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management

Dec 13 2023

Leadership Lessons Learned with special guest, Dr. Molly McAllister

This week on the Uncharted Podcast, practice management geek Stephanie Goss has invited her friend and a shining light in vetmed in Dr. Molly McAllister to join her on the podcast. Molly leads the veterinary function of Mars Veterinary Health and is driven by her passion for preventive health and the development of future leaders in the veterinary profession. As chief medical officer, she ensures the culture, strategy, talent and tools are in place to consistently deliver excellence in high-quality medicine across the Mars Veterinary Health family of clinics. Her top priorities are continually advancing medical quality across Mars Veterinary Health, promoting inclusive health and well-being for veterinary professionals, and advancing a future for the veterinary profession that centers on the human-animal bond. Molly is also the board president for the newly formed Diversify Veterinary Medicine Coalition (DVMC), aiming to increase representation for Black, Indigenous and people of color in the veterinary industry. She serves as the board secretary for the Human Animal Bond Association and is a board member of Pet Peace of Mind, an organization that supports keeping hospice patients and their pets together as long as possible.

With her unique ability to touch a variety of groups in veterinary medicine through her current roles, Stephanie was excited to dive into conversation with Molly about her journey to where she sits now in veterinary medicine, her experience as a leader in corporate practice, and her passion for some issues that are at the forefront of conversation in veterinary medicine. Let's get into this…

Uncharted Veterinary Podcast · UVP – 263 – Leadership Lessons Learned With Special Guest, Dr. Molly McAllister

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

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

Submit your questions here: unchartedvet.com/mailbag


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Episode Transcript

Stephanie Goss:
Hey everybody, I am Stephanie Goss, and this is another episode of the Uncharted Podcast. This week's episode is going to take a slight detour off of our normal track in that I am joined by a very special guest today. I am joined by my friend and colleague, a wonderful human being who I'm super excited to get to share some of her with you all, and that is Dr. Molly McAllister. Molly is the Chief of Medical Officer for Mars Veterinary Health. And the reason that I asked Molly to join me on the podcast, there's so many, and obviously as you can tell, I have several fan girl moments during this episode, but I asked Molly to join me because I think that she's very inspiring and she's involved in a lot of things in veterinary medicine that are near and dear to my heart. And I thought it would be fun to share some of her journey and some of her thoughts and wisdom that she has gained over her career on her leadership journey with all of you.
And so if you listen to the podcast regularly, you heard Andy and I do an episode recently where we shared some of our leadership lessons and it inspired me to take a little bit of a detour when Andy is otherwise occupied and doing other things to share with you all and invite some of the people that I admire in veterinary medicine to come have some conversation with me and talk about their journey as leaders. And so this is one of those episodes and I'm hoping that you enjoy it. If you do, we'll bring some more of these to you in the future. Now let's get into it.

Speaker 2:
And now the Uncharted Podcast.

Stephanie Goss:
And we are back. Today is a little bit different as I said in our introduction. And I am very excited and very privileged to be joined by Dr. Molly McAllister. For those of you who don't know Molly, she is currently the newest Chief Medical Officer for Mars Veterinary Health. Molly and I met when she was the Chief Medical Officer at Banfield, and we had the opportunity to work on some projects together. And I am super excited for today's conversation. Molly, welcome to the podcast.

Dr. Molly McAllister:
Thank you so much, Stephanie. I'm so excited to be here. I love listening to what you do, who you talk to, and I'm really honored to have the chance to spend the time with you.

Stephanie Goss:
Well, I am excited. We are going to get into some stuff today. And right off the bat for everyone, I'm going to ask kind of to talk about one of the obvious elephants in the room. And it's something that I've experienced too, and I know you have. So you work obviously in the biggest, I think of the big corporate medicine. And I know when I joined corporate medicine, I got a lot of questions and comments, and there's a perception sometimes in veterinary medicine that corporate hospitals is negative. It's really negative. And there's a whole lot of thoughts across the board. And I really had a great experience and I recognize that my experience is not the same and everybody has different experiences.
And I definitely had my own perception of Banfield when we started working together, and that is a radically different perception than I have now three years later. But it's part of why I wanted to talk to you because I think when I think of people that are leaders in veterinary medicine that I wanted to talk about, and Andy and I first started talking about doing this series and he was like, “I'll let you go rogue and talk to whoever you want,” and your name was at the top of my list because when I think about leaders in veterinary medicine that are passionate about people and culture and development and growing leaders, I don't know that there is a name that goes faster to the top of my list than yours because I have not had the opportunity or privilege to work with another leader at the level that you are working at who really truly cares about every single person that works under them from the people on your direct team to the assistants in the hospitals that you maybe only get to see once every two years, right?
They're not people that you're seeing every day, but you really truly care about the people and the development. And I think that that matters so much, and that's a big part of why I wanted to talk to you about your leadership journey because I think that it's not something that you get enough recognition or credit for in your role.

Dr. Molly McAllister:
Thank you. It's interesting. So many things to say about this. And I guess I'll start by saying one of… So a little bit about my history. I won't go into a lot of-

Stephanie Goss:
Yes.

Dr. Molly McAllister:
… but I'll just say that I was late to realizing that I wanted to go to veterinary school. I didn't actually make that decision until after I graduated from undergrad. I knew I wanted to be in animal health somehow, but it took me a while. And when I went to veterinary school, I didn't have a really clear vision of what I was going to do with my career. I had thoughts of everything from zoo medicine to equine medicine, conservation medicine, small animal practice. I mean, I really was open.
And the reason I say that is because as I went through school and had a lot of different experiences, and in my career, I've been in a variety of aspects of our industry, but what I noticed over time was that regardless of what we were passionate about or what we're passionate about, regardless of the focus of why we're in this profession, I want to be an equine vet, I want to take care of cows, I want to go back to my community and serve my community, I want to go be a famous radiologist, whatever the spectrum is, the reality is that I have not met a person in this profession who isn't here out of a sense of purpose and passion for what we do. And that goes on into today, veterinary professionals are amazing people. And I mean that from everybody who's spending a summer working in a veterinary hospital just as a part-time job to people who've devoted their life to nothing but veterinary medicine. We're here for passion and purpose.
And so when I think about corporate medicine and the reputation that it has, I take that bit of knowledge of who we are as people in the profession, and I apply that to the types of ways that we do business. And it's like a real disconnect for me to say, “Because people do their business in a certain way, that suddenly means they're not connected to the purpose, they're not connected to the passion.” And the reality is that when you go and talk to anybody, go to a conference, ask somebody why they do what they do, and ask them where they work, and why they do what they do will be very similar, and where they work will be very different. And so I see that in industry, I see that in corporate practice, I see that in private practice, equine, bovines, small animal, wildlife.
And so I guess what it all boils down to for me is that I understand some of that skepticism, I understand some of the fear, some of the concern about what does it look like when business people start running veterinary practices. I get it. And I think what we also have to remember though is that this is not a bunch of… We aren't people who get pushed around, we aren't people who get told what to do. We are professionals in our own right. And so I think you can look at it as, “Business people running veterinary practices,” or you could say it's business people partnering with veterinarians to try to create a sustainable business model and make sure that we can continue to provide care not just for the pets that we all care about, but for the people that are working in the veterinary hospital when we know that compensation is a real challenge for all of us, again, at all levels. We're not human healthcare professionals.
So I could go on and on, but what I'll say, I'll go back to that root of this is a great profession filled with great people. And regardless of where those people work or how the work gets done, I still think you have to come back to that why is so powerful, and I don't see corporate medicine taking away the why. So that's been my experience.
And then the other piece I'll just add on, just a teeny bit about Mars as a company, because I do think it's important to know that Mars is a family held business. And what is amazing is that Mars, everybody thinks… In fact, when I had my first interview, I said, “The candy company, the M&M stickers? What is this about pet care?” But the Mars family are animal fanatics. They are pet lovers through and through, and I have the chance to connect with various family members in the course of my career and over the course of year. I touch base with them. And when they ask me questions about the business, they don't ask me how much money we make, they don't ask me how many pets we're seeing, they ask me things like, “How are our people doing? Are we taking care of pets? Are we giving dogs longer lives? Are we making sure that cats get to the vet?” That's what they care about.
And so call it what you will, but I believe that they believe in the purpose of our profession, and I think as long as we're here for a purpose, that's a great why regardless of who you're and how you do the work.

Stephanie Goss:
So I don't want to [inaudible 00:09:29] with this episode for anybody who's like, “My gosh, they are talking all about corporate medicine.” That's not what today is about because it's just one piece of who you are and where you are in your career. And when I think about you, I think about development and leadership as I said, and I also think about diversity and I think about inclusion, which to some people may sound crazy because you and I are both white women. And I think that people are like, “Why would that matter?” And I see the work that you are doing and some of it on behalf of your company, and you have the privilege to be in a position to affect change there.
And I think that there's so many things when I sat down to think about what am I going to talk about with you, I was like, “There's so many things that I think of,” and the word passion comes to mind for you. Is there something that really truly feels like your passion project at this point in your career the way you're like… If you were to define the thing that you're most passionate about in veterinary medicine, and there are so many, and in your position as the medical officer, like chief medical officer, you could talk about medicine, there's a million things that you get to touch, but is there something that when you think about the heart of why you love coming to work every day, that stands out for you as your passion?

Dr. Molly McAllister:
I mean, if I was going to be unfair about this, I would just give it a big overarching title and then I tell you about all the things in it because it isn't any one thing. So this may not be fair to you, Stephanie, but I'll tell you. To me, there's a couple things that are really important to me. One is, just very personally, I have a 6-year-old daughter who wants to be a veterinarian, and I know many of us are in that position of children, siblings, friends. I want a profession that she could enter and I could feel great about that and she could have a successful thriving life as a veterinary professional. So that's a very close to home every single day kind of purpose.
But the other thing I would say is that over the course of my life, my career, I've had the chance to travel around the world, I've had the chance to live in different cultures, I've had the chance to interact with a lot of different people. And like many veterinary professionals, I see the impact that animals have on people, whether it's a part of their livelihood, whether it's companionship, and I think it goes without saying, that's been accentuated during the pandemic when people have really looked to pets to provide that sense of connection and companionship.
And so I would say what that means is providing people with access to veterinary care is critical, not just because pets should be healthy, but because it's about more than just what we do as veterinarians. It's about taking care of people, it's about taking care of communities. And it may sound cheesy, but I believe that pets make people better. And if we take care of pets and we take care of that relationship and the human animal bond, I do actually believe we can make the world a better place. So call me aspirational, but that's huge.
And so in that bucket, access to care is a huge passion for me. And I think one of the things I'm specifically focused on is around diversity and inclusion because the demographics of pet owners are changing, shifting, and broadening, which is fantastic. And we have a responsibility to be there for them in the way that is meaningful and that connects. And that means we need to be diverse and we need to bring a broad variety of personalities and looks and perspectives into veterinary clinics so that pet owners can find the right match. And it's funny, I remember… As you said, I'm a white woman, I've worked in a lot of clinic staffed fully by white staff. Even in those scenarios though, I mean, how many of us can relate to the fact of you might have four veterinarians in the clinic and you're going to have clients who gravitate towards one doctor or another, and to the point that it's in their record. You do not schedule them an appointment with Dr. Smith, but they'll only see Dr. Jones.
And so you expand that within the diversity that exists in our world and you say, “Why would it not make sense that we need to be a more diverse and inclusive profession so that we can take care of pets and the people that belong to them?” And so that is a passion project for me that plays out in a variety of ways. One of the things I'm really passionate about is being part of the board in founding the Diversified Veterinary Medicine Coalition who is aiming to advance BIPOC representation in our profession, but it's also about the youth awareness programs that are in place that Mars is sponsoring some of them, others I'm involved with that aren't affiliated with Mars. But just how do we make it so that any kid who has a love for pet and a consideration of wanting a career working with animals sees that as a possible path? So I could go on and on, but I'll stop there.

Stephanie Goss:
No, I love that so much, and I think that it's so important, and I think that it's one of the things that I appreciate about you is that your passion is so genuine. And just to have conversation with you and talk about it, you can feel your excitement and your enthusiasm. And I love it. And I think we need more of that in veterinary medicine because I think we're in this space where there is a lot wrong. And we started the episode to kind of talk about perceptions, and I think there's also some perception in veterinary medicine that we are broken and that we are such a hot mess that we, are ever going to be able to fix it? And we talk about the suicide epidemic in veterinary medicine and the mental health crisis. And everything can feel overwhelmingly negative when we get into that headspace, and yet, to your point, we have very underrepresented people of color in veterinary medicine, and just opportunity. I mean, the cost to go to vet school is enormous.
And so that presents right off the bat a huge barrier for people of all shapes and sizes in terms of entering our profession and it affects everybody from our technicians to our doctors. I'm still paying off school debt from having gone back to school to go through my technician program. So I feel that, and I think that I love the positive approach that you are bringing to that, and it's refreshing. I certainly appreciate it. Do you feel like… If you could think of one standout lesson that you wish that you had learned earlier in your career as a leader, because your career has just taken such a kind of wandering path and you've tried a bunch of different things. And so I know that you have learned a lot of lessons. Is there something that you wish that you had learned earlier on in your leadership career?

Dr. Molly McAllister:
So many things I wish I could go back to. Let me digress for just one moment, which is when you talk about the perception of our profession. And one of the things I learned recently, it was from a 2020 study that Banfield commissioned with Lincoln Memorial University, and they surveyed BIPOC students, middle school, and high school students about their interest in animal health and veterinary medicine. What they found is that amongst different… Well, they actually looked at broader demographics. Amongst demographics, the interest of veterinary medicine is pretty equivalent as kids are in middle school. As they go through their high school years, that is where the disparity grows tremendously.
And when they actually surveyed students to find out why that was, what they found is that white students drop off, decide not to pursue veterinary medicine because they are concerned about their ability to tolerate the rigors of the educational demands, they're worried about their ability to deal with the sadness of the profession. Those are the kinds of things that deter white students from going to veterinary school. For black students, the number one deterrent is that they are counseled by an advisor, a mentor, a parent, a leader that this is not a career path that they should pursue. And that's oftentimes due to the financial burden as well as the perception that we're a very white profession.

Stephanie Goss:
white profession.

Dr. Molly McAllister:
And I'll get back your other question, but I think that that's important because the way we talk about what we do and who we talk about it to has a real impact not just today, but on future generations. And so being really intentional.
And so I'm going to go to one of the leadership lessons that I wish I would've remembered or learned earlier, I should say, and it's a life lesson, it's to find the gratitude in every day. It doesn't mean that things can't be really hard. We all have hard days and I have had plenty of them. But to find that little spark of gratitude to say, “It was a really challenging day, but don't forget that you made Mrs. Jones smile,” or, “You took some emotional burden off of Mr. Smith.” I heard you on a podcast a couple of months ago talking about the joy that a puppy that's so ugly, that it's so adorable can bring you during the day. And-

Stephanie Goss:
Very true.

Dr. Molly McAllister:
I wish that I had learned that earlier because when I think about some of the times that I went through, challenges with burnout, it was really about not being able to connect with those moments. I also wish that from starting from an earlier point in time that I thought about talking about those meaningful moments, the moments I'm grateful for more intentionally. And I do believe in the power of positivity, and I don't want to say that as a Pollyanna by any means. We do have a lot of challenges, but I do believe that when you talk just about the challenges, it self-perpetuates. And when you talk about the positives, they can self-perpetuate.
And I think there's an opportunity for us to just remember that there are a lot of hard things we have to tackle and we also can't forget about the heart lifting things that happen every day in veterinary clinics that fill our buckets, and we need that for ourselves for sure. And I think we need to help others recognize that there are bright spots even in hard days in this profession. And I say that very carefully. I don't want to diminish the challenges by any means.

Stephanie Goss:
No, I love that so much. And I think you're speaking the Uncharted love language. And I think that's the number one thing that people say when they think of Uncharted is that they have heard that it's a positive community, and I think that that is at the heart of what our whole team does. And particularly for myself and for Andy, as you know, it is so important to recognize that we do have challenges in our profession and challenges can be overcome, they can be walked around. Sometimes we sit at something and we just think that this is insurmountable and there's no way to get around this. And yet even the things that really hurt my heart, the mental health challenges, losing colleagues to suicide. When you said the statistic about BIPOC students, that hurts my heart that an adult that they care about would discourage them from pursuing a career that they show passion for because of the barriers. That hurts.
And at the same time, I choose not to believe that those are insurmountable challenges and that we can't affect change. It may be slow and it may be so painfully slow that we want to scream some days, but that doesn't mean that we can't affect the change. And so that's one of the things that I really admire about you and the work that you're doing and kind of the outlook that you bring.
I want to go to something that you said because it's something else that I have wondered about. You are one of those people that I look at and I think, “This woman is an energizer bunny,” because you talked about manifesting positivity. And one of the ways that I see you do that that I really admire is that you share yourself sometimes quite candidly on social media and you post about your work and your passion for what you're doing and your life and your kids and the belief that you have that you want to leave a legacy for your daughter in veterinary medicine, which I think is so admirable and certainly resonates with me as a parent. How do you manage your time and balance? Because holy cow woman. I look at your post and I'm like, “Does she ever sleep?” Because you're doing so much.

Dr. Molly McAllister:
Yeah.

Stephanie Goss:
And I think that that's a challenge that affects a lot of us in veterinary medicine, but I think it affects in particular parents in veterinary medicine because we go to work and we work so hard and we give it all to our teams and our patients, and then we go home and we still have to give it all to our families. And it is a significant challenge, and I see you sharing that in the good and the bad openly on social media. How do you balance all of that and find time to share things and do social and run and have the life that you have? I say that and recognizing that it's hard, right? And that's one of the things that I appreciate is that you're honest about when it doesn't work and when things kind of feel like they're falling apart.

Dr. Molly McAllister:
I mean, to start it all off, I'll say one of the reasons I do post that on social media is one of the life lessons I've learned, the leadership lessons is that like it or not, when you start leading people, you become a role model. And that's not just because you are placed in a position of leadership. When you are the senior person in a practice, when you're mentoring people, I mean, we're all leaders in our own right and we all have some opportunity to role model. And the last couple of roles that I've been in, I've recognized that I do have an opportunity to role model and to carve out what I think should be the expectations for working parents, for working moms, for people in the workforce.
And going back to just briefly, I'll say another thing I really believe about corporations is that they're the people that make them up. I mean, yes, they have a vision, they have policies, but at the end of the day, they're the culture that the people within them lead. And so I view my role in shaping culture as critically important, and I've always actually felt that way, not just because I'm the chief medical officer, but somewhere along the way, it was instilled in me that you are part of a community and you shape that community. So all of that is to say one of the reasons that I do post as much personally as I do professionally is because I think it's important for people to see that we're whole people and we must be whole people regardless of the level of position that you're in. So I think I learned well through trauma. And so-

Stephanie Goss:
Fair.

Dr. Molly McAllister:
No, I've gone through some really challenging times where I didn't know what the path forward would look like, I didn't know how I would get up out of bed the next day and keep going. And that's hit me a few different times in life, I think it has for many people. And what I eventually have pieced together from those events is that if I do not take care of myself, I cannot do the things I'm passionate about and I cannot take care of the people who depend on me. And that became even more apparent as a parent, but it's not exclusive to parents. I have a team that depends on me, I have a community that depends on me, I have a business that depends on me. I have to take care of myself if I want to make the world a better place, which at the end of the day, as cliche as it sounds, that's what I want to do.
And so that idea of having to really be clear about defining some boundaries and saying, “I'm going to do this,” and that has been something… I mean, that has been a lesson. I still learn that lesson. I still say, “Should I go to that exercise class because I really should probably prep for that meeting.” I mean, this was yesterday morning, I was like, “I should probably be prepping. But no, if I don't take that hour and go to the exercise class, what is that going to feel like to me?” So I mean, it is a day-to-day conversation that I have in my little brain about what to prioritize. But in doing it consistently, I've developed that routine and I see how the routine helps me. And I'm not a machine. That routine gets broken and then I'm aware of, “When I'm not doing the things that take care of me, I don't show up as my best self.” So I think that's been really critical.
And then there's another important part of that, which is that I've had to learn to say no. And I've had to learn that I can focus on a critical few priorities, but I can't be everything to everyone. It's about 10 years ago, I was exposed to a woman and I think the title of her book was In Order to Be Great, You Have to Be Bad, or something like, her name is Frances Frei if anyone's interested in reading about it. But her concept is basically if you want to be great at something, you have to be bad at other things, otherwise you suffer from exhaustive mediocrity. You're trying to do everything and you can't do it well. And so again, it's taken me a while to learn to get comfortable with saying no. Frankly, I'm not comfortable. I hate to say no, but to have the internal conversation with myself, Molly-

Stephanie Goss:
Yeah.

Dr. Molly McAllister:
… you're going to have to say no to this because you can't make that happen if you're also trying to do these other three things that are either not your priorities or they're lower priorities, or there's something somebody else thinks you should do. And I'm grateful that I've grown in that way. And it's still a daily process of saying, “What's really important for today? What's really important for what I want in the long term? And how do I make that play out today?” And some days I suck at it and some days I feel really good about it.

Stephanie Goss:
I love that you shared that. It does not surprise me that you shared in the candid way that you did because you just are authentic in it. And I think that's another thing that resonates with me as who I am as part of Uncharted. And I will share that when I first started working with you and the team at Banfield was shortly after the pandemic, and I learned a very powerful lesson from kind of the culture at Banfield, and the area chiefs of staff is who Andy and I have been working with. And I tell them this regularly and share my gratitude with them because I never learned that lesson, I don't think, in private practice.
And it's funny because I was in the position of leading a practice and being a part owner in a practice and getting to call the shots. And you would think that when you are in that position that if you want to take time to recharge or you want to be in charge of your own schedule, you would think that that would be the case. And yet, private practice owners and leaders and managers are the worst about taking care of themselves in whole as a generalization. And it has profoundly impacted my life on both a personal and professional level to see the culture that your team really led by example, which was saying no, and also having boundaries when it comes to taking care of yourself so that you can take care of other people.
And I was horrible about taking time off and scheduling the things, and I would literally be like, “I have to do this thing with the kids. Well, I'll take the time from the schedule, go do the thing with the kids and then I'll come back and do three more hours of work.” That was how I lived my life because I thought that I was living in that place of mediocrity of a lot of things because I was not saying no, and I was trying to be all the things to all of the people. And Andy and I have talked candidly on the podcast about some of our personal experiences with burnout and getting to that place of just overwhelm and exhaustion where it's like, “I don't want to get out of bed today and I don't want to go to work and I don't have the emotional capacity to have excitement or energy even for the cute puppy or kitten. I just don't care and I don't want to be here.”
And I really struggled with that because I love what we do and I love to go to work. And that for me was always like a wake-up call, “Hi, if you're not already talking to your therapist, it's time to take your ass to therapy because this is not a good sign.” But it's one of the lessons that they taught me because you guys really walk your talk about taking time off, taking care of yourselves, having boundaries, and I love that you say that no one's perfect at it. And I love the area chiefs are like, “Really…” We were just having a meeting with them actually, and one of them was like, “I was going to turn off my phone because I'm on vacation, but I literally just answered it.” We were just recognizing, “Okay.” “And I did the thing that I said I wasn't going to do and now I'm going to turn it off, and now I'm going to enjoy the rest of my vacation.” And I'm like, “Why are you even talking to us if you're on vacation. Go.”

Dr. Molly McAllister:
Because you guys are amazing. No, I'm with you. And I think the important piece, I mean, that's a great example. Sometimes it means saying no to something you really actually would like to do or someone you want to spend time with. I mean, that's been the hardest thing for me is it's not about do I want to or don't I want to, it's been about having to really sit down and be clear with myself, “What are my top priorities? And is this one of my top priorities?” And sometimes having that really hard conversation, and I do believe no is a full sentence. And when it's somebody I love or something I'm passionate about having to say, “This isn't the time. Can I connect you with somebody else?” Sometimes it's, “No, and let me see if I can help in a different way.” But I do think that… And that's been important to me because it would break my heart to just say, no, no, no, no, no-

Stephanie Goss:
Right.

Dr. Molly McAllister:
… and not [inaudible 00:33:33] go forward, but sometimes it's, “No, not me.” I mean, going back to leadership, it's also been a great lesson to realize sometimes my team is hoping that I'll give them the chance or they're looking for a chance to develop and take something on. And I think I get into that mindset of-

Stephanie Goss:
Yes.

Dr. Molly McAllister:
“… I'm the only one who can do this. They're asking me. I'm so busy. I don't have time.” And that's all I think about as opposed to, “I can get this done in a creative way.” And just because somebody asks for help, it doesn't mean that they want me to-

Stephanie Goss:
To do their thing.

Dr. Molly McAllister:
“And so what about, Molly, using some of these life lessons and thinking creatively about how to provide help if need be?” But also, you can't help absolutely everybody who reaches out unfortunately.

Stephanie Goss:
I love that. Do you think that there's something that is kind of a commonly held belief or perception about veterinary medicine that you disagree with?

Dr. Molly McAllister:
That's a great question. Let me think about this for a minute.

Stephanie Goss:
My goodness. We had such a great time in Greenville recently for our Practice Leaders Summit, and a few huge announcements came out of that. Number one, registration is now open for our April event. And I know what you're thinking, “April is really far away, Stephanie.” However, if you've been thinking about coming to join us in Greenville for an event for some time and you haven't pulled the trigger, you're going to want to do it this time because in 2024, we are having a last hurrah at our home in Greenville. The WESTIN-Poinsett is a beautiful venue. It's right downtown Greenville, which is an amazingly walkable, fun place that is filled with food and drinks and shopping. And believe me when I say that our members have a great time at the conference and they also get out and have a great time in Greenville. And the WESTIN is amazing and we have been there for years and it's time to take our show on the road.
And so while we will be coming back to Greenville and to the WESTIN in the future, we are doing our April conference in Greenville, and then we are going to be heading out on the road. We have our Practice Owner Summit in the back half of December next year, so 2024. We're going to be out on the road somewhere. We've got some road shows that are going to be happening. So there are going to be lots of traveling Uncharted events coming in 2024 and 2025. So if you've been thinking about coming to Greenville and you haven't pulled the trigger, now is your chance.
And the other big announcement that we made at Practice Leaders Summit was the fact that our Uncharted members have a huge new perk. That's right. There is something happening for community members that when you sign up for a membership, which is $699 for 12 months, you are now getting access to something that costs the general public $499. So for a tiny difference, you get 12 months of access to our community, you get discounts on events like the April conference, you get membership, you get workshops, you get conversation, you get parties and events, all kinds of amazing stuff. There has never been a better time to become an Uncharted member than right now, and I don't want you to miss it. So head on over to unchartedvet.com/membership and check out all of the amazing benefits. Sign up because we want to see you in Greenville in April 2024. And now, back to the podcast.
Do you think that there's something that is kind of a commonly held belief or perception about veterinary medicine that you disagree with?

