Archive for October, 2009
Level I, II, III and IV Dental Practices
Posted by: | CommentsPart 1: What kind of a dentist do you want to be?
• Level I – mostly a quick fix, in and out practice. This dental practice reacts to patients’ problems and generally treats one tooth at a time or one problem at a time. There is little or no time spent in diagnosis and treatment planning. Volume is the focus to this type of practice. Generally, the training of this type of dentist is dental school only or minimum CE after dental school.
• Level II – dentist has more technical training, but the perspective of the dentist (his/her vision) is limited to fixing and repair. Patients will only do what insurance will pay for. Level II dentists will have considerably more technical training than Level I dentists but treatment vision is driven by the patient’s need and the dentist’s need to fix things.
Level I and II dentists and dental practices amount to 95% of all dental practices in the United States. Why? Because this is how we’ve been trained, to fix things.
• Level III – focus is more pro-active or creative than reactive. The dentist and patient co-discover and co-diagnose the health of the mouth to predict the future health or disease of the entire oral system. Level III dentists are more ‘systems based’, looking at the cause of disease and treating the entire ORAL SYSTEM rather than simply teeth, periodontal disease, or cosmetic occlusion. All new patients have a complete examination of all components of the oral system, not just the teeth. Patients will have a Written Master Plan for Prevention and Repair. The central difference is that both dentist and patient are interested in the cause of the problems not just the treatment of the symptoms. This is a lower volume, relationship and trust-based practice.
• Level IV – focus is similar to Level III but the cases and problems patients present are more complex. Missing teeth, periodontal disease, occlusal disease, TMD may all be involved. Dentists involved in Level IV dentistry are ‘whole mouth dentists’ as are Level III but they are also ‘whole person’ dentists.
Level III and Level IV dentists are ‘systems thinkers’, not piecemeal thinkers. They look at the ‘big picture’ as well as the ‘small picture’.
Our dental education prepares us to be Level I dentists.
Advanced technical training prepares us to be Level II dentists.
Our ‘quick-fix’, busy, I have to have it now culture, prepares the patients for Level I and Level II practices. The majority of management promoted in the professions comes from a ‘business model borrowed from manufacturing’. Turn out as many widgets as you can and things will turn out just fine.
Problem is dentistry is a ‘service, relationship and trust-based model’, not a manufacturing and production model. A production model is perfect for a Level I and II practice because it focuses on treating as many people as possible and delegating as much to adjunct staff as possible. The focus of both Level I and II is efficiency and is measured by production and collection. More patients equal more production.
Most dentists today understand the ‘production model’ because their first ‘job’ as a dentist is usually in a ‘production clinic’ or ‘dental mill’.
Production models have a broad mix of services so they can do everything on everybody. No discrimination, just give me a warm body is the code.
A Relationship, Service and Trust-based Comprehensive model is less known in dentistry because there are fewer of them (far fewer) and because volume and production models are promoted by consultants and management companies or manufacturers or accountants who aren’t dentists.
The reality is there are very few ‘consultants’ and ‘management firms’ who know how to create this type of practice because they never created one for themselves.
Which perspective fits you? Here are a few questions that may help:
• Do you want to form significant relationships with your patients?
• Do you sincerely want to make a difference in their lives?
• Do you like to work on a few people and make a big difference in their lives or on many and make a small difference?
• Do you feel like you have to be busy, busy, busy or do you like to work at a more normal, sane pace?
• Are you motivated more by how much you produce or how much you net in profit, fulfillment and enjoyment?
• Are you motivated by doing really high quality technical work, or does it make a difference at all?
• Are you a constant student and interested in becoming the best dentist and human being you can become?
A Level III, systems thinking dentist creates a Level III practice. (See Part 2)
Blooming Flowers at the Schuster Office
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As I pulled into the parking lot today, I noticed the flowers blooming on our shrubs outside The Schuster Center. I am reminded of the beauty that surrounds me on a daily basis and how sometimes I miss the beauty because of being too busy. I love the outdoors and I love planting and growing things. I guess you can never take the farmer out of the girl from Indiana.
