Posts Tagged ‘hiring’

Larry Silver

Recruiting New Employees

Posted by Larry Silver

Recruit Competent Employees

Recruit Competent Employees


NEWSPAPER

The most obvious source to be used in recruiting new personnel is the newspaper. But before we address the ad itself, let’s look at some basics.

When promoting for a new staff member, don’t ever lower your stand­ards. Keep them high and remember that you don’t just want a top quality person, but you deserve that person! Your practice growth depends upon staff who are bright, energetic, sensitive, intelligent and outgoing. Be willing to compete for that type of person.

An interesting thing to consider is that not everyone is “actively” looking for new jobs. Some of the most qualified individuals already have jobs but may be looking for a change. These individuals may seem like “cold prospects” but they actu­ally do “skim” through the want-ads just to see what is out there. So it is very important to develop an advertisement that will attract the person you are looking for.

When running your ad, it is wise to consider using a large, two-column ad rather than a standard one-column ad. A larger ad may be more costly, but it could very well pay off by helping you to gain a higher number of qualified prospective employees responding more quickly to your ad.

The Sunday paper is definitely the best time to run your ad. Sunday/Monday is a very successful combination of days for running your ad.  People who are job hunting will look through Sunday’s paper and continue looking at least through Monday.  Suburban weekly newspapers are also considered good places to advertise since they often remain in the home all week.

Do not waste your valuable ad dollars by advertising right before a major holiday.  People are less likely to read the classifieds during such times. Many applicants are involved with other matters and will usually look again after the holidays.

DEVELOPING YOUR AD

Use an attention-grabbing headline to pique curiosity (e.g., “Are You Motivated?” or “Do You Have What It Takes To Be My Assistant?” or “Are You A People Person?”).

Offer a competitive salary and benefits. Check around your area and learn what colleagues pay their employees. You can do this by asking directly or by simply looking in the newspaper under the classifieds. List the salary range offered for the position in your ad. Fewer people will respond if they have no idea of the pay involved.

List specific job duties and skills (e.g.,  “Must have good people skills and be able to handle a busy patient load while maintaining a good sense of humor.” or “Must be able to take initiative and think on your feet.”).

List the name of the practice and/or the Doctor.  This is optional but “blind box” ads have a lower response rate than those that reveal the employer. To avoid being deluged with phone calls and walk-ins, include a statement in your ad conveying that you will not accept applications in that manner (e.g., “Resumes only. No phone calls or walk-ins please.”).

Close your ad with an invitation to action. Be sure to tell interested applicants how to apply and who will receive responses in your office, for example, “Send resume and cover letter to (NAME) at (ADDRESS).”

Keep a file of all the classified ads you run along with a list of the responses to each ad.

Ask applicants which features of your ad drew them to the interview. This information could become in very useful at a later date.

AGENCIES

Employment agencies are another source of recruiting employees but can be quite expensive in certain cases.  When dealing with an agency, ensure you clearly understand the policies and arrangements. Have the agency provide you with a written outline of the procedures involved.

If you decide to use the services of an agency, be prepared to state the exact requirements for the position or unqualified applicants will call and waste your time. For example:

ASSISTANT

  1. ONE YEAR EXPERIENCE
  2. GOOD COMMUNICATION SKILLS
  3. X-RAY CERTIFIED
  4. COMPUTER LITERATE
  5. EXCELLENT PR SKILLS
  6. GOOD COMMUNICATION SKILLS
  7. ONE YEAR PREVIOUS FULL-TIME EXPERIENCE

RECEPTIONIST

WORD OF MOUTH

By letting friends, colleagues and even patients know that you have a position to fill in the practice, you may find that just the right person comes your way. Never rule out the possibility that it might be easier than you think to find that new employee simply through communicating with your own connections.

NOTICE POSTED IN THE PRACTICE

One of your patients may prove to be just the person you are looking for to fill an open position. By posting an employment opportunity notice on your bulletin board, you may find an interested patient you already know.  Many patients already know and respect the Doctor and the practice and would love to work for you. If you use this method, construct an attractive, professional and intriguing notice to be displayed. If you receive an inquiry, schedule a formal interview. Any person who applies will need to go through the same hiring process as everyone else, regardless of who they know or who referred them.


