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Feb 01 2023

This Clinic is ALL Drama

This week on the podcast…

This week on the Uncharted Podcast, Dr. Andy Roark and practice manager Stephanie Goss are talking through a mailbag letter from a colleague who joined a new practice that seems FULL. OF. DRAMA! There are cliques, there is standing around, there is setting others up to fail and this doctor is wondering if this is just a lost cause or how they possibly begin to tackle this place and make it a more positive, less dramatic place to work. This was so much fun for Andy and Stephanie to debate through. Let's get into this…

Uncharted Veterinary Podcast · UVP – 216 – This Clinic Is ALL Drama

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 about your challenges and would love to feature your scenario on the podcast.

Submit it here: unchartedvet.com/mailbag


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TEXTING IT TO THE NEXT LEVEL with Maria Pirita, CVPM

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When: February 15, 2023, 8-10 PM ET/5 – 7 PM PT

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Episode Transcript

Stephanie Goss:
Hey everybody, I am Stephanie Goss, and this is another episode of the Uncharted podcast. So, this week on the podcast, Andy and I are tackling a question from the mailbag. We got a letter from someone who joined a new hospital and is on the struggle bus about how much internal drama there is amongst the team. There are cliques. There are technicians and people on the team actively avoiding doing something while waiting for quote-unquote, “The other person to see if they're going to do it. And then they come running to me or to another doctor to complain about how X person didn't do Y task. It makes me want to pull my hair out,” is what the email said. And I can understand that because, oh boy, this does not sound like the kind of place that I would want to work.
And this vet has great intentions and they're like, hey, is this a thing that I can fix? Is this a lost cause? How do I tackle it? We talk about the details and more about their mailbag letter. This one was so much fun, even though it was full of drama. Let's get into it, shall we?

Meg:
And now, the Uncharted podcast.

Dr. Andy Roark:
And we are back. It's me, Dr. Andy Roark and Stephanie “I'm going to start some drama, you don't want no drama” Goss. No drama.

Stephanie Goss:
Drama llama for your mama. How's it going, Andy?

Dr. Andy Roark:
It's good. I don't get to say enough lyrics from My Humps by the Black Eyed Peas. And so, when that came into my head, I was like…

Stephanie Goss:
You were like, “Yes.”

Dr. Andy Roark:
What is that from? Don't start no drama, what's…oh it's My Humps. That's what that is. It's in the dusty, cobwebby corner in the back of my brain lives Fergie, My Humps and Fergalicious. That's where that lives. It's like it's when songs come into your mind and you're like, why is that there? I can't … Of all the things I can't remember. Why is My Humps just, is permanently etched into the walls of my brain?

Stephanie Goss:
Oh, I love it so much.

Dr. Andy Roark:
Oh, good gosh. I have a story for you.

Stephanie Goss:
Oh yeah?

Dr. Andy Roark:
Oh, my God, I have not…Yeah, I have not gotten to tell you this story. All right, so you're going to love this. So I'm at the grocery store with Alison, right?

Stephanie Goss:
Okay.

Dr. Andy Roark:
And we have got a full cart of groceries and we're leaving the store and it's like 10:00am on Saturday morning. So the grocery store is fairly empty.

Stephanie Goss:
Oh, okay.

Dr. Andy Roark:
And so, I'm pushing the car and Alison's with me, and it's loaded with groceries. And we go out the sliding doors, and as we go out into the empty parking lot, this lady with her cart gets behind us and she's following us out of the grocery store and out of the sliding glass doors into the parking lot. And I'm just driving my cart right down the middle of the parking lot lane, and she's just walking behind us.

Stephanie Goss:
Okay.

Dr. Andy Roark:
And we have the meat in the plastic bag on the bottom shelf, you know what I mean, of the cart down by the ground?

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And it starts to slip off. And Alison says, hey, wait, we're losing our meat. And so, I said, oh, and I stopped. And when I stopped, Alison went to fix the meat and I heard the shopping cart behind me stop. And so, the woman who was following us through the parking lot stops when we stopped.

Stephanie Goss:
Instead of going around you?

Dr. Andy Roark:
And then Alison went to fix the meat. No. It's an empty parking lot.

Stephanie Goss:
I know. That's what I mean, so instead of going around, why is she following you?

Dr. Andy Roark:
She stopped, she just stopped. And so, I waited a moment and then I turned around and I looked at her and she was standing behind me with her cart, and I kid you not, she rolled her eyes and went, “Ugh,” like that.

Stephanie Goss:
I have so many questions. This is like the people, the time that you were at the beach, who came and sat down right in front of you at the empty.

Dr. Andy Roark:
Exact [inaudible 00:04:00] yes!

Stephanie Goss:
So many questions. A, why was she following you? B, why didn't she just go around you? It's, why, oh, I don't understand people. I don't.

Dr. Andy Roark:
There was a commercial that I saw, it used to come on, I don't remember what it was for anything, but these people were on the escalator and the escalator just stopped halfway up and they just battered down. And they were like, I guess we'll have to wait until be rescued. And it's an escalator. They could just walk…

Stephanie Goss:
Walk right up…

Dr. Andy Roark:
But they're like, who's going to come for us? And that's what I thought of as this woman just stopped and rolled her eyes and grunted. And I got in the car and I said, Allison, should I have pulled over? And she's like, it's an empty parking lot. And we're pushing a shopping cart.

Stephanie Goss:
Right.

Dr. Andy Roark:
We weren't even a car.

Stephanie Goss:
It's not like you were walking down the aisles.

Dr. Andy Roark:
No.

Stephanie Goss:
And you stopped in the middle of the aisle where you can't go around people depending on how narrow your aisles are, there's lots of grocery stores where…

Dr. Andy Roark:
It's a solid three acres flat paved surface. And she's standing behind me going, “Ugh”. And rolling her eyes. And I was like, what is this world? And then I thought, I was like, what experience in life has this person had where she's like, now I'm stuck here behind this a-hole. That's great. What am I going to do about this? I have places to be like…

Stephanie Goss:
Oh ma'am, it's a parking lot. Just go right or left. Doesn't matter. Just go around.

Dr. Andy Roark:
So funny.

Stephanie Goss:
Go around.

Dr. Andy Roark:
I was just like, oh man. It's like learned helplessness. I think she was totally on autopilot. But oh man.

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

Dr. Andy Roark:
I should've waved. I should have waved her.

Stephanie Goss:
Right?

Dr. Andy Roark:
I should have waved her on like when you put your other window and just like go, go around. I need to complain to Publix that their carts don't have blinkers that you can put on when you're stopped. So people know just to [inaudible 00:05:58].

Stephanie Goss:
I need a blinker on my Publix cart please.

Dr. Andy Roark:
But as she rolled her eyes and stood behind me, I was like, I can't wait to tell Stephanie Goss about this.

Stephanie Goss:
I have so many questions.

Dr. Andy Roark:
Oh man. I don't have any answers.

Stephanie Goss:
That's the thing, when things like that happen, don't get me wrong, I am way road ragey and probably way too much for my own good. And my children learned all the expletives very early on, particularly in my car. And a lot of the time where my brain immediately goes to is the questions. Why would they do that? What made her think that she had to follow you? Why not only why did she roll her eyes, what was going on in her head where she was like, oh, this a-hole? Like, but just so many questions.

Dr. Andy Roark:
I think that, in all seriousness, so I've been thinking all about this. I think that there's a commentary on society here. I think that so many people have just been habitualized into, we were going out the door and so she…

Stephanie Goss:
We're in a line.

Dr. Andy Roark:
And so she just fell in line. But I think that there's some weird part of our brains that pick up on those patterns and do it. And then the stopping like, oh, great, now I'm stuck here.

Stephanie Goss:
Right.

Dr. Andy Roark:
But it's like people you know in your life who just have a problem and instead of just doing the obvious thing to fix the problem, they're like, I guess I have to wait, or I need to go to a higher authority. They come to you and they're like, we're out of toilet paper in the bathroom. And you're like, did you get toilet paper out of the storeroom? And they're like, no.

Stephanie Goss:
Cool. Could you go do that?

Dr. Andy Roark:
Could you? Oh, okay. And next time you should just feel empowered. You don't even have to come and ask me. You can just go get more toilet paper and put it in the bathroom.

Stephanie Goss:
Don't start about toilet paper because that is the number one thing in the clinic that gives me rage. Hands down, toilet paper rage is worse than road rage because nobody ever knows how to change the freaking roll.

Dr. Andy Roark:
Like the empty tube?

Stephanie Goss:
Yes, yes. It'll get used and then the tube will sit there and most of the time they don't even get another roll and place it on top of the role, which would also, the empty tube, which would also piss me off, but would piss me off way less than when the empty tube just sits on the thing and nobody gets any more toilet paper. Because it's always me. Always. Every single clinic that I have ever worked in, it is always me without fail that sits down to pee and there's an empty freaking toilet paper tube on the roll. In fact, the best Christmas present I ever got, it just came up yesterday in my time hop. The best Christmas present I ever got from my entire team. There's two presents that stand out in my mind. Both of them involve toilet paper.
The best Christmas present, though, is one of my assistants…This became a thing. And my team knew how ragey, because without fail, at least once a week I would sit down to pee and it would be empty. And so one of my assistants one year took…you know how you mark the IV bag that when the line was changed last or when the bag was changed last, and you put your initials in the date and time? And one of my assistants changed the toilet paper and then put white tape across it like an IV, and wrote the date and time that she changed and her initials. And she gave me the picture as a Christmas present. And I was like, this is the best Christmas present that I've ever gotten, is someone besides me changing the effing toilet paper in the clinic.

Dr. Andy Roark:
Well, I just imagined the woman with a shopping cart walking into the stall and seeing the empty thing and just going, “ugh, great”. Yeah, now I have to hold it. And then just standing there until Stephanie Goss comes with toilet paper that she could have gotten…

Stephanie Goss:
To be the toilet paper fairy.

Dr. Andy Roark:
Yeah, exactly…

Stephanie Goss:
Anyways…

Dr. Andy Roark:
Okay. All right. I just wanted to share that with you.

Stephanie Goss:
Oh my god, I love it so much. I love it so much.

Dr. Andy Roark:
I was like, oh people are crazy. I've forgotten about the people at the beach coming and sitting directly in front of me.

Stephanie Goss:
Yes.

Dr. Andy Roark:
That's hilarious. All right.

Stephanie Goss:
So there are people in your life who cause drama. And this week's episode is all about drama because we got a great mailbag letter from someone who has joined a clinic and who said, this clinic is all drama. They joined a new hospital and they're struggling with how much drama and conflict there is in the team. So they have a problem with cliques it seems like. And lots of different facets of the team will actively avoid doing something, waiting to see if the quote-unquote “other” person or the other group or whatever will do it. And then when it doesn't happen, come running to, this person is a doctor on their team, come running to the doctors and be like, so-and-so Andy didn't, Andy didn't replace the toilet paper in the bathroom. I caught him because I went in there right after he was in there and it was empty. It's all his fault.
They're doing that kind of nonsense. And this doctor's like, look I literally want to pull my hair out. It is driving me crazy. And they were like, I've tried leading by example. I've tried emphasizing good intent and channeling the Andy and Stephanie like Zen head space. Let's assume good intent. Let's think good thoughts. But this seems to backfire with this crew because they said, the more I do that, the more it seems like they're then trying to prove to me even more why the other person is so bad or does not have good intention.
And they're struggling because this doctor is not a manager. And they said that the management doesn't seem to have a good handle on the situation and doesn't really seem to be doing anything about it. And this doctor is frustrated because they said, look, this is a really good high skilled group of paraprofessional team members, and they could be fantastic if they would just get out of their own way and get out of the drama. And so they were asking, what can I do to help reward them when they do work as a team to be positive, to seek out the good in each other because they really are really high skilled and I want them to be a high functioning team. How do I help do that? Because I'm feeling like I don't know whether this is a lost cause or not.

Dr. Andy Roark:
Yeah. Oh man. All right. This is a good one. I really like this one. I really like the idea of this question coming from the associate doctor who's like, I'm not their boss, but I have to deal with this. And so what do we do?

Stephanie Goss:
Yep.

Dr. Andy Roark:
All right. Well let's go ahead and start with some head space.

Stephanie Goss:
Okay.

Dr. Andy Roark:
Huh. I have concerns, Stephanie. I have concerns.

Stephanie Goss:
Me too.

Dr. Andy Roark:
I also like the phrasing, I feel that they asked us very reasonable questions that I can answer these questions for sure.

Stephanie Goss:
Yes.

Dr. Andy Roark:
I don't know if it's going to do enough good.

Stephanie Goss:
Right.

Dr. Andy Roark:
I don't know if it's going to, I can answer your questions. I don't know if it's going to make this situation good enough to make sense.

Stephanie Goss:
Yes.

Dr. Andy Roark:
So headspace perspective, culture comes from the top, right?

Stephanie Goss:
Yes.

Dr. Andy Roark:
It just does. And there's no way around that. And as we've seen more multi-practice groups and things like that, I think this is the problem of the next generation in vet medicine is we've got bigger and bigger groups of practices together. And there's some, I'm not being anti-corporate, I'm really not. There's some real benefits to corporate medicine and I think you'll continue to see benefits. The downside is that there are also real benefits of having the practice owner whose reputation is on the line being right there shoulder to shoulder with everyone else. You know what I mean?

Stephanie Goss:
Sure.

Dr. Andy Roark:
And so when I think about…Culture comes from the top, and if you don't have someone who's really invested in culture right there on the ground, I think you can have trouble. That said, now that I'm saying it out loud, I also, it's not lost on me that there have been a lot of practice owners who have generated negative.

Stephanie Goss:
I was just…

Dr. Andy Roark:
You just kind of looked at me and didn't immediately respond positively. It dawned on me. I was like, yeah, okay, that's fair.

Stephanie Goss:
I was waiting.

Dr. Andy Roark:
Okay, that's fair.

Stephanie Goss:
I was waiting for you to hear your thought process play out.

Dr. Andy Roark:
Yeah, okay.

Stephanie Goss:
Because what I would say is that equally if they're on the ground and they're not doing anything about it, they're not any better than somebody who is absentee from the day-to-day of the practice. And I think you're not wrong that this is something that we're going to have to, I think deal with, and I don't know that it has to do with the size of the practice, but that there is a lot of drama and there is a lot of toxicity and negativity in veterinary medicine. And your point about it coming from the top, culture being set from the top, is so so true and it matters.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
And I think that was the first thing when I read this as well, is I was like, well, you can absolutely lead from the middle. I am a firm believer in being able to lead from within the team. And at the same time there comes, there is a line where if at the end of the day your boss, whether it's corporate leadership, private practice owner, doesn't matter. Whether the management at the top is not willing to set that culture on down, your hands are kind of tied.

Dr. Andy Roark:
Oh yeah.

Stephanie Goss:
At some point.

Dr. Andy Roark:
Yeah and that's where I'm trying, that's where I'm sort of trying to go here is. You can absolutely lead from the middle. I agree with you on that. And if management leadership above you is undermining the positive culture that you're trying to build, you're going to lose.

Stephanie Goss:
Yes.

Dr. Andy Roark:
Top-line leadership has a disproportional impact.

Stephanie Goss:
Yes.

Dr. Andy Roark:
And it can be super frustrating trying to lead from the middle when management just perpetuates behaviors above you that continue to make this type of drama happen. You know?

Stephanie Goss:
Yeah. Totally.

Dr. Andy Roark:
So yeah. So anyway, I guess that's where I want to start in headspace is just to sort of say, I think that when we have systemic problems with culture that radiate from leadership, the impact that we can make in the middle is limited. It is really almost impossible to revolutionize the culture if leadership's not on board. I think you can make a positive impact. The reason I said at the very beginning, we have concerns. It's because I'm kind of like, I don't know if you can make enough impact to make this be a place that you want to continue to work.

Stephanie Goss:
Yes.

Dr. Andy Roark:
Maybe you can and in some cases you can. And it really depends on how much influence do you have, how much do people listen to you? What is your schedule like? How much can you control your immediate environment? And then also what's your tolerance for drama?

Stephanie Goss:
Yeah.

Dr. Andy Roark:
Because it might be that the drama's at an eight and you can help make the drama a six and you're okay with a six.

Stephanie Goss:
Right.

Dr. Andy Roark:
But if it's at an eight and your tolerance is a three…you might be able to make it a six, but it's still not a three and you're still going to be unhappy.

Stephanie Goss:
Yep. I agree with you. And I think the question for me that I ask myself is what level of control do I have if I'm not the boss? Because I have seen and have been in my very first practice, a role where I took a leadership from the middle position and led from within the team. I was not in a formal leadership position. And there is absolutely environments and situations where you can have and be afforded a good amount of control as a member of the team. And so as a doctor, I would ask this doctor to do some introspective work and look at it and think about how much control do you actually have here?
Because if you are in a position where they're letting you be pretty, you can be pretty empowered even if you're not on top, you might be able to overcome more of that. Like you were saying, more of their lack of jumping in. Maybe it's a situation where they're not directly contributing to the drama, but they're not doing anything about solving it. But if they'll let you take the lead there, that might be a workable situation. So the first head space piece for me is what level really examining for yourself, and this is a totally individual thing based on your situation and your environment and your practice, what level of control do you actually have when you're not the positional boss?

Dr. Andy Roark:
Yeah. This is, one way or another in the end, this is going to come down to one of our math problems and you're going to pick your poison.

Stephanie Goss:
Yes.

Dr. Andy Roark:
And it's going to be, I mean, it's just a, it going to be…

Stephanie Goss:
True story.

Dr. Andy Roark:
I think my advice, just head space looking out at this is I think where you really get screwed is if you think that this is, that there's no options.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
There's drama here and I have to figure out how to fix it or else I'm going to live with drama for my whole life. And I see a lot of people who fall into that. It's called “either or” thinking. Either I fix this or I live with it forever. And I go, I got another option for you. Got another option for you. And that's leaving.

Stephanie Goss:
Right.

Dr. Andy Roark:
And it's not catastrophic. And I think all of this gets better if you say to yourself, I'm a doctor, I signed a one-year contract. That's what I signed. One year. And I'm going to try, I'm going to do this. I'm going to put up with this garbage for one year and then I'm going to reassess. And I think that that makes everything feel much more manageable and approachable. And so remember, it's a one-year contract. You didn't get married, you took a job to see how it goes. And so my advice is I think it sounds like this person's got good open eyes and clear expectations about what can be done. Let's see what we can do in the next year, and then we're going to reassess. And if this place is still just drama central and it's sucking the life out of you, or it's just a constant headache, then this might not be where you want it to be.
I may have a bit of a, I don't think it's callous, but I don't know. My perspective on this with sort of staff drama and things is this is a leadership problem.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And if you are trying to have a good quiet life and there's drama just going on around you and around you and management is not going to address it, I don't think it's bad if you leave.

Stephanie Goss:
Yeah. Totally.

Dr. Andy Roark:
To me, that's a very understandable position and I think you should reward clinic culture. I want to work at a good positive place to be. And I think that that's, I think that that's very understandable. And so again, all of this is just headspace and trying to get to where we feel like, okay, I feel all right here. I also feel like when you feel like you don't have any other options other than to fix this, the stakes get real high and everything feels really, really important. And that honestly limits your effectiveness, right?

Stephanie Goss:
Yeah.

Dr. Andy Roark:
You're at your most effective when you don't care all that much.

Stephanie Goss:
Yes. Yes.

Dr. Andy Roark:
When you can kind of wait, when you can let things go, you can pick your battles, that's being effective. And so we got to get the stakes down. So that that's kind of what I'm trying to do, get my head straight here and go, let's see where it goes for a year. Ultimately, this might not be salvageable and I need to be okay with that.

Stephanie Goss:
That was my second piece was like, I think you have to get zen before you can tackle it. And so there's two pieces of that. One is putting down the flaming raging sword of justice and not be raging when you go into dealing with it. But the other is what you were just talking about, which is if you are feeling amped up, if you are hacked off at somebody, if you are feeling triggered, you can't be super effective. And so finding that place where it's, you're not trying to tackle this on a day when there's been clique drama in the practice.
It's not so much, I mean it's a part of our safe acronym that we talk about all the time, but really is, are you in a good head space? Are you in that place where you're just like, I don't, this is not bothering me. Even if it's just for today or just for an hour while you're making a move here. I think what's really important is being in that place where it's not mattering so much and you do not have the flaming raging sword of justice in your hands because that will not end well.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
For you.

Dr. Andy Roark:
Yeah, no. I agree with that. I think, I'm trying to think if there's anything else from me. Those are the big ones.

Stephanie Goss:
I think the last thing for me from a head space perspective goes along with the other piece of the acronym and it's assuming good intent, but really for me is just remembering, and I've had to remind myself of this in practices that I've been in and just even behavior of myself and the team, is cliques happen when people don't feel safe and/or they're trying to fit in.
And so reminding myself this is happening because people ultimately want to be liked at the end of the day. And so if I can figure out how to shift their perspective from this group versus that group to meeting the need where they do feel safe and they do feel like they fit in because they feel valued and appreciated, I might be able to make a bigger impact with that in mind. And so I think from a head space perspective that that's the last thing for me as a leader, is just to look at assuming good intent, but also asking myself, why is this happening? And scientifically, the science goes behind cliques and how they happen has to do with the fact that people don't feel safe or they're trying to fit in. And I think remembering that when dealing with any mean girl drama has been really helpful for me.

Dr. Andy Roark:
Well, let's take a break and then we'll come back and my first action step is to dig into why this is happening.

Stephanie Goss:
Okay.

Dr. Andy Roark:
Sound good?

Stephanie Goss:
Sounds great.

Dr. Andy Roark:
Let's do that.

Stephanie Goss:
Hey, it's Stephanie, and I'm jumping in here for one quick second because we have a workshop coming up next week that you are not going to want to miss. Our friend and colleague, Maria Pirita CVPM is going to be leading a workshop that is open to the public and to our members on February 15th, 2023. It is at 8:00pm Eastern, 5:00pm Pacific, and it is called Texting it to the Next Level. That's right. Maria is going to be tackling, talking about some of the do's and don'ts when it comes to texting with our clients and really how to take what we all jumped in and started doing full tilt during the pandemic and use it to level up and build a stronger bond with our clients without lengthy phone calls, and hopefully save you and your team some headache and some time and some stress and recoup that time back into your day.
So if this sounds like something you'd be in on, head on over to unchartedvet.com/events. Check it out. If you are a member, you always get in for free, if you're not a member, you can join. It is $99 for this workshop or check out an Uncharted membership because you get all of the workshops that we do in the course of the year at no additional charge with the cost of your membership. So check it out, unchartedvet.com/events. And now, back to the podcast.

Dr. Andy Roark:
All right, so transitioning from action steps, and I think hopefully we did a pretty good job of getting into a safe head space where we can feel comfortable as we try to see what's possible in moving forward here, right?

Stephanie Goss:
Sure.

Dr. Andy Roark:
Lower the stakes. I understand that we got options. We're going to give this a try and then see how it goes, and we'll have to make the call after a little while and see what sort of traction we can get. The first action step from me is root cause analysis. What is going on here? And it's easy to say people are, they're setting traps for each other, they're forming cliques, they're trying to catch each other, they're not engaging in getting work done, and instead trying to get other people to do it. I'm like, these all sound like symptoms to me. Symptoms of a problem.
And so the first thing that I would counsel this doctor on is root cause analysis. Why is this happening? Is it because people are unhappy here? Is it because there's a lack of information being shared?

Stephanie Goss:
Sure.

Dr. Andy Roark:
Between management and staff. Is there some weird positive reinforcement loop that's happening? When I get Stephanie Goss in trouble, do I get patted on the head?

Stephanie Goss:
Right.

Dr. Andy Roark:
Does she get punished in a way that benefits me?

Stephanie Goss:
Right.

Dr. Andy Roark:
I've seen weird stuff like that in practices where I've seen, I have…I'll tell you one that I've seen in practice. It was if you tattled on other people, then you got to go and sit in the manager's office and talk about the problem at length and have these conversations and feel important because you're in the manager's office talking about practice business and also be off of your feet sitting in a comfortable chair and also off of the floor not having to go into rooms because you are talking to the manager.
And oftentimes what would happen is these were just gossip sessions, but basically people had figured out if I can report some drama, then I get to be a part of…

Stephanie Goss:
Go take a half-hour break.

Dr. Andy Roark:
Gossip.

Stephanie Goss:
Right.

Dr. Andy Roark:
Yeah. I get to have, yeah, exactly. I get to have a half an hour break talking about drama stuff and not actually doing the job.

Stephanie Goss:
Yes.

