Thursday, August 15, 2013

Backward (Upside Down) Thinking

Backward (Upside Down) Thinking

True Leadership

When we think of leadership in a small business, like a dental practice, we often think of it in this manner: The leader (the dentist/owner) is at the top then there are a few (depending upon practice size, of course) mid-level working supervisors who manage the assistants, hygienists, and administrative staff.  This management style (remember, people can be led but not managed) has been accepted for decades in the military, in corporations, in education, and even in families.  Well, it is completely inaccurate, and it does not work.    Extensive research has shown that this is the best organizational chart for a successful company, but it does not work for smaller businesses. The people who need the most support and training are the people at the bottom of the pyramid who actually work with patients. 

Forgetting that the dentist has two roles in his/her practice for a minute...leader and clinician, just consider who actually spends the most time with your patients.  Typically, they are the assistants, hygienists, and administrative staff.  In too many offices these are the low-level positions, and they are thought to be at the bottom of the team pyramid.   

Leaders do not sit.

In our first graphic the leader sits at the top, and in our second graphic the leader holds up the rest of the team.  Any successful leader knows that sitting at the top is not successful.  This sort of thinking is why there is so much resentment to the higher income brackets from zero-sum thinkers.  The leader is, in fact, the hardest job in the organization.  It usually pays the most for that very reason.  The leader's true job is to support the next level who then support those who actually work directly with the patients.  The number of levels varies by organization size, but the job is the same.

                         
                             Figure 1                                                                           Figure 2
                               

The job of the leader is to support, serve, and enable his/her staff.  Sitting at the top is not part of the job.  First, carefully screen, vet, and hire your team.  Then, the real job of making sure they have everything they need to make the patients' experiences worthy of reference begins.  It is a hard, tiring job because leading and serving can only be done properly if the leader has earned the authority to lead.  Power gained through controlling the purse strings goes only so far.  True success comes from serving those who serve the patients.  In fact, the real leader is more of a servant than a dictator.

Please feel free to leave your comments below or email me at wisdom@wisedentist.com.  If you would like to discuss one-on-one leadership training either at our Suwannee River Retreat or in your office, contact us by email or by phone at 813-963-7228.

      Have a great week,

L. Hurston Anderson, PhD
Professionally Managed Practices, Inc.
wisdom@wisedentist.com
813-963-7228