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Sep 11 2024

How Do I Teach Accountability?

A manager with fantastic team leads—dedicated, hardworking, and aligned with the clinic’s mission—struggles to help these leads transition from being top team members to effective leaders who can manage and hold their peers accountable. In this episode of the Uncharted Veterinary Podcast, Andy and Stephanie break down the challenges of shifting from being “one of the team” to being the person responsible for enforcing standards and accountability. They explore why this transition can be so difficult and offer practical advice on how to empower your team leads, set clear expectations, and provide the right kind of support as they grow into their new roles. If you’ve ever promoted a team member to a leadership position and found they struggled with managing their former peers, this episode is packed with insights and strategies to help you and your team leads succeed. Let's get into this episode…

Uncharted Veterinary Podcast · 304 – How Do I Teach Accountability

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

Do you have something that you would love Andy and Stephanie to roleplay on the podcast – a situation where you would love some examples of what someone else would say and how they would say it? If so, send us a message through the mailbag! We want to hear your challenges and would love to feature your scenario on the podcast.

Submit your questions here: unchartedvet.com/mailbag


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Episode Transcript

Stephanie Goss: Hey everybody, I am Stephanie Goss and this is another episode of the Uncharted Podcast. And this week on the podcast, Andy and I are in the mailbag because we got a letter from a practice manager who has brand new team leads that they have promoted. These individuals are wonderful and amazing at their jobs.

And this manager is wondering, how do I help them go from great team members to great leaders and specifically great leaders who feel comfortable and confident holding others accountable? This is a good one. Let's get into it. 

Dr. Andy Roark: And we are back. It's me, Dr. Andy Roark and the one and only Stephanie, tied down with Battleship Chains Goss. Stephanie, you know, you know the classic Georgia Satellite song, Tied Down with Battleship Chains? 50 foot long and a two ton anchor? Something, something, love nobody but you? Like, that's, that's I'm sure they played, I'm sure they played the Georgia Satellites in Washington State. I'm sure they did.

Stephanie Goss: Well that explains what, that explains why I didn't hear it because I didn't grow up in Washington state.

Dr. Andy Roark: Oh, yeah? Alright.

Stephanie Goss: And you're dating, you're dating yourself,

Dr. Andy Roark: Oh, totally. Oh yeah. Unless you want to, you want a deep cut. Remember the song about don't hand me no lines and keep your hands to yourself. That's, that's Georgia satellite song. That was their big song. Battleship chains is their second biggest song, which came into my life when I was a young person and wormed its way into my brain. I still remember it today. Yeah.

Stephanie Goss: You're so funny.

Dr. Andy Roark: Oh man. It's just. It's funny, when I go digging, it's like, it's like looking around my brain is like digging in the attic now. You know what I mean? I'm like, where did this come from? Why did I keep this in here? Oh well. 

Stephanie Goss: Who knows?!

Dr. Andy Roark: Exactly, it's lots of boxes and I'm not sure what's in them. But there we go. Alright. Well, how are you doing?

Stephanie Goss: You know, I am doing pretty darn okay.

Dr. Andy Roark: That's good!

Stephanie Goss: I have, I have achieved I have achieved a feat that I think few of us old people can say that they have achieved. So I. I have been shrinking, for the last couple of years. So I have lost a whole inch in hype.

Yeah. I did. I was a competitive cheerleader, this will shock no one. I was a competitive cheerleader. I did gymnastics and like they had said, okay, all of that, like repeated bouncing and pounding with your knees and your legs on, on the floor for years and years. Like my bones were getting compressed and I was like, okay, well, I just, I've been off though.

I just came back. I had a pretty major surgery and I am now a whole inch taller again than I when I went in. But let me tell you, imagine if for years, Your bones are in one position and your muscles are in one position and then someone goes in to your spine and stretches you out a whole inch. It hurts as much as you're thinking it would hurt.

Dr. Andy Roark: Oh, yeah.

Stephanie Goss: There has been lots of yoga with Adrian in my house.

Dr. Andy Roark: I love Adrian.

Stephanie Goss: We are big, we are big Adrian fans, we are big Benji fans in our house and so there has been lots of yoga with Adrian and lots of you know, adjusting, adjusting things like, you know, how I, how I sit and how, where I'm working and all of those things, but I am,

Dr. Andy Roark: Oh, yeah. Now that, now that you're tall,

Stephanie Goss: Now I'm tall. I'm tall. I mean, I'm like as tall as, you know, LeBron James. I'm just, I'm, I'm up there.

Dr. Andy Roark: Exactly. 

Stephanie Goss: I'm down from the sky.

Dr. Andy Roark: Yeah.

Stephanie Goss: How are you?

Dr. Andy Roark: Congratulations on getting your back stretched. No, I'm good. I'm good. I'm glad that you're, I'm glad you're back from your, from your major surgery.

Stephanie Goss: It's a, it's a little weird. I actually, I was just having a conversation with our, friend Tyler Grogan. And I said to her, This is the longest in seven years that I've gone without talking to you.

Dr. Andy Roark: Yeah? Without talking to me or without talking to Tyler?

Stephanie Goss: No, without talking to, to, to you. Andy Rourke. I mean, I, Tyler and I talked to, talked to each other while I was gone, but this is the long I was thinking about it and I was like, this is the longest time that I've gone without talking to Andy, like in seven years. It's a pretty, it's a pretty, it was a pretty darn long time.

Dr. Andy Roark: Oh yeah, you know, 

Stephanie Goss: I miss, I missed your, 

Dr. Andy Roark: When you put your out of office responder on, you're dead to me, just so you know. I'm, you're off the clock? I'm not, no it's not. it's because, it's because I, it's 

Stephanie Goss: He's like, thank God I got a vacation from Goss. 

Dr. Andy Roark: Well, I'll tell you this, and so I'm sure other people sort of wrestle with this, right?

Is, you and I have a great relationship and we are friends, and our friendship is built on this business in a lot of ways, and basically, when I call you, we talk about lots of things, but it always circles back around to the work that we're doing. And it's just, and not in a bad way, I don't think it's a bad way.

It's just, you know what's going on, and you have ideas, and you know, and you know all the people at 

Stephanie Goss: It's like when you go out for drinks with people at the clinic after work and like, you're like, Oh yeah, let's talk about our, you know, let's talk about our relationships. Let's talk about our kids. Let's talk about the dogs. And then eventually it always circles back to work.

Dr. Andy Roark: And it's always weird for me, because I'm the boss. And so, it's like, if you and Tyler go out and you guys talk about work, that's a mutually consensual discussion of work. But if you and I are talking and work kinda comes up, I will always hang up the phone and question if I didn't just call you while you were out to heal.

And bring up work stuff. And I just, I, it's a thing. I'm not, I don't walk around terrified by it, but it's definitely on my radar. Because, for years, I did not have any boundaries like that at all. I would call, you remember that, there was early on, I would call you on Saturday, and be like, Hey, I'm just hanging out.

Hey, did you take a look at that email that came in? And like, I thought we were just having friendly conversations, and as I got a little bit older, I was like, this is not normal, Andy. I, I had I had a conversation with one of my dear friends and I, I said something to him like, Yeah, you know, I don't, I don't understand why people aren't more productive on the weekends.

And he said, You don't understand that because you're a psychopath. And I was like, really? Yeah. He's like, He's like, The only reason you don't realize you're a psychopath is because you're married to a bigger psychopath than you are and the two of you together just normalize each other. I was like, oh, and so since then I went on a journey to explore this.

I was like, is he, does, is he right? Aren't we? And yeah, it turns out from, from, the research I have done, yeah, I think he was onto something. I think the data supports his hypothesis. And so I've, I tried to adjust my behaviors to, to not be a burden on other people.

Stephanie Goss: I feel like it's pretty psychopathic when you're excited about getting a giant truckload of mulch dumped in your

Dr. Andy Roark: Oh yeah. 

Stephanie Goss: Or.

Dr. Andy Roark: When I'm not excited about work, I'm excited about yard work.

Stephanie Goss: And, I mean, you are excited about, you are excited about working on the weekends. And so, I feel like that is, I feel like that is fairly psychopathic.

Dr. Andy Roark: Yeah, I, yeah, I, yeah. It's funny, it was pointed out to me that other people don't feel the way that I do about about labor. And And I I'm, I'm still making, I'm, I'm making peace with that, but I am. Anyway, at, at some point, just removing myself from the situation is the best thing. And so I was like, look, we both know I don't have any self control.

If we get on the phone, I'm going to talk about whatever comes into my mind. And it will, eventually, we will talk about work. And so, I just withdraw. And it's like, if you wanna talk, if you wanna talk to me, you can call me. But you know, but you know where it's gonna go if you call me. And so, anyway, that's that.

Stephanie Goss: Oh my God, you're so funny.

Dr. Andy Roark: am glad you, I'm glad you, I'm glad you recovered, and I am proud of myself for,

uh, trying to lean back. Yeah, exactly! For my self restraint!

Stephanie Goss: I can't.

Dr. Andy Roark: Come a long way, baby. That's me.

Stephanie Goss: I can't with you.  

Dr. Andy Roark: This what growth looks like.

Stephanie Goss: Well, speaking of managing your friends

Dr. Andy Roark: Yes! Speaking of managing your friends!

Stephanie Goss: We've got a, we've got a mailbag. We have a, we have a manager who wrote in, who was like, Hey, can I have got team leads, and they are amazing. They are amazing hard workers. They are super accountable. They're vested in the clinic. They believe in everything that we're trying to do. And they have been tasked with being, managing the different aspects of the hospital.

So they have a front, a front desk. desk lead, they have a treatment lead, and they have a surgery lead. And part of their job duties are managing their peers on the floor in their perspective, in their respective areas. And so they, this manager is really struggling with getting the leads to manage their peers.

And, and I read it and I was like, okay, and then I read to the next line, which made a lot more sense, which is like, how do I get them to go from great team members to leaders of people who are capable of holding each other accountable. And I was like, aha, there it is. It's the accountability piece. And the hard conversations.

Dr. Andy Roark: Well, yeah. 

Stephanie Goss: So, how do we do this? 

Dr. Andy Roark: I see. I love this. All right, so, oh man. There's a lot of different ways to look at this. Okay. Managing other people and holding other people accountable. It's not easy and it's not fun. It's not fun to look at the person who's your friend and be like, you didn't get this done.

Before you left yesterday and that is not acceptable and I need you to do it first thing today, you know, or to say Yeah, I I need you to do that differently going forward it changes things. Everybody can imagine themselves being the boss when things are going well and we're all having a good time and I love my boss because things are things are happy.

Nobody wants to hold their friends accountable when their friends don't want to be held accountable or they don't agree with what's going on. And so, this is one of those things where we can delegate a lot to people on our team. I'm a big fan of delegating. I ask people to step up and tackle projects all the time.

And I do not give them a new title or a pay raise every time I ask them to do something. Sometimes, as we're in this together, I need some help. You are very competent and capable. I need you to take this for me. Can you tackle this and get it beaten into submission? Thank you, my friend. You're amazing. And, and I just do it. When you start asking people to hold their peers accountable, that is very, very hard to do if they don't have a title. And honestly, it's not fun, which means they should be compensated for that role. It's one thing, I'm kind of like, you know, everybody's a leader, and everybody is a leader. And, I don't think people should get pay raises for every single thing that they do.

Stephanie Goss: Right.

Dr. Andy Roark: When you transition from you're one of the gang, to you are holding the gang accountable, for me, that's a pretty significant change in I don't know, in comfort level, in the, you're asking this person to basically separate themselves a bit from their friends. That's really what you're asking them to do.

It's a big ask. If you say, I want you to lead from the middle and help me influence the rest of the staff, that's a different ask. You want me to hold people accountable? That's that's taking sort of the friendship card away from me in a lot of ways and giving me the boss of my friend's card and that's that's just a bigger ass than a lot of people think and so i'm not it sounds to me like this is not the issue at this clinic that's writing in it sounds like they they refer to these people as the treatment lead the reception lead like It seems like they are probably separated.

It seems like they are probably compensated. It seems like they have been set up to Actually manage and hold other people accountable And so I doubt that this is, this is the thing, but I just want to go ahead and start off by saying it is not super fun to hold your friends accountable. And so the first thing we have to do is as a leader, we have to own what we're asking people to do and then support them as they do it.

So I would say we start, start, start with that and go, Hey, just quick check. Has this person been empowered? Are they being incentivized to do this? Not fun. If the answer is yes, good, let's rock on. If the answer is no, then I would say, ooh, we might need to square that up first.

Stephanie Goss: Yeah. Well, and it's funny that you started there too, because for me, the first thing that came to mind was both a headspace and an action step in, in one, which is, has this, have, has this person, has, have these people truly been empowered? Do they, do they understand what is being asked of them and do they feel empowered to do it?

And this is two parts. And then does the team understand what is being asked of this, these people and that they have been empowered to do it? Because I, I think that that's a step that let that communication on both sides is a step that often gets missed or messy.

Dr. Andy Roark: Yeah. Well, I would say this. Well, let me ask you this question. I'll frame this as a question. Do you think that someone has been empowered if the team does not know that they are responsible for the behavior of others? So can you empower that person and not have the team understand what that person's job?

I don't think so either. I agree part of empowering the person Is in messaging to the rest of the team. I don't think that you can talk to this one person here. You are empowered to manage these other people who do not know that you are now their boss. They don't have any idea. They'll figure it out when you start telling them what to do. Go go go go get to it. Like I agree. gotta be that empowerment part. 

Stephanie Goss: right? Like it happens in the practice where, where the, you know, someone asks someone to step up and be the CSR lead and it's like, cool. Yeah, you're on board. Okay, great, you know, go out and do the thing and then in that person's head I've watched it where they're assuming that there will be like a conversation.

That like announcement to the whole team. Okay, you know Sarah's now in charge of the front desk team Like this is what we're expecting and this is and then nothing happens And then that person is wondering like did they just talk to everybody individually? Did they send out an email like what did I what did I miss it?

Dr. Andy Roark: I, I, get it. I, I agree. No, it totally, and here's why, here's why it happens in my opinion and experience. What happens is, oftentimes, the idea of promoting one person up over other people is not, that's not fun. It's not fun to tell people, I'm making Stephanie your boss now. Like, Stephanie is going to manage you.

She is going to hold you accountable. You are going to report to Stephanie. People don't like getting a boss or especially having their friend promote it up And so I think a lot of times this is a sin of omission. Where someone says, you know what steph? You're she's great. Let's make her the lead. Tech I don't really you know the other techs.

I think they genuinely people like to take the path of least resistance and in the short term that is the other text they'll figure it out We'll just call her the the lead tech. We won't explain what that means, but they'll know they'll know You Oftentimes what happens is like, let's be honest, buddy, you're, you're, you're dodging, you're dodging this unpleasant part, which is empowering that person to the team and answering the questions in private when someone says, why is she the lead CSR?

Why wasn't I picked as the lead CSR? You have to navigate those things and hoping that if you don't bring it up, it won't be discussed. It's a terrible choice.

Stephanie Goss: Yeah, no, I agree with that, okay, so You We both agree there, they have to be empowered and there has to be a conversation and everybody has to understand the expectations and the, the job, right, and what, what they're, what they're doing.

Dr. Andy Roark: Totally. And it is sort of bleeding action, action steps and headspace together. So let's sort, let's pull this back out into headspace. So, headspace. Okay. Remember that delegation is hard. Remember that delegating leadership to someone else, it is not as fast as, Hey Stephanie, will you be in charge of the other techs? You will? Thank you. Great. Now we go forward. It is 

Stephanie Goss: Mm-hmm. Mm-hmm.

Dr. Andy Roark: It is the snowball we talk about where I have a job, and I can hold it in the palm of my hand like a baseball sized snowball. And if I want to give this part, which is leading other people, to Stephanie, I can't hand it to her. I have to roll it to her.

And the snowball, when it gets rolled, it picks up more snow. And so she's going to pick it up with two hands. Why? Because it is a job she's not familiar with the staff doesn't immediately respect her, they don't have a history with her like they do with me. All of these things are going to make it a bigger load for her to handle than it is for me to handle.

And so, remember delegation as a snowball. It's always bigger for the person you handle it, and it to, than it is for yourself. It's always going to have increased effort at the beginning. A lot of people like to think that delegation saves time and energy. No, it doesn't. It sucks up time and energy until the person is comfort, comfortable, and then it saves time and effort and energy.

But remember, the handing off is, it is a process. You are going to have to lean into it. It takes more energy than just doing it yourself. But the ultimate outcome is, you are able to give it away, but that is down the road.

Stephanie Goss: Yeah.

Dr. Andy Roark: Headspace for me is you know, I think getting some momentum is important.

Setting people up to get good wins. You know what I mean? Elevating someone and celebrating them and celebrating them to the team and putting them position where they get to bring good news to the team and and bring wins for the team before they start, have to ask for the team for things before they're holding people accountable.

That's just that's kind of action step. But honestly, for me, it's, if you're going to elevate this person, try to elevate them into a couple of quick wins that the team is going to like early on. It just gets them some momentum. It lets them build some trust. It, it, it lets people's nerves kind of calm down about having a new boss in a good way before we start to kind of make some changes.

It's kind of an analogy of, you know, I had a mentor and he always said, you know, when he bought a vet practice he didn't change anything for the first six months. And it was just kind of like, look, the change is, change is shocking. Don't elevate this person and immediately ask them to make negative changes or to hold people accountable or things like that.

It's just, it's gonna get them off to a rocky start and it makes their life a lot, a lot harder.

Stephanie Goss: I think for me, there's a headspace piece here for this manager, and that is, I think it's really important to look at what your plan is to make the leads. A, to educate the leads and B, to help make them successful. And the reason that I say that is a headspace piece is because I think that it requires thinking about who you're promoting and why you're promoting them.

And I, I'm sure that there are more reasons than what they gave us because they're, they, they sound like really great team members. So I'm going to assume good intent. I'm going to assume that there's lots of other things, and I really just want to pick out, and I'm not picking on the person who wrote in.

I want to point out something that we do all the time in veterinary medicine, and that is we take people who are amazing team members, who are really hard workers, who have accountability skills of their own, who are vested in the clinic, who believe in what we do. Those were the, those were the, the shining star reasons why these team members are being given this role.

Dr. Andy Roark: Mm-hmm.

Stephanie Goss: What does any of that have to do with their skill set or their ability to actually be a leader of people? Right? We're not addressing anything that has to do with their management skills, with their understanding of accountability, and how does it work with their you know, both their, that from the educational component, and also like the personality skill set piece.

And so for this leader, I think part of this has to, and I'm going to, again, I'm going to assume like, You've thought about all of this and, and, but for those who maybe go into it and you're just like, this is my best technician. Of course, they should become the team lead. I think part of the headspace is stepping back and asking yourself the question of, okay, even if they are the right person for the job, what is my plan going to be?

Because I don't think you can take any action steps forward that are truly going to help them be empowered and successful at holding others accountable, let alone holding their peers accountable, unless there is a plan to assess and hone their skill set around leading other people and also for continued support in that regard.

Dr. Andy Roark: Yeah. I think that, I think that's spot on, honestly. That, that's exactly how I'd approach it. I think, I think sort of the wrap ups for me in Headspace and I think the wrap ups for me in Headspace would be this. You should have a good attitude. Decide that you're going to be supportive of this person or these people.

If you have multiple people who've been elevated and having problems managing, that's probably a systems problem, right? If you've got one person who's struggling, maybe that person is having a problem. If you've got, if this is multiple departments and they're struggling, ah, we've got, we've got some sort of a systems problem here.

But try to, try to relax for a second. I, the reason I said I think you put your finger right on it is, managing other people, it is a skill, like placing a catheter, like doing a surgical procedure, like, like wrapping surgery packs, it's a skill, it's a more complicated skill, but it's still just, it's still just a skill, it's a thing that no one's born knowing how to do, and some people are innately more gifted at it than others, but it is a learned skill practiced skill that people have so it's just it's obvious that we just need to teach these people a skill and we need to train them in the same way that we would train them into into doing other things. 

It helps for me to think about training people to lead and manage and hold accountable. Other people on the team like teaching them to ride a bicycle. There's nothing you're going to tell them today and they're like, Well, I can just do it. I know I'm great at it. It's like, no, you're going to have to go out there. You're going to have to force yourself to smile, to be positive. If you start losing your, your cool and stomping around, the kid's not going to learn to ride a bicycle. You know what I mean?

Stephanie Goss: Mm-hmm

Dr. Andy Roark: Um, you need to go out there with that same attitude, that positivity, that encouragement. Expect to run along beside the bicycle, expect to be there, expect to pick people up and dust them off, off the ground. Yeah, there might be some skinned knees. That's not failure. It doesn't mean that we can't ever ride a bicycle.

Today might not be the day. Exactly. But it's the learning experience. And again, I think that that's the healthiest headspace to be in. It's like, hey, we're going to do this, we're going to train you to ride a bike, and you're going to get there. And we're just going to walk them through through training the skill just like, just like any other skill.

So I think for me, that's the headspace part right there, is like, yep, this is not any different. It's going to take patience. I'm going to have a good attitude, because I know that getting angry or frustrated, or trying to rush it, all those things are just going to amp the stress level up, and make this so much harder than it has to be.

Stephanie Goss: Yeah. And I think you know, they, the biggest thing is, is that it's, I mean, you, you, when you are a leader, you know, it's a hard job. And so, from a Headspace perspective, remembering what it was like for you, especially if you're an experienced leader when you were learning, you know, it's, it's, it's funny use the bike riding analogy because how many times as parents are we grownups, right?

Holding on to the backseat of a bike that has a, you know, four, three, four, five year old perched on it, right? We're so far removed from where they are age wise and reality wise. And it's really easy for us to forget that, the fear, the worry, the excitement. It's hard to forget all of that. And so I mean, it's easy to forget all of that because we're so, yeah, because we're so far removed from it.

And so I think for the manager, like thinking about it from the perspective of it is going to be hard for them and they are going to struggle. And to your point, like you have to be prepared to pick them back up. And so leaning in with empathy and having a plan to follow up and support and encourage them both when things are going wrong and also when things are going right.

And so the plan to say, Hey, I saw you do this thing and you did a great job. That encouragement. It means the world. It may have nothing to do with holding people accountable, but if you're building up that confidence and those confidence muscles in other areas, it's going to bleed over into, into their confidence in, in all areas.

And so I think having a plan to give them a lot of support is really, really important.

Dr. Andy Roark: No, I think, I think you're right too. It's funny, the parallel I would give you is when I was a young doctor, I, I started writing and speaking, basically right out of vet school, I've been doing a lot of things and I immediately got picked up doing consulting and, and social media was blowing up and I was doing a lot on that.

So right out of the box I could, I had something I could sort of talk about with some expertise even though I was brand new veterinarian. And so I, I very quickly got invited back to speak at the vet schools and things like that. And I'm a, I'm a huge supporter of the VBMA. And also I've been done a lot with SAVMA, the student organizations.

They're both wonderful. And the first couple of years that I was invited to go speak at the vet schools, it was so easy to go in there and talk to them because I knew exactly how they felt. Because I had been looking at practice from vet school, you know, just, just right around the corner. And what I found was that about five years out, after you've been a practicing veterinarian for about five years.

At least for me, I was comfortable enough that it was getting harder for me to look back and remember how it really felt right before I came into vet school or right as I went in and now I'm 15 years out and I I just I'm honest I'm like I, I, I have to remember that it was just, it was very, very different being a brand new doctor just because I'm so far down the line that, that doesn't come into my mind as, as easily as it used to.

And so I think your point about, about trying to empathize, I think, I think that that really matters. I think the last thing I would say is one tool in your toolbox right now we have an Uncharted Podcast. It's episode 267. It was the one that Stephanie did with Maria Pirita and it was called Going From Being Their Friend to Being Their Boss.

And so, if you want to listen to that, you can. That may be something that you can forward over and say, Hey, this is one of my favorite episodes. And send them, send something like that. But I was just thinking about it before. I was like, I know we have an episode on. This is the actual podcast. Being the one who transitions from being the friend to the boss, and so it's something that could be passed on. Anyway, that's what I got for Headspace!

Stephanie Goss: I love it. That, the other thing that I, that I was going to offer in terms of support, get like, get out of my head. It's, it's eerie. I wasn't thinking about the podcast, but I was thinking about the fact that we have our Team Lead Summit coming up. And so if you are a manager that has team leads, especially like in this case, where they're new to the role if you are a team lead yourself if your team has leads And there's challenges for you as a team member with those team leads in any way, the team lead summit is coming up and it is the place to be because we're talking about ultimate support, we're bringing together people who are in that role and doing a one day virtual one day virtual summit.

To talk about the specific challenges, and this is probably, honestly, like when we've put together content for the Team Lead Summit last year, that was a big focus for us. One of the biggest challenges for people stepping into this role is learning how to manage their peers. Because for the majority of people stepping into this role, they were a peer first and now they're now they're the leader. And so that is something that everyone struggles with and I think there's nothing more powerful than being able to connect with your peers who are in the same position and talk about the challenges and brainstorm solutions and be creative and positive. So if you have somebody who is looking for it, You should send them over to our website at unchartedvet.com.

There's info under the events tab on the Team Lead Summit and it is happening. And I think when this episode comes out, they have one week left because the Team Lead Summit is happening on Wednesday, September 18th, and it's virtual. you know, send them over there and get them registered because we we would love to connect with them and connect them with their peers.

Dr. Andy Roark: Yeah, totally. I think that's a great call. I saw a post on social media and someone asked like, what's your favorite vet conference and why? And someone wrote Uncharted and they said, It has the best sense of community and is the best for real world problem solving. And I was like, I'll take it. I'll 100 percent take it.

And so that's, I think that's, I thought that was a good summary of kind of the work that we like to do at Uncharted. Anyway, let's let's take a break and then we'll get back into some 

Stephanie Goss: Okay. Yes. Let's do it.

Stephanie Goss: It's time. Our Team Leads Summit is happening next week. It is happening on September 18th, which means you have just one week left to get your tickets. It is $79 for our internal members and it is $99 for our non-members. We have a great lineup of speakers and topics for you. If you are involved in being a leader within your practice. At the floor level. 

So that's my CSR leads. My tech leads, my treatment leads. My ICU leads my kind of leave. You name it if you are not yet a practice manager, but you are working in management in your practice. This summit is for you. It's virtual. It's taking place on zoom so you can, join us from home on your couch, in your pajamas. 

If you want. you do you, but we have got a great lineup of speakers. My cohost and friend, Dr. Andy Roark is going to be talking to everyone for our general session and really talking about how to Jedi mind trick and get doctors to do what you want and need them to do. We've got Sarah Parsons LVT. 

We've got Tyler Grogan, CVT. We've got Kelsey Beth carpenter. RVT and we've got Maria Pirita, CVPM. Between the four of them, they are going to be talking about positivity and boosting morale in the practice. They're going to be talking about conflict management. They're going to be talking about becoming the coach and not the referee. 

It is going to be a jam packed day. I will be there as your host and MC. I can't wait to see everybody. And so I would really love it. If you would head over to uncharted vet.com. Forward slash events. And you can find out all of the information for team lead summit and everything else we've got coming at you between now and the end of the year. And now back to the podcast. 

Dr. Andy Roark: Alright. Let's get into some action steps here. We, we had a little bit of bleed over into action steps from Headspace, but the big thing is you gotta start, I think, with assessing how, how are things really going? And, and, I would do this a couple of ways. First thing is I just want to remind everybody of our safe conversation.

So I would talk to, talk to my leads and I want to get safe. And so again, this is something that we use all the time. S, can you sit next to this person? Can you smile at them? Do not go and talk to your brand new baby team lead. The moment that you're angry, that someone, you know, broke the rules and didn't get caught for it, or, you know what I mean?

That, that, that we had, the afternoon exploded because someone didn't do what they were supposed to do, and I'm mad. And I'm gonna grab this team lead by the ear and be like, Why isn't this person being dealt with? Like, no, don't do that. That's terrible. Make sure that you can sit next to this person and smile at them.

This should not be a high stakes conversation. This should just be a check in. How are things going? How are you feeling, buddy? Conversation like that. Remember we're, we're coaching to ride the bike. A, assume good intent. Do not let yourself get into a headspace of this person clearly doesn't care about the practice.

They're not, they want to be friends more than they want to be bought. Don't get into a bad headspace. Assume that the team leads are doing their best. They're figuring this out. They're trying hard. They want to be fair and supportive to their friends. They want to be fair and supportive to you.

F! Has this person been set up to fail? What here is my fault? Again, Have expectations been made clear? This is all the stuff, Stephanie, I talked about at the very beginning of Has this, has the role been explained to the rest of the team? Have they, have they really been empowered? Have they been coached on how to hold other people accountable?

How have they been set up to fail? What can I own? And this is a great way to lower the stakes. Say, hey, you know, I feel like we did a pretty good job with onboarding. I think there's a few holes in our onboarding process into leadership that I probably, I just didn't anticipate. Or they're just things I should have thought of and I didn't.

And so I kind of want to circle back around with you and say, you know, now you're six months into this role. What are you, what are you seeing? What are the things you feel like you're struggling with? Where could you get more support? How could I, how could I have going back? How could I have, have helped you more?

