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Hiring the best and brightest is probably the goal of many organizations.  We laugh at comics like Dilbert.  They contain funny characters like Wally, who are horrible at their job.  In an ideal world, those type of employees wouldn't exist.  If we could only hire the most qualified and the most competent and everything would run smoothly. If only it were that easy.

Unfortunately in the real world, things don't always work out that way.

Personal Experience: My Dentists Office

I have been going to the same dental practice since as long as I remember.  Since I'm 40 years old, that's at least 35 years or so.  For most years, the practice was owned and practiced by one dentist.  He always did a great job, and was on the cutting edge of many technologies that are now standard, but were not at the time.  On top of that he's a really nice guy.

At some point, he brought someone in to expand the practice.  At first the second dentist was an associate, and after a number of years she became a partner in the firm, with some level of financial interest.

The original dentist eventually had a health problem and had to eliminate his ability to practice.  He still ran the practice and operates as the primary stakeholder, and in order to fill the gap in patient care, another dentist was hired as an associate.

That dentist was awesome, and became the primary dentist that my wife and I both saw, as well as my parents.  After several years of being in the practice, he left.  A replacement associate was hired, and he became our dentist, and saw both of our kids as well as everybody mentioned above, meaning there were a lot of our family member that were now developing a history with him.  He was also very good at what he did.

On The Way Out

We just got an e-mail from the dental office that he is also leaving.

At this point, there is some great concern about the rotation of dentists and whether or not it makes sense to stay with this particular practice.

On the one hand, the managing partner seems to hire great dentists.  We've never had anybody yet that we feel uncomfortable with or that doesn't seem like they know what they're doing.  The hope is that the next associate to be brought in would meet the samemb-2015-02-teeth standards.  Of this there would be little doubt.

On the other hand, he seems to hire only great dentists….that tend to leave!  My wife and father both said to me, in independent conversations, that it doesn't seem to make sense to develop a history with a particular dentist, only to have them leave and have to start all over again.

The dentist that just left has other family members who are dentists.  While it isn't clear, it's a safe bet to think that maybe he's going to go there.  Did I mention that the family office is only a couple of miles from our house?

It makes for an interesting proposition.  We've developed loyalty and comfort with this office, but with the high standards that they develop, they could actually be presenting us with an option that might be in our best interests to go elsewhere.

Great Associates Don't Want To Be Associates Forever

I'm only speculating here, but my guess is that the associates themselves see the opportunity as one to develop their skills and cement their reputation as great dentists, after which, it only makes sense for them to go where they can have more opportunity, prestige, and control.

The history of all three associates (they did announce a replacement has already been hired) seems very similar.  They graduated dental school and worked at what I call a dental ‘chop shop' for a few years.  This is the standard clinic with many dentists that advertises on park benches and late night TV commercials, and often has very incompetent dentists, but likely also serves as a way for new graduates to get their feet wet, and to stand out, at which point they become associates at a reputable practice.

However, after they prove their mettle at the next level, it only makes sense that they want to take it to the next level again.  The bottom line is that the dentists I've mentioned have all been the third name on the door, but likely know that they're talented enough at what they do to be higher up.

So, they go for it.

As they should.

Grab A Hold While You Can

Look, I don't blame them one bit.  It's a tough sell to tell them that they should stick it out and maybe somewhere down the road they can get a piece of the pie themselves, not when they know that the opportunity is out there.  On the other hand, it's hard to blame the managing partner.  He founded the practice and ran it by himself for a number of years.  Even though he's no longer actively practicing, he's built a great reputation.  He's also made some great hires along the way.  This has allowed the practice to presumably remain profitable.  Does it make sense for him to ‘give that up' to try to keep the associates happy?

It's a fine line to walk.  It's clear that hiring the best and the brightest certainly has its advantages.  however it also has some disadvantages.  It opens the door to other questions and problems, which, if they're not handled right could actually hurt business.  Say my family and my parents all left the practice, that's certainly not going to send the practice into bankruptcy, but if there are enough people that have those thoughts and act upon them, it could very well create a financial situation with negative implications over the long term.

Interesting thoughts.  As we ponder what to do with our dental future, I'll keep you posted.

Readers, what do you think of our dental office situation?  Have you ever seen any impact where the best and the brightest talent created unwanted problems?