Dr. Andy Roark:
Per se. And there's chocolate in the manager's office. So I'm eating chocolate, talking about Stephanie Goss not doing what she's supposed to do, feeling good about myself, you know what I mean? And other people are actually doing the flea and tick talk in and out of the exam room, you know what I mean?

Stephanie Goss:
Yes.

Dr. Andy Roark:
And I saw that and I was like, and it just happened.

Stephanie Goss:
Yes.

Dr. Andy Roark:
Again, and every day somebody was camped out in the office talking about some drama and management was taking notes, and it was a very intense session.
At the end of the day, I'm like, what'd you do today? And they're like, nothing.

Stephanie Goss:
Right.

Dr. Andy Roark:
I'm investigating this drama. But did we audit the inventory? No. Did we call clients back? No. It was, anyway.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
It was silly, but I saw that. So anyway, is there something like that going on? Is there some weird positive reinforcement mechanism that I don't know about? Is there a single toxic person? Is this coming from one bully person or one drama person? Is this radiating from a single individual?

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And again, maybe not, but a lot of times there's somebody who, I don't know what their thing is. Are we doing all this stuff because somebody needs to be in control? Because they need to feel powerful? Because they need to bend others to their will that they feel insecure and they feel better by calling out other people not doing their jobs. Because if this is a one-person problem, that's a much easier problem than this is systemic across the entire organization.

Stephanie Goss:
Yeah. Yep. Yeah, no. I think that's all makes perfect sense. The other thing that I have experienced is where, like you were saying about the rewards, and I think another really common reward is when there is friction, because we are a conflict-averse group as a whole in veterinary medicine, there can be the unintentional reward of, well, I'm just going to shift around who works with who so that I don't have to deal with it as the leader. I've seen this employed over and over again. And so people are rewarded by getting to be in surgery for the whole day and do surgery instead of having to be with the rest of the group. And it's less drama for everybody else. And so they're getting, the negative is being reinforced.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
And so I think that that, I've seen it manifest in multiple ways. Your manager's office example is another great one. But I think that there's a lot of that, and especially here, it sounds like there is conflict-averse management. And so I think the root cause analysis is super, super important because I think you're going down the right path for sure, in terms of these are symptoms of an underlying cause and you have to figure out what is that actual underlying cause.

Dr. Andy Roark:
Yeah. The questions I ask myself again and again are, why is this happening? Why is this happening? Who's benefiting from this happening? And I'm looking for those things because I'm trying to figure out where is this coming from?

Stephanie Goss:
Yeah.

Dr. Andy Roark:
Why is it happening? Who's benefiting from it happening? Are there consistent players that seem to be involved again and again and again? And if I can figure out the answers to those questions often I have a much clearer way to approach this. It's rarely everyone is misbehaving and independently they've all decided to tattle on each other or dodge tasks.

Stephanie Goss:
Yes.

Dr. Andy Roark:
This is coming from somewhere and there's some strange reward mechanism. And sometimes it's, there's a bully. And the bully is nice to people that join his clique. And so people join them to get, and they're, the bully's, dishing out positive reinforcement or withholding negative reinforcement if you go along.
And again, when you see this for the first time, you go, I don't understand why everyone's acting this way. You have to dig a little bit and watch for a little while and ask some questions before you get this pinned down. But that root cause analysis I think is really key. As far as cliques go, especially when you're not the boss, be friendly without joining up. So I can smile, I can be friends, I can be nice, but I'm not playing this game.

Stephanie Goss:
Sure.

Dr. Andy Roark:
And just decide I'm not doing this. There's so many people that I see who are good people, but they desperately want to be liked and they will say, ooh, this is toxic. And then when the opportunity presents itself, they will fall right into the game. It's like this is toxic, but I like being on the good guy side and I like having friends and I like to have things to talk about and everybody wants to talk about this drama. And so I want to be involved. And so I'm going to talk about what is topical and what is topical is drama and gossip. And so just be careful about, be nice to people, just don't play the game. And this is subtle and this is leading from the middle.

Stephanie Goss:
And I think the other piece of it too is that, again, it goes back to being a conflict-averse group, but I've seen repeated time and time again where people aren't necessarily joining in because they know that it's wrong and they don't want to be doing the thing and they're sitting there and letting it happen. And so I think for me, in terms of the action steps after the root cause analysis, the first part, if this is truly making you want to pull your hair out, you've got to shut it down. And that means not only not being a participant in it, but when it is happening, being brave and being the person to say, hey, I wouldn't want to know that you guys were talking about me like that, can you please stop having this conversation? If you have a problem with Andy, you need to go have a conversation with him.
It's shutting it down and not only not engaging in it, but not allowing it to continue. And I don't see that happen anywhere near as often. The default for people is like, I'm not going to join in, but I'm not going to say anything about it either.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
I'm going to continue to sit here and let you guys be gossiping behind me.

Dr. Andy Roark:
Yeah. That's, to me, that's the first step towards leadership. Whether you're a positional leader or not.

Stephanie Goss:
Yes.

Dr. Andy Roark:
I think the bare minimum that I expect from an employee who's not the boss is to not participate. You know what I mean? I can be okay, I will understand if my young, that assistant, does not stand up to the technician who's 22 years older than her and say, shut a behavior down. I do understand. And I would not hold it against them for not standing up and saying something in that weird power dynamic because I think that's a lot to ask of an inexperienced person or a young person or someone who's just trying to fit in.
However, if that person is a leader, and I will tell you my opinion of that person soars through the roof when they say, I think if you have a problem with Stephanie, you should talk to her about it. And then they walk away. I'm like, that's leadership potential there, buddy. That takes, it takes some guts. It does take some guts.

Stephanie Goss:
It does.

Dr. Andy Roark:
And again, let's be honest, it's what you should say, but as a human being, it's scary to say that. Especially when you don't know what to say or that behavior's not being modeled. God, there's great pressure to go along with other people.

Stephanie Goss:
Well sure. Because we all want, it's the same reason the cliques form. We all want to be liked.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
We all want to fit in. And even if you're not a part of the clique like that, for most people, that is not an exception. You want to be liked. You don't want people to not like you. And so putting yourself out there and going against the crowd is a hard thing to do.

Dr. Andy Roark:
Yeah. I think that that's amazing. So I would say to that, think about what you're going to say before you say it. I really think that just giving a little bit of thought to what your statement is going to be when this behavior happens because it's going to happen again. You know it's going to happen. I always say, I think people over, I think people say too much. I think that, you know what I mean? They'll say, well, listen, I would not want to be talked about in this way.

Stephanie Goss:
Right.

Dr. Andy Roark:
Just say, I think if you have a problem with Stephanie Goss, you should go talk to Stephanie Goss about it and then be done.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And I think that's all you have to say. And don't make it a big deal and don't make it sound like a big judgey thing, but just say it and then be done. And they can do with that what they will. But that takes real, real, real, it takes some courage if you haven't done it before. But that is kind of what I expect from the leadership level of the doctors.

Stephanie Goss:
The other happy medium because, for me, I hear what you're saying about not expecting it from the team, and I want a culture where every member of my team, including the kennel kid, could look at me or my 22-year senior tech doesn't matter and feel like they have the tools and the confidence. And that we have created a culture where that is acceptable and expected that they would call each other out on it. And recognizing that getting there is hard and is a journey and that is a tool, those are that you have to actually learn.
And so for me, one of the middle-of-the-road, easy starting places for my team when we started on that kind of communication journey was just calling it what it is. So if there's gossiping happening being like, hey, you guys are driving me crazy standing here gossiping, can you take it somewhere else? Then I'm not telling them to stop because that is the action that is really hard for a lot of people. I'm putting on my bossy pants and I'm telling you that you're gossiping and I want you to stop. For some people, the easier path is the path of the least resistance is sometimes it's just calling it out. Hey, you're being really mean and I don't want to hear that. Can you go somewhere else?

Dr. Andy Roark:
Do you think the way that you would handle this changes depending on what kind of support you're getting from leadership in the practice?

Stephanie Goss:
Yes, and that's…

Dr. Andy Roark:
I think so.

Stephanie Goss:
Yes. Absolutely. And I think that's what I'm saying, is recognizing that not everybody is going to either feel empowered enough to say, hey, it sounds like you have a problem with Andy. Why don't you go talk to him? Not everybody's going to feel empowered to do that, and/or they don't feel like they have that tool set. And so I think that the empowerment level matters greatly. And so if you are a person who is less empowered on a structural level within your practice or feels less empowered on a personal level because you feel like that's just, I couldn't have the balls to say it that way.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
Find the way that feels good to you and to your point is short and sweet, but calls it what it is. Like, hey, you guys are gossiping and driving me crazy. Go somewhere else.

Dr. Andy Roark:
And just say it and be done and say it with a smile on your face and just say it. But no. So we have a workshop in Uncharted that Dr. Saye Clement did, and she talked about shutting down gossip in her practice and it was very much from the top down and she empowered her people and said, if you see this, I want, this is what I want you to say. And she told everyone that and that really empowered them to say, this sounds like gossip. I'm not going to participate in this.

Stephanie Goss:
Yes.

Dr. Andy Roark:
But it came because she said that from the top. And then she continued to use that messaging again and again and again. I think again, that's a note to practice leadership of you can make these things happen by normalizing this and giving people the power and the words to say…

Stephanie Goss:
Totally.

Dr. Andy Roark:
We're speaking to the doctor here who's not getting that support from above. And I think you have to read the room and say, how loud do I want to beat this drum? How loud do I want to beat this drum? Because at the end of the day too, and these are hard realities, I have to work with these people.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And burning this relationship bridge or turning a clique against me, that's a pain I'm not willing to carry. I don't own this place. I'm not a leader in this place. I want to make this culture better. At the same time, I've got to look out for my ability to do work and enjoy being here, which means I'm probably not going to crusade against the technicians that I rely on to get my work done. I need to figure out how to influence them while still keeping that relationship stable and strong. And you need to look at where you are and make that call.

Stephanie Goss:
Yeah. And I think if that is you, I think one of the next steps that I would have regardless, but especially if you feel like you're in that position. For me, the next action step is being transparent about how I feel about it and how it makes me feel. And so, because really, even if our coworkers drive us crazy, we do all want to be liked. And if I heard from somebody else on my team, hey, when you do this thing it makes me feel sad or it makes me feel hurt, or it makes me feel bad on behalf of this other person. There is something eye-opening about viewing our behavior through someone else's lens.
And so for me then besides if you feel, especially if you feel like you can't shut it down and/or if you're in a position where it's not being supported from the top down, being able to just be transparent and say, hey, I care about all of you and I like you and I like Sarah, and when you stand here and you talk about her, it really makes me feel uncomfortable.

Dr. Andy Roark:
That's a great way.

Stephanie Goss:
And just being transparent about how it's making you feel because it does. It is very hard to see ourselves through, to, see our behaviors through someone else's lens. And in my personal experience, it's wildly impactful because even if I knew full well that I was being a Royal Biotch and I was acting naughty, if you told me that, I would a hundred percent feel called out and be like, ooh, maybe I need to tone that down a little bit.

Dr. Andy Roark:
But called out, but called out in a good way. I think this is really important too. I think one of the mistakes that people make in giving feedback is making people feel morally judged.

Stephanie Goss:
Right.

Dr. Andy Roark:
And that does not go well. When I say to you, gossiping is for the weak-minded…

Stephanie Goss:
Right. Yes. Yeah.

Dr. Andy Roark:
I wouldn't say that, but…

Stephanie Goss:
The moral judgment.

Dr. Andy Roark:
This is gossiping and I don't participate in activities like that. That makes it sound like, I think most of us would hear that as, I'm better than you and you are doing something that I think is gross and that is going to make a lot of people feel judged and defensive. And you could be a hundred percent right, but I think we always want to be careful about making people feel judged. That's not a behavior that I would take part in as opposed to when you say that it hurts my soul because I like Stephanie Goss and she's my friend, and that's it. That's what it is.

Stephanie Goss:
It gives you feels. Like even if, like I said, even if you are the, because there are people who live for drama. I don't know how because I am not one of those people, but there are people out there who just thrive on drama. But even those people, when they hear that, it's like, ooh, even if it's just for a split second. And so I think that's the next step for me, is just being transparent about how I feel, how I in fact, how I am impacted by it, how I am affected by it.
You guys, I leave here at the end of the day and I'm just super stressed out because it just seems like we're picking at each other all day and I want us to have fun at work. What can we do to have more fun? That is leading from the middle and addressing it without being like, we're going to call a team meeting because everybody's acting like a-holes and we need to change it. Sometimes that is the thing that needs to happen. But if you're not in that position where you can do that, being able to lead from the middle and just say, hey, look, this is how it impacts me, this is how it makes me feel, is very, very powerful thing.

Dr. Andy Roark:
I agree. The part for me that kind of ties into this as well is, and I preach this to associate doctors especially, but I probably should just preach to the whole team, having a healthy anchor in your life outside of the vet practice is just good. It's just good life strategy. Where drama really sweeps people up and breaks them is when your whole life is the vet clinic and all your friends are in the vet clinic and your self-identity is in the vet clinic. And then people come along and they talk trash about you and you're like, this is my whole identity and it's being spread to all of the people that I know and spend time with. And you just get swept up into this and I go, look, you care way too much about this. And it's one of those things, one of the best things about to diffuse drama is not to care all that much.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
And yeah, it's a balance to walk, but honestly, I think for most associate vets, check yourself and make sure that your self-identity isn't so tied up in your life at the clinic that you don't have a good solid anchor outside of the clinic. I am a father and a husband and I like to do CrossFit stuff and there's a community that I do. Stop laughing at me, Goss.

Stephanie Goss:
I was wondering when CrossFit was going to come up. It's been a hot minute since we talked about CrossFit.

Dr. Andy Roark:
I had to look at all of my secret nerd hobbies and decide which one I was going to put out. I'm going to go with the most macho of my nerd hobbies. And then you literally straight up laughed.

Stephanie Goss:
A hundred percent, keep going.

Dr. Andy Roark:
So anyway, I am father and a husband, a CrossFitter, and a quilter, and whatever else I might be. And working in the practice is a thing that I do. And I like the people that I work with and they're nice people and I care about them, but they are not my family and they are, they're not my only friends and my identity is more than just who I am to this specific group of people, which protects me and insulates me if and when drama comes up because it's not life defining for me. And I can look at it with a healthy eye and a healthy perspective and navigate it much more clearly. And so I always put that forward of if you don't have a life outside of the practice, you are going to be much more at risk for getting swept up in drama and cliques and gossip and things in the practice.

Stephanie Goss:
Sure.

Dr. Andy Roark:
I've found it's so much easier just to rise above that stuff if you've got other things going on in your life. And so anyway, that's just general life advice on practice.

Stephanie Goss:
And so it sounds like this doctor is doing, they're modeling the behavior that they want, so they're doing check, check box number one. Maybe they're doing number two, which is when they are trying to involve you in it, don't engage them, right? Or whether you're intentionally disengaging them and saying, you're driving me crazy doing this thing. I need you to stop. Or whether you're just unintentionally engaging them and are ignoring it, but not engaging them when they act that way. And then I think the other thing that they already brought up, but continuing to expand on it, is rewarding that good behavior and doing it in the sense that when they do do things that you like rewarding that. You always talk about how we're simple animals. And so praising the behavior when it is positive, when they do work together, which again it sounds like this doctor is doing, but making sure to remember that we've got to keep it, make it specific, make it personal to them.
So say thank you when they do it and tell them why it means a lot to you. And then making it fun. And that's where I would lean into asking them, hey guys, it seems like we've been doing a lot of picking at each other or there's been a lot of, even saying, there's been a lot, seems like to me there's been a lot of drama. There's been a lot of people like mad at each other and just not wanting to work together. I want to make work a fun place. What can we do to change this? And asking them to actively get involved in changing it.
Because ultimately I think where we started this episode is that this may be something that you can't change, but for me to be able to sleep well at the end of the night, I would want to know that I did everything that I possibly could. And so asking and trying to get them engaged. And if you can't, then to me the answer is like, well, this may be a situation I can't solve. And I would feel okay going somewhere else if that was the case.

Dr. Andy Roark:
There's two tools to put in the toolbox for this vet that I would say. We've talked all around getting your head straight and kind of how you sign up or don't sign up and getting your priorities in line, all that sort of things. There're two big ones for me with working with my team. And this is actually just getting through the day, positive reinforcement and giving people reputations. And those are two big ones that I use, which is… So positive reinforcement is when you see someone behaving in the way that you want to see more of, stop what you're doing, look at them directly in their eyes and say, hey, I want you to know that I saw that you did not join up in this conversation and thank you. I really appreciate it and I want you to know that that makes me think very highly of you.

Stephanie Goss:
Yep. I love that.

Dr. Andy Roark:
And thank you for not perpetuating drama. And oftentimes that's the fuel that people need to keep going. The truth is participating in the drama, it often gets positively reinforced. Not participating in the drama, it doesn't get positively reinforced. And so just start positively reinforcing people jumping in and doing things. And what that means is if everyone stands around and doesn't do a thing so they can catch somebody else, when someone does do the thing, stop them and say, hey, I saw you do that. I just want to say thank you for jumping in and doing that. And I wanted you to know that I saw it and I appreciate it because I know other people could have done it and they didn't. And so thank you.

Stephanie Goss:
I love it.

Dr. Andy Roark:
And that's just call out. The other thing is give people a reputation and they'll live up to it. So if you have someone that you work with who does not participate in those things, you should say, hey, the number one thing that I enjoy about working with you is that you are no drama. You don't gossip about other people, you're nice and kind, and you get things done and you don't talk bad about other people. And I just want to tell you how much I appreciate that and it's just something I admire about you or it's something that I am, it just makes me so happy to get to work with you.

Stephanie Goss:
Right.

Dr. Andy Roark:
And that's it. And once you tell someone that the chances of them turning around the next day and starting to gossip are fairly low.

Stephanie Goss:
Sure.

Dr. Andy Roark:
Right? If I give you a reputation and say, Stephanie Goss, this is what you're good at and this is why I love working with you, that tends to hit people pretty hard. And they tend to remember, oh, this is what Andy thinks of me and then they behave in that way at least when I'm around. And that's it.
So those are your two tools. Give people a reputation. Say to them, I really love working with you because you don't participate in these behaviors. I love working with you because you're the first one to jump in and do what needs to be done, not waiting to see who else is going to do it. And that means a lot to me, and I love that you do that. That's giving a reputation and then catching them doing not the thing that's making you crazy and positively reinforcing it. Just call it out. Say specifically, you did this and I think it's awesome and I want you to, I just want to tell you what it meant to me. Thank you, thank you, thank you.

Stephanie Goss:
Yeah.

Dr. Andy Roark:
That's it. Those are your two tools. And I would do that and I would go after it and I'd give it some time. And if you feel like you can get a little orbit around yourself that works, even if drama continues in the hospital, if you end up with three or four tech's assistants that you've given reputations to, that you've positively reinforced their behavior, you might be able to get a little drama free zone around yourself and the people that you work with on the regular. And that might make everything just good enough to keep going and to enjoy your job and to be there, even if drama kind of swirls through the larger practice as a whole. It's worth a try.

Stephanie Goss:
I love it.

Dr. Andy Roark:
Cool. That's all I got.

Stephanie Goss:
This was a fun one. Drama, drama, drama.

Dr. Andy Roark:
No matter what, don't just stop your shopping cart and wait for them to go. Figure out how to get your shopping cart and go around the other person and…

Stephanie Goss:
The moral of the story.

Dr. Andy Roark:
And continue on towards the career that you want to have.

Stephanie Goss:
I love it. Take care everybody.

Dr. Andy Roark:
See you guys.

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

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: behavior, culture, drama, management

Jan 25 2023

Beyond Pizza and Coffee: How Do You Show Appreciation

Uncharted Veterinary Podcast Episode 215 Cover Image

This week on the podcast…

This week on the Uncharted Podcast, Dr. Andy Roark and practice manager Stephanie Goss are working on a mailbag question from someone wondering how we can show deep respect and appreciation to our veterinarians for the work that they do for our practices, our patients and our clients. Andy and Stephanie took an opportunity to address the pizza party elephant in the room along with some other strong opinions they both had when it comes to languages of appreciation. Let's get into this…

Uncharted Veterinary Podcast · UVP – 215 – Beyond Pizza And Coffee How Do You Show Appreciation

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 about your challenges and would love to feature your scenario on the podcast.

Submit it here: unchartedvet.com/mailbag


Upcoming Events

START THE YEAR OFF RIGHT: LEAD A VISION AND VALUES MEETING

This workshop will focus on getting started with a successful strategy meeting. Learn to confidently run a powerful planning session with your key staff members or your whole team and how to keep it positive! Get tools to ensure great engagement during the meeting with your team and a plan to walk away with a clear set of values and a north star that can be used to guide your team through the year and beyond.

When: February 1, 2023, 8:30-10 PM ET/5:30 – 7 PM PT

$99 to register, FREE for Uncharted Members

April 20-22, 2023 – The Uncharted Veterinary Conference

Climb aboard with members of the Uncharted Community and our sea-worthy crew for a new adventure in veterinary medicine April 20-22, 2023 in Greenville, SC. 

Get ready to explore new harbors together in overcoming digital communication pitfalls, developing resilience in an emotionally taxing field, and focusing on communication to build a positive team culture.

All upcoming events

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


Episode Transcript

Stephanie Goss:

Hey everybody, I am Stephanie Goss and this is another episode of the Uncharted Podcast. This week on the podcast, Andy and I are tackling another letter from the mailbag, and this one was so much fun because we got asked the question, “How do you show respect and value and thank you to your veterinarians? And I'm not looking for a food and pizza party type thing. Let's dig into the deeper, ‘I really value you and value what you're doing for our practice' kind of things, making them realize that they are really worth something to us.”

Andy and I had a great time diving into this. We do talk about the elephant in the room. We talk about food, we go there, we soap box. And we had a really good time talking about the psychology of appreciation, the brain chemistry of how it works, and really diving into what are some things beyond the pizza parties and beyond the coffee runs that we can do to really show the team that they matter to us, to our clients and the work that we're doing. This one was so much fun. Let's get into it.

Meg:

And now the Uncharted Podcast!

Dr. Andy Roark:

And we are back. It's me, Dr. Andy Roark, and the one and only Stephanie, I will remember you, will you remember me, Goss.

Stephanie Goss:

I was going to say, can you please sing?

Dr. Andy Roark:

We're recording at the end of the year and I have had… So at the end of every year, I'm a personal development guy, lifelong learning is key. I think we should all be growing and getting better. I think it makes this life more exciting and interesting. I have a 100% had on my list for years to get better at singing because I can't carry a tune in a bucket. But what I've heard is it's a skill that you can actually learn to some degree. I'm not trying to fill Carnegie Hall here, but I want to be able to sing for comedic effect and not as a war crime that people report me to for putting them through cruel and unusual punishment.

Stephanie Goss:

“Please make Andy stop.” Yeah.

Dr. Andy Roark:

Yeah, exactly. So it's, “That was funny when he did it,” but not like, “That was awful when he did it.” And so I feel like it's a low bar to aim for, but when is it going to happen this year? I don't know. It's hard to be like, “I'm sorry, honey, I can't take the kids to gymnastics because I have singing lessons.”

Stephanie Goss:

I mean, I think that that is a very appropriate goal. I also feel like since your wife has to listen to you in the shower, that would be a present for her too probably, right?

Dr. Andy Roark:

It would be. Oh, I can't believe I'm telling you this, but it's so true. I've gotten in the habit of playing the air trumpet and she hates it. But I won't sing as much in the shower. I'll sing and then I switch to air trumpet. I'm like, “Na na na na.” She goes, “No! No! No! No!” And so if you hear my wife going, “No! No!” you know that I am just-

Stephanie Goss:

Andy's giving a concert into a sold out crowd in his shower.

Dr. Andy Roark:

… I do the rhythm section and just like, I was like, I can't sing. I know I can't sing, but I can… I can air trombone.

Stephanie Goss:

You realize you have hit the epitome of dadness right now.

Dr. Andy Roark:

Oh, I bet you're right. I had not thought of that, but I bet you're totally right. That's funny.

Stephanie Goss:

Playing the air instruments, this is the epitome.

Dr. Andy Roark:

(Singing) “Do do do do do.” And [inaudible 00:03:57] like, “No, no, no!” I wonder if there's air horn lessons, like imaginary horn lessons.

Stephanie Goss:

Oh man.

Dr. Andy Roark:

Because I would 100% put my money down and show up for that.

Stephanie Goss:

Oh. Maria, if you're listening, that is one wish to not make come true. Don't buy that for Andy for next Christmas. Because she listens to those things when our team has conversations. She's the sneaky one, she's like, “Oh, I heard somebody say that this is the thing that they want,” and then it just kind of magically happens and appears because she loves speaking that language of appreciation. And that is the thing that we don't need to have come true. Andy does not need air trumpet lessons for Christmas 2023.

