• Skip to main content

Uncharted Veterinary Conference

Revolutionary veterinary marketing & business conference for those forging their own paths and telling their own stories.

  • Account
    • Log In/Out
  •  

Podcast

Oct 18 2023

If You and I Hang Out, Does Everyone Need to Be Invited?

This week on the Uncharted Podcast, Dr. Andy Roark and practice management geek Stephanie Goss are in our mailbag to tackle a question from a practice manager who is wondering about fraternization. Now while Stephanie's mind immediately went to a specific kind of fraternization (and we do talk about that one!), the email was targeted at how to go about handling your friendship as a leader with only certain members of the team. They have tried to keep work and personal separate but are wondering how to handle things if one leader does hang out with someone(s) from the team outside of work. Or if two people working together do wind up dating! Let's get into this…

Uncharted Veterinary Podcast · UVP – 254 – If You And I Hang Out, Does Everyone Have To Be Invited? 1

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 role play 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

Referenced Uncharted Podcast Episode: I'm the Boss, Now Can We Still Be Friends?

DON'T MISS YOUR CHANCE TO JOIN US…

October 25, 2023: Team Meetings That Build A Financially-Informed Culture

with Ron Sosa

Time: 12pm ET/9am PT – 2pm ET/12pm PT

Strike a balance between a money-focused environment and a culture that values more than just profits at your veterinary practice. Join our live virtual workshop and unlock the strategies to promote financial transparency, trust, and united engagement. Register now to foster a financially-informed culture and drive your practice toward greater success.

November 3, 2023: Supporting New Graduate Veterinarians

with Katrina Breitreiter

Time: 2pm ET/11am PT – 4pm ET/1pm PT

Are you ready to equip your veterinary practice with effective mentoring strategies for new graduate veterinarians? Join our live virtual workshop, “Supporting New Graduate Veterinarians,” with Dr. Katrina Breitreiter, DVM, DABVP & tackle hiring challenges at your practice through cultivating a strong mentorship culture, attracting top talent, & supporting your new graduates to thrive in clinical practice.

These workshops are free for our current Uncharted members and only $99 for the general public! Come join us.

Upcoming events: unchartedvet.com/upcoming-events/


Episode Transcript

Stephanie Goss:
Hey, everybody. I am Stephanie Goss, and this is another episode of The Uncharted Podcast. This week on the podcast, Andy and I are taking a letter from the mailbag asking about a fun and, potentially, spicy topic.
But we don't go down the spicy rabbit hole as much as my heart would love to. The email is about fraternization in the workplace, but, even though, Andy teases me about where my head immediately goes, thinking about dating and other spicy things in the workplace, we focus mostly on the big part of the question, it has to do with enjoying spending time with coworkers, and becoming friends with people in the workplace.
Now we've done some podcast episodes previously, and we'll link them in the show notes about what it feels like, and how to make some decisions as a leader in a practice when it comes to being friends with your teammates, but this one has to do with really how to set the boundaries, but how to balance being friends with some people, maybe, and not others on the team. Some good questions into this one, and Andy and I had a lot of fun talking it through.
Let's get into this, shall we?

Speaker 2:
And now The Uncharted Podcast.

Dr. Andy Roark:
We are back. It's me, Dr. Andy Roark, and the one and only Stephanie “I've been thinking about you” Goss. I've been thinking about you. I've been thinking about you.

Stephanie Goss:
I think you're showing your age again.

Dr. Andy Roark:
Again? Continuously, honestly, at this point. Just continuously.

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

Dr. Andy Roark:
It is good. It's good I think. It's ridiculously hot outside. Yeah. It's ridiculously hot outside. It should not be this hot in September. That should not happen but here we are.
Yeah. Overall, it's pretty good. Hip hop dance classes have started back. Yeah. I'm chauffeuring for that again. That happened last night. Yeah.

Stephanie Goss:
How are your hip hop moves coming along?

Dr. Andy Roark:
They're coming along. They're coming along. They're coming along. Yeah. It's fun. There's a lot of sass at my house when hip hop dance gets done, a lot of very PG-rated rebellion that happens with hip hop dance.

Stephanie Goss:
Yeah? Yeah. Okay. All right.

Dr. Andy Roark:
You're in gymnastic season now.

Stephanie Goss:
Yes. The fall sports have started, so we've got fall baseball and gymnastics and it's crazy busy. I just was looking, they posted their game schedule for fall ball last night and I was trying to figure out how do I be in two places at once, as a parent who often doesn't have backup?
Gosh, it takes a village and I am so grateful for mine, because I'm looking at it and I'm like, “Okay, I have to be 30 minutes away here picking up one kid and five minutes later be 40 minutes over here picking up the other kid.”

Dr. Andy Roark:
Yeah.

Stephanie Goss:
It's the downsides of rural living, but it's good. It's good. The fall is definitely starting to come to Washington, so we're starting to see some cooler weather but I sat outside in the sunshine yesterday on my lunch break and read a book still, and it's good. I cannot complain.

Dr. Andy Roark:
I got called upstairs a couple of nights ago, it was like 9:30 at night, and I was just downstairs working, reading, doing whatever. My wife is like, “Andy, I need you to come up here.”
I don't usually get summoned like that, unless I'm in trouble. I was summoned at like 9:30 at night, and I walked up there, and I walked right into this situation. I think it's quintessential for parents of teenagers.
There's my wife, and there's my 15 year old daughter, who has apparently just revealed that her theater program has rehearsals, and as a result, she will be missing the bus like every day, like basically every day, Monday, Tuesday, Wednesday and then she has to be there on Saturdays, and so she won't be able to ride the bus, and so we will have to get her at like 4 P.M.-

Stephanie Goss:
Of course.

Dr. Andy Roark:
… which my wife and I both work.

Stephanie Goss:
Right. Right.

Dr. Andy Roark:
We work.

Stephanie Goss:
Right.

Dr. Andy Roark:
There we are, and it's 9:30 at night, and my wife has got her calendar out, and she's like, “I need you to get your calendar and we got to figure out how we're going to do this.”
Again, I've come a long way, so I was like, “This feels like disaster. Just from the very outset.” I'm not sure how it's going to go bad yet…

Stephanie Goss:
Sounds like a trap.

Dr. Andy Roark:
Yeah. 100%. My warning bells are going off all over the place, and my wife seems stressed, and my daughter seems stressed but everything seems largely cool, but I can feel it running up my spine like, “This is going to go sideways real bad.” It's like there's an ambush coming, and I feel it.
I leaned into my own knowledge and experience and skills, and I said, “I don't know that this should happen at 9:30 at night on Tuesday night.” I said that, and I stepped back for a second to see what would happen, and that's when my daughter started crying and my wife said, “It's due tomorrow. She failed to tell us until right now when she remembered it.”

Stephanie Goss:
Of course.

Dr. Andy Roark:
I'm like, “Oh, crap.”

Stephanie Goss:
You know you're going down the gopher hole.

Dr. Andy Roark:
We're in this now, and, again, I swear this ties back to leading and managing people, because I could 100% blow this up nine different ways. The easiest one is to say to my daughter, “What are you doing?”

Stephanie Goss:
Right. Why did you wait until 9:30?

Dr. Andy Roark:
“I'm sorry. I'm not doing this.”

Stephanie Goss:
Right.

Dr. Andy Roark:
I'm not doing this at 9:30 at night, which will, of course, bring tears and upset and there'll be stomping and then I'm going to have to do it anyway.

Stephanie Goss:
Right.

Dr. Andy Roark:
And everybody will be mad at me. I'm like, “Okay, I'm not going to say it. I'm not going to say it. I'm just going to …” It's funny. One of my big parenting moves is I'll just stop talking and just breathe.
My children have picked up like, “Oh, Dad's breathing.” The worst is when I have to stop and breathe, and then I tell them that I'm disappointed, and it's like that's high level parenting from Andy is like, “Oh, boy. He's serious now.”

Stephanie Goss:
He's breathing.

Dr. Andy Roark:
He had to do breathing and then he has told us that he's not angry, but he's disappointed. It's like, “Oh, boy. This is heavy.” I did not tell her I was disappointed, but, ultimately, we waded in there, got my calendar, my wife got her calendar, we talked back and forth, we said to our daughter, “There are some dates that we cannot do this for you, and you're going to need to go ahead and communicate right now that you're going to be absent on those days.” She was like, “Okay.” Then it was over.
We had gotten 80% of the time that she had to be there, something like that, and we had worked it out and nobody had gotten mad at anybody, and everything was fine, and so I stopped and I said to my wife, I said like, “Hey, I just want to pause here for a second and say that you and I handled this very well. Now it's 10 o'clock at night, we both feel good, we feel supported, we feel like we've got this figured out, and it's done and no one's night is ruined, and I want to toast you, cheers on this success.”
I would not have celebrated that … First of all, I would have detonated that session 10 different ways earlier in my life and my marriage, and then I would have pulled it off, and then not paused for a second-

Stephanie Goss:
Walked away.

Dr. Andy Roark:
… to say, “Let's just both own how perilous that journey was, and we made it just fine and everybody is cool. Let's just stop and honor the success that we just had.”
Anyway, there have been some fall parenting conversations at our house.

Stephanie Goss:
Oh, that's funny. We're in that season too, and that conversation at our house is, “Okay, so there are three choices and you are going to make the choice, because it's not my life. This is the thing you want to do. You can learn to ride the public bus, and figure out how to get to and from,” which is what I had to do as a kid.
“You can get a ride from a friend or get a ride home, and I'm not going to call up …” “Can't you just call their-” “Nope. I'm not going to call someone's mom for you. You can do that, and you can ask them, the parent directly, not the kid, or you can just not go. Those are your three choices, but I can only be in one place at a time.”
I was just like, “Here's how it's going to have to work.” I feel you on that. It's hard. It's so hard.

Dr. Andy Roark:
Well, teaching those self-advocacy skills is important. This is life training, but it's like professional training I do with my kids. We always make our kids write emails to their teacher. “I'm not going to write it.”

Stephanie Goss:
You write it.

Dr. Andy Roark:
You write it. We'll look at it before they send it or whatever, but if something's not going to work, they're going to be out, they're going to miss something, I make them write the email, and then we look at it and talk about it, and then we send it but it's like my wife's a college professor, and so through her and her stories, I know how many twenty something people cannot just do basic communications about their availability or expectations or concerns they have or anything. They just don't have those skills.

Stephanie Goss:
Well, I'm pretty sure Allison probably has the same kind of stories I had. I remember the first time that I taught a class at the university, and having students' parents send me an email. I'm like, “Absolutely not. Your kid is 18 or 19 or 20 years old. Absolutely not.”
It's just they need to learn how to parent for themselves. It's one of the things that I am actually really thankful for is that our gymnastics gym, our coach is amazing. I love her. She makes the kids have life lessons. We have kids who are six, seven, eight years old, and even the pre-schoolers, one of the first things she makes them do is learn to recite their parents' phone number at the gym, and if they don't feel well or they feel like they need to go home, that's okay. They have to call their parent, and ask for it. She will not call for them.

Dr. Andy Roark:
But then you get those germy kids using the phone receiver. You know what I mean?

Stephanie Goss:
There's Lysol wipes right there.

Dr. Andy Roark:
There's a downside.

Stephanie Goss:
There is downsides.

Dr. Andy Roark:
It's like when flu season hits the vet clinic. I'm doing Chlorhexidine spray on the receiver before I pick up.

Stephanie Goss:
Yup. There's Lysol wipes right there but they have to learn their parents' phone numbers. The team kids, if they have a phone, they have to call her, and call and leave a message at the gym. Your parents' message is not acceptable to miss practice.
It's been so good for my kids to learn, and even my daughter's the one in competitive gymnastics but her brother goes to classes, like obstacle course classes and stuff, and I'll make him call. I'm like, “Nope. You don't feel good. You're too tired from school this week. You call and leave a message for Kelly at the gym,” and it's amazing how much he's like, “Well, I'm not really actually that tired. I guess I could go.”

Dr. Andy Roark:
Now that we've got all the non-parents to turn the podcast off, let's talk about what we really came here for and it's managing people who don't have kids. That's the episode. Ignore the title on the episode. We're doing managing people who don't have kids, and that's why we wanted to drive them off the podcast, so we could talk just to you parents who are left.

Stephanie Goss:
Oh my God. This one is going to be so much fun, so, hopefully, we have not lost people yet because-

Dr. Andy Roark:
It's juicy.

Stephanie Goss:
Yeah. It is juicy.

Dr. Andy Roark:
It is juicy.

Stephanie Goss:
We got a great question for the mail bag, so we had someone send in an email asking if we could talk about fraternization in the workplace, and when I first read the first line of the email, I thought I knew where this was going, and this is not where it was actually going.

Dr. Andy Roark:
You thought we were going to be doing pledging and talks about pledging?

Stephanie Goss:
No.

Dr. Andy Roark:
Fraternization? Sororitization and that practice?

Stephanie Goss:
No. No. But there is actually application for fraternity and sorority rules, Kelsey would agree with me, in veterinary medicine, but, no, I thought it was going to go along the lines of dating coworkers.
I was just like, “Oh, okay. This is going into the, ‘Do you have dating policies?” And it is not.

Dr. Andy Roark:
It's funny, that's where your mind goes. When someone says, “I want to talk about fraternization,” you're like, “Oh, yeah. I know where this is going.” It doesn't always go there, Stephanie.

Stephanie Goss:
In my world, Andy Roark, that is where it always goes.

Dr. Andy Roark:
In my world, it's a funnel, it's always a funnel, right? Right down, right to there.

Stephanie Goss:
Andy's description of me, if you've never heard it, is that I am like a 15 year old boy with glitter.

Dr. Andy Roark:
Yeah. Lots of-

Stephanie Goss:
It's true.

Dr. Andy Roark:
Those giggles are not always innocent giggles. I'll tell you that.

Stephanie Goss:
That's where the funnel goes, but then the email got better, and it was from someone who is struggling, because they really enjoy spending time with their coworkers but they are worried about the perception of favoritism, if and when they were to spend time with people outside of work, in particular, if they spend time with one group of people or one person, in particular, and not necessarily others, or they get invited to a party from someone and they go, but then they get invited to another party and there's a conflict and they can't go, are other people going to think that they're not going because they don't want to hang out?
Like all of these things, and I thought, “This is such a good one,” and so they were saying my rule for myself has always been if we're going to hang outside of work, I am going to go, if everyone is invited, so if we're doing a work thing and all of the coworkers are getting together, but they were asking us, in particular, because they were saying, “I have seen Andy do things where he's talking about hanging out with people from work” or from the community or you and I are hanging out and have put pictures on social media, and they were asking, “How do you balance having a life and being friends with some of the people that you work with with your work environment?”
Then it went where I thought it was going, with the fraternization, because then they said, “Then what happens if you do have a relationship blossom from friendship?” In particular, they were asking what happens if someone on the team starts dating somebody else or if you have coworkers that were hanging out-

Dr. Andy Roark:
What happens-

Stephanie Goss:
… in a doctor-

Dr. Andy Roark:
What happens when board game night becomes not board game night?

Stephanie Goss:
I was going to go … We might have to put a this is not a PG episode rating on this one.

Dr. Andy Roark:
We're going to keep this PG. We're going to keep this PG.

Stephanie Goss:
What happens when someone's dating, particularly, in a position of authority, and that's a question that I get asked as a manager a lot, like what happens if a doctor starts dating a support staff member or that kind of thing?
There were multiple questions packed into the email, and I thought it was so, so great, and so we've talked a little bit, previously, we have an episode about being friends with coworkers and it being lonely at the top, and we talked about what it feels like to be left out as a manager from the networking and the friendships.
I thought that this was a great different take on how do you figure out that for yourself? What does that look like? Because it fits so nicely into our, “Let's talk about Headspace.”

Dr. Andy Roark:
Yeah. All right. Cool. I like this a lot. Let me give some background to this, and we'll lay it down. I have been doing more of this recently. I am very much, at this phase in my life, a huge believer in the power of interpersonal relationships, and so I have had a very wonderful career but I do not plan to lay on my deathbed, and think about, “Boy, that was such a wonderful career I had.” No, I plan to lay on my deathbed and think about my friends and my family, and the relationships I have.

Stephanie Goss:
Sure.

Dr. Andy Roark:
I think that's what really matters. I really feel that way a lot, and this person even mentioned, “Andy, he does these things where he posts about them” or he talks about them.
I understand where they were coming from, when they said, “Whatever we do, everybody is invited.” Well, I wrote recently about the fact I was in the treatment room, and I was looking around, and I genuinely really like the doctors that I work with. They're great.
Now, that does not mean the techs I work with are not great, they are equally great, but I get to work with them. They're in the rooms with me and we're talking all day as a vet, I really like the vets I work with, but I will go a whole day and not speak to them.

Stephanie Goss:
Right. Right.

Dr. Andy Roark:
Because they're seeing their cases and I'm seeing mine, and I'll slap them a high five or ask them how they're doing, but usually, they're half-distracted or I'm half-distracted or whatever.
It just resettled on me, and I was like, “Man, I really like these people” and, also, I would like to talk to them about doctor stuff, I would like to learn about where they went to vet school, I would like to talk about cases, and just-

Stephanie Goss:
They're things you have in common.

Dr. Andy Roark:
Exactly right. The things that we have in common, and we have 10 doctors. We've got a ton of staff.

Stephanie Goss:
Right.

Dr. Andy Roark:
I'm not trying to organize an outing for 100 people.

Stephanie Goss:
Right.

Dr. Andy Roark:
But we can meet at the brewery after work one night, just an informal doctor get together, not trying to be exclusionary but just like, “Hey, doctor night. Let's have a round table and let's talk about how things are going, let's talk about everything except work, but let's just get to know each other and hang out.”
I did that, and I talked about it, because it was really lovely, and my goal is to do it once a quarter, because I just really liked it.

Stephanie Goss:
Sure.

Dr. Andy Roark:
I think that's important, and I'm a big believer in that type of interpersonal relationships and hanging out and stuff, and so they called that out. That's why I'm like, “Okay, I am onboard with this, I am definitely not one who is like, ‘Nope, you should not do anything with someone from work unless everyone is invited.”
I get it, and I'm going to ask people to use their common sense here, and not be exclusionary, nobody likes to be left out and excluded.

Stephanie Goss:
Right.

Dr. Andy Roark:
But that said also, I think that if you and I have doctors get together, you want to have the CSRs get together, that doesn't need to be scandalous. There's common sense ways that you can do that, and not make people feel bad. You just have to be smart about it.
I think the larger question is it's not just do we do these things with people from work, but it is how do we control the perception of favoritism that comes along with that?

Stephanie Goss:
Yes.

Dr. Andy Roark:
How long is it until people are like, “What are the doctors talking about when they get together?”

Stephanie Goss:
Right.

Dr. Andy Roark:
And, “When Andy goes out and hangs out with his two male technician friends, is that because they're his favorites?”

Stephanie Goss:
Right.

Dr. Andy Roark:
And, “He's not going to ask them to do the crappy stuff, he's going to ask the rest of the techs to do the crappy stuff,” or, “He's going to get them opportunities that they would not get if they weren't his buddies, because there are some techs …”
Not exclusively male, but there's a couple of male techs and I like those guys, and we kick around and just laugh and hang out and stuff, and it's like, “Yeah, I get that. I don't want anybody to think that it's favoritism, but we just have a certain rapport.”
Anyway, I want to cue that pause, so anyway, the question is how do you do this? How do you do this and how do you keep it in balance? Right? I want to talk about three things to start off with, so let's talk about what favoritism is and why it's a problem, let's talk about work friends and what that means, and let's talk about our private lives.

Stephanie Goss:
Okay.

Dr. Andy Roark:
Because I really thought a lot about this when I got it, and it's like, “Okay, let me lay this down, and make a fair case.” Okay, set aside.
All right. Favoritism, that's what we're worried about, so why is favoritism a problem? Favoritism is a problem for a couple of reasons, number one, if people start perceiving that there's unfairness, they get really upset, right? People are wired to pay attention to what is fair, and what is not.
I heard this great analogy recently. It knocked me backwards. Okay. You don't have to answer this out loud, but the question was what would you rather have? Would you rather have two weeks of vacation and everybody else gets one or would you rather have four weeks of vacation and everybody else gets eight?

Stephanie Goss:
That's a hard question, because the first place my brain went to was neither is fair, so it proves your point.

Dr. Andy Roark:
Neither is fair. Exactly. That's the point. Of course, we all hope that we would say, “Oh, well, obviously, the one where other people benefit, that's fine. I want four weeks, because it's more but in the studies that are done, a lot of people pick option one, because they can't stand the fact that everybody around them gets twice as much vacation as they do.

Stephanie Goss:
Sure. Sure.

Dr. Andy Roark:
It would bother them. Anyway, as I said, you don't have to answer out loud, but I thought it was interesting, but it really highlights that immediate reaction to fairness, and so, so and so is friends with the doctors, so and so is friends with the practice manager, that can 100% trigger those feelings of unfairness. There's also that could escalate into feelings of hopelessness where it's like, “It doesn't matter what I do, because I'm not going to get the opportunity, because they like this other person more.”

Stephanie Goss:
Right. Yes.

Dr. Andy Roark:
Again, that really goes to that unfairness but unfairness can turn to hopelessness when you're like, “It doesn't matter how hard I work.” That's another part of it is this perception your work doesn't matter.
You can give people a perception that they lack control, right? They have to respond to what you do with other people, meaning, again, it goes back to their skills don't make them who they are, their professionalism doesn't make them who they are, because the friend group is going to get first picking of opportunities, of cases, of development, of CE, of raises, of things like that, of schedule selection, and once people start thinking that there's an inside track for that stuff, boy, everything can really go off the rail.
If you start feeling like, “I don't have any control of my life, because really I get what the friend group doesn't want,” that's pretty crappy. There's a perception that I'm not going to be developed, because I'm not on the in group, because I don't get to talk to the doctor that much, and so I'm not going to grow, I'm missing opportunities, and I said I worry about information control.
This is a big one. It's like when favoritism dovetails with gossiping or gossip culture or worries about gossip, the idea is, “Well, the in group has the information.”

Stephanie Goss:
Right.

Dr. Andy Roark:
“The out group doesn't have the information.”

Stephanie Goss:
“And I'm going to be left out.” Yeah.

Dr. Andy Roark:
Even if there's not actual benefits to the in group besides knowledge, we all know that knowledge is power, knowledge is politics, there is definitely this power of information or access to information, and so all of those things are the problems that come out of favoritism, or perceived favoritism.

Stephanie Goss:
Now I think it's really important to acknowledge, because I suspect we'll have some people listening, who are like, “Yes, I see all of those things that Andy just mentioned,” and I'm worried about them for good reason, because it is something that I have seen on a personal level, sadly, pretty rampantly in veterinary medicine on both sides of the equation, right? The team member who becomes friends with team members as a manager, as a leader, and then there is all of the preferential or perception of preferential treatment that you mentioned or, on the flip side, with the doctor and their friends or support staff.
I think it's important to recognize that we're not saying that that all exists in a vacuum, like we totally recognize that it is a thing that happens, and the important part from a Headspace perspective is that you have to recognize that there is biases on both sides.
Yes, it is a thing that happens and, also, we recognize that it's harder to overcome when it has happened to you, because I have seen this, and have had to actively overcome my own biases to ask myself like, “Oh, okay, but is it rational that I'm thinking that way or am I thinking that way because of my prior experiences?”
I think that's an important piece of it, because when you talked about all of those pieces, I'm like, “Oh, yeah. I have seen that.”

Dr. Andy Roark:
Oh, yeah. Here's the important thing with managing favoritism, right? The question is not are you playing favorites?

Stephanie Goss:
Right. Right. It's what's the perception?

Dr. Andy Roark:
The question is does your team perceive that you're playing favorites? Because I have a lot of people who go, “I have this terrible problem and, boy, people are really angry, because my best friend is one of the technicians and I don't do anything,” and it's like it doesn't matter if you do anything, it's they're not going to act from what you do, they're going to act on what they believe that you do.

Stephanie Goss:
Right. Right.

Dr. Andy Roark:
You have a perception problem, which can be just as problematic as having an actual problem. Controlling that perception is really what this is about, more so than even the actual behavior. You're not going to control their perception, if you're actually doing the thing, but there's a lot of, for managers, leaders out there, who have not been playing favorites but they're being accused of it, or people suspect that, or that's the rumor, and now they're having to deal with the fallout, and they're like, “I didn't do anything wrong.”
I'm like, “I understand. Sometimes we don't do anything wrong, but we still have to manage the perception or we have to fight a perception that's unfair.”
Anyway, I think that's the other point I want to make about favoritism is whether or not the sin actually happened, often times, you are battling the perception that the sin happened, which may or may not be true.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
[inaudible 00:26:40]. On a pivot now to talking about friends, talking about friends in the vet clinic, and you and I have talked about this before a number of times, because it comes up, and I think we see pretty eye to eye on this, but it's still controversial when I lay it out, I often say to people, “I don't think you can be friends with people in the vet clinic.”
I say that to get a reaction, but it really comes down to how you define your friends. Okay? Bear with me, if you have friend friends, just people out in the world, you would put that person over that person's employer, right? Like if they were like, “Oh man, I called in sick because I wanted to go hiking with you” or, “Boy, we stayed out late last night, and so I'm going to call in sick in the morning” or whatever, you're not going to call up Publix the shopping center, and be like, “Hey, I got to tell you about this employee.” You don't know those people. Whatever.

Stephanie Goss:
Right.

Dr. Andy Roark:
You might question the honesty of your friend but you would have a person that you knew and you cared about and then a faceless employer, and you go, “Whatever,” right?

Stephanie Goss:
Right.

Dr. Andy Roark:
If you have friend friends, then you would do what you could to help that person get ahead, right? If you could open doors for that person, you would. If you could help that person develop and achieve career aspirations, you would. If you could help that person get promoted, then you would.
All of those things are truths about our friend friends. If that person has a secret and they shared it with you, you would save it, you would keep that secret.
Now if you have work friends, and you're the doctor and they are the support staff or the CSR or whatever, you're the medical director and they're one of the associate doctors, there's some caveats to this relationship, because you do have a responsibility to this employer, and to the job, and I would say that your responsibility to the job comes first, in order to be fair to the other workers, right? It's not even about the company, it's about being fair to the other people who you are responsible for.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
If you go on a bender, and you call me and go, “Dude, I'm smashed. Not coming in today,” I'm not going to chuckle that off, because you just left me and the rest of the team shorthanded.

Stephanie Goss:
Right.

Dr. Andy Roark:
I don't care if you call Target and tell them you were on a bender and you're not coming in, or tell them that you're sick, because I don't work at Target, and I don't have to deal with the fallout but I have to deal with the fallout here, and I just think that that's important for defining what friendship in the workplace means, which means the friendships are fundamentally different. There are caveats in work friendships that are not in regular friendships.

Stephanie Goss:
Yes.

Dr. Andy Roark:
Everybody should know that.

Stephanie Goss:
Well, because I think your life, as a human being, in the work environment, is when you are work friends, it's impacted into ways, you could have the impact on a personal side and there's a work impact as well, so if we're friends at work, and I am having something go on at home, right?
I can have a conversation with you, Andy, my work friend and tell you about that, and if we weren't working together, we could both go our separate ways and that sits with you as a friend, but it doesn't impact your ability to do your job.

Dr. Andy Roark:
Right.

Stephanie Goss:
If we're work friends, and I come to you and I'm like, “Andy, I got into a horrible fight with my partner last night and I am just in tears,” that's going to impact the friend piece in our conversation, and then also impact our work environment, because you're going to be affected by my emotions at work. We both are.
There is not that separation of the work person, and the friend person as easily as if you worked in two separate work environments, and so I think just on a human level, you have to think about the fact that you are considering that person as a person, and you are considering that person as a person inside your work environment.

Dr. Andy Roark:
I think that's a great example, so if you came to me and you're like, “I'm having this problem with my partner,” whatever, and we're friends, I'll be endlessly supportive of you, and if we work together, and you come to me again, again, again, and again, with problems about your work partner, I'll be supportive of you to the degree I'm able to be while still being fair to the rest of the team who has work to get done, and needs you to show up, and needs you to pull your weight, because we all have bad days and we all go through some stuff, but at some point, if I'm in charge-

Stephanie Goss:
You're not going to say to me-

Dr. Andy Roark:
I still am responsible for getting this work done.

Stephanie Goss:
Right.

Dr. Andy Roark:
If I don't get the work done, everybody else is being punished, because I'm not saying anything to you about where we are.

Stephanie Goss:
Right.

Dr. Andy Roark:
If I wouldn't do it for them, then we really got a problem, because that is favoritism. They're going to see it and they're going to be like, “Oh, buddy. If I came in, and was just out of sorts and didn't get my stuff done for five weeks, he would not be super cool and supportive to me.” That's the definition of favoritism.

Stephanie Goss:
I think that that's the example, right? I think that's why I said a lot of people are looking at this going, “Okay,” because it is really easy to fall into the favoritism trap, totally unintentionally, because you care about them, right? You care about them as a human being.
The best example I can give is is that personal example where someone comes in and they're having problems at home, and you give them a little bit of latitude, right? It's that shifting baseline where it starts as they're having one bad day, and you give them the latitude, the same latitude you would give to anybody else on the team, if anyone of my team came in in tears, I would just say to them, “Go take a break. Get yourself together.” I would do that for any one of the team.
If it happens a couple days in a row, I would probably also do it for anyone of the team, and when it starts happening over and over or someone starts being late, because they're having fights with their partner, whatever the example is, that behavior pattern, now it's becoming a pattern, and that's where we start to see the favoritism come in, because we start to see some people who are given latitude or grace, and others who are not.
I think that's why people are like, “But it isn't black and white,” and I would agree with you on that. That's where we get ourselves into trouble as leaders, when we find it really hard, because a lot of us struggle with conflict, and I have felt this as a leader who is friends with my friends, I have had to have the really hard conversation like, “I have to take off my friend hat right now and I'm putting on my boss hat, and we have to have a conversation, because if anybody else on the team was this is where we were at, this is the conversation that I have to have with you, because I'd have it with any other member of the team.”
There are a lot of people that struggle with that.

