are you looking for a podcast where you can hear from real people regarding their real dental drama If so then

0:09

you've come to the right place Join hosts Bethany Penny and Dr Reena Kuba as

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we dive into the solutions we've created and the mistakes we've made while

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managing dental drama Let's get started Lady it is

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almost time for summer I know I'm ready I am so ready even though it like gets to be a billion degrees in Texas with

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the humidity Um but I'm ready I'm ready too Let's do it Um so I have a yay and a

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yuck So you want to do the yay real quick Let's do the yay first Let's start positive Okay I'm super excited You told

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me that we've been talking about this resource hub that we've been working on creating and spending hours upon hours

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of making resources available to um colleagues and practice owners And I

1:02

think um you know the challenge with that is for example I think you had somebody reach out to you and say can I

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you know I'm about to onboard an associate like can you get me a a contract Mhm Now you can find free

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contracts online a bunch of them But I'm pretty sure most of us don't want that

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and we kind of want to know how do or or it's a you know 60page document and we're like for real like I got to read

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this then make sure the associate reads this and then like this sucks Um so can

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you just customize one for me and what about the legalities of the state I'm in and the maybe I don't want to do an

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associate contract Right So your goal in creating this resource hub is what our

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goal has been for the podcast and for the subscription is the how How how am I

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doing this Um one so that I don't uh have a mental meltdown over this Two so

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that I don't bury my head in the sand and get somebody to sign something that's going to be actually a detriment to me Um and three without breaking the

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bank because I know if I took this to a lawyer God only knows what I'm getting Am I going to get the 60-page document

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the 30-page document if I want it more customized am I getting charged by the hour So now I end up spending two grand

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on a contract And so anyway the resource hub is there to have these practical

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how-to documents Yes And there's a ton of them from associate contract to

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morning huddle samples to what's a written warning how do I put that together Like so many practice owners or

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managers just get stomped at that point of like okay I need I know I need to do a write up but what does that look like

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and what's a good write up And so anyway this hub is chocked full of documents

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that are helpful the documents that are available for purchase and it's a resource that we're going to continue to

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add And and if I may give myself or us a plug in there for this I think again

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because y'all who've been listening you know like for me I don't like the vague I want to know what do you mean Like

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what does that mean when you say you know these three steps get your associate to sign a contract In the

3:17

contract you need to make sure you put blah blah blah What does that mean What is the verbiage What is the order Like

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how am I actually executing this So everything in the hub is something that I have

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laid my eyes on to go would that be useful to me Yeah because Bethany you created this and that makes sense to you

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but I'm still telling you you're assuming that I know these three steps and I'm telling you I'm not that bright

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Like that is your world That's your everyday but as the actual person who has to execute this I I have too many

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questions on those nitty-gritty details And so everything on the resource hub should be as usable and user friendly as

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possible to where you may just need to tweak it to meet your needs Yeah Um so I'm super excited about that So that was

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my yay That's a huge yay And that's launching at the end of this week So it's not live yet but stay tuned for

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those of you listening It will launch at the end of this week And we are pumped We are pumped I'm pumped to have these

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resources available for people Um do you want me to get to my yuck now Let's do

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it We got to talk yuck at some point I mean okay I And I really think this is a big yuck and I think I'm about to

4:28

be I'm trying to prepare myself because I'm about to be in this boat and it's been a little while since I've been

4:34

there and just the thought of it is making my stomach turn when you are onboarding an associate because we've

4:40

had a couple of episodes recently here about associate ships and one of the big

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questions that I think all of us would prefer to dodge and would wish we had a wand to just make it happen um is the

4:54

clinical proficiency So if you were to read any article about onboarding an

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associate well you need to make sure your clinical philosophies align Okay that we can all talk about from here to

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there But when it comes to actually doing how am I making

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sure We could all say and I'm sure we're all going to hear these iterations of

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I'm looking for a practice that you know patient care comes first and quality of care comes first right Like that's what