Dr. Molly McAllister:
What comes to mind for me is I think that… Well, I'm going to have to formulate this into something a bit more eloquent, but it goes back to you can be a great veterinarian in all the ways of providing compassion and nurturing and being there for people, and you can have boundaries. And I don't know if that's a stated myth, but I sense that as a myth for a lot of folks in our clinics is that if you create boundaries, you're not taking care of that pet to your greatest ability, you're not taking care of that client, you're not serving their needs. And I don't believe that to be true. And maybe this falls a little bit into my geeky. I believe population health is a thing I love. It's not just about taking care of one person and their pet, it's about all the people who need us and how can we maximize our reach? And if we don't create the boundaries, you get sucked into…
I've never said this before, but kind of what it comes to is you can get sucked into diminishing returns. You continue to be there and provide help and provide the empathy and provide the counseling and you're not getting the same return for that that you would if you invested that energy into the next person who needs a little bit of your time. And this isn't just about, “Go out and save the world and see all the pets.” It's not that. It's just about, again, create the boundaries and you can be the best version of yourself for the next client who needs you and the next day that you work in the clinic.
And I think that is a sentiment that… I wish somebody had said that to me explicitly as a veterinary student because I think we're all here for… Passion can be a curse sometimes because that passion can draw you into going beyond your own means. And I think that we need to be more explicit about teaching. I think teaching young veterinary professionals that it's okay to close that door to say thank you and not solve all the problems in the world.

Stephanie Goss:
I love that so much. Do you think that there is something that you wish that your younger self… If you could go back and talk to Molly, the vet student, is there a lesson or something that you would tell her knowing how far you've come in your journey and where you are now?

Dr. Molly McAllister:
Yes, and number one… There's probably a long list. Again, all the things that I wish I could… all the knowledge-

Stephanie Goss:
Hindsight is a very good teacher.

Dr. Molly McAllister:
And I know myself 20 years from now, I'll be saying the same thing for myself today. But I think the number one thing would be it's okay to ask for help. And I feel like so many of us, and I'll own it myself, I came into this profession feeling like I've gotten this degree, I have this knowledge, I now need to be the veterinarian, I need to solve the problem. And I'll tell you a personal story that really has had a lot of impact on my life, this little thing. One of the small animal hospitals that I worked at as I went to work there, they were transitioning from 30 minute appointments to 15 minute appointments. And I was actually in Israel. I was coming from equine medicine where I'd just been out in a truck. You weren't trying-

Stephanie Goss:
Right.

Dr. Molly McAllister:
… to see 20 pets a day, you were just, “How fast could you get through traffic to get to-

Stephanie Goss:
Right.

Dr. Molly McAllister:
… the next appointment?” So I was making the transition to small animal medicine, I was getting my feet underneath me with 30 minute appointments. And then they made the decision for a variety of reasonable reasons, “We're going to go to 15 minute appointments.” And I really struggled. I mean, I realize now I didn't know how to make that shift. And so a week or two into it, the practice manager sat me down and said, “Molly, the staff are concerned. They think that you're intentionally going slow, you're keeping people late.” I walked away from that conversation now feeling very much like, “You aren't doing this and everybody around you says you're not doing it. And you need to fix this or else.”
And number one, nobody had ever questioned my work ethic in my entire life. That's essentially what it was. They were like, “You're intentionally going slow because you don't like the shorter appointments.” I remember going home from work that day and just breaking down into tears. And what I didn't realize at the time was that I didn't know how to do it. What I felt was like, “They're just being so mean to me,” and I didn't realize that I just needed to ask for help.

Stephanie Goss:
Right. You internalized that.

Dr. Molly McAllister:
We didn't have any other workflow changes, there wasn't help in the exam room to get help taking a history, we were still working on paper records. So it was like coming out of the exam room trying to write things down as fast as I could. So I was just trying to solve it by working harder. I didn't have the tools and knowledge to do that. And I think about if I had just stopped and said, “Can someone help me do this?” How could that have played out in a totally different way? And it's okay with the way it played out because I believe that things happen and they take you to a path you didn't plan for. But if I had just stopped to say, “Can someone help me figure this out?” And I've gotten better, I still have opportunities, I still walk around thinking, “I can do this. I got this.”
But sometimes I think some of the most powerful help you can ask for is when you don't realize you need it. That sounds weird to say, but it's like when it's glaringly obvious that you don't know what to do, yes, of course, you ask for help, but I think there's times that you think, “I can probably figure this out. I can power my way through this.” And those are the times where you actually have to stop and say, “Maybe there's somebody around me who could do this better or help me think about this differently.” And there's this whole concept of taking more intentional pauses in my life that I really need to embody because I think it's really good to not just get rolling down the road, and I do have a tendency to do that. So anyway. So there we go back to I wish I had known that it was okay to ask for help.

Stephanie Goss:
Well, and I think that goes back to something that you said earlier about when you ask for help as a leader or just as a person. You have no way of knowing what opportunity you're creating for other people to step up in your life. And I mean that not just in our practices, but in our lives in general, especially as a leader being a business and leadership podcast. When you say, “Hey, I could use some help with this,” you are absolutely creating opportunities for other people on your team to step up and step forward. And maybe they're demonstrating talents that you already knew that they had, but it's also an opportunity to uncover new talents. And I think what you said is so true is that we're so conditioned. I think a lot of it has to do with, I think in veterinary medicine, the educational system and the way that we kind of learn to think that we have to have all the answers and we have to know all of the things and that we're doing something wrong if we can't handle it on our own.
And I think that we're probably doing something wrong if we do think that we can handle everything on our own, because I mean, it's really like you go to vet school… It's one of the things that I struggle with vet school in terms of the expectation for our new grads and young students coming out is like, “You've gone to school and yes, you've learned so many things, but how well versed in any one of those things could you be when the curriculum breadth is so broad? And if you had said somebody was studying their one species for four years and maybe the breadth of their knowledge would be more detailed at that point in time. But you guys are just jamming so much into your brains.”
In vet school, and it's not just similar in tech school, the broadness of our profession, you're trying to equip people in the same time span to handle something in zebras, in zoo medicine. They may never go into zoo medicine, but you have to have some level of knowledge there. And it's really something, I think, that we're conditioned. It helps condition us, I think, anyways, to think as a profession that we have to have all the answers. And I love that you said that about taking the intentional pauses, because I think that's a really powerful tool for all of us as leaders to remember in terms of creating that opportunity.

Dr. Molly McAllister:
And what you just said, I mean, it just struck me. We are trained to think that we should be everything to everyone or that we should be able to be everything to everyone to some degree. And that is not a recipe for success in life or happiness or joy. And so I think there's a real opportunity for us hopefully influence academia, but also culturally just change that so people realize, “It's okay to pause, it's okay to ask for help, and actually it probably is going to get you a better outcome.”

Stephanie Goss:
Absolutely. I mean, and it's as small as doing it, I think, with our own team, but also recognizing like, “It's okay to do that with our clients.” One of the first things I tell my team is, “If you get asked a question by a client and you don't know the answer, do not try and bullshit them and come up with something on your own. Just tell them, ‘That's a great question. Let me find out a really great answer for you. And I'm going to call you back. I'm going to circle back.'” Whatever it is. It's okay to say you don't know. And it doesn't matter whether it's your first day. I mean, we set them up that way in training to say, “I'm brand new. I don't actually know the answer to that.” But I've been in veterinary medicine now over 20 years, I still say that when I'm in the clinic sometimes, “That's actually a great question. I have no idea. I'll check with the rest of the team and I'm going to call you back.” It's okay to say, “I don't know.”
And I think that that's a lesson I think we all could benefit from giving pause to and recognizing not only from the perspective of taking that burden off of ourself in terms of feeling we have to have all of the answers, but also in terms of creating space for the people around us to step in and step up to help us. Like you said, in that space, what could have happened if you had asked that practice manager, “Hey, I don't know how to do that. Help me”?

Dr. Molly McAllister:
Yeah.

Stephanie Goss:
And maybe it would've still gone the same way that it did, but maybe it wouldn't, and you don't know if you don't ask. Part of why I wanted to have you on the podcast was because you are someone that I look up to in veterinary medicine, and I know for a fact how many people look up to you as a mentor or as a role model in veterinary medicine. Who is someone that you consider a mentor or a role model for you in veterinary medicine and why? What stands out about them in your mind?

Dr. Molly McAllister:
Well, and I think what I've learned over time is I have so many different mentors and role models that model certain things that I'm interested in. So I'll tell you, and this may sound cheesy, but one of the people I look forward to calling when I have thoughts and questions is our friend Andy Roark. And I don't-

Stephanie Goss:
Don't tell him that. You're just going to make somebody even bigger than it already is.

Dr. Molly McAllister:
But I think the why is important. I think one of the things I look for are people who have some breadth of perspective, who are willing to be curious, and who at the end of the day can find a positive tilt. And that's one of the things that I love about Andy. I think that another one is Janet Donlin. She's an amazing woman. When I look at her career and the diversity of roles that she has held, and the role that she's in today… I mean, my role isn't easy. Her role is definitely not easy in what she does. And I think her grace with how she manages the tension and opportunity in the role that she has is something that I admire. And I'd say another one who I love to connect with is Eleanor Green, and she's someone with the feistiness and the motivation and the drive. I mean, if I leave a conversation with Eleanor not wanting to go do something, make something happen, there's something off. So there would be three people that I'd throw out there.
And I think what I love in our profession is that there's so many great, creative, innovative, thoughtful people really wanting to bring the positivity in our profession to life. And so as much as I named those three, thinking about people who I think of as, you said mentor, but I'll equally say that I probably get mentorship from younger members of our profession even more frequently. And there are some great brains out there. Niccole Bruno is somebody I love to connect with, and her passion for culture and practices and what we can do to advance them. I mean, there's a whole multitude of people that I've gotten to work with. And I'd say I'm grateful for the pandemic because people that I've gotten to meet virtually that I might not have met otherwise.
And so anyway. I'm so inspired. It goes back to we have a lot of challenges in our profession, we have a lot of things that we have to improve, we have some really great brains, we have some really great motivated people, and I think we can do a lot when we all work together. And whether it's organized veterinary medicine, whether it's corporations coming together, or whether it's just individuals coming together to say, “We want to make this different.” We don't know the power and potential that we have. And I believe that is something we're going to really get to lean into in the next few years. We're building a profession for a whole different face of veterinary medicine, and that is a really cool opportunity.

Stephanie Goss:
There's no better place for us to end than there, because I love that answer so much. And I agree with you, and I think about everybody that you named, and I also think about when you said the younger profession, and I'm at that stage in my career where I feel old a lot. I just had a conversation last night about feeling like, “I don't understand TikTok. It's a thing.” And I was like, “Someone's going to have to give me lessons, but I'm not above learning.” And one of the things that I love is seeing the younger faces of veterinary medicine, and I see it. It is bright and it is diverse and it is inclusive. And I feel that way about just the younger generation in our world kind of as a whole. And when I see the change makers, and it is inspiring to me.
And I think that there's a lot of people that look at it apathetically sometimes at the younger generation because the people think about things differently than prior generations. But that's always been the case. Our parents thought that about their parents, who thought that about their parents. And so I agree with you. The future of veterinary medicine is very bright, and I am very excited about all of the change. Molly, thank you so much for joining me today. This has been truly so much fun. I have really enjoyed you sharing yourself and your time with me and with the podcast. This has been fun.

Dr. Molly McAllister:
Thank you so much for the chance to do it. I knew I love connecting with you, but this has been even more fun to have a conversation like this, and I just really appreciate the opportunity. And I love what the Uncharted culture is, and I'm so glad to see you bringing it to life in such a variety of ways.

Stephanie Goss:
All right. Thank you. Take care everybody. Have a fantastic rest of your week and we'll see you back next time. And that's a wrap on another episode of the Uncharted podcast. I really enjoyed this conversation today with Dr. Molly McAllister. And if you enjoyed it, please let us know on social media. I would love to be able to do more episodes like this. Then we would love to hear your thoughts as we try some different things heading into the new year here. So let us know what you think. And if you love the podcast in general and you've not given us a review, we would love it if you would head over to wherever you obtain your podcast from and leave us a review. That's the best way to let us know what you're thinking about the podcast. Take care everybody, and we'll see you next time.

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

Dec 06 2023

Making Sure It’s Written Down: How Do We Keep Discipline Consistent Across the Practice(s)?

Dr. Erica Pounds joins Dr. Andy Roark to answer a question about if, when, and how discipline and disciplinary actions should be systematized across practices in a multi-site organization. Is it fair that some people have stricter managers than others? Should everyone in every location expect the same response if they come up short in an important way? Let's get into this!

Uncharted Veterinary Podcast · UVP-262-Making Sure It's Written Down-How Do We Keep Discipline Consistent Across The Practice(s)?

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

ABOUT OUR GUEST:

My name is Dr. Erica Pounds, and I am an Area Chief of Staff for Banfield Pet Hospital in the Tennessee Market. I graduated from Mississippi State University in 2008 with a B.S in Biochemistry and Molecular Biology and then went on to receive my DVM from the University of Tennessee College of Veterinary Medicine in 2011. I started with Banfield Pet Hospital following graduation and will be celebrating 12 years with the practice in August.

My clinical interests include dermatology, internal medicine, and of course preventive care! Throughout my career with Banfield, I have been able to grow and develop from an associate DVM to Area Chief of Staff and even spent time as Interim Director of Veterinary Quality. I have a passion for development and love being able to see my hospital teams grow and achieve their goals. On the personal side, I am the mom of 4 amazing little boys and thrive in the land of Legos, Superheroes, and Soccer! I love running Spartan races with my husband and brothers. I am a big-time quilter and my sewing room is one of my most favorite retreats.

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

Submit your questions here: unchartedvet.com/mailbag


Upcoming Events

DO NOT MISS OUT ON THIS WORKSHOP:

RECRUITING AND RETAINING MILLENNIALS with Dr. Tierra Price

Did you know millennials are currently the largest generation in the US and the largest generation currently in the veterinary workforce? If you’re hiring veterinarians for your practice, you need to know how to attract and retain this pool of talent!

Dr. Tierra Price has supported practice owners in creating successful applications geared toward millennial veterinarians. This experience, combined with her own experience in her recent job search as a new graduate, has led to a compilation of factors to consider in order to recruit and retain millennials in veterinary medicine!

In her workshop, we will cover:

 ⚓ Traits that characterize the millennial generation

 ⚓ Factors millennials consider when looking for jobs

 ⚓ How to build an irresistible job offer for millennials

Live and virtual, this interactive workshop provides an engaging learning experience. Join us and close 2023 with a positive move toward hiring your next great team member!

When: December 12, 2023, 1:00 pm – 3:00 pm ET / 10:00 am – 12:00 pm PT

$99 to register, FREE for Uncharted Members.

Upcoming events: unchartedvet.com/upcoming-events/


Episode Transcript

Stephanie Goss:
Before we get into the episode today, I just have to say a huge thank you. I would be remiss if I didn't take a chance to say that PLS, the Practice Leaders Summit, is happening in just a few short days, when you're listening to this podcast episode. And that means we are all getting together in Greenville, South Carolina to celebrate the unique and wonderful position that is being a leader in veterinary medicine. We're getting together with some of the best and brightest practice owners, practice managers, and we are talking about the real challenges that face us when we run our practices day-to day.
And I am super, super excited. And this is a very different event. It is small, it is boutique, it is designed so that everybody who comes gets to meet every single other attendee that is there. We get to talk about the nitty-gritty in real time, about the challenges that we're facing as practices, the wins that we have with our teams, and really set a plan for the new year so that we can walk into 2024 set up for success.
And we couldn't do it without our industry partners. And we have some amazing ones this year. And I just want to take a second to say thank you from the bottom of our Uncharted hearts to our Anchor Club sponsors. We have different level partners, and we've got a lot of amazing ones, but this group, these guys, are fantastic. They stepped up in a big way and helped make us successful in terms of throwing the Uncharted events for you and your team. And I just want to say thanks. So to Nationwide Pet Insurance, Hill's Pet Nutrition, and Total Practice Solutions Group, thank you, thank you, thank you for being Anchor Club sponsors. Thank you for letting us go out on a limb, try some new and crazy things, like our Practice Leader Summit and for coming to Greenville and having a good time with us.
Okay, now we can start the podcast.

Dr. Andy Roark:
Hey everybody, welcome to the Uncharted Veterinary Podcast. I'm your host, Dr. Andy Roark.
Guys, I got a special one for you today. Dr. Erica Pounds is joining me to take a question about multi-site management. So if you don't know Dr. Erica Pounds, you're about to because she is amazing. I've been working with her for a couple of years. She is an incredible leader and trainer and teacher and she came to us through one of our Uncharted corporate programs. If you have a multi-site practice, we actually do programs specifically for multi-site practices. And she came to us that way and then she sort of moved up through the programs that we've done and now she's in our Train the Trainer Program where we work with multi-site leaders to be facilitators and managers across multiple locations and to help grow and develop other doctors.
And so anyway, she just continues to excel and be just such a rock star. And so I was like, “Hey, I love your insight on these topics, specifically multi-site management. Can you come in and break this one down with me and let's give Stephanie Goss a break?” And she did, and, boy, she crushed it. So anyway, this is a great episode. If you have ever wondered about managing multiple hospitals and kind of keeping them on the same page, you're going to really like this episode. So without further ado, let's get into it.

Speaker 3:
And now the Uncharted Podcast.

Dr. Andy Roark:
Welcome to the Podcast, Dr. Erica Pounds. How are you?

Dr. Erica Pounds:
I'm good, how are you?

Dr. Andy Roark:
I am so good. Thanks for coming on and doing this with me. I really appreciate your time. For those who don't know you, you are an Area Chief of Staff with Banfield. You have a passion for training and educating in leadership and communication. You and I have worked together for about three years now.

Dr. Erica Pounds:
I know.

Dr. Andy Roark:
Through one of our corporate programs that we have at Uncharted. And so you have been my wingman in a number of workshops and lectures and I just admire you. And I had a question that came into our mailbag that I thought, “I think Erica would be really insightful in this question.” And so I wanted to pull you in. Is that okay?

Dr. Erica Pounds:
Yeah, that sounds great. I'm super excited.

Dr. Andy Roark:
Awesome. So the question that came in was about consistent discipline across supervisors. So the question that was, it was from a manager, and this manager is part of a multi-site practice, so they've got a number of locations. And it seems like they're, again, this is me kind of reading between the lines in the question, it seemed like they're sort of a fairly young corporation that's got a couple of different locations, and there's starting to be a push inside their organization for consistency in discipline across locations.
So imagine that you've got, let's make it easy, I'm just going to say three locations, which is probably much smaller, but it's easy enough to hold in our minds to kind of work with. So imagine you've got three locations. And you're starting to get some pushback in one location where they say, “Well, you guys are much stricter on us over here and over at the other location they're getting away with a lot more. And we think that there should be consistency in how people get in trouble.” And so the question that came in is, “Is this a thing? Should we do this? How do we do this? What does this even look like?”
And so that's kind of the question that was asked. So let me just pause here for a second and kind put that to you and say when you hear this question, what are your first thoughts? I mean how many hospitals do you oversee right now?

Dr. Erica Pounds:
Yeah, so right now, just as we just recently moved, I'm down to one, but I've had as many as four at a time.

Dr. Andy Roark:
Okay.

Dr. Erica Pounds:
So three is a very real number that a lot of people in our position work with and this is very much a thing. Certainly as you move hospitals and you're coming in as that brand new leader to that location, you could deal with those differing opinions about the way in which maybe your previous leader led. Or if they know your other hospital locations to that point, “Well over there, that's not a thing. So why are you being so strict over here?”

Dr. Andy Roark:
Yeah. No, I think you're right. I hadn't really thought about a leader coming in, because way the question was framed up was this is something. Again, I suspect these were practices that were acquired and are kind of coming together underneath an umbrella, but the idea of, “Our last boss, our last manager, treated us this way and now here you are and I bet the other managers don't treat us or don't push this hard, they're not so strict or whatever.” I think all of that makes sense.
Let's start it at a headspace standpoint and just say, “Okay, we're starting to get some questions that people are saying, ‘Hey, why aren't we more consistent?'” And again, it's funny because this is specifically about discipline. It's like “When we get in trouble here, it's different than we get in trouble over there or we feel like we get in trouble faster or things like that.” So yeah, let's go ahead. When you start to just look at this and you're a leader coming in and somebody says to you, “Erica, we're thinking about trying to standardize discipline across our hospitals.” Where do you start from a headspace?

Dr. Erica Pounds:
Yeah, so I think kind of in two different camps. So I think that there's the systems piece of how in the world do we actually do this? What's our process? What does it look like from the step one all the way through to an end point? And then I think there's the people piece. So not only is it going to be the leader and individual that you're going to be having this conversation with, but it also has to do with the team's perception of how accountability is handled within the practice.
And I think a lot of times the team's perception around accountability really becomes a make it or break it as far as the culture around what that looks like and whether or not people are going to perceive these conversations as punitive and truly disciplinary or if they're going to take on, “This is because this leader wants me to grow. And right now there is something that is standing in my way of reaching my full potential and I have an opportunity to be able to course correct.” And so I think that really is where I center on with that discussion.

Dr. Andy Roark:
Okay. I love this. I think 100% from headspace there's something about accountability here we want to unpack. You put your finger on a little bit of it too. I think, and again, I don't want to be critical at all here, but when people start saying, “What is our disciplinary process?” My first thought is, “How often are you disciplining people? How big a deal is this?” As opposed to, “Hey, we've got some opportunity for improvement here. And we're going to work on your development plan.” And that framing of the issue, it may sound silly where there's a way of saying, when my kids make a mistake and they drop the ball, let's just say that my youngest daughter who's about to get her driver's license just blows curfew. She can get in trouble and be penalized or we could talk to her about a learning opportunity and a potential for growth and those things are often rolled together. But everybody can tell the difference in tone and how the culture feels when people are concerned about getting in trouble and other people getting in trouble versus being held accountable and how we grow and develop and push for improvement.
That's the first thing that gets into my head a little bit. I think it's really interesting, we started talking about their feelings about accountability, and I think that there's probably a diagnostic piece there first to be like, “Okay, where is this really coming from?” And just things that pop up into my head immediately, it's funny. There's people who they're worried about them getting in trouble and then they're also worried about other people getting away with stuff that they don't get away with. And I'm like, “What are we talking about here? Are you worried that the other practices are not applying themselves like you are? That they're on easy street and you're not? Is it that you feel like you're being held to a standard the other practices are not being held to? And what does that look like and what does that mean?”
And I think one of the first things you really have to do is try to get into this a little bit because, especially when you have multiple locations, people want to speak in big generalities. Like, “We need to hold people accountable.” And I go, “What exactly are we talking about here?” Because otherwise it's all theoretical hand waving of accountability and go, “What exactly is it? Was there a case where some person was written up for a behavior in another place? It happens all the time and nobody says anything. Is that what we're talking about?” Because I would say that the problems may not be consistency and discipline, but rather consistency in performance of those hospitals. I think you have hospitals that are not performing the same. And then the discipline will take care of itself if we fix the performance issue.
So there's a lot of stuff like that around where I'm like, “Be wary of going straight down to how do we punish people?” I just think that that's just dark bloody business. And then the other part is like, “What are we really talking about here?” I think it's also from a leader standpoint, I think another part of my headspace would be, just to throw this out at the very beginning, is the empathy component of, “Where's this coming from and how are they feeling?”
Fairness is a big deal for a lot of people and it would be very easy to look at this and say, “Well, this is just kind of silly. This person got in trouble here and this person just didn't get in so much trouble.” But the truth is there's a bunch of backstory here and the circumstances were all a bit different. And so this is just silly. And I go, “Well, perception of fairness to your point is really important.” And if the perception is that these hospitals are not the same and they're not being treated the same, that can affect people at an emotional level, that can make them sort of abandon rationality. And you end up with an absolute mutiny over nothing except people's feelings. And so I think you got to manage that.

Dr. Erica Pounds:
Yeah, for sure. Because the fairness perspective, again, I think we use our kids a lot as examples. And my oldest, he is a firstborn through and through, so his feelings of what is fair, what is just, is oh my stars. And I have to use that logic sometimes with the teams that I oversee because, again, you're going to have some people that you're never going to hear anything out of them. If they have a team member that perhaps is not carrying their weight one day, you'll never hear anything out of them. They're just going to do it, and potentially when you talk to them, they are going to do what we hope that everyone would do, is assuming that positive intent, that person did not wake up that day and say, “I'm just going to suck at my job today and make everyone's life miserable.” But they're like, “Something's going on with my teammate. I'm going to pick up the slack. It's okay.”
And then you're going to have the others that are like, “This is absolutely not fair. If I'm doing all of these things, why is this person not? And what are you going to do about it?” And they don't take the time to go, “Is there something more going on here?” Because oftentimes when you get into these conversations with the team, you end up finding out that there's something else that is driving the behavior response. They again, most people do not just say, “I'm just not going to do that because I don't feel like it.” There's often is it that they, did we check for understanding? Do they even understand their job role? Do they even understand what we're asking them to do? Do they have the ability to do what we ask them to do? There's so many things that you have to unpack when somebody is either not doing what we ask them to do or just failing to execute on performance.
But for the team, do they have the skill to be able to have that conversation or do they need to? No, but us as leaders, we're here to help manage that so that we can say, “It is going to be fair. We are going to be fair and mutual across the board when it comes to accountability conversations. And this is the way that this is going to look.”

Dr. Andy Roark:
Yeah. No, I think that that's really important. I want to go back to, you mentioned the team's perception of accountability. I think that's really important is there should be some consistency. Also, managing perception is often different from fixing a problem. It's like the way that they think about it or the way that they perceive it, it may not be accurate. And that happens a lot. There's a lot of people who are like, “Oh, that person gets away with everything.” And the truth is they don't. Or especially across hospitals, there's a lot of storytelling that gets done.

Dr. Erica Pounds:
So much.