Dr. Andy Roark:
I love the wording that you used, and, honestly, that is the exact wording that I would use to say, “Hey, I'm going to have to take my friend hat off here, and talk to you, because I would have to talk about this with anybody else on the team.”

Stephanie Goss:
Yes.

Dr. Andy Roark:
Then that's how you have that conversation, which is outside the scope of what we're talking about today but I really liked your wording, but it's true-

Stephanie Goss:
Thank you.

Dr. Andy Roark:
Well, there's no scenario where I go to my friend friend and go, “Hey, I know this divorce has been tough, I'm just wondering, how's your work productivity?”

Stephanie Goss:
Did you finish your TPS reports this week?

Dr. Andy Roark:
Yeah. Exactly right. What's your average scoring transaction looking like? Just checking on you. That never happens.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
But we may get called, in all seriousness, we may get called to have those types of conversations with someone who works with us.
Anyway, my point here is to get your head around where I'm going, you have to, number one, recognize and understand what's bad about favoritism, what the problems are. Number two, you have to get your head around what work friendships look like and understand they're different from outside of work friendships, and you got to buy into that.
The last part is, you said I was showing my age before, I'm going to really show it now, I'm going to talk about keeping your private life private and just say, “There are downsides to making a habit of sharing your personal life on social media.”

Stephanie Goss:
Oh, absolutely.

Dr. Andy Roark:
I think a lot of that gets glossed over, and people are like, “Oh, yeah. That's what I do. I'm out and I'm posting.” Especially if you have friends at work or things like that, you should be mindful, not just about when you're out with these certain friends, because then it feels like you're keeping a secret, but there are some benefits sometimes to just not post a whole lot on social media, so that when you go to doctors night at the brewery where just us vets are getting together, people aren't looking at it on Instagram and being like, “What is this? Why wasn't I invited to that?”
Again, it's not a secret, I'm just not promoting it out to the world that, “Hey, here I am with all my buddies having this good time.” People don't need to know. It's just part of my life, in general, but, anyway, that may sound silly but it is amazing how often people are like, “Yeah, I understand favoritism or perception of favoritism might be a problem” and, “Here's a bunch of pics from the weekend with me hanging out with a certain subset of people from work.”
If you hadn't posted that stuff, it would not have been an issue but you did. You posted it all weekend long, and then something that should have gotten done in the kennel didn't get done over the weekend, and now people are really upset.

Stephanie Goss:
Right.

Dr. Andy Roark:
You could have 100% avoided all of that headache if you'd just kept your private life to yourself. Anyway, I'm not trying to preach at people. I hope it's not coming off that way, but, honestly, especially as a leader, in the practice, you should be mindful. I'm not saying don't use social media or whatever. There are downsides to making it a habit to share your public life out, so everybody knows what you're doing and what you do with your time, because you open yourself up to some critiques of how you use your time. That's not fair but it's just true.

Stephanie Goss:
Yes. Yes.

Dr. Andy Roark:
The analogy I would use is, and it starts to think about other things in life that mirror this, and, again, it's common sense but if you remember a time in your life when you did something really small and really special for your birthday, like I remember for one of my birthdays when I was a kid, my dad took me to an NBA basketball game and he took one of my friends.
I was super into NBA basketball, but it was like, “Hey, the Charlotte Hornets are playing on this day, and we're going to go.” I took my one friend. It was like, well, that was well before social media, which is great, but if that was you and you were going, you would be mindful not to make your other friends who didn't get to go not feel like second-rate citizens, wouldn't you?
You'd be mindful of, “Hey, we're doing this thing, I don't want to make other people feel left out.” Again, I don't know. This same type of discretion I guess is what I'm thinking of here is just part of this is just being a nice person, and a person who has friends and doesn't want people to feel excluded, and, again, it's not something rigorous I'm thinking about here, but just a little bit of attention in this regard can go a long way.

Stephanie Goss:
Yeah. No. I agree with that. I think going back to my funnel, and the last piece of it is I think everything that you've talked about and that we've talked about so far from Headspace perspective, I don't think any of that changes when it is potentially a romantic relationship, right?
I think there still is the conversation about the perception of favoritism, and there still is the conversation about are you working at work or are you friends-ing at work, right? What does that look like?
There is the piece about is your private life actually private? Are you sharing details of your relationship? Are your peers at work seeing that and getting unfiltered access to that whether it's through social media or the way that you're interacting at work? What does that look like?
All of those things still should be thought about, and still should be filtered through when it is a romantic relationship? As a leader, I think there's an extra layer that you absolutely have to think about from the HR perspective, in terms of protecting the team, and the company, really, against things like favoritism and sexual harassment and all of those kind of things, and just the relationship piece of it, I think your filters that you laid out are applicable, whether it's a friendship or a platonic friendship or a romantic relationship.

Dr. Andy Roark:
Yeah. I completely agree. If this escalates to a romantic relationship that we're talking about, the four little pieces I would say here is, basically, none of this that we just talked about before changes. It's all exactly the same.
But the big things I would lay out is remember your favoritism problems, they all still apply here if this is a romantic relationship, plus the fallout of any drama that gets brought to work.

Stephanie Goss:
Sure.

Dr. Andy Roark:
You brought that. You've got to follow HR rules. That's beyond the scope of what we have time for today, but especially if this is a power dynamic, meaning, you have a doctor and a technician, again, I have seen many doctors and technicians going to get married, and it's a lovely, wonderful thing.

Stephanie Goss:
Right.

Dr. Andy Roark:
I'm not saying don't, don't, don't but I am also saying we live in a litigious society, we have all seen and heard of terrible, horrible things, you need to make sure that you don't have one person who has power over another person, organizational workplace power over another person, who is in a place where they could abuse that or take advantage of that person.
You need to make sure that you're following the HR rules, and if you don't know what the HR rules are, we'll have to dig into that another time.
If you bring out of work life to the office, then you'll have to deal with the consequences of that, which means you still got to get your work done, you should be held accountable for professional conduct, and that's just my belief is if you want to bring your stuff in, you're still going to be held accountable for the work job that we have to do. I think that that's really important.
The last thing is it's not the job of the company or the team to facilitate your love life or to deal with the fallout from it, which means just because you are dating someone does not mean the rest of the team should be inconvenienced by that, in any way, shape, or form. It also doesn't mean that they should have to deal with the fallout if things go bad.
Anyway, that's about being fair to everybody, and just balance across the team. Anyway, all that, those are some of my core fundamental building blocks here. Let's take a quick break and then we'll just get into the action steps, I want to put these things together into what do you do with all this, and then we can be out.

Stephanie Goss:
Okay.
Hey, friends. You have heard Andy and I talking about some of the big things that are coming in the back half of 2023 for Uncharted, but we are not done. In fact, we are not even close to done with releasing all of the new fun and exciting stuff that our team has been working on.
I want to make sure you don't miss out on it now. If you listen to the podcast, you're going to hear about it but if you want to guarantee that you are the first to hear about the big, giant announcement that we have coming soon, so, so, so soon but not soon enough, you want to head over to the website, UnchartedVet.com/Insight. That's I-N-S-I-G-H-T. UnchartedVet.com/Insight, and sign up for the newsletter. That will get you on the list and guarantee that you have first dibs access to the big, big news that is coming soon. Don't miss it, I promise you're not going to want to miss out.
And now, back to the podcast.

Dr. Andy Roark:
All right. We have talked about the things that are huge for me. We've talked about the problems of favoritism. We talked about the different kinds of friends and work friends are different, and then we've talked about keeping our private life private, and some benefits there.
You take those. The biggest ones, action step number one for me is sit down and think about those problems with favoritism, and make sure that you're conscious of them, right? Remember that the problem is not the problem, the perception of the problem is the problem.

Stephanie Goss:
Right.

Dr. Andy Roark:
Could it be perceived that you are being unfair because of your friends? That people are not getting opportunities because your friends are getting opportunities, that they are not getting developed, because you don't talk to them or they don't feel like you're approachable, because you're always hanging out with your buddies?
Just be aware of how favoritism can really get you in trouble, like what is the damages from it? Then ask yourself could I be perceived this way? If so, how can I modify what I'm doing to reduce those chances or to eliminate those chances? That's action step number one, and that's, honestly, the biggest action step by far in my mind, but how do you feel about that?

Stephanie Goss:
Yeah. I would agree with that. I think the hard part is that you wish that you could go to the clinic and ask every member of your team and get a straight answer but you won't. You can't and you won't. You might get some information from them, but this is where I think you have to put on your imagination hat, and hallucinate in a way that I would suggest of take yourself out of the clinic. If you were in any other work environment, if you worked at Publix and you worked with a team of cashiers at Publix, and you went into work and this was the situation, as a team member, what might you be thinking about that boss or about that manager or about whatever the situation is? Ask yourself that question, and make yourself a list, because it's amazing how quickly our human brains get irrational.
When you do that exercise and you actually ask yourself to make that hallucination, I've thought of some really … It's been crazy, to me, the kinds of things that I have thought of and thought, “Wow. Would I really think that about somebody?” Probably not but I could see where someone could think that about somebody, right?
Because we're all filtering it through our own life experience lenses, and so I think if you're struggling with that, you might have people on your team who you could ask and just say, “Hey, how do you perceive me?” And actually get an honest answer, but most of us won't get that raw, honesty that we need, and so taking yourself out of the situation and imagining a team environment that you've been on, or a previous work environment, if you were just a member of the team and this scenario was happening, how might you think or feel?
On the flip side, if you were in that person's shoes, how might you think or feel? As the person who is in control.

Dr. Andy Roark:
No. I think that that's a great point. I think trying to get your head around that is key. I think probably a lot of people at this point are making the assumption that we're talking about limiting what you do with people, or you don't have to limit your connection with your friends, but, instead, it's about expanding access to you to everybody and making sure that people feel like they're being treated fairly, and, honestly, the answer might not be talking less to people that you like, it might be talking more to those quiet staff members, the people that you don't know as well, it might be about investing some more time into other people just so that you're not seen as having a core friend group, things like that.
Know that you're going to have favorites. We all have work friends. We all have favorites. You're going to have favorites, but you can't show it. But you can't show it. You're going to have favorites, but you can't show it.
In this case, we can make a lot of these perceived problems and the things that people worry about, we can make that go away with systems, right? Systems like pay scales, assignment rotations, where if there's a task that nobody wants to do, there's a system where it's fair and everybody gets a turn and it's not just, “Who does Andy point at today? He always seems to point at certain people and not at other people,” something like that.
If people have to stay late, if you take walk-ins that run past hours, it should not be, “Who am I going to ask to stay tonight?” Because that can be unfair in a lot of different ways, but if it happens again and again, you should have a plan for it. There should be a rotation for people to stay late. There should be a plan for what people get paid, how they request time off, who gets CE, how much CE they get, who has to do the crappy job that nobody wants to do, and all of those things.
If these are points of contention, the more that you can make of the transparent system and fair, the less people are going to point at you and say, “You're playing favorites. You never ask your friends to do this,” or, “This person got a raise because they're your friend.”
Just thinking ahead and setting yourself up for success in those regards makes a lot of these pain points go away.

Stephanie Goss:
I'm so glad that you said that, because I think just full stop acknowledging every human being is going to lean towards the bias of having favorites, and just acknowledging that and the piece about the systems and I have to speak to managers and the practice owners and the leaders who are listening to this, it is really important to recognize that if you make an allowance once, you have to consider the ramifications of that allowance always being made, because you will always be tempted, and I say this with total love and, because I have done it, where you have a rule, and I'm going to give you an example.
I have had a system for how people request time off, and then it was one person per small department, we had a smaller team, one person per department, because we struggled if we were down more than one person, and I had a longstanding team member who had put in a time off request, and then I had another team member, who was someone that I was close to outside of work, that had something come up that felt like to her a once in a life kind of opportunity, and I was like, “Of course, I want you to go to that thing” and I broke the rule, and I let them both be off, and I said, “I will step in and I will cover for you.”
The next time that happened, someone else had time off and they were like, “Well, last time this person got to take it off, and so can't you just cover for me?” I was like, “No, I can't do that.” Then I was in the position of I had set an example, I had done the thing, and now the expectation from the rest of the team was going to be that that be the case, and I did it to myself.
I think it's really important to recognize that, and recognize that there are always going to be life exceptions, and that doesn't mean we shouldn't make the exception, I'm not saying that, because if someone has a once in a lifetime trip opportunity or is getting married or whatever it is, your team are human beings and you love them and you want to celebrate them but as a manager, an owner, a leader in a practice, you can't make that decision in a vacuum, you have to consider the future ramifications of that and how you are going to deal with that in the future, because it will come up again.

Dr. Andy Roark:
Yeah. I agree. Number three in my action steps after considering the problems and recognizing that you'll have favorites but you can't show it, so lean into systems, number three is be comfortable mentioning your desire to protect other people's feelings if you are out doing things with friends from work.
I don't have a problem saying to someone … I do a lot of board games and board game nights and things like that, and so sometimes I'll have people from work come over and they'll play board games or whatever. It's not uncommon for me just to mention to them, “Hey, I don't want other people to feel left out because we've only got so much space at the table, and so, yeah, if you don't mind keeping it on the down low, I'd appreciate it.”
That's not asking them to keep it a secret, it's not a secret, I don't mean for it to be a secret, but, again, I'd really appreciate it if people didn't come and start posting pictures all over social media of hanging out with this small group of people and doing this thing.
I usually don't have to make that request, if you're dealing with mature people who can understand, but I'm not opposed to just mentioning it, especially if I see it, I'll say, “Hey, we weren't able to bring everybody and I don't want people to feel left out, so if you don't mind keeping it quiet and definitely not in your face, I'd be appreciative of that.”
Then some people won't do it, some people, they will not go for it, and you should recognize that if you invite this person along, they're going to broadcast what's going on and it might make other people feel bad and maybe you're going to adjust how you spend time with that person or if you spend time with that person, I've definitely seen that done.

Stephanie Goss:
Yeah. I think that one of those things that's worth considering goes back to part of what we talked about in the Headspace, which is that you have to consider what the fallout or the ramifications of living your life on social media, and living in a very public way, because I think before social media, we could do a thing with a small group of friends and the only way that other people were going to know about that thing is if we all talked about it, right? If we all came back to work the next day and we were like, “Oh my God. We had so much fun last night” and blah, blah, blah, then you open the doors and create the opportunity for other people to be jealous, “Well, how come I wasn't invited?”
That only happened if people talked about it, and now that people are living their lives through social media, we are inviting people in in a very, very different way, and so recently, this last year, I went on a trip with some people that I am friends with, who also are a part of our work sphere, and the Uncharted family, and we sat down and had a conversation and were like, “Are we going to document this on social media or not?”
We talked honestly about the fact that we don't want anybody to feel left out, and so we made the agreement that we weren't going to document it on social media. That didn't mean that we weren't going to talk about it, that didn't mean that we weren't going to be like, “I didn't do this thing.” We just were not going to broadcast it to the world, in a way that was like, “Let's invite you in, knowing that had the potential to have that ramification.”
I think it is something that is worth considering, and worth having the conversation, particularly, around that social media aspect, and I find that that feels like we have the conversation about does it feel like we're asking to keep a secret or not? Because we were talking about it in the social media context, it was like, “Oh no. We feel good about not putting it in everybody's face but it's not like it's a secret.”
That felt better, I don't know why, but I guess from a human brain perspective, it felt like, “Okay, this is not inviting everybody to the table with us,” and I think that that's what we do with social media, and so it's really easy for the team to get left out versus, “I'm bringing it up at work, ‘Hey, Andy, wasn't that girls trip that we went on, Andy, wasn't that so much fun?” We're not having that conversation in the [inaudible 00:54:19] room.

Dr. Andy Roark:
Well, the idea that we have to be so inclusive in our lives, that we can't do things that we enjoy with anything less than a full set of people that we work with, that's just not-

Stephanie Goss:
It's not reality.

Dr. Andy Roark:
It's not reality, and I feel like we've painted ourselves into this corner in some way, but I think it's because we've given away a lot of our privacy, and so people go, “Oh, well, people will see this.” Again, I think it's time to start taking back some of our privacy and just how we live our lives, and none of this is meant to be secretive or duplicitous or anything, but it's just to say, “Man, there's nothing wrong with going out with a couple of people and just not broadcasting it to the world, so that other people feel excluded.” It's not a secret but it's having a private life is what it is.
The last thing that I would say, and this is kind of a weak one, but if we want to get together, we want to hang out, again, a lot of times, this is about perception and people imagining what's happening when you and your friends get together, and they're not there, it might be helpful to have things that you do that make it feel like you're not just getting together and talking about work, or people at work.
I think everybody is like, “What do they do? Do they talk about us? When the doctors get together, do they talk about the techs?” The answer is no. We tell stories of vet school and previous places that we worked, and just cases that we saw, and that's what it is.
It can be helpful if you want to get together and do stuff, having an activity, playing basketball, playing board games, going to a movie, doing ax throwing, going to Top Golf, playing video games, but something where you're like, “Hey, we come together for a purpose beyond just talking” but I don't know. Maybe that's a weird perspective but it always makes me feel better.

Stephanie Goss:
I love it. I love it. Can I give-

Dr. Andy Roark:
Yeah. Sure.

Stephanie Goss:
… an example? As you mentioned, you love board games and you are a nerd.

Dr. Andy Roark:
Yes. It's true.

Stephanie Goss:
You play a nerd board game, you play Dungeons and Dragons with one of my best friends, with Jenn Galvin.

Dr. Andy Roark:
Yes.

Stephanie Goss:
Jenn and I, Jenn's business partner, Erica, wants nothing to do with Dungeons and Dragons and I could be in the middle, if you guys said, “Hey, Stephanie. We're going to play Dungeons and Dragons,” I'd be like, “I'll come hang out with you guys just to hang out with you but I have no interest in playing.” Erica's on the opposite camp, “I want nothing to do with it.”
Neither one of us feels left out. If you're like, “Hey, we're going to nerd together and play this thing,” because you're doing a thing, and we have the choice, and I think that that's why your point is so important, but there are going to be things that you do with people, potentially from work.
I, at a period in my life, was in a book club with somebody from work, and we had wine and we hung out, and other people were like, “I like the social aspect of that but that sounds super nerdy and boring AF, and I would have no desire to go sit around and talk about the Oprah Book Club of the Month.”
When people see the activity, and can filter it through that lens, it makes it easier for them to crawl out of the caveman brain, and not look at it from the jealousy perspective, because I think that we're just hardwired to look at it that way, and so I'm so glad that you brought that up, because I think it is really important to look at it, potentially, through that lens, and if you find that you do have people on your team who express an interest in that, then maybe it becomes about, “Oh, well, if you're interested in that, maybe I still have D&D night with my nerd friends, but maybe we also do a team D&D night,” so everybody is invited and everybody can experience that thing.
It doesn't mean that they have to be mutually exclusive, and I think a lot of us look at it like, “Well, if somebody else wants to join in on this activity, then I can never do that activity with this work friend again without having to invite everybody.” No, you absolutely can, and it can still be private time and you can create the space for everybody to feel like they're joining in on something or picking a different activity.
I think we go into that, it has to be one or the other and it doesn't, I don't think.

Dr. Andy Roark:
Right. No. I completely agree. That's what I got on favoritism. I hope it was helpful for people. As I said, it's a little bit of a perspective check. It's about thinking about why this matters. It's about thinking about what it means to have relationships with people that we work with, especially people that we're supposed to be managing or leading, things like that, but it's something that's definitely worth paying attention to, it's a thing that you're probably always going to have to manage a little bit. It's not a set it and forget it sort of thing. There's a lot of things you can do to make your life a lot easier.
If you end up in a practice where you don't have clear systems, you don't have any transparency about what it takes to get ahead or how schedules are made or how raises are given or things like that, you're probably setting yourselves up to have some more challenges.

Stephanie Goss:
I think that's where we see a lot of it in the industry, and we see a lot of the biases in hospitals that don't have systems like that, and so people are wondering, “Well, are they getting paid more than me now, because they're friends with Stephanie outside of work or are they getting paid more than me, because they actually have skills that I don't have?” It's that lack of transparency, that lack of systems that often leads us to those places where the bias absolutely is present, and, again, we're not saying that it isn't, but it's happening because there aren't those systems in place.

Dr. Andy Roark:
Yup. Exactly right. That's exactly it. Cool. Thanks, Stephanie. Thanks for talking through it with me.

Stephanie Goss:
Yeah. Have a great rest of your week, everybody.

Dr. Andy Roark:
Yeah. Take care, everybody.

Stephanie Goss:
Well, that's a wrap on another episode of the podcast. This was a fun one. We really enjoyed it, and we hope you did too. If you enjoyed this episode, and you are a practice owner or a practice manager and you have not signed up to come hang out with us in Greenville in December, I want you to head over to the website at UnchartedVet.com/Events, and check out all of the information that's there about our Practice Leader Summit.
Now we've talked about it on the podcast, eventually the Practice Leader Summit is going to be open to a variety of leadership positions in the practice, but this year, we are doing practice owners and practice managers and I would love it if you both would come together but if you were in that role within your practice, and you want to come to Greenville, South Carolina, to work with me, Andy, Maria, the rest of the Uncharted team on working on your practice and not in your practice, spending time focusing on your relationship as leaders in the practice, and talking about things like today's podcast episode from the big picture sense, how do we run the practice? What is our vision? What is our values? Who do we want to be as a practice?
If that's your jam, don't miss out. Again, head over to the website at UnchartedVet.com/Events, and sign up to be there with us in-person. Don't miss out. It's going to be a blast. See you there, and we'll talk to all of you next week. Take care, everybody.


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

Oct 11 2023

Why Do We Struggle So Much With Failure?

This week on the Uncharted Podcast, Dr. Andy Roark and practice management geek Stephanie Goss are diving in and grabbing another email from our mailbag. We received a wonderful email of gratitude from an Australian veterinarian who said “You don't know me from a surgical scrub brush, but you saved my life.” After drying their eyes, Andy and Stephanie managed to pull out the meat and potatoes of this email where our veterinarian was asking for ways that they could help locally and how we could effect change globally in veterinary medicine when it comes to how we handle learning about and managing failure. This is a powerful tool worthy of serious discussion and Andy and Stephanie really enjoying diving in to some of the facets of this very multi-faceted conversation. Let's get into this…

Uncharted Veterinary Podcast · UVP – 253 – Why Do We Struggle So Much With Failure?

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 role play 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

Resources Discussed in the Episode:

Uncharted

AAHA Community

AVMA committees

MCVMA

PRIDE VMC

BlackDVM Network

NOMV Lifeboat

Vets4Vets (Vin Foundation)


Upcoming Events

October 25, 2023: Team Meetings That Build A Financially-Informed Culture

with Ron Sosa

Time: 12pm ET/9am PT – 2pm ET/12pm PT

Strike a balance between a money-focused environment and a culture that values more than just profits at your veterinary practice. Join our live virtual workshop and unlock the strategies to promote financial transparency, trust, and united engagement. Register now to foster a financially-informed culture and drive your practice toward greater success.

November 3, 2023: Supporting New Graduate Veterinarians

with Katrina Breitreiter

Time: 2pm ET/11am PT – 4pm ET/1pm PT

Are you ready to equip your veterinary practice with effective mentoring strategies for new graduate veterinarians? Join our live virtual workshop, “Supporting New Graduate Veterinarians,” with Dr. Katrina Breitreiter, DVM, DABVP & tackle hiring challenges at your practice through cultivating a strong mentorship culture, attracting top talent, & supporting your new graduates to thrive in clinical practice.

These workshops are free for our current Uncharted members and only $99 for the general public! Come join us.

Upcoming events: unchartedvet.com/upcoming-events/


Episode Transcript

Stephanie Goss:
Hey everybody, I am Stephanie Goss, and this is another episode of the Uncharted Podcast. This week on the podcast, Andy and I are tackling a mailbag letter that comes to us all the way from a friend in Australia. It is a really fun one, it starts out on a little bit of a heavy note. So just to give everybody a warning, this episode does mention and talk about mental health in our profession and about suicide awareness. And it starts, because one of our readers was impacted by something around those topics, that is work that Andy and our team have done and started as a thank you. And so we do start there, and yet we move on to the heart of their email, which was about how do we better prepare, in particular new graduates and new vets from being trapped under the weight of their own expectations and their fear of failure.
And I think that this is an episode that goes far beyond just new graduates. I think there are a lot of us in veterinary medicine who put a ton of pressure on ourselves and are super hard on ourselves, and failure is a big challenge. I really, really love the questions that we're asked in this email. This might be one of the episodes that I have truly enjoyed doing the most, in all of the years that Andy and I have been recording. I think the topic is really, really important and I'm really excited to share it with you. Let's get into it.

Speaker 2:
And now, the Uncharted Podcast.

Dr. Andy Roark:
And we are back. It's me, Dr. Andy Roark and the one and only, Stephanie, teach your children well, Goss and know they love you.

Stephanie Goss:
How's it going? Hi, Skipper Roark.

Dr. Andy Roark:
Hello. Skipper is here demanding attention. He's been traumatized, because there are turkeys, there are wild turkeys that have discovered, they live in the forest and look, just bear with me, Goss. I'm already losing you.

Stephanie Goss:
Nah-ah, keep going.

Dr. Andy Roark:
So Skipper, who struggles with his confidence as part one, part two is there are wild turkeys that live in the forest and they have discovered that the birds that eat at the bird feeders on my deck, throw half of the seed that I pay good money for out of the bird feeder onto the ground. And so there's a pair of turkeys, not my children, two different turkeys that come to the house every day and raid the flowerbed looking for seeds, and they have an antagonistic relationship with Skipper. And so Skipper's here, he needs some moral support, because the first couple of times they came and found some seeds, Skipper would spot them, and he would just go off from inside the glass doors.

Stephanie Goss:
Sure.

Dr. Andy Roark:
And of course, they're turkeys, they're goofy turkeys, they're like and they would freak out and run different directions like a cartoon. You know what I mean? Like Wiley Coyote, just two turkeys, they run into each other and then they would run away, it was just absolute ridiculousness. Anyway, at this point, he's never gotten out of the glass door and so they're starting to not take him seriously. And so I'm seeing them just waddling at him and he's losing it and I think it's probably bad for his confidence, which he struggles with. And so anyway, he's here being reassured, because the turkeys question his dominance of the yard, at this point.

Stephanie Goss:
I've never once really wished that we did this podcast on video.

Dr. Andy Roark:
So you could see my turkey impression.

Stephanie Goss:
Yes. For everybody to see your face smashed against the glass, imitating Skipper, watching the turkeys gobble.

Dr. Andy Roark:
I really like the turkeys. I would take the Turkey over the deer every day of the week, I'm not a deer fan.

Stephanie Goss:
I was going to say, that's my question. Are you using the cowbell method on the turkeys, the same way you do on the deer?

Dr. Andy Roark:
I'm pro Turkey. No, I am pro Turkey.

Stephanie Goss:
You're pro Turkey.

Dr. Andy Roark:
Yeah. No, I've got deer that eat my plants. I've got bears that, there's one bear, he's a bad bear. I have a bad bear who just, he knows when trash day is and he just goes through the neighborhood just flipping them over. So Allison and I came independently to a solution, we were both like, how much does he want to get in this trash? Is it just that it's easy? And so we both were like, what if we got some sort of a latching mechanism? So I was like, we should get a latching mechanism. I came home when Allison showed me on her phone, I was thinking about getting this as a latch for the trash can. So anyway, so I've got it, it should be here today. We're going to try to latch the trash can, which is going to go one of two ways. It's either going to be enough of a headache, the bear is going to be like, nah, this isn't worth it, or the bear is going to tear my plastic trash can in half, and then I'm going to have to get not only a new trash can-

Stephanie Goss:
A new trash can.

Dr. Andy Roark:
Bags, but a new trash can as well. Or he's going to carry it off into the woods and I'll have to go find it in the forest and pick it up.

Stephanie Goss:
I can't wait to see the camera footage on that one.

Dr. Andy Roark:
We're going to definitely have to put the wildlife camera back up, so that we can see the bear interacting with our trashcan defense system.

Stephanie Goss:
Please do. Well, we have a great email from the mailbag today, but I have to caveat before I start getting into and unpacking the email. I need you to stick your fingers in your ears and la, la, la for a minute, because I'm going to read part of it that's going to make your head grow so big that you won't be able to walk through the door-

Dr. Andy Roark:
I remember this one.

Stephanie Goss:
Because it's a very nice email about you and so you need to stick your fingers in your ear.

Dr. Andy Roark:
I'm not going to listen to this.

Stephanie Goss:
So that you're not listening for a second.

Dr. Andy Roark:
I vaguely remember this from seeing it in the mailbag. Okay, go ahead.

Stephanie Goss:
Well, we got a mailbag from someone, it is a listener who is from Australia, which was awesome, because we love our international listeners. And they were saying thank you to you, Andy, in particular, because the Four Eyes Save Lives Campaign that you did, they said saved their life on more than one occasion. And they said that they were certain that they were not the only person in veterinary medicine who would not be here without it, and so they wanted to say thank you. And I applaud that tremendously, because that's something that I'm super proud of you, for the work on and our team for the work on.
And they had some questions about mental health struggles, because they were saying that they had been talking to the founder of a program at their vet school, and they were discussing the mental health struggles that our industry continues to face, and in particular talking about students. And they were looking at resources for introducing them to the vet students before they graduate. And in particular, what they were curious about was that it feels like there are a lot of new graduates and new vets coming out of school that are struggling with failure. And it seems like there is this impression that they're struggling to know what failure looks like, what it feels like and most importantly, how to cope with failure.

Dr. Andy Roark:
Sure.

