Vicky Ograin, RVT, VTS (Nutrition), MBA tackles a challenge every new veterinarian faces: how do you earn trust, build confidence, and collaborate effectively when the technicians around you have far more real-world experience than you do? Dr. Andy Roark and Vicky share practical advice for creating strong doctor-technician partnerships, giving and receiving feedback, and building a team culture that benefits patients, clients, and the entire veterinary team.
This episode is brought to you by Hill's Pet Nutrition!
Welcome, everybody to the Cone of Shame Veterinary Podcast.
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:I am your host, Dr.
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:Andy Roark I remember being a brand
new veterinarian and I got sent out
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:to work with just one technician.
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:It was me and one technician, and she
was much more experienced than me.
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:She had seen a lot more in medicine
than I had She was very confident
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:and self-assured, and I didn't,
I, it caused me a lot of anxiety.
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:I wanted to a good job as a vet.
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:I wanted to, I wanted
this person to trust me.
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:I wanted to be a good partner and a
good veterinarian with this person.
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:Nobody.
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:Really tells you how to do that,
especially coming as a new graduate.
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:How in the world do you come in as a
brand new graduate, someone new in the
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:role, especially when you've got some
worries about your own clinical skills and
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:you're learning a lot as you go and you
want the paraprofessionals to trust you.
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:And guys, there's nothing more,
, important I, I think, to being a
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:veterinarian than how you communicate
and how you communicate with the clients.
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:Yes, obviously.
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:but How you communicate with the
team , and your support staff
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:and the people who are gonna be
helping you get through the day?
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:And so, anyway, that was
the thing that I remember.
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:caused me a lot of stress.
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:I wanted to do a good job.
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:I did not wanna be overbearing, but
also I wanted to feel like I was heard.
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:I wanted to be trusted.
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:And also I wanted to learn from
these people and guys, it's just,
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:balancing all that is really hard.
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:I've got for you today, a great
interview with Vicky Ograin who's a good
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:friend of mine, and she's a, , just a
consummate educator and professional.
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:And we talk about building
that relationship.
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:We talk about collaboration with
the veterinarians, and then we flip
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:it around on the other side too.
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:And at one point I ask Vicky like,
let's say that you're a support staff.
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:Let's say that you're a technician or
you're an assistant and you would like
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:to have a more collaborative relationship
with the, with this, with the young
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:veterinarian who's coming to the practice.
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:How do you start to set the stage?
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:To build the way of working that you want.
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:Guys, this is a great episode.
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:I think it's really, really valuable
for people early in their career.
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:I think it's really valuable for
people who are established in their
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:career, who will be working with,
early career doctors in the future.
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:And so anyway, guys, I'm
really proud of this episode.
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:Thanks to Hill's Pet Nutrition
for making it possible.
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:ad-free Let's get into it.
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:Kelsey Beth Carpenter: This is your show.
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:We're glad you're here.
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:We want to help you in
your veterinary career.
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:Welcome to the Cone of Shame with Dr.
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:Andy Roark.
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:Andy: Welcome to the podcast, Vicki Ogren.
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:How are you, my friend?
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:Vicky: I am good.
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:How are you today?
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:Andy: I am really good.
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:It was funny, I was just reading some
veterinary news today and, you and I
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:were talking about it a little bit before
and there's some really exciting news
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:around, , declawing in cats in terms
of, some of the things that people were
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:worried about if we stopped declawing.
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:Cats do not seem like they have happened
in places where that has happened.
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:And so anyway, all of that just to
sort of say, man, I think this is great
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:news for our feline patients, and, I
love it when vet medicine gets better.
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:I just, I, and I, I feel like that's
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:Vicky: mom, I love that.
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:Andy: Absolutely.
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:Vicky: My girls are
armed, as I like to say.
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:Andy: I love it.
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:Alright, you, for those who
don't know, you've been on
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:the podcast a number of times.
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:You and I have been friends
for years and years.
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:I always love our time together.
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:You are such a neat person.
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:You are.
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:, first of all, you are, an RVT, you're
a registered credential technician.
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:You are also a technician,
specialist in nutrition.