And, and let's, let's do that going forward. And I think that's a really nice way of lowering the stakes. You know, softening up our conversation. And the last thing is the end result. What are we trying to do here? I would say, go in. I just want to understand what's going on. I, I see a pattern of behavior, especially if I see it across multiple people.

I would say, I would even say, Hey, this is not about you. We've got, you know, some of the other team leads have come up. And it's just, it's, it's an issue that I'm seeing across different people. And so I think clearly we've got a system problem, or whether it's training or, or the way that we're sort of working as a team.

I just, I just sort of want to understand, you know, How are we working? Where is this coming from? Are you worried about people being angry? Like what? Help me understand sort of where your head's at. Speaking specifics, I would sort of say to that too is, you don't want to go and say, hey look, you're really, you're really struggling to manage people.

That's terrible feedback. That, devastating to confidence, no specificity. They don't know what you're talking about. They don't know how to defend themselves. They don't know how to give you insight or feedback. It's just too vague. You have to say, tell me what happened with Michael. And, yeah, just walk me through that.

What was your conversation like? How did you feel like it went? Give me the download here.

Stephanie Goss: Yeah. I think, I think that I, I love the safe piece of it. And I think honestly, one of the easiest things that we can do to make this conversation safe for team leads is that to, to really truly believe that this is a zero stakes conversation, like part of, part of getting a new job, part of growing and developing is that you're going to have to learn things.

And so for me, the easiest way someone lowered the stakes for me. was to say, Hey, when I was starting out, like I really struggled with the idea of managing my friends and my peers, you know, and I did some things right. And I also made some mistakes. And so I, you know, let's, let's just talk about how you're feeling because I know how hard it was for me and I would love to know how it's going for you because the best case scenario is that if they then tell you themselves, you know, yesterday when I was working with Michael, this is what happened, right? 

Because then it's a zero stakes conversation because they're the ones bringing it up. It's not you approaching them and saying, hey, I recognize that this was the thing that you were done wrong, and now I'm coaching you so that you know how to do it correctly next time.

Now it's a, you've related to them, you're strengthening the relationship between you and one of the members of your team, which is really great. And they're being honest about their own skill set as a result. And so that power of vulnerability is really, really huge. And it costs us nothing to shift our mindset and say, can I have this conversation in a way that is truly developmental and has nothing to do with. I'm frustrated, or I'm angry, or you did this thing wrong. 

Dr. Andy Roark: I I like I like that a lot. I think that puts you in a good mindset to also be in a coaching role as well, right? It's it's sort of that that being vulnerable and saying well, this is this experience I had Let me tell you about the way that I shot myself in the foot one time um this this sounds familiar I tell you i've done something that's that's Uh more more more troubling than what than what you what you got into  and here it is And then it puts you into the What do you what do you?

What do you plan to do from here? And it puts you into those types of questions of, if it was happening again, if, if, if we could jump back in time to yesterday and Michael walked up, what would you, knowing what you know now, like, what would you do? How would you do it? And that's coaching. That's just helping them get ready for the next time.

And Michael's not going to come back to them and we don't get to do it again. But it will happen again. And it's just that, it's just that coaching. I think it's always good To frame your conversation and you know, how can I support you? How can I, you know, what, what can I do to, to help make this easier for you?

Yeah, just, just things like that. It's not, you're not doing your job. It's help, help me, help me support you. Remember, remember your why and, and remember to, to bring it in. This is not comfortable. It's not fun to tell your friends what to do. There has to be a greater. There has to be a greater good.

There has to be a, a reason for this person to have a a leadership role. And just saying, well, that's what the raise is for, that's a terrible idea. It's not, it's not that, you know. Remember just to talk to them about the good that the practice is doing. What the practice is trying to be, what, what we believe in and, and, and how they're contributing to that.

Make them feel proud of what they're doing and what the practice does. Like I, I want people to be really proud of being on the leadership team and that means you have to share the credit with them and you have to make sure that they see the benefits that they're having and they don't feel like they're busting their friends chops so they can make an extra dollar an hour.

That's not, that's, that's not the, the motivation that, that we want to have and it's, and it's fleeting.

Stephanie Goss: Mm hmm. Mm hmm.

Dr. Andy Roark: Remember when we start coaching, we want to lean into developmental feedback. And so there's three types of feedback, right? There's positive feedback, there's critical feedback, and there's developmental feedback. And so positive feedback is, hey, you're doing a great job, and we make, want to make sure that we are doing a lot of positive feedback.

Don't get me wrong here. When they do something that is that is successful or that you think is a good approach, try to catch them and pat them on the back and say, Hey, I saw you do this. Nobody wants to get called in only when things go bad. I don't, I don't want to have a job where I just get busted if the people I'm supposed to manage drop the ball, but every time they don't drop the ball because I was there for them, coaching them.

Encouraging them, patting them on the back, pleading with them. I just hear silence. So it's silence, silence, silence, silence, crack. You let them drop the ball. I don't want that. So lean into your positive. Critical is, hey, you messed this up. And then developmental is, hey, let's talk about how things are going, and let's talk about where I'd like to see you developing in the next six months.

It is so much easier to talk to someone and give them a good review and say, Hey, these are the areas that you're really excelling in. And our writer says the team leads are great. They're accountable. They're productive. They're, you know, they're doing all of these wonderful things. It sounds like there's a ton of things we can give them good feedback on.

And then the next part is to say, let's talk about the back half of 2024. Let's talk about the Q4, Q1 coming up the area that I think I would really like to see you focus on for your development or the area that I think you will benefit the most from if you can develop in the the skills in is you know, it's going to be holding people accountable you know, having, having, you know, quality control conversations, whatever it is, but it feels very different to say I'm invested in you.

I want to see you excel. Let's talk about the coming months. This is what I want to work on with you, and I want to see you grow here. That feels so much different than Andy. The last six months, you have really not met expectations in this area. Like, doesn't that feel night and day different?

Stephanie Goss: Yeah. Radically different. 

Dr. Andy Roark: And so, we're playing the long game here. I don't want to take the person out to teach and ride the bike and say, boy, you really stunk at this last week. I really hope this week is better. It's like, nope. Hey, we have learned a lot. And I want to see you riding without pedals in the next week or two. And then I want to see you off on your own, you know, before the summer is here.

Whatever, you know? But it's that, it's that developmental feedback about what I want to see in the future, rather than, let's talk about what happened in the past. 

Stephanie Goss: One of the things that's really important, too, is to recognize that Accountability, but especially in this instance, accountability means different things to different people. And if you have three different leads that you have promoted, part of the training process developmentally should be to say, how are we defining accountability?

You know, what does that, what does that mean? What does that even mean? And what does it look like? And specifically, what does it look like here in our practice? You know, I think that that's, that is a part of the natural training. And so often as leaders, at least for me, this was a step that people forgot with me and also that I forgot with people, which is to say the thing that seems really simple when you involve multiple people, maybe not as simple as it seems, right?

Like I can ask the team to sweep the floor. If I've got five team members and I ask them to go sweep exam room one, I promise you it's going to look different every time I go in there because they're each going to have their own definition of what a sweeping the floor look like. It's no different here.

When, when I promote someone and I tell them part of your job is to hold the team accountable and everybody just sits there and smiles and nods because we think, okay, accountability. Like, I got that, that, that means getting people to do the thing that they're supposed to be doing. Well, but what the, what the hell does that actually mean?

What does it look like? How does it feel? Those are the pieces that we often forget or skip over and don't talk about enough. And so I think from an action step perspective, you know, you're, you're talking about the developmental feedback. It provides a perfect opportunity to say, okay, leadership team, like over the next six months, I want all of us to work on accountability because I want us to all be on the same page and I want us all to be working similarly.

And so I don't want someone to be able to come to me and said, well, when Sarah at the front desk, talk to me about this. This is what she said, but then when they talked to Becky in the treatment room, it was a different answer, right? Like you want to be all working in tandem, and that really only happens when you have those conversations and you work together as a team.

And so I think you can action step wise for this manager and totally frame it as like, let's have these conversations and let's, you know, let's get on the same page.

Dr. Andy Roark: Yeah. No, I, I completely agree. I think, I think you're, I think you're spot on. I think we probably should have laid this down earlier on in the action steps, but I, I think it's good to to make sure that we have clear expectations now. The reason I say this is oftentimes, especially for elevating someone into a new position.

Let's say we haven't had a lead CSR before. Let's say we haven't had a kennel lead before, but we're going to make one. I would just tell you. I don't, it's not possible to create a position that has never existed before and to say to someone before their first day on the job, these are my expectations and they will not change.

There is no way that we are going to try this and I am going to learn a lot and you're going to learn a lot and we're going to say, Oh, this is not what we thought it was. That's ridiculous. 

Expectations change. Like, they change over time. The expectation I have for someone who comes in off the street to be a vet assistant my expectation for that person is going to be very different than when they've been with the clinic for five years and they are great and they are well trained.

My expectations are going to change because they're not the person who showed up. And when they go and they get their technician degree and they come back in their licensed tech, my expectations are not going to be the same as they were when you were a vet assistant. Like, I have new expectations because things have changed.

And so expectations, they can be adjusted. Let's just make sure that the expectations we have for this job are shared by everyone and that they are up to date and current meaning, well, maybe we said that we expected this, but do we really, that might be a bridge too far. That might not be what we really want.

Let's make sure that everybody's on the same page about what this person's job is. That means me as the boss. It means them as the employee. It means the team as the people reporting to  that person. And so if we don't have clear expectations, we should circle back around and and get it. And you can't hold people accountable if you don't have clear expectations.

I, I remember getting called in to the manager's office as a brand new baby vet because the surgery suite. was left dirty one afternoon. And I was like, I'm sorry, am I in charge of cleaning the surgery suite? And they were like, no, but the technicians who are working with you should have done it. I'm like, well, why aren't you talking to them? And they're like, because you're supposed to oversee them. And I'm like, I'm sorry. All of this is new information to me. Like, like I had, Noah, all the things you just said were all new to me. No one had ever communicated. I didn't know I was in charge of them. I don't think they knew I was in charge of them.

I didn't, I did not, you know, I assumed that it was done. I, you know, I did not know it was on the surgery team to clean up. Again, it totally makes sense. I just, I didn't, I didn't know that. It had never been communicated that that's what needed to happen. I thought if it needed to happen, the technicians would know they needed to do it.

But apparently they didn't know I was supposed to tell them but anyway, I was just like I you this is this is a whatever but it happened. I was like you can't hold people accountable if they don't know what the expectations are. That's ridiculous. That's just surprising people. And again, if you've ever worked at a place where you got in trouble without knowing the why?

You know what I mean? You would just be surprised and you thought you were doing great. That's not a fun place to work. You can't, there's no trust there. It's just nobody wants to, to live in fear that they're gonna get in trouble for something they didn't know they're supposed to do. That just generally sucks.

And so, anyway, just run a quick, clear expectation audit. Make sure everything that is, is good there. And then, that brings me to sort of the last action step. And I would do this kind of in tandem with everything else. Everything I said at this point is true. Coaching, positivity, help them ride the bicycle.

At some point, if they're going to be in the manager job, they have to be able to do the manager job. And, just like when I'm teaching someone to ride a bike, at first, I'm holding the seat. And this person is pedaling and I'm not letting them fall over. But then I'm going to start taking my hand off of the seat and let them pedal a little bit.

And it's funny, my, my kids when they learned to ride a bike, they did not try to balance because they knew I had the seat. They would just la da da, like they got elbows flying everywhere and you know, there was no emphasis on balance because they knew I was not gonna let them go. As soon as I started to let my hand go and they realized, whoa, this bike wobbles if I don't

Stephanie Goss: Right. Right. I have to. Yes.

Dr. Andy Roark: I do have to balance this. It's, again, that's, I was not going to let them fall, but I was going to let them feel like they might fall because, you know, we had, we'd worked on the skills. They needed to feel that so that they could step up. It's sort of like, I don't want people to sink or swim, but I do plan to give them swimming lessons and at some point, they are going in the water and, and they, at some point, they are going to sink or swim.

It won't be without lots of training and support and encouragement. And it won't be the first day out, but at some point they are going to have to sink or swim. And so, if we have done this right though, if we've done the developmental feedback, we have gone through our feedback model, we have coached, we have set clear expectations, we have empowered people, we have talked to the team, we have helped them to be successful, we have given them feedback in the moment as we went along, things like that.

At some point, the rubber is going to meet the road and they're going to have to do the thing or they're not going to be able to, to stay in that, in that role. And again, I do not want to say that early on. Remember, low stakes. But, at some point, I'm picking my poison, right? I can either let this person continue to flounder, or I can do the unpleasant thing of pulling them out of that role and putting somebody else in there.

But if I let them flounder, I'm going to have to keep dealing with the fallout of the rest of the staff not being managed or not being managed appropriately, and I don't want to work in a place where the staff is not managed, and there's sort of anarchy, and people are making mistakes, and my patient care is being damaged.

And again, the kindest thing for this person is not to let them continue to fail, it's to coach them and support them, and ultimately, if it's just not going to work, the kindest thing is to take them out of that spot.

Stephanie Goss: Yeah. Yeah.

Dr. Andy Roark: But again, that's, that's down the road, but it, it helps me sleep at night because I don't, I don't want to lay in bed and go, this is not working, this is not working.

It helps me to say, in six months, if we are still having these problems, we are going to reevaluate this position. And then I put that on my calendar. I'll put it in code so that people won't be like, In six months, we're gonna do, I'll put it as something as like, I don't know, team lead assessment, something like that.

And then it will just be a note for me to say, okay, is this going? At the same time, I am going to be keeping my own little notebook about, just about things that are happening. It's, it's really important to deal in specifics. And it is very easy if someone. makes, whether it's a mistake on, on medicine or managing people or whatever, it's easy to get down on people.

It's easy to remember the negative things and forget the positive things. And if somebody has I don't know, an accountability type, management type mistake once a quarter, is that the, it's probably not the end, that's probably worth it. It's probably not the end of the world. You know, it depends on what it is, but probably not, you know.

But it's not fair for me to get to the end of the year and go, God, I feel like I was fixing your problems all the time. That's not fair. I want to be able to say, Hey, I, I saw you do something great and I jotted it down. So I remember this person doing great things. 

And then also we had these couple of problems you and I talked about them, but looking back at the last year, I know that we talked three times about different problems, but it also got a nice little list of things I saw you do that were really impressive. And so that's, that's how you do an accurate evaluation for people as anyway, is. You don't wait until a week before their evaluation and then try to remember what they did the last year.

That's ridiculous. You should just be keeping up with your people. So anyway, that's, that's kind of all I got in that regard.

Stephanie Goss: Well, and I think to, to your point about thinking about it down the road for this manager, I think it is really important if you haven't considered possibility that they may not be the right people if they were being promoted because of how amazing they were as CSRs and technicians. I think it is important to think about that, not because you want them to fail, but because you need to be, whether it's this time or sometime down the road, at some point in your management career, you will make the decision to promote someone into a role that they're not Um, and it's only, it is to, to your point about like, you don't want to be up at night.

It will do yourself good and it will do them good to be able to recognize that we have, we're evaluating people to step up into leadership roles in particular because of the actual leadership skills they have, not because they were great at the job that they were doing. And I think we'll change that medicine tremendously when we start doing more of that, because I'll tell you every time, you know, I talk about this and we're at a conference or something and I ask, okay, raise your hand if you were promoted because you were the best CSR, the best technician or the best kennel team member possible. 

The whole room of hands goes up and, and it's, it's like, okay, and how many of you felt like you were paired to do the job and all the hands go down because that, you know, and so we're, we're from a manager perspective, I think that's something important to think about and, and think about it in a positive way, which is like, it's okay.

If it happens, you know, it's how we choose to address it and it's how we choose to, to, to coach them and support them and help grow them because sometimes growth for someone looks like stepping up into a position and then realizing, it's not the position for them, whether you realize it or they realize it or both. But I've had team members step up into a promoted position and then go, Oh yeah,

Dr. Andy Roark: Yeah. Exactly. 

Stephanie Goss: This is not, this is not what I want. This is not what I thought it was going to be. This is not what I want to do. This is, I'm not good at this. And it, and, and I've watched people and I have done this myself where you fight with them because you're like, but you're so great.

And I really want you in this role. They have to have the want to do it. Like the capacity for it is one thing and you can think they're so great all day long, but if they don't want to do it, if the desire is not there, like you have to stop and recognize that.

Dr. Andy Roark: I think you're, you were, you were right on. Anyway, that's just the other thing is it's funny. I think we've told the story in vet medicine that. There is one path upward, and it moves into management. And that's, that's ridiculous. You know what I mean? It's like saying, you're such a good chef, you should be sending emails and pushing papers.

You know, it's like, no, that doesn't make, if it's a great chef, maybe you don't want them to come out of the kitchen. And, you know, and manage the staff. Maybe you want them, yeah, maybe you want them just to be a great chef and, anyway, that's it. I, I hope that we'll continue to see upward medicine based paths.

I think we will. I think that VTS degrees are a good thing. I hope that there's more practices that are willing to support people getting them. I think that veterinarians being able to move into whether it's a specialty, a non-traditional residency to get a specialty, things like that, or whether it's just certification, advanced certification, advanced training.

I, I really like to believe that upward doesn't need to mean management unless you want it to mean management. And so that's it. But you're right. There's a lot of people who are really good at medicine, and so they get promoted into managing other people, and those are just wildly different skill sets.

And again, no, no, no shade on it, but some people, they want to advance, or a lot of times, this is what's really sad, a lot of times people want the pay raise. They really want the pay raise, and so they take the management job, and they don't like the management job, and now they are the person who took a job for the money.

Stephanie Goss: because in vet, in vet med, that's how it's, that's how it's structured, right? Like that's how you get, that's how, if you're a paraprofessional staff member, that's how you get more money And again, on more responsibility or you step up into a leadership role.

Dr. Andy Roark: Totally and I wasn't trying to throw shade on on people do that. You know, like man, if I'm if I'm a technician making, you know, a dozen dollars an hour or something ridiculous, you know, and then, you know, I get the chance to make two more dollars an hour. And do it. It's hard to make in me.

We know the number one stressor for our support staff is is the finances. So please don't take it as Andy says. You shouldn't have taken this job. It's not that I totally understand, but I do think it's sad. I think it's it's sad that that it Goes that way. And so, anyway, sometimes we have to make adjustments. Sometimes, sometimes people say, I've never been a manager. I would like to try it.

Stephanie Goss: Sure.

Dr. Andy Roark: That's great. Sometimes it doesn't work out. Oftentimes, they're not having fun either. It's an awkward conversation, but you guys can manage it. So anyway, that's all I got. 

Stephanie Goss: Oh, this was a fun one. thanks for chatting. Have a great week,

Dr. Andy Roark: Have a good time, everybody. See you later!

Stephanie Goss: Well, gang, that's a wrap on another episode of the podcast. And as always, this was so fun to dive into the mailbag and answer this question. And I would really love to see more things like this come through the mailbag. If there is something that you would love to have us talk about on the podcast or a question that you are hoping that we might be able to help with, feel free to reach out and send us a message.

You can always find the mailbag at the website. The address is unchartedvet.com/mailbag, or you can. Email us at podcast@unchartedvet.com. Take care everybody and have a great week. We'll see you again next time.

Written by Maria Pirita · Categorized: Blog, Podcast · Tagged: communication, culture, management

Sep 04 2024

Schedule Freaks The Team Out

How do you manage staff anxiety about the upcoming schedule without turning away clients and compromising care? In this episode of the Uncharted Veterinary Podcast, Dr. Andy Roark and practice management super star, Stephanie Goss dive into a mailbag question that resonates deeply with many veterinary teams. A concerned manager writes in about their team’s growing habit of preemptively freaking out when they see a busy day ahead, leading to requests for limiting appointments and turning pets away, even though most days end up going smoothly. Stephanie Goss, with her extensive experience in practice management, and Dr. Andy Roark tackle this issue head-on, discussing the delicate balance between preparing for a busy schedule and maintaining a calm, productive work environment. They explore the common cognitive biases like catastrophizing and negativity bias that can exacerbate these fears and share actionable strategies for addressing these challenges. Together, they walk you through action steps that you can implement in your clinic to avoid this chicken little mentality. Let's get into this episode….

Uncharted Veterinary Podcast · 303 – Schedule Freaks The Team Out

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

Do you have something that you would love Andy and Stephanie to roleplay on the podcast – a situation where you would love some examples of what someone else would say and how they would say it? If so, send us a message through the mailbag! We want to hear your challenges and would love to feature your scenario on the podcast.

Submit your questions here: unchartedvet.com/mailbag


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Episode Transcript

Stephanie Goss: Hey everybody, I am Stephanie Goss and this is another episode of the Uncharted podcast. This week on the podcast, we have got a letter from the mailbag from a manager who is struggling with the team that is doing a good thing. They're looking ahead at the schedule every day, but they are freaking out at what's on it.

So they are asking to limit appointments and sometimes asking to turn pets away. And this manager is wondering, how do we take care of our clients? How do we serve our patients if we're turning them away? How do I keep the team happy, but balance this problem? Let's get into it. 

Dr. Andy Roark: And we are back. It's me, Dr. Andy Roark and the one and only Stephanie Freakout Goss. Le Freak, So Chic,, Freakout. How are you today?

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

Dr. Andy Roark: I am, I am good. Life is, oh boy, life is hurtling by. I mean, it is, it is really hurtling. Oh boy, there was drama at my house yesterday. So, yeah, so Allison went I'm gonna break all sorts of HIPAA laws here.

My wife went to see the doctor yesterday. And so it's, it's, it's the oncologist. And I haven't talked about this before is she, she was diagnosed with breast cancer a couple years ago. And all good. Everything is good. You know, she had her scans and stuff. Everything is fine. It looks like this is over in, in the rear view.

But, of course, obviously we're gonna be checking in. Yeah, well, it's just, just the, the, the advanced screening, and we do, and we just gotta check in. So anyway, so she goes to the oncologist, and so he's got her there, he's doing the exam, and there's a nurse in the room and everything, and he's like, wow, and he sort of feels her shoulders, and he's like, wow, look how strong she is, and my wife is very strong, just so you know.

She is, she is badass. She does like Olympic weightlifting and stuff. She's 45. And so, anyway, then she He he puts his hand, like, on her leg, like, like mid, like, not inappropriate, she's wearing a gown or whatever, but it's like mid thigh, and he's like, wow, this, like, just look at this, and, and my wife says, yeah, you know, those are my tree trunks, you know, she's got big, big powerful quads from, from lifting and stuff, and the guy says, you know, Oh, you're still weightlifting.

And Allison's like, yeah. And he goes, I give it a year. He says, I give it a year. And Allison says, I'm sorry, what, what, what did you say? And he was like, you know, as we get older, our chances for injury go up. And so this weightlifting thing might not be, continue, it might not be sustainable. And the nurse goes, yeah, maybe you could do brisk walking like that. And I, I said, what did you say? And Allison

Stephanie Goss: I can only imagine the look on Allison's face.

Dr. Andy Roark: I, I, she was so mad. She was like, I'm 45. I'm not dead. I'm 45. The woman's like, who you should brisk walking is really where you should be. And Allison was just so offended, offended and mad. It was like, Oh, did he tell you you should have help out of the chair?

Like, you know, and it was just, Oh boy. It was, I mean, it was a, it was a big deal. Well, I can't like. I, I'm a firm believer in Allison's too, it's like, we should have people as they get older, you should be working more on being strong, you know, and, and, you know, like, we should be encouraging people to work out, not, not unsafely, you know what I mean, if you're like, Yeah, I'm doing this thing, and I've injured myself once a month for the last eight months.

Like, you shouldn't do that thing anymore. But if you're happily minding your business, not being hurt or injured, doing your thing, like, the doctor should not tell you you should take it down about

Stephanie Goss: right?

Dr. Andy Roark: I just, I don't know. But, oh boy. It was a big deal at our house. It was not. Oh.

Stephanie Goss: Speaking about taking it down a few notches,

Dr. Andy Roark: Oh yeah! 

Stephanie Goss: We have got a great mailbag episode today. I am, I'm excited about this one. I feel this in my bones and in my soul. And I think, honestly, I think every clinic experiences this at some point and some of us experienced it a little bit more frequently than, than others.

So, we got an email from a manager who was like, Hey, I have, my team is doing a great thing, right? They're looking at the schedule and they're looking ahead because they want to prepare themselves for what's coming in. Now most of us as managers would look at that and say, that's amazing. I wish I could get my team to look at the schedule and be prepared ahead of time,

cause most of us just fly by the seat of our pants and roll with whatever walks in the door next. But they were like, okay, they're looking at the schedule and then they're freaking out because they're seeing everything that's on the schedule. And so as a result of that, now they're asking, can we limit appointments?

Can we put more blocks in? And then they are asking to turn pets away. Even though 95 percent of the time everything works out, it's a full schedule and everybody's happy. So this manager has had some conversations with the leadership team and they were like, We don't want to turn people away for a variety of reasons.

They want to be able to provide care to pets. And so if we put block offs in and then a pet needs to come in and we say no to them, like, How are we, how are we serving our clients? And then obviously from a business perspective, this manager is like, it's a balance, right? We need revenue. We need clients coming in the door to pay all the bills, including to pay for the team.

And so they're like, this is how do we, how do we get them to, to pay attention to that? Cause we've pointed out to them when they start to freak out that most of the time that things work out fine. But they're really struggling with feeling like the team doesn't believe it. And they said, you know, the, when things happen and the team do have to stay late or don't get a lunch or whatever.

It's like they hold on to that and clutch, clutch it like they're pearls. And they're like, no, every, every time we have to, you know, we wind up staying till 8pm. Or, you know, every time we wind up missing lunches. And so, They're, they're leaning into that negative experience and this manager is like, but what about all the times when things go well?

And they're frustrated because they feel like overall this, this team is doing really well and that they get out on time and all of that. And so they're like, how do I get them to just slow their roll and relax a little bit and see the patients that need to be seen? Right. And have a balance between

being prepared, looking ahead, being proactive, and putting enough, you know, as a manager, one of the challenges is we want to put enough blocks in the schedule so that we can see the patients that need us last minute, right? And we're not just dumping appointments on top of a completely booked schedule.

So they're like, how do I, how do I balance all of this? Mm

Dr. Andy Roark: I see this a lot. I, and you've heard me rant about this with doctors before, so the whole team has done this. I've ranted about this with doctors. I generally discourage veterinarians, even young veterinarians, honestly, probably especially young veterinarians, from looking ahead at the schedule for tomorrow.

Because and people are like, why wouldn't you? Of course they want to prepare. Look, if you're looking at the schedule, and then you're using that information to prepare, then go forth and be successful. Go forth and be happy. However, most people are not doing doing that. And that's what it sounds like this team, when you said, you know, most managers would love for their team to look at the schedule.

And my big question is why, why are they looking at the schedule and what are they doing with the information they are getting from looking at the schedule? To me, the best analogy for this is people who just stay glued to the news. They're like, I'm watching the news. I'm staying informed. And I'm like, what are you doing with that?

They're like, I'm freaking out. I'm not sleeping well and I'm fighting with my spouse. That's what I do with the news. And I'm like, I don't, I don't, like, again, you don't want to be blissfully, ignorantly naïve and not have information you need to make choices or participate in what's going on, and at the same time, at some point, what are we really doing here?

And so, When I hear that staff is looking at the schedule, I would say to them, My question is why are they looking at the schedule? So I I see this a lot. I call this the chicken little effect, right? And you see it and and what happens is people look at the schedule and someone is going to freak out. They're going to look and some again.

I've not seen this team. I don't know this team I am just speaking in broad stereotypical generalities In my experience when we have a team that looks at the schedule usually it's people because we have people that have figured out that they can get attention by looking at the schedule and then panicking because everybody will talk about this.

Like a lot of times, you know, if we're, if we're bored, if we're bored, I think at some subconscious level, we're like, what are people going to engage in? Let's get something going here. Let's look at tomorrow and talk about that because everybody's got tomorrow in common and it's something we can all talk about because we're all going to have to go through it. And the chicken little effect is this idea that we're going to look and we're going to see something and we're going to catastrophize and we're going to say, Oh, look, the sky is falling. This is going to be terrible. And of course, there's nothing we can do today about how tomorrow is going to go and panicking,

makes no sense, but I see people do it. So we, so we, we get these cognitive biases kicking in these things we do mentally negativity bias. Our writer called that out. People tend to remember the bad things when they look at the schedule. They and I get I've done this. I look at the schedule. I scroll along.

All of the happy kitten visits and the clients I love to see, they're invisible to me. It's basically like when I look at social media and I skim through the comments looking for someone to tell me I suck or, you know what I mean, that this is terri and I skim over all the people who are like, Boy, this vet clinic was wonderful.

I had the best experience here. Five star review. Those are invisible. I'm looking for the one thing that's going to be horrible or make me upset. And I think we all do that and it's called negativity bias. The other one is just catastrophizing, which is we look at things and we look at their problem and some people have a tendency to catastrophize, meaning they see something that could be difficult and they imagine it in the worst possible iteration, you know.