Dr. Andy Roark:

There's someone out there who does air trumpet. I'm sure, in this wide world of the internet, there's someone out there who does. They'd have to be virtual. The chances of them being in Greenville is too slim.

But I met this guy. We were doing comedy. So I do this comedy show, it's an improv comedy show, and we do improv comedy inspired by people telling stories. And so people come and they tell a short story, and then my troupe does comedy inspired by that story. And so we keep trying to find colorful people to come and tell stories. And one time we found someone who was too colorful, and we found him on TikTok, and he is kind of this big, white, 60-year-old man who rides skateboards, plays banjos and does nunchucks. And that's what he does on his TikTok. And my friend was like, “Let's get that guy to tell stories,” which seems like a good idea-

Stephanie Goss:

A good idea.

Dr. Andy Roark:

… until he came with nunchucks. And he had butterfly knives that he would, like whipping. We're in a coffee shop and he's talking about a pocket knife and he's whipping this thing around. And my friend goes, “That's not a pocket knife.” And it wasn't. It was a butterfly knife. And at one point he is like, “I give nunchuck lessons.” And then he's got two nunchucks, and he's swinging one around in each hand. And that guy gives nunchuck lessons on the internet. I feel like we could find someone to do air trumpet lessons for me.

Stephanie Goss:

I feel like air trumpet lessons would be a whole lot safer and would probably be covered by our insurance. I feel like that nunchuck lessons, I can just feel Jamie cringing and being like, “Our insurance does not cover that. Do not ever try that.”

Dr. Andy Roark:

I think the way this goes down is I'm going to pitch nunchuck lessons to Alison, and then when we find air trumpet lessons, she's going to go for it, like 100%. Let me just stop and pat myself on the back.

For those of you at home, write that down. You just learned some A+ strategy of persuasion because if you want air trumpet lessons, start out by asking for nunchuck lessons, and then when you ask for air trumpet lessons, everyone thinks it's reasonable.

Stephanie Goss:

I can't. Oh, it hurts.

Dr. Andy Roark:

That's so dumb. That's so dumb.

Stephanie Goss:

Oh my gosh.

Dr. Andy Roark:

Let's do this episode. Let's actually do something here. Then let's get into it.

Stephanie Goss:

I was going to say, five minutes in and we're completely off the rails already for the day.

This ties in perfectly because we're going to talk about appreciation, speaking of languages of appreciation, we got a mail bag question that I thought was great. It totally made me laugh. Somebody has a sense of humor. They said, “I'm wondering how do you show value, thank you, appreciation and respect to your vets?” They said, “I'm not looking for pizza party type things. I'm looking beyond that, more into the deeper, ‘I value you for what you're doing for our practice.' How do you make them realize that they are worth something to the practice?”

And I thought it was a great question because, all joking and digging on pizza parties aside, because we know vet med is highly food-motivated, as are our patients, a lot of our patients. It can't just be pizza parties. Right? So how do we show the appreciation and the value and give our thanks and our gratitude for what, in particular, the veterinarians are doing for the team, but I think this is applicable to the team as a whole.

Dr. Andy Roark:

Yeah, no, I think so too. I want to start in the headspace. I don't know if our headspace action steps really apply to this because it's like in all headspace, there's maybe some action steps, but for the most part, it's a philosophy sort of thing.

I want to talk about pizza parties for a second. And it hurts my soul a little bit to hear people dunking on pizza parties and donuts, and I get it. There's a common thing, it's not just in our industry, everyone dunks on it and they kind of dunk on their boss of like, “Look, pizza parties and donuts, that's garbage. That's not appreciation, that's blah, blah, blah.” And I understand where that sentiment comes from because, after a while, if you come in on Fridays and there's just donuts or bagels waiting for you, at some point, it loses its luster and it doesn't really make you feel appreciated.

And if you're cynical, you could also say, “This doesn't require any thought. It's the same thing again and again. The corporation just strokes a $35 check or $250 check or whatever it is. They're just doing this little thing and putting it down with a note that says, ‘Thank you' and saying, ‘Appreciation done.'” And so I get it and I get that that's what people say. It hurts my soul because, as most things on the internet, there is no nuance. There is no context. And it's assuming the worst about people's intentions. And so I don't like that.

The truth is, as someone who owns a business I will tell you, I want my people to feel appreciated. I really do. And making them all feel appreciated on a regular basis is really hard to do. It just is. And the pizza party, I think, often comes with very good intentions of, “I appreciate how hard you guys are working. I want to do something nice for you. This is something that scales, it's something that everybody can take advantage of.” You know what I mean? “And it's something that's affordable and within reach, and it doesn't take a ton of time, but I can make it happen.” And so that's why it kind of hurts my heart to have it kind of crapped on because I get the intention. At the same time, you can't have pizza parties every Friday and expect people to still continue to have an emotional response to it as you do it over and over and over again.

Does that make any sense, I guess, sort of why the pizza party donut stuff, why I think it happens, and why I look at it as well and go, “Hey, I get it. I 100% get it”?

Stephanie Goss:

Well, and two other pieces, I think, from being the person who's done those things appreciation-wise for their team. Number one, who doesn't freaking like donuts and pizza? For me, the language of appreciation at the donut shop went deep. I would try and pick out their favorites. We would try new things. It was not like I'm just slinging a box of glazed Krispy Kremes down every week.

So when I hear that, I have some of those same emotions because it was something that I loved. So growing up, my dad used to take me out early and we used to go and get donuts after church and then bring them home to my mom and my brothers. And there's a local donut shop, and it's still there, and so when I had kids, that became a tradition with my kids. And so it was something that meant something to me, I shared it with my kids, and then the kids got in on sharing it with my team because they spent a lot of time at the practice and they loved to go before I dropped them off at school and help pick out donuts for the team and bring them in. So it was a thing that is clichéd, but also there was emotion and true, “I like you people and I want to bring you something that I know brings a smile to your face.” Right? And so when you hear it getting crapped on, it can be something that you take really personal, because again, who doesn't like pizza and donuts?

And I think as a business owner, the other side of it that gets really hard, and where I see this try and get rationalized by leaders a lot, and the conversation never really goes anywhere when you're talking about it with your team, because at the end of the day, what we're about to talk about is hard for them to wrap their brain around because they're not an owner and they don't care the same way that you maybe would wish that they would.

But the other piece of it is, your point about scaling, it is expensive. And even if I'm buying pizza, pizza for a team… When I used to buy pizza for my team of 20, it used to cost me $150, even for inexpensive pizza. And so when I think about spending that money over the course of the year, if I do something, and that's just for inexpensive pizza. And so when you try and vary it up and let's get everybody deli sandwiches or tacos or whatever, when I add all of that stuff up, I mean, I was spending a couple thousand dollars a year on those, not regular, but not never rewards for lunches and stuff.

And that is an expense. That is the thing. And I did it willingly. And also, it didn't happen in a bottle and it wasn't free, and so it is hard to hear that as a leader get crapped on from that perspective of this is a thing that I'm spending money on. There's other things that I could spend money on for the team or not. And so to make that effort and then feel like it's getting crapped on is a hard thing to wrangle. And at the same time, I also understand from the team's perspective that… I can understand why it does get crapped on. I think I can understand both sides of it, for sure.

Dr. Andy Roark:

Oh, sure. I mean, there's the worst stuff that you hear online is people are like, “Bosses give pizza out so that you won't clock out and go to lunch. They're trying to keep you in the building so they can…” And I go, maybe that's true some places. To me that just seems like a horrible, dark, cynical view of the world and of your employers. And I go, I have never felt like I worked for someone who had intentions like that. But obviously some people out there too, and those people are very vocal and social media likes to promote those very-

Stephanie Goss:

Voices.

Dr. Andy Roark:

… disgruntled angry voices. And so anyway, I think that that's very hard.

Starting to break this thing open and talk about it. And I think this is important headspace distinction as we get into this. There's appreciation and there's compensation, and I think starting to look at the difference between the two is important.

To me, compensation is something that you get for your work. It doesn't have to be expected, but it's something that you get for your work. And appreciation to me, it's being seen as an individual. And I think that that is the 100% driving force here. I think that that's the part that people miss or don't understand. I think it's mission critical when people are frustrated about appreciation, if you define appreciation as being seen as an individual, not appreciation of me as one of the doctors, but me as Andy Roark for the things that I specifically did. And that's why this is so hard to scale because making 20 people all feel seen as individuals at the same time-

Stephanie Goss:

At the same time, yep.

Dr. Andy Roark:

… is very, very hard. I think there's ways that you can do it. And I give an example that we pulled off at the Practice Owners Summit, I think really nicely, but I think you can do it, but it's very, very hard when we talk about pizza parties and things like that, and we say, this costs $150 to do this. I would say that that's compensation. It's, “Hey, you guys work hard and I want to do something nice for you.” So we go, “Man, that's $150 and I could spend it on those things.” And I say, yep, that's true. If you look at that as far as appreciation goes and say, “Well, I spent $150 on this and they didn't feel appreciated, this is a failure.” I would say, okay, I get that. If you gave the whole team a single $150 financial bonus, they're going to look at you like you're bonkers. Like, “What? This breaks down to three, I don't know, a dollar each.” Or $3 each. That's what it is. And then we have to put taxes on it. And you go, well, that's a ridiculous financial bonus.

But I can take that money, roll it together into $150 and get some pizza and we can all have something kind of nice. You know what I mean? To me, that's compensation, that's kind of part of the compensation package if you look at it that way. And I say that that's a win, right? If I have 150 bucks in my pocket, I can't give out financial bonuses. That's just dumb. But I can get some donuts and some coffee, and especially if they're not expecting it and just say, “Hey, I like you guys and I want you to be happy, and I was thinking of you and I want to do something nice for you.” I think you can do that and call that a win. And they may not feel appreciated at an individual level, but hopefully they feel good about working there and they feel like they're valued.

Stephanie Goss:

Well, and I think that part of it too is for me, a big part of that was the fellowship that came along with that. There is something bonding about food as an experience and as an icebreaker. And so when it's been a really rough week, bringing in Starbucks and standing in the treatment room at the counter and everybody just having, okay, OSHA gets mad at food in the treatment room, but you know what I mean, standing there in the lobby where there's no patients present for 10 minutes and just talking and talking about the week, maybe not even talking about work. God forbid that we talk about ourselves as humans. But it's that sense of connection and that sense of fellowship. I think that that means something there for me. So I think it's smart to talk about it from that perspective. And at the same time, I get it, and there's a flip side to it, and what are some other things we're going to do, which we're going to talk about.

I think your part about being seen is really important. And it's interesting because you know and I have talked about appreciation, and we have done multiple workshops in our community on appreciation and showing appreciation for the team. And I have led some of those workshops. And at the same time, I was doing some reading in prep for this, and one of the things that I don't think that I really totally understood was the psychology behind appreciation. And there's actual science to the psychology and what our human caveman brain response is to appreciation. And there's five pieces of it, being seen is one of those five.

So it's the sense of value being, which is what this person was asking, how do I show them that I appreciate the value that they bring to the team and to the practice? The second is the sense of being seen. The third is the sense of being liked, which when you have fellowship and you're talking and you're creating a group environment and people are included, you have that social sense that these are people who like me and I am enjoying sharing company with them. The fourth is the sense of meaning and purpose, which I think hits on the note for this ask in the mail bag of there is true meaning to the work that we're doing together. And there is true purpose here. And the last goes along with that, fellowship, which is the sense of connection and the sense of community.

And so I think when we think about the fact that those five pieces all help light up the brain, because the second part of it is when we are appreciated as human beings, it literally changes our brain chemistry. When we feel appreciated, when we express gratitude and when we receive gratitude being expressed to us, there are the increased dopamine, the increased serotonin, the neurons in our brain actually get more dense. And people who practice gratitude regularly develop a neural pathway that is more dense than their peers. And it makes us be able to think into those feelings faster and easier as we go. And I think that it's fascinating to me that there's literally a physical chemistry change when we feel appreciated and we feel gratitude. And knowing that as a boss, as a leader, why the hell would you not want to give that to your people as often as you could?

Dr. Andy Roark:

Why would you want to absolutely be able to pull it off? Why you go, oh, there's real effort here.

Stephanie Goss:

Oh yeah. Effort.

Dr. Andy Roark:

And I think that is a super important thing to realize. We talk about giving feedback, you and I, we talk about a lot of positive reinforcement. I'm a big positive reinforcement, positive feedback guy. And we talk about appreciation and making people feel appreciated. And when we say it sounds so simple. So why don't more people do it? Why isn't this just everywhere? And the answer, the cold, simple, stupid answer is-

Stephanie Goss:

Effort.

Dr. Andy Roark:

… because it takes time and effort to do it. And I'm not blowing that off, it actually takes thought and intentionality and honestly, scheduling to make it happen. And I say scheduling because for me, I need time to execute things and I need to know that things are coming. I was doing an audit of appreciation initiatives, gosh, that's so nerdy consulting talk. I want to do a better job of appreciating people in my life in the coming year. And in order for me to do that, I have to update my calendar and add birthdays, and not birthdays by themselves, but birthdays with alarms that go off a week or 10 days before said birthday so that I have time to do something.

And that may sound so stupid, but as we say all the time, if you're surprised by something again and again at some point, it's your business model. And my business model is being surprised when someone says, “Today is my birthday.” And I look around and I'm like, do you have a stapler that you like because I got you one and it's wonderful. It's so dumb, and I feel deficient again and again.

Stephanie Goss:

Listen, all I can say, I don't know if she's listening to this podcast, but all I can say is I once gave somebody a stapler as a gift, and it was the best stapler ever because it was a freaking narwhal. And Josie loved that gift so, so much. There are pictures of it on social media, so it is possible to give a stapler as a gift to the right recipient and make their year.

Dr. Andy Roark:

Oh sure. But there you go. There you go. That's the appreciation part when you're like, “I see you, Josie. I see you. I see who you are.” And bam. I-

Stephanie Goss:

You'll love a narwhal stapler.

Dr. Andy Roark:

Let me pause and pat myself on the back. I'm really proud of what I gave you for the holidays at Practice Owners Summit.

Stephanie Goss:

A very good job.

Dr. Andy Roark:

And I think it's more important that I got two of them. I got for me and for giggling Goss coffee mugs that have a little campsite on them, and it says Happy Campers across the top, and it says Andy and Stephanie, it's from our Camp Tough Love episodes. And I am so proud of me for thinking of that and being like, here you go, and I gave it to you. And when it came, it's a tiny little mug I'm like, if I drink coffee out of this, everyone would be in danger. It's going to take me to 12 cups of this to get running.

Stephanie Goss:

Well, maybe not now that you have an espresso machine.

Dr. Andy Roark:

Oh. Well yeah, I had to raise my game.

Stephanie Goss:

You could boil some hardcore espresso now.

Dr. Andy Roark:

Yeah, I had to raise my game. That was from my wife for my birthday. I'm still not back to normal free espresso Andy. I don't know how long that transition takes. But anyway-

Stephanie Goss:

But it is true, and I think that's a big piece of it, is that the thought, the intention behind it, the thought, the time, all of that matters. And I think that's one of the things that as a leader, we have to choose to be intentional about that. And I love that you mentioned the birthdays because that was a big thing for me. I went through a period where we always did birthdays. When I had five of them, it was really easy to keep track of everybody's birthdays. And then as the team grew and we got to 10 and 15 and 20, and then when I had 30 of them, I was like, “I don't even remember my own birthday, let alone all of your birthdays.”

And so I was like, okay, let's make a birthday celebration once a month. We'll do all the birthdays, then nobody gets forgotten. But then it takes that specialness out of it, right? Because now it's a group thing and now it's not being seen as an individual. And now if you have four birthdays in the month, they all have to agree on what kind of cake we're going to get for the staff meeting. And it backfired on me, and it took me a while to get to that. And God bless them, they were so kind about it. But eventually one of them came and was just like, “Hey, can I talk to you about the birthday thing?” And they were like, “We would rather just not do this because we wind up fighting about what we're going to get and we would just rather not do it.” And I felt so bad because I had the best of intentions, and I was just like, I don't want anybody to get forgotten. That would be the worst thing.

But feeling like they would rather not do anything because it wasn't individual made me feel worse. And so like you, I was like, okay, I have to figure out a system and I did the exact same thing. And it became a process where it started with, at the beginning of the year, I would sit down and I would double-check and make sure everybody's stuff was in my calendar. Did I set it up for annual reminders? Or set it up so that they would repeat annually, setting the reminders. Because like you, at first I was like, oh, I'll just put the dates in. And then the date would come and I would get that, but that doesn't give me any time to actually prepare. So I was still frantically the first year doing the last-minute run to the store like, “Oh crap, it's Kate's birthday today. What am I going to do for her birthday?” And so then the next year was like, okay, let's put in the alarms, let's get a week ahead.

And I think that it was invaluable because it allowed me to see them as individuals. It also forced me to slow down and really think about, not that it had to be big, not that it had to be extravagant, but what would make this person happy? And it was something that made me feel really good to spend the time doing. But you're not wrong, there has to be a system and there has to be time dedicated to it, particularly for those of us who have bigger teams. And so I think it is important to think about where are we going to put our effort, and how do we make it intentional?

Dr. Andy Roark:

Well, the thing that landed on me was things that are important go on my calendar. That is how I live my life. I put taking the kids to their activities, that goes on my calendars because I need to know. And I live my life with this idea that things are important go on my calendar.

Stephanie Goss:

It is true.

Dr. Andy Roark:

But I never put appreciation things on my calendar. And then at some point what sort of landed on me was, Andy, you live by this mantra, if it's important, it goes on the calendar. And the fact that you are not putting people's birthdays or team holidays or big events that the people you work with care about onto your calendar, if important things go on the calendar and you're not putting these things on the calendar, then these things are not important to you, is what you're saying. And I said, no, they are important to me. And then it becomes, well then why aren't on your calendar? And I don't know if people need to hear this, but for me it was kind of a powerful moment of looking in the mirror and not really liking what I saw and going, I say these things are important, but I'm not treating them like they're actually important. And that's been a sort of journey.

The other thing I want to say, this is sort of stepping back for one second though. I love that show The Office with Steve Carell and the gang, and I love that show. And my favorite episode of that show, I think my favorite, favorite episode, part of the shtick in this show is there's this guy, Jim, who's the wisecracking younger guy. And he's always looking at his boss, Michael Scott, as a doofus. And he is a doofus. But Jim's always kind of smirking and rolling his eyes.

And one day Michael Scott goes away, and I can't remember why he goes away, but Jim gets promoted to cover the boss's role while Michael's gone. And in his attempt to step forward and be like, “I can do this better,” the first thing he does is combine all the birthday celebrations into one at the beginning of the month. And it goes exactly like you said, exactly like you said. And it's so funny, and you've told that story before about combining the birthdays, and I always laugh because that is the exact thing they used on that show was Jim was clearly this is efficient and let's just get it done. And it's all the problems. And at the end of the episode, Michael Scott comes back and Jim is sitting with him and there's this beautiful poignant moment where Jim has been kind of humbled and he says, “That didn't go very well.” And Michael says, well, “What did you do?” And Jim says, “I combined all the birthdays and put him on one day.” And Michael goes, “Yeah, rookie mistake. I did that. I did that. I did that.”

And I love it so much because it's one of those things that you look at and you go, “This just makes sense,” but it doesn't engage with the human component of what we do. And just the fact that is the example they used in this show and then you had the same experience in real life, I love it. But God, it sums this up-

Stephanie Goss:

Rookie mistake.

Dr. Andy Roark:

… “Rookie mistake. I did that.” And at that point, Jim sees Michael as like, “Oh, maybe you're not a complete doofus.”

Stephanie Goss:

For sure.

Dr. Andy Roark:

“Maybe you've just been molded by the realities of this weird world and these weird people that we work with.” And I love it. Anyway, but that's a beautiful microcosm of the issue, which is appreciation can be systematized to the point that it removes the human element. And that, my friends, is the issue with pizza parties in the eyes of the people, is that we have systematized appreciation to the part that the human element has been removed, and people don't feel individual and special. And that does not mean that they're not good. It just means that they are seen as a part of compensation rather than as something that makes people feel appreciated. And that's just by design.

So let's take a break here and then we'll come back and let's dig into some action stuff to how do we fix this, and what do we do?

Stephanie Goss:

Sounds good.

Hey everybody, it's Stephanie, and I'm going to jump in here for one quick second and toot my own horn. That's right, February 1st, Andy and I are going to be leading a workshop that I want to make sure that you don't miss. It is the final of our three-part kind of strategic planning, kicking the year off right series. We are talking about starting the year off right leading a vision and values meaning. And this comes to us, we have done strategic planning for the last couple of years, and we've gotten a lot of ask for how do you actually lead this meeting? What do I say to my team? How do I set it up? What do I make the room look like? How do I actually lead these kind of workshop exercises that you and Andy are talking about? And this is my jam. I cannot wait to nerd out about all of this with you all.

If you are a member, you get in for free, as always. If you are not a member of Uncharted, you should be. So you should all head on over to UnchartedVet.com/events. Members need to register there. Non-members can register as well. You can join us. It's $99 for the workshop. Or you can check out Uncharted membership, because with your membership, you get access to all of our workshops. Just saying, it might be a deal that you don't want to pass up. But either way, I want to see you at our workshop, February 1st. It is at 8:30 Eastern, 5:30 Pacific, and we're going to spend an hour and a half or so talking about all of these things, and we are definitely going to have fun. So come join us. Now, back to the podcast.

Dr. Andy Roark:

All right, so let's get into this. We've talked a lot about pizza parties and we talked about why we have problems with appreciation at scale. And we talked about the realities and why this is harder to do than what it sounds like at first blush. What are we doing here, Stephanie Goss?

Stephanie Goss:

Yeah, because our mailbag writer said, “I'm not looking for those things. I want the deeper, ‘I truly value you for the things that you're doing for our practice. How do I make you realize that you are worth something to the practice?'”

Dr. Andy Roark:

All right, so big things for me. You have to get specific. You have to believe. If you want them to feel appreciated and you want to make them feel valued, I do not believe that there's a way to do this that doesn't happen at the individual level. And so you have to make a person feel seen, I think, in order to do appreciation. And that takes time and effort. But it's just, I mean the simple answer is you need to figure out a mechanism to make these doctors seen.

Now the first thing that I will say that unlocks this for a lot of people is making it so that you, the manager, you, the team lead, you, the practice owner, are the only one who's giving appreciation to the doctors. That's your problem. If you're trying to do that, that's the mistake. If you buy into what we're saying about this is making individual people feel seen, that is an extremely difficult, almost impossible job for one person to do once your team hits a certain size. And so the clear answer is empowering other people on the team to share appreciation so that it's not just on you to do this.

Stephanie Goss:

Well, not only so that it's not just on you, because that is, again, a giant rookie mistake gopher hole that I fell down trying to put this on my own shoulders. And let me tell you, it never ends well because there are not enough hours in the day, particularly as your team grows, if you're the only person who's in charge of the things.

I think the other piece of it is that when your team is empowered to show gratitude and to share the value that another human being on the team brings to the group as a whole or to them as an individual, you get individual perspective that you don't get when you're trying to be the one person recognizing it. And what I mean by that is there are a couple of things, activities that I love to do with my team, and one of them that I do fairly regularly is to get them to all write down one thing that they like about the person. And usually I always had teams that were crafty, and so we would decorate a thing that had our name on it and then we would pass it around to the rest of the team.

But I was always struck by the radical difference in what the individuals on the team found value in for that person. And so what I value in you, Andy, and what I might write is probably a radically different perspective than what Jamie might write. Because her relationship with you is different, the way you interact is different, the things you work on is different. And when you imagine it in the clinical setting, what I do as the manager with the associate veterinarians or with my practice owner is radically different than the experience that my CSR might have with you as a doctor or that my technicians who are in the room with you day in and day out or standing in surgery with you for four hours a day, their perspectives are going to be very unique. And when you empower the team as a whole, it adds a whole new layer of where the value is found.

Dr. Andy Roark:

Yeah, I completely agree with that. So then the question becomes, if everyone sees different things and they have different perspectives, how do we teach people to show appreciation to each other? How do we create this culture, this system where these things happen?

So the first thing I think we have to talk about is how to show appreciation. And there's two pieces to it, right? There is the action that you do to show appreciation, whether that's having a pizza party or bringing flowers or writing a handwritten note or standing up at the staff meeting and telling everyone verbal praise for someone else. There's the action that you take. And there is the clear reason, the example of the behavior that you appreciate the person for.