Stephanie Goss:
And That there is conversation around vets feeling like failure is defining of them and their career and being destroyed by it, and makes perfect sense when you tie it back to the conversation about suicide prevention and awareness and just the mental health concerns that the industry is facing. And so they were saying that it feels like a lot of people are expressing that they feel really isolated and so they were like, what tools can we give to new grads in particular to help them feel equipped? And obviously they were like, this is a super complex problem and no one piece is going to fix it, no one approach is going to fix it.
But I think that's what I love about asking you in particular, because why I was excited to talk about this with you. Because I think you and I had a lot of conversation when we launched the Four Eye's Save Lives Movement, about the fact that the mental health concerns and mental health awareness in veterinary medicine is absolutely not one approach is going to fix it all situation. And we need to get beyond the fact, that there is one thing that we can do that will solve all the problems and look at it from a multimodal approach, like we do a lot of things that we're treating in veterinary medicine.
And so they just said, “Hey, I wanted to reach out and say thank you for helping save my life. And also if there's any resources that you can direct us to, or things that I could add into my toolbox, I would love to hear that.” And so we looked at it and I said, well, we can just reply to their email and send them a list of resources and obviously, have it be personal and from the heart, but I think it is a question that goes beyond that. And it was something that I was like, why don't we just do a podcast about it and talk about it? Because I think it goes beyond one person, and I don't think that they're wrong in saying that they're not the only person who's been impacted by this.
And I think mental health awareness is something that as a society as a whole, we're looking at more closely in ways that we're way past due to. So I think it's worth us talking about. So that's kind of where the email landed, we're looking at tools and resources particularly around failure and the overwhelm that comes with people feeling like they're failing. Which is something I feel like I know things about on a personal level and I know you do too.

Dr. Andy Roark:
Sure.

Stephanie Goss:
So let's talk about it.

Dr. Andy Roark:
I love this question. Why do vets struggle so hard with feelings of failure? I think is the first question. Whenever somebody writes to me and they're like, “Oh, this is what we're dealing with.” My first thought is always, why is that a problem? And I think the last episode that we did, we talked about favoritism in the workplace and again, we very much start off with, why is favoritism bad? What is the fallout from this? I think we have to do that for fear as well and so I start with the headspace on this and feelings of failure. And so let me just start here at the very beginning and just say, I'm going to speak in really broad terms and I don't want anybody to get offended or feel targeted by this. But I want to talk about veterinarians specifically and I'm sure this radiates out into our support staff as well and into managers also. But I just want to talk about, from personal experience I can talk about that at least pretty easily.
All right. So there's sort of four different things that I would call out from a headspace standpoint, that to me are the reasons that vets struggle so hard with feelings of failure. And so the first one is perfectionism. We have a culture that rewards perfectionists, all the way up until it doesn't. We have a training system that rewards good grades until you graduate and nobody gives a crap about your grades anymore. But by that point, we've totally indoctrinated our doctors and ourselves with this idea of perfection is what is required, we have to get the good grades and that's a problem for two reasons.
I'll come to the second one in a minute, but the biggest thing is we attract perfectionists, we train people to be perfectionists. And Dr. Ivan Zak, who's the CEO of Galaxy Vets, I was doing an interview with him and he said it as bluntly as I've ever heard it, he said, “Perfectionism is fear.” I mean, it is fear. When you say to someone, “Why does it have to be perfect? Why can't it just be good enough?” Their eyes will get big and they'll say, “But what if good enough isn't good enough? What if someone doesn't like it? But it's not right. But what if it needs to be perfect?” And there is a fear component that drives perfectionism, it really is. So we celebrate perfectionism, we celebrate making it perfect, making it beautiful, make it absolutely impeccable and that same focus is often absolutely driven by fear.
I heard this story. I'm a big guy for fabless and parables, and legends and things like that. I always love that stuff and look for wisdom there. There's this story, it's called The Sword of Damocles. And so the sword of Damocles, in this story there's this guy, Damocles, and he goes to the king and the king was Dionysius. So he goes to the king and he says, “Hey, you got everything, man. You are just crushing it, you're the king. You've got the world laid out before you. Man, I wish I had that. Gosh, I wish I was the king, that would be so amazing.” And the king looks down at him and he is like, “You want to do what I do? You sure?” And Damocles is like, “I totally do.” And the king says, “All right, I'll trade places with you. Tomorrow, you're going to come and you're going to sit on this throne and you're going to be the king, ready for one day.” And Damocles is just like, “I'm there.” And so the next day Damocles shows up and it was just like the king said it would be.
And so Damocles sits in the throne and everyone treats him like the king and the people come with their grievances and all of those things, but there's one subtle change. Over the night, the king ordered to have a sword taken, a razor sharp sword, and it was hung over the throne with the point pointing down and it was hung by a single strand of horses' hair. So this razor sharp sword is dangling over the guy's head while he sits on the throne and Damocles is like, “What is this?” And the king said, “You said you wanted to be the king, and so you're going to sit here underneath this sword, because at any moment you could be destroyed. And there are people who are always looking out to take you down and at any moment things could go wrong. And so you want to know what it feels like to be the king, yeah, you get to sit on this throne, but you've got this sword dangling over your head.” And that's called the sword of Damocles.
And so if you ever hear somebody talking about the sword of Damocles, what they mean is this impending doom that's just dangling by a thread over your head. And I like that story, because I think a lot of veterinarians live with this feeling that they're under the sword of Damocles. We feel like we're practicing and there's this sword dangling by a single thread over our head and any day, any time it might come down and that will be it. And that story captured that feeling of this thing hanging over our heads that could be catastrophic. And I hope I'm not wildly off base, but I'm sure I'm not the only person who has felt this.
And there have been times in my life when I went years feeling like the sword of Damocles was over my head and I was going to mess something up or things were going to go wrong, people were going to hate me. I was going to end up on the local news for doing something stupid, and I was going to get super malpractice. I was going to lose my license, the techs would hate me, the practice would go out of business, whatever the things were. You know what I mean? And it was all those things of spiraling to me living in a box beside the river and so I battled back against that with perfectionism, with hard work and perfectionism, but it was all driven by fear.
So anyway, the first thing that I would say, the reason that vets struggle so hard with feelings of failure is this massive fear and so it's not just failure. The truth is failure, what I've learned later in my life, is that failure is generally a setback on the path, it is not catastrophic. We are not living in the Stone Age, you are not going to be eaten by a bear or a feral turkey, or killed by a neighboring tribe. It is not life or death, fight or flight, but we feel like it is, but we still have this fear of failure. And the truth is, if your stitches come undone, you know what you're going to do? You're going to sedate the pet and you're going to clean the wound and you're going to restitch it.
That's what you're going to do and it ain't going to be the end of the world. But people go, “Oh my God.” And so we just embrace this fear and we have fear driving us in a way that a lot of other professions don't, but I think we attract people that are driven by perfection and fear of failure. And then that unfortunately, that behavior is positively reinforced all the way up until, it's not because you burn out, you have anxiety, you get depressed, you do whatever. So anyway, that's number one for me. So when I say that, first of all, let me just check in with you, Stephanie, does that resonate at all? Does that feel true? Have you seen this?

Stephanie Goss:
Oh, yeah, for sure. And I love your point about, I think it is in part is a system problem in veterinary medicine and all medicine, because human medicine is the same way and I think that that's a system that we have to figure out how to work around. And so I love where this person was coming from with their email, which is you have to acknowledge that and you have to start acknowledging that and recognizing and maybe we can make changes, maybe we can make huge changes within the system itself. And it starts with just acknowledging that all of these students who are in vet school, that system is not going to go away overnight. That system is not going to change and so we have to recognize the barrier that that system creates and to figure out how to work around it, because that's not going away anytime soon. I mean, there has to be some sort of system by which our veterinarians are educated, just that's how it is.

Dr. Andy Roark:
Yeah. No, I agree with that. I think there's ways we can do it. I'll talk about that when we get to action steps. So I'll sort of come back to maybe some ways to approach this. The first thing is to acknowledge it and hear what I'm saying and decide if you believe me or not, but that fear, that positively reinforced fear of failure, it's a powerful motivator, but it's also a double-edged sword.

Stephanie Goss:
Well, yeah. So I think the other side of that sword from a leadership perspective, what you said resonated with me. And I think from the other side, a really important thing that we have to step back and look at as leaders and I wish I have had this pep talk and have shined this light at some of my veterinarians, and I wish that all vet students got it. And it is somewhat heartbreaking to me that they aren't. It's pretty heartbreaking actually, but is that failure doesn't define us. It's what we do with the lesson from failure that defines us. And so failure, I would actually argue is a good thing, because let's take you being a veterinarian.
If you, Andy, never had a patient dehisce, how would you know to fix it? You would know in theory, but if you hadn't experienced that failure of the suture, how would you know how to fix it? And that's some of the most powerful lessons come from that failure and learning about resilience and that's something that we as humans don't learn enough about, and systemically we're not teaching young veterinarians. And so I applaud our writer for looking at, how can we teach this? And from a leadership perspective, I think that one of the healthiest things that we can do is really learn about resilience and also about the fact that failure is not the definition of who any of us are. It's what we choose to do with the lessons that we learn from that failure that really help shape us.

Dr. Andy Roark:
Yeah, it's funny, I've had this experience in the last couple of years. So Uncharted is absolutely blowing up right now, we are doing so much and things are just really going so well in so many ways and holy crap, we've just got a lot going on and 2024 is already shaped up to be a really huge year. But the last year and a half up until 2021, let's say 2020 and then 2021, those were hard years for me personally, in that Uncharted was growing fast and people were like, “Oh, your company's growing so fast, it's got to be great.” And I was like, “I'm getting my butt kicked, because I don't know how to run a company that's twice as big as what it used to be and we've never juggled this many. We haven't juggled half this many balls and we're doing it.”
And I've thought a lot about that and the truth is, I can look anyone right in the eye right now and say, “I know with complete certainty that I am significantly better at my job than I was a year ago or two years ago, for sure.” Without a doubt, I can look at you and say, “I'm better, there's no doubt.” And you say, “Well, how do you know that you're better, Andy?” And the answer is, I struggled, because I can look back a year and I can say, “All right. A year ago I had this problem and that's what I did.” And now I would tell you, “I wouldn't do it that way. I wouldn't do it that way, because I saw what happened, I learned from it and I fixed it and I will never forget the struggle of figuring it out and working through it.”
But if you don't have failure, if you don't have setback, you're never going to know that you're good, because you're just like, I don't know. I came out of vet school and everything was fine, and now it's been three years and you know what? Everything is still fine. Basically, I feel like I'm exactly as good as I was in vet school, because I've never had a setback that I can look back and compare myself to. To me, it basically feels like I've been lucky for three years and I've had years like that and so have other people, where you're not pushing yourself and that's not bad. It's not bad to always, no one's goal should be to always feel like they're failing.
But if you really honestly look at yourself and I said to you, “Convince me that you were better at your job now than you were a year ago.” And you've got nothing, you can't look back at something you did a year ago and say, “Ooh, I would do that differently now.” I don't know that you're growing and again, I don't know that we have to constantly grow. I think growth can come in waves, I think it totally can. But if you're having that thought and you're like, I don't know what I'll do differently. It might be time for you to stretch your wings, my friend, it might be time for you to get a little bit uncomfortable, so that we can continue to grow.
But that's not what we're taught and that's not how we're taught. We're taught that we're supposed to come out and we're supposed to be perfect, and we're supposed to never make a mistake lest you'd be struck down, that's ridiculous. But I think that that's a lot of what we are led to believe, at least and I internalized that, and no one intentionally told me that. I don't think there's anyone bad out there who's saying to people, this is what is expected of you, but I think culturally, I think we find that messaging and we bring it in a lot.

Stephanie Goss:
Well, I think the culture is that you reach this pinnacle and you are getting credentialed as a doctor, and therefore the culture exists that you should have all the answers, but that's not true. No one graduated human medical school, veterinary school and had all the answers. And so I think we have got to start breaking down that idea that this is the end and we have to start looking at it as this is the beginning. And that's a hard thing for especially young new grads coming out of school, because I did not go to vet school, but I went to graduate school and I can imagine the stress for me, finishing was like it's a weight off my shoulders.
But I didn't look at it the way that I think a lot of my veterinarian friends looked at it, which is I have slogged through years of school and now I am starting over at square one. Who wants to think like that, that is overwhelming to think now I'm going to start at the bottom again and have to work my way up. You want to come out of school and feel like I know things and I'm going to do things. And so we have created this culture where people are like, “Well, I've done all of this work already and so I should be able to just keep moving on.” And we have not created a culture that supports, okay, you've finished school and now you're going to learn a whole new thing, you're going to learn how to doctor in an everyday environment and so we have created this culture where it feels like fear.
And so a lot of my doctors have said to me, “I feel like I have to step out of school and I have to be more perfect. I have to know more than I actually know, because otherwise I am failing to feel like I'm starting over at square one as a new doctor in practice.” And after going through all of that school, who wants to feel like they're starting over at day one? But if you ask anybody else who goes into another career, I would have told you when I finished school, the first thing I would have said is I have no idea what I'm doing. Yes, I went through all of the schooling, but that doesn't mean that I'm an experienced teacher.
So people are looking at me as a student teacher expecting me to make mistakes, expecting me to screw it up, because I'm learning all over again and I don't think that we afford that same opportunity to doctors and to veterinarians. We create this environment where it's like, you did the school and now you've got to be perfect and you've got to have all the answers, and you've got to have it all figured out and that's bullshit. It's total bullshit, because you've never been a doctor before, you don't know how to do the thing. You are truly starting over and learning a whole new role in a whole new job and we have to create that safe space for that to be normalized, and for those mistakes and the risks to be taken in a safe environment.

Dr. Andy Roark:
Yeah, I agree with that. There's this quote and I'm going to miss-phrase it, I haven't seen it forever, but basically it's the idea that human beings works in progress, who think they're finished and I think that that's true. So anyway, the first one I put forward is fear. Fear is a driver of why feelings of failure are so scary, we have a lot of fear. The second one I'll put forward is that we're a profession full of people pleasers. We get external validation-

Stephanie Goss:
This one's huge.

Dr. Andy Roark:
We want to make everybody happy, we want to be compassionate and have people be compassionate to us and the idea of letting people down is not okay, and most of us have had zero conflict management training. We don't know how to deal with angry people, we don't know how to not take that stuff personally, because no one's told us that or no one's talked to us about it. And so I think that headspace, if you're a people pleaser, recognize that you're a people pleaser and people pleasers really struggle with failure. They don't want to let people down, they don't want people to be upset with them, they're afraid of conflict. And again, these are all things that we can work through, they're all things that we can teach to young people. We can teach them to young doctors, we can teach them to our CSRs, our technicians, our assistants, everybody I think should have basics of conflict management. If only Stephanie, if only there was an organization that was doing something absolutely baller, coming down the pipes to help people with conflict management. If only we had-

Stephanie Goss:
I can't imagine.

Dr. Andy Roark:
I know, if only we had workshops and virtual summits like our team lead summit that's coming up and our culture conference. We've got our online one day culture conference coming up, it's right around the corner, it's in October I think, we're doing culture conference. And so anyway, we could put links in the show notes, but I mean, if only. Anyway, we're people pleasers and that amps up our feelings of failure.

Stephanie Goss:
For sure.

Dr. Andy Roark:
And so I think part of it is if you're terrified of failure, ask yourself, am I people pleaser? Is that what's driving this? Number three is, and this kind of ties into fear and fear, but it is amazing how many doctors and highly successful people. This is the thing I'll tell you, highly successful people, they have their self-worth wrapped up in achievement. They feel like they have to earn love or they have to earn respect, or they have to earn the right to be in the building every single day by getting things right. And again, this matches up a lot with perfectionism, but it's different, but it is that self-worth.
I found this in myself over the years, because I very much am a goal-oriented person and I'm a get stuff done person. I do feel like every day I have to show up and bring value, I have to be worth it for people to interact with me and at some point you go, this is bonkers. You've built up your account, Andy, you are a helper, you are a supporter, you do good work, you care about people. You don't have to get everything right today to be worthy of your spot on the team, that's ridiculous. You don't have to get everything right to be worthy of love, or respect, or admiration, or friendship. You don't have to be right all the time in order to be worthy. And again, these are all things I said, I can't quantify. I can't say what percentage of people believe that, but there are so many of us who feel like we have to earn our spot every day and being wrong, coming up short. Secretly we're worried about getting kicked off the island, secretly we're worried about people turning off the friendship faucet, or the love faucet.
And I'm sorry, you've been cut off and now you're shunned from the group and we know that doesn't happen. We would never do that to anybody that we care about, but we think other people would do it to us for some reason. Again, most of these are not conscious thoughts, but I swear they're so common in doctors when you dig into it and you push them around a little bit and you get them to tell you why they're acting the way they are and what they're thinking. But man, the number of doctors who feel like they have to earn their spot, they have to earn their white coat every day, they have to earn their place, it's pretty enormous. And again, these are all things that we can address, they're just places that we allow our heads to go and stay. But boy, feelings of failure are not about feelings of failure. They're generally about what failure means to you.

Stephanie Goss:
Well, and I think that feeds back into the system that you're existing in. I mean, we go through school and we're judged by our output and same in vet school. You're being judged by the hours on the floor, and the number of cases that you're seeing and the number of answers that you're getting right on tests. All of those things are achievements and you're being judged on it the whole way along. And so when you go into a job where you are now, maybe there is still, you know how to measure yourself after going through school, you know what achievement looks like.
And when you go into practice, or not even necessarily into practice, if you're in industry and using your degree in a way that isn't in daily practice. But when you get out of vet school, the way that you measure achievement and the way that you're measuring success is radically different than it has been this whole time that you have been in school. And it's the same for people who didn't go to vet school, but I guess people were conditioned that way. And we have to learn a new way to measure our success.
And you and I have had this conversation, because a lot of what we do in our work, success is not measured by the output. If you measured us by the output, we would be exhausted, we would have to show up and be on and produce, do workshops and webinars all day every day. We would burn out very, very quickly, because our job is not one where we measure it by way of output and I would argue, neither is veterinary medicine. Sometimes to figure out a case, you have to sit with it and it takes time.
And so if your only measure of success is the number of patients that you see in that day, then by that measure you are going to be failing, but you're absolutely not going to be failing that patient that you take the extra time to figure out their case on. And so I think that's part of it, is that because we measure by the self-worth, by achievement and we have a system that rewards that all through vet school. We have to figure out how do we redefine that for ourselves and for our teams, so that we know what is that measure of achievement so that we can deal with the guilt factor on a personal level.

Dr. Andy Roark:
The flip side to self-worth, the flip side to, I have to show up and earn my place today, I have to earn respect today, I have to earn friendship today. The flip side to that is still self-worth. But if you've ever heard me tell a story of, there is no dragon, then you'll kind of know what I'm talking about here. There's a lot of us that have convinced ourselves or we have been convinced that there is some achievement ahead of us, that if we get there, then we will know we are worthy. We know we are worthy, we'll know we're worthy of whatever, admiration, success, however you define success in your mind. If we slay this dragon, everyone will know that we are worthy and we all know we're worthy. And that's sort of the story of there is no dragon and the truth is there is no dragon.
There is no dragon that you are going to get to and you're going to accomplish it, and then you're going to know that you're worthy. It is just not going to happen, but so many of us have chased dragons our whole life. We thought, I just want to work in a vet hospital, when we're teenagers. I just want to work in a vet hospital and so you volunteer and then well, I just need to get my college degree, and then I just need to get into a vet school. And then you've got to vet school and you're like, well, what now? And you're like, well, I guess I need to be a specialist, or I need to get this internship, or I need to go to work at this specific hospital. And you get there and you're like, but what now? Well, I need to have this ability, this skillset to know these techniques, to have this value in the practice, but it never ends.
And I can just tell you, whatever the dragon is that you're chasing, you think is going to make you worthy. It's not going to happen. If you're uncertain of your worth, there's no external achievement you're going to get, that's going to settle that issue for you. You're going to have to do the work of figuring out that you are worthy and you're going to have to be able to come to that yourself, and there's lots of ways to do that. I think it's beyond the scope of what we're talking about today. But if you're like, oh my God, when I accomplish this, I'm going to be worthy. I would say, “My friend, I think you're setting yourself up for a hard pace.”
But the other thing too is, if the only way you're going to know that you're worthy, if the only way you're going to know you're successful is if you achieve something, then suddenly setbacks to that achievement feel catastrophic, because it's not just a short setback. It is a shot, maybe you are not worthy, it puts your whole value system into question. And so when we've got this thing we need to do.
It's like, again, my wife is a college professor and she's in biology and man, you see some of these kids and they are kids, they're 18, 19 years old. They have come in and they have decided that they need to be a physician and that will make them happy. And when they're not going to be a physician, or it's not a good fit for them, if you tell them that they fall apart, because their whole self-worth is based on, I will become a doctor, a physician and then my life will be good and I will know that I'm worthy. And boy, when they come up short, they get the C minus in their intro biology class and man, it is absolutely earth-shattering for them. But it all comes down to that same mentality.
That brings me to the last point, speaking of identity and what makes us who we are. Again, there's this other terrible habit in vet medicine that I see all the time, for veterinarians who internalize their job as their identity. They are the veterinarian, that's who they are. They visualize that in some way, shape, or form and they are a vet. That's not what they do, they don't say, “Oh, this is what I do.” What do you do for an occupation? They're like, “Oh, no, no. I am a veterinarian.” Not, “Oh, I do veterinary medicine or I'm a practitioner or whatever. I am a veterinarian.” And again, I've said that, I've said that many times. It's not bad, as long as you don't let it honestly take you over.
But I know so many of our colleagues who just identify to their bones as a veterinarian, which means when a surgery goes bad, it's not a bad day. It's a shot at who they are as a person. When someone says, “If you cared about this, if you really cared about dogs, you would do this for free.” And anyone who sees vet medicine as a job would be like, “That's ridiculous.” Anyone who sees being a veterinarian as their defining identity would say, “How dare you? How dare you question what I have put into this? How dare you question who I am and what I do?” And they take it really personally, and I get it. But again, it's a false definition, it's a hollow place to go. And it just sets you up to always being afraid, because if you fail in whatever it means in your mind to be a veterinarian, then you don't exist as a person anymore.
And again, I said I was speaking in broad generalities. So I don't want people to say this is true of everyone, but I suspect that every doctor listening to this podcast has hopefully at least been able to empathize with one of these positions. Anyway, I think that that is a classic is, for God's sake, and people don't like it when I say this, but I'm going to say it again, because it's my podcast. Vet medicine's a job, it's a job, that's what it is. I love it, it's a great job, I'm proud of it, I enjoy it, I look forward to it. I wouldn't want a different job, but you know what? It's a freaking job and I'm a husband and a father, and I work in my garden and I do improv comedy and I do CrossFit, and I play nerdy D & D games with my friends and I paint. I do so many things, I'm not just a veterinarian, there's a lot to me.
And if someone took my veterinary license away from me, you know what I would do? I would go on, I would go on, it would break my heart and I would cry about it, but then I would go do something else. It'd probably be something related to vet medicine, but I would go on, because it's not the end of me. I am a person and if I suddenly developed terrible allergies and couldn't be around pets and I wasn't able to walk into a vet clinic anymore, I would go be something else. And I would always remember when I was a vet and I would love it, but I would go be something else. I would go start an escape room company and I would make escape rooms, because I'm an escape room nerd too, but that's what I would do. You know what I mean?

Stephanie Goss:
Yeah, I do.

Dr. Andy Roark:
I would go open a nerdy bookstore, but again, it's because my job is not who I am. But boy, when I was in my thirties, it was who I was. And I talk a lot about that time in my early forties when I just crashed and burned out, it's where there is no dragon story came from. But a lot of that was my whole identity was wrapped up in my job and man, it ain't what this life is about, I promise you it's not. I promise you it's not.

Stephanie Goss:
I think this feels like a good place to take a break and then come back in, talk about some action steps.

Dr. Andy Roark:
Let's do it. Yeah, because there's been a lot of headspace here. But let's get into some action steps of what we actually do to try to help out the next generation.

Stephanie Goss:
Did you know that we offer workshops for our Uncharted members and for our non-members? So if you're listening to today's podcast and you are not a member of Uncharted yet, you should be. But this is not a conversation about joining Uncharted, this is a conversation about all of the amazing content that we have coming at all of you. Whether or not you're a member through our workshop series, you should head over to the website at unchartedvet.com/events and check out what is coming. We have got an amazing lineup on the regular. We've got something every month, sometimes two or three things in a month coming at you to expand your brain, to talk about leadership, to talk about practice management, and dive into the kind of topics that Andy and I talk about on the podcast every week.
So now's your chance, stop what you're doing, pick up your cell phone, I know it's not far from you, and type in unchartedvet.com/events, see what's coming and sign up. They are always free to our Uncharted members and they have a small fee attached to them, if you are not currently a member, you can get all of the details, pricing, dates, times and register. Head over to the website now, I want to see you there.

Dr. Andy Roark:
All right. So let's jump into this. So we've got some action steps. So the question was, what do we do about young doctors or vet students that are coming out, and have such terrible concern about failure or feelings of failure and things like that? Well, what are some resources and how do we set people up for success? And again, this is a modest proposal. I don't have all the answers, but I obviously thought a lot about this and so here's my best shot and what I'll put forward. This is Andy's wishlist for vet medicine to take care of its own.
So the first one is call out the reasons that vet struggle, that I mentioned above. We need to normalize talking about this, we need to normalize the idea that vets shouldn't be afraid all the time, your job should not be your identity, it's just a job. You should be able to take your coat and your stethoscope off, you should be able to take your scrubs off and you should be yourself and you should be happy with that person. We should understand what our self-worth is and where it comes from, and you are worthy, you don't have to prove it every day and a lot of that, that also goes to being a people pleaser. We've got to internally validate ourselves and I do think that the part of that is education, is we should talk more about what it really means to be a good vet. And that goes way back, just what it means to be a happy and contented person, who sees themselves as worthy and who doesn't need to be a people pleaser. But I think that we need to start talking about those and normalizing those things.
And the last thing is we need to normalize the tendency we have to feel fear. We need to talk about the fact that this is a common part of our profession and so all of those sorts of things. I think training and conflict management matters, I think getting your head straight about your own self-worth and things like that and doing that work to separate it. If your self-worth comes from your job, I would encourage you to dig deeper and maybe start to find some other perspectives on that sort of thing.

Stephanie Goss:
I think it's really important what you said about calling out the reasons that we struggle and that vets in particular are struggling. And I think it's also very important that we take a step back and recognize that, we gave four reasons right at the start, why we think that failure is a challenge? That's not an all-inclusive list. There may be reasons that a vet, listening to this podcast is, someone might be listening and say, “Oh my gosh, I see myself in all of the things Andy mentioned.” And there are other people that might say, “I didn't see myself in any of those. I have these other problems.”
And I think when you said we need to start talking about it and we need to start normalizing it, I think a really important part of the conversation is recognizing that all of us walk different journeys. We all got to veterinary medicine by varying paths and there is no one list that is ever going to be exhaustive for the reasons why veterinarians struggle, and we need to make space to validate that for all of us. It doesn't matter why somebody else has different reasons, they shouldn't have to prove their reasons, because they're not on Andy's list comparatively.
And I think when we start to talk about a lot of this in veterinary medicine, and I'll use the example of talking about the Four I's Save Lives Movement. There's the conversation of, well, that wasn't the whole list, there's way more that we can be doing. No one is saying that's all we are trying to do. It is one piece of the bigger puzzle and so I think it's really important for me, as we start to talk about these action steps, that everybody has to recognize that everybody is coming at this from a different place on the path. And so we have to create that space. We, being us here today, having this conversation, but also we, as a whole, as an industry have to create the space for everybody to be able to have a seat at that table and say, “My reasons might be different than yours, my experience might be different than yours, but we're here for a commonality and that's important.”

Dr. Andy Roark:
Yeah. No, I think you're spot on. I'm really glad you said that. The other thing I would say, is I could see people pushing back on this too as well and say, “But Andy, if people aren't pushing for perfectionism, if they're not afraid of failure, then they're not going to try as hard- “

Stephanie Goss:
Sure.

Dr. Andy Roark:
“Or we're not going to have as high a standard of care as we could.” And I just want to go ahead and say, I don't buy that. Fear is a motivator, it's not the only motivator. We can absolutely work hard, we can push ourselves, we can set high standards, we don't have to be afraid of them. Look at the greatest athletes in the world, they're not terrified. If they were terrified, they probably wouldn't be the greatest. They have found their motivators, they have bought into what they're doing, and they continue to grow and perform and push themselves, they just are accepting of their setbacks.
In fact, when you look at a really high performing athlete, some of the psychology research, I think it's fascinating. Is you look at these guys who are huge pros and when they make mistakes, when they drop balls, when they make errors, they just don't think their ability to let it go is one of the reasons that they are the best. Is they go, “Oh, all right, well.” And they just don't think about it. But the people who ruminate on how they struck out last time, how they missed the big shot, they're not able to perform at that level or get back to that level as quickly. So anyway, I'm not saying when we start talking about this and addressing fear, that doesn't mean coddling, it doesn't mean lowering our standards. It just means being honest about how we motivate people and trying to lean into healthy motivators, as opposed to motivators that wear people down.

Stephanie Goss:
Well, and I think your sports, your athlete metaphor there is a great one, because I think we already talked about this in the headspace piece, but the next piece of it I think has to be about normalizing failure. And when you talk about an athlete, a professional athlete, it's not that they don't care that they made a mistake. The process is making mistakes is going to happen. Do you wish that it happens during a scrimmage versus during the Super Bowl? Yes. That's as much sport balling as you're going to get from me today, by the way.

Dr. Andy Roark:
I was going to say, I'm seeing a new Stephanie Goss here. Was like, that's right, she's onboard.

