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Vet Tech

Jul 17 2024

Transitioning From Peer to Leader

A veterinary professional who recently stepped into the role of tech team lead is facing the challenge of earning their team's trust while aligning with the practice owner's vision. In this episode of the Uncharted Veterinary Podcast, practice management super nerd, Stephanie Goss is joined by guests Tyler Grogan and Kelsey Beth Carpenter. Join them as they dive into a mailbag letter from a loyal listener who is struggling to transition from being a peer to a leader, especially when they support the direction set by the practice owner. Together, Stephanie, Tyler and Kelsey discuss strategies for balancing team dynamics, maintaining trust, and clear communication. They share insights on establishing expectations, open communication lines, and the importance of setting personal and professional standards to thrive in a new leadership role. Let's get into this episode…

Uncharted Veterinary Podcast · 296 – Transitioning From Peer to Leader

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

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

Submit your questions here: unchartedvet.com/mailbag


Upcoming Events

🌟 Step Up Your Leadership Game at the Uncharted Team Leads Summit!

Mark your calendars for the Uncharted Team Leads Summit on September 18th! Dive into a day of dynamic workshops and insightful sessions tailored for veterinary team leads. This year’s summit features a standout lineup, including Dr. Andy Roark’s session on influential leadership techniques and Sarah Parsons’ workshop on injecting positivity and morale into the veterinary workplace. Learn the art of effective conflict mediation with Maria Pirita and transition from rule enforcer to empowering coach with Kelsey Beth Carpenter and Tyler Grogan. Don’t miss this opportunity to enhance your leadership skills, tackle common challenges, and lead your team to new heights. Join us to transform the way you lead and inspire!

🌟 Elevate your team's leadership capabilities!

The Leadership Essentials Certificate provides 8 hours of targeted CE designed to empower veterinary leaders like you. This course equips your leadership team with the skills needed to run a high-functioning, united team. As part of the Uncharted membership, now is the perfect time to enhance your leadership prowess and propel your practice forward. If you're not a member, now's the time to join the community and get this Leadership Essentials Certificate included! Visit https://unchartedvet.com/uvc-membership/ to register and make a significant impact in your professional realm.

Upcoming events: unchartedvet.com/upcoming-events/

All Links: linktr.ee/UnchartedVet

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

Upcoming events: unchartedvet.com/upcoming-events/


Episode Transcript

Stephanie Goss: Hey everybody, I am Stephanie Goss and this is another episode of the Uncharted Podcast. This week on the podcast I am joined by my partners in crime on the Uncharted team, the very fabulous and amazing singing vet tech Kelsey Beth Carpenter and the amazingly wonderful ophthalmology gross eyeball nerd,my friend and our aesthetic queen at Uncharted, Tyler Grogan. 

Both of them are here with me to answer a mailbag question from a technician who has promoted up from within the team after working themselves through the ranks, earning their LVT, and they are really struggling with feeling like they are standing at the intersection of a team that they know, love, and care about.

And a boss that is asking them to do things that they believe in and not knowing how to do both of those things and make everybody happy. This one was fun. Let's get into it.

Announcer: And now the Uncharted Podcast!

Stephanie Goss:And we are back. It's me, Stephanie Goss, and I am not here with our friend Dr. Andy Roark this week. Instead, I am joined by two of my favorite people in veterinary medicine and two of the most fabulous coworkers on the planet. I am joined by my friends, Tyler Grogan and my friend, Kelsey Beth Carpenter. Welcome to the show, you guys! 

Kelsey Beth Carpenter: Thank you, Ms. Goss. Except for I do have a question. You did mention Tyler Grogan first. Does that mean she's number one co worker? Is that indicative of your feelings about us? Please expand.

Tyler Grogan: That's how I've interpreted it. Definitely how I've interpreted this. So, thank you so much for having me, Stephanie. I’m so excited to be here.

Stephanie Goss: Tyler. Listen, Kelsey. Tyler has one employee of the month, More times than you. So she gets to go first.

Kelsey Beth Carpenter: More times than zero. 

Tyler Grogan: I think we can all agree. 

Stephanie Goss: No one except for Tyler, Andy and Steph D have ever won it. So. 

Tyler Grogan: Stephanie's win was definitely probably the most real because she actually saved your life at the April conference.

Stephanie Goss: She did save my life. So she did deserve it. I don't, I feel like you deserved it at the time. I feel like Andy never deserves it. So let's be fair that there are two actual employee of the months. But no, that's the order you guys are in on my screen. It's like me, Tyler, Kelsey. So no order Kelsey, otherwise I would put you first cause I would have done it alphabetically.

But welcome, welcome to the podcast, you two. For those of you who are not familiar with the work and stylings of the fabulous Kelsey Beth, Kelsey Beth Carpenter. Kelsey, what is your actual, I think of you as the singing vet tech cause when I say Kelsey most people are like, Oh, the singing vet tech.

But like, what's your actual social media handle these days?

Kelsey Beth Carpenter: It is Kelsey Beth Carpenter, not because I care so much about my middle name, but more like if you search Kelsey Carpenter online, you end up getting like a lot of generic white girls and it's hard to tell us apart. So the Beth really helps. But yeah, I like singing, singing vet tech a lot more than like, I, a couple of times I've been referred to as The Dog Ate Weed Girl, and that title…

Stephanie Goss: Yeah. 

Kelsey Beth Carpenter: doesn't, doesn't have as much of a ring to it, so. 

Stephanie Goss: So, for those of you who don't know Kelsey, she is a technician. You were in California, so you are an RVT, correct, exactly, yep.

Okay, so you are a technician and you worked in vet med for how many years as a technician? 

Kelsey Beth Carpenter: About ten years. I mean, part of that I was an assistant and then three or four years in got my license. I mostly worked in emergency medicine and a bit of critical care stuff. I also was a lead technician for numerous years. And then I also joined the Dr. Andy Roark and Uncharted teams and got into managing social media and content creation.

Stephanie Goss: Yeah. So Kelsey does the social media and content on our Dr. Andy side. And then Tyler Grogan is also a technician, LVT, RVT? 

Tyler Grogan: CVT. I was a CVT and RVT for a minute, but just CVT now.

Stephanie Goss: CVT RVT, all the T's. Tyler Grogan is also a technician. And your experience is on the opposite side of Kelsey's because you did some general practice, but also some specialty med in the eyeball realm, which is extremely disgusting.

Tyler Grogan: You know, more eyes for me. That's all I have to say, but yeah, the eyeballs. 

Stephanie Goss: You can have all the eyeballs.

That's great. That's perfect. They're amazing. And for all of you fellow opt owners out there, I see you for sure. So, you're not alone. And I punned on accident, but we're going to say it was intended. But yes, I was in general practice. Mostly I also did some relief work that put me into some emergency practices, but primarily general practice and a few or a year or so in ophthalmology, which was a really fun time.

Stephanie Goss: And Tyler does our social media and marketing. I think of Tyler, I think of Kelsey as the queen of musical and fun things on our team. And I think of Tyler as the queen of everything beautiful because Tyler Tyler is in charge of our style and our aesthetic. If you will, if you need a mood board, Tyler's your girl.

Like that's, she is a master and she's also a master at putting together events because her new role in the company has moved her over to being in charge of all of our live events and fun. As Tyler mentioned, we just had our April conference and a few months ago, and that was a lot of fun.

And that was Tyler's big first jump into the deep end and we've got some stuff coming up at the end of the year. We're about to hit the road and Tyler's going to go on the road with me and Andy and Maria. And we're going to be in, we're going to be in Minneapolis in June talking about conflict, which I'm really excited about.

But the reason you two are here today is because has nothing to do with any of those things. It has to do with one of our virtual events that is coming up. We are doing our Team Lead Summit in September and you two are doing a workshop. And I had this mailbag. question that immediately made me think of you guys for two reasons.

It came from a technician and I really love the perspective and the voice that both of you bring to the Uncharted Community and to the team from, from the technician and the team perspective. But also when I read the mailbag to you guys, Kelsey, you said relatable.

Kelsey Beth Carpenter: I could have written this mailbag. I feel like back in the day. Yeah.

Stephanie Goss: Right, exactly. So, I thought of you guys and it kind of ties to some of what you're talking about for the team lead summit in the fall.

And so I thought, hey, let's hop on and do a podcast. So, we're going to go through like, like we always will, but you two are in the driver's seat today. So we're going to. We're gonna have some fun. I'm sure there'll be some shenanigans at some point. Okay. So, we got a mailbag and because Andy's not here, I'm actually gonna read the parts because it was written to me.

And I'm gonna, I'm gonna read the parts about how much they love me in the podcast. 

Kelsey Beth Carpenter: Perfect. 

Stephanie Goss: Just so he can have a surprise when he listens to this episode so it said, Hey, I, Stephanie, I hope you're doing great as a loyal listener of the podcast. I've been soaking up all the fantastic insights on leadership in the veterinary world.

I'm reaching out because I recently stepped into a new role as the tech team lead after five years on the job. And this is someone who has, been in the practice and actually earned their license while they were working at the same practice. So they've been in the same place for a while. They know their team really well.

And they said, you know, I'm having a lot of fun, but I'm really kind of struggling getting the team on board with some of the direction that the practice owner wants to go in because I'm also trying to earn their trust. Cause now I'm no longer a member of the team. I kind of have to be the boss and the leader on the floor every day.

And I'm struggling with that intersection. It sounds like they're struggling with that intersection of loving their peers and having had a longstanding relationship with their peers and being in a new role where they want to succeed. And in this case they were like, you know, I actually really agree with the direction we're trying to go in and I really support it.

And I'm struggling with how to express that to my teammates without it coming across as I'm just going to do whatever the practice owner tells me to do, right? And so, you, we, when I was telling you guys about it, you were like, okay, yeah, I think all three of us felt like we could have, we could very easily put ourselves in this writer's shoes.

So they said, Hey, any help would you have any tips? Or strategies for making this transition smoother would be great. They said, P. S. your expertise and discussions on the podcast have been incredibly helpful. So I, you know, I appreciate that feedback. So we're going to keep up the amazing work with the podcast by getting you two to dive in as we do.

Do you guys want to start with Headspace? 

Kelsey Beth Carpenter: Totally. Actually, can I put a plug in here? 

Stephanie Goss: Yes. 

Kelsey Beth Carpenter: Okay, this is a genuine plug. I mean, I am a biased speaker, but I keep telling people about the Uncharted Academy Leadership Essentials Certificate because we all did it as a team, recently completed it, and it was, I kept saying throughout every single module, if I had had this course when I became a lead tech, my experience as a lead tech would have been a thousand times different and so much more positive because it covers so much of what you need.

And I feel like this is often a place that many of us, especially as technicians in a middle management kind of role, get into where we've worked so hard. We've worked our way up. We finally get this, you know, great new position. We're so excited. We're so excited. We're so passionate. But we've not been handed any of the training or tools to actually now be effective in this position.

And so just a genuine plug, I've, I've already told two of my friends who are tech leaders about this course. It's what I wish I had when I became a lead tech. So just had to put it, I had to mention it. 

Stephanie Goss: I love that. I love that. And also, I love it because it was really fun going through it as a team. And I think even though we're not looking at it from the practice perspective, the insights and the just the conversation about how you approach things as a leader was a lot of fun. I feel like we learned a lot about each other and kind of how we look at the business and what we're doing and how we serve our clients who are people who are in practice, you know, and struggling with, you know, with things in practice every, every day.

So I love that. And I want to pick out something Kelsey, that you said there about being the technician, which is, I think it's really hard to struggle with being put into a role where for a lot of us, we, and this was, I say us, because this was the case for me. I was put into the role of being a manager because I was really good as a CSR and there are skills that are transferable there. Right? Like the speak, the customer service, the people skills, it was like, Hey, you're an excellent CSR. Why don't you be in charge of the front desk? And it was like, just jump in and, swim. and there was no actual like leadership training or development plan. It was just kind of like, Hey, you're really great at this job.

So why don't you do this job instead? And so I think for a lot of us, we, we found ourselves in that place that you, you said, Kelsey, which is like, Okay, I'm really kind of excited because I want to grow and I want to develop, but how the hell do I do that? Like what does that look?

Kelsey Beth Carpenter: Right, and, and like you said, a lot of us get into a position, a leadership position because we're so good at doing the job we were already doing. We're really good doers. But And a lot of the trap that many of us, or at least myself, fall into when we then go into a leadership position is let me just keep doing all the things but Tyler and I are actually doing a workshop at the Team Lead Summit on sort of how you can shift away from that a little, a little bit and actually start to kind of coach your team to do the things themselves.

But I'll stop taking over the microphone. I know Tyler had some really good points about how, sort of like when you're first starting out, you've just gotten this position. Congratulations, by the way, incredible work. You have to be an amazing person to get a role like this. But then sort of like what's, there's a little bit of self reflection that has to happen, I think.

Tyler Grogan: Yeah, absolutely. So, You know, it's interesting. Most of my career was spent within a team rather than leading a team. It was much later as a technician that I would take a training type of role on but I think from the beginning, stepping into this type of role, there's a couple things that, from a Headspace perspective, you have to realize.

Like, number one, like Kelsey said, you're amazing. This means you're doing a great job. And what do you want out of this? You know, like, you can step into this role and kind of let you're going to have expectations that need to be met by your leaders, by your managers, you know, what they hope to get out of having you in this new role, you know, whether it's, you know, Helping to train up the rest of the team to be able to do the job in the way that you're doing it, whether it's to make sure that things are getting done in a certain way or implement changes that they'd like to make happen in the practice.

You know, they're going to have their goals and expectations for you for this role, but also what do you want to get out of this role? Like what, how do you want to step into this and, and how do you want to approach it? And I think that from a Headspace perspective. The first time I was put into a position where I actually had some type of title that gave me, you know, like, okay, I'm going to go in here and they're expecting things out of me.

The team now is expecting certain things out of me and how I, how I show up really matters here. You kind of forget that while you're doing the job, you're, you're leading from within to, you know, you've got, you've got already buy in. You've got people that support you and people that are your teammates.

And that actually is an even better way to be set up for success being put into a leadership role because you've got people that want to see you succeed. And so, you know, you've got the expectations from your manager. You've got the things that you'd like to get out of your role, but you also have a team that if you've worked there for five years, getting your licensure and, you know, moving up and, and learning from, and with them, they have, there you have people around you that want to see you do a great job.

And so stepping into that with that kind of mindset, you know, I think that that really can make a big difference in. Okay, I have a lot of trust built up with these people already in a lot of ways, and this is a different, these are different asks I'm going to be putting positions that I'm going to be asking things of them in different ways, but you've already been doing a lot of what you're going to be doing.

Just with a title behind it, and maybe just not actually doing all the time, but giving people the opportunity to learn from you how that you've maybe approached this in the past that has gotten you to where you are today. So you have a lot of opportunity here to do a lot of fun things, and I think that it's easy to get kind of caught up in, are they gonna listen to me?

Do they care what I have to say? Are they gonna have a hard time when I'm the one that asks them to do something that they don't necessarily want to do or maybe buy into an idea that they don't believe in? But there's also so much opportunity here to have fun and to grow and to learn. So stepping in and thinking about those things from the beginning, you know, what do you want out of this?

Because you can do a lot. You can do more than just kind of step in and enforce the rules. So I think that that's a really important place to start.

Stephanie Goss: Okay, I love that you said that because there's so much to unpack there and the piece that I want to start with is your idea about assuming a positive headspace around being from within the team, because I think, I think all three of us immediately looked at this and went, okay, this, we resonate with this because it is hard.

There are challenges that come with being from within the team and being homegrown and having the people having everybody know you. And I didn't think about it until you said that. And it's so powerful that it actually is a positive. thing. Like you have the five years of working together with the team built up in your trust bank with them.

You know, you've been friends, you've gotten each other coffee. You've been there to hold the dog that is just absolutely losing its mind and shaking its bloody hematoma ear all over the treatment room. And everybody's covered in blood and anal glands. Like you've been there for those moments. And that matters.

And it's really easy to, especially when you're scared and you're nervous because you want to do a good job. And to your point, Tyler, you want to grow and develop yourself. It's really easy when you're scared, I think, to get into that headspace of focusing on The challenges more so than the positives.

And so I love your point about if we flip this around and if we look at it from the positive perspective, we have five years of teamwork to draw on from the perspective of asking the team to help you continue to grow and develop. It doesn't have to be the it doesn't have to be the opposite side of that, which is.

Great. Now I'm their boss. There are going to be those moments because that's part of, I think for me, that's the piece of Headspace that, that I was going to share was like, There are going to be moments where you have to tell someone something they don't want to hear, where you have to deliver bad news, where you have to tell someone no.

And those things are big and scary and, and you will get through them. Everyone gets through them and they will be big and scary and they will make your palms sweat. The reality is like you get through them and thinking about it from the perspective of, Hey, I. Care about you guys and I want to grow and develop and I want to grow and develop you and that is something positive that I can use that trust bank matters because I've been on the flip side of that where.

I have the experience and I, shortly after I had become a manager, it was in my clinic that I first promoted at my very first clinic. And then I had only been a manager for maybe a year and I moved to a new clinic. I got married and I moved to like towns and moved to a new and I stepped into the role still relatively new to Being a manager, but now not only did I have to figure it out as a new manager, but I had to figure it out as a new manager with a new team that I didn't have any trust built up with.

And let me tell you, on the flip side of that, it is a much steeper mountain to climb to be like, hi, I'm new at this job. And also I now have to build up some trust with these people that I've just met and have no reason to trust me when I say, let me help you hold this. You know, flailing dog in the treatment room.

We haven't been in those positions together. And so they have no reason to, to believe me when I say I can do this by myself, or I can help you with that. Like, let's try it a different way. You have to build up that everyday trust. Even just in those technical positions, let alone in the positions of asking them to go out on a limb and do something that they might not want to do, or that they might, there might be resistance to, so I, I love that. 

Kelsey Beth Carpenter: It is a very unique challenge instead of you needing to earn trust because you've already earned the trust from not only your team, but also your manager. They've trusted you enough to put you in this position. You've got the unique challenge of maintaining trust. And I think that's something I failed with when I was a lead technician, is that I jumped right in.

I wanted to get everything done. And in the beginning, people trusted me because we had worked hand in hand for a very long time. But at some point I had asked so much of my team with so little communication around it that I started burning away that trust. And, and that's what can happen, I think, as long as you remain open and transparent and you keep those open lines of communication not only with your boss but also with your team.

I think that's a huge part of maintaining the trust you've already built. 

Stephanie Goss: Yeah. I love that. I think one of the pieces. And I think one of the things that relates to Kelsey that you kind of, pointed out is that there, that is that you, you are going to learn and grow and you are going to burn some trust, like you're going to make mistakes and you're going to screw some things up.

And so you have to have that trust built up to be able to make the mistakes and have it, have it happen. And how you deal with that and how you come back to the team and how you own up to that. If it's just like, well, I'm better than you or I'm per, I'm, you know, it doesn't matter that I screwed up because I have more experience or whatever.

If you, I, I've worked with people who have that kind of their noses, you know, up in the air, they're better than, they're better than, than you. Like, I think at some point we've all worked with one of those people and, and it's really, really frustrating because it's like, what? What makes you exempt from having to do this?

You know, it's like the leader or the manager who will give everybody else and this, this is a, we've gotten mailbags about, this is a really common scenario where you have somebody who has, and it happens a lot with new leaders and it's a, I think it's a growth and a personal emotional intelligence thing, but where you have someone who is like, oh, well I'm the, the, leader.

I'm the, I'm in a position of power. So I'm going to take all the quote unquote, fun jobs, especially as a technician. Like I'm going to be in surgery, or I'm going to, you know, put the catheter in, you guys are going to go clean up room three, or you're going to go scrub out the kennels of the dog that just had diarrhea.

Like every, look, poop happens in the clinic, right? 

Kelsey Beth Carpenter: That's the PG version. 

Tyler Grogan: Poop and all kinds of other things.

Stephanie Goss: Poop happens. Listen, I told Andy I would stop trying to swear a little bit on the podcast, or at least so we didn't have to put the swearing disclaimer all the time. But poops, poops happens and that sucks. Like I've been on, I've been on both sides of that.

I've been on the side of the person who's getting asked to do this stuff and not getting the growth because what that turns into is it might in the moment be like a, I feel like I have more experience to do this thing. So I'm going to ask you to do this thing instead. And it's totally innocent. There's no thought behind it when it continues to happen, what happens is that the person who's being asked to do all those other things, they're in the position where they are no longer getting growth opportunities. They're no longer being able to stretch. They're no longer able to try new things.

And that's a really crappy position to be in. And I've also been on the flip side where it's like, Oh, I don't have to do that thing anymore and I'm going to be really honest and vulnerable and say like there were moments where I was not a nice person to my team because I was like, Oh, I'm the boss.

I don't have to do that crap anymore. Like you're going to go. You're going to go and do that. Right? And, and I think I didn't do it a lot, but I would be lying if I didn't say that there were moments where not like super intentionally, but just where it was like, Oh, I don't have to say yes to doing that anymore.

I can take the sweet thing and everybody else can just do, do the other thing. So I think that that's both recognizing that both sides of that happen. And I think you have to be open to knowing that you're going to learn and grow. And part of that learning and growing is that it will never be perfect and you will screw it up and you will make mistakes.

And so from a Headspace perspective, I think it's really, really important to. Get okay with that on a personal level and like acknowledge the fact that to become a really good leader It takes the ability to say to your team. Hey, I was a dick earlier today Like I didn't you know Like I've been thinking about it and I shouldn't I should have been right there in that kennel cleaning up the diarrhea with you If that wasn't cool, and I'm sorry And I, you know, in the future, like I will absolutely help with if you really need help, like getting in there and being willing to do anything that you're asking your teammates to do is a really important part of being a leader.

But I think that from that headspace perspective, recognizing that you're going to make mistakes and you're going to screw it up and how well your team receives those mistakes and how well they let you keep some trust in Trust Bank, even when you make a mistake. That is measured by how willing you are to be vulnerable and acknowledge and be honest with them and say, “Hey, I, I screwed that, that one up” 

Kelsey Beth Carpenter: Preach, sister. 

I think that is a it kind of goes hand in hand with sort of, expectations, like that's something I wish I had done better of when I first became a lead technician is understanding what was expected of me, both from the perspective of my manager or leader and my team and as Tyler touched on, what I wanted, what I expected from the position because I think that goes a long way in the trust and communication as well is that.

If I am asking you guys to clean these exam rooms and get these next patients in, why am I not doing it with you this time? And if my team If I've been transparent with them and I've been able to express to them. Here's what my manager is expecting of me. What do you expect of me? And here's what I expect of the position. Then they will have an easier time of understanding what I can't always be in there cleaning up the poop that happens if they can understand what I'm doing and I think that was another mistake I made, was not being transparent enough about what was expected from my position.

So for example, if I'm sitting at the computer and I ask Tyler, Hey, can you go help restrain that dog for that blood draw? That's kind of not a fun ask because why am I not getting up to do it? You know, it makes it, it creates this sort of otherness of, well, I'm a lead now, so I need you to do it. Whereas if I say, Tyler, I'm trying to work on the schedule, it's expected to be done by Friday.

Would you mind helping with that blood draw so I can stay here at the computer? That's a very different ask, right? Because now Tyler understands why is it important for her energy to be expended in that way so that I can expend my energy in another way that's still serving the team. It's not a self serving thing.

And so that's something I wish I had, I had done better in my position as a lead tech is communicating, the whys behind things, but also just like establishing in the beginning what were the expectations from all the different perspectives, you know?

Stephanie Goss: hmm. Mm hmm. Tyler, you looked like you were going to say something. 

Tyler Grogan: I was just going to say, just something that you were touching on there, Kelsey, is about just the open lines of communication. You know, it's easy to one mistake that I, or something that I, a development point that I had in practice as a technician, as I was learning, and even just coming into a team, having a license where you haven't worked before can set some types of expectations of what are you able to do?

And what is your level of experience? I tended to not communicate very much at all. I would kind of isolate and just try to get the work done and not really explain very well, you know, like, okay, this is, you know, I'm doing this because I feel like this is where I'm best utilized here, or just opening up lines of communication can be the hardest part of, I think, working within a team at all, but then taking a role where.

Those expectations can, and the perspectives of what you're doing can come off in very different ways if you're not very good at communicating what you're doing. Kelsey's example was fantastic. The reason I'm sitting at the computer is because I'm doing something that we all need to have happen.

And I'm expected as this role to have this done on a certain timeline. So it would be helpful for me if you could help with this piece, because that's where I think like, because I need to get this done. So opening up those lines of communications and just being really honest, I think can make such a big impact.

And it can be kind of scary. But when you're moving into something like our listener wrote about where you're asking for people to buy into a vision of your practice leader that you're kind of being given to implement and move forward with. Understanding the whys of those things happening and being able to explain them clearly can be such a tool to get the buy in from the team, but also to explain, you know, give them the opportunity to come to you and say, this is why I don't think this is working, or this is why.

I don't think I want to go forward with this or for, or whatever. So starting with the small things and having the perspective of the things you do have a reason. I'm not just being asked to do cleaning the rooms because you're sitting at the computer and don't want to. Or I'm not being asked to start talking about this new medication because, of a reason I don't understand, there's a reason.

And so, you know, opening up those lines of communications from the beginning, I think is just really, really important. And Kelsey's description of how to do that was, you know, it can come off so different just depending on how you frame it. So I think that that was a great 

Kelsey Beth Carpenter: Well, and keeping them open to like continuing to revisit those lines of communication. I think that was another thing that I misunderstood going into a leadership role was that I felt I needed to fix all the problems when in reality, I think as a leader, you're less of a boss and more of a facilitator.

So I think it's very appropriate to come to a team meeting and say, I'm really having a hard time getting the schedule done on time. And I know how important this schedule is to our team because we need to be staffed, you know, at all times, 24 seven around the clock. Do you guys have any ideas of ways that I can still be helpful to you on the floor but still have time to get the schedule done?

And when it becomes a collaborative process like that, I think that also helps with buy in as well. If Tyler comes and says like, you know, I'm supposed to be working on this leadership course, to improve myself as a leader can you guys help me figure out how I can do that without you feeling abandoned on the floor?

I'm going to feel a lot more motivated to say, oh, I think that's awesome that you're doing that and you're going to help us in turn. I'll take something off your plate. What can I do? You know, it becomes a more collaborative process rather than a top down process.

Stephanie Goss: Well, it leans back into that coworker dynamic, you know, versus the, I'm going to pull the string or the lever, the lever of power. There's something Tyler that you said that I want to end our headspace on because Kelsey already pulled out one of the great action steps.

Kelsey Beth Carpenter: Sorry. 

Stephanie Goss: important to start with.

You're good. You're good. So we're going to, I want to wrap this up and then we'll take a quick, take a quick break and come back and dive into action steps. But Tyler, you were talking about the lines of communication. You talked really, really nicely and put it really nicely about keeping it open with the team.

And I think it's equally important to have really good, to develop really good lines of communication with your boss. Because as a, as a middle leader, you are by very definition in the middle. 

Kelsey Beth Carpenter: Mm hmm. Mm hmm. 

Stephanie Goss: And so if you can't, if you can't ask your boss for help, if you can't figure out how to communicate With them, the needs of the team, the wants of the teams, the why of what is happening on the floor day to day, because the reality is they put someone in that position because they can't be everywhere all at once.

And so any middle level leader, by default, is kind of there because they are the practice leader by proxy, really, right? Like, sometimes you're asked to be the eyes and ears, sometimes you're asked to be the spy, sometimes you're asked to be a part of the team, sometimes you're asked to be, you know, the boss, it varies from position to position and day to day, but the reality is you are working you know, across the ladder, you're working with your boss and you're also working with the team.

And so I think the ability to communicate needs and the asks and the desires of the team and ask your boss for help and advocate for the team as you do it, is a really really important skill and I've worked with a lot of leaders who have come to me as the manager or practice administrator or practice owner and have said this is what the team is mad about and just dumped it like a monkey and let it loose in my office.