Dr. Andy Roark:
It's like, “You're not there. You didn't see what happened. You invented details that were not true.” There's just so much of that. And I think one of the frustrating truths of leadership is, especially across multiple facilities, is you want to, and in a way you're right, but you want to say, “It's not your problem what happens over there and it's not your business.”
And that's true. And if you say that they will often continue to tell themselves stories and wind this up and you're going to end up with a massive human issue that you have to deal with, that my very logical people absolutely struggle with. They're like, “None of this makes sense. It's not their business.” It's like, “All of that's true. Do you want to be right or do you want to be effective?” Because you can be right and just hold what you got. Or you can be effective and figure out how to wade into this and help adjust perspective so that people can feel okay and kind of see more that this is not radically different.
I wanted to go back to the first thing that you said when you talked about the systems piece. And this is the thing that I'm really interested to hear from you on because I've wrestled with this for a long time. Okay, so let me lay out a thesis and I want you to punch it full of holes. Okay? All right.
I believe that in management, especially across multiple locations, we all want control. And as you add more people, and especially as you add more locations, your level of control, of direct control, it keeps going down. You're less of the sailor with this tiny little sailboat where you can grab all the ropes and more of this admiral of a fleet and there's multiple boats going different ways. You know what I mean? And they take longer to turn by far and just the immediate control you have just goes down less and less and less, as far as being able to grab the wheel and turn things. So I think a lot of people have that experience. And when people have that experience, there are forces, there are business gurus, there are consultants, there's just probably our innate desire to have control that say, “We need more systems. You need protocols. You need more rules because I'm losing control and I need to keep control, so I want to make more rules.” And when I say rules, I'm talking about protocols and checklists and things like that.
And they go that way, and of course if you are expanding and you're not adding in systems and you're not adding in protocols, you are setting yourself up for absolute disaster. But my thesis comes in here where I say, at some level you can go too far with systems and protocols. When you get down to the place where there is a protocol for someone to ask a question at a staff meeting, I'm like, “Do we really need to go that far down the order hole? Do we need that level?” Or can we just at some point say, “You know what? We've got systems that get us 90% of the way and then 10% of the way we're going to let people be autonomous. We're going to hire smart people. We're going to talk to them about why we're doing what we're doing. And we're going to let them make choices and have some flexibility on the ground to accommodate the specific people they're managing, their clientele, the way that they want to work, what they think is important, what their values are, what their vision is and stuff like that.”
So, yeah, that's kind of where I've gone over time is the push towards rules is interesting and the protocols is interesting and I think at the macro level it's good. But I do think that there is a tipping point where we start to make things, we take away people's freedom to make calls on the ground based on the nuance of the situation and who's involved and what their strengths are and what wishes and desires of the people they're managing are. I think we take that away.
The other part is, I think it's sort of funny is, when people are talking about managing other people, they're very pro rules. They're like, “Yep, we should have rules.” But when they themselves are being managed.

Dr. Erica Pounds:
They do not want those rules.

Dr. Andy Roark:
They do not want endless rules because then that's being micromanaged, right? I remember doctors, when we first started to see corporate medicine or multi-site practices and stuff in vet medicine, boy, the doctors really raged against what was called cookbook medicine and “Don't tell me how to do it. I don't want to follow this recipe.” And it was a strong pushback of, “Don't take away my autonomy,” is really what it was. And so I feel that from a management standpoint on some degrees of you can have some consistency, but I do think if you ever got to a point where everything was written down in a protocol form, that would be a miserable place to work work and people would hate it. So all right, that's my thesis. Shoot it full of holes. Am I right? Am I off? Where does this break down?

Dr. Erica Pounds:
Yeah, so I think for the vast part of that, you're spot on. Because, as leaders, and we could all think of times like this, where maybe you're not getting the potential outcome that perhaps your line managers or those that you're reporting to are wanting, and so here comes a way to track your progress and a way to do this and a way to do that and a way to do this and a way to do that.
And we're not all the same. To your point, the nuances within a hospital context as you're leading them is going to look different. There have been so many times where I will have hospitals that are on polar opposite ends of the spectrum. This one is struggling with this while this one is a player and vice versa. And so if I sit here and I just say, “I'm going to do the exact same thing in both hospitals.” Well I'm going to get nowhere because the people that are doing well on this hand now feel micromanaged, and the people that are over here, again, they might not have the skill or ability or understand what I'm even asking them to do because their contexts are so different. And so with leaders, I think that there is a balance in which you can have enough of a structure and enough of a system that you know here's step one to step two, to step three, to step four. However, you're given the freedom and the ability to lead the way that you need to lead for your hospitals.
There have been times before where I might be in a situation and I'm like, “Well, I could proceed boom, boom, boom, boom. Step 1, 2, 3. And we're going to go straight through. I do not think that that is the right call here.” Because if I'm leading my people well and I know what is going on with them, I know what their motivators are, I know what is disengaging to them. When I really take that holistic picture into this, is going straight through a disciplinary action protocol just like it is on paper, is that the right call? Or is this an opportunity for me to do a very, very, very, very important step here, which is to take partnership and manage up to those that you report to of, “Hey, here is the situation. As I take this all into perspective, this is how I want to handle this situation and these are the outcomes that I am looking for in this timeframe. If that doesn't happen, absolutely we're going to check and adjust and we're going to dial it back, but I really feel, as I'm leading in this context, this is the way that we need to go.”

Dr. Andy Roark:
Yeah. Okay. So let me say this back to you, and again, we're still sort of in a headspace and really right now we're sort of talking about management across multiple hospitals, which I always think it's interesting.
So would you agree that when we start getting into action steps here, I think that there's more about management of hospital leadership in individual locations then there is about management from the manager down to the staff below. And so what I'm saying is this, I'm completely in agreement with you here. You started talking about objectives and you say, “Okay, great. So let's say that I'm the practice manager, I'm the medical director, in one of these hospitals.” There's a situation. I'm going to communicate up, “Hey, this is how I plan to handle this and these are the outcomes that I'm looking for.” And I think the outcomes that I'm looking for are absolutely really critical because when we start talking about standardizing disciplinary actions, we're talking about processes, and standardizing processes, and there's no flexibility there at all.
I am a much bigger fan, and this is kind of where I'm going to go when we get into action steps a bit more of saying, “What is the outcomes that we're trying to achieve and then how do we manage those outcomes? And if a practice is not getting those outcomes, we need to lean on the leadership in that practice so we need to support those people, we need to make sure that they have clear expectations of what's going on.
So for example, let's say that in Hospital A people get penalized pretty harshly if they don't show up for work or they show up late for work. But at Hospital B, they don't seem to get penalized for showing up late for work and it's much more lackadaisical. And the people in Hospital A are frustrated with that. I get that. I'm not convinced that making a formal process that says, “Hospital A has got to write up people if they're late, no ifs, ands, or buts.” I think the actual play is to go to Hospital A and say, “Hey, we're looking at these metrics which are absenteeism, it's tardiness, it's things like that. And you guys are really winding this up in a way that we don't have at our other hospitals. What's the plan for getting this back on track?”
And then I can say to the people at the other hospital who are starting to complain and say, “Hey, you know what? This is being addressed. I don't know how they found out that this was actually a systemic problem, but if they did, this is being addressed. We're going to work on it.” But I would push back and say, “I don't think that standardizing discipline for people who are late is the answer.” I think it's talking to hospital leadership and saying, “Great. This is where we are with our other practice. You can see that you're a significant outlier here. You guys know your team, you know how you lead, you know what your styles are. I don't really care how you do it. I just need you to come in line with the other practices. Let's work together and come up with a plan. And you can think about it, come back. I'll think about it. We'll come together. I'll try to support you.” But I think that's how your regional leadership supports your practice leadership there. But I don't know, does that track with where you were going?

Dr. Erica Pounds:
Yeah, absolutely. Because I think the biggest part of any conversation, whether you're talking to a whole hospital unit or whether you're talking on that individual basis, if you just go in and you're like, “You're not meeting this performance standard.” And again, that could be a whole spectrum of things from showing up for work on time to performance operations, but if you just go in and you're like, “You're not meeting this. This is what we're doing. You're getting written up,” and all that. That's not going to necessarily give you the outcome. Now they're doing it out of fear versus really understanding and having this belief in what you are trying to accomplish.
And so if we miss the checking for understanding point, if we do not go in from a curiosity state and say, “Hey, I noticed XYZ. I'd love for you to just say a little bit more about what's going on.” There's so much power in say more and then just sit back. Because that is often where then that human aspect, now we get the context, now we get the backstory, now we're understanding what's driving the behavior. And then we can solve for that. If we're solving sheerly off of some type of number or some type of goal, we run the risk of getting it completely wrong, disengaging the individual and the process, having the team thinking that we're not following up on anything, and here we are in a muteness situation where we have now zero control because it's just gone off the rails.

Dr. Andy Roark:
Yeah. No, I like that a lot too. And I think you're also spot on about how we motivate. I've heard the quote, and I can't remember where it was, but it's basically like, “If you motivate someone with fear of getting in trouble, they're going to do just enough to not get in trouble.” They're going to check that box to avoid the punishment and they're going to go on. And if we go in and we talk to them about what we're trying to accomplish and we try to get them to buy into where we're going and motivate and praise and positively reinforce and celebrate, we can get them to go above and beyond that.
All right, I want to square this sort of headspace with you a little bit because I like your position on measuring and overusing those sort of numbers of measurement. So I think when I look at this and we're about to go into action steps here, but when we start talking about our action steps, to me part of it's got to be, what are we trying to accomplish? And so do you think that when we say, “Okay, what are we trying to accomplish in this hospital?” How critical are setting objectives and measurements for that?
So for example, we talked about tardiness. And that's an easy one. You just look at when people clock in and when they're supposed to clock in and you can figure out a tardiness rate or measure, whatever. But when we're talking about providing the client experience, if we're surveying our clients and we're getting client feedback, that's something. When we talk about having a good staff culture, if we're doing employee engagement surveys to see how engaged people are, I think that's good. And then we also look at our retention. But I think that looking at numbers like that to say, “Okay, we've got lower engagement at this location. We've got lower retention at this location.” I don't know that going in and standardizing punitive behaviors inside that location is going to be nearly as effective as saying, “All right, what's going on holistically? And let's look at this.” But I still think that those measurements are really important. Do you line up with that or do you think I'm overstating the importance of these metrics?

Dr. Erica Pounds:
No, I think they're incredibly important. And the hard thing is, is that we are constantly, especially as medical leaders but operational leaders too, but as medical leaders, we are always walking this tightrope and this balance line of discussing a metric or a number or a measure, versus a lot of times the medical team, you will hear them often say, “Oh, all you talk about is numbers, blah blah, blah.” And they will all of a sudden hackles up and they can't hear anything that you say because, “Here we are. You're just measuring where we are again, and you're not looking at other things. It's just our ability to hit a metric.”
And I think that the way in which I use this with my doctors all of the time, and I think we use this with the outcomes that we'll talk about in the action steps with this too, you can use it in the same token. How do I know that a patient is healthy? As a doctor? Well, I do an exam. We're observing the team. We're taking in the information and all the things. And then I'm going to do diagnostics to back up my assessment and to help me know that I'm right. And those diagnostics are going to be lab work, they're going to be a fecal exam, urinalysis, so on and so forth. And guess what? All of those are numbers. And those numbers are super important indicators to me to let me know the health of that patient or where I need to press in.
And so the same thing goes when we are looking at metrics and measures and the way in which we help to translate that to the team. How do I know that our team is healthy? Well, if I never ask you an engagement question, I'm sheerly going off of the way that I feel, but I have nothing to actually validate that and say, “We're a very healthy, highly functioning team.” We could say that to kingdom come, but if we can't back it up, then again, how do we actually know?
And so I think a big piece that I think we'll hit on in a little bit for the team is this perception of follow-up. If you're going to hold somebody accountable, how do we know that you held them accountable? Do you actually see the follow-up? And so I think when we're talking with the teams as well of the overarching theme of disciplinary or accountability conversations, the measure point afterwards is the way in which we know that we even make any movement forward. Otherwise we're just going to sit and spin our wheels. So I do think the measures play a huge role in how effective these conversations are.

Dr. Andy Roark:
All right. I like this a lot. I think you're laying this out really nicely. Let's take a quick break and then we're going to come back and let's just get into our action steps. And I know we're sort of talking in general terms of how do we set this up, but I think you and I have kind of laid out where we're coming down and it's going to be a balance of some accountability work, but it's a balance is going to be of systems and then also asking people questions that's going to give them some autonomy to fix what's inside their own specific clinic. So let's take a break and we'll come back.

Stephanie Goss:
Hey, friends. What are you doing on Tuesday, December 12th from 1:00 to 3:00 PM Eastern? So that would be 10:00 to 12:00 Pacific. If your answer was nothing or taking my lunch break or having a few minutes of free time or you would like to join in an awesome webinar that we are hosting, well, you should head over to unchartedvet.com/events because we have the wonderful and amazingly talented Dr. Tierra Price joining us. For those of you who have not had the pleasure, Tierra is a all around wonderful human being. She is a practicing veterinarian. She is the founder of Black DVM Network and she is a superpower dynamo in veterinary medicine and she's going to lead another workshop for us. She did a keynote for us and is very impressive as a speaker and I'm super excited about this one because she is going to come talk about recruiting and retaining Millennials and Gen Z.
And so if any of you are hiring right now, and most of us probably put our hands up because who isn't, most of us are drawing from a talent pool that includes a lot of Millennials and Gen Z as they make their way into the workforce. And so I think it is really really important for us to talk about this topic and Tierra is going to bring it together for us before we're done with the year. So if you don't have anything on your calendar, add that right now and you can do it by heading over to unchartedvet.com/events and signing up. It's free, as always, to our Uncharted members and if you're not currently a community member, it's $99 for the workshop and we would love to see you there. And now back to the podcast.

Dr. Andy Roark:
All right, so I think this has been really good headspace. I like our thought patterns here. I think we've both sort of laid out concerns we have about going straight to disciplinary standardization versus other things. So we've laid all these things out and we've walked one way and then back the other way and I think we circled around and made this sufficiently muddy to bring across the nuance of the situation.
All right, so let's go ahead and start to talk about what we actually do from action steps. And so for me, I'm going to start with one that I always start with is clear expectations. I think if you don't communicate clear expectations to the leadership in the practice, in this individual practice of, “This is what we care about. And this is what's important. And these are the behavior standards of the staff that we expect. And this is how we expect our practice to run. And this is the experience that we expect to treat our clients with,” I think you're setting them up for failure.
And that may sound silly or redundant, but I see that a lot, especially when you have practices that are established that have come together under an umbrella. And I understand wanting to give those groups autonomy, but if you bring them in and say we're going to give them autonomy and we don't communicate expectations for them to strive toward, one, we can demotivate those people because hey don't know what they're supposed to do and they're kind of feeling lost. And then the other thing is we can make them really, really frustrated because all of a sudden we're coming down and saying, “Well, you're not holding people accountable for these things.” And they say, “I never knew that was a thing.”
I remember early in my career I was a brand new veterinarian, brand new veterinarian, and I ended up working at this startup satellite clinic and it was just me and a technician. And then we were out there for a couple of weeks on and off and all of a sudden I get kind of brought in and they're like, “Roark, you have not set up the surgery suite in this way and you haven't done these other things.” And this was all absolute news to me. And they were like, “Also, the technician has failed to do these things.” And I remember saying, “I'm sorry, am I her boss?” They were like, “No, you're not her boss, but you are being held accountable for these performance things,” that were news to me. I just remember how frustrated I was to say, “Look, you sent me out there to take care of the clients and I did. These other operational organizational things, they were never communicated to me, and now I'm being taken to task over them.”
So anyway, for me, it's just you got to figure out what is our clear expectations? What are we trying to accomplish overall? And is everybody on board with that and are they all communicating that? Because honestly, a lot of times if we can just communicate clear expectations, that's to the management, that's from the management down to the team, clear expectations oftentimes they make a lot of the disciplinary stuff go away because people go, “Oh, that's important and I didn't know it was important.” So anyway, that's where I'd start.

Dr. Erica Pounds:
Yeah, absolutely. Because the expectation piece, if they don't know what you're asking them to do, then how can you expect to hold them accountable to something that they had no clue about? And to your point, it was incredibly disengaging when they were like, “Hey, why aren't you doing these things?” And you're like, “Because I didn't know. No one ever had that conversation with me.” And so obviously this is a piece where we can get this wrong. And this is a spot where we as leaders have to really press into that vulnerability piece to say, “Guys, I messed this up. I got this a little wrong. Let's dial this back a little bit because I would like to reset some expectations.” So if you've already traveled down this path a little bit and you're not really getting the results that you need, this is the point where you can be like, “It's okay, I can dial it back.” Because we're all going to do that at some point in time across laying down expectations.
I think too, this is another really good place to really help the team to understand what is being accomplished when you're having to have these follow-up conversations. Again, if we're coming from a place of disciplinary action, disciplinary action will always evoke this negative kind of connotation and, “This seems punitive and I'm going to get punished and I'm in trouble,” and all of these things. And that can set up that space where, “This is not a psychologically safe environment anymore. If I'm so fearful that I'm going to get written up about something, if I make a mistake, am I going to come forward and say, ‘Hey, my bad. I messed this up.' Or am I going to be so fearful that that's going to result in me getting written up that I'm going to say nothing?” And that is not a good space to live in.
So really helping the team to understand as you lay down these expectations, “When we're talking about accountability, this is because we care about each other as a team. I care about you as your leader. I care enough to have a difficult conversation with you so that you can grow and achieve your highest potential. This is all because I care about you.” And I think in every single conversation that I have, if it's small or if it's something larger, I always lead with that. “Hey, we're going to chat today. I'm going to give you some feedback. Always, know that as I give you this feedback, this is coming from a place of caring. I care about you and I want to check in because I'm seeing X, Y, and Z happen. Can you share a little bit about what's going on?”
And creating that space for them to be then able to talk. And I think as we set the expectations, if we can lay that as the groundwork of, “This is how our practice is going to function around accountability,” I think that then that will help to open up that feeling of grace from the team of like, “This is a safe space to grow.” Even if it's a tough conversation.

Dr. Andy Roark:
Well, You did so many things in that beautifully. So I love the phrasing. I love the word choice. I love the psychological safety of, “Tet's talk about this.” I think that that dove tails into the next step for me, which is the shift in focus a little bit to outcomes. And so what it means is I like to try to figure out how to move away from being punitive and more developmental. Meaning, without knowing specific behaviors it's hard to lay this down and say, “This is the outcome I would look for.” But basically, what are we trying to accomplish, what is our mission, and where are we trying to go? And then what I would say is, “How is this behavior detrimental to the outcome that we're trying to achieve?”
And let me be really clear here, and you and I sort of touched on this a little bit earlier in the first half I think, is people do not want to hear about their revenue generation numbers. That's not an outcome I'm talking about. They don't want to hear about it. They don't care about it. If absenteeism is causing us to have high wait times and our clients, they're just waiting. If our staff is feeling burned out and stressed and doctors are working through lunch and we're having to really watch people to make sure they get their lunch breaks and things and push them out the door, those are the outcomes that I'm going to focus on rather than, “Hey, you really screwed up.” It's, “Hey, these things are really important and we need to make these things happen going forward.”
And so a lot of times, again, I really like to push things into the future tense as opposed to the past tense. So when we talk about discipline, we're talking about how you messed up yesterday versus development is, “Hey, what are we going to do different in the future to make sure this doesn't happen?” And then if it continues to happen, ultimately we may have to have disciplinary conversations, but it's going to be, “Hey, if we have disciplinary conversations, it will be because we've talked about this a number of times and your behavior's not changing and we are not accomplishing this thing that's really important to us.”
And so anyway, it's just a way of starting to frame that up, but starting to switch to the outcomes. What are we trying to accomplish? And then make sure that your clinic leadership knows what the outcomes are that you're trying to accomplish, and then make sure that the staff knows, and that they know it and it's framed in a way that they know, “This is about providing great healthcare. This is about having a great culture and taking care of each other and taking care of patients.” And so getting those outcomes out there where everybody can see them and see how behaviors interface with those outcomes, I think that that's really important.

Dr. Erica Pounds:
I think that sometimes the hard ones will be for our intangible outcomes, so to speak. So I don't know how many times we have all as leaders, and the conversation is not necessarily about somebody's quantifiable performance, but it has to do with their attitude, and it has to do perhaps with the way in which they're interacting with the team. So it becomes this interpersonal dynamic that sometimes is causing breakdowns, then inefficiency and communication and the success towards the day. And I think a lot of times as we are trying to provide accountability and coaching and development in those situations, being able to try to work with that individual to say, “This is the situation. This is what we have seen. How are you feeling about that?” And then also really involving them in the process of like, “If we were to work on this for the next two weeks, what does success look like to you?” When we don't have that quantifiable measure, how are we going to know that we even got anywhere?
I think a lot of times I think about doctors that get very stressed in surgery and the teams will say, “This doctor, they are being so mean to me. They're not talking to me.” And it's all about their perception of maybe the doctor's tone as they're directing at that time and these kinds of things. And when you really drill that down, the doctor is not meaning to be that way towards the team. They just have other things on their mind. But we still have to address this situation. And so sometimes it's those outcomes and those action steps for this individual of how do we signpost for the team? How do we engage them in a conversation to say, “Hey, this is nothing to do with you guys today. I just need to stay a little focused right now and then we'll be able to kind of move on.” Because I find that often when I am trying to have conversations, the quantifiable measures and the quantifiable performance outcomes, those are the easy conversations. The hard ones are the people piece and the interpersonal dynamics.

Dr. Andy Roark:
Yeah, I agree with that. I think those are also really hard to put disciplinary actions around. As much as I would like for people to get in trouble for not getting along, that is an absolute quagmire to get bogged down in. It very quickly turns into the old, “The beatings will continue until morale improves.”

Dr. Erica Pounds:
Yes.

Dr. Andy Roark:
And it just goes right to that. And again, trust me, I get it. Emotionally, I get it. It's so frustrating when you're trying to balance, again, interpersonal stuff. And punishment is a very hard tool to use in this regard. You can lean into giving people feedback and you can have conversations and you can look for patterns of behaviors and you can start to call things out in a nice and supportive way. And then measure progress, I think is where we were getting to, is starting to watch how we're doing. And if we continue to fall back and we're saying, “Hey, I don't know what happened. I wasn't there. You've told me what happened. But we talked about this two weeks ago about you and Michael not getting along. And now here we are again with you and Michael having these problems. And the problem doesn't seem to be getting better and we're going to need to start making some adjustments.”
We've got to be able to have those, as you said, the signposts of, how is it going, where are we going from here, and things like that. I still, I'm a big believer that you've got to give leaders on the ground some autonomy to fix the problem. And you can only build protocols and systems that go so far down before they really start to become handcuffs that take people's enjoyment away and also that don't account for nuance and just become things that people fight about. So I think that's a big part of it. And so I would go from there, I think, and this is where I would really start to look at this issue, I think a lot is, we need to be having a good relationship from above with our site managers and having expectations for them and then having accountability conversations with them.
And when I say accountability, again, I don't want to go back to the idea that the manager should get in trouble because their people aren't doing what they're supposed to be doing. It's what are we trying to talk about? Does this person have a clear view of what success looks like? Do they know how they're doing and how they're performing? Do they understand the strengths of their team? Do they understand the weaknesses of their team? Do they have support that they need to try to address the weaknesses? Because a lot of us don't know. We struggle in this area and it's probably something that I'm not innately good at, which is why I don't know exactly how to fix it. I don't think there's any shame in that. That's just being a human being and recognizing that we've all got different strengths and skill sets.
I mean, there's people that you could bring into your practice who would immediately look at your systems and your protocols and say, “Oh, we can fix this and this and this.” And I'm not that guy. But I can wade into a practice where people are arguing, we've got some interpersonal stuff, we have a sense of people are unengaged or they're detached and I can bring them back and get them excited about the work and I can generally kind of push them into getting to work together and come together as a group. But I'm not your operations guy and if you've got an operations problem, you may have to support me in that because that's not my natural strength or skill set.

Dr. Erica Pounds:
I think that that's the hard part right, though, for us as leaders is you do have to get to that point of being comfortable. To your point, there's no shame in saying, “Hey, this is a space that I don't feel that natural tendency to be able to lead in. I feel uncomfortable in these situations.” And being able to go ahead and reach out for help. I mean, quite honestly, we joke about this all of the time, my husband and I, because in my personal life I will avoid conflict like the plague. Like, “Nope. Absolutely not. Let me walk away. They can just chill out. It's okay. I'll come back later.” But I will avoid conflict. At work, I'm like, “Hey, everything cool? I feel like something's going on here. Let's go ahead and chat about it.”
And my husband all the time, if he comes by to pick me up for lunch or something like that, there's been a couple of times where he has observed the, “Hey, what's going on?” And he was like, “Who is this person?” And I'm like, “Well, the thing is is that that was something that when I was a leader early on, I really had to work on getting comfortable with the uncomfortable, getting comfortable to have that difficult conversation.” But again, as we've talked about many times during this conversation, my viewpoint and my vantage point going into these conversations as a manager is key to the way in which I'm going to feel in that situation.
If I'm going in saying that I'm going to have to get somebody in trouble, I'm going to struggle really, really hard because that conflict aversion is going to come out some kind of fierce. However, if I go in and I'm like, “this is because I care about you. This is for your development. I see something in you and we need to hone it and we need to refine it, and this is how we're going to do this together,” all of the sudden that's my space that I'm comfortable in and I can have that conversation and I can help them and we can get to the outcomes that we need to.
So for me, that was a huge thing of this is not a space that I feel comfortable in. This is not a space that I feel good in. But I was able to say, “Hey, I need help with this,” and have been able to work on it. And again, that vantage point of going into the conversation is going to have a huge impact on how the conversation goes.