So, the, they'll be my cat is breathing funny. We'll be on the schedule for tomorrow. And there's some people who lose their mind, and they're like this cat is struggling to breathe. That's an emergency. They should have been in, you know, but, and the truth is maybe, maybe it's emergency. I would have asked the question, but I've seen a lot of cats struggling to breathe.

I'm like, oh no, your cat doesn't look like he used to when he breathes because he's gained seven pounds. You know, and like, you know, That's it. He's just, he's, he's an obesity. It could be, it can be anything. Sometimes they bring him in and you go, I don't see anything at all. But, but you just never know.

Anyone who's been in vet medicine for any amount of time knows that what the client tells you before they come in the door Should be held on to very loosely and I'm not trying to dunk on clients. They just don't know And they will leave out critical details. We've all seen people who are like i'm here for a nail trim Also, my dog's bleeding everywhere, like they tell you that when they get there.

And, and we've seen people who have left out critical details, and we've seen people who have way overplayed the severity. His toe is hanging off, and like, he's cracked, you know, the tip of his toenail. And, and, we've all seen it. You just, You can't get spun up that much. It just doesn't make sense.

As long as you're asking the questions as people come in, and you've trained your front desk staff to try to extract important information, and they kind of know generally how to triage cases, you just, you, you have to wait and see what comes in the door. But, but people, they just, they just don't. And so, I just want to first start off in headspace here and say, you know, let me just validate that this happens a lot.

I think it's healthy to go ahead and decide that people do this because they want the best outcomes for patients. Because they want clients to have a good experience. I think it's easy to get frustrated and say, you guys are always trying to get out of doing work. Why are you such, you know, why are you such case dodgers?

Why are you? And again, like We can all get in the negative headspace. Don't, don't do that. It's not worth it. Assume good intent on the part of your team. Assume that they're trying. And know that this is normal and what you're seeing is just normal human behaviors as people look ahead and prognosticate.

Stephanie Goss: Yeah. That, that makes sense. I think, I think a big part of it and this comes along with the action steps is, you know, just trying to seek first to understand, right? Like trying to figure out where is this coming from? Because that will, that will make a lot of difference. Cause you know, you asked, why would they, why would they be looking ahead at the schedule?

And I think that the reasons. And so, you know, because I think that there are going to be people who are catastrophizing, you know, they're looking ahead at the schedule and they're catastrophizing because they're, you know, thinking about the fact that they made plans to go out to dinner for their anniversary with their spouse and they're worried they may not get out on time.

And then there are people who are going to look at the schedule. catastrophize because they see appointments that don't have enough information and they're detail oriented people. Like, the reasons are going to be different. And I think this manager is struggling because it sounds like there's multiple of them who are doing the same thing.

And so in order for it to be effective, I think for anyone on the team to be looking at the schedule, You have to understand the why and and you know you you talked about some of the things I think this is to me. This is It's a little bit of a people problem, but I actually see this as a systems problem So it'll be it'll be it'll be interesting once we once we get into it get into

Dr. Andy Roark: it might be a systems problem. I agree with you. So when we get into action steps, my first action step 100 percent is investigate, investigate, investigate. Like, we do not want to make assumptions about what's going on here. I have seen everything from this is complete hand waving waste of time and energy.

I've 100 percent seen that. Two, I have seen unrealistic expectations on the part of the practice, and these people are actually getting ground down. I have also seen, and this is another one, where the people in leadership positions are honestly having a very different experience from the other people.

So, I have been the vet, and walked out and been like, pfft, that was a great day. And my technician stumbles out behind me, like, you know, like, like hair

Stephanie Goss: uh-huh 

Dr. Andy Roark: Sticking out like, like, you know, like half a ponytail and like, like anal glands in her hair and like, she's just like, she barely makes them like, man, that we crushed it today.

And she's like, you and I did not have the same day, Andy. Um, And like that has happened. And so again, the first step is going to 100 percent be investigating. It's funny it could be a systems problem. It could be a, it could be a, just a personality thing. If the whole team is legitimately freaking out, that's probably a systems problem.

I do agree with that. It's quite likely that we've got the old everybody's upset problem that you and I have talked about. We said that we had this in the Uncharted community recently. There was a rash of this across the practices of the employees. Someone, someone comes and says, everybody is mad about this thing.

And their friend is with them. It's like, yeah, really mad. And the owner goes, or the manager or the medical director goes, Oh, no, everyone is mad. The truth is two people are mad and no one else wants to argue with them. And so they're just kind of staying quiet and nodding their head and you're getting the message the whole team is about to revolt and in reality, they're they're largely fine. And so but we we just don't know I have a friend and i'm sure you do too that catastrophizes everything in that they look at the schedule and they're like this is going to go badly.

You know what I mean? You're like, Hey, I got us tickets to the zoo and they're like, it's gonna be a hundred degrees and I bet bottled water is gonna cost 12 and I'm not gonna pay that and I'm gonna get dehydrated and boy, if I forget my sunscreen, it's gonna like and you're just like how could you take this free trip to the zoo and turn it into, you know, this horrible experience, but they do.

Stephanie Goss: Yeah. It's just the person who's just the, the Eeyore. Right? The, the black cloud. Yeah. Yeah.

Dr. Andy Roark: I have another friend and she imagines winning and how that's going to cause problems. And that's the one that always blows my mind. She's like, we're going to go to the zoo and all the animals are going to love us. And then the zoo keepers are going to be like, why don't you come back more often?

Because these animals need you. And then I'm going to feel obligated to go to the zoo all the time because they love us there. And how am I going to fit that in that into my schedule. I am not kidding. I have 100 percent had people like I had someone I asked them to do a presentation for Uncharted. I was like, hey, would you come and do a presentation?

And she was like, it's probably gonna go really well. I'm not kidding. I'm probably gonna go really well. And then everyone's gonna really, you know, like my advice, and then they're gonna, you know, follow up and ask me questions. And then, like, people are gonna just want to know more from me. And then, like, they're gonna be bothering me at work.

And I just, I don't know that I have this time in my schedule going forward. And I was like, it's, I like, I just. I don't think you're going to succeed to the level that groupies are going to stop you from working back at your practice after it's over. But like, that was, that was the way that they catastrophize was, what if this works so well that it just absolutely tanks everything else I'm doing?

And so people are interesting and they're just different in kind of how they, in how they catastrophize. And so my point with all of this is just to say, what is, what is going on here? How are people, how are people looking at it? The other part I want to say here is, is when we start to talk about messaging with things like this, and this is, this is kind of, this is more headspace than than action steps because it's sort of philosophy.

And, you know, I was, I was reading recently about the old parenting question of what do you do when your kid falls down and skins their knee? Do you rush to your kid and go, oh baby, oh, are you okay? Ooh, this looks bad. Or, do you laugh? And go, ah, ha, ha, ha, ha, oh, you're fine. And act like it's not a big deal at all.

We have all seen kids fall down, skin their knee, and then look at their parent, like, am I okay? And if you go, ooh, they will burst into tears. And if you go, psst, you're fine, get over there and get your ball before it rolls away. Then they just hop up and they run and get their ball. And there's always a balance of like, I care about these people. I really do.

Stephanie Goss: Yeah.

Dr. Andy Roark: How do I react here when they say the schedule for tomorrow is? It's terrifying, and we need to turn people away. And I'm like, none of this is happening. I don't want to be callous. If my kid falls and scrapes her knee, and is crying, I don't want to turn my back on her. You know, if she's injured, I'm not going to turn her back on her.

I also recognize that there is a downside to me rushing in and validating. Oh my god, this is terrible. And so there's, just from a headspace standpoint, we want to sort of thread that needle a little bit of making ourselves available, making ourselves open to what they're talking about, be wary of shutting them down, sending the message, you guys need to suck it up.

That's a bad look. It's a, it's a bad look.

You can balance. Not telling people to suck it up with the reality that this practice is not a democracy. And it's not like, everybody raise your hand if you feel like doing this, like, that's, that's not, like, we've got a job to do. And so anyway, you, you've got to kind of, you've got to kind of thread that needle.

The, the, the big part with me here is I would say, as you're going to go into this, keep a good attitude. Right? You're gonna be positive, you're gonna be encouraging, try to avoid, suck it up, you know, that, that sort of language, things like that. But also at the same time, don't, don't, Don't bend yourself all out of shape thinking that the team is going to take over and, you know, no one's going to be able to be seen.

So, just try to keep that, keep that, that positivity. And then my advice here is, now is a really good time to revisit your team values. It's a really good time if they're going, we, look at this, we, we've got these people coming in, and this is going to be a sick pet, and we're never going to get out of here.

They are very much in the logistics, and some of them are probably having strong, like, again, negative emotional experiences. I'm not saying we're going to dismiss them, but the other side of the scale is purpose and meaning. So they look at the logistics and go, look, this is too, we are too busy. Rather than arguing with them about whether or not they're too busy, I want to make sure I lean a little bit into, what are we all doing here guys?

Like what is important to us as a team? And Again, that does not mean it's going to invalidate their, their concerns. It might be that they're like, we're too busy and you look at your values and your values are compassionate, care you know, the highest standard of care. And you go, well, they're saying we're too busy and maybe we're not providing the highest standard of care because we're packing these people in here.

Maybe you need to make some systems changes. Again, it, the values don't, don't use them as a club to beat your staff back, but look at them and introduce them into the conversation so that we can remember what we're trying to accomplish and what good balance looks like here. And so I think that's where I sort of try to get my head, my head before I went and engaged in the problem.

Stephanie Goss: Mm hmm. at my very first practice our doctor had a favorite refrain, , and it used to drive me, drive me nuts until I became a manager. And then I understood it significantly more, which is the clients are the meaning for our work. You know, not an interruption to it.

And, they used to use that when, when the team was having the freak out moments. And in that moment, it felt very much like the club that we were being beat over the head with, right? And when you take a step back and you think about that just from a pure values perspective, if you are a practice and this practice does, which is, you know, we, we believe in providing service to our patients.

We believe in providing service to our clients. We want to be there when our clients need us.

Dr. Andy Roark: Yeah.

Stephanie Goss: If that is the kind of practice that you have, those are the values that you have, it's a lot easier to lean into. Okay. Well, we can't do our job if there's not patients in the building, right? Like we can't do our jobs if clients, if clients don't call us.

And so I think as a, as a leader, the tricky part here is to get the team to be able to take that step back and think about it from that perspective, because, you know, they, they mentioned in their, their mailbag, like we want to be able to take care of the patients and also we need the revenue, right? And if we say no to clients, then we're, then we're not getting, getting the revenue.

Well, if you go and have a conversation with the team and you're like, well, if you guys want to get paid, we have to see clients. They're just going to look at that and be like, F off, you know, like this. And so you have to find that sweet spot between appealing to, to your point, appealing to the values, appealing to the shared vision.

Like why are, why are we here? What do we love about our job? And also recognizing that we're here to do a job, and if we protect ourselves so much, we can't do that job. And so it's trying to find that sweet spot in terms of the headspace that is, that is really important both for the team and also for the, for the leaders who are trying to have the conversations that are going to need to be had with the team members who are freaking out because you kind of, you've got to find that, that zen space.

Dr. Andy Roark: Yeah. I, I agree with that. I, and we'll also say here, sort of the end of Headspace. For me, I, In my experience, the average person working in veterinary medicine wants to help pets and they want to help clients. They, they do. I, I do not find teams where everyone is trying to dodge work and would rather turn a pet or a client away who needs, who needs care and go home.

And again, that's not universal. There are some people who you know, for whatever reason, maybe it's even just a temporary thing and what's going on with them, who don't, who don't. Maybe are not as engaged as we like to see, but for the most part the average team is good to go and they want to do a good job and And again, and so just don't don't go into this dismissive and angry I try don't don't allow yourself to go into an us versus them mentality.

I just um Believe, believe in your people, believe that they're good, assume good intent, and then let's, let's get some action steps. We'll, we'll, we'll walk through this, but I think we're gonna come out in a good place.

Stephanie Goss: Sounds good. You want to take a break and then come back in and dive into that?

Dr. Andy Roark: Yeah, let's do it.

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Dr. Andy Roark: Right, let's get in some action steps here I think you you already brought up two of the ones that I kind of put into action step area I think you're spot on number one is a language check.

Your staff doesn't want to hear about revenue targets. And if they're saying, we're overwhelmed, we're never going to get out of here, and you're like, but you need to make money for this practice. It is going to have the opposite effect from the one that you intend. It is not motivating to them. I, yes, trust me, as a business owner, Believe me when I say I understand that we have got to make revenue and we have got to make payroll and we've got to pay bills.

I get it. Just go ahead and accept that your staff is not motivated by that. They, it's not why they come to work. It's not why they work hard. And just, we need to put that language away because it will drive a wedge further in and create more of this. The organization is trying to extract unreasonable demands from the workers sort of mentality. And we just

Stephanie Goss: Well, and that's, and that's the hard part, right? Because as a, as a, as a leader and you know this, like, you could be, you could be feeling the chicken little effect on the opposite side. Like if you're looking at the schedule and you're like, we're turning away clients, but we're short revenue and I'm worried about making payroll this month, you could be in your own head, having the chicken little of

Dr. Andy Roark: Sure.

Stephanie Goss: catastrophizing of like, well, what, what if we don't make enough money?

And what if we don't, you know, what if it's, what if everybody doesn't make their bonus? And I know somebody is living paycheck to paycheck. And is that going to impact them? Like you could be doing all of that in your head. And so as a leader, if that's happening, or even if you're feeling pressure, I've been in this scenario working in a practice structure where I had field leaders where You know, they're looking at balancing things and so they're looking at the spreadsheet and the data and they're asking these questions.

When you live in this world where you're looking at the numbers and you're looking at the revenue, it is hard to switch gears and you have to be able to switch gears as a leader because to your point, your team doesn't care about that. You care about that. And part of your role as a leader regardless of your practice structure, whether you're private or corporate or whatever.

When you're a, when you're a team leader, when you're a practice manager, when you're a practice owner, a medical director. part of your job is figuring out how to be that translator so that you can get the team to understand that you are supporting their desire to help more pets. And for you, by, by helping more pets, the, the cases walk in the door, the numbers balance out and everything works out on your end.

And that's a really, that's a really hard thing to do, especially in the moment, because I've been there where, you know, I get off a call with my boss who's like, Hey, We need to increase the numbers for this month. Like you're trending downwards. The cases have been have dropped off. It's really easy to walk away from that conversation or that chicken little feeling and and go to your team and be like, hey guys, we we need to we need to take the block offs off the schedule.

Like we need to have the doors wide open. We need to get people in the door. It's really easy to lead with that fear or that language because it is hard to switch that gear. And so I think the language check here go is, is doubly important because you have to, your job is to be that translator. And so it has to be intentional so going along with that, like if you are someone who is feeling that pressure or you are having those thoughts or you're having those conversations, like in addition to the language check, give yourself a break.

Like, take a minute, take a deep breath. Don't go have those conversations with the team if that's how you're feeling because making that switch into translator mode is going to be incredibly hard to do.

Dr. Andy Roark: Yeah. I completely agree. I think one of the most interesting things about modern veterinary medicine is the division of people into medicine and operations. And there are medicine people and there are operations people. And some people wear both hats and those people are really valuable. Neither one is wrong.

Medicine people are the people who are looking at the patient care and getting the work done with the clients and with the patients. And the operations people are the people who are looking at the revenue and how do we pay for this stuff. And they are both very important. They do not tend to speak the same language, and that is probably the most common source of conflict that we see today, is especially prevalent in corporate practices, but not exclusively.

 And it is that this exact conversation around check your language is 100 percent about do not run into a conversation with a bunch of medicine motivated people and talk to them in operations language, especially if you're having emotions or they're having emotions. It's just, it's really, really infuriating.

The only analogy I can think of this right now off the top of my head is, I remember being the father of young kids and I remember saying to them, we are late. To get to the dentist, we have to leave right now. And they're like, my dress is not the right dress. Yeah, it's not the right color. It was something like that.

And, I'm not trying to put any category, either medicine, into either of these categories, but it was just, we were speaking entirely different languages. Like, my daughter did not, she was not motivated to get to the dentist on time. That did not mean anything for her. Any parent that has tried to get to, like, take their kid to daycare and then get to work on time knows exactly what I'm talking about.

When you were like, I have to go to work, and your kids are like, Nah, nah, nah, nah, nah, nah, nah, nah, do not, do not hear this. And they have, they have their own kid things that they're dealing with.

Anyway, check your language, try to just, you just, you've got, I think you called it out really, really well.

This gets really bad and really blows up when you freak out more about we have got to make this revenue and they will just hear that and just dig in more of you're not sacrificing us. So that you can make more money. We're not going to do it. And then things really escalate. You just, you just have to check your language.

You have to go. That's why I said, go back to the clinic values. And one of the clinic values should not be. You know, to earn money. What do we do in here, guys? Let's go back and everybody, you know, just bring it down a couple notches and let's talk about what success looks like. So let's start with that.

Number two, and we brought this up before, is seek first to understand. You have got to put away your flaming, raging sword of justice where you're saying you guys are going to do this work because we have to pay the bills. What's wrong with you? Put that away. And you need to go and really investigate.

And so it's funny because you and I kind of leaned in different ways about what this is. We don't, we don't know because we're not there. Is this a person problem? If it's a person problem, what that likely means is you've got a person or maybe two or maybe even three, but probably not more than three, who are looking at the schedule and feeling anxious, and, and they're amping everybody else up. They're they're talking about how bad this is going to be. They're sort of introducing the stress, or perpetuating the stress. And I say, okay, well in that case, you know, this is a this is going to be a person management problem.

We need to go talk to them and say, Hey guys, look, let's talk about the impact of this behavior of looking at the next day's schedule is actually having on the team, you know, and we can sort of manage out of that. If everybody's feeling this way, then we need to really dig into that because perhaps they are being overwhelmed and perhaps, you know, we need, we do need to make some changes.

But the first thing is trying to figure out where is this coming from? What, how valid is it? I mean, they've probably got some points. Oftentimes, this is not an all or none situation. It's not, turn these people away, or just prostrate yourself, you know, under the system that exists, and suck it up. Often it's like, okay, what adjustments can we make to facilitate tomorrow getting done?

Let's think about this. And it's funny, but people don't think that. Some people double down, they're like, take them off the schedule. That's the only answer. And other people are like, See them all! That's the only answer. That's a, that's a, that's a, I don't know. That's a, it's a trapped way of thinking. 

Stephanie Goss: It's, it's funny because that that mindset is one that is really common and I, and I, there is not intentional, I, I really think it's subconscious, but it's I've had this conversation a lot with people. managers and practice owners or medical directors where they're like, I don't want the doctors to be able to put their own block offs in the schedule.

Because if they can do that, then they're going to block off everything, right? And it's very much that all or nothing, that all or nothing thinking. And I think that comes into play here a little bit too, because if I was this manager, like I, I would, there would be a part of me that would go to that catastrophic place where it's like, if I let them control the schedule, we're just not going to see any patients and then we're not going to make payroll, right?

Like it's, it is that all or nothing thinking. And so part of it solutions wise for me is and part of why I think it said that it was a systems process is because I do think that every practice needs a process so that someone is capable of looking at the schedule and doing some analysis and trying to be the one, be the, be the decision maker, be the one to help figure out when are we really full?

When do we need more blocks? And, and when do we need to take away some of the blocks? And where can we squeeze extra patients in and stuff like that. And I think you're, you're spot on. And not everybody can think that way. There very much are people who can, who only look in the all or nothing. And that doesn't mean that I want those people to be ignored.

And so that's why I think the investigative part is so, so important. So that you can understand why it's happening, where the anxiety is coming from, or where the worry is coming from, and that you can address that really, really well and in a healthy way. But I also think that part of it is trying to identify who that person or persons on your team are that have that capacity to think about those some obvious solutions, even in the face of panic, right?

It's probably the person who is the most calm when you have an emergency walk in the door or, you know, like you need someone who can look at it and say, okay, we're not going to panic. Like this is how we're going to, this is how we're going to approach it.

Dr. Andy Roark: It's, you know, when your only tool is a hammer, every problem is a nail. It's kind of like, if the only thing the staff knows is, put a block in! We're behind! Put a block in! We're behind! Put a block in! If that's all that they know then you're going to see a lot of blocks. There have got to be some other things that we can do to adjust pressure.

My, my advice generally is we need to talk about how we adjust pressure, but not based on what we think could happen tomorrow. And so that's a big part of this conversation is not saying we're overwhelmed. It's saying we believe we're going to be overwhelmed. And so I, but I think that that's really important, you know.

Some of my favorite ways to sort of handle this, and you want to do this not in a condescending way, but the staff comes and they're like, this is gonna be awful. I, I like to ask the questions, like, okay guys, we're looking, what assumptions are we making here? Like, we're looking at this, none of this has happened.

We haven't seen any patients. Let's just talk for a minute about, about what assumptions we're making. So what assumptions are we making? We're looking at this, we're looking at this lump and assuming it's going to require a full workup. And you know, come on, what percentage of the time is that even true?

And how often do we see lumps and we, you know, we aspirate them and it, it goes on. It is, who, who knows what this is going to be. I've seen cases where, you know, people come in for a lump and I was like, that's just your, that's your hip. That's, that's the dog, dog has got a layer of fat, or it's got a layer of fat over their hips.

And it's like, if you look on the other side, you'll see there's a symmetrical lump for the other And that, but again, I'm not trying to make fun of, but I, I've 100 percent had people come in for check lumps. They're, you know, large lumps. Those are, those are, those are the hips underneath a layer fat.

Anyway, but it's like, okay, and again, I'm not going to fight them on this. I'm not telling them they're wrong. I'm just saying, let's just, let's just, Check our assumptions real quick. Okay, cool. And then, I really like to to empower and coach the team to solve their own problems. And so what I say is, alright, look, we're looking at this.

I agree. It looks like it's going to be a busy day. Now, we've not seen any of this and it may not be a busy day. What what options do we have right now? And what I really want them to do is to start thinking about what the problem actually is and how to handle it. We said before, when you've only got one tool and it's a hammer, every problem's a nail.

I'm ready for my team to start talking about some time management skills. If, if we're going to be busy tomorrow, can I rely on the surgery team to be here on time, coffee in hand, ready to go? Can we already have tentative induction protocols written up ready to go so that we bust them in? Can we have it delegated who's going to get in and start drawing up medications?

However you want to do it. If you think tomorrow's going to be bad, my question to you is, well, what are you going to do to try to make this day run better? And oftentimes, it's incredible what we can do with just deciding to get in, everybody commit to being on time, let's get organized tonight. And a lot of times, we can get in,

kick butt and take names. And that's it. But it's funny that people will say, Well, what are we going to do about this? And I'm like, What are you going to do? Nothing. We You need to tell people not to come. I was like, How about we just get about we just look at this honestly, and and kind of get organized, and let's just see how it goes.

And Again, you can put it back on the team. And what I really want to do, and this is important. I don't want to just roll in and fix their problem necessarily. I want them to, to, to talk about it because what I'd really like is for them to start having these conversations on their own and saying, Hey, look guys, we've got a big schedule tomorrow.

Let's go ahead surgery team. Let's make sure that we're ready to go. Hey, I'm, you know, I'm going to go ahead and start looking at our patients coming in and pulling those charts and getting ready, you know, in whatever way we decided to get ready, I'm going to write them up on board, like, let's go ahead and build some efficiency stuff in our practice that, that comes from the team and they feel good about.

And so, I don't know, it's just it's really that of kind of like, Hey, what options do we have for handling this besides telling people just to go somewhere else? And it's, it's, it's funny. It's, it's always interesting what responses you get.

Well, and I think for me, that's part of why I said, I think that this might be a systems problem because part of the process that I used to help get out of this, but that that helped manage it on an ongoing basis was when you do have that person who is capable of looking objectively at the schedule when they're looking at it ahead of time.

They can help guide and lead the team to having those, having that time management prep happen ahead of time. And so for a lot of practices, it's like, well, it's 7 p. m. We're trying to walk out the door, but today's been a shit show, so let's take a look at tomorrow's schedule. What are you going to do about it 7 o'clock when you're trying to walk out the door, right?

Like that helps nobody except for to say, well, we better tell everybody to have their Wheaties and get here with their coffee because we're going to have to move. Okay. It's a systems problem. So if there is a structure and a system in place where someone is looking at that ahead of time, you have the ability as a team to a plan the time management.

And I love some of your ideas, like prepping the protocols ahead of time, even, you know, drawing up, getting all the charts ready, drawing, drawing up drugs, even sometimes ahead of time, like whatever that looks like for you, your team, but getting, getting things ready so that it, the, the day goes smoother, but also being able to spot those spaces where,

you may be able to preemptively fix things, right? You may see a snafu in the schedule and you're like, ooh, this, this actually could be a pretty long appointment. Maybe we call them because we're looking at it two days ahead a day ahead. Maybe we call them and ask them, can they come in a little bit earlier because we want a little bit of extra time or swapping things around or whatever, but it doesn't do us any good to do that at the last minute. And I, I think from experience being in the practice, like when this kind of freaking out happens with the team, it's usually happening at the last which doesn't do anybody

Exactly. And, and, can they, can they drop that off? There's a lot of times where, again, it's the old hammer. It's like, turn them away. I don't know, could they be dropped off? Could, you know, could they, could they see a different doctor? What can we, can we look at on the schedule and turn into a technician appointment?

Is there anything? that we could do that. You know what I mean? Like, it's, it's, there's, there's, we got a lot, a lot of options to your point. But we need to get serious serious about them. And so it's, I don't know. I just, I think that there's a lot of opportunity. But people will only hear you if they think that you are genuinely

trying to work in their best interest and the best interest of the pets, they will not hear you if they think that you're trying to figure out how to get more dollars. And so I, I think that that is, that is very true. And they'll only hear you if they don't feel patronized by you. Like you're just going, suck it up.

You can still wade in here. And be positive and kind of matter of fact about, you know, we're, this is, this is, this is how we're, we're going to sort this out. I, we are going to get through it. Let's talk about what we're gonna do. It can be, even, even as simple as, I, it's amazing how much difference this can make.

I have seen teams come together, they're looking at tomorrow and the, and the. The resolution the team came away with is we're going to get we are going to make sure the first people who go to lunch are going out on time because if they stick around to help, then they're going to get bogged down and then lunches are going to get backed up.

And then we're gonna be in trouble later on. And it's amazing that sometimes the answer is we are going to go ahead today and commit to getting our breaks done. Tagging, tagging people out when someone says, Hey, I need to go to lunch. We're not going to give them lip. We are going to jump in and relieve them with the case that they're on so that they can get out the door and the rotation continues and people have time to rest.

And it's like, that's the type of positive problem solving that I'm loving to see. And again, this does not mean that you're going to work people to death and they can sort it themselves. However, I have seen the vast, vast majority of busy days addressed so beautifully this way over just telling people, no, no, no, no, we're, we're panicked tomorrow and we can't see you.

Stephanie Goss: Yeah. I think the other piece of that, that's really an important, you know, you, you pointed out they have to believe that you're doing it, you know, for, for with them in mind, I think for me, it has been most successful when that, when those people who are looking at the schedule are members of the team, right?

Because if I'm a manager, who's not working on the floor. I'm not having the same experience as them. I can think that I am all I want, but I'm not. And so by having a member of the team, they're going to be in the thick of it. And so they, you know, they'd like the team has to believe that it's that it's happening for the right reasons.

And I think that that really helps the other piece. So I think there's the prepping ahead piece that is a systems piece that can help make this go more smoothly. The other piece that is part of prepping ahead, but a lot closer to it is you know, you said something about having them talk about what options do we have to handle it and what does the team want to do.

I think if you're not, if you're a hospital that isn't having morning rounds and utilizing a few minutes of your morning rounds, to go through the schedule and figure out how you're going to work together to deal with the potential complications on the schedule, you're missing, you're missing a big trick.

So part of our rounds process was to go through the schedule and say, does anybody have any concerns about the schedule today? And it was an opportunity for people to speak up and say, well, I saw that Mrs. Smith is on at 10 o'clock and she's only scheduled for a 20 minute appointment. And you know, she's the, she's the talker.

And then we've got this complicated looking case right behind it. How, you know, how, what can we do to, to make sure that this goes smoothly, right? And it can come from both sides. Sometimes the CSR team has information about those complications that is just as valuable, if not more valuable than, than the just looking at the patients.

And so if you're not having morning rounds and at least getting a member of each team in one space and talking about the day, I think you're missing the opportunity to get the team bought in and on board with how they're going to problem solve in the moment together. And I think that that's a really, really valuable and important piece here because they should have a voice and they should be part of the solution.

It shouldn't just be you know, I'm the manager coming down from on high to tell you here's how we're going to solve the problem because, you know, that sets them up to feel like you're not you're not advocating for them. 

Dr. Andy Roark: Well, you know, one of my favorite sayings is, you know, the impact of your idea is the quality of the idea times the buy in. Meaning, you can be a genius and if the team has zero buy in, your idea is going nowhere. And so, having them involved, I think, is mission critical in fixing this going forward.