Stephanie Goss:
But is that the case? Yes, absolutely. Of course, they're going to wish that it happened when there's low stakes or no stakes versus the high stakes. And at the same time, the system recognizes that there is going to be failure, and what did they do about it? They watch tape, they analyze it, they learn from it. It's a part of the process, it's a part of the model and I think this is where manager, Stephanie, gets on the soapbox, because we don't, as an industry, do enough to normalize failure and create the space for us to make those mistakes and actually learn from them, because we're so driven by the fear. It's like, oh, we can't make that mistake again, or someone is going to put us up for a board complaint, or oh, we can't make that mistake again, because we're going to lose a client. We drive ourselves with fear as the only, I would argue, often the only lever in our practices and we've got to stop doing that.
Because imagine, hallucinate with me for a second. If we had a space where it was like, yes, we are human and we make mistakes and we did like athletes did and we analyzed that, we learned from the failure and we created a new model. The next time we would be very different, we would have veterinarians who feel very different about that failure and it's not to say that I, and people will say, “Well, we can't have that kind of cavalier attitude when pet's lives are in our hands.” I'm not saying we'd be cavalier about it at all. In fact, I'm saying the opposite, recognizing the gravity of that and knowing we don't want to make the mistakes. We want to learn from them, and we want to get better, and we have got to normalize that failure and create the space for our team to learn from those mistakes. That doesn't happen in a vacuum in sports either, they have a system for it and we need a system like that in veterinary medicine.

Dr. Andy Roark:
Yeah, I agree. I saw the story before. One of the most positive mentors or examples for me when I was at Florida, and I've had him on my podcast, The Cone of Shame podcast, is the other podcast that I do. I've had him on the podcast a couple of times, is the legend, Dr. Michael Scher. So Dr. Michael Scher is an internal medicine specialist and quite possibly the most brilliant clinician I've ever met and I've met a lot of them, he's definitely up there. But I remember from being a student, this guy is a legend, and he told stories of his failures. He would talk about the cases that he got wrong and how he learned these lessons and he talked, so in Florida, he was known as uncle Mikey.
So if there's any Florida Gators out there, you'll know uncle Mikey. But anyway, but uncle Mikey, but he would talk about his pile of bones and he would just mention it, was like, “Ah, so that one goes on my pile of bones.” And it's like, “Yeah, I add it to my pile of bones.” And I'm like, this guy's a legend and he just goes, “Oh, it's my pile of bones.” And he'd be like, “I've got a bigger pile of bones than anybody.” It's like, yeah, because done more than anybody. But it was so healthy, and the fact that I still remember him talking about his pile of bones, because I was like, this guy's a legend and he's just very open about it, I learned that one the hard way.
I think he did a lot for me about modeling that behavior, modeling the behavior and normalizing failure. I think we've got a lot of specialists that teach vet students that whether they mean to or not, they model this behavior that perfection is what is expected. And I want to stop and give a shout-out to those vet school professors, the clinicians who are there, who are like, I don't know. I don't know, we're going to try this and we're going to see what happens and if it doesn't work we're going to do something else. You can be absolutely genius and still say to the students, “I don't know. I tell you what, last time I did this, it did not go well and this is why.” And I respect you more for that, but I think we have to model that behavior.
The last part I think I'll probably put in, well, probably the last part, is I want to keep pushing the idea that the middle of success feels like failure, and that's just something that I've been dealing with a lot and talking a lot and thinking about recently. It goes back to what I said before, so I won't belabor this point too much, but I told this story before about, I know I'm better at my job than I was a year or two ago, because I can look back and say, “Oh, I wouldn't do this the same way now, I would set this up differently. I would get different people on the bus, or I would set this agenda up this different way, or I would set a different timeline, I would start with different resources.” Whatever I would do, but I look at it, I can know that.
Well, the middle of success feels like failure. Like I said, Uncharted is blowing up and it's like, man, this feels like success. Things that we were doing great, but I would tell you jump back a year or two ago, and we had hired a bunch of new people and we were onboarding multiple people at the same time. And we were not going as fast as I wanted to go, because I was like, we got a huge opportunity. It's just slow-going and I felt like I was failing. But the truth is, I was halfway to where we are today and I go, “Oh, well, it worked out. This worked out well.” But the middle of success feels like failure.
I think we all get excited about the beginning and we all get excited about the success at the end, but we forget that the middle feels like Sisyphus pushing the boulder up the mountain. Man, I'm telling some great stories today, but it does, it feels like you're just rolling this boulder up and you're dropping it and it rolls back down and you're like, this is clearly failure. It's like, yeah, it feels that way until it's not failure anymore, until you make it. So the middle of success feels like failure. I think that's just part of normalizing failing and making adjustments.
So anyway, the last part is, I'll say, I really think is when you talk about what motivates people beyond fear. One of the ones I've been thinking a lot about recently is the moose story and so we got a newsletter at DrAndyRoark.com and I write for it every week. So if you want to see my musings and my ramblings, it's free, you can get it at DrAndyRoark.com, you get it safe. But I wrote an article about being a moose truther recently and well, the basic story was, you and I talked about the vacation I did with my family up to Maine and we went up to Nova Scotia and my wife really wanted to see a moose. That was her number one thing and every day, me and the kids jumped up and we looked for a moose.
So we would do a morning hike to get out into the wilderness, try to find it and we would do a dusk hike or walk. A lot of times we had dinner, we'd been doing stuff all day, we just want to go to bed, but we're like, “No, we're going to find that moose.” And so we would get up and we would go back out and we would do this extra thing and at the end of it all, we never saw a moose. We never saw a moose, I'm pretty sure that they're fake, they're a joke. They're a park system and the Canadians are playing on the rest of us. I think that they're a very successful Sasquatch, is what I think. So they're a joke, they're like how some people feel about the moon landing is how I feel about moose.
Anyway, but here's the truth, I'm so glad we had a moose to look for. The moose was the reason we got up and we went and we walked and we hiked. And the truth is, I don't care that we didn't see the moose, because we did so much awesome stuff and the things that we did and the places we went, they were beautiful and they were wonderful. And I don't know that we would've gone there if we weren't looking for this moose that we never saw. But I still have these wonderful memories of doing these things with my family.
And so it's not about the achievement, it's not about what we accomplish. It's about having a reason that we go and do the hike, it's about having a reason that we get out of bed earlier than we otherwise would. But I think that we can all find that, it doesn't have to be fear. It wasn't a horror vacation, I wasn't afraid of the moose. I wasn't like, “Kids, we have to pack up the tent before the moose comes.” It wasn't fear based at all, it was a 100% an exploration. I don't know, it is sort of a sense of wonder, it was looking, it was being present and so I don't know. I think that we can teach medicine in that way and encourage people to not be afraid of failure. But instead to figure out what their moose is and then to go find it, because vet medicine is amazing and I think we need to talk more about that.

Stephanie Goss:
So we're almost out of time for this episode and we talked about wanting to share some resources and having some stuff to drop in to the show notes, because we could keep talking about this, I feel like forever. Do you have some resources that you want to talk about and share?

Dr. Andy Roark:
I do. I do. So big things for me, we need to be celebrating peer groups. I think having those interpersonal relationships are so, so important. If you're afraid of failing, having some friends around you who are also in the boat with you, who also have failed. I can't tell you how much it meant to me to work with other doctors who are like, “Oh, I made that mistake before.” Or just to say, “Well, I didn't do that one, but I did another one.” I was talking recently about getting the doctors together at the vet practice where I practice and we just had a doctor's thing and we went and hung out. Basically we just traded stories about how we'd screwed up and how things had gone badly, and it was the most cathartic and helpful and positive session that I've had in a long time.
And so peer groups I think are really important, other peer groups outside of your practice, I don't know. There's this thing called Uncharted, it's a wonderful community of people who, if you're listening to this podcast, you're probably a lot like the people who are on Uncharted, but Uncharted is a great community. I really love those Power of 10 groups, if you are looking at your local VMAs, they do it. The VMG groups, the veterinary management groups, if you're an independent practice owner, they do a great job. AHA does a pretty darn good job, I got to say, AHAs community is pretty solid. The AVMA committees, getting involved in a committee can be really great. There's vet school alumni groups, there's Pride VMC, there's groups like that. The Multicultural Veterinary Management Association, whatever your interests are, there's people who's doing that stuff and having those relationships is really insular against the struggles I think.
Oh, I was going to say to vet students, stay in touch with your classmates, don't lose those relationships, because just having people to reach out to is important. As far as resources outside of peer group, man, there's a lot of them. Not One More Vet Group, NOMV, their Lifeboat program is really solid, there's some really good people involved in that. The VIN Foundation does exceptional work, the Vets For Vets and there's also support for the support staff.

Stephanie Goss:
Support staff.

Dr. Andy Roark:
I think we should normalize therapy as a tool. Stephanie, you and I mentioned it a lot and I feel like we do a pretty good job of bringing up and being like, “Hey, if you're wrestling with something, you would pay a consultant to fix your business. Pay a therapist to walk through with your personal life and help you get things figured out and get your head straight.” I think normalizing therapy is great. Encouraging relationships and hobbies outside of our profession is huge. I listed all the stuff that I like to do and what I am beyond a veterinarian. I really think that having those relationships and having people who don't care that you're a vet, I think that's super healthy and I think having hobbies that aren't vet medicine is really healthy.
And the last thing is if you're a senior vet, then you got to model healthy behaviors. Those of us who are out here, who have taken our lumps and have come out the other side and know that everything's going to be okay, we don't need to impress the young vets. We need to be their friends and we need to support them, and we need to let them know that they're good enough. And I go back and often the classic, and I don't want to start any drama with this, but there's an archetype of certain, it's usually technicians who really want to impress the pet owners and really want the pet owners to know that they're smart. And so they go in and they use huge words and vocabulary, and we've all seen this archetype. Not all techs of course, but it's an archetype, it's like a stereotype that we know. And so anyway, there's that.
The veterinarian equivalent of that, because vets do it too, but a veterinarian equivalent that looks kind of similar, is the more senior vets trying to convince the younger vets that they're super smart and they know the answers. It's like, man, you don't have to convince them you're smart. You've got a heck of a lot more experience than they do, just be their friend and be a supporter and just meet them where they are and let them know that everything's going to be okay, it's the exact same thing. So anyway, you don't have to be all things to all people, you don't have to show people that you're perfect. Just show younger vets how you have figured out ways to balance your own life and just be a good model.
And if you're happy in vet medicine, make sure you make relationships so that the younger generation can see it. I think a lot of them go online and all they hear is from people who are unhappy and they think, God, everybody's unhappy. It's like, man, there's a lot of us that are doing just fine. But anyway, that's it, that's enough from me. I know I've ranted on and probably made this episode really long, but I hope this is valuable for somebody. Obviously this is something that I care a lot about, but I hope that there's some pearls that are useful.

Stephanie Goss:
I think so. I will drop links in the show notes to all of the resources that we mentioned and probably a few more that we think of along the way. I hope everybody is having a fantastic week and we'll talk to everybody again next time.

Dr. Andy Roark:
Thanks everybody.

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


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

Oct 04 2023

We Are TOO Big Not to Have A Manager, Right?

Uncharted Veterinary Podcast Episode 252 Cover Image

This week on the Uncharted Podcast, Dr. Andy Roark and practice management geek Stephanie Goss are talking through an interesting challenge that a veterinary technician wrote in to the mailbag with. This tech works in a practice with 15 other team members. They have no practice manager. Who solves the problems that the team can't solve? How come it feels like anarchy over there? This team member is asking for help. Let's get into this…

Uncharted Veterinary Podcast · UVP – 252 – We Are TOO Big To Not Have A Manager, Right?

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 role play 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

October 25: Team Meetings That Build A Financially-Informed Culture with Ron Sosa

Are you struggling to create a balance between a money-focused environment and a culture that values more than just profits? Do you feel judged for how your practice manages its finances? Get ready to tackle the challenges surrounding financial transparency and foster a culture that goes beyond mere numbers.

Uncover ways to create a stronger, more financially savvy practice that thrives on teamwork and a shared vision. In this live virtual workshop you will:

1️⃣ Foster a Financially-Informed Culture:

Learn how to engage your team in understanding and appreciating the financial aspects of your practice. By involving them in setting metrics, you’ll create a united front in driving financial success while maintaining a strong cultural identity.

2️⃣ Promote Transparency and Trust:

Break down the barriers between team members and financial matters. Openly share enough financial information to ensure transparency, building trust and eliminating judgment within your practice.

3️⃣ Cultivate United Engagement:

Discover strategies to keep your cultural feel intact while introducing necessary financial metrics. By involving your team in the process, you’ll create a sense of ownership and engagement in achieving both financial success and a positive work environment.

Gain the knowledge and skills needed to navigate financial matters effectively, align your team with strategic goals, and foster a culture of financial awareness and accountability within your practice. Don’t miss this opportunity to transform your financial meetings and drive your practice toward greater success.

When: October 25, 2023, 12-2 PM ET/9-11 AM PT

$99 to register, FREE for Uncharted Members


Episode Transcript

Stephanie Goss:
Hey everybody, I am Stephanie Goss and this is another episode of the Uncharted podcast. This week on the podcast, Andy and I are diving into the mailbag to take an email from a technician who is struggling because their practice brought 15 team members and their practice owner doesn't seem to want to hire a practice manager. This technician feels like the team's size is too big for them to work everything out amongst themselves and it feels like they need some leadership in the practice every day. The practice owner doesn't want to budge. This is going to be a wild one. Well, let's get into it.

Speaker 2:
And now, the Uncharted podcast.

Dr Andy Roark:
And we're back. It's me, Dr. Andy Roark and the one and only Stephanie, you-and-me-and-the-devil-makes-three Goss.

Stephanie Goss:
I was not disappointed. That was a good one.

Dr Andy Roark:
Oh, yeah. I heard that song recently. I was like, “I'm using that one.” That was a good song.

Stephanie Goss:
I love it.

Dr Andy Roark:
Oh, yeah. How are you?

Stephanie Goss:
How's it going?

Dr Andy Roark:
Oh, it's good. I just got back from a big vacation with my family. We went camping and hiking in Maine and Nova Scotia and Prince Edward Island. It was absolutely glorious. I learned something about my wife on this trip that you'll appreciate. So we go. It's not that we unplugged. It's that there's no cell service. First of all, there's no American Cell Service. But there's like… A lot of Nova Scotia is real remote and also we have American cell-

Stephanie Goss:
It's forced unplugging.

Dr Andy Roark:
Yeah, it's forced unplugging. So we are there and we're doing this beautiful hikes and camps. We got a rental car, a minivan. We're driving from one place to another and we're doing these things. Alison and I are just talking about how awesome this sort of go with the flow, making our way across the country. Trip is going. We're just talking about it's really awesome to be unplugged and absolutely just going with the tides and it's beautiful.
And so we're out there. We're like seven days into this trip and this is the vibe. We're hiking along these rocks next to the ocean and overlooking it. We come off of this hike. Our plan is to make our way into this nearby town and go to this little whale museum, museum about whales. We're coming out of the woods and we're just walking. I'm holding Alison's hand and I hear her whisper under her breath, “We're 16 minutes ahead of schedule.” And I realize that this whole trip she had planned to the minute. While I thought we were just blissfully rolling across the countryside, she was 100% running the schedule. It was like we were a weekend and she said, “We're 16 minutes ahead of schedule.” And I realized it was all a lie. The whole thing was absolutely planned. It's like the facade of relaxation was like, “Oh, there's a schedule. There's a schedule and I am being managed on that schedule.” And I had no idea.

Stephanie Goss:
That's pretty fantastic.

Dr Andy Roark:
I thought you would like that. When I tell a story about my life with Alison, I'll remember her holding my hand and we're coming off this-

Stephanie Goss:
You're 16 minutes ahead of schedule.

Dr Andy Roark:
… beautiful hike. And I was like, “That was one of the most beautiful places I've ever been.” And she was like, “We're 16 minutes ahead of the schedule.” “Okay. Okay.”

Stephanie Goss:
That's fantastic. That's fantastic. So you had… I have so many questions. We're going to have to have a conversation because we haven't talked about it. That means you had a little bit of a forced unplugging because you didn't have service. So I'm like, I can't wait to hear about how that piece went for you. Because when we did our unplugging episode last year with our friend Eric Garcia and Tyler Grogan, I remember Eric issuing you a challenge trying some unplugged time.

Dr Andy Roark:
It was great. It was particularly great because my two daughters were with us. They're 12 and 15 and their cell phones are-

Stephanie Goss:
Didn't work either.

Dr Andy Roark:
Yeah, exactly. Are important to them. They're not on social media, either one of them, but they text their friends and they watch YouTube videos and listen to their music and stuff like that. It really was this great. It was going to be one of those all-time favorite vacations just because it was a lot of family time in the minivan and hiking together and things like that. But it really was great. It was great in this way too, so they didn't have any access to cell stuff because they don't have a Canadian plan. But we could go places and get on wifi and they could send texts and download things and get episodes to watch or whatever they wanted to do. They could do that too. I really think that was beautiful. My position… So we talked with Eric Garcia a while ago and Eric does these things where he goes away and he unplugs and I get that. But I think everybody has to find what works for them.
My position on unplugging is this. I thought a lot about it on the walk. I knew you'd ask me about it. But I thought a lot about it on my hike and stuff like this. I really liken unplugging to eating healthy. Yeah, to eating healthy and like meditating. To eating healthy and meditating. Meaning unplugging and being disconnected is good for you. It is good for you. Eric going away for a month and being unplugged the whole time is comparable to a juice cleanse for 30 days in my mind. It's so healthy. I have no interest in it. I got into meditation a couple of years ago and I was like, as I do, I get big into things at the beginning. I find the thing-

Stephanie Goss:
You go all in…

Dr Andy Roark:
… and I get really excited about it. I was meditating a couple of times a day for like 10, 20 minutes at a time, 10 or 15 minutes. But I would do it a couple of times. I was really into it. One of my friends was like, “You got to come to this meditation retreat.” I was like, “Yes I do.” I was like, “How long is it?” And they were like, “10 days silent.” I was like, “What do you mean 10 days silent?” And they're like, “You go there and you don't talk for 10 days.” I was like, “What do you do?” And they were like, “You sit and you meditate and you eat soup.” I was like, “Why do you eat soup?” And they're like, “Because you're not doing anything with your body so you don't want a lot of calories. So you just eat soup.”
I was like, “I bet that's probably a spiritual thing that speaks to people. I'm happy doing the Headspace app for 10 minutes. That's where I am. I don't need a 10-day silent meditation retreat. I don't need to do a whole 30. I can do a whole five and then eat pizza on the weekend. That's where I want to live.” The same thing is true with unplugging. I don't want to unplug for 30 days. I like to unplug for 16 hours and then check and then have a little snack.

Stephanie Goss:
But I think that's the whole point. That there is no one-size-fits-all approach. You're finding what works for you. What works for you is different from what works for me, different from what works for Tyler and what works for Eric. Each one of us has made up our own rules and is finding that place. It sounds to me like you did the things behind the idea of unplugging, which is you spent time present with your family and with your girls. I will say it doesn't surprise me that you would rank this as one of your top favorite vacations. Because I have to say, I feel like we've entered a whole new stage as parents that our kids… For those who don't know our kids are right about the same ages. It is so fun. I love hanging out with them and I love spending time with them. I loved going and doing things and going on vacation with them when they were little. It held different joy than it holds for me as a parent now.
They're real little half grown humans at this point and I get to experience the world through their eyes in a radically different way than experiencing the world through their three and four year old little eyes. I love this. I love this stage. It scares the hell out of me that they're starting high school and that they're growing up. This summer has really hit home for me that I only have a few short years left with them at home before they start to make their way in the world. But I really am digging this stage as a parent, so it doesn't surprise me that you found that with them this summer.

Dr Andy Roark:
No, I completely agree. I tried unplugging for 90 minutes right before this podcast episode. Do you remember what happened? I unplugged for 90 minutes. What's wrong? About what time we were podcasting, I got three text messages and six phone calls from people saying, “Are you okay? Where are you?” And I was like-

Stephanie Goss:
But in my defense-

Dr Andy Roark:
… unplugging in the middle of a workday is not best.

Stephanie Goss:
But in my defense and in your defense, I was worried about you because although you generally run on Andy time, you always communicate. You broke rule number one about unplugging, which is that you have to let everybody know ahead of time that you're going to unplug.

Dr Andy Roark:
All right, that's fair.

Stephanie Goss:
Okay, we're off the rails already. Let's get into this episode because-

Dr Andy Roark:
Just kidding-

Stephanie Goss:
We have-

Dr Andy Roark:
We got a lot to cover here.

Stephanie Goss:
Yeah, we do. We have a good one. We got a mailbag letter from a technician who is working at a small-ish practice. It is private practice. They have about 15 team members in total and they do not have a manager of any sort. They don't have any leads. They don't have a office manager, a practice manager or anything. It's the practice owner and the team. What has started to happen as they have grown is that problems come up and the practice owner expects the team to figure it out and solve problems for themselves, which is wonderful and has benefits that I think we're going to talk about. There are also cons to it. This letter comes from the place of looking at some of the cons because they are struggling with feeling like there is animosity, there is a front versus back mentality because there is no one doing the, quote, unquote, “managing” from this team member's perspective.
What they're looking for here in the management sense is someone to help problem-solve and to deal with the challenges in a leadership capacity. Someone to be the decision-maker and help them all sort it out. They were just asking, “What is our option here?” Because they have asked the practice owner about hiring a manager and they have flat out said no. So this team is wondering, “What do we do? We're not all happy. We feel like there's strife. We feel like there's no one to help us solve the problems. We're really struggling. What is our best option for going forward from here?”

Dr Andy Roark:
I have some thoughts. This is always really challenging because the devil is definitely in the details here about what's our best option. I don't know what tools do we have to work with and what exactly is happening. But I think we can talk in general terms about this idea of we've got a team of say 15 or so. We don't have a manager and we're having strife and the owner has pushed back against that. I want to go ahead and start… Let's start with headspace as we do. I want to call out a trend, a thought pattern that I see a lot in not just in veterinary business management but in business management in general. There is this belief with a fairly large segment of the population, I think, that if you have problems in your organization, the obvious path forward is you should add managers, you should add administrators, you should add systems.
That's it. Like, “We're not getting along. We need a manager. We need some administrative person. We need more rules for sure. More rules are going to help us solve this front versus back problem.” It's funny because people are like there's a problem, we add more managers and more rules. If you keep following that then the idea is the path to utopia is more rules and more management. I don't think anybody wants to work at a place that has tons of management, tons of administration, tons of rules. No one wants that outcome, but everybody seems to think that moving in that direction is the obvious path to make their job better. I think that's funny. I think if you look at human healthcare, you will see the manifestation of this. Human healthcare in America, one of the reasons it is so ridiculously expensive is the layers and layers of management, administration and bureaucracy. It's completely out of control.
You've got these healthcare providers at the bottom supporting all of this management and administrative infrastructure and the whole system is broken. It's the same in universities. Anyway, it happens in our government, don't even get me started. But it's that sort of thing of you add these things that add things that add things. Now that's not always. I'm not, absolutely not saying that managers aren't important and there's no benefits to having manager or anything of that. But I want to call this out because I do think people quickly jump right to, “We are not getting along. If we had a manager involved or more management or more systems or protocols or rules, we could get out of this interpersonal problem.” And I would say I want you to really analyze that assumption and think about it. Okay, cool. Just full stop. I'm doing the thing that I do where I'm not saying they're wrong, but I want to punch holes into that bedrock belief of we need to add a manager. That's what we need.
It's funny, this letter ended a little differently than I thought it was going to. We often get these emails, and I started reading this one, and it felt this way, where people will be like, “Hey Andy and Stephanie, here's the problem. Here is the obvious solution that I have. Question, how do I get everyone to recognize that I am right and do what I want to do?”

Stephanie Goss:
It's true.

Dr Andy Roark:
You know. We get those letters all time.

Stephanie Goss:
We do.

Dr Andy Roark:
And yes, I laugh. I chuckle every time I read them, “Here's the problem. Here's the obvious solution that I have that is clearly correct. Question, how do I get other people to recognize my correctness in this matter and do what I think we should do?” And I'm like, “That is not an interesting question for me.” Well-

Stephanie Goss:
And to be clear-

Dr Andy Roark:
… of course, I did not say that.

Stephanie Goss:
… sometimes we do agree with them. But sometimes it's like, “That would make a boring conversation.” Yes, we agree with you, end of podcast.

Dr Andy Roark:
A lot of times they're not entirely right. A lot of times they have made some… Generally when I say, “There is one correct solution and here's what it is.” If your team has not bought into it, if other people don't feel any ownership of this solution, it's probably not the correct solution even if you can make a stronger case for it than anything else. Anyway, that's not what they did here. They did not end with, “How do I get the practice owner to hire a manager?” They ended with, “What's our best option?” I was like, “Okay, I'll pivot here. I do appreciate that.”
But anyway, I have those thoughts a lot and we see a lot of those. Anyway, when it came down to, “We don't have a manager, what do we do?” I needed to call out the idea of like, okay, I would just want to punch some holes in the assumption that a manager is the right answer to this problem. It might be, definitely might be. But there should be at least enough uncertainty that we can discuss other options. If there's not that level of uncertainty, I think it's going to be hard to move forward towards a resolution everybody feels good about.

Stephanie Goss:
I would agree with that and I think you presented a good headspace challenge. I think the answer… For me a lot of the time in veterinary medicine, I used to drive my team nuts because my answer was it depends. Because so much of veterinary medicine and life in general exists in the middle gray zone. And so this was one when I read through it that I was like, “Oh, okay. The answer probably is somewhere in the middle.” It wasn't a clear, this is the only right answer, because there's no one-size-fits-all approach to this. Every practice is different. Every business owner has different needs and every team has different needs. But from a headspace perspective, I think you presented a great challenge, which is I would say action step-wise, sit yourself down and think about one end of the extreme, like you presented, and think about the levels of bureaucracy that get layered in the bigger you get.
Human healthcare is a great example. Is that what you want or need for your practice? Let yourself go there from a headspace perspective. Then on the opposite end, it sounds from their email like it might be a little bit closer to the end that they feel like they're at, where it's a free-for-all and everybody can do whatever they want. There's no rules. There's no structure. There's no systems. It is a total free-for-all. Because once you wrap your head around what those two extremes look like, it is a lot easier in my experience to try and find multiple different paths that start in the middle and take the pros out of both ends and find the path that works for you and your team that feels individual.

Dr Andy Roark:
I want to touch on both of those two extremes real quick and again, I haven't yet revealed my position here and I want to be clear about that. I'm just shaking the construct that has been laid down to let everybody see that it's not as rock solid as people like to think it is. It's funny. There are a lot of… There's a tendency to think that managers are the answer to interpersonal problems. I've not found that to be true in a lot of cases. Meaning, people will say to me, “We have this person who is an absolute toxic person.” And they don't have a strong manager. And I'm like, “Let me give you a little piece of bad news. If they're an absolute toxic person, it doesn't matter if they have a strong manager. They're going to be a toxic person.”
There's a lot of people who have this. They tell themselves that if this person who I despise was managed, I wouldn't despise them. They're like, “I hate Carol and what I need is a manager that will make Carol not act like Carol, but like the ideal version of Carol I have in my mind.” And I'm like, there is no manager that-

Stephanie Goss:
That's not how-

Dr Andy Roark:
… is going to-

Stephanie Goss:
… that works.

Dr Andy Roark:
… make that happen. That's a magician, not a manager.

Stephanie Goss:
Yeah, you're so spot on. That's not how that works guys.

Dr Andy Roark:
Anyway, I just want to say that and put that in the con manager camp. So I have beaten my anti-manager drum here. Now let me beat my pro manager drum for a second. You and I talked about our vacation and going to Maine. We took tents and we went camping. There was four of us and we flew to Maine and then rented a minivan. Then we tent camped and we did all these different things to everything. Do you know how we packed? We did not have four people run around and pack everything that they thought we needed for this trip. That is not at all how we packed.

Stephanie Goss:
Let me guess. I would guess that Alison Roark was the general and said, “This is what we're going to pack and how we're going to do it.”

Dr Andy Roark:
Exactly. Alison had the list.

Stephanie Goss:
The list.

Dr Andy Roark:
I don't want people to think that Alison did this by herself. Absolutely did not. I was involved in planning and all of those sorts of things. Do not think she was abandoned and that's why. I was very involved in this, still, when it came down to packing, given that I was very involved in this and very excited about it and we went through everything together and I made sure that we had what we needed off of her list and things like that. It's important to say I was very invested in this and I put a lot of time and effort into it. When it came time to pack, Alison Roark with her checklist pointing where things went and asking for this and telling what she needed. This goes here and this goes in the car first and this goes and those things are going to be packed together and that's in a check bag and we're going to carry these things on. That was the way to get this done.
It was having a manager, an organizer, a general, a conductor. And we were exponentially more efficient and effective for having one person whose job was to organize the three of us, me and my two daughters, running around, packing the things, bringing things, loading things into the car. It made so much more sense for her to stand back and coordinate us as opposed to throwing in herself into the chaos and running around and doing things. That's how we packed. There's absolutely a point, a tipping point, where you say, “We are not organized and having someone step back and get us organized, that makes a ton of sense for efficiency and effectiveness.”

Stephanie Goss:
Yes, I agree with all of that. I love it.