Dr. Andy Roark:
I just want to give you an amen. You just spoke directly to my experience as well. It's exact same thing. I don't like conflict. I like to be popular, with my team, and I want them to like me and to working for me, and that means a lot to me. And I feel like they don't like working for me? That's a hard burden for me. I don't handle that well. And so I also, I struggled so much with holding people accountable until I was able to frame it in my mind as, “I'm helping you, because if I don't say something to you, this behavior's going to continue because no one's going to say anything and you're going to keep doing it. And it's probably going to get worse and ultimately you're going to end up getting fired, or this place is going to become a toxic swamp and we're going to continue to fail and there's going to be this other punishments that come down or these negative repercussions or the clients are going to be upset and then I'm going to have to deal with them.”
But ultimately I came to the place where you sort of pick your poison. Do you say something which is uncomfortable or do you not say something? And I guess part of it was just the experience of saying, “Oh, I now know what that path looks like and it is equally bad or generally worse.” But I really love the way that you frame it. You're exactly right. In my mind when I give someone feedback, it's because I care about them and I'm trying to help them and I'm trying to move them forward. And if I had to frame it in my own mind of I'm going to have to punish this person. I really don't want to do that. And I would also really struggle with that. It would take a lot of enjoyment out of it for me.
And here's the other thing too, is I don't know how to say to somebody, “Hey, I'm saying this to you because I care about you. And also can you sign this piece of paper that says that you accept the terms of this reprimand or whatever?” It kills so much of what I'm trying to build as far as a good work culture. So anyway, I am right there with you. I really love it.
The last thing I'll tell you, I had this really wonderful conversation over the weekend. And I asked a very thoughtful veterinarian who lives in California and she's so successful and she's just so wonderful. And we were hanging out together. It was sort of a retreat that we did. And there's a number of us there. And I asked her, ‘Do you think that people change?” I said, “Do you think that people change?” And she thought about it for a while and she said, “No.” She said, “I think that you are who you are. You are the person that you were when you were a child. However, we learn how to show up differently in different situations and at different times in our life. So in your essence, you are the same person you've always been, but you do learn how to show up. And the way that you show up can change depending on who you're with and what you're doing and where you are.”
And so when you were telling the story of being conflict averse, but then when you're there, you say, “Hey, can we talk about this?” I say, “You, Erica Pounds, are the same person you always have been, but you have learned how to show up in this role in a way that's effective and it works.” And so I just wanted to call that out because I think a lot of people see themselves as leaders or managers and they say, “Man, this is not who I am. I really struggle with this.” And I would say, ` And I don't know, that really spoke to me. So I thought it was really great.
Any way, Dr. Erica Pounds, thank you so much for being here. You are amazing. I really appreciate you talking through all this with me. Guys, everybody else, thanks for tuning in and listening. I hope you got something out out of it. Take care of yourselves, everybody.
And that's it. That's the episode. That's what I got for you guys. Thanks to Erica Pounds for being here. She is amazing, as you know. If you like the podcast, if you get a lot out of it, do me a favor and do all the stuff you're supposed to do for podcasts that you like. And mostly that's tell your friends, text, share the episode with them, and write us an honest review wherever you get your podcast. If there's a five star button, hit that button. And it just means the world to me and Stephanie and everybody on the Uncharted team. So anyway, guys, that's what I got for you. Thanks for being here. I'll talk to you soon.

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

Nov 29 2023

There’s Something In The Water – EVERYONE is Pregnant!

This week on the Uncharted Podcast, Dr Andy Roark and practice management super geek, Stephanie Goss, tackle another awesome submission to the Uncharted Podcast mailbag. This week's email comes from a practice owner who has babies everywhere at their practice! They have experienced maternity leave before on the team but that was one person at a time. They are currently juggling 4 people on a small team of less than 15 who are out on leave or going out on leave in the next few months. Plus they have a couple team members who have shared with the team their current desire to become pregnant. This practice owner loves babies and is also wondering how in the heck to survive when 1/3 of the team is out on leave at once?! Given that more of the team is likely going to take leave over the coming months and years, this practice owner is trying to figure out a plan for right now AND think about future planning. They asked some wonderful questions of Andy and Stephanie about how to prepare. Let's get into this…

Uncharted Veterinary Podcast · UVP – 258 – Help- Am I Witnessing A Mutiny?

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

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

Submit your questions here: unchartedvet.com/mailbag


Upcoming Events

DON'T MISS YOUR CHANCE TO JOIN US…

December 12, 2023: Recruiting & Retaining Millennials
with Tierra Price

Time: 1pm ET/10am PT – 3pm ET/12pm PT

This workshop will give you tips and tricks on creating irresistible job offers for millennials and developing roles that will retain them in today's challenging recruitment landscape. Veterinarians are in high demand, but prepare to find out how accessible this market can be, no matter the size of your practice!

This workshop is 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 in the mailbag, because there is something in the water. That's right. We've got an email from a practice owner who is swimming in babies at their practice and they have a handful of questions about what to do when it seems like everyone is pregnant at the same time. Let's get into this.

Speaker 2:
And now, the Uncharted Podcast!

Andy Roark:
And we are back. It's me, Dr. Andy Roark, and the one and only Stephanie “there's something in the water” Goss.
There's something in the water.

Stephanie Goss:
Please sing for us today.

Andy Roark:
I don't like the flavor. I don't like the taste.
I'm a man of two worlds, Stephanie Goss. I walk in two worlds. Yeah, oh, yeah, because I walk in the world of teenage girls.
I am up on teenage girls and what teenage girls are doing, because my youngest, my youngest, is about to turn 13. I picked her friend up to take them both to dance class and it was the friend's birthday and she was turning 13, and they've been friends forever, and I was just driving and I was like, “My youngest daughter's best friend is 13, and she's going to be 13 in the blink of an eye.” Meanwhile, my older daughter is almost 16 and she is talking about getting a car, and I am blown away. That's the two worlds.
The first world is, I know about the music that teenage girls listen to and what they watch and what they're into. Very up. I have purchased tickets to the Taylor Swift movie. I've done these things. I'm aware. At the same time, I'm also old. I am walking in the world of an old man. I was recently caught not paying attention on a Zoom meeting because I was watching my bird feeder. And so, I'm watching birds and listening to Rod Stewart, and I am one phone call away from taking up pickleball. That's where I am.

Stephanie Goss:
Stop it. If you take up pickleball, you can move here. This is where it was invented. You know that, right?

Andy Roark:
I had no idea.

Stephanie Goss:
Where I live is where pickleball was created, invented, whatever, made up as a sport. It's real big here. All the old people, every day, rain or shine.

Andy Roark:
My dad plays it. I could play with him. I can play with him.

Stephanie Goss:
Oh, that's funny.

Andy Roark:
Yeah, he would trash talk me and without wearing his hearing aids, so I couldn't trash talk back. I don't think I want any part of that. But yeah, I'm a man of two worlds, Goss. That's where I am.

Stephanie Goss:
Yeah, I feel that. I feel that. It goes by really fast, while you go from kids' toys to teenage crap in the blink of an eye.

Andy Roark:
Oh, man. Well, it doesn't. It does or it doesn't! Because I had this thought, too, I was like, “Man, it's been a blink of an eye and now my kids are teenagers,” and someone said to me, “Would you ever consider having another child?” And I'm like, oh hell no. Absolutely not. No. What? I'm so past that part of my life.
And again, no shade, but I'm like, I have a friend who's in his fifties and he is in his second marriage and they decided to have a baby. So, he's like 53 and he's got a baby and I'm like, “I would not wish that on an enemy.”
I say that, I walk that back. Obviously, people who are excited about having kids, it is a wonderful joy and it's important to them, but I just, I… Oh boy, the idea of starting over. Oh, man, it's a lot of work. It's a lot of work. It makes me tired just thinking about it.

Stephanie Goss:
Yes, I feel that, and I agree. I think it's wonderful if that's something that you want. And at the same time, I think when you have gone through the infancies and the toddlers and you get away from that and you get to the stage where we are now where they're going out with their friends and they can do things, they can let themselves into the house and they can cook themselves dinner, and they have all of this autonomy, and your life changes in a big way again, and you start to have more… I've started reading again, because I actually have free time. There's not someone climbing on me and asking me to do things 24/7.

Andy Roark:
That's just me. Just me.

Stephanie Goss:
Just you. The asking me to do things, not climbing on me.

Andy Roark:
Exactly. Yeah, you're far too far away for me to climb on you. I would demand piggybacks if you were local. I would, “Goss, come and pick me up. I'm tired of walking.”

Stephanie Goss:
No, I did… My kids, it's so funny, because we have been working on kitten-proofing the house, because we got a new kitten. It was time for Pepper Potts to have a sibling, and that's how I am satisfying my desire to have another baby, is, “Let's get a kitten.”

Andy Roark:
I think that's great. I think that's a great way to satisfy that itch. Just scratch that itch with kitten claws.

Stephanie Goss:
Let's not have a human. Let's scratch it with kitten claws. So we've been kitten proofing the house and going through a bunch of stuff and purging, and the kids discovered the baby carriers that I had from when they were little, and my daughter is my oldest and she's 14, but she is very small and she still fits in the damn thing.

Andy Roark:
Oh, you put her in your BabyBjörn? You stab it in your, shove her in your chest and walk around with her? That's hilarious.

Stephanie Goss:
She got it. She got in on my back and I could still walk around the house with her on my back, and it was like, “Oh yeah, I don't want to go back to this though.” It was that moment of, “I remember.”

Andy Roark:
If Tyler Grogan wasn't so tall, I think she could ride around in… I could just transport Tyler in the BabyBjörn, and then I would have marketing support whenever I needed it.

Stephanie Goss:
Oh, my gosh.

Andy Roark:
But she's tall, she has long legs. I don't think it would work, but so close.

Stephanie Goss:
I think she might even be taller than you.

Andy Roark:
I think so, too. I think so, too. I think I should wear a BabyBjörn and let Tyler carry me.
Okay.

Stephanie Goss:
This is off the rails.

Andy Roark:
Yeah, I feel like we're a long way from management advice at this point.

Stephanie Goss:
Speaking of baby carriers, we got a great email in the mailbag from a practice owner who is, there's babies everywhere at their hospital.

Andy Roark:
Just all over the place. Contagious.

Stephanie Goss:
There's something in the water.

Andy Roark:
Something in the water.

Stephanie Goss:
Because it feels like they are going through a season at their hospital and they have people on maternity leave, they've got some people on the team right now who are pregnant, and they've got some team members who are actively trying to have kids. And so, they are like, “Okay, this is a thing. It has happened and now is happening.”
When you have one person on the team, you just kind of figure it out, and this is the season where they're just like, “It's happening with everybody. And so I have some questions about how to plan for this,” and there's some really great questions having to do with, “How do I staff for this? How do I plan for it? How do I support them?” And things like that.
I just thought that this was so great. It's something that is so, so common in a female dominated field, and so I thought this would be a fun one to go through and answer some of the questions that they were asking, because they signed it, “An almost empty nester that is surrounded by young mamas.”

Andy Roark:
Yes.

Stephanie Goss:
Just loved it.

Andy Roark:
I feel you. Yeah, I feel this so much. I love it. First of all, I just want to start by validating the scenery. It does feel like often that pregnancies come in waves. I hope it's not offensive to say, I don't mean it to be, I don't know why it would be, but just in my experience, not always, but we have all… If you've been around vet medicine for very long, you have been around a hospital at least where a lot of people are pregnant together in a short period of time. And it's just kind of a joke, I don't mean anything by it, other than to say the idea that people would not reproduce on a convenience schedule for the business, it should not be… That should not be a novel thought to you. That should not be shocking, if and when it happens. It's going to blow some people's minds. Owners and managers, you would think that you could ask them to space these things out. You can't. They do not, people do not move these things around the calendar for work. They don't.
So, anyway, that's it.
Anyway, you got to have good perspective. Let's start with headspace on this. I do think, when we're sort of laughing about it… And again, let me just say starting off, I love when people who want to have children have children. I think that that's wonderful for them. I remember being a young person and wanting so desperately to have kids, and then having that in my life, and it was this wonderful time. I also remember I was in vet school and I was in my fourth year of vet school when my adult oldest daughter was born, Jacqueline. I was doing rotations, and it was kind of this crapshoot, because we knew what the due date was, but it doesn't really mean anything, and we were I think about 10 days late from the due date, which was good because I think I was in equine internal medicine or large animal internal medicine.
And sort of the reputation was that if you had some life thing that happened when you were on that rotation, nobody cared. They did not care. They were not going to help you out. So, I had a limited amount of control over my schedule, but that's where I was. And I was like, “Oh man, this is a big deal, and what is this going to be like? Am I going to miss this? What am I going to do if this becomes an issue?” I imagined me getting the call from my wife and the professor being like, “No, you're here.” And I'm like, “No! This could be bad.”

Stephanie Goss:
Take a bathroom break and just not come back.

Andy Roark:
But that didn't happen. And I ended up in small animal dermatology with five young female clinicians and they were like, “Get the hell out of here. Don't come back. You get a B plus, just go.” And I'm like, “All right, I'm out.”

Stephanie Goss:
That's so great.

Andy Roark:
I wrote notes to the clinicians just being like, “Hey.” it was like two years later I wrote to them. I was like, “Hey, I just want you guys know, I still remember this. It was important to me.” And it was wonderful.
So anyway, I remember that experience around that time, and you want to have everything to go right, and it's stressful, but…
People are going to have babies and you can be happy about it and supportive of it and deal with it or you can be a villain about it and not supportive of it and they will remember you being a jerk for the rest of their lives and they will tell people about it and it will be what they think of when they think of you and you're still going to have to deal with it. And so, these are your two options.
The first part of headspace is you should get into a good headspace, because you have no power here. You have no power, you have no control. You might as well be kind and supportive and excited for people, because you're going to deal with it no matter what. Just be a good person about it.

Stephanie Goss:
Well, and I think if we roll that back even further, the reality is, we don't have any control over life. I think it's a lot easier in kind of an ironic way to feel frustrated or irritated because you think about the pregnancy thing and it's really easy to think, even though you were joking, the thoughts of, “Couldn't we have scheduled this better? Did this really have to happen during summer? You know how busy summer in the vet hospital is?”
The reality is, how is this any different than someone having a death in their family or getting ill or some other life thing? The reality is, none of us can control life, and we do work in a female dominated field at this point. And so, I think your point is, the healthiest headspace that we can get into is to shift the mindset to acceptance, that we are in a female dominated field and that means there's going to be relationships.
And whether it's female or male, someone's gender doesn't really matter, the reality is we employ a lot of younger people as well, and so that means life events. It means weddings, it means babies, it means dating. It means all of these things that are things that people cannot control the timing over as much as we might want them to. So I think you're spot on, and I love that idea of let's just get into a zen headspace of there are going to be things that you cannot control as an owner of a practice or as a manager and a leader, and this is one of them, and your life will be better if you can just wrap your brain around that and accept it.

Andy Roark:
Well, and again, I think then… Now we're going to start to get into some real talk and things here might get a little bit dicey. I'm going to try not to blow my face off with this.
Whenever I hear people talk about maternity leave and paternity leave and stuff like that, there's a tendency to just put this rosy face on it and just say, “Oh my gosh, this is great. This is all great.” I want to inject some nuance here. And so I just said you should be kind about it. You should be happy about it.
At the same time, you and I deal in reality here. I do want to give some validation to… First of all, I think these are great questions. I love the fact that we've got somebody who's looking ahead and going, “Okay, I want to be supportive of this. I want to be a good employer. How do I get this stuff done?” Because that is the thing. I saw a story one time where this company, and I can't remember what company it was, but just getting dragged through the coals, because their CEO had said that maternity leave was inconvenient. He'd used the word inconvenient in talking about maternity leave. People got really upset, and I don't buy… I think that that is a picture of our society not being able to handle nuance at all.
If things fall into the category of being either convenient or inconvenient and we're talking about for the business, then yes, maternity leave is inconvenient. Maternity leave is not convenient. I mean, it's inconvenient, but so is people getting sick, and so is people finding other jobs, and so is people getting married and moving away, and all sorts of things that are bigger and have life implications that could theoretically possibly be much better for that individual. It's still inconvenient for the job or for the business, but that doesn't mean people should be mean about it or that they should not be happy that it's happening. You can be inconvenienced by something and still be happy to deal with it.
I still think that that is true, and I think that for everybody to come together and look at this eyes wide open in a productive way, we have to be able to hold this idea in our head that something can be inconvenient or challenging for the business and also something that people should not feel bad about and that we should actually celebrate.

Stephanie Goss:
Yes.

Andy Roark:
So anyway, you have to be able to hold that nuance in your head, and I think if you can't, if you're losing your mind, this is going to be a hard episode for you.

Stephanie Goss:
Well, I mean, I think that as a society we struggle with the idea that two things can be true at the same time that are opposite of each other, and this is one of them. The truth presents itself in almost every single time I have had a team member come to me, and thinking about myself, too. Coming to your employer and letting them know that you're pregnant, it has almost always started with, “I know this is not great timing, but, dot-dot-dot, I'm pregnant.”

Andy Roark:
As soon as somebody says, “I know this is not great timing.” I'm like, “Oh, are you pregnant? Is that where this is going?”

Stephanie Goss:
And as a boss, as a manager, I remember how, like you remember how your clinicians made you feel, and-

Andy Roark:
Absolutely.

Stephanie Goss:
… I remember how previous employers made me feel. Even the ones who were excited for me, I remember that feeling like it was my fault. And when you're happy, especially if you are… I went through significant challenges with infertility, and when you're struggling to get pregnant, feeling like you're someone's inconvenience the first thing when you're so excited and this is the happiest thing that you have experienced, that sticks with you. And that feels like crap. And so, for me, from a headspace perspective, I think it's something that I'm super passionate about. Because, when I became a leader, one of the things that I really was intentional about was trying to create a safe space that was happy.
And it wasn't just babies. It needed to be all the life events, so whether someone was getting married, or they got into grad school and they were telling me that they were leaving, or whatever it was, I think that it is within our control to choose to look at it from a positive space, because yes, it is inconvenient and yes, there's always challenge associated with it, and the results that come from choosing to be positive and put on a positive face for your team are just so, so incredible.
I can't tell you how many times I would, the first words out of my mouth, I would, “Congratulations, I'm super happy for you, and don't worry about it. That's my job.” Because I want them to know, “I don't want you to apologize.” This is not something to apologize for. You are living your best life and I want that for you. That's from a headspace perspective. Part of it is recognizing that we employ humans, and humans are going to have life events, and so we should want them to live their best life. I mean really, if we're about culture, and that's what you and I are about, that is an intentional choice that you can make as an employer, is those two things can be true at the exact same time.
You can inwardly, inwardly is the key, be thinking, “Oh my God, I have no idea how I'm going to deal with this.” And outwardly, you need to choose the person, choose the human, because it makes all the difference in the world.

Andy Roark:
Well, this is why I said nuance is so important, because let's just pause for a second here. I love the way you set this up, but it's like… Everything you said, I completely agree with. And also, I just want to try to step away unemotionally for a second and honor the difficulty of what we just said, which is to have someone deliver you news that they're super excited about and you say to them, “I am happy for you and congratulations to you,” and at the same time, you are going to have these fears of, “How are we going to do this? And what am I going to do with all the support staff who now don't have a doctor?”
And I can just tell you, it is naive to say that, “Oh, good people don't have those thoughts.” Yes, they do. Yes they do.

Stephanie Goss:
Yes, absolutely.

Andy Roark:
The fortitude, the emotional fortitude, is required. It really is.
My wife, when we had our second child, her employer was not good. They weren't like… Her direct boss was a jerk, an absolute jerk, and if I ever want to just want to make my wife angry, I'll be like, “Hey, remember-“

Stephanie Goss:
“Remember that guy?”

Andy Roark:
“… your boss, Sam, when we had our second kid?” And she'd get mad real fast because she remembers it, and they were a jerk. You do not want to have that impression on people, and ultimately, the boss being a jerk, it made no difference in what we ended up doing. We're going to take care of our family, we're going to do our thing. And so, that person did not gain anything, but boy, they lost a lot of trust. That was, and I think my wife would say, that was probably the driving reason when she was like, “I'm ready to be somewhere else.” And it was. So, anyway, but I just… As a podcast for people in leadership and management who are often the ones receiving the information, I just want you to know, yes, this is hard.
I've said this many times, I think that running a practice is simple. That does not mean it's easy. It's simple to say, when someone tells you that they're going to go out on maternity leave or they're excited about their pregnancy, it's simple to say you should celebrate with them. It is difficult to, in that moment, take that information, not think about yourself, not think about your practice, just think about them and be there for them emotionally while putting your sudden, “Oh my God, my world just shift that under my feet,” putting that on the back burner until you can process it. But, that's what separates strong leaders from weak leaders. That's what separates people who have great emotional intelligence and emotional control from people who don't.
What's funny is, nobody's going to pat you on the back and say, “Hey, I suspect the moment that you got that news, it was probably scary for a second, but you didn't show it. Congratulations.” But if you've done it for long, you know. I have left encounters and said, “You know what? I'm really proud of myself. I really sat with that person in the moment and genuinely was happy for them and I'm still happy for them, and now I'm going to start to think about the logistics and how this affects what I'm doing. But I did not show that to them. I was there for them, and I'm just going to pat myself on the back.”
I don't know. Tell me that I'm wrong.

Stephanie Goss:
You're not. You're not.

Andy Roark:
Maybe I am the jerk and everyone else is sitting in the lotus position, “Silly Andy, struggling to not-“

Stephanie Goss:
No. I will a thousand percent validate you and say, poor Andy, we had not been working together very long; it was probably five months before our big conference, it was back when we were only doing one conference a year, and we had our April conference coming up, and I very unexpectedly found out that I was pregnant. I remember calling you, and I remember as soon as I found out, when you find out your due date, the first thing that goes through your head is, “Oh my God, this is two weeks after the conference. What am I going to do?” And I remember calling you and I was just like, I had all of these nerves and I was so anxious. The first words out of my mouth were, “Don't worry, I can still come to April,”

Andy Roark:
“Don't worry. I'll be there!”

Stephanie Goss:
That's what I told you! I was like… And I will validate you, because I can imagine the panic that you were feeling at that point of, “This is person who was speaking,” you're coordinating all the speakers, you're doing all of these things. And the first things… I think the first thing that you said to me was, “Shut up.” And I think the second thing that-

Andy Roark:
“Shut up, are you serious?”

Stephanie Goss:
I think the second thing that you said-

Andy Roark:
No, I did not. I did not.

Stephanie Goss:
… Was, “I am happy for you,” and we talked through it, but I do want to validate you, because it is really, really hard. I can only… That panic, I've been there, when the team member tells you, “Oh, I'm going to go out on maternity leave right when someone is taking an extended vacation,” or… It never fails. It happens at the worst and most inconvenient time. That was how I felt. And you were very calm about it, and inwardly, I was like, “Are you panicking? You can panic.”

Andy Roark:
Oh, I was living in a box. I was living in a box in the forest when everything fell apart.

Stephanie Goss:
You could panic now.

Andy Roark:
And the whole thing was disaster, and our company went out of business. I was mentally living in a box in the forest, but I was like, “Hey, where are you registered?”

Stephanie Goss:
But I think that it is, it's one of those things that, as a leader, you're right. It's one of those thankless jobs. Nobody is ever going to… I shouldn't say nobody. It would be a rare person who would acknowledge you for your calmness. I did have a technician say, “You know, you were really calm and I really appreciated that, because I really thought that you were going to lose your mind when I told you.” But very rarely is somebody going to acknowledge that, but you can make the difference for someone and you can create that safety.
I will tell you, that makes all of the difference in the world, because I had a radically different experience with you as my boss as I did with my owners at the practice. And so, I think that it's really important to remember this is hard. It is hard. It's never going to get easier, but it is a thing that you're going to have to deal with for sure.

Andy Roark:
It's funny, there's all these things that happen when people say, “Hey, I'm pregnant. I'm going to go to maternity, or I'm going to be out on maternity,” or whatever.
It's funny how many people immediately go to, “Well, why did you choose this time?” And it's funny, it's like, I get it. Again, I think that's a panic response. It's a panic response. But to me, it's hilarious. It's like they signed up for a class. It's not the same thing. It's not like, “Hey, it looked like a good spot in the calendar, so I thought I would just make a human right here. August is a good time to make a person. I'll just…” Again, but it's about trying to give grace and empathize to the people who are receiving this. And again, anyway, okay, so I'm going to push this really hard here in headspace, because here it goes.
Okay, your people are going to reproduce. They are, and it's going to happen. You are going to deal with it one way or another. The way that you show up, you have complete control on how you show up. Doesn't mean it's easy. It doesn't mean… It requires strength, emotional strength and fortitude, to say, “I'm going to put this news and what it means to me away and just be here and present for this person and I'll figure this stuff out later on.” And it is much harder to say than it is to do. You do have control about how you show up for that person. No matter what, this will pass. It will. You will get through it. The business will figure it out.
And you have the potential here, so I'm going to get a little bit romantic here, but I do think this is important for headspace and philosophy, you have the potential to be the boss who shows up for someone when they're having a child. You have the ability to be the good story about, “I was working for this practice when I did this and I went through it and they were there for me.” We tell our people all the time that we care about them. We tell them that we want to be happy. I'm not saying this is corporate policy, but I want to be a part of the lives of the people who work for me in a good way. I want to have a positive impact on their life. It's not just about seeing pets, it's not just about putting on conferences. I want the people to work for me to be positively experienced in their life by their time with me and with our company. I do.
This is my chance to do it. It's my chance to put my money where my mouth is and say, “I told you that I wanted you to be happy, and I cared about you as a person, and I do.” And so, this is where I step up and I freaking figure it out. I'm not going to let you shoulder that stress. I am not going to do it.
And for me, it's a core values thing. It's a philosophy thing. It's a being-the-light-you-want-to-see-in-the-world thing. And again, but I wanted to start by honoring the emotional experience of the people when you receive this news, it's not convenient. It shakes you. But, the two things that you should think are, “This too shall pass. We will figure it out. And now, I get to be the person that I would want to have, that I would want to work for.” And then you can make that happen.
You may not receive praise for it.
We have a mutual friend, Dr. Bruce Frankie and I love him, but he's told me stories before of working with people, and he's such a generous, giving person. He is a boss that I aspire to be. I want to be like Bruce. I try. He's someone I look up to him.

Stephanie Goss:
When we grow up, we would like to be like Bruce.

Andy Roark:
I want to grow up to be like Bruce, that's what I want, because he's a wonderful person, and he has told stories of having veterinarian… He told me a story one time about letting a doctor go. They had a significant disagreement, and 10 years later, they came back and they were like, “Hey, you really treated me very fairly and I just didn't understand that at the time, and I'm sorry.” And I'm like, oh man.
I love that story, because there are people out there who see what you do for them. There are people out there who get it. Maybe it takes 10 years before they acknowledge it or see it, maybe they never do. A lot of people probably do, but they're shy or they don't know what to say about it or whatever, but you have to put that aside and say, “I don't know this person will ever. They may never say thank you, but I don't care, because I'm not doing it for them to say thank you. I'm doing it because of who I am as a person and who I want to be as a person. This is my chance to prove it, to step up and to do the thing.” So anyway, I think that, from a headspace standpoint, to me, that's the best advice that I have. So anyway, yeah.

Stephanie Goss:
I think the last thing for me from a headspace perspective is recognizing that your first instinct for most of us as leaders is going to grasp for any sense of control that we can. That usually means our brain's running a million miles a minute trying to get answers to all of these questions. I think that it's really important from a headspace perspective to realize that no matter what it is, whether someone's pregnant, they're getting married, they're dealing with illness, this is where it gets murky, and you cannot go at them asking them to have a crystal ball and have all these answers for you.
They might have some, especially if somebody is getting married, they might be able to tell you when they're going to take their honeymoon and how long they want to be gone for, but they may have no idea. They may have just gotten engaged and they're telling you because they're excited.
Our first instinct is to go into control mode and want to ask all these questions and have all these answers. I think it's really important to remember that this is where it gets murky and there is no control from here on out. We can ask the questions and we can support them in trying to give the answers, and recognizing that we can't… Again, we have to control our emotions, because it does far more damage if we get angry or frustrated or show that to the team versus creating a space where it's okay to not have all the answers.

Andy Roark:
Exactly.