And so there's two pieces of this. You can give, and this is what I would say to the staff, it's like, “Hey guys, I want a culture of appreciation in our practice. I really want to encourage us. I want you to look around and if there's someone who exhibits a behavior that you really appreciate, you should tell them what that behavior is and say, ‘Thank you for doing this and behavior this way and doing this thing.' Or if the impact or outcome of their actions positively impacts you, then tell them, ‘Because of you, this thing happened. And I want you to know how much it meant to me.'” And those to me are the two reasons. So when you start to get into nuts and bolts, how do we systematize it? What is the behavior that the person did? And what is the specific impact or outcome that they caused?

And so that is why this is hard to do at scale. So when the person says, “How do I make the doctors feel appreciated?” Say, “You need to look at them in the eye and say, ‘This is the behavior that you have exhibited. And I can give you an example of when you did it, that really means the world to me.' Or, ‘This is the outcome. Because of you, these specific things happen. This is how the technicians feel. This is the feedback that I got from the technicians. This is what the technician's job engagement satisfaction survey says, and examples they said, that comes from you. You made that happen. And I can't tell you how much that means to me and how much I value having you here because of things like this.'”

But one of the biggest mistakes we make with appreciation is not drilling into the specifics. We say, “You're great, you're fantastic. I love working with you. You're such a joy.” That's a nice thing to say, but it doesn't make people feel appreciated. And so you got to drill into those two things. What's their behavior? Or what's the impact/slash outcome that they made? And so bam, you have to tell them what it is.

I would argue that you can make people feel appreciated. You can bring them to tears with a pizza party. But it ain't about the pizza. It's about the reason that you're having the pizza party and how you articulate that reason and what impact did they have or what behavior did they do that justified a desperate desire to celebrate them that you manifested this way? And I would say that that does constitute appreciation. There's a difference in gathering people together and saying, “We're having pizza today and ice cream because the front desk as a team accomplished this milestone and this is the impact that they had and how we heard that impact. And so we're celebrating. We're just going to have a celebration because of what they as a team accomplished and what it meant.” And I would argue that those people probably will feel very appreciated. And that is very, very different from, “Hey guys, there's pizza in the break room if you want it.” Full stop.

Stephanie Goss:

Right. Yeah, yeah. Totally. I think for me, a big part of this conversation is addressing what might feel like the elephant in the room for a lot of people, which is I think you can lead by example and you can make a decision, like you said, Andy, like I'm going to get better at this thing. I'm going to put some time block time to sit down, look at my calendar because this is important to me. And I can do that as the manager or as the leader. You don't get the rest of the team involved in this without forcing it to happen at first. And what I mean by that is they're not just… I mean, maybe you might have the one in 10 million team that is just like, “This is how we roll,” and somebody on the team kind of starts it and snowballs and everybody's all in from the very beginning.

But for most of the teams, it is “forced” from the start, whether that is we're going to do a team meeting and we're going to do an activity to express the appreciation or, “Hey guys, I made a gratitude board and I hung it in the treatment room, and we're going to take 10 minutes this morning and we're going to write down one caught you being good, one thing, one action that we saw somebody else on the team do this week that we appreciated and why did we appreciate it. And we're going to put it up there.” All of those things, no matter what the activity is, it is something that somebody on the team is taking the lead on and saying, “This is the thing that we're all going to do,” with the ultimate end goal that everybody buys into it and that it becomes something that the lead can be shifted from yourself as the leader to other members of your team.

But it doesn't ever really start that way for most of us. And I think it's important to acknowledge that because I think a lot of the times people ask me this question and they're like, “You just have all these ideas and you seem to love doing this with your team. And I don't feel comfortable with that. I can't think of any ideas like that.” And I think the most powerful thing that I tend to tell people is that I force myself to do it too. It was a thing where I was like, I don't know how they're going to feel about this. They may hate it, they may love it, but we're just going to do it. I'm going to rip the bandaid off. You know what I mean?

Dr. Andy Roark:

Oh yeah. First of all, it's a dance party. Appreciation is a dance party. And I don't know how many of you who tried to get dance parties going, I'll tell you, I have. I have started some dance parties in my life, and you know what that means? That means me dancing-

Stephanie Goss:

That means you're dancing alone.

Dr. Andy Roark:

… by myself for a while until people are, I like to say inspired. Some people feel pity and they're like, “For God sakes, listen, please, someone help him.”

Stephanie Goss:

Someone please dance with Andy so he's not dancing by himself.

Dr. Andy Roark:

And then they come onto the floor out of shame and pity for watching me dance by myself. I don't care. I don't care if they're inspired or just sad and embarrassed for me, but they come onto the dance floor and before along this and joint is popping. I don't know, is that thing? That's it. People are dancing together, lots of them. However, the coolest way you say that is.

Okay, I'm going to bring this home here because I feel like we've danced all around this. Summarizing this. Number one, if you're like, “I really want to do this and I want to do this better.” I would say, go get your Uncharted membership, first of all, because in the uncharted community, we talk about this all the time and constant conversations of what are you doing for your staff? And how do you appreciate these people? And what are some programs that you do? And this gets discussed all the time. You will not find better sounding boards for ideas on creative things to do that will make you excited and engaged and mean something to your team than in the Uncharted online community, you just won't. It's 2023, starting off the year, come on board. See what we do here. We are just absolutely the best at helping people come up with creative ideas to do this stuff and to share experiences that have worked for us.

Number two, Stephanie and I are doing, we're doing our workshop, we're doing our interactive team meeting workshop in February, right?

Stephanie Goss:

Yes, we are. Yeah.

Dr. Andy Roark:

We'll put a link in the show notes for Uncharted. If you're not a member, then you can still join. If you are a member, it's free. And so come on. But me and Stephanie Goss will be running our workshop. I think we're running it on a Saturday in early February. And it's going to be 100% how to have an active meeting with your staff. And so if you're like, “I don't understand how to get this started, how to get my staff to start to exhibit these behaviors, to start to build a culture, to try to get people to engage with the idea of appreciation across our whole team.” That is a fan-freaking-tastic workshop, and it's in February, so you've got time to get registered and get there, but that's got to be on the radar. Number three is you got to put it on your schedule. Like you and I have both said, I think we all to imagine that we are going to be these beautiful in touch people who don't need to write down things to remember, and we just organically appreciate people. I can't tell you-

Stephanie Goss:

When I was 20, maybe.

Dr. Andy Roark:

… Yeah, maybe. Not maybe. I wish. I was completely when I was 20. I was a 20-year-old dude.

Stephanie Goss:

No, I mean, I had a better memory and I could retain more information in my brain. Now, forget it, I can't remember what I did this morning.

Dr. Andy Roark:

Oh yeah. Well, it's funny, I had a sharper mind, but no inclination to help people. And now that I have a big inclination to help people, I don't have the sharp mind anymore.

Stephanie Goss:

Exactly.

Dr. Andy Roark:

But I can't tell you how many times I have committed to, I'm going to write people notes of appreciation. And for two weeks I just bang them out and then the notes stop. And a year later I'm like, “Let's do that again.” And then two weeks and it falls off. But if it's important, it goes on the calendar. And that can be the first of every month, did you appreciate someone on your team? Every Monday the first thing says find someone and tell them why they are important to you. Put it on the calendar because important things go on the calendar. The last thing is-

Stephanie Goss:

And-

Dr. Andy Roark:

… sorry, go ahead.

Stephanie Goss:

… well, to that point, I think one of the things scientifically that has been proven with appreciation and gratitude is that it's nice when the grand gestures or big things come out of nowhere, you definitely feel a greater sense of like, “Oh, wow, they really noticed that big thing that I did.” But I think the little things are equally important. And one of the, I don't remember where it came from, but when I was very first a manager, heard the story about a manager who would take five pennies and put them in their pocket. And their goal was to transfer one penny from one pocket to the other when they gave expressed appreciation to somebody on their team every day. And so for me, that was really powerful because I struggled with those. I had, like you, the best of intentions. Like I'm going to sit down, I'm going to write these notes.

And for the really big things, making sure that they were recognized for birthdays and anniversaries and tech week and stuff like that, I was usually pretty good at that. But the in between would be where I'd be like, ooh, I'm going to write a thank you note and stick a Starbucks card in, and I could do it for one person. But then scaling that on a regular basis was the hard part. And so for me, getting even more granular and small really helped in the sense that what is one thing that I can do today? And how do you physically remind yourself every day, whether it's putting it on your calendar so that you get the alert, you get the alarm and you just do the thing. Or whether it's putting pennies in your pocket and switching them from one side to the other, or some sort of physical reminder on a regular basis, daily or weekly, where we are doing something to stay in touch with our team.

Because I'll tell you, when you try and do it on a bigger scale, this is a rookie mistake that I made over and over and over again as a manager, where I was like, oh, I'm just going to sit down once a month and I'm going to do the thing because then I'll just block a bigger chunk of time and I'll get everybody knocked out at once. And whether it was reviews, whether it was one-on-ones was writing thank you notes, is a pain in the ass to do everybody all at once and it never works out the way that you think that it's going to.

Dr. Andy Roark:

Yeah. Well, yeah. I mean, the employee month program was the classic one for me. I don't like that program. I don't like that program because-

Stephanie Goss:

Yet we have one.

Dr. Andy Roark:

… No. Well, do we really? Is it a program when I, Andy Roark, owner of the company-

Stephanie Goss:

Are employee of the month every month?

Dr. Andy Roark:

… name myself employee of the month, every single month? Is that a program? You keep it going. You're like, “Who's employee of the month this month?” Once again, it's me. You know why? Because it's a stupid program. It's a stupid program. And I'm not going to do the thing where I'm like… Because what happens is, here's how the employee of the month program works, it's like, at first it's great because we genuinely show appreciation to people and we're like, “This person did this great thing this month.” And then at some point it becomes perfunctory and we just basically we can [inaudible 00:50:39]-

Stephanie Goss:

We have to check the box.

Dr. Andy Roark:

… and put them up there. And people, it falls right into the problem that we said at the very beginning is people feel like they don't know what they did to be employee of the month, other than it's their turn and the obvious people have already been picked, and now here we are. And it loses its value and it loses value for the people who genuinely did stuff that was worthy of appreciation. Maybe some people can keep it going. I have just seen it fail again and again and again. And so I just give myself employee of the month, except for a very, very rare circumstance, which I think, now you may laugh, I think it's genius. One, I get the vast majority of the awards, which I'm going to be honest for a second and say I accept the employee of the month award for myself with great enthusiasm and pride again and again and again. But on the rare occasion that one of my employees can take the award away from me-

Stephanie Goss:

Tyler Grogan.

Dr. Andy Roark:

… it means something to them. It has talked about for months after, “Remember when Tyler Grogan was employee of the month.” And people are like, “What?” It happened.

Stephanie Goss:

That one time.

Dr. Andy Roark:

That one time. But, I mean, it was monumental. It's on her CV for the rest of her life, because she did it.

Stephanie Goss:

Okay, you said you had three things.

Dr. Andy Roark:

I do.

Stephanie Goss:

So [inaudible 00:51:57] the time, what's your third one?

Dr. Andy Roark:

The last one is you got to model the behavior and ask for help. It's a dance party, you got to dance first and you have to invite people to dance with you. And that's it. And so being like, “Hey, I want appreciation to happen. I'll be in my office with the door closed if you need me.” It doesn't work. You have to get out there and model the behavior.

And then the other thing too is, and maybe this is silly, I don't think that people feel empowered to tell other people that they're appreciated. I think it's awkward, and they think it's weird. It's going to be too personal. Is this person going to think that it's strange that I'm telling them why I value them and why I appreciate them? I'm not their boss. And I think one of the things is, it's a cultural thing. It's something that you can say at the top, this is our norm here is, tell people what you appreciate about them.

Stephanie Goss:

Yes.

Dr. Andy Roark:

I love it when our team, I'll be honest and say, I love when people come up and say, “Hey, I really appreciate, Andy, when you did this thing for me or for our team.” That really, I don't know, it fills my cup. And I do feel appreciated when people do that. And I think a lot of times people are like, “Well, you don't have to appreciate the boss.” I'm like, “Well, I mean, I'm just a human being over here and I do like it.” But I think people, I think they need to feel invited to do that sometimes in teams, and that may sound silly, but it doesn't hurt anything just to say, “Guys, I want to have a culture where people are appreciated. And when you see someone doing something, I want you to tell them.” And you can empower them in different ways. And there's things like Bonusly and stuff like that that people use to try to put some oomf behind it, but honestly, I don't know if that stuff's really necessary if people just feel empowered to do it.

Stephanie Goss:

Yeah, I think for me, it starts with you have to allow them to be human, and you have to be human. And a big part of it is we have to get to know each other. You can force the dance party, you can do the thing. And it's easier to drag somebody onto the dance floor if you already have some vulnerability and you feel like, I can make an ass out of myself with this person, I feel okay with that. It's way easier, especially if you are an introvert. And so I think for me, a big part of it is being human, getting to know each other on a human level and being intentional about that.

And so for me, the keys to success start with getting the team to know each other and involving them all in the process. And so there are some things that are absolute must haves for me in terms of getting to know the team and onboarding as a leader that have to do with asking them who they are as a person, what do they like, and getting to know them. So everybody who starts on my team gets a getting to know you quiz, survey. I want to know, are you Josie and you love narwhals, right? What is your favorite treat? Are you a salty or sweet person? We're talking about super basic stuff, how do I check the boxes on a way that allows me to individualize it for you? And also how to find commonality in the team? Because now if I know that one person's favorite color is purple and another person on the team's favorite color is purple, now I can start to create shared experience for those people in the things that we do.

Right now it's about find another person on the team, if we're doing an activity, find another person who likes this thing as you. Those human connections make the vulnerability when it comes to showing appreciation, particularly for the meaningful things and the things that people value about one another, makes that significantly easier because there's a foundational relationship there.

And so making that a part of your onboarding process, having your team go through the languages of appreciation in the workplace course, having them all take the quiz, getting to know what languages they all speak. Are they a person who likes getting the gifts or are they a person for whom, getting praised, hearing the words, you love hearing words from the team, “Hey Andy, this is a thing that you did that I really appreciated.” And for me, I like quality time and you know that about me. And you will make an effort to do something that involves us, like, “Hey, I'm going to call you and we're going to have extra time together to just kind of hang out because I appreciated this thing that you do.” That goes much further for me. Same way that hitting somebody who likes the gifts or the service. “Can we do something together? Can I do something for you? Can I take care of something for you?” So learning about the languages of appreciation I think is really important.

And then for me, the devil is in the details in terms of how do I make this repeatable? So for me, the second step of this as a leader is to watch how they respond to those various expressions of value and appreciation. So if we're doing a group activity, I try and see, did we give someone public praise? And they really were uncomfortable with that? Okay, noted. Let's not do that again. But can I find other activities that I can do with the team that can allow them to maybe read what other people think about them instead of hearing it in front of the group, right? It's about observing the human behavior that comes from the team as a whole.

And then the third piece of that for me is then figuring out how do I repeat that on an individual level to stay connected with them and let them stay connected with each other. So if you aren't doing things with your team on a regular basis, find a way to make time in your schedule to have fun with them and make this part of your normal process the same way you would everybody learning about heartworm disease or safety protocols. It's got to be a part of your culture.

Dr. Andy Roark:

Speaking of part of your culture, our culture is ending episodes in one hour, and that's a resolution more than a culture. It's an aspiration. It's an aspiration. But we are out outside. Guys, take care of yourselves. We'll see you next time.

Stephanie Goss:

Have a great week everybody.

Well gang, that's a wrap on another episode of the podcast. And as always, this was so fun to dive into the mailbox and answer this question. And I would really love to see more things like this come through the mail bag. 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 mail bag at the website. The address is UnchartedVet.com/mailbag, or you can email us at Podcast@UnchartedVet.com. Take care everybody, and have a great week. We'll see you again next time.

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: appreciation, culture, management

Jan 18 2023

The Economics and Emotions of Workplace Culture

This week on the podcast…

Scott Burton MBA, CVPM joins Dr. Andy Roark to discuss the economics and emotions of workplace culture. They talk about the impact of culture on veterinary teams, veterinary clients and even in discussing cost of veterinary care.


Uncharted Veterinary Podcast · UVP – 211 – The Importance Of Culture In Veterinary Medicine (including The Culture Around Money)

This episode is made possible ad-free by CareCredit!


ABOUT OUR GUEST:

Scott Burton is the Hospital Administrator of Southern Regional Veterinary Specialists and Southern Regional Veterinary Emergency Services. Scott also prides himself on being a scholar-practitioner as he currently works on completing his doctorate in executive leadership.

The fourteen years of administration experience combined with his formal education (BA in Bible and Theology, MBA in human resources, CVPM certification, and Doctoral work/dissertation research) give Scott a unique perspective that will continue to be an asset to those around him. Before his time in veterinary medicine, Scott had extensive exposure to the financial sector as the Assistant Vice-President of a community bank. He served as the IT security officer and was in charge of consumer construction lending. His leadership skills were also recognized while he served as a personal banker with Bank of America and was recognized for his sales and leadership capacity. Scott transitioned into veterinary medicine primarily due to his wife’s experience as a licensed veterinary technician.

As a hospital administrator, Scott learned about the complex ecosystem in the veterinary hospital and the delicate balance required to generate interdependent relationships. The development of this ecosystem perspective has guided him through his doctoral research and continues to function as an illustration of cultural continuity.

Scott’s leadership model focuses on the inner nature of the individuals within the organization. His passion for creating a positive culture is more than “Friday Pizza” and involves an in-depth analysis of the emotional intelligence and vertical development of those he leads.

Scott is married to his best friend of almost twenty years (married 16) and has four beautiful children (all under 9). We enjoy campfires, smores, and hotdogs while we play soccer or bocce ball in the backyard. We also have two Greyhounds and one German Short-Hair Pointer.

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 about your challenges and would love to feature your scenario on the podcast.

Submit it here: unchartedvet.com/mailbag


Episode Resources

Strategy as Practice: https://amzn.to/3ERkOmX

Organizational Culture and Leadership: https://amzn.to/3ERkOmX

An Everyone Culture: Becoming a Deliberately Developmental Organization: https://amzn.to/3ERkOmX

Upcoming events: unchartedvet.com/upcoming-events/

Links to Amazon.com are affiliate links and help support the show. (They're also much smaller than normal links and easier to copy when typing up show notes!)


Episode Transcript

Andy:
Welcome everybody. This is the Uncharted Veterinary Podcast. Guys, I'm here with a special bonus episode. I am here with the one and only Scott Burton. Scott is an MBA-certified vet practice manager, he is working on his PhD in leadership, he has got a ton to say about culture. We get into culture as it affects the team, as it affects the clients, and we even touch a bit on the culture as it comes to talking about money in our team and with our pet owners.
So guys, I hope you're going to enjoy this. I think Scott's really, really interesting guy. Boy, he knows the research backwards and forwards. Get your pens and papers ready if you want resources. I grabbed them, I put links in the show notes to the things that he talks about, but man, get ready for a lot of information on culture from a very academic interesting place, coming at ya.
Without further ado, let's get into this episode. But before we do, I got to tell you real fast, this episode is made possible, add free, by CareCredit. Let's go.

Meg:
And now the Uncharted podcast.

Andy:
And we are back. It's me Dr. Andy Roark and my friend Scott Burton, hospital administrator. Scott, how are you?

Scott:
Hi, I'm doing just fine. Thank you so much for having me today.

Andy:
Oh man, I'm glad that you're here. So every now and then I like to step out and have conversations with other people in the industry who talk about business and think about business and vet medicine in interesting ways. And you fall into that category for me. You have an interesting background, for sure. You have a theology degree. Is that how you majored, in theology? Is that true?

Scott:
Yeah, so my undergraduate was in Bible and Theology and I minored in Youth Ministries, and so people have always been important to me. It's been very important to me and just their wellbeing. And from a spiritual level, ultimately, very compassionate about where people end up eternally. So from the spiritual side of things where I ended up. And then my master's in Business Administration, I focused on Human Resources. So that was the physical aspect of just people in the work environment and understanding how that plays into things and just the overall wellbeing of individuals.

Andy:
Gotcha. You have an MBA and a CVPM. You worked with Bank of America for a while. You were the Hospital Administrator at Southern Regional Veterinary Specialist in Dothan, Alabama, and you're working on a PhD in Executive Leadership, mostly focused on culture, is what it sounds like to me. Is that correct? I mean there's a lot of language around that, but that's what it feels like to me. Explain that a little bit.

Scott:
So essentially what I'm going to be doing for my dissertation is looking at culture in the veterinary space and culture is much broader than veterinary medicine and it goes outside of veterinary medicine, and it's really important in all organizations or any groups of people, whether it be the church, whether it be veterinary hospitals or a Fortune 500 company. And Edgar Schein has done extensive research on organizational culture and leadership and how those things fit together at infancy, an organization does have some flexibility in their culture and they're defining it and it's kind of fluid, but after a period of time it becomes very rigid and Schein outlines that stagnation period occurs and there's some concrete that sets in and organizations fail to adapt. And I think that we've seen that with COVID-19, leaders are not prepared for the unexpected.
So what culture is, or what I want to look at, is how we can have an adaptive culture where we have individuals who are coming in to our organization, we have turnover rates and our culture changes as individuals change. Our experience is different, what we've lived through is different. And so our culture has to change for those individuals. We can't stay stagnant. But if we do, what we're doing is we're asking those individuals to conform to the standards that we have already preset. It's probably best to go ahead and start with the definition of what culture is.

Andy:
So I'm going to frame this before we dive into culture overall. And so just one of the things I think is interesting about you is, I'm looking at trends and problems and patterns, challenges facing our industry and there's busyness, there's staff shortages, there's burnout, sort of rising prices for pet owners and things like that. And one of the things I think is really interesting about you, which I really want to talk about today is, your response to this is culture, culture, culture. And I'm a huge believer in positive work culture and defining a good culture in the practice and things like that.
You explicitly tag these problems with culture as a solution. And so before you start to unpack culture, I kind of want to just lay that down of what I'm looking at and the reason that I wanted to have you here and dive into this is, I want to understand how you look at those things. So I do agree, I think defining culture in your words at the beginning, I think it's really useful, so do that for me, but then go ahead and let's start to unpack how you see culture as a solution to these very real problems that are pretty common right now.

Scott:
And then that's part of what I'm trying to understand with my dissertation and the research that I'm going to be conducting is really trying to get to the root of the issue and understanding what exactly is the underlying cause of some of these things or phenomenon that's occurring in veterinary medicine. But the definition of culture that I adhere to is again from Edgar Schein and it's a pattern of basic assumptions invented, discovered or developed by given group as it learns.
So the assumption there is that culture is not just a mission statement at the front of a book. It's not pizza on Fridays. But it is a consistent message from leadership, to develop and nurture individuals and their function within the organization. So it's woven into everything that we do in our daily work life.

Andy:
Take that and bring it down for me and help me see what that looks like. I hear the words and I'm going, okay, I agree, it's not donuts and coffee, it's not a frilly mission statement. Bring that around and take me to a hypothetical practice where I can see what that looks like.

Scott:
I'm not going to use the word culture. So the environment, it's probably best illustrated through an ecosystem. And Bolton, through complexity theory, talks about or frequently uses ecosystems to describe diversity. And so if we're looking at a practice and the way the practice functions, we want to, of course, foster that diversity because in diverse environments we have the most advantage for sustainability.
But when it comes to just day-to-day life, what we see, and I'm sorry to be quoting so many different books, but An Everyone Culture, by Kegan, and it has really struck me in my thinking about just the way that we function and operate, because we all have weaknesses and when we come into an organization we try to hide those weaknesses. So when we're hired to do a job, we're essentially doing two jobs. One, we're doing the job we were hired to do, and secondly, we're hiding our weaknesses.

Andy:
Okay.

Scott:
So we're spending 50% of our time hiding our weaknesses and spending the other 50% of the time doing the job that we were hired to do. So we've come into, and it's natural, it's a survival instinct, we don't want to be fired, we don't want to lose our job, we don't want to lose our position, we want to impress, so what if in a veterinary practice we said, “You know what? I want to know what your weaknesses are.” And we focus on those weaknesses and then we start developing those individuals.

Andy:
Let me ask you about that. I love it. So it's owning the whole person, is kind of what it sounds like. So taking that, we all have strengths and weaknesses, I'm a huge believer in that. I think my thing has always been trying to figure out what my strengths are and how to lean into them. And then in other people trying to put in them into positions to really emphasize their strengths over trying to necessarily correct their strengths. Are you saying that as we sort of identify this and we put them into a framework, is this about fixing or patching weaknesses, or is this about shielding people and putting them into advantageous positions for their own skillsets? Help me understand that.