The last part for me in action steps is kind of a big bucket here, but it's important. We need to go ahead. And with a smile on our face and patience, we need to train through this behavior. And again, if there's a real problem, we need to fix the problem. This is not putting it back on the staff. However, let's just say that this is a regular thing and they look and they freak out about the schedule tomorrow and 95 percent of the time it's great, but they don't remember that and they only remember the bad stuff.

Let's just say that that is 100 percent true and that's how it actually goes. All right. For, for me, there's a couple of things here, but, cognitive behavioral therapy is sort of a, a behavioral tool for dealing with anxiety. And, and the basic idea is, and again, there's a lot of nuance here, but just the basic concept is, if there's something that makes us nervous and we avoid that thing, we're probably going to continue to be anxious and nervous about it.

You know, avoidance of things that make us nervous just, it just solidifies that behavior. You know what I mean? If my team comes to me and they're like, We're, you know, we're freaking out about tomorrow. If they have a good point, then, then I'm good. We're going to engage. If it's something where I go, it does look busy. I want to be gentle, but also I should know that, you know, if you start If you hadn't taken stuff off the schedule the day before, you're kind of validating the idea that, yeah, we would have gotten, we could not have handled that, that would have been, that would have been a problem. And so, I really, I want to listen to them, I want to make adjustments as needed, but I'm going to be a little bit wary of sort of just taking stuff off the schedule or canceling things or shutting everything down.

What, what I want to do instead is to Is to, is to work with them to figure out how we're going to handle this. And then I just want to really call out when things go well. And I think that that's a thing that's easy to do is, you know, they're, they're nervous about this and the day and the day comes along and we make it through and nobody really says anything and we go home.

I think that we should, if they're nervous about it, we should have a genuine conversation about it and what we're going to do. And then, I, as the leader, I'm going to make it a big deal. I'm going to high five people at lunch. I'm going to cheer for them when we are rolling through the day. At the end, at the end of the day, I'm going to give high fives.

And then here's what I'm going to do to train through it as well. You know, I'm a huge believer in positive feedback. And positive feedback is. Being specific with people about the behaviors that you saw, talking to them about the impact that those behaviors had, telling them how much you appreciated those behaviors, giving them a reputation as someone that you can count on and rely on, and I am going to say to them the day after or two days after, Hey, I just want to go back to Wednesday, we were all really nervous.

I have never seen you step up as the lead technician and just run the exam or the treatment room the way that you did and like I saw you specifically These are the things I saw you do and bang bang bang and give it to and what you're doing is You're saying to this person that was a challenging time and you excelled You did a great job.

You were successful. I saw you being successful You are excellent Good at your job, and I'm gonna tell them that because I want them to come to believe it because a team that believes in themselves is so much more valuable than a team that they thinks that they they they sort of need to be protected. And so anyway, I just really want to lean into this and again, they won't even know That this is about Wednesday or about this pattern of behavior. I just want to look at these days and i'm going to pay extra extra close attention to the behaviors that I see and I am going to praise the people who step up and and Try to use their, try to use their language of appreciation and just really make them know this was, you crushed it and I saw it and I appreciate it because what's going to happen is I want to train them so that next time we have a busy day, they say, I know what to do.

I have been through this before. I have received positive feedback on certain behaviors and I, without even thinking about it, I know how to handle a busy day. And buddy, that's it. Now we're growing a team that, one, is resilient, but, two, has the skills and the knowledge and the confidence to, to bang out some busy days.

Again, you can't take advantage of this. People are people. They have a work capacity. We don't want to burn our people out. We need to look out for them. And, at the same time, you can do a lot with a motivated team that is confident and knows how to handle a little bit of chaos.

Stephanie Goss: Yeah. Well, I didn't take us off the rails at the beginning of this episode, so I'm gonna end us by taking us, , taking us off the rails here with, with my last action step. So the last thing I would say is your team does need to feel empowered. And so, if if you're having this challenge, my last suggestion would be you know, this is uncharted after dark.

Give them a safe word. And this is really important because, because if you guys can, if you guys could see Andy's face on video right now.

Dr. Andy Roark: I thought we were just going finish this episode and it was gonna be fine and there was not gonna be any weird comments.

Stephanie Goss: taking it off the, no, I'm taking it off the rails. They need, they need a safe word and they need, they need to, because here's the thing, 

they need to feel, yes, they need to feel empowered.

They need to feel like they are a part of the solution. And so we're going to keep it clean, but they need a red and a yellow because they need to be able to say, Hey, I'm feeling. I'm feeling like mid level overwhelmed, like I would like to keep going, but I, but I'm feeling a little anxiety and they need the panic button.

They need the red to be able to say, okay, timeout, right? And why this is important and why it worked really well for me is because if everybody on the team knows like, when we're doing this, if we have a rounds process in place, if the, if the day before we were looking at the schedule and we were freaking out, if I go round and pull the team and I have the ability to say, how are you feeling about this, the schedule today, and everybody is giving their, giving their, well, I'm a green, I'm a yellow, I'm a red.

You have the ability to see like, is this everybody and is this everybody consistently? Where are they at in the schedule? Because the reality is the power to impact the schedule should not just live with the manager. It should not just live with one of the doctors. Because to your earlier point, our experience is vastly different than the paraprofessional team's experience.

Because they are, they are carrying this big boat on their shoulders. They have this huge amount of work. And so they need the ability To stand up and say, Hey, I'm, I am feeling overwhelmed, and then we have the ability if we know that it's just one individual who's like, Oh, well, boy, I'm, I'm freaking out about the schedule and everybody else is, is, you know, greens, then you have the ability to say, Okay, well, Let's sit down for a minute and talk about this before we dive into the day, because I want to help you get set up, set up for success.

Right. And so that, that really, I know it sounds a little, it sounds a little kinky, sounds a little crazy, but 

Dr. Andy Roark: You don't have to call it a safe, you don't have to call it a safe word, Goss. You could just say..

Stephanie Goss: Yes you do!

Dr. Andy Roark: no you don't, you don't have to call it a safe word.

Stephanie Goss: my team,

Dr. Andy Roark: You could just say, give me a green, a yellow, or a red? And then nobody has to call HR.

Stephanie Goss: Giving them safe words and letting them say, Hey, this is how I feel. was hugely empowering for them because previously they just felt like they could, they were speaking up about it, but they felt like they were shouting into the void because the person who was in charge of changing the schedule, saying no to clients, putting block off sin or whatever, was someone who wasn't having the same experience as them.

And so that, that really, really helped be able to do two things. One, it helps give them a voice, but also two, it helped me gauge, to your, where we started point, is this a one or two person problem, and is it happening consistently, is this a pattern, or is it a one off, or is this actually everybody, because this will help this manager, and me, if I was in this position to say, is this really 95 percent of the time that things are working out fine? Or am I just looking at things from the sunny side of the street?

Dr. Andy Roark: Call it a rescue flare, don't call, you don't have to call it a safe word. It's a good idea, it's a good idea. It has a, it has a, it has a branding problem, I think. We're not calling it the Uncharted Safe Word.

Stephanie Goss: I think that's another, I think that's another, the Unturned Safe Word. 

Dr. Andy Roark: It's not the Uncharted save point. We're gonna, like, we're gonna workshop this a little bit. I think there's good ideas behind it.

Stephanie Goss: That’s a whole other episode entirely.

Dr. Andy Roark: I'm, like, I'm done. I'm done with this. 

Stephanie Goss: An Unturned After Dark episode.

Dr. Andy Roark: I'm finished. I'm leaving now.

Stephanie Goss: Have a great week, everybody.

Dr. Andy Roark: See you later, everybody.
Stephanie Goss: And that's a wrap on another episode of the Uncharted Podcast. Thanks for joining us and spending your week with us. If you enjoyed this week's episode, head over to wherever you get your podcasts and leave us a review. It's the best way to let us know that you love listening. We'll see you next time.

Written by Maria Pirita · Categorized: Blog, Podcast · Tagged: communication, culture, management

Aug 28 2024

Outdated or Just Respectful? Navigating Job-Hopping and Text Resignations

Are traditional expectations around resignations and job stability becoming outdated? A practice owner shares their concerns about the increasing trend of employees resigning via email or text and the prevalence of job-hopping on resumes. How can we navigate these changing norms without feeling out of touch?

In this episode, Maria and Andy explore how to approach these issues with empathy and strategic thinking. They discuss practical steps for interviewing candidates with job-hopping histories, setting clear expectations during onboarding, and cultivating a workplace culture that encourages retention. Maria's deep understanding of leadership and her passion for helping others develop their skills make her the perfect guide for this conversation.

Maria Pirita, a Certified Veterinary Practice Manager, Elite Fear Free Certified Veterinary Professional, and former hospital administrator, joins the conversation with her wealth of experience in veterinary medicine and leadership. Maria has spent over a decade in the field and over 20 years honing her leadership skills, making her an expert in helping veterinary leaders adapt to evolving workplace dynamics. Her background in veterinary marketing, team building, and positive work culture provides invaluable insights for addressing these modern challenges. Let's get into this episode…

Uncharted Veterinary Podcast · 302 – Outdated Or Just Respectful Navigating Job – Hopping And Text Resignations

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

Do you have something that you would love Andy and Stephanie to roleplay on the podcast – a situation where you would love some examples of what someone else would say and how they would say it? If so, send us a message through the mailbag! We want to hear your challenges and would love to feature your scenario on the podcast.

Submit your questions here: unchartedvet.com/mailbag


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Do you have something that you would love Andy and Stephanie to discuss on the podcast? If so, send us a message through the mailbag! Submit it here: unchartedvet.com/mailbag

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Episode Transcript

Dr. Andy Roark: Hey everybody, it's me, Dr. Andy Roark. I am your host and this is the Uncharted Veterinary Podcast. Guys, I got a great one for you today. We are talking about people job hopping. First of all, should we be concerned when people apply for jobs and they've had a bunch of jobs in the last couple of years?

And then also, when people quit by text. All of this is lumped together under the idea of, are social norms changing about how we leave jobs and how we should look at behaviors that used to be frowned upon? That's what we're talking about. It is me and the one and only Maria Parita, CVPM. Stephanie Goss is away.

Maria is amazing. If you have not heard from her before, you're gonna really love this episode. As I say in the episode, one of my favorite things about Maria is that she is so good at providing sample wording for how she would say things and she does that here. It's really just it's just great I love talking with her if you love maria make sure to see her at the Uncharted Team Lead Summit.

She is talking about, sorting out interpersonal conflict amongst the team. Head over uncharted vet. com We'll put a direct link in the show note, and with that let's get into this episode…

And we are back. It's me, Dr. Andy Roark and the one and only Maria Parita CVPM. Hello, my friend. How are you?

Maria Pirita: Hello, Andy. I'm good. How are you doing?

Dr. Andy Roark: I'm doing great. I love when I get to work with you. Stephanie Goss is away, and so this is a wonderful opportunity for you and me to collaborate How have you been? How are things going?

Maria Pirita: It's going really good. I'm here in Florida, so as, as many people know, we have Hurricane Debbie that just came through which was really light actually. It was, it was actually kind of funny because I'm, I'm new to Florida, right? So I've only been a Floridian for a couple of years. And last, the first year that we moved in, like a month after we moved in, was Hurricane Ian.

And we were like, boarding up stuff. We were like putting sandbags out and like the hurricane came through we looked at all of our neighbors and we're like We're over prepared like by a lot and so this time we're kind of very chill And it wasn't it's like a very it wasn't even just a tropical storm around here I think by by me, but people were out walking the dog and I'm just like laughing it like this is so floor I went to a bridal shower like it's so So Florida, but it's just like at some point you realize like it's just a lot of rain.

So for us, we were very lucky that it's just a lot of rain. I don't know about other areas, but we did not overprepare this time. So I felt more like a true Floridian this time than before.

Dr. Andy Roark: you're, you're on your way like, like three more hurricanes and you're gonna be those people who have lawn chairs. And like, bathing suits and a cooler in front of your house when the hurricane rolls in. Like, that's, that's, you're gonna become Florida, that's how you become Florida people.

At first, you're like, we gotta prepare, we need to do the responsible thing. And then you're like, and it steadily steps down until, you know, you've got you've got you've got a boom box and some Coors Light and a four wheeler in 

Maria Pirita: I've heard that hurricane parties are a real thing. Like, that is a very real thing. Tyler Grogan even told me about it a little bit, too. She's a Floridian for a while. 

Dr. Andy Roark: Oh, yeah. When I was in vet school, we went through this period. It was a crazy year. It was probably 2007, something like that. And we had three huge hurricanes hit Gainesville within like two weeks of each other. Like all within two weeks. And the house, like our house flooded. Like it was not a, it was not a fun experience.

Our house flooded. Power was out everywhere and there was nothing to do. And so, our friends just started having parties and, you know, we'd make our way over there and sit outside and, you know, drink some margaritas with battery powered music. And that was it. There was, there was, well, you know, and so, the, GRU was the, was the power company, and they were running around, I'm sure they were working hard.

But after about, Two weeks, we still didn't have power. And then down the road from my house, the sign appears and it was a huge sign. It was stuck out in the major roadway and it said, GRU, where are you? And it stayed there. And I found out a couple of weeks later, Mary Gardner, the founder of Lap of Love Pet Hospice was like “It was me.”

Maria Pirita: Stop! Oh, no! 

Dr. Andy Roark: Yeah. So it was so funny. She was like, do you remember that sign? I was like, well, of course I remember the sign was huge. 

Maria Pirita: Oh, that's amazing. She's like, that was me.

Dr. Andy Roark: That was me and again, that's when that's when I knew that Mary Gardner was a woman who gets things done

Maria Pirita: Yes, she does. Yes, she does. Because where, where was the electric company right after that?

Dr. Andy Roark: I said, yeah, I was like, I'm sure they felt pressure to get to our neighborhood It might have just been that it was two weeks and then it was time But fairly shortly after that they did show up.

I would tell you this as far as hurricane parties I do remember this too. Everyone was so bored out of their mind after two weeks without any power when they did come and fix the lines It was like lalapalooza. You know amphitheater seating. We all went out, there's kids there, we all went and just sat in lawn chairs and watched them fix the lines.

Not in like a disrespectful way, just in a like, we, we have not had any entertainment. And so we're going to come and sit and watch you, you know, put these lines back up. 

Maria Pirita: There had to have been cheers. Like, I would be cheering those people on, like, Yeah! 

Dr. Andy Roark: Whenever they put a line up and then like came down, we all cheered. And then they went back up because like, oh, I'm not done yet.

Maria Pirita: oh, no! 

Dr. Andy Roark: And then we'd cheer as they came down again. And he's like, no, no, no, I still got one, I got, I got another thing.

Maria Pirita: That's amazing.

Dr. Andy Roark: Oh man, let's let's do let's do what we came to do here. Let's get into this We got a really good question for the mailbag. Do you want to lay it out for us?

Maria Pirita: Yeah, absolutely. I'm really excited to talk about this one specifically because I kind of feel a lot about this. I, I just like, I just noticed it in my, my own self, this is actually from the community. And so it's something that kind of sparked a really great conversation overall in the Uncharted community as a whole, but also in general, something that I thought would be great for us to talk about.

And so essentially this person has shown some frustration because they've been a practice owner for a long time and they noticed that like recently people are not almost putting in their two weeks notice in face to face anymore. She's noticing a lot of email, a lot of text messages, and she's like, honestly, it feels a little bit scary.

She's like afraid to check her email which is

Like totally understandable. Like somebody's gonna quit if I open my email. If I don't open it, no one's quitting. Which I totally felt as a practice manager at some point. Totally resonated. The other thing that she, she, the particular situation with this person was facing is that they also noticed that they're seeing a lot more job hopping on resumes, which I thought was really interesting.

Because she mentioned how this used to be a red flag when we were hiring people. Right. And that's what I remembered when we were talking, when we're reading this, I was like, yeah, I remember hiring people basically in 2009, 2010. And this was at pizza place, right? But it was seen as a red flag to have that many jobs and And so anyway, that part really resonated with me, and so she, her particular situation said, you know, She just recently hired somebody and she's almost nervous because this person had Three jobs in a matter of a couple of years and so she's like I want her to stay But I am nervous because what if she doesn't stay and she said she didn't address it during the interview Which she feels like she probably should have addressed it during the interview and moving forward and she said it just felt kind of awkward She's like I didn't want to be rude and straight up ask her, you know, about job hopping So she's left wondering Is she just being old fashioned?

Is this more realistic to expect now? You know, this kind of communication, whether it's the how to quit or the job hopping. Just wondering, is she like out of touch? And then also like, how can we address these things if we are changing norms in professionalism when it comes to whether it's just veterinary medicine or as a whole?

And so she's just hoping she said she'd really appreciate our insights on this. So I thought that was nice. So yeah that is. That is Chewy, actually saying hello.

Dr. Andy Roark: we're gonna let you weigh in

Maria Pirita: he's got some strong feelings about this himself, actually. 

Dr. Andy Roark: So we've got sort of two different animals here. So one is sort of quitting without notice or quitting by tax, and the other one is sort of job hopping. But they go together, at least in the mind of our person asking, in, under the umbrella of our, our norms changing around employment. And so I think that it's valid to take them, to take them together.

I think that's really interesting. I heard a story recently. This is not, it's not a funny story. It's funny on the outside. You know, it's like comedy is tragedy happening to other people. Is, is, is the saying. But it was like, there's this poor manager. And this person came up to them and said, Hey, I'm giving my two weeks notice.

And the manager said, Oh, I'm really sorry to hear that. And the woman says, Yeah. I'll, today will be my last day. And the manager said, I thought you were giving your two week notice. She said, I am. And the manager said, That usually means you're going to work two more weeks. And she said, No, I start my new job tomorrow.

And so it was, just funny to me that the person like they said the words i'm giving my two weeks notice but I don't think he actually thought about what those words mean I think two weeks notice is code for i'm quitting and sometimes it means i'm i'm quitting immediately And so it was just it was a real story and it just but it made me chuckle Okay, I'm gonna I want to sort of lay down two sort of different ideas that I have around around around the quitting lane.

Let's start with the let's start with the quitting for the for the for the for the Face to face resignation versus text, and so there's two different conflicting ideas, but I think they're both true. So the first one I'm going to say is in our society over the last couple of decades, I believe we have seen a pendulum swing towards individualism.

Meaning, everything in society is really about, what do you, Maria, like? What do you want? It down to the fact that, you know, I've got four people in my house and on any given night, we're probably all watching different television shows, you know, like we are all doing our own our own thing. It is very much, you know, when we travel, what is your personal preference?

So you can, I can get an Uber to come and get me and take me exactly where I want. You know, we don't do public transportation in the U. S. because everybody has a car so that you can go where you want to go and do what you want to do. I'm not trying to say that that's bad or anything. I really do think it's a pendulum swing between interconnectivity and individualism.

And I think that we've swung a lot towards individualism. And when we do that, we get over into a bit of a mindset of, what do I want to do? What's good for me? And I am leaving this job. And so, I'm going to prioritize myself and what, and what my needs are, and I'm just going to do that thing that makes sense for me.

It allows me to live my truth. It allows me to, you know, to do the thing that's emotionally important to me right now. And that's it. And again, I'm not trying to comment on that morality, but I do think we've kind of swung over in that, in that direction. Right? And so there's, there's sort of this, this general swing, I think, towards individualism and people sort of saying, What do I want to do?

How do I feel? Let's do that. The other side of it that I have to say, and I've thought a lot about this as far as, this goes into job hopping too, but, but as far as quitting, I think that some behaviors that made sense when we all worked for mom and pops, don't send tend to make sense in the age of sort of global corporations.

You know what I mean? I don't think that people feel the same. And I don't know if this is a corporate owned practice or not, but I just think societally speaking, when we went to work at the local store and the owner of the store was there working shoulder to shoulder with us. We felt bad about being like, I'm leaving immediately and I know you're going to be shorthanded, but I'm walking away.

Because you're kind of putting that on this person that you know who's hopefully a good person and a member of your community. I think also probably our, our reputation in smaller communities was a bigger deal because, you know, when everybody knew each other, your, you know, your reputation really mattered a bit.

I think that people maybe feel a little bit different on going to Global Corp that has 600, 000 employees and being like, Hey, I'm, I'm taking off. You're going to have to pull someone from one of your other locations. And again, that, and the manager's like, they're, they're, you know, they're, they're paid by, they're paid by the hour.

And again, I'm not talking about veterinary practices specifically here. I'm just talking about the general way that we work in society today. And so anyway, I think that that whole, two weeks notice face to face. Thank you for the opportunity. I wonder if as business has changed, if people's feelings about, you know, having those conversations have changed.

So I kind of, I kind of look at that a little bit in headspace for the, for the face to face resignation part.

Maria Pirita: Yeah, totally. I think, too, another thing that I think is a reality that we need to face is that communication in general has been changing for a long time. We can't stop the fact that, like, There has been, for a while, an increase in using text messages and email, and there is like, we grew up, a lot of us, using text message and email.

So, it doesn't, to some people, they won't understand what the purpose is of face to face versus text and email, because at the end of the day, to them, it's the same thing. And so, a lot of this, too, is like, what we learned in general. So, for myself, I didn't learn until I was well in the workflow, workforce, that I had to quit in writing, right?

But it was something that somebody, at some point, did have to teach me. So I didn't know that and then I didn't understand the big why behind it until I was a manager and having to have that in writing. Then I was like, oh, this makes sense of why, why managers need in writing. So unless we're actually talking about why it's important to quit face to face or like why we want to have those things, you know, it's, it's just not something that everybody is going to know.

And, and I think a lot of it is just communication in general has changed. And so I think part of me for Headspace is like really trying to figure out from this perspective, why does it bother you if it is email versus face to face? And then that'll, that'll help guide you into like why you want to change it.

You know?

Dr. Andy Roark: No, I, I think you're, I think you're spot on. I, I really like that. I think that that's a really good, healthy way to look at it. I think, I think just in general, we talk about this a lot, assuming good intent on the part of others is just a happier, healthier way to live your life. It helps you react a more, I don't know, in a more productive way and to just feel better.

I think that, I think that not reading too much into it, I think is really important. I like your idea of. Why is this important to you? I, I think that that's good, I think that's good to sit and, and, and sit with a little bit and say is it, is it a feeling of respect? Do you feel disrespected? If so, why do you feel that way?

And when Maria says, you know, people are much more comfortable with text now, I think that's a really great point. Perhaps I shouldn't feel this way. You know, maybe I can solve that problem there. Is it about the, the timeliness of resigning? I think, I think that that's very valid too. If somebody gives you no notice and they're just gone, that's really hard.

At, at some point, our strategy might be acceptance. I think what I would say is from a headspace standpoint is, okay, if this is a thing that happens, and if there seems to be shifting norms, or I've had multiple people over the, say, the years, just say, hey, I'm out, I'm gone in a week, I'm gone in three days, or I'm gone in two weeks, and then it just doesn't work, and they're gone in three days.

I have seen that a lot. Again, again, even when people say they'll give you two weeks, often they just, you don't want those two weeks. They're just done. And so I think, I think that kind of acceptance can be really healthy. I think from a Headspace standpoint, knowing that that's a possibility with your staff and just go ahead and being smart to say, all right, understand that people could leave at any moment.

They could be raptured away. They could walk out in front of a bus, like who knows what's going to happen. Just general good hygiene and maintenance around, people could disappear at any moment, including myself. Is our, is our business set up to try to flex and accommodate that? And of course, there's always going to be times it's more convenient for someone to go, and times it's less convenient to go.

Spoiler alert, they're going to go when it's not convenient. It always happens that way. You can hope for it. It's probably going to happen. I just think, I think the more that you can, you know, put some good practices into place, and we'll talk about what that looks like, so that it's not so disruptive when people quit abruptly.

We're just You can't control other people, like we just, we can't. And, and if my business depends on people acting in an exemplary fashion, it's not much of a business. Like we're, we're already in trouble.

Maria Pirita: Yeah, I couldn't agree more there. I think you bring up a really valid point too of like, If somebody doesn't want to finish off their two weeks like you really don't want them there

Anyway, and so that's that's always a relief and in in its sense in general and getting into that mindset a hundred percent is super super valuable

Dr. Andy Roark: No, I think, I think you're spot on and I would say even further, you know, you talked about sort of putting things in writing too. I'll tell you this. I don't think that having stuff in writing matters at all. I mean, if you can make people sign a contract, what are you going to do if they, if their contract says they're going to work for two weeks and they're like, I'm out.

Are you going to sue them? You're going to go get a lawyer for 400 an hour to try to sue them. What do you think you're going to get? Do you going to force them to work at your practice? That's going to go really well. Is that what you want? And it's, it's and again, I think, I'm not saying contracts are unimportant, don't, don't get me wrong, guys. Know that when push comes to shove, they're really only worth what the two people signing them are worth.

Like that, that's, that's what they are. And so even if you have, you can button this up any way you want. In my experience, in my opinion, people are going to do what they want to do, and I, you just can't hold them down, and I think every time I've seen people try, it has gone badly. And so, just being ready to roll with it as gracefully as possible, I think that's, I think that's where we are.

I think it makes some people really mad, but I do think you have to, this is why we talk about Headspace, I do think you have to shift your perspective a little bit and say, look, it's going to happen.

Maria Pirita: yeah

Dr. Andy Roark: try not to take it super personally, try to just roll with it but it, it is, it is going to happen.

Try to assume good intent about people, it's, it's, people are changing in how they communicate, there's some cultural differences. There's, the person who said, I'm giving my two weeks notice, I start my new job tomorrow, like that to me, that was a classic example of someone who, the idea of two weeks hadn't really, Sunk in with them, and it's, you know, I, I don't think you're gonna make that person do anything, and so acceptance here is often, is often the key.

Maria Pirita: totally. I will say that for me as a manager, the purpose of the in writing is only for me to be able to show unemployment later on that this person actually

quit. Because I don't, I don't want them to like later on say, oh they let me go and therefore I have to pay unemployment for this person who chose to go.

So that is usually the purpose for me as a manager to get that in writing. We just always want to make sure we have that in, for, for that, but beyond that, the other thing that I'll mention too is something that I see a lot on social media, and this is a common post that I think a lot of people see, is the fact that, like, companies don't give you a two weeks notice when they fire you and so that is kind of, like, And I'm not saying that that is the right mentality to have because I, for me, and this is kind of going into action steps, but what you can do for me, it was always setting the expectation that like, if I'm going to let you go, it's never going to be a surprise.

So I hope that you can extend that same courtesy to me that if you're leaving, it's not going to be a surprise. And I live by that because I'm all about making sure it's not a surprise if I'm going to let somebody go. However, that is, some of the mentality that we kind of see on social media, and so sometimes the messaging that is out there, and people will tell themselves whatever they want to tell themselves to justify whatever they're doing.

At the end of the day, it's like you said, it does not matter, and it does not help us at all to try and figure out why they're doing it, or to try and get angry about it, just know that as a manager, as a leader, This is gonna happen, and so, there are things we can do preventatively for that, but I think before we get into those action steps, we should probably address the job hopping headspace.

Dr. Andy Roark: Yeah, but, well, I think, I think you're already right into it. I, I really agree with the point about the pushback that I've seen on social media of, they don't give me two weeks when they, when they let me go. I, I do, this, I had this down in Headspace for job hopping, I think the world has changed a lot. I, I really think, I think in the past.

There was a healthier interaction between workers and employers where, again, I think it comes down to in the past, people, they seem to know each other better and we didn't feel like we were a cog in a much bigger machine. I think that a lot of people have had their loyalty sort of taken advantage of.

You know, again, it used to be people, people used to work for companies and they would get pensions and all that stuff has all gone away. And I'm not trying to point fingers and say, Oh, You know, capitalism is bad and corporations are bad, but I do think that things have changed and people have been mistreated by other businesses that they have worked for and I think workers as a group have sort of had their norms kind of shifted.

I don't think it's reasonable to expect employees to be ultra loyal to us and then have us as business owners expect to have them be just replaceable and we, you know, and we, we do layoffs when, when we need that you know, to, to protect our, to protect our business. And again, I, again, I'm really, I probably sound like I'm trying to vilify businesses here, but I'm really not.

I just think that there's been enough of that in the world that a lot of people have internalized that as, that's what a healthy relationship looks like is, I really don't have any loyalty to you, I really don't expect you to have any loyalty to me. I think that's really sad, but I also think that That not having those thoughts or questioning is my loyalty a one way street here or is this being reciprocated?

I think you're a bit naive if you don't have those thoughts. I always hope, and again this is a hope, and this is where I get my feelings hurt. I always hope that I can treat my employees well enough that if they were going to leave, they would still, if they were going to leave and they need to leave, Then, then I expect them to leave.

And you know, and I want what's best for them. I hope that they would have a thought of, how do I leave in a way that doesn't put Andy in the worst position possible? Is there anything I can do to help him as I go? Like, that's what I, I try to treat people in a way that that would be valuable. Again, people, situations and circumstances change at the end of a relationship.

Things always get awkward or rocky. They just, they just kind of do, you know, and so I try not to take it personally, but I think philosophically and from a headspace, I try to treat people in a way that they would feel like I cared about them enough that they would try to care about me on their way out.

But again, you can't, you can't hold yourself to that. You can't. You can't beat yourself up if, if it doesn't go that way. So anyway, but I think your, I think your idea of they wouldn't do it for me, so I'm not gonna do it for them. I hate that that's the mentality that people have. I, I try, I hold myself to a higher standard than that.