Stephanie Goss:
And letting them know that you're still here, you're still supporting them. And so, I think I'm recognizing that. It's going to get murky, and they may not have all the answers, and it's not fair to ask them to crystal ball it. I think is really important.

Andy Roark:
I think it's super important. Let me hit on this just real quick, too, because you're exactly right.
The truth is, okay, I guess headspace here, one last, maybe this is action steps. I think in this case, you have to let go of control. And that's really hard for people. But the truth is, there is no clarity. It doesn't matter. And again, I have known people, young parents, who are like, “Here's the schedule.” And I'm like, “Ha,” from your lips to God's ear, that's the schedule.

Stephanie Goss:
Yes.

Andy Roark:
You just don't know. I mean, we had an easy baby and we had a not easy baby who had thrush and did not sleep at all, and I was a different person in those times, but you just don't know. Then you've got… I mean, who knows what's going to happen? You could have a preemie that requires extra care.
You cannot know.
I understand people, desperately, they want control, they want to plan, they want to make adjustments. And again, this goes into, it's real simple. You don't have that control. You're going to have to wait and see how this goes. You just are. And, even emotionally, you don't know how parents are going to feel. I see a lot of people are like, “Oh well, when are you going to come back? Are you going to be right back? Are you not going to be right back?” And I think a lot of people are like, “I don't know what… I have no idea what this is going to be.”
And so anyway, I know that that's hard to hear, but it really is just true, and a lot of times, you are pushing for clarity that does not exist. If you push too hard, you're just going to end up with resentment, or you're going to end up getting people to commit to things they can't deliver on, and then they feel bad and you feel bad and everybody's angry and it's like, none of this was ever in your control anyway. You were kidding yourself.

Stephanie Goss:
It's so great. I think that's a great segue into the action steps, because that was actually one of the questions that our writer asked us, was, and they asked it from such a great perspective, because they said, “How do you deal with it when somebody says they're going to come back, but then they want to come back part-time or minimally or not at all?” And they framed it with, “I know that that happens. I recognize that that happens, and how do I handle it? Because I want to support them, but also, that's really inconvenient.”
So I think you're spot on with that in terms of, again, it's one of those things we can't control.

Andy Roark:
Yeah. Well, these are such excellent questions. They've got four questions here. I think we should just take a break, and then we should come back, and I think we should answer their questions rather than laying out general maternity policy.
Except maybe for one caveat. I'm going to lay down one ground rule at the very beginning, and then… all right, let's take a break.

Stephanie Goss:
Did you know that we offer workshops for our Uncharted members and for our non-members? 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.

Andy Roark:
All right, so I want to do these questions, but I just want to say, real quick, upfront, the right time to create a maternity policy is not when someone tells you that they're pregnant. That's a terrible time to create policy.
You don't want to be creating policy when someone has just given you this news. It looks bad, it feels bad. People take it personally, it's just not good.

Stephanie Goss:
There will be crying.

Andy Roark:
Yeah. And you're like, “I don't know, let's make this rule.” It's bad. So, if you don't have this problem and you don't have a maternity policy, get one now. You get your employment lawyer, figure out what's legal in your state, what are the norms, try to come out. And I think this is important, too. When people make policy staring down a problem that makes them afraid, they have a tendency to make a not fair policy to their employees. They end up making policies that are unpopular because they are driven by fear and not a wide-eyed idea of what's happening.
Anyway, my advice is figure out what your policy is going to be when you're not in it so that you can be unemotional and you can really think about it, and then do your research to make sure that you are following your state regulations and that you are proud of the policy that you have.
That's my one caveat here before we start answering questions.

Stephanie Goss:
Look at you, stealing my thunder about making sure that you're checking the boxes legally. I'm super proud of you.

Andy Roark:
No, well, I mean, thank you. Thank you very much. It was a, “What would Goss do,” moment. I was like, “What would Goss do? Oh, she would…” And then she would put it in her handbook. She would come up with a policy and she would put it in her handbook. WWGD.

Stephanie Goss:
Okay, so question number one was, “We are a smaller team, so we have a lean staff. We don't have extra hands.” So they were asking, “We are going to have to hire if we have multiple people who are going to be out at the same time, right? That's a reality.”
And I think I would say, absolutely, because this is where you and I get into… The team can work shorthanded for a day, a week. When we're talking about pregnancy and maternity leave, for all of the reasons you mentioned, because you have no control and you don't know what's going to happen, you can have a person who comes in and tells you that I was so excited and so happy and I was like, “No, I'm going to work. I want to keep working, and I love my job,” and blah, blah, blah.
I had hyperemesis with all of my pregnancies and I was put on bedrest within the first four weeks after I found out that I was pregnant with my oldest. And so, I was on bedrest until my last trimester. That was not something that I thought was going to happen or could control. So, I think it's really important to recognize you don't know what's going to happen. We're talking about at least nine… Well, if you're finding out right at the beginning, nine months plus maternity leave, which is another couple of weeks to months depending on people's desires and needs, and so this is not a, “We can manage it for a couple of weeks,” especially if you have multiple people and multiple timing. You have to look at this like a longer term process.

Andy Roark:
So I would say, I think you're right. It depends. It depends.
Again, I'm maybe be a bit more wary about hiring people than you are, but that's just kind of how we are. As a person who has to pay people when we hire them, I'm like, “No, I don't know. Let's slow down here for a second. Let's slow down everywhere.” So it depends. It depends right on, is this one person that we're talking about or is this really a series of people that we're going, “Okay, we're going to be in this. This is going to be an extended thing,” then I would move quicker. The other thing is, I think you and I also agree with this, and a lot of it is in the details, but you and I also agree that generally best practices is we don't like to be staffed perfectly.

Stephanie Goss:
Correct.

Andy Roark:
You want to have extra capacity, because people are always going to get sick. Something's going to happen, they're not going to show up. If you are like, “Bam, we are perfectly staffed,” I'd be like, “You are understaffed most likely,” because something is going to happen.
And so, I think if we've got staffing… And again, we are where we are, it's no shame, but ideally, we'd like to just live with a little bit of extra capacity so if somebody's out, it's not the end of the world. If you've got one person going out and you're staffed a little bit above capacity, then what I would say is, “All right, great. We've got a little bit of wiggle room here.” My first step I think would be to kind of audit our workflows and kind of be like, “All right, what are we doing here? Are there things that we could do differently? Are there services that we could alter? Are there things that we could take away? Could we, I don't know, tone down our boarding for a little bit and maybe not run at full capacity boarding and pull people over?”
I don't know. Just think… I would try to think outside the box.

Stephanie Goss:
Absolutely. Are there internal solutions?

Andy Roark:
Exactly. Are there internal solutions, things like that. Kind of process that. It's not wrong to ask the team. It's not wrong to go to them and be like, “Hey, we're looking at this. This is where we're going. I don't want you guys to be short staffed.”

Stephanie Goss:
“Gut check. How do you guys feel?”

Andy Roark:
“Gut check. How do you guys feel?” And again, a lot of people, it depends on your team, it depends on your relationship, the trust that you have, how big your staff is. But I'm telling you, if you can have those conversations with your team and just say, “Gut check. What are you guys feeling? I'm not committing anything, but I want to know where your heads are.” And they're like, “We're dying. We're overwhelmed.” You say, “Okay, great. I can count on you guys to help me hire, correct?”
And then I'm going to start saying, “If you have a friend, let's do some referral hiring. Let's start to look at those things.” I can recruit them into helping me bring someone in. I can recruit them into onboarding. I can try to leverage my team, because they had a voice in this process.
And if they go, “Nope, we don't want anybody,” and I think that we really need somebody, I may still hire and still move forward, but at least I've explored where their heads are. All of these things, they might impact my thinking, and so those are kind of things.
I don't know that it's a, “Heck yes, you've got to hire,” I think you should run a quick audit, see where you are with your workload, see where you are as far as, “Can we flex over?” Maybe do a gut check with the team and say, “Hey, you guys, are you on board with this?” And then, I really do think getting your team involved, that's a great way to hire, is to have people who say, “I have a friend who could come in. They're looking for a job. I think they would be really good.” And it's funny how you can get the buy-in from the team and they can help you recruit and they can help you fill that spot. I think that's how I would play it.

Stephanie Goss:
Yes, and I would agree with you. I think it's smart to look internally and see what you can shift. In this case, this owner did a great job of going through the audit, and they have half their team who is pregnant or is trying to get pregnant. So in that case, yes, absolutely hire someone else. This is not going to be a short-term fix.
Which leads to their next question, which is a great one, which is, “Okay, what do we do with the new team members when everybody comes back?” I think this is where remembering the last bit of headspace, this is the crystal ball land, and it's murky, and who knows. So, if everything goes perfectly according to plan and everybody comes back when they say that they are, then you might have to face the fact that you are a little bit overstaffed. And what I would say, and their concern was, “When we have extra people, that's when we maybe get a little less efficient and there's a little bit more hanging out and standing around.” I totally get that as an owner and as a leader. I get that concern. And, I think it's really, really important to remember life happens.
This is where I go back to my answer for number one, which is I have almost never been able to say that I was truly overstaffed, because something always happens. Someone decides to go to tech school. Someone decides to get married. Someone wants to take a four-week vacation to ride their bike from San Diego to Florida. Whatever it is, it happens. And so, I am a big advocate for hiring smart.
I think, “Do you need to replace every single person on your team who's going on maternity leave?” Probably not. But, “Do you need to get some extra staff to help get you through the season?” Absolutely.
And I think the answer to number two falls in finding that balance, that sweet spot between being able to absorb it and grow when they come back, if they come back.

Andy Roark:
I completely agree. Yeah. I didn't think to clarify that. Yeah, I would not one-for-one replace.
“People are going out on maternity. Well, then let's hire someone continuously to replace that.” No. “How many people do we need, knowing that we've got this ebb and flow, knowing that we're going to get spread thin?”
You are not going to be comfortable. You are going to be uncomfortable. That's okay. A lot of life is being uncomfortable. Get used to it. That's it.
What I would say is, look ahead, see how much… What are we talking? If you're talking about, “This is going to be a hard two months, let's hire somebody.” I'm like, I don't know, I'd suck it up for two months. I'm assuming things aren't really bad. But if you're talking about, “We've got this, it's going to be the better part of a year,” I would say hire someone. And then they say, “Okay, but then when everything is back, what do I do?” And I would say, “The world will be different. It will be different.”

Stephanie Goss:
Cross that bridge when you get to it.

Andy Roark:
Exactly right. You have no idea what you're going to be looking at. I would not worry too much about this. Yeah, I would not worry too much about this.
The worst case is, you're going to carry this person for a year and then you're going to say, “Hey, we are overstaffed. We're going to need to move you to another position or find another seat in the bus, or we're not going to be able to… We're going to have to downsize.”
But I can't remember the last time that happened. Something always happens. Somebody moves away, they just leave. I mean, something always happens. Don't sweat too much about a year from now, nine months from now, “What am I going to do?” I was like, “The world will be a different place in nine months. You're going to have to get there and then see what you're looking at.” I agree with you completely.

Stephanie Goss:
Yes.
So, their third question was the question about, “How do you prepare when somebody says, ‘I'm going to come back full time,' and then they change their mind?” Whether they only want to come back part time or they are not going to come back at all. And so, their question was about, “What are some of the signs that might be the case?” And I think the hard answer is there are none. You don't know.

Andy Roark:
Yeah. You don't know.

Stephanie Goss:
And here's why, because as a human who went through this, and I was sure that this was my plan, I was like, “Nope.”
When I had my first, I was all in and I was like, “I want to stay home. I want to experience it.”
And let me tell you, by the third week after I had my daughter, I was literally going to Target every other day just to have adult conversation with the person at the checkout stand. I was miserable as a stay-at-home mom. “I love my kids, but I need people. I need conversation. And I miss working.” So, I was sure, and I had told them. And my boss was so excited when I called and said, “Hey, can I go back sooner than planned?”
And most of the time, for us as leaders, unfortunately, it's the other way around, where someone says, “I'm going to come back,” And then they change their mind and they want to stay at home more. I think the thing to remember is that there are no signs. The best thing that you can do to survive this is have great communication. The way that I set it up with my team is I just say, “You're not going to know.” And I tell my team, “Thank you for telling me that you want to come back full time, and I am not going to hold you to that, because you're not going to know until you get to that bridge. So, keep communicating with me. We'll keep the doors open. We'll set up some regular touch bases. I want to see how you're doing, how the baby's doing, and we'll plan when we get closer to that point.”
Because, especially if you just found out you're pregnant, you're not going to know what is going to happen after the baby gets here. They have no idea. I approach it from the perspective of, “Let's keep the lines of communication open, set up some regular checkpoints. You're not asking them to work while they're on maternity leave, but let me know how you're doing.” It could be a text, it could be an email, and just keep the communication ongoing, and as leader, that's something you have to stay on top of. Because it's really easy to just be like, “Oh yeah, they told me they were coming back,” and then it's a week before they're going to come back and now you're getting the email that's like, “Oh, I've changed my mind.” And that's when we go into panic mode.

Andy Roark:
Yeah, I agree with this. The thing that this feels like to me is the question that we get a lot about investing into people in training and then having them leave. It's like, “What do you do if you invest into people and then they leave?” And you and I talked about this before.
I've got an article I really like. It's called Fare Thee Truly Well. It's something I'm proud of. I think it was inspired by Bruce Francke, who we were talking about, and sort of conversations I had with… If I remember correctly, it's at least a year old. But the basic idea is people say, “Well, I invest in these people and then they leave,” and my thought is, when we grow people, when we develop people, when we work with people, we should do what we're going to do for them because we want to do it, not because of some idea we have about what they're going to do for us in the future.
I see that as a root of a lot of pain and resentment and unhappiness, is they're like, “Well, I did this, but I thought she was going to stay for another year.” And I'm like, “You don't know. And she doesn't know. You should do it because you want to do it and that's what you wanted to do and you want to be that type of a boss or you want to provide this experience, or don't do it.” But don't do it with hidden strings attached about what they're going to do or how they're going to behave in the future. That's not fair, and it just never works, and so just do it when you want to do it.
If you buy into that, and the same thing is true here, where I go, “We provided this experience, we provided this environment, because I want you to be here and I want you to be happy, not because I want you to pledge to come back or behave in a certain way after you got from maternity.” I don't think you're can ask people that, and you shouldn't take it personally if they decide to be gone. It's a choice the individual person makes.
My wife was the exact same boat as you. She geared way down on work for the first year of our first child. And she was like, “I got to get out of here. I got to get out of here.” And that was it. But people are different. And so, I think part of it's just, again, it's that… I think we're sounding like a broken record in a way. You don't have this control. I think the best piece of advice I can give is, one, to say you don't know. You're not going to know. Don't drive yourself crazy trying to read the tea leaves or guess what someone is thinking.
I would take it back to dating advice, relationship advice. And it's funny, a lot of times we end up talking about dating, it's because relationships are relationships. The number one way to get someone to want to be with you is not to follow them around and ask them, “Do you want to be with me? Are you still going to be with me? Are you going to be with me in the future? What do I need to do to make sure that you're still with me?” It's not, it's to be freaking awesome. It's to be awesome. It's to be good to be around. It's to care about them, to do your own thing, take care of, handle your own business, and just be a generally good person to be around. If you do that, I think that's your best chance of getting someone to say, “I want to continue to be around you.”
And that's just the same thing, but you still can't, you cannot take this as, “Oh man, Andy said I should be awesome and I clearly wasn't awesome enough because this mother or this father decides he wants to stay home with his kid more than he thought he would.”
That's not about you, my friend. That's about them. All you can do is what you can do, and then you have to go on with the cards that you were dealt. It's the same thing as we said in the question before. It's like, you can't know. You're going to have to get there and see what it is when you get there.
I've got this idea. I think I'm going to write it up, because I've been thinking about it a lot. Let me bounce this off of you and see what you think.
Okay, so I was taught and grew up with this mentality that a problem was a puzzle that I could attack and solve, right? That's what it is.

Stephanie Goss:
Okay. Sure.

Andy Roark:
As I have gotten older and I have seen more of the world, I believe that some problems can be attacked and solved as puzzles and others have to be dissolved. Meaning, they have to sit. They have to sit and you have to sit with them. And over time, oftentimes, these puzzles will start to come apart and you will get some insight into how to approach them. And then one day, the problem will just come apart in your hands and you'll go, “Oh, that's… Why didn't I think of that a year ago?”
And the truth is, because you didn't have the clarity a year ago. It was not a puzzle you could solve a year ago. You had to dissolve this one. And a lot of the questions about what do we do, if and when they come back, those are problems that have to be dissolved, which means you're just going to have to sit with them. And that's not failure. I think a lot of people are like, “How do I solve this puzzle? I can't solve this puzzle. I'm failing.” And I'm like, “You're not failing. That's just a puzzle that can't be solved. It has to be to dissolved.”

Stephanie Goss:
Well, yeah, I think there's something to that, for sure, and I think that this is a great example of one of those ones where time… And it sucks that that's the answer, but you got to sit with it because who knows what's going to happen? You can't read the tea leaves.
I think the last question was, which is a great one, which is, “How do we prepare for all of the extra sick days and last minute call-outs that inevitably come from team members who have small young children?” I think it's a great question, and see the answer to number one, which was, “We need to hire more staff.” And this is another reason exactly why. Because, it's not just the pregnancy. It is the maternity leave afterwards, and then it is, as a parent, like you, who went, “I had horrible infants.”
Again, I love my children with all my heart. They were horrible infants. They both had some health challenges, and they both had severe ear infections, and I was out constantly. As much as I wanted to be at work, in order to support me being at work, they had to go to daycare. What happens when they go to daycare? They become petri dishes.
The good news was, and I vividly remember it, and I just was so appreciative of our pediatrician who said to me, “Stephanie, this is a season.” And he was just like, the really important thing, he's like, “I want you to just hold this in your head. When they get to grade school, they will never miss school being sick, because you're getting it all out of the way now.” I in the moment could not hold that, but then when they got to school and all of their friends were constantly getting sick and they never got sick and they still never get sick, I was like, “Hell yeah. He was totally right.”
And it is true, but it's a season. I think, as an employer, recognizing that. You focus on the pregnancy and you're like, “Oh, this is nine months, we can get through this and then everything's going to go back to normal.” Everything doesn't go back to normal. Life happens.

Andy Roark:
I think it's funny. It's funny, you went back to question one. I'm going back to question two, which is, “What do we do with this person that we hire when everybody's back?”
And then question four is, everybody's going to be sick all the time.

Stephanie Goss:
Yeah, that's what I mean.

Andy Roark:
Good thing. Good thing we staffed. Good thing we ticked up our staffing a little bit, because we're going to tank this. That's my answer there is, you're right. It's interesting to anticipate these things. Who knows if that's going to happen or not. You have to wait and see.
But, it is very possible that a year from now you'll be like, “Oh man, everybody's back and we should be overstaffed, but life is happening because we have these little people at home, and we're not overstaffed.” And you know what? You're going to have to get there and assess it.
But that's basically the idea, is try to be intentional about your capacity, your efficiency, and then think about your staffing. And again, I would staff on the heavier side and just say, “We have to be overstaffed sometimes so that we can handle the other days.”
Otherwise, your option is, “We are staffed perfectly when everybody's here and then we're miserable all the other times.” And as the all other times, meaning the times that we are not fully staffed, as that number clips up, you're going to be miserable more and more. So anyway, it's got to be that sort of staffing. You're just not going to be able to… You might be able to run a really tight ship, a really lean staffing, when everybody is 20-something and no one has kids at home, when they're not pregnant, and bam. But at some point, things change.
I'll tell you, if you had a staff full of septuagenarians, you would have to staff heavy too, because they've got… They're going to have-

Stephanie Goss:
Doctor's appointments.

Andy Roark:
They're have doctor's appointments, and it's just phases of life.

Stephanie Goss:
Appointments to look at all the money in their retirement account because they're counting down the days.

Andy Roark:
Financial planning appointments. Just, people calling out because they just can't get out of bed.
I'm not trying to be anti-septuagenarian, just… You know what, let's just be done.

Stephanie Goss:
We started it off the rails. We're ending it off the rails. It's good. It's good.

Andy Roark:
And that's why-

Stephanie Goss:
We're done.

Andy Roark:
… We don't have whole practices staffed by people in their seventies and eighties.

Stephanie Goss:
Or in their early ages where they're all going to have babies at the same time.

Andy Roark:
Or when they're toddlers and they all have ear infections. We don't staff toddlers.
Okay, that's it. We're done. That's it. Let's be out.

Stephanie Goss:
Have a great week, everybody.

Andy Roark:
See you, everybody.

Stephanie Goss:
Well, gang, that's a wrap on another episode of the podcast, and as always, this was so fun to dive into the mailbag and answer this question.
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, Vet Tech

Nov 22 2023

Hospitality in Veterinary Medicine: It’s An Art

Uncharted Veterinary Podcast episode 260 cover image

This week on the Uncharted Podcast, practice management super nerd, Stephanie Goss, is joined by a very special guest co-host. Debbie Boone, CVPM joins the podcast again, this time to discuss a topic near and dear to Stephanie's heart – the art of client care. For those of you who haven't met Debbie, let us introduce her. Debbie is a CVPM and Fear FreeSM Certified. She has worked for the veterinary profession for more than 35 years. Debbie's business, 2 Manage Vets Consulting, helps practices develop extraordinary team communication and business skills, enhancing patient care, improving profitability, and increasing practice value. She strives to improve the lives of animals by using her expertise to improve workplace culture and the well-being of veterinary professionals. 

Debbie recently published her first book, Hospitality in Healthcare and Stephanie wanted to take the chance to talk with Debbie about hospitality and what lessons we can learn and apply inside our practices when it comes to making clients feel welcome and invited in to our practices. Let's get into this…

Uncharted Veterinary Podcast · UVP – 260 – Hospitality In Veterinary Medicine: It's An Art

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

The Uncharted Leadership Essentials Certificate

Debbie Boone Consulting

Dr. Tasha Eurich

UNLEASH YOUR LEADERSHIP POTENTIAL

Are you ready to elevate your impact as a leader in the veterinary field? The Uncharted Leadership Essentials Certificate is your blueprint for leadership success. Developing the skills you need to succeed as a leader in today’s dynamic veterinary business landscape starts here. An Uncharted Leadership Essentials Certificate provides you with seven crucial building blocks to lead with confidence at any level and achieve excellence in your veterinary practice. This program offers 8 hours of CE that will equip veterinary professionals to lead high-performing and collaborative teams delivered on VetFolio’s comprehensive, on-demand platform.

  1. Develop the skills you need to dive boldly into any leadership role.
  2. Sharpen your ability to build trust, be an effective coach, hold people accountable, achieve buy-in, and align your team's vision.
  3. Grow and retain leaders in your practice.

Get ready to chart your course as a leader in vet med. Earn your certificate with the full Leadership Essentials program or choose the individual course(s) that best fit your professional goals. Learn more: https://unchartedvet.com/certificates/

DON'T MISS YOUR CHANCE TO JOIN US…

December 12, 2023: Recruiting & Retaining Millennials
with Tierra Price

Time: 1pm ET/10am PT – 3pm ET/12pm PT

This workshop will give you tips and tricks on creating irresistible job offers for millennials and developing roles that will retain them in today's challenging recruitment landscape. Veterinarians are in high demand, but prepare to find out how accessible this market can be, no matter the size of your practice!

This workshop is 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 (00:00):
Before we get into the episode today, I just have to say a huge thank you! I would be remiss if I take get a chance to say that PLS, The Practice Leaders Summit is happening in just a few short days when you’re listening to this podcast episode. And that means we’re all getting together in Greenville, South Carlina, to celebrate the unique and wonderful position that is being a leader in veterinary medicine. We’re getting together with some of the best and brightest practice owners, practice managers and we’re talking about the real challenges that face us when we run our practices day to day and I am super super excited. And this is a very different event. It is small. It is boutique. It is designed so that everybody that comes gets to meet every other single attendee that is there. We get to talk about the nitty gritty in real time, about the challenges we’re facing as practices, the wins we have with our teams and really set a plan for the new year so that we can walk into 2024 set up with success. And we couldn’t do it without our industry partners and we have some amazing ones this year and I just want to take a second to say thank you from the bottom of our Uncharted hearts to our Anchor Club sponsors. We have different level partners and we have a lot of amazing ones, but this group, these guys are fantastic. They stepped up in a big way to help make us successful in terms of throwing the Uncharted events for you and your team and I just want to say thanks. So to Nationwide Pet Insurance, Hill’s Pet Nutrition and Total Practice Solutions Group, thank you, thank you, thank you for being Anchor Club Sponsors. Thank you for letting us go out on a limb, try some new and crazy things, like our Practice Leaders Summit and for coming to Greenville and having a good time with us. Okay, now we can start the podcast.

Hey everybody, I am Stephanie Goss, and this is another episode of the Uncharted Podcast. And this week on the podcast, I am joined by a very special guest host, my friend Debbie Boone. For those of you who have not met Debbie or heard her previously on the podcast, Debbie is CVPM. She's Fear Fear-Free Certified. She has been around in veterinary medicine for over 35 years. She's one of those voices that I think about when the conversation turns to team communication and creating positive culture. And she does some consulting now and amongst other things and she's written a book. And when Debbie's book launched, I was super excited about the idea of having her on the podcast because her book is about hospitality in healthcare. And in fact, that is actually the title of the book. And I'm particularly interested in having a conversation about the idea of hospitality in veterinary medicine. For those of you who know me, I started at the front desk and I'm super, super passionate about the client relationship and the care that we give our clients in addition to our patients. And so I thought this would be a great opportunity to have Debbie on the podcast again and nerd out about the art of hospitality in veterinary medicine. So, let's get into this.

Speaker 2 (01:31):
And now the Uncharted podcast.

Stephanie Goss (01:39):
And we're back. It's me, Stephanie Goss, and I am here with a special guest. Today I'm back by Popular Demand with my good friend and colleague, Debbie Boone. We did a podcast together previously talking about customer service, and Debbie has just released a new book. And when it was getting ready to come out, I said we have to do a podcast and talk about the book. And so I'm taking advantage of the fact that when I am recording this, Andy is on vacation. And so Debbie and I are having a conversation and sitting in the Andy Roark chair so that we can talk about customer service and veterinary medicine and hospitality. Welcome to the podcast, Debbie. I'm so glad to see your face.

Debbie Boone (02:21):
It's good to be back and I'm so looking forward to, we were laughingly calling it our Meanderings because this is what we do. We both are so adamant about taking care of people in the veterinary world that we go off on tangents, but hopefully you guys enjoy some of our tangents.

Stephanie Goss (02:40):
I have a feeling I'm going to try and keep us on the rails, but I have a feeling

Debbie Boone (02:44):
We'll try.