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:You are, you have an MBA and You are
a scientific communications, , senior
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:specialist at Hill's Pet Nutrition,
which I love because you are all about
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:that communication, which is again,
absolutely a, a big thing for me.
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:So I, I love talking about soft skills.
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:I love about, uh, talking about being
effective in the clinic and you're just,
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:you do all of those things and you're
just, you are on the road constantly.
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:You are always teaching and growing
people, and it's just, anyway,
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:I get a ton of working with you.
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:Alright, so here's what
I want to do today.
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:, I'm thinking about growing doctors today.
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:I'm thinking about the things that I wish
that I knew when I was a brand new doctor.
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:And so when I think about the things that
are most important to brand new doctors
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:and things that, that I, I don't feel
like they necessarily get in vet schools.
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:I'm thinking a lot about relationships
and working effectively with the
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:paraprofessionals and the staff.
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:I, I think that your ability to work
as part of a team, especially as a new
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:doctor, makes a huge difference in how
effective you can be, how much you're
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:gonna enjoy your job, like how successful
you're gonna be with your patients.
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:I just think that is so.
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:Big and when I started as a vet,
I went to work, in Washington
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:DC and I went to a practice.
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:I had about 30 doctors, all general
practice and just, and tons of support
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:staff and they were phenomenal support
staff, but it was so intimidating for
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:me because this, they did a great job of
investing back into their support staff.
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:Boy, those.
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:Men and women, they knew their business
and what they were doing, and I did not.
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:I like, you know what I mean?
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:I was a brand new, I had zero
experience as a doctor , and I
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:just I remember wanting to work
with them, but also not wanting to.
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:Come off as condescending
or irritate them.
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:I wanted to get their help but not
seem demanding and also not seem
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:like I didn't know what I was doing.
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:I had a number of of these times that
ICE got really wrestled with that.
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:, there was one time there was a satellite
practice and I went out there and I was,
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:it was a one doctor practice , and they
gave me one, , technician to go with me.
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:And she was a licensed technician and
she was much more senior than I was.
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:And she was very brilliant and it was.
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:Odd for me to be working
one-on-one with this person.
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:And I'm the doctor and I was
held responsible for a lot of
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:the things that happen, anything
from a medical standpoint.
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:And my partner here who's
supposed to be supporting me is
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:way more experienced than I was.
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:And it was just, it was
a, it was an odd scenario.
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:And so anyway, I wanted to bring
you on to talk today really about
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:as a new veterinarian, , working
effectively in building trust
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:with senior paraprofessionals.
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:Vicky: Yeah, absolutely.
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:And you know, the thing
to, to think about.
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:We were all new grads once, so
I was that new grad technician.
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:And I think, you know, once you've
been in this profession for a
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:while, we need to remind, excuse me.
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:We need to remember that because to me,
that helps me help the veterinarian,
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:the new grad veterinarian, right?
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:And so if I have empathy for that
person, I think the other thing that
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:I've come to realize, having been
in this profession for some time.
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:Is, you know, when I first came
out as a new grad, to your point, I
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:didn't know exactly what I was doing.
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:I saw some senior technicians who
just seemed to know everything about
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:anesthesia and I was trying to figure it
all out and, trying to keep the animals
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:alive and, and all the things, right?
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:And what I realized is that.
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:I was learning from them.
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:now years later when I'm working
with a new grad, a veterinarian
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:or, or even a technician, I need to
remember that and help them navigate
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:as they are coming into the clinic.
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:Because I think there also is some
standpoint from the vet techs that
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:we have a veterinarian who's gone
through a lot more schooling than
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:I have and has all the knowledge.
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:But I think where we can really
partner is the getting the experience.
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:So I had knowledge when I first came
out, but I didn't have the experience.
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:Now I have the experience and the
knowledge, and I've seen a lot of cases.
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:So when I see the schnauzer coming in, I'm
already thinking, okay, what did they eat?
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:How's the pancreas right?
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:Whereas a new grad vet probably isn't
at that point where they're thinking
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:that way yet because they haven't
seen a hundred schnauzers that all
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:seem to end up having pancreatitis.
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:So then we start thinking, you see
a schnauzer, we wanna make sure
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:their pancreas is in good shape.