The garden in my backyard is growing and I will soon have vegetables for some healthy meals. While the rest of the country is preparing for winter and gathering their final crops, here I am planting a new garden and waiting for the harvest. In this part of Arizona we have a spring garden and a fall garden. The summer is too hot for the garden and everything dies off.
Just like our lives and perhaps your dental practice, in order for new life to spring forth, a period of dieing off must happen. We have to be willing to end the “old way” to make room for the new. Have you gathered the harvest and begun the planting process for the new to come? If you are seeking change, a plan for transition is needed. Happy gardening and Happy creating!
Barb Stackhouse, RDH, M.Ed.
Practice Development Coach and Faculty Member
The Schuster Center
Dentists’ FEAR of SUCCESS
Posted by: | CommentsFear of Success is evidenced in all human behavior. It is insidious, unconscious and evidences itself in how the vast majority of us SELF-SABOTAGE almost every good thing we attempt to do. A book that is by my bedside, (to remind me of how procrastination is a form of SELF-SABOTAGE) The War of Art, is so important that we all have to be reminded every day how our own ‘self talk’ prevents us from accomplishing what is most important to us.
“It’s to our own self benefit that we become the best human beings we can become.”
Just think of the excuses we dentists can trump up in our minds for:
- Not working out
- Not eating the right foods
- Not taking that drink of alcohol
- Not smoking that cigarette
- Not saving money
This is simply amazing. The major reason that so many of us have problems overcoming the Fear of Success is that we don’t believe we deserve SUCCESS. Ask yourself:
- Why do we start something good and then don’t finish it?
- Why do we start a weight loss program and gain the weight again?
- Why do we save money and then lose it?
- Why do so many really high income actors invest their money and lose it?
- Why do great athletes or star performers have a great run of success and then end up in alcohol or drug rehab?
- Why do so many politicians, seemingly on top of the world from a power, prestige and character standpoint, end up caught cheating on their wives?
- Why do so many people do great in business only to end up in failure. (Read the Introduction to The Science of Creating Wealth™)
Right in front of your eyes you see dentists SABOTAGING themselves in every arena of life. Why? The reason WHY is primarily because: “You don’t think you deserve it.”
Fear of Success is in the Unconscious Mind. To conquer the Fear of Success, you must be aware that it exists.
- To lick it I must be aware of my ‘self-talk’.
- Background – Family of origin and what was said to you when you were growing up
- Any past failures are imbedded in our subconscious mind and often block us from creating the success we want in any arena.
- We also rate ourselves in various arenas in our lives. These ratings are mostly unconscious and often limit the perception of our success.
- In other words, no matter what we accomplish or achieve, it is never enough. If I don’t think I’m successful, then I’m not.
Fear of Success is just as paralyzing as Fear of Failure. Many dentists fear SUCCESS because it tests their current limits and makes them vulnerable to new situations. Even worse, trying something new exposes weaknesses and forces us to deal with our inadequacies. Success at anything always involves changing something, usually the way we think. Often Success involves new responsibilities and new challenges that threaten our safety.
If you think Fear of Success isn’t important, then ask yourself why you continue to procrastinate in:
- Starting a long overdue program of business improvement for your practice
- Starting an exercise program of working out an hour every day
- Initiating a savings and investment program that ensures you won’t lose money
- Taking a long overdue Sales Course for the dental practice
- Focusing on how you can be more productive both personally and professionally as a dentist
Fear of Failure and Fear of Success are two of the most dominate unconscious forces in all of our lives. No one is exempt. More important than all little tricks to work on your mind is this single thought…
No matter how successful you or I become at anything, if we don’t believe in our hearts and souls that we deserve it:
1) We’ll never start whatever we need to start.
2) We’ll get half way through it and quit.
3) We’ll achieve SUCCESS and reverse it.
Amazing isn’t it? Just how much in believing We Deserve It! impacts our entire life. Whether we START, or START AND QUIT or START, GET IT and REVERSE our SUCCESS is all dependent on whether we think we DESERVE IT OR NOT!