Stephanie Goss (02:44):
I have a feeling this will be one of those conversations. So I want to start real big because you just had the book come out and I want to talk about the book. So, tell us what the book is called and where we can find it.

Debbie Boone (02:57):
Sure. The name of the book is called Hospitality and Healthcare: How Top Performing Practices Boost Team Happiness and Give the Best In Care to Their Patients. So the idea behind the book is that when we learn good hospitality skills, great communication skills, we not only make the lives of our clients better, but we make our own lives better because clients are not upset with us. And so we have a better work environment. And then hospitality skills can be used internally too. They're not always facing the customer. So when we understand each other better, we develop good listing skills, we learn to observe people's body language and know their personality styles. We actually can develop a much better culture and enjoy our work more.

Stephanie Goss (03:49):
So as long as I have known you, you have had this focus on kind of, the white Glove, Ritz-Carlton customer service experience, and that has been both in your practice as a manager and then as a consultant working with practices that has been a passion and a focus for you. My first question about the book was I started reading and I started, I hear it in your voice when I'm reading it, it feels like a conversation with a friend. I love the feel of it, but what I noticed was that you went really broad with the book in the sense that it wasn't, you weren't just talking about veterinary medicine, you were talking, you chose intentionally to talk about healthcare in general. And I think that there is a lot of lessons as consumers and as people who partake in healthcare on a human level. I think that there's a lot of applicable lessons there. But for you, why when you sat down and said, I'm going to do this thing and I'm going to tell the story, you have so much that ties to veterinary medicine and your experiences there. Why did you choose to go broad with the topic?

Debbie Boone (05:03):
Well, truthfully, it was my own experience as a consumer of human health. And I think everybody who knows me, first of all, you asked me a question I didn't answer, which is vailable on Amazon, Barnes and Noble and all the routine places.

Stephanie Goss (05:18):
And we'll put links in the show notes. Everybody can find it easy.

Debbie Boone (05:22):
Yes. But if you think about as a patient, we go through some experiences ourselves with our care providers and those experiences are negative. We don't get our doctors paying attention to us, they're not listening to us. The staff is not trained on good customer service. So we don't feel welcomed into the practices. We just run through a machine. And I feel like in order to get good healthcare and my mother is almost 90 so I've been doing a lot of caregiving and helping her with her stuff, a lot of this is just done for efficiency but not done for great patient care. And in veterinary medicine, my great fear is that with so many corporates and many of them not to bash investment bankers, thank you for putting money into our profession. But the problem is that they don't see it the way we see it. And we should be looking at it as caregivers who are connected with the client or as a human connecting with the patient.

(06:33):
So we're actually getting a whole picture of the person that we're trying to care for. We don't listen very well. And that's a problem because we miss things. It's important things and our clients and our patients feel disrespected. And so when that disrespect kicks in, then they become antagonistic and then our work life suffers because now we're battling people instead of collaborating with them. And so the whole idea behind the book is let me teach you skills on both sides of that exam table to be able to better work with humans and understand where their needs are and why they're doing the things they're doing and why their reactions are what they are. And then maybe we can better serve them and they will be more supportive of us. So it's a win on both sides. And I know this because I lived it.

Stephanie Goss (07:28):
Right. Okay. So much good stuff there to unpack. So let's start with the human healthcare side because I think there's some really good parallels here to veterinarian medicine. In reading. At first I was like Debbie, in my head I was like, Debbie has so many experiences that relate to veterinary medicine. And in my head I was like, why doesn't she should go hard in the paint on our stuff because there's so much that you have experience wise that contributes to that. And then I was reading the story about your own healthcare journey and navigating both good and bad care and knowing what it feels like to have exceptionally negative care that leaves you not really feeling like a human, but feeling like a statistic in their practice. And thought about the parallels to that thought about my own experiences, but also thought about the parallels to that to veterinary medicine.

(08:27):
And I think in that moment, the first light bulb went off for me in reading it, which was doctors go to med school to treat patients the same way that veterinarians go to school to learn how to treat patients and no one, and especially in human healthcare, the model is not also learn how to run a business because they are almost solely set up now. It's not even 30 or 40 years ago where you go to med school and then you open your own practice and you're like a veterinarian and that you're learning how to run the business. And so to your point about corporates, I think we're in that, I don't know that it's just corporate, but I do think that in veterinary medicine anyways, there are definitely people involved in running the business side of things who fall on one end of the spectrum, the extreme ends of the spectrum where if you focus on business to the exclusion of all else, to your point, you forget about the humans involved and you forget about the animals involved and you're just focusing on the numbers and the patients and on the other end of that spectrum are practices both in veterinary medicine and in human healthcare where you're focusing solely on the patients and not practicing good business practices.

(09:44):
And so you're not successful. And so a lot of things that Andy and I talk about on the podcast, I think it's really about finding that balance. And I think that there's this narrative both in human healthcare and in veterinary medicine that comes up, that it's about the structure and the system and the man and corporate and in human healthcare, the same conversation happens because now all of these hospitals are set up to be run by corporations. But I don't know that when you step back, and this was the sense that I got in when I was reading through about your own experiences, it's not really about that. It's about, to your point, it's about looking at our clients, whether we are a client in a medical practice as a human, or we are a four-legged patient in a practice that has a client in our building and we are taking care of them in veterinary medicine.

(10:39):
It's about treating each other like humans and not forgetting even as we run the business, even as we are efficient, even as we are effective, not forgetting that it's about the human connection and the human experience and how do we put that front and center and focus on not to the exclusion of not having good business practices, not to the exclusion of all else, but when we put that front and center and practice good medicine and take care of the people within our teams, our clients, that the money follows, right?

Debbie Boone (11:12):
It does. Yeah.

Stephanie Goss (11:12):
And so does, that's a message that I have always heard you had. And so I love that I ultimately in the beginning, although I was questioning it as I read through your own personal story, and I don't want to share it because I want people to read it because it's wonderful in reading it to reading through it in the book, and I was sitting there with you in some of the situations that you were experiencing, I could correlate that to my own medical experiences. And even if I couldn't, I think anybody who reads it would have empathy for you as a human being as a patient feeling like you are in a cold, sterile room and you are just another number in a practice. And I hate when we have those experiences where our clients feel that way. And so I love that you chose to go widen and look at it from that perspective.

Debbie Boone (12:01):
Well, I felt like no matter what position you held in the animal hospital, if you had almost everybody's been a patient at some point in time, and so we tend to lose sight of the fact that when we're the medical provider that at one point in time we were sitting on the other side of the exam table and tend to remember how it felt when you were unsure and when people were talking over your head or when people were basically had your life in their hands and they acted like it was nothing more than a clinical problem to be solved.

Stephanie Goss (12:39):
Mmmm-hmm, just another day.

Debbie Boone (12:42):
Just another day for them. But I'd make a mention of the woman who was my radiologist when I was getting my ultrasound for diagnosed me with cancer and she was worried about her in-laws visiting, and I said, she was not the most stressed person in the room. I was waiting for a cancer diagnosis and she was ignoring me completely and thinking about herself and talking about herself to her coworker. So I feel like we need to pay attention to people, and that's really the premise of the book. Now, the other thing that I think people, oh, this takes too much time. We don't have time. We're running and riffing and racing, it doesn't take long. It just takes seconds and it just takes awareness and concentration to not forget that there are people involved, whether it's the pet owner or whether it's the human being in front of you.

(13:40):
These are people's lives and the pet is important to them or they wouldn't be in your door. This is something that matters to them. And we all know, especially with millennial and Gen Z generation, these are sort of good children for a lot of people. And so I used to teach my doctors, and this is years back, you are furry children, pediatricians. And I think I was having a premonition of what it would become, but that's the way I felt like we should treat people. And it worked. Certainly it worked. I always laugh and say, my practice owner retired with three homes. It works pretty well if you listen, so we can do so much better. And the other part of this is by listening better, we actually speed ourselves up because we don't miss things if we are intently listening. And the exercise I've always given to students when I'm teaching is if you're trying to teach somebody how to actively listen, think about playing.

(14:42):
Simon says, and when you were a child and you were playing, Simon says, and Simon says, sit up. Simon says, sit down, stand up. I messed up because I didn't listen. So we have that intensity about it, but when we do and we listen without distraction, we don't miss things that matter like, oh, I was supposed to give this dog a bath before it went home, or, oh, he needed a rabies vaccine. The owner okayed it and I forgot to write it down. So those are the little things that slow us down is missing those types of requests by clients or missing subtle things that they may have said that all of a sudden will make your light bulb go off for the diagnosis went, oh my gosh, you didn't tell me he swam in a lake of green algae.

Stephanie Goss (15:29):
That makes sense.

Debbie Boone (15:30):
Now it comes back. So we need to do better job listing, a better job asking those open-ended questions, which we're all taught to do when we are looking at conversation or diagnosis or talking to our fellow coworker. I know you and I, we've talked about being curious when it comes to coworkers, and we talked a little bit about being curious in this book because curiosity solves so many problems rather than accusations. And so we have a client come in and this dog is emaciated or it's been limping, and we instantly make this judgment. So there's a toll chapter about judgment. So instantly make this judgment, this is a bad pet owner when what we may not understand is this dog may have gone missing in the thunderstorm, it's been out roaming for two weeks. They finally got it back after putting it 500 posters and it's coming into your door. And yeah, it's emaciated, it looks terrible, but let's ask the situation first rather than judging. And I think we do that with people too. Our staff is like, well, she's always late for work. And then we start going, well, it's why is she late for work? What's going on in your life that is causing you to have these challenges and what can we do to help you overcome those things rather than the accusation that automatically puts people into defense mode? It never helps.

Stephanie Goss (16:54):
And no. So there's two things that I think you hit spot on there. So the first one was when you were talking about human healthcare and your experience with the radiologist tech that I think that we forget that, and I think they do this in human healthcare too, to your point and the story, and you illustrate this really well with your words in the book, it may have been the 19th patient that that person saw in the day and they were doing their job really well and getting you in and out and not making it physically, trying not to make it physically uncomfortable. And that's only a piece of it. But you talked about addressing the emotional piece of it because for you it was your first time experiencing the anxiety and the overwhelm and fighting the panic within yourself of, am I going to hear a life-changing diagnosis today or not?

(17:54):
And it's the same for our clients, even on a very small level, I think in veterinary medicine, we are really good at empathizing. And so when we do the big things, giving someone a cancer diagnosis, talking to them about the fact that their pet needs to have a limb amputated, maybe it's time to consider quality of life, and you have the quality of life in euthanasia conversation, we do those really, really well where I think a lot of us struggle within our practices, and I know this ebbs and flows, and I remember times we're vividly struggling with this with my team is remembering in the day-to-day mundane to your point, to not judge and remember that it might be that client's first time. So we think about a puppy visit that comes in the door and they have 20 million questions for us, and we're like, come on, we've got to stay on time.

(18:49):
We've got to get in and out of this appointment to us. It's another process. And it might be our 19th time that day giving the conversation exactly for that client. It might be their very first time having a puppy. They may not have done this before. And so I always think in the conversation that I always tried to have with my team came from, and I think you'll recognize this, but it came from my own experience with being a Disney fanatic, but also I had a dream once upon a time, my life dream was to be a Disney cast member, believe it or not, at one point in my life, I wanted to be the dancing Mickey in Fantasmic, and I hate Southern California, but I grew up in California and I was like, I'm going to move to LA. I want to be the dancing Mickey.

(19:47):
I was a mascot all through university and high school, so I was going for it. I wanted to be a professional mascot. That was the thing that I wanted to do. Ultimately, I was too short, but went through the process and went through interviewing and going through Disney casting process. And one of the things that Disney does really, really well is the client experience inarguably. You can think what you want about Disney and about politics and all of the things that people tend to talk about when we talk about Disney these days. And the client experience has always been number one for them. And part of the training that every single cast member receives, whether you are in costume, whether you work in the studio offices or whether you are sweeping and picking up garbage in the park, is how to put the client and the customer first.

(20:39):
And so I'll never forget reading the story about the people, cast members who are working in the getting training specifically to answer the question, what time is the three o'clock parade? And when you hear that question, you're like, that's a really stupid thing to train people on. The answer is in the question it's at three, not the point. The point is when someone in the park asked you, what time is the three o'clock parade, the answer is three, what time the parade starts? And that's the point, is that their question isn't about where does it start at three o'clock? Their question might be, where does it end? Where can I get the best view? What time will it reach me if I'm standing halfway through the park when you're asking this question? And so cast members are taught to your point, to ask more questions and dig below the surface and find out what is it that they're actually trying to answer.

(21:33):
And I think that that is, I have always tried to take that lesson in active listening and in not judging and in being calm. And really, I think in some ways I put it at the top of the list trying to treat every client. It might be their first time. And so even though I've already given the puppy spiel eight times today and we're running behind and I want to get out of the exam room, I need to try and put my best foot forward and listen to what they're actually asking and treat it. It could be their first time having a puppy. And the reality is we're not going to succeed all of the time. There are going to be days where we're busy and where we're rushing. And to the point that I think you illustrated so well with your own story in the book.

(22:22):
You'll never know when you may know, but you may not know when you screw that up for someone else and whether you make their first time or the most important day of their life so far, or that big news moment when you mess that up for them and the ripple effects that it then has on them and their experiences and other people who interact with them. And so I love that, and I love the focus on not judging because it's really easy to do. I can think of times where I'm like, really? That's the question that we have 10 minutes left in this exam room. That's the question you're asking me right now.

Debbie Boone (23:00):
Yeah, yeah. Well, it's human nature to judge and it makes us feel better. I gave the talk at AVMA about some brain science stuff and human nature says, we judge up or we judged down. So am I-

Stephanie Goss (23:17):
Or are you better than me?

Debbie Boone (23:18):
And so yes. So then I'm judging and going, yeah, I'm a little better, and then are you better than me? And that's where imposter syndrome comes in because we're judging other people. It's better than we're, but the truth of matter is we just really need to have a moment to self-talk. And like you said, you learn the skill of talking to yourself. And this comes into the self-awareness part of it. So I talked about self-awareness. I went to the Veterinary Innovation Summit last year and I listened to Dr. Tasha Eurich and she was giving a talk on self-awareness and the light bulbs started to go off. This is just wonderful because we're not self-aware, and I love the illustration that she gave. She asked everybody, how many of you think that people cannot drive these days?

Stephanie Goss (24:01):
Everyobdy raises their hands.

Debbie Boone (24:03):
And she said, okay, if everybody can't drive and all of you raised your head, then somebody in this room can't drive and it's going to have to be one of you. And so we don't have self-awareness that we're a bad driver, and that's just part of it. So if we learn self-awareness, then even when we're talking about discrimination, biases, stereotypes, and I have a whole chapter in the book about this, is that we learn to catch our brain in its mid shortcut, which is all, this is what this is, and we go, stop. This is not sensible. It is not smart thinking. It is a reactive thinking where my brain intentionally tries to conserve energy because this is one of the things, it's kind of my geek out topic is neuroscience. And when I started studying the brain of what it does, and there's a shelves of books behind me with all kinds of ridiculous information for some people.

(25:02):
But anyway, if we start to think about that and our brain intentionally tries to conserve energy and it does this by quickly making decisions and judging otherwise, we would be exhausted. If we had to decide everything in our environment instantaneous, we would be exhausted. We wouldn't. So the slide I used was, okay, we put some people up and they're in uniform. There's the police officer and there's a nurse and there's a firefighter and we're a doctor. And we go, oh, we know who these people are, we judge them. Well, and then I switched the slide and I said, unless they're the village people, you can't do that. You can't even assume that people in lab coats could work in a meat market. So it's training your brain and training yourself to stop in mid grouping sorting, which is our nature, and say, let me see what the reality of this is. These all statements. I always say when you think about lumping people into a group that's in the sentence says all these, whatever they are, do whatever this is, it's an automatic mistake because people are not all everything. And again, is our brain would like that to be that easy, but it's not ever that easy because people are individuals.

Stephanie Goss (26:28):
Our brain tries to shift us to one end of the spectrum or the other. And the reality is we need to stay in that middle gray zone most of the time. And that is very true in veterinary medicine. It's not all one end of the spectrum or the other because generally the black and white of it is not negative, but when we get at the ends of the spectrum, it can be right. And so how do we blend those together to find the middle ground and to find the gray? And how do we say, well, this person might be a doctor, but this person might, to your point, they might work in a lab or they might be working in a meat market. And so I love that. I think that so many of the lessons, I love that the book very much has a storytelling tone.

(27:21):
Like I said, I'm reading it, I'm only part of the way through because I was telling you before we started, I have also been reading our friend Josh Vaisman's book at the same time, and I started both of them coming back from AVMA and they're both so good. I was like, I can't put one down and finish the other first. I can't decide because they're great and they're different. So I'm reading through them both at the same time, but I love it because it feels like it's so real. And that's one of the things that I admire about you and your approach to practice management, but also your approach in educating within industry is not to make anyone feel bad. So we're not judging down. We're not like, oh, they're better than me. And so I'm going to build that imposter syndrome.

(28:13):
I also read Dr. Eurich's books. I really enjoy her work and I've gotten to hear her speak as well. And I think it makes total sense that idea of the self-assessment and the science and stuff behind it. So I love that you included some of that in the book and lessons because I think that this is going back to something you said really early on when we started talking, yes, we get training, but I'm going to caveat that because I asked at AVMA, because we were both there as speakers, and I asked in one of my sessions how many of them in the room were veterinarians, and there was a lot of hands, which was awesome because I was speaking in the practice manager track, and I normally get to talk to managers and techs, not a lot of doctors, and so many of them put up their hands and I said, how many of you got communication training and client service training in veterinary medicine? And there was in vet school and there was far fewer hands than one up than I was expecting because most of the vet schools have put that in place now and they're doing it, but the percentage compared to everything else is very small. And it's only been recent that a lot of schools have put that in place as part of the mandatory training that they're giving veterinarians.

Debbie Boone (29:28):
And some of it's only two weeks. That's the other thing. It's not long enough to really make it stick.

Stephanie Goss (29:33):
And so we're getting, yes, veterinarians are getting some of that training, but I would say when you think about the vast majority, majority of our teams, how many of us get actual training in listening, in active listening in client service? I might have had experience in waiting tables or being a barista. I might have customer service experience or hospitality experience going back to the book, working in a hotel where I have, by the nature of the job, learned some of the lessons. If I'm really lucky, I might have had the experience of working for an employer like Chick-fil-A or Ritz Carlton, Disney, Neiman Marcus, like the high-end employers who are going to put the time and energy into actually providing that training for teams. But the majority of us, even when we work in customer service fields like veterinary medicine, don't actually get that formal training.

(30:32):
We just have the expectation as leaders, and I say we, because I include myself, I have done this and made this judgment and it's something that I am now conscious of as a bias and actively trying to work against it, where I just assume that if I'm hiring someone for a client service position that they understand the rules of engagement when it comes to client service. The reality is we have to learn that. And to your point, we have to practice it over and over and over again. And so telling someone once, this is how I expect you to react when a client walks in the door, I want you to stand up. I want you to greet them with a smile. So many of us, because busy in our brains are moving 10 million miles a minute. I'm not saying that anyone is intentionally going thinking about it from a negative perspective. I'm teaching this, why can't you retain the information? But so many of us go, oh, I've checked that box and now we're going to move on to the medical stuff. The stuff that's really hard, the stuff I know takes repetition and practice. The client service stuff should be a one and done check the box. And that model has got to get flipped on its head in veterinary medicine for us to get successful. Absolutely.

(31:43):
Hey everyone, I am so proud that Andy and I have released our very first certificate course that you can take online. That's right. We have released into the Wild, the Uncharted Leadership Essentials certificate. We had a conversation one day and we were talking about what it would be like if there was a course online that you could take that had some of the content that we really think is foundational to being a leader in practice. What would that look like? And let me tell you, we dream some big dreams that day, and I am so excited that part of those dreams is now coming true and coming straight through the interwebs to your computer. That's right. If you head over to unchartedvet.com/certificates, that's the Plural Certificates. You can find out all of the details about our first certificate, which is the leadership essentials. It includes things like building trust, vision and core values, whether it's for your team or for yourself as a leader.

(32:43):
Understanding communication styles, using disc feedback, coaching, achieving team buy-in setting priorities and getting things done. It is kind of the foundations to running a practice and becoming a leader. You don't have to have a position of power in your practice to take this course. We've set it up like an online course. It's got modules so you can do a little bit at a time. You don't have to sit down and do a whole hour long course at a time. You can do it on your own time at the clinic. You can work on it at home if you want. But regardless, I want you to check it out because I am so, so proud of this and I'm so excited to see what you all think. And I know Andy is too. So head over to the website at unchartedvet.com/certificates, plural, and check out all of the information that is there. We can't wait to hear your feedback. And now back to the podcast,

Debbie Boone (33:39):
I was recently at the Vet Partners meeting, we talked about how we have about a shortage of veterinarians, a shortage of technicians, and everybody was talking about utilizing your technicians better. And I agree with all of that. I think that's important, but I think the missing piece of the puzzle is that we are not teaching our teams how to handle the public, and this is a public facing job. And so we're setting them up for failure and to live in an environment where people are constantly beating them up verbally, sometimes physically, quite honestly in some of the environments, and a lot of that comes from we set them up for failure. We did not teach them how to manage a situation before it escalated to the point where it became a meltdown. I often think about the recent event in the animal hospital where the guy got shot and I thought I would've if I was a fly on the wall, could have I coached it so that it did happen.

(34:48):
And I think yes. I think somehow in those conversations between those two people, they escalated rather than deescalated because they didn't have the tools. And that's so frustrating to me because they're not hard to find. When I was managing hospitals, my staff had to go through training modules and one was called gold star customer service, and the other was the employee manual because nobody ever reads the thing. And then common telephone questions and the answers, and then preventative care protocols and the components of and why those things were important, and my CSRs were all trained on those things. And then once they passed the modules, they got a dollar an hour raise because they were now much more as an employee. They go, oh, I got to figure this was like a 2005. So a dollar then would be the equivalent, like three now. But once that happened, there was such a confidence level in all those team members that had had that training.

(35:53):
And there was a really consistent message from the front of the hospital to the back of the hospital about what we believe, how we did things, why we did the things that we did, and then everybody could educate the clients. And that was what I've always considered our job is we think about we provide medical care, but primarily we should educate people about not needing us. How could they not need us? And that is certainly much better for our patients, but we don't take the time to train those things and look at it from how can we help our clients? In the book, there's a chapter called Who's the Hero of Your Story? Hint, hint, it's not you. So when we look at what our place and our role is, it's not to be the hero of the story. We are the wise counselor to the hero who is the client.

(36:45):
And the patient is usually the challenge or the dilemma that we are following the path of to the happy ending because the happy ending happens for the patient, but it happens for the client when the patient's well or the resolution happens. And instead of us coming in going, we are the savior of all things. We're like, no, we're here to coach you how to be a great pet owner. We're here to coach you how to get this fed through this illness. We're here as your support. And when we start to look at ourselves as collaborators rather than authoritarian figures that dictate down, we get much more cooperation from our clients. They certainly think we walk on water, they don't get experiences like that in the world, and our patients are the winners because the patients get it. And the same thing goes for human health when we feel like the team has our back, when we feel like they're truly listening to the challenges that we face, what are the simple things that we have to start thinking about what it's like to not fit the normal mold?

(37:53):
And so points are made in this, I don't think you might not have gotten into it yet, but the simple act of filling out a patient history form. If you are an adult and they want your family history, what if you're adopted and you don't know it? There's no place for you to put that or you're estranged from your family. There's no place for you to put that. And then what if your child is adopted and then you have to go through all this, so there should be, right? Give us more information. A place that says, I don't know my family history. It's a simple thing. Give us some more information and then why do we have to repeat it over and over again? Why do we not have a system in place that says, Hey, I had you fill out when you were a new patient. I'm guaranteeing that your parents who were 86 when they died probably haven't had any new health information that we need to add. So maybe we can build onto it. Well, why don't we have and say, we have this information, you don't need to fill it out. Again, it's aggravating to people because we didn't pay attention to the information they gave, right?

Stephanie Goss (38:56):
It's that same experience when we ask clients to give us a detailed history and then we ask questions. And I'm not talking about clarifying questions, right? I'm talking about the obvious same questions. It's frustrating for them and they get aggravated. It's that same experience that we have in human healthcare. It's interesting because I think about, so you, I've had some health challenges and experiences over the year with different medical teams and have had horrible experiences as well, which is why there was so much empathy when I was reading through your own experience. And I've also come to a place now in the last couple of years where I have a excellent, amazing healthcare team that treats me like a whole person. And it took a long time and a lot of fighting to make that happen. But one of the things that I truly appreciate is my general practitioner who I live in the middle of nowhere, as those of you listening to podcasts know, Andy likes to tease me about it constantly that I live in the land of no internet, but I have to see my general practitioner for a lot of things.

(40:13):
My specialists are pretty far away, and so they help with that. My general practitioner knows that I work in healthcare. And so after I remember vividly having our first appointment when I was going through my diagnosis and asking a lot of questions, and at the end of the appointment we were well over time for the visit, he could have been frustrated, he could have been irritated that he was behind. He had other patients waiting and instead of going, okay, I've got to go and move on to the next patient, what he said stuck with me and Will always, because he said, I love that you're asking so many questions, and I love that you have clear, he's like, now I understand you're in the healthcare field. He's like, I would like to set up your appointments differently in the future. He's like, I would like to set you up for extended appointments because the things that you and I are talking about are a different level than I would be talking about with a patient who has no medical knowledge.

(41:10):
I'm asking questions about the drugs and the pharmacology and because I have that knowledge. And so instead of being irritated by that, he intentionally chose to work with me as a collaborator. And so now when I get booked in, the first thing the CSR says to me when she answers the phone or when I send in an appointment request is, oh, it looks like you're marked for extended time. And they don't make me feel about that. I don't feel like that client who's taking more time out of the day, I feel like, oh, he has asked for this to be a thing so that we can have the conversation and it's not taking up more time. And I think about it in parallels to our clients, and there's this conversation that happens in veterinary medicine where so many of us, myself included, get really irritated that clients are doctor Googling.

(41:58):
And when we step back and we take the emotion out of it, aren't we glad when we have a client who comes in who is taking the time to educate themselves because the conversation, and I think that we should be asking a different question, which is where are they getting the information that they're getting? And that is the battle we should be fighting in veterinary medicine because if we're putting out valid information that clients can access, right? And that when we think about Dr. Google, we kind of lump it under this. It's all quack crap umbrella, which is bullshit. It's not true. There are so much good information out there that they can access. Now, shouldn't we be glad when a client walks in the exam room and wants to understand and wants to ask questions? And there are times when we are glad, and there are also times when holy hell, it annoys the hell out of us because all we want to do is get out of that exam room.