But, again, I can't, I, I've found that it's much easier to not hold other people to the same standard that I hold myself. Mm

Maria Pirita: totally. And I think you're so right in, in the fact that like, not to blame or point fingers, but in a way I think we did kind of create this system that we're now seeing. So I will agree that there are extraneous circumstances that I think have led to this, and so some of the job hopping that we'll see is because of COVID or recession, layoffs, that kind of thing.

Like, those are all real things that happened within the last couple of years, and so that's partially to blame. But I do think something that needs to be noted is that we are somewhat responsible for the system only in the sense of the fact that if we look at statistics for more recently, it is the job hoppers that have gotten the larger changes in their salary because they're getting experience somewhere for like a year and a half and now they're more valuable somewhere else. So rather than waiting at year and a half somewhere for a dollar raise They're getting a two dollar raise just by job hopping and instead and so then they're getting experience now at this place and now they're getting a larger raise by job hopping versus than staying in their in their job.

And so like it is now unfortunately this reality that we're seeing I think you're spot on it's partially because of the relationship piece of like where are the benefits and what are the things that we're getting, you know, in this mutual relationship is the loyalty the same way. And so at the end of the day, the loyalty is not going to seem like a two way street.

If they're going to get a bigger pay by moving from job to job versus staying at the, at the same positions over and over again, I think there's also that to, to, that has to be said is that I do think times are changing from extraneous circumstances of society and in the economy. I also think that there is now kind of the system that back in the day, loyalty was a lot more rewarded in different ways, whether it was pensions, whether it was this way that now it's kind of like, well, if you think about the individual themselves.

They actually get more rewards by job 

Dr. Andy Roark: hopping. 

Oh, I love that you said, I love that you put that out. I think that's so smart and it's so empathetic to say, well, why could this be happening in a way that makes sense? And yet, I don't think we can fault people for saying, well, you know, this was an opportunity or I saw this other opportunity. I think it's really smart to, to recognize that that may be what's motivating people.

I think my, my top thing for, for Headspace on the job hopping is assume good intent. Reserve judgment without facts. You know, we look and we see these changes. You're right. You could call out on the pandemic, things like that. You know, there's, there's just things that that happened to people and we really don't know what's going on with anybody.

So I would say, you know, assume, assume good intent. Try it. Try not to jump to conclusions. I think one of my big I use this a lot. I think about employment relationships, like relationships, just metaphorically. It really helps me. And I don't want people to get mad about this. Don't get mad. Please don't get mad. But hear what I'm so angry already. 

Dr. Andy Roark: You haven't even heard it yet. Just 

Maria Pirita: So mad. 

Dr. Andy Roark: wait. If you look at someone's behavior, and the, they have, been job hopping. To me, that's kind of like looking at somebody that I'm thinking about dating and saying, well, this person has a habit of dating people for two or three weeks, and then that relationship ends, and then they date somebody else, and they date somebody else.

It's not bad. I'm not saying that's bad. I'm not casting a spurs. I'm not being, oh, well this person clearly can't have a relationship. I don't, I don't think that that's a, I don't think that's a fair way to look at that, but I also think you would be naive to go into a relationship, date this person who has consistently dated people for two weeks and then the relationship has ended, and not think, well, you know, this, that could be how this goes.

Let's, let's not, let's not be naive here. I'm also saying, I'm not saying, don't date this person. If you know, if things look good and you go, okay, well, you know, this is, this makes sense. Let's try this out again. It's a lot of it is just not judging, but also not going in with blinders on and go, okay, well, let's see how this goes.

And so from a headspace standpoint, I think I look at it a lot like that, you know? 

Maria Pirita: I love, love, love that you said that because I genuinely put in here that, so I put in here in my notes for this person that's kind of just recently hired, you know, this individual that they're kind of like, well, I'm kind of nervous because she had was job hopping tendencies. And so like, I don't know if that's, if you know, that's going to happen here.

One of the things, the things that I put in here is like avoid writing this person off, avoid giving yourself anxiety, don't look for reasons to let this person go, don't avoid training growth opportunities or anything like that. But at the same time, recognize that I called it Schrodinger's clinic because you live in both scenarios.

There is a possibility that this person could quit on you pretty soon. There's also a possibility that this person might have not had great leadership that talked to her about where she was going and things like that. And until you actually have it, and you kinda live in both scenarios. So I would absolutely be investing into retention with this person having, you know, and that's kind of getting into action steps.

But I would also be looking at active recruiting and hiring, because that's just also part of the scenario we live in today in VetMed, is that we are not passively recruiting anymore. We're actively recruiting. And so right now you kind of live in this Schrodinger clinic in which both realities could be very true.

And you should prepare for both realities in general.

Dr. Andy Roark: No, I, I think you're right. One of my big pieces of advice that I give to leaders, and this is just lessons I learned the hard way, I truly believe, Maria, that you should not do anything for your employees based on some idea you have about what they're going to do for you in the future. Like I just I think that that's I think that that's true I think you should do for them today because you think this is the right thing to do today. You should invest in people not because you believe that they're going to stick around for years because you did this for them.

I think that's an unhealthy way to look at it I think you're gonna be disappointed You should invest in them because you have chosen to have a clinic that invests in its patients people and you draw satisfaction today from making the investment and living your values and making the workplace that you want to make.

If someone goes to the training and they leave, I don't, I don't think that you should let that wreck you. I think it would, it will, it's going to happen.

Maria Pirita: Yep.

Dr. Andy Roark: should not be something that you say, I was a fool. I did this and I thought this person would stay on forever. And again, I would say that to, I'd say that to, to, to other people as well.

If you're an employee. And you think that by sacrificing yourself and sacrificing yourself, you're going to get appreciated and you're going to get promoted or paid better in the future. I would encourage you not to do that. I've just, I've found that it just, it doesn't, it doesn't work. If you want to sacrifice yourself because you find meaning and fulfillment and purpose in that, then you should do it.

If you want to sacrifice yourself because you enjoy your work, and sometimes we work hard, then then do it. If you want to sacrifice because you want to help the rest of the team and if you peace out at the end of this shift, they're going to be really shorthanded and you really don't have anywhere to go, then, then do it.

But don't be resentful later on if it doesn't turn into something. Just do it today based on, on what's in front of you and be happy about what was done. And so the same, the same thing is true here with the with the job hopping. I don't, Don't invest into your people because you think that they're going to behave in a certain way in the future.

Invest in them because you think it's the right thing to do. And that brings me sort of the end of the headspace for me, and I think you really kind of brought this around very nicely, is the ultimate outcome in headspace for me is to recognize that I cannot control what other people do, that I'm going to assume the best about people, and I am going to try to set myself up so that my business and myself are as taken care of as possible regardless of what people do.

So if they stay, great. If they don't stay, that's a bummer. We are equipped for this. We have not put ourselves in a position where we're going to be absolutely devastated. I know that's really hard when it's hard to hire. I know that's really hard if you're already shorthanded. It's not fun. All you can do is your best, knowing that there are a lot of things that are outside of your control.

You wanna take a break and then we'll get into action steps?

Maria Pirita: Yeah, it Hey guys just want to jump in real quick. Are you a lead technician? Are you lead CSR or you lead kennel staff or kennel tech guys? The uncharted team leads summit is upon us and registration is open Team leads. Summit is on September. The 18th is a virtual events. 

You don't have to travel to do it. It's a one day program guys. It's for anybody who is a team lead guys, I'm going to be speaking this year. I am doing my Jedi mind trick, how to get doctors to do what you want. Sarah Parsons is going to be here talking about boosting morale. The one and only Maria preta is going to be doing conflict management, mastering mediation. 

That's when you're stuck in between two of your people say that you're the lead tech and you've got. Two technicians aren't getting along and you have to mediate this conversation and get them working together. That's what Maria is going to be doing Tyler Grogan and vet tech, Kelsey, or Kelsey, Beth carpenter are going to be doing, becoming the coach, not the referee. 

As you can tell, this is absolutely jam packed with workshops and sessions that are going to be fantastic for our team leads. Guys. This is generally the biggest virtual event that we run an unchartered is going to be popular. Go ahead, bust on over to uncharted vet.com. I'll put a direct link down in the show notes, get registered and be there. 

It is going to be a fantastic time. Registration is now open. Remember the summit is on September the 18th. Let's get back into this episode. 

Dr. Andy Roark: Alright, let's do some action steps. Why don't you, what have you got to start us off with?

Maria Pirita: Okay. So the first one that I had here in general. was to really look at your hiring protocol. The reason why was because I think, I think they, this person said it in their original post of I didn't ask this question at the time of the interview because it felt awkward for me to ask this question about, about this job hopper when it comes to the job hopper in general.

And so, I think for me would be to really look at my hiring protocol for two reasons. One, it sounds like, you know, you might be in general nervous about this person leaving and so for me sometimes I like, I'm a big advocate for active like recruiting all the time because you never know when your next great person is going to be and this is a great time to look at your hiring protocol.

I think when it comes to that specific scenario, some of the questions that I kind of use during the interview when I see somebody that's like a job hopper, which I think sometimes that's the awkwardness of like, how do you is like questions like what prompted you to make a move from this position to that position you're currently in, right?

To try and gather some of that information, what would you say is the main reason you left, you know, your last three clinics? And the reason why is because I'm looking for, I'm looking to really find out, why this person has the history that they do. So I talked to you a little bit about how I was a manager at a pizza place once.

It was a college town. And so oftentimes you had job hoppers on that on those applications. And so really talking at some, it was as simple as like I went to school. And so I work here during the summer and I work here during the winter. And so I think when you are in certain areas, we have to also recognize that.

So like if we are in a school area where people are constantly moving and that means that they're, you know, there's some job hopping is that, but the only way you're going to find out about a candidate during the interview of why the reasons are is to really ask about it. And the same thing I think goes for when you're addressing, addressing it in the hiring piece.

So you can absolutely kind of. address the elephant and ask for a commitment and I'm not saying like get it in writing or and Have this contract because I think like you said earlier There's no way that you're gonna be able to hold somebody accountable, but it's totally okay to ask and say hey You know, you're one of my top candidates looking for this position I'm a little concerned about investing six to twelve months of training just given the fact that you had, you know, two years So I'm really looking for somebody who's going to make a commitment to stay here for, you know, two to three years.

Is that something that you'd be willing to do? Like, tell me a little bit about that. You know, if we hired you, could you make that happen? Do you think that's a commitment that you can make happen? And so I'm not really asking for it in writing. I'm not asking for a contract, but I am setting the expectation with this person during the hiring interview of, hey, you know, I'm going to hire you.

I plan on investing in you, and I want you to stick around for a certain amount of time. Would, is that something that you would do? Because the truth is, this person could be somebody who values, you know, the change. Like, what if this person genuinely just loves you? The change every couple of years and they tell you right then and there, you know, I don't think I can do that maybe they're you know in the middle of moving again all of these different reasons why they couldn't but like just asking and making sure because what I'm looking for is setting the expectation and getting that commitment even if it is just Verbally not saying that's gonna work 100 percent of the time because there are people that can say yes I can make that commitment and then life happens like we talked about The people getting raptured and all of these different things that could happen, you know, not to say that it's it But for me it is about setting expectations and I think in your hiring protocol is the first place where you can set that expectation

Dr. Andy Roark: You know, one of the things I love about working with you is you are so good at demonstrating language of how you ask the question and how you say these things, and I just, I think you're so spot on. I, same thing for me. I said, the top of my list for action steps was number one is, is get curious and, and, and ask the questions.

I really do think that that's the right way the right way to approach it. I don't know if it's a cultural thing in that I was raised in the South, so I grew up in North Carolina. Yeah. And manners are very important. And there were, there were questions that you just didn't ask people. And you always wanted to be kind of polite And, 

Maria Pirita: you are very polite

Dr. Andy Roark: And it's, I have learned as I've gotten older, people are actually much more open to questions, direct questions than, than I kind of thought they were. I think how you phrase it is really, really important. I thought you did that really, really well. I think the way that I would probably approach it.

Yes, I loved your especially the part about commitment and say, Hey, we're looking for someone. Can you commit to that? Ah, Maria, such a such a great approach. I think for me, my thoughts would be, I try to get curious about these past jobs and say, Tell me about what did you like about this job? What did you not like about this job?

And hopefully they're going to tell me a story that's kind of consistent. I would love if they said, I really love this job. But then I, you know, then I went back to school. And then when I got out, I felt like it was time to do something different. Or I didn't see opportunities to for development in any of these jobs.

I was like, okay, or they said I wanted to develop, but then I didn't get a chance to move up. And I'm like, you were there six months. And then at least I know kind of where their heads at and I can, I can take with that and do with it as, as I will. But, but I really think a lot of times they're not awkward ways to ask about the previous jobs that maybe aren't, you seem to be job hopping.

Can you convince me that it's not true? I think that there's other ways to sort of dig into it. I think you're spot on My next one is on board strategically and I think you already started to get into this which is ask him about the commitment and say You know, we're looking at 6 to 12 months of training to bring somebody on Can can you can you commit to this i'm going to go back to my romantic relationship metaphor and sort of say I don't want to get married on the first date.

I'm up to bringing this person on. Let's try this out. Let's try to onboard things like that. I'm not going to bring them in and immediately enroll them in. You know, in, in college and pick up tuition, the tuition bill, like that's not, that's not a, it's not a first week kind of thing. Let's see how, let's see how this goes, but let's bring in and let's start, let's do some phase training where if they bounce after a week, and a lot of people will, a lot of people come in, it may be their first vet job.

They're like, I did not know it was like this, and I'm going to be out of here. I think there's some value to just letting people get their feet wet and starting to give them the basics and bring them along and see what their aptitudes are and see what their commitment level is. And again, I'm not trying to stall people out.

But you can be smart in how you invest into people. Just like you would in a relationship. I'm not giving you the keys to my apartment on the, on the first night and introducing you to my parents. It's, it's, it's going to take a while before we go down that road and make that investment. So anyway, I think, I think just being smart is, is key.

Maria Pirita: I love that so much. I think that is so smart, especially that onboarding piece is, it's so crucial to like how we are gonna set this relationship, right? Like, and go back to the dating metaphor, a lot of times the first dates is where we're getting to know each other, like what is our favorite colors, how to, but we're also observing And so I think that that's where we kind of let a lot of expectations go.

So I joke around that like, on my first date with my husband, I was like, two minutes late, five minutes late, or something like that. And he was like, yeah, she's gonna be late every time. And I'm just like, yeah, I am gonna be, it's fine. And so, A hundred percent to this day, like, I am the one in the relationship that is usually running late.

And so, and he keeps me on time, which is a great partnership. But at the end of the day, that is kind of what we are seeing in those first couple of weeks. And so for me, one of the action steps was also live and breathe your handbook, right? And so Stephanie Goss, you know, making it into the podcast, like, what does your handbook say?

But But at the end of the day that onboarding piece is when your handbook first gets put out there and you can 100 percent set the expectation there about, you know, when it is time to leave and like what the company expects for quitting. And so all companies are not the same. You know, like not every company, two weeks is enough time.

You can absolutely put your expectations on. It doesn't mean that they're going to follow it, but it does help to set the expectation like this is what we all do. And then also talking about it regularly in the sense of like. I shared the story about how, you know, I, I made it very well on my team that like, It's never going to be a surprise if you get let go from me.

Like, we are going to talk about it well in advance. And so I asked for that same courtesy. We talked about that. I also talked to them about, like, I don't fire people. Technically they fire themselves because I give them the resources that they need. And so, like, all of those things are always things that we talked about.

We talked about our handbook regularly. You know, whether it was about that, whether it was the, you know, holidays, the bonuses, the breaks, however all of those things work, but the truth is if you're just giving your people a handbook and being like, read this by the end of the day today, and then having them sign a piece of paper, I'm telling you most of those people are not reading the handbook.

They're just signing the piece of paper and saying that they read the handbook. So. A look at your onboarding piece. Are you giving people the time that they need to go through the main pieces of your handbook? Some managers, they will give them time to read it. And then afterwards they just pinpoint those important pieces towards that handbook of like, what is acceptable?

What is not acceptable? And they just go through those important pieces. Some. You know, like I said some, I believe we should be talking about our handbook regularly. Not saying that you're talking about quitting regularly, because it's gonna get, that'll be a little too much. But it is important to live and breathe your handbook and know, and give people those expectations when it comes to quitting or giving notice and things like

Dr. Andy Roark: Yeah, I think you're, I think you're right on with this. I think we sort of evolved the conversation now from the hiring part into the, into the managing of people part. And so I think I would pull from that area of our playbook a lot is that, you know, our writer has made the commitment to this person and they're nervous. You're in it now, and again, it 

Maria Pirita: Yeah. 

Dr. Andy Roark: Other than the change in resumes, which we didn't really ask about, you know, we decided to hire this person, and now we're in it. And so just lean into the things that we would do to be a good employer and to get the most out of the people who work for us, right? So just start off trying to understand what motivates this person, what do they value, what makes them feel fulfilled, how do they feel appreciated, and just start to try to Get those things.

And a lot of times, you know, maybe this person was engaged in their previous jobs. Maybe they weren't. Maybe they were managed well. Maybe they weren't. Maybe they had opportunities. Maybe they didn't. I can't control any of that. All I can say now is let's just start with a clean slate. What does this person care about?

What are they motivated by? What gets them excited? What what are their aptitudes? What are they good at? And let's just go ahead and start leaning into that. Let's try to help them have a good workplace experience like we do with all of our people. Let's lean into positive reinforcement training.

Let's start celebrating them patting on the back, you know, celebrating the things they do well, as opposed to being silent until they mess up. Just all those things that we want to see that are good employee motivators and keep people engaged. Just just lean into that. Give them the opportunity to have a healthy workplace culture to be a part of.

And this is the part that you and I take ownership of, right, is to say, I can't make this person stay. I can. My power here is I can do everything I can to try to help us have a good culture in the practice, and to protect that culture in the practice. And really, Not focusing on the individuals, but focusing on the team and the workplace culture and how we communicate and what it's like to be in this building.

That is the most powerful control that I have. And again, people are going to leave because they're going to leave. Really, all I can do the best is to try to find balance for everybody so that everybody gets taken care of as well as possible. And in a way that is balanced between the doctors, the staff, the patients, the clients, you know, the ownership management.

Things like that. And so just, just lean into that and try to try to make it a healthy workplace.

Maria Pirita: I love that so much because absolutely, in my notes I had work on your retention strategy. So I believe that we should always work on our retention strategy in general because it's what's good for the business. We know that it costs us way more to hire somebody than it is to keep them, right? So we should try to always have our finger or our eyes on retention in general.

And some of those action steps in there Go in line with what you just said. I had one on ones being a big one in here of like having regular discussions with this person to talk about the future, like what, what, what motivates this person? Like you just said, you know, all of those things. I had engagement surveys as also a great action step.

Like if you don't already have something like that to really try and figure out like where people are, are sitting. Another action step for like your retention strategy in general that I think we forget about is there are retention stats that we can kind of look at for our practice. And this is really good for those practice managers that are really into numbers.

But in general, there are turnover calculators, so you can actually pump and, and I can link it in the show notes, but there are some where you can just pump in your numbers for your own clinic and get your turnover rate, and then try to improve that number. There is also like. Callouts, we've had one of our very good friend, Jen Galvin, talks a lot about how she, you know, measures callouts because if there's a lot of it, that might be a sign of people being burnt out or being tired.

So there are some stats that you can kind of use to kind of track retention in general. And then the last thing I had on, on your retention strategy piece is to really ask the team for help in general. Like, Ask them like what helps them stay on board? How, what would they like to see? What kind of, A lot of times, you know, we want to do more for our teams and we're like, I'm gonna add this benefit and I'm gonna add this benefit and they're gonna love it.

And then managers get super shocked when they don't love it. And the reason is because maybe that wasn't as important of a benefit for them. You know, because they already have that somewhere else. And so sometimes we can involve our teams in the retention strategy in general. and I think that that's kind of really getting their, their ideas and like, what, what would you like to see here?

What would you like for us to invest in you in general? It's can, it can be very, very powerful. And then the last thing about retention strategy, if this person doesn't already do exit interviews, you know, you, they mentioned like, Being a little scared of the email piece. If you really do want like some more face to face time for people that are quitting, exit interviews are an excellent place to kind of really find out like.

You know what was going on with that person I think exit interviews are really good only if you have built that relationship ahead of time though with like honest You know transparency one on ones all of those things There are a lot of managers that say that they feel like they don't get as much benefit from there an exit interview because people aren't As honest and so you are gonna get that some people are not gonna be as honest during exit interviews And some people are gonna be honest I think a lot of that is dependent on all of the steps you took prior to that in your retention strategy how often you talked about future steps, you know, how often you had one on ones and engagement service surveys and things like that.

And the last thing that I'll say about this is don't be afraid to talk about where they're going to move on to. I think for all, so many of us, we focus on our like, oh, you're just going to work here forever. And I don't even want to talk about you leaving one day because you're going to work here forever.

And that's not that realistic actually. And so if anything, having a conversation about like, hey, Where would you like to be? And knowing like, oh, this person's really motivated by specialty, so let's set her up to go to specialty because at the end of the day, even if this person that you just hired is a job hopper and is leaving in two years, they're gonna share their experience, how their experience was at your clinic, with other people.

And so the best thing that you can do is make those two years Extremely, you know beneficial for them just from a regular management perspective of trying to do the right thing But also knowing that like it will have its own benefits, even if it is. Oh, hey, I worked at this one clinic It's right by you.

You should work there too because they really work on their people for a b c d, you know Um and things like that. So I would I would try and any of those. In my retention strategy

Dr. Andy Roark: Yeah, you use the term retention strategy and it always makes me laugh. Because it's such corporate lingo. You know what 

Maria Pirita: I know 

Dr. Andy Roark: it's just, it's how you treat people. It's how you, it's, you know what I 

Maria Pirita: It is. 

Dr. Andy Roark: run your business. Well, you know, part of our retention strategy is regular, you know, one on ones and feedback.

And I'm like, that's just, I never think of that as retention strategy. I'm like, that's just how you get things done is, you meet with people and you talk to them about how things are going and you're transparent. But, but it's true. It's, everything you say is true. It's just funny for me to tag it. I don't even think about retention strategy. I think about, I think about workplace culture. I'm like, all of that to 

Maria Pirita: A hundred percent.

Dr. Andy Roark: workplace culture. And if you build a great culture, then your retention strategy is, your retention strategy should always be, we're going to make an awesome place to work. As good as it can possibly be to work here, that's how good we want to make it.

And if you do that, your intention strategy is taken care of. And so I think that that's, I think that that's true. I think I think all this is good. I think basically run, run the business that you feel good about, that you want to run. Take good care of your people overall. Build a good culture. And hopefully you will be able to keep them.

I think we talked a little bit about exit interviews. I think that may be another episode at some point. We should just talk about it. There's a lot of caveats. I think they're worth doing. I don't personally put a lot of stock in them just because I've seen so many different ways that they've, they've been sort of disappointing to me in my career.

There are some people who, who say some things that are valuable, but I honestly, I think for most of the value of got out of exit interviews, Maria, It's been kind of like what you said before about I don't want people to know if their job is going to end because we've had this open dialogue.

I feel like a lot of people are really good at giving an open dialogue when they're not happy. And so it's, to me, I just, maybe it's different in bigger organizations. I'm rarely surprised. If someone is unhappy and they come and they say I'm leaving there are some people I guess who would show up and say I'm Unhappy and I'm like, why didn't you tell me but I think for the most part we kind of know that people aren't happy It's also there's a lot of people who are smart and that they know that their reputation matters and that you never know What twists and turns will be in the road?

And so they want to make sure that doors are open for them and they're not going to upset anybody So there's limited I think used to the exit interviews as opposed to what people would like for us to believe. Anyway, that's it. Remember that you can't control other people and you can only manage what they give to you.

You're in this now. You've hired this person. Just treat them well. Bring them along like you would another employee. Focus on making your practice great. On treating all of your employees the same. You know what I mean? As far as making sure everybody's got, got good opportunities. Communicate. Take feedback.

Make your people feel heard. Overall, it's gonna, it's gonna work out as well as it possibly can. Make sure that you're never dependent and reliant on one person. You should not have a business that is dependent on Karen showing up every day. And if she doesn't, we're all screwed.

Maria Pirita: One last thing that I'll say is that The original writer said that they sometimes are afraid to check their email because they're like, I don't know what's gonna happen in there next you could always try to make sure your email has other things in there So it's not always just people quitting and so that's what I would do in that scenario Is that try to encourage email use so that it's a lot more positive and so that hopefully you're getting positive news in your email also a lot of times my email was like You know, those good, feel goods from clients that were reviews because they would get forwarded to me automatically. Do what you need to do, but don't be afraid of your email. It is, it is a good one. 

Dr. Andy Roark: I mean, if they're gonna quit, they're gonna quit. It's not, it's not about your, it's not about your email, but I do get, but sometimes I, I take this as a, as a metaphorical point. And just that, boy, it feels like when it rains, it pours. You know what I mean? I'm like, there have been times when every time I've opened my email, something terrible was inside, and it's gone on for a month, and I don't know why it happens.

Yeah, I, I think, I think that not, not checking your email is not gonna, not gonna make it go away. But anyway, I hope things turn around.

Maria Pirita: Yeah, I'm excited. This was fun,

Dr. Andy Roark: Yeah, absolutely. Well, that's all I got. Anything else from you?

Maria Pirita: No, I think that's it. 

Dr. Andy Roark: Well, guys, thanks for tuning in, everybody. Thanks for being here. Maria, I'll talk to you guys soon.

Maria Pirita: Bye everyone!

Dr. Andy Roark: and that's what I got for you guys Thanks for tuning in. Thanks for hanging out. Thanks to Maria Perita for being here Remember if you are a team lead at your practice or you know a team lead at a practice Is send them the link for the uncharted team lead summit Remember it is a virtual event is a one day event all about being a team lead It is on september the 18th details at unchartedvet.com. Direct link in the show notes. I hope to see some of you guys there. Take it easy everybody. I'll talk to you later

Written by Maria Pirita · Categorized: Blog, Podcast · Tagged: communication, culture, management, Vet Tech

Aug 21 2024

Out of Compassion For Clients

This practice owner is seeking guidance on how to help their team become more empathetic and flexible with clients who may not immediately agree with recommendations. In this episode, Stephanie Goss and Dr. Andy Roark tackle a common challenge faced by veterinary practice teams: how to improve emotional intelligence and client compassion when dealing with resistant or questioning clients. Stephanie and Andy dive into the root causes of this issue, discussing how mental exhaustion and frustration can lead to negative attitudes toward clients. They offer actionable strategies for creating a more compassionate and client-centered culture, including conducting reset meetings, fostering open communication, and implementing recognition programs for positive client interactions. Let's get into this episode…

This episode is brought to you by DaySmart Vet.

Uncharted Veterinary Podcast · UVP – 301 – Out Of Compassion For Clients

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

Do you have something that you would love Andy and Stephanie to roleplay on the podcast – a situation where you would love some examples of what someone else would say and how they would say it? If so, send us a message through the mailbag! We want to hear your challenges and would love to feature your scenario on the podcast.

Submit your questions here: unchartedvet.com/mailbag


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Episode Transcript

Stephanie Goss: This episode is brought to you by DaySmart Vet, the all-in-one, cloud-based veterinary software. 

Dr. Andy Roark: Hey everybody, I am your host, Dr. Andy Roark, and this is the Uncharted podcast. Guys, I got a great one for you today. We are talking about a team that is running out of compassion for clients. What that means in this case is the team, if pushback from pet owners, Is getting frustrated it is hard for them to assume good intent.

The owner has reached out to us. They were looking for some training or some tools on emotional intelligence, trying to sort of re spark that compassion, trying to help the team see the clients as human beings and, and just not to, not to feel so beaten down and negative and not to sort of struggle with finding space in their heart for these people.

Now it's easy to say. Well, the team should find space in their heart for these pet owners. Look, if you've worked in the vet clinic for any amount of time, some days are hard. You just get tired. Sometimes you are out of spoons. You are pouring from an empty cup. I get it. There are things that we can do to be better.

There are things we can do to make our teams better. And that's what we talk about in this episode. Let's get into it.

 And we are back. It's me, Dr. Andy Roark and the one and only Stephanie I'm All Out of Love Goss. I'm all out of love, so lost without you. I've had no formal singing lessons. Did you know that? That's just natural talent that comes rolling out.

Stephanie Goss: It's raw talent.

Dr. Andy Roark: Just raw, very unpolished talent.

Stephanie Goss: Oh, I love it. How's it going Andy Roark?

Dr. Andy Roark: It is great. It is wild. We are in the full swing of summer now. Yes, I was I want to say it's a cruel cruel summer It's like it's not a cruel cruel summer.

Stephanie Goss: I was going with the, the, the Will Smith Wild Wild West in my head.

Dr. Andy Roark: Oh, oh, yeah, no. I am, my kids pointed out that I am, I am an Ace of Bass fan, which I didn't realize, but then, when they they were, they, they were like, I was like, I'm not, and they were like, yes you are, and so we put it on Amazon Music, and I am. I actually, I was like, I celebrate this whole catalog. 