Dentist – got a budget?
Posted by: | CommentsAlthough many dentists and team members plan and make goals for their practices, many don’t operate their households with a planned goal. In trying to survive from week to week and from month to month, many people overlook an important personal management tool – budgeting. Would you ever go backpacking into the Arizona desert in July, without determining what supplies you might need? Of course you wouldn’t. Then why would you take one of your most important adventures, starting or managing your home finances, without a clear picture of what’s ahead and what resources you will need to get there?
The objective of the fiscal responsibility is to teach you how to manage your professional and personal monies. Budgeting can give you a map of expenses that are known and help you plan for expenses that cannot be anticipated.
Once you have all of your figures together, you have to start asking questions such as: How much control do I place on my spending each month to achieve the desired profit? What purchases are coming up for me in the future? Can I afford to take my vacation this year?
Once you have completed you budget you will have one of the most effective personal management tools of all – something that you can use each month to check your progress in achieving your personal dreams.
In its simplest form, a budget is a detailed plan of future receipts and expenditures. Right from the start you can validate the activities that you have planned for the coming year. Knowing what your personal activities cost and when such expenses will occur will help prevent any unexpected surprises that could lead to financial problems.
Once the period for which you have budgeted is completed, you can compare actual results with anticipated goals. Get into the habit of making this a regular part of your personal routine. You may find it takes discipline at first, but the rewards are high. You don’t have to do anything elaborate, just a simple comparison of your budgeted figures to your actual results. Then begin by asking yourself “why” they are different. Were your expenses higher than you anticipated? If so, do you need to look for ways to cut costs? Don’t blame the budget, use the information constructively and improve your budget the next time around.
The next step in preparing a budget is to determine whether you can achieve your personal profit goals. To do this, you must project your fixed costs and your variable costs. From these three figures, targeted profit, fixed expenses, and variable expenses you can determine your required level of income.
Fixed expenses are those costs that regardless of personal income generally stay the same. Several examples are mortgage payment, insurance, car payments etc.
Variable expenses vary with income. Several examples would be entertainment, travel, groceries, and clothing.
During the year the budget provides you with one of the most important personal financial management tools. For example, by looking at the year you can anticipate peak periods and months where personal profits may be restricted. It helps you anticipate your schedule better so you can make good decisions about special personal purchases or activities.
Through the process of budgeting, you will gain greater self-awareness by developing a deeper understanding of your cash flow needs. This will lead to improved personal performance and an enhanced quality of life. Through this process you will become more self-aware and committed to take action in route to your personal financial success.
Wild Visitor to Schuster Center
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Looks like a domestic cat, right? No, this is a wild Arizona Bobcat. See her fluffy little cotton tail? Native to several regions in Arizona including Scottsdale, the bobcat depending on male or female will weigh between 15-35 pounds. This bobcat (female) was in an area used for water drainage control on the north side of The Schuster Center. We are guessing 25-30 lbs for our bobcat.
This area has become our personal mini-Sonoran desert. Some of us, like me, are fortunate to have large windows that face this beautiful desert oasis as we are working. Believe me, sometimes it’s hard to concentrate with all the wildlife playing and roaming outside our tinted windows. (We can see them, but they can’t see us!) We see coyotes, roadrunners, (Beep! Beep!), cottontail jackrabbits, ground squirrels, quail and coveys, and all varieties of birds including hummingbirds, morning doves and woodpeckers. Then there are the lizards, beetles and monarch butterflies — no rattlesnakes or scorpions yet; but they are around.
Foliage consists of Mesquite and Ironwood trees, Bird of Paradise plants with their tiny feather-like, light olive-colored leaves, flowering into bright reddish orange and yellow buds atop thin branches. In the herb family, we have Texas sage with a purple flower peeking out amongst its grayish green leaves and Rosemary; ornamental pampas grass and other low flowering and perennial green bushes abound; good for a bobcat or coyote to rest in the shade on a warm summer day.