Scott:
Well actually Amy Edmondson is great, I don't know if you're familiar with Psychological Safety, but she is a great proponent of developing an arena or an environment where individuals feel safe to be able to have open dialogue and discussions with their superiors without fear of retaliation or any kind of retribution. And so if we're creating these safe spaces so that employees can come to us and say, “Hey listen, I'm really struggling with interacting with clients. I'm just not getting it”. And so instead of that individual shying away from the client interactions, they're coming to leadership and saying, “Hey, I really need help with this”. They're no longer hiding who they really are. They may have a personality conflict or a personality issue that limits them emotionally or psychologically that just keeps them from having those interactions and barriers. But knowing what those weaknesses are, we can put them in a role, like you said, where they can shine, where they can stand out instead of putting them in a position where they're uncomfortable or a position where they're destined to fail.
So instead of trying to fill spots, we need to know our individuals well enough to be able to put them in the right place. And so to me, when we look back at Edgar Schein's definition, it's a pattern of basic assumptions invented, discovered, that's that discovery portion, or developed by a given group as it learns. So we're going to be learning together. So leadership needs to be open to learn and the individuals in our environment need to be open to learn. And we need to have a two-way dialogue, two-way discussion where individuals can come to us, we can come to them and we can talk about what's really going on with people and their lives. The days of being able to hang problems at the door as we walk into work, those are over.

Andy:
I'm going to come back to that. Okay, you kind of blew my mind. The one thing I have to ask you first, and then I'm going to come back to hanging our problems at the door when we come in, because I'm going to need you to unpack that for me a second.
I'm going to be vulnerable here for a second and say one of the things that's bothered me about my own business for years is that I have always been such a big believer in getting people in and seeing what they're good at and adapting to their strengths. And the pushback that I have gotten a little bit internally is, and it comes from a good place as some people say, but Andy, we need to have job descriptions to hire and people need to come in and we need to know what they're going to do and then we're going to hire them and then we need to set clear expectations for what they're going to do. And I a hundred percent hear that.
But in practice I have never made a hiring job description that ended up being what the person actually did, and pardon me, but I've been pretty successful at getting people in and retaining them and really growing some rock stars. I take no credit for that other than not getting in their way, that's it, that's as much as I brought to the table was, ideally I like to think I put them in a place where they could shine and stayed out of their way.
But I have felt less than, at times in the past, for not having a clearly defined job description, having a role, having a spot, hiring this person and clipping them into the spot and having them effective, this is what you're doing. I always bring it in.
We just went through a period, so in our business we've gone to an expansion recently and I'll just be honest, there's a lot of times when people look at me and go, but Andy, whose job is it to do this thing? And I'm like, I don't know yet. Ask me in two weeks and I'll know whose job it is, but right now I don't know. And I felt embarrassed about that. So Scott, tell me, first of all, am I off base here? Does that kind of track with what you're saying as far as adapting to the people that are there? How do you look at that when I say it? And feel free to tell me, yes, you're off base, Andy, you should have job descriptions and stick to them from the very beginning.

Scott:
So multiple things, you hit on multiple things there, and we could probably spend the rest of the time just dissecting what you said right there. But you're looking at several different factors. So do you need a job description so people know what to expect? Of course you do. But at the same time, when you're hiring somebody, what it sounds like you're doing is you're hiring based on culture fit and people know you, people know your hospital and they're coming to you because they know what you stand for, they know what your hospital stands for and they say, I want to be a part of that.
They're not necessarily coming for the job description, they're coming for the culture that you have created. And that's what we need to do as leaders and practice owners is we need to establish our culture such, and it's not a brand, but we need to establish our culture such that people desire or want to be a part of what we're trying to do. We've established something that feels good and it's not a feel good to feel good, it's not a warm fuzzy feel good, but it feels good because you're part of something and we all have this innate desire to be part of something special.
And so what I'm hearing from you is that you have created this environment that people want to be a part of and they want to stay a part of it. On the flip side, what I'm hearing is that you have employees that may be wondering, “Hey, I don't know who is supposed to do what”. So we need to define these functions. And I'm also a believer in that if we have these functions that need to be done, we're all in this together. We're all on the same ship. If we have a hole in the ship, are we just going to point fingers and see who's going to plug the hole or are we just going to dive on the hole and try to keep us from sinking? And that's a pretty extreme example, but if our culture is such, we care enough about each other's survival in the practice, and survival's probably a strong word, but if we can care enough about each other, it shouldn't matter. It shouldn't matter. Because of eventually at some point the tables will turn and it'll be received instead of given.

Andy:
Yeah. So in this example, what happens is ultimately we do end up with clear expectations. It just takes some time after new people come in and we move things around and we figure out how to fit people in. And so ultimately we get to that place of clear expectations. So let me ask you about something you said earlier on. So coming from here is what I'm describing to you, so imagine these people coming in and they're rock stars and we're putting them in, we're trying them in some different areas, we're seeing where their skills are, what they seem to like, where they excel. And we're kind of shuffling some seats on the bus around a little bit on who does what to get the strongest skillsets where they can really shine. And so there is some uncertainty there as we move things around and fit people in. And then ultimately we sort of crystallize and turn these into nuclear expectations.
At the beginning of the podcast you jumped right in and started talking about culture and stagnation. Is this an example in your mind of periods of stagnation and breaking through stagnation where you say, this is how we interact with each other and now we have new people coming in and so if there's going to be some uncertainty that feels like there's no path out of stagnation without uncertainty in my mind. Do you agree with that? Is that an example of what you were talking about or am I off base?

Scott:
Stagnation would be more, I'm not open to changing. So stagnation would be leadership taking the mindset that we have created this, we're not open to looking at a change, we're not open to developing any more change. We are what we've created and this is who we're going to stay, which for a particular culture, that's okay, I mean you can develop a culture but you also have to understand that individuals change. And so if you're maintaining a similar culture, that's okay, but if you're saying you have to fit this mold, that's not okay. So that would be the stagnation point.

Andy:
It sounds like you are talking about culture as this sort of… I don't want to say culture as a process to you. It sounds like you are talking about an ever-changing fluctuating thing. I think a lot of people like to think, I know I've had these thoughts in my past, I'm going to get a good culture established and then I will have a good culture and from then on we will protect that culture. And what you're kind of saying is, no, it doesn't work that way buddy. You're always going to have a changing culture and so you better keep trying to keep it positive, but also know your culture this year is going to be different than it was last year. Is that true?

Scott:
Yes, it is very true. And so one of my professors, Dr. White, mentioned to me just recently that any change in culture, especially if you're trying to incite change, can take up to three years to actually implement and take place. With that is going to require leadership to be constantly monitoring and to have a strategic plan in place as far as where we are and where we're going. Culture can happen accidentally, but good culture doesn't happen overnight, and it's not set it and forget it. It is an ongoing process that never ends.
So if we're under the assumption that we have arrived as a culture, again, that's where we fall victim to that stagnation and our culture will immediately start to decline. Edgar Schein goes on to say that if we don't manage culture, culture will manage us. And if you look at some of the hospitals that are struggling with it, if they're truly transparent and honest with themselves, what they have done is they have focused on the processes of what needs to happen. I need a person, I need a warm body, I need somebody to draw blood. They hire the person to draw blood, they're meeting that immediate need, but the long-term need of that culture is sacrificed. And when they sacrifice that culture, it makes it harder to hire that next person.

Andy:
When you talked about managing culture, I hear that. You've also talked about asking people to leave their personal issues at the door, that's not how it works anymore. And so I want you, as we talk about managing culture, I want you to go back to that statement and sort of unpack that for me as well because I think a lot of people have said, I know it sounds cold-hearted when people say, look, leave your personal things at the door. What they're really saying is, they're trying to figure out how to reduce drama and extra emotion inserted into the practice. And so it sounds like a good idea to tell people don't bring your personal issues to work, come to work and be at work and then go home and be at home. And I a hundred percent can understand that. Talk to me a little bit about your perspective on that. So you don't like the idea that we leave our personal issues at the door? Tell me more.

Scott:
Yeah, I can just tell you from personal experience. This past month my children were ill with the flu. I had the flu, my wife had the flu. It was incredibly difficult and we had to depend very heavily on our staff and our hospital to help carry us through that. And they were very understanding and very gracious in allowing us, and I say allow us, because we didn't hear any grief from them, we didn't hear any complaining from them regarding our absence when we were ill or taking care of our sick children. That was outside of the practice, but it affects the practice.
And so we cannot ignore the fact that we have lives outside of practice. The whole work-life balance thing has become almost trite that it's said so much. And when you're talking about work-life balance, what does that mean? What is that definition? And really what it boils down to is what am I willing to tolerate at work to justify being at work, to justify not being at home. And that's that work-life balance, or how I see that work-life balance.
When I left the banking industry, I was working 25 hours a week, I was getting paid for holidays, had 12 Mondays off a year, had two weeks of vacation, on top of that had tons of time off. You talk about a work-life balance, it was great. And I left that to work 45 – 50 hours a week. Now tell me how that makes sense from a work-life balance situation. Well, what it ultimately amounted to is what I was doing at the bank didn't align with what I needed personally in my personal development. And so I went somewhere that did.

Andy:
I love that. I love that way of putting out work-life balance. I don't like that term work-life balance, I think you perfectly illustrated why. To me it's really sort of work-life integration, right? I'm sure I'm not the only one. My life's kind of complicated and things come to work with me and things go home with me and I try to make sure I have time to rest. But the idea of, I need to work eight hours in a day, be with my family for four hours in a day, sleep eight hours a day, and that is perfect work-life balance. Well that doesn't tend to work out. I think my math is off, but you get the point. Four hours of personal time of me doing hobbies.
Anyway, that never works. It's always kind of a hodgepodge back and forth and so when you lay out this theoretically nice schedule that you had and say, well this isn't work-life balance that I'm okay with, and then you jump into another thing where you're working much more, I get that. That to me matches the reality that I see when we talk about the idea of work-life balance.
Talk to me a bit about managing sort of emotions inside the practice. So we're still talking about culture and we've talked about that sort of psychological safety and that makes a lot of sense, but I can only stay after this integration of me being a human being and not being able just to put the fact that my kids are sick but beside me or leave it out outside, I'm bringing that in. Talk to me a bit about how we integrate the emotional experience that people have into a positive culture, as opposing to try to get people to be non-emotional or leave their personal life outside.

Scott:
And that's a very difficult thing to do. I think that there is certainly some voids there, and certainly in the emergency arena where you're dealing with a lot of trauma, you're dealing with a lot of clients that have emotional shock from what has just happened to their pet, to euthanasia. I think from the emotional standpoint, we have to be able to have a networked community within our hospital to provide that emotional support. We cannot be cold, callous or say you just need to suck it up and do your job. We need to allow for breaks, we need to allow for time for recovery after those events. Because our staff, our doctors, are very much connected to the cases, especially when they're trying to save them or something unexpected happens that they're trying to do CPR, they're trying to revive them, any number of different things, something goes wrong and then they have to go tell the family and the children that a member of their family is no longer with them.
That takes an emotional toll and over time that weighs down on a person. And so there needs to be an emotional release of that. There needs to be a way for them to talk about that, what they're feeling, how they're feeling. And as leaders, we need to be able to sense that. We need to be able to pick up on that. And it's not just, how you're doing, I'm doing fine, and move on about our day. We checked it off, they're okay, we're moving on. No, we need to have meetings, we need to have debriefs and talk about what just happened.
We have a client that comes in, it's a bloat, they don't have the financial means to take care of it, they end up euthanizing the dog. Emotional toll on the staff, well let's talk about it. Listen, that wasn't your decision. It was out of your control. This was a choice that they made. This wasn't a choice that you made. You did what you could do, you did your part. How does this make you feel? Probing questions, allowing them to vent, allowing them to cry if they need to. Just providing that safe space, again, just that emotional safety is key to providing safe environments in the culture. Because if we're telling them, listen, that's not okay here, you've got to pretend to be something else. Again, we go back to that, we're hiring you to do this, but we need you to fake and be somebody else.

Andy:
I can feel a certain subset of listeners recoiling, and I feel it too. So in your mind, these type of probing questions, this is a leadership skill, is asking people to sort of unpack how they felt about this and to have these types of conversations. Where is the line in that where we say, I do want to be supportive and at the same time I'm not a therapist. And I worry about the slippery slope, obviously, of everyone coming to me every day to talk about how they're feeling about things and I go, I'm not really qualified to have this level of input into how you're coping with things. Help me understand that a little bit.

Scott:
Well, and I think it's with anything, and especially with our industry and so many suicides within our profession, I think that as leaders we need to be aware of the emotional state of our staff and be able to help them find the resources that they need. We don't necessarily need to provide the answers, we need to provide them with ways to find the answers. So I'm not going to have the solution to provide them, but sometimes they just need somebody to sit there and listen.
And I've found a lot of the time it's just being able to listen. My wife has told me multiple times, I don't want you to fix the problem, I just want you to listen. And listening goes a long way to just helping people feel important, help them feel like they're being heard, to be able to vocalize the way that they feel can have a major impact on just how they're internalizing their emotions, to be able to just get it out there on the table.

Andy:
So I definitely hear that. I think you're onto something as far as, again, I like the idea of psychological safety and people knowing that they're able to talk about how they're feeling, especially when things are coming up inside the practice. I think that that's really important. And also I also buy into the idea of being able to ask these types of questions as a modern leadership skill. I think maybe 40 years ago you said no, you leave personal life at home and we go… I don't think that resonates with the people that we're leading anymore, so I'm on board with where you're going. Convince me that this sort of approach on culture and an evolving culture, convince me that the pet owners see and feel this, that actually has a positive impact on the pet owner experience. Because you talk a lot about culture with financial conversations, like with pet owners who are having a negative experience. Talk me through how you make that leap.

Scott:
So the best example that I could provide you is just, in our practice we have pet owners who interact with our staff and they just appreciate the communication. They can tell a difference in the way things are communicated. It's hard to put a pulse point or put it into words how that culture is communicated or translated to the clients, but there is a connection and a bond that's transferred so that they can feel the interconnectedness and the relationships and the bond that we have as a hospital, and they feel safe. I can't tell you how many times pets have come into our hospital and the client is saying they're going to freak out, they're not going to feel safe, and even the pets respond differently in our hospital. So I mean there is definitely something to that low tension interconnectedness that takes place, that does transform and create an environment that is welcoming and open to others who enter it.

Andy:
Do you buy the idea that if you create a workspace where your employees feel sort of psychologically safe, where they feel like mistakes are not the end of the world and where they're not continuously being judged, or they're being judged fairly and they know what expectations are, those people are more likely to interact with pet owners in a more relaxed manner or more natural manner and sort of head off some of the more emotional confrontations that we see.
I think some of the real conflicts that I see are when I have a support staff member who feels like she's stuck and she needs to toe the line or her hands are very tied, and then I have a pet owner who feels very stuck and that their hands are very tied and I see an escalation that I don't tend to see in interactions where the staff members are maybe a little bit more laid back. They can still enforce policies and protocols, but they do it with a, I'll just say a certain confidence that they don't otherwise have. Does that make any sense to you? Does that resonate at all?

Scott:
It does. It does, because when you empower your employees to be able to act on your behalf and they're not having to second guess everything that they do, they're able to act more freely, but they're also less prone to make mistakes because they know that if they do make a mistake, it's either, one, fixable or two, it's okay and I'm going to learn what the right way is.
Early on when I started, I was very rigid in the way that I approached those things and tried to have protocols for everything, but you can't predict every scenario and you can't predict every interaction that's going to take place. And so the theme started to become, listen, we need to do what's best for the client. We need to do what's best for the client. And then in the end it will ultimately be what's best for us. And so we've adapted and changed the way that we do those things and I think that individuals feel more empowered, individuals feel more free to make decisions on their own within the framework of what they already know is acceptable and okay.
And the best illustration that I can give you is a playground company did a study of kindergartners, they built a playground, it was an enormous playground, and they put all these nice playground structures up and they just let the kids lose. Well, what they found is the kids only played with the implements that were stationed next to where the teachers were standing. The really big stuff or the nice stuff that was in the back of the field, they didn't even go back there, until they put up a fence. Once they put up the fence, the kids explored every inch of the field, they engaged in more interactive play, they ventured further away from the teachers.
And I think that that's where we need to be as leaders, is we need to clearly define what the parameters are and say listen, within these parameters, go at it. And give them the freedom to innovate, to come up with ideas, collaborate with each other, have imaginative play, and find new ways to handle the problems that we're facing today. It's not just up to me, it's up to everyone, and let's collaborate and come up with a better solution.

Andy:
I love it. Okay, so here as we're sort of coming to the end, what are the biggest steps that you see that people can take to start to build a culture like this? So first of all, I love that story. I've not heard the fence story before. It completely makes sense to me, I really like that analogy. How do you build that fence, I guess, what are the big things that you think are easy steps that practices can start to take. And again, this is going to be a work in progress, but what can we start to do to build out our culture that's going to make for better practices?

Scott:
So I'm one of those people that I see articles that say 10 steps to success, or 10 steps to a better practice, and I just start laughing because not every practice is identical and not every practice is going to have the same people working for them or in there and they're not going to have the same experiences. So it's very comical to think that there's a do step one, two, three, four and ta-da, you're there.
For me, if it's about building a better culture, I think the biggest thing that has to happen is that it has to start with leadership in just establishing some transparency and saying, listen, we know, or just admitting and saying something's not right. Okay. What is it? Being transparent with yourself and saying, I don't have all the answers. They may. My staff may. Am I willing to listen to my staff, hear what they have to say and change because of it? And if you're not at that point, you're not ready for cultural change. Because if you're not ready to change based on what your staff are telling you, then you're not ready for it. You're not ready for it. Because ultimately culture involves everyone. And if you're going to be dogmatic in your thinking, then you basically have isolated yourself in a silo and everybody else is going to do the same thing and it's not a collaborative environment anymore.

Andy:
Yeah, I like that a lot. I think a willingness to try things is a big one for me. I think a lot of people hear conversations like this and they go, I don't know if I'm ready to let go of control, and what if they want to do these things that are terrifying and I go, one of the big things for me has been, not saying we're going to radically change what we're doing, you just have to be willing to try some new things and see how they go. And that helped me early on to let go of the steering wheel so hard and just go, you know what, we're going to listen and we're going to try some things and then we're going to make some adjustments, but I found that to be really good.
Scott, what are your favorite resources in this arena? I know that's a huge topic. You've thrown on a number of different studies and books and things that you like, but if someone's like, man, I really like what Scott's talking about, this makes a lot of sense to me. What are some of your favorite resources to get people started on the topic?

Scott:
Well, if you're looking for a complete overview of organizational culture, I would say Edgar Schein's Organizational Culture and Leadership is probably the best handbook regarding culture. I think that that is going to provide you with a overall framework of what culture is, how it works and things that you can do. But it's just an overall in-depth understanding of what culture is.

Andy:
I'll put links to all these in the notes. I know people are probably frantically scrambling for a pen. No, go ahead and finish up, but I'll put links to these in the show notes.

Scott:
And Everyone Culture by Kegan, it is another book. It gives some case studies of organizations. One organization specifically, they bring people in, send them through a bootcamp and then have the organization vote as to whether or not the individual is buying into the culture. If they're not, they give them $5,000 and tell them to go on their way. I mean, it's just amazing the different ideas that you can glean from that book. It's where I've got some of the resources and some of the quotes from, some of the things that I mentioned today.
Another one is, and it's not something that I really mentioned today, is Strategy as Practice, which is Paula Jarzabkowski, which is a very hard name to spell and pronounce, but she's a professor in Australia. But she looks at an organization and basically what we do is part of strategy culture in the organization. So she gives an example of a man who was a brake attendant on a train, and he was realizing that there was excessive wear on one of the wheels, so he was putting extra oil on it. When he retired, he left, new person came in and the wheels kept burning up, they couldn't figure out why. Ended up costing the rail company tremendous amount of money because that experience and knowledge was lost when that man left. And so Strategy as Practice is a great resource to help us realize the value of the individual and just how important that knowledge is and that experience is from each individual person. We may not know their value until they're gone, but we need to dig deep and understand their contributions.

Andy:
Oh man. Scott, thanks so much for being here. I really appreciate your time, man. Guys, I'm going to put links to the show notes for the books that Scott laid out for us. Gang, take care of yourselves, be well and we'll talk to you soon.
And that is our episode, guys. I hope you enjoyed it, I hope you got something out of it. Big thanks to Scott for being here. Big thanks to Care Credit for making this episode happen without any advertisements. We can't do it without support of our partners. Gang, that's it, that's what I got. I hope to talk to you very soon. Take care, be well. See you soon.

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: culture, management, money

Jan 11 2023

Coaching Spicy Tenured Team Members

This week on the podcast…

This week on the Uncharted Podcast, Dr. Andy Roark and special guest practice manager Maria Pirita break down the problem of what to do when one of your seasoned team members turns spicy! In this question from a conference attendee, we have a lead technician who is not doing the “menial” parts of her job and is being rude to other team members. How are we going to handle it? Let's get into this…

Uncharted Veterinary Podcast · UVP – 213 – Coaching Spicy Tenured Team Members
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You can also listen to the episode on Apple Podcasts, Spotify, Google Podcasts, Amazon Music or wherever you get your podcasts.

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


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 about your challenges and would love to feature your scenario on the podcast.

Submit it here: unchartedvet.com/mailbag


Upcoming Events

January 21, 2023 – Start The Year Off Right Series: Loading the Bus with Stephanie Goss

Do you have the right people to go where you want to go? This workshop will help you look at the people in your practice and find their strengths, acknowledge the challenges and still reach the goals of your practice together. We'll help you look objectively to make sure everyone is in the right seat on the bus and discuss what to do when we decide someone needs a new seat or maybe should get off our bus altogether.

April 20-22, 2023 – The Uncharted Veterinary Conference

Climb aboard with members of the Uncharted Community and our sea-worthy crew for a new adventure in veterinary medicine April 20-22, 2023 in Greenville, SC. 

Get ready to explore new harbors together in overcoming digital communication pitfalls, developing resilience in an emotionally taxing field, and focusing on communication to build a positive team culture.

All upcoming events

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


Episode Transcript

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

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

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

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

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

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

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

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

Dr. Andy Roark:
Hey, everybody. I'm Dr. Andy Roark and this is the Uncharted Podcast. Man, it's been a while since I got to do that. Welcome, welcome, everybody. I am here with Maria Pirita today. We are breaking down how to coach the spicy tenured team member. What do you do when you've got somebody who's been on the team for some time? They may be a shift lead, a team lead, a department lead, and they're just not performing.
Maybe they're not doing menial tasks, they're not cleaning cages or cleaning up the surgery suite because they think it's beneath them. Maybe they're just grumbling, maybe they're just snapping at people, maybe they're not treating people in a way that that person feels respected or they're throwing their weight around a little bit. What do you do? How do you talk to that person? That's what this episode is all about. Guys, let's get into it.

Speaker 3:
And now the Uncharted Podcast.

Dr. Andy Roark:
Hey, and we are back. It's me, Dr. Andy Roark and the one and only Maria Pirita. Hello, my friend.

Maria Pirita:
Hello. How are you doing?

Dr. Andy Roark:
Man, I am so good. How are you doing?

Maria Pirita:
I am so good. We just got into Chicago, and we beat the blizzard, so I'm feeling great.

Dr. Andy Roark:
Like you raced to your little den and lit your fire, and then the snow came down outside and now you're toasty as a bug in a rug.

Maria Pirita:
Yeah. I literally got hot cocoa, so now I'm just going to make my hot cocoa and watch the snowfall.

Dr. Andy Roark:
You are who I aspire to be at Christmas time. We did a workshop together, you and I, and it was like 50 doctors. And we couldn't get anything done because Maria has a Christmas tree that rotates and it was behind her, and so everyone was watching her Christmas tree just rotate, and there was like every three minutes someone would notice it and the chat would just blow up with, “I know.” And so you do Christmas really, really well. I have to say.

Maria Pirita:
I love Christmas. I've always loved everything about Christmas. My birthday's 10 days before Christmas, so I don't know if it's a mixture of both of them going together or the fact that my family always did it so big. That rotating base actually was a recommendation for my sister a long time ago. And then one time my base actually broke and I needed to go to get one, and all they had was the rotating one, so I had to get it, and it turned out to be a great purchase until we did the workshop and-

Dr. Andy Roark:
And shut it down.

Maria Pirita:
… we couldn't get through the workshop because everybody wanted to hear about the rotating base.

Dr. Andy Roark:
Yeah. The whole thing.

Maria Pirita:
It's available. It's a real thing.

Dr. Andy Roark:
The whole thing ground to a halt. Yeah. When this episode comes out, it'll be New Year. You're a big New Year person too that you go all in for 20 days.