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:So I think that's one of the
things that we can really do is, is
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:really remember that and help the
veterinarian to get that experience.
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:And I think we should all feel
comfortable and I think the vet
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:should as well to communicate.
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:That's to me the biggest thing.
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:So the veterinarian, new grad coming
in saying, I've spent all these years
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:in school, I've got all this amazing
knowledge, but I know you as a senior
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:technician and or as just say, as a
technician, right, as a technician,
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:you've seen so much more than I have.
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:So I really, really wanna rely on
you to help me to understand some of
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:these cases that you see quite often
and, and you've got that experience.
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:Andy: I love this.
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:I, I wanna put a pin in this there
real quick 'cause I wanna come
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:back to this, but I, I think what I
wanna do before I just, , dive into
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:exactly, into like how to set this up.
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:'cause you're already going
to the place that I love.
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:, when you think about the relationships
that you have seen between new
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:doctors who are just coming in,
they're fresh outta veterinary school.
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:Support staff that have been really great.
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:Vicki, what does success look like?
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:Because I think a lot of us don't know.
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:We say this is.
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:This is the only relationship that I
know because it's the one that I have and
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:I've never seen anything any different.
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:I don't know that as a brand new
doctor, I would have known if
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:my relationship with the support
staff , was quote unquote good.
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:What does done look like here?
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:What is success when we're onboarding?
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:Vicky: Yeah, and I think, having the
conversation, so talking, getting to
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:know them, taking 'em out for coffee,
lunch on a more personal basis, getting
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:to know how they wanna work, right?
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:So are they the type of person
who wants to be chatty or not?
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:Do they want to, when you're in the room,
the veterinarian needs to communicate.
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:I'd like you to hold the animal X way.
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:The technician can then say, well, okay,
I understand that and I know that's what
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:you did in vet school, but, what I have
found works really well for me is to
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:hold them this way and then collaborate.
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:So there isn't a, we do it
this way here mentality.
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:I don't wanna say that
'cause we know there's that.
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:. But to communicate and to say,
here's a, a way that it could be done
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:and say, oh my gosh, that's great.
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:Or the technician can say, oh
my gosh, you know, I've been
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:outta school for a long time.
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:I didn't know you could do it that way.
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:Thank you for helping me.
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:And so it becomes that collaboration.
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:I think that's really, really important.
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:Andy: how exactly do you get that started?
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:I think it's makes.
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:A ton of sense to say, well, you
know, we have to be collaborative.
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:Again, I go back to that experience of
being the new person and maybe feeling
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:a bit insecure, things like that.
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:And what's interesting to me is how
many technicians have come up and
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:said, I want to have this conversation.
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:How do I talk to the doctor and say.
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:What do you want from me?
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:And, and how do you
want me to support you?
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:And, can I tell you how I
would like you to support me?
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:But they don't know how to
open that conversation up
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:and it feels awkward to them.
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:And so the, thing that I wanna say to the
doctors is, a lot of your support staff
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:would really like to talk about this, but
it's scary for them to try to bring it up.
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:And so.
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:It's really kind of often, I don't
wanna say it's on the doctors.
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:I do think it's easier for the
doctors to make this happen.
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:Vicki, how do you open this,
this sort of, i I, I call it a
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:ways of working conversation.
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:It's really about sort of
understanding how are we gonna,
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:how are we gonna dance together?
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:How, how do you get that going?
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:Vicky: And I think, here at Hill's
when, , and I've been with Hill's
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:for quite a few years, 24 years.
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:So I've, also, , been in this
environment for quite some time
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:when we have a new employee come in.
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:So someone I'm gonna be working with,
we have a meet and greet and so that
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:might be set up by the veterinarian
or maybe even the office manager.
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:And just make that part of the onboarding
so that there's more of a comfort level.
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:So the technician knows when a new doctor
comes in, I'm gonna have a meet and greet.
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:And I'll tell you, when we fir,
when I first started doing them
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:with Hill's, , it was a little
intimidating 'cause I didn't know.
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:But what I've come to realize is part of
the culture of our company, that we wanna
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:immediately start getting to know each
other and they encourage us , to really,
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:you know, get to know our, our new.