Like, here you go, figure out what to do with this monkey that's now on your bookshelf flinging poop.

Kelsey Beth Carpenter: That created a great visual in my head.

Stephanie Goss: Great. That's what I was going for. But like, seriously, it's, it gets dumped in your lap. And as a leader, that. is the fastest way for me to doubt my judgment of placing you in the position because I believed in you and I believed in the ability for you to problem solve, even though for a lot of us, we got promoted, not because we had these skills or we had been taught these specific skills, but because we were really, really good at another job.

And this is where those gaps come in. And Kelsey, I'm glad that you, you know, mentioned the leadership essentials, because I do think that we have to do work. And for a lot of us, it happens on our own, unfortunately, but it's a really easy ask to say, Hey, boss lady, I know of this. RACE approved CE course where I could get some, you know, education, could I do this, right?

There's lots of resources out there to develop these skills, but it is very important to be able to have the conversation with your boss and not let the monkey. loose in their office. Instead, to your point, Kelsey, in terms of giving examples, when you go to your boss and you're like, Hey, I've had some one on ones with the team.

And I have checked in with everybody about how they're feeling. And there are some concerns that I feel like are really valid. And I would like to talk about those concerns with you and kind of go through the team's ideas, some of the ideas I had, and then maybe get your help with some ideas you might have for how we can overcome this problem.

That feels radically different than I talked to the team. They're all irritated about this problem. 

Kelsey Beth Carpenter: Here's the monkey. Here's the poop. 

Stephanie Goss: Here’s the monkey.

Tyler Grogan: Good luck with the poo.

Stephanie Goss: It's always, always the poo. I mean, there's three technicians involved in this. Like, what can I say? So, so being able to like ask, ask for help of your boss in a, in a, on behalf of the team, but also on behalf of yourself to be able to recognize and acknowledge like, maybe I don't have the skill set.

Maybe you're being asked to do something you don't feel prepared for. You don't feel confident in and you have to speak up because you will never be able to swim in that deep end if you don't put your hand out of the water and say, Hey, help. Hi, help me before you go down. Right? Like that is really, really important.

And being able to being able to do that as a necessary skill. Let's take a quick break and then let's come back and talk about action steps. Does that work? 

Kelsey Beth Carpenter: Sounds great.

Tyler Grogan: Sounds Good. 

Stephanie Goss: All right, so let's dive into action steps. We talked about the headspace perspective.

We talked about being able to have some self reflection, being able to have open lines of communication both with the team and with your boss. We talked about being open to the idea that you're learning and growing and you will screw it up. Many other things. 

So let's, let's talk about the action steps for this leader because stepping into that place where you're trying to earn your team's trust and you know, support the vision that your boss has, like that's a, that's a hard, hard place to be cause it involves some balance. And I want to start Kelsey with something that you already called out and you were talking about knowing the expectations for yourself from your boss, the expectations from your team and the expectations for yourself. And I think all of those things are great.

And besides asking, what does your handbook say? My other favorite thing to ask is, what does your job description say? So, I think if you're this person and you don't actually have a, like the job description is where you should start because the point of a job description is to help set expectations in writing.

And so I think starting there and saying, Okay, do you, do you have a job description? If the answer is no, that's a really easy place to start because it's easy to say, Hey, I just want to know that I am, you know, I just want to understand what's expected of me. Can we sit down and put together some kind of a job description so I know what you want me to do, how you might want me to accomplish it so that I can be really aware of what your needs are?

And also so that I can help communicate with the team and help them understand what you're asking of me, because I am going to have to shift. I'm no longer going to be their side by side technician all day long. If you are also asking me to do things like you know, the team schedule, like you said, Kelsey, or the doctor schedule or inventory or whatever the other duties are that a lead is doing that the rest of the team is not.

You cannot do those things and also work 40 hours a week on the floor. 

Kelsey Beth Carpenter: Even though we all think we can going into it.

Stephanie Goss: Yes. 

Tyler Grogan: We can do all of the things, especially technicians. We, we have eight arms, right? 

Stephanie Goss: No, no, no, no, no. 

Kelsey Beth Carpenter: No, I, something you just said, Stephanie, also made me think about you know, well, first of all, just how incredibly common it is to be put in one of these positions and not have a job description. So yes, I think, I think that is a fantastic point. Start there. Also the other thing I think is interesting is that you don't have to go about this job the way you've seen it done.

I think that was another trap that I fell into is that there were other lead technicians in my hospital and they were doing things a certain way and I sort of fell in step with that. But I think, you know, going back to your headspace, what you want from the job, what the expectations are, You can go about a different way.

Tyler and I are gonna be doing a whole workshop on how to become a coach instead of a ref. I've seen a lot of reffing. You get, you get told you need to control the cell phone use, you need to make sure people are clocking in on time. You need make sure people are taking their lunches. And you very quickly fall into a, a referee position of don't do that, do that.

Whereas you can actually approach it in more of a coach position. How do I coach my team or be coached along with my team to make this happen collaboratively? So that was something I wish I would have seen a different perspective on myself is just I don't need to do this job the exact same way someone else has already done it.

Stephanie Goss: I love that.

Tyler Grogan: Yeah. That definitely goes back to kind of what we said earlier about just the expectations in general and knowing what your boss's expectations are, what your expectations are, and what your team's expectations are can help set you up to succeed so that, you know, what everyone needs out of where you are.

You can develop if you don't have a job description, you have the opportunity to step back and say, how do I want to approach this? And then have that conversation with the team and have that conversation with your boss and say, this is how I would like to approach this role. These are the reasons why can I try it and let's see how it goes?

 And then that way you have, again, kind of opened up those lines of communication to say, this is how I see me taking this on and also meeting the expectations that you guys need from me as well. So, yeah, I think that that's a really good point. And yeah, The roughing versus coaching is a definitely a good example of kind of stepping into a leadership position with, you know, one side of what you need to accomplish in mind versus looking at it from a perspective.

How can I feel fulfilled in this? Where are my opportunities here to you? So, shifting that perspective can definitely help. Yeah, going back to the expectations and just really being clear from the beginning. That's a really, I think, a really good action step. And if you don't have a job description, you've got some opportunity to develop how you want to approach this.

Kelsey Beth Carpenter: We we were chatting a little bit before this, and I know Tyler and I have talked a lot about this topic as well, and one of my favorite things that Dr. Andy Roark actually covered in the Leadership Essentials course was the five fold why, which is essentially continuing, it's essentially being like a, a three year old and just asking why continuously until you get..

Stephanie Goss: Right? 

Kelsey Beth Carpenter: to the ultimate answer, and that's something I think I'd be very I think it's really useful early on, especially in aligning those expectations and figuring out what it is that people want and how you're going to make it happen so that everyone's happy or as happy as can be.

And for me, I think it used to feel like, you know, Gosh, you know, my boss is asking this of me, whereas my teammates are asking this of me and they're completely different things and I can't stretch myself far enough to accomplish all of them. So what am I going to do? And so then I just dropped the monkey in Stephanie Goss office, you know?

But now with this, this sort of five fold why perspective, I think if I was going back and I was in a team lead position, I would say, how do I ask why to my boss? And I think ultimately, in pretty much any hospital, any place, any team we all have essentially the same goals, which is going to be taking the best care of patients that we can, making sure we have happy fulfilled, educated clients, making sure that our doctors are supported as they need to be making sure we're getting out of work on time, we're taking our lunches, that we're getting paid, all of these things.

I think we all have essentially the same goals, we're just coming at it from different places. So while the boss may be asking me to say make sure the team isn't using their cell phones on the floor and my team is saying, Well, the doctors get to use our cell phones. How come we can't use our cell phones?

I think ultimately, really the goal there is, we don't want to be distracting ourselves with cell phone use or appearing unprofessional in front of clients. That's something that everyone can get on board with, for sure. 

But when it's just, we don't want you using your cell phones on the floor, that's very different, right? And so if you continue..

Stephanie Goss: yeah, you feel pleads

Kelsey Beth Carpenter: yeah, if you can continue to ask why until you get to that sort of base level, why don't you want our team using cell phones on the floor? Why, why, why, until you get to. Well, I don't want clients to see it and think that we're not paying attention to their pets. Now I come back to my team and they're saying, well, we want to use our cell phones.

Well, what do we think that looks like to the clients when they walk by and they've been waiting an hour, but they see that we're on our cell phones or, you know, that's something that people can really relate to. And now we're achieving the ultimate goal. So I really love that idea of just continuing to ask why until you find that middle mark that we can all agree on.

Stephanie Goss: Yeah, I love that. Tyler, what do you think if you, if you had to give your number one action step for someone standing in this leader's shoes at this intersection between wanting to be, you know, a part of the team that you've been a part of for five years and also stepping into the leadership role.

What would be your number one action step?

Tyler Grogan: It comes down to remembering the fact that you know your team really well. I think it comes down to sometimes you're going to be asking and sometimes you still should be alongside doing things with them. And You know, let them take the lead sometimes just because you're the lead now and that's your title like remember that you have teammates that are super strong at cat handling and they are going to be really excited when they get to handle that fractious cat that comes in and they just need some help, you know. Remembering to step back sometimes too so that they still feel like you respect them as well because I think you're still it's easy to forget that you're still a part of the team and you know, they have their strengths, and you have yours, and you've been put in this role that they're going to want to see you succeed in, and you're going to be asking them things, and you're going to be trying new things, and they're going to be trusting you along the way, and also showing that you trust them, too, and continuing to let them shine, and give them opportunities.

I think that that's important. And it just continues to foster that trust that already exists. Especially for the person writing into the mailbag that, you know, you're working with your team still. This is, these are your people. They know you, you know them. So continuing to find that balance between, you know, stepping up and stepping back I think is really important and knowing that it's okay to not know it all.

And it's okay to have moments where you feel like you're making mistakes because they're going to ultimately want to see you do a great job. And if they know that you want the same for them, then, you know, you're only going to find fulfillment in being able to move forward, I think, in your team with this way.

So, that I think is, is the biggest action step, just, you know, knowing that you're still part of the team and letting, you know, them have their moments to shine and learn and grow with you too. It's going to make a big difference and your leaders, your leaders will see that as well. So,

Kelsey Beth Carpenter: I don't want to be on podcasts with Tyler Grogan anymore because everything she says is so poetically perfect. It's very difficult to follow. So can you please invite us separately next time?

Tyler Grogan: Listen Kelsey, I was sitting here thinking the same exact thing about you. So, just, you know, I was like, Kelsey has all these fantastic examples and Stephanie has all these great examples. What? But thank you, that's very nice of you to say.

Stephanie Goss: I was going to say now Tyler's bright red. Okay. Kelsey Beth Carpenter. Now you're now it's your turn to shine because you always do. If you, if you were going to be in that position, you've said multiple times in this podcast, like if you could go back and be that you know, younger Kelsey, I mean, you're young, let's be real.

You're still a baby, but if you could be baby, baby Kelsey and step back into those shoes and say, Hey, I'm a new leader. Like what is the, from an action set perspective, what is the thing that you would do that you feel like would have changed that for you? 

Kelsey Beth Carpenter: A combination between what we've talked about with expectations. I never did that. I did not have a job description. I was just supposed to sort of jump in with that and I also, I made a lot of assumptions about what the team would want because I had been part of the team without considering the fact that they could be having very different perspectives than me.

And I think that might be one of the biggest things I would do differently is talking to the team more about their ideas and what they want. They want and need and hope for instead of just assuming I know because I've worked alongside them for so many years and I know them really well. 

Stephanie Goss: What does that, what does that look like? Like, how do you, how do you think that from, from an action set perspective. How you think that plays out? Do you talk to them? Like as a group, do you go out for drinks? Do you like sit down with them one on one behind a desk? Like what does that look like? Yeah. 

Kelsey Beth Carpenter: I mean, I’ve never met a basket of chips and salsa I didn't like. So, that would facilitate some great conversation. But I think realistically, these are things we don't have a ton of time for, right? These kind of conversations have to happen very efficiently and effectively. I, I think in the very beginning, a team meeting, Would be fantastic just the ability to all be in the room together and be experiencing the same thing But I think individual check ins when you have time when you've just finished an ultrasound and you're cleaning up the room together Hey you know, how are things going for you?

What do you think is our number one thing that you wish we could work on in our department right now? Little check-ins like that. I think are like super valuable and those are the things we do have time for in our day It's a way bigger to commit to like huge meetings, but you can still get really valuable information out of those little one on ones.

Stephanie Goss: I love that. I love that. And I, I think that is I always tried to put myself in the position of helping them do the things that I knew I wasn't good at, because then I could listen more. Like, it wasn't like I was trying to control the situation as a teacher. as a tech. And so for me, I've talked about it on the podcast.

I, I hate, hate, hate, hate. Sorry, Tasha McNerney. I hate anesthesia with all of my heart. And I was a terrible surgery technician because I had anxiety through the roof. And so I would always say, Hey, why don't I just be the second, like, why don't I be the second assistant and I'll clean the room?

I'll do that. I'll do the grunt work around surgery that nobody else wants to do. And also it gave me a lot of opportunity to talk to the team because I wasn't, I wasn't in that position where I'm focusing solely on the patient's care. And when you get a patient that is stable and you, obviously you're not talking if things are not going well, but you know, it gave me the opportunity to have that flex time, Kelsey, like you were talking about cleaning up, getting ready to put another patient under anesthesia, where I could say, Hey, how's it going?

Like, you know what? I love your question of what's the thing you think that we could work on right now? Because I think that that opens the door to “Don't give me a laundry list.” Don't release the monkeys in my office. Like what's one thing that we could do right now that would make a difference for you? I love that question. I think, that circles me too. For me, my action step would be recognizing that leadership requires compromise always. And so I think being willing to compromise In all three directions, recognizing that you are going to have to compromise with the team. Like there are going to be times where you cannot make them happy and you cannot be all things to all people.

And so sometimes that means doing things that they want to do that you do not want to do. And sometimes it means telling them we're going to do things that they don't want to do. And it also means being willing to compromise with your boss. And sometimes it means going along with things that you don't agree with.

And part of being a leader is being willing to step up in front of the team and have a united face. And I don't just mean in the team meeting and then you're crap talking the boss's decision as soon as the meeting is over and they're out of the room. I mean, you are standing up and saying, this is what we have decided to do.

And I'm totally on board with it. And here's how we're going to attempt it. Right? Sometimes it means compromising and doing those things that you don't want to do. And sometimes it means asking your boss for the compromise and saying, hey, this really matters. Like I really think that this is going to impact the team and maybe not in such a great way.

And I really, I really just want to make sure that you hear me. And then I think the third piece of that has been willing to compromise with yourself and to Tyler, to your point, recognizing that you're going to learn and grow and stretch and develop in so many different ways. And that you have to be willing to accept that growth good and bad, painful and happy, you know, happy. And you also have to be willing to accept that you're not always going to be perfect in this role. You're going to screw it up. You're going to make mistakes. And also you're not always going to get to do the things that you want to do anymore. 

In fact, I would argue, you probably are going to get to do more of the things that maybe you don't necessarily want to do because there's a level of trust and empowerment and belief in you being able to do the job. And so I think you know, recognizing that your position now means you're going to have to compromise more than ever to be successful. And I think that if you can get into a headspace where you recognize that and be able to put that into action and really be willing to step up and say to the team, hey, you know, I got you.

Like, I don't necessarily agree with this, but if you all feel really strongly about it, I will absolutely bring it to the leadership team meeting and our, you know, and, and present the argument on your behalf. Cause I, you know, I want you guys to be happy and I want to support you. So I think that that compromise is probably mine.

Kelsey Beth Carpenter: I think. 

Stephanie Goss: All, all around.

Kelsey Beth Carpenter: I'm just going to say one somewhat divisive thing, and I want both of your opinions on it too, but I got some kind of intense advice when I first became a lead tech of people telling me, you can't be friends with these people anymore. You might have been friends with them before, but now that you're a lead, you cannot be friends with them.

People telling me that I should keep certain things to myself that I shouldn't be completely transparent about some things that that that my peers would judge me or they wouldn't respect me as a leader if I did that And at the time I had not really had a good example that I had seen of someone being a leader and still maintaining that camaraderie that friendship that positive mentality like I hadn't really seen it done. Now at this point in my life.

I say screw it to that advice. I actually think it's very possible to still have that same positive friendly relationship with your team even in a leadership position. I think it is a lot more difficult and complicated, but I think with all the things we've talked about with establishing expectations, being a bit vulnerable, and a grower, and a learner all these things kind of add up to make it, I, I think it's possible. I, I'm really curious what you both think about that. 

Stephanie Goss: Kelsey, that's like a whole other podcast episode. 

Kelsey Beth Carpenter: Okay, whoops, sorry. Just trying to get myself invited back. 

Tyler Grogan: That's exactly what I saw there. She was like, I'm coming back for around two to answer as quickly as possible. I, it, it kind of goes off of what I think where maybe you're, I don't know, I could be wrong, but Kelsey, I think I know where you were going in your head and what Stephanie was saying and how you got to this question.

I think it's a lot easier to assume good intent to quote Stephanie and Andy from this podcast to assume good intent of people that you have those personal, more personal type of relationships with, you know, and I don't think that you can just throw, personally, I don't think that you can throw away, you know, years of friendship with people as your coworkers and stop just because you've taken on a title, and I think that, that actually says a lot more, to try to throw that away than not to. 

I think boundaries are, you know, boundaries between your coworkers and in your personal life are going to be yours and personal and, you know, wherever you choose to take them and those may shift, but I think it's easier to assume good intent of people that, you know, they're not going to change and become this other person because they took on a new title.

So to me, I think it's possible. And I think it's probably kind of important not to try to make a complete shift, but Stephanie goth might have a completely different opinion.

Stephanie Goss: I think no, I mean, yes and no. I agree with Kelsey's assessment. I think that the person who gave you that advice was very misguided because I really believe that a leader always cares. A True leader always cares about their people. And if you care about someone, there is always a relationship to some degree.

There's always context for that caring and a leader learns how to use boundaries. And so Tyler, you hit it for me right there, which is that. For some people, those boundaries are going to look different. Some people are going to have to put up the boundaries that say, I can care about my team. I can show them warmth.

I can show them kindness. I can show them empathy. I can show them friendliness. That doesn't mean that I have to have, that mean, that doesn't mean that I cannot have a very wall of China boundary between my personal life and my team. That's, that's, that's perfectly okay. You can still do all of those things.

That is caring, that is not friendship, and there's a very, there's a very big, difference there. And so I think that is a really, I can totally understand the headspace that that person came from, because I think I went down that rabbit hole of feeling like I couldn't be friends with people. And I, I, agree with you now and where I'm at in my journey, Kelsey, I absolutely believe that you can be friends with your team.

And even really good, like, you know, intimate friends with your team, not intimate, like in relationships, then you need a section in your handbook. That's a whole other podcast, but like intimate in terms of friends with your team and you can, you have to have, there has to be boundaries and there has to be clear expectations and good communication.

And in fact, I think we have a podcast episode about that. We'll, we'll drop it in the show notes actually, because we had, that mailbag sounds really familiar. 

Kelsey Beth Carpenter: I'm just I'm just trying to put even more plugs in here. I'm just like coming out with plugs out of thin air. Here we go,

Stephanie Goss: Oh, Andy's going to 100 percent make Kelsey employee of the month after this episode, is all I have to say.

Tyler Grogan: It's time. It's definitely coming.

Stephanie Goss: It is time. It is time. This has been wonderful. Thank you both so much for being here with me today for talking through this mailbag question. I think this is a lot of fun. We will drop if you were a team lead and you're listening to this and you're like, Hey, I would love to come to class.

Tyler and Kelsey's workshop, or I would love to see any of the other stuff that is happening at the Team Lead Summit. We'll put the link in the show notes so you can find it. You also can go to unchartedvet.com forward slash events. And the info for Team Lead Summit is up there along with all of our other events.

Like Kelsey said, we have got the Leadership Essentials course, which you can do asynchronously through our friends at Vetfolio. You can do it online. You also could be in Uncharted Member and our community members are getting to do a modified live version of this in the fall where we are going to go through all of the workshop and then we're going to do like Kelsey said, like our team did. We're going to go through activities. We're going to go through stuff on zoom and have weekly, weekly, follow ups. 

Tyler Grogan: It’s so good.

Stephanie Goss: If you believe Kelsey and Tyler's plugs, which I did not ask for let me be clear. If you believe they're plugs, you can join the community and join us in that in the fall. Or if you are a leader and you were like, Hey, I just really love this podcast and I would love to grow my skills.

The soft skills that you guys all talked about today, come join us. Me and Tyler, Maria and Andy, I'll be in Minneapolis in June. We're going to be doing an event in conjunction with our friends at Hive. So they've got some team leads, vet techs, practice managers, they're the student event team. it's just for you and we're doing an event in conjunction with them. We're going to be giving a sneak peek to our next certificate that is coming in the end of 2024, the beginning of 2025, and it is all about conflict management. And that is the number one thing when It comes to skills that we get asked for  so if you're into any of this, head over to the website and check it out and try to bet. com forward slash events. Otherwise have a great rest of your week, everyone. Take care. Nanny and I'll see you back next week. 

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 at uncharted vet. com. Take care everybody and have a great week. We'll see you again next time.

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

Jul 10 2024

Help! I Have A Micromanaging Manager

This medical director is struggling with a micromanager who is now overstepping on the medicine side of the practice. Dr. Andy Roark and practice management super nerd, Stephanie Goss take on this mailbag to help a team member deal with a manager that makes jokes about being the boss and making the decisions. The rest of the team finds it more threatening than funny and now, some of those micromanaging tendencies are starting to slip into the medical protocols. Let's get into this episode…

Uncharted Veterinary Podcast · UVP – 295 – Help! I Have A Micromanaging Manager

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

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

Submit your questions here: unchartedvet.com/mailbag


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Episode Transcript

Stephanie Goss: Hey, everyone. I am Stephanie Goss, and this is another episode of the Uncharted podcast. And this week on the podcast, Andy and I are taking an email from the mailbag from someone who is struggling with feeling like their partner, we think, at the practice. In this case, it is an animal shelter, but this is really a situation that is applicable to all practices.

So Andy and I widened the lens and talked about what do you do when you're really struggling with a micromanaging manager? This is not this person's manager, but the manager within the practice, and they are really doing some hardcore micromanaging that has this partner in crime, who's the medical director, feeling like you.

They are in a toxic environment and they are wondering, can I fix this or do I need to get out? I think my favorite part of this episode is the conversation about how we try to put ourselves in other people's shoes.

And really, how do we get into that safe headspace where we're assuming good intent when we're really frustrated and or really angry at the situation? This was a fun one. Let's get into it.

Dr. Andy Roark: And we are back. It's me, Dr. Andy Roark, and the one and only Stephanie, all over you, all over me, Goss. Stephanie, our love is like water.

I think that's what he says. Our love is like water. I don't think, I don't know what that means. 

Stephanie Goss:  It's just rushing on by.

Dr. Andy Roark: It just, it just runs through your hands and into the earth. Yes. 

Stephanie Goss:  There's no permit, there's no permanence to our love Andy Roark.

Dr. Andy Roark: Exactly right, yeah. It lasts about 10 minutes in a hot car and then it's just done. Like, when the temperature goes up, our love evaporates. And there's none, no left. That’s it. 

Stephanie Goss:  That is it. 

Dr. Andy Roark: Our love can keep a plant alive for one day and that’s as much love as we have. That’s one day. And that's as much love as we have. One day, we could keep a plant alive.

Stephanie Goss:  That’s pretty appropriate, how's it going? How's your day going?

Dr. Andy Roark: It's a good day. It's a good day. I got this. Sometimes good things just come out of the blue. Sometimes, you know, like somebody just shows up out of nowhere and its like, Hey, I'm gonna say something nice to you.

And that was me today. The people at instinct and instinct is a practice management software.

I will say the fine, folks at instinct. They put out a blog post on like the 24 Veterinary Podcasts That We're Listening To and it had all the big players on it. It had VetGirl and it had Dr. Dave Nichol and Blunt Dissection. And it had The Vet Viewfinder and like all of just all of the big, all of the big players.

And you're not going to believe who they put at number one. That's right.

Stephanie Goss:  Stop it.

Dr. Andy Roark: Big numero uno. It's you and me.

It's you and me. They gave, I know that it's just a blog of like the 24 that we're listening to today, but there's a list, on the internet, and we're at the top of it, and that means something, Stephanie Goss.

Stephanie Goss:  It means that we've had a wonderful day. That's what that means. 

Dr. Andy Roark: It does, it means in the one episode they listened to. 

Stephanie Goss:  I was gonna say it.

Dr. Andy Roark: We were on point. I remember when we started, I, we started from the bottom, now we're here, and by here, I mean, in your closet where you record.

Stephanie Goss:  We started with just, we just started with Patti. My mom was our one listener.

Dr. Andy Roark: I was going to say that's exactly where I was going in the beginning. It was you and me and one listener and it was Patty, your mom. And that's where we started. And now we're number one on the 24 veterinary Podcasts We're Listening to Today from Instinct.

Stephanie Goss:  Oh, that's too funny. Maybe Caleb was listening in preparation to come on the podcast.

Dr. Andy Roark: I don't know who, I don't know who's our friend, but clearly there was some nepotism.

Stephanie Goss:  All right. So we, we heart instinct today. 

Dr. Andy Roark: Exactly right. Fine. 

Stephanie Goss:  I love those. I love those guys there. I, you know, I think, I feel like it's been, quite a while, but in the very beginning, you and I, Talk to Caleb and you know, he's just got a brilliant mind and it was, it felt kind of out in left field at first when they were like, Hey, we're a practice management software and now we're doing all of these other things. But knowing Caleb and knowing how smart those guys are like, this is, it's been fun to watch them grow and evolve. 

Dr. Andy Roark: Well, yeah. But, well, hold on now. I just wanna say, Caleb is brilliant. And he's like the CEO, I think he's the CEO, right? He's not the one writing the 24 podcasts we're listening to blog, Goss. Like, just stop trying to like, take my joy and be like, yeah, your friend Caleb wrote it. It's like, I really don't think that this came from Caleb specifically.

I think that the fine, fine, FINE, people at Instinct listen to a lot of podcasts and they just went with their heart.

Stephanie Goss:  I will, let you, I will let you keep on thinking that. I will let you keep on thinking that.

Dr. Andy Roark: You're like that you're that person who can't take a compliment. You're like, yeah, sure. It was just our friends. 

Stephanie Goss:  You and I have been together, you and I have been together for seven and a half years now. It's this week. It was kind of the anniversary because this week was the anniversary of our very first Uncharted conference. And which is a big anniversary for me and you, like, I can't believe it's been that, that long.

And you know me very well. Have I ever been able to take a compliment? I'd certainly nowhere close to the way that you are able to take compliments.

Dr. Andy Roark: Well, exactly. I was going to say, it's like we balance each other. Cause you're like, yeah, it was probably our friend Caleb. And I'm like, “WE. ARE. THE. BEST! I bet their whole company gets together and listens to our podcast. I know that there's no formal trophy, but I might just make one and put Uncharted Veterinary Podcast on it.

I'm putting it on my resume, which no one looks at or asks me for, but I have one somewhere and I'm gonna put it on there, and you're like, oh it doesn't matter. 

Stephanie Goss:  Oh God. 

Dr. Andy Roark: I could see us doing our Oscar speech where I'm like, I'd like to thank our director, and you're like, I think she did most of the work actually.

I'd like to thank the studio. They also could have used other people, but, you know, they, it probably was hard to hire in this economy. 

Stephanie Goss:  We're, it's fine. We're off the rails already and

Dr. Andy Roark: You need to hold the trophy, Goss. 