5:25

every associate's going to say or flip side the doctor is going to say I need somebody who really puts the patient's

5:30

needs ahead that is still so stinking vague Who's going to walk in and say um

5:37

yeah my my goal isn't to provide good patient care I want to see as many

5:42

patients as I can So I'm going to do some crappy fillings shove some stuff in there I don't care what materials I use Like who's going to say that Nobody

5:49

We're all going to talk about like this is our goal you know in the practice to

5:54

whatever But how do you really decide Do we align on this I just heard it um just

6:00

yesterday I was talking with a practice manager who they're having a transition the uh owner doc just sold and so now

6:07

new doc wants to put some stainless steel crowns on things and uh the rest

6:13

of the team is like oh well we would have put a filling on that put a filling there like all it needs is an mo

6:18

composite and I'm like well does it because I think for knowing that

6:26

practice it is a very uh preventive focused practice there's

6:32

not a lot of treatment needs that go into that practice just cuz the clientele that they see it's a very

6:39

educated and they are doing a lot of the right things So I don't think they get a lot of decay in that practice And when

6:47

they do yeah go the conservative route But this new owner that's stepping in I

6:52

know the the pool of patients she is used to seeing is a very high risk right

6:58

patient So she's used So there's no right or wrong but from the I can only imagine if I were to talk to this new

7:04

owner going "The hell are they putting all these composits in there that are going to fail?" like are they just

7:09

trying to get more of this patient's money Like they're going to put a restoration they know is going to fail

7:15

and then a year later they're going to charge the patient again and at that point insurance isn't going to cover it And at that point we may lose the

7:21

opportunity to like I can see high carries risk doc coming in with one

7:26

mindset and of course the office that as it's been is going look at this aggressive doctor just wanting to put

7:32

these ugly crowns all over the place So digging deeper there I'm sure when they spoke to each other I'm sure the

7:39

dialogue was "Oh nobody wants to overt treat nobody wants to undertreat We you know want to take care of our patients

7:44

and do the right thing that but there's different ways to do the right thing."

7:49

And so depending on which perspective you're coming from you know I've I've heard the whole gamut of oh yeah you

7:56

know you do oral conscious sedation that must mean that you don't have any chairside manner You want to make this

8:01

easy for you And then there's a flip side going why am I torturing this patient when there are resources to help

8:08

this kid and this parent would rather their kid not be tortured So to you know

8:14

to how do you have those conversations I'll give another example I had a really sweet doc coming and helping me for a

8:20

little while and um he was treatment planning mods on primary teeth And to me

8:28

that is a big no no And I know I'm probably ticking off half your audience now going "What do you mean that's a no

8:34

no?" Well I'm not going to get into the nitty-gritty of that but to me that is a no No Um and that's that And so that's

8:41

more of a okay yes you barbarian you just want to do your crowns and make it easy on you or what are you talking

8:48

about An mod on tooth number A That is not standard of care You know we we both

8:55

are right and we both are wrong But that's one that I was like if this dog had stayed in my practice longer that's

9:01

going to be tricky for me because it's not a new doc It's not a new graduate right It's somebody that's been practicing for you know not as long as I

9:08

have but not far from that Now how am I supposed to say "Sir you are wrong in your treatment planning." Like that's

9:14

just an awkward conversation that I don't really want to have Yeah Um so I

9:19

guess that's where I'm going with this is how do we I think we could talk all day but

9:25

when when it comes down to like actual doing how are we looking at this new

9:31

associate whether they're a new do new dad or not how are we going I'm going to be looking at your treatment plans And

9:38

then how am I telling you if you're right or wrong And if you as associate are going yeah please tell me guide me

9:43

on what's norm in your practice but at what point are you going to go you know what you are really overdiagnosing or

9:49

you're really underdiagnosing and I don't feel comfortable in this practice I can't practice the way I want to So my

9:56

question to you for this uber yuck you gave me an example Um and I'm sitting

10:02

here going you know I how my current associate I think we

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did have some initially um awkward moments me going uh what are