(42:51):
And so I think that's another one of those moments to remember where as a human being working with another human being, we always have a choice. We can choose to treat that client and make them feel bad for the fact that they have researched and that they have questions and they're asking things that are inconvenient to us because we're running behind or we've got patients waiting or whatever. And we can also choose kindness, and we can choose to say, you know what? I love that you have prepared for this visit. I want to be able to answer all of your questions. And my next appointment is waiting. Can we schedule a follow-up consult by email or can we schedule a follow-up where we can come in an extended visit and I'll happily answer all of your questions, give them a plan. Because when we do that, they're not mad about it and they're willing to be partners in the healthcare conversation with us.

Debbie Boone (43:45):
Exactly. And that's it. It's about the partnership. Well, I've always been very frustrated with any business who asks you what your occupation is and then never looked at these papers again. Why did you even bother when if you looked at this, you would see that I have been in healthcare for 35 plus years, and you can say some stuff to me. I actually know anatomy. I know some things, right? And so we can talk at a different level, but there's other aspects too. I mean, we also will look at people from especially in veterinary medicine coming in from the human side and immediately do the eye roll and go, “oh my God, the nurses are the worst, right? They're going to try to treat their pet.” One of my very best was a nurse. She was the voted the best nurse in the state of North Carolina. We absolutely adored her.

Stephanie Goss (44:39):
Oh, my Gosh. That's awesome.

Debbie Boone (44:39):
And when she moved, she kept driving to us two and a half hours for her care. So that's the bond we had with our clients. But this was an exemplary person as a nurse. She didn't try to treat her animal. And we had another one killed her dog by giving it Advil. But it's a whole different story.

Stephanie Goss (44:57):
It takes all kind, and let's be real again, remember that we have the choice because to your point, we roll our eyes when we see that someone in human healthcare is coming in. But aren't we also, and I don't mean all of us, we, but think about it. How many of us know someone in veterinary medicine who treat ourselves because we know about veterinary medicine, and so we choose to self-treat or start ourselves on cephalexin or whatever it is.

Debbie Boone (45:24):
Let's take it. I took my own X-ray to the orthopedist when I broke my finger. But here's the thing. My X-ray was digital and theirs was not. My X-ray was so superior to their stuff. I went, you don't have digital x-Ray. This is specialist. Are you kidding? I said, look, I understand you hate it. We hate it, but I did it anyway. So here it's just confess it off the top of your head. And I love the example that you gave about saying to that client, I would love to continue this conversation because I'm so glad that you asked these things, but I've got another client waiting and I'm committed to being on time just like I was for you. So let's set up another time. Let's set up a phone call or email each other back and forth. We can do that because then the clients don't feel like you're just blowing 'em off and you don't care.

(46:18):
But they'd also appreciate the fact that you have a commitment to being on time because they want you to be on time for them too. I just don't understand why we think we can't say the graceful no. Right. It's setting the boundaries. It's setting the expectations. I can remember a conversation I had with a client one day was extremely anxious about her dog. And yes, I think she had some issues, but she called her practice 52 times before lunch, and the staff is just like, ah. So when she came in, I said, let's just sit down. Let's just sit down and have a conversation. I said, Nancy, why are you calling us so much? I said, we can't even look after Casey because you're calling us all the time. Don't you want the doctor to look after him? She said, yeah. I said, then she can't be on the phone with you and look after him.

(47:08):
She said, I know Debbie, but I'm so anxious. I said, well, please just try to understand that we are trying to help him, but we can't if you're constantly pulling us away. So we're going to call you as soon as we know something. We understand your anxiety. We appreciate your anxiety, but you're killing us here, right? You're killing us. And so she's like, I know it's my anxiety. So we can say things to people nicely. We can let them know that our doctors have lives and that they are not going to be coming in at three o'clock in the morning just because you want to fix a broken toenail. Things are not going to happen. But there's a way to do everything. And I think that is the training that's missing. We put a hand in people's face and we say, no, we can't do these things. Instead of learning how to say, we are happy to help you. Here's what I have available. How can that work for you? Let's work together to find a solution here. But we don't train people to do those things. It's just the automatic, no, I don't have time. We don't do that.

Stephanie Goss (48:15):
I love it. I feel like the book is so full of lessons that you have learned as a leader, but where I want us to end, is there a leadership lesson that you have come to appreciate now where you are in your career that you wish that you had learned before you became a leader?

Debbie Boone (48:36):
Wow, you got, we don't have enough time for this. I think the most important thing that I have learned is going back to the questioning, is just being curious and asking people what's going on with them. And that goes for clients that when I was solving conflict problems, just asking those questions and not trying to get my point across, or not trying to be judgmental or upset or irritated or angry, and to learn that that says no. Let's find out. Let's keep digging until we find out one of the quotes. It's in the book, but it talks about when therapists and psychiatrists are being trained, it says, the problem that the patient brings to you is never really the problem. So you have to keep asking the question. And I think that looking at the problem on the surface, it may seem as this, but then once you really start to figure out and dig down and ask questions and care about people, then you're going to find out that the problem is not really the problem. So why is that person late for work three mornings of the week because their kid just turned two and decided to go to school naked every day? That's why. So these are the things that you find out when you start asking questions. And these are real.

Stephanie Goss (50:03):
Yes, yes, like your client who called 52 times in the day. That's a lot of times when we get the, well, I have huge amounts of anxiety, and I'll never forget being in the exam room with a client just like that, having a similar conversation. We'll come to find out that the pet belonged to their son who passed away, and this is the last link that they had. And so the anxiety was coming, yes, they cared about the pet, but it was more and it was about the loss and the grief and the fear over losing that link to their son. And now all of a sudden, the whole team has a radically different perspective on Nancy calling 52 times before lunchtime. So I think that that's a great answer. I love that. Love that one. I was like, ask more questions and I love it so much. This has been so fun, as it always is talking to you.

(51:08):
So I'm going to drop links in the show notes if you want. I'm just going to go out a limb and say, everybody should have a copy of this book in their practice. It's wonderful, and I will give you more feedback when I actually finished the entire thing, but I'm loving it so far. The book link will be in the show notes along with the link to your website, and we were talking about Dr. Eurich. I'll put the link to her reference in there as well. But one of the things I love about your website, Debbie, besides being able to contact you, is that you've got a list of recommended books. And so if you're like, I'm nerding out on this, I'd like to find out more about this kind of stuff. There's some great books on your list. I was spying it while we were talking, and so I'll put that in the show notes as well so people can find you and find all the things. Thanks. Thanks for the conversation, friend. This has been great. You're

Debbie Boone (51:58):
Welcome. Always a pleasure to be with you, and I'm glad you're liking the book so far. I can't wait to hear your feedback. I value your opinion since it's so much like mine.

Stephanie Goss (52:10):
Well, lemme fluff your pillows, as Andy will say and tell you that so far I am loving it. And when you read it now you've heard Debbie and I have a conversation. Tell me if you read it in her voice like you're having a conversation with a friend. That is certainly how I am reading. It's wonderful. This has been great. Have a fantastic rest of your week, everybody who's listening, and you, Debbie, and we will see all next time.

(52:38):
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, Training

Nov 15 2023

Do We Actually Know What Burnout Is?

This week on the Uncharted Podcast, Dr Andy Roark and practice management super geek, Stephanie Goss, tackle another awesome submission to the Uncharted Podcast mailbag. This week's email comes from a practice owner who is trying to wrap their brain around the varying degrees of “burn out” being discussed/felt by their team. It seems like there is no burnout profile that fits everyone on the team who is feeling that way. So this practice owner is asking Andy and Stephanie to walk through the concept of burn out and help them understand “What “burn out” really is; what kind of signs or symptoms someone who is burned out might experience; what someone else might observe in a burned out person (how we can recognize burn out in our team members); what employers or managers can to do help prevent their team from getting burned out; and how employers or managers can support team members who are burned out, without transferring the responsibility/burden on to other team members, leading to more burn out…” These questions were absolutely fantastic and Andy and Stephanie dove right in to the deep end of this conversation. Let's get into this…

Uncharted Veterinary Podcast · UVP – 259 – Do We Actually Know What Burn Out Is?

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

RECRUITING AND RETAINING MILLENNIALS

Did you know millennials are currently the largest generation in the US and the largest generation currently in the veterinary workforce? If you’re hiring veterinarians for your practice, you need to know how to attract and retain this pool of talent!

Dr. Tierra Price has supported practice owners in creating successful applications geared toward millennial veterinarians. This experience, combined with her own experience in her recent job search as a new graduate, has led to a compilation of factors to consider in order to recruit and retain millennials in veterinary medicine!

In her workshop, we will cover:

⚓Traits that characterize the millennial generation

⚓Factors millennials consider when looking for jobs

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Episode Transcript

Stephanie Goss:
Hey everybody. I am Stephanie Goss, and this is another episode of the Uncharted Podcast. We're back this week with another letter from the mailbag. This one comes to us from an associate veterinarian who is having some challenges with a fellow associate. Only they're not challenges that they themselves are having. They're challenges that they're observing within the rest of the team. There's a lot of change happening, and this doctor is advocating for even more change and getting frustrated when it's not happening and going above the manager's head. There's a lot of drama happening here, and Andy and I both looked at this letter and couldn't help but think, is this associate watching a potential mutiny happen? Let's get into it and find out.

Speaker:
And now the Uncharted Podcast.

Dr. Andy Roark:
And we are back. It's me, Dr. Andy Roark and the one and only Stephanie Yo Ho Ho, and a bottle of rum Goss. We've got a mutiny Goss. We've got a mutiny.

Stephanie Goss:
We've got a mutiny. We've got a mutiny. I don't like mutiny.

Dr. Andy Roark:
We got a good one in the mailbag today.

Stephanie Goss:
Okay.

Dr. Andy Roark:
Yeah.

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

Dr. Andy Roark:
How is it going? It's crazy. The college recruiter came to the high school and now Jacqueline's, like she thinks she's leaving tomorrow. So it's like you're 15, you're not out of here just yet. But she's serious. My oldest daughter is my wife's child for sure. And so she definitely wants to get this right. And so at first we had a lot of panic because my daughter goes to the Fine Arts Center, and so the colleges that came there rolled up hard with fine arts programs. Well, my wife teaches biology as a STEM professor, and so Jacqueline comes home and she's like, “Look at this place.” And Allison was like, “I've never heard of this school.”
It's because they only have theater. That's the only, it's a four-year college with just art stuff. And so of course, I think Allison and I both were taken aback a little bit by that. Oh. And so Allie freaked out, I think. Allison freaked out. She was like, “What do we do? She's going to go to the school I'd never heard of that just does art.” And again, maybe that's your jam, but for a veterinarian and a science professor-

Stephanie Goss:
She's a science teacher.

Dr. Andy Roark:
That's an unexpected pill to have to swallow all of a sudden. But the nice thing is I was like, I know Jacqueline. She's just like Allison. And so I introduced Jacqueline to the US News and World Reports. I was like, “Hey, Jacqueline, look, all of these colleges are ranked with lots of data.” And Jacqueline was just like, “Oh my God.” So now she has, I kid you not on her wall. She has a map of America and it has concentric circles around Greenville drawn based on driving time. She's like, these are within two hours. These are within four hours, these are within six hours.
And then she has pins and she put pins where the schools were, and then, I'm not kidding, got a piece of thread and goes from the pin to a post-it note on the side that has the school. And she's just making notes and it looks like she's solving a murder investigation, trying to figure out where she's going to go to college. But she's talking about, and her younger sister, Hannah, who's 12, is just really depressed because she's like, “Jacqueline's leaving.” I was like, “She's not leaving. Everybody calm down. She's not leaving… “-

Stephanie Goss:
Oh gosh.

Dr. Andy Roark:
“… Just yet”. Hannah's like, “Jacqueline's going.”

Stephanie Goss:
I was going to say she's gotten her driver's a permit. She's not even driving yet. She's planning her college-

Dr. Andy Roark:
She's not driving yet, yeah.

Stephanie Goss:
Yeah, she's planning her college escape. That sounds like my house too.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
It's crazy how quickly the year goes by. I was thinking about it for Uncharted, but I was thinking about it because of at home, I was looking at the calendar and I'm like, Holy crap. My kids' birthdays in a week and that's in the fall, and there's all this fall activities and holiday conversations are starting, and whose families are we visiting this year? And I'm just like, wait a minute, where did this whole year go? It has just flown by. And then I started thinking about work and all the things that we have coming and looking at that calendar, it's like, man, it is just a steady march from here until the new year. There's a lot. There's a lot happening.

Dr. Andy Roark:
Yeah, it's going fast. Boy, September just disappeared. That was the fastest month I could remember in my life of just, and it's here and it's gone.

Stephanie Goss:
Yep. And now it's the halfway through through October.

Dr. Andy Roark:
We're halfway through October as we're recording this. Yeah, it's flying up. So we've got our practice leader Summit right around the corner and then on from there. Oh, man.

Stephanie Goss:
I know. I was just talking about that with Tyler Grogan on our team yesterday. I said, “Hey, you know what? The time is going to fly by between here and Greenville in December. And I cannot wait. It's going to be so much fun.”

Dr. Andy Roark:
We've got cool stuff. Tyler and I had been working on some neat program stuff for our practice owners and practice managers. It's going to be really cool.

Stephanie Goss:
Yeah, I'm excited. Well, hey, let's get into today's episode. So you said we have a mutiny on our hands.

Dr. Andy Roark:
We got a potential mutiny on our hands.

Stephanie Goss:
This one was really interesting to me because, so the email came to us from an associate veterinarian. And they work in a corporate practice. And so they're not the boss, they're not the leader in this situation. And so it'll be interesting to see how our conversation flows with this one, because I think there's questions that the writer is asking, but then also the bigger picture questions of the practice leadership here. So an associate vet who loves their practice and they were hoping for some input and advice from us on what to do about a fellow associate veterinarian.
So they have somebody that they have been working with and ever since they came on board, they've been advocating for big change in the practice and which is awesome because the practice was ready to change. But there are things that the practice manager and the medical director have not always been in agreement with the associate vet who's proposing the change on. So lots of things that they're bringing to the table that the leadership team is like, yeah, let's tackle that. Let's take it on. And then other things that they do not agree with for a variety of reasons. And so it sounds like from our writer's perspective that this doctor does not being told no. And so when they get no for things that they would like to see change, they are causing some drama and stirring the pots and causing what has tipped over to this place of moving beyond themselves and involving other team members and the paraprofessional staff, the technicians and the front desk trying to recruit them to their side of the argument and push the change through, it sounds like, on their own.
And so this associate vet was like, “Look, I love this practice. I care about the team on both sides of this. I care about the relationships that I have with the associate doctor that I work with, and I also care about the team. And I feel like this is starting to get really messy and toxic. And this practice manager and this medical director are working really, really hard to guide the practice through the season of change as we grow. And it feels like this doctor is undermining all of that, and I'm worried that this thing is about to blow wide open.” And so they were asking for help knowing what they could do to help support this situation where the practice leaders are getting routinely submarines by this associate doctor with the rest of the team.

Dr. Andy Roark:
Yeah. Did you mentioned it's a corporate practice?

Stephanie Goss:
Yeah.

Dr. Andy Roark:
I think that that's important in this case, because a lot of times it speaks to how much control leadership has about the requests that are being made. And you and I don't exactly know what the requests are that are being made, but I do think that's important. It's important flavor when we start talking about what we do here. All right, I am committed this time. This is the time when I'm not going to turn this into what managers should do. And I'm going to actually answer the question that was asked of us. I think a lot of people ask this question, they're like, “I'm not in a position of power, but I see this going on in my practice and what do I do about it?” And so I'm going to really try hard to not put on my leader, coacher hat and be like, this is what your medical director should do. Although now that I say that out loud, I'm like, well, I have thoughts on what that is, but I'm not going to do them.

Stephanie Goss:
See, this is why I said it was hard-

Dr. Andy Roark:
Real hard.

Stephanie Goss:
… Because I did the same thing. I sat down and I was like, okay, let's think. And I thought as we do, I was trying to divide my thoughts into head space and action, and I was thinking about the writer and I was like, what can the writer actually do in this situation? And I made my little list and then I was like, what could the hospital leaders do in this situation? And that list was far longer.

Dr. Andy Roark:
It's a much longer, more empowered list. Yeah, I agree.

Stephanie Goss:
And so I was really struggling and I was like, well, we'll see where Andy and I take this.

Dr. Andy Roark:
No, no. But I think this is good. I mean, I love the fact that this person's an associate vet and they're like, I've got this other associate vet. I think that's awesome because a lot of people, a lot of times, we're not somebody's boss and we've got a problem and we see something happening in our practice and we don't want it to go badly. And here's the other thing too. If you have to work at this practice and then you see a train wreck shaping up, don't think that's not going to affect you.

Stephanie Goss:
Right. Absolutely.

Dr. Andy Roark:
I mean, I just think that that's true is that we all got to swim around in this fishbowl, and if you come here and make it a sewer, I still got to live in it. And that's not, boy, that's a good metaphor, but that's not helpful. You know what I mean? Don't act like you're not affected by that. And I think the way I look at this, like a mailbag question on hard mode, because boy, you don't have a whole lot of tools. This is a limited tool engagement. I go, all right, we can get creative here. We can MacGyver this, we can duct tape a spoon to a lawnmower and just we can whip this pudding.

Stephanie Goss:
So many mixed metaphors here.

Dr. Andy Roark:
Yeah, no, I was MacGyvering something. Ultimately I came up with a lawnmower that has a spoon attached and basically it's an egg beater.

Stephanie Goss:
You're talking MacGyver and my brain is still back on when you started talking about the toxic sewer and swimming in it, my brain immediately as a child of the eighties was on Ninja Turtles. And I'm just picturing glowing, radioactive little-

Dr. Andy Roark:
We'll fix that mutated turtle.

Stephanie Goss:
… veterinarians and support stuff running around. All right.
Okay. Let's talk about head space.

Dr. Andy Roark:
All right, cool. So head space. So the first thing I got to say in head space, and I don't say this, it's limited value to say to people, I wish that you had done this in the past, or I hope you did this in the past. Sure. But I still think that I just got to give a quick shout out to good old relationship lever here. We talk about the ways you get people to do things. There's two levers you can pull. There's a relationship power and there's organizational power. Organizational power is I'm your boss, I have a leadership role, I have a formal position and I'm going to tell you what to do and you're going to have to do it or else you're going to have to deal with some sort of formal consequences. That lever sucks. It's just not a very useful lever for anybody, but it is a lever. I think a lot of people look at.
The other lever is the relationship lever, which is just, Hey, I like you and you like me and you believe that I have your best interest at hearts and I care about you as a person. And so if I need something, then you are going to at least listen to me and you would kind of like to help me out because you believe that if the roles are reversed, I would want to help you out. And that is hard to establish once things start to go off the rails. And so I just throw this out as my initial sort of point of order. This is why it's good to be friends with people you work with. Even if you don't need anything, if you have the same job, anything, it's just good to know people around you and to try to take care of them and to listen to them and to know so that at some point in the future if things start to shift, you can have the, I don't know, just the human, the capital, the political capital to kind of get heard.
And if you don't have a relationship with that person, then you don't have that capital. Then you're somebody who's kind of coming in and trying to talk to this person who doesn't really know or trusts you. So anyway, I just think that that's good rules to live by. I don't mean to take relationships and make them transactional, but there's a lot of reasons that we should be friends and we should try to know the people that we work with. And situations like this where you see somebody kind of starting to make things toxic, if you know that person and you have a good relationship with that person, it's a whole lot easier to try to talk to them and just, you might not be able to get them to change how they feel, but you can at least get them to hear what you're saying and maybe temper their actions. And a lot of times that is the difference between things being a rough patch and really becoming a toxic mutiny.

Stephanie Goss:
Yeah. Well I don't think we've talked about it on the podcast before multiple times now about being friends with people that you work with. And when you say you don't mean for it to be transactional, I hear that because I know that we've talked about you don't have to be friends with the people and at the same time, nobody goes into veterinary medicine because they don't have a heart and they're not caring. And so we are working in a field of people who do care about what they're doing and the people that they choose to do it with every day and work side by side with. And so we're not just widgets. I mean our field is not a field where we're working in cubicles and we're just a number in the big giant sphere. And so I think that that's really important here because even if you're not friends with the people that you work with, you have relationships with them.
And your point about that being, it is really important here because you need to be able to look at them, especially when things get hard and look at them and say, I know this person as a human and therefore I know these things about them. I can tell myself this story in my head for good or for bad. So when you know someone and you work side by side with them and you have seen how, to your point, they have reacted to things in the past, you can choose to tell yourself a story about their intentions. And we talk about that a lot on the podcast.
And I think that this is where that becomes really, really important because when you have a relationship with that person, our writer for example is like, Look, I like this associate vet. I work with them. I think they practice good medicine. I'm telling, they didn't write all of this. I'm telling myself I'm hallucinating as if I'm them. I could look at them and say, I like this person. I think they practice good medicine. I like being on their team. I want this to go well for them and I care about the manager. I care about the team. Those conversations in your head or the shower conversations that you have with yourself when you're trying to sort this stuff out, those become much easier when you do have a relationship. And to your point, you're not starting from ground zero when things are already bad.

Dr. Andy Roark:
Yeah, I completely agree with that. So I think that that relationship hopefully that you already have in place, I think is key. We talk a lot about, so the metaphor I always use is you need to build the bridge before you need to walk on it. And that's just kind of how I feel about relationships with the people that we work with is people that you lead or just your colleagues. It's not about who someone is in their role in the organization. It's just if you want to be effective regardless of your role, it helps to have good relationships with the people around. And that's just pruning the garden. You know what I mean? It's just constant maintenance and watering that relationship and taking care of it. But that really, you just never know when that's going to come in handy. So I start with that.
The second thing for me with head space is, and I think this is kind of where you tend to go with these things as well. I think you as the associate vet, you kind of have to take stock on what you can control. And this is a general piece of advice I give to associate vets all the time because the number of people who get hung up on what should happen and what should be and who should do what or how we should run our practice, I see it all the time. And that is the path to ruin in a lot of ways. It is a recipe for frustration. It is a recipe for happiness. I think in order to be happy as an associate vet or as a technician or as a CSR, you have to be able to balance the desire to make things better around you with acceptance of how the world is and the things that you don't control.
I think a lot of us are struggling with that just in life in general. It feels like I got this idea right now that I'm playing a lot with, I think the world is too big, Stephanie. I don't think that our human brains were made to know what's going on across the entire world. I don't think that we were made to see literally a thousand people doing things as we flip through Instagram. I just don't think that we're wired to take in all that information and to see all of these people and to compare ourselves to all of these people. I think the world is too big and the amount of control that we have gotten while the world around us has gotten so big and we're now aware of this whole world, our control has not changed at all.
We are aware of so many more things and we have absolutely no control beyond what we used to have 50 years ago. We just don't, we still have the ability to affect relationships, to help the people who are right in front of us. We have the ability to decide how we talk to people. We have the ability to just figure out how we're going to spend our free time, but that's about it. We just don't have any more control. So anyway, I don't mean to take that tangent too far, but I think that that's true. And I really do think that that whole thing falls back into one of the thing it takes to be happy as an associate or as an employee basically is looking around and saying, I see all of these things now and I see social media and I see what people are saying and doing in their free time and like we didn't used to see that and we have no control over that stuff. And so I think a lot of it is what do you control? So the next part of head space for me, I think is just kind of running through what do we control here? And so when I'm looking at this, I think that our writer can control what she says to the other associate vet. She's a hundred percent has control in what she says there. She's got control over what she says to the staff and how she interacts with the staff. She's got control over what she can say to the management or how she wants to approach them. But that's about it in regards to this situation. I don't know, what control do you have? Well, you could talk to the vet, you could talk to the team, you can talk to the management, and I think those are your cards. You know what I mean? And the things that we don't have control over is how the associate perceives the practice or the management or the team or vet medicine in general. Of there are people-

Stephanie Goss:
Or what they do either.

Dr. Andy Roark:
Or what they do, you cannot control their behavior. You cannot control other people. But even the perception thing, I've seen this a bunch of times, is you'll work with somebody and they will just go, “God, can you believe how awful this place is?” And I'm like, “I am not having an awful time here. I've seen some other places and I got to tell you, every place has got bumps, right? Every path has got bottles. I don't perceive this as being a horrible place.” But I'm sure I'm not the only one who's heard people. They will talk in this horrible dark language about the abuse in their practice. And sometimes maybe that's true, and if it's true, I don't want to down play it, but there's other times when you can say, “What are you talking about? Where is this deep angry language coming from?” And again, maybe they're having experiences that I'm not having, but I think we've probably all seen people who just for whatever reason, they take a view that is much more severe than what we take.
You can't stop people from taking that view. You can talk to them, you can seek first to understand why they have that view. And I think that's good of investigating and saying, “You say this place is hell. I think you called it hell. Why do you feel like this is hell? What is the thing?” And I think that sort of questions can open up the conversation, “Wow, you're really upset about this thing. That really doesn't bother me. I've worked in other places where, what we have is wonderful. I haven't seen that.”
But anyway, but you can't control their perception. You cannot control what they do. You can't control how the staff decides to feel. If the staff is like, yeah, we're going to get fired up about this, and there's a staff of 15 or 20 and you're one associate vet, you can't tell them to not be fired up about it. Again, you can decide what you're going to say and how you're going to engage, but you just don't have that level of control. And this is the most frustrating part. You can't control what management decides to do. You can't control what they do with the staff. You can't control what they say to the staff. That doesn't mean you can't talk to them. You can decide how you're going to communicate. But again, all of this stuff, you're really kind of playing with your one arm tied behind your back just because you don't have that control.

Stephanie Goss:
Now, it's interesting because it is a frustrating position to be in, I think, to look at it and realize that there is not, if you were the associate in this scenario, there's not a whole lot within your control. And part of the conversation when I have had this conversation with peers in the past has been that's also, it's the blessing and the curse, right?

Dr. Andy Roark:
Yes.

Stephanie Goss:
Because the blessing is it's not your job.

Dr. Andy Roark:
No.

Stephanie Goss:
That responsibility does not sit on your shoulders. You are the employee who gets to come to work, do their job, do it well, and then go home at the end of the day. That doesn't sit on your shoulders the way it does. If you are in a leadership position, the trade-off to that is that you've given up that control over being able to potentially impact to direct the change. That doesn't mean that you can't impact the change as a member of the team, but you give up the control to direct the change when you're not in that leadership position. And so I think it's the blessing and the curse here because the writer is in that position where they're facing all of these perceptions, like you said, that probably from, I'm guessing from their email, make them feel the shoulds. They want to fix this. They feel like things should be different. They could be different. They're seeing it through that lens. And it's a very frustrating place to be in, to feel like you want things to be different and you don't have any control over directly managing them to be different.
I think from a head space perspective, I agree with you. Part of that for me is the conversation with myself over what can I control and making peace with the fact that what I can control is limited and I'm going to have to be okay with that because the trade-off is I've chosen to be the employee. It's maybe a long-term difference story with yourself. If you're looking at this and you're like, oh, okay, I don't want to be in this position again in the future and I would like to be in that leadership role. And then we move into the conversation about all of the options for what someone in a positional power position in this practice could do. But for the writer right now, I think part of it is just that acceptance of what you can control and knowing that the things that you can control are fairly limited.