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:So I like, we have a new teammate.
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:On my team.
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:And so it is kind of like, okay,
I've got a new person coming
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:in, she's a veterinarian, and
how am I gonna work with her?
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:What is her philosophy?
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:And so we start out with a meet and greet.
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:And so that's very casual.
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:It could be done at the clinic, it could
be done locally, maybe at the clinic, have
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:a room where they can go into, maybe it's
an exam room and they've got set time.
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:So they're, no one's gonna interrupt them.
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:So they're not saying, Hey, you know,
we gotta go do some blood draws.
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:It's like, no, no, no.
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:This is , the meet and greet.
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:It's a half an hour,
an hour, whatever time.
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:Obviously they can decide that
and then start that conversation.
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:You know, where are you coming from?
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:and I know that can be
intimidating on both sides.
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:some people are shyer than others,
but, you know, conversation
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:starters, where did you go to school?
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:Where are you coming from?
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:What is your family life like?
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:And then so you get to know each other
and then start kind of talking about,
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:okay, so you've been here for a while.
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:How do you like to have, do
you want things written out?
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:Do you, would you rather have
it written out and told to you?
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:You know, is there a white board?
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:However, which way the
clinic is working, right?
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:And then starting to understand, so then
that gives the technician an opportunity.
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:To start kind of like, oh, well I'm
part of the team and I'm helping them
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:navigate getting to, to understand
our process, which is really what
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:technicians are doing, right?
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:You got a new person coming in,
we're helping them to figure
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:out how the clinic works.
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:But by doing that meet and greet,
in my mind, you're allowing
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:them to be part of the process.
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:So instead of a technician thinking that
they have to go to the vet and say, Hey.
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:We don't do it this way here.
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:You've already started that conversation.
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:So the expectation is, oh, okay,
so now I know that the, I can
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:rely on this tech to help me.
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:So if I'm not sure how we do things
here, I feel comfortable to go to
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:that person and say, Hey, , what
type of tubes do you want me to pull?
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:Or, or whatever it is, right?
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:Andy: I really like that groundwork.
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:I don't think that happens a whole lot.
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:I think there's very much this kind of
hop in here and we'll figure it out.
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:And, I think it can be a little bit
awkward because people don't exactly
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:know what, what questions to ask.
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:You know, when you say what
do you want me to do?
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:And I would say, well, in what
situation are we talking about?
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:I, I think , my two favorite
questions , for working with anyone.
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:This is ways of working.
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:If, if it's a practice manager
statement, my two favorite questions
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:are, Hey, imagine it's one year in
the future and you, and I'll have the.
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:Best relationship ever.
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:we just work so well together.
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:What does that look like in your head?
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:, what do I do?
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:What do you do?
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:how do we talk to each other?
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:Let's talk about, you know, say we're
just seeing wellness appointments.
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:, what is, when and when we are great.
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:How do you imagine us doing things?
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:And I really love that question.
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:And then I like it so much because it's,
there's, it's no criticism of anything.
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:It's just, you know,
think about the future.
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:And then the flip side, which is also
equally important, and I think , people
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:don't understand why I do this, but the
flip side is imagine it's a year from now
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:and you really don't like working with me.
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:Just imagine, like, imagine
that, we are not getting along
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:as a technician and doctor.
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:What am I doing?
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:What is the thing that would make
you really not wanna work with me?
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:What in my, in the imaginary
future, what would I be doing?
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:And this also tells you about
what the person doesn't like.
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:And so if people really don't like being
micromanaged, you'll find out about it.
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:If they really, , if they're really
worried about something, they will tell
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:you, oh, you, this thing is going on.
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:you are leaving me in the
exam room and I can't get out.
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:Because I'm really bad at ending
conversations and you just learn
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:a lot about what they by them
telling you what they don't want.
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:And so I really like that.
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:It sort of goes to one of the
hearts of, of sort of the things
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:that I wrestle with in, that.
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:When you say, , imagine Vicki,
imagine you're my technician.
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:and we're starting out together and
I go, I want us to be great together.
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:The obvious question is, what
does great together mean?
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:And it's contextual.