10:16

you doing man And I knew it was just the youth like you were just starting to practice and you were going to come and

10:22

see why that's not going to work for you But he was so open to being a sponge to

10:27

that and being open to me mentoring and guiding him And it did mean he had to trust me right You know he did have to

10:35

see the why behind what I was saying And he did have to experience some of the

10:40

okay that's why she said what she did I get it now And so I had to give him room

10:45

to do that He had to give me grace to go okay she does know what she's talking about And we had to kind of trust each

10:51

other Um and so I think it worked really well But now fast forward four years

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later I'm back in that boat again going "Okay I'm really scared of finding another provider that and then you add

11:05

on okay what if we are alike in our philosophies Like we've got to make sure we're on par there but what about the

11:11

actual execution Okay yeah we did decide we're going to do a crown on this and I think your crown is yucky." Yeah and my

11:18

assistant told me "Your filling was gross and it took you 45 minutes to do that when it should have." Right Like I

11:24

I don't have those issues with my current associate We we sorted that out pretty quick early on and now we're

11:30

completely in sync and to have to start over with that I'm now going "Okay

11:36

whoever comes in am I just at the beginning saying I'm going to be following your treatment planning and

11:42

this is what I'm going to be okay with and this is what I'm not." Yeah

11:52

And am I going to turn off an associate And then they go "You're bad crazy lady You have control issues." Um I

11:59

don't know I'm at a loss So I'm putting this to you Uh I'm What What are some of

12:08

your thoughts And then also what you just shared with me about an associate that left a practice I'm going to quit

12:14

talking here and let you kind of share that But again this goes back to what I said a few weeks ago like this is where

12:19

we are um not excited about onboarding an associate and it is so much easier to go

12:26

never mind I'm not doing this But that's not practical either I don't suggest doing that There are a lot of good

12:31

things that an associate can bring But how can we be prepared for for this

12:38

Do you have any nuggets of um any I don't know any heads up any

12:44

advice thoughts Man you weren't joking when you said yuck No I wasn't I mean

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like you went into the deep dark end of Well I gave us a great yay I went on the

12:56

edge of that going man we've got some resources Like here we go We are about to make people's lives a lot easier And

13:02

so it's only fair that I go completely to the other end That's true That's Yeah you've you've done a both at 100% So

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well and I I guess I've kind of knocked you down cuz I gave you a high and a yay Bethany You got your portal going and

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now I'm like "All right Missy what you got Here's some yes topics Go ahead

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expert." Oh so you you said something that I like stood out to me when you

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said um this can come across as very disrespectful when you're asking an

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associate like "Hey by the way I'm going to be watching your treatment plans." That can be super disrespectful And I

13:40

would say absolutely there can be like a yuck factor to that But I see it from

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the flip side and I go "This practice owner is putting their reputation

13:53

their liability their um patient retention

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they're putting their implicit faith in an associate to handle all of those

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things well." And I think that's a very risky decision Um so yes there's going

14:13

to be some some awkwardness that uh in the things that I suggest but I think that awkwardness is absolutely worth it

14:21

to protect your practice and to protect your patient base And at the end of the day these are your patients Every

14:27

associate contract that you look at says that these practice these patients belong to the practice owner So these

14:34

are your patients and you have to do what's right by your patients and ultimately managing or overseeing or

14:42

having open dialogue with your associates is a part of that So I think there's some things that a practice

14:47

owner can do from the get-go We need to set the norms from the

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get-go And the norms are we're going to talk through treatment plans together

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We're going to look at pre-op x-rays and photos We're going to look at posttop x-rays and photos you know for the first

15:06

6 months We're going to do a do a lot more intraoral photos after the completion of treatment so that we can

15:14

look at those things together and dialogue about what could have gone better with this particular procedure So

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you set this tone from the beginning It's not hey I'm going to be watching you and I'm going to be looking for

