{"id":75341,"date":"2023-12-01T00:00:01","date_gmt":"2023-12-01T05:00:01","guid":{"rendered":"https:\/\/todaysveterinarybusiness.com\/?p=75341"},"modified":"2023-11-28T15:03:40","modified_gmt":"2023-11-28T20:03:40","slug":"real-life-mentorship-1223","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/real-life-mentorship-1223\/","title":{"rendered":"Real-Life Mentoring"},"content":{"rendered":"<p style=\"font-weight: 400;\">My search for a seasoned associate veterinarian was unfruitful, so I started looking for a new graduate. After reading about mentorship programs and knowing myself and how clinic schedules blow up regularly, I realized I had to be intentional, creative and multidimensional when counseling a young colleague. As I reflected on concepts I knew and articles I read, I devised a detailed mentorship schedule. However, I scratched my head when I thought, \u201cHow do I share my experiences without sounding like, \u2018Back in the olden days &#8230;\u2019\u201d?<\/p>\n<p style=\"font-weight: 400;\">Enter Leroy Jethro Gibbs, a character on the TV series \u201cNCIS,\u201d which my daughter talked me into watching a few years ago. The \u201cGibbs\u2019 Rules\u201d of investigation were quoted regularly and admiringly by his younger colleagues as they explained to a probie how a specific rule applied to a particular situation.<\/p>\n<p style=\"font-weight: 400;\">So, I thought, \u201cI need the \u201cGibbs-Ramirez\u2019s Rules of Veterinary Medicine.\u201d Thus, they were born.<\/p>\n<h3 style=\"font-weight: 400;\"><strong>Words to Live By<\/strong><\/h3>\n<p style=\"font-weight: 400;\">In a helpful and relaxed way, I shared my experiences with my new associate. For example, on the medicine side:<\/p>\n<ul>\n<li><strong>Rule 17:<\/strong> \u201cCommon diseases occur commonly.\u201d Rule 17 ties into:<\/li>\n<li><strong>Rule 18:<\/strong> \u201cUncommon manifestations of common diseases are more common than common manifestations of <a href=\"https:\/\/todaysveterinarypractice.com\">uncommon diseases<\/a>.\u201d<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">I reminded my associate that veterinary teaching hospitals are referral centers by default, so they see all the \u201cuncommon diseases.\u201d<\/p>\n<p style=\"font-weight: 400;\">Some rules are reminders for me, the mentor:<\/p>\n<ul>\n<li><strong>Rule 28:<\/strong> \u201cMake clear to clients who complain about other doctors in the practice that the veterinarians have my full confidence and support.\u201d It\u2019s like Gibbs\u2019 Rule 15: \u201cAlways work as a team.\u201d<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">In addition to medicine rules, my list covers the challenges of practice. For example:<\/p>\n<ul>\n<li><strong>Rule 9:<\/strong> \u201cHe who gets the ear of the client first has the most authority.\u201d<\/li>\n<li><strong>Rule 39:<\/strong> \u201cUnderpromise and overdeliver.\u201d That one is vital when setting client expectations.<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Bring up this tenet early in the mentoring:<\/p>\n<ul>\n<li><strong>Rule 44:<\/strong> \u201cMost things worth doing are worth doing poorly until you get good at them.\u201d<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">New doctors want to be liked by the staff and go out of their way to assist. However, newbies must remember:<\/p>\n<ul>\n<li><strong>Rule 33: <\/strong>\u201cWhen you haven\u2019t finished your records, it does no one any good to help the staff put things away and clean the room. Entering your notes can be done only by you.\u201d<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Then there are those bedside manner and client relations rules that differ significantly from what new graduates saw in the university clinic.<\/p>\n<ul>\n<li><strong>Rule 27:<\/strong> \u201cIf you do something for the pet or client and they don\u2019t know you did it, then you actually did nothing.\u201d Rule 27 ties into:<\/li>\n<li><strong>Rule 38:<\/strong> \u201cPaint a picture of what the client can expect.\u201d Do it when the client is waiting in the lobby, with you in the exam room, or when your technician is taking the pet for tests. Failing to paint a picture fills the client\u2019s mind with TV miracles and Google expectations.<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">The next rule is critical because we know cases don\u2019t always go as we expected. Therefore we apply:<\/p>\n<ul>\n<li><strong>Rule 36:<\/strong> \u201cAnimals don\u2019t always read the book on how to respond to a treatment.\u201d When a case doesn\u2019t go as planned, a helpful way to speak with a client sounds like this: \u201cWell, that wasn\u2019t how Fluffy was supposed to respond, but we all know Fluffy is unique.\u201d The client always chuckles and responds, \u201cYes, she is!\u201d This leads to:<\/li>\n<li><strong>Rule 49:<\/strong> \u201cYou don\u2019t have to be serious to be taken seriously.\u201d Introducing humor when speaking with a client is critical to your enjoyment of practice.