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:It really, it depends on our practice, on
our culture, on what kind of medicine I
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:wanna practice on, what kind of medicine
you wanna practice, what lights your
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:fire and, and what, gets me, , excited
, as a doctor , , and it's navigating
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:this so it's not a right answer of.
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:This is what a doctor technician
relationship looks like.
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:And so that one where you and I
co-design what success looks like,
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:that's such a beautiful point on the
horizon that we can sail towards.
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:And it doesn't take long.
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:And it's a great icebreaker and it's
a wonderful thing to talk about over
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:coffee and just to get to know people.
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:And so anyway, I just really, I
really love that, Vicki, what are.
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:What are the biggest pitfalls
that you see in paraprofessional
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:veterinarian communication?
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:Like where do, where does this go?
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:Off the rails.
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:Vicky: You know, and I, and I don't know
that the vets mean to do this, but I
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:think sometimes if they're talking, so
to speak, like down to the staff, and
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:I don't mean like we all know that the
veterinarians are highly educated and
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:we're expecting you to be that person.
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:But what I mean is when someone's
coming in and they're being very
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:derogatory and demeaning what they
bring to the table, it's like, I
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:could take that blood faster than you.
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:It's like,
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:Andy: Oh yeah.
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:Oh, don't do that.
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:Vicky: that's not your job.
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:That to me will be like, oh, okay.
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:You want my help, but now you're
critiquing how I do something or I
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:didn't do it quick enough for you.
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:And certainly there's ways to say that.
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:Right.
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:So, I noticed , you're seem to be a
little challenge with that particular dog.
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:Is there someone else that
might be able to take over?
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:. And I, and we all know that
there's gonna be that particular.
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:But if you're saying like, if I can get
that blood in three seconds and you're
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:saying, well, two seconds would've
been better, well that's just not fair.
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:And you don't know what's going through
my head as the way I look at it, we
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:are a team and I've always thought that
from the beginning and I've worked with
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:some of the most amazing veterinarians,
and my boss is a vet, she's the
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:most amazing vet I've ever worked in
my life, , and my team is amazing.
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:And, but we communicate and I feel
comfortable enough because she
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:actually calls me a colleague, which
I'd never had really had that before.
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:but I'm a vet tech, but
no, you're my colleague.
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:And so thinking that way, you are
a colleague and treated that way
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:so that I feel comfortable enough
to jump in and say, well, well, I
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:think there's a way we could do this.
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:And they're like, well,
that's a great idea.
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:It's a good idea, but not for this case.
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:And so to be part of the treatment,
obviously we don't treat, we don't
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:examine, we don't diagnose, we don't,
obviously we do not do surgery, but
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:there's no reason why we can't be
part of the conversation and the plan,
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:because ultimately the way I look at
it is the patient that's gonna benefit.
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:Andy: Yes.
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:Yeah, I, I love that you say that.
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:I think that so many of these
problems go away if you have a
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:team mentality from the beginning.
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:I will tell you, and this is sort
of embarrassing, but, but one of
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:the early experiences I had, so.
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:Back at that practice, right?
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:It was me and it was this one technician.
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:And I got called into the boss's
office and they said, look, we've
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:had complaints because the exam rooms
are messy after you guys are there.
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:And I was like, what does that mean?
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:He was like, there's just the
tabletops haven't been washed,
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:wiped down, or whatever.
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:And I said, oh, I'm sorry.
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:Is that my job?
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:Am I supposed to do that?
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:And they were like, no, you're
supposed to, your one paraprofessional
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:is supposed to handle it.
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:And I'm like, am I her boss?
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:, and they said.
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:Well, no, not really, but you're the
doctor, so you're sort of in charge.
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:And so I was, really sort of,
I was like, oh man, I'm supposed
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:to tell this person what to do.
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:, and I, I really struggled with
that because I don't like to tell
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:people what to do and it feels
weird and, you know what I mean?
402
:And especially like, Hey, I need
you to clean these rooms up.
403
:And so I was kind of lost and so
I, I actually asked for advice and
404
:the best piece of advice I got was
somebody was like, Andy, stop trying.
405
:to manage people and just, just lead them.
406
:You guys are a team.
407
:Just be a team and this is a thing
you have to get taken care of.