Stephanie Goss: Alright, I'm here for it. I'm super excited about this one. I'm not even going to let you start talking about what's going on with you because then we'll talk forever and then we'll never get to this never get to this episode. You're cut off.

Dr. Andy Roark: It sounds like you're referring back to our last episode, which, which, was a marathon, and we were slow getting started, but anyway,

Stephanie Goss: No, it was funny. It's funny. So we got an email and it wasn't a, it wasn't a mailbag email. Actually we got an email from a practice owner who was like, Hey, I'm looking for some CE, some education for my team. And in particular they were looking for some training on emotional intelligence. And that they were asking about emotional intelligence is because they're at a place where they feel like the team is really struggling to show compassion for clients, and in a very specific way.

And I thought this one was so relevant to what we talk about on the podcast that I thought we could, I thought we could talk about it. So they are struggling because if a client doesn't want to do or agree with, agree to do everything that's being recommended, or if the client is questioning things that are being recommended or that the team is trying to do.

If the clients really are showing any signs of resistance, the team gets so easily offended. And this owner was like, I'm hearing things a lot. Like, I don't have the capacity to deal with this. I don't understand why they don't just do what we want them to do. Those kinds of things. And they said I really- help me help them be more flexible and more kind towards the clients and This one hit home for me because I totally recognized this having gone through this honestly myself but also with the team and so I thought this would be a fun one to talk through.

Dr. Andy Roark: I think this is a great one. This is a really, really common it's a really, really common occurrence in practices. I, I think just sort of starting off in Headspace. My first thing in Headspace is, this is understandable, because we all get tired. We all get mentally tired.

Just being honest, it is exhausting to assume good intent all day long. 

Stephanie Goss: All day, every day.

Dr. Andy Roark: Like, that is, it takes discipline to do that. We don't think about that enough. It is much easier to just assume the worst about people, or go, Oh, what an idiot. Like, that is a really easy way to write people off, and not to do it. And not have to push yourself to be better, because I don't have to be better, because you're an idiot. And again, I'm not trying to dunk on anyone, because I'm saying, it's, it's easy. That is the path of least resistance. If you want to be comfortable, if you want to be comfortable, and have it, and have things be as easy as possible, just tell yourself that everyone around you is stupid, and when things don't go your way, it's because other people are stupid. It's a one size fits all way to write off any any responsibility you have for being patient, being kind, you know, you don't have to do any of that stuff because people are stupid. And so, again, I say that. I think we've all, we've all been there. We've all gone through that phase of, I just can't deal with this.

And so I'm gonna roll my eyes, discount this person, and, and go on. And again, like, everybody's carrying a burden. I get it. It's not sustainable. It is, the short term benefit is, it's easy. You just do it, and you can wash your hands of any responsibility to re explain yourself, to slow down, to ask questions, to do those things that take time and energy.

You can watch this. The long term impact is, you're going to be miserable. It is a miserable life to lead. It is a sad and lonely place when you think everyone around you is stupid. It is not a rewarding, fulfilling place to be. You're not going to enjoy your job. You're not going to feel like you're making the world better.

You're not even going to be sure the world is worth making better. It is a dark, crappy place to live. But that's, but that's the long term. In the moment, it's easy.

Stephanie Goss: And I think that is well, I'm going to put a pin in it because I want to come back to, I want to come back to that when we get to action steps because that's, that's a, that's a yardstick right there. but I agree. It's, it's really, and that's why I said, like, I recognize this because I, I, I know I've done it.

I know I've gone into a room and just been like, oh, I don't understand why they don't just do what we want them to do right when I come out. And, and it, because you do in that moment. It's so much easier 

to just blow it off than to, A, pause ask yourself, really having empathy is hard, is hard work.

Finding kindness and compassion, asking yourself, well what else could be going on with this person? Okay, that, that's, that's hard. Asking yourself, like, What could I have done better? How could I have done this different? That kind of work is, is exhausting. And when you think about the volume level that a lot of us see day in and day out with clients or in particular, I see, I have had this frustration with my front desk team on more than one occasion.

And in doing some of the prep work to talk about it with the team, forcing myself to sit back and look at just the sheer volume of people that they talk to every single day, day after day after day. It is huge, it is huge. It is at least double if not triple or more the number of clients that we see in the exam room.

And so when we stop to just think about the amount of energy and emotion that that takes to do the job and do it really, really well every day. It's really easy as an employer, I think, if you stop and ask yourself those questions, to be able to give the team empathy and say, Oh, I could totally see where you could be exhausted and be, you know, saying things like this and I don't think this I mean this person was not asking because they were just like I'm so sick of my team doing this things they were not in a negative headspace and asking this and I think it's really important to recognize that it's really easy to get down on

the team. I know that was my personal experience. I got frustrated and I was like, I don't understand why you guys can't just be nice to the clients. Right? And when I forced myself to step back and look at it from that headspace perspective and forced myself to do the work to give them empathy. It's really easy to understand that, but that work takes time.

Dr. Andy Roark: Yeah. I, I completely agree. I, that's, that's, for me, that, that is the number one goal we have to accomplish in Headspace is we have to get empathetic because getting mad at the staff for not being compassionate towards the clients is probably just a negativity spiral. We have to get them out of it.

We're, we're going to switch over to an accountability model here. But we need to start in a good compassionate place and just say I understand how we get here, right? If everybody gets tired, they talk to people all the time like it is they are human beings They're working really hard if you can get your head into that place and honestly feel compassionate for your team You are going to be much more productive engaging them than if you grab their flaming, raging sword of justice and say, How dare you not be kind to our clients? Don't you know they pay all of our salaries?

And just, and just take heads, yeah. So, so that, that, that type of justice mindset, or that type of showing your frustration, that, that's not the right play. We, so we just need to, let's get compassionate towards our team, because the more we see them and can empathize with them, the more we can engage them in a kind of open manner, and get, and get ourselves heard, and trust me, we're gonna start tightening the screws because this behavior is not acceptable, but we're gonna start out you know, with the stick. We're gonna start out with the carrot.

So anyway, but that, I think that's it. The last thing I would say from a Headspace standpoint is, my advice is just to sit down, and don't let yourself get wound up here, but sit down with a pen and a piece of paper, and ask yourself, why is this behavior a problem?

And get that straight in your mind. Why is it a problem? What is the downside to the team doing this? Right? And again, we're not going to say this to the team necessarily, but I want you to have it clear in your head. A lot of people go, Ew, I don't like that. I get it. Tell me why. I want you to think about why, because ultimately we're going to discuss with the team why we're going to ask them to make this change.

And so you should have it clear in your own mind what your, what your why is. Now, it's going to be much more powerful if we find their why, but you should have yours ready to go. So, you know. What is the meaning that you hope your employees find in their work? What are the values that are important to your team?

And those are things that are really, if you have answers to those questions, like, Does your team do meaningful work? If so, why is it meaningful? And what are your team values? Like, what do you guys care about? What are you trying to accomplish? What is the impact you're trying to make in this world? And again, just having those things top of mind, and again, I'm not going to roll in with my flaming, raging sort of justice, and and punish people.

But I just want to have my head straight about why is this a problem, and what are we trying to accomplish in the world? Because what you'll find is these behaviors undermine the values that you have and the ability to do meaningful work. No one's like, I serve idiots, and also I find it deeply meaningful and rewarding, 

but that doesn't work. That doesn't work. And so, again, we, we can make them, we can put them into a position of cognitive dissonance. So cognitive dissonance is when I want to see myself in a certain way, but I'm behaving in a different way. And so, if I see myself as someone who loves animals deeply, and someone points out to me that I am not using any low stress handling techniques.

That is hard for me mentally to square because I see myself as someone who is a just consummate animal lover and someone else goes How are you a consummate animal lover when you aren't aware of any of these low stress handling techniques? I'm like, ooh, I don't like that. And so what's funny is when you do that to someone they have to resolve that dissonance or it continues to bother them.

Sometimes you'll just see people and they just continue to be bothered. But I can either stop calling myself an animal lover or, you know, not thinking myself that way. Or, I can go and take a look at this low stress handling and make sure that I am behaving in a way that fits the picture of who I want to see myself as.

And so anyway, but we can do that a lot of times just getting people to talk about their values and how they find meaning in their work and then talking to them a little bit about how they're feeling about our clients right now and they will see that those two things are not in alignment. And a lot of times I can put them into that little headlock and make them make a choice about how they're going to behave. So yeah, that's, that's kind of, that's kind of where I am with the headspace.

Stephanie Goss: Yeah, I think the last piece of headspace that I would put out there, because this goes action steps for me, is taking a step back and looking at it and asking yourself, is this a team problem? Is this a one person problem or is this a multi person problem? Because how I would approach it from an action step perspective is going to be different depending on the answer to that.

And what I, what I think is important as the leaders to recognize that it's really easy for a person or a people problem to become a team problem very quickly. So what I mean by that is, it's really easy if you have the, if you have the person on the team. So you, you were talking Andy earlier about how exhausting it is to be that person who just looks at the world so negatively and everything is, All the clients are, all the clients are dumb and all of the, all of the people, you know, everything is a negative interaction.

And I actually worked with a veterinarian who was, who was like that. And. they were not in a good place and needed some serious support and impacted the rest of the team so fast. And what I saw was that the rest of the team, even my sunniest like assistants and technicians who would never say bad things about clients, I started hearing them be like, Oh, those clients were so difficult and just little things.

Because that, like, that toxicity is so contagious so fast. And so part of the work here from a Headspace perspective is to figure out, is this an issue that is really the whole team? Or is the whole team's behavior right now a symptom of a bigger problem? problem that really has to do with one person or a couple of people, because how you approach that is probably going to be radically different.

Because if the problem is really coming from one person or two people you know, trying to engage the whole team in solutions is maybe not going to be the most effective way to go about it. So I think that's part of the headspace work is stepping back and looking at it and really looking. A, where it's coming from, but also B, like, the frequency with which it's happening.

Because to your point, it's, we all get tired, right? And it's really, as a leader, it's really easy to have a day or even a couple of days in a row that were bad days, and all of a sudden, I'm like, The, the sky is falling and my whole team hates their jobs and I need to, I need to fix this. Was this actually a problem that I need to fix or was this just a couple of bad days?

And so I think the last piece for me for Headspace is stepping back and doing some of that reflection on really, to your point, what, why is this a problem, but also what is the actual problem 

Dr. Andy Roark: Yeah. 

Stephanie Goss: I think is really important.

Dr. Andy Roark: I agree. Let's let's move forward with the idea that this is a behavior that easy, that has spread throughout the team. And let, because often times, you know, I don't know if there was a person who was originally causing it. I don't get that from the, I don't, I don't know from the, from the letter.

I want to act like this is a systemic problem. If it's a one person problem, we'll address it one way. But, but I, I think a lot of times people go, my team has just gotten into this. Okay. Into this habit. I'm gonna treat it like the team, but I think you're spot on.

A lot of times what happens is people go my team, it's like, no it hasn't, it's Darren. And, why don't you deal with Darren? Oh, cause I don't like conflict. I'm like, look, I, that's, yeah. What happens is you have a team meeting a bunch of people who are trying hard feel chastised, and Darren's not paying attention.

And like, and he doesn't, he doesn't realize, he's like, oh, I wonder who she's talking about. Let's let's take a break real quick and we'll come back and then I got some action steps. I I want to I'll tell you what I would do here.

Stephanie Goss: Let's do it.

Hey friends, our dear friend, Dr. Amanda Donnelly, just released a new book that you should have on your shelf as a practice resource, it's called Leading and managing veterinary Teams: the Definitive Guide to Veterinary Practice Management. Not familiar with Dr. Donnelly? Well, you should be. She recently did an episode on this very podcast about accountability in our teams. 

And if you missed it, you should definitely check out episode number 273. When the vet won't go faster because Amanda is a wonderful guest. And if you don't have a copy of her book on your bookshelf, you need to head over to Amazon and get yourself one today. You'll thank me when you're loading up your brain with tips and tricks on how to affect positive change in areas like culture, team development, daily operations in your practice. How to implement effective team training programs, how to recruit and retain the best employees and so much more. Amanda has absolutely jam packed this book with amazing resources and you can find even more on her website to download after you purchased the book. The resources are like a hidden treasure map. 

And the book is the key, which is so Uncharted. I absolutely loved it. So head on over to Amazon and grab your copy. Now there's a link in the show notes below. And now back to the podcast. 

Dr. Andy Roark: All right, so When we have whole team problems in behaviors, my go to at that point is what I call a reset meeting. Okay? Now, people always ask, like, when do you talk to people as an individual? When do you do a reset meeting? A reset meeting is is sort of the coming together of a group to talk about a problem that has become systemic.

Again, just to your point earlier, if one or two or even three people are demonstrating a behavior, I don't need to bring the team together and press the reset button.

But sometimes there are behaviors, what is called shifting baseline, is over time behaviors just that weren't normal. They kind of become normal, and then they get a little bit more extreme, and that becomes normal, and they get a little bit more extreme, and that becomes normal, and when that happens, and these behaviors become normalized in the team, it's time for a reset, and it's time to try to re level the team.

The other thing is, if you just start holding people accountable, With no heads up that we're going to start doing this after having not held in one accountable for these behaviors for a long time. It's confusing, it's frustrating. They ask questions like, why is this a thing? Like I, you know, Karen did this last week and nobody said anything to her, and you have to deal with all that crap, and it's just.

Just hit the reset button. And a reset meeting does a couple of things. Number one, it provides amnesty for past behaviors. It is clean slate starting over. No one's in trouble for anything in the past.

We are just going to change our behavior going forward. And so it wipes the slate clean, nobody should feel in trouble no one's being, you know, hassled about anything that happened before this.

It sets clear expectations of these are the behaviors we're going to be looking for going forward. If this is what it means to excel, and these are behaviors that, you know, that are not going to be acceptable, and can we all agree on those things? And those are really the big things is clean slate from behind.

Forward facing sets clear expectations for what we're going to be looking for going forward. And then the last, the objective of the reset meeting is to try to get buy in from the team of, yes, we want to make this change. We agree this change is necessary or that it's going to be beneficial for us. And if I can recruit them into helping me positively reinforce the change that we're looking for, then, then that's what I'm going to do. So, reset meeting. Are you on board with that?

Stephanie Goss: Sure. Let's go. Let's go for it. So if we're gonna have a reset meeting and we're gonna we're gonna talk about making the future changes What does that what does that look like?

Dr. Andy Roark: So whenever we start to have a reset meeting, what I always like to do is start in these meetings, I want to start with a broad conversation, and then narrow it down to specific behaviors. So if I have a meeting and I come in and say, Guys, rolling our eyes at clients is not acceptable. That's, that's very focused. And the chances of me sort of getting buy in to that problem and not making people defensive are probably, probably more low. And again, this is not, I'm not doing reset meetings for every little thing. This is, we have a systemic problem. 

I'm gonna start out wide, and generally what I try to do is I, I usually open up with a fairly low stake, sort of try to get the discussion question, try to get the team talking in a way, there's not a right or wrong answer, but what I'm really gonna start with is, what are we doing here, guys? Like what are we, what are we value? What are, what are we trying to accomplish? What are you most proud of? When you think back on the work that we've done here in the last couple of months, what are you most proud of? Think speci. Think of a great day you had, what made you proud? And I ask questions like that because I'm trying to get people to go ahead and reframe what is important, what are we trying to accomplish?

Because if people frame it as I'm tired, how are we supposed to keep going? We've already framed the meeting into this really kind of a negative way. If I talk out why out wide and go. Why do we do this job? What do we do in here?

Then I can start to get people to talk about making a difference in what they care about and why they got into the profession and things like that.

And then we can go from there and start working towards the behavior that we're trying to reset. So, if I haven't done a core values exercise with my team to some degree to figure out what they care about, I should, I should do that, right? Why do we do this job? What's important to us about our work? When we feel proud about the work that we do here, why do we feel that way?

Those are sort of my opening questions. I'm not going to do all of them, but I'm going to kind of pick one, and ask them basically, what do you want your experience to be when you're here? Alright, The next part of this meeting is it's easy to call reset meetings and bring people together and say, Guys, this isn't working.

Guys, we're not getting it done.

Guys, the clients are not happy with what we're doing. Guys, we're not reaching our goals. And that is so demotivating. You probably felt the wind go out of your sails just listening to me say that. It is so demoralizing. In these meetings, what I'm going to try to do is come together and say, guys, I love working with you.

I am proud of the work that we are doing. You guys are doing really well. You guys are, are, are, are making a difference. And I want us to be even better. I want us to go to the next level. I want us to push forward and make our practice an even more enjoyable place to be. I, I want to make it so that you guys. So you like coming into work and you feel really good when you leave. That's, that's, that's where I want us to go. I want us to focus on those things and how we can continue to improve in those areas. And that hopefully feels much different than, you guys are failing, we need to do things differently.

Yeah, it's, again, it's about keeping it future facing, not beating them down, but just saying you guys are doing a lot of things really, really well. And there is an area that I really want us to work on and I think we can grow in and I think we can make a big difference and impact for ourselves, for our patients, for our clients.

Stephanie Goss: Yeah. I think, I think the other thing too, in, in my experience has been having the big picture conversations for me, I have had the most success with coming to the table With my own vulnerability and my own guilt and ownership of that guilt in whatever the problem is. And so for me, I would probably show up for the team by saying, Hey, we've been, we've been seeing a lot of clients lately that I feel like have been.

You know, more challenging or who have had, and what I mean by that is clients who have had a lot more questions or they've had pushback or there's been concerns. And you know, I've caught myself coming out of the exam room and been like, you know, why are they asking so many questions? Why don't they just do what I want them to?

I don't like how that makes me feel. And I've been watching all of us and I realized that maybe it's not just me. Because I've seen all of us kind of being frustrated or, you know, being, whatever you want to say to make them feel like you are taking as the leader. Not only are you taking ownership of your role, but you're taking kind of the lead of, hey, I'm, I'm doing this thing.

And I wonder how you all feel about it, because it creates that safety and vulnerability for them to acknowledge their own behaviors and look at it in a way that doesn't feel punitive, and also brings them to the table to do the problem solving work with you, because when you come, it's really It's easy as a leader to want to say I just want to have the meeting.

I want to identify the problem and I want us to come up with a solution. And when you come at the meeting with that perspective, it's also really easy to shut them down and get them to not engage with you and get them to just be like, Oh, Oh, she's just telling us that we're not doing a good job, or it's easy for them to hear things that are not what you intended at all, but it doesn't matter what you intended.

It's how they received that information. And so for me, the best success here has been to say, Hey, I've seen this in myself. I don't like how it makes me feel. And I was hoping that you guys might be willing to brainstorm with me some ways that I could try changing my mindset or that I could try looking at these appointments in a different way because I don't want to feel this way.

Now, all of a sudden, none of the blame is on them or their behaviors. It is on, it is on me and it opens the door for them to be a part of that solution anyways. Now, You can't do that if it's not true. And if we go back to what I, what we said in the beginning, we all get tired and I'm sorry, but I can't imagine a leader of a veterinary practice out there not being able to empathize and recognize those days when they've been like, God, those clients suck.

Or, you know, like, why can't they just do, why are they Dr. Googling? Like, why can't they just do what I want them to do? We can all put ourselves in those, in that place. And so you should be able to come to the table for a reset meeting like this with your own ownership and put that, put that forward. I've just had significantly better better luck that, that way with 

Dr. Andy Roark: Yeah. No, I, I think you're, I think you're spot on. Anytime that you as a leader can, can own it and say, Yeah, I'm, I'm guilty of this and I want to be better and I want our team to be better. And, and can you guys, can you guys help me? And we can talk about this and how we're going to do better going forward.

I, I think that's, that's, that's really the, the best, that's the best approach. I, I think you touched on this as well. I think, I think we're sort of establishing, Hey, this is. We're going to try to do better. We're going to commit to doing better in the future. That's, that's what we're going to do.

And then asking them, how can we set ourselves up for success? Or how can you guys help me? What can we as a team agree to? That's going to make sure that we're giving our clients grace. Or yeah, and that we're staying positive about the people who we take care of. Like, what can we do? And so, that's sort of how I tend to frame that.

You know, I'm a big fan of what we call positive inquiry. Which is, think about a time that you felt really great about the clients that we saw. Think about the last really good day you had. Why did you feel good? Think about a time that you If you were having a hard day, and maybe you didn't behave as well as you could have, what was, what was making you feel that way, you know?

Is that something, you know, justified? Maybe other people are having that experience. What, what do those days look like? And you can ask those sort of questions. And again, I like to have them talk in small groups. I'll say, let's, let's, let's come up with a list of ideas of what we can do to set ourselves up for success so that we can, so that we can continue to stay positive about our clients, even when we're busy and we're tired. And then you let them turn and talk in groups about what things that we might be able to do. And honestly, it's gold. The process of them having the conversation in the group is hugely valuable just by itself.

Stephanie Goss: I love that. Another, another to add on to yours, it's, it should not be hard. For everybody on the team to think about, tell me about the last client interaction that you had that left you just feeling really good about your, your job and what we do every, every day, like, if we have to really see.

Push ourselves to come up with an answer to that question. We should be asking a different question. Right? And so I, I like particularly to your point, if you have a bigger team, breaking out in small groups is great. 

When you have a smaller team, just round Robin and because usually there's someone who's like, Ooh, I'll go when Mrs. Smith was here yesterday, this is what happened. And, you know, and what I love about that question is it allows you as a team to see what fills each other's cups. Because my answer. For the last great client interaction that I had, maybe radically different than your answer, Andy, about what made you happy about a client interaction, and it allows us to see each other's perspectives, but also allows us to see as a group, how we touch the clients in so many different ways and really gets them kind of talking and seeing some of that on their own, just hearing It's one of those questions where sometimes you'll get the same person, the same person will say the same client, but their interaction is different than the person before because they touched with the client in a different way.

Dr. Andy Roark: Yeah. No, I think you're spot on. I think the big takeaway is here to help people have this meeting and have it go well are don't forget. to talk to the team about what they love in practice and what they love about their clients.

Because if you just go in and say, guys, we're not getting along with the clients.

You know, we, we, we need to feel better about them. How can we feel better about working with the clients? This is all framed up in negative. Getting them to remember the. Joy that is possible from working with clients getting them to reconnect with their why about why they do the work

Both of those are really if you can pull them off and and you should really try no matter what Both of those will help make this Conversation just something positive that people can get excited about the last thing and this is sort of going back to what Stephanie said earlier You know, if you can work into this meeting, if you can take responsibility for being the person who has rolled their eyes at clients and say, I have done this and I want to do better, I think that that helps make everything go a lot more smoothly.

Very relatedly to that, if you are comfortable sharing a story about a time when you were not the best client, And saying, hey, you know, we all have bad days. That, that can help. The, the one that I share, and I've, you've said it on the podcast a couple of times, but, I'll never forget finding out my wife had breast cancer.

And immediately going for a walk and going to a coffee store. And the guy behind the counter when I walked in was like, hey man, how's your day going? And I didn't say anything mean to him. I just said, oh, you know, I'm making it. But in that moment, he had no idea. What had just happened to me and that my world had just gotten absolutely rocked.

He had no idea. And how could he know that? But Who knows what people are going through when they walk into our practices? And again, that's just kind of a story from my life that I'm always comfortable to share. I'm glad I didn't say anything mean to the guy. It never crossed my mind to. But it just, it just occurred to me how he had absolutely no idea what was going on with me.

And again, I just, I have found that it's a quick story that, can remind people, like, we just don't, don't know. And so anyway something like that to kind of help frame it up is hey, we've all, we've all had hard days and gotten hard news. You know, so let's try to, we gotta give people some grace. So anyway, I think that those are the big things for me.

A follow up sort of tangent to this, and I don't know if you want to try to do this at the same meeting. I don't know if we can pull it off in one, in one meeting. It really sort of depends. I really love, if you want client compassion to be something that your team is focusing on, then formalize it and come up with some sort of metrics to track it.

And what that looks like for me is some sort of like a client compassion recognition program. And just say, When you see someone being wonderful to our clients, or when they say something that is truly empathetic or compassionate, I want you to to drop their name into this box and, you know, and I'm going to check it and I'm going to ask you what they did and I just want you to tell me, but I am going to, I am going to give those we're going to do something nice for those people at the end of the month because they're being nice to our clients, but something that doesn't involve you. Policing these people to try to catch them doing something nice, but let them let them shout out each other. Let them recognize each other. But again, it just goes right back into training with positive reinforcement. And so, yeah, just is, is there a program? Is there something fun that we can do to celebrate the people who are our greatest cheerleaders of our clients? What can we do? In the end, if this is something you're willing to work on, you should lean into it, you should mean it, you should try to come up with something really nice, you should come up with, you know, whether it's a handwritten thank you note to that, to that employee, or whether it's a, gift cards for each one, or I don't, I don't know what, it could be anything, but, but you should, you should make it a thing.

Stephanie Goss: hmm. I love that. And I think, I think the last piece here for me is once you've talked about what the challenge is Is inviting the team to be a part of the solution is, is, is what you're doing. And I love that. And also I think sometimes there is the step in between, and I think that this is what, when the, when this practice leader reached out to us is what they're looking for is recognizing that sometimes there is some education that needs to be done.

And I didn't know until I learned about learning styles, how many times a person needed to hear a recommendation. Before it sunk in

and I think I think for especially when you've been doing this job for a long time I think it's really easy to forget What that what you know now? You didn't know in the beginning when you were the brand new CSR when you were the brand new You know vet assistant or vet tech or you were the veterinarian your first day on the job You were knew that you wanted the clients to take your recommendations, but did you know how to make that recommendation in a way that was framed best for success?

Did you know how to chunk and check? Did you know how to, you know, you had to practice all of that. And so I think the step that kind of goes in the middle for me is looking at What is that education that I can do for the team that I can also actively be involved in to look at? Do we really want clients who are robots and just say yes to everything on a personal level?

And this goes to your point about looking at the core values and why are we here? Why are we doing this I don't. I love client education. I love engaging with it. I love when they ask questions. Honestly, some of my favorite appointments to do are the appointments with the clients who use Dr.

Google, because I want the opportunity to learn things that I don't know about or to hear what is out there that I might want to educate myself on more. I also want the opportunity to talk with a client and engage with them and understand their questions and that also, I get it, it gets exhausting. And if I can't, if I can't think about how clients learn, if I can't think about the fact that, I don't want them to be a robot and just accept everything that I say at face value every time.

I want them to ask those questions. Well, then I need to understand that that may take multiple times of having that discussion before someone hears it. If I'm talking to Mrs. Smith in room three and she's got her two year olds. and her five year old and a really bad two year old doodle on her hands. Is she actually going to hear everything that I'm saying?

Or is her reason for putting me off because she literally cannot focus in the exam room? Maybe it's that not that she doesn't agree with me. Maybe it's not that she's having resistance because she doesn't want to do what I'm trying to recommend. Maybe she's having resistance because she's thinking about the fact that, you know, she's got to pick her other kid up from daycare by six o'clock and can we just hurry this up and get out of the exam room, right?

In the moment, doing that work to ask myself all of those questions is the work that we often skip over because it's the hard work. And so I think, I think from an action set perspective, thinking about how can we do some of that team education. How can we look at how do we talk to clients? How do, and doing it in a way that feels inclusive of everybody and that you're taking charge of, Hey, I would like to learn more about this.

I would like to learn more about how do we have. Success for getting recommendations made, whether that's something that you guys can read together, whether that's a team meeting that you can do, whether that's just talking about it and getting ideas for, hey, to your point, Andy, about positive inquiry, hey, think about a time when you made a recommendation to a client and they were just like, Oh, yeah.

That sounds great. Let's do that. What did that look like? What did it? What did it sound like? How did we do that? Right. And sharing those best practices and brainstorming as a group. How do we do that? I think that education piece falls in the middle. And when we do that, when we talk about the core values, when we, when we do the work for the reset meeting, and then we do that education in the middle, then I think having that compassionate recognition for the, the client compassion recognition, The follow up becomes exponentially easier to, to, to recognize because they have seen it. They understand why we're doing it. They have some education behind it. And now they have seen it demonstrated and they know what you're looking for. And then they can continue to, to follow up on that good behavior.

Dr. Andy Roark: yeah. I think you're spot on. I think one of the things I kind of put in here as a freebie bonus idea, I think I would have the reset meeting and I would talk to them about what we're trying to do. And then, as a separate meeting, I would not do this at the same time, it's too much. But I would space this out, probably two weeks later.

Right? So, maybe, maybe a month, but two weeks to a month, not so far that they've forgotten kind of what we're

doing, but definitely not right on time. And I would have a little training module, and so you and I talk a lot about training modules, and I don't know that most people listening to our podcast know that we do this or how we do it.

But, but I would, this is kind of, this is my jam, this is the stuff I really love to do with teams. Here's, here's what I would do. I would have a, a separate meeting, and I would bring people, I would bring the team back together. And what I would do is I would have them sort of sit in a place where I could get them into little groups of four to five people.