Dr Andy Roark:
Okay. So we talked about the pros and the cons. There is a way to avoid bureaucracy and to own the difficulties of interpersonal relationships. Also, to say, we are not organized and we have to get organized, that do not necessarily involve hiring a full-time manager for a staff of 15. It's definitely possible. It's really hard because now you're really starting to get into how would you do this and it really depends on the talent that you have on the floor as far as what your options are. And so anyway, I just want to start to lay that out. The last part of headspace before we start to get into how I would try to start, what your options are or how I should line this up, the last part I want to lay out is I am a big believer in flat organizations or flat-ish organizations. I am not 100% bought into the idea that a hierarchy is required to get things done and create a good place to work.
I think you can do it that way and you and I have both seen it done that way where everybody has a clear manager. The manager manages the people right underneath them and everybody moves in that clear lockstep, direct boss looking over your shoulder, maybe micromanaging, maybe not. But everything has a clear direct hierarchy of if you don't like what this person did, you can go directly to their boss and blah blah, blah, blah, blah. I think that there's a lot of benefit in hiring good people and supporting them as communicators and giving them autonomy to say, “Hey, these are our values and this is the general system in which we work.” I want you to look around and assess what's going on and make it the best decision in the moment rather than following some cookbook protocol that was laid out with no thought to this specific situation.
I think it is not too much to ask that grownup people do some actual relationship building and a little bit of conflict management. I think that there is a problem with conflict management skills, a lack of conflict management skills in our profession and I'm not convinced that if you have people who are not good at conflict management, the obvious answer is a babysitter to wade in and fix their problems. I think that you can make a strong case for facilitating conversations and giving responsibility back to people to fix their own issues. I do think that there is a tendency sometimes to say, “These people are not getting along. Bring to me, the manager, your problems and let me sort out your interpersonal issues.”
And we both know where that goes because we've seen managers who do nothing except deal with interpersonal issues all day long. They should have pushed those issues back onto the people who were having them a long time ago and said, “I want you both to go. Here's a $25 gift card to Starbucks. I want you guys to go to Starbucks. I don't want you to come back until you're able to work together.” That may sound archaic, but I promise you it absolutely can work. Sometimes it doesn't. We have to escalate. But I see a lot of people who are way too quick to take interpersonal issues and take them up the chain as opposed to empowering people and expecting people to handle their own issues. Then it just becomes management time is completely saturated dealing with interpersonal issues.

Stephanie Goss:
Well, let me shout out a big positive here because this team member called out their practice owner wanting and expecting the team to be empowered to solve their problems on their own. From a headspace/action step perspective, I agree with you. I think a lot of practices would look at this situation and say, “We're going to put a manager in place.” And go about it the way you said, which is, “Okay, the manager is going to be the one to solve the problem.” While it may resolve some of the conflict, I promise and guarantee you that that approach is absolutely going to create a whole new set of problems. It is because then you are not empowering anybody. Then you are creating a bottleneck where everybody has to go to one person to get answers to their questions and their solutions. And so now you have a whole new problem on your hands.
I love that they pointed it out in this practice owner's defense. I do absolutely think that every member of our team, part of our role as leaders, whether you're a practice owner or you're a practice manager, when you run a hospital, part of the tools in your toolkit should absolutely be that the members of your team get taught interpersonal skills in conflict resolution. Because the reality is we're human and we're working with other humans and it is never going to be all kumbaya, everything is hunky-dory 100% of the time. That is just not reality. If we don't teach them how to mediate conflict themselves, how to work things out, how to speak to each other with kindness and compassion and it seems… I know. I hear in my head the practice owners who are listening right now going, “But why is it my job to parent them? Why didn't they already come to me with those skills? I'm hiring adults.”
That is not reality. We can be mad about that or we can just accept the fact that even if they do have skills, we can still help them get more skills, and so get over the mad. I'm saying that with all the love and kindness but camped off love because I've been there. You can get sucked down in the mad or you can teach them how to do the thing that you're frustrated that they can't do, and in this case it's a soft skill. I think when we look at it, shout out to this practice owner because they are expecting them to work things out and we don't know because we didn't get all of the information. We're only getting one side of this story.
But if they're expecting that and not equipping the team with the tools to actually do it, then they're shooting themselves in the foot. Because you don't get that many people, especially like, I'm just going to go out on a limb and make a generalization, veterinary medicine is very female-dominated at this point in our industry. You don't get that many people or that many women in the same space without having conflict. It just doesn't happen. You are crazy to think that that is a thing. It is irrational for us to think that you could put 15 people on a team in close-knit space and not expect there to be conflict at some point in time. If you are not helping them equip with the skills to deal with that, you're just shooting yourself in the foot.

Dr Andy Roark:
Well, there was four of us in the minivan and we all love each other deeply and there was conflict. There was conflict. No, I really like this about people sorting out their own issues. I just want to call out, because I'm not saying that this is going on here necessarily, but whenever we get into this I need to call out either-or thinking, and this is a behavioral psychology trap that people follow too. And so people are like, “Well, either they need to solve their own problems.” Or, “If I weighed in, then they're always going to come to me and I will be stuck doing this forever.” And I go, “That's either-or thinking. That's not true.” That's not true. You can be very cognizant of the desire to not be involved in a lot of interpersonal issues and also recognize that sometimes we do have to get involved and we can get involved in a way that does not mean that we're going to see an increase frequency in this. But I think a lot of people are afraid of that. They're like, “If I weigh into this, I'll have to weigh into every one.”
Here's my last piece of headspace, when do I wade into interpersonal conflicts? I'll tell you when. This goes down to the thing you've heard me say many times before. The difference in a struggling business and a thriving business is this. A thriving business has a new during problem every day and a struggling business has the same during problem every day. And when I feel like we're having the same during problem every day, at some point I have to intervene and that can be, “Hey, you guys need to sort this out.” Or if in fact we've tried that and that has not yielded results and we're still stuck on this problem, I am going to get increasingly involved in this problem one way or another. How it turns out will remain to be seen. It may turn out with one less team member than we had going in. It may, two less team members. Hopefully it won't.
But that for me, just so you know, when I'm like, “When do I know to keep pushing this back to them and pushing this back to them versus letting it go.” To me, it's that, if there is a problem that I see in our team, in our business and it's the same problem again and again and I have nudged them and I have told them they need to work this out and the same problem persists, at some point you're picking your poison. You're either deciding to live with this problem which may very well go ahead and escalate or you are deciding to get involved in this specific problem. But not many problems rise to that level and that's important or else you get stuck in either-or thinking of, “If I help these people, if I get involved, I'm getting involved in everything.” I go, “No.” You're only going to get involved in things that you have pushed and tried to have them resolve themselves again and again and again and they are past frustrated and now you're going to get involved. I think that's okay. That's what I got for headspace.

Stephanie Goss:
I love it. Should we pause here and take a quick break and then come back and talk about action steps?

Dr Andy Roark:
Let's do it.

Stephanie Goss:
Did you know that we offer workshops for our Uncharted members and for our non-members? So if you're listening to today's podcast and you are not a member of Uncharted yet, you should be. But this is not a conversation about joining Uncharted. This is a conversation about all of the amazing content that we have coming at all of you, whether or not you're a member, through our workshop series. You should head over to the website at unchartedvet.com/events and check out what is coming. We have got an amazing lineup on the regular. We've got something every month, sometimes two or three things in a month, coming at you to expand your brain, to talk about leadership, to talk about practice management, and dive into the kind of topics that Andy and I talk about on the podcast every week.
Now's your chance. Stop what you're doing, pick up your cell phone, I know it's not far from you, and type in unchartedvet.com/events, see what's coming and sign up. They are always free to our Uncharted members and they have a small fee attached to them if you are not currently a member. You can get all of the details, pricing, dates, times, and register, head over to the website now. I want to see you there.

Dr Andy Roark:
All right, so let's get into action steps here. The question that was asked was the owner is opposed to having a manager, what are the best options? I would start to lay this down in my responses to our technician that was writing. This is how I would coach that person who's asking me what do I do? Where do I go from here? The first part of headspace for me is assume good intent.
If you decide the practice owner is stupid, that he's a jerk, he doesn't know what he's doing, he doesn't know how to run a business, you are setting yourself up for a really hard go of it and you're not going to be very effective in talking this out. You're not going to be very effective in finding solutions. The first thing is I would just say assume that there is a good reason that the practice owner feels this way and assume that the practice owner is trying his best and he really wants to have a good place to work. Just go ahead and get that in your head. To me that is the low bar for engaging in this conversation.

Stephanie Goss:
I think one of the best tools that I've ever been taught to help do that… Because when you're sitting there looking at it from your perspective, it is hard to get yourself out sometimes of the emotions that go along with viewing it through your lens. One of the most helpful tools that I was ever given was someone taught me to ask the question, what else could this mean or what else could be going on here? And so when I actually forced myself to sit down and answer that question, what could be happening, there are a million other things besides the fact that they truly are just trying to make my life more difficult by not hiring a manager. Let's be real. When you're in that situation, that is a part of how you're probably feeling, which is my life is immeasurably more difficult because none of these people are getting along and I have to come to work and deal with this BS every day. That could absolutely be where this technician is sitting.
There could also be a million other reasons, why. When I ask myself that question and I let myself hallucinate in that way of what else could this mean? Why else could they be making this choice? Maybe they can't afford it yet. Maybe they're not sure that it will solve the problem. Maybe they had bad experiences in the past with a manager. When you let yourself go down that road and hallucinate different answers it, in my experience, has become a lot easier for me to find that place of not only assuming good intent but also putting on my empathy shoes so that when I sit down to have this conversation with them and try and understand, I am ready and prepared to do that.

Dr Andy Roark:
Yeah, I agree. That takes me right to the next step. I think this is probably two different conversations. I don't know that you can do this in the same conversation about what I'm going to say. The first thing that I would like to do is seek first to understand why does the owner not want a manager? Honestly, there is so much value there and you have to figure out how to ask this question in a way that doesn't come off as challenging. Because just imagine that Stephanie has been just writing me about hiring a manager and she's like, “Andy, we need a manager. Andy, we need a manager. Why aren't we hiring a manager?” It's a match. Then she comes to me one day and says, “I have a question for you. Why won't you hire a manager?” There's a very good chance that that's going to sound like challenging. It sounds like we're headed right back into this argument again. You're not going to get good information on me.
I'm going to put my guard up. I may not be totally honest with you, especially if it's because I'm afraid I can't afford a manager. It's because I had a bad experience with a manager before. They embezzled a bunch from the practice. Say something like that. If I'm feeling defensive, I'm probably not going to share that information with you. So you really want to try to figure out the best way to broach this subject in a way that feels safe and allows the person to be open. It's sort of genuine curiosity. But I would like to know why this person who's got a team of 15 does not want to have a manager. I'm not saying they're wrong, that's why I laid that down up front.
It's like I made great reasons. I said, “I absolutely had a mentor that I worked with who had a practice manager and she took him for $90,000, I think, embezzlement. He felt so betrayed and taken that he did not want to have a manager. He wanted to be the one who knew all this stuff and he did not want to delegate to someone else because he had been so burned and felt so betrayed.” I'm not saying that's how you should feel, that's how he felt. I'm not saying he's right, but I'm saying I get it. It may not mean like they get it-

Stephanie Goss:
There may be reasons for their behavior. There may be motivation behind their behavior in that sense of something that they've experienced.

Dr Andy Roark:
There may be constraints on the business that we don't know. He might be like, “Look, we have not been profitable in the last three years. And having someone who comes in who does not generate revenue directly does not make sense for us.” I think you can make an argument that the person could justify their salary, but if that's what he thinks, at least we can understand, “Okay, we've got significant financial constraints,” that changes the picture. All of these things affect what is our best option because the question was what's our best option? He goes, “I can't tell you because I don't know where all these… I don't know where the pinch points are. I don't know what's holding us back. I don't know what the real internal obstacles are.” But we got to understand that before we can pick our next move. Anyway, to me, why are we opposed to having a manager? And the more clear answer I can get to that, the more I can understand what options are in play.

Stephanie Goss:
Okay, when you were talking about potentially feeling challenged when somebody asks you about this, I immediately flashed to… I remember before I became a parent and I swore that I would not tell my kids, “Because I told you so.” Then I can think of a lot of times in the heat of the moment when I'm super frustrated and I've gone on the defensive and the answer is because I told you so. And that's the end of story and will walk away. Because it's that feeling challenge. So how do we set up that question in a way that makes somebody less likely to be defensive?

Dr Andy Roark:
Sure, everybody's a little bit different, of course. Ideally you have a good personal relationship with this person. You know them as a person, they like you. You have a good relationship and that makes it a little easier. But basically I think probably if I was going to do it, start shooting from the hip. I think this is how I'd step it up. I would step in, I would lead with vulnerability and then appreciation.
Basically how this would start off is I would say something along the lines of, “Hey, I love working here. I love this clinic. I love being here. I really appreciate the opportunity to be here. I enjoy what we do here. I really want our clinic to be very successful. I look at what we're doing and we've got 15 people. I look at all the other vet practices that I knew of that have 15 people and they have someone who's in a designated manager role and we don't. Obviously, that's an intentional decision and I was wondering why you made that choice. What's important about not having a manager? I want to understand because I want to be helpful and I know a lot of other places that have gone this way, and so are you willing to tell me what you think?” So it would sound something like that.
Again, when would I do it, ideally? I don't know. The time and the place, all that stuff matters. You know what I mean? There's a lot of different ways to do it. But basically, that would be it, is to say, “I really love it here. I like this practice. I respect what you're doing. I want to be a contributor to this practice, growing and growing. I look around, I see other practices that have a designated manager, and it seems like we're getting to that size, but you've made it clear that's not something that you plan for. I want to understand why that was. What is your philosophy on managers?” And then I would honestly listen. I would not argue. I would not be like, “But, but, but…” Nope, you asked the question, just listen.

Stephanie Goss:
No, you need to let them be heard.

Dr Andy Roark:
And now you got to let them be heard. I would just go, “Okay, I got it. No, I just wanted to understand. Thank you.” I would take that and I would probably go away with it, but I would not let it turn into a debate because otherwise, and then a lot of people mess this up because they'll even get the question right and the other person will open up and share the information and then the person asking the question will disagree with the perspective of the person who's explaining their why, and then it will turn right back into the same old argument and it goes nowhere. That's not the point. The end result we're looking for here is to understand. Anyway, that's how I would set that up and sort of how I would try to frame it.

Stephanie Goss:
Yeah, I love that. I would probably do very similar. I would start with talking about how you care about the team and about them. You have noticed that there seem to be challenges in the team. One of the things that you thought of that might help the situation would be someone to play that conductor role.
Like you were talking about Alison in that role being the conductor to help solve some of the flow and challenges and take… I would frame it in the way of helping them take some of the burden of that off of their shoulders and then ask them, “I really would love to help you. I would just love to understand where your head is at when it comes to having someone in a position to manage the day-to-day of the practice. Tell me why it looks the way that it looks in your head and really just open up the door from that hopeful… I want to help you. I want to understand.” I think that that feels very different than when, fellow parents will understand, when my kid is like, “But why?” That's just immediately going to make me be like, “Because I freaking said so.”

Dr Andy Roark:
Yeah.

Stephanie Goss:
That's your point about arguing back, right? Then you're right back in that argument loop and the answer has not changed. When you ask it from a place of curiosity and then say, “Thanks, I really appreciate that. I would love to… You've given me a lot to think about.” My phrase is, “I want to marinate on that, I want to process that.” Then I agree with you, this is not one conversation, this is, potentially, multiple conversations. Then I would walk away, change the subject, let it drop.

Dr Andy Roark:
Yeah, I agree with that. That's the first conversation I would try to get is this, is why is this person opposed to a manager? There's a second conversation you can have and you do not have to have the first conversation before we go to the second one. Doing that conversation and understanding where the person's coming from can be helpful. It's not required to have the other conversation. The other conversation is this, okay, the other conversation that we want to have is we want to step back one rung on the decision making ladder. Imagine this for a second. Imagine that we're in a vet hospital and we've got this place and we are having front versus back issues, meaning the techs and the CSRs are fighting and it's going on.
So Stephanie Goss is sitting here and she's thinking about this and she's working the practice and she says, “The front and the back are fighting, so we need a manager.” She goes to me and she says, “Andy, we need a manager.” I'm like, “Goss, we're not getting a manager.” She's like, “We need a manager.” “We're not getting a manager. Not going to.” Well, what's the obvious next step? I've told her we're not getting a manager. We can either continue to fight about a manager and why can't we get a manager? And what if we got a part-time manager or we can step back one rung and say, “Andy, the front and the back continue to fight and here are examples of them fighting. Here is the impact this has had on the clients. This is how the fight manifested yesterday and this is how it manifested last week. They are clearly fighting. What are we going to do about the front and the back fighting?”

Stephanie Goss:
And I would add one thing in there that would be really powerful, which is that I would say, “I know your expectation is that we're empowered to solve this ourselves, and these are the things that we have tried,” especially from your perspective of what have you done to help solve the problem, call that out too. And then say, “I need your help because I feel like I'm stuck and I don't know what the next step is. This is what I've tried. These are the examples, this is what I've tried to solve the problem. I'm at a loss for where to go and I would love your perspective and your help on how you would like us to approach this situation, or how you would approach the situation if you were me.”

Dr Andy Roark:
I really like that, asking for help. I like that, asking for help. That's a really good play. I also like, “This is what we've tried,” and I really think that that's the play in my mind, is you need to put the manager thing aside and don't take him a request for a manager, take him the problems and say, “These problems persist. This is what we've tried. We're really stuck. How do we want to move forward from here?” And then have that conversation. It's very possible that the owner will look at the problem and ultimately say, “You know what might help this?”

Stephanie Goss:
“A manager.”

Dr Andy Roark:
“A manager.” And then it's their idea. And don't make them feel stupid. Don't say, “I told you so.”

Stephanie Goss:
That's a great idea.

Dr Andy Roark:
Yeah, that's a great idea. That's exactly it. It really is. That is to say, “Here's the problem,” or if there's three different problems, I would say, “These are the problems that I see that persist,” and lay it out one, two, and three. It might be that a manager would fix all those problems. It might not be, I don't know. I don't have the insight or the background to be able to know what those are. But regardless, that's how I would lay it out. I think that there's probably some people who've listened to this whole episode and they're just mad because they're like, “Andy, it's a team of 15 and they don't have a manager. How could you tell them that they don't need a manager?” But every team is different in what they're trying to do and that the players on the field really matter.
I have seen putting a weak manager over a strong team generally just frustrates people. You can absolutely do more… Managers can do more harm than good. Don't think they can't.

Stephanie Goss:
Oh yes, absolutely.

Dr Andy Roark:
They can absolutely make things worse.

Stephanie Goss:
Yes.

Dr Andy Roark:
And so just the presence of a human being with a pulse in a management role, I don't know that's worth anything.

Stephanie Goss:
No.

Dr Andy Roark:
I mean I can a hundred percent say, and this is just kind of how my mind works and stuff too, it depends on the people you have. So we said we got 15 people, so just walk with me for a second. Imagine that one of these people is an office manager, this is the person that does the administrative stuff for the practice, they pay the bills, do inventory, whatever, office manager. All right, so you got that person, you got three doctors, so that's four employees. You got four people at the front desk. So now we're at eight. We got seven support staff, right? I don't know, two techs, five assistants, stuff like that. That's your 15 people. I can a hundred percent see a high functioning team that has an office manager.
The practice owner is the lead doctor, let's say. You elevate one of your CSRs to be the lead CSR, and you elevate one of your techs or support staff to be the lead tech or a lead support staff or whatever. Well now you've got a lead doctor, a lead tech, and a lead CSR and an administrative support person. I think you can run a damn good team of 15 with a lead doctor, a lead tech and a lead CSR. I think you can do it. And again, but it depends on the people that you've got and things like that. Anybody who's just like, “The obvious answer is this,” I would say there's a lot of different ways to make a team work and function. Anyway, that's kind of where I come out.

Stephanie Goss:
Well, and I think that that goes back to where we started from the headspace perspective is remember the two extreme ends of the spectrum. You can have the layers of bureaucracy at one end where you have managers who have managers who have managers, or you could have, it's just a total free for all and there's no rules and it's total anarchy. We said finding that space in the middle. Part of it is thinking outside the box of what those solutions could be to find the right fit for you and your team and asking the question, why do I think we need a manager? What am I looking? Am I looking for someone to be a mediator or a problem solver? Because if that's the reason you think you need a manager, you don't need a manager. You need to teach everybody on your team the tools to be able to mediate the conflict management and be able to mediate the problems themselves and someone on the team who can act in that mediator role.
And that might be your practice owner, it might be somebody else on the team, might be somebody from outside the hospital, but you can solve that problem without saying, “We're going to hire a full-time, 40-hour-a-week person to fill this role.” So it goes back to the why are you asking, are you also asking because the practice owner is overwhelmed and you're getting paid a day late sometimes because they're trying to do payroll and they're trying to be all things, all people. What is the why behind it? Because I don't think that you can get to that creative problem solving space on both parts, the practice owner's part and on the team's part in terms of trying to help, without having asked yourself the question of what does that middle ground look like? Why are we asking this question? What do I think the practice manager's just job is actually going?

Dr Andy Roark:
Yeah, I think you're spot on. Anyway, that's how I'd approach it. I think that's my big take. I enjoyed this a lot. I like to be a bit of an anarchist and a little bit contrary about some of these things.

Stephanie Goss:
You do?

Dr Andy Roark:
I do. I like to push back on the idea that more rules and more managers and administrators is always the answer for a more harmonious workplace. I do not buy that. In some cases obviously, adding managers and systems makes all the sense in the world, but there's a point of diminishing returns and it's not always the obvious answer that people think it is. So anyway, I'm glad we got to talk about that and why.

Stephanie Goss:
Yeah, me too. This was fun. Take care everybody. Have a fantastic rest of your week.

Dr Andy Roark:
Yeah, thanks guys.

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


Written by Maria Pirita · Categorized: Blog, Podcast · Tagged: culture, fatigue, management, Practice ownership, Training

Sep 27 2023

Burnout is Real – True Stories of Leadership with Phil Richmond

Uncharted Veterinary Podcast Episode 251 Cover Image

This week on the podcast…

This week on the Uncharted Podcast, practice management geek Stephanie Goss invited Dr. Phil Richmond back to the podcast to tackle a personal perspective on burnout together. Dr. Richmond is the Founder of Flourishing Phoenix Veterinary Consultants and a practicing veterinarian. He is an advocate for positive culture and individual, team and organizational psychological health, safety, and wellbeing in veterinary workplaces. Dr. Richmond both leads and is involved in state, national and international projects for the advancement of wellbeing and culture in veterinary medicine. This episode was inspired by a mailbag email but led Stephanie and Phil on a journey through some of the tricks and tips they each have learned while on the winding journey of aiming to become better leaders than the day before. Let's get into this…

Uncharted Veterinary Podcast · UVP – 251 – Burnout Is Real – True Stories Of Leadership With Phil Richmond

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 role play 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

Calling all Team Leads – if you are a lead CSR, a lead Technician, a lead Kennel tech – we want you to come connect with your peers and our Uncharted Community! We have a brand new event we want to see your faces at.

Uncharted’s Team Leads Summit is an immersive 1-day virtual event designed to connect team leads and help you tackle the challenges unique to your role in veterinary practice. Kick off the day with an inspiring general session, learn from some of the brightest minds in vet med, and then dive in to gain exactly what you need with a discussion-based format to create game-changing connections for your career. This Summit features interactive workshops and Choose Your Own Adventure sessions, a signature of Uncharted events. Start the day telling us what you need RIGHT NOW, and leave having worked on exactly that.

✨ Sessions on navigating burnout, thriving in veterinary practice, motivating your teams and team training techniques

✨ Small group discussions to cultivate connections with people who understand your role

✨ A day that will make your boss thrilled they gave you a CE budget

✨ Inspiration and a recharge to continue to make waves!

SIGN UP TODAY

Upcoming events: unchartedvet.com/upcoming-events/


Episode Transcript

Stephanie Goss:
Hey, everybody. I'm Stephanie Goss, and this is another episode of the Uncharted Podcast. This week on the podcast, I am joined by one of my favorite people in veterinary medicine. He is a beacon of light and positivity. He is an Uncharted member. He is a colleague. And he is truly a dear, dear personal friend, Dr. Phil Richmond, joins me as my co-host. And we are having a conversation about burnout.
But before you turn the podcast off because you're like, “Not another burnout conversation,” Phil is one of the most positive people that I know, which says a lot because I feel like I'm pretty positive and bubbly. But Phil is truly a beacon of light, and we have a mailbag question that started with addressing burnout in teams, especially in on-call settings.
And as it does, our conversation meandered and we wound up talking about our own experiences with exhaustion and some burnouts in veterinary medicine, and giving some candid stories. But also, really some leadership lessons that we wish that we had learned before we became leaders. So, I had a lot of fun recording this episode. I hope you all enjoy it. And now, let's get into it.

Speaker 2:
And now, the Uncharted Podcast.

Stephanie Goss:
And we're back. It is me, myself, and I. I am here today but I am, sans Andy, but I am instead joined by one of my most favorite human beings on planet Earth, my dear friend and colleague, Dr. Phil Richmond. Hi, Phil.

Dr. Phil Richmond:
Hi, Stephanie. And as I like to call myself the Wish app, Andy Roark.

Stephanie Goss:
Oh, man. So many ways I could respond to that.

Dr. Phil Richmond:
It doesn't really look like or sound like him.

Stephanie Goss:
No, it isn't. It doesn't.

Dr. Phil Richmond:
But, okay.

Stephanie Goss:
This episode is not going to look or sounds like a typical Unchartered Podcast episode in the slightest. There's going to be lots of laughing, probably lots of squirreling. But we are together today because we got a mailbag topic. And we're not actually going to answer the direct question that was asked in the mailbag as I do with you, because when I read it, I was like, “Ooh, I want to have a conversation with Phil about this,” because it involves some bigger themes that relate to you, what you do in veterinary medicine. And I just thought it would be a good chance for you and I to have some good conversation.
And since Andy is on vacation when we're filming this, while the cat is away, the mice will play. So, let's begin and have some fun. So, for our listeners who don't know you, welcome to the podcast. If you have not had the opportunity to interact with or talk to or hear Dr. Phil Richmond's present, you are missing out because you are an amazing human being, and you have a lot of wonderful things that you are sharing with our profession. And we're going to get into by way of the mailbag, get into some of what you're doing.
So, the mailbag topic I got was about a hospital who is a specialty practice there, specialty surgery practice. And by the nature of their work, they have after hours on-call rotations for their team. So, they're taking care of their patients postoperatively. So, they have on-call hours, overnights, and weekends. And so, it is one of those things that is inescapable in some facets of veterinary medicine. On-call has to happen for them to support patients postoperatively. And I totally get that.
And the manager who wrote in was like, “This takes an incredible toll on the team because being on-call is hard.” And they were looking for some tips and tricks that we'll get into in another episode in terms of how do we structure that and support it from a systems perspective. But what interested me in talking with you with the burnout aspect, and because we have big pieces of veterinary medicine and specialty practices in ER practices. And even GP practices that… Particularly, the ones that are more rural and don't have overnight.
There's lots of people in veterinary medicine who can't avoid being on-call. And this manager's point was that, burnout is a real thing and it impacts the team. And so, when I was thinking about it, I was like, “Who better to talk about this with than my friend, Phil?” So, tell us a little bit, Phil, about who you are and why you and I would want to talk about this because it's right up your alley in terms of the work that you're doing in veterinary medicine.

Dr. Phil Richmond:
Yeah. Thanks, Steph. And it's just always a pleasure for us to get together and talk. And we just have so many things in common, and I just love being able to share space with you.

Stephanie Goss:
We love your face, friend.

Dr. Phil Richmond:
Thank you. And it is. So, I jokingly say, those of us that are working in this field, none of us… I wasn't in vet school fourth year going, “You know what? I cannot wait to work on wellbeing and burnout in the profession.” And I say that like, “This is someone tongue in cheek, but where it is, is that most of us have lived experience or personal story, why it's so important for us.”

Stephanie Goss:
Sure.

Dr. Phil Richmond:
And so, briefly, I was a new grad. It was about 2008, dating myself a little bit. But I was working, I mean, this is right up this alley. I was working 60, 70, sometimes 80 hours a week. Now, that was self-imposed. I also want to say is that, I was working on my days off at a clinic that I grew up working at. And then, I was picking up emergency shifts on the weekends.
I would come in on my days off to do surgeries that I hadn't done before, which I'm not suggesting that you shouldn't do that because there's some benefit to doing those things. However, even the owner of the practice was like, “Hey, you need to throttle it down.”

Stephanie Goss:
That's a lot.

Dr. Phil Richmond:
Yeah, that's a lot.

Stephanie Goss:
Right.

Dr. Phil Richmond:
But some of that stuff was not… It was self-imposed for me. And so, what I found was is that, I got to this point where I had the hallmark signs of burnout are exhaustion, cynicism, and inefficacy. It's just taking us longer to do things. We just can't get through stuff, that type of thing. And I only had one tool in the toolbox, and you and I have shared our stories, but I just had alcohol and substances like, that was it.
And so, add that to all the stresses of veterinary medicine and all of this. And then, getting into burnout. And I really was in a dark place, and I'm going to mention suicidal ideation, but that was where I got. So, what I realized was, is I ended up going to treatment. I got a lot of tools, individual tools that were very helpful for me, and they helped save my life, and helped me love veterinary medicine again.
What I realized though is that, when I went back into practice is that it wasn't the whole story, is that I played a big part in some of that like, I misinterpreted things. And how I viewed situations, that was stressful for me and burned a lot of emotional energy. But even when I do that, there can be external factors, which is really what burnout is, is burnout is really a systems issue. It's not a personal failure.

Stephanie Goss:
Right.

Dr. Phil Richmond:
And when I learned that both of those things were true, it was one of the things that pushed me to want to help our colleagues and because it's so common for all of us. And especially now, with COVID and that type of thing. So, not only leaning into the individual nature, the things that we can do with resilience training, with gratitude, with intentional induction and positive emotion, and these types of things as well as seeking mental health support from professionals.
But then, also the importance of team level, wellbeing team level, psychological safety, where our leaders and how we work as a team is vital. And then, the third thing is organizationally, or when we talk about the me, we, us. And I just love that model. So, me being the individual. We being team and leadership. And then, us, being the organization.
And then, organizationally, looking as the organization, do we have policies in place? Are we measuring burnout? Are we measuring the wellbeing? I mean, we're all clinicians listening to this. We all know, “Hey, if something's going on with our patients, we run tests.” How often are we doing that in veterinary medicine? How often are we taking the pulse? Excuse me, if our team… To find out what's going on.
So, those things are important. And then, okay, now we get this information, what do we do with it? And so, those things are just, what I found is that I want… I have a vision, like a lot of us in veterinary medicine, I want it to be here for years to come. And it's a beautiful profession. It really, there's a lot of joy and a lot of reward that can come from this profession. And we just need to… There's some things that need to be in place to make that happen.
So, the sky is not falling. But there's things that we need to address that are challenging. And then, we also need to lift up the positive aspects of the profession. So, in a nutshell, that's what I do is working on psychological health and safety, and team cohesion and individual skills of resiliency, and that type of thing. And how important that is to patient care, how important that is to longevity and sustainability as a veterinary professional.
It's things that we don't generally get taught. I mean, we're much better now, I should say. But just not taught in vet school or tech school, or I think it's more now in the CVPM that's part of, part of that as some of the leadership development and wellbeing of the teams. So, I'm glad there's much more awareness, but yeah.