Brenda Penwell, President and CFO, (the brave one), took photos as our bobcat was sitting in the shade. She “eyed” Brenda and Brenda “eyed” her right back. I think they had a mutual admiration for one another’s braveness. Bobcats will usually not attack humans. But Brenda did take a chance. Still, we thank her so much for getting these great photos (see our snapshot section for more photos). Now Brenda, in your spare time, why not get a picture of that coyote that comes by every so often?
And don’t think we all haven’t had our adventures with the wildlife. One day, we had to cover a grate with large metal openings because one momma quail kept leading her babies over to it. We had one mishap and that was it — several of us ran out to cover the entire grate placing river rocks on top to secure the cardboard poster we used. Momma and rest of babies were ok after that.
Another time, Lisa had the largest lizard on her window I’ve ever seen. It was the Daddy lizard of all time. If it had been brightly colored in a pink and black pattern, I would have guessed it to be a gila monster. It was sure big enough to give a gila monster a “gila” of a fight. Lisa said the reason he was so big was due to his gorging on cherry tomatoes. Our Dianne Stuve (Groovy Stuvy), gives the leftovers from our cafe to
the animals outside, i.e. cherry tomatoes and assorted fruit and vegetables. Apparently, Mr. Lizard swallowed his cherry tomato whole and it was protruding from his throat like a boa constrictor when it swallows its’ prey! Guess he digested it ok. Our woodpeckers love the pineapple. Lisa thinks they must have tropical tastes.
Well, we do get plenty of work done around here but what a wonderful place to work and a great place to live! Especially right now (October) when the rest of the country is facing months of permafrost while we’re walking around in shorts, sandals and t-shirts!
That’s all folks! Hope you enjoyed my first blog! Maybe, I’ll do one on graphic design as that is what I do for The Schuster Center. And, I know just a wee bit about marketing for dentistry as I’ve worked with Dr. Schuster and his marketing team for 28 years.
Dental Marketing Today
Posted by: | CommentsThere is only one really good reason to market your practice through good times and bad. Only one. But it’s the one that makes all the difference – it is so you won’t lose your place in line. Better yet, keeping your place in line positions you to move up in the line and overtake your competition.
There is a marketing life cycle that all businesses go through if they want to be successful. First, the business has to know there is a line. Then, they need to know where the line starts and how to get in the line. Much of the effort goes into staying in line and holding that position. Sometimes a practice decides it wants to move up in the line and, perhaps, get to the head of the line.
Marketing is about this entire process.
But when an organization stops marketing and takes it’s position for granted, it is the same as getting out of line and having to start over or, if not from ground zero, then certainly from a more disadvantaged position.
Unfortunately, it is a cliché that when times are rough, the first expense to cut is marketing and advertising. This happens time and again, despite the many case studies and statistics that strongly demonstrate how companies, products and practices that marketed (e.g. maintained their visibility) throughout down times gained greater market share when the good times turned around. And for a lot less money! Those organizations that silence their marketing voices have to spend more, work harder and play catch up to their more marketing savvy competitors. Often, in spite of their efforts, they never again really catch up to where they were.
Healthcare advertising has a lot to learn. Unfortunately, many organizations learned the wrong lessons, from the wrong people. During the 80s, it became fashionable to talk about “product line advertising” as opposed to image/brand advertising. Large hospital systems thought it would be a good idea to apply consumer packaged goods approaches to healthcare and hired MBAs out of Proctor and Gamble to direct their strategies. Lectures and seminars were developed that had these marketing gurus telling hospital folk how to do it, and the first to be sacrificed was the image (or brand) of a facility. The new hero was the product. Ads had to be measurable. Marketing had to be accountable. The brand stewards were hushed in favor of short term returns.
Lamentably, abandoning the brand took its toll and turned healthcare into a commodity.
Commodities do not have bargaining power.
Commodities do not inspire loyalty. People will not pay a premium to use their services. But organizations (and practices) who maintained their belief in the power of their brands ultimately thrived and out-performed their competitors. For example, Mayo Clinic remains the “poster child” for this concept. The Mayo Clinic “brand” is protected at every turn. They do not market individual programs and services as much as they market them under the aegis of Mayo’s programs and services.