And I'd put them like that. And if I had if I, if I was worried about some people not paying attention or things like that, I might assign seats or

I might put my practice manager with people. I might sructure the groups. We do all those sorts of things. And so that would happen kind of organically.

I'd get that set up. So anyway, I get them in. I get them sitting down. I would say, guys, we're gonna do some training today. And so here's what we're gonna do. The first thing we're gonna do is we're gonna make a pet owner. And I love making pet owners with the team. Okay. And so I'm going to give you guys an idea.

So I'm going to start coming off the cuff here. But I would have, on a flip chart, I would have these questions kind of written down. And I would be ready to first I would open up to the group. And if I didn't get things from the group, I would start calling on people. What I don't do is start with a name.

I start with something else. I would say, Alright, we're going to have a pet owner. How old is this person? What's this person's gender? What kind of pet does this person have? And if we only see dogs and cats, I would say dog or cat. You know,

I would frame it into something that you'd actually see. What does this cat, what's the cat look like?

What there is something different about this cat. What is it? This cat has a medical condition. What is the cat's medical condition? What is this cat in for today? And I would do that and then I would go back to the client because you want a little bit more flavor and coloring around the client I would say What is when you see this client?

What is a defining feature? This client is is she very tall? Does she wear a lot of makeup like what is what just what is and again? We're making a cartoon here, right? Like it's not a real

person. What is a defining feature? You This this client, what is her, what is his or her job? What do they do as a profession?

And guys, that matters because when they tell you this person's a lawyer, they will picture a certain behavior type. Of what we're gonna do. Or

when they say This person is a nurse in their minds, this person's gonna behave a certain way. But now guys, I am creating a real pet owner that they can see. It's not a real, but I can create a fictional pet owner that they can really see.

But I don't wanna use one of my actual pet owners 'cause I don't want us to actually bash a pet owner or, or doing or say anything that would be embarrassing to them. And so this is how I create someone that they can all see in their mind. I love to ask This person has a quirk. What is the quirk?

This person has a nickname that their friends call them. What is it? And why do they call them that? I ask some silly questions like that and the team loves it and they get into it and they will make this wild and zany person. And the last thing I say is, What is this person's name? And, and just tell them, it's not, it's not one of our clients names, it's somebody else's name, what is their name? And then let them name the client. And I jot the, I jot their answers down next to the pre written questions on the flip chart, and then I write the person's name at the top. And now this is our client, and by now, They are probably all engaged. There's no wrong answers to any of these questions. I've, I have asked them to sort of popcorn.

If one person's giving a lot of answers, I will just say, I've, we've got, we've gotten enough from Stephanie. Let's, let's hear, let's hear from somebody else and just, that's how I do it. And I, and I get going. So we make the client and I say, okay, guys, this is the client and this is the pet. And we said, this is why the pet is in today.

Okay. We'll say Donna is her name. When Donna comes in, this is what happens. And I would make a I would make a fake problem. Honestly, what I usually do is pay attention to the practice, and I'll take a couple of problems, and I'll squish them together. Or, I will take a couple of problems and make a new problem that feels very similar to the other problems and put it in there.

Again, I don't want to use something that's out of date. Clearly recognizable something that happened because I don't want somebody to feel like they're being put on the microscope So any but I would make a problem and then I would say great So guys we have we know who this pet owner is. We know who this pet owner's cat is.

This is the problem This is what has happened. This is what she came in. This is what she was told. This is where we are You are the technician going into the room. All right And then I would have them turn to their group and I would say make a plan for solving this person's problem or complaint. Go ahead.

I'm going to give you guys 10 minutes to make a plan on how you're going to solve this. And be, be ready to have a plan and be able to explain or defend your plan. All right, do that. And I would give them 10 minutes. And then I would have them come back and I would talk about how they are going to solve the problem.

Now, when they are telling me. And I would have, who's a representative I need, who's willing to share? Alright, who's willing to share? And again, focus on who's willing to share what their group did. Because that takes the pressure off of the individuals. It's not your bad idea. It's the whole group, and if  people don't like it, well, that's the group.

And so anyway, it lowers the stakes. And again, I'm going to write, I'm going to start bullet pointing the plans out. I'm going to say, who's got a different plan? Who would add something to this plan? And I am going to keep going until we have a robust plan. Guys, all of this is exceptional training on customer service.

And again, They are hearing it from their colleagues who say, Oh, well, I would say this. And they go, really? You say that? And again, learning from each other is so powerful and it is not Andy Roark lecturing on what the best practices are across the world. It's this person in your practice has this idea, this is what they would do.

And you go, Oh, well, I, I, yeah, I would have thought of that. Totally. It's really, really great training. And then after I've got a good list, I would say, great. Yeah. back into your groups. How would you keep a positive attitude while dealing with this person? I want you guys to come up with a list of things that you would think or do or say to keep a positive attitude while dealing with a stressful situation. And I'd give them 10 minutes to come up and bullet point that out. And so this whole exercise, probably going to take about 40 minutes, which is great. If we do a, if people can grab a lunch and sit down, I can do it in one session, like a little lunch and learn thing. But, I should be able to turn this whole thing around in 40 minutes.

And now they have told me what they would do to keep a positive attitude, to keep a good headspace. It is a really good reminder. Of what we're trying to do. No one should feel criticized. It's not even a real case So no one's you know, there's no there's no reason for people to get upset. It's all make believe But guys, I would tell you you can get people to talk very openly this way in a way They would never talk about if you actually tried to review what happened in the practice last week with Miss Johnson.

So anyway, that's that is something that I would again. I really prioritize this stuff . I'm telling you if you've never run a meeting like that. It is absolutely You It's absolutely worth it. It really does get people to unlock and engage. If you're fascinated by running this type of a training session over at DrAndyRoark.com. I have two classes.

One of them is the exam room communication class. And one of them is the Charming the Angry Client class. They both have awesome content. One hour lectures from me broken up in modules on how to run an engaged staff meeting. And so I've got, if you want to learn more, I'll teach you how to, how to run an engaged staff meeting in those sessions.

And then you also get the whole course you actually paid for. So anyway, that's that, that's all I got.

Stephanie Goss: Yeah. I love it. This one was fun.

Dr. Andy Roark: I definitely enjoyed it. Cool. Thanks for doing it with me.

Stephanie Goss: Yeah. Have a great week everybody. Take care and we’ll see you next time. 

Dr. Andy Roark: We will see you next time. And that’s a wrap on another episode for the Uncharted Veterinary Podcast. Guys, I hope you enjoyed it and got something out of it. If you have a question for us, shoot us an email. Send it to us to podcast@unchartedvet.com Or if you’re an Uncharted member, just post in the community and say “Hey Andy and Stephanie, would you be interested in this questions?” And we will be in there like swimwear. That’s what we do at Uncharted. Anyway, gang, thanks for being here. Take care of yourselves. I will talk to you next time!

Written by Maria Pirita · Categorized: Blog, Podcast · Tagged: communication, culture, management

Aug 14 2024

We Want Them To Love Their Jobs, Is That Too Much To Ask?

A young practice manager is struggling to maintain the momentum and enthusiasm of a high-quality team that, after an initial burst of energy, has started to settle into complacency. Despite intentional efforts to create a strong culture, clear pay scales, and a supportive environment, the leadership team is finding it difficult to inspire the same level of excitement and growth-driven mindset among their staff. Dr. Roark and Stephanie dive into the complexities of team dynamics, the importance of patience in building trust and culture, and the challenges of sustaining motivation in a growing practice. They explore how to gauge whether a team's resistance is due to processing time, differing communication styles, or simply a need for clearer direction. Through personal anecdotes and practical advice, they offer insights into how leaders can align their vision with their team's enthusiasm.

Let's get into this episode…

Uncharted Veterinary Podcast · UVP – 300 – We Want Them To Love Their Jobs, Is That Too Much To Ask

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

Do you have something that you would love Andy and Stephanie to roleplay on the podcast – a situation where you would love some examples of what someone else would say and how they would say it? If so, send us a message through the mailbag! We want to hear your challenges and would love to feature your scenario on the podcast.

Submit your questions here: unchartedvet.com/mailbag


Upcoming Events

🌟 Advance Your Leadership Skills at the Uncharted Team Leads Summit! www.unchartedvet.com/tls

Mark September 18th on your calendar and ensure your presence at the Uncharted Team Leads Summit, specifically designed for veterinary team leads. Enjoy early bird pricing of $59 for members and $79 for non-members until August 16th.

We're excited to showcase a distinguished panel of speakers this year, including Dr. Andy Roark on innovative leadership strategies and Sarah Parsons on enhancing team morale. Develop your skills in conflict resolution with Maria Pirita and explore motivational coaching techniques with Kelsey Beth Carpenter and Tyler Grogan.

This summit is an excellent opportunity for veterinary managers and practice leaders to strengthen their leadership skills, address common management challenges, and improve team dynamics. Don't miss out on this opportunity to revolutionize how you lead and motivate your team!

🌟 Unlock Your Practice's Potential at the Practice Owner Summit! https://unchartedvet.com/event/practice-owner-summit-2024/

Connect with other veterinary practice owners at the Practice Owner Summit from December 5th to 7th in Atlanta, Georgia. This exclusive event is designed specifically for owners ready to transition from daily operations to expansive strategic growth. It's an ideal platform for exchanging ideas, discussing challenges, and discovering new strategies to improve your practice. Engage in sessions focused on leadership, business development, and effective management practices. This summit serves as a catalyst to transform your approach and elevate your practice to new heights. Secure your spot today for just $699 as a member and shift your focus to scaling your business.

Do you have something that you would love Andy and Stephanie to discuss on the podcast? If so, send us a message through the mailbag! Submit it here: unchartedvet.com/mailbag

Upcoming events: unchartedvet.com/upcoming-events/


Episode Transcript

Andy Roark: Hey everybody. I am your host, Dr. Andy Roark. And this is the Uncharted Veterinary Podcast guys. Before we get into it, This is our 300th episode. 300th Episode. I cannot believe it. From humble beginnings, Stephanie Goss, and I started out making this podcast together. It has been goodness gracious, five years, at least of, of working together, making episodes. 

We've had some amazing guests on here. We have laughed a lot. We have told a ton of stories. It has always meant the world to me. When people come up to me at conferences or out in the world and say, Hey, you guys made an episode and it really helped me. We were dealing with this in my practice. It's just, specialness of it, it never wears off. This has been a wonderful journey for me personally. I just, I'm so fulfilled doing this podcast. And I just love taking questions from you guys and, and talking about the profession that I love and how to get more out of it. 

So I just want to say, thanks. Thanks for those of you who have been with us. Some of you guys have listened to every episode. I cannot believe that I'm the only person I expected that of Stephanie's mom, Patty. Patty was our first listener and been with us the whole time. for those of you who have been with us for, for years, and thanks for just making this worthwhile and just, I don't know. 

I, my, my heart is just full of gratitude for you guys for, for being around and participating and encouraging us when you see us and things like that. It means it means a lot to me and to Stephanie. So anyway, 300th episode, we have no plans of stopping. We think we're going to lean in. 

We've got some new things coming. We will, I'm going to try some different stuff and just, just keep going. make, I don't know, make it fresh. Just the world is changing. Our profession is changing. I want our podcast to change. As well to continue to be maximum beneficial. If you have ideas about what you'd like to see as always, if you have things you would like us to tackle in the mailbag, send us email. 

That email address is podcast@unchartedvet.com that's podcast@unchartedvet.com. And again, I liked, I liked to hear your feedback. I want to make sure that we're serving our listeners as best we can. Anyway, guys, we got a great episode today. We want them to love their jobs. Is that too much to ask? It is episode 300, of the Uncharted Veterinary Podcast. Let's get into it.

Dr. Andy Roark: And we are back. It's me, Dr. Andy Roark and the one and only Stephanie Don't Have Me Break This Thing Down For Nothin Goss. I wanna see you on your baddest behavior, Stephanie Goss. How are you?

Stephanie Goss: I don't know. I feel like you have seen I, I feel like you have seen just like hints of what bad Stephanie could look like. I feel…

Dr. Andy Roark: Oh yeah, no. Oh no.

Stephanie Goss: That's not an open invitation.

Dr. Andy Roark: No, no, it's not, it's not an open invitation. Like, let's just That was not me flinging the door open for you to be yourself. Like, no, just keep yourself. Keep yourself contained like you have. Pass. I don't know! I know enough to know that I don't know what I would be okay with.

Stephanie Goss: Yes.

Dr. Andy Roark: I'm not, we're not insured for it, I'll tell you that.

Stephanie Goss: How's it going, Andy?

Dr. Andy Roark: It's good. It's good. It's good.

Stephanie Goss: I mean,

Dr. Andy Roark: Full swing into summer now, buddy. I have I have two teenagers in the house as well. 

Stephanie Goss: You do.

Dr. Andy Roark: Hannah's 13th birthday, came and went. It was not a big deal though. Hannah was one of those kids that was 11 going on 17. You know what I mean? Like, it did not, I asked her about it. I was like, how does it feel to be 13? And she was like, it feels like I should be 14. 

Stephanie Goss: It’s different. 

Dr. Andy Roark: That's what she said. She was like, I feel like I should be 14. I was like, ah, for whatever reason, when, when Jacqueline turned 16, we just kind of auto graduated Hannah to 13 for some reason in our minds. So this was like, it's, it's basically morbid parallel.

My, when my wife's grandmother died in January, she died, and then, We had to wait until June to bury her because she was getting interned at the Naval Academy with her husband. And so when we had the funeral in June, it was, you know what I mean, you're like, Nah, we feel like we've, we're, we're, you know, we're in, we're processed this. 

Stephanie Goss: We've done this

Dr. Andy Roark: We've done this. That's how I felt at my daughter's 13th birthday party too. But in a happier way, in a happier way.

Stephanie Goss: That's funny.

Dr. Andy Roark: Man, oh yeah. It was, yeah, it was,

Stephanie Goss: That’s funny. 

Dr. Andy Roark: It's been a whirlwind journey. Oh..

Stephanie Goss: I think some of that is the second or beyond the second kid syndrome, you know, like you do, you do all of the things with the first kid and, and then the second kid. And I also think some of it is just who Hannah is as a person. Like she's always just been a little bit of a sassier, older soul.

And like, I don't, you know, I think it just, I've just always put her on the same, on the same age wavelength as Jacqueline.

Dr. Andy Roark: oh, yeah. No, she's like, sassy and precocious and Jacqueline is just her own, her own self. Very kind hearted and so they do kind of square off pretty evenly. But, you know, also, I can't deny, like, we've got, we're those parents, we've got numerous photo books of our first child. And second, there's like a shoebox with some Polaroids of our second kid.

It's so bad. But so I totally see myself being like sweet 16. Jacqueline. How old are you little kid? Thirteen? Like,

Stephanie Goss: Yeah.Uh-huh.

Dr. Andy Roark: That’s just having multiple kids. The married couple I, I do work for is at Traveler's Rest Animal Hospital.

They got, like, five or six kids. I'm like, I would lose a kid somewhere. I'd be like, at some point the kid just wouldn't make it into the car and we were pulling away. It'd be, it'd be a couple of days before I was like, “didn't we have a blonde haired kid?”

Stephanie Goss: You'd be the home alone. You're the Home Alone parents?

Dr. Andy Roark: I would be home alone, except I would come back from vacation. I would get back and be like, oh, oh, we, ooh, boy, is my face red. I would, I would have turned around embarrassed. I would have been like, ooh 

Stephanie Goss: You're 

Dr. Andy Roark: Why are the lights on, we would have pulled up, why are the lights on at home? That's a lot about me, too. I just, it's possible I don't pay attention to detail as much.

Stephanie Goss: What? You not paying attention to detail?

Dr. Andy Roark: This is me giving myself a 360 degree eval.

Stephanie Goss: Shocker.

Dr. Andy Roark: If we ever have grandkids, I won't remember their names,

Stephanie Goss: Well, I I'm excited about this one. It's we got kind of a long mailbag. It's funny because I love when we get the longer mailbag letters because I love hearing the details of what's going on in people's practices. And, sometimes I struggle with like, how do I summarize this because there's so much here

Dr. Andy Roark: There’s a lot. There's a lot here.

Stephanie Goss: and I could spend the first 10 minutes of an episode reading, reading a letter.

But we got an email from a young practice manager and I just love so much about this. So they're, they are in a newer hospital. It sounds like a ground up build. It's a private general practice and they've been open.

Dr. Andy Roark: It’s a brand new hospital. It's a new practice. Yeah. I love this!

Stephanie Goss: they've been open for a couple years and they very intentionally set out to grow their culture as a practice.

And so they, they really took the time to develop a leadership team and the ownership team really was intentional and, and was like, this is the vision that we want to create and set out to create, you know, set out to achieve that vision. So they're super excited. They feel like they have kind of a different philosophy and approach.

They intentionally set out to have pay scales and, and set the wage bar higher to be very clear about what they were offering team members. They feel like they attracted a really large high quality team, they got up and going and now they're in this stage where they as a hospital are still in a growth mode.

Right? Right. They've only been open a little, a little bit of time and they feel like the team has kind of, settled back into this mode where they're like, okay, we've worked really hard and now we're just going to kind of kick back a little bit. But the leadership team is like, Hey, hi, we're still a brand new baby practice.

And we still need to be working really hard and pushing to get our, to get to the place where we want to be as a, as a practice and as a hospital. And so. The management team is really struggling because they're like, we're trying all of the things we're, we're you know, we were intentional about who we hired.

We have been supportive of them. We're trying to share information. We're having team meetings. We're being as open with them as we can. We feel like we've put in all of the work. And I really like how they, how they said this. They said, You know, we're ready to get behind support and help people who want to grow and do more and be a part of something bigger and we see such a great opportunity, but it doesn't feel like anyone on the team is biting at what's in front of them. What gives? 

And I just really liked how they said that because they're, you know, they have all of the best intentions. They're really trying to put their money where their mouth is. And they were like, you know, we've put in the work to give the team the quality of life, develop the culture, have a pay and work environment that people in this field deserve.

And we were hoping that the trade off would be that we would see more enthusiasm and that the team would be excited as we are to kind of grow together and build this thing. And so this leadership team is feeling like, how do we get them as excited? A, as they were when we first started, but B, how do we get them beyond that?

How do we get them to buy into the vision and want to grow this as much as we do? And, and they ask themselves, like, are, is that setting the expectation too high? Are we, are we trying to ask for too much? Are we being too idealistic to want everybody on the team to kind of have their own growth goals and want to not just show up and work a job every day?

I just loved this because I was like, this is, this is so meaty and there's so much here. To kind of dive into and I thought we could I thought we could have some fun with it.

Dr. Andy Roark: Yes. All right. So I I love this. I love this person. I think that the the way they lay things out, they're clearly trying to do really great stuff. They really want to have a meaningful purposeful place where people are excited to go work and boy does that resonate with me? Okay, that is a always been a huge thing for me I it's you know, and you know this you're laughing over there because you you you know I've seen from the beginning.

This is, this is, this is young Andy. It says it's current Andy. I, I am a pragmatic optimist. I, I am. I, but I think, I was funny. I was I was interviewing Josh Vaisman for the other podcast I do, the Cone of Shame. and we were talking about creating a positive sort of workplace and things.

And we were talking about the title of the episode when it comes out is going to be, Are We Happy Enough? And basically the idea was, I think that we make a mistake when we say to ourselves, I want my employees to be happy. And I think that happy is a terrible indicator to focus on. 

Because it's a, it's a lagging indicator.

Stephanie Goss: Then also, how do you measure that?

Well, and also, like, it's the most fleeting, ephemeral, up down thing in the world. Like, how many times have you gotten out of bed and been like, This is a terrible day! And then something great happens, you're like, This is wonderful! And then, you get stuck in traffic, and you're like, This is terrible!

And it's just, this yo-yo moving target metric that's terrible. It's just dumb.

Stephanie Goss: Well, and also like what makes you happy totally different than what makes me happy.

Dr. Andy Roark: Oh, and, and also, like, is the mark of a good life how happy you are? I don't think it is. I don't think it is. And so anyway, it was really sort of one of these neat philosophical questions. But, I had that exact, this exact confession that's in this letter I made to Josh Vaisman yesterday and said, I always just really wanted people to be excited to come to work.

Like, that's, that's, that's my idealistic thing I've always wanted to try to create. And I've always tried that, but boy, that's a harsh metric. But I have always aspired to that, so I really feel this a ton. And again, I don't know this practice, so I can't, I, we're gonna speak in a couple sort of generalities.

I'm gonna make some guesses and some assumptions, and I apologize, but, but we're gonna try to cover a broad, a broad swath of real estate here. I will, let me tell you a story about when your superpower gets turned against you. And you, Stephanie, have seen this so many times. So I am a high I in the DISC you know, space. And we teach DISC as communication styles. 

And so if you want to know about DISC, it's in our Leadership Essentials Certificate, which you can get there. through Vetfolio, or you get for free if you're an Uncharted member.

Anyway I am a high I, which means I am an influencer personality type, which means I or communication type. The first thing i'm going to think if you bring me a problem is who better get the team in here. Like who do I know who I could ask about this problem? 

That's the first thing I think and you will see me telling stories getting people fired up getting everybody together so we can swarm a problem and like I'm really, really good at it, and it is really one of the keys to my personal success, and like every super power, it has a flip side that makes it a super weakness, and so this idea, this feeling of talking to a team that has their arms crossed and is sitting in silence is a nightmare that I have lived through many times. And it just sucks my soul away. And the fact that I want people to get excited about something and they're not getting excited about it is really hard on me. In a way, and I think I hide it pretty well.

I've been doing this a long time. But it is challenging. As opposed to when I go in and get people excited and I get excited and the whole thing spins up And it turns into a rave in the treatment room at noon, you know what I mean? And it's just like yeah, and then we could conquer the world and I I feed on those exchanges. But I've been through many of the other ones and as a result I thought a lot about sort of why they happen and things like that.

But anyway, if you are you are someone like me and it feels like the person writing this letter might kind of be one of those I people or you know They they clearly someone in the leadership team wants to get the team fired up and fully engaged.  Boy, it's really hard to to have those meetings and people just you ask them questions and they just lean back. That's that's brutal. So anyway, I feel I feel this. 

First thing in headspace, I would say to the leadership team here, be kind to yourself. Be kind to yourself. Building trust and building culture, it just takes time. As much as you want to bring people in and say, alright, let's go, it takes time. for  them to come to believe that you genuinely want to hear what they have to say.

And, depending on their past experiences, it might take a long time for them to actually believe they're not going to get in trouble for telling you what they actually think. It can also, and again, lessons learned from me, it can also be hard when people really like you to give you negative feedback on the thing that you're excited about.

So, if people don't like you, they'll just go, I don't want to do that. But if they do like you, they don't want to crush your dreams. They don't want to pop your balloon that you're excited about right in front of your face. And so they'll often just, unless there's Stephanie Goss, who does it every Friday at 3.

Stephanie Goss: (Laughter) I was gonna say this is a perfect illustration of our team because everybody on the team, everybody on the team, not that I don't love Andy. I love Andy deeply and I have worked, you and I have worked together long enough. That I feel comfortable giving you feedback about things that you are excited about that I maybe don't think are the best of ideas or maybe we should approach different ways.

Dr. Andy Roark: Yep.

Stephanie Goss: And the rest of the team for a long time was in the phase of, Oh, we don't want to hurt Andy's feelings. So we're just going to kind of be a little bit quieter and slower to speak up. And I'm like,

Dr. Andy Roark: On a completely unrelated note, Stephanie Goss has never once been the employee of the month. Not one time.

Stephanie Goss: True story. I do have a crown though.

Dr. Andy Roark: That’s true. But it's true! It's true! I say this because, like, I have, I, it is a  thing you have to 

Stephanie Goss: It is. It is 

Dr. Andy Roark: it, it, it, if people, if people really like you and they don't want to hurt your feelings and they, they sometimes just won't be honest with you about what they're really thinking and that cripples your ability to move the team forward.

And so it goes back to this thing we use a lot, which is a Brene Brown thing is, but it's what is kind. And, and. I have really taken that into my, into my life as far as if there's someone I really care about and I don't give them feedback that they need to hear, that's not the kindest thing.

And that does not mean I walk around just being mean to my wife. This is not that. You know what I mean? And you pick your battles. And there's some things where I go. Yeah, It's kinder for me to not correct this person who really, really enjoyed the Bridgerton movie. I don't know whatever it's like.

I'm just like, I don't have to tell them that was a stupid movie. It's not, that doesn't matter. But if someone asks me for my feedback, and I know that they're trying to make decisions about how we're going to take care of pets and patients and clients based on my feedback. It's not kind for me to protect their feelings, necessarily.

I'm gonna be really nice to him. You see what I'm saying? So anyway It can be hard if people really like you or they see your enthusiasm and sometimes when you come hard with the enthusiasm. People, it's funny people read the tone of the room when they decide they're like, is this a feedback thing or is this a pep rally?

Because if it's a Because if it's a pep rally, I don't want to stop the music But if it's a feedback thing, I you know, I I would I have some questions um, and so it all those things can be kind of can be kind of hard and we just sometimes when we're trying to generate enthusiasm we skip the step of Getting buy in that the idea is solid and workable.

Stephanie Goss: Yes. And I think that goes back to your, your first point very, very much so about, you know, building that trust and that ability to, to read the team and know the team. Like, that takes time. And that was, so from a headspace perspective, one of the, one of the first questions that I had was this person had had put in their email you know, that they had worked really hard at hiring and they had found they had found outstanding team members was the, was the word that they, they used.

And I was interested and stuck on that because the question that I had is, are they really truly like shining examples of what you want in a team member or are they experienced? Because those two things are very different, number one. And number two, you can hire a whole crew of amazing individual People, you can hire outstanding candidates and you could hire five of them.

Just because you have five people who are truly exceptional at their job and who you see good qualities in, does not mean that they then immediately gel as a group. And so for me, like I, I agree with you, Andy, that had that the time piece is important in so many ways because so much of this takes time, the building trust, the gelling together as a team, the setting, the stage, for them to be able to give each other and you feedback, all of those things.

And so, I think that the biggest, the biggest piece to, for me I love that you started with the being kind to yourself, being kind to yourself and remembering like, this is, This is a marathon. This is this and this is like an ultra marathon. This is definitely not a sprint. And so it's really easy to your point for people like you and I who get excited and we're the golden retrievers and we're just wagging our tail all over everybody.

It's really easy for us to get like sad about well, why isn't everybody as excited as we are? And I think it's really important to remember like, yeah, This takes, this takes time. This is a process.

Dr. Andy Roark: Talk is cheap. I think that's really important. Talk is cheap And if people got wildly fired up every time some boss came and told them how great the future was going to be they'd be fired up all the time like but as a lot of people who have sat through a lot of really Inspiring talks from their boss that did not really pan out to be what they were sold. And so again, that's not about talk You but that is about the state of the world the fact that talk is cheap I I will say there's some Talk in this letter about you know establishing a vision and a plan and things like that.

It's helpful for me as a big idea person to remember that most people can't create out of nothing. So just as a point on creativity It is very hard if I said to you stephanie goss write a book you'd be like, I don't have, like, I don't, I don't know what to do with that. If I said to you, Stephanie Goss, write a book about you know, about vampires living in modern day Chicago.

Stephanie Goss: Washington? 

Andy Roark: And whatever, you know what I mean? Like, and again, that's silly. But if I give you these, suddenly it gets a whole lot easier. Like, you can actually probably already envision some pieces, you know, like, what would this even, you, you can even start to put it in your head.

Stephanie Goss: They won't, they won't sparkle in my book. Let me, Let me put it that way. 

Dr. Andy Roark: But, you get, you get the point.

It's really hard for someone to, to It's just the whole idea of We can be whatever you want us to be. What do you guys want? Where would you be happy working? People can't answer that question. They would say, if you said Hey Do you guys do you think so we're thinking about doing more technician appointments than we currently do.

They're like, oh, they have an opinion on that right away, because they can see that. But, but you have to, you have to give them something to create in. That's hard. 

Stephanie Goss: Mm hmm.

Dr. Andy Roark: Resting B Face is also not always what you think it is. And this goes back to the, you know, I'm trying to get the team fired up, and they're just sitting there.

And sometimes, you are dealing with people who are not negative, they just are processing. And again, I, we work with people like that who are wonderful, but they're, if you expect them to get fired up about your idea, you're going to be disappointed. They are not, they are going to sit there and they might ask some questions.

But they won't be like, when can we start, yet there will be much harder questions. And they're just processing people. I, one of the biggest things that happened to me early in my career was I was, you know, I was, I was lecturing, it was like the first year that I was speaking. And so, literally, it was my first, first year doing a new speaking.

And I got picked up to go and speak at this event and, and I was talking about exam room communication and I was about two, three years into being a vet. I, my stuff was really well backed up with research. You know what I mean? It was like I had personal experience of me trying it and doing it, but, but it wasn't like I was just saying after two years, let me tell you how to do it.

It was, but I was like, this is what the research is. This is the classic selling structure fit into a compassionate framework of that medicine. I really put a lot of work to it. And so anyway, so I go and I do this talk and in the audience is this guy named Bob Carton and Bob is, was a legend, like I, he was in the West Coast I had met him because he had presented other management stuff, he was, he had owned multiple hospitals, like I knew exactly who this guy was, and he's sitting there in the audience listening to me, Andy Roark, two and a half years, three years out of vet school, lecture on education on how to do exam room communication stuff. 