15:27

mistakes We are going to collaborate a lot together I'm going to show you some of

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my cases I'm going to show you some of my treatment plans I'm going to show you some of my pre and post X-rays and

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intraoral photos We're going to dialogue together about my cases Even chart notes

15:46

Yes that's another big one I'm like this is my expectation of your chart note You put this down but for me that's not

15:52

enough And if I had to come in and I had to deal with this parent and this I happen to be here and I saw or heard

16:00

certain things but you've left me no breadcrumbs in this clinical note or I see that you're used to doing it that

16:06

way over there but we follow like to me the you know we these documents are important I need you to make sure we've

16:12

got this this this um so e even down to including that part of it

16:19

Absolutely Yeah all the nitty-gritty details And when you are looking at the full case together you're going to be

16:26

looking at documentation You're going to say "Let's go look at that chart Now what did it say Why did we do this What was mom's rebuttal this particular

16:33

treatment plan?" Ah see ah here we go This is why we did the alternative

16:38

treatment on this tooth rather than this cuz mom blah blah blah blah blah So it's

16:44

a very comprehensive look at everything Uh heck I would say venture into looking

16:50

at the financial documents that were put in for this particular patient Make it

16:55

comprehensive I even go down to down to the nitty-gritty of the appointment note

17:01

Yeah So did you look at that and how did you incorporate that Like did you address the chief concern Did the front

17:09

schedule it the way it needed to be Did you proactively approach the front Like

17:15

if you saw that the front planned this for an SSC and nitrous and you knew you

17:22

were going to need to take an X-ray but you didn't bother to correct that ahead of time and now you finished what you

17:28

needed to do but they didn't collect but now mom is upset because like even down to those little details making sure that

17:35

they're connecting the dots from a whole flow perspective Absolutely Absolutely

17:40

So if you set that stage from the get-go with your associates and you make it

17:46

dialogue it's not hey I'm going to call you into my office twice a month and I'm going to shame your treatment planning

17:53

or I'm going to be asking what in the heck were you thinking on this I'm not going and looking for your mistakes

18:00

We're just having a clinical collaboration a meeting of the minds where we get together and we dialogue

18:06

through a couple cases Now it's easy to do that if you set the stage from the get-go Now as you're

18:13

interviewing associates that can sometimes kind of be like "What You're going to be looking at my cases?" No

18:20

we're going to be looking at our cases together and dialoguing because we want to make sure that clinically we're on

18:26

the same pathway for our patients That doesn't mean that the treatment plan that owner doc puts together has to be

18:33

exactly followed by the associate It just means that that associate is going

18:38

to be getting insight into why the practice owner treatment plan's this way or that way and that should influence

18:47

the associate So we still want clinical autonomy We want that doctor to be able to make his or her own decisions because

18:56

that's important There's there's some um some ownership that that practice

19:02

associate needs to take with each treatment plan But the more that the doctor the owner doc and the associate

19:08

doc are collaborating the more that associate doc is going to then become likeminded with the owner doc um or not

19:17

And then you're going to quickly realize this is not working This is not okay Yeah Yeah Now if you're already in an

19:24

associate situation this becomes hard to then all of a sudden insert this

19:32

But I will say I have found very few times where I don't think I've ever found a

19:38

time I'll be honest that I didn't think it was appropriate for the owner dog and associate doc to collaborate some on

19:44

clinical conversations When that doesn't happen here's the what what's the why behind

19:51

all of this At the end of the day the care that patients are given falls to

19:57

the responsibility of the owner doctor So I can't tell you how many times I've s sat with a practice owner that had an

20:03

associate that unbeknownst to them were

20:08

overdiagnosing underdiagnosing completely missing things pissing patients off and they had

20:15

no clue because the owner dog's like "Oh you know here we go Great Got a wonderful doc on the team Yes let's go."