Stephanie Goss:  I'm, I am holding your make believe trophy that you just created. I am holding it. I am holding it high. You know, it's speaking of trophies, you and I were talking before we started this episode about how you know, when you play baseball, sometimes you win a trophy because you just smack the ball out of the park. And sometimes you get the same pitch that's hittable and you swing and miss, and maybe today's going to be a home run.

Dr. Andy Roark: Wow. That, look at that transition. That's why we're number one in the list. It's because we make transitions like that and now we're back on course.

Stephanie Goss:  Today's maybe going to be a home run this mailbag we got was great. So, we, because I think it's going to be, I think it's going to be a sassy episode with you and I. So, we got a we got an email from someone who said their opening was wonderful. It was “Help! I have a micromanaging manager.”

And you know, I'm sure that most people can't relate to that at all. I mean, nobody's ever been in that position where you've a micromanaging boss.

Dr. Andy Roark: That’s not a problem at Uncharted, I’ll tell you that. It's one of our many perks we have. We have the opposite problem where Andy is distracted by a shiny object and everyone else gets to have a day to themselves but we do not have the micromanaging problem.

Stephanie Goss:  Anyway, so it's somebody who is, who works in shelter medicine which shout out to us, we just were recording an episode yesterday, actually talking about shelter medicine in a completely different concept. And I've been thinking a lot about it since we did that episode and how much I appreciate you, you just brought something up about shelters, giving what they've got so that they continue to be able to be there for pets.

And I don't know, there's just something about that episode that stuck with me. And I've been thinking about shelters and I thought, Oh, look at this. it's another person who's working at a shelter. And I just got nothing but love. But they are the they're kind of the medicine side, the doctor side of the equation.

And they have someone who has come in as the operations director and they started as the adoptions coordinator and kind of have grown into this position. And so they're in a structure where they have two separate swim lanes. There's the medicine side of it, and then there's the operation side of it. And at the heart of this is a medical director who's struggling because they feel like the operations director is a micromanager. There's lots of watching over people's shoulders and telling them how to do their job. Little comments about, you know, I'm the boss or I'm in charge so I get to make the decision. And I really loved what they said, because they said it comes across like this person is on a power trip and I am making an attempt to assume good intent. And so I actually maybe see some of it as insecurity. However, the way that they're phrasing things, I think that they think maybe it's going to come across as funny, but it actually is coming across as quite threatening to the team because this person is in a position of power. And so they are struggling because they're not their direct boss. But there's starting to be some stepping on of toes when it comes to medicine. And so that's why this medical director is struggling because they're like, this is a person who's clearly on the business side of things, doesn't have the medical background, and they're starting to get involved in those medical decisions.

And so I feel really micromanaged. And they were like, please help me see this from potentially a different perspective because all I can see right now is red. And I'm finding this to be an incredibly toxic situation.

Dr. Andy Roark: Yeah, boy there's a lot to unpack here so this is happening in a shelter. I don't think I'm gonna talk a lot about the shelter component of it today. I don't think I mean we could touch on a little bit, but basically this transcends shelter into general practice, and I think we can speak in, I think we can speak in broad terms, so if you're like, I'm not in a shelter, I would say, don't get hung up on that.

I think the way that we're going to look at this is pretty broadly applicable. So, yeah. Alright, let's do some headspace. You want to? You want to? Alright, here we go. All aboard. We're doing some headspace. I think that this person writing already put their finger right on the path to success, but I, it's really hard to pull it off.

Number one is this. Okay, so we're looking at this. Let me frame this up. Let me step back here for a second.

Stephanie Goss:  Okay.

Dr. Andy Roark: The medicine versus operations conflict is the defining conflict of 2024 in practices. True or false?

Stephanie Goss:  True.

Dr. Andy Roark: Yeah, it's, I think 

Stephanie Goss:  A thousand percent. True.

Dr. Andy Roark: Yeah, 

Stephanie Goss:  I feel like most of the mailbags have to do with that.

Dr. Andy Roark: It's blowing up.

It's really blowing up. And again, like I'm, here for it. Like I, this, I, this is a, it's a challenging issue, but I like it. It's very much in our wheelhouse. It is very much an interpersonal issue. 

But as we see corporatization in vet medicine growing and growing it, this is sort of a corporate structure: you have operations and then you have medicine, and the interface between those two things is innately it can innately be challenging, right? There, there's very high chances of friction there. And so we see a lot of that. So first, let me just go ahead and put that on the table and just say, this is why I said I think it goes beyond shelter.

The operations medicine friction is ubiquitous in our profession right now. And it's, new ish in that this is a lot of practices are transitioning to a corporate model. And so we're seeing a lot of this in the last couple of years. So anyway, that's number one. Number two is, I would say, I think this person laid down the key to the success, the path.

But the path is hard to walk sometimes. But to me, the first part of headspace is, you have to try to see the other person. Because, I tell you, you can immediately kiss this goodbye if you get mad, and you dehumanize the other person, you tell yourself stories about the other person being on a power trip, and wanting to be in control, and those are really easy stories to tell yourself, because you're feeling micromanaged, you're feeling this person is, like they are trying to take control of the office, and those are very easy stories to tell you, but once you start into that path of this person is the villain.

This just, it's so much harder to get out of that. Everything is a lot easier. if you can try to look at the person and see them in an empathetic way. Dr. Dave Nichols says he tries to see people as they were in the fifth grade. And so like they're 11 years old. And I do think that in these cases, if you can picture this person as an 11 year old bossing people around and joking about firing people, you can see the insecurity.

You see the person who's, you know, they're sort of, maybe they're power tripping, maybe they're just really terrified that people are not going to respect them. You know, maybe they feel like they're in over their head and they don't want anybody to know. There's a lot of empathetic stories we can tell ourselves, but first we have to get intentional and do that.

Stephanie Goss:  Yeah. I mean, I think, you know, it's funny because they hit right where we normally start, you know, from the headspace perspective in terms of, can I have a SAFE conversation about this? Right. And they started with the, I'm trying to assume good intent. So they're covering that there.

And I think one of the questions. So it's interesting that you talked about, you know, the transition and the corporatization of practices. And I think that is true. And the other thing I think is true is that this is a net, this structure where there's an operation side of things and there is a medicine side of things, I think is the, next evolution naturally anyways. Because it was like our practices grew from the one doctor and maybe one support staff to multiple doctors. And at first it was, we had the CSR team, which was set apart from everybody else because their focus was on the clients and a little bit on the business side, but it was felt very different from the medicine. And I remember when I first started in vet med, a lot of the challenge and frustration and communication challenges came from the front versus the back, right? 

Because that was the first growth. That was the first growth path. And I think this is the next evolution of that, that front versus back has shifted as practices have gotten bigger and bigger.

And to your point, more practice, especially the bigger practices, Whether they're a private big practice or their corporate big practice, I don't think that really matters. I think the bigger you are, the more systems and processes you have to have in place to run things. And so I think that has led us to this place where there is a group that is trying to run the business side of things.

And there's a group that's trying to run the medicine side of things. And so I, I love how this writer is starting with assuming good intent. And to your point, it's really easy to make up stories in our head about the other person, particularly if we're not looking at them. From that plate, like Dave says, from Gary, am I looking at them like the little kid?

Am I looking at them from a place of empathy? I think one of the questions that I asked myself is what else could this mean? And this person was like, I think some of it is insecurity, which I think is a good step. And when I bring all of these things together in my head, I try and ask myself, what are they trying to say in their language?

Because one of the things that I think is true a lot of the times for me has been that the operation side of things and the medicine side of things. are truly trying to do the same thing. They're just going about it in two very different ways, or they're speaking two different languages, but they're saying the same thing.

And I don't know if you've ever been in an experience, Andy, as you're working on your Duolingo and learning another, language, but where you're standing there and you're trying to talk to someone in a different language than the language that they're using with you, you can be saying the same thing.

And it's still, you just have this confused, confuzzled look on your face. Because you don't, because you don't understand. And so one of the questions from a assuming good intent perspective that I would ask myself is, What could they be trying to accomplish? What could they be trying to do? What language are they speaking?

And what are they trying to say in that language that they're speaking? Because I find that for myself, in terms of the pre-work, it lets me kind of meander through those thoughts of, could there be insecurities? Could they be trying to, could they be getting instructions from somebody else that I'm not aware of? You know, like all of those other stories. Yes, I'm hallucinating that they are on a power trip and that they are being toxic and that they just don't know how to get out of their own way. Could I also hallucinate that other things could be happening here?

Dr. Andy Roark: Yeah, I think I want to tee up on a couple things you said so I completely agree I do think this is about bigger if your practice is big enough to have operations and medicine and have them not be the same person or people you're big enough to have this problem I think I still, I say that we're seeing the prevalence of this.

I still believe we are seeing increased prevalence in this because of corporatization because that is a standard corporate structure. I don't think we're getting a bunch of smaller practices that are independent that are getting bigger and that's what's making this a common problem but I think your point is well taken in that.

It could be any practice. Do you have a separation of operations in medicine? There's always going to be a little bit of that friction there. I think, I really like your front versus back analogy here. Because if you think about the underlying issues that drive the fronts not getting along with the back, they're very similar in my mind.

Which is basically we have mixed motives, meaning you have two groups that have slightly different motives and the information that each group has about the other group is fairly limited. Meaning, the people in the front get at the front desk don't know what's going on in the back. And their priority is not getting yelled at and getting people out of the waiting room.

Which is different than the people at the back whose idea is, they don't want to get overwhelmed. They don't care as much about people being in the waiting room. So that's, the motives are different but I think that translates over to the medicine people saying, this is the standard of care.

This is what the customer service talking to the client looks like. And the operations people saying, we're looking at the dashboard and our cost of goods sold is up higher than it should be. Our wait time is up higher than it should be, you know, whatever. They're just mixed motives. And it doesn't mean just like the front versus the back.

It doesn't mean that one is bad. Or one is good. It just means that they're both looking at very different challenges, and they have different motivators, and they don't entirely understand each other. And so I think that, I think that's a good way of sort of shaking that down. I want to step back, you know, back to the seeing the person, empathizing with the person.

You know, when, as I read this and sort of see the behaviors that are here, this has insecurity written all over it to me. This is somebody who's desperately trying to convince themselves and others that they should fill this job. And a lot of times, we tell people, fake it till you make it. And they're like, well I'm gonna fake it.

You need to get over there and do that thing. You need to make sure that this number is where it needs to be. And they're faking it. And it comes from a place of fear, not out of a place of being a, you know, a villainy. And so, there's that. The other thing is, and I thought about this before, this was actually a lesson I learned pretty fast as a business owner.

Cause I like to joke, as you might have heard. I do like to tell jokes, I do like to laugh. I have a hundred percent hurt people's feelings in my life from teasing too much. Like, that is a thing. It's, I don't, I hope I don't do it a lot, but there have been a hundred percent been times when I have had people that I care about and I will pick on them and tease them and I will pick on, I have made Stephanie Goss cry before maybe once, maybe.

Stephanie Goss:  Maybe more than once. It’s fine.

Dr. Andy Roark: Maybe once in a while, maybe more than once. And I will say something that I think is funny and I will hurt feelings. And I always feel terrible when I, you know what I mean? I go, Oh, I'm so like, I didn't, I was just, you know what I mean? I was just teasing. And again, I, that is a, but that's the thing that I have tried to learn about myself.

And it's been something I feel like I have toned down, hopefully as I've gotten older, I think it's part of my wisdom of getting older is, I don't maybe tease as pointedly as I used to, and I just, enough times of accidentally hurting people's feelings and saying, oh, I don't like this. But again, when I was younger and getting started, I would poke people until they cried sometimes, and I did not, mean to, I think anyone who knows me would not say that I'm a mean person.

You know or that I have an ill intent towards anyone. I don't, I just sometimes it's funny. And this is more about humor and it doesn't sound like that's what we're getting into but you know, it's funny. I was talking to Sarah Parsons who does what happens at a vet clinic on instagram and TikTok and but and I was talking to her about the Comedic videos that she makes and I like her stuff because it's positive.

She doesn't do client bashing she does goofy stuff about the types of dogs when you put them on a scale, and then they have like the, 

Stephanie Goss:  Yeah. I love her. I am not on TikTok

Dr. Andy Roark: Yeah, me neither actually. 

Stephanie Goss:  I wouldn't say that I'm on, I mean, I now have an account. I am a boomer. So I watch my TikTok as repeat reels on Instagram, like four weeks later, but I love Sarah's stuff. It always makes me laugh.

Dr. Andy Roark: So, but we were talking about that, and, sort of one of the things that we both agreed on, and this is something I found out early in my career as well, is I would say, early on when I was posting a lot of stuff on social media and people would ask me about it, I would say, the hardest part is not being funny, it's not being funny.

Meaning, it is more challenging to not say something that you think is funny Then it is to come up with something funny to say. You can come up with something funny to say if you don't care about hurting people's feelings. But it's much harder to say, Oh, I see humor in this situation. Oh, wait a second.

Stephanie Goss:  And I'm going to take a pause. 

Dr. Andy Roark: And I'm not going to say it because it might hurt this person's feelings, even though I wouldn't want it to. I'm just, I'm going to let this one pass and I think, for some of us, that's a hard thing. I think it's especially hard if you're seeking approval, if you're a bit insecure, if you're a bit immature, things like that.

And so anyway, I say that, to try to empathize a little bit with the person, especially being young. I think that we see these things on TV where the funny boss kind of jokes about, Oh, you're fired. Conan O'Brien is classic for this. And I think Conan O'Brien is really funny, but I don't know if you've ever seen videos of Conan O'Brien being mean to his staff.

They're hilarious. They're also not how you should behave towards your staff. And like, while it's funny, I think those people probably know what they're signing on for when they're signing on with Conan. And then also, I think probably when the cameras are rolling, it's probably a little bit more, but, I can see this being held up as sort of a funny thing that bosses do.

And I just, I think that's not, I think that's not real, but I don't know. I'm trying to be generous and say, I know how bosses can make jokes about, Ah, you, that's it. You're fired. I get it. I get it. It's a mistake.

Stephanie Goss:  You have toned that down as well. I have not been fired in quite a while.

Dr. Andy Roark: That's true. I mean, that's a conscious decision.

Stephanie Goss:  For the record.

Dr. Andy Roark: That is a conscious decision, too. I mean, again, I'm trying to be really honest and vulnerable here. You and I used to joke about, like, it's a, well, congratulations, Goss, you made it through another week. I still think that's funny. But it's only funny because I don't think there's any truth to it all.

It's only funny because I don't think there's any truth to it all.

But, I still quit, I quit doing that stuff just because, what happens, I think, sometimes you have to see somebody else do it and you go, Ooh, is that what that looks like from the outside?

Stephanie Goss:  That's what I was going to say on the flip side, because I think humor is a piece of this. And I think people can lean into using humor as a crutch or as a tool to, you know, to try and if, especially if they're insecure. Right?

And on, on the other side of this, what I was going to say is going back to our, you know, seeing the person and looking at the insecurity and also assuming good intent, one of the things that I would have to ask is they were our writer was giving us some examples of kind of down leadership style presenting itself.

So like, I'm the boss, I'm in charge, stuff like that. And she said, you know, it comes across as I'm, as she's on a power trip, but I'm trying to assume good intent. So I'm seeing it as insecurity. 

The other thing that I would say could be valid is that for a lot of us stepping into a leadership role we only know what we have seen, and for a lot of people, a lot of companies are run in a very top down leadership structure and leadership style, and so it doesn't matter whether you take someone who is on the young end of the spectrum or someone who is old like myself, you get into a practice and it's okay. I only know what I've seen before. And if my boss was very much like I'm the boss, I'm the decision maker. 

This is what you're going to do and how you're going to do it. I am either going to emulate that style because it's what I know, or intentionally go the opposite direction of that style because it's what I know.

And I didn't, I didn't like it. I hated it. And so I think that asking yourself, assuming the good intent and trying to put yourself in this person's shoes and really see them, one of the questions I would ask is, this like, is this just the style that they've been exposed to? Because I can maybe not excuse the behavior. That's not what I'm saying, but I can maybe look at the behaviors through a different lens.

Dr. Andy Roark: Yeah. I, yeah, I think you're, I think you're right. I think that it is really hard to lead a team and appear competent and confident and also to not lean into top down leadership. Like, think about that for a second. It is a, you really have to be quite good. I think it's fairly exceptional.

And like, I'm going to say here, if you're listening to this, and you work with somebody who is a leader or a manager and they are, they, are confident and you trust them and also they are very much a servant leader and kind of among the people being like, I don't know, what do you, how do you guys want to approach this problem?

You should go, you should write that person a thank you note. Yeah. I was gonna say, you should go, say thank you. because that is it is really hard. And again, I think, most of us as managers have, have been ping ponged around in there. You know, I think it's not a hard emotion to get your head around I think for most of us or at least a lot of us when we get scared we try to get control.

And that's I mean, I think that's a very common emotion if I'm afraid of what can I control and that my friends is probably the number one reason that we see micromanagers full stop. On the management side, I think that there's often a fear in trying to take control and that means Telling people what to do and looking over their shoulder and then on the medicine side It's the same. It's the same thing, you know, we'll say we have a lot of veterinarians who are perfectionist Well perfection is a manifestation of fear in a lot of in a lot of cases meaning people who are perfectionists are often practicing afraid and they just, they, don't want to not have control. 

They're really terrified that things will go wrong. And so they're practicing from a place of fear. And so when we start getting to action steps, we're going to have to do a couple of things. One of them, you know, we're going to need to look at this person with an empathetic lens. We're going to need to try to accept that they are a person.

They're just probably coming from a place of insecurity. And then when we start taking our action steps, we're going to wade into how do we address this insecurity and support those people. But just, trying to be fair to the manager here. It is. It is hard. It is. I think it's really hard to do that.

So anyway, I think that's probably my headspace is if we can look at the manager this way and see them as a person. I, again, it's not about getting upset. It's not about it's not about telling ourselves stories about them wanting power, things like that. It's recognizing that the operations medicine conversations are challenging.

And we'll deal in, we'll, wade into that a little bit when we get into the action steps as well. But but just try to have an open heart and an open mind. And then we're gonna start moving through some steps and we're gonna see how this goes.

Stephanie Goss:  Yeah, I think the last thing for me from a headspace perspective is, and I'm not even sure it's headspace, but more like pre action steps is, I think you have to take a look at what the structure actually is. And so, you know, this person said, okay, I'm not their boss. And so part of it is, what is the system in which you are working to know what resources you have available to you to help as you move forward and also like set really clear expectations when you're having the conversation with this partner, with this person as your kind of partner in running the business, because even if they're in charge of the operation side of it, you're driving the medicine, you still have to work together.

You're still partners in a way. And so I think part of it is stepping back and looking at what is the chain of command? What is the hierarchy structure? Like, how, what does that actually look like? And because one of the questions I would ask myself is, are they getting instruction or are they getting information that may be different or may not be information that you're getting. And I think that when we don't take a step back and look at that structures, it's really easy to tell ourselves that it's all coming from this person. And I would say, what if it's not. 

What if it is coming from part of the structure, the chain of command outside of this person. And so I think evaluating what, you know, in terms of the structure and then, you know, figuring out, okay, it doesn't have to stay this way. But what are our two roles supposed to look like at this point next to each other? Are we working in parallel or are we working, you know, or we, are we going against each other or is one of us trying to go up and the other is trying to go side to side?

Like, what does that actually look like from the job perspective? I think those thinking those things through before you attack it are the other two things for me.

Dr. Andy Roark: You gotta stop taking my action steps. Like, you're just, like, We're gonna get a message, we're gonna get a question in the mailbag that says, My co-host keeps taking my action steps and putting them into her headspace section, and then I don't get to talk about them.

Stephanie Goss:  Okay, well, then. Let's just take a break and we can talk about action steps. 

Dr. Andy Roark: Let’s just take a break. Well everybody's heard.. 

Stephanie Goss:  Forget every, forget everything that I just said, and let's take a break and we'll come back and talk about it again.

Dr. Andy Roark: Well it's not gonna be the same but okay.

Hey guys! I hope you were enjoying the Uncharted Veterinary Podcast. If you are, you might be interested in the other podcasts that I do. The Cone of Shame Veterinary Podcast. It is very different. It is a different format. It's me interviewing guests from throughout veterinary medicine. 

I have medical experts and I talked to them about cases. I have industry experts and I talk to them about the industry and where things are going. I have mental health and wellness experts, and I talked to them about thriving in vet medicine and the challenges that we face and things like that. 

It is a great podcast. It's different from Uncharted in that it's not so much business, there's more whole medicine and you know how you know Coke, zero is like it tastes good, but it has no calories? It's kind of like the Uncharted Podcast but it has no Stephanie Goss and so that's a strike against it. But it's got other things going for it. I really think you should try it and check it out. Cone of Shame podcast comes out every week. Yeah. Try it out. You might just love it. All right. Let's get back into this episode.   

Dr. Andy Roark: Right, let's get back into this slightly stale first action step

Stephanie Goss:  Sorry, our pre action steps that I apparently jumped you're just ahead.

Dr. Andy Roark: I see you taking action steps and putting them in a headspace so that you get to talk About him before I can get there.. I see you 

Stephanie Goss:  Let's be real. Sometimes I have to steal the Andy show. It can't be the Andy show all the time.

Dr. Andy Roark: That's true. I think if anyone counted the number of words that was said, I think I've got a pretty good margin. I was gonna call it a margin of victory I'm like, I don't know if that's a victory Andy It's a margin of airtime that's your trophy. 

Stephanie Goss: That’s your trophy. Okay. Andy Roark, what would be our first action step?

Andy Roark: Well, you know, so honestly there's about four things That I would do all at once. Not like at the same time all at once. But there's a couple of there's groundwork that I would lay here right before I do anything with this person. And so let's lay some groundwork down. So, yeah, I would say before I do anything. Number one is we need to get some role clarity here.

Stephanie Goss:  Yep.

Dr. Andy Roark: Full stop. Like we need to get some role clarity here. And a lot of times what happens, people go, Hey, you're gonna run the medicine and I'll run the operations. And nobody really talks about what that looks 

Stephanie Goss:  Right. What does that actually mean? 

Dr. Andy Roark: What does that mean? And and, when medicine and operations do not come into alignment, what is our mechanism for resolving that issue?

For example, let's just say that there are strong feelings on the floor that we are at our maximum capacity for the number of patients that we can see in a day. And, operations believes that we need a 10 percent increase in the number of patients that we're seeing in order to achieve our required results.

Those two things are incompatible. If the team says we need to see less and operations says we need to see more, we, I'm, how do you, we, there has to be a mechanism for resolving this and it's funny medicine operation should be a yin and a yang. They should be. And if one dominates the other, that's probably bad and I mean, it could go either way. 

If you have a practice that doesn't give a crap about the running of the business and payroll and the finances, that's not good. That's not a good long term place to be. And the same thing, of course, is if the place only cares about hitting numbers and they don't care about the medicine they're delivering, that's also a bad thing.

Now, I don't see hospitals that are ever that polarized, but, and I do, I'll also say, In my experience, the scales don't tend to land in the middle and stay there. They tend to shift back and forth, like you'd expect in a relationship. Sometimes in my marriage, I am the guy who is doing more of the family stuff.

I am carrying more of the load, because my wife needs me to. And other times, I need my wife to carry the load, and she's going to carry it for a while. And If we've argued every time we did not believe that the workload in our life was exactly a 50-50 split, we would never stop arguing.

Instead, we talk, we communicate our needs, we keep going. And sometimes things shift to me, and sometimes they shift to her, but we go forward in good faith and communicate and know that we're going to keep trying to get the balance right, and we're not going to let either party, you know, breakdown under the load and but that is trust. And so I feel like our practice relationships sort of need to be that way, too.

So to your point, we've got to get some role clarity here. We have to figure out kind of our ways of working stuff with that. Now, I say that not as as a solving this issue, this should be done. I would say that entirely outside of any sort of a feedback conversation.

I just as we're working this, let's go ahead and figure out No reason, just kind of want to know, and let's just sort of talk about how we're working.

No complaints, but, how do you, how do we want to handle things like this? And start to gather information. No, number, two, which I said at the same time as I'm laying this groundwork, this part of it, just build the relationship with this person.

It is so much easier to give feedback to someone that you know and that you like and that likes you and feels cared about by you than it is by someone who is you don't know very well.

If you're going to have to keep working with this person, investing some time into knowing them, and I mean really knowing them, like what are their hobbies, what do they care about, what makes them laugh, what's their favorite place to have dinner, what does their spouse do. 

Stephanie Goss:  Why are they doing this job? Like, what do they love about this job? 

Dr. Andy Roark: Totally. And I think that dovetails into, sort of the, third part for me, which again, same time, what, are their values? What motivates them? What do they care about in this work? What's important to them at the shelter, at the clinic? And those are, again, if you walk in with a clipboard and start interviewing them, it's going to be weird.

It's going to take some time to sort of gather this information. But, you can do these things concurrently. And then the last thing I would say in this sort of pre-work part, go ahead and start with positive reinforcement. It's, a lot of times we're like, I'm going to go in there and we're going to have a hard conversation.

It's like, you know what makes a hard conversation easier? Having 10 easy conversations before it that make the other person feel good. And you've been putting up with this for a while. We don't have to fix the behavior today. Okay. Thanks. Go ahead and start laying down some positive reinforcement. And, when you do some positive reinforcement and the person's face lights up and they say, Thank you.

Thanks for saying that. You're gonna feel a strong desire to say, And, oh, no, you're gonna feel a strong desire to say, And, well, let me just Well, there's one other thing that I just want to mention too, don't 

Stephanie Goss:  Oh by the way. 

Dr. Andy Roark: Oh, by the way, exactly, you're like, oh, I made them happy. Now's the time to drop the hammer. Exactly! Don't do the compliment sandwich. Everybody's looking for it. They all know it. Just give them a compliment and they'll be done. 

Stephanie Goss:  No compliment sandwiches, people. 

Dr. Andy Roark: It's funny. We've all seen those conversations where Somebody will give up just praise It'll say something really nice and the other person will light up and the first person says or thinks to themself This is my chance to ask for the thing that I want and then you ask him for something and you basically turn the beautiful Thing that you did into something toxic Just take the win and go away, and keep this up for a couple weeks, and then we'll come back.

And I'll also tell you, you can make a lot of change with positive reinforcement. Catch them doing something that's good, and tell them how much you enjoy it, or how much it means, or, the impact that it had. And and just start with that, and we can have a hard conversation, but it helps if we can lay some positive groundwork first.

Stephanie Goss:  And what I would say is if you are in a place in this person may or may not be. But if you're in a place where you're really starting to feel. struggle with that. And you are really struggling to see the good in someone else. This is a good place to phone a friend. So it doesn't have to be, it doesn't, it's ideal if they're the things like you said, Andy, that you're seeing yourself.

And if I've been there in that place where it's like, I can't, I'm really struggling to look at this person and see positive. What you can do is say, Ask others to help you catch them being good. So can you do something that even the families that are adopting from the shelter that are interacting with her as the adoption coordinator or the rest of the team at the shelter, can you say like, Hey guys, let's catch each other doing something good and use that to help deliver some of that. It can soften it for yourself if you're having strong feels here. So just remember it doesn't, if you can do it great, and if you truly are in that place where you're like, can't look at this person and assume the positive, sometimes you need to phone a friend.

Dr. Andy Roark: Yeah, I agree with that. I think that's the groundwork for me to start getting towards having this conversation. It's just, those are simple things, kind of run in the background. They take a little bit of time. Go ahead and get them started. And then, while we're doing this, now we're going to start moving into actually, like, addressing the behaviors and things.

The first thing I would try to do, is I would do some root cause analysis to try to minimize the amount of feedback. Now, when we have somebody that is just like, this person's a micromanager, they micromanaged me here, and they micromanaged me here, and they made this bad joke here, and they did this thing here, and like, people are open to some feedback, but they quickly get overloaded.

Stephanie Goss:  Not a laundry list. 

