Dental Associate Agreement and Employment Contract: Is it In line With What I Should Expect, and Is it Reasonable?

This time of year is prime time for employment changes across the dental industry.  May through August is always the busy time.  Dentists are completing residency programs, dental students are graduating, and they are all going to be reviewing employment agreements now or very soon.

Here are a few things to consider:

1)      What is the commitment?  1 year; 3 years; can you give reasonable notice if you are unhappy or dissatisfied in the practice

a.       Most are 1 year

b.      If you receive a sign-on bonus or relocation incentive expect to commit to 2+ years.  Typically, if you leave before your commitment you will need to pay back any bonus money you receive

c.       Notice periods across the nation have grown beyond the normal 2 week courtesy.  Many agreements now require 30, 60, or 90 day of resignation notice

2)      Want to associate in your home town and eventually own a practice in your home town?  Be cautious of non-competes and restrictive covenants that would cause significant headaches in the future.  Especially if your hometown is a small town. 

·         Resource:  You Can’t Compete With Me – The Legality of Non-Compete Agreements

3)      Are you an Employee (W-2) or an Independent Contractor (1099)?  Associate positions throughout the dental industry vary greatly.  W-2 employment is most likely what you truly are. That means the employer takes your tax withholding and takes responsibility of the daily operations of the practice.  1099 contractors are simply paid for services rendered.  If this is your status, you are required to fulfill the entire tax obligation of your income. 

·         Resource: IRS website: Employee versus Independent Contractor

4)      Production versus collections-based compensation:  You need to understand which way you are getting paid, when it is calculated, and what is included and not included

a.       Is it calculated daily, weekly, bi-weekly, monthly, and quarterly? Many dentist don’t know when I ask them

b.      Are x-rays or hygiene exams included? Many times there are not

c.       Lab Expenses:  are you responsible for all, some, or none of the lab expense?

5)      Base compensation questions:

a.       Is it permanent or does it sunset after x number of months?

b.      Is it a draw on future commission or is it a salary?

·         Resources:  Dentist Contract Negotiations - Compensation Considerations

6)      Be Realistic!  Associate offerings on the East Coast are vastly different than those on the West Coast.  Make sure to understand the compensation trends and models that are common in your market.  Don’t compare offers to your friends, especially if you’re only talking % versus %.  That completely depends on the production potential based on a combination of what the practice can provide and the abilities of the associate dentist.

·         Resource: What Can An Associate Dentist Earn in Different Parts of the U.S.

Other articles to explore:

·         Associate Agreements

·         Dentists – What to Know Before You Accept an Associate Position

 Posted by Carl Guthrie, Senior Dentist Recruitment Consultant with ETS Dental. To find out more, call Carl at (540) 491-9104 or email at cguthrie@etsdental.com.

Dental School Graduates - How to Find a Job Coming Out of Dental School

Congratulations! Now it is time to start putting all that education to use, but finding a job is a lot different than applying to programs. Do you know how to get started?

What To Have

A Plan.
Do you know where you want to be in five years? Do you want your first job to put you on the path to partnership or ownership? Are you more concerned with gaining experience than paying down student loans? You need to know where you want to go before you can decide how to get there. Obviously location is important, but don't waste the crucial first years of your career in order to live in the heart of the city. 

The best jobs are often outside the primary markets where there is less competition for patients. Here is great blog outlining the best areas in which to work: Where are the Jobs?’. 

If you are considering a cross-country move, you may want to consider the income potential offered in different regions. This blog article breaks dentist income down by area: What Can an Associate Dentist Earn. 

If you absolutely have to live and work in a saturated market, here are some strategies to help you land a job: Saturated or Difficult Markets.

Be sure to set realistic income expectations. There are several good sources covering realistic dentist earnings. Here is our overview: How Much do Dentists Make?

The Levin Group publishes an annual survey in Dental Economics. The 2013 version can be downloaded here: Levin Group Survey.


A CV and Cover Letter.
Most applicants do not get an interview. Your CV and Cover Letter may be your only platform to distinguish yourself from the competition. It is hard to stand out from the crowd without experience but the way you highlight your strengths can set you apart. Did you take any electives or win any awards to recognition? Did you graduate in the top quarter of your class, attend CE outside of school, volunteer in a community clinical or on a dental mission trip? Be sure to highlight those experiences.

Here is an example of a well-written cover letter: Cover Letter Sample.

And here are instructions on writing your CV/resume: Resume for Dentists.

The Right Clothes
It is better to overdress than underdress. Your future boss will want to know that you take your career seriously. Does your interview outfit make you look like a doctor? This is not the time to go for personality. That can come through later. If your clothes give the wrong first impression, it will take a major effort to regain credibility

What To Do

Finding Openings.
Networking has always been the most effective method for finding open positions, but it is not always practical to meet with every dentist in the area and attend every dental meeting. The internet can be a great tool for finding position. Your dental school and local association may have classifieds, but you will likely find that the listings are limited. Here are several comprehensive sources for dentist jobs:

·         ETS Dental Job Listings

·         Indeed.com Job Listing Aggregator

·         DentalTown Classifieds

Interviewing.