And he had his arms crossed, and he just looked disgusted. He looked nauseous. He looked like, he looked like I had, you know what I mean? He looked like I was serving just pieces of lemon for him to eat. And then he came back to the second hour, and then he stayed all day. And all day, he just looked at me like that. And I was just like, this is terrible. 

And at the end of the day, he came up to me and he said that was the best exam room ever. Communication presentation I've ever seen. And I, I, I have never forgotten that. Because one, it was high praise from someone that I respected.

It was like a big deal early on for me. I was like, oh my god. But also, I have literally never forgotten how unhappy he looked. All day. Before he gave me one of the most meaningful compliments I have gotten in my entire career. And so I have seen that again and again and again, is that sometimes you, you are just working and you feel like you're bombing because you're not getting this.

I don't know. You're, you're not seeing the positive body language. People are not jumping in.

Stephanie Goss: Yes.

Dr. Andy Roark: You're not being perceived the way your unkind inner voice is telling you you're being perceived.

Stephanie Goss: Yeah. It's so funny. It's so funny that you bring that up and I, I think that that's true, and especially in the context of team meetings. You know, I, I learned pretty early on in my career, like you, I am, I am a high I. And I'm a very animated talker. This is hard to believe, I know. But I use my hands a lot, and I gesture, and I get really excited.

And I learned early on that my, my team does, It seemed to be like, it seemed to be a little too much for my team. I had a team of kind of introverts. And so I started, I started doing this thing kind of early on where I had somebody give me feedback that like, you get really excited and you're gesturing and it's just like, it's a lot for me and that it was somebody that I cared about.

And so I like, I internalized that. And so what I, what I realized years later is that I started, I started crossing my arms when I was talking and like, it's so funny that you said that about Bob because, so I started, I started sitting there and I always sit there with my arms crossed across my chest when I'm having meetings and it's an, it's intentional because I'm trying to stay focused and I'm trying to keep myself calm or I'll sit on, I'll sit on my hands.

And it's funny because my team at my California practice, we participated in, in the first iteration of the Bayer Brackey study and part of it was doing work with some awesome, awesome colleagues and we, the whole team learned about communication and a bunch of other things, but we did a class on body work and on body language and how it's perceived from a client perspective.

And it was super interesting because we did the whole thing, like now that they do in vet schools where they bring in the actors and they have, that you do the practice appointments and you get feedback on your, on your experience. And I had that experience of getting the feedback from my team who were like, you know, what when you cross your arms, I feel like you're, I feel like you're angry, or I feel like you're about to tell me something that I, that I don't want to hear and they're reading it as, as like, like you were reading Bob.

They're reading me as angry and I'm like, Oh my God, I'm just trying to listen to you guys and not like get excited and like spit on you and like give you hugs in the middle of the conversation because I'm excited and I'm doing it for a very different reason. And so. I think that point is super, super valid, especially when you're building relationships with people on your team, which is really what's happening here.

You don't know. I mean, maybe you've worked with some of these people before, but as you're, you're learning each other, it's just like learning a relationship in your personal life. It takes you time to learn somebody else's body language, their facial expressions. But it does come in time. 

And I think, you know, you and I learned that when two years ago when Maria joined our team and she had been with us a couple of weeks and she was just like, I freaking hate being in meetings with you and Andy. And I was like, Oh God. And she was like, no, because you guys just look at each other and you give each other looks and you're like, yeah, okay. And then we move on. And she's like, I don't know what just happened. Like, what did I just miss? 

Well, it's because decisions are made because we can finish each other's sentences. A lot of the time we know what the other is thinking, but that's, that's almost eight years of working together intensely, right? Like that takes time. And so I think that's the part about learning people, learning people. How they process, how they think, their body language, all of that is important and it all sits squarely in your first headspace about that. That all takes time. It doesn't happen overnight.

Dr. Andy Roark: Yeah, I agree. I would make the point that strategic planning when you're tired is a bad idea. And again, I don't know if that's what's happening, but they're like, We have come out and we are growing and we've got more growth to do! And in my experience, if you take the team and they're like, Oh boy!

We're working really hard and you go to them and you're like, what are you guys excited about in the future? Where should we go? What services should we add? You're not going to get the enthusiastic response that, you know, that you, that you're looking for. And again, I have, I have run into this one as well.

it's, that, that's 

Stephanie Goss: Or they will cry, you know.

Andy Roark: Yeah, totally. I mean, honestly, it can go the other way. You can, people, people can break down crying when you're like, this was, this was amazing. Guys, we saw a record number of patients this month. Let's talk about adding a new service. And people just, they'll cry and it's because you know that you have a hiring plan in place and you're planning to staff up and support, but they don't know that or they don't necessarily believe it.

And again, it goes back to it. Talk is cheap and people have been told a lot of things in the past and so if they feel like they're working hard I have learned that you, it's, it's very challenging to get them really fired up. They'll hopefully listen to what you say. You need to make sure that you're helping them see the path.

And I think that this is a big part of when I said, it's hard to create out of nothing. One of the problems is you say, well, we can have this, but. Well, the people who are actually doing the work are much more interested in how, what does the process of going from where we are to there look like as opposed to let's make a vision for the future.

Like they really want to know how does this affect my next shift when I clock in and you can, you can lose people there.

Stephanie Goss: And I think that's really important because in this, in this email, they were like, you know, we, we want, we could go anywhere and we could do anything. There was the sense of that. Right. And to your point, that's really hard for a lot of people. And there are people in this world who clearly this leadership team has that can, can get a vision that can, you know, create out of nothing that can look at the future and say, this is where we could go.

Let's go there. And recognizing that a lot of people can't, when you talk to the team and you ask them questions like, what do you guys want to do? Who do we want to be as a practice? Where do we want to go? And they're sitting there and they're giving you nothing. 

It's not necessarily because they think that that's a bad idea or they don't want to work hard for a lot of people, especially those process people they can't see that if you tell them, Hey, we would like to be known in town as the best white glove, high touch practice that takes care of their clients. And we would love your input on what that could look like. You're giving them that framework to then see a little bit of the path and see potentially themselves on that path.

And they're probably going to give you more feedback. There are a lot of people where if you just throw those doors open, they are just going to sit there and look at you because they don't even know where to start.

Dr. Andy Roark: I agree. I think I think when you, when you look at this there's a balance. Especially, all these things that we're saying are true. At some point complete and total enthusiasm and buy in may just not be possible for where we are. The analogy I always use is this OxyClean idea. So OxyClean is this cleaning, you know, detergent product.

And in the commercials what happens is there's like dirty water and laundry, like it's like literally muddy water.

Stephanie Goss: Like the the white baseball pants or the

Dr. Andy Roark: Exactly right, in  like muddy water, and then they dump the OxyClean in, and then the water becomes crystal clear. Right, and then you can add more dirty stuff and the water doesn't turn clear.

I use that metaphor in my mind for culture building. The first thing you have to do is get the culture going, and then you can add more people to it. But, right now, you're just sitting with a big vat of water, and maybe great people. But the culture has not started to spin yet. And again, a lot of times you're going to toil away Behind the scenes pushing this and we're gonna get into action steps here And I got I got a solid plan to say we're gonna run you through a checklist Just sort of wrap up headspace a couple things to remember it might not be possible to have a complete democracy right now and honestly, we're probably never gonna want to complete democracy but we can ask for feedback and if we're not getting anything then my advice to you is to go ahead and make a plan. Make a short term, make the next plan, make the one year plan and then ask for feedback on the plan because now I'm giving them something more tangible.

I'm asking them specifically, does this look reasonable to you? What do you guys think about approaching it this way? And now I'm giving them something much more tangible to give me feedback on,right? Remember, at some point, like I said, getting complete and total buy in is not, may not be totally possible.

That's okay. It's important that everybody feels heard and at some point we're gonna make a decision about what we're doing. I tie this back a lot to the family dynamic of, and again, I don't like comparing employees to children, but in my family, there are times that my wife and I decide we're going on vacation in the mountains and we're going to hike and my kids are like, I don't want to go on the vacation in the mountains and hike. Sometimes we want to reach it, we want to reach a consensus. And sometimes, this is what we're, This is what we're doing. This is because, some, my wife's work has, you know, a given opportunity, whatever the reason is. Sometimes it's, I hear that and I understand, and I understand what your concerns are.

And so we are going to go to the mountains. And, we're going to try to do some things to address your concerns and make sure that you're not bored and your legs don't fall off your body from walking up the mountains. But, we are, I hear that and this is what we're doing. And so, so there's, but you, you always want to find that, that, that sort of the balance.

I'm not, I'm not trying to advocate for tyranny, but, but, but sometimes, especially getting going, if people are noncommittal, sometimes we make a choice and we go, and then we take feedback on how the trip is going and what adjustments we can make. 

And so that is, that is a possibility. The last thing that I want to say is this, now there's a headspace, but this is important. This is where we see real strength. In leadership, right? It is easy to cheerlead and high five and celebrate when everybody's laughing and pets are getting fixed and money is rolling in the door like it is easy to manifest the positive culture you want to see when you're just winning and winning and winning, right?

What's hard is being the one who smiles and greets people warmly when revenues down 20%. That is hard. It is hard to demonstrate the behaviors that you want to see in the practice when your toddler kept you up all night. But my friends, that is when real strength comes out. That is the difference between people who have the discipline and, and yeah, the discipline to, to manifest the culture they want to have.

And people who don't have that discipline. I'm not trying to shame anybody. Trust me, but I have been kept up by my toddlers back in the day and I was not my best self the next day and I have come into our meetings and been like, Oh, we had a bad month last month and I am not my best self. And again, but that's why I say this is strength.

And sometimes, especially here when the team kind of leads back and they're not really sure. Yeah. You have to have the resolve to continue to manifest the culture that you want to see, to positively reinforce other people when they show the culture that you want to see, and to continue to be optimistic about the future and where we're going, even when other people are just being quiet, drinking their coffee and not saying a whole lot you have to and it is strength because it does not come easy Until you get other people to get on board, but this is the oxyclean, right? This is trying to get the first cycles going and get things to start turning over and turning crystal clear. You have to be the one who walks with a smile on your face when nobody's smiling back at you.

Stephanie Goss: And I think, I think to your, to your point, Andy, like the, the discipline to show up and keep doing that is what sets people apart because you made the point earlier. And it is so true. An employer can tell you anything. But it's how they show up every day or how they show up when it matters the most to you as a person that really tells you who they are.

And so when you bring a new team together, you know, you can have a big vision and you can have all of these ideas and you can sell them on all of that and how you show up, how you show up when it's good. And how you show up when it's not so good, not only allows them to see that you are walking your talk, but it really opens the door for the team to see themselves inside of that vision, because it's all a part of building those relationships and building that trust and when they see you able to show up and be really kind to the clients at the front desk, even when You know, the someone's driven a car through the back of the hospital like that makes the difference for them to be able to say, Oh, they're showing up, even though this is hard, like, this is how I want to show up myself.

You're setting that example for them. And I think that that that part of it is really, really important because they can you can sell them on your vision, and you can even sell them on your idea of their role in your vision, but until they actually can see themselves inside your vision in, in a role.

And it may be the role that you, you know, saw them in, it may be a completely different role until they can get to that place. They're not going to step up in a big way. And so I think that that discipline matters a lot.

Dr. Andy Roark:  I think of good culture as a song. And you got the employees there and you're like, Alright guys, we're gonna sing this song. When no one around you is singing the song, it's scary to sing the song. It is not enticing. You're not like, I feel like being the only person singing. When everyone around you is singing, it's easy to sing.

And that's how, that's how good culture is. The problem is, somebody's gotta start the song. And somebody has to sing first, and that's the leadership. Now, the one thing I would say that's just, again, I want to leave headspace on a really positive note. The person who wrote to us says that we have a leadership team, and they are bought into what we're doing.

They're excited. It's like, you're not singing alone, it doesn't sound like. It sounds like you've got a couple other singers. Sometimes, you might have to be content with five people singing in the middle of the group. That confidence to say, I don't really care if the people around me start singing this, I'm singing this and this is what the good culture is going to be.

And you know, at least for now, I don't need everybody to sing. I'm going to sing and I'm going to keep singing. And like, honestly, a lot of times what will happen is people around you, they'll break and they'll start singing and that's good. And there's some people, and there's some people who will never sing and you can decide what you do with those people.

But right now, when nobody else is singing you know, we're just gonna, we're gonna deal with it. So anyway, let's take a break real fast, cause we are, we are late in the, late in the podcast to get to Action Steps.

Stephanie Goss: Let's do it.

 Hey guys, are you a team lead who has not yet registered for the Uncharted Team Leads Summit? if you are, if you're a head technician, head CSR or something like that. You need to be at the team leads. Some is a one day virtual event. It is taking place on September the 18th and early bird pricing is about to end that's right. 

The early bird pricing ends on August 16th. You should be there. You should be growing your career. You should be stretching and expanding your skills. You should be getting better at managing and leading other people so that you enjoy your work more and your patients get better outcomes and your team runs more smoothly. And your practice culture is better. 

All those things come from you being comfortable, confident well-trained able to handle the stresses that are put on team leads. Cause guys, the team lead role is just growing in importance. 

I'll be there. I've got a session is called the Jedi mind trick how to get doctors to do what you want. Sarah Parsons. Is there talking about boosting morale? Maria Pirita is doing conflict management, mastering mediation. 

So you know that there's going to be times that you are going to have to get in between two people that you lead that are not getting along. Let's make you a better mediator. Let me give you the basics so that, you know, sometimes they're not able to sort it out on their own and we have to help make that happen. To keep the team functioning at a high level. 

Let's let's get some skills guys. Tyler Grogan and Kelsey Carpenter are going to be doing becoming the coach. Not the referee. As you can tell, this program is absolutely jam packed with useful sessions for team leads. Grab it before early bird registration ends on August the 16th, and we will see you on September the 18th link in the show notes. I hope to see you there. 

Dr. Andy Roark: Alright, so I've got I've got a, a checklist here, but I think I can go through it pretty quick, but we're, it's gonna be tight.

Sounds good? Alright, we're gonna get into Action Steps, and just buckle up, cause I wanna, we're gonna Move through these, but I've got I've got a checklist. I've got eight things. And again, I don't exactly know what's going on or where the pushback is, but this is a checklist I would run through. That's kind of a mixture of diagnostics and action steps.

So sound sound good. All right. Cool. All right. The first thing I think you got to do In this case is get comfortable lifting from the top, not the bottom. So the idea with this is imagine your team is a string and there's two ways to lift the string. You can take one into the string and you can lift it.

And that's just taking your high performers and lifting them up. And ultimately the rest of the group will come along with it. Or you can lift from the bottom, which is, we're going to take. The least engaged people and push them up. 

We're going to start working on at the lowest level and come up I am a big believer in taking the top and lifting from the top and then letting it come up. If you want to change the culture start celebrating and investing into the people who are on board like that. That's it and just do not get don't get totally bogged down in the fact that some people are not on board so my wife and I went on a college trip.

It was a college trip that she was running. And there was a group of college students who were great. And there were about 20 college students, and about 4 of them were not as engaged as the others. And it was very easy to focus on those 4, and think, ah, these kids are not engaged, or blah, blah, blah. The truth is, 16 of them were awesome.

Awesome. And totally. Now, the four were not bad. Don't get me wrong. They just preferred to do their own thing. But it was really easy to focus on that as opposed, and think, Oh, this is not working. Forget those guys. Make a great experience for the other 16. Hopefully those four will decide this is awesome and come along.

But the same thing I see in practice all the time. It's really easy to focus on the people who are sitting back with their arms crossed. And you don't see the people around you who are all gently nodding. And you're getting them. You know, and they're starting to hum the song with you, but you're only looking at the people who are refusing to sing.

So anyway, get comfortable lifting from the top. Don't worry about lifting up from the bottom. We'll deal with that. Again, this is a marathon, as you said, not a sprint. I think you were spot on. Alright, number two, get your goals and values straight so that you can validate yourself. Now, it's what I hear from this is, oh, we've got this vision or we've got these things we want to do but the staff's not buying into them.

Again, this is just bullet proofing yourself. Yeah, if this is the impact you want to have on the world, and it's truly the impact you want to have on the world, forget what the staff thinks. Go, go and live those values. Work on making the hospital the place that you want it to be. If you have decided this is the impact we want to have on the world, go do it.

And have that impact and validate yourself and don't judge your success by whether or not the staff says nice things to you, but you have got to know why are you doing this job? What does fulfillment and reward look like to you? And then go and make that thing and fight that battle. But a lot of times, it's really easy as a leader to feel like your success is dependent on the emotions or the buy in of the people around you.

And that's a really delicate and fragile place to be. You need to decide how you're going to impact the world, and then go and impact the world. And use your staff to do it, but they may not like it.

But we're making the world better, and I'm okay with that. The truth is, they're, they do like it. They're going to like it.

Especially if you're doing something good in the world. So anyway, but it's that, it's that, find that internal validation about what your practice is doing and recognize, I don't need to be cheered on by the practice. I know that we are practicing the best standard of care. I know that we are supporting the community.

I know that we're making care accessible. Like, whatever, whatever our things are. So anyway, Get yourself so you're gonna feel okay.  right? Figure out what the team values and what they find meaning in. Do not try to figure out what makes them happy. And you and I talked about this before. Don't try to figure out how to make the staff happy.

Happy is a lagging indicator, right? There was a study I referenced a couple weeks ago in the podcast AAHA put out their retention study survey thing. And they call it Please Stay, which I think is a terrible name, but but it just, it sounds whiny and desperate. But anyway, they didn't ask me, there's a long trend of them not asking, I know, it's a long trend of them not asking me what I think that continues on.

I'm just doing it right now, I'm very passive aggressively giving feedback to them anyway.

Stephanie Goss: Yes. 

Dr. Andy Roark: They, they, so they surveyed veterinarians and technicians and they asked them basically what do you care about the, the most at work, what is most likely to make you stay. And both techs and veterinarians said meaningful work was nothing more than a thing for both of them. 

What the heck is meaningful work? It depends on the individual. One of the ways to start building the culture is make sure that you're asking them. What meaningful work is, when do you feel fulfilled, when do you feel proud of the work that you have done here?

Tell me about a time. Those are the questions you want to ask, because again, getting them on board with the culture is figuring out partly who they are and what do they value. And it's really hard to get people fired up about a culture that's built on values that I don't have.

Stephanie Goss: Yes. And I think, I think so I, I really had one, one chunk that fits right in here from an action step perspective. And I think you're, you're spot on, Andy, in figuring, figuring out what do they value and what do they find meaning in? And I think I don't, this is, I'm going to make an assumption if you're not already doing one on ones, and I don't know whether this person is or not, but if you're not regularly meeting with the team in a one on one setting, or even if you have a practice owner and yourself, like a two to one, but like regularly doing conversations with your team to see How's it going?

What do you, what are you loving about your job? What's making your job hard right now? How can we help support you? If you're not having those regular conversations to dig into what they want, how are they motivated for you to figure out how to, how they're motivated, not for them to tell you what they're motivated by, although you can ask them that question, but also asking them how they see their place on the team and in the company if you're not digging into those three things on a regular basis with different questions you are absolute like that's where you have to start because you that's that's how you get to know them and someone it takes a brave person to stand up in a team meeting and say, I want to take charge of this project.

It, that, that takes it takes confidence and it takes trust in the environment and takes vulnerability. All those things don't happen overnight. And so if you're expecting them to step up and say, Hey, I want to do this thing, you might be disappointed over and over and over again. If you're asking them in a quiet, one to one environment.

Hey, what do you love about your job? How can I help you do more of that? What are you excited about? What, you know, what ideas do you have? If you're asking them that and creating an environment where then they can say, well, you know, I would really like to try doing this. You're missing that opportunity.

Dr. Andy Roark: Alright, so, if you've gotten yourself set up for some internal validation, you know what your values are, you know what your team is trying, how they're trying to impact the world, you understand what your employees, what their values are, and like what fulfillment, meaningful work looks like to them, then you're ready for step four, which is get to work.

Now, when you get to work, what it means is, get to work. Get out there and start living the culture that you want to have. And this is important. Consistency is key. 

Consistency crushes grand gestures. Now, the number of times that you and I have seen people do over the top gestures for staff appreciation one time, and then disappear. It's huge. And I get it. And like, boy, grand gestures are what we see in movies. You know what I mean? It's the big, win the girl back at the end of the movies standing outside with the boombox over your head. Like, it's that. It's that grand gesture. And that works in the movies. But if you want a real culture, like the OxiClean we're talking about, where it just keeps going and new people are added in, they get swept up, that is all about consistency.

It is not the sexy, we did this for our staff and I posted it on the Facebook managers group and everybody told me I was amazing. It's not that. It's, it's the actual Appreciation, living the values, patting people on the back, giving them good feedback, celebrating little wins privately, doing the one on ones.

It's all those things that make the culture happen, but it's consistency.

Stephanie Goss: It's not what you do for tech week or CSR week or assistant week. It’s what you do the rest of the 52 weeks throughout the year.

Dr. Andy Roark: Correct. Yep. Exactly. So that's it. You just gotta get to it. And it's consistency. And I hope we've made the point. Rome wasn't built in a day. This is a marathon. And so, get to work. And don't be crestfallen if after three weeks people haven't radically changed.

Um, you're in it for the long haul. Alright, number five. Set clear expectations on what behaviors you were willing to pay people for. And which ones you are not It's clear expectations is this is who we are. This is what we're trying to do. Do not set clear expectations around how people are supposed to feel. I expect you to show up and be happy.

I expect you to be fully engaged in the staff meetings. Like I don't know what that is. Like no, we expect you to treat people with respect. We expect you to, you know, to follow these protocols, to get this robust history, to support the doctors, to do like you what, what do you expect from people? I expect you to be on time whatever.

But it's funny, you can't set expectations about how people are supposed to feel. Set expectations about the behaviors that you are willing to pay for. And I put that as it's funny, I've seen practices that have swung so far into believing that they are a democracy and everyone has to be fully bought in before we can start to do things.

And I'm like, we aspire to people feeling great ownership and that's what we're working towards. Sometimes we have to tell people, this is your job and, and this is what I need you to do and this is what we're paying you for. And again, it's a very gentle conversation. It's not tyrannical, but at some point I'm not giving you a paycheck hoping that you're going to feel like doing the work that our team needs to have done.

Like that's not how this works. So anyway, but you can, you can set those expectations and mean them. But also, I, you can't it's the, you don't want it to be the old beatings will continue until morale improves. Like, that doesn't, that doesn't work. Um. 

Stephanie Goss: Alright, what’s number six?

Dr. Andy Roark: Walk your talk, live your values, celebrate the behaviors you want to see more of, right?

Remember, positive reinforcement of culture is the key. You cannot negatively reinforce your way to a great culture. You cannot catch people and tell them they're being booby bands. Until the culture becomes wonderful. You have got to identify people who are doing the things that you want to have done Or behaving the way you want to behave.

You need to tell them very specifically This is what I saw you do and I am thrilled because it supports this value. It is making the impact that we want to make in the world. Thank you. Thank you. Thank you. That's how you build the culture that you want. And so, get out there, demonstrate the culture, and then really get people get people, get people feeling good when they do the culture and you pat them on the back. Right? 

Stephanie Goss: I think you can celebrate the people who are stepping up and are doing the things that you want them to. And that doesn't always look like calling someone out front and center in a team meeting. And what I mean by that is like when somebody on the team steps up and maybe they bring you an idea, But maybe they're not, maybe they're, I don't know, like me and they hate being acknowledged or praised in front of the whole team.

You can still hold it up and say, hey, someone on the team brought me an idea and this was the idea they brought me. And I just loved that they took ownership of our values in this way. And I thought it was a wonderful idea. And I would love to know how. What things the rest of the team would like to do that look like this, or that tie to the, you know, have to do with how we interact with clients in the exam room, or our workflow, or whatever the idea was, right?

You can use that as a stepping stone to opening the door to the conversation with the rest of the team without putting that person up for praise. Because sometimes what happens is when we put one team member up on a pedestal, The rest of the team sits back and just stares at you because they're feeling like, well, they had a great idea.

I'm not going to speak up now because whatever I have is not going to measure up to what that person's idea was, right? So we want to praise our team. And also sometimes this is a thing that can backfire when you put someone, single someone out, you're doing it with good intention because you want to celebrate that person because they did the behavior and recognizing that that can backfire in front of the group.

But you can still use that in an anonymous way to get them to do the behavior that you want them to do

Dr. Andy Roark: Yeah, I agree. And when I was saying that positively reinforced, I didn't necessarily mean make a presentation in front of the team, I meant catch that person and thank them and tell them directly. And again, some people want to be called out in front of staff. I wasn't thinking about that. I was honestly just thinking about catching them and praising them.

Alright, number seven. Don't force the team meeting format. If you're, if you're having these team meetings and nobody's talking to you, maybe that's not the right format for communicating with your team. Maybe you've got a bunch of people who are never going to want to sit in a circle with 25 people and talk like that.

Try, try some different stuff. Maybe, maybe a suggestion box to get feedback. You know, maybe they'll never raise their hand and tell you, but maybe you can ask them for emails or, or an anonymous way to give feedback, things like that. Maybe we're not going to do team meetings. Maybe we're going to do huddles in the morning and the evening, and that's how we're going to communicate with the staff and work in smaller groups.

Maybe we're going to have team co presenters at the meeting. If you want to get staff involved with the meeting, give them a part of it to run. And again, that all works with certain groups, but that is a thing that we have definitely done. I've had a really quiet group, and boy, I tell you, when you split it up real quick and say, well, you guys are going to handle this part of the meeting, you guys are going to handle this part of the meeting, suddenly I got people a lot more engaged in the meetings because they're terrified.

Use, use breakout groups. A lot of times, I see people standing up and trying to talk to the whole team, and the whole team is not interested in talking to you in front of everybody. Let them turn to their neighbor, let, put them into, get in groups of two to four, and you guys discuss what you think, and then come back and the groups can share, and that way, a lot of times people have ideas, but they're terrified to put it out because it might be a stupid idea, but they're okay to bounce it off of two other people, very quietly, and the other two people go, That's a great idea.

You should say that. That's really good. And now they'll share it with you. And so again, that, that, Pair and then share model. That can be really useful as well. 

The last thing is sort of you can ask the team for advice on getting people to engage more in the staff meetings and tell them why it's important.

Just sort of say, Hey, I really want your feedback. What would make these meetings more accessible to you guys? Like, are, is there a different format? Is there other ways to communicate that might be helpful for you? And, and asking them how they would like to engage. That can be, and then they might say, Oh, we'd like to have more small meetings.

We'd like to have meetings by role and we can talk more there. I, I don't know. But that's, that's number seven for me is, is, is don't be married to a team meeting format. That's not working for you. You're interested in shaking up the team. The profession in the world and you're interested in growing and changing and developing. Well, if this meeting format ain't working for you, I know one place you can grow and develop right now.

Stephanie Goss: I, I, you hit on a soapbox right as we're trying to go. So I'm just not, I'm not going to say, anything. What's What's number eight?

Dr. Andy Roark: Number eight is to go big on positive feedback and hold people accountable. Which means really lean into celebrating and rewarding the people who are living your values and your culture. I am a huge fan of empowering the team to call each other out when they see people.

Doing good in the world living the values. I really love that. I am all about doing some nice bonuses or gifts or celebrations for people who for people who are living the values. I think that that's great. But you can't be everywhere. And so some sort of a way for someone to give imaginary clinic bucks to someone when they see the person doing something great, I think that's awesome, but but you have to tell me why you gave that person imaginary clinic bucks so I can be excited about, about what they did.

And so anyway, but go big on the positive feedback, and while you're going big on the positive, hold people accountable. If you see breakdowns in the culture, you need to say something about it. But that only works when you're going really hard on celebrating the behaviors you do want to see. Otherwise, it becomes punitive path to good culture, and that doesn't work very well.

Stephanie Goss: I love it. 

Dr. Andy Roark: That’s all I got.

Stephanie Goss: Oh man,we did it. 

Dr. Andy Roark: I'm out of breath.

Stephanie Goss: I, I'm hoping that this, this was helpful. I honestly, this was one of those letters where I'm like, we could do five different episodes out of what's in this email.

Dr. Andy Roark: This could have been a three hour seminar. 

Stephanie Goss: Yeah. Yeah. Episode. It could make a case study. Okay. Take care everybody. Have a great rest of your week and we'll see you back here next week.

Dr. Andy Roark: Thanks everybody.

And that's it. That's what I got for you guys. Thanks so much for tuning in. Thanks for being here. Thanks for listening to the 300th episode. Thanks to all of you guys who have been with us for a long, long time. If there's any of you out there, who've listened to all 300 episodes and you feel like doing it. 

Shoot me an email@podcastatunchartedvet.com. I just, I would blow my mind that someone has listened to every episode that we've done, but anyway, gang take care of yourselves. I'll talk to you later. Bye.

Written by Maria Pirita · Categorized: Blog, Podcast · Tagged: communication, culture, management

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