Being a good vet (Part 1)
“If your only tool is a hammer, all problems resemble a nail”. This section will stress the different factors required to make you a “good clinician”
Issue number 2 Human Resources
Published 27/04/2021
Also available in Français , Deutsch , Italiano and Español
Once you've accepted a post at a practice, you'll need to learn how to manage people. You'll also need to take care of yourself to avoid burn-out. This chapter tells you how.
Even if you don’t manage staff, you need to be aware of the basic rules of managing people.
Managing a good work-life balance and avoiding burn out is essential even for young veterinary surgeons.
Whether or not your role in the practice includes direct responsibility for other staff, it is highly likely that at times you will be asked to supervise the work of other team members. This could be the team of nurses or technicians that are working with you in the operating theatre or the lay staff in a branch where you are the most senior staff member on site. Whatever your role, having an understanding of how to get the best from others will help you.
The most important rule for any supervisor is “to respect others at all times”. You should always demonstrate respect for your colleagues, whatever their role or background, or however well you perceive they carry out their roles. It is helpful to remember that everyone who works in a veterinary practice does so because they want to help animals have better lives, and so it would be extremely unusual for a member of the team to come to work with the deliberate intention of doing something wrong.
There is therefore no excuse for showing a lack of respect for our colleagues by shouting or raising our voice, behaving in an intimidatory way (bullying), referring to them by anything other than their chosen name, or making comments that refer to their gender, sexual preference or religious beliefs.
One of the key roles of a supervisor is to provide effective feedback to team members. Giving and receiving feedback is an important component both for improving the performance of individuals and for identifying process improvements.
There are many complex psychological models for giving and receiving feedback; however, one simple method that works in most circumstances is “The Feedback Burger”.
Giving effective feedback is like making a burger. You start with a base “bun” of praise, then provide the meat for the filling by focusing first on your observation of the action you wish to review, then your perception as to the effect of this action on the issue concerned, then question the team member(s) for their ideas or suggest the improvement required, and finish off with the top bun consisting of a summary of the action agreed, and a layer of praise for agreeing to this outcome (Figure 7).
Let’s be generous with the praise and discreet with the criticism. If there is any behaviour by our colleagues that bothers us, we should try to resolve it with them, by raising the matter in private (Figure 8). Your boss will not trust or support a young employee that systematically criticises their co-workers.
There is no better motivator than a simple, well-timed “thank you”. The more personal and specific the praise, the more powerful it becomes. When you say “thank you”, try to refer to the specific thing that your colleague has done, and tell them why the resulting outcome was beneficial to you, the pet, the client or the practice. For example, “By staying on late last night, you ensured that we were able to provide immediate care to the patient, which greatly increased our chances of achieving a positive outcome. Thank you!”
Another very effective way of giving praise is to repeat it to a more senior member of the practice team. This can be done verbally, or by including them in the distribution of an e-mail or memo. Seeing that you are prepared to praise them at higher levels provides additional recognition of their efforts and so reinforces the value of the praise.
Philippe Baralon
Examples of job enrichment |
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Larger commercial organisations and increasingly larger veterinary practices are adopting a more structured approach to performance management to formalise the process of developing individuals within the practice. Whether your practice uses a formal system or a more informal approach, the concept will be the same; that the achievement of the practice’s goals and objectives can be best achieved by developing its people. Numerous studies have shown that a well-integrated approach to performance management shows benefits in terms of commitment, clarity of goals and job satisfaction.
In its simplest form (which is often suited to the scale of most veterinary practices), the performance management system will consist of 3 phases:
1. An appraisal
An annual appraisal is at the heart of all performance management systems. An employee and their immediate line manager sit down and review progress over the past year, and agree on the development objectives for the coming 12 months. Whether formal or informal, the annual review should be a positive, ongoing part of developing all staff (including you!).
2. Individual development plan
The key output from the appraisal is the individual development plan, which should set out how the development objectives identified during the appraisal are to be achieved. An important part of the plan is that the employee assumes responsibility for their own development, with the support of the practice and their immediate supervisor.
3. Regular review
Progress against the development plans should be reviewed at least once during the year and, ideally, each quarter so that progress can be monitored and adjustment made if required. Senior management should also review the overall functioning of the performance management system to ensure that all employees have been appraised at the agreed time, and that their reviews are kept up-to-date.
Decide what to do first:
We work as part of a team so coordinating our efforts is vital. However, the time we spend together must be justified by the resulting outcome. Managing our time together is vital if we are to make good use of it, so set rules for meetings:
Create a “time log” to help you to see how you are using your time at present. You may well be surprised!
Review your “log” to identify improvement areas. Plan your improvements by identifying what you need to change and how you are going to achieve this.
Initiate the changes, then after a couple of weeks review your progress. Ask yourself what has gone well and what you have been able to learn (Figure 10).
Then identify what can be done better, plan how this can be achieved, initiate the changes, review your progress and ask yourself “What have I learned?”. Then it’s off around the cycle again:
We cannot manage time: We can only manage ourselves with respect to time |
Antje Blättner
An important element of time management is the fact that we are part of a team and as such, our actions are often linked to the actions of others. How we manage our time can have either a positive or negative impact on our colleague’s management of their own time and vice versa.