The Telephone Interview

• Return your phone messages and emails promptly. It speaks to your motivation, interest, and courtesy. Don't let returning phone calls or emails become an issue or an obstacle to getting an interview. Even if you don't think you will be interested in an opportunity, return the call. On more than one occasion we have seen a candidate get a call from Practice B when he was already talking with Practice A. The candidate puts off returning the call to Practice B. Two or three weeks later, the opportunity with Practice A does not work out and now Practice B will not consider the candidate because no calls have been returned.
• Your main goal in a telephone interview is to get a face-to-face interview.
• Ask for the interview. Take the initiative to set a time. Say something like, "From what you have told me, I would be very interested in meeting with you and coming to see your practice. When would be good for you?"
• Smile- even on the phone. You really can tell when someone is smiling.

·         Here is some additional reading on phone interviews: Tips for Phone Interviews.

The In-Person Interview:
Don't go in blindly. Be sure to prepare in advance. Look over this article the night before: Preparing for the Interview.

• Treat the staff with courtesy and respect. A practice owner often feels like his or her staff is like a family and will listen to their opinions, especially if they are negative. On more than one occasion, we have seen excellent candidates not offered an opportunity because they treated a staff member poorly.
• Smile and show some enthusiasm. More candidates are hired because of their personalities and positive attitudes than because specific clinical skills. One high-end cosmetic practice told us they had interviewed six different dentists. They hired the candidate who smiled and appeared to truly enjoy being a dentist, passing on more experienced candidates with less personality and enthusiasm.
• Show sincere interest in the hiring dentist's situation. Understand that the dentist needs to solve a problem. Maybe the practice just lost a key associate or partner. Maybe the practice is growing and cannot keep up with patient demand. Maybe the dentist needs someone to take over the practice when he or she retires. You need to get a clear understanding of the dentist's true motivation for adding an associate. Once you truly understand the needs of the hiring dentist, you can mutually determine if you are the solution.
• Send a thank you note after the meeting. Here is a great example of a post-interview thank you: Thank You Note.

Still nervous? Here is a full blog post on interviewing: Interview Tips.

Reviewing Contracts.
A good overview of contracts may be found here (the most relevant information is on the last page of the article): Compensation Considerations.

Do you have all the information you will need in order to make an informed decision? What to Know Before You Accept an Associate Position 

Not satisfied with the offer? Don't be afraid to ask for more. Here are some tips on Negotiating Your Offer.


Finding a job can be an intimidating process. I hope these resources will help make the process easier. Please feel free to call us should you have any questions. We are always happy to help. For more updates, tips, and helpful information, follow us on our Facebook fan page, Twitter, LinkedIn or on our blog.

Posted by Morgan Pace, Vice President and Senior Dental Recrutier with ETS Dental. To find out more, call Morgan at (540) 491-9102 or email at mpace@etsdental.com.

Four Signs it’s Time for a New Job

With spring in the air and a long winter finally behind us, many find this time of year to be a season of fresh beginnings, new adventures, and personal growth. For some, however, the daily grind of traffic jams, long lines, and eight hours in a less-than-fulfilling workplace never seems to change.

Hopefully this doesn’t describe you or your current employment situation. If it does, though, there is something you can do about it – as a matter of fact, you’re the only one who can do something about it. Moving to another practice or starting a practice of your own is a serious decision that involves planning, strategy, and forethought, but the benefits of such a decision, as one might expect, can be life-changing.
If you’re thinking it might be time for a new job, consider these four warning signs and see how many apply to you:

1. You’re Always in a Bad Mood: While work may not be the most exciting highlight of your week, a day at the office should not leave you feeling disgruntled, defeated, or depressed. Having a negative emotional connection with your workplace can spill over into other areas of your personal life if you’re not careful, so it’s important to pay attention to how you’re feeling as you walk out of the office every evening.
2. You Do What You Do Out of Obligation: If you feel like your job is what you “ought to be doing” instead of what you “want to be doing,” you’re probably not going to enjoy going to work every day. Being in a practice environment that motivates you is the key to finding long-term career satisfaction.
3. You Don’t Feel Challenged: Too much stress at work, as most of us know, can be a bad thing. Too little stress can be just as bad, if not worse. If you feel like you’re not being challenged daily or that you’re capable of more, it might be time to start looking elsewhere.
4. Your Co-Workers Are Driving You Up a Wall: The people we work with play a larger role in our lives then we can imagine – after all, it’s likely you spend more time with them during the week than anyone else. If you’ve tried to resolve issues with your dental team but still find yourself counting down the minutes until you can get away from them, consider looking for career opportunities elsewhere.

