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Even a Monkey Could Do It

June 4, 2013

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It can be difficult for patients to choose a dentist these days.  The Internet is filled with photographs of beautiful dentistry.  Dentists and technicians share their best work with the world online.

Patients take a look at the photos and judge the quality of the dentist, and the practice by the quality of the photos.

But as they say, “the menu is not the food.”

In a new book, The Art of Thinking Clearly, author Rolf Dobelli discusses 99 ways that we make mistakes by not thinking clearly.  Dobelli does a great job of using entertaining examples of how we think about things that  lead us to making poor decisions.

One such bias, he calls the outcome bias warns people to never judge a decision by its outcome.

Imagine there was a sample group of 1000 monkeys, and you asked them to speculate on picking stocks by throwing darts at the Wall Street Journal.  What happens?  After one week, half of the monkeys show a profit and another half show a loss.

We carry on the experiment until we eliminate all of the monkeys but one.  You know how that works, you’ve seen reality TV.

At the end…the remaining monkey is next year’s Warren Buffet (take a look at the photo).  The media is all over him.  He becomes a guru.  The big guy on Wall Street.

The reason this happens is that we tend to evaluate decisions based on the result rather than the decision making process.  Don’t laugh, we see this all the time on Wall Street.  The analyst that predicted the crash becomes the next guru.

It happens in dentistry as well.  We see these gorgeous photos and believe the dentist is Picasso rather than asking how he got there.  What was the process…because process is what breeds consistency.

Dentistry has evolved to promote this type of thinking.  The cosmetic revolution, advertising and the Internet have allowed snapshots to sway patients to make decisions.

There was a time when patients chose dentists for their wisdom and judgement…two traits that don’t seem to be valued these days.

Process is the key.  In choosing a professional the patient should be more interested in the process the dentist used to get the result rather than the result itself.  All dental practices are based on some philosophical principles that lead to consistent behavior that produces outstanding results consistently.

As a practicing dentist, a teacher/coach and a lab owner, I am convinced that the dentists who are most successful are the ones who create and execute a process.  Anyone can do a beautiful case occasionally.  My advice: commit to an examination, diagnosis and treatment planning process.

That is the key to success.

 

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The 9 Turning Points of Mastery

May 1, 2013

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I received a complimentary DVD in the mail last week.  I don’t usually give these free discs much attention, but this time I slipped it into my MacBook and started to watch.

And man, was I surprised.

It was titled The Path of a Master, Nine Turning Points That Changed the Practice of Dentistry.  Don’t look for a link because it’s not available for distribution to the general public.  That’s a shame because rarely do we get to see the evolution of a master dentist with such great clarity.

Firstly, I want to thank Jeff Baggett and Bill Lockard, from the Pankey Institute, for putting this project together.  Both did a tremendous  job of telling a story that the dental community needs to hear.

Most people who watch the video may just see a story, but as someone who has practiced dentistry for close to forty years, and had my share of ups and downs, I was reminded of how we all are on the “hero’s journey” as described by mythologist Joseph Campbell.

Campbell used to quote the philosopher Soren Kierkegaard, who said, “Life can only be understood backwards; but it must be lived forward.”  The DVD brought me to a point of reviewing my own life and career.  It reminded me of what my friend Chris Sager the retired Executive Director of the Pankey Institute told me about L.D. Pankey.

He told me that when the Institute fist opened in the early seventies, students would follow L.D. around attempting to “touch the hem of his garment.”  But he said that L.D. was as human as anyone of us…more so in fact.  We tend to deify our heroes.  I identified with Bill Lockard’s narrative because it emphasized how human L.D. was, and that the nine turning points could have happened to each and every one of us if we were aware and prepared.  There are distinct differences between a master and the rest of us, but little has to do with talent.  Sometimes it has to do with preparation, persistence and luck.

I am amazed that in my own life I spent so much time planning and goal setting when it was those few turning points that made all the differences.  I am not knocking planning and goal setting, but I am reminded of another quote from my favorite mythologist/philosopher, Joseph Campbell:

“We must be willing to let go of the life we planned so as to have the life that is waiting for us.”