408
:And so the next time we were back
together, we got to the end of the day
409
:and I said, Hey, it's the end of the day.
410
:Let's run through what you and I have
to get done so we can get outta here.
411
:And , we put together the list that
she had and I had, and she had a lot of
412
:things I didn't, I didn't know about.
413
:And I had a lot of stuff that she didn't
know about, but we laid it down and I
414
:said, how are we gonna get outta here?
415
:And that was the last time that happened
and it was, the best outcome it could
416
:have possibly been, and, but that.
417
:I would put that mentality forward.
418
:, , for veterinarians especially coming
in is , take the team mentality, guys.
419
:How are we gonna work together?
420
:How can we do the best job?
421
:What do you need from me?
422
:How do I tell you when
I need things from you?
423
:I love that.
424
:The other pitfalls that I see, and
again, this sort of ties into it, , I
425
:think some new veterinarians that
come in and they feel like they're
426
:supposed to show their authority.
427
:You know what I mean?
428
:And I'm like, , that's a bad idea.
429
:Like.
430
:Ev you've got a white
coat and a stethoscope.
431
:Like people like you, you have,
you have relationship power.
432
:Like people, people are going to
respect you if you treat them well and
433
:you do a good job with your patients.
434
:And so again, I would say lean into that.
435
:Lean into that team mentality.
436
:Vicky: And I think we would think of
that as more old school mentality.
437
:So in the olden days, so way
before I was ever a tech, I think
438
:that really was the relationship.
439
:It was more of a, the veterinarian
and the technician , and more, not
440
:so much team based, but more, boss
and, and I tell you what to do.
441
:But I think what we've come to
realize is that as a, to benefit our
442
:patients, we need to work as a team.
443
:I bring skills, you have skills.
444
:We can compliment each
other in what we're doing.
445
:And so I think that has really,
when I look at the profession,
446
:having been in this profession for
a while, I've seen that evolution,
447
:which is so exciting to me.
448
:Because I, I feel like it's more
collaborative and at the end of the
449
:day, it's better for us and our health
and our mental health because I think
450
:there was a lot more burnout in, in
particularly for technicians, right?
451
:Because they were like, well, but I
wanna be part of the, , the solution.
452
:I wanna help these patients.
453
:And they didn't really feel that way.
454
:And there may be still some of
that going on, but I feel like
455
:more and more we're seeing where.
456
:They're feeling more like
they're part of the plan.
457
:So when fluffy leaves and Fluffy
is doing better, you feel that you
458
:were part of that and, and that's
what fuels us to keep doing this.
459
:Andy: Yeah, well I'll, I, you
know, I'll even add on to that
460
:and, and I think you're so right.
461
:But you know, one of the things that
I have learned and I try to teach
462
:to young doctors is if you want to
be able to delegate to your support
463
:staff with the clients, you have got
to one, you have got to include your
464
:paraprofessionals in your decisions and
in the plan so they know what's going on.
465
:Because the competitors, if.
466
:They wanna talk to the person who
knows what is happening with their pet.
467
:And if the, and if, you are the only
one who knows what's happening, they're
468
:not gonna be happy talking to the staff.
469
:And so I want my techs to have the
knowledge to, to do these conversations.
470
:And then also I.
471
:I need the pet owners to trust
my techs and my support staff, or
472
:they're not gonna wanna talk to 'em.
473
:And so it's that endorsement,
it's including your tech in
474
:the conversation in the clinic.
475
:it's speaking highly of them, letting the
person know that they are so lucky because
476
:Vicki is gonna be their point of contact.
477
:She, I work together all the time.
478
:She's gonna be so much easier to get
in touch with than I am, but she will.
479
:And also she's gonna be doing
the actual nursing care.
480
:And so like, it's just, there's so
many ways you can do this and that.
481
:It's such an easy trick and it makes
the support staff feel appreciated,
482
:valued, looped in, and informed.
483
:And it makes the.
484
:Pet owners feel good about being
able to engage with your staff.
485
:And it also, it frees you up to
communicate with your, , with your
486
:tech or nurses, your assistants,
and also to know that, the pet
487
:owners are being taken care of it.