Dr. Andy Roark:
Yeah, I didn't perceive the shoulds in this letter. I didn't. That's something I've seen again and again and again. Just whenever we hear from people who are seeing conflict in their practice, and it's how I felt, boy early in my career. And again, I tried to reign it in, but I chafed, especially the bigger hospitals that I worked in where there was a, I mean, again, you have to have strong rules in it. You have a lot of people your managing, and I understand that now in a way I didn't when I was young, but I had these ideas about how this should be or that should be. And it's funny, life is funny. I think life has a sense of humor. And so it puts you in a position where you have strong feelings about things and then over about 20 years it puts you into the opposite position where you are the one running the things and you get to say, that was so silly.
And then you'll see young veterinarians, fresh new grads come in with big ideas about how you should be. And I'm not saying you dismiss those people and you definitely don't want to. But at the same time, I hear some of these same ideas that they had when I'm now juggling this much bigger operation and I'm like, yeah, I remember being, I think we're probably raised that way. I think it's probably part of the human experience is that when you're in your twenties and your thirties, you see problems. You're like, I can take them down. And then when you're in your forties and you fifties, you're like, I've seen problems like this before. And I recognize the nuance here and what it means to turn a ship of this size and you can't know that until you do it. And so anyway, it's just one of the beauties of life, but it's never going to go away.
Now I want to pause here with head space, because you're exactly right. There's a dichotomous approach that people often take with these things, and you touched on both sides of it. And so a lot of people look at and they say, I've got two options. I can join the fight, I can pick a side and I can go to battle. Or I can, and I've said this to myself, this was actually a tool that I used for a while, which is, it's just a job.
I can just decide this is just a job and I'm just going to show up and the cards will kind of fall where they will and I'm just going to do my thing. And sometimes if you're someone who cares too much, you might have to choose the, it's just a job. And I have told people there's nothing wrong with that. And what I've generally found is, it's just a job is a mantra that can help me to accept things that are really bothering me. And just because you decide to say to yourself, it's just a job, that doesn't mean it always has to be just a job. That doesn't mean that you don't care about the clients that you serve and things like that, but it can be a mantra to help you accept things that are out of your control to say, it's just a job. I don't own this place. I'm not in charge. It's not my circus, it's not my monkeys. That can be a mantra you say to yourself to help resolve this.
I think that ultimately the best position to be in for head space, and the one where I'd really like our associate vet to be is in this beautiful place in between where you say, I'm going to show up and I'm going to accept what is, and I am going to be happy and I am going to put my thumb on the scale and try to exert some influence without joining this battle. So I do have some power to change people's perception of what's going on, and I don't have to do a dramatic speech to the staff, but through my words and actions over time, I can a hundred percent have a calming directional influence over this situation that's not taking sides or joining the battle.
And I think that my friends, that's really the enlightened position is, I can accept the people and what they're feeling and what they're trying to do, and I can see how this is going and I can recognize that I don't have a lot of power here, but I am going to set some boundaries for myself and I am going to try to be a good influence on this situation. And I might lean a little heavily into influence and see how it goes, and I might lean back a little bit and decide it's just a job and I'm just floating along. But I think that there is a balancing act right there where you can get that really makes you a Jedi, and also it makes you a wonderful asset to the practice. You can be this, I don't even know how to describe it, but you can be this calming, stabilizing force without joining the management. You can do that. And without joining the mutineers or the rioters, you don't have to not have an opinion.
That's the other part is that you can have an opinion and also be a force of stability and to sort of counsel people to talk through their issues, to not assume bad intent on the part of others and things like that.

Stephanie Goss:
Well, you can lead from within the team.

Dr. Andy Roark:
You can absolutely lead from within the team. But even then, I have seen people who are like, I'm going to lead even though I don't have power. And the truth is the team doesn't want to hear what you have to say. I think it's kind of like some things I've seen in parenting in my life where when I was a young parent, I thought, boy, when my kid has a struggle, I'm going to lean on them. I'm going to fix this, I'm going to intervene. And then only after the first week or so did I realize that you have no power. Look, these kids, you do not make them. They are who they're are, they came out 98% baked. You've got a little bit of power, a little bit of influence. It's mostly the environment you provide.
But it's kind of that thing of like Hannah is worried that Jacqueline is leaving and Hannah needs her time to process that. And I'm here for her and I'll talk to her and I'm going to keep talking to her because the conversation keeps coming up. But I can't sit Hannah down and give her a motivational speech and make her accept that this is not happening right away, but at some point your sister will leave. It's going to have to be a continued process of supporting and kind of guiding and being there for me when she wants to talk to me. And again, I don't mean to take relationships that work back down to talking to children, but that relationship and that support is the same. So anyway, I think that you can be, again, to be enlightened. The enlightened doctor is to be able to look at the situation without getting upset about what should be or what shouldn't be, but just to accept what is and to take care of yourself and to have influence that you can have that's good and positive.
So the very last part of head space for me is just as you're thinking about this and you say, what do I do here? And we'll get into action steps, but the old golden rule continues to be a great guide is just if you were management, what would you want? And if you were the team, what would you want? And if you were this other associate veterinarian who's probably struggling, who seems to be upset, who seems to not be happy, what would you want? And I think just giving some thought like that of if it was me in these other roles, how would I like someone to approach me? What would be beneficial to me? I know that sounds simplistic, but a lot of times that really is the best place to get your head when we start to talk about action steps.

Stephanie Goss:
For sure. I can agree with that. Do you want to take a break here and then come back and talk about some action steps that this associate can use?

Dr. Andy Roark:
Let's do it.

Stephanie Goss:
Hey friends, I just wanted to talk for a quick second about the maths with you all because I've been thinking a lot about the workshops. And normally here's where we tell you what's coming up and we've got some great stuff happening. So you're going to want to head to unchartedvet.com/events and check out the upcoming calendar. But I want to talk about maths because if you are not already an Uncharted member, you can attend any one of our workshops and pay $99 a piece. Most of them are just $99. You can do it as a one-off great and fine. However, that adds up really quick. And if you do the monthly workshop with us, and I've seen some of you there as repeat customers, which is amazing, but you could spend almost $1,200 over the course of the year doing workshops with us.
Or you could pay $699 and get a 12-month membership, which means you get all of the workshops that we do at no extra charge. You also get access to our amazing conversation in the community, our community members and all of our community resources. And it is hopping over there. We've got conversation 24/7, we have got activities, we've got book club. We're writing our handbooks together in Handbook Helper Group. This year we are talking about development and leadership growth, doing our development pathway. This year we are doing hallway conversations where we're talking about topics. These are sessions that are community led, community driven, it's topics about things that are going on in your practice that you want to talk about with your peers. All of that is happening and it's all included for your $699 membership.
So simple maths, do you pay almost 1200 for the year or do you pay 699? If you're not currently a member, you should head over to the website and use this argument to convince your boss, “Hey boss, I need to be a part of this amazing community because Stephanie told me so. And because she's telling you that you will save money.” Hopefully that works, but I couldn't resist. I hope to see you at our upcoming workshops. Again, unchartedvet.com/events for everything that's coming. And now back to the podcast.
So I think you and I both landed in the same place in different ways, which is we have to look at what does the writer actually have in their control in the situation? And recognizing that doesn't really necessarily feel like a lot. And there are some things I think that they do control. And so I think from an action step perspective, for me that would be where I would start, which is what is actually in my control? And if I was the writer, I think that there's a couple of things that I could be in control of. And I think we kind of talked about them a little bit when we were setting up the head space, but one of them is what I can say and who I can say it to. And so I think it's worth talking about how do we potentially have a conversation with the other associate vet? How do we have a conversation with the manager, with the team, et cetera. But the things that I say, the other is how we're acting. We talked about that a little bit as well.
And so I think thinking about what do I control when it comes to my actions. And then that kind of leading from within the team, what do I control when it comes to how I show up, how I act, how I'm leading from within the team, and then also how I can show up for the people that are involved in different ways. And so I think that those things are going to look different for each of the people involved. But I think if I was this writer, the way that my brain works, I would sit down and not dissimilarly probably to how Jacqueline drew her circles on the map. I would sit down for myself and say, okay, what are the things that I can control and actually do when it comes to my relationship with the associate vet?
And I would start there and then work my way out in those concentric circles like Jacqueline's map, which is the associate vet, the manager, the medical director, the team as a whole. And then potentially because this is a corporate practice structure, the field leaders that are involved in supporting the practice as well, it sounds like there's been some engagement and some interaction with them as well. So I think they become a circle there, but that's kind of how my brain would approach it.

Dr. Andy Roark:
Yeah, I'm the same way. I think as the associate vet, you got three conversations that you can have. And when I say conversation, I think this is important. I think when you have non-positional power, sometimes the best approach is not to have a meeting. It's not just sit someone down and have a conversation. It can be, sometimes you have to look for your openings because you're not the boss of these people and they didn't want to hear you lecture. And as soon as you start to call them in and sit them down, they're going to get defensive. They're not going to like this. It is going to make the dynamic feel weird. They're immediately going to peg you as being on the other team. And so I think one of the things to really do this well is you have to have a little bit of patience.
You have to kind of know what you want to say and have thought through it. And then you have to sort of look for the opportunities to engage in a way that feels organic and not forced. And I think that that's important. I think that that's an interesting trick. Now, when your management, that's still a good tool, but you do have positional power and it's a lot easier for you to say, “Hey, let's have a talk. We need to talk about something.” It's much harder to do when you're talking about peers. And so I don't know. Let's start with the associate that way. You want to start?

Stephanie Goss:
Yeah, yeah. Let's do it.

Dr. Andy Roark:
I think for me, let's start with our SAFE head space. And again, I know it's a little bit of head space, but just remember the SAFE acronym that we use all the time. So S, can you sit next to this person? Can you smile at this person? The day that you are sick of hearing them complain about the practice is not the time to have the conversation. It's nice if you can get into a good zen head space about things and the opportunity presents itself. Now, what's hard here is that when you're in this head space and you can sit next to this person, you can smile at them. You are going to want to not have the conversation because everything is good and I feel good. And you know what? It's not that big a deal. And so there's really discipline here in saying, I'm in a good head space with this person and I have decided this is important enough to talk about.
And so I'm going to push into this potentially difficult conversation because I decided to do it. Even though right now in the moment I'm not triggered, I'm not angry, I'm not frustrated. This is a time you're most likely to be successful. And so you have to have the discipline to have the conversation. S, can you sit next to this person? Can you smile? A, are you assuming good intent? And I think that that's really important as we go and talk to this other vet, are we seeing them as a toxic person because that language will color them in our eyes.

Stephanie Goss:
Yes

Dr. Andy Roark:
So A, can we assume good intent? F is failure. Has this person been set up to fail? And I think that's a really good place to look at this because a lot of times when we talk to employees or we talk to other people on our team and they say, “I can't believe this is happening. I can't believe this decision was made.” My question is, do they have all the information? Do they really understand why that decision was made? Do they know what's reasonable or what tends to happen at other practices? Things like that. And so if they don't have information, then maybe they've been set up to fail. Maybe they haven't been told a straight story. And the last is the end result is what do you want to accomplish? I don't think the end result here should be, I'm going to make this person love their job.
It's, Hey, I just want to give them a little bit of perspective and say every practice has problems. And part of being in a larger organization is that the ship turns much more slowly and there's lots of other people who probably have conflicting views on the same topics and they have to get heard. And it's just part of being a piece in a big team is that, so that's probably the E part, the end result. So SAFE, I would put that in my mind. I would remember what the associate vet, it's not your job to initiate this conversation. It's not your job to fix this situation or sit this person down. You shouldn't feel obligated, which is why you can wait until the opportunity arises. And then if or when the opportunity arises, I would ask this person about why they feel the way they do, and I would tell them I'm concerned, I'd say, “Well, you seem really unhappy. I'm hearing a lot of really negative things from you.”
I've had this conversation with people. And that's the end of the conversation right there. As I say, “Man, I just got to tell you, you seem really unhappy, man. I feel like every day when I talk to you, there's something that's really bothering you.” And they'll go, “oh, no, no, no. Oh, no. I mean no, I don't think I'm really unhappy.” And I'll say, “That's just how it sounds to me. We used to never talk about headaches at the practice, and I feel like a couple a times a day they come up now.”
A lot of times it's that you can jolt into place. And again, if they don't have any self-awareness, you can't. But a lot of us just, we don't really see ourselves or sometimes we don't recognize the thought patterns we've fallen into. So something as simple as that can make a big difference. Talk about what your perception is, how you're seeing it, how you say, “This is what I'm seeing when we have these conversations.” And then focus on the future, try to keep it positive, try to push them a little bit into like, “Well, if they're not going to do what you're suggesting. I mean, what are the alternatives? I don't think you should be miserable every day.” And just kind of start to move them in that direction.

Stephanie Goss:
Well, I think that there's really, you hit it because for me there's really the two areas where you could actually potentially affect change with them or to have a conversation again in the context of your relationship. So you know this person, you like this person, you like working with them. And so I love your point about focusing on the interactions and the things you can do to continue to build that relationship so that you can lean into that relationship and have the conversation with them and just say, Hey, “I'm worried about you.” Or, “It seems like you're not yourself.” Or however it feels right for you to phrase that conversation. I think the other piece besides, so there's two sides to that. One is your concerns for them. The other side is that the impact for you of their actions in your relationship.
So you have the ability to say to them, “Hey, when you talk to the team about the things that…” I'm just going to call her Sarah, “Sarah, the practice manager does. When you have conversations with the team in the treatment room about her, it makes me feel really uncomfortable because I don't know how you are, but sometimes I tell myself stories in my head. And so when I hear you having conversations in the treatment room with the techs about Sarah, sometimes I go home and wonder, oh, is she having conversations about me when I'm not there? And so that makes me worried for myself and the rest of the team, and it really makes me uncomfortable when I see that happening. How can we change that? Because I know you're not intentionally a mean person. I know that you wouldn't want to make me or anybody else feel that way.”
You have the ability to lean into how does it impact you as a person, as a tool there. And the third one is also the impact that you see. You see the impact potentially on them not feeling themselves. You can talk about the impact that it has on you. You also can talk about what you see as the impact to the team. And that can be a really important, especially with associate doctors, because I'm going to go out on a limb and I'm going to say some things that might upset some people here, but vets are like cowboys sometimes. What do we call them previously? Fighter pilots.

Dr. Andy Roark:
Oh, fighter pilots, yeah.

Stephanie Goss:
And there's a little bit of ego involved. And the reality is the support staff does look up to the veterinarians and they carry influence and weight. And so sometimes to your point earlier about shocking them or jolting them a little bit into looking at their own behavior, sometimes it's pointing the mirror back, but looking at their behavior and how it's impacting the rest of the team.
And so that can, with associate vets in particular be a really powerful leveler is to point that mirror back at them and say, “Hey, this is how I see you impacting the rest of the team. And I'm not sure if you have noticed this, but they really look up to you. And so I know it can be really easy to get frustrated and say things off the cuff and the team doesn't know when you're just necessarily, when you're blowing off steam or when you might be serious about something, when you say something in their presence and they hear it, that impacts them and it impacts the way that they react and act with you and also impacts the way that they act and react with Sarah as well. And so I just wanted to have a conversation with you about it because doctor to doctor, I feel like I can… ” You have that commonality, you have that relationship. So I think that that's the third piece of the conversation lever that you as the associate doctor could pull with them.

Dr. Andy Roark:
Yeah, I like that a lot. I think the last part for just coaching with dealing with the associate, I think gossip rules apply here, which is when this negativity comes out, don't engage with it. Just withdrawal from the conversation. You can be friendly without participating. You can say things like, “I'd rather not go to a negative place about this.” And you can kind of gently shut down those things. It takes two people to gossip. It takes one person to talk and one person to listen. The same thing is kind of true about spreading negativity, it takes one person to start this negative sentiment and the other person to be willing to listen to that negative sentiment. And so you do have some subtle power there as well.

Stephanie Goss:
I think that that's really important too, because again, not to go back to having kids, but I've been thinking about this a lot because I have been working with my kids on the power of their own boundaries. And I think it's really important to remember that there are two sides to that. There is, you can control what you choose to do action wise. You can choose to participate in gossip, but you also could choose to listen or to not listen. And we're taught, I think as children, we're taught not to do the golden rule, do unto others as we want unto us, to think before we speak. We're taught all kinds of platitudes like that about how we should act and interact with other human beings.
And I don't think that we're actually taught a whole lot about, at least I wasn't about the power of being able to say, “I don't like hearing that. That makes me uncomfortable. I don't want to feel like you would be talking about me behind my back. And I feel like based on what you just said, that you're doing it about them. And so I'm not going to engage in this.”
But we don't learn the tools for how to walk away. And I've been thinking about that a lot as a parent because we've been going through some mean girl drama and some friends drama with teenagers, and I have been trying to teach them that they do control that and they do get to control, it is okay. And I expect it of them to say, “That's not kind. If you were really my friend, you wouldn't talk to me that way.” And so if you really care about this teammate, you wouldn't talk about them that way either.
And I think that the reason that I'm babbling and bringing all of this up is because I think that that's something that's really important that we can learn how to bring to the table as human beings. And I say that because I learned how to model that behavior sometimes really well, sometimes horribly for my team by seeing someone else who was really, really good at it. And I'll never forget the first time that I heard someone in a treatment room situation say, “That makes me feel really uncomfortable. I feel like you're gossiping about the other person and I don't want to be a part of this conversation.” And then just walk away.
Not to be vindictive or bitchy or snarky at them, but just this is a boundary for me. I'm not comfortable with this conversation and I'm going to walk away. And I remember in the moment it was wildly uncomfortable, but then the conversation stopped and I was like, oh, hey, that's really powerful. And that person was like, “I didn't realize they sounded that mean. I didn't realize they sounded that, was I really gossiping?” Again, pointed the mirror back at them in a way that made them be able to look at it and look at their own behavior and shake them up. And so I think that that's a really, really powerful tool. And I think we have more control over that as individuals on the team, what that boundary is and how we set those boundaries for the things that we engage in or choose not to engage in.

Dr. Andy Roark:
Talking about the team. So we talked about talking with these, talking with the team, and again, I don't imagine this being a sit-down conversation with the team. It's just more of a way of interacting with the team. It's just be the light you want to see in the world. That's it. If you're worried about people getting down or being negative, be positive, be optimistic. Talk about the practice in a good way. Talk about the things you enjoy. Remind them of the differences that they're making. And again, it's not about a dramatic Braveheart type speech that rallies everybody. It's just kind of the consistency of noticing the good things and pointing out what's good and what's positive. And so I think it's a part of it. If the team starts to bring up negativity or things like that, I tend to engage them with questions. I don't want to tell them they're wrong, especially if you're talking to the staff, support staff, it can come up as condescending if the doctor's like, “You've got it really good.”
That's not really it. But I'll say things like, “Why do you say that? I'm not not having this experience. Tell me why you are perceiving this as unfair treatment. Help me understand.” And those are just subtle questions that you can have with people and you probably tend to have them one on one as they come up with people that I'm working with or stuff like that. You can do that stuff. Remember your positive reinforcement when you see people who are not buying into the negativity, tell them, “Hey, I just want to tell you I love working with you because you're positive, you're happy to be here and you see the bright side of what we're doing and I just want to say thanks. I just enjoy spending time around you. Thanks for making my day brighter.”
And it can be little things like that. That way you're encouraging those other people who are also trying to hold up candles in the darkness. Yeah, you can do those things. That's the big things for me is you have great power as a doctor to shut stuff down if you use the tools that Stephanie was talking about as far as like, “Hey, no, no, I'm not enjoying this conversation guys.” You do have great power. And you can do that without being critical of the other doctor or trying to start fights or anything like that. But you can subtly shut things down and you can subtly positively reinforce things that you want to try to grow. And again, you can manifest and exhibit the behaviors that you think you'd like to see in the practice.

Stephanie Goss:
I think the only other thing that I would add to that about the team would be, I think you lead with your own actions and positivity, and I love your pointing out of the positive reinforcement. And I think you also have power because of the relationship and I guess the hierarchy in a practice, in the sense that the staff does look up to the doctors. And so if I was this associate, one of the areas where do have power of influence is to create just those, continue nurturing those relationships, your own relationships with the support staff in the sense of make sure that they know that you are an open door and that you want to support them and that you want to listen to them. And so it can be as simple as you're in surgery with them and ask them, “How are things going for you? How's work? What do you love about work?” And asking them questions and being curious just as a human.
But also by doing that, you're laying the groundwork where if they do have a concern or they do have something, if they bring it up to you, then you also have created a situation where you have the ability to influence by saying, “Hey, you know what? That's a great point. That sounds to me like you should have a conversation with the associate doctor directly or with the practice manager directly.” You're creating opportunities for you to lead from totally within the team. It's not about being in a position of leadership. It's about leaning into those relationships and being able to look at this person and say, “Oh yeah, it sucks that you're feeling that way. You should do something about that.” You can be an agent for positive change in that regard by making the team understand that you do have the open door. And the only way that that happens, even from within the team is to build those relationships with them and be intentional about it.
And it would go the same way for the associate as well, which we talked about. Just leaning back into that relationship of, Hey, we're both doctors and we both love what we're doing here at the practice. Let's focus on building that relationship because then your ability to speak to them, your ability to act and lead by example, falls on both sides of that. And then you can actually be a support for all of those people as things continue to grow and change in the practice. And it's the same for this associate doctor. They clearly have an affinity for the manager and they like the manager and there's definite empathy there and they see that. Tell them, remind them that you see them, that you see the good hard work that they're doing, positively reinforcing them. You can, as the person who is on the outside and not in the middle of the drama, you have the ability to be the perspective and give that positivity to all the sides here. And I think that that is, if I was in this person's shoes, that is the most powerful tool I think that you have.

Dr. Andy Roark:
Yeah. The last part for me is talking to the management. And to me, this falls into my, what is kind. I always want to do what is kind. Is it kind to not say anything to the management about what you see shaping up? I think the answer is no. I don't think you owe them a whole lot. It's not your job to manage the practice. And I think that's, hear me out when I say that. I don't think you owe them a lot, but I just think sort of common courtesy and just being kind would be to stick your head in to ask if you can chat with a manager for a second or with the medical director or whoever and just say, I would just say, “Hey, look, I'm concerned about a couple of things and I just wanted to make sure that they're on your radar.” And then I would say, “These are the behaviors that I'm starting to see.” And you can decide how direct you want to be.
I'm not trying to go and rat on the other vet and be like, Well, she said this and then she said that. But what I would say is something along the lines of, “I think that the other associate vet is, she seems to be feeling a bit resentful about how things are going. And I'm starting to hear some negativity about the practice and I'm starting to hear it back from the staff. And so I'm worried that… ” And again, I don't know what the specifics are, so I don't know how widespread this, I don't know if this is one issue or if this is a couple issues or if there's a pattern here, but I would like to give them a heads-up and say, “I'm feeling like there may be a culture change kind of happening. I don't really like where it's going. And so I just want to put that onto your radar and just say, I'm a bit concerned about how this is happening and where it's going.”
And hopefully that's all you need to say. It's amazing how often I'll see people and they're like, “And nothing happened in the practice, it just got worse.” And I'm like, “Well, did you tell the managers?” And they were like, “No.” And I'm like, “Well, how did they know?” I was like, “Well, they knew when everybody started yelling at them.” And I was like, “That's kind of late in the game.” They could have deployed a lot more tools if they had known this was-

Stephanie Goss:
A heads-up.

Dr. Andy Roark:
… if they had a heads-up, if they'd known this is where things were going, but they don't know necessarily. Again, it just depends on the leaders. If you're a job of a leader, remember that relationship game we talked about the very beginning. Hopefully you've got good people who will say, “Hey, look, I'm hearing some stuff you might want to be aware of.” And again, it's not about selling people out or getting other people in trouble. I think that's an important point. I think a lot of people are like, “Oh, Andy says I should go turn them in. I should tell on them.” I'm not saying that. I think you should give the management a fighting chance to try to stop your practice from turning into a cesspool. That's what I think. That's how I look at it.
But that doesn't mean, again, you can be friendly without joining up. You don't need to pick sides in this battle to say, “I'm kind of worried that morale is sliding down and that people are starting to get sort of a negative view about some things that are going on. And you might want to work on that a little bit and see.” And then it goes to the management, which let me begin. Let's do head space for management really quick. No, I'm just kidding. We're not.

Stephanie Goss:
That's a whole other episode.

Dr. Andy Roark:
That's a whole other thing. We're not going to tell management what they should do, but basically that's how I would kick it up the chain. And they need to get a plan. And the truth is the plan depends on what the heck is going on. What is the person upset about? What are they saying? What's the staff saying? It's a whole other thing.

Stephanie Goss:
The nice part is that's above your pay grade. You don't have to worry about that as the associate. You just have to put it on their radar.

Dr. Andy Roark:
Totally. And here's the thing, again, if you get your head in the right place, you can accept your position and also decides you want to be an influencer and somebody who's a sort of a force for good, then you can hopefully maybe positively affect the head space of the associate vet. You can hopefully positively affect the head space of the team. You can sort of manifest the positivity into the theme that you want to see. And then hopefully management's going to engage and they're going to start trying to make things better. And very quickly we can swing this thing around.
It's really, I mean, it's like managing a chronic condition. Early diagnostics are the key. And it's funny, but I've seen these things turn around pretty fast. If you can have a couple of good conversations, you've got to have some push from the management. People have to believe that things are going to get better or that they're going to change in the future, or at least they're heard or they're cared about. But you can swing these things around. You don't want to wait until the clinic is divided and people have drawn battle lines and they're making plans-

Stephanie Goss:
Or people are leaving. Yeah.

Dr. Andy Roark:
Or they're leaving. Yeah. Just do it sooner rather than later.

Stephanie Goss:
All right, well, I think if we go on any longer, we're going to get into what should this manager do, which like I said, is a whole other episode. We're done. That's it. That's a wrap on another podcast.

Dr. Andy Roark:
We're out like Jacqueline Roark looking at colleges. We're out. We got to map. And some-

Stephanie Goss:
We're 15 and we're three years down the road.

Dr. Andy Roark:
…rings and we're driving away.

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

Dr. Andy Roark:
See you everybody.

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


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

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