promisesThere are a lot of great reasons to become a dentist—as I have written about here before; it remains among the most desirable professions in the nation, and for good reason. It is a profession that promises real fulfillment, economic stability, and a great lifestyle to those who do it right.

And yet you still hear from dentists who feel like a lot of what drew them to the profession turned out to be broken promises.

Do these sound familiar?

You were promised the opportunity to be your own boss—but it feels like you are serving many bosses. The patients, the team members, the economic requirements to keep the practice going, even the lifestyle itself, require constant attention to sustain, to the point where it is easy to feel more like a slave than a boss.

You were promised the opportunity to set your own hours—but the reality is the schedule seems to run you. Part of the allure of operating your own practice was supposed to be the freedom to schedule your work in a way that suits you. So why are you constantly feeling oppressed and stressed by a schedule that seems to get more and more demanding?

You were promised independence—but you have come to see how dependent you are on others. Your team members, the specialists you refer to, your lab partners—all it takes is a breakdown somewhere along the line and you end up feeling the pain.

You were promised that you would get to do what you love—but often the most satisfying parts of dentistry take a back seat to the all the other demands. Sure, you would love to focus your energies on performing comprehensive complex cases, but there are all those other parts of owning a practice that you don't love so much that are crowding your thoughts.

If you find yourself feeling let down by the profession in ways like this, it is probably time to take another look at how you are managing your career. The truth is, running a dental practice, like just about any complex line of work, will seize control of you if you let it.

So don't let it. Assert your intent. Get the education and coaching you need to establish your leadership of your life in dentistry. Master the essentials of diagnosing, treatment planning, and value creation to get patients on board with your philosophy. Approach team leadership in a focused and organized way. Work with colleagues to provide a seamless interdisciplinary experience. Find out how to get your calendar, and your practice, working for you.

Believe me; the promises of a great life in dentistry are very real. I know that is true because I have seen so many dentists achieve that great life. But those promises do not come automatically when your name goes on the door. You have to step up and claim them.

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Comments

Commenter's Profile Image Barry Polansky
August 11th, 2014
Very relevant blog post. I agree with all of the points made---however the environment has changed and continues to change. The economic and political implications of being a health care provider these days is a lot different than it was just twenty years ago. The rules are still the same as you imply...but much more difficult to implement. The opportunities are still there for many dentists, but many will end up working for clinics, HMOs, PPOs, insurance companies. Only the very best will be able to practice with the autonomy that fee for service practice promises. I don't know where Business Week and some other media outlets get their statistics from---my ear to the ground information from young dentists is exactly what you are hearing---broken promises. This is still America and we all have the opportunity to make our jobs rather than allowing others to control our time, and workflow.
Commenter's Profile Image Frederico
August 11th, 2014
Yes, things have changed a lot. And they will continue to do so. We need to adapt in order to survive. That's the law of nature. We better have a strategic plan. Things are getting harder and harder. There's still hope though, specially for those who can capture the essence of the communication skills.
Commenter's Profile Image Mark Absher
August 12th, 2014
I agree with Barry. The landscape has changed, especially for the new dentist just out of school. Even a lot of private dentists are slaves. The main problem I see is that we have a money number in our mind that we think we need, want, or have to make in order to be personally successful and happy. My experience with dentists is that this number is usually a lot higher than reality. I felt a total failure when we only earned 170k a year during the recession of 2008, especially with a 400k per year budget. I see teachers, nurses, carpenters, and many non-professional workers who are happy on a lot less than 170k. We enslave ourselves. We end up working with less than excellent team members, using cheaper labs, working longer hours, and rushing procedures, in order to make our number. Excellence in dentistry takes a back seat to survival. My parents never earned over 50k per year in their lives, and ended with nearly a million dollars in the bank - with everything paid for. They had a great lifestyle, and they ended as one of the happiest couples you would ever want to meet. As a child I always felt like we had everything in the world. No one promised them anything, if you are stuck in a rut or just a rookie, take up a second profession. On Saturdays, work at dentistry as a hobby and as something you love to do. Work for the lab fee if need be. Have no time or insurance restraints. You be the boss. Work only on those who appreciate your effort and use only the finest labs. Photograph your work. If you make any money doing this, invest in continuing education such as Spear Education and learn from the masters. Having fulfillment with your work will deliver dentistry's promises and help set you free.
Commenter's Profile Image John Sweeney
August 13th, 2014
Nice Post Imtiaz and also enjoyed reading the other's comments. Especially Mark's. I agree with his notion that for the most part, dentists have a certain salary they feel like they want or deserve. Many also aquire a lifestyle that enslaves them and keeps them from doing the things they really love to do. When you have to pay personal bills that keep adding up, you are way less likely to make the needed jumps it takes to become the practice of your dreams. You have no leverage at all and in order to pay bills you keep doing whatever it takes to keep production up, even if that's signing up for insurance, etc. Then they blame it on the times, or their town, or the patients for their practice just are right to have a comprehensive dental practice. In the end it really comes down to what you choose for yourself and your practice. Once we stop making excuses for ourselves about why we can't have the practice we desire, we can focus on making the small choices each day that will ultimately deliver our dream practice. Their will always be patients who want comprehensive dental care and want the best for themselves. I love this quote from Jerry Mclaughlin and I think it's appies to what we are talking about. "If you act with conviction and are persistent, the world will eventually get behind your efforts, though it will take time and will most definitely require total commitment." I think that's what it takes to build your dream!
Commenter's Profile Image Barry Polansky
August 13th, 2014
Really good discussion going on here. It reaches down to the crux of the issues in dentistry regarding - how to create and maintain a fulfilling practice over a long period of time. The answers, I am hearing, don't rely on technology or management issues but more on philosophical issues. L.D. Pankey diagrammed his philosophy in the Cross of Dentistry---the center was happiness which consisted of material and spiritual rewards. The spiritual rewards or the non-material rewards as I like to say, are what truly sustains a practice because the dentists well-being is nurtured by them---positive daily emotions, engaged in one's work, positive relationships, meaningful work and accomplishment. These are the things that drive mastery and passion. The material rewards follow. As Mark says--if survival is an issue it is difficult to see the forest through the trees. Classic Maslow's Hierarchy of Needs which is now being taught at Spear, as I understand.