<\/li>\n<\/ul>\n<h3 style=\"font-weight: 400;\"><strong>Decisions, Decisions<\/strong><\/h3>\n<p style=\"font-weight: 400;\">Another matter I raise in a mentor-mentee relationship is decision fatigue. Psychologists are conflicted over whether it\u2019s real. Yet, any practice owner who made tough decisions through the early stages of the pandemic can attest that decision fatigue (or decision overload) is mentally draining.<\/p>\n<p style=\"font-weight: 400;\">Before COVID, I experimented with decision fatigue by counting the decisions I made in a day. During each adult pet exam, I counted two eyes, two ears, 30 to 42 teeth, one neck, four legs, one heart. Each evaluation included a decision (normal or abnormal, though we know there\u2019s more to it), and each blood test parameter demanded a decision (normal or abnormal). And then there\u2019s surgery, so let\u2019s stop counting. I figured I ended up with 1,600 to 1,800 decisions a day.<\/p>\n<p style=\"font-weight: 400;\">As that was fresh in my mind, I devised a mentorship schedule for my new doctor, who did not know the computer software or our routine and had not created her own exam protocols or client interaction customs. I knew that to give her the best chance for success, I had to work into the mentorship schedule a way to spread out the decision fatigue.<\/p>\n<p style=\"font-weight: 400;\">The doctor started the first week by shadowing the reception team. We insisted on her wearing her lab coat and being called \u201cDr. (Last Name)\u201d by all staff members. Also, knowing that she got into veterinary medicine to examine pets, we had her shadow me for the last hour of the morning and afternoon shifts. I introduced her to clients as \u201cDr. (Last Name), who is learning the computer systems and routine today. You know how weird the computer systems can be!\u201d The clients were receptive and even laughed at that explanation.<\/p>\n<p style=\"font-weight: 400;\">Then, after each morning and afternoon session, she and I spent an hour in rounds. We talked about what she had learned and \u201cWhy did you treat the patient that way?\u201d<\/p>\n<p style=\"font-weight: 400;\">During that first week, I made sure to explain how we implemented Rule 39 (underpromise and overdeliver) and Rule 38 (paint a picture for the client of how the problem should resolve). I talked about how we customized rules for individual clients and patients.<\/p>\n<p style=\"font-weight: 400;\">I made sure by the end of the first week that she knew how to do software things, such as:<\/p>\n<ul>\n<li>Look up a client.<\/li>\n<li>Find a pet\u2019s last procedure and last prescribed medication.<\/li>\n<li>Check a patient\u2019s vaccine and medical history.<\/li>\n<li>Schedule an appointment.<\/li>\n<li>Update the electronic medical record.<\/li>\n<li>Locate check-in sheets and client reminders.<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Early on, we set up mutually agreed-upon parameters for when she would start seeing healthy and sick pets, how much time she would allot to each, and how often she would work on reducing the exam time. We also agreed on when she could be left alone for half a day and then for an entire day.<\/p>\n<p style=\"font-weight: 400;\">Understanding that many <a href=\"https:\/\/todaysveterinarybusiness.com\/new-veterinarians-pay-112723\/\">new veterinarians<\/a> are nervous about doing something new, I would ask, \u201cDo you want to see this patient?\u201d She was always willing.<\/p>\n<p style=\"font-weight: 400;\">I made sure not to pose unreasonable questions. In other words, I didn\u2019t ask her to see a client with a new puppy that first week before she knew the software and all the staff names. After learning the routine for three weeks and seeing me do things several times, I extended the invitation.<\/p>\n<hr \/>\n<h3 style=\"font-weight: 400;\"><span style=\"color: #008000;\"><strong>DVM HUMOR<\/strong><\/span><\/h3>\n<p style=\"font-weight: 400;\">Dr. Ray Ramirez is a naturally funny guy. Among his one-liners are:<\/p>\n<ul>\n<li>When using an ophthalmoscope: \u201cWe want to check the eyes to see if he needs glasses.\u201d<\/li>\n<li>When he sees a dachshund or Corgi: \u201cMaybe we can put you on the rack to get you longer legs like we did to create Great Danes.\u201d<\/li>\n<li>When preparing an injection: \u201cEveryone who is afraid of needles can turn the other way \u2014 except for you, assistant.\u201d<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Teach and support our young colleagues in ways they want and need.<\/p>\n","protected":false},"author":335,"featured_media":75342,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":0,"footnotes":""},"categories":[412],"tags":[],"class_list":["post-75341","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-december-2023-january-2024","clinical_topics-personal-professional-development"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.7 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Real-Life Mentoring | Today&#039;s Veterinary Business<\/title>\n<meta name=\"description\" content=\"\u201cI knew that to give her the best chance for success, I had to work into the mentorship schedule a way to spread out the decision fatigue.\u201d\" \/>\n<meta name=\"robots\" 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