Larry Silver

APPLICANT SCREENING: THE GROUP INTERVIEW

Posted by Larry Silver

Finding a new employee can be a very time consuming process. To consolidate efforts and streamline the initial stage of the interview and selection process, have all the applicants who meet the basic criteria come into the office for a “group interview” session. The purpose is to consolidate the Office Manager’s efforts and to provide you with an opportunity to see the applicants and screen out those you do not care to invest more time in. The finalists from this segment will then be invited back for an in-depth individual interview.

Once you have collected all of the resumes from your advertising, go through them and screen out those who do not have the basic qualifications you are seeking. Consider whether or not the resume included a cover letter and if the letter really communicates something about the applicant. Look at the experience, background and talents being conveyed in the resume and letter.

Phone the applicants who appear to be the very best and schedule them to come into your office to complete an application and brief interview. During the phone call, “rate” phone voice, composure, professionalism and willingness by making notations on the resume. Schedule all of the applicants for the same time, such as an evening after work or a Saturday morning.

Make preparations ahead of time. Have packets of paperwork ready for each of your applicants. Packets should contain an application, questionnaire and a form for applicants to state employment goals and their understanding of what a dental practice is. Applicants will also be asked to write a brief collection letter and to sign an authorization for release of information form. These forms are in the back of the Office Manager section in this manual.

When the applicants arrive, welcome them all and deliver a brief statement about the practice and the position. It is best to limit this statement to fewer than ten minutes. Then and direct them to the packets handed out. Each person should complete the following.

  1. an application
  2. the job application essay
  3. the hiring questionnaire
  4. Write a brief letter to a client who has an overdue account. This gives you a good indication of how the person deals with others regarding sensitive matters.
  5. Sign and date the Authorization for Release of Information Form.

As the applicants complete their forms, rate them on their appearance, interaction with the other applicants, demeanor and reaction to this “group” interview session. As each person finishes the paperwork, take him/her individually into a private office to conduct a brief interview. Take just a few minutes to look over the forms and thank the applicant for coming in. You should also answer any basic questions at this time. Inform the person that you will review the paperwork for each applicant and determine who will be called back for a longer interview.

Before your applicants leave, give them each a card for a complimentary exam at your office. This is optional but could garner new patients even if they are not hired. Thank them all for coming in and let them know that they will be hearing from you within the next few days.

After your applicants leave, you can go over what you know about them so far by rating them each in the following categories.

THE APPLICATION

  1. IS IT NEAT AND LEGIBLE?
  2. IS IT THOROUGH?
  3. DOES THIS PERSON “JOB HOP”?
  4. ARE THERE UNEXPLAINED LAPSES IN EMPLOYMENT HISTORY?

THE EMPLOYMENT GOALS

  1. CHECK THE SPELLING, PUNCTUATION, GRAMMAR AND COMPOSITION.
  2. WHAT DOES THIS PERSON’S GOALS TELL YOU ABOUT HIM/HER?
  3. DO HIS/HER GOALS INDICATE THAT HE/SHE IS LOOKING FOR A LONG TERM POSITION?

THE COLLECTION LETTER

  1. CHECK THE SPELLING, PUNCTUATION, CONTENT AND PROFESSIONALISM.
  2. IS THIS LETTER FRIENDLY, YET FIRM?
  3. DOES THIS LETTER ACTUALLY “COMMUNICATE”?

WRITTEN VERSION OF THE PURPOSE OF A DENTAL PRACTICE

  1. LOOK FOR THE PERSON’S BASIC UNDERSTANDING OF THE PURPOSE.
  2. CHECK THE PERSON’S ABILITY TO ARTICULATE AND COMMUNICATE EFFECTIVELY.
  3. DOES THE STATEMENT CONVEY THE ATTITUDE YOU ARE LOOKING FOR IN THE POSITION YOU ARE FILLING?

Based on what you know at this point, you will be able to determine whom you wish to have back for a second interview. Phone those applicants and schedule them for their second interview. These will be scheduled separately as they take longer than the first interview.

Send reference letter request forms to former employers of your final applicants. Send rejection letters to those applicants who did not qualify for the second interview.


Larry Silver

INTERVIEWING AND SELECTING EMPLOYMENT APPLICANTS

Posted by Larry Silver

The personal interview represents the basic process to use for selecting the best available person for a job. Relying on the interview process for finding the right person demands that the interviewer possesses the necessary expertise for planning and conducting an effective interview.