The safe default position to which many healthcare advertisers fall prey is to tout facilities, technology, and sometimes its doctors. Add to that some testimonials from satisfied patients whose lives have been saved, mixed with smiling family shots of arms draped over loved one’s shoulders, or couples walking on the beach holding hands, and you have the typical clichés of healthcare.
Ads that provide a concept that hits a nerve, that engages us on a deeper level of desire, fear, hope and longing are ads that we remember. That is the point of doing ads at all: to plant in the minds of our target clients (patients and referral sources) the message about who we are, what we do, and what we can do for them that is better than what they could get elsewhere.
That is when advertising goes from being an expense to becoming an investment.
Great advertising, effective advertising, is like shoulders from which to drape a garment. It flows. It fits. It makes an impression that lasts long after the person leaves the room.
There are plenty of opinions as to what makes for good, if not great, advertising. Yet the truth rests with some very simple concepts. Do you remember the advertiser and the product? Do you get what the advertiser’s key benefit is to you for the product or service? Do you understand the product’s attributes and promises long after the ad has run its course? Do you like the ad and look forward to seeing it again? Does the ad make you feel inclined to ever use the product? Do you come away from the ad with a positive perception about the advertiser?
If you are going to hold your place in line and improve your position, create an impact. Make your advertising memorable. In Hollywood, people often use the expression “I laughed, I cried, it became part of me” to describe with flair how a performance affected them. Advertising, to be effective, must affect people as well. If it doesn’t, it is an expensive exercise. If it does, it is the best investment you can make in marketing your practice and becoming “brand visible.” The better you are perceived, the more choices you have in creating the practice you desire, with the patients you choose, on your own terms. That’s why you market, and why being in line matters.
If you enjoyed this article and would like more information, contact The Schuster Center at 1-800-288-9393 or www.SchusterCenter.com
12 Dental Practice Strategies
Posted by: | CommentsSuccessful practices aren’t any more talented or intelligent than you are. They simply have learned to do things in a different way and make money in the process. The key to improving your practice performance is to “Out think your competition vs. Out Spending” them. The suggestions below are in no specific order of importance:
1. Know Yourself – Having your own practice is more than just creating a job for yourself. Your basic roles are in delivering dentistry, marketing, finance, administration, and the responsibility of personnel. To get the best results, it is rare for one doctor to play all these roles equally well. You must know which parts you can handle yourself and which parts you’re going to need help with. As the technician in the practice your time is leveraged best when you are concentrating on activities that ensure future revenue for your practice. Empower your team to run your management systems and stay focused on what you do best.
2. Plan Ahead – well-intended team members but who don’t have all the information they need to do their job run most practices. This includes a clear idea of market segment, target markets, customer service, marketing mix and promotional activities. If you want to succeed you need a well thought out business plan that helps you make the right decisions? If you don’t have a business plan, consider enrolling in The Schuster Center’s Strategic Planning program.
3. Know Your Industry – You can gain the greatest competitive edge if you have an intimate knowledge of your business. Unfortunately dentistry is a very isolated profession. Exposure to your colleagues and their practices is very limited. To thrive and prosper, you must be committed to learn and have the desire and energy to accomplish your goals. These are five main reasons why most practices don’t prosper.
- Lack of Industry Knowledge
- Lack of Vision
- Poor Market Strategy
- Failure to Establish Goals
- Inadequate Cash Flow
4. Understand Your Clients – Make it your business to give your clients what they want, and they will continue to buy from you. The services you provide should reflect your client’s needs and wants. Many doctors position themselves as a commodity-based practice and focus on selling Crowns, Veneers, and Restorative. Think in your client’s terms; buy, show, sell, and say things that interest them, not just what interests you. Remember, they want NO dentistry. Sell yourself!! Focus on your services such as trust, being on time for their appointments, and your attention to patient comfort.