Pankey’s first two turning points occurred long before he became a dentist.  His story actually started with the story of Daniel Halley-Smith who he met years later on a trip to Europe.  Smith graduated Northwestern University Dental School in 1899 (where G.V. Black was the first dean), two years before Pankey was born.  He practiced in Chicago with Dr. Frank Davis who later retired in Coral Gables, Florida, where Dr. Pankey practiced.  Those of us who understand quantum physics also understand that (more…)

What Happy Dentists Know

February 12, 2013

Filed under: ARTICLES,Business of Dentistry,Philosophy,Uncategorized — Tags: , , — Barry @ 10:00 AM

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I have a pet peeve.  It bothers me when dentists look at the very best people in the field and believe they will never achieve that level of success, because they don’t have the “hands” or the technical skills necessary to do great work.  This problem isn’t restricted to dentistry...artists and writers look at great works and judge only the result rather than looking at the process that the person went through to achieve the result.

No matter how many times I hear the story about what Michelangelo told an admirer when she called him a genius, he said,   “If you knew how much work went into it, you wouldn’t call it genius, ” and I truly get it…so many of us turn to the beautiful photography on Facebook or the work displayed by dentistry’s masters, and say we can never do that because they are “genius’s”  and I just don’t have the hands or the skills to do that work.

The other day a dentist commented on some work I did, saying it wasn’t up to the “Pankey” standard.  He expected that every piece of work would be perfect if done by a Pankey dentist.  Well we’re all on the same journey.  When starting out our work can be just plain shitty.  Then after a few years it just sucks.  But eventually it gets good with the potential of becoming great.  The problem is that most people expect great every time.  Maybe the masters can do that and I certainly shoot for that, but the reality is we do our best and grow to be better and better.

And that’s all we can do.

But there is a problem… (more…)

The Master Key to Success

April 19, 2012

I opened the curtains to let the sun in, hoping the tropical storm had passed.  It was still very early but I could get a sense of how the day would unfold.  At 7 A.M. the sky was steel gray and the the tide was high enough to reach the edge of the condo at our St. Maarten timeshare.  Looking down the beach I saw one solitary figure running along the water’s edge, skidding through the surf on his brand new boogie board.

“Josh, is that you?”

He just looked up and kept on going like the Energizer bunny.  Few people showed up on the beach that day, but we couldn’t get my son Josh off the beach till dinner time.  He spent hour upon hour practicing on that board.  He fell off and was swallowed up by the tide more than most people could bear.  Every time he fell, he just laughed and got back on…over and over and over again.  Some would call it crazy, but really I thought it was special.

Years later I would never forget that day. (more…)

TAO – The Book Installment 6 – Can’t Sing Your Way Out

April 11, 2010

Filed under: TAO - The Book — Tags: , , — Barry @ 9:34 PM

Look at Everything

GIVE BIRTH TO A NEW CULTURE

When I first began to search for ways to improve my practice, I was distracted by promises of quick wealth and easy rewards. The “gurus” promised to show me how to make more money through trickery and manipulative “strategies” that would make patients say “yes” to treatment. I tried to follow their advice but I couldn’t do it. I couldn’t convince myself to do things to patients that I would object to myself.

I couldn’t become someone else by modeling their behavior or style – or worse yet by copying or mimicking their vision.  I truly wanted to be (more…)

10 Ways to Become a Mediocre Dentist

April 7, 2010

Filed under: ARTICLES,Uncategorized — Tags: , , — Barry @ 10:22 PM

Okay, a touch of sarcasm in the title, but I think it’s quite appropriate for our times.  The future of dentistry is in the balance. Unless you live in a cave, you can’t  have missed a cultural shift in our profession.  It’s been occurring for years, and now we are in a definite realignment.  It all started with the fragmentation of dentistry.  First with the institution of dental insurance in the seventies, then the onset of professionals advertising and the loss of meaning of the original ADA’s Code of Ethics in the eighties.

The nineties brought us the proliferation of (more…)

The TAO – Introduction (1)

February 24, 2010

INTRODUCTION

“Success follows doing what you want to do. 
There is no other way to be successful.”

––Malcolm Forbes

In March 2002, I self-published my book, The Art of the Examination. Drawing on my 30 years of experience as a dentist, I told the story of how I developed my philosophy of practice, how important that foundation was to my everyday work, and how the initial patient examination could allow patients and staff to understand your values, share in them, and benefit from them.
Since the publication of that book, I have been asked by many dentists to provide them with a more information about the examination process.  They told me that the book should be required reading in every dental school.   The TAO of Dentistry is (more…)