Happy Thanksgiving! It's interesting, with the economy in a slump, I notice a lot of people in the media downplaying extravagance and being considerate of those of us trying to make a living. Oprah's favorite things show is usually an extravaganza of big ticket items, with the audience receiving one of everything. This year she did affordable gifts that you could make yourself or buy inexpensively. Barak Obama is scaling down inaugural events and doing away with fireworks in consideration of the fact that people are struggling. Looks like we're all growing up a little.
A poster on Dentaltown wanted to share her map for success. It was so well received and so doable, that I asked her if I could re-print it here. You may not agree with everything she says, but, if you're struggling in your practice and you find even one thing that gives you some hope, it will be worth reading. Here it is:
"For anyone who's interested....I'm having my best year ever. I just
wanted to share this because I think some of my younger colleagues (or
older ones, too) might benefit. I'm so fortunate, that I want to share
my good fortune...
My accountant says he's never seen anything
like my success in an established practice. Want to know how???
(This requires no financial investment....I'm a full fee-for-service
practitioner for almost 30 years....I do a lot of high end C&B and
implant restorations....I'm not selling anything!) I've been Dawsoned,
Speared and Pankeyed to within an inch of my life and while that's what
I choose for my own mouth, I'm not my patients nor are their needs the
same as mine. Therefore, I've developed a practice philosophy that
says, "give them what they want". Not that I don't tell them that an
FMX/exam, full equilibration, 28 teeth in occlusion minus all signs of
plaque, calculus and perio disease with adequate attached tissue and no
tmj pathology isn't a great goal, but come on....for some, it isn't
important nor attainable for a variety of reasons. My "rules" are:
1.
Be REALLY interested in your patients. Talk to them about what they
want in their mouths and how that fits with their lives. Take time
to hear the story - knowing what the patient is really about will
enrich them - and you!! take a minute to look at an older patient's
pictures of their grandchildren or their new puppy. Let a young person
tell you his/her dreams. Caring is really cheap marketing and benefits
you in your soul, too. Even if you only have a minute, take the time
to shake their hands, look them in the eyes and be GENUINELY
interested. You can't fake this stuff. Spend a few hours by yourself
and find the best in you and be willing to share it with others.
I
now spend almost $0 on external marketing now (I have a website, am in
the yellow pages with no ad). I get plenty of new patients by
word-of-mouth referral in an area with a dentist on every other
corner. They know I care ....they send their friends.
2. Be
ready to give them what they want - today!! I can turn around a crown
prep asap - I can start a denture right now. We have our systems down
- we can turn on a dime. People decide what they want to do and they
do it now - or whenever they want to - it's all fine with me. No dire
predictions, no shaking my finger at them. I'll take care of them when
they need me and since I don't threaten me, they call when they can or
need to.
3. Have payment plans - we use Care Credit. So I
pay 10% - I charge top dollar for crowns - it's just the price of doing
business and we do a lot of it because the whole US population uses
credit cards. I collect 98%....and no one sues me the day after
they're sent to collections because it almost never happens. (If we
get to that point, I usually write it off...why beat a dead
horse....besides, it causes me more psychological pain and that's worth
a lot to me)
4. Don't be judgemental. Most folks are doing
about the best they can. Tell them you're glad they're here. Tell
them it's ok that they're not in good health - you'll help them. Don't
allow anyone in your office - including the Nazi floss hygienist - to
shame a patient. People go where they're accepted and cared for.
5.
Hire kind, compassionate, capable staff members. People who have
chips on their shoulders, are not real bright or drink all night don't
make good dental employees. You've got to hire smart, caring people
with good work ethics. You can't train those qualities - either they
have it or they don't. You have to pay these people well. I don't
believe in bonuses as I think it creates a very mercenary attitude, but
you can pay well and expect the best.
6. Love your work. I
love these people and they know it. Some have been with me for years
and some I hope I'll know until I retire (or die - I like this so much,
I may just do that at the chair). If you hate your job - do something
else. I think every morning about what great patient I'll see that day
who will share some of his/her life with me. I am so grateful for
them. Being productive is one of the keys to a good life - if you want
to retire, great! You'll do it faster
7. Love your life. I
have wonderful kids and a terrific mate. I even have a cute
dog....sassy, but cute!! Life is way too short and being glad for each
day above ground is really the way to go. If you can't get there, get
therapy, get a faith....go to a 3rd world country and really see the
poverty and pain there. We in the US are so lucky. Feel it, realize
it....soak it in. We are some of the best educated, most fortunate
people in the history of the planet.
8. Live within your
means. Save some and give some away. Elliminate your debt at whatever
speed you can but know that you'll sleep much better at night when you
owe no one.
9. Volunteer at a low-cost clinic, lead a Scout
troop or give of yourself in some other way often. You have time - you
just think you're too busy. When you give, you are operating from a
position of wealth and wealth creates wealth. You'll live the adage -
"I felt sorry that I had no shoes until I met a man who had no feet".
10.
Take care of yourself. Exercise your body and mind daily - nurture
your spirit. You can't give away what you don't have yourself - but
you can get it.
So, hope that's helpful and hopeful for
someone. It seems like common sense to me, but dental school may have
scrubbed your best self out of you. Take it from an older person who's
lived a little and received more gifts of love and kindness than any of
us every really deserve. I'm feeling extraordinarily grateful
today. Take care of yourself - be kind."
One poster responded negatively and said that they are doing all the above and failing. They felt that she must live in a small town with lot's of government employees and that most couldn't replicate this success. I think the point was missed that her happiness was also impacted by her attitude and the personal life she had built. This was her thoughtful response:
"You're right - I was supposedly in the
"golden age of dentistry" when I graduated in the late 70's. I was
living in the "rust bowl" of the Midwest and some areas never did
rebound. When I was first in practice, I paid interest of 22% on the
practice loan and was too naive to know that was awful! You're also
right that some areas have been hit much harder than others - and some
practices harder than others. No, I don't live in a small town - a
large metro/suburban area with dentists everywhere - but I've been here
forever so I have the advantage of knowing many people for a long
time. I also know that the economy (and life)cycles. We had the
tremendous economic growth of the 90's when everyone made money (which
you missed being in school). It'll come back... It's making it until
then and having faith it will. But this world-wide economic crisis is
a newer phenomenon, you're absolutely right, and it's scary for a lot
of folks. I only allow myself to read my Wall Street Journal twice a
week to not get overly upset about what's going on worldwide since I
really can't impact it.
About Pollyanna -- maybe although not
from being sheltered. I've raised two kids as a single mom and had my
share of disappointments that everyone usually has if they live long
enough. I recently went to China (my in-laws were refugees in WWII).
After seeing how their relatives have had to live - displaced from
their homes, many killed in the war and brutalized under Mao, I'm
nothing but grateful for where I am. My sweetheart has also had cancer
and a heart attack in the last 4 years. Overall, every day above
ground is good -especially in this country. Just one person's point of
view. Just wanted to offer some encouragement for those who
are "newer" to the vicissitudes of the market - and living!
"
Have a wonderful day!
Stas' and Andrea, I know Stas' will read this since he's my most loyal reader, we miss you and hope you have a happy Thanksgiving.
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