20:22

And then it's like they're in their own world Owner doc is in her own world and

20:27

our worlds are never colliding And then that associate doc moves on and owner doc absorbs those patients or passes

20:35

those patients on to a new associate and they're like "Oh my gosh this was a mess

20:41

of so what but how do you think that happens Do you think it's because of one

20:47

the assumption that this is another doc and they they know what to do so there's lack of communication and calibration?"

20:54

I would imagine that's a lot of it And the other part is the ickiness of it Like do I really have to babysit and

21:01

handhold and be the bad guy totally dentists you know four out of five

21:06

dentists all do different things And so you know what They went to dental school They they probably know what they're

21:11

doing Yep It is absolutely both of them It's awkward all the way around For whatever reason it's awkward to have to

21:18

have these kind of calibration type conversations What about if it's the opposite way What if it's the associate that's like "Okay I sat in on this doc's

21:26

work and the owner doc left an open margin Owner doc missed that." Like do

21:31

you ever see it that way Very seldom but when I do I've got one associate in mind

21:38

that this was happening where she was like "What in the heck's going on?" And

21:43

so my challenge to her was "Ask for these meetings ask to see if you get get

21:49

together once a month with the owner dog and she brings a case and you bring a

21:56

case and y'all dialogue about it together So associates have the power to ask for that And again the owner may say

22:03

"Nah I don't have time for that Don't really want to do it." And if that's the case that may be

22:09

the writing on the wall where you're like "Okay I probably need to move on because first of all I don't agree with

22:15

some of the clinical output here and owner doc's not willing to talk about

22:20

it." Um so all that to say an associate can certainly vouch or push for one of

22:27

these uh monthly type meetings I think the other thing that is super helpful um

22:33

that I that is easy and I I uh I think that can get missed and it goes back to

22:38

communication but as owner doc checking in with your team Yeah And so for me

22:44

especially the first couple of months if I remember correctly I would say okay how did that day go Yeah What went right

22:51

What went wrong Did anything stick out to you as being weird And what we don't want is the is the assistant or the

22:57

hygienist or the front person saying "Well that's not how Dr Kuba would do it." Like if I was an associate I would

23:03

be like "Well I'm not Dr Kuba." So um so it's got to be very respectful But so

23:10

for us for example I think the MOD example you know I think my uh as the

23:16

front was putting that treatment plan together and then the treatment coordinator was about to go over it they

23:21

already were like "The hell is this?" Like they had never seen an MOD treatment plan on a primary tooth in our

23:27

office And so they were like "The hell is this Was this a mistake?" And then you know the rumblings of "No it's a new

23:33

dog over there like saying to do this." then that treatment coordinator going and saying "Can can I just make sure

23:40

this is what you want to treatment plan?" Um and and I I know you're a doc but uh I just know we typically a lot of

23:47

times even just the person saying that the doc is like "What Why Why are you asking this?" Well I've just never seen

23:55

Dr Kuba treatment plan a mod composite on tooth number A Like I just have never

24:00

seen that Um and none of the other associates that have been here have ever done that So I just wanted to make sure that this wasn't a mistake Right Right

24:07

So that that may be the the nicer way of doing that And and I think that's what happened where that doc then the next

24:13

time I was there with him he was like okay clearly I missed the mark on here and I want to make sure I'm doing things

24:18

the way you do them So he was very gracious about it Um but what you know I

24:24

think that leaning on your team to make sure they do it in a respectful way but

24:29

they're your spies basically You know like tell me what you know or my current associate doesn't say much He's not

24:36

phased by much which is so great in so many ways But then I'm like were there

24:41

things that either a he missed and is unaware of and this is about to like I'm

24:46

about to come back and have to deal with this pile of you know what and he's clueless about it or did he just think

24:53

it wasn't a big deal or whatever right And so I'll ask my team hey how did Ivy

24:58

day go Any hiccups any issues any parent issues any concerns anything we need to improve upon upon next time So not even

25:05

for a picking on the dock but as far as the flow went or we have a new assistant

25:11

you know how did how did she do on IV day How did she do on her first day Like making sure you take the time to check