Great attention must be paid to the selection and interviewing process. By doing so, you will minimize staff problems such as troublesome employees or dissatisfied employees who seek employment elsewhere. While other factors in the working environment have a great influence on the employee’s performance and satisfaction, fewer problems will arise when the selection interview is regarded as the first critical step in hiring and keeping a qualified worker.

Interviewing and selecting employees can become a time-consuming responsibility for the Office Manager. However, if this process is regarded with high importance, the likelihood of hiring the right person who will enhance the practice increases greatly.

THE INTERVIEWER’S PURPOSE

The Office Manager must be careful not to enter the interview with any preconceived ideas about the applicant, which can compromise an intelligent hiring decision. If, before or during the interview, the interviewer thinks in evaluative terms or reacts to statements from the candidate with a judgmental attitude, several results could negatively affect the hiring decision.

  • - An evaluative attitude runs the risk of premature evaluation. If the interviewer reacts negatively to any particular applicant response and thereby decides that the applicant is not suitable, an otherwise valuable employee might be lost.
  • - An evaluative attitude increases the likelihood that important questions might not be asked because the interviewer’s mind is already made up.

It is understood that the Office Manager must maintain judgment concerning the applicant’s “fit” into the organization. But the basic purpose guiding the interview must be to get in communication with the applicant and to collect information (i.e., facts, explanations, character traits, etc.) that will provide a basis for predicting an applicant’s potential success on the job. The Office Manager is a data gatherer in this situation.

The Office Manager must use his/her time wisely. Many interviewers tend to waste time and create negative impressions by asking questions about information already explained in a resume or application form. Oftentimes, the interviewer tends to talk too much. The interview should invite the applicant to do the majority of the talking. That is going to be far more revealing to the

Office Manager as to who the applicant really is. The Office Manager is looking for things that otherwise could not be found on an application or resume such as:

  • - how the applicant feels about past positions
  • - is the applicant interested in further training and professional growth
  • - how does the applicant appear to handle pressure
  • - how the applicant feels about types of management
  • -how the applicant works as part of a team

The interviewer is not only looking for the qualifications of the applicant, but also:

  • - communication abilities
  • - depth regarding goals and motivation
  • - ability to think on one’s feet
  • - willingness of the applicant
  • - trainability of the applicant

Look for answers and attitudes that demonstrate a sincere interest in contributing, rather than simply what the applicant hopes to get from the business.

Be alert to comments and questions that indicate the applicant’s willingness to learn, contribute, be flexible, take on new duties and help out when needed.

COMMON APPLICANT SELECTION CRITERIA

  1. Communication Skills: Messages are clear and easily understood. Candidate listens well and is articulate and concise.
  2. Self-confidence: Applicant seems poised and relaxed. Attitude is not defensive or hostile. This person demonstrates ability to accept responsibility and seems to understand personal feelings and ideas.
  3. Sociability: Applicant demonstrates ability to work with others. Has pleasant and supportive interpersonal style and is able to relate to others with empathy, openness and a non-defensive demeanor.
  4. Ambition and Motivation: Applicant shows an understanding of personal goals and priorities, understands attraction of the profession or job and seems capable of acting/working with minimal supervision or guidance.
  5. Perseverance and Responsibility: Applicant shows evidence of ability to start and follow through. Can be counted on to produce and get results even under adverse conditions or stress.
  6. Leadership: This person demonstrates an ability to influence others toward desired goals and provide appropriate direction and support along the way.
  7. Adaptability: Applicant demonstrates an ability to interact or communicate with a variety of different personality styles.
  8. Appearance: Personal grooming and dress habits are adequate to the demands of the position.
  9. Cooperative: Does not appear excessively competitive and possesses give and take attitude.

PLANNING AND PREPARATION

The essence of the hiring decision is to match an applicant’s qualifications with the requirements of the practice as a whole and the requirements of the job. The interviewer must have a thorough knowledge of the job. To evaluate the fit between the job, the practice and the applicant, the job must be represented in all of its dimensions.

I. Have a thorough knowledge of the job, including the following.

a. Duties and responsibilities
b. Competency requirements: What knowledge is needed to perform satisfactorily? What skills are required?
c. Enhancement skills: What job-related skills might increase the likelihood of above-average performance?
d. Performance standards: How is competency to be measured?
e. Selection criteria: What qualities would an acceptable applicant possess?