Recognising the impact of your time management on others (both colleagues and clients) is an important part of working effectively as a team, and delivering high quality client service. So, for example, allowing a consultation to over-run so that you can achieve a more positive outcome for that one client is likely to cause disruption to the many clients that are following on during that session, and may also impact on your colleagues, such that subsequent surgery or meetings have to be delayed or re-scheduled.
Practical tips to keep a healthy work-life balance |
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The first and most important message for a functioning (veterinary) work-life balance is: Keep a professional distance between you, your clients and your team. Separate work life and private life strictly from one another in the sense that when you are at your job you are 100% available, but the moment you step outside of your working environment, you are a private person entitled to leisure time. Don´t let pet owners contact you when you are shopping at the local supermarket or via phone and digital media. Be friendly, but consistent with the message: “I have received your request. At the moment I am off duty. Please contact the clinic to schedule an appointment.” This message is also important when interacting with your team at the clinic. It can happen that someone approaches you and tries to load something to do on your shoulders, sometimes under the pretext that you are “so good” at this job or that “I have to rush home today”. You may then even feel complimented and important, but actually someone is manipulating you to do their assigned tasks. This can be tricky, especially at the beginning of your career, because at first it might feel nice to be the “good guy”. Be aware that if you walk into the “good guy trap”, you might not get out again and seriously endanger your work-life balance. It´s far better to be consistent with separating work and home life by making a small exception from time to time if extraordinary situations occur. This does not mean that you can´t be a nice, empathic person – it just means that you should establish and maintain a healthy professional distance, even if it is difficult at times. Establish if your practice shares your values concerning work and leisure time, or if you are required to be available at all times. At the beginning of your career, it might be ok to accept working under suboptimal conditions for a certain amount of time, but, unless the clinic shares your values, you won´t be happy in the long term and you may have to decide to look for a new and more suitable working environment.
Pere Mercader
To find out what´s really important in life for you, make a list by writing down everything you like to do, even some things you haven´t done yet. You are allowed to have visions, goals and even dreams. Next, split the list into two parts: private activities (family, sports, hobbies) vs. professional activities. Now you should rank the items from “very important” to “nice to do”, creating a visual overview that shows clearly where your preferences are. The next step is to evaluate the time you already spend on these activities and the time you would like to spend, and to add this data to the important activities in your analysis.
Once you’ve completed your list of activities, the next step is to create a plan that allocates a balanced timetable for your favourite private and professional activities throughout the week. This way, there is enough time for the things you have to do (duties), the things you want to do (more), as well as (free) time for the spontaneous and unplanned activities which are equally important to us, and should not be overlooked. In a balanced work-life environment, there should always be some space that allows you to do something new and inspiring and some time to do nothing at all. It´s a good idea to place this plan where you can frequently see it; maybe you can even integrate it into your calendar app on your smartphone or laptop. This way, your agenda reminds you when it´s time for certain activities (Figure 11) you really want to do, even if you are, for instance, still treating an animal in emergency care. Being reminded makes you more sensitive to work-life issues and alerts you when you are in danger of shifting and unbalancing your own priorities.
Working as a vet is clearly a physically and emotionally challenging job and often we feel exhausted at the end of a working day and so can´t imagine doing anything other than chilling out or relaxing on the sofa in front of the TV. Whilst being a vet is not a sedentary job, it´s actually not complimentary to your fitness. Research has shown that doing sports regularly is the best way to reduce stress and to compensate for the negative effects of muscle tension and strain during work (Figure 12). You don´t have to run to the gym on a daily basis (that´s impossible for a vet with a full-time job anyway), taking a rapid walk of about 30-40 minutes 3-4 times a week has been proven to have a relaxing and balancing effect. Allocate some time regularly to get out into the fresh air and clear your mind – it´s a fabulous way to straighten out unbalanced priorities and to get focused.
As a veterinary surgeon, we tend to focus on the animal and we are not always wired to deal with people. However, the quality of the relationship you will create in your practice will help you to become a good team player. If you follow the tips in this article you can and will be loved, not only by the dogs and cats that you treat, but by your colleagues too! |
Philippe Baralon
Dr. Baralon graduated from the École Nationale Vétérinaire of Toulouse, France in 1984 and went on to study Economics (Master of Economics, Toulouse, 1985) and Business Administration (MBA, HEC-Paris 1990). Read more
Antje Blättner
Dr. Blaettner grew up in South Africa and Germany and graduated in 1988 after studying Veterinary Medicine in Berlin and Munich. Read more
Pere Mercader
Dr. Mercader established himself as a practice management consultant to veterinary clinics in 2001 and since then has developed this role in Spain, Portugal and some Latin-American countries. Read more
Mark Moran
Mark Moran has been a consultant to the veterinary profession for the last 19 years, providing business mentoring and support for veterinary clinic owners and key staff. Read more
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