Maria Pirita:
Yeah. I love New Year's. Man, it's a lot of fun. I prepare a lot for New Year's. My husband and I have a great tradition where we make surf and turf steak and lobster dinner, and we write out goals and aspirations for the new year, and we light a fire. And then once midnight hits, we celebrate with all of these Latin traditions, which are crazy and out there, but I absolutely love all of them. Some of them, a lot of people know about like you wear red underwear if you want love in the new year, or you wear yellow underwear if you want money. You can put lentils in your wallet and that represents that you're going to spend your money well in the new year, and all these crazy things. We do all of them. So we put 12 grapes in our-

Dr. Andy Roark:
Yes. You got multiple pairs of underwear.

Maria Pirita:
Yeah. All at once. You got to want all of them. You got to wear all the underwear. We put 12 grapes in our pockets and you make a wish with each one. But my favorite one is that at midnight you take your suitcase, and you walk around the block with your suitcase and that represents that you're going to travel a lot in the new year. And last year was actually the first year that we did that. And I will say that this past year we went to Paris and Rome, and I got to go to Greenville for the conference, and we went to Indianapolis for work too. So I would say that it worked. So if you're trying to travel in the New Year at midnight, grab your suitcase, go walk around the block with your suitcase, and you'll probably travel is all I'm saying, unless it was just a fluke.

Dr. Andy Roark:
I think some people can just stop the podcast right now. They're like, “I got what I needed for… Yep. I got what I needed.”

Maria Pirita:
Unless this comes out after New Year's, then it'll have them the next year.

Dr. Andy Roark:
Yeah. And they're like, “Ah.” Going to have to put it on the calendar. Yeah. Oh, man. So for those who don't know you, you are a newly minted CVPM. Congratulations on your new certification.

Maria Pirita:
Yeah. Thank you.

Dr. Andy Roark:
You work with us over at Uncharted, you're doing more and more of the lecturing and the lifting. And I've been so happy working with you, and I just enjoy the heck out of you.

Maria Pirita:
Oh, thank you.

Dr. Andy Roark:
And so anyway, I want to talk to you about what we got. It wasn't the mail bag, we got it at a conference. Do you want to go ahead and break down what we're looking at?

Maria Pirita:
Yeah, actually. So we were at a conference in Indianapolis and this amazing practice manager, if you're listening, you are amazing, but she was telling us about a challenge that she's having and it's essentially that she has this tenured team member who's a little spicy, we'll say. She has been with the clinic for a really, really long time. Great skills, however, lately, she's been doing things like she's been not wanting to clean up after surgery because she thinks it might be beneath her, or she's just been a little bit spicier in the way that she talks to people. And what was crazy is we started talking about it and it turns out a lot of people were struggling with this challenge, and that's when we thought, “This would actually make a great podcast episode because there are definitely things that can be done.” And I've certainly been there. Have you been there?

Dr. Andy Roark:
Yeah. Yeah, yeah. Oh yeah, totally. I think we all were. I like the term here for spicy. This is one of the things I think that you do really well. It's like that's your word. And I think it's a healthy way to look at it to say, “Oh, well, this person's a bit spicy.” It's not that they're not aggressive or angry, but once we frame them that way, they take on a villainous personality and you say, “Well, they're spicy.” And I go, “I like that, I can work with spicy. Sometimes spice is okay.”
And so I like that you frame it that way. It also brings across a lot of times what the behavior with the attitude is. And so I just want to start upfront and say, “I like how you frame this question,” and by making this person framing them as spicy, I think you're already opening up a lot of good doors for us to get things done. I don't want to be told that I'm aggressive, I don't want to be told that I'm a bully. I don't want to be told that I'm hard to work with. But if you tell me I'm being a bit spicy today, I'm not going to take that particularly hard. I think language matters and how we frame things matters. And so I like how you set that up. Just open up.

Maria Pirita:
Thanks.

Dr. Andy Roark:
So yeah, I have a lot of ideas on this.

Maria Pirita:
I love the term spicy too because… Well, I think we started using it in clinic because when we became Fear Free, that was one of the big things that they taught you is try to stop using the word aggressive or mean when you're talking about patient because they're not, they're just fearful, stressed, or anxious. And so you changing your mindset there. So we adopted it and we started using it a lot, and one of my favorite things to say to people would be, “Ooh, that came out a little spicy. How can we add some sour cream?” And it became a hit because it'd be like, okay, it's not that you are a mean person. It is totally that it just came out spicy and sometimes we all wake up a little spicy and that's okay. Just get that done and done with some sour cream. That's it.

Dr. Andy Roark:
Yeah. I like that. I think that's part of building a good culture is setting it up where we can give each other feedback that's not catastrophic or devastating, that doesn't strike at who you are as a person. But yeah, it's a little thing. I always say one of the real tricks to giving people feedback is lowering the stakes, trying to make it so it's not a big deal for me to say, “Hey, when you said this, it had this impact that you didn't really anticipate. I need you to do that differently.” How do I make that not a big deal? Like, “Hey, I know you know this.” But whenever you say something that starts with, “Hey, you”, people get real defensive real fast, and I just want to make sure you get heard. And so “let's do that differently next time. Alright. Thanks, man.” And just try to make it so it doesn't matter.
And I think a lot of times we don't say anything when it doesn't matter, and then we wait until it does matter and then we have these high-stakes conversation. So anyway, just anything that just takes the edge off and it's just like, “Hey, man, this is okay. We're just going to break it down a couple notches, but also I need you do this differently for me. Thanks, man.” I think that that's just good feedback coaching headspace.

Maria Pirita:
Yeah. Absolutely.

Dr. Andy Roark:
So speaking of headspace, let's get to headspace here. All right. Cool. So first, we start talking about this. I want to point something out in the question itself. And so one of the examples was, “Hey, this person's not cleaning up after surgery, things like that. She acts like maybe this is beneath her.” I would say, does she say that it's beneath her or is that the assumption that I, as the manager, and making about her, right?

Maria Pirita:
Absolutely.

Dr. Andy Roark:
Because one of the first things we want to try to do is assume noble intent, assume good intent. I don't want to be like, “Oh, she didn't do it.” That clearly means that she thinks she's better than this like, “I don't know what it means. I don't know why she's not doing it and neither do you.” So until we ask her, “Hey, I saw this thing didn't happen. It seems like it's starting to become a pattern. What's going on? What's the story?” That's straight up, those are the exact words I would use. “Hey, I see this, it seems like it's starting to become a pattern going on. Just what's the story here?” And then I'm going to shut up, and I'm going to let her tell me, but I don't want to try to assume what her intentions are. And she might be like, “That's not my job.”
And now I go, “Okay. Okay. I get that.” At least I understand now that she does not believe this is her job. That's not an assumption. That's what she told me. And then we can start to work on that. So yeah, I think we start off assuming good intent. It's our safe headspace, right?

Maria Pirita:
Yeah.

Dr. Andy Roark:
Can I sit next to this person? Can I smile at them? Don't give them the feedback when you are triggered. Just let it go for a day. The key is put it on your calendar. If you're triggered, you're like, “I can't talk to this person right now.” If you're me, I can't talk to this person right now and then tomorrow's not going to seem like that big a deal, and I really don't like conflict, and so I'm not going to do it tomorrow. And then after that it's going to disappear. It's not going to happen. And then we're going to do this again. So put on the calendar, be like, “All right. I'm going to talk to this person on, if I haven't talked to them by Thursday morning, we're going to talk on Thursday morning.”
But can you sit next to them? Can you smile? Are you assuming good intent? Have they been set up to fail? If she thinks this is not her job and it is her job, that's on me because I didn't communicate to her, “This is your job.” And so maybe she's been set up to fail, maybe our job descriptions are not what they should be. Maybe she didn't review her job description, maybe she didn't sign her job description. Maybe she hasn't gotten an evaluation on performance, reviewing her job description, whatever. Maybe she's been set up to fail.
And the last thing is the end result like, “What do I want?” And this is a big thing of like, look, I don't want her to apologize for not cleaning up the surgery suite. I don't care. I just want her to clean it up next time or do what she's supposed to do or come to an agreement with the other tech so that it gets done. But basically, I want it to get done. I want everybody to feel like they're being treated fairly. That's what I want. And so that's the end result I'm working towards.

Maria Pirita:
Yeah. Absolutely. And one thing that I think is really important in that is when you're seeking to understand is that sometimes it could be so many other things as far as why a person is spicy. So it really is important to ask that question, how did this person even get here in the first place? And so having that discussion, you might find out this person might be frustrated from other things happening in the clinic. Perhaps she may need some change here or there. If she's a registered veterinary technician and she thinks maybe she should be doing more as a registered tech. How many of us have credentialed technicians that we're not utilizing to their fullest potential or treating them like assistants? And so the only way you're really going to figure out how this person got here is by having that conversation and, like you said, seeking to understand.

Dr. Andy Roark:
Yeah. Sometimes these people get set up to get caught. Sometimes they're just not as savvy as the people who are really doing the dirty stuff. I hate to compare it to my kids, but it was like with my kids. My older one could just tweak my younger child so that my younger child would go off, and then everyone would look at the younger child. And it didn't take long as a parent before you realize, you're like, “Okay. Hey, older kid, I know that you are the one who caused this problem.” And you put our younger kid in a position where they're going to get in trouble. And sometimes that happens with the staff where the person who gets mad is not the person at fault, they're the person who's reacting and they're probably not reacting appropriately or else they would've done this another way. But sometimes they're reacting inappropriately to something that's not fair or just something else where somebody else has screwed them over. And that's again, that's why you just got to ask the question.
The other thing is they specifically said this is a tenured person. And so there's a couple different types of problems that come up with tenured staff that are less likely to come up with younger staff. This is broad generalities, but to me the term tenured, matters. When there's certain types of behaviors that we get, it's often they're power play behaviors of, “That's not my job, that's someone else's job.” So just some of that stuff. But the other thing is when you have tenured staff members and they're having patterns of behavior, they didn't get that way overnight. It's like you hired this person and then you were surprised that they acted this way. They've been around for a long time. So my question is, what has changed? Has this been a slow steady creep or is this something where there's something going on that has changed their behavior?
The other thing is if they're tenured, they've conceivably had a history of being successful in your practice. And I think that that's something that we can lean on. So we talk about headspace, we go, “Well, this person's been here a long time, why is this becoming an issue now?” And again, I do find it's helpful for me when I can assume responsibility and say, “Well, I've been her boss for some time and this creep has happened on my watch and I haven't corrected it.” So I got to look at myself and say, “Where did I miss a trick?” And that's just a healthy headspace to get into, make you really effective when you go and talk to the person. So that's it too.
I asked myself questions a lot about burnout and fatigue. When I have people who are tenured, they've been doing this a long time, is this person burned out? Are they just done? Is this just a general, not about work, it's just about life or things like that? Is there something else going on with them? Those are all things I'm looking for and trying to figure out, again, what is the underlying thing? Is it just straight up, “I don't want to clean up the surgery suite”? Or is it, “I'm tired, I don't see a future for myself here. I don't feel like I'm appreciated, I don't feel like I'm respected”? Those things matter.
And I'm not saying the person is right, and we may disagree. Sometimes people say, “I don't feel appreciated.” And sometimes that's valid and sometimes it's not. And usually, the truth is somewhere in the middle where they should be appreciated for some things that they do. And there's some other things that maybe they don't do that they should do. It's always a mixed bag. It's always shades of gray with people. But I'm just trying to get down into their psyche of where are they coming from and what's the real issue?

Maria Pirita:
Yeah. And I think sometimes as practice managers too, we're putting ourselves in this position where we think, “Oh, this person has great skills. They've been here a really long time. I'm afraid of losing them. So then we fail to have some of the conversations that we should have.” So another question that I would ask myself is, how often has she gotten away with this without us discussing it over and over again to the point where she thinks that this is now how it should be?
Or in some cases, they try to push buttons… Not push buttons. That's a bad way of saying it. But they try to see what they can get away with because they themselves know they're high tech skills. They know that they have the ability to draw blood, and drop catheters, and they can be in surgery, and they can do all of these great things. So there is something, as a practice manager, you have to ask yourself, “How often has this been happening? Did this become a pattern and I didn't say it so now it has become the norm?” And getting into that space mentally before you have these conversations.

Dr. Andy Roark:
Yeah. I agree with that. And I think the other thing we want to think about with a tenured team member is where do they want to go and what do they want to see in the future? And a lot of times I feel like these spicy team member, tenured team member things, they come from a place from where this person topped out, and they don't really know where they want to go in the future, or what they're going to do, or what's going to be different. So they're like, “I'm the head surgery tech and I don't want to be the practice manager or there's already a practice manager and there's not space for me. And so here I am, but I'm tired of this, but I don't really know where I want to go. And so I'm just generally at a loss for who I am and where I'm going.”
And I think that this starts to really unlock the key for me with dealing with tenured, more senior people. This person has climbed up to a place where let's say their career path may be a bit hazy in the future or they topped out in what they can do, and if they're burning out because of that, if they're bored because of that, if they're just like, “No, no, I don't see myself in the future, so I'm just going to do what I want to do right now.” That's a vision problem. It's a motivation problem. It's a vision problem. And so again, it starts we try to figure out, “Where's this person coming from? What's driving this? Is it that they don't know where they're going?” And you can ask those questions like, “Where do you want to go in next year?”
We just did with our team. Maria and I were talking and the team was there, but I was basically like, “What's your development goal for 2023? What do you want to be? What do you want to learn? How do you want to grow?” You can do that professionally. I want to do it professionally but also personally. And so just like Maria's walking around the block with her suitcase because she wants to travel. I want to know where people want to go. It's not something to hold people to, but I ask people that and now it's a great time to say, “Hey, it's the new year. Where do you want to go in the next year? How do you want to grow? How do you want to develop?” And ask them, and then when they say that, try to figure out how to get them there, how to keep growing. There's a lot more latitudes for people to grow in that medicine than we give credence to.
For example, we're like, “We have a vet assistants, and we have vet techs, and then we have lead vet techs, and that's the end of the story.” And I'm like, “No, it's not.” There's so many different subjects that we can expand to. There's so much expertise. There's credentialing, advanced credentialing, there's technician specialists, there's management credits, there's leadership opportunities, there's communication things, there's workshops, there's skill workshops, there's all these things that they can do. You can spend years getting great at dentistry, and then just roll off of that into anesthesia, and roll off of that into pain management, and into low-stress handling, into fear free. And you can work your whole career learning and growing and learning and growing. But if you think your whole path is assistant vet tech, head vet tech, that's it. That's a very short, stunted path that leads to a lot of frustration.
And so one of the big things is where do these people want to go, and can they see themselves in the future being developed, and do they feel like they're moving towards something greater? And if you can't make them see that, a lot of times you can't coach them very well. And so anyway, when we start thinking about senior people, do they see the vision for the future? Do they see where they can go? Do they see how they can grow? Are they engaged with that vision? And if the answer is no, then from a headspace standpoint, I need to figure that out because this person's going to be consistently hard to manage and they're going to be consistently hard to motivate if I can't make them see a future where they are better and more developed than they are right now.

Maria Pirita:
Yeah, Andy, and I'm so glad you said that because it actually reminds me of a spicy team member who I had when I was a practice manager. And she was amazing. She had amazing skills, the kind that you could always trust to hit the vein or drop the catheter, but she did have a bit of a spiciness around, especially around new people. It seemed like she would get frustrated during the training. So it was one of the situations where I looked at her and I was like, “Man, she could go so far. We just have to work on that one thing.” So I remember sitting down with her and having this discussion and we started on that, and on that topic is development. I asked her, “Where do you see yourself?” And she said, “Actually, I have been thinking about that a lot.” She was a veterinary assistant at the time. She's like, “I think I want to go into CVT school. And I also think that the treatment manager position looks really great.” Treatment manager was taking care of the hospitalized patients, right?

Dr. Andy Roark:
Yeah.

Maria Pirita:
And so I was like, “Okay. That sounds awesome. Yeah. Those are definitely areas we could talk about going.” And as we were discussing the treatment manager role, we got into discussing training. And so it was a perfect opportunity for me to talk to her about, “Well, I've noticed you can get a little spicy around new people. And so if we want to go down that path, there's things that we should work on there, but that's totally normal. We can work on those things. There are tons of leadership webinars that we can talk about books and bottom line, nobody became a leader overnight. And so this is great that this is the route you want to go in.” And so she said, “I know what you're talking about. The issue is that I never notice when I'm doing it until it's too late.” And I said, “I get that. I grew up around siblings, so I have a sassiness to me.” Andy, I'm sure you've seen it at conferences and whatnot, that it can happen to anyone.

Dr. Andy Roark:
You have more than a sassiness to you, just for people who don't know. You have amazing sass. I'm going to stop you right here because this is important. Maria and I were having dinner and we were at Tupelo Honey restaurant.

Maria Pirita:
Oh, no.

Dr. Andy Roark:
And she was looking at her straw. She was like, “I think the straw is made of honey.” And I was like, “I don't think that's a thing.” And she was like, “No, I'm pretty sure this is an organic straw made of honey.” And I looked and there was another straw on the table and it had the wrapper on it. And I picked it up, and it said, I read it out loud, I was like, “Made from 100% pure agave.” And Maria goes, “Who's laughing now?”

Maria Pirita:
It still wasn't honey, guys.

Dr. Andy Roark:
But that's the same thing. But you were like, “It's organic, it counts. Who's laughing now, Roark?”

Maria Pirita:
It's close enough.

Dr. Andy Roark:
Yeah. It's close enough. And I will say, I learned a couple days later, there's a store that sells honey products in Greenville. I looked in there, I was like, “Do you have straws?” And they were like, “Yes, we do.” I was like, “Oh, she could have been right.” But then I thought when they were like, “Yes, we do.” I was like, “Who's laughing now?”

Maria Pirita:
Who's laughing now?

Dr. Andy Roark:
[inaudible 00:25:13]. It's not a little bit of sass. It's a pretty defining characteristic. I love it, but let's not downplay it.

Maria Pirita:
So that's exactly what I was talking about. When I was talking to her about it, I said, “Yeah, I have sass too.” It's a matter of where to use it, and we were out at dinner in this example. So that's when my sass comes out is because I'm not working. I got it, but it's also… Obviously, I didn't talk to her about that because it hadn't happened yet.
But when I was talking to this team member, I basically told her it happens. It happens to all of us. It happens to me. And so I asked her, “What's a good system that you think would work for us to help you in this journey?” And she said, “Well, actually, if you could just point it out when you see it, if there could be a signal?” And I said, “Yeah. Absolutely.” So we decided that I would give her this eye contact and make the peace sign. Eventually, I didn't even need to make this peace sign with my hands. The number two, looks like a two. But I got to the point where I didn't even have to, I would just look over when I heard it, and you could hear her going back in herself, the way she was talking and try to formulate it a different way. And that helped a lot.
And we also talked about leadership as a whole and what kind of resources were available to her and giving her the time to do some of those and some recommendations on books. And I still remember she came to me so excited one time, she's like, “Hey, I spent this weekend reading this book that you recommended. I think it really helped me a lot.” And I will say that there was a noticeable improvement in her because she was striving towards this goal of becoming a manager and a leader because obviously, she had great assistant skills. She had done so much there that she was ready to move up to that next level. And putting in, not only giving her the resources, but also acknowledging that there was this area that we could work on helped tremendously.
To this day, she's still going strong in her position as treatment manager, and she's going to school still for her CVT, and she's loving it. And it's definitely something that I love seeing in people because they got to have that strive to want that, and she had it, and she did it. And big props to her. I hope she listens to this episode one day.

Dr. Andy Roark:
Yeah. Okay. I love that story, and it's awesome. And I want to break it down step by step into action. So let's pause for a second here. Let's take a break and then we'll come back, and I want to run back through that story and just tell you what I love about it because that's going to… I think we should use that story to frame the action steps because that's [inaudible 00:27:50] with us how you do it, you crushed.
Hey, guys, I just want to hop in really quick and give a quick plug. The Uncharted Veterinary Conference is coming in April. Guys, I founded the Uncharted Veterinary Conference in 2017. It is a one-of-a-kind conference. It is all about business. It is about internal communications working effectively inside your practice if you're a leader. That means you can be a medical director. It means you can be an associate vet who really wants to work well with your technicians. It means you can be a head technician, a head CSR, you can be a practice owner, practice manager, multi-site manager, multi-site medical director. We work with a lot of those people. This is all about building systems, setting expectations to work effectively with your people.
Guys, Uncharted is a pure mentorship conference. That means that we come together and there is a lot of discussion. We create a significant percentage of the schedule, the agenda at the event, which means we are going to talk about the things that you are interested in. It is always, as I said, business communication focused, but a lot of freedom inside that to make sure that you get to talk about what you want to talk about. We really prioritize people being able to have one-on-one conversations, to pick people's brains, to get advice from people who have wrestled with the problems that they are currently wrestling with. We make all that stuff happen. If you want to come to a conference where you do not sit and get lectured at, but you work on your own practice, your own challenges, your own growth and development, that's what Uncharted is. Take a chance, give us a look, come and check it out. It is in April. I'll put a link in the show notes for registration, ask anybody who's been, it's something special. All right. Let's get back into this episode.
Okay. Let's get back into this. So you just told the story, I love it. I want to break down some things that I see in the story when you were talking about coaching this person. Number one, the first thing you did, which is absolutely amazing, I love it, is you framed your feedback not as corrective, not as like, “Hey, you really screwed this up and we need to go through, and look at what you did, and you need to apologize.” It wasn't corrective feedback, it wasn't, “I want you to own your mistake.” You 100% were like, “Where do you want to go?” And you got a picture of where she was going, and then you framed your feedback as developmental feedback. This is how we want to get there.
And so especially with your tenured team members, if they've been around a long time, if they're a shift lead, a department lead, stuff like that, they may not take just straight up, “Hey, you messed this up” feedback very well. They can feel like they're being taken down a peg. Really, really dislike that. Those people tend to respond better, in my experience, to developmental feedback of, “I see you, I see your skills, I want to talk about how we're going to grow you and where you go from here and these are the changes you're going to need to make to get there.” And so I think that was just a textbook lesson and how you give developmental feedback and figure out what people care about.
The one thing that the tech had going for her, which I think is really, really important, it's just a self-awareness when she's like, “Yeah. I do that. My thing is I don't realize it until it's over.” I go, man, self-awareness is an underutilized, underappreciated characteristic for people to have. And then the last thing is you talked to her, you came up with a plan about how you were going to help her, and then you were there to catch her in the moment like, “I'll give you the sign,” but you were there to give her the feedback. And when you're like, “I didn't have to give the sign anymore,” probably just the fact that you were there was enough for her to be like, “You are a sign of, ‘Oh yeah, I'm trying to do my best or I'm trying to do better.'” So I don't know. When I lay that down, do you agree with that or are there other pieces to it that you think should be called on?

Maria Pirita:
Yeah. Absolutely. And I agree with all of that. I think it's interesting. I would talk about the sign and just being there because I think we forget that sometimes with sass or with spiciness, coming from an expert in it, it does take the habit. It's a habit.

Dr. Andy Roark:
It is a habit. Yeah.

Maria Pirita:
It is a habit. You have to break a habit in order to be a better leader. And it's something that obviously, being a leader myself, we had to get over that, but it's going to take time to break a habit. And so the other part to that is being able to give them the time to do that but also the follow-up. When we're talking about… In this example, following up later on within the 30, 60, 90-day mark, whatever you decide to do on, and giving them feedback that, “I see you working on this and it's going great. Keep up the good work.” Or seeing, making sure that we don't just talk about it once and then forgetting about it, but also going back, giving that feedback, and talking about it again later on.

Dr. Andy Roark:
Yeah. How do you get tenured team members to tell you what their goals are when they don't know what their goals are? So let me ask you that.

Maria Pirita:
That's a really good question because-

Dr. Andy Roark:
It's hard.

Maria Pirita:
It is hard. It's hard and sometimes they need time to think about it themselves too because they haven't sat down and thought about it themselves to say, “This is exactly where I want to go.” And a lot of times, they don't even know of the possibilities that are out there. You said it yourself, we put them in veterinary assistant, certified tech, practice manager, and there's all these other linear possibilities. Unless we're constantly talking about these things, they're not going to know about them. So if I have a technician or a veterinary assistant that's like, “I don't really know where I want to go next.” I think the most valuable thing you can do be like, “Yeah. Okay. Well, take some time to think about that. Here is a list of just ideas and see which one you feel the most passionate about and think about it in the next couple of weeks, and we'll revisit this conversation in a couple of weeks.”
Because in that time they're going to be like, “Oh, I noticed that I really like behavior, and Fear Free is really important to me, and I realized that I want to do perhaps do Fear Free because I want to become a Fear Free certified professional.” The other thing too is telling them what they're good at. Andy, you're really good at that. You're really good at telling people, “Hey, I noticed that you're really good at this and so would you ever consider doing this or…” Maybe you should talk, and say how you do it because you do it so much better.