II. Prepare for the Interview.

a. Thoroughly read the resume, cover letter, application and references.
b. Prepare the questions you plan to ask, avoiding repetitious questions already answered on the paperwork. Ask open-ended questions to get the applicant talking.
c. Confirm that none of your questions are illegal or discriminatory.
d. Plan the interview to avoid wasting valuable time. Failure to plan results in an unstructured interview, which is less productive and could appear unprofessional.

FUNCTIONAL OPENING OF THE INTERVIEW

Opening an interview is functional when it achieves several important purposes.

  1. Explaining what is going to happen
  2. Establishing rapport with the applicant in order to facilitate the flow of information during the next stage
  3. Actually beginning the information-gathering process

Although it is important to set your applicant at ease when welcoming him/her to the interview, it is not really necessary to engage in a lot of trivial rapport-building techniques or icebreakers such as chatting about sports, hobbies, the weather, etc. This can tend to waste valuable time and may even actually create more tension for the applicant who is eager to delve into how they are qualified for the opening.

Remember that this is a professional business meeting and the beginning of this meeting is more than just to start talking. What is discussed demonstrates how well the interview will proceed later on.

  1. Greet the applicant cordially and introduce yourself, along with your title, indicating (if appropriate) how you would like to be addressed (if appropriate).
  2. Explain the purpose of the interview and how it will proceed.
  3. Indicate why notes will be taken and ensure that the applicant understands that note taking is not indicative of negative impressions.
  4. If appropriate, ask the applicant how he/she would prefer to be addressed.
  5. Begin the rapport-building and the data-gathering by asking questions that are positive and that provide the applicant with an opportunity to begin informing you about personal characteristics, interests and skills.

Example: “What are some of your most significant accomplishments to date? “What personal qualities are represented in those accomplishments?”

QUESTIONING SKILLS

The questions you ask and the manner in which you ask them determine the extent to which otherwise unavailable information about the candidate will be obtained.

There are some underlying categories that will guide the interviewer in planning specific questions to ask during the interview.

  1. Competency: Is the candidate technically competent to perform the required duties and fulfill the required responsibilities?
  2. Motivation and Willingness: Given that the candidate is competent, does the person demonstrate the motivation to contribute and the willingness your practice is looking for?
  3. Adaptability or “Fit”: How well will the candidate interact in the practice’s interpersonal network? Depending on the specific requirements of a job, the fact that a person possesses a high degree of competency does not ensure that he/she will be able to work with others.
  4. Personal Fulfillment: How well will the company satisfy the needs, goals and ambitions of the candidate? The apparent desirability of the applicant for the company does not ensure a constructive fit. Both must be right for each other.

KEY QUESTIONS: DEVELOPING A QUESTIONING STRATEGY

It is helpful to prepare for an interview using the format listed below. For each of the key question areas, develop two or three more specific questions you would ask for each area. While the leading questions listed are not asked themselves, they constitute the background from which the interviewer’s game plan or systematic questioning strategy is constructed.

  1. Competency: What would you ask to determine the extent to which the applicant is technically qualified to perform the job?
  2. Motivation: What questions would you ask to determine if the applicant is highly motivated, willing to utilize those skills that are technical in nature?
  3. Adaptability/Chemistry: How will you determine the extent to which the applicant’s work style, ability to work and cooperation with team members might justify hiring?
  4. Satisfaction Potential: Regardless of qualifications, the job must be satisfying to the applicant or you will have a potential problem employee. What will you ask to determine if you are the right organization for the applicant?

Do not ask questions to simply fill time and avoid the discomfort of prolonged silence. To ask the right questions, one must know why the question is being asked and how it relates to hiring criteria. Prior to the interview, make two columns on a piece of paper.

On the left, list the qualities or criteria needed in a qualified applicant. In the column on the right, list those questions which you believe will elicit responses from the applicant or which will provide insight about the candidate’s fit with the respective criteria.

OPEN-ENDED QUESTIONS

When developing your questions, use those that elicit information. Open-ended questions accomplish this better than a closed or “yes” and “no” form of questioning. Open-ended questions minimize the possibility of an interviewer talking too much and dominating the interview. They also provide a basis for observing the applicant’s communication skills and ability to organize thought. And they give the applicant a chance to provide a more complete picture of his/her thoughts and feelings.