Stephanie Goss:
Okay. So, as you do… I love you so much. There's so much to unpack there because you just crammed 10 pounds in a 5-pound bags there, friends. Okay. So, let's go back to a little bit about… So, what you're doing now with your work has to do with falling in love with the profession again and wanting to help yourself and help your peers, which led you to where you are? Let's go back for a second because this topic resonated with you because you found yourself in a place of burnouts.
And you and I have similar steps along our path where we found ourselves in dark places, and feeling really overwhelmed and exhausted. And you and I, both being long-term members of the recovery community. I think both found ourselves looking inward as you do when you're in recovery, you do a lot of work on yourself, hopefully.
But also, looking outside of ourselves and recognizing that we can only do so much on a personal level. And I love… You're actually going to be talking about this topic at the Uncharted Culture Conference…

Dr. Phil Richmond:
I am.

Stephanie Goss:
… shameless plug here, because you were going to be doing a session specifically on your… You mentioned the idea of we, me and us, right? How do we as individuals exist in veterinary medicine? There is responsibility and work that we can do on an individual level. And it doesn't exist in a vacuum, right?
The burnout on us can't only be on the individual because as you mentioned, there's external factors that impact from a team level, and team dynamics, and the safety that the team has in being able to talk to each other, ask for help, support each other, all of that. And then, there's the systems piece of it in the organizational structure.
And so, I'm super pumped. You are actually going to be doing a session for everybody who is attending the Culture Conference in October, and I'm super excited about that. So, if you're listening to this and you're already like, “I want to hear more about what Phil has to say,” you should head over to the website and sign up for that. Because it's virtual, so anybody can come, you don't have to be an Uncharted member, and you're going to be doing a general session.
And so, I don't want to spoiler too much of the details of what you're going to talk about there, but I do want to dig a little bit about where you started and empathizing with that on the personal me level. And then, talk a little bit about the organizational stuff.
So, when you found yourself out of school and getting into practice and you found yourself at the place where you recognized that you were burned out, was that a place where you could see what you were doing to your… So, you said that you were doing it to yourself regularly or you were working extra hours and you were taking on more and more and more in that space though, was that something that you recognized in yourself? Or was that something that others pointed out to you? Because like you said, your practice owner even said to you like, “Hey, you need to throttle this down.” What did that look like for you?

Dr. Phil Richmond:
No. So, I had an incorrect assumption on what I was supposed to do and what I was supposed to be capable of my first years out. And I thought, I just had this idea that I was going to go in, that I came out of vet school, I should have all the answers. If something went wrong, it was this weird thing is, for me, one of my thinking traps was, is that if something went wrong, I would blame everything else. But I also would then question like, “How responsible am I?” But it was almost like a defense mechanism.
And so, a lot of us in recovery have that. But when I'm going with this is that, the biggest thing was, is that I had… Now, I can see the signs of burnout in myself. And those signs were so clear back then, but I looked at them as they were failure. And instead of saying, “Hey, I need a break,” it was like, that horrible negative self-talk was, “You're just weak. You should be able to do this.”

Stephanie Goss:
You can't get it all done.

Dr. Phil Richmond:
Yeah.

Stephanie Goss:
You can't hang.

Dr. Phil Richmond:
Yeah. The reason why is, you're just not working hard enough. You need to be up later. You need to…

Stephanie Goss:
Just work harder, yeah.

Dr. Phil Richmond:
Just work harder, right?

Stephanie Goss:
Yeah.

Dr. Phil Richmond:
And as we know, I mean, it's like the battery analogy and the phone, you're just not even magically going to put all that in there. The spoon's theory is that, we've got a certain number of spoons we can use during the day. And it's like, when they're gone, they're gone. And that whole concept was just… I didn't have that, and I didn't know. I just thought the answer to everything was work harder.

Stephanie Goss:
And so, going back, you said the three of the classic hallmarks of burnout are the inability to focus and stay focused. Tell me what the three that you said again.

Dr. Phil Richmond:
Right. Yeah, absolutely. So, and there are different definitions certainly, but this is what the World Health Organization describes it as. So, there's exhaustion. So, that's really a feeling. I think we can obviously all relate to just that physical, mental, emotional drain that we feel.

Stephanie Goss:
Yeah.

Dr. Phil Richmond:
And what happens is, when we go through that just chronically, we begin to isolate. And as we know in recovery like isolation is that's when we start spiraling, is that when I disconnect from people, that's a challenge. So, exhaustion is one.
The second is cynicism and, “Ooh, do I… Yeah, leaning in the negative?” So, and to give you an idea of what this looks like on the ground in a veterinary hospital, our clinic, I should say the practice that I love… I'm getting to go back to the great group of practices. We worked really hard on psychological safety on all of these things and teamwork. And we just, generally speaking, I mean, we just didn't talk stuff about clients or one another. I mean, we were very intentional about that over the years.
And it was a red flag for me, is that I noticed when our team started, and this was during COVID. When they started talking stuff about clients. It wasn't normal for us. It was out of the norm.

Stephanie Goss:
Sure.

Dr. Phil Richmond:
And for myself, because I've been in some burnout lately, and I just become… The negativity bias kicks in. And instead of looking at the positive, I start going into the negativity bias. And so, that cynicism of the everything is bad, everything is this. And then, what happens is that, that creates a spiral as well. And then, the last thing is the inefficacy. So, go ahead. Yeah, I think the cynicism is…

Stephanie Goss:
No, no, I was just… You're getting there. It's funny because listening to you describe those things and you were saying like, “What does it look like in veterinary medicine?” I can totally recognize that exhaustion. And we talk about it jokingly in a lot of the manager groups that I'm in. But when you think about painting that picture and you think about how many… Everybody wakes up and is like, everybody has bad days, right?

Dr. Phil Richmond:
Yeah.

Stephanie Goss:
Everybody has stuff going on in their lives. And there are absolutely times where you wake up and you're just like, “I don't want to go to work today.” You feel tired. You wake up and you're just like, “I can't… I'm dragging.” I mean, I knew I was getting up and getting to talk to you today, and I still was like, “I'm so tired. I just want to go back to bed,” where everybody has those days.
And when you were talking and thinking about it from the burnout perspective, and then leading to the place of cynicism, I think about when I was really struggling in the practice. It's that every day you wake up and you're like, “I just am so freaking exhausted. I don't want to get up. I don't like, I can't.” I got it. I'm getting up, and I'm pounding multiple energy drinks in the morning. And then, I walk in the door of the clinic and that cynicism immediately kicks in, and it's that that.
When I'm going in the door with that frame of mind of what such hell is awaiting me or everything is just like, “Can't you guys just leave me?” Somebody asked me, “Hey, when you're ready and you're settled in, can we talk about something for a second?” And I'm like, “For the love of God, why can't you just leave me alone?” I found myself in that place where it was like everything was reactive, everything was negative. And so, hearing you talk about that immediately, I can empathize with that because I can see it in myself.

Dr. Phil Richmond:
Yeah. And so, what's interesting about these concepts is that, I mean, it's a blurry line. It's not all overload necessarily. And that's where the recovery stuff came in is that, I found that I learned ways to challenge my negativity bias like, “Oh, this person did that.” And it's like, “Really? Did that like, am I filling in the blanks with stuff?” And that was something that I learned over time.
What was interesting to me is almost like an experiment is like, here, I have the tools and I still can't overcome it. I'm going… And that's what's been not just personally, but that's what's fascinating, if I can even say that about burnout, is that again, it's an external issue. And man, that's cynicism. I mean, we have our great friend Josh Weissman, amazing human being. And I shared that with him a few weeks ago. I was like, “I can just tell, because it's not my norm to be looking at the bad side of things. Or, oh, this is crap, or this is that.” It's like, “Damn, what's going on with me?” It's a sign. It's a clinical, almost like a clinical sign.

Stephanie Goss:
It's a sign, yeah.

Dr. Phil Richmond:
Yeah. But it's also, sometimes, when you're inside the pickle jar, it's hard to read the label. And so, if you have people that can… When you're in it, sometimes you don't know that you're in it, you're just… But I had friends, and then my wife is very kind of, to let me know, “Hey, you've mentioned this.”

Stephanie Goss:
You're not yourself.

Dr. Phil Richmond:
Yeah, that you're bitching about for the fifth time. Maybe you need to…

Stephanie Goss:
Nineteenth time.

Dr. Phil Richmond:
Yeah, right, right, right, yeah.

Stephanie Goss:
Hey, friends, you have heard Andy and I talking about some of the big things that are coming in the back half of 2023 for Uncharted, but we are not done. In fact, we are not even close to done with releasing all of the new fun and exciting stuff that our team has been working on.
So, I want to make sure you don't miss out on it. Now, if you listen to the podcast, you're going to hear about it. But if you want to guarantee that you are the first to hear about the big giant announcement that we have coming soon. So, so, so soon, but not soon enough.
You want to head over to the website, unchartedvet.com/insight, that's I-N-S-I-G-H-T, unchartedvet.com/insight, and sign up for the newsletter. That will get you on the list and guarantee that you have first dibs access to the big, big news that is coming soon. Don't miss it. I promise. You're not going to want to miss out. And now, back to the podcast.
Okay. So, the exhaustion and the cynicism, and then I was emphasizing and cut you off with the last one, yeah.

Dr. Phil Richmond:
Which here comes the shame spiral like Brené Brown. Inefficacy. is that the harder we try to push, the less efficient we can be, which is ironically, which is why, we well, burn out, is that when we do that, the cure for it is rest and changing the system. But what we do?

Stephanie Goss:
Oh, we just try and work harder.

Dr. Phil Richmond:
We do the opposite. And that's what all the evidence shows us is that, we can't do those things. And that, maybe we can go 110% on the reactor for a few weeks maybe, but it can't be a chronic state. Our bodies then physiologically, the release, excuse me, the chronic release of the stress hormones and all of these things, our bodies are not meant to function at that level. We can only do it for so long before body's just kind like, “Hey, I'm out.” And then, we start to see physical manifestations. And we get into that.

Stephanie Goss:
That feeds right back into the loop, right?

Dr. Phil Richmond:
100%.

Stephanie Goss:
Then, you're exhausted.

Dr. Phil Richmond:
Yup, yeah, right.

Stephanie Goss:
And it feeds the exhaustion model because you're physically feeling the toll of that. And then, it spirals and you feel like, you can't get out of it.

Dr. Phil Richmond:
And then, you're not doing… You can't do as much work as you did even though you're trying. And then, what happened?

Stephanie Goss:
Inefficient?

Dr. Phil Richmond:
And then, inefficient. And then, oh… And then, as I said in the Uncharted Conference, my inner critic's name is Carl. And then, Carl's up here going, “Oh, Phil, you are POS like, you really, you shouldn't even be doing this job. You can't do this. You can't do this. You're not getting this done. You are… Man, you are worthless.” And all that negative self-talk.
So, and we'll get into a little bit of what are some of the ways that we can combat that. I think as we go in the future. And just really, I have to do a shout-out to Dr. Michelle McQuaid and Dr. Danielle Jacobs from the Wellbeing Lab in Australia because they've done a lot of the work on this that I really lean into. And so, anyway, I just wanted to say like, yeah.

Stephanie Goss:
Yeah, okay. So, let's talk about that. So, you like career wise and path wise, you got out in vet school…

Dr. Phil Richmond:
Right.

Stephanie Goss:
… and you were a new grad, and you almost crashed and burned, right? Because you were…

Dr. Phil Richmond:
Definitely, yeah. I mean, I would say by… I mean, I was out of practice. So, I reached the bottom, I guess we can say to where I was pulled out of practice. I was in a treatment facility for 90 days, which by the way, is way more common than we just don't hear about it. But that saved my life. Not only did it give me the rest because of that. Remember we were talking about the physiologic stuff, chronic stuff, and then filling my cup back with tools that I then had to go back into that environment that I didn't have before. So, yeah.

Stephanie Goss:
And so, that kicked off the passion for you because when you meet Phil, one of the words that immediately comes to mind, if you have had the pleasure of spending time in your company, Phil is passionate. And I think that you are passionate about just life in general, which is one of the things that I love about you.
You just have great energy and being around you is wonderful, but you're so passionate about looking at veterinary medicine, and it would have been very easy for you to come out of treatment and stepping back into practice. It would've been very easy for you to look at it in a very cynical way because there is a lot that is challenging. And so many people will say, veterinary medicine is broken, and we're a hot mess. And there are a lot of people that look at it from a negative perspective, and feel like it's so systemically, we have so many problems, it's not fixable.
And you chose to look at it from the perspective that resonates with me, which is there is so much that is wonderful about veterinary medicine, and we need some help. And so, I feel like that kickstarted getting those tools and starting to fill your toolbox, kickstarted for you very much the same way my own experiences and my own… I mean, I was in recovery before veterinary medicine. But very much, we have similar paths in that way of like, it became a passion project for you.

Dr. Phil Richmond:
Yeah, yeah.

Stephanie Goss:
And so, you started doing education and work around wellbeing and burnout, which led you down a path of positive psychology and the wellbeing work that you're doing now with Dr. McQuaid and the team in Australia. So, tell us a little bit about where your winding path took you next.

Dr. Phil Richmond:
Yeah, so quickly. So, there was a 10-year area where I was in practice. I was going to meetings. I was trying to help medical professionals in recovery. But I was really quiet about it because of the stigma. And then, just as we know, the anonymous nature of 12-step recovery.
And then, there was just a point where I got to where I had the opportunity to be of service for the FVMA. And where I'm going with this is that it was like, now I knew these things worked. I knew these concepts and these principles and these things worked. But how was I going to go into talking to veterinary professionals and say, “Hey, I'm in AA, and this works.” And it's like… And then, so what happened was, is that I got put in a position of… And this is where Carl comes in, by the way. Carl, it was like, “Hey, you're just some drunk that learned some stuff and it just makes your life.” But…

Stephanie Goss:
What qualifies you to talk?

Dr. Phil Richmond:
… what qualifies you to… And then, I was like, “Shit. Shoot, sorry.” I was like, “Maybe I should go do…” So, I looked into potentially getting a master's. But then, so now, I'm a certification nut.

Stephanie Goss:
Junkie?

Dr. Phil Richmond:
Yeah, yeah. I mean, anyhow. But yes, I do. So, yeah.

Stephanie Goss:
I know, I know. Trying to change our language.

Dr. Phil Richmond:
Trying to change our language because it does matter. It does matter, by the way, everybody that's listening. However…

Stephanie Goss:
It does matter. It does matter.

Dr. Phil Richmond:
So, the first certification I took was… But I ended up taking the compassion fatigue professional certification. At the end of that, it talks about the cure for compassion fatigue or the treatment for compassion fatigue is skills of resiliency. I look at these and I say, “Steph,” if we knew each other back then.

Stephanie Goss:
Yeah.

Dr. Phil Richmond:
I'm like, “Oh, my gosh. This is exactly the same stuff that I learned in 12-step recovery.” It's just there's… I jokingly said, “There's $20 words associated with it.” And I'm like, “That's it. And truths are truths.” So, I just got down. I was like it, “This is it. This is it.”
So, I got into positive psychology and cognitive behavioral coaching. And all these things that basically take the same, they take very similar principles and put that together. But then, I remembered also is that there is an importance to the self-portion of this or the me portion of this. But it is multifactorial, is that we do need, our leaders have an outsized influence on that. And how we work as a team is vitally important, and is the organization there. So, I ended up getting a bunch of certifications because Carl told me that I needed to.

Stephanie Goss:
Qualified.

Dr. Phil Richmond:
Yeah. And so, now, I don't know. It's like, 22… I think, yeah, I have 22.

Stephanie Goss:
I was going to say, you have an alphabet. You have an alphabet after your name.

Dr. Phil Richmond:
So, but I mean, I also, one of my strengths is love of learning. So, my wife's like, “Well, whatever. At least he's not doing what he was doing 15 years ago.” So, she was with me, by the way, through all that. God bless her. She's a veterinarian as well. She's amazing that she is.

Stephanie Goss:
She's a wonderful, wonderful human being.

Dr. Phil Richmond:
Carl… So, where were we?

Stephanie Goss:
You were heading towards what you're doing now…

Dr. Phil Richmond:
Yes, that's right.

Stephanie Goss:
… and looking at other countries that are doing way more about it, less than we are in the United States. Because you recognized, as did I, that while you… Especially as a person who is in recovery, you're hyperfocused on the me part, right?

Dr. Phil Richmond:
Right.

Stephanie Goss:
Because you're working on yourself, you're working on what can I control? What can I do to make amends? Like fix your own backyard first before you go fix in anybody else's, right?

Dr. Phil Richmond:
Right. Which is as the phrase that we use in recovery stuff, as you know, is what is my part? What's my part in this situation? And so, while that is vitally important for us in veterinary medicine, if the organization has a part or if the team or the leader has a part, we do need to work on both. So…

Stephanie Goss:
Right. They don't exist in a vacuum.

Dr. Phil Richmond:
Yeah, right.

Stephanie Goss:
You can't just solve your way out of burnout or fatigue by looking onto me.

Dr. Phil Richmond:
Right. And then, what happens, as we know, and this gets into what we were talking about is that, if I am at as close to 100% spiritual… I'm doing all the things right. If the environment I'm in, if I'm having to see 50, 60 patients a day, I'm short staff, and my boss doesn't care about me, it doesn't like…

Stephanie Goss:
It doesn't matter how hard you work.

Dr. Phil Richmond:
It doesn't overcome those things.

Stephanie Goss:
Yeah, yeah.

Dr. Phil Richmond:
So, we need to help those things. Now, the flip side is, if I have a great leader and they're doing all these things and I'm like, “Oh, this is just… Everything's crap and this is crap, and this is…”

Stephanie Goss:
Right.

Dr. Phil Richmond:
That part is on, I need…

Stephanie Goss:
If you're not taking the ownership.

Dr. Phil Richmond:
Right. But usually, again, it's not a black and white line. There's parts of all of this.

Stephanie Goss:
They've study you make sure of all three.

Dr. Phil Richmond:
Right. And so, intuitively, it's like you start looking at, “What are these things in the workplace?” And so, come to find… So, when I did my positive psychology certification, I also did a certification and positive psychology consulting. So, actually, taking positive psychology into workplaces like, how does this actually…

Stephanie Goss:
Right.

Dr. Phil Richmond:
These concepts sound all good, but what's the evidence that this actually works in a workplace? Obviously, there's ton. There's a whole field of study. We know Adam Grant from University of Pennsylvania is one person that we really hear a lot about. But this field of positive organizational scholarship, which means, how does this stuff work in business? How does this stuff work in the workplace?

Stephanie Goss:
Right. Right.

Dr. Phil Richmond:
And so, that led to finding out about the ISO 45003. And ISO is like international OSHA. And 45003 are the psychological health and safety standards, international psychological health and safety standards. So, things that need to be in place in workplaces. So, the way that I like to describe it to veterinary professionals is, we go in and take x-rays on a patient. What do we do, Steph? Do I go into my scrubs?

Stephanie Goss:
No.

Dr. Phil Richmond:
No, I don't because I know that that x-ray is dangerous. So, I take precautions. I put on my lead down.

Stephanie Goss:
Put on your lead down.

Dr. Phil Richmond:
Put on my thyroid shield. I put on my gloves. Yes, wear your gloves.

Stephanie Goss:
Yes, yes, yup. Put on your gloves and dosimetry badge.

Dr. Phil Richmond:
Because I know that's a hazard.

Stephanie Goss:
Right.

Dr. Phil Richmond:
Well, guess what is that? Those things… There are psychological hazards in our workplaces that we can take the same precautions of. Or if we can't remove them, at least we can mitigate them, is that we can do that.

Stephanie Goss:
Sure.

Dr. Phil Richmond:
And that's one. And then, the other aspect is that we have to actively promote flourishing and thriving. We have to do the positive things as well. And it's not enough to… We're not coming in and just saying, “Oh, everything's… Good vibes only.” I'm not saying that.

Stephanie Goss:
Right.

Dr. Phil Richmond:
There are evidence-based ways of inducing positive emotion, engagement using our strengths, building positive relationships at work. All of those things are vital. And saying, for instance, conflict management. Saying, we know that if I want to implement a change at work, and I just go in and I say, “Okay, we're getting a new PiMS system. It's starting Monday. I'm changing the prices on everything, and you guys are now all responsible for…” We're also doing 12 new initiatives around all these things. “And we're going to do them all at once and we're going to do them now, and that starts Monday. Cool, everybody good? Bye.” That's poor change management. And however, we're not…

Stephanie Goss:
I'm laughing because I guarantee that there are people who are listening to this episode who are like, “Oh, my God, he just described what the hospital…”

Dr. Phil Richmond:
Describe the what? How? How? The part of it…

Stephanie Goss:
I'm laughing. I'm laughing not because I empathize with that because I have been there in the organization…

Dr. Phil Richmond:
You know what? 100%.

Stephanie Goss:
… that has changes…

Dr. Phil Richmond:
And by the way, everyone that's listening, that's in recovery. Somebody shares something to the outside would seem horrible, and then the whole room laughs because we all know like, we've all been there. It's all the same thing, yeah.

Stephanie Goss:
Yeah. Get it, yeah.

Dr. Phil Richmond:
So, but in all seriousness, poor change management, and they found this out in Australia through McQuaid's research. Is that poor change management was one of the highest psycho… So, these things that we see are called psychosocial risks or psychosocial hazards. That was one of the biggest areas that caused psychological harm, and workplaces was poor change management.
So, knowing when I do that, I'm going to instantly drop the level of like, if I just say, “Hey, we're switching PiMS, and go in. If I don't know the level of stress or the things that are going to happen to my team in doing that, and not throttle the schedule, and not do this, and not do things to mitigate that, knowing that I've just… I don't want to say throw a grenade. But I've put something into my team that is going to negatively affect their mental health because it takes time to learn. It's like onboarding.

Stephanie Goss:
Right, right.

Dr. Phil Richmond:
We can't just throw somebody into a clinic and just expect them to know everything day one. Same thing with the PiMS like, it's going to take us… No matter what it is, no matter how great the system is, it's going to take us… We're human beings probably, take us three months to catch our groove.

Stephanie Goss:
Right, right.

Dr. Phil Richmond:
If we haven't scheduled that in, we're setting our teams up for psychological harm. We're setting them up for burnout. The other thing…

Stephanie Goss:
And so, there are places where… There are actually, places in the world shocking because as Americans, having had the privilege of living in multiple countries, it's funny how I can see the American viewpoint. And this feels like very one of them because shocking to know that there are countries outside of the United States. We are not the center of the world. And there are places in the rest of the world where like, you were telling us that there's the ISO standards…

Dr. Phil Richmond:
Yeah.

Stephanie Goss:
There are actually places that say, “Hey, not only can you not do this…” And here's what the… But they set the bar in terms of expectation for employers, just like OSHA would hear with setting the safety standards, you have to take care of your team and protect them safety wise.

Dr. Phil Richmond:
Yeah.

Stephanie Goss:
There are standards that are applicable in other countries that say, “Hey, when it comes to your team and their wellbeing and their mental health and their emotional, you're responsible for that emotional safety. And here's what the expectation is.” And that's fascinating to me like, fascinating to me because I'm like, it makes perfect sense. And also, it makes me sad that we are once again, so behind other countries.

Dr. Phil Richmond:
Yes, but there's more. There's chapter two, which is exciting. So, one, just knock on your roof. I know you're in Washington. Just knock on your roof and wave to our neighbors, to the North.

Stephanie Goss:
Canadian neighbors, yup.

Dr. Phil Richmond:
Yeah, one of those certifications I have is I'm a certified psychological health and safety advisor, and I had to get that from Canada because we don't have…

Stephanie Goss:
You can't get it here, yeah.

Dr. Phil Richmond:
No. So, shout out to the Surgeon General of the United States. Surgeon General's Office, just put out recommendations for US workplaces. So, they're great. So, there's a five spoke area on that that's all centered around worker voice and equity. So, that's the central cog, if you will, in the wheel. And so, it's protection from harm.
So, we want to mitigate these things, connection to community, creating belonging, work-life harmony, creating opportunities for us, knowing that leaving our stuff at the door is BS like, that doesn't work, mattering at work. And then, having opportunities to grow. And mattering means, as a leader, as a team, you let me know through reward and recognition. You let me know I'm doing a good job. You give me constructive feedback. You do these things. And then, obviously, opportunities to learn and grow and that sort of thing.
So, in general, the ISO 45003 standards encompass a lot of those things. So, now, each country, most countries or many countries have their own psychological health and safety standards. And again, the US has come out with that and kind of cool things. It's not super-secret, but I'm on this awesome team. Josh is on it, Makenzie Peterson from used to be with AVMC, working with veterinary visionaries to help create psychological health and safety standards for US veterinary organizations.
So, but what is that again? How do we protect our brains? How do we protect our brains and souls from the stuff that we see in veterinary medicine? Because there are things that are specific to veterinary medicine. But the interesting thing is that most of the things like conflict management, we're not the only ones that have conflict management. Oh, yeah, poor change management? We're not the only ones that…
But yet, those are the things that cause it and role clarity. That was, by the way, in Australia in the study that McQuaid's group just put out, low like, not understanding, not being very clear on what my job is and who do I go to for what? And when this happens, when low role clarity was the most encountered psychosocial risks that caused harm. So, that's amazing. Yeah, go ahead.

Stephanie Goss:
It would shock no one to think about veterinary medicine, and think about how many of us have worked in jobs in veterinary medicine where we have no idea what our actual role is…

Dr. Phil Richmond:
I didn't know… Yeah, and then what happened? And then, throwing out all these terms, low psychological safety. Doctor comes in or owner, “Why didn't you do, whatever?” I didn't know…

Stephanie Goss:
I didn't know…

Dr. Phil Richmond:
And then, that person gets mad, then they're blaming you for something that you didn't even know that you were responsible for. And that is not… And everybody listening has been in a situation similar to that where it's like, we're almost held… Why didn't you know? Like, I don't know. How am I supposed to know that? I can't intuitively know it.
And so, again, it becomes how important it is. And this starts to even go into onboarding, why it's so important to connect people to onboarding and what role clarity and where you go to for what. Because when that stuff hits the fan, we want to know what the plan is.

Stephanie Goss:
Right.

Dr. Phil Richmond:
And also, that increases efficiency, which efficiency is, it's not sexy, so to speak. But that is a huge area of importance for wellbeing in the workplace is practice efficiency, is if I'm doing…

Stephanie Goss:
Right. Yeah, well… And, I mean…

Dr. Phil Richmond:
Yeah, go ahead.

Stephanie Goss:
That makes perfect sense because it's the third, the inefficiency is the third wheel of the burnout. So, it makes total sense that those two things are tied super closely together.

Dr. Phil Richmond:
Yeah, yup.

Stephanie Goss:
Okay. Don't give away the…

Dr. Phil Richmond:
No, this just the sprinkles. This isn't even the cake.

Stephanie Goss:
Okay. Friend, I can talk to you all day long. But…

Dr. Phil Richmond:
Yeah. Oh, my gosh.

Stephanie Goss:
Andy will kill me if we do a five-hour podcast. But I have a question for you before we wrap up.

Dr. Phil Richmond:
Yeah, that's right.

Stephanie Goss:
So, one of the…

Dr. Phil Richmond:
Can I say just some of the things to try to look into combat, and this won't give stuff away?

Stephanie Goss:
Oh, yes, of course, of course.

Dr. Phil Richmond:
If we've got these, because I don't want to go, “Oh, here's all the crap.” The things that is going on is making sure… So, four things, and this was actually from McQuaid research as well, is that Carl…

Stephanie Goss:
Okay. And we'll put links to…

Dr. Phil Richmond:
Yeah, we'll put links to the article.

Stephanie Goss:
… what the thing that Carl is talking about the article and the research in the show notes. So, don't worry about that. Okay. So, Carl…

Dr. Phil Richmond:
So, Carl's talking crap about me. There's a concept that's called self-compassion, and we've talked about it. Our friend Jamie at Uncharted, really leans into this. I found coaching wise, that is the tool that I lean into more than anything else with people is self-compassion, replacing self-criticism with self-compassion.
Kristin Neff, N-E-F-F, we'll put a link to her stuff in the notes as well. She's the Founder of the Concept of Self-Compassion. Great, great stuff. It really helps change our thinking. What are we crappy at setting for ourselves as veterinary professionals?

Stephanie Goss:
Yeah, boundaries.

Dr. Phil Richmond:
Boundaries, that's what…

Stephanie Goss:
Boundaries.

Dr. Phil Richmond:
Yeah, we got to learn how to do that. That's another… I'll just leave that. I'll leave in that, yeah.

Stephanie Goss:
All right. So, I was going to say, you just gave us two giant boulders because…

Dr. Phil Richmond:
Boulders. So, lean and self… Yeah.

Stephanie Goss:
Self-compassion is hard, AF. And boundaries…

Dr. Phil Richmond:
Yeah, but get curious, get curious.

Stephanie Goss:
… are real hard.

Dr. Phil Richmond:
Yeah.

Stephanie Goss:
Okay. All right. So, we got some mountains to climb. Keep going.