Dr. Andy Roark: If you laundry list people with feedback, it does not go well. Their feelings get hurt, they feel just pounded on, picked on. They will find one piece of the list that you gave, that they think was misrepresented or not fair, and then they will grab onto that piece, and they will fight with you about it.

And it's because their feelings are hurt. And again, the other nine things, they won't dispute, but they will grab one thing and they will fight and they will feel wronged and mistreated. And so, just, don't, so when I say root cause analysis, what am I talking about? The idea is if let's say that, I, let's say that I let's say that I joked about firing Stephanie Goss and I hurt her feelings.

And then I joked about employees sleeping in and I hurt Stephanie Goss feelings. And then I found something else, and I hurt something else's feelings.

Stephanie Goss:  Listen, Andy Roark, I was up at 4 a. m. Don't tell me that I sleep in.

Dr. Andy Roark: No, I know, I, none of these things are true, but I'm just trying to think of 

Stephanie Goss:  I'm like, I'm doing what I would do right? Like, if you give me a laundry list, I'm going to find one thing that I can just attack because I'm feeling attacked. 

Dr. Andy Roark: Oh, totally. But I think where I'm going is, a lot of times we have these behaviors. The truth is, it doesn't of good to give me a feedback and say you hurt Stephanie's feelings when you joked about this You heard him when you joked about this you heard him when you did this other thing The truth is andy the one piece of feedback is andy I think that you're struggling to communicate instead with stephanie in a way that is I don't think your intent is coming across to her in your communications meaning I think you're trying to bond with her, and she's, and her feelings are being hurt because that's not how she communicates or how she's used to communicating.

And that's one piece of feedback, as opposed to, you hurt her feelings here, and here. And so when I say root cause analysis, that's what I'm talking about. It's taking the individual things, recognizing what is the underlying problem, and then giving feedback on that one problem.

I think that's a, I think that's, what we're trying to get to.

And in this case, there may be more than one problem. That's okay. But we want to minimize. The number of things we're requesting. And so if we want to talk about micromanaging, let's just talk about micromanaging. And then also I would not use the term micromanaging because people really hate to be told they're micromanaging.

Stephanie Goss:  Well, and I think that they our writer gave us a really good example for root cause analysis in terms of their letter, because there was an example where they got a new autoclave in the clinic and the medical director Put it near where their sink area is. And it sounds like this person was frustrated by that and made some comments about, you know, well, you sure you're making a bunch of decisions, unilateral decisions, or you're making decisions for the rest of us kind of commentary. 

That's actually a really good example of a thing that you could do really. Good root cause analysis on because is this person really mad that the autoclave is next to the sink? Or are they mad because they feel somehow left out of the decision making process? Looking at that, from the outside, being stepped back from it. If I'm at 30,000 feet and I'm looking down, this is a really easy one. 

They probably don't give two craps about where the autoclave goes. They're mad about something else. And so this is where you have to do that root cause analysis to figure out, are they upset that they're left out of the conversation?

What happened here that is causing them to have that kind of picking attitude? And this is where the. You know, the tool in our toolbox of what happened really comes in handy because it's really, it can be really easy to just say, Hey, I heard you. And it sounds to me like you've got some feelings about not making decisions together. Can you tell me more? Like what happened? And just stop and then listen

Dr. Andy Roark: Yeah, I think that's, I think that's really good. That is a great example of the root cause analysis I'm talking about. I would use the autoclave as the example, but then I would talk about how we're making decisions and the balance of I don't want you to feel excluded and also I don't want us to have a staff meeting every time… 

Stephanie Goss:  to decide where the autoclave goes. 

Dr. Andy Roark: we're going to put the autoclave and plug it in.

And, you know, how do you, how involved in these conversations do you want to have, to be knowing that we're both trying, we both have a lot on our plate and we're trying to get things done, how do we navigate this? And that takes us into this beautiful conversation. So just real quick right here.

Let's take that example and sort of run with it. Good root cause analysis. I would use the autoclave as the example, but we need to talk about how we make decisions and how this person feels included without making everybody else feel powerless and without making it so that decisions take time and something like the medical workflow is requiring her sign off. 

Let's figure this out and we're gonna have to use our hard conversation skills because she might Expect more control than she's going to have and we can talk about that, but it doesn't have to become an emotional conversation.

It can be something to work through. Remember your safe conversations, right? So we talk about safe conversations a lot. Can you sit next to this person and smile at them? If not, this is not the time to have the conversation. Go home. 

The autoclave can be plugged in tomorrow. Or, it can be moved tomorrow, but going right now when you're triggered and having the conversation is a bad idea.

So that's S. A is assume good intent. We've been talking about that. We've been doing that. F, has this person been set up to fail? What here is my fault? Maybe she doesn't realize that. I perceive this as being in my wheelhouse, or she's been upset to fail because we haven't talked about how we're going to make decisions like this before.

And if I can get into that head space, it helps. And the last thing is End result, which is what is the outcome that we want to have in this conversation. So we're not just venting, we're actually trying to go somewhere. And in this case, I would say. Can we talk about how we're going to make decisions like this?

Cause I would like us to, not step on each other's toes and also to be able to work autonomously and make decisions in an, in effect, in an efficient way. And so that's it. Remember your SBI format for giving feedback, right? Situation. Hey, when I set this autoclave up, you came and you moved it and you said this thing.

Right. So that's the situation. The behavior is B that's you said this. So when we set up the autoclave, you came and you said that too many decisions were getting made without your input.

Stephanie Goss:  Right.

Dr. Andy Roark: This is the impact that it has on me. That made me feel like I don't have any power to make decisions or made me feel frustrated because I feel like this is a fairly straightforward thing, and I'm also feeling like you're, might be feeling resentment about me trying to get things done. And I don't know if that's true, but that's how I'm feeling and I was wondering if we could talk about it. So SBI, what's the situation?

What's the behavior of the person? What is the impact that behavior is having? And then can we talk about it? So I think that's a big part for me. Remember that you can stage the conversation. I think a lot of times people are like, we've done everything that Andy and Stephanie talked about.

This is it. It's our one shot. It's like Eminem with his mom's spaghetti on his sweatshirt. Only get one chance. Don't miss your opportunity. I can keep going. Anyway I'm not going to um, lose yourself, the team meeting. 

Stephanie Goss:  we just have a, that's a whole, this is a whole other Uncharted podcast rap battle. 

Dr. Andy Roark: Do you ever plug in autoplay and have the manager come and tell you, do you have to move it? Tun tun tun (singing) this needs to stop. This needs to stop. Okay. You 

Stephanie Goss: Where were we? Stage the conversation.  

Dr. Andy Roark: You can a hundred percent stage this conversation. And you can talk to the person and then you can listen to them and then you can say I hear you. Let me process this because it's not how I was looking.

This is not. This is very different from how I was perceiving the situation. And so let me think on this And then I and then maybe we can talk some more about it but I just I hear you I need to think on this and you can do that and you can go home and you can meditate on this you do not have to shoot it out right here and right now. Go, you can get into a safe headspace and come back.

A lot of times, you get that download and it, you might get triggered at that moment. You can bail on the conversation. It doesn't mean you're giving up your position. It doesn't mean that you're yielding and you're going to go forward and do what this person says. You can say, I need, all right, I need to 

Stephanie Goss:  I'm gonna think about this. Yep. 

Dr. Andy Roark: Be clear about what you need. And then. After you've talked through it, after you've talked to the person, you've heard what they say, you've gone back and forth, you need to, at that point, figure out where you're at, figure out if this situation is going to be sustainable, figure out if you, if there's a way, if you need to go up to the chain, can you go up the chain?

If you go up the chain, does it go anywhere? If it doesn't go anywhere, then ultimately you're gonna, you're gonna, you're gonna pick your poison. You're either gonna stay here and continue to work with this person, and they're not gonna flip a switch and be perfect in one day. Just know that. It's gonna be, it's gonna take time.

We're gonna work with them about what it takes to make them comfortable and at some point if it might not work this may really suck. I will tell you it's funny. One of my things is that I haven't written this anywhere, but I keep looking for an opportunity to write about it. I think it's funny that people talk about independent practices and corporate practices as if they're two fairly homogeneous groups, and they are absolutely not.

And people are like, what do I need to know about going into corporate practice? And the truth is, here's the thing about going into corporate practice, nothing will matter as much as direct boss.

Stephanie Goss:  Yes. 

Dr. Andy Roark: The person who manages you. Will have probably the biggest impact on your day to day life of anything.

And so when people like this, this mega corporation is better than that mega corporation is like, that's ridiculous. You can get a great manager and end up in a nice little practice. And you can have a wonderful experience in any corporate group.

Stephanie Goss:  Mmm -hmm. 

Dr. Andy Roark: Corporate group, or you could be in the best corporate group in the world and have a big, Bad manager that makes you not want to be there and really poisons the whole thing for you And again, and the same thing is true in independent practices. I think that people don't

Stephanie Goss:  Yep. That was, I was going to say, spoiler alert, the same thing happens in private practice, right? You can have a manager or you can have a practice owner who can make your life miserable, or they can make it the best experience under the sun. And so you and I are absolutely on the same page in that respect, like that piece of the conversation.

It always gets me when that's this perspective, because it is so narrow and it really is so much the same.

Dr. Andy Roark: Yeah, so that's sort of it. Ultimately. We're going to pick our poison. It's not about it's funny people say well It's xyz animal corporation. You go. No, it's not. It was Dale. It was Dale the practice manager at your one little branch who made you miserable and upper management or the people above Dale didn't fix it or they weren't able to fix it and that turned out to not be an opportunity that was going to work for you.

It doesn't mean, it doesn't mean that's a bad hospital group. It just means that was not a good job for you. It might've mean that you have a bad, direct boss. It happens.

Stephanie Goss:  Yeah. And 

Dr. Andy Roark: If only, Stephanie, if only there was some sort of training that people could have for leading or managing other people. If only there was a certificate that gives people everything they need to lead and manage other people. 

Stephanie Goss:  only you could pick Andy And Stephanie's brain about the tools that you need to lead.

Dr. Andy Roark: That would be crazy. You would have to have something like an Uncharted membership type thing that gave you free access to the Leadership Essentials Certificate, which is a 500 value that you get for free if you become an Uncharted member. Like, something like that would have to exist.

Stephanie Goss:  Yes, I don't know what that could be.

Dr. Andy Roark: Oh well. 

Stephanie Goss:  What could it be?

Dr. Andy Roark: I don't know, me neither.

Stephanie Goss:  I think this was a great episode. What do you think, Andy? 

Dr. Andy Roark: This is gonna write this up as the second highest achievement of my day. Right after being number one on the 24 podcasts we're listening to from Instinct that I saw earlier today. Which in all seriousness, thank you to them. That was so kind.

Stephanie Goss:  Did we miss on this ball? Did we hit it out of the park?

I'm curious.

Dr. Andy Roark: I don't know. I never 

Stephanie Goss:  I mean, you always think we hit it out of the park, so I'm super curious to hear what our listeners think after this week's after this week's episode We'll, 

Dr. Andy Roark: I’m going to forward it to my parents. Like I always do and say, look, dad, look, mom, many of their podcasts. And I will seek their approval.

Stephanie Goss:  We'll wait for Patty's review. The OG, listener, the OG fan. Have a fantastic week, everybody.

Dr. Andy Roark: Thanks everybody. Take care.

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

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

Jul 03 2024

Old Skool Medicine Makes Me Cringe

A veterinary professional who thought they found their dream clinic is starting to see some old-fashioned medicine that needs to go. In this episode of the Uncharted Veterinary Podcast, Dr. Andy Roark and Stephanie Goss address a mailbag letter from a new team member at a rural practice who is alarmed by outdated and unsafe medical practices. Concerned about the lack of physical exams, rushed appointments, and poor surgical sterility, this person wonders how to raise these issues without overstepping their bounds. Andy and Stephanie discuss how to navigate the difficult conversation of addressing substandard care, offering advice on recognizing capacity limits, setting personal and professional standards, and practical ways to advocate for patient safety. Let's get into this episode…

Uncharted Veterinary Podcast · 294 – Old Skool Medicine Makes Me Cringe

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

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

Submit your questions here: unchartedvet.com/mailbag


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

Upcoming events: unchartedvet.com/upcoming-events/


Episode Transcript

Stephanie Goss: Hey everybody, I am Stephanie Goss and this is another episode of the Uncharted podcast. And this week on the podcast, Andy and I are tackling an anonymous letter from the mailbag because veterinary medicine is a very small world. And this writer is asking us, how do I address some old school practices, medicine that make me uncomfortable, wildly uncomfortable in my new practice.

This one was one of those that Andy and I thought would be probably a short episode and yet turned out to be our normal length. So we had things to say from both the Headspace and Action Steps perspective, so let's get into this. 

Dr. Andy Roark: And we are back. It's me, Dr. Andy Roark and the one and only Stephanie it's time I disappear Goss. They play that song at CrossFit and I, I lose my mind. It's like that Livin On a Prayer by Bon Jovi. Like you can tell, you can tell all the masters athletes get real hype when living on a prayer comes on. That's me. I left all the weights. We're halfway there. Indeed, Jon of course. You and me.

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

Dr. Andy Roark: It's good. It's really good. It's humid as all get out, it's just like, it's like, I don't, I just, I go for swims with my dog around the neighborhood instead of walks because it's 99 percent humidity here.

Stephanie Goss: I was gonna say, how have the storms been? I heard you guys had some big storms come through that direction.

Dr. Andy Roark: Yeah, you know, it just

Stephanie Goss: another day

Dr. Andy Roark: It’s ratcheted the humidity up and kept it there. But yeah,

Stephanie Goss: Gross.

Dr. Andy Roark: Yeah, it's been gross.

Stephanie Goss: It's beautiful over here

Dr. Andy Roark: Yeah, I got yeah, Seattle. It's like, enjoy, in Washington, enjoy the six weeks that's nice every year.

Stephanie Goss: Oh, don't worry, the rain will be back before summer acts. This is, this is this is our first signs of actual spring, like spring here starts in May, when the roadies pop, and summer doesn't start until after the 5th of July, so this is not, this is not actually the end of the rain, there's more coming, but I am in taking every second of the sunshine, and actually you would be super proud. Yesterday I was like, I'm going to channel my inner Andy Roark, and I am going to go work and think about some things creatively, and like, do some work outside and I mowed the freaking ginormous lawn that I have.

And I, and I had my headphones in and I was listening to some podcasts. And then I was playing, I was working on planting some seedlings that I've got growing. Cause now the frost danger has passed. And so I was putting in some stuff, new stuff in my vegetable garden. And it was a very nice day and I did not get sunburned. So, I was very proud of myself.

Dr. Andy Roark: That's amazing. That's, that's, first of all, that's amazing. You don't get much more fair skin than you. That's did you have like, did you have like the old person huge hat? Cause I do, I have one of those. A hundred percent, yeah.

Stephanie Goss: I do.

Dr. Andy Roark: Long sleeves and a big giant hat.

Stephanie Goss: Yes. I have the long sleeves and the giant floppy sun hat and the SPF, you know, 85 and all of the things.

Dr. Andy Roark: That stuff is so important. So, I was looking at the I was looking at the Merck well being study recently. I'm gonna, I'm, I'm, I'm trying, I'm, I'm writing about this cause I'm really into it right now. But I'm always, I just have to pick my words a little bit careful cause I don't want people to feel criticized.

But I just, I feel like there is such a narrative around “vet medicine is awful.” And I, I, like, I hear people that I really love and respect will say things like, well, you know, like, do you know how this profession is? Or in this profession, this is why everybody's leaving the profession. And, and Merck did their well being study this year.

It's really freaking good, and it talks about basically really, veterinarians are not that different from the general population. It's funny when you look at, so they're looking at doctors and looking at doctor wellness. Young doctors are at high risk of leaving the profession. Like, we have a problem with young doctors.

However, we really, it's for veterinarians, I can't talk about support staff, but for veterinarians, we really don't have any different exit from the profession than other professions do. Like we basically mirror, mirror every other profession. And it's just interesting, the big the big drivers that they came up with that, that keep veterinarians sort of in practice are on the personal side, it's work life balance.

It's having, it's having an active social life, meaning spending time with friends and family. It's having positive coping mechanisms. And it's having a financial advisor, which I thought was interesting. But those were like the four big drivers of wellness. When you look at veterinarians the– it's really interesting.

The number of veterinarians who feel reward and fulfilled is pretty darn high. It's over 70 percent are either extremely or somewhat satisfied with their job. But, when you look at how do you think other, the rest of their profession stacks up, the numbers are wildly different. We all think that vets are better are burned out and unhappy, and so we, we think that about 33 percent of veterinarians are extremely unhappy and it's not, it's like 11%, you know what I mean? It's it's, you know, 1 in, 1 in 10 but it's just, it's, it's, I've just been thinking about it, it's just really interesting, but it's, it's, it's kind of weird What I, what I've believed for a long time is that medicine is uniquely challenging and it's hard.

We can do so much for ourselves by having friends and family that we spend time with outside of work and having work life balance, meaning things that we do to unplug and to, you know, and to just get away from the clinic. And the last is the positive coping mechanisms. I mean, that's just, you know, that's the stuff we talk about.

It's mindfulness. It's exercise. Exercise was a huge one. They actually looked at that. They were like, yeah, the happiest, happiest vets exercise, you know, regularly. And it's just, it's all of these sort of basic things that we have all known. But it was interesting to see that sort of displayed back and it's like, you know, our, our profession is, is challenging.

It is not the horrible nightmare place that at least for veterinarians, that people want to make it out to be. I think that's, I just think that's important. I think, I think when we tell ourselves that our profession is broken, everybody's leaving, I think that affects the way we look at our days and think about what we do and in a way that's probably not healthy.

Stephanie Goss: Yeah, that makes, that makes sense. Well, that's a, I mean, it's a good headspace to, to be in, I think, when we think about people. Think about ourselves. And I think headspace is going to be important to this episode today because we got a mailbag and I, it's funny because this one sat in the queue for a little bit because I didn't know what to do with it because I looked at it the first time and I thought, this might be the shortest episode that we ever do.

Andy Roark: That’s exactly what this is. 

Stephanie Goss: And then I thought, is, is it, is it worth doing this episode? Because I feel like it's one of those questions that maybe only has one answer, but then I like forced myself to set my personal, like, filtered answer aside and then like, look at it again. And I was like, you know, I think that this is worth doing.

And I think it could be some interesting conversation. So I'm excited about this one because we got an email from Someone who I'm assuming that they are an assistant or a technician, someone on the, the, the patient care team. But they, and it could be a doctor, I don't know, but they said that, you know, they have started at a new practice and they live somewhat rural Really, and there's not a lot of practices in their area.

So they have started at a new hospital and they are very concerned over some of the medicine that they are seeing and some of the things that they're seeing in the hospital. They picked this hospital in part because it had phenomenal feedback and reviews online and in the community from clients.

So clients rave about this hospital and so they were super excited. And what they have found since being in the hospital is that the physical exams are almost nonexistent. The appointments are really, really rushed through, but their biggest concern, and they're like, I could deal with those things and kind of, you know, focus on the exams and, you know, talking about it within the team, and there's a giant red flag, which is they have some serious concerns over safety, patient safety, and sterility they have they gave us some, some examples, surgeries where the doctor is not gowned up, not wearing a, not wearing a cap in surgery, you know, not wearing a gown, no gloves. 

Dr. Andy Roark: Not wearing gloves, just raw dogging it not wearing gloves. 

Stephanie Goss: You went there. You went there. Pre, you know, pre popped syringes, things, things like that. So their question was, Hey, how do I bring this up without stepping on people's toes? I know that I'm new. I don't have authority within the practice. However, I have serious concerns because I feel like this level of care is not up to par.

With the industry as a whole, and I am actually worried that there's you know, and we're creating an unsafe environment for our patients, and he said, I want to be able to confidently recommend my hospital and feel like it's going to live up to the feedback that I saw. However, they said, I don't even think I would bring my pets here, which is a huge red flag to me and reading all of it.

And so I was just like, okay, this, this is going to be, this is going to be interesting. So, Andy Roark, how do we address the old school medicine and bad practices? That makes someone feel uncomfortable in a new practice.

Dr. Andy Roark: Yeah. Oh no. Oh no That's this is a this is a censored version of in the notes. You'll see the first line contains words in it. I'm not gonna say in the practice because oh no, this is. 

Stephanie Goss: We need a profanity sensor on this episode.

Dr. Andy Roark: All right. Yeah. Okay. Now let, well, let's get into this. I, I wanna make this pre, I wanna make this productive.

Alright, cool. From a headspace standpoint I , I hate, I, it, I really try hard to not be like, well, let's talk about what we should have done in the past. And I really don't wanna do that.

Stephanie Goss: Cause that feels a little bit like I told you so.

Dr. Andy Roark: It does. It feels a lot like I told you so. But I did not tell this person so.

Stephanie Goss: Right. So we're going to say it anyway.

Dr. Andy Roark: I just, but I have to, like, I have to just say the number one thing I recommend to people taking a job in a vet practice is you have got to do a working interview.

And this is why. Like, this is why. And so, there's the, the, the way I recommend it, especially for vet students coming out, and they haven't, you know, I think when you've been in practice for a while, you see red flags. Because you've, you know, because they, you're much more comfortable in the practice. But when you're a brand new vet too, sometimes it's a little tricky, and you don't exactly know what to look for.

You need to do a working, if you're going to commit to a place, you need to do a working interview and then go there. And then, you need to I always tell people this. You need to try to go on Monday or Friday, because that's generally when they're the busiest, and you want to see them when they're stressed.

If you go there and everybody's having coffee and standing around and smiling at you, That's not really what it's like to be there. That's not bad. And they will try to get you to come at a time when they have some free time to talk to you. So they'll try to get you to come. Ask if you can come back at the end of the week and just shadow for a while.

And if they say no, I would be concerned about that. But you want to get there. You want to talk to management leadership. And then you also want to talk to the support staff. And some of my favorite questions for the support staff are, What's your favorite thing about working here? And I ask them that so that I can ask them the next question, which is, What's your least favorite thing about working here?

Because they'll answer that question if you let them, if you ask them the good one first. And so there's that. Things like, do doctors do surgeries the same, or is there variation in what they want? And I like that question, because it tells me a little bit about how the practice runs. But when they tell me there's variation, I'll say, What is it? Give me some examples. How do different doctors do things differently? And this is me digging. And that's kind of what that, what that sounds like.

Stephanie Goss: Yes.

Dr. Andy Roark: What's the, what's the standard surgical induction protocol? That's a big question. Big one for me. And again, I'm not trying to critique your drugs and go, well, they use this and not that. 

Stephanie Goss: Mm hmm. Mm hmm.

Dr. Andy Roark: I'm looking for big flags, you know, we gas them down. I'm like, tell me more about what does it, what do you mean when you say, how often does that happen? What does that look like? What do you guys do for pain control in your space surgeries? I just, if they're like, oh yeah, we're using, we're using lidocaine, you know, you know, in the body wall, and we're doing these different things, and I'm like, I just, I can't, I'm not trying to critique, I'm just looking for big sweeping red flags, or are there places I should dig a little bit deeper.

What do you do about pain control in orthopedics? You guys are out here in the middle of nowhere. What does that look like? I just want to know. Are they using CRIs? Are they using epidurals? It may not be a deal breaker for me, but I'm trying to get them to talk to me about where the rubber meets the road as far as the things I care about in the medical side of practice.

Stephanie Goss: And I think this goes for new people who are new to the veterinary field and especially for our experienced team members. I think the cringe factor for me in this is that I've not yet met a person in veterinary medicine who didn't develop after, you know, at least a job or so, develop a sense for themselves of what feels right or wrong…

Dr. Andy Roark: Mm-hmm.

Stephanie Goss: on a personal level for them when it comes to medicine. And wrong is probably the wrong word, but like what feels comfortable to them? What type of medicine do they want to practice? And I think that there is, when I have discussed this with people in regards to interviews, I have always gotten frowned at by colleagues who are like, people shouldn't be allowed to turn their nose up at what other people are doing.

And, and I can understand that perspective because nobody wants to feel like they're being judged and it is okay to have a personal level of comfort and it is okay. And it should not be. only limited to our doctors. I am an advocate that every single member of your team from the front desk staff to the kennels and everything in between should be able to have a sense of comfort for what they, the type of medicine that they want to be involved in.

And that is a very personal thing. And I have friends who are like, I will not work in a practice if they don't use CRI for pain control in orthopedic patients. That's, that's okay with me. Like, I, I don't, I don't understand why we would find something wrong with people figuring out what matters to them and being true to that.

I can understand wanting people to reserve the judgment and not putting judgment on other people, but I don't think that there is necessarily, there are very few things that that are ethically wrong, and we work in a profession that has defined rules and regulations from a state perspective all the way to a national perspective on the things that should be morally wrong to anyone working in veterinary medicine.

You take an oath coming out of vet school, do you not? talks about what you're going to do for patients.

Dr. Andy Roark: Well, you know, I talk about this all the time. I really think that the relationship we have with work is a relationship, and I talk about it like that, and that's how I think about it. And if you meet someone and they are not someone you want to have a deep and ongoing relationship with, that's not bad.

Like, that's, that's life. It doesn't mean they're a bad person. It's, part of it's just about fit. Now, if you, if you and I go on a date, And then you just decide you don't like me and you go and tell everyone that you don't like me and you go and you tell me that i'm a bad person because I like to eat at the you know, I don't know at the at the at Jimmy John's I took you.

Yeah, if you're like, how dare you take me to jimmy john's on a date? You're a terrible person. I would be offended by that if you enjoyed Jimmy John's we're like, this is great I think I'm gonna go on some different dates. 

Stephanie Goss: On more dates with people. 

Dr. Andy Roark: That's, that's your, that's your thing.

That, that's, that's fine. I think that sounds silly, but it's true to me. But that is how I think about it. When you take a job, you're going to be there forever. 40 hours a week like that is a huge chunk of your waking hours It should be a it should be a fit, you know Like I don't want to be with some with a person that I just do not connect with and does not share my values, you know, and again doesn't mean they're a bad person They're just I, we're just not, this ain't working, the chemistry's just not here.

It can be, it can be that superficial, if this just doesn't work for me that doesn't mean that's not the perfect person for someone else. It's just not the perfect person for me, and I think we all understand that, but I think we should port that over, over to vet medicine, you know. I think one of the big things for me this person said, and this is why it sort of reacts so strongly to it, is when, I think it's a big deal if you would not take your own pet to the place that you work. For me, that's an in, that's an integrity thing. 

Stephanie Goss: Yes. Yes. 

Dr. Andy Roark: I want to look at pet owners in the eye and say, you should bring your pet to our practice and mean it. And if I won't take my dog to our practice, but I'm telling you, you should bring your dog to the practice or your cat to the practice, that's, to me, that feels, let's say, it's kind of unethical.

It's a failure of integrity. It's, it's do what you say you're going to do, you know, it's kind of it. And, it's walking your talk. And, and I, to me, that's a big deal. And the, and the thing I took away from that is in this case, the problem with this. The question is, from the examples given, the gap between where this person is and where this practice is, it feels enormous.

It's one thing to say, this practice doesn't leverage their technicians like I think they should. It's one thing to say, I really don't like the drugs we have in our drug box. Like those are, those are things. 

But, but if you're like, I'm pretty good with everything else, I go, okay, I, I can tell you, there's things my wife of 20 years, and I don't see eye to eye on, and we just kind of, it's uh, Ruth Bader Ginsburg's quote is something like, you know, in marriage, it, it helps to be a little bit deaf.

There's, there's kind of like, there, you should get to the point where you just kind of go, okay, well, I'm not, I'm going to just not pay attention to that and and freaking, and I'm going to be deaf on this point. At some point when your whole marriage is being deaf, you're like, oh boy, this is, this is, this is bad.