Dr. Andy Roark:
No. Well, thank you for saying that. I think that's a good… what's worked well for me is to look at people from the outside because you can see people more clearly than they can see themselves. And we tend to like the things that we're good at. And so if you see somebody who's crushing a thing, you should tell them, “You crushed this thing.” And it's amazing to me, in my life, how many people will be just fantastic at dentistry. They'll just be great at it. And you say, “Well, what do you want to work on? What do you want to grow?” And they're like, “I don't know.” And you go, “Well, I notice you're really good at dentistry.” And they're like, “Really?” I'm like, “Yeah.” And I don't know if their self-confidence doesn't let them believe that they're good at dentistry. They needed some random shmo on the outside to tell them that they're good. I don't know.
But I have found again and again that when I see somebody, they're just doing something that's obviously good at, if I just say, “Hey, you know what, I think you're really good at that. Not like you have to do this, but I'll tell you what I think you're good at. I see you doing these things.” And two things happened. Number one, they get some clarity, and they go, “Well, now that this has been validated, I'm going to own the fact that, yeah, I'm good at these things.”
And the other thing is they rise. They rise to that even more. So if I say, Maria, one of the things that you are really good at is you are a wonderful communicator in how you do developmental feedback, you'll do more of that in my experience. You'll be more ready to do it and more likely to practice and just lean into that skill, and then you really get better at it. And it's just this weird self-fulfilling prophecy when you tell people what they're good at. So thank you for saying that. I do try to call it out, but I'm always amazed by how powerful it seems to be when you just tell people what they're good at. I love the idea of just having people pay attention.
One of the questions that I ask that seems to help a lot is, “What do you love the most about your job?” Just framing it that way. Not what do you want to do, but what do you love the most? And then or I'll ask them like, “Hey, I want you to think about the last couple of weeks. What was the best day that you had? Just tell me what the best day was or squish the last two or three weeks together and make me an imaginary best day. What does the best day look like for you?” And a lot of times they'll tell you what they want to do and they want to… You say, “What do you want to do?” And then, “I don't know.” “Tell me what the best day at the practice looks like though.” “Well, I come in and I hit the dentistry table right off the bat.” I'm like, “Okay.” Not now.

Maria Pirita:
Well, there it is.

Dr. Andy Roark:
Yeah. There it is. But it's funny, and we've all had the experiences where someone asks you a question in one way and I got no answer. You ask me another way and I'm like, “Oh, well, here's the obvious answer.” And so we play the role of therapist in that way of being like, “Hey, I'm trying to tease out of you, what do you like, what makes you happy? What makes you excited to come to work?” And you pair that with the idea of giving them some time to think about it in the coming days. “I think you've really got something,” and then you tell them what you think that they're good at and the skills that you are impressed by them. I like to use the words to say, “You know what I most admire about you is,” or, “The skills that you have that I try to emulate are…” And boy, people really are flattered when you say that. I only say if it's true.
But people are not used to hearing the things when you say, “You know what I admire about you,” or, “What I try to emulate that you do really well is this.” That's just, man, that's powerful feedback. And you make people feel really seen and really appreciated. And again, especially for your tenured people, your upper-level people, that stuff hits them pretty hard and it gets their attention, and it makes them feel like they're doing something that people notice. So those approaches have worked well for me. So I like that stuff a lot. So I think that's a good way of trying to tease these things out of it and then coach them about where they're going. What do you do, Maria, when we don't get traction? We have these conversations and we've got this tenured person, and we talk to them and we're doing the 30, 60, 90 follow-up. What does that look like when the bar is not moving?

Maria Pirita:
I think that that's when you've got to revisit your own policies and protocols on what the next steps are. And as much as we all hate it as managers, none of us ever wants to let anyone go. I get that and then there's anxiety in that, but sometimes you do have somebody that may not be the appropriate fit for your clinic, and that's not necessarily a bad thing. Maybe their heart is set on becoming an ultrasound specialist and you don't have ultrasound in your practice.
You have to sit down with that scenario and really lay it out because at the end of the day, if you do have somebody that's a little too spicy, it's going to affect your clinic. It's going to bring down the tone. Your other team members are going to become resentful. “How come she never cleans the surgery suite? And we always have to clean the surgery suite.” And then you have really key valuable players that may quit just because you're trying to hold on to one player that may have the skills but may not have the tone that you need for your clinic. So those become a little bit harder, but it's a matter of what the disciplinary actions are at your clinic and following through with those because if you don't, it's just going to continue to affect your clinic, unfortunately.

Dr. Andy Roark:
Yeah. No, I think you're right. I think you're smart too. You got to look at the ripple effects. At some point, it's not about the surgery suite not getting cleaned, it's about the fact that the other techs are going to fold if they have to clean up this mess again while this other person refuses to do their part. At some point, it becomes this thing about fairness of this, “We're being treated unfairly because this person's getting preferential treatment.” And it's not about the surgery suite not getting cleaned, it's about, “I'm being disrespected, and I'm being forced to do this and management is not supporting me, and they're allowing this to happen.” And so it's much, much, much more than the surgery suite not getting cleaned. It's a cultural problem that's impacting other members of the team. So a lot of management is picking your poison.
All right. How do you want to struggle? How do you want to suffer? Do you want to struggle and suffer putting up with this person who won't clean the surgery suite, or do you want to put up and struggle with not having that person on board? And I go, “Well, it depends on how much that person is affecting the rest of the team to make that decision.” The last part too is, and it's hard to hear, but I always got to put it back on the table, is people change and life comes in phases. And sometimes people are done. Sometimes they've done the vet tech thing for 10 years, and they're just done. And maybe it correlates with them starting a family. Maybe it correlates with their kids going off to school and their life is just changing or going off to college, maybe their kids moved away. Maybe it has nothing to do with kids, Andy.
Maybe it's just their spouse has a new job and she's wildly fulfilled with the job and this person is realizing, “Hey, I've fallen out of love with this, and I want to be in love with something.” And you can't do much about that. People just change. And so I try to remind managers and leaders and owners that sometimes people are going to leave, and it's not about you, it's just about them and what's going on in their lives and what they want. And I don't think any of us really think that we're going to make a job that people are going to spend their whole lives in. You know what I mean?

Maria Pirita:
Yeah.

Dr. Andy Roark:
And if they leave that's because we failed them. But man, it feels that way sometimes. And so sometimes it's just good just to call it out and go, “Sometimes people outgrow your clinics, sometimes they outgrow the job that they have. Sometimes they just want to change.” And that's not failure. But if they've outgrown your clinic and they've checked out, but they're still showing up, cashing a paycheck, and they're causing headaches for other people, that's not okay. We're not going to do that.

Maria Pirita:
Yeah. Absolutely. I agree.

Dr. Andy Roark:
Cool. Well, I think that's all I got. Have you got anything else to add to this?

Maria Pirita:
No, I don't think so. Other than I hope we see you all in April. Actually, we have Practice Manager Summit coming out.

Dr. Andy Roark:
Oh yeah, the April conference. Yeah. Talk about the Practice Manager Summit. You're speaking at that.

Maria Pirita:
I am speaking. I'm so excited. I have a great workshop lined up for you, guys, on one-on-ones, which actually leads to this episode really well because we're going to talk about one-on-ones, how to make them work for you and how to make time for them because they can be very, very time-consuming. And I think that a lot of us could be having them more often, but we don't because we're like, “Where do you find the time?” And so I have a lot of great information for you, guys. And I think that's something that you could work with these spicy tenured team members. After all, that's where we can find out a lot about their development and what they want for the future. So that's exciting. That's coming up here soon.

Dr. Andy Roark:
Yeah. It's March 22nd is the Uncharted Practice Manager Summit is a virtual event. Anybody's welcome to attend but it is 100% targeted at practice managers. Registration is opening up very, very soon. You can find more at unchartedvet.com. All right. Cool. So thanks for running through everything with me, Maria. Guys, thanks for tuning in. I hope this was helpful and we'll see you guys next week.
And that is our episode. Guys, I hope you enjoyed, I hope you got something out of it. Thanks to Maria for being here. Gang, as always, if you got something out of the episode, if you enjoyed it, share with your friends, help us spread the word, help us get the Uncharted gospel out into the world to light people's lives, or just write us a review on Apple or wherever you get your podcast, that's also a thing you can do. Anyway, guys, enough silliness. Take care of yourselves. I'll talk to you later on.

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: behavior, culture, management

Jan 04 2023

They Admitted They’re Using Drugs… Now What Do I Do?

This week on the podcast…

This week on the Uncharted Podcast, practice manager Stephanie Goss is joined by her dear friend, Dr. Phil Richmond. Phil is the Chief Medical & Team Wellbeing Officer at Veterinary United and the Founder of Flourishing Phoenix Veterinary Consultants. He is an advocate for positive culture and individual, team and organizational psychological health, safety, and wellbeing in veterinary workplaces. Phil was also voted Most Funny in his high school class, was the NASA 1996 FL State Powerlifting champion (Juniors, 23 & under) and has seen Rush in concert more than any other band. That's what I call a bio!

Stephanie and Phil are talking through a recent conversation had with some managers after a team member at someone's clinic called off for several days and then told their manager that they were admitted to the hospital following an overdose. This is someone who is newer to the team, performing well and this manager was asking how to navigate this. The discussion turned towards disciplinary-like actions – taking away keys, possible termination for the no call, no show, drug testing and more. Stephanie and Phil wanted to talk through why the default response is often to frame substance/alcohol use disorder and mental health crises in a disciplinary way; what we can do to examine our own bias when it comes to these challenges and leadership and how to begin taking steps to change the culture within our practices, our communities and veterinary medicine as a whole. Let's get into this…

Uncharted Veterinary Podcast · UVP – 212 – They Admitted Using Drugs… Now What Do I Do?
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You can also listen to the episode on Apple Podcasts, Spotify, Google Podcasts, Amazon Music or wherever you get your podcasts.

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


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 about your challenges and would love to feature your scenario on the podcast.

Submit it here: unchartedvet.com/mailbag


Upcoming Events

New Workshop Series! Practice Owners and Managers, are you ready for some workshops to help kick-start 2023? Is this the year that you tackle creating a foundation of culture for your organization? Do you want to have a practice vision and values that do more than just look pretty on your wall? Do you want to have the right people in place on your team so that you can move forward in the same direction this year? Are you lost at where to start with leading meetings like this for your team? If the answer to any of these questions is YES, we've got you! The “Start Your Year Off Right” workshops can be taken together as a series or independently based on your practice needs.

Start The Year Off Right: Finding Values & Your North Star with Dr. Andy Roark

Start The Year Off Right: Loading the Bus with Stephanie Goss

Start The Year Off Right: Lead A Vision & Values Meeting with Dr. Andy Roark & Stephanie Goss

Upcoming events: unchartedvet.com/upcoming-events/

Episode Resources

VMX Talk: come see Stephanie and Phil present together: When a Team Member Needs Help… What To Do When

Sunday, Jan 15 at 8am in Hyatt management area

At VMX: Veterinary Recovery Meeting is Sunday Jan 15 at the Hyatt from 4-8pm in Celebration 14.

ACES Assessment/Information

PERMAH Survey Information – Workplace (and personal) well-being assessments

Mental Health Audit – Use the workplace mental health audit tool to find out how your workplace measures up.

Vets4Vets – VIN Foundation Vet Peer Support Network


Episode Transcript

Banfield Pet Hospital Logo

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

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

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

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

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

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

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

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

Stephanie Goss:
Hey everybody, I am Stephanie Goss and this is another episode of the Uncharted Podcast. Just a quick warning at the front of this episode, there is some swearing in this episode so if you are listening with kids in the car or at home, you may just want to be aware of that. Or other people who just don't like to hear swearing. Know that that is a thing that happens a few times in this episode. Number two, we are talking about substance use disorder, alcohol use disorder. We do talk about suicidal ideation and suicide. So heavy topics that we did our best to cover in a way that hopefully is not upsetting or triggering to anybody. And as always, we want to be upfront and make you aware of what's happening before we get into it. So if those subjects are upsetting to you and you may want to take a break from the episode, that's totally fine. We'll see you back next week. If not, let's get into this.

Meg:
And now the Uncharted Podcast.

Stephanie Goss:
Hey everybody, welcome back to another episode of the Uncharted Podcast. Andy is not with me this week and that makes me very excited because sometimes I think we need a break from our energy. And because it means I get to have one of my most favorite people in veterinary medicine with us today. As a special guest, my dear friend Dr. Phil Richmond is here. We are going to talk today about substance use in veterinary medicine. It is a passion, something that is near and dear topically to both Phil and I's hearts. I'm going to let him introduce himself. Phil, welcome to the podcast.

Dr. Phil Richmond:
Hey, thanks Steph. It's great to be here. And I would say, I know Andy's not here, I'm like the Wish app version of Andy Roark. For anyone not seeing the video.

Stephanie Goss:
You're a good substitute for Andy. So for the people who are listening who have not had the chance to see you, hear you, know you, in veterinary medicine. Can you tell us a little bit about your background and how you and I came to be connected?

Dr. Phil Richmond:
So I'm really grateful. I sit right now in a seat with a group called Veterinary United. I'm the Chief Medical and Wellbeing Officer and super cool is Tom Bankstahl, Dr. B who's the CEO. He and I right now are the only two veterinarians in the US who have a certification in applied positive psychology. So he feels really strongly about that aspect of veterinary medicine. So super, super excited about working there. But on a grander level, and this is why all of us are doing what we're doing is trying to change the face of vet med.
And trying to change what has been, keeping what's working well. But then what are we struggling with certainly in work design and that. I also sit as the chair of the Florida Veterinary Medical Associations Wellbeing Committee, and I am super excited, I get to work every time I say this is… So I'm sitting on a committee for the CDC in NIOSH for healthcare and psychological health and safety. And then just really working on a number of projects around that in Vet Med and I get to work with some of the coolest people including you, Stephanie Goss in veterinary medicine. So just very, very grateful and I think we might be able to get into a little bit of my story of that as we go on.

Stephanie Goss:
So you and I are both red dot people as I'm listening to you talking, I'm like, “Oh, that's a lot of projects on Phil's plate.” Let's just acknowledge that right up front. We are red dot people and we bonded immediately I think probably within the first 10 minutes of talking to one another. We did the jumping up and down like, “Did we just become best friends kind of moment?”

Dr. Phil Richmond:
Totally stepbrothers.

Stephanie Goss:
Which I've never actually seen that movie, but I can picture the jumping up and down in my head. Because that's what Phil and I did because we just have a lot in common. And then as we started talking and getting to know each other more and discovered some things about our own personal lives and histories, we were just like, “Oh my gosh, we had way more in common than we thought.” So we have been a part of the Uncharted Community together for several years now and you and I both nerd out about wanting to make change in veterinary medicine. And our work together started in a very small corner within the Uncharted community in terms of creating safety and space for those in recovery in our community and has grown. And we are actually, a few short weeks from doing this recording, we are headed to Florida to do to speak at VMX together, which we are both really excited about.

Dr. Phil Richmond:
Super excited.

Stephanie Goss:
And if you're listening and you're going to be at VMX, you should come say hi. I will drop our session info into the show notes. But we are presenting on Sunday morning together with two human medicine doctors and we're talking about pieces and facets of veterinary leadership when it comes to helping our people. Like when we know that there's a problem, how do we handle crises and support? And so we're super excited to do that and as we are getting ready for that, you and I have started, we have this text chain where we see things or we hear things, we have people ask us questions and both of us regularly get questions from managers but hospital leaders in general asking, “Hey, there's this situation happening with a member of my team. Or someone I know is in this position when it comes to substance use or alcohol use or mental health challenges and I don't know what to do.”
And there was something recently that came up, somebody asked me a question because they had a member of their team who hadn't been with their team really long and they have by their admittance, been a pretty good employee. And then last week they texted and said, “Hey I'm not going to make it into work.” And there was no follow-up and no details. And then a few days later they replied back to this manager that I was talking to and were like, “Hey, I am actually in the hospital. I overdosed last week and I'm going to be here for a little bit and I'm not sure what it looks like from here.” And I thought it was great that this manager was asking questions and in the group that we were having the conversation with a lot of the response, an initial reaction from fellow managers was tread really carefully. And let's look at this from a disciplinary perspective.
They know called, no showed. They should just like what is your policy on that? You can just dismiss them and get rid of the problem. And I immediately texted you and was just like, “This makes me see red.” And you and I had a great conversation, I was like, “Let's do a podcast about this.” Because we get asked questions like this all the time and I think it's one of the things that you and I are both passionate about. Breaking down the stigma when it comes to mental health challenges, substance use in veterinary medicine. And so that's the context of what we're going to talk about today. We're going to talk about our typical headspace and actions in this specific instance. But as I suspect knowing Phil and I's conversations will probably meander a little bit along the way. Right?

Dr. Phil Richmond:
Right.

Stephanie Goss:
So let's start though with a headspace perspective. So why does this kind of thing make both you and I see red? And also how do we keep ourselves from just being angry about it? What do we do about it? Why are we here? Why are we talking about this in vet med?

Dr. Phil Richmond:
Absolutely. And the thing is that in the US the stigmatization of alcohol and substance use disorder is significant. And that's really where the crux of the issue comes up, is that we look at, Oprah just published a book. But there's an excellent psychiatrist, neurologist, and he says what we need to ask the question is instead of saying what's wrong with you is ask what happened to you. And some of the numbers that I wasn't aware of until I got involved in this is one of the things that we know is that in medical professions, medical professionals at a rate of 12 to 15% at some point in their career are going to meet criteria for alcohol or substance use disorder. In two, go ahead.

Stephanie Goss:
That's a huge number.

Dr. Phil Richmond:
Huge number. And so if you don't know that number, that's more than one in 10, is that we're out there. But what do we think about when we think about somebody who's in, when we use the term alcoholic. Even that image that pops up, sometimes It's somebody with an overcoat, in the stigmatization of under the bridge, drinking out of, unable to stop drinking. And that is not what, it can be. Some of us can go to that place, but that is not what it is. Many of us are intelligent medical professionals and intelligence has intelligence, moral fortitude and grit have nothing to do with alcoholism, alcohol use disorder and substance use disorder. It is not a moral failure and that is the thing, it's a mental condition that we have. And so it's really how do we frame it in the first place? And I just love that reframe of instead of asking what's wrong with you, compassion and saying what happened to you. And go ahead and stop.

Stephanie Goss:
I think that's huge, because the stigma, starts with the mental image when you ask somebody. And I think that's why these questions make me see red is because the answer for most of us just as humans is we have been conditioned as a society to look at substance use disorder, alcohol use disorder, mental health challenges as other people. As a problem that couldn't affect us, that happens to other people in this dark and shady and nefarious kind of way. And the picture that comes to mind is a very negative one. And so we start by already being biased in our thinking because of the stigma that surrounds it.
And so when there are challenges in our own backyard, and I love that you brought up the medical professionals because that's huge and we are a part of that as veterinarians. And we also know that on a very, very broad level, I think the most recent numbers that I saw are a little bit older at this point. They're from 2017, but the substance abuse, mental health services administration does a survey and the 2017 number said 20 million Americans 12 and older had been impacted by substance use disorders. That's statistically a staggering number. And so and I were talking about the fact that when we talk to people and you were saying when you lecture, you actually ask the question, “How many people have been impacted or know someone who's been impacted?” And lots of hands in the room go up.

Dr. Phil Richmond:
Lots of hands, most hands.

Stephanie Goss:
And at the same time when it comes to a leadership perspective, when I ask the question, “Hey, have you ever had someone who's been impacted by this in your practice?” I see so many leaders say, “No.” And I think the answer really is yes and they just don't know it. It didn't impact work, it was a secret. And so I think for me a big part of the stigma is to look at the perspective that, not normalize it in the sense that this is okay, but normalize it in the sense that this is happening. And it impacts a vast majority of us and we have to start to talk about it.

Dr. Phil Richmond:
And like you said is that it was a secret. And then we ask ourselves why is it a secret? Why is it a secret? There was a study that just came out, you and I were talking about it just recently. Is in September of 2022 there was a survey that came out. One in seven physicians, one in seven physicians admitted to consuming alcohol or controlled substances at work, one in seven.

Stephanie Goss:
At work?

Dr. Phil Richmond:
At work, that's at work. More than one in five say that they consume alcohol or controlled substances multiple times per day. And then in 2017 there was a survey done by the Mayo Clinic and it was a robust survey. They had, I think it was about I think 7,500 physicians. The 7,400 physicians answered this survey. In that survey, just alcohol is what they were talking about, just alcohol. 12.9% of male physicians and 21.4% of female physicians met criteria for alcohol use disorder.
Almost one in four of us, one in six to one in four meet criteria. So why in the hell are we not, why do we not talk about it? We also know in talking about suicide, just to give a warning is that 50 to 60% of suicides have alcohol or drug relation to it. And so that is something I feel very strongly about and both you and I are certainly advocates for suicide prevention in the profession. But if we're not talking about this, we can't truly be helping one another. And it's like, “Why are we not having these discussions?” And it's stigmatization and then it's the fear of if I come forward with this, what's our knee-jerk response is that it's going to be a performance issue. It's going to be a fitness-to-practice issue. And so what happens is that we hide it.
You just mentioned the secret and this was my story, is I hid it until I couldn't hide it anymore and I almost didn't make it Steph. But yet this could have been, people saw and I'm not saying that, but the signs were there long before I got to that point. And so if the climate was changed and we can have these open and honest conversations and say, “Wow, I've noticed I'm coming home and I'm having three or four drinks where I haven't done that before.” Because what was funny for me is I took that self, the assessment, the 20 questions that see if you're an alcoholic. And I took, I got a 19 out of 20 and it was like there's a hot, and I'm like, “Well this is bullshit, crap.” And I'm like, “Because if this was true-“

Stephanie Goss:
I don't have a problem.

Dr. Phil Richmond:
I do not have a problem, I'm in-

Stephanie Goss:
I'd be falling down at work.

Dr. Phil Richmond:
Right, because I started moving the goalposts. I was like, “Yeah, I can't have a problem.” And that's the old rationalization is because I don't want to be viewed as the person in the overcoat with the bottle in the bag under the bridge. I don't want to be viewed like that, I'm a medical professional, I'm going to school, whatever. But those two things are not…we need to be able to have this conversation in a psychologically healthy and safe space. So that's what we really want to change. And changing the intervention from where there's a crisis where we have to take, where somebody is visibly affected-

Stephanie Goss:
We have to act.

Dr. Phil Richmond:
… at work and we have and we have to act. To where if we roll back the clock or if we go back, we saw those things. And this is, I think what we're going to get into today, is what are we doing in our practices? What are we doing in our workplaces to set the tone to say it is okay to come forward with these things. Are we doing things where we talk about the access to our mental health resources are there. Are we engaged with our employees? Are we somewhat vulnerable with our employees as well about our own struggles as leaders to a safe point? But do we feel safe coming forward with that? And that, the goal is, not when we talk about don't, instead of just pulling people out of the river, let's go a mile up and find out what could we do to help them from falling in the river in the first place. And that's the goal.

Stephanie Goss:
And I love that and I think as a leader and as a manager and from an HR perspective, you and I were talking before we started recording. And I was saying when I became a manager there were no classes on this. I didn't get taught this shit. Nobody said, “Hey, you should think about these things.” Being totally candid and honest, the bare-bones information that I got from an HR perspective was, your handbook needs to have a drug-free workplace policy. And that was it for years and years and years. That was how I managed was, there was one policy in our handbook that we are a drug-free workplace. Because I could then use that to performance manage problems away. So if we had to cross that bridge, we had the safety net that said, “Hey, legally as an employer I've got this in here and if this is violated, I don't have to do anything else but write the discharge and move on.”
And so I think for me a lot of it starts with getting honest about the fact that we don't talk about it and start to talk about it. Start to talk about it more, which is a passion for both you and I, like breaking down those walls because we know that stigma continues to happen because we're not talking about it. And we're not talking about it loud enough and often enough. And that's when change starts to happen and becomes radical when we start to talk about it. So for me, I think a lot of it is starting with looking at our own perspectives as leaders in a candid way. What are our biases? What are we thinking? It's human and it's okay. And I'm saying this from the perspective, even someone who has been a part of the recovery community, someone who has been touched in my own personal life by substance use disorder. And has had family impacted by substance use disorder, I still completely admit that for a long time, the bias that I had was that this is something that happens to other people.
I was raised in a good family, I was the first person in my family to go to college. This isn't something that happens to people like me, that happens to people like my family. And so I had to do a lot of work on a personal level to break down my own bias and my own self feelings but also feelings towards others. And so I think as leaders taking that first step and looking at how are we thinking, how are we viewing it? Because just statistically if we keep thinking about it from the perspective of this happens to other people, it doesn't happen in my clinic. We're going to always be behind the curve. Because the reality is it is happening in your clinic. And if you think that it isn't, if you think that it hasn't, you're wrong. It just happened in secret.