488
:So, Vicki, when we think about,
ways to sort of instill the behaviors
489
:and sort of the team mentality and
also to, to continue to improve.
490
:I mean, so I'll tell you real quick.
491
:I've got, one of my favorites is, , what
went well, what would be even better.
492
:And so I think this is a great,
I, if you wanna be able to give.
493
:People feedback.
494
:I have found one of the best ways
is to ask for feedback yourself.
495
:And so coming in, and again, it also shows
people that you are trying to get better
496
:it, that you're not, that you don't have
a big ego, that you're not trying to,
497
:you know, I don't know, lift yourself
up over, over other people, you know?
498
:And, and one of my favorite things at
the end of the day is to say to the, to
499
:the technician I work with, Hey, what
do you think went really well today?
500
:what was your favorite parts of the day?
501
:And then what could we do better tomorrow?
502
:And I, and like, I think that is
such a nice way to ask for feedback.
503
:And hopefully they'll say, oh,
well how about from what did you
504
:think went really well today and
what could we do better tomorrow?
505
:And I think it's a soft way
to kind of have a little.
506
:A feedback session, and I think by asking
for feedback, and then often, hope
507
:that they ask me to , for my feedback.
508
:Sometimes they don't and that that's okay.
509
:But it's just a nice way to try to, to
get people sort of going and growing.
510
:Do you have, , strategies that
you like or that you've seen?
511
:Vicky: Yeah, absolutely.
512
:, and that's something that, sometimes
it's hard to take feedback and so
513
:we all have to realize that and.
514
:Andy: Espec, especially early in
your career when you're brand new and
515
:like you don't want people to call
out that the emperor has no clothes.
516
:Vicky: right.
517
:Because I think, and I think it's
the same for vets and for techs,
518
:and obviously I'm speaking for
technicians, but we don't wanna mess up.
519
:, we're highly skilled individuals
that just wanna do what's right.
520
:And so we don't wanna do anything
that's wrong because obviously
521
:that could affect the patient.
522
:But what I like to do is, you know, and
I a lot of times will ask for feedback.
523
:I, I do it to this day even about
like my lectures and things, like,
524
:what could I have done better?
525
:And I think when we're thinking
about giving that feedback, we always
526
:need to find something positive.
527
:You always need to start
with something positive.
528
:Andy: Yeah.
529
:Vicky: and that's,
that's just human nature.
530
:Like, if you start out by saying,
well, you could have done X better.
531
:They're not gonna really hear anything
else after that because then they're gonna
532
:be saying, oh my gosh, I did X wrong.
533
:Oh my gosh, I thought I was doing okay.
534
:So always start with a positive.
535
:So, you know, I, I really love how
you're, petting the dogs and, calming
536
:'em down before you take blood on them.
537
:That that's really is helping
to calm the dogs down.
538
:Okay, great.
539
:So now you're kind of on a high,
and then when you think about
540
:what could you have done better.
541
:There always has to be.
542
:You're just not saying you could have
done X better, but giving some advice
543
:as to what they could have done better.
544
:So I think next time, maybe , some cats
don't really like their ears touched, so
545
:maybe stay away from the ears so much.
546
:, and do more around the chin.
547
:They really love when their
chin gets, petted more.
548
:And I, I feel like maybe they're
calmed down a little bit better.
549
:And so you're not really saying
that they did anything wrong.
550
:You're, giving some good,
constructive advice and that's
551
:the way we need to think about it.
552
:Instead of saying, you know, that
cat really didn't like his ear
553
:scratched, uh, okay, uh, I didn't
know I, I'm new to this profession.
554
:I didn't know that cat.
555
:You know that cat.
556
:You didn't know that cat doesn't
like his, his ear scratched.
557
:You knew he really likes his chin scratch.
558
:There's ways of saying it, I think is
the biggest thing to, to think about is
559
:how we are framing things, because how
we say things is how someone is gonna
560
:listen and, and that might affect them.
561
:and now , they're upset
and we never want that.
562
:Right.
563
:Andy: I think it's so funny there.