While most of the above issues can be addressed through alternative means, in some cases getting a new job could be the best option. The most challenging part of any job change, of course, is in the details.

Whether you’re looking to take on more responsibility, start your own practice, or relocate to an area that better suits your needs, ETS Dental is happy to help make that transition as smooth as possible. Feel free to give us a call and get started today!

ETS Dental is a Dental Recruiting firm specializing in finding and placing General Dentists, Dental Specialists, and Dental Staff throughout the United States. www.etsdental.com

How Well Do You Know Your Employees?

Winter storms may have caused employment to be a bit sluggish, but as we move into spring, job growth continues to accelerate. Staff retention is becoming a top priority in 2014 for employers, as confidence builds in the economy and job market, making companies more vulnerable to losing key talent. Organizations will have to ask themselves tough questions about how attractive they are to candidates and employees, and whether they are doing a good job of communicating career development opportunities that have the potential to mitigate costly staff turnover.

  Click to enlarge.

According to many recent surveys, employee turnover is projected to rise significantly as the job market improves. This means that employers will need to place greater emphasis on employee retention to complement their recruitment strategies.

"While companies can develop and deploy a host of retention strategies focused on engaging staff and strengthening employee morale, one simple thing they can do is assess their employees' perception and awareness of internal mobility or career-tracking programs," says Nancy Halverson, vice president of global operations for MRINetwork.

The recent LinkedIn Exit Survey reveals that there is a considerable disconnect between employer and staff awareness of employee mobility programs. According to the survey, HR and talent acquisition professionals overestimate employee awareness of their internal mobility programs by more than 2X. Further, respondents in the US, UK, Australia, Canada and India overwhelmingly say it is easier to locate an open position outside of their company, than to be promoted within.

Halverson provides the following tips for building awareness of internal mobility programs:

• Brainstorm how your organization can develop an internal mobility program, if one doesn’t already exist
• Begin discussing internal mobility programs during the onboarding process
• Leverage and publicize internal mobility programs through employee referral programs to raise visibility
• Communicate internal promotions through multiple internal and external channels to create stories about employee advancement within the company
• Routinely assess employee awareness of the organization’s internal mobility program and adjust communication channels accordingly

Employee mobility programs have always been a great tool to encourage staff retention. Now they are increasingly important as companies face growing talent shortages due to skill gaps, and more workers begin to feel confident about seeking other job opportunities. Halverson adds, "Ultimately, internal mobility programs should be built into the company culture and employer branding efforts. Current and future employees should not only have a clear understanding of the career opportunities available within the company, but also see that there are viable paths for advancement."

Don’t Do This on Your Next Interview

Interviewing for any job requires a few steps, and most of the time the early steps in the interview process determine if you continue to move forward.  While many of the dentists I speak with understand that they need to “sell” themselves, others jump right to questions or make statements that will leave me or any potential employer wondering if we should even waste our time moving forward.

Here are some common examples of things that end your chances of moving forward in the interview process with a Dental Practice.

1. Not showing a spark of excitement and interest.  You have to do more than say things.  A great attitude and personality will get you everywhere.  Monotone and uninterested will end it before it even starts.  Everyone is saying they have great patient rapport, strong communication, and that all their patients love them.  Skills can be taught, personality and attitude cannot.

2. Trying to negotiate compensation during the phone interview. While many dental companies, groups, and practices may have set compensation models, I assure you that if you are really worth it, they will be willing to negotiate the package.  However, they will not and cannot do this without first meeting you in person and thoroughly understanding you and how you may fit into the organization. 

3. Leading with a list of 20 questions regarding the practices history, current staff tenure, compensation model, if they will pay for interview travel, copy of fee schedule, etc. The point of the phone interview is threefold: Make basic introductions, share a summary of the practice opportunity, and communicate why you should be interviewed in person.  Phone interviews lead to face to face interviews.  Face to face interviews are where all the details are shared with you.

4. Complaining about the poor ethics or criminal acts of your current/previous employer(s).  We have all had poor experiences at some point in our careers.  However, you have to craft a professional response as to why those previous employers were not right for you.   I recently interviewed a general dentist who stated ethical concerns he had with his past 3 employers.  It is hard to believe that he won’t use that reason for the next.  We start to think the problem is the doctor and not the practice.

5. Making your current economic situation the practice’s problem.  Interview for the job.  Help the practice owner understand why you are the best dentist for the practice by focusing on your skills and how you will benefit the practice.  Don’t tell the owner you need a job because you need money.  That does not show long-term commitment.  It just shows you need a paycheck to get by right now.

Written by Carl Guthrie, Search Consultant for the Western U.S.  Carl can be contacted at cguthrie@etsdental.com, 540-491-9104.