark:

Yeah. I agree. Well, thanks for talking this through with me.

Stephanie Goss:

Yeah. This was a good one. I hope that it helped our lonely leader listener and maybe some of the rest of you guys. If you enjoy this and you have enjoyed nerding out on this kind of thing, as Andy and I both mentioned, this is the kind of thing that we talk about all the time in Uncharted, and you can come join us and hang out-

Andy Roark:

You can.

Stephanie Goss:

… and be part of these conversations as a member of our community.

Andy Roark:

You could totally come join us if you feel like your team is circled up and, (singing). That's it. This needs to be over.

Stephanie Goss:

Oh, that's where we need somebody to yank us off the stage.

Andy Roark:

Yeah.

Stephanie Goss:

Have a great week. Everybody

Andy Roark:

Dustin, play us out. (singing)

Stephanie Goss:

That was fantastic. 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. 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.

Stephanie Goss:

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 TylerG · Categorized: Blog, Podcast

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