25:17

in with your people to see because sometimes they'll bring it to you but a lot of times they're just like "Oh well

25:24

this is how it is." and um you know you you want to make sure

25:29

that or vice versa that that the associate doc is not going to you know

25:34

harbor something going okay these assistants are driving me crazy with the well Dr Kuba wouldn't do that

25:39

well Dr Kuma does it this way well Dr do it that way So luckily I' my assistants rock They're not going to ever do that

25:46

but that happens frequently in other offices And you don't want to where you've done all this work to onboard

25:51

this associate and then the team is the one who chases associate off right And you were none the wiser Yeah Um

25:59

so that's a lot of treatment planning and blah blah blah What do you do in the case of if you see crappy dentistry Yeah

26:06

Yeah cuz that's the other one where I'm like "How do I tell you your SSC is yucky?" So I actually had a practice

26:14

owner that he was concerned about the quality of work that was being put out Now

26:21

his expectations were very high on himself and on others in incredibly uh

26:29

detail oriented Every line of that composite needed to be

26:35

perfection Um but he so he we started

26:41

doing these clinical collaboration meetings and because he was seeing things that he didn't like he was able

26:48

to bring those up and so they would talk clinically like "Hey this is how a treatment plan

26:53

blah blah." so they have a good clinical collaboration And then he would bring up hey by the way as I was auditing because

27:00

again from the get-go he makes it clear like hey I do audit not every case but just kind of pick a few you know

27:07

throughout the month and I'm auditing those cases If I see any concerns I'm going to bring those to you So he had

27:12

set the stage with this associate And so in the clinical collaboration he's like "Hey by the way I had a concern that I

27:19

wanted to bring to your attention Hey look at this filling You see this I feel like this could have been cut better

27:24

here This blah blah blah And so he talked through it and then from that was

27:30

like I want you to take pre and post uh

27:36

x-rays on your fillings and I want you to take pre and post IOPS on any filling that you do for this next week IOPS

27:42

intraoral photos sorry intraoral photos Yes Um so I want you to take those Let's revisit this next week So

27:50

let's not wait for our monthly clinical calibration but just for this next week can you have a real extreme So what do

27:57

you what do you tell the patient I'm going to take an X-ray now after I'm going to take a photo after Like what do

28:02

you not even address it with the patient You don't even address it You just do it You know hey our doctor really wants to

28:07

check with a X-ray to make sure that everything looks perfect We want a perfect filling for your tooth So we're

28:13

going to do an X-ray afterwards and I'm going to take a couple pictures But even if you didn't even say anything they may not even notice that you're doing that

28:19

they wouldn't even notice I mean I guess an X-ray they would but an IO they may not even notice Yeah Very very little

28:24

will push back against that Um but what I like about this strategy is that for

28:31

that next week cuz it's just like a hey let's focus on this thing and then let's revisit it next week So it's a short

28:36

timeline because you don't want a bunch of crappy dentistry going out for a month You want to be able to address it quickly But what's great about it is

28:44

there's a tangible next step Take pre and post on your fillings x-rays take pre and post IOPS Heck take photos

28:52

during the prep if need be so that you can see how does that prep look Do that for this next week and then we'll get

28:58

together and meet about it the actual process of daily as that doc does a

29:04

filling he or she is taking a pre and post she's taking IOPS or her assistant

29:09

is but she's becoming aware throughout that week of either inconsistencies or

29:15

things that she doesn't like but then you've got this end meeting where it's like oh at the end of next week let's go

29:21

back and look at some of your photos the doctor the owner dog can see was there improvement do we have the capacity to

29:28

improve proof Can he or she actually see the errors that are occurring Or is she

29:33

like "Yeah look at that pre and post X-ray Look at the photos That's a beautiful feeling." And the dog's like

29:40

"Oh gosh that is so what do you do in that case?" Then to me it's like "Okay we're we're going to have to part ways."