Dr. Phil Richmond:
So, then rest… When people take vacation, make that reward and recognition like honor people for taking vacation. Like, “Hey, make this a good thing.” Not, “Oh, I can't believe you're leaving us in the lurch.” It's like, because again, remember, if we get beat up chronically, our bodies can't… They can't recover. We have to prioritize rest and recovery. We have to prioritize rest and recovery. We have to prioritize rest and recovery.

Stephanie Goss:
Yeah, rest and recovery. That is what we are doing right now because we are reporting this. You and I are not resting and recovering, but we are doing this because Andy is resting and recovering…

Dr. Phil Richmond:
Fearless leader.

Stephanie Goss:
… and taking… The fearless leader is taking a break. And I will tell you that that, I mean, some of you heard the podcast that I did with our dear friend Eric Garcia, and my colleague and amazing partner in crime, Tyler Grogan from our team last year…

Dr. Phil Richmond:
Oh, my God. Such great people.

Stephanie Goss:
… on unplugging, they are both amazing. But we talked about unplugging and rest and recovery. And we are actually, about to record a follow-up to that episode for everybody because we've been getting a lot of questions about how it's going now. And all of us took some unplugged time off this summer, and we're talking about that.
But I love that because your point is a really valid one because that's another boulder for veterinary medicine. Because what do we do? What do you think about it in the burnout spiral? And you think about Carl sitting on your shoulder and being the negative self-talker in your ear, we just tell ourselves, “Oh, just keep working. Work harder, work harder, work harder.” And you'll dig yourself out of this hole. And we do not think about it in terms of rest and recovery. And we just try and work harder as the answer. And that is exactly what leads us to the place of burnout.

Dr. Phil Richmond:
Yeah. And the last…

Stephanie Goss:
Okay.

Dr. Phil Richmond:
Prioritizing opportunities to experience positive emotion, gratitude.

Stephanie Goss:
What?

Dr. Phil Richmond:
What? That's the evidence. I'm not just making that up because the sun shine. That is literally prioritizing positive emotion is that… And as I said in Unchartered, celebrate the wins, hold the trophy, hunt the good stuff. I love saying that, is that be intentional because good stuff is like, Teflon and bad stuff is like Velcro, is that we have to be very intentional about experiencing positive emotions in veterinary hospitals.
And what does that mean is that, as leaders, we need to do that, is that we have to stop and celebrate the wins. We have to sit down and let the puppy kiss us in the face that we saved, sit with those things. And so, what's wonderful is I, now because we've been so intentional about it, I can remember those things in the workplace. Yes, Stephanie.

Stephanie Goss:
That does not mean you sit down and let the puppy give you kisses in the face, and then bring that puppy home. Just throwing it out there, friends. Because…

Dr. Phil Richmond:
One puppy, maybe. I can't…

Stephanie Goss:
No. No more puppies. So…

Dr. Phil Richmond:
I'm wrong. So…

Stephanie Goss:
You're the problem.

Dr. Phil Richmond:
So, this awesome like, super quick. So, I got to go back and help a mentor, a new grad vet that used or works where I used to work. And they sent me a text message like 9:00 at night and were like, “Hey, sent me pictures of this fracture.” And I was like, “Y'all want me to come up and give you a hand?” And they're like, “Would you?” And I'm like, “Yeah.”
So, I came up. We're doing the fracture repair and Dr. Ortiz does it. I look at, and he's just trying to help this kitten. It's a 10-week-old kitten that got hit by a car. It's got a fractured femur. So, we fixed it. And I look up at him and I said, “You know, this is your cat, right?” And he's like, I mean, he's like, “I thought about it.” I was like, “No, no, no, no.” I said, “This is your cat.” I said, “That's the rule.” I said, “Because that's what I did.”

Stephanie Goss:
It's not a rule!

Dr. Phil Richmond:
It is a rule. Hold on, let me qualify that. Let me qualify that. Your first fracture repair on a kitten that got dumped and like, it can be your cat. It's not a rule. It's not a rule. But it can be. It doesn't have to be a rule. But it happened to me, is what I was saying.
So, 15 years ago or whatever, that's what happened. I had a kitty that got… She got shot 18 times with a BB gun, and had a fractured femur. And they brought her in. She was on the news, and everything. And we fixed it. And she was on national news. And our receptionist was like, she's like, “You're going to keep this kitten, aren't you?” I was like… I mean… She's like, “Will you just please?” Because she's like, “I'm getting calls from all over the country to adopt this kitten. Will you please just tell me that you're taking the kitten?”

Stephanie Goss:
That you're keeping it?

Dr. Phil Richmond:
Yeah. And so, I did. And her name was BB. And she was great.

Stephanie Goss:
So, that's fantastic. So, did Dr. Ortiz adopt the little kitten?

Dr. Phil Richmond:
He did. He did. The kitten is great.

Stephanie Goss:
Shut up.

Dr. Phil Richmond:
Of course, he did!

Stephanie Goss:
You're such an enabler.

Dr. Phil Richmond:
But I will say… I will say, is that that's part… So, you don't have to have 20 cats. But you could have one, if you're not allergic. You could have one kitten that you saved. You could. Everybody's got… I mean…most

Stephanie Goss:
I want to do a whole podcast series on the stories of the animals…

Dr. Phil Richmond:
How did people got…

Stephanie Goss:
… from, yeah.

Dr. Phil Richmond:
Oh, yeah.

Stephanie Goss:
Because you are the shining representation of having no boundaries in veterinary medicine when it comes to animals. And saying…

Dr. Phil Richmond:
That's my wife. My wonderful wife that we described like, how many animals are in this house that I'm directly responsible of for? None. Like zero now. None. None of them. She brought everyone in the house. She brought every one of them all. Every one of them. But…

Stephanie Goss:
But wouldn't that make a fun podcast series?

Dr. Phil Richmond:
It would. I mean, yeah, we'd have to be a video podcast and that we… We probably should have like a Nat Geo show. I don't even know. I told you we got finches now too.

Stephanie Goss:
Oh, my Gosh.

Dr. Phil Richmond:
So, everyone, we had zero birds in January of 2022, and we have 17 birds now.

Stephanie Goss:
Because Carl can't say no.

Dr. Phil Richmond:
Because I was at VLC with Tasha, and we were speaking and I get a message and she's like, “This happened.” And there's a giant cage in the back of her sister's huge pickup truck because she bought a Macaw, and we had no birds January 2022, we had no birds. And now, we have a Macaw, two Caiques, and a Conure and 13… We have 11 finches and two canaries. But it brings us joy. It brings us joy.

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

Dr. Phil Richmond:
I know.

Stephanie Goss:
But it brings you joy.

Dr. Phil Richmond:
Send help. And help us, please. Please, anyone.

Stephanie Goss:
We are going to drop… We've done it now. It's done completely.

Dr. Phil Richmond:
We squirrel, we squirrel.

Stephanie Goss:
Normally, Andy and I go off the rails in the beginning of an episode. But we, you and I, I think mostly saved it until the end of it.

Dr. Phil Richmond:
Yeah.

Stephanie Goss:
We did good. We did good.

Dr. Phil Richmond:
Yeah, we did good. We did good.

Stephanie Goss:
Okay. So, if people want to find you, we're going to drop in the show notes links to some of the resources and research that you were talking about. But if people want to find you, they can find you at Uncharted in October, as I already said. But besides that, where can people find you on social media?

Dr. Phil Richmond:
Yeah. So, I am at Flourishing Phoenix Vet on Facebook and Instagram and www.flourishingphoenix.com. And then, on LinkedIn it's preferred. Pretty positive like, I like LinkedIn. So, LinkedIn, I think it's Dr. Phil Richmond is my account, yeah.

Stephanie Goss:
Okay, I love it. I love it so much. Thanks for having this conversation with me today, friend.

Dr. Phil Richmond:
Yeah, thank you.

Stephanie Goss:
This has been fun. Thank you all for listening. We'll see how many people got to the end of this one because as always, we did some squirreling. But we stayed… High-five friends because we stayed decently for two people that have as much in common as we do, whose brains work very similarly.

Dr. Phil Richmond:
Yeah, we feel good.

Stephanie Goss:
I feel like, we did justice.

Dr. Phil Richmond:
We did good.

Stephanie Goss:
So, we're staying a little bit on target with this. We're knocking Carl, I'm flicking him off my shoulder. We're patting ourselves on the back with this one.

Dr. Phil Richmond:
And by the way, if not… So, I worked with an amazing human being named Carl Ashman. Carl, if you happen like, it's not you at all. This was long before I knew you. So, I just want you to know it's 100% not you.

Stephanie Goss:
Disclaimer.

Dr. Phil Richmond:
Yeah, disclaimer. Carl is not that Carl at all. Carl is a wonderful human being.

Stephanie Goss:
Thanks so much for joining me today, Phil. And thank you all for listening and have a fantastic rest of the week, everybody. We'll see you next time.

Dr. Phil Richmond:
Bye. Thank you.

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 podcast 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: culture, fatigue, management, Practice ownership, Training

Sep 20 2023

I Should Switch From Salary to Pro-Sal Right?

This week on the podcast…

This week on the Uncharted Podcast, Dr. Andy Roark and practice management geek, Stephanie Goss, are back and taking a fantastic email from our mailbag. A young associate is writing in to ask some questions about pro-sal. They started at their practice out of vet school on salary, which suited them fine. The practice was everything they were hoping for in a first job – good culture, good mentorship, good people. Now that they are a few years in to practicing, they find themselves hearing a lot about what colleagues are making. It seems like everyone else is on pro-sal and making the financial rewards that come from jam packed summer schedules. Our associate has a schedule that comes and goes in terms of busy-ness and they are wondering if they should be asking for a different setup than they have now. This episode is full of shoulds, which means Andy and Stephanie approach the word with caution because it can be dangerous. Let's get into this…

Uncharted Veterinary Podcast · UVP – 250 – I Should Switch From Salary To Pro – Sal, Right?

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 role play 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

Calling all Practice Managers and Practice Owners!

Every partnership (like every veterinary practice) is unique and faces very specific challenges. To be successful, you must identify your strengths and weaknesses as individuals and as a pair. By working to further your skills within your respective role, then coming together to work collaboratively with your partner, you can quickly break problems down into manageable pieces and move forward as a team. 

This December, The Uncharted Practice Leaders Summit is here to infuse the powerful veterinary partnership of practice owners and practice managers with renewed energy and understanding. You both want a strengthened foundation to guide the practice (or practices!) you lead so that it can continue on to future success.

Upcoming events: unchartedvet.com/upcoming-events/


Episode Transcript

Stephanie Goss:
Hey, everybody. I am Stephanie Goss and this is another episode of the Uncharted Podcast. This week on the podcast, we're taking an email from the mailbag. We've got an associate doctor who fell in love with their practice as a new grad coming out and they found mentorship, support, and a lot of the things that they were looking for in a job. Now they've been out of practice a few years and they are wondering: “Should my circumstances here change? Should I be getting paid more? Should I be getting paid differently? Should I get things that are different now than I needed them to be when I'd just got out of school?” There's lot of shoulds in this episode. It was really fun to dive into all the questions. Let's get into this.

Speaker 2:
And now: the Uncharted Podcast.

Dr. Andy Roark:
And we are back. It's me, Dr. Andy Roark, and the one and only Stephanie where-the-ocean-meets-the-sky-I'll-be-sailing Goss. How are you doing?

Stephanie Goss:
I want to hear you sing that one.

Dr. Andy Roark:
I've been working on my… Anyway, it's not gravely enough. I'm working on it.

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

Dr. Andy Roark:
I'm good. I was in the car with Allison and that song had been on. It had been on and it was long over, and I was thinking about it. And I turned to Allison, my wife, and I said, “You know who I have become a fan of, who I really didn't appreciate until recently?” And she said, “Who?” and I said, “Rod Stewart.” And she did not look at me. She just said, “God, you're old.”
And I wonder if there's a phase in every man's life when Rod Stewart just takes on a different level of meaning. You know how old I am? I'm “Rod Stewart fan” years old. That's how old I am. I'm just like, “Oh man. Wake up, Maggie. I think I've got something to say to you.” It's like, Rod, you're speaking to me in a way that you didn't when I was in my thirties.

Stephanie Goss:
That is fantastic. You just completely dated yourself as middle-aged.

Dr. Andy Roark:
Oh, totally!

Stephanie Goss:
… and I love it so much.

Dr. Andy Roark:
Yeah. You're like, “How old is Andy?” It's like, “I think he's getting into Rod Stewart.”

Stephanie Goss:
Oh God, that's fantastic. It's so funny, because I was listening to the nineties channel on my Sirius XM in my car, and Bryan Adams came on. And I had that same kind of moment where I was like, “Oh, I remember this.” And I remember my parents listening to this and thinking, “God, this is so old,” and I'm jamming along, and I was like, “Maybe I've hit that stage.”

Dr. Andy Roark:
Oh man. Yeah, I think there's phases. I am not “Tony Bennett fan” old. I like Frank Sinatra just fine, but I could see another level that I will go to in the… You know what I mean?

Stephanie Goss:
Uh-huh. Yes, yes, yes! Absolutely!

Dr. Andy Roark:
I get Frank Sinatra. I do enjoy some Frank Sinatra, but there's a level of fandom that I could absolutely move to. I'm just not there yet. I'm just not there yet.

Stephanie Goss:
You're not that old.

Dr. Andy Roark:
I'm not that old. You're exactly right. But 10 years from now, ask me again. I'll turn to Allison in 10 years and be like, “You know, I never really appreciated…”

Stephanie Goss:
Tony Bennett.

Dr. Andy Roark:
“Tony Bennett.”

Stephanie Goss:
And you know what your kids are going to say to you? Your kids are going to say, “Isn't that guy that was like 100 that sang with Lady Gaga?”

Dr. Andy Roark:
Yeah. Yeah.

Stephanie Goss:
That's going to be how your kids know who you're talking about.

Dr. Andy Roark:
Yeah. And then, when they come to me on my deathbed, I'll be laying there and I'll be like, “You know who they play in the hospital? Barry Manilow. And I like it. I just realized that I really like Barry Manilow.” And they'll cry and cry and cry. “He's leaving us.”

Stephanie Goss:
This is off to a fantastic start. We're off the rails. We're off the rails already and we're three minutes in.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
It's fantastic.

Dr. Andy Roark:
Well, we can reign this back in and get started. Hey. Just like people that know where I am in my life-

Stephanie Goss:
All right, so-

Dr. Andy Roark:
… and how things are going.

Stephanie Goss:
… we are at the Rod Stewart level. Just so y'all know, that is where we're starting this episode today. And I guarantee you that there are people listening right now who are going, “Who the hell is Rod Stewart?”

Dr. Andy Roark:
Mm-hmm.

Stephanie Goss:
Because-

Dr. Andy Roark:
Young people.

Stephanie Goss:
… you and I are old.

Dr. Andy Roark:
Yeah, young people.

Stephanie Goss:
Exactly.

Dr. Andy Roark:
Yeah. Worth a Google. He's worth a Google.

Stephanie Goss:
There's young whipper-snapper team members who are listening to this going, “Who the hell are these two talking about?”

Dr. Andy Roark:
I know. A lot of name-dropping people. People that are not remembered. All right.

Stephanie Goss:
That's where we're at today. Okay. I am excited about today because we have got a ProSal conversation that I think is going to be a fun one. We got a mailbag letter from a young associate who has been in practice for a few years now since getting out of vet school, and they joined their practice. And it had all the things that they wanted in a first practice out of vet school. They had good culture. Good people. They really liked the team. They liked the practice owner. They had good mentorship, which was really important to them and still is. And they took a salary and they felt good about that coming out of vet school, right? Because a good security blanket so you don't have to stress that about anything. “I'm just going to make a good salary and I feel good about this.”
And now a few years out, they are thinking about the advice that they got in vet school about financial compensation and looking at their setup and wondering, “Is it time that I should make the switch to ProSal? Because it seems like I could be making more money than I am if I looked at switching to that model.” And so, they're kind of looking at: What are they doing? Which I thought was a great first step. They looked at: What are they producing? What are they doing now? And they're in a practice where it seems kind of cyclical with their appointments. Sometimes it's up; sometimes it's down. Sometimes they're super busy and sometimes they're not. And they're just wondering: “When it is super busy, if I'm on ProSal, I get compensated for that, right?” So, lots of questions and just wondering: Where do they go?
So, they went to their boss and said, “I would like to make some more money,” and they asked for a raise; and good for them for advocating for themselves. But they apparently were turned down and the conversation was about taking more time off, which they were initially excited about, but also wondering: “How much time should I take off? How much time is too much time to ask for?” And so, lots of questions about compensation and how to be maximizing what they are making. They're happy where they are. They love the clients. They love the team and they recognize that they have benefits at this practice that they might not get other places that are non-monetary benefits. And at the same time, they are feeling like they are getting the short end of the stick when it comes to salary. And so, they asked: “Should I be advocating for more money at this point in my career given all of the things that I've shared with you guys?”

Dr. Andy Roark:
Yeah. I like this question a lot, because I think that the asker is in a headspace that I see a whole lot. And so, I have advice. I have thoughts.

Stephanie Goss:
Okay.

Dr. Andy Roark:
So, let's start with this. There's two things that I want to put out at the very beginning in headspace right here. Right. So, the two things: Nothing matters except that this is a healthy relationship and both sides are getting what they need. There is no right contract. There is no right way to work.

Stephanie Goss:
Sure.

Dr. Andy Roark:
There is no: “This is how it has to be.” All that matters is that you as an employee are in a healthy relationship and you're getting what you need, and that your employers are in a healthy relationship and they're getting what they need. There's not, “I should be on this,” or, “I should be on that,” or, “This is how it should be,” or, “This is how much paid time off I should have,” and, “That's too much time off,” and, “This is not enough time off.” None of that matters. There is no judge or jury who's going to look at your contract and say, “This is not right.” If it works for you and it works for them, then you guys should just go on.
And again, I just think, philosophically, that is really important, because I see so many people who just chew their fingernails about the agreement that they have. And I say, “Does this agreement suck? Does this agreement work for you?” And they're like, “Well, yeah.” And I was like, “Does it work for the other side?” They're like, “Well, yeah.” And I'm like, “Okay, good. Then I don't think that you should sit and ruminate over what it should be or what other people are going to think about the agreement. If it works for you and it works for them, the mission accomplished. Go on.” And so, that's the first place I just want to put down, because a lot of people are like, “Is this right?” And I'm like, “There is no right. No one's going to grade your agreement and say, ‘Ooh, you got a good agreement,' or, ‘You didn't get a good agreement.'” There's no such thing. And so, the other thing I want to call out, and this is a big part of headspace for me, is: Boy, this email is packed full of “should.”

Stephanie Goss:
Mm-hmm.

Dr. Andy Roark:
“Should I be paid on ProSal? Other people are paid on ProSal. How much time should I take off? Should I get this perk? Should I have that perk? Should I get paid for when the place is busy? Should I be held accountable for when the clinic is not busy?” Should, should, should, should, should. Should is a dead end every time. There is no should. “Should I be on ProSal? How much vacation should a vet take? How should my salary stack up to my classmates'? Shouldn't I make as much as them, or more than them?”
Again, should doesn't matter and we make ourselves so miserable talking about what “should be” and how we “should have” this or we “should have” that; and there's no right there. And so, anyway, I don't mean to be critical of the person writing the email. I hope it doesn't sound that way. But just in headspace, at the very beginning, the answer to my question is going to be a hundred percent predicated on the idea that: There is no right relationship. All that matters is having a good relationship that gives you what you need and gives them what they need, and then going on. And then, the other part is: Beware of the word “should.” And we can start to dig into those things.

Stephanie Goss:
Yeah. And I think that there's two pieces that go along with that, right? The first one that you lay down, and you say this a lot, which is: Comparison is the thief of joy.

Dr. Andy Roark:
Right.

Stephanie Goss:
And I think that culturally, especially here in the States, we are conditioned to look at others and compare. Our whole lives, it's like… I will give an example from my own life. As a young… I'm not young. I'm old. We just talked about how old we are. But as a middle-aged mom-

Dr. Andy Roark:
Are you into Rod Stewart yet-

Stephanie Goss:
No.

Dr. Andy Roark:
… or are you still not there?

Stephanie Goss:
I'm still not there. I'm “Bryan Adams” level.

Dr. Andy Roark:
Oh, okay, you're “Bryan Adams” old. Oh, I remember that phase. Yeah, that was good. Back in the day. I remember that. Okay.

Stephanie Goss:
I remember vividly being a mom with toddlers and working a more-than-full-time job in the clinic, and I would come home and I would look at Instagram. And all I could think was that all of my friends, who I loved dearly and who also had kids my same age that I had known from playgroup and stuff, all I saw was: Their houses were clean. There wasn't kids' toys everywhere. There wasn't dishes piled in the sink. And all I could ever do was compare myself to them.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
And I wasn't looking at it and thinking, “God, they suck.” I was looking at it thinking, “God, I suck.”

Dr. Andy Roark:
Yeah. Mm-hmm.

Stephanie Goss:
“Why can't I keep it together? Why can't I have the time and energy?” And so, I think that is just a thing, especially with social media, it makes it really, really easy to compare ourselves to others. So, number one, just recognizing that that is something that we are subconsciously, and sometimes consciously, conditioned to do to ourselves is compare. So, that's-

Dr. Andy Roark:
What-

Stephanie Goss:
Oh, go ahead.

Dr. Andy Roark:
No, I just want to jump in on this, because I completely agree on the social media part; but I just want to jump in real quick, because I've been thinking about this a lot recently. Now, I think there are good things about social media and people being connected and our industry being much more connected. It's kind of like knowing what's going on with the neighbors, where if there's something you're struggling with and you understand that the neighbors are also struggling, it's validating. You go, “Oh. Yeah.”

Stephanie Goss:
Sure.

Dr. Andy Roark:
And so, I think there's a lot of stuff with burnout and mental health that has been really good so that people don't feel like they're so alone.

Stephanie Goss:
Sure.

Dr. Andy Roark:
I also think that at some point you can know too much about the neighbors-

Stephanie Goss:
Right.

Dr. Andy Roark:
… and you can get wrapped up in what the neighbors are doing and: “How do we compare to the neighbors”? And I think that those are two sides of the same coin.

Stephanie Goss:
Yes.

Dr. Andy Roark:
I don't know how you could ever have social media in a way where you got all the good parts of being connected, but not the comparison parts of being connected.

Stephanie Goss:
Yes.

Dr. Andy Roark:
So, anyway, I've just been thinking about this recently, the whole “comparison's the thief of joy.” I think social media ratcheted that up for people in a way that it didn't use to.

Stephanie Goss:
Yes. Yes.

Dr. Andy Roark:
We just didn't have access to people constantly to compare ourselves to them. The neighbors went to work and we went to work, and then you might see them watering their lawn later in the day.

Stephanie Goss:
Right.

Dr. Andy Roark:
But it's not now. It's like you're with them at work and you're seeing inside their house and all of these things and it's just… I don't know. I use “neighbors” as a metaphor for other professionals, but I think you get it.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
So, anyway, I'm right there with you.

Stephanie Goss:
Yeah. So, that's the first piece. And then, the second piece that you talked about is the shoulds.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
And I think it's worth talking about a point that I have discussed a lot with my colleagues in practice, but also with vet students and with newer grads. And I think that there is a movement in the vet schools which is very positive in that they are teaching the students to advocate for themselves and really talking about the different options for salary, and when it comes to contract negotiations, and they're getting a lot of education, which is wonderful. And the way that the information is being received… I'm not currently in vet school so I can't judge it firsthand.
The way that the information seems to be received, and therefore the perception of professionals engaging with young students who are coming out of school and trying to hire them, is that they are being told what they should do. Not that it's being presented in, “Here's all the options,” but that there's a lot of advocacy for a gold standard, if you will, of: “This is what a contract should look like when you get out of school.” And I think that that is adding to this comparison anxiety for a lot of these young grads coming out, which is: “Oh, this is what they told me in school that I should ask for or that I should get.” And I've had conversations with some of them and have asked point-blank, “Tell me what you learned about in school. Tell me what they taught you about contract negotiations, about salary, and how this works in the real world.”
And the perception as a professional interviewing these new grads is very much that they are getting, from some of their professors, a very specific view that seems to be slanted towards “should,” which has very strong pros and cons, right? I'm really glad that they are advocating for themselves and I'm glad that they are having conversations that a lot of people didn't feel empowered to do even just a 5-year or 10-year generation ago of vets, right? I think about vets who went to vet school around the time that you did and they were just like, “I came out and was like, ‘I just need this amount of money to pay my loans,' and I am not really going to have in-depth conversations about what I want or what I think I should get.” It was like, “This is the going salary rate. As long as you're offering me that, it's great.” Right?

Dr. Andy Roark:
Yeah.

Stephanie Goss:
And now it is a very much a: “Well, in school they told me that I should get this and I should get this and I should get this,” and so I think that some of that should-ing is coming from a place that has very good intentions but has ill-advised consequences when it comes to the new grads comparing themselves to each other or comparing themselves to a standard that a professor has shared with them that they should be setting.

Dr. Andy Roark:
Yeah. So, I'm going to pause here and talk about “should,” and then we'll talk about ProSal specifically. We'll get into that. But I just want to pause here. I have seen people wreck so many wonderful opportunities because they get hung up on what “should” be and how this “should” go.

Stephanie Goss:
Mm-hmm.

Dr. Andy Roark:
So, for example, I cannot tell you, because the weird job I have, how many people I've interacted with in the last, say, 15 years who have had opportunities that they were genuinely very excited about, and they went and they researched these opportunities and said, “What should I get paid for this and how should this go?” And they have grabbed onto these numbers, or these conditions, that they went and they found and they made them deal-breakers.

Stephanie Goss:
Right.

Dr. Andy Roark:
Like, “I need to get this or else I'm not doing it.” And for whatever reason, the other side is like, “We can't do that,” and then the whole thing falls apart. And I'm like, “Man, you ended up not getting to do this thing you were excited about because you found some sort of arbitrary number that you thought you should get paid, or title that you should have, or perk that you didn't really care about but you thought you should get this, and because the other side was not able to give you this thing that you found, you were like, ‘Well, I should get that, and I'm not getting that, so I'm not going to do this.'” And ultimately, you go, “Great. You gained nothing. You went right back to where you were because you didn't get your employee parking spot that you were told you should have.”

Stephanie Goss:
Right, right.

Dr. Andy Roark:
And I was like, “Was that really worth it?” I'll give you another example. So, I remember distinctly I was working with somebody and there was a marketing position in their own practice that was being created. And so, they worked on the floor. They were a technician. Something like that. And the practice was going to have a marketing position. It was going to be a couple hours a week or whatever, and they were just going to do marketing and things like that. And this person went, and they really wanted to do it. They liked marketing. They wanted to do social media. It was a skillset they wanted to grow and expand. They looked up salaries for marketing managers, and if you find salaries for marketing managers in other industries, those numbers don't line up with what you can expect to get paid in that medicine, in my experience.

Stephanie Goss:
Right.

Dr. Andy Roark:
But this person was like, “No, this is what I should get paid.”

Stephanie Goss:
Right.

Dr. Andy Roark:
And ultimately, of course the vet clinic was like, “Look, we can't pay that.” And she said, “Well, that's what I should get paid, and so I just can't do it if I don't get this. Because this is what I should make.” And she didn't get the position and somebody else got it, and somebody else happily got a little pay bump and then got to go and do these things and learn these skills and shake up their job a little bit and try new things.
I look at that and I was like, “You could have gotten a little pay bump and done work that you were excited about doing and grown yourself. And maybe after you had gotten these skills, if you wanted to leave the industry and go to a different industry where that is the pay scale, then you could have had the opportunity. But now you don't have that experience and so you can't even do that in the future because of what you decided you should get paid.” And again, there's always a line here, right? Everything's on a spectrum. Stephanie and I are not saying, “Oh, you should take whatever people offer you.” You know what I mean? “And you should be naive about what your time and your energy is worth.”

Stephanie Goss:
Right.

Dr. Andy Roark:
But I've just seen so many people who grab onto something in their mind and they don't do something that could make them really happy purely because they “should” get something else or they “should” be able to achieve something they're not achieving or they “should” be treated in a way they don't feel like they're being treated. And so, I've just seen that tank so many opportunities that people could have been happy about if they had just said, “All right, how much do I want to do this?”

Stephanie Goss:
Right.

Dr. Andy Roark:
“Am I happy? What would this allow me to do… Not monetarily, but just as far as my enjoyment and my skills and my development. Okay, great. What do I need to make here so that I don't feel taken advantage of and so my needs are met?” And I have found that that is such a healthy way to approach it, where everybody feels good. And then, if you get into it and you're like, “Oh man, this is way more work than I thought. I'm not being compensated where I should be. I'm going to go back and say, ‘Hey, this is way more than I thought it was. I want to talk about the compensation here based on the amount of hours and the time and…'” blah, blah, blah, blah, blah, and you should be able to go back and have those discussions. But, again, people… Oftentimes, they just kind of freak themselves out about what should be. And I think it's driven a lot by… There's a lot of perfectionism around it of: “I need to get this right.”

Stephanie Goss:
Right.

Dr. Andy Roark:
Yeah. And what is “right” is so arbitrary. Anyway, that's the “should.” Let me talk about ProSal for a second, because that's another big part of this that people have sort of put forward.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And, again, I don't know exactly what people… I think everyone probably has a slightly different approach to this. I don't know how common it's for vet schools to say, “You need to make ProSal.” I don't know. So, for people who don't know, ProSal is this way of paying, generally, doctors, where you guarantee the doctor a base salary. And this should be a low base salary, but the idea is, “Hey, no matter what happens, you can expect to make this amount of money.”

Stephanie Goss:
Right.