And so, so I'm, I'm worried about that. I think that's a problem. To me, to me, this is the easy answer to this is I feel like we're too far apart to, to salvage this. Now, let's play the game in a second if we're in a rural place and there's not another option, which makes it harder, and I can do that, that's fine.

But, for me, if there's two options, which is leave or go, I would say I'm going 99 percent of the time. Like, I'm going. This is, this is too far apart. I think that we have. I think some, some of the, because we're talking headspace here. The old sunk cost fallacy is probably at play, which is, I went through the interview process, and I moved here, and I'm here now when I've come this far.

And I go, okay, just because we've sunk a lot into this, does not mean that we need to continue to spend time here. Just because we put a lot of effort to get here, doesn't mean we should continue to stay here and not be happy. If you were starting over today, would you stay at this practice or would you go somewhere else?

And the answer is I would immediately go somewhere else. Then I think you should go somewhere else. And that's sort of the sunk cost fallacy. The other thing that I'm going to say here, because I want to validate this person in one way of what they see, is that I have been a firm believer that vet medicine is divided into two components.

There's the relationship component and there's the medicine component. And practices can crush at one and not the other. And people can crush at one and not the other. And I had this kind of weird idea, but I still stand by it. When we talk about mentorship and finding a mentor, I think that most doctors benefit from having a medical mentor and a relationship mentor.

And they're usually not the same person. The relationship mentor is someone who they Talk kind of like you do not not in their tone of voice, but the way they talk to clients Matches up with the way that you talk to clients. And so I'm a high eye in the disc scale. As you know, I am a big I like to tell stories I like to And I worked with some doctors who were great storytellers and fabulous relationship builders.

And I learned like a sponge. I just soaked it up. And they were great. And I worked with other doctors who were phenomenal and they had a much more reserved style. And I just, I didn't, the way they talk to clients is not how I talk to clients. Not good or bad. It's just, it wasn't my style. So I found doctors that kind of had a similar sort of outgoing, gregarious style to mine and really learned a ton from them.

Now, some of those really quiet doctors, they thought about medicine the way I think about it and their thought processes made sense and the way they approach cases made sense and they were the ones, not the, not the back slapping, you know, fun guys that I learned the relationship part from but the quiet doctors are the one I went and talked to about the medicine because I Understood the way they thought and again, it's not about being smart because there were some people who were so smart I could not I could not understand like their mind was doing things my brain simply like they were flying an F1 fighter and I needed help running my bicycle.

And like again, not good or bad. They just weren't a match for me. It sounds like this case, it sounds like this clinic has created the relationship part, but the medicine part is just, they're not where this person wants to be. I don't know, are they equally important if you're taking a job there?

Honestly, the medicine is probably more important because you can kind of communicate the way that you communicate. I think they're both important to some degree as far as fitting in. There's one clinic I worked at, and I really like this clinic, but it was, I call it the church mouse clinic, because they were just, they were all very introverted.

They had music that played at a very low level, and in the back was just quiet, and they were not unhappy. That's important. This was not an unhappy place. 

They were just very quiet. And I, exactly, and it's not that I didn't enjoy it there. But I, I always had that feeling of like when you're talking in the movie theater, like before the movie

Stephanie Goss: In the library. Andy's in the library at work. 

Dr. Andy Roark: A hundred percent. That was me in the library, which I'm, I, let's be honest, it's not where I'm most comfortable. But, but I, I, I'm fine with it. But again, it was not the perfect fit place for me. No knock on their thing. But anyway, I think, I've taught myself around circles now, but you get, you get the point. The best job is a good fit on both.

Stephanie Goss: Everybody is enjoying the image of you trying to be in a library every day and, and pull yourself in and rein it in.

Dr. Andy Roark: That, but now I think that's, I think it's a great metaphor. It really is. Like if I had to be in the library 40 hours a week, that would be hard for me and no shade on the library. It's just like, that's a little bit hard for me.

Stephanie Goss: Yeah, and

Dr. Andy Roark: And trust me, let me tell you, it's a little bit hard on the library too.

Stephanie Goss: Yes, it is. And there's nothing wrong with with that and I think I think that's for me. It goes back to the same thing about the medicine piece of it. Like it's okay to say this is what I want to do when it comes to practicing medicine and so I think like from, it goes back to our headspace perspective, although I don't want to say that I told you so it's like thinking about it.

If this, if they weren't writing to us because they were in this scenario, they were writing to us because they're checking out the clinics in their area and they want to know things to look for. One of the things that I suggest to, to, to new grads and to, but especially to my team is you have a say in where you want to be because to your point, like you're going to spend 40 hours a week plus there.

And so know what, know what you want. It's like, it's like dating, you know, I've heard. I've heard so many horror stories from friends who are our age who have reentered the dating field and they're just like it's full of all of these awful people and this and and I will say like I, I feel like I love it because I know what I want and I put it out there like I know myself.

Hey, these are the things that I'm looking for. This is what I want. And I think it's the same way about work too. It's like, if you know what's important to you, you should put that out there. What are your non-negotiables? What are the things that are deal breakers for you? For me, and I'll give a great example.

For me, the first, the first non negotiable that I learned in veterinary medicine was that absolutely, once I left my first practice, I could not work in a practice that had paper charts, ever again. Once I went, once I went paperless, I just knew myself well enough to know. And that, so that became a question that I asked in the interview process.

Tell me about your record keeping processes. Tell me about your charts. What are they, you know, do you have paper? Do you have, do you have digital? If you have digital, what does that actually mean? Do you really have a ton of paper and then you're recording things afterwards or scanning them in, or are you actually truly paper light or paperless?

That was the first one I quickly also learned. That for me, a non-negotiable was only staff members, like we won't see patients, we won't have hospitalized patients that aren't current on their rabies vaccine because we had multiple pets who were there for optional treatment, like a dental who bit a team member and they were not current on their rabies vaccine.

And then I had to put team members through the prophylaxis, like that for me became a non negotiable. And so I would ask that in the interview process, like, can pets come in if they're not current on their rabies? What are those exceptions? Not because I was asking from a medical perspective because I believed that the medicine was right or wrong, but because for me on a personal level, that mattered to me and my comfort as a team member mattered to me and I found it okay to say.

I totally get that you don't want to require patients to have the rabies vaccine. Is this a deal breaker for myself? Because part of that interview process should be, it's just, it's just like, it's just like dating. I hate to put it that way, but like part of the question should be, what are your non negotiables?

What are those deal breakers for you? Because I want to know, I want to find those red flags so I can say thank you and it's not the right fit for me. Cause there's nothing wrong 

Dr. Andy Roark: Yeah, yeah, no, I think you're, I think you're spot on. I think that probably that's why it's so hard to take your first job. That's why I really always like to talk to vet students about it. Just because yeah, I think liken it back to a relationship after a while you kind of know what you're looking for But I remember being a young person who kind of had this deep insecurity of please just like me It's like what if what if no one likes me?

What if this is what it's like? What if this is? You're as good as it gets. And like, it's, it's just unsecured, but I think a lot of people have that, especially early on in your job, until you figure out, like, okay, this is, this is kind of what I'm worth, and this is kind of what I, you know, what I look for and what's important to me.

I think that's true. Okay, let's take a break here, and then we're gonna come back, and then we're gonna do action steps if you stick it out. Like, what can you do here? And again, this is, this is going to be doing the most with a bad situation. And so, yeah, but, but we'll go, we're gonna take a crack at it.

Stephanie Goss: Okay.

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Dr. Andy Roark: All right. So let's say that we have done this. We have had this talk. Let's say that this is the only vet clinic in town and we're tethered to town because I will tell you I wouldn't move away. I would, I would be willing to move away, but let's say we're not able to, let's say we're not able to what, what, what do we do here?

The biggest thing I would sort of say is okay, we're not gonna panic. Rome was not built in a day. We were not going to be able to turn this place around immediately. We can be proud of the relationship part of this business and lean into it. And that can be good. Okay, so let's start to try to talk about some change management when we're not the boss.

Stephanie Goss: Mmm- hmm.

Dr. Andy Roark: The first thing for me is figure out what's under your control and you can almost at least care for the patients that you see. Sorry, you can almost always at least care for the patients that you see. So the first thing is, all right, what control do I immediately have here? I'm wearing gloves. I'm going to put the gown on.

I'm going to use the pain control. Like, do I have that level of control? I hope that I do. Do, are there things that I don't know how to do? Then I'm going to go get some CE on those. There's on demand learning, I am going to, I'll go to some CE, I'm going to go ask for some CE, whatever I need. But, what can I immediately do?

And you say, but Andy, you're still out of practice. And I'll say, well, at least I've already said, I've already made it so, would I bring my pet to my practice? I would bring my pet to me at my practice. I would. And now when I can say, hey, why don't you come see me at the practice, I don't feel bad about that because I am going, you come and see me, and I will, I am going to do what's right. And the way that I see it. And so I immediately get out of the, ooh, I don't know if I bring my pet here. And so, again, it's a small thing, but it's a thing that I can immediately control. And you say, but I'm a new grad. I'm going to say, welcome to the grown up world. We're, like, you're going to have to, you're going to have to get on and get the education that you need, and I'm sorry.

But you can do that. There are lots of opportunities for education now that did not used to exist. And if you are worried about surgery, there's online training options, things like that. There are surgical wet labs. There are some really great opportunities out there to start getting that stuff. If you feel like that's what you need and you're not going to get it at your practice, my advice is take the bull by the horns and go and get what you need to make yourself into the doctor that you want to be.

There are people who became great doctors, not because they had a great mentor, but because they didn't have a great mentor and they went hard in the paint to make themselves what they needed to be. And you can do that. It takes courage and it takes some grit and it takes some resilience, but you can a hundred percent make that for yourself.

You just have to, you have to grit your teeth and you have to do it. And I said there are some great doctors out there who made themselves and you can do that too.

Stephanie Goss: And I think it's important to, speaking to the paraprofessional staff, I think it's important to recognize that there are things that are in your control, and it's easy to think I'm not the doctor, so I am powerless in this situation, and to your point about taking care of the patients in, in your hands, the patients that see you, I think it's not only acceptable, but I, I want to encourage all of the paraprofessional staff to look at it the same way. So, as a technician, I can't tell you how many times I worked with doctors who I truly believed were good doctors. Where we were doing something and getting ready for a procedure and they started to do something and I'm like hi, would you like me to give some some pre op, you know, some pre-op meds or would you like me to give?

And they're like, oh yeah, I didn't think about that. Yeah, please do that. And then come get me right. Like where it's not, it's not intentional. It just is. is the thing that happens. And so recognizing that you are in control of everything that you have the training to do. And it goes the same for the front desk.

Like you can control the service that the clients are getting. You can control the things that you, and it's in how you ask about it. And I can't tell you how many times my dumb curiosity, and some of it is I actually genuinely didn't know and some of it has been plain dumb how the dumb curiosity has solved what could have been big problems for me because I had the courage to ask the question Hey, are we gonna send home pain control with that patient?

Hey, are we putting this patient on antibiotics because they're also on an NSAID? I saw that when I was looking in their chart, right? Like it those are things that I can control even from the front desk. So stepping back and really doing some work on your part to think about what are the pieces of your job that you own?

And recognizing it's okay to ask and ask for what you need and advocate for yourself and say hey, I've noticed that you all are not wearing you know, gowns and surgical caps when you do this type of procedure. Can you tell me more about that? Because I was trained to, to always wear it and here's, here's why, and I would love to understand what, why you guys are doing what you're doing, right?

That can bring about the conversation. It's coming at it from a place of curiosity versus I'm not going to do surgery unless we're all fully gowned. That feels very antagonistic, and I think that that's very important. If you are going to stay and try and change things, I think it's very important to recognize that you are going to have to get them to meet in the middle. And you said in the very beginning, Andy, you worried that this was a huge gap to cover. And I think when the gap is huge is when it is most important to try and approach it from a place of curiosity and kindness and to recognize that a lot of baby steps can still ultimately get you to where you want to be just as quickly as making giant leaps across the space.

Dr. Andy Roark: Well that dovetails into number two for me. I think you're spot on and that's that's pick your battles Like I said Rome was not built in a day. We're not gonna roll in and start changing, you know, how we do emergencies and surgeries and hospitalized patients and fluid like we're not that stuff. We're not gonna do all that. Pick your battles, figure out what your one or two things are That you really want to work on, and then approach them, as you said, with curiosity.

I think that's really the, the right way to approach them is, Help, why do we, why do we do it this way? I'm, I'm new here. I haven't seen it done that way before. Talk to me about, about, about why we approach it this way. Help me understand. But I think that's a big thing. Think about what is most likely to get taken up.

I think that that's, again, in setting our priorities, I wish it could be, this is the most important thing. Well, there's a couple factors. Number one, what do you think is most likely to get people to buy into? And, and sometimes we take the things that we think are most likely to succeed, because if you can start making some changes and people are like, okay, this is good, then it sort of builds some momentum and you can maybe make some more changes.

What will make the biggest difference, and that's difference for you, difference for the patients, but what, what are the big things that make the biggest difference? What might get systematized across doctors and and happen when you're not in the building? Which means, what are the changes that we could get in a system level so that it's not just the things that, you know, we're not doing surgeries differently when I'm there.

They're getting done in a way that everyone who's doing surgery is doing them this way. And now we're really raising the standard across the patient. And again, you kind of have to look at those things and sort of say, all right, looking at all the things I want to change. Which ones are the hills that I'm, that I'm willing to die on, and then also which ones are people willing to take up, and which ones, you know, are going to extrapolate out across the practice.

And all those sorts of things those things all come into, into, into play, whether you're the doctor or the technician. One of the biggest things I try to teach to associate vets, just in general, the biggest, the biggest the most underrated superpower of associate veterinarian is positive reinforcement. It is amazing how much change you can make and how much you can guide your technician teams, not by correcting mistakes, but by praising and using positive reinforcement.

And that is identifying the behaviors that you like, the ones you want to see more of, clearly pointing out this is the behavior that you did. This is the situation. This is the behavior. This is why it was so great. Please keep that up or I just wanted to say thank you. And you can a hundred percent praise people and grow them in that direction.

It takes effort, which is why people don't do it all the time. You know, when I explain it to people, they go, this is so simple. Or if it's so simple, why didn't people do it? It's like, because it takes effort because you have to be willing to have the slightly awkward conversation saying, hey, can I talk to you real quick?

I just want to say I saw you do this and it was, it was really great. I just, I always really like working with you and I appreciate, I appreciate how much care you take with the patients in the treatment room. I just, I want to tell you that that was really great. And it takes, it just takes a moment to do it, but it takes intention.

And then you have to be willing to, to sort of shout people out. So those are, those are, those are big ones. And again, you can do it with peers as, as a, as a doctor, that's how you start to sort of turn the staff as you find them doing the things that you would like to see more of, and you just tell them again, not bad mouth in the practice, not like nobody else does this.

I see you wearing gloves when nobody else is. It's like, no, hey, it's obvious that you care a lot and you have attention to detail and you're paying attention to surgical sterility. And it's just something that I have noticed about you. And I just, I just want to say bravo. Like that was, I love that you do that.I'm always happy when I get to work with you. Thank you for that.

Stephanie Goss: Well, and I think that's 

Dr. Andy Roark: Then you can start to, you can start to turn, you can start to turn things and start to get a little revolution going. And again, I'm not turning against the hospital and I'm not going to be like, those other guys don't do this, but you do.

It's nope, I love this behavior, I, I really, I'm always glad when I get to work with you because you do these specific things. And that's how we start to build that. And then, and then the techs talk. They will say, oh, well, Dr. Roark really likes this. And they take pride in knowing what, what you like, and, and you can, you can make those things ripple out.

And again, you might not be able to get everybody on board, but you can at least start to control the area around yourself.

Stephanie Goss: Well, and I think that applies within the team to like, I don't think it has to be a doctor, you know, I think it's very, it's a very effective tool and it makes sense to speak to it from that doctor perspective. And I think if you're a part of the patient care team, this is where you're going to need friends because if you're going to try and change things, you cannot, you can, the change, you can impact change as a single person and people can enact change on a significantly faster level.

And so I think thinking about it from, how do I make some friends? How do I talk to the other assistant? It may be an assistant and not a technician, but how do I talk to the assistant about the fact that they, I saw them not pre opening or pre popping the syringes. Let me find out why. Why are they doing it differently?

What are they, you know, let me say, hey, I noticed you're doing this and I really like it. Tell me, tell me more about it. Cause I've seen other people who aren't doing it that way and I'm trying to understand, right. It's about recruiting people and making some friends because it takes, you know, the more momentum that you build, you're going to build it faster if you have more people trying to push that boulder up the hill.

Right? So looking at those things that you can control from whatever your position is in the hospital and recognizing that it can go, you know, Significantly faster in particular from the doctor to support staff level and you're gonna need friends in in the team and so finding those things and complimenting them to your point and not to be disingenuous like don't say if you don't actually believe it and it's going to have a big impact if you have some people who you can be like, hey I noticed that enough of us are doing this differently.

I'd really like to bring this up, you know, to Dr. Roark so that maybe we can talk about it at the next team meeting. How do you guys feel about that? then it's, then it's a group of us bringing it up and having a conversation instead of the one person saying, Hey, I disagree with how you're doing this and I would like to see us do it differently.

Dr. Andy Roark: Yeah. I agree. And the last thing I'll sort of say, too, and this is a little bit, this is a little bit bold, but, if you're really tied to this area, and this is kind of what you're looking at again, as I, I don't know if this is a doctor or support staff, but I have loved owning my own business and sometimes necessity is the mother of invention. And if you, if you really don't like it and this is not going to work for you it can be a leap, but sometimes you have to go make your own thing. And the last thing I would say is, you know, if we got this practice and it sounds like it's you know, kind of making its way if, if it is independently owned if you're up for it mentioning to the current owners.

Hey, I was just curious. Do you have an exit plan? It is it's hard to sell practices sometimes and especially hard to sell to other veterinarians, but if you're like, I love the relationships that I love the way we treat our clients I would like to take this place to the next level. It's a bold move but but anyway, it's I, I always love, I love that type of stuff.

I like being my own boss. I like having a vision and seeing what things could be. And then and then take, you have to take the risk and the responsibility, but you, but you get the, you get to make what you want to make in the world. And that's just sort of my love level or my love letter to small business ownership.

Stephanie Goss: Well, and I think that that, I think that that doesn't solely speak to the doctor either because one of one of our Uncharted community members and, and one of our mutual closest friends Jenn Galvin is a Practice Manager. She's not a doctor. She's not you know, was not, she was an assistant, but not a licensed technician. Her practice she co owns with her partner, Erica, who is a DVM. They started their own practice because they weren't happy in the practice they were in with some of the medical things. And they were like, I would like to do this differently. Would you like to do this differently too? Hey, maybe we can do this differently together.

And so I think. Don't rule yourself out and don't sell yourself short. As a paraprofessional team member, you might very well be in a state where you can't be in honor of a practice as a non veterinarian. And that doesn't mean that you can't still get what you need out of it. I had one of my best technicians who was like, I'm really struggling with finding a practice where they practice this level.

They actually were a VTS in dentistry and were in a pretty rural area. And they were like, Hey, I'm going to go out and do like traveling relief and be a veterinary technician to go into practices. There were so many practices who were like, I don't need to have any input on this. Like, please do these, do these dentals for me.

And, and they were like, I'm so much happier because I get to control the pieces that I wanted. And yes, I have the travel, but I still get to stay in the area. I didn't have to move all of those things. So to your point, Andy, like sometimes it takes being creative and thinking outside of the box if you truly are tied to an area, but don't think that it's impossible just because you aren't a veterinarian too, I guess would be my, my love letter to the paraprofessional staff.

Dr. Andy Roark: Yeah. I love it. Well, good deal. I think that's all I got.

Stephanie Goss: Okay. This was fun.

Dr. Andy Roark: I’m rooting for this person. I hope this I don't know, I don't know how it's going to turn out, but one way or another it's going to be okay.

Stephanie Goss: Yeah, this was, this was an anonymous one because the vet world is, it's very small and to our anonymous writer, if you're listening, we would love to know how this turns out.

Dr. Andy Roark: Yeah, definitely. Yeah. Well, there's, there's more, there's more people doing surgery without gloves than than you want to admit,

Stephanie Goss: Oh, yes, Yeah. Anyways have a great week, everybody. Take care.

Dr. Andy Roark: Thanks everybody.

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

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

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

Jun 26 2024

Our Boss Refuses to Hire

This clinic is struggling with big changes, leading to being short-staffed, and the kicker? The boss simply cannot hire right now. This week on the Uncharted Veterinary Podcast, Dr. Andy Roark and Stephanie Goss address a mailbag letter from a practice trying to maintain high-quality care after losing team members, leaving them as a single-doctor practice. They explore how to balance patient and client care while being severely short-handed and whether to make sacrifices or adjust their business model. Andy shares valuable advice on recognizing capacity limits and not trying to be all things to all people, while Stephanie offers practical business solutions, focusing on numbers and pragmatic adjustments. Let's get into this episode…

Uncharted Veterinary Podcast · UVP – 293 – Our Boss Refuses To Hire

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Episode Transcript

Stephanie Goss: Hey everybody! I am Stephanie Goss and this is another episode of The Uncharted Podcast. This week on the podcast, Andy and I are in the mailbag as we are and we're responding to an email from a practice manager.

Now I'll admit, this gave me some pause when I first got it because when I first read it, I thought “I wonder if there's very many people who could relate to this email?” Because there's a lot of things in it that are fairly specific. And, the more and more, I thought about it. The more I realized that everyone in veterinary medicine can relate to one thing. And that is, we've all experienced, um, being short handed at some point in time and at the heart of it. This email is about that experience in a very specific way. This one was a lot of fun. I hope you get a kick. Out of it, let's get into it. 

Dr. Andy Roark: We are back. It's me, Dr. Andy Roark. And the one and only Stephanie I've got your help right here, Goss. That's not a song. That's not a song.

Stephanie Goss: I was waiting to see what you were going to come up with because we didn't have a song lyric. 

Dr. Andy Roark: I got nothing for this episode. It's uh, this is uh, Stephanie, the Practice is small and the boss refuses to hire Oolala Goss. It’s a very niche song.

Stephanie Goss: It's a very niche song. You might not have heard it.

Dr. Andy Roark: It's an indie band, very cool. Very cool indie band. Yeah.

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

Dr. Andy Roark: Ah, it's rainy and it's rainy and nasty here. It's the kind of day when you just open the door and your glasses fog up. It's that day. It's like poof..

Stephanie Goss: Yep,

Dr. Andy Roark: It's like a not warm enough sauna. It's like a, it's like a lukewarm, it's a lukewarm, gross sauna day here. How about you?

Stephanie Goss: That does not, that does not make me excited to come to South Carolina in a week.

Dr. Andy Roark: Yeah. No, it'll be beautiful out there. We just got, we just got a little, a little bit of a nasty, a little bit of a nasty streak going on, but generally beautiful here. Everything, you know, spring has fully sprung at this point and uh, 

Stephanie Goss: I have started my allergy meds in advance of my visit.

Dr. Andy Roark: Yeah, probably smart. 

Stephanie Goss: Probably I am, I'm preparing for all of the, all of the trees and all, all of the pollen. Well, yeah, no it, things are, things are, things are busy. Things are hopping. It's you know, it's that, that time of year.

Dr. Andy Roark:Yeah, yeah but wait, here's the thing, I don't, we've just gotten into a place in our lives where we just say, Well, it's just that time of year, and we say it, and every time of year, we're like, I guess it's that time of year.

Stephanie Goss: It's that kind of year.

Dr. Andy Roark: That time of year?

Stephanie Goss: Well is that is that a statement on how old and boring we are? Cause I feel like that could be it.

Dr. Andy Roark: I don't know. I think, I mean, I think that it's a statement to how, how, how busy we are. Where it's like, there's a, there's a meme always like there's something like being an adult is saying I'm really busy now, but I think things calm down in two weeks.

Stephanie Goss: Over and over and over again. Yeah. Yeah. Um, yeah, I feel like there's a little bit though of us just being old. Like I, I know, I got you a present that made me think of you and it was a magnet meme about being as old as the music at the grocery store is like your, your playlist.

Dr. Andy Roark: Oh yeah! That makes me smile every time I look at it. It's on my fridge. Yeah.

Stephanie Goss: And I, you know, it's true. Like we are, we are that we are that old.

Dr. Andy Roark: Oh yeah, I was um, I was at the bank earlier today and I looked around and I was the oldest person. I was older than all the employees at the bank. And that was, that was weird because I always assume that there's an adult at the bank and no one was older than me which means there was no adult

Stephanie Goss: There's no adult. 

Dr. Andy Roark: In my mind, you know like, I'm like, oh it's just us young folks. It's like, no Andy.

Stephanie Goss: Yes. Yes. 

Dr. Andy Roark: I look around, there was me and like six, seven women, and I was clearly the oldest person that was, that was there. It was all the, all the employees and me.

Stephanie Goss: Yeah, I think that like, I remember very vividly that moment for me in the clinic where I looked around and I had just hired a new doctor and like he like was starting um, like starting, high school when I graduated, like, university. And there was just like, I just felt really, really old.

And there was one day and I stood in the treatment room and I looked around and I was like, dude, I'm the oldest person in this building by like 15 years.

Dr. Andy Roark: Yeah.

Stephanie Goss: And I feel really freaking old right now.

Dr. Andy Roark: Oh, yeah. Oh, yeah. Well, there's also like the conversations that you hear people have where you're like, I can't relate to this at all.

Stephanie Goss: Yes, yes, yes.

Dr. Andy Roark: A lot of it for me is like around dating apps and stuff and I'm like you guys do like how does it work?

Stephanie Goss: You what? What? How does this work? Yes. Yes. That is, that is really that is really that's a whole other, that's a whole other, we could do an Uncharted After Dark, After Dark podcast and the whole, whole other conversation. Well, I'm excited. We got a podcast mailbag letter that is, Oh boy we're, we're gonna leave out like a majority of it because this, this poor, this poor clinic has got some stuff going on.

And at the heart of what they were telling us about was they're in a situation where they have lost team members and they have a, they are a single doctor practice. And so they're wondering, like, how do we balance providing excellent care and, and by care, they mean both patient care and also client care when we are providing excellent care like, super, super shorthanded.

And at first glance, when you and I read their letter, we both were like, can, this is not, I don't know that a lot of people are going to relate to this, this scenario that's going on in the practice because of the other details. And I think at the heart of that. For me, I was like, okay, well, if we step back and we look at it, everybody can relate to a period in time where they felt really, really short handed.

And I don't just mean like, you've got two people out because somebody's on vacation and somebody gets the stomach flu. I mean those days where you have, you know, one or two people and they're like the rest of the team, for whatever reason, the rest of the team is gone and you're just trying to make it to the end of the day because there's a hundred patients and there's two of you.

That, that kind of day feeling or the, that, that kind of day being that kind of day. There have been days where I can think of for whatever, for a variety of reasons where it's been, you know, you and two or three other people and you're holding down the fort. And I know certainly our, our friends and our colleagues in like ER feel that way a lot.

Like I have lots of friends who are just like, man, that's a regular occurrence where we're just trying to juggle things and take care of patients and we're shorthanded. So I think you and I thought it'd be kind of fun to talk about if our model is that high quality care and we're really trying to continue with that model, do we make sacrifices when we're really, really short handed to keep up our model?

Or do we do things to shift the way that we're running the business when we're really, really short handed? Okay.

Dr. Andy Roark: This is an interesting question. I'm gonna color in a little bit of lines that you sort of left out just just because I think there's some important flavor here and honestly I'm gonna say and I'm curious if you're gonna agree with me when we're all done I think this is a little bit easier than some of the other you questions and cases we get that are around. Like being short handed and I'll tell you why so let me color this the lines a little bit.

So in this practice, I think it's important to note they're shorthanded because one of the two doctors passed away or actually that one of the doctors passed away, leaving just a single doctor and like that's it. So I just want to paint that picture because it's important about kind of how we how we got here and then We, we had a manager that had to go and so just some, some, caught, caught doing bad stuff and had to go.