564
:I think that there's definitely something
to the idea that , everybody's, , a
565
:little bit insecure, you know, especially
when, when we start working together
566
:and it, it's funny, people take
criticism very personally sometimes,
567
:and even though you say, Andy, I
just talk to you about how you were
568
:holding the syringe and I was like.
569
:You, you indicated that I
don't know what I'm doing.
570
:You know, like, and again, we
could, and so I think you have
571
:to be really careful with that.
572
:, the biggest thing for me, I've
actually really been amazed at how
573
:often you can just give positive
feedback and get what you want.
574
:And so.
575
:If, if there's something, if there's
something around animal welfare,
576
:handling, stress, things like
that, you should say something.
577
:but for, but a lot of, but for a lot
of small personal preference things,
578
:it's actually easier just to wait a
little bit and then when the person
579
:happens to do the way that you like.
580
:Celebrate that.
581
:Say, oh, hey, I really loved
the way you set that room up.
582
:That was great.
583
:Like, it was just the way it was laid out.
584
:I thought that went great.
585
:, so for example, let's say you work
at a practice and, , it's kind
586
:of, hit or miss about whether
or not , the technician comes in
587
:with a doctor to work in the room.
588
:If your preference is, Hey, I really like
the technician to, to come in the room,
589
:the one time during the day that, , that
he brings you the vaccine, say, Hey, could
590
:you get me a hand real quick, with this?
591
:And we do it.
592
:And then after it's over, say,
Hey, I really liked having
593
:you in the room with me.
594
:Like you were a really great helper.
595
:That was really, really helpful for me.
596
:Would you be open to doing
more, more of those cases?
597
:And then they don't feel
like they let you down.
598
:They feel like, great, you know,
hey, he saw that I was valuable
599
:and, and he asked me for this.
600
:And so again, I, I
don't take this too far.
601
:And again, I'm not so, so fragile
that I won't, well, I won't
602
:say, Hey, this would help me.
603
:But again, we are talking
about people who are brand new.
604
:They're new as doctors.
605
:It is.
606
:, and one of my, one of my big things I
try to impress on young doctors is it
607
:is amazing how you can train your staff.
608
:Only using positive reinforcement, but,
but you have to call out the things
609
:that they're doing that you like, that
make your life easier and just call
610
:'em out and say, thank you so much.
611
:I really like it when you do that way.
612
:And, , I always love it when
the tech say to me, Hey, thank
613
:you so much for doing that.
614
:That really helped me.
615
:I go, great, now I know how to help.
616
:And so anyway, I, I think that
that's a, a, a good way to,
617
:to build that relationship.
618
:Vicky: Oh, I agree.
619
:Absolutely.
620
:Andy: Vicki, this is fantastic.
621
:I love this idea.
622
:I think , you've sort of
given me a beautiful, just
623
:a whole headspace mentality.
624
:I, I think that team approach
is absolutely critical.
625
:I love that we talked about this,
where can people find you online?
626
:You're, you are doing so much your.
627
:You're publishing articles, you
are just such a neat voice in our
628
:profession, , where can people
find you and keep up with you.
629
:Vicky: Yeah.
630
:, probably LinkedIn is, probably the best.
631
:I've become a lot more active on LinkedIn.
632
:I, I don't do TikTok, sorry,
633
:Andy: So
634
:Vicky: was a senior tech.
635
:I, I know I haven't really gotten into
the TikTok world, but, , certainly can
636
:find me on LinkedIn and certainly I'm
in different, you know, publications and
637
:such and, , and different conferences.
638
:So if you're, you know, at a conference,
I'd love to, to meet you and say hi.
639
:Andy: Absolutely.
640
:Great, Vicki, thanks for being here guys.
641
:Thanks for tuning in everybody.
642
:Take care of yourselves.
643
:take care.
644
:Vicky: Thank you.
645
:Andy: And that's what I
got . Thanks for being here.
646
:Thanks again to Vicki, thanks
to Hill's Pet Nutrition for
647
:making this, , episode possible.
648
:Gang, I hope there was something
here that, , that spoke to you.
649
:I hope it inspired you.
650
:I hope it made you think , about
how you communicate with your team,
651
:whether they're brand new or not.
652
:Anyway, gang, take care
of yourselves, everybody.
653
:I will see you soon.