5. Keep Good Financial Records – If you don’t know where your money is going, it will soon be gone. Good financial records are like the instruments on an airplane, they keep you posted of your height, direction, and speed. Without them you’re flying blind with no controls to guide you to your destination. If you are not tracking your statistics get back into the routine of this with your staff. If you need assistance contact your support coach for a review.
6. Use Sound Management Practices – As a practice owner, you are also a manager. You have to make decisions, offer client service, manage time and resources, and know how to run the practice better than anyone working for you. Your team not only includes your immediate staff, but surrounding yourself with a professional advisory team is also critical. Remember the concept of a level one dentist vs. level two dentist. This same concept can apply to your accountants, insurance agents etc. Are you working with a level one accountant or a level four? Are they simply organizing your money on a P & L or are they coaching you towards future goals?
7. Develop A Distinctive Image – Your image is important and is a function of your marketing efforts and materials. Clients create their perceptions of your practice from your name, web site appearance, practice location, displays, business cards, newsletters, and anything else that relates to your business.
8. Learn From The Pros – In today’s explosive markets, making the right moves is absolutely essential; there is little room for error. Stay connected with The Center so you can interact with dentists from all over the United States. The support department is also a terrific resource for your practice. Each year we have the privilege to communicate with literally hundreds of doctors. Because of the emotional and sometimes difficult decisions that must be made, the crucial difference is having fresh ideas with an impartial business position. This is one the primary reasons we use statistics in our coaching calls. Our job is to minimize the emotion and give you guidance based off of objective data.
Case presentation skill development is a critical component to your success. You will need to constantly improve and refine your skills. If your case acceptance is less than 85%, then consider attending an Advanced Case Presentation Seminar with Dr. Schuster.
Radio Interview with Mike Schuster
Posted by: | CommentsI thought I should post the recent radio interview that Dr. Schuster did on Sept. 29 about his book, The Science of Creating Wealth™. It is helpful to hear Mike explain several concepts that he writes about…especially the 3 FATAL ASSUMPTIONS for dentists:
1) Income = Wealth
2) You can run a business on an accounting statement
3) You can run a business by the seat of your pants
He also explains the creative process, structure and the belief systems necessary in order to actually manifest true growth and wealth. Take a moment to hear the author speak about his widely popular concept, The Science of Creating Wealth™.
(Click the play button below)
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–Contact The Schuster Center to purchase the book for yourself: 1-800-288-9393.
PRODUCTION BASED PRACTICES
Posted by: | CommentsWarren Buffet recently made a profound statement: “There are INNOVATORS, IMITATORS and IDIOTS”
There are plenty of dentists whose very lives are coming unglued because of their BLIND FOCUS ON PRODUCTION.
We all need revenues. All businesses need revenues. The question is HOW DO YOU GET THEM? Do you get them by seeing 75 new patients a month, running them through your practice like cattle and manipulating them in the hygiene room to get a crown?
Or…
Do you establish rapport, trust and a caring and sincere relationship with your patients to co-discover what the person wants and needs? Do you co-diagnose their existing condition with care and do your very best to help them get what they want and need?
The production and money-based ways of dealing with people is to manipulate them. In contrast, relationship and trust-based dental professionals seek to help people. They make good decisions and form a long term relationship with each patient.
THE PRODUCTION BASED dentist eventually becomes an IDIOT. Staff isn’t motivated by anything other than money. Dentist isn’t motivated by anything other than money. Instead of creating a ‘professional environment’ of high trust and low fear, the environment becomes a nightmare.
I fully realize we are in the most severe recession we’ve seen in nearly 100 years. But those practices that have focused on QUALITY, TRUST-BASED relationships are sailing thru this time and in many instances, having their best year ever.
There is only ONE MODEL that creates FINANCIAL FREEDOM, TIME FREEDOM, RELATIONSHIP FREEDOM and PURPOSE FREEDOM…and it is the model that we teach at The Schuster Center.
The one and only model.
Dr. Michael Schuster
–Call us about how to integrate proven models and strategies into your dental practice for higher profitability and personal satisfaction… 1-800-288-9393 or visit www.SchusterCenter.com