Stephanie Goss: Naughty behavior. Yeah. 

Dr. Andy Roark: I mean, not, not naughty, but like illegal, she busted. So anyway, so that was, that was, that was bad, so we've had kind of a house cleaning here, which I think is in, in that regard, but these are, these are lightning strike weird things, and I say this because it's not, don't, I don't want people to think, oh, this clinic, but is a toxic dump and people don't want to be there and have left but you know what I mean?

It's it's they they've just by the wheel of fate have ended up short handed and I think that that's important because I think that there's a number of things in management and in medicine in general where it's like, I was I was dealing with a we'll say a young doctor who recently had the first client that did not want to see her anymore.

Stephanie Goss: Um, Mm hmm. 

Dr. Andy Roark: And she was wrecked. I mean, just wrecked. And I said to her, “don't you know, haven't I told you that every great doctor has a client that refuses to see them?” And she says, well, “yes, but not me.”

Stephanie Goss: Right. 

Dr. Andy Roark: These things like, there are these things that we're

Stephanie Goss: Everyone loves me. 

Dr. Andy Roark: And well, it's like, it's like, we're like, sure people practices end up short handed and not because of anything they do wrong. Wink, wink.

It's not wouldn't like, and we, and we, think like that because it gives us this illusion that we have control. Like I, as long as I take care of my people, I won't ever end up shorthanded. And it's like, well, that's, unfortunately that's not a guarantee that you get in this life. And so anyway, that–

Stephanie Goss: I think if you think about it too, like there's lots of things that we run through our head in that way. Like the other example that it makes me think of is everybody thinks, well, if I write up all my records really well, then I won't get a board complaint. You know, or if I do, that's, that's another really, or like, if I do everything under the sun and explain everything in super detail, then I won't get a board complaint.

Well, the reality is that's something you can't control. You know, I just had that conversation with, one of my friends and she's a young, same young doctor you know, thinking, Oh, I'm doing of the, of the newer generation of doctors, they're writing really thorough records. Doing all of the things really high you know, white glove kind of customer service. And she was just like devastated. And I'm like, this is, this is a part of your life as a  practitioner. This is a part of the circle of life. And to your point, Andy, it's like, we wish that it wouldn't happen to us. But if we sit there and think that it's never going to happen, we're, we're kind of kidding ourselves.

Dr. Andy Roark: Right. And I completely agree. And so, so I wanted, I just wanted to call that out of, yes, I think it's important to note in this context, like how, how we got here and people to serve. And the other thing that I think is important is it sounds like the new practice owner has been very clear. That his resources are tied up. He has got another investment that his money has sunk into. And he, he does not have, he does not have free cash right now.

And, and that's why I say this, that may actually be a little bit easier than a lot of these other shorthanded questions, because if you, you know, a lot of times people say we're trying to hire, but we can't hire, how long do we wait before we start making fundamental changes? And everyone's hoping. That all of a sudden they're going to get three hires. And sometimes you do. It's like that. We've all, we've all seen that happen where you're like, we couldn't hire anybody. Couldn't hire anybody. And then all of a sudden we got three people. You're always wondering about that in this case, I'd say it's a little bit easier because it's sort of like, well, if we don't have any capital and we're not going to have any capital.

It makes the decision about when do we make adjustments a whole lot easier because this does not look like a situation we're gonna change. So anyway, I I just wanna use that to sort of color in the lines a little bit and sort of say, okay. Just to restate, we are shorthanded. We have a tiny practice, like one vet, one employee, a tiny practice. The the vet is, is fully leveraged elsewhere. There's, and, and, and he's the owner. So there's not, there's not a lot of other resources coming in here. Given those things. Oh, and, and we're slammed. We are absolutely overwhelmed. What, what do we do? And so that, that's the question. Let's start with headspace. Is that okay?

Stephanie Goss: Yeah, let's do it.

Dr. Andy Roark: All right, cool. I, I love this question. I, I, I think that one of the things that I have tried to champion in this industry, and I think one of the things that, that I am proud of in my career, is that I feel like I have been a person, maybe, maybe one of the loudest people in the industry who says you have got to be intentional about how you give of yourself to this industry and that's just, it is such a big deal for me. It's not sexy and it's not the warm fuzzy message that a lot of people want in vet medicine.

But I, I, I think, I think that has been my position is I want to help people. I want to serve and for goodness sakes, I believe that you can only do that if you take care of yourself first. And so, you have got to be intentional about how you practice, and I'm talking to everybody here, not just these people who wrote, you've got to be intentional about how you practice. You have got to work to make medicine less reactionary. And what I mean by that is, the default in medicine is, I don't know what's coming through the door, even if they have an appointment, I don't really know what's going to show up. And so the default state is reacting to the things that happen to you.

Stephanie Goss: Sure.

Dr. Andy Roark: If you just say, that's what it is. We're just going to see what happens and react to it. Then you live in a reactionary state. And we all know people who live there and their, their cell phone rings. And they're like, I don't, I, I have never considered what I would do if someone called me on my cell phone. And now I guess I'm doing this again, and you know, and it's, it's all, it's all sort of this life that's out of your hands.

And I just think that that is a really dangerous place to live, but I think that that is the default setting when you get your golden ticket into that medicine. And so one of my, one of my big things is. We have got to be intentional. We have got to make medicine less reactionary. And that means that we have to, we have to say no to people. But if you don't say no to people, you're going, you're going to burn out. You're going to have real problems. You're going to turn your staff over and not keep the people that you have.

And it's, it's time for a reckoning of yeah, there are consequences to not being available 24/7, and there are hardships to not being available 24/7. However, there are consequences and, and hardships, and they are the long term consequences and hardships of being available all the time and just reacting to everything and just paddling harder, even though there's no end in sight.

Stephanie Goss: Yeah. I, I, I I really like that, that idea of you gotta look at it in a, in a less that reactionary is such a, such a good word. Cause we don't, we don't think about it, right? Like we just think about, we're just going through our day and we're, Oh, well, like this is, this is the train wreck case that said it was a wellness. And now I'm two hours behind in my schedule. And you know, you, you look at it from that perspective of, It is what it is. And sometimes that's true. And there's lots of other things that we can do and that we can spot coming to help us be less reactionary to the day.

Dr. Andy Roark: Yeah, I mean, it, you, you're sort of very related to that. You can't be all things to all people especially if you've got, especially if you're wildly shorthanded, you can't, you can't be all things to all people. You can't, you can't take that case to surgery in the middle of the afternoon because you're booked solid with other appointments and no one's here to recover this pet.

Like, I know people that do. They would be like, yep, we're going to surgery and we'll somehow, we'll get these appointments done and then we'll suck it up and we'll have dinner at the vet clinic. And I'm like, you, you're in this marathon.

You can't, you cannot run like that because you will not make it to the end. Like just go ahead. One or two things can happen. You can accept that you cannot run like that right now while you still feel okay and you still have employees or you can accept that you can't run like that when you're talking to your primary care doctor about your depressive episodes and your staff is left. Those are kind of I don't mean to be overly dramatic but that's often where people have that realization that I can't run like this is way past the point of their of their you know body and team breaking down.

I don't want that for people And that's but that's why i'm so Just adamant and straightforward about, you've got to be less reactionary, and that means you can't be all things to all people, and just remember you cannot pour from an empty cup, and you cannot feed from an empty pantry, and what that means is you have got to make sure that you have gas in the tank for tomorrow, because if you don't have it for tomorrow, you're not going to help those pets, and if you burn out and quit after five years in practice, I would say you left all the goodness on the table, that you would have done in the next 15 years of your career had you said no to some things along the way.

Stephanie Goss: Yeah. It's interesting to me and it has always been interesting to me observing. It feels like a very, very fine line. And I'm amazed at how many of us don't see how fine it really is between having that day where, you know, the emergency, the emergency hit by car, the emergency c-section comes in and to your point, you're just like, we're just gonna, we'll figure out how to see the rest of these patients.

We're going to surgery. We're going to do the thing. We're going to take care of the patient. When something like that happens on a one off day and to your point, you're, you eat dinner at the clinic, you're there till 10 recovering the pet, someone's sleeping on the floor. Like when you do that and it's a one off that fills your cup in so many ways where it's so rewarding to feel like we can take care of a patient and we can, we can make a difference both for the pet and for the clients.

That feeling is why we make that choice. And it is a razor fine line between doing that as a one off and letting that kind of reactionary behavior become your every day. Because that's where it's like, it's like you're walking the edge of this cliff and Just one step is going to take you off the edge to the place that you, you were talking about, Andy, which is like, you're, you're saying yes to all of the things and now you're on call 24/7 and you're one person.

And then before you know it, you're you know, you're in that state of total burnout and you're wondering what the hell happened. It's amazing to me how many of us can't see how fine that line is. Because to me, like, stepping back now, I, I can look at it and think, Oh yeah, there's a, there's a canyon between doing it once in a while and feeling really good and having the whole team feel like you have run that marathon at a sprint pace and you are just, you are on the ground exhausted.

Dr. Andy Roark: Do you really think it's a do you really think it's a fine line though? Like, I, I just, I don't know. I think I've been thinking a lot about this, is, I think it's a slippery slope, which is different from fine line. Right? so, I think it's a slippery slope, because, I, cause here's, so, I, I, so, I love how you set this up, in that, staying until 10pm, one time, it can make you feel like a hero, and it can, you know what I mean, especially, you've got this case, and you have a personal attachment to it, and you feel supported, and people are like, yeah, let's do it. That can be absolutely wonderful.

And then also what we said about this, everyone's tired, the job never seems to end. That's the other part. I do think there's a fair amount of gray in there. And I say that because I, while I don't want everybody to stay late all the time and burn their team out. I also don't want people to be like, if we stay tonight, that's it. That's it. Everybody's going to therapy. We are, we are so, we are so toast.

It's just I don't think it's that. I do think it's a slippery slope where if you don't believe that you can say no, then there's no other outlet for that, and you get, you get drawn farther and further down into it, but I really do think it's important to give people some hope here, because you can't– you can decide, hey, we did that, but guys, now we're shorthanded.

Stephanie Goss: Right.

Dr. Andy Roark: And so things like that are, we're just, we're not going to do that anymore, We can't do that now. But if, if we get fully staffed, then maybe, you know, we'll, we'll go back on our late rotation. And, and, you know, it's important to serve our community that way. And when we're properly staffed, we kind of, a lot of people enjoy it and feel good about it. And so maybe we'll go back to it. And it's just, I think that that, I think that nuance is healthy of, you know, we, we can every now and then we can, we can go above and beyond. And it's not like we're going to lose ourselves, you know, down, down the cliff.

Stephanie Goss: Okay. So here's why I think it exactly what you just said is why I think it's a fine line because so many of us have that, whether we have that dialogue internally or we have it with the people around us have that conversation of, okay, we can't do, we can't do this every night. Right. And then we look at, okay, well, what does that mean?

We still want to take care of our patients. We still want to take care of our clients. If we're not doing it, what, what are, what are the options we want to be able to provide? The caretaker in us the immediate reaction is we want to be able to provide that same level of care for all of our clients.

And so if we don't have an E.R. close by, if we don't have options that feel good, that's where we, the, the the spiral starts, I feel like, because so many of us look at it and think, well, I can't think of a better option. So this is my, like, this is, I'm just going to keep doing it because I don't want patients to suffer. And so I think for me, that's where the spiral so easily starts because you want, like, it starts, it's coming from a good place.

And, it's really hard as caretakers to look at it and do what you, do what you said, which is, okay, I recognize this. We cannot pour from an empty cup. We cannot feed from an empty pantry. Let's get staffed. And then we can take care of these patients again. Even if that makes rational sense in your brain, it is emotionally really hard to set aside those patients because at the end of the day, your brain is doing the, what if game. Your brain is doing the, well, what if a client needs us in the middle of the night? And  what if, and so I think for a lot of us, instead and this is going to maybe sound too woo, but instead of working through that, instead of asking those questions, instead of getting the support that we might.

What we might need to work through those questions, we just let ourselves do it, which is how I think so many of us find ourselves in that position of, okay, well, I just have to be the one to do it because we don't work through the and get to get to the place that you said, which is, if I keep doing this, I will get to a place where I leave in five years or two years or whatever, and then think about all of these other patients that I will never be helping with the rest of my career.

So many of us just can't see past that canyon jump and don't work through it, I think. And it's not, they're not doing it intentionally. It's just, it's coming from a really good place. And I think we as a, as a group, as a, as an industry really have to think about the rational that you just gave us, like the, we can't do it if we don't take care of ourselves and get more team members.We won't be able to do it for a long time. That is so easily overlooked.

Dr. Andy Roark: Let me see if we've come to a point of agreement here. So, so we both agree that sometimes pushing the boundaries feels good and it can be a positive thing. And we both have agreed that if you are, if you're overwhelmed or you're really short handed  and you do not make an intentional choice to set boundaries, you're going to drift away from that most likely to, to being overwhelmed all the time.

And it's not fun anymore. And so I think you and I are both there. I don't think that it's, I don't think that it's if you stay late from work three times, that's it. You're done. It's not that. But I do think if you stay away from work three times, I think your question of why will the fourth time be any different? I think that's a very valid question. I think without intentional action and decision, the path is to slide that direction. It's okay. I think you are in agreement there. All right. I love it. I'm totally fine with that.

Stephanie Goss: What else from a headspace perspective, because I think that you can't be all things to all people. It sounds so simple and like you can't pour for an empty cup. And I think that's some of the hardest work to actually truly accept that from a Headspace perspective and, and, and, and do that and lead that way. What else do you think of when you think of headspace?

Dr. Andy Roark: Remember that your job as a leader is balance, right? It's not your job to make the clients happy. It's not your job to see all the pets. It is your job to balance the needs of the pets, of the clients, and of the staff, and of you, and of your family who you go home to.

And you have got to keep those things in balance. And when we tend to be shorthanded, what happens is, the needs of the staff and my family and myself tend to get overlooked while I try to meet the needs of the pets and the clients. And that's not in balance. And so for me, I think that that perspective is really key is you have got to build, you cannot throw yourself on the sword of, I have to see all the pets. It has to be, I have to achieve balance. And when our work capacity goes down.

Stephanie Goss: Then I can do all the things.

Dr. Andy Roark: Then things have to get rebalanced because suddenly the, the, the, the number of pets coming in did not go down. So we've, we've got that weight, but the amount of weight on the staff side has gone up and now we're tilted and way out of balance.

And so remember the goal, it has to be balanced and that doesn't, it involves taking care of your team, taking care of yourself and taking care of your family.

And the people in your life that care about you. And the last thing is to say, we have got to, at some point, look at this situation, not through a moral lens of am I meeting, am I meeting my obligations to, to the community, blah, blah, blah, things like that.

I think it's okay to use that lens, but then you have got to set that lens aside and you have got to look at it through a pragmatic lens and make decisions based on resources and capacity, right? In some cases like this, the best analogy that I can give to people who are in a practice that's shorthanded and overwhelmed is you're faced with a lot of the challenges that animal shelters have been faced with for decades and decades and decades where you say, the supply of pets and the pets in need, they don't stop coming.

And you, and you unfortunately have to play the resource allocation game. And that's what you have to play. And if you, if you can hire and staff and grow and charge appropriately, you don't have to play the resource allocation game because you're ready. Clients come in, you charge them, you, you know, you meet their needs and blah, blah, blah. But unfortunately at some point it does become about resource management just like shelters and that is a hard transition to make but I say that because there is a precedent because I think a lot of times vets are like that's it I am a terrible person for turning some pets away and making but as I that's that's not unprecedented. That's what it means oftentimes to work with animals. I– my daughter's friend has a litter of kittens under her under her porch.

And so Jacqueline comes to me with these pictures of her of these cats and of course, I immediately said the veterinarian thing, which was, they, those cats need to get spayed and neutered. Like immediately, I had the first, she's like, look at these kittens. I'm like, we need to get some cat traps. And you know, those cats need to get spayed and neutered.

That was the first thing I thought. And so then I started looking around and I was like, I don't know, I don't know a place that does, you know, trap. I, cause I was just like, I don't have any tie to these cats. What I really want is a trap neuter release, you know, Operation Catnip style thing of get, get, get the ears clipped and back out they go. That's what I wanted. And so what I found is that the, the county animal shelter will do that. But they can only take the number of pets that they can handle in a day.

So there's a line that forms at 730. I've driven past there on, on my way, you know, on my way back from CrossFit at 7:30. I've driven past it. And I like, I was like, wow, what people really want to adopt today. It's like, nope, Andy, they were dropping. That's it. But, But,they only take that. And, and, and, and I, and I asked around and the story I heard was, you know, sometimes people will show up at 7:30 and the people in front of them, like, that's it. That's all the capacity we have. And they get, they, an hour later, they get turned away.

And I go, that's, the shelter's not bad. They're doing what they can with what they have.

Stephanie Goss: The best they can with what they have. Yeah. Yeah. 

Dr. Andy Roark: So they’re not bad, just like you're not bad for saying this is the capacity that we have. So anyway, I think, I think, I hope that I'm talking to an audience that has love in their heart for, for shelters and for animal rescued animal work. We need to extend that same grace to ourselves when we simply have limited resources. And so anyway, but that has helped me to not be okay with saying, I'm sorry, I know we're booked out. We're closing on Saturdays, like, or we can't see you until tomorrow. We don't have capacity to take on any more pets tonight. It doesn't make it feel good, but it helps me to know that there is a precedent that this is what often, what it means to try to serve

Stephanie Goss: To keep going another day. Yeah. 

Dr. Andy Roark: exactly to keep going another day. And like,

Stephanie Goss: Because it's like, if the shelter doesn't do that, then the, think of the hundreds of thousands of pets in the next five years that they won't be able to help. That totally makes sense to me.

Dr. Andy Roark: Yeah, when, when they can't keep a vet because the vets, you know, overwhelmed and burned out and exhausted then think about the net loss to that community. And so anyway, I think we should give ourselves the same grace when we have vet clinics that are shorthanded. Again, I know these are for profit clinics, but the simple math of trying to be there for your patients, that, that, that's the same. And so we should hold onto that. So I think that's it for me, for headspace.

Stephanie Goss: Okay. You want to take a break and then come back and talk about some action steps?

Dr. Andy Roark: Yeah, let's do it. Let's try to help these people.

Stephanie Goss: Okay.  Hey, everybody. I want to talk for a quick second about something brand new. That is a member benefit of being an Uncharted member. One of the things that has brought our Uncharted members together since the beginning has been the love of getting together and feeling that connection, that cup filling experience that you get when you're with your peers. 

And so we have our brand new Uncharted Anchor Fest. We've pulled together a bunch of our favorite community events. We get together one time a month, we spend three or four hours together. It's broken up into different chunks, so you can attend to some of it. You can attend all of it, but it's there for you. 

It's a flexible and customized structure that features workshops. We've got case study activities where we dive into specifics about things that could actually be happening in your practice. We have hallway conversations to dive into the topics that our community is asking about the most. And all of these things are tied together to help you excel in your practice. 

So, if you haven't been over to the website lately, go check out our Uncharted events calendar. It is amazing. We have got so much coming and you're not going to want to miss it, including our upcoming anchor Fest. Unchartedvet.com/events will get you all the info that you need. And now back to the podcast.

Dr. Andy Roark: All right. So first, the first action step for me is we have got to we have got to, we've got to lock the door. We have to lock the door for just a moment. We might, especially if you've only got a couple of people like they do, it might be time to go out to dinner together and let's, and let's go out to dinner and let's get, let's get pizza. And so everybody can eat their fill and just get all carved up and let's just have a comfortable dinner together and let's talk about where we are and let's talk about what's, what is feasible, right?

And there's really, to me, there's two steps here. The first is, can we be more efficient? Are there things where we are not working together? Are there simple things that we can do to speed up? Let me be clear here. I don't think you're going to solve your problem here. 

Stephanie Goss: With efficiency. 

Dr. Andy Roark: With efficiency, but are there simple screws that we can turn to get more efficient before we start setting our boundaries? You know what I mean? So like jumping, jumping back to the shelter example, are there ways that we could how can we work efficiently to do spays and neuters so that we can take 20 cats instead of 13 and you say, well, like that's seven a day.

That's 35 a week. You know, that's 150 a month. Like it is anyway, but you get the point. It can't— can, are there screws that we can turn? And so a lot of times what happens is we look at our, we look at our practice and we say, okay, can we get more efficient? And I'm not talking about, can we work harder? Can we run faster?

Which a lot of people hear efficiency is going faster. I'm like, no, are there things that are tripping us up that are slowing us down. Are there places where we see redundancy and work, meaning I, the technician, am doing a bunch of stuff. And then I see you, the doctor, doing the same stuff again. Like, that's frustrating. And I see, I just see a lot of that stuff. Are there, are there systems that we could build just for getting people checked in, things like that? Do we have to, you know, is it time to turn on a phone tree?

Stephanie Goss: Right. 

Dr. Andy Roark: Instead of answering the phones in the morning, something like that, all of those, that's, that's the type of stuff that I'm talking about is what are your options to try to make your life easier without limiting our services?

Let's start with that and see what we can do.

Stephanie Goss: I agree, I agree with that. And I would say for me, the step before that, and this is, this is, this is a hard, a hard one because if it's not your practice, getting your practice owner to look at this might be hard. And as a manager, the first place that I would start is, okay, my needs from a business perspective in terms of cash flow are dramatically different if I have one employee and I'm open eight hours a day versus if I have six employees and I'm open 10 hours a day, right?

Like the, the needs are dramatically different. And so. from a rational headspace place, it makes sense to say, I, I cannot, nor do I need to do the volume that I was doing with six team members when I have one. And a lot of us skip looking at that step and we just think, well, we've been at this, this is where we've been.

And so even though we're down here now, we still need to try and operate up here where we've, where we've been. And so I think the first piece of it is looking at what is that actual gap, particularly if there's money concerns in this instance, in terms of investments and stuff like that.

If there's, if there's money concerns, like sit back and look at what is the actual cashflow necessity, and then look at that from the perspective of, okay, if this is how much we need to keep the doors open for these hours, how many patients can we take care of? And then go to your, to your point, Andy, how can we maximize our efficiency to take care of as many patients in that space that will allow us to cover the bills and not be, you know, not be worrying like, are we going to be able to make payroll on Friday kind of a thing.

And I think that a lot of us skip that step and go straight to the, well, To your point, they don't even look at the, can we be more efficient? They just  think, how can I work harder?  Cause you, cause it's that, it's that panic reaction.

Dr. Andy Roark: Yeah. I mean, I think I always have to throw this out. Supply and demand. When you are shorthanded, that means the supply of care is low, and that means the demand goes up. The classic business approach to this problem is to raise prices.

Stephanie Goss: Right.

Dr. Andy Roark: We are doing more work than we can do. The prices are going to go up and people go, but then some clients will leave.

And you go, yeah, that's, that's, part of the point. Is, you know, we, we have got to, we are working at max capacity. We need some people to go somewhere

else and, and raising the prices away. to kind of make that happen now of course I'm not trying to jack prices up on people that's not that's not what i'm talking about but it is how basic business works is if your capacity uh if i if i can make 100 widgets in a day and sell them and they all get bought and then my partner leaves and now i can make 50 widgets in a and people are standing in line trying to get widgets, the price of those widgets is going to go up.

Stephanie Goss: Go up.

Dr. Andy Roark: And, and some people are going to stop standing in line, and that's okay, because the people who want it are going to get it, and I'm able to, to keep to keep going. And so anyway, that's, there's part of that, and I don't like advocating for raising prices, but in this case, I think it's probably part of the overall It would make sense, especially if we were like, Hey, the owner's cash strapped, we can't afford to hire somebody. It's possible that if we raise prices and we would able to one, get our overwhelmed down and to generate enough money that we could then get some more people in.

Stephanie Goss: Yeah, I think, I think, that makes sense. And I think that's, that is absolutely part of the, that like strategic thinking in terms of like, okay, let's get out of the panic headspace and let's look at what do we actually need? And then to your point, can we, can we make this more workable by doing, doing an increase?

Are we at that lower end? Do we have space to do that? Cause that will, you know, maybe solve some of the, the client problems. And again, I think we, I think so many of us hesitate to think that way. And I know I experienced this every time it was time to do price increases in the practice. And the team would worry and they're like, well, we're going to lose clients if we raise prices.

And my response to them always was, yes, we will. And You got to work through why are you worried about that? Because where it's really coming from is that feeling of we have to be all things to all people. No, we don't. We're going to lose some clients. And that is true. Are we going to lose some clients that maybe we really like and we wish that we didn't lose. That is also possible. 

And when we look at the business itself, the we know from Pareto's principle that 20 percent of our client base is giving us 80 percent of the business. And so if we're losing some clients at the bottom end, does it suck? Yes. But is it going to be the end of the world? It's not.

And so many of us, so many of the team like looked at it, like we can't lose any clients. You, you, you can and you should, because there is a, there is a fine point of what you can do as a business. And so I think your point, Andy, is great. And I love looking at that as part of that, that strategic plan. And, and for most of us, because we're in that panic state, it's really hard to sit down and think about it from that practical perspective.

Dr. Andy Roark: Yeah, I think you’re spot on. Let’s talk about the conversation here. Cause we talked about this person was like, I'm not the practice owner, but, but I gotta, I need to talk to this person.

I I think, I think the conversation with the team is a sticky wicket for a lot of people. And so, you know, I, I think in, in my mind, I'm just going to put this out as a general conversation, regardless of who you are.

I think I think a well done conversation around this, it starts with vulnerability. Right? It is not about the sky is falling. It's, I, I would avoid flowery language, you know what I mean? Of like, we're all getting ground to pieces. Like, it's like, let's, let's not, let's not get dramatic here.

Let, again, that doesn't, that doesn't help. But let's get honest about how we're feeling and sort of say, hey, you know, we, we are. I don't know that we're keeping up with the, with the requests we're getting for care and then, and then try to speak in specifics. This is, these are the behaviors that I'm seeing.

We, you know, we've got, we're, we're, we have not gotten out of the clinic yeah, eight o'clock at night for the last, for the last two weeks. And I, I want to just touch base and say, is that the plan for the future? Is this again? I, I have gotten that's been sort of a go to for me recently as I just, is it, is it the plan that we're going to continue to get out of here around 8 o'clock at night?

Is that what the plan is? And I do that because it often is not perceived as being aggressive. But it, but that's frame up the issue as well. If the answer is yes, we're going to suck it up and work until eight o'clock. I'd like you to tell me that now and if, but, but it makes it, it draws that conversation out in a fairly productive way.

At least, at least that's what I've seen recently. And so anyway what are, what are, what are we talking about here? And, and, and what is, and are you guys seeing this? And what is the plan? We want to make sure that we speak in specifics about what we're seeing and hearing. And this is a part that we have to tease out in these meetings that often these where these meetings go off the rails. It is one of the one of the things we have to get pragmatic about is it's one thing to say, I'm tired. I'm burned out. We're working all the time. It's another thing to say, these are the specific situations that are causing me the most frustration. But if you can't make that jump, it's really hard to fix.

And so I hear a lot of people get together and they all talk about how burned out they are or how tired they are. But there's no consensus about what needs to be addressed in order to reduce that. It's just, we, we, we can't be this tired. And so a lot of times I'll seek practice and they're like, great, we're going to close on Wednesday afternoons.

And maybe that's what you need to do. But, but I have seen clinics where there's a half dozen clients that treat the staff like crap and yell at them. And then your staff tells you that you're burned out and you close Wednesday afternoons. And now you haven't done anything to actually address the problem.

And I want to be kind to people here and say, it's funny. Sometimes these are really hard to articulate. Think about, you know, context matters and the situation matters when people think it does. If you're running a race. And you think that you're in 1st place and someone says, how do you feel? You would probably respond to that question differently than if you were in last place and everyone was running away in front of you, even if you're running at the exact same pace and someone says, how do you feel?