Dr. Phil Richmond:
A hundred percent. And that is interesting and this is and the well-meaning, I mean this out of a huge amount of respect. When I was at UF and we were talking about it and I asked, I said, “How many students have we had referred to Florida's physician's health program?” And they said, “Zero.” And I said, “Okay.” And this is what I'm saying, is that this is an institutional, it's just not something that's talked about. And in human medicine the data's all there. So they see it and they're taking positive actions for this and opening up the conversation. Because again, they have the surveys, they have the data. We have a couple, a handful of studies, but there was one that came out from medical students. And medical students, 32.4% of medical students met criteria for alcohol use disorder.
And there was a study that came out, I think it was in 2017 and they did one with vet students, same thing. This is to everybody in the hospital, is affected, just it doesn't, alcohol and substance use disorder doesn't go, “Oh I'm just going to affect accountants or whatever.” It's that we are human beings who were taught to do the job of veterinary medicine. So we as human beings have things that happen to us that put us at a higher risk of this being there. And that was something that I thought we might step into too, talking about adverse childhood experiences and trauma-informed workplaces, if that feels right.

Stephanie Goss:
Yeah, I love it. So I think that is a good segue for us to talk about what are some of the, so we recognize that there are problems. We recognize that there are challenges and usually for most of us as leaders, because there still is the stigma because it is secretive. There is generally, we're finding out further down the line, like you said, we're a mile down the river. There is a crisis. Someone is actively suicidal, somebody is actively in substance use crisis, somebody has OD'ed at work or at home. And like this fellow manager that I was talking to, we're getting the call saying, “Hey, I'm not coming to work.” Then we're managing in crisis mode. And so I think for you and I, a lot of it is we need to do things better as a community, as an industry, to have resources to support the crisis mode. And that's a whole other soapbox. But I think for you and I, a huge piece of it is how can we start to turn back time?

Dr. Phil Richmond:
Yes.

Stephanie Goss:
How can we wear our Time Turner necklace and flip it back a notch, and be able to look at, how do we start to impact and support the team? How do we start to look at the team as human beings recognizing that this is something that impacts a vast majority of the American population. How do we start to do things to create a safe space in our practices where people can be human, where someone can say, “Hey, I need this help.” You and I are both the kind of people that we might go up to our manager and be like, “Hi, I am in recovery and I need to go to a meeting today.” But recognizing that not everybody is going to be able to have that forwardness and how they address it with their management.
But creating this space where if somebody on our team says, “Hey, I need to go to medical, I need to go to some medical appointments over the next couple of weeks and I need to flex my schedule to make that happen.” Where we create this culture of safety where somebody can say that and we're going to support them instead of being like, “Well we've got patients to see I need you here.” How do we start to look at people as humans? And I think you have so much to share in that arena. So maybe let's take a quick break here and then we'll come back and we'll start to dig into some of the action steps. What are some of the things that we can do as leaders? What are some of the processes that we can put in place? How are ways that we can support and educate our team to be seen as human beings first. And veterinary professionals maybe second. And how do we support each other in that regard? Does that sound like a plan?

Dr. Phil Richmond:
Perfect, love it.

Stephanie Goss:
Okay, let's take a quick break. Hey everyone, it's Stephanie and I just want to jump in here for a quick second and say Happy New Year. I am hoping that in the new year you are thinking about spending some of your CE money and coming to join our community, if you're not already a member. We've got all kinds of great things happening in the community regularly. And one of the big benefits of being an Uncharted member, means you get access to all of our monthly workshops at no additional cost.
But if you're like, “I can't afford to do membership right now, but I would love to get in on some of the things you're doing.” Head over to the website unchartedvet.com/events because we have got a rapidly growing calendar of all of the things that are coming in 2023. Andy and I are kicking off the year with a three-part, start-the-year off-right workshop series in January and February and we would love to have you join us. You can come for one, you can come for all three, you do you, but we would love to see you there. And now back to the podcast.

Stephanie Goss:
Okay, well we are back. So we talked a little bit about the headspace and a lot of it is about just acknowledging the stigma and doing some self-reflection and some looking at how we're approaching things. And it's funny because I get asked questions a lot like this question from this fellow manager and my first response always now, and it wasn't always this way. But now my first response is, “If you had a team member text you and say, I'm in the hospital, I just found out I have cancer” what would you do? Because the response to that should be no different than the response for any other reason that somebody's in the hospital. The reason shouldn't matter. But it does, because as a society there is stigma and there is judgment. And we look at somebody who has cancer as, “Holy shit that's not something they could control.”
Like for them, this happened to them. And we don't afford that same outlook to people who are having mental health challenges or crises or a disease. We don't afford that to substance use disorder or alcohol use disorder. We look at it as they are in control of this, this is their fault. And so we look at it very punitively. And so I think the first thing from an action step perspective after we do some self-reflection is start to look at how can we, we have an incredible power to teach our team that our first response is as fellow humans and is one of empathy.
Which is you are hurting, you are in pain, you are in the hospital. How can I support you? Can I send you food? What do you need? Because it's no different. And so I think for me, it's about how do we start to set that groundwork consciously and unconsciously in our team, to look at substance use disorder, to look at alcohol use disorder, to look at mental health and disease and say, “How can we approach it from a more stigma free perspective?” This is not something that they chose. This is not something that they can control from that perspective. Yes, there are things, I can control my actions and I should be held accountable for my actions and at the same time, this is a disease process. And what would we do if one of our patients had a disease?

Dr. Phil Richmond:
And I think there's a way that we can frame that conversation that makes it easier for us to have more cognitive empathy for what's going on with our team members.

Stephanie Goss:
Yeah, you're doing some great stuff here with your teams. Tell us about some of the framework that you're using for clinics to be able to start to look at this.

Dr. Phil Richmond:
So one of the fascinating things to me was that I found out maybe three or four years ago, maybe not even that long, actually, of this assessment that was done back in the late nineties, early two thousands. And it was a big study that was done by the CDC and Kaiser. And what they looked at is they found that people who have these experiences that are adverse, and that's a kind word and we'll go into a little bit what some of those are. But they had an assessment of 10 adverse childhood experiences that they would ask, they were yes or no questions. Did these things happen to you before the age of 18? The critical point is that our brains are still forming. And that is from a neurobiology and pathophysiology point of view, it is genuinely fascinating. Although these things happened to me, to know what happened in my brain when I was 8, 9, 10 years old.
That set the stage for some of these things that came up later in life. So this assessment is, were you ever physically abused by a family member or someone in the household? Were you ever sexually abused by someone in the household? Were you ever verbally abused? Were you ever felt to feel like you weren't loved? Was there often not enough money to pay for food? Did you have a family member who had an alcohol or substance use disorder? Did you have a family member who had a mental illness? Did you see violence in the home? Did you have a parent who was incarcerated? Those types of things. What they found, and this is amazing, is that if you had four or more of those experiences in childhood, you are seven to 10 times, seven to 10 times more likely to have an alcohol or substance use disorder.
You are 6.8 times more likely to have anxiety and when it comes to depression, five times more likely to have depression. All of these things are connected. And then we talk about suicidal ideation, 10 times more likely to have suicidal ideations. 37.5 times higher rate than someone with zero ACEs to have attempted suicide. So if we had any of our patients have risk factors that gave us those kind of numbers, as clinicians, as veterinary professionals, we would do everything that we could to minimize those. Now we're in a position in the workplace that we can't minimize those, but I want to let everybody know is that 12.5% of Americans have four more of those. So not just in the workplace, but think about, so people that we work with, we're sure they have-

Stephanie Goss:
People we interact with.

Dr. Phil Richmond:
Clients that have it, that act in a way sometimes that we don't like. It's learned behavior that kept them protected when they were children. And I really came onto that when I got some bad feedback. I was like, “Dammit, I act like I was 10 years old.” And it was like this light bulb went on and I was like, “Dammit, it is.” That's part of it. And so neither one of us are mental health professionals. This is just an observation on this. So it just was fascinating to me. And so what we ended up seeing at the practice that I was at before is we had someone who went through, had an issue with feedback and I was very vulnerable and open. Now from an HR perspective, I'm not going to necessarily recommend doing this, so-

Stephanie Goss:
I'm going to stick my fingers in my ear for a second-

Dr. Phil Richmond:
So, “La, la, la, la, la.”

Stephanie Goss:
“La, la, la, la, la.”

Dr. Phil Richmond:
But we are at work practice, we were very intentional about psychological safety and vulnerability and support. And so I said, I felt the same way. And I said, what was interesting is that I had taken this assessment and had this and everybody in our clinic up until, well, not everybody in our clinic. The medical team, up to that point, we had all taken this ace. Remember four or more, you get all these things, six or more, which I have six out of 10. Six or more, we potentially will on average die 20 years earlier than the general pop or people with zero. But all these manifestations come up. Our average in our medical team was six. And so it fundamentally changed how we interacted with one another.

Stephanie Goss:
And you have a small team.

Dr. Phil Richmond:
It's smaller, yeah.

Stephanie Goss:
You're not talking about working in a hundred-person hospital?

Dr. Phil Richmond:
Right. Maybe we had 10 people in the medical team.

Stephanie Goss:
Because I think for a lot of us, when we think about it and we think about this, again, it goes back to that this happens to other people. This is why I love this example from you is we think, “Oh, okay, in a big hospital where they have a hundred people, maybe a lot of the people on your medical team, this could happen to you.” When we think about, “We're a small practice and there's 10 of us, or there's right eight of us, we couldn't possibly have those numbers statistically.” And that's what I think for me, it was so impactful in hearing that. Yeah, absolutely eye opening.

Dr. Phil Richmond:
And so the other thing that's interesting, so we know my source, so I've been in recovery since 2008. But I was on a podcast with a PTSD specialist that works with veterans and first responders and that. And so I was talking about my initial burnout when I was working, on my days off I was working and I was doing all this. And she goes, “Welcome to another trauma response.” So the same behaviors that helped protect it, because the alcohol and substances helped, they were a way to change the chemistry in my brain and for me to deal with that anxiety and the other things that were going on. However, overworking, workaholism, being a workaholic, those type, but what happens-

Stephanie Goss:
Staying till 10 at night in the practice.

Dr. Phil Richmond:
We reward it and we're not watching out for those people. And dammit, those are our superstars, potentially are just manifesting it in a different way. And we got to watch out for them too. And that's what we're going to get into next is how do we then have those discussions? What are we doing structurally as a practice to set the foundation so that these conversations can potentially happen? Not necessarily talking about ACEs, but just mental health in general and normalizing the discussion around mental health. Normalizing taking time off, normalizing utilizing our EAPs. Normalizing utilizing what we have at our disposal.
And then hopefully we can be a mile up the river and help our folks so that we can have these discussions so that we don't have a fear that I'm going to get fired. Or I don't have a fear that this is going to happen. And as a manager, my only option isn't creating a performance improvement plan with the thought that I'm probably going to fire this person in three weeks because they're not… Because if nothing changes, nothing changes. We all know, if there's no intervention and I can't change me with the same brain that got me into it in the first place. You can't just tell me stop doing X because it's hardwired in my brain. I need help to do that.

Stephanie Goss:
And I'm so glad that you brought that up because that is one of the things that is really, it's hard for me to see, and I see it every single day. I check in with the communities and groups in veterinary medicine that I'm a part of, and every single day somebody has made a post about, “Yep, I was here again till 10, and now I'm sitting at home and I poured myself a glass of wine and I'm going to sit here and I'm going to numb my thoughts about the day.” And we normalize that because generally the responses are, “Cheers, I'm sitting here with my glass too.” There are the, “Yeah, but we took care of the patients. Yeah but, yeah but, yeah but.” And I think that for me is one of the most important pieces is to not overlook those things that are not overtly negative. And this is an area where we don't know what we don't know.
And I'm glad that you said neither of us is a mental health professional. And this is where I as a manager had to lean into educating myself, to learning from the HR perspective, certainly. And from the legal perspective as a business person, as an employer, what do I need to do to protect my people, to protect myself? All of those things are valid. But also doing some education about just in general, what is trauma? Learning about tools and resources like ACEs, learning about psychological safety as a topic.
And I think we've come a long way in veterinary medicine in some ways towards opening our mouths and starting to have these conversations, but not far enough. So let's talk specifically about some of the things that you are super passionate about and things that we can do as leaders in our practices to start to open the doors to the conversations. And we're a mile ahead. We're looking at before we know that there's a problem, what are things that we can do to open the door to the office, so to speak. And have the honesty and the vulnerability and the safety for our teams to start to talk.

Dr. Phil Richmond:
So it's very much like when we have an emergency come in, the best thing to do is that everybody has been taught, everybody knows what their role is before that emergency walks in the door. So it's all laid out. It's all set down. We all know how we respond so that it's normalized. That's the beautiful thing about, and it's a beautiful well-oiled machine when an emergency comes, well, when we're doing all those things. And it can be a thing of beauty, why are we not doing that again? Right now, we're in such a reactive, reactionary state in veterinary medicine that we're reacting to a mental health crisis. So let's look, just like we would look if we're checking the books or we're doing that. Can we do a mental health audit of our practices, policies, systems that are in place? And so that's what we can do. We can-

Stephanie Goss:
What does that look like?

Dr. Phil Richmond:
So we can start asking ourselves just some fairly straightforward, simple questions. What's our practices mental health policy? Oh, we don't have one. Let's look into what-

Stephanie Goss:
Okay, let's start there.

Dr. Phil Richmond:
Yeah, so let's say, what's the vision? What do we envision that to look like? What would we want, if we were in that spot, what would we want within the realm of HR? But there are options within that realm that we can do to support people. The US unfortunately is about five to 10 years behind every other civilized country in the world when it comes-

Stephanie Goss:
Not surprising.

Dr. Phil Richmond:
Yeah, not surprising. But Canada, so I'm certified for the psychosocial risks and psychological health and safety process that is the Canadian standard. And then I work with a big group in Australia who's one of the leaders in workplace wellbeing. And so these psychosocial risks, think about it like OSHA for our brains, that's how I like to describe it. We do this stuff for OSHA.

Stephanie Goss:
I love that.

Dr. Phil Richmond:
We do, you go in, you take radiographs, you better damn well have your thyroid shield on your plate. You got to have your gloves on.

Stephanie Goss:
The gloves.

Dr. Phil Richmond:
As low as reasonably available or ALARA, I forgot what the whole radiologist, just skip that. But if we know the things that can potentially increase our risk for psychological damage, what are we doing proactively to decrease those? Are we doing things as far, or do we have role clarity? Do we have job clarity? Do we give autonomy? What about reward and recognition? Are we making sure that our teams know that they're doing a good job? Things that we intuitively know, especially in Uncharted groups. But what's cool is the data supports it, is that we need to be very intentional about crafting these things. How are mistakes handled? That's a big one when we talk about psychological health and safety. Do we have situations where technicians get lit up in treatment verbally by the doctor if they make a medical error? And I guarantee you the doctors have made errors. I mean have, that's part of… A hundred percent-

Stephanie Goss:
And how are we leading by example as leaders when we make those mistakes, whether it's as a clinician or as a leader. Are we leading with vulnerability? Are we leading with candor? Are we saying, “Hey, I screwed this up and I need you guys to know, A, that I screwed it up. But also, B, what I want to do to fix this in the future so that you don't have to feel those feelings that I'm feeling right now. Because I feel horrible.”

Dr. Phil Richmond:
And as diagnosticians, as clinicians, as medical professionals, as people who need data to make decisions, are we regularly assessing those psychosocial risks. And are we measuring the well-being of our teams regularly? Probably not. Probably not.

Stephanie Goss:
Probably not. I knew that this, as it always does, when you and I start talking, time is always the crunch. And I said to Phil, I'm like, “Listen, we got to keep it tight.” And there are people who are listening who are like, “That sounds great. And where do I even start?” And so Phil and I are going to drop a bunch of resource info-

Dr. Phil Richmond:
A hundred percent.

Stephanie Goss:
… into the show notes this week for you guys so that you can find access to learning more about some of the things we've talked about. The ACEs assessment, the mental health and wellbeing audits in your practice, things like that. So we'll give you resource info. So don't panic because we're not going to dive into a lot of specifics from the time perspective, but we'll put some of that in the show notes for all of you.

Dr. Phil Richmond:
And have our leaders gone through mental health awareness training? Have we given them the tools just like everything else? Have we done that?

Stephanie Goss:
How many of us have mandatory training for our leaders? How many of us have our people assessed in QPR training? How many of us have our teams take just, I'm so glad you said the OSHA thing. There should be somebody on our team whose is CPR and first aid certified, who on our team is getting mental health education? Who is getting education in things like substance use disorder, alcohol use disorder. How are we educating ourselves, that has to be a part of the process for us if we are truly running open, honest, caring, people-forward practices. And I think that's the space that you and I both look forward to impacting the most for sure.

Dr. Phil Richmond:
And so just really getting curious about some of those questions. And if we have an EAP, most practices have one and they don't know how to access it.

Stephanie Goss:
Or what's included.

Dr. Phil Richmond:
And is that information, on a regular basis put out? So it's not, “Hey, we have this EAP. What the hell does EAP stand for? Okay, what does that mean?” Really going over what the benefits are during a team meeting and do we address those things regularly? Do we feel that that's important enough to put on our regular team meetings? Do we have a wellbeing update? Do we have a psychosocial risk update? Are we putting those things on the agenda to talk about?

Stephanie Goss:
I love that. And I think one of the other things that as leaders that we can think about is, Andy and I talk a lot about employee assistance programs and EAPs on the podcast. But going beyond that, when I sat down to think about this and I was thinking about what are some of the things that I learned about in my own journey. Things that wouldn't have even occurred to me as a manager to ask. Like what's included when we are providing medical benefits for our team, what's included in those benefits? Is it included for recovery support services? Can somebody go to inpatient treatment or outpatient treatment as part of our medical health plan? What is their access level to meds to treat substance use and manage addiction? Are they wildly cost-prohibitive if the insurance doesn't cover it? Does our medical services offer alternatives for pain management, like chiropractic or acupuncture or physical therapy?
Basic things like that, that are a part of the benefits that we already offer. To your point about the EAP, it's the same with medical benefits. We can be asking those questions not only knowing the answers to those questions, but making sure that we're highlighting that information for our team. So again, they don't feel secretive about it. I make no secret in my practices now. I don't take meds unless I absolutely have to. And so one of the questions that I always ask an employer is, what does the medical plan look like? I've been using acupuncture to help control pain for years. What does acupuncture or chiropractic coverage look like? Asking those questions so that it isn't a secret so that it isn't something that I feel uncomfortable having to ask about, thinking about those things. The other thing that became a passion project for me is how can we help make the community better and decrease risk factors, especially when it comes to substance use.
I live in an area of the country that has really, really high opioid use and we're up near the Canadian border and it's a systemic issue here. And one of the things that I got really passionate about was can we as someone in the community who dispenses drugs to our patients, can we get involved in drug takebacks? Can we get involved in pharmacy blue box projects where the community can bring back meds, no questions asked. And dispose of them safely in conjunction with the DEA, so that we help limit some of the risk factors. Not only for our team members in terms of making our own homes safer, but making the homes safer of our clients and our friends and family in the community. So things like that, that we wouldn't even necessarily think of that really impact how we're showing up for our team as leaders. And thinking about them as whole human beings and not just the person who's showing up to clock in and do the work for us.

Dr. Phil Richmond:
And I would say, if there's one big takeaway of where to focus is that I love the concept in this group that I work with in Australia is very, very big on this concept, which is a me, we and us. So there's individual responsibility and individual things. And this is where I think human medicine got down the road of really pushing resilience training. Resilience training is excellent. Resilience training, individual resilience training will not fix systemic problems. However, and then when we talk about the me part and the we part, me as the team, what makes up a team is individuals, obviously. So we need to have people that can then, and then on a team level, can we create a situation where I feel comfortable admitting a mistake to you. Or I feel comfortable having a discussion with you and you're not going to judge me.
And some of those resilience factors go into the psychological health and safety or the psychological safety of a team. And then on top of that then organizationally is that things that are out of the hands of the employees, what are we doing as leaders and as organizations to facilitate these things? Are we doing our mental health audits? Are we looking at, is everybody taking their PTO? Are we measuring wellbeing? Are we measuring burnout in our team members? What are we doing at that level? And all of those things actually have to come together to create the, as Stephanie Goss's term that I know she loves, unicorn veterinary-

Stephanie Goss:
Unicorn practice. I love it. And I would say as I'm listening to you and I'm thinking about the moving from me to we to us, listening to this, I suspect that there are some people who are like, “Holy hell, this is so much stuff that I never even thought about. And where do I find time for this? Where do I put this on top of the million other things that I have to do as a practice leader, as a business leader?” And I think the thing that both you and I are in firm agreement is this is not a, if you were going along your merry way and you had a drug… If you were me in my early career and you had a drug-free workplace policy and that was it. That was all you did, that was the box you checked. You are not going to be able to go from that at zero to a hundred miles an hour overnight. Recognizing that this is a marathon, not a sprint.
So pick one place, whether it's starting to do some audits with the team, starting to do building, again, psychological safety also doesn't happen overnight. So you can't go from not talking about things that are personal and private and vulnerable with your team if you haven't been doing that. And you all of a sudden are like, “We're going to sit down and we're going to have a group therapy session.” They're going to shit bricks. So it's about finding the places where you can start small and try one thing. Like you said, let's talk about what happens when we make a mistake. How are we going to acknowledge that to each other? How are we going to admit it? What does that look like? Starting small, finding that first building block and then figuring out how do we layer in those other building blocks as we go.

Dr. Phil Richmond:
And on an organizational level, what is our mental health policy? We could literally just ask that question. And that can be our thing for the month is just, do we have one? Can we craft one? What might that look like? And then the other thing that I think about is when we talk about civility in practice, small things that we can do that have a ton of impact, is how would I like to be treated at work? What are three things that we could sit down as a team and say, “When we're talking to another team member, we put our phone down.” We all just have that agree, simple little things like that. And we take three of those things for how we want to treat each other in practice. And that's the step we take. And the thing is that those build on one another and then we have a win. We've done something positive for the practice, and then we just build one on another.

Stephanie Goss:
I love it. As always, you and I could sit here and-

Dr. Phil Richmond:
I know.

Stephanie Goss:
… continue this conversation for half a day. If you were listening to this and you're like, “I'm super enjoying this conversation.” And you're going to be at VMX, I'm going to drop the details on our session into the show notes for you guys, because we would love to see you there. And definitely come talk to us and tell us that you listened to the podcast. That'll make it even more special. But we will also drop resource information into the show notes and some info on how to contact Phil if you have questions or honestly, if you want to nerd out with either of us on these topics, we're always open to further the conversation. And we actually have the first veterinary recovery meeting happening at VMX as well.

Dr. Phil Richmond:
At VMX, yes, we do.

Stephanie Goss:
Which is huge and exciting. That is going to be happening on Sunday afternoon as well. And we'll drop that info in because that is something you and I are both passionate about. Breaking down the barriers so that it's not just about the licensed medical professionals as veterinarians, obviously we need to serve them. But the veterinary community goes far beyond just our licensed veterinarians. And so you and I are both passionate about providing access to recovery resources and just opening the doors to all the members of our team, paraprofessional and professionals. So that is a big win and that's happening at VMX as well. So lots of fun stuff coming in the next few weeks. It's going to be a busy few weeks for us.

Dr. Phil Richmond:
Yes, yes. And I'd also say if you want to get in a meeting, an online meeting, if you're a veterinarian, the Vets for Vets program from the VIN Foundation, Bree Montana, bree@vinfoundation.org, you can get involved with that. We have a great meeting that happens every Sunday. And it's one of my favorite recovery meetings and it's just wonderful and we've got some more resources coming forth as well. So, excited.

Stephanie Goss:
Yeah, I love it. Thanks for being here, Phil-

Dr. Phil Richmond:
Thank you.

Stephanie Goss:
… and starting this conversation. I imagine that as you and I always do, this will spin into multiple other like, “How do we answer this question,” kind of episodes. But this was the first, this was great. Take care everybody, have a wonderful week. Take care of yourselves and hopefully Phil and I will see you in Florida in a few short weeks.

Dr. Phil Richmond:
Looking forward to it.

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

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: behavior, culture, drug use, management

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