Two Planets

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ABOVE THE CLOUDS
For Dentist Entrepreneurs

Chicago Ritz-Carlton - July 29-31, 2010
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SERVICE VS. PROFITABLITY;
POLAR OPPOSITES

Few outside the dental industry really understand. Most who use your dental services don't understand. Entities that finance the industry don't understand. Vendors, suppliers, and other contract service entities don't understand. What is it they are missing? That in private practice dentistry, the dentist is always pulled between two distinct and very powerful poles of attraction.

One pole is the purpose of any for-profit business which is to make money. The other pole consists of those principles on which a service business is grounded and in dentistry it's not only patient comfort, but also best-of-class treatment. And these two poles are many times diametrically opposed.

How do you navigate between these two poles? To steer safely so you are not dominated by either pole is very difficult. If you drift too far toward one, you underperform in the other. In addition, each pole is now more charged in our rapidly changing dynamics occurring in the world, our economic turmoil, the cry for changes in health care including dentistry, and the increased pressure from the rising costs of doing business.

In the pole of service there are many elements at work. Customer care, which lets the patient know they are valued, sensitivity to the patient's economic situation, and an authentic level of empathy for your patient's concerns about dentistry itself. You must build a relationship of trust and affinity to have the patient understand the nature of their problem and the solutions you are recommending. All these elements must be present and must be attended to in order to provide the required levels of service to succeed in practice.

The forces that emanate from the service pole are increased when you have the appearance of new technologies (i.e. cone beam) and new distinctions (diagnosis and treatment planning based on risk). These technologies are expensive and require costly CE to enable you to be a better dentist, which increases the conflict with the for-profit pole.

At the other pole, for-profit, there are also a number of powerful elements at work. These elements possess opposite forces than those at the service end. Maximize efficiency to optimize time, equipment and material usage, and pricing procedures and time to generate maximum revenue against a backdrop of competition and 3rd party influence increases the powerful forces of this pole. The pull of this pole drives you to hold costs down in all areas to generate a decent margin for ownership.

And when the economy hits a down turn, when cash flow becomes a problem, when new patients aren't saying 'Yes' to treatment plans, the for-profit pole gets stimulated. It's hard not to try to sell more dentistry than is needed and difficult not to cut expenses that impact quality of service to the patient.

Many times dentists feel pulled, nearly split apart by the dichotomy created by these two powerful polar forces, yet my highly successful clients are able to use the tension created between these two poles to generate power, drive and vision. How do they do that?

They realize you can't make whole two disparate parts, service and for-profit. In fact, you want to keep them distinct. But you can master both domains and it is this quest for mastery in operating and leading a successful for profit business 'and' (not 'or') committing yourself to deliver the highest quality dentistry possible that distinguishes these providers.

The more intention and attention applied to each pole, without trying to homogenize them, produces more and more energy. The higher the energy, the greater the practice performance. That's why successful dentists don't try to justify or defend making money. They drive hard for profitability while not settling for just delivering the care they learned in dental school. They are on a committed quest to continuously become outstanding clinicians.

Successful dentists know, the more masterful they become at each pole, the more successful they will be and they understand they don't need to justify or rationalize their quest for mastering these two distinct poles. The greater the level of mastery in each pole creates greater and greater tension between the two. The higher the tension, the greater the energy. The greater the energy, the greater the performance of the practice.

Dr. Marc B. Cooper
The Mastery Company
MasteryCompany.com



NOTES
You can now access past eNewsletters (Mastery and The Enlightened Dentist) at the Mastery website. Just click on ARCHIVES.

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Dr. Marc B. Cooper
President and CEO
The Mastery Company