You're going to get radically different answers. And so a lot of times the team says, I'm so tired. I'm so burned out. The truth is there. They are frustrated. Because they don't think they're having an impact. They are frustrated because they're hearing negativity from clients and they're not feeling appreciated.

Again, not always. I'm not trying to say ignore You know the words that we're exhausted but we have got to dig into this a little bit because there's sort of vague language around how we're feeling.

That doesn't translate to something pragmatic. And so we've really got to get into that. So the questions I'm asking these meetings are “How are you guys feeling about how things are going? to um What, what are, what are the situations you think that are having the biggest impact on us or making us the most frustrated or making us the most tired?

What are some things and what are some things that, that we can make changes and help?” And in this case too, I'm going to really lean back into our affirmative inquiry, which is asking the team not what is bad because a lot of times they don't, they'll tell you what's bad, but they don't know how to fix it.

One of the best ways to approach it is to say, Remember the last really great day you had. What happened in that day? Why was that a great day?

And they'll say, Oh, well, we did not have a single client raise his voice to us. And you go, Oh, that's, that's constitutes a great day. Oh, but, but, but they've just given you some real clarity about what we can do to, to intervene and try to make a difference here.

And so anyway, but those are the types of questions I would have is what does a great day look like for you guys?

And then we start to kind of work around, work around in that, in that regard. Know that as you start to make some adjustments here, Rome wasn't built in a day. And I would tell the team, we're going to try some stuff. And if it doesn't work, we're going to try some other stuff. Or if it kind of works, but it doesn't work enough, then we're going to add more.

And if we do this for a while and it's great, and then we feel like, hey, we can loosen back up and make ourselves more available or help more people, then we'll loosen back up.

But that's really important because a lot of people get into the mindset of, We're making permanent changes right now and that's too much stress and pressure. And then also you don't know how big an impact some changes to the way you practice is going to have. And so be kind to yourself and try some things, set the expectation that we're going to keep making adjustments.

Stephanie Goss: Well, and I think that's where it falls apart, particularly when it comes to being short handed in, in two ways. So one is, I think for a lot of us, we think if we can just get more people everything is going to be easier. And the reality is, that's never true. Because when we add a person, there's always a significant increase in the workload at first, because you have to train them, you have to show them where things are, you, and that's why so many of us operate in that place you're just jumping in the deep end and figure out how to swim because we don't plan for that additional workload that comes with adding to people to the team.

So I think that's number one is don't expect that if you just add bodies or, or throw bodies at the problem, that it's actually going to solve the problem because it's probably gonna make the problem worse.

Dr. Andy Roark: Yeah, you're gonna have to onboard. I think that's a really good point. I, I think anybody who's holding on to the, we'll get three more people in here and then we'll be back at full capacity. No, you won't. You get three people in there and then it'll be three to six months of onboarding and getting them up to speed and hopefully you'll get

Stephanie Goss: Yes. And, and that's the, uh, the other half of that where it falls apart is for, and this is, I'm speaking to the managers and owners because I have made this mistake myself. And I think it's a, I think it's one that we make commonly and it is absolutely detrimental to the team, which is, okay, now we've thrown bodies at this problem.

Now we're going to go back to that patient load, or now we're going to go back to that business load. And we raise, we, we increase. So we crank the pressure up because we're like, we've got the bodies. Now let's go back to running a wide open, like we, we, compress things. We stopped seeing as many patients.

We, you know, we, we started, um, you know, not taking patients after four, whatever the things were we did to make space in the schedule and survive the being short. When we put those bodies into place, too many of us don't actually think about that time period that it takes. Cause you've got more work.

You've got to figure out new systems. You've got to figure out the new people, all of that. And we immediately crank that pressure back up within the first, some of us wait. you know, two to two to four weeks. Then we're like, cool, everybody's doing great. Let's, let's start taking more patients and let's open the schedule back up.

Because there's the things I, especially when cashflow is an issue, there's this thought of, well, now I've added more bodies. Now I need more money. Now, so it's this spiral of, bad, bad choices made for good reasons, right? I get why we're making the, the choices and they're still the wrong ones because when we turn that pressure up, then we get to the place where everybody is immediately overwhelmed.

We don't support the new staff. They don't get the training they need. And then things fall apart six months later when everybody quits again. Right? So I think that's, those two things have been got to be considered when we do the action step that you talked about, Andy, which is like, this is not going to happen overnight.

Rome was not built in a day. This is a, this is a process. I think we have to consider both of those two things and try and avoid those two giant gopher holes that are waiting for us.

Dr. Andy Roark: Once you get the chaos into the box, for God's sakes, don't hire three people and then throw the lid open again, you know? And I see it, I see it all the time and see it because I don't think it's generally profit driven. Uh, you know what I mean? I, I mean, I'm sure sometimes maybe it is, but I, I, it's not usually my impression.

I think my impression is that everybody in vet medicine hates saying no, they don't like conflict and they don't like saying no. And so as soon as they perceive that they are staffed to where they don't have to say no, they stop saying no, they start saying yes.

Stephanie Goss: Yes.Yes. 

Dr. Andy Roark: You know, I, I think, I think to someone who was like, well, I, I want to say yes, I would say, okay, well, once we have gotten the chaos back into the box and we have set some boundaries, uh, you can see the pattern here.

Stephanie Goss: Keep it in the box.

Dr. Andy Roark: If you, if you want to increase capacity, we should be, rather than throwing the doors open and letting the chaos run back in, we should be intentional about how we're going to increase capacity. And let's be smart. It's funny. Um, I think it's the natural cycle of business is you open the doors and you have minimal systems, and then you just go until things are completely nuts.

And then you go, this is not working. We can't do this. And then you fight the chaos back into the box. And then you're like, whoo, I feel good. And then you release a different kind of chaos, uh, into the, you know, into the building.

Stephanie Goss: This doesn't sound, this doesn't sound remotely familiar at all.

Dr. Andy Roark: I, I win. I went to the Nutramax headquarters, you know, Nutramax that makes Dasuquin and stuff like those, it's got, they're, they're great but, but they're great, but they, they're based here in South Carolina and I was invited to, to their headquarters to see the facility, everything. And so, so I went and it was funny. It was sort of, I took about half of the Uncharted team and we were there and we got to meet with the leadership team at Nutramax and sort of the, the, the, Founder head of of Nutramax is there.

He's a veterinarian. He's just a neat guy. But he was sort of asking me about the future for Uncharted. And I said, well, you know, we're going to try some things and we're going to see how they go. And uh, some of them probably work and some of them probably won't. And the whole Nutramax team fell out laughing.

I said, I just kind of looked at him and he looked at his team and he said, You guys have heard something like this before haven't you had like, they, they were like, they just rolled on the floor and it made me feel great because it was like, see, Stephanie, guys, other companies do it this way too, is they're like, we're going to try some stuff. some of us going to work and some of us not. And we're going to clean up. We're going to clean up the mess from the part that didn't work. And we're going to keep doing the part that did. And that is how you run a business, Goss.

Stephanie Goss: I can't you know, I have a feeling we have listeners who are like Dying laughing just because we're laughing but also I have a feeling we have listeners who are like Oh, Yeah. That sounds really familiar.

Dr. Andy Roark: Yeah.

Stephanie Goss: Because it's not just us, right? It's not, that's, that's, and, and I think the, the big thing where I look, I look at you sometimes when we do it and I, and I say, Hey, If we do the same thing over and over again and expect different results, it's insanity, right?

And if we do the same thing over and over again, at some point it becomes your business model. So if we make mistakes, let's make different mistakes next time. Like let's not make the same 

Dr. Andy Roark: We come up with new and creative mistakes. I'll tell you that. We don't make the same mistake again and again, that's for sure.

Stephanie Goss: Oh man, this was, this was, this was fun. 

Dr. Andy Roark: Yeah, this is a good one. Thanks for talking through with me.

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

Dr. Andy Roark: See ya everybody!

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

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

Jun 19 2024

Helping Vets Balance Wellbeing & the Practice Needs

How do we balance supporting the team’s well-being with the demands of running a successful veterinary practice? This week on the Uncharted Podcast, Dr. Andy Roark and Stephanie Goss navigate these choppy waters, helping listeners find the perfect balance between personal and business needs. They dive into the importance of using varied measuring sticks for success and how to recognize and accommodate different life phases and priorities. Stephanie and Andy provide a treasure trove of actionable steps to help veterinarians chart a course towards a realistic work-life balance. Let's get into this episode…

Uncharted Veterinary Podcast · UVP – 292 – Helping Vets Balance Wellbeing & The Practice Needs

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

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

Submit your questions here: unchartedvet.com/mailbag


Upcoming Events

🌟 Set Sail for Leadership Success!

Ready to chart a course towards exceptional leadership? The Uncharted Leadership Essentials Certificate is your compass for creating a thriving workplace culture, improving patient care, and guiding your team to success. This all-new program provides 8 hours of on-demand CE, focusing on seven key areas that will help you steer your veterinary practice with confidence and skill. Perfect for leaders at any stage, this certificate equips you to helm high-performing, collaborative teams. Embark on your leadership journey today at https://unchartedvet.com/certificates/.

🌟 Get Your Team Talking with Superheroes ASSEMBLE!

Looking for a fun way to boost team communication? Sign up for our newsletter and download Superheroes ASSEMBLE! This exciting game and training tool, designed by the Uncharted Veterinary Conference team, is now available for FREE. Improve team cohesion and communication by leveling the playing field and helping your team members recognize their own strengths and those of their colleagues. With built-in examples and all the materials you need, this game turns practice challenges into educational and entertaining discussions. Don’t miss out—assemble your superhero team today: https://unchartedvet.com/superheroes-assemble-signup/

All Links: linktr.ee/UnchartedVet

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

Upcoming events: unchartedvet.com/upcoming-events/


Episode Transcript

Stephanie Goss: Hey, everybody, I am Stephanie Goss and this is another episode of the Uncharted Podcast and this week on the podcast, Andy and I are diving into the mailbag. We got a letter in response to a prior podcast that we had done about well being on the team. And this writer is wondering, Hey, I really liked some of the advice you and Andy gave, and I'm struggling to put that into practice in my practice because I feel like everybody has a different definition of wellbeing and I still have to run the business. And I'm wondering how those two things exist in the same time and space. We know that that's hard. In fact Andy and I both talk about some of our own experiences with this, including some things that we currently are, challenged by on our Uncharted team, because I think it's always a challenge to balance the needs of human beings and let them show up as human beings and let ourselves show up as human beings as leaders and still run a business. And as I say, a lot of the time, the truth and the answer probably lies somewhere in the middle. Let's get into this. 

Dr. Andy Roark: And we are It's me, Dr. Andy Roark and the one and only Stephanie, I don't know the keys to success, but the to failure is trying to make everyone happy, Goss.

Stephanie Goss: : What song is that from, Andy Roark? 

Dr. Andy Roark: That's not from a song. That's a quote that I really like that we're going to talk about today. Yeah, that's what that is.

Stephanie Goss: : All right. All right. How's it going? How's it going, friend? Stir it's stir crazy. 

Dr. Andy Roark: It's been raining all day here. it's the end of the day as we're recording this, and it's rained all day, and my bad golden doodle Skipper is just pacing like a boxer trying to get into the ring, you know what I mean? Like he is just, like he's, you know.  He can't take it much more, he's walking, he's, he's look, he is, we call it trolling. He is trolling, which means he is just like something in here I can mess up, something in here that I could conceivably eat, like, not devour, just chew to pieces and spit back out, and like, I see him, and I'm like, look buddy, I'm sorry, like, I know it's, like, it's raining out, it's been raining all day, and I need you to hold it together. I am sorry. I need you to hold it together. And he's like you just go make your podcast funny, man.

Stephanie Goss: : He needs a– he needs a raincoat and rain boots. 

Dr. Andy Roark: Thank God, I thought you're gonna say he needs a friend like he does not need a friend.

Stephanie Goss: : No. 

Dr. Andy Roark: Like we've got my wife and I play two on one defense against him and we're losing and like we– He does not need a friend.

Stephanie Goss: : No, especially because your kids, before you know it, the girls are going to be in college. And then it's literally just going to be you and Allie playing zone defense with that guy. 

Dr. Andy Roark: I hope he'll be old enough by that time that we can take him, you know oh man, yes the kid like It's a brave, it's a brave new world. Now that Jacqueline's got, she's got she's got a car. Like, she got a, 

Stephanie Goss: : I know. I was going to say, how's it going, how's it going since she got her car?

Dr. Andy Roark: It's, it's, it has been good.

Stephanie Goss: : Have you guys figured out how to park in the driveway? 

Dr. Andy Roark: It’s good. It's

Stephanie Goss: : because that's a problem.

Dr. Andy Roark: It's okay, yeah, so, so what happened is we, I think we've, we have just fallen into the system of everyone leaves their keys next to the door, and then we're 

Stephanie Goss: : play musical 

Dr. Andy Roark: yep, and we're just, taking whatever car is, is not blocking other cars in, and like, it's, it is not a long term solution, but it's holding up right now.

Boy, last weekend hit Allison, my wife hard, because that was the weekend that Jacqueline was basically like, alright! See you on Sunday night and like she was like she she had a full schedule It's all it's all great great wholesome stuff like she went She went to the roller skating rink with her friends and she had a project to work on at school and there was a local comic con and she went to it in her cosplay because she's a theater kid like But she was like she would pop in for 20 minutes get a snack, wave and then she was gone again and like It was, I was talking to Allie and Allie was like, This was, this weekend was hard.

And I, I, I didn't, I didn't notice. I was, I was busy doing other stuff. Oh, that's great. But,I think, well I think that I, Because I had been the person who Rode with her while she got her driver's  permit and stuff. I think I was much more aware of this coming than Allie was. And like, this, Anyway, it really hit her this weekend. And so it's, it's, It's weird, you know, faces of life are a real thing, you know, where you're like and again, I, I, I went and visited with my, my brother, and so he has two kids, they're two, and this kid is very two, and six, and that is not 16 and 13, like, you know, I, I 

Stephanie Goss: : totally different face.

Dr. Andy Roark: But I can say to him because he's exhausted.

He's just exhausted like he doesn't get to sleep through the night his two year old gets up every night multiple times and does stuff and it's like And i'm like, I know this seems terrible I promise you That this will fade into the rear view very soon and like you will not Your life will not continue to be like this. You just have to hold on and you know and now and now i'm in this place where I don't see my oldest daughter for the weekend And so anyway, it's It's, it's fascinating how life is. The only constant is change. But yeah. yeah. How about you? 

Stephanie Goss: : True story. True story. Things are, things are good. We've got lots of, lots of change happening. The kids are, the kids are you know, getting, getting all into spring sports and things are, things are crazy busy and they're really excited about their dad, and is moving to a new place. And so they're really excited about new rooms.

And like my daughter is, she can't drive yet, but she is like chomping at the bit. And so she's like, I've got a shopping list and I want to go to Ikea. I want to, I, want to do, I have my paycheck and I'm ready to spend it.

Dr. Andy Roark: It’s a hole in her pocket.

Stephanie Goss: : it is, it is,

Dr. Andy Roark: That you're recording from a different closet than usual today.

Stephanie Goss: : it's my regular closet.

Dr. Andy Roark: Is it? Did you decorate? 

Stephanie Goss: : my well, no, but what you're noticing, and too bad everybody can't see us today because it's not 6am, so I look like I just got out of bed, but it's afternoon. But I redid everything in rainbow order this weekend with all of my books to Boots. I had some, I had some excess anxious energy this weekend and I, you know, and it's springtime finally here.

So I've got fresh cut flowers from my cut flower garden. And you know, it's coming together, the Clophis. It's been a, it's been a project

Dr. Andy Roark: Yeah.

Stephanie Goss: : together. It's coming together. Anyways 

Dr. Andy Roark: it looks like, it looks like, it's 66% office and 33% hanging clothes. Like that's what it looks like.

Stephanie Goss: : Pretty, pretty much. There's some sound dampening thanks to the, thanks to the clothes and the rest of it is, the rest of it is office. Okay. I'm really excited about today because we have got a mailbag we have got a mailbag that has been Hanging out and I've been waiting for the right time and the right like way to talk about this.

So I'm excited. I'm excited for this one. we had gotten a message. We had done a podcast about gosh, I'll have to find the episode cause it's been quite a while. And we had done an episode about kind of the wellbeing of the team. And someone had sent us a podcast and said, you know, I listened to this one and I really liked some of the suggestions that you and Andy had. And I also would love to hear like more about. The idea of well being, and it feels like that looks radically different for different people. And this is a person who's in a position of leadership in their practice. They were like, how do we balance supporting the team and supporting the idea of well being and everyone taking care of themselves and taking care of their personal needs?

How do we balance that with the business? And in particular, like how do we help our team and our associate doctors and everyone understands that they can't be all things to all people. Because in that episode, you and I had talked a lot about the idea of we can't be all things to all people and we have to at some point have boundaries.

And so they were just like, I hear that. And I, and I want to, I want to apply that in my practice. And what I'm finding is that the concepts of well being seem to be really different from person to person. And for some people and I had some follow up conversation with this person who sent in the mailbag and it was interesting because they said something about, for some people, like their definition of well being is very like in their mind, this is what it looks like.

And they were like, their definition was radically different than mine. And so I'm struggling with how do I balance all of these things? Because I really do care about these people and I want to invest in them and I want them to be happy and healthy and whole to continue to work for me. And also because I care about them. And also I have to run a business.

And at the end of the day, to do that thing, I, and to take care of our patients and to take care of our clients, I need everybody to be at work when they're scheduled. And I need everybody, you know, like I can't constantly have somebody on vacation. And so they were just like, how do I, how do I do this?

And it was one of those ones where it feels kind of a little bit vague in the sense that it's not. It's a big, it's a lot, it's a big thing to try and unpack, but I thought, how fun, how fun would this be? And so I've kind of been thinking about the right time and place for us to do this, and I feel like it's a good, I feel like it's a good time.

Dr. Andy Roark: I yeah, I it is vague in a way, but also I totally get it and

Stephanie Goss: : I know.

Dr. Andy Roark: Step step into my dojo this is I know exactly how this feels because you've got 

Stephanie Goss: : into real life.

Dr. Andy Roark: yeah, and it's like You've got people and you're like I want you guys to I want I want you to enjoy coming to work And I don't want I don't want you to burn out and things like that and also We have got to make payroll and pay the bills And I don't want to talk to you about money because I know that that turns people off and they don't want to hear about dollars but at the same time, we really, like, have I mentioned payroll?

Stephanie Goss: : Right. Yes.

Dr. Andy Roark: Those, like, those are, those are real. And so that balance is real. And so I, I have thought, I have thought a lot about this. And sort of to balance these things that I am happy to share. I'm happy to share sort of my perspective on this and kind of, kind of how I try to set it up at Uncharted and, and, and, and, and what I see in the vet world and kind of how I try to bridge those things.

And then also sort of how we train leaders, because again, anything about training leaders or medical directors, practice managers, whatever, we don't want to come off as callous. Like I don't care about your wellness. I don't care about your happiness. That's not true. And also we have all seen individuals that push the boundaries and say, well, I didn't feel like coming to work today.

And you go, okay, well, that's not, there's repercussions for that. Like the rest of the team, the rest of the team is penalized when, when you 

Take a, you know, unscheduled vacation day like that. So we should bounce that anyway Let's let's get into let's start at headspace. 

Stephanie Goss: : All right Let's do it. 

Dr. Andy Roark: I want to–I want to go ahead and touch on something that you said right up front because I think you're right I think Going into this and starting to have this conversation Everyone has their own journey for well being the things that make some people happy are not going to make other people happy. I wrote passionately recently about a big pile of mulch in my driveway that I was going to spread. I said looking at my steaming pile of mulch, I'm pretty sure that's why poetry was created. Like it's, I really love. 

Stephanie Goss: : That's your happy place. 

Dr. Andy Roark: It is. I like to be in my garden. I like to push a wheelbarrow around. I like to mow my grass. I like to pull weeds. I like to get out there and just be there. My happy place is honestly talking to someone on the phone or doing a consultation or something like that while I'm pulling weeds. I, I love it. And that is not Stephanie Goss happy place. If I was like, Goss, come here. We're gonna work on yourwellness. 

Stephanie Goss: : Absolutely not.

Dr. Andy Roark: Get the shovel. you know, it's not, it's not the same. but I think that's just really important is, you know, what works for you as far as wellness. It won't work for everybody. And so this can't be a one size fits all solution. We have to approach This sort of balance with a bit of a hands off nature like we need to to set people up for success But but how they actually get there what they do that that's kind of got to be their business And so I I think that that I think that puts our writer in a good headspace, but then also I think if you're someone who is like, I found the key to wellness, I just know that the frustration you're going to have is people are gonna be like, well, that doesn't work for me.

And that's a, that's okay. Unfortunately, everybody kind of has to figure out their own journey. And I really mean that when we're talking here about our associate veterinarians and how do we get them to understand X, Y, or Z. Thank you. They're going to have to do their own journey and we can show them some things, but they're going to have to kind of go through those doors themselves.

At the same time, we can frame up how our business works and how they're supported in a way that we can feel good about.

Stephanie Goss: : I agree with that.

Dr. Andy Roark: When we start, talking, especially about sort of associate veterinarians, and that's kind of where I zoomed in on in this question of, you know, how do we get them to sort of balance wellness and making the business run? One of the biggest problems for veterinarians, Veterinarians that I see is what I call the, what got you here won't get you there problem.

And the idea is, I've talked about this on the podcast a number of times before, but, but basically we as doctors and a lot of us in, in support staff technicians, especially licensed technicians, things like that, we were raised on external validation. We were raised getting pats on the head and taking tests and getting grades and people telling us that we were good or that we were good enough or that we were exceptional. And the people who excelled in college and went to vet school and got into vet school and then excelled through vet school, those are, those are people who, they like those pats on the head and they like those, those grades. And that whole system, That we were trained on, that we were raised on, that we were grown on, it breaks down in the real world immediately.

Stephanie Goss: : Yeah, for sure. 

Dr. Andy Roark: I, I think that we've got a real failure of, I call it failure of graduation. I talk a lot about graduations because I think they're important. Graduations are not, in my mind, they're, they shouldn't be symbolic. They should be real. And what that means is that graduation comes from, you know, it's, it's this sort of continuation of this idea of, of developmental rituals, right? Like when the, when the tribe would send the young men out into the wilderness with just a knife, and then they could come back, you know, a month later, and if they were alive, they could be in the tribe, something like that. Like that's a, that's a ritual. But when they came back from being gone for a month, They were treated like men. Like, they weren't treated like children anymore. Like, that was a, you went, you did the thing. And it goes back to what we talked about at the very beginning of the episode. The phases of life that we were 

Stephanie Goss: : Right. Yeah. 

Dr. Andy Roark: But, if you don't, and I think this is a sort of a societal sort of issue. I think this is really interesting.

I think that we have removed the clear graduations between phases of life. I, you know, I, I became a parent when we went to the hospital and we came home with a baby. And then I, like, there was no, there was no question.

I was in it. You know what I mean? Like there was no question. 

Um, that, that, that, that phase was rigid.

But when I went to vet school and I did the things and then I graduated and then I kind of went to a job. And then the job had this mentorship program, which was kind of like the clinics that I had been on previously. And if people call me a baby vet, then am I like, did I do the transition or am I still in this weird kind of vet school mentorship growth phase?

And I'm not trying to be critical of how we do this, but just hear kind of what I'm saying. One of the hardest changes for people to make is to really internalize the idea that vet school is over and you're not getting grades anymore. And I think people really struggle with that. They desperately want a grade. They want the owner of the practice to come and give them an A minus. 

Stephanie Goss: : Sure. 

Dr. Andy Roark: for, for their, you know, they want to be able to take a test and, and someone tells them objectively, you are an excellent veterinarian, here is the score. And some people, some everybody, some people really, like that's just, it's hard to break 21 consecutive years of education. That has worked that way and be like, now you're out and,

Stephanie Goss: : change it. Yeah.

Dr. Andy Roark: and success is this weird mixture of extracting money from pet owners and getting care done in a way that is a good, as good for the patient, being a good advocate for the patient and working really hard and helping the team and getting out of the practice and being home with your family and recharging and being available when But not too available and like, it's all of these conflicting things and it's, it's not. Here's the test. How did you score that success?

Stephanie Goss: : Yes.

Dr. Andy Roark: I think that totally, I think that totally wrecks people.

Stephanie Goss: : I, I would agree with that. And I think the thing, like, not having gone to, to vet school, but having gone through you know, you know, university and, and grad school, I, I could say the, the same. And I think the, I, I think you're right in the, I think there is a correlation to being a parent. Cause I remember, Like when I, when I was when I was pregnant, like I read all of the books and I was like, that's what I do when I don't know something about a thing.

Like I do the research and I'm just like reading all the books that I can get my hands on. And then I went to the hospital and then it's like, time for you to go home. And you're like, but wait, like, isn't. It, you're just going to let me leave withthis thing? Like, I don't know how to take, I don't know how to take care of it.

And I like, what do I do with it? And, and it's this feeling of unsettled it, for me, it was really this unsettled feeling of, I'm, I know that I have skills. And I also know that there are a lot of skills I don't have. And I think that that's a really, has been a really good descriptor for me in my own journey in veterinary medicine.

Like I remember the day that I sat at the front desk for the first time and I was, everybody went to lunch and it was just me. And I was like, I know lots of things. And also I know there's lots of things I don't know. And so, you know, how do I, how do I, can I do this? Can I, you know, and you, you, I was questioning myself, I think to your point at every phase along the way in my journey.

And so I think Wrapping your brain around that fact, I think is really, really helpful, no matter what your position in the hospital is that it's, there are phases to everything. And that graduation failure mentality, I guess, is like, you're still going to, even if you graduate, you're still going to go out and there's going to be lots of things you don't know.

Dr. Andy Roark: Yeah. Yeah. And so I, I think that's, I think that's just kind of part, specifically for the associate vets. When we talk about wellness and staying at work versus leaving work, I, I, I think a lot of people are still trying to figure out how to measure themselves and without, without, a grading system, it's easy to feel like you're always failing.

Yeah. I think that that's, we've always had these measuring sticks. I wrote an article, I wrote an article on today's veterinary business and it was like a year ago, but it was called, it's called Measuring Sticks. And the basic point of the article was that we're all prone to selecting measurements for ourselves and then holding ourselves to these measurements. And a lot of the measurements are, are dumb, you know? And so, so, you know, I sort of pulled 

Stephanie Goss: : Give me, give me an example.

Dr. Andy Roark: So like, I, I am a, I am the smartest person in the room. Full stop. I know more facts than everyone else does. And that's how I know. And that's how I know I'm valuable. That's how I know I'm a good doctor.

And I would say, believing that you're the smartest person in the room does not make you a good doctor.

Stephanie Goss: : Got it.

Dr. Andy Roark: The, you know what I mean? Yeah. So, so there's sort of this, the, the, the rulers, I think a lot of people, oh, so I'll give you another one. There's this idea that some people have that the number of degrees that I have translates to my worthiness as a professional, which means I did an internship and she did not do an internship. So I therefore can feel superior to that person. I did a residency. and that person did not do a residency. Well, I published multiple papers after finishing my residency and have a job at a vet school and you work in a specialty hospital.

So therefore, and I know that I'm not the only one who can squint their eyes and see this weird hierarchy, but it's, it's ridiculous. You know, I was just, I was just interviewing somebody for the Cone of Shame podcast and she was a technician that was doing this really cool stuff. And she said, well, you know, I like to lecture and stuff, but I always have a massive imposter syndrome because I'm not a VTS or a veterinary technician specialist.

And I just thought we're talking about marketing and social media for technicians and you're having imposter syndrome because you didn't go and get specialty training in technical medicine. Like that doesn't make any sense. But But they, but people grab onto that and I promise I'm, I'm talking about this for, for a reason.