29:46

Because if there's if that uh associate doc is looking at it as perfection and that owner doc is looking at it like I

29:54

would not put that in anybody's mouth there is to me too much of a clinical gap that we would not be able to close

30:00

So do you write that into the contract like the first three months are where we're going to be checking your work and if clinical proficiency or are you stuck

30:07

with this person contract or what So any clin any contract should have an out

30:12

should have an out clause Usually that's a 30-day notice that either party is able to give the other Sometimes it's

30:19

longer but I like I prefer the 30-day notice because as an I see it from an

30:25

owner doc standpoint I want that owner to be able to go "Hey by the way I'm in I'm giving you your 30-day notice This

30:32

is the stated reason why." And that contract should be able to say that you can give that But how do you say that

30:38

We're just clinically not on the same page Yeah Like how do I say I think your dentistry is crap Well to me if you've

30:45

had a a couple of these like corrective type hey this filling was off Let's do

30:50

this He or she's going to know it's coming Okay So it kind of gets some of the awkwardness out of the way And then

30:56

you're just like hey I've done a lot of thinking on this I don't think this is a gap that we can actually close You look

31:02

at a filling and you call it good I look at a filling and I say that's an F feel filling And again that's just us not

31:09

being able to see things from the same direction But if a couple of these conversations have already happened he

31:15

or she knows that that's okay that's coming So I think I like this because now as I'm looking to narrow down you

31:23

know whoever I'm bringing on I think that's what I'm going to do is say and I think I'm sure you say it too There's a

31:28

lot of collaboration We want to make sure we're on the same page as far as treatment planning verbiage for parents

31:34

Um and then uh asking for you know giving them the heads up hey I'm going

31:39

to be taking uh intraor orals before and after and x-rays so that we can just

31:44

make sure you know it's our quality control Certainly if you see something of mine you know you're welcome to bring

31:49

it up to me Um and I I want you to be able to ask questions but you know doing our due diligence to make sure you're

31:55

successful in our practice Um you know there's a certain amount of autonomy I want you to have but there's also a

32:01

certain amount of you got to do it our way And um so we're just going to be making sure So certainly the team is a

32:07

valuable resource They're more than happy to answer for you the what and why Like if you were going to go in and you

32:13

were going to go you know extract preolars and just offer nitrous that's

32:19

appropriate sometimes but you know use the staff lean on them to say what what

32:25

has typically been done here and why uh will this be a successful treatment plan

32:31

or not I mean it may be what we want but no parent is going to agree to it you know So we've got to like make sure

32:36

we're all working in the same boundaries of things for us to reach our common goal of getting the kid the care they

32:43

need Exactly Um and so my staff is a resource for you Please use them Um

32:48

they'll be giving you feedback I'll be giving you feedback and I'm sure you'll be giving us feedback too on things Yeah But just be very clear with that cuz

32:54

that's the one thing where I'm just like you know the treatment planning part of it and then the actual dentistry part of it

33:02

Yeah That I'm just like how would I tell a colleague I think your work is garbage Like I don't know that I could actually

33:07

say that But now you've given me tools that I don't have to say that but we can allude to it that we're just not on the

33:14

same page Yep Exactly And to me again this is the practice owner's

33:19

responsibility to do this This to me is not elective or optional things You are

33:25

responsible for those patients and the care that they're receiving And if you're having a separate set of hands

33:31

carry out the work that's necessary on those patients then it's your job to

33:36

oversee and to ensure that it's quality work that's happening Thanks for joining the

33:43

conversation today We hope that you are comforted in knowing that you are not alone but we also hope that you're

33:50

walking away with some really great tips and tricks to try in your practice We value your feedback so

33:57

please take a few moments to rate and review the podcast Finally we want to

34:03

make sure that we're covering the topics that matter to you So track us down on Facebook Instagram and Twitter and let

34:11

us know what topics you want us to cover As always please know that we are

34:16

rooting for you today as you manage your dental drama