Dr. Andy Roark:
And so, the basic thing is they give you a floor in what you will earn, and then they track your production numbers. And they pay you either the base salary or 20%, 22%, 24% of what you produce, whichever one is greater. And the idea is if things are slim and there's not a lot of people coming in the practice, you're still going to get paid. You're going to get paid at your base salary. So you know that you can count on that.
But if you were absolutely slam bonkers, you're not going to work yourself like crazy and make the salary. You are going to benefit from the extra work that you do, because you're going to get paid for that extra work. And so, that's how ProSal works. And you can see that there are benefits of it, because if you think that you are going to do X amount of work and when you get there, you're actually doing 2X amount of work, that's still probably very stressful.

Stephanie Goss:
Sure.

Dr. Andy Roark:
But you're going to get compensated for that higher amount of work that you're doing. And so, in that way, you don't feel taken advantage of; and that's good. However, there are drawbacks to ProSal that I would put forward here. And there's really two big ones for me. The first drawback to paying doctors on ProSal, for me, is the ethical concern. And, again, I'm not saying that ProSal is bad; however, I do think that you can make a strong argument… And I heard this argument made this week. And I've had this argument in my head for a long time, but I had heard it out loud from someone else just this week. And it is: “How do you feel about doctors that are paid on commission?”
Because that's what it is. Do you feel okay if you were a pet owner and a doctor was like, “Hey, I think what we're going to need to do is we're going to need to do these extra tests,” or, “We're going to do these tests and here's the estimate for a dental cleaning, and I really think you should get this dental cleaning done”? If you knew the doctor was taken home 22% of whatever you spent, would you feel differently about those recommendations than if you knew that the doctor was paid on salary and she doesn't really care? Whether you do it or not do it, it doesn't mean anything to her. She's making this recommendation because she think it's the right thing to do. Does that matter to you?

Stephanie Goss:
Sure.

Dr. Andy Roark:
And, to me, that's always bothered me a little bit, just in the back of my mind. And when pet owners get mad and they say, “Well, you're just doing this for the money,” the fact that there is a direct relation between this person following my recommendation and me getting paid: I don't like that. It makes their criticism feel a little bit more defendable than it would if I got a salary and I'm like, “I don't care what you do, lady. I'm just telling you what I think is best for your pet.” And so, this was said back to me this week. I was talking to an emergency vet, and he talked about being paid on salary. And he said he had a pet owner that flipped out and was screaming at him that he was just doing this for his own-

Stephanie Goss:
For the money.

Dr. Andy Roark:
Yeah, for the money and his own salary.

Stephanie Goss:
Sure.

Dr. Andy Roark:
And he got to look at her and say, “Ma'am, I'm paid on a salary. I get paid exactly the same if you say yes and I do this, or if you leave and I go to bed. I get paid the exact same.” And that kind of diffused that situation for her, and I thought, “Man, there's power in that position.”

Stephanie Goss:
Well, I think we have framed the discussion around it… Because people in veterinary medicine are compassionate, caring people and they are doing it for the patients, and the money conversation has never sat well for the majority of people in veterinary medicine… Although, there are people in veterinary medicine who are money-motivated and that is a motivator for them.

Dr. Andy Roark:
Mm-hmm. Sure.

Stephanie Goss:
But the vast majority of them have looked at it in the sense of how hard they work and the volume of cases that they're seeing versus the individual “I'm going to make recommendations that I don't believe in,” that has always been the line, I think, with anybody that I have worked with. It has been like, “I don't want to be the used car salesman.” Right?

Dr. Andy Roark:
Totally. Yeah.

Stephanie Goss:
I don't ever want to make a client feel like I am upselling them for my recommendations. I want them to trust me. And I can see your point that, regardless of how we frame it, the end result is their pay is still impacted by what the owner decides and you can't back away from that.

Dr. Andy Roark:
Yeah. Yeah.

Stephanie Goss:
That is the reality. And I think most people don't look at it that way because it has been framed, we have consciously or unconsciously framed it for ourselves as an industry, about: “If I work this hard or if I work this much harder or I see this many patients…” And honestly, for most of the veterinarians that I've worked with, the conversation in their head has been, “If I skip lunch, if I take this hour away from my kids, if I stay late and give up something for my patients, then I should benefit.”
And I think, when you think about it, like talking this out loud, that argument is just as dangerous as the financial argument of: “Are we upselling them to get more money in our paychecks?” Because I can see the truth of it there, and I can see a lot of truth in the way that we have chosen to frame that conversation for ourselves as an industry in the direct impact to mental health and the way that the burnout and the stress factor that veterinarians have. Because veterinarians who are on ProSal, that is absolutely the way that it is framed in a lot of their minds and the way that they're looking at it is, “If I just give up being home in time for dinner with my kids, I'll see these patients and…”
They're not thinking about it, “I'll see these patients and therefore I'll get paid more in the moment.” Right? To be clear, I am not judging anybody. I have never worked with a veterinarian who in the moment is like, “Well, I'm going to see this case because when I get my paycheck, it's going to be bigger.” It has always been about, “I'm going to take care of this patient,” and the reason in the very back of their mind that they say yes is because the trade-off is there financially. That's the security net at the end of the month, right? And so, I think that there is something to that about how it impacts the mental health and the burnout rates in veterinary medicine, because we've conditioned ourselves to look at it that way.

Dr. Andy Roark:
Yeah. So, I'm going to jump in here and I want to agree strongly with something you said at the beginning. Let me be clear about my position on ProSal. I am not anti-ProSal. I am explaining why I don't think ProSal is a perfect solution, and they are valid criticisms against it that I see. And so, I agree with you completely, Stephanie. I'd like to say I don't know any, but I don't know many at all who I feel like are financially motivated and using production pay in an unethical way.

Stephanie Goss:
Yes. Yes. Yes.

Dr. Andy Roark:
And I do think that if you do ProSal in your practice, it's your responsibility as management to watch that and manage that. Which means if people are doing sleazy stuff to run up-

Stephanie Goss:
Right.

Dr. Andy Roark:
You need to manage that.

Stephanie Goss:
Right. Absolutely.

Dr. Andy Roark:
That is not okay. And that's what ProSal going off the rails looks like. Now, every system needs management, so that's not a deal-breaker. I completely agree that, for most vets, they look at it as, “Hey, when I work really hard, at least I feel like I benefit from that.”

Stephanie Goss:
Right.

Dr. Andy Roark:
It's not, “I'm getting paid on commission and I'm going to act like a sleazy salesman.” I'm saying that, one way or another, and I know that it's not how most vets act or behave, we are getting paid on commission, basically, with that.

Stephanie Goss:
Yeah. Yeah.

Dr. Andy Roark:
And I think we need to talk about what that looks like. And it's always bothered me that I wouldn't want the pet owners to know that. And if there's ever something that I look around and I'm like, “I'm dealing with this person, I don't want them to know something,” I always stop and check myself, because I go, “Ooh, I don't”-

Stephanie Goss:
Sure.

Dr. Andy Roark:
You know what I mean?

Stephanie Goss:
Yeah.

Dr. Andy Roark:
I like to be completely transparent. And anytime I'm embarrassed about how I get compensated, that bothers me. And so, anyway, I think it's true. I think you're totally right, too. And, again, I'm not trying to push on this too, too hard because I'm not anti-ProSal. I'm really not. But if you get into ProSal and you're making your bonus pay, you're just disincentivized to take vacation.

Stephanie Goss:
Right.

Dr. Andy Roark:
You are disincentivized to take your lunch break. You are disincentivized to use your time off just in general. You just are. It's how you look at it. So, you look at this and you're like: Man, when you're in the clinic, you're earning your bonus. Well, what that means is when you're not in the clinic, you're not earning your bonus. And so, it can flip around, and so by that compensation strategy, there is this certain pressure for you as the vet to be there and be seeing patients and cases.

Stephanie Goss:
Sure.

Dr. Andy Roark:
And so, I think that that's just true and it kind of puts an extra sort of level of stress onto what we're doing. And the last thing I'm going to say about ProSal is this, and I've just seen this just in people in general: The grass is always greener on the other side. And so, what happens is when I see doctors who are on salary and they're busy, they're like, “Ugh, why am I not on ProSal? Why am I not getting paid production?” But then, when the clinic slows way down, if they're on ProSal, they're like, “Ugh, why am I on salary?”

Stephanie Goss:
Right. Yes. Yes.

Dr. Andy Roark:
“It's not my fault this isn't coming in.” I think some people paint this picture that ProSal is basically salary, and if you do any more work than you think is warranted, then you get paid extra for that. And I'm like, “Hmm, that's not really how it is.” The difference in ProSal and salary is… One of the benefits of ProSal is, for the owners: If they put you on it and things slow down, you're not earning bonuses. So your salary is not as big as it would otherwise be, and that gives them some peace of mind if they're not sure that they're going to stay busy.

Stephanie Goss:
Sure.

Dr. Andy Roark:
That's just how it works. It's not, “Let me figure out what to pay you in salary and then I'll just bonus you on top of that.” Generally, the way to really look at salary too, and then I'll move off of this: I think salary done well is basically ProSal on a very long cycle; which means, for the most part, if I was going to put a doctor on salary, especially a doctor who'd been there, I would look at what the doctor produced last year, and that would be a pretty strong guide in what their salary for this year was going to be.

Stephanie Goss:
Yes. Yes.

Dr. Andy Roark:
And you say, “But, Andy, that's the same thing.” I would say: Yeah, it is, but it's over a whole year. And so, those day-to-day pressures of, “I should skip my lunch break and see this patient,” that's just not there, because over the course of the year, it's not the same driver as: Boy, every three months you're going to get this bonus check if you do this. It takes a lot of the pressure off and the spreads everything out. But, again, I'm sure coming out of this, people are going to be like, “Andy Roark says we should all get paid on salary.” Didn't say that. Just saying, I'm laying all of this down, because I need to make the point here that I think there are some very good reasons that a clinic would not pay a doctor on ProSal. And it's not about taking advantage of them. It's just saying, “Hey, we have beliefs about work-life balance. We have beliefs about what we're going to tell pet owners about how our people are compensated, about whatever. This is just our business model. We are getting started as practice owners and we know that we can pay this salary. We can put it into our budget. It makes sense for us. We're going to do it.” I think that there's just a lot of reasons to not pay ProSal. Again, not wrong to want to be paid that way, but there are some good arguments against it.

Stephanie Goss:
Yeah. I agree with you. We talked about ProSal, but from the headspace perspective, is there anything else headspace-wise that you can think of before we jump into action steps?

Dr. Andy Roark:
Yeah. Yeah. Last things I'm going to throw in for headspace is: Empathy for the bosses that are starting out. So, and this request is like, “Hey, we've got these doctors and they're getting this new practice up and going,” and I would try to have some empathy for the other side and say: Boy, when you're starting a new practice, you don't know what you're getting into. You don't know if pet owners are going to show up or not. You've got these hopes.
I'll tell you as a business owner, boy, I've had plenty of times where I thought, “Boy, this is really going to grow,” and it did not grow. Or it grew, but it took five times longer than I thought it was going to take; and you just don't know. And so, I think having some empathy for the other side when they're like, “We don't exactly know where things are going to be a year from now, and so we're trying to couch this.” When this person says, “They say I can have unlimited vacation,” to me, that's often a strategy where someone says, “I don't know how much cash I'm going to have. I just don't know much cash I'm going to have, but vacation is valuable and we will figure out how to let you be off because we know we can do that.”

Stephanie Goss:
Right?

Dr. Andy Roark:
You know what I mean?

Stephanie Goss:
Yes, absolutely.

Dr. Andy Roark:
And so, having some empathy for them I think is important. This all goes back to: How much time off should a veterinarian take? There's not a right answer about what you should be. If they say, “Take this time off,” and you take a month off and, yeah, your salary is lower than your peers, but you got a month off.

Stephanie Goss:
Right. Yes. Yes.

Dr. Andy Roark:
If you're happy about that, then go and rock out. And it's not wrong if you say, “No, I really need to make more money than these people can pay us.” It doesn't make you bad.

Stephanie Goss:
Right.

Dr. Andy Roark:
It doesn't make you bad. It's just, they can't pay you that, and it's not good or bad. I think it'd be important to not get caught up in “should,” what I “should” make, and say, “Is this working for me and is it working for them?”

Stephanie Goss:
Right. Yep.

Dr. Andy Roark:
Enjoy your time off. When I graduated from vet school, I had a classmate who went on to be wildly successful as a doctor. Wildly successful. She took the lowest salary of any of my friends, and she got six weeks off a year because she liked to travel. And so, she was like, “Yeah.” She'd had the lowest salary of any of the vets that I knew, and she was off two to three times more than the rest of us. And she turned out just fine. But that's what she wanted.
And so, anyway, the last thing is: Remember that first job concerns are common. Right? You don't know yourself starting your first job. You don't know what you're going to need. You don't know how you're going to want to work. Don't beat yourself up and say, “Oh, this doesn't look right,” or I don't know. Just know that it's much easier to have these conversations after you practice for a while and you know what you care about and you know what your priorities are. You just don't have the experience usually starting your first job as a doctor to do that. So, anyway, that's my headspace.

Stephanie Goss:
I love it. Okay. You started to steer into some of my thoughts for action steps, so let's take a break here and then we'll come back and dive into: Okay, how do we answer the “should” questions that were asked?

Dr. Andy Roark:
Let's do it.

Stephanie Goss:
Hey, friends. Are you a veterinary practice owner? No? Well, are you a veterinary practice manager? If the answer to either of these questions is yes, I want you to keep listening. If it's not yes, you can take a quick pee break or get some water before we head back into the podcast, because I've got something for my practice owners and my practice managers. We are hosting our first ever practice leader summit. And if you're not an owner or manager and you're still listening and you're thinking, “But I'm a practice leader,” don't worry. We've got you. We've got more events coming. But this first one is happening in December in Greenville, South Carolina. It will be decorated for the holidays. We are going to come together.
Now, we're going to come together, but we're going to be separate. What are you talking about, Stephanie? Well, Andy and I have planned a whole bunch of new content with our team, and we are excited to bring managers together to talk to other managers, and owners together to talk to other practice owners, and then we're going to put everybody together and we are going to get to work. That's right. We are going to work on our practices. Our ideal hope would be that manager and owner combos can come together, but we recognize that won't work for some practices, so we have plans to hook you up with other owners and managers if you're coming solo on either side. So don't worry, but don't delay.
Head over to the website unchartedvet.com/events because we want to see you there, and that means you have to sign up because this will sell out. Don't miss your chance to come work on your practice with your practice owner, with your practice manager. You can find out more information, including a letter that you can use to convince your boss if you are a practice manager. Or maybe practice owners: some reverse psychology to use on your manager to get them to come to Greenville with you. Again, it's all up at the website at unchartedvet.com/events. And now, back to the podcast.

Dr. Andy Roark:
All right, so what do you want to do for action steps?

Stephanie Goss:
Well, I think one of the action steps you already started to call out, which for me is a little bit of a headspace, but it's action in the sense that I think that this veterinarian, and anyone who finds similarities between their situation and this veterinarian's situation, is that you have to sit down and look at yourself. Stop thinking about “should.” Stop comparing yourself to other people. Think about yourself. Are you happy or are you not happy? And if you're not happy, why? Have your circumstances changed? Do you need to make more money than you're actually making? What is that floor that you need to feel good about your job? And asking all of those questions on a personal level is very, very important, because I don't think you can have a conversation with your bosses about what you need and advocate for yourself in any way until you have actually answered the questions of: What is it that you want? Are you truly looking at this because you feel like you should?
And as you pointed out, Andy, earlier: Stop looking at the “shoulds.” Look at yourself, and if you don't have a problem with it, then let it go and move on with your life. Right? Or if you're looking at it and you're like, “Well, I asked for more money and they gave me more time off,” are you okay with that? Does that suit you? Does that suit your lifestyle? Stop looking at yourself compared to other people and sit down and do the mental gymnastics of: “What do I actually want?” And then, there's also a step in between “where I am now” and “what I want,” which is: “What do I need?” And figuring out for yourself where those three lines are. Where am I now? What do I need? And what do I want? And then, I think only when you have done that work are you actually ready to think about: “How do I actually have this conversation with them?”

Dr. Andy Roark:
Yep. Yeah. I'm right there with you. Remember, it's not about good or bad. They're not trying to rip you off. It does not sound at all like anyone's trying to take advantage of anyone. They're trying to do what they can do and they're trying to offer you what they can offer you. And you've got to figure out what you need and go back, and know that for everything you asked for, you're probably going to have to give something else up, and it's about making it work for everybody.

Stephanie Goss:
Yes.

Dr. Andy Roark:
That's what it is.

Stephanie Goss:
Yes.

Dr. Andy Roark:
All right. And so then, yeah, we're ready to have the conversation. But first, you have to know yourself, and you have to put aside what you should have and figure out: What do you really need? What do you really want? And then, go in and have a SAFE conversation; and we talk about this a lot. We talk about SAFE. SAFE is… “S” is: Can you sit next to this person? Can you smile at them? Do not go in there when you're angry. Just do not.

Stephanie Goss:
Right.

Dr. Andy Roark:
You should just get into a healthy headspace.

Stephanie Goss:
Or when you've had a long day or you're angry.

Dr. Andy Roark:
Yes.

Stephanie Goss:
Like you've been seeing patients and you skip lunch, that's not the day to have this conversation.

Dr. Andy Roark:
Exactly.

Stephanie Goss:
Even if you have it scheduled, that's not the day to have the conversation.

Dr. Andy Roark:
“A” is: Assume good intent, which means it's in your best interest to believe these people are doing their best. They're trying to run a practice. They're trying to make you happy and also not overcommit and put themselves out of business in their mind. Things like that.

Stephanie Goss:
Right. Yeah.

Dr. Andy Roark:
Assume that they're doing their best and they're trying. “F:” have they been set up to fail? What here is your fault? And what I mean is: It helps me to go in and say, “What have I not told them?” If I'm upset about my salary, but I haven't told them that I'm upset about my salary, then that's on me.

Stephanie Goss:
Right.

Dr. Andy Roark:
If I have something that's changing in my life that's going to require more money, and so that's weighing on me, but I haven't communicated to them that I'm feeling this financial pressure, I can't be mad at them for something I didn't tell them or that they don't know.

Stephanie Goss:
Right.

Dr. Andy Roark:
So, “Have they been set up to fail?” meaning: Is there information they haven't had? Things I haven't communicated? What's my fault? Same thing. And the last thing is “E,” which is: End result, which is, “What do you want the end result to be?” And I think that that's part of knowing what your needs are going in. And I would say the other part for end result is, remember, a lot of times the end result is not to get what we want. A lot of times, the end result is to inform them of where our head's at, ask some good questions, acquire some more information, and continue the conversation forward. A lot of times, it's not, “I'm going in there, I'm going to tell them what they need, and they're going to give it to me or there's going to be consequences.” That's a terrible way to go to this meeting. It's to go in. It's to communicate. It's to try to understand where they're coming from, to communicate what I need, and then see if we can move this conversation forward.

Stephanie Goss:
And I think the step for me that comes there along with SAFE that has to do with the prep work is that: If the end result is to have both sides be seen and understand where they're coming from and acknowledge the fact that they're not out to get you, they're not out to rip you off, they're taking care of you, from the business side, I think part of that prep work is you should know what your total compensation looks like. Because as this associate mentioned in their email, they understand that the money, the salary is only a piece of it.
There are also the benefits, both financial fringe benefits, things like paid time off, things like healthcare benefits or that kind of thing, that actually has a hard cost for the business, and there are the soft costs benefits; being able to truly have mentorship that you feel supported and believed in by. Being able to have a high staff to doctor ratio. There's a lot of those things that often don't get factored in when someone is… My experience as a manager is that I have had countless conversations with team members, from paraprofessional staff to my doctors, where we have sat down and nothing but the salary has been factored into the conversation.

Dr. Andy Roark:
Mm-hmm.

Stephanie Goss:
And so, from a prep perspective, part of getting SAFE is to understand that as a business owner, I am absolutely going to look at the conversation from the big picture. And so, as an employee, in terms of how have you been set up to fail, but also maybe how have they been set up to fail, if you haven't done your homework and you haven't looked at what is your actual total compensation, my suggestion would be don't have the conversation yet. Don't skip that step. Sit down and do it, because the first thing that I'm going to do as a business owner, whether I do it with you or whether I do it when we're done with that first conversation, is look at: What is your total compensation and where does that percentage fall? Because that is an absolutely important critical piece of the mathematical equation for whether I am breaking even with an employee or not.

Dr. Andy Roark:
Yeah. I agree. I think you start this conversation with appreciation and stating your desire to maintain the relationship. And that seems like a small thing.

Stephanie Goss:
Sure.

Dr. Andy Roark:
It's a huge thing, and people miss it, is: Open up the conversation talking about your appreciation for them and the clinic that they're running and the culture that they've built. And I would go ahead and start by laying out all the things I love about being at this hospital.

Stephanie Goss:
Right. Being supported, having the mentorship, all of those things.

Dr. Andy Roark:
Absolutely.

Stephanie Goss:
Yep.

Dr. Andy Roark:
Exactly. I would lay all those things down so that they feel seen and appreciated. There's nothing worse, as a business owner or a boss, when you are doing all that you can for somebody and they walk in and they look at you and they say, “My friends make more money than I do.”

Stephanie Goss:
Right.

Dr. Andy Roark:
And it just discounts all of the things that you have tried to do for them because, in that moment, it sounds like all they care about is the dollars.

Stephanie Goss:
Sure.

Dr. Andy Roark:
And it's so demoralizing and it makes you feel so unseen and so unappreciated. And so, anyway, start with appreciation. And state up front: “I want to be here. I like this place. I want to be here.” And that will just lower the stakes a bit for everybody. Because as a manager, again, when somebody comes in and goes, “I need to make more money,” for whatever reason, we catastrophize right away as, “Oh, she's saying she needs to make more money or she's going to leave.”

Stephanie Goss:
Yes. Absolutely.

Dr. Andy Roark:
Right.

Stephanie Goss:
I was going to say, even if you don't phrase it in any way, shape, or form like an ultimatum, when you start with the money and there is not the appreciation tie, it absolutely already, in my head, feels like an ultimatum, even before more words have come out of your mouth. That's our little caveman brains. That's where it jumps to every time.

Dr. Andy Roark:
Yeah. And so, then after that, the next step for me is ask questions. I wouldn't even go in and say, “I need to make more money.” I would go in and say, “Are you open to talking about salaries and how the doctors here are compensated?”

Stephanie Goss:
Right.

Dr. Andy Roark:
“And why you chose to pay salary to the doctors.”

Stephanie Goss:
Sure.

Dr. Andy Roark:
“Would you be open to talking about that?”

Stephanie Goss:
Sure.

Dr. Andy Roark:
And ask questions. “Why do they pay salary? Why don't they do ProSal?”

Stephanie Goss:
Right.

Dr. Andy Roark:
“Would you be open to talking about production-based compensation or a ProSal model?”

Stephanie Goss:
Right. Yeah, I love that.

Dr. Andy Roark:
“Do you have concerns about that?” And I'm sure that the thought has crossed their mind, but again, it's seek first to understand and just asking those questions of: “Why is this set up the way that it is?” And they might say, “Look, I'm going to be honest with you. We have startup costs and we try to avoid taking loans early on and we are really strapped for cash. And so, this allows us to be safe. And we try to give you guys a bunch of vacation to make up, because we know that we can't pay what other people pay, and this is why we're doing it.” And then, at least you know what they're up against and what you're dealing with. You're just so much better off having this conversation that way.

Stephanie Goss:
Yeah. Because I think on the flip side, too: I have absolutely worked with practice owners where the conversation has been: “I guess I just never considered it because I figured you would feel safer getting a salary and not having to worry about whether you're going to make your check or not.” Right? It is not always in our heads. We frame ourselves for the negative argument, and I think that you absolutely have to look at it that there is not always a negative argument. Sometimes it is that they made that choice because they thought it was what you wanted or because they thought that it was what was going to be most supportive. And so, just by asking the question, it opens the door for them to be like, “Yeah, let's talk about it, because I never thought that that'd be something you'd be interested in.”

Dr. Andy Roark:
Oh, totally. What if… And I'm just spitballing. What if they were like, “Man, when I was a vet, I wanted time off. I wanted to be able to walk away from the practice. We really care about burnout, so we're going to let you be away. And if we give you a bunch of time off but we pay you on production, you're not going to use the time off and it totally undermines the whole central thing we're trying to do that we think you'll love”? And, again, I can see that being the rationale, but you just got to ask the question. You already mentioned it. Beware ultimatums. People do not like the “old tomato,” as we used to say at my house. Do not give them the old tomato.

Stephanie Goss:
Yes.

Dr. Andy Roark:
No one wants to feel stuck of, “We're having a negotiation and you're going to make me happy, or else.” That's just bad juju. And, again, I hope that that's not the plan. Some people actually make plans to do that, which is terrible. More often than not, we don't think about how we're presenting ourself and we end up giving the impression that, “You make me happy or I'm going to walk,” and that just makes everybody's cortisol shoot up. They get really tense. People do not like to feel threatened and ultimatums could feel like threats. Just don't frame as ultimatum. Ask questions. Ask them what's possible.
Remember that clear is kind, and I think between talking about looking at your total package, your total compensation, thinking about what you actually need, what you actually want, what's going to make you happy, and then communicating to them what you think you need, ideally why you think you need that, that's just good business. As an employer, I would much rather someone come to me and say, “Hey, I'm really struggling. I'm not getting what I need to get. These are my financial realities.” And I would love them to say that to me as opposed to not saying that to me and just take another job and be like, “Hey, I took another job because I'm not getting what I need here.” I would feel stabbed in the back. I'd feel like you didn't give me an opportunity to try to figure out how to meet your needs. I would much rather know where your head's at, in a non-accusatory way, than to be surprised.

Stephanie Goss:
Yeah. Yeah, because you can't help if you don't have the information. And I'm not talking about you need to spill your whole life story and the details of your bank account to your boss, but if there is a place that you are at where you're like, “I can't help you if I don't know what you need,” and so you have to be able to communicate that. Is it you need $1,000 more a month or is it $10,000 more a month? I need that kind of information to know what is feasible for me as a business, right? And I can just guess, really, because without that information, that's what I'm doing. It's just taking a shot in the dark and hoping that it works.

Dr. Andy Roark:
Yeah. And the last thing for me is: Get creative. I think a lot of times, especially when we talk about money, we're like, “All right, we're talking about money.”

Stephanie Goss:
Right.

Dr. Andy Roark:
And the problem with money is money is a zero-sum game every time, which is: “The more you get, the less I have.” One of us is getting money and the other one is giving up money-

Stephanie Goss:
Is not. Yeah, yeah.

Dr. Andy Roark:
… and there's no way around that. That's what money is. However, if you look at this conversation as a mutually beneficial problem-solving exercise, suddenly everything gets so much easier. Do you need money or are there schedule flexibilities that you would like to have? Do we need to get over this guilt about taking time off and feel good? I don't know. Are there ways that the practice could help you out that's not bumping your sound up? Maybe not. But the more ways that we can approach this, the more tools that we can use to meet my needs and meet your needs, the more likely we are to succeed.
If there's only one tool and that's dollars, well, if I don't have the dollars to give to you, I don't know how we make this work; and that's sad. Oftentimes, it's not really just about straight dollars. A lot of times, there's other things that we can do. We can get creative in how to get our needs met. But I've seen a lot of people shut all the doors except the money door, and then no resolution is met and everyone's unhappy and whole thing falls apart. And so, that's it.
The last, last thing I would say is: You signed a one-year commitment, and that's it. That's all. You should not feel guilty about leaving if this doesn't work for you. And, again, that's how I look at a lot of these things is: When I do an agreement as a doctor, or as an employer, we look at this and we say, “All right, look, you're going to come here and this is what we're going to pay you and we're going to see how it goes.” And honestly, your contract should have termination clauses in it which says, “If either side is unhappy, this is how we end this agreement.”
That stuff is all laid out that you can end that agreement. And my advice is just be professional and be kind, and try not to take this personally. Sometimes relationships don't work out, and that's okay; as long as you've done the other things and you've communicated and you've tried to make it work. I see some people who were like, “Man, I took this job. I did it for a year and then when my contract came up, I didn't renew and I feel terrible about it.” And honestly, one of our most popular episodes ever, it may be the single most popular Uncharted Podcast episode ever, is how to put in our notice without the guilt.

Stephanie Goss:
Mm-hmm. Yeah.

Dr. Andy Roark:
And I think we had an episode on that.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
But anyway, that's my last thing is to say: Sometimes these things don't work out. It's not a moral failing. It is what it is. It doesn't mean that they're villains because they couldn't keep you there. It doesn't mean that you're a jerk because your needs were not getting met after a year and you wanted to go try another type of practice. It is what it is.

Stephanie Goss:
Oh, this was a fun one.

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

Stephanie Goss:
I think we had unpacked quite a bit into that. There was lots of gems, including how old you are and that you have hit middle-aged dad status.

Dr. Andy Roark:
Yeah. Yeah.

Stephanie Goss:
Rod Stewart.

Dr. Andy Roark:
Rod Stewart.

Stephanie Goss:
I can't wait to see the magic that Dustin does with that gem when he edits it.

Dr. Andy Roark:
With Rod Stewart? Oh, man.

Stephanie Goss:
I'm going to be highly disappointed if I don't hear some Rod Stewart in the background.

Dr. Andy Roark:
I don't know that we can sample Rod Stewart. I have no idea what's involved in that.

Stephanie Goss:
Take care, everybody.

Dr. Andy Roark:
All right.

Stephanie Goss:
Have a fantastic week.

Dr. Andy Roark:
Thanks, guys. Bye.

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


Written by Maria Pirita · Categorized: Blog, Podcast · Tagged: culture, management, Practice ownership, Training

  • « Go to Previous Page
  • Page 1
  • Interim pages omitted …
  • Page 11
  • Page 12
  • Page 13
  • Page 14
  • Page 15
  • Interim pages omitted …
  • Page 40
  • Go to Next Page »
  • Membership
  • Account
  • Cart
  • Privacy

Copyright © 2026 UNCHARTED VETERINARY CONFERENCE | WEBSITE BY OFFICETHUG