And so, you know, I'll tell you the other ones that we see. So other measuring sticks is, there are some people who come out there and who were like, Oh, you're a veterinarian. What is your average client transaction? And how many pets did you see?

Stephanie Goss: : Right.

Dr. Andy Roark: I know people who look at their value as a vet or people tell them that that's their 

Stephanie Goss: : Mm hmm. Sure. Yeah, absolutely. 

Dr. Andy Roark: And what's your average client transaction? And I'm like, I'm sorry. I reject that those two numbers alone are a reflection of how good a doctor you are. Like, I reject that. But other people don't reject that. 

And, you know, and you can see people who go home and they feel terrible about themselves because they don't see as many pets Look, life is messy. And there is, I can promise you, there is no way to max out your stats, meaning there is no way that you see more pets than anybody, and work them up better than anybody, and make everybody happier than anybody, and spend more time with your family than anybody, and exercise more than anybody, and do your hobby more than anybody. Like you can't max out 

Stephanie Goss: : Something's gotta give. 

Dr. Andy Roark: Something's got to give. And so when we talk about our measurements and how we look at ourselves, that idea of you cannot max out all the stats. You have to be able to look at the mosaic of measurements and decide which ones you care about and which ones you don't.

And also know that they will always be somewhat in in conflict. And last headspace part here for me, I think, is remember the phases of life, which means when I Was when I was a brand new veterinarian with a baby at home, my sleep metric was way down. And my work metric, it was way up because I was a brand new veterinarian,

Stephanie Goss: : Right. 

Dr. Andy Roark: that's not how I was gonna live my life.

And there's, there's nothing wrong with graduating from vet school and going through an internship and having your life quote unquote out of balance because you're working your butt off. Because that's what you're supposed to do for an internship because it's a one year thing. You're doing it. This is what your life is going to be like.

That's okay. It doesn't mean you're a failure because you're working really hard at this time. If that's how you plan to continue to live your life, we might need to reevaluate a little bit. But, but, but given where we are, there's metrics they can shift. And so I don't know. I hope I'm done a good job of kind of laying this down.

When we talk about balancing the business and the well being part, again, the big take home for Headspace for me is, everybody's journey is going to be different.

Stephanie Goss: : Yeah.

Dr. Andy Roark: We need to help veterinarians and ourselves remember, we have been raised with this high achieving culture. that says I'm supposed to get a number score that tells me how good I am.

And that's not how life actually works. And if people can't let go of that, if they can't get over the idea that my net promoter score from the clients doesn't actually dictate if I'm a good doctor or a good person or living a full life,

then they're always going to struggle. And the people that I think who are most Unhappy are the people who have held on to these weird rulers.

They put on themselves and they say I need to have a higher average client transaction. I need to see more patients. I need to get more C. E. I need to have more degrees. You know, I need to have a bigger clientele and also I want to have a family. I want to have hobbies. I want to have these other, you know, it's like you can't do all those things.

But the idea of having a test that you don't ace just bothers them. And so like that's a big part of Headspace, but we have got to, we've got to get loose from that and know that you're, you're, you're going to need to reset your priorities and that your priorities are going to change over time. And that's normal. That's what's supposed to happen.

Stephanie Goss: : Mm hmm. Yeah. I, I agree with that. And I think one of the things you know, talk a little bit about this when we get to action steps. But, you know, you talk, you started at the, at the place of everybody has. their own journey. And what's going to work for me is going to be potentially different than what's going to work for you and what's going to work for, you know, Tyler or Ron or anybody else on our team.

And I think it's the same in the clinic. Everybody's. When you think about the things that are part of life that make up our lives, our, our families, our work certainly as one piece of it, but it's one piece of it. And so when we think about all of those other things. School, family, finances, health, you know, all of those pieces play into that journey. And so I think we have to recognize that which is I think part of the powerlessness, the feeling of powerlessness as a leader is recognizing that everybody has their own journey. it's going to be different for everyone. And still you're in this place of, well, I still, I, I have to run the business. And so how do I balance that?

How do I take care of everybody? And so I think from a headspace perspective, you know, you, you, when you were, I was, I was giggling when you were talking about the imposter syndrome and I guess I was thinking to myself, that's not a conversation you and I have had, not at all you and I have had that exact conversation about, about me.

Like that is something that I have felt because I have you know, a lot of management and admin experience in a hospital.

And I don't have my CVPM. And it has been a big, it has been a big challenge for me. And there have been lots of ups and downs in that journey. And I think what finally clicks for me is recognizing that it is a journey.

And so the idea of I can't do all the things. And I was really, really hard on myself because I was like, okay, this is, like, I know that I, I, I value, I value what the CVPM stands for. I want to do it. And I went back to school and cause I needed a couple more credits to be able to finish and I went back to school. Well, I chose to go back to school when I had a newborn and an 18 month old at home and I was managing the clinic full time. And so you can imagine how that, how that, how that went for my health and wellbeing when I'm up at two o'clock in the morning trying to do homework that is due that day because I'm going to have to go work in the clinic and I have a newborn that won't sleep. Like it was really, really hard. And at the end of the day, I had to recognize the fact that I can't do all of the things.

And so, yes, I want to become a CVPM and where I was in my journey at the time was I needed to be there for my kids and I needed to be there for my practice. Like those were, those were the two things that had to be the priorities at that point in time.

And it wasn't wrong. It wasn't, it wasn't bad. I wasn't choosing. I was temporarily choosing one over the other. But it wasn't because I believed in one any other than any other. It was that I had to recognize that I couldn't do all of the things at the same time.

And I think that's really important for everybody in the practice.

And from a practice leader perspective, the big piece of headspace, I think that you have to come around to is recognizing that You can't be all things to all people. And that means for your team. And it also means for your clients. And I think that it can be a really slippery slope for us as leaders where we look at, well, if I take care of the team, then I have to take care of the client.

I can't take care of the clients. And if all I do is take care of the clients, then I'm not taking care of the team. And I think so for me, the last Headspace piece, following up to your, to know your idea of we can't do all of the things for everybody. So we have to decide what success looks like for us on an individual level is that we have got to figure out, we have got to come to the place where we recognize that it doesn't have to be all one and not the other.

That it, you know, that those things are not mutually exclusive. I can do some things to take care of the team and I can have boundaries there and I can by having those boundaries, I can also do some things to take care of the clients because I think that their answer for a lot of us lies somewhere in the middle.

And the only way we get to that middle point is we've got to give a little on either side and we can give a lot on one side or a lot on the other, but like eventually we have to figure out how do we find that, that middle for ourselves.

Dr. Andy Roark: Yeah, I think you're I mean, I think I think we've laid out the concept of balance pretty well here. You know, it's just, we can't, we have to give up a little bit for the clients in order to take better care of the staff, you know what I mean? 

And like, that sometimes taking care of our staff means that the clients can't just pile in the door today, and we'll see everybody who calls.

And that's, that's that balance. But you know, you just, we have to if you say, happy clients are the measuring stick that we use, and that's the only measuring stick that matters, then you're going to not allow your team to turn people away when they're overwhelmed, and you're going to suffer the consequences.

And if you say my staff's comfort is the only thing that matters, then you're going to turn away some people who are really in need, who maybe we could have fit in. And so the point in all of this is, you have to loosen your gaze and focus a little bit 

and allow yourself to see multiple measuring sticks.

And, and that is a skill that we have not been taught growing up, I don't think. And that's, that is a real life is messy, this is what it means to be an actual doctor an actual grown up skill. So anyway, let's, let's take a break here and then we'll get back, come back and get into some action steps.

Stephanie Goss: : That sounds great.

Hey there, podcast listeners. I wanna take a second and talk to you about our leadership essential certificate. Now, some of you have heard, Andy and I talk about it on the podcast, but if you're new or if you haven't heard this before, I think it's really important, which is why I'm gonna share it with you now, 

When our team sat down in the very beginning . We said, Hey, look, we really believe that there is a foundational truth here to build off of. And that is everybody that's a part of the Uncharted team, everybody that is a part of the uncharted community and finds us tends to believe that every single member of the practice has value and worth and deserves investment in.

That's number one. And number two is that everybody on the team is needed and needs to have some basic leadership, professional, personal development skills, and business development skills in order to help the practice and the team run as efficient, effective, and rockstar ish as they can. And so, um, our team sat down and said, what would that look like?

What would be some of those things that we would want every member of the team to have access to in terms of learnings? And after the last years of doing content for Uncharted, Andy and I pulled together the best of hits in terms of those foundational level content and workshop questions and discussion questions, and we put it together in one awesome, if I do say so myself, awesome, awesome package.

And that is our Leadership Essentials Certificate. And so if you were like, hey, this I would like my team to be maximally efficient. I would like them to be maximally effective. I would love them to learn how to be better communicators and how to work together as a team. We've got you. And if you're someone on a team listening to this right now, and you're like, Hey, I would like to do that.

We've got you to, there's the ability to take one module at a time. You can buy the whole certificate. You can take it online. You can take it in a hybrid version where you do some workshop in virtual cohorts, but you also asynchronously watch videos. You can even come and do the whole thing in two days live with our team.

And you can find out information about all of it at unchartedvet. com forward slash certificates, that certificate with an S at the end, because there's more where that came from. And now back to the podcast. Oh, but don't forget to go sign up. All right, so I got some action steps. I broke them up, first of all, by the, the doctor who could also be sort of the employee, but this is, this is if I'm not the manager, how do I kind of look, think of how do I try to balance my own professional life and my well being and things like 

Dr. Andy Roark: that and then I've got a couple extra things for management who are trying to facilitate this for other people.

Sound 

Stephanie Goss: : Okay. 

Dr. Andy Roark: All right, cool. So the, the first thing. that I would put forward as an action step is we need to define success for ourselves as veterinarians, as associates by our, by our, values.

Stephanie Goss: : Yeah.

Dr. Andy Roark: If you don't talk to doctors about what does it mean to be successful, how will you know that you're successful?

What does a successful day look like for you? Then they will generally default to external measurements that are given to them, which means they will say, A client got mad at me. My average client transaction is fourth out of five doctors in the practice. I saw less. appointments than the other two doctors saw.

I am a terrible, craptastic, look at this, objectively, I am awful. And you go, None of that means that you're awful. The fact that a client got mad at you doesn't mean you're awful. Happens to everybody. 

The fact, the fact, The fact, that you are the, you know, fourth out of five doctors as far as the number of clients you saw, maybe you just saw tougher cases this month where maybe other people, maybe like, maybe other people have been here longer and they have an established clientele of people who asked for them and so they're just getting served more cases.

Maybe you make people feel wonderful. But you need to work a little bit on your efficiency. It doesn't mean you're a terrible doctor, you know, like, so none of that, but if you don't talk to people, or we don't sit for ourselves and say, what are my metrics of success, then you will default to the metrics that other people give you.

And that's it. Going back to that article, the point too, is other people slap their rulers up against you all the time, and you can accept those rulers or you can ignore them. You know,

Stephanie Goss: : Yes. And I think, I think for a lot of people, I think that's probably why a lot of our team members or associates when they are struggling to find that balance, it's because there isn't the defined personal balance. And so, the rulers that are being used are, are defaults that other people have chosen, whether it's operational metrics, whether it's patient related metrics.

It's someone has pulled a number and it sometimes it feels like the number has been pulled out of thin air. But in the absence of something, someone's gonna pick something at some point. Right. And so part of it is driving the conversation so that you can help pick things that are important to you.

Dr. Andy Roark: it, it takes internal strength to set your own measurements. It really does. I want to pause here for a second. And it's like, it takes some guts to say to yourself, this is what I care about. And again, I encourage people to sit down with a piece of paper. And think about it and just sort of say, if you struggle with this and you're like, I don't, I don't know what he's talking about.

Here's what I'd say. I want you to sit down. I want you to think about all the other doctors you work with, all the support staff you work with. If you could clone any of these people and run a vet hospital, who would you clone? 

And I want you to make a list. And then I want you to think to yourself, Why would you clone them?

What characteristics, behaviors, or traits do they have that make that the person that you want to clone? And guys, those characteristics, traits, and behaviors, those are your values. The reason you wrote them down is because you admire what they are and how they behave. And again, it's often times it's easier to see these things in yourself.

Than in other people and so you need to figure out what those are So for me one of my sort of my driving core value is hard work It's work ethic like I work. I work hard and I value work and i'm not saying it's good or bad It's just how I was raised. And so for me If you said are you good vet? I was like, I don't know but I work hard And if I get home at the end of the day, I don't ask myself.

Did I make everybody happy? I say did I work hard?

And then it's other values start to come in. Like, was I patient? Was I kind? Did I listen? Did I do my best? Did I learn something? And if the answers to those questions are yes, and man, I, I killed it, like I did it. And you could say, well, Andy, your average client transaction was low and the number of patients you saw was down.

I would throw that on the pile. I wouldn't ignore it, but I would throw it on the pile and say, well, I, I, I felt like I worked hard. I had good interactions with the staff. I learned some things today. My numbers were down. I'm giving myself a B for the day. We're gonna, we're gonna, we'll work on our numbers a little bit tomorrow, see if we can get those up.

And that's it. But if you only have your numbers, and that's your measurement your whole day, then you are unmoored and you're floating out there. So you have got to stabilize yourself by deciding what are the, what is the real internal. Measurement that I want to use. And so for me, that step one is figure out how to define your success.

Stephanie Goss: : Okay.

Dr. Andy Roark: Number two is remember, and this is just a, a, a, this is a huge deal for me on wellness and, and wellbeing. Remember that life is what we focus on 

and you have power all through your day to decide what you're focused on. And our brains are not super complicated. You can only focus on one thing at a time.

And so my question to you is are you focusing on what you have or are you focusing on what you want?

Stephanie Goss: : Mm-Hmm.

Dr. Andy Roark: Are you focusing on what was good and the good that you did today or are you focusing on on, on the bad or what or what was sad or what was hard or who was frustrated

because those are, those are your choices and I might say you should ignore or repress or block out anything, but, but your life is what you experienced.

Like, that's what it is. It's not what happens to you. It's what do you spend your time thinking about and what do you spend your time feeling? And you have great control. And so, are you focused on the present and what you're doing and the case that's right in front of you? Or are you focused on the case that left the building an hour ago?

Or are you focused on the case that's on the appointment schedule for this afternoon that looks like it's going to be a hot mess, however, 80 percent of the time, 80 percent of the time, those cases are not what we think they're going to be. And again, it is 100 percent up to you. This is not about being positive.

And I'll say that again. It ain't positivity. It's intentionality. What are you looking at? What are you focusing on? And then, when you go home, what are you focusing on there? Are you at home reliving your day at the vet clinic? Are you at home texting people pictures back and forth of a case that you could wait until tomorrow?

I, or are you at home making eye contact with your friends and family? Are you at home setting up fun plans for the weekend that you're going to actually go and do as opposed to wait until the weekend and go, I didn't have anything planned. I guess I'm going to sit here and watch Netflix by myself. Like,

Stephanie Goss: : Right.

Dr. Andy Roark: you know, shade on Netflix by yourself if that's what you want, but don't let it be because you just didn't.

Make an intentional choice about how you were going to be off. And so anyway, that's number two for me is, is remember that life is what you focus on. And that is a huge deal for wellness. I think, I think a lot of us are not intentional about what we focus on. And the things that other people ask us to focus on, Maybe you're not the things that we want to embody our life.

And the other things, the things that we are biased to think about, like negativity bias, just because those things pop into our head most readily, that doesn't mean that that's where we have to spend our mental time and our emotional time. And so get intentional about, about what you're focusing on and what you want your life to be like as far as the experiences that you choose to have.

Stephanie Goss: : Yeah. I like that a lot.

Dr. Andy Roark: All right. Number three for me is know that you can make adjustments in your life. 

I think, I think, when people get really in a hard spot is they're like, my life is out of balance. I am working so hard. This is terrible.

And the truth is you can fix your life balance. You always have options. It, you can't fix it today.

And I think that that really bothers people. They're like, Oh, this, look, this is horrible. And next week's going to be just as horrible. And the week after that, and the week after that, I always tell people adjusting work life balance takes three months. And so, you know, if you're looking at, you know, you're in the summer and you're like, we're overwhelmed, go ahead and look at the calendar for September.

And, and block yourself off, put some days off on there, start thinking about what does your dream schedule look like? What would a, what would a healthy adjustment look like? And, and say, guys, I am here for this. Just so you guys know, in September, I'm not going to be able to do this thing on Monday nights.

My, my, my evenings are just too busy. And so I will be stepping off of the PTA. September and slap some vacation days on the clinic and then you got something to look forward to but a lot of people are Like I am trapped because the next four to six weeks are terrible It's like you can get through anything for four to six weeks.

You can Especially if you have all, I promise you putting those days on the calendar, blocking yourself off, making those, those, sending those emails that will make you feel better. But I think a lot of people feel like they are powerless. I, I, I tell a story, a lot of the Navy SEAL dropouts And so people heard me say this before one of my favorite stories is from This book called lone survivor and it's about this guy.

It's a true story It's this guy who's a navy seal, but he talks about going to to to navy seal training And he talks about how they do they have 10 weeks of training and the last week is called hell week And it is absolute hell on earth. It's horrible. But but but he But he was really surprised when he got there about how many people dropped out of the program on the first day of Hell Week.

And later on, he asked one of the instructors, he said, Why did I drop on the first day of Hell Week? Because in the nine weeks leading up to that week, we had had plenty of Hell Days that were just as hard as that. That day was not significantly harder than other days, but there was a huge number of people who dropped out.

Why? And the instructor said they didn't drop out because that day was hard. They dropped out because they knew there were six more days just like it and they didn't think they could get there and Often it is not about how hard we're working now. It's not about where we are now It is the belief that things are not going to get better or we have this insurmountable future ahead of us and so Just know that you can make changes.

It is not going to be your life. Don't get sucked up focusing on the future. Go ahead and start making the changes that you can make. Know that we're gonna, we, we might have to slog along for a little while, but this is not going to be our life. This is going to be a short term problem. And by short term, I mean a month or two, maybe three.

Maybe three months, but think back on the course of your life. Three months is not a long time. You can put one foot in front of the other for 12 weeks if you have to. And again, I'm not talking about being an abusive situation. I'm talking about boy, I'm really burned out and this is, this is tough. You don't, you don't have to, you don't have to be stuck there.

So there's just sort of my, my, those are sort of my three big things for trying to take care of your own wellness. Again, define what success looks like for you. Remember that life is what we focus on. Be intentional about what you do with your time and what you focus on. And then the last thing is note that you can make adjustments.

You are not trapped. You can, you can quit your job, you can quit your internship, you can quit it. And people go, Oh my God, that would be devastating to my reputation. No, it's freaking not. It's absolutely not. No one, like, no one will care. Go on, take care of yourself. You know, be a good vet. Take care of patients.

Stephanie Goss: : Yeah. You're still a veterinarian.

Dr. Andy Roark: It’s going to be fine. It is, it is not devastating. There will not be some black ball movement against you. Like, no, just you are fine. It will, it will, this too shall pass, I guess. 

Stephanie Goss: : I think. I think I have, I have two for, from a, on a, on a personal perspective that, that one that relates to one that you said. So when you said like defining the success by our, our values, I think, I think for me, part of it is knowing like on a personal level, this person was like, it means different things to different people. And so I think on a personal level, you have to take ownership of what does it mean to you and figuring out like what phase you're in.

What is, what are, what are the things that are important to you? I think that there has to be ownership on the team in terms of figuring that out on a personal level and also communicating that to others on a personal level. And so what I mean by that is as a manager, like if you put in a time off request because you. You know, really like want to go to your kid's field trip and that's really important to you, but you put it in with six other time off requests for doctor's appointments and other stuff. How do I like, I'm not asking you why you're taking the time off. So how do I know that that's the important thing to you? Right. And so part of it is we have to communicate those, those needs to our team and to our peers. And I think the other thing from a headspace or from an action perspective is you, you talked about, you know, recognizing that you can make you could make some change. And I think the one thing that is really, really important to remember is that we always have choice.

And, and even if that choice is over our emotions. And so we can, we can always choose to find something different. If something is not working for us, we can always find a way. to make it work. That choice might mean leaving a hospital, or it might mean shifting positions, or shifting hours. There may be consequences that we don't like as a result of that choice, but I think when it comes to the, the well being piece, I think everybody has to, has to take accountability from an action set perspective of recognizing that You always have a choice in, in how you, in how you deal with things. And so to your point, you're not trapped without options.

You can always figure out the options. They may not be, they may not feel good. They may not be what you want, but you still have a choice and you still have options.

Dr. Andy Roark: I, I agree for managers and people who are growing and developing doctors or others. The, the first thing I would say is, is based on, on sort of what I talked about before with the measurements, you know, in the choosing our rulers, things like that, you, you gotta be mindful of how much importance you put on any measurement when we're trying to grow other people.

And so it, When we're worried about making payroll, it is easy to walk into the doctor's office and say, Great, we're going to talk about the number of pets you saw and how much revenue you brought in per pet. But now you're defining these measurements as important. And I'm not saying they're not important.

But it's easy, especially when you're in charge of revenue, if you're the medical director or you're the practice manager or whatever, when you're in charge of revenue and that is the flashing red light or the thing that you have been told, this is how we evaluate people, it is easy to say, these are the things we care about.

Stephanie Goss: : Yeah.

Dr. Andy Roark: I think, I think we need to be careful of that. And we can talk about those things, but if we're going to go in and say, this is what matters, I think we should stop and ask ourselves, is this really what matters? And feel, we should, we should make sure that we are talking to people as whole people. I think, especially as we get busy, it is easy to say, these are the two metrics I care about.

But that's not really what we care about. And if we were the person being managed, we wouldn't want to be told, look, buddy, all I care about really is how much money you're making for the practice. Like that's not, that's not what we want. 

We just have to be intentional. And again, I'm very forgiving of this with management because a lot of times these are the metrics that are applied to us and how we are and how we're being held accountable, or it's how we need to make payroll and things like that.

We just have to be careful about the idea that I'm going to approach someone and talk to them about their performance and my idea of their performance is narrowed down to this tiny, very specific measurement because it's. hard for someone to not feel like they're failing or to feel like they're not appreciated if you say, look, this is the one thing, this is the only thing that really matters.

That, that's not true. We, we can a hundred percent be open about what measurements we're using and what's important and not make people feel like they're reduced to these specific numbers and they're failing or they're in the bottom of the clinic as far as, you know, how they're performing.

So that's so that's what the first thing for managers is that, you know, it's just just be mindful of what you're telling people is important and remember to factor in what are the things that they care? What are the core values of your team? And again, I love talking about team values and we should talk about that and sort of try to have those have those conversations be intentional.

About what the business needs. And for me, this is about setting clear expectations, right? It's about saying, Hey we need you to call back your bloodworks. Or, we don't need you to call back your blood works. Or, we as a team all decided that we were going to, if somebody called out sick, we were going to call around and see if other people could fill in.

Or, we as a team decided we were not going to call around and try to fill in. If somebody was sick, the people there were going to cover, and we were going to be off. Whatever the needs are. 

This is the, this is the amount of vacation time. This is the hours. This is when we need you to arrive in the morning.

We, you know, it's, it's at this time. We expect you to come in by this time. So you have 30 minutes to do phone calls before the first appointment, whatever your thing is. Be clear and specific about what you expect. Don't tell people, no, you know, you can kind of come in or not, but we're, we're going to hold you accountable, you know, if you don't meet this rule.

So be intentional about what you need. And then relatedly be intentional about letting people be off. And a lot of times people don't want to firm up what they require for the business, because they're kind of like, I don't know, let's wait and see how things go. But that's, that is an unintentional erosion of people's ability to get off and be off.

And again, I'm not telling you, I'm not telling you don't call the doctors on their day off if that's what you all agreed to, but I'm saying you need to talk about it and decide is that what we're doing and then adhere to what you guys all agreed to. But don't. not talk about what the expectations are and then kind of freestyle it.

We need to tell people what's expected and then be intentional about letting them be off. And if they're off and they're on vacation and we don't call people on vacation, then don't call them on vacation. You know, if we don't call them on their day off, then don't call them on their day off. And that when I say be intentional, that might be talking to them and they say, you know what, we really don't want to do our blood works on our day off. It doesn't have to be all or none, but just figure out what, what is the expectation and enforce that. And the last thing is, and this may sound silly and unrelated, but it's not lean into positive reinforcement, let people know what they're doing. That's good. And again, this is just about, it's incredible how people feel, how differently they feel when they feel like they are winning.

Versus when they feel like they are losing and it is so funny how many times I've had people come to me and just say, I'm burning out. I'm really like, I'm, I just, I'm overwhelmed and blah, blah, blah. And then they get a wonderful. Thank you. Note. And all of a sudden, they're like, this is the best job. 

Stephanie Goss: : Right. Yep. the, energy. 

Dr. Andy Roark: is the, the energy. And so I'm not talking about, I'm not talking about manipulating people here at all. But a lot of this comes back to again, when we're talking to people and we're growing them, if you only talk to them about these certain numbers and where they're coming up short, they're going to feel like they're losing.

And it's funny, you will have people talk about their well being and burnout and things like that, not because they're necessarily at capacity, but But just because they feel like they're working and no one appreciates them. It's funny. And if, if we lean into positive reinforcement and celebrating people's victories and making them feel appreciated and calling out what they're doing really, really well, a lot of times you have two people working just as hard.

And one of them hears, you're not saying you're the slowest doctor in the building. And the, and the other one hears, Hey buddy, You get more, You get more, thank you notes than anybody else I've ever worked with. We, we need, we need to get you seeing more appointments, but I got to tell you, the pet owners love you, man. Um, 

Stephanie Goss: : Right. 

Dr. Andy Roark: Those are just wildly different experiences and it's going to be harder to motivate the latter person to actually make some changes as opposed to the first person who feels like they're failing. That's what I got. 

Stephanie Goss: : I have one big action step for managers and it goes back to what we talked about in Headspace in that it's a spectrum, right? Where everybody is on their journey is a spectrum and where what you need for the business is also a spectrum because there's the This has to be done for us to pay our bills and open the door. And there's the, we would like to do these things,

right? And everything in between. And so I think as a manager, you, or someone who is running the business, part of it is you have to define what those business needs are, and none of that can happen, and you need to understand what you're, team needs, what is important to them, what they prioritize, and none of that happens without conversation.

And so I think the number one action step for people who are leading practices is we have got to start to have the conversation. And just figure it out. Define what we need as a business on a spectrum and then try and find somewhere close to the middle. Figure out what is important to all of the members of our team on an individual level. And then recognize if you have 35 team members, you are never going to be able to give everybody everything that they want. But can you come up with a system, especially for something like time off, which has a lot to do with, with wellbeing and happiness at work? Can you find a system? That is somewhere in the middle that is equitable for everybody.

Like that, just thinking about the facts that it is a spectrum, we have got to figure out where the beginning and the end of that is, and figure out how to get to the middle. And none of that happens without starting to have those conversations. With ourselves, with our partners in the practice and running the practice and then, and then with our team, and I'm not talking about has to be some big elaborate thing I'm talking about.

It can be as simple as asking your team, like, you know, if you think about the areas of your life, your, your family, your, your career, your you know, physical health, your financial health, like there are tons of resources out there that can help you look at that. And then just ask them like, Where are you at right now in your journey?

What's important, you know, the mom who just had a baby and came back from maternity leave, family's going to be really probably important to them. And the doctor who just finished vet school and has huge student loans to pay back the financial piece. Then the work piece might be most important to them. If you don't, you won't know that unless you ask them. So I think for me, the first action step is figuring out what that spectrum looks like on both sides. And it starts with asking the questions.

Dr. Andy Roark: I agree. Well cool man, thanks for doing this with me.

Stephanie Goss: Yeah, this was fun. Have a great week, everybody.

Dr. Andy Roark: Thanks everybody!

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

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

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