CLOSED QUESTIONS

Closed questions restrict the range of an applicant’s response by calling for a factual or “yes” or “no” answer. Closed questions are used to gain a clear position or opinion or to establish a point of fact. By their nature, closed questions do not encourage conversation.

The following examples demonstrate how to get the same basic information with the two different types of questions. The difference will demonstrate why the open-ended question will keep the applicant talking and call for a statement of position when required.

Closed: Do you mind working overtime?

Open: Since some positions may involve working overtime, could you describe the circumstances when you would or would not agree to work overtime?
Or
How do you feel about working overtime?

Closed: Would this position help you achieve any of your goals and ambitions?

Open: Could you describe the ways in which this position might be related to any of your goals and ambitions?

LEADING QUESTIONS

For the most part, these questions should not be asked. They encourage the applicant to misrepresent true feelings or intentions. The essence of a leading question is its implied pressure for a particular answer. The question implies what an appropriate answer should be.

Example: “Working overtime wouldn’t bother you, would it?”

“You wouldn’t mind transferring to _________, would you?”

SECONDARY QUESTIONS

As discussed earlier, your interview will be as successful as you are engaging the applicant in real communication. Be willing to follow up on a previous response. In this way you are asking for clarification or enlargement of a response.

Examples: “Could you please explain what you meant by…”
“Could you tell me more about…”
“How did you feel about that?”

Secondary questions should be used to probe abstract or generalized responses.

Example: If the question, “What is one of your greatest strengths?” is asked and an applicant responds with, “My ability to get along with people”, the interviewer needs to explore that response to achieve any meaningful understanding of what the applicant has said.

Example: In response to the question, “What are the qualities of an effective supervisor?” the applicant answers “leadership”. You have no real understanding of the applicant’s concept of leadership. You might ask, “What are some of the qualities you believe leadership involves?”

You want to understand what the applicant is saying and get clear understanding of who this person really is. Abstract or generalized answers must be broken down to more specific dimensions for clarity.

COMMON AND IMPORTANT QUESTIONS

Listed below are some important and commonly used questions that can provide valuable insight into an applicant’s job qualifications. They aim at technical and motivational data as well as providing a picture of the applicant’s self-knowledge and communication skills. Some questions may be more or less relevant, depending on the job’s scope of responsibility, complexity and difficulty.

  1. What did you like best about your previous positions? What did you like the least?
  2. What skills are required for getting along with and working cooperatively with others?
  3. How do you expect to be treated by a supervisor or a manager?
  4. Describe the qualities of a good boss.
  5. Describe the qualities of a good employee.
  6. What do you find most appealing about this position?
  7. What are the strengths or assets you would bring to this practice?
  8. What are your limitations that need further attention and development?
  9. What is your definition of a successful practice?
  10. What is required to succeed as an effective employee?
  11. What should happen during an effective performance review?
  12. We are looking for an employee who is ________________ (list the criterion). Convince me that you are that person.
  13. What goals do you feel this position will help you attain?
  14. What does “being motivated” mean to you?
  15. The interviewer describes a hypothetical, pressured scenario and asks, “How would you handle that?”
  16. How would you feel about attending seminars to enhance job training?
  17. What would you do if you saw another employee violating company policy?
  18. We are all defensive about some things. What do you get defensive about?
  19. What is the biggest mistake you have made on the job and what have you done about it?
  20. We all have difficulty getting along with certain types of people. Who are the people with whom you find you have some difficulty?
  21. What are some things you have done to demonstrate initiative and creativity?
  22. What do you know about our practice and what we do?
  23. What have you learned about yourself from your previous job?
  24. If we didn’t hire you, what would we be missing?
  25. What are the greatest reservations you have about taking this position if it is offered to you?
  26. How do you react to criticism?
  27. What does an effective communicator do?
  28. Employment is a mutual relationship. What makes you feel we are right for you?
  29. In what ways would you be both easy and difficult to work with?
  30. When you have difficulty with someone, how do you handle the situation? How do you handle defensive people?
  31. What do you hope to accomplish through this position that you were unable to achieve in your last one?

CLOSING

Unfortunately, some applicants who are later rejected are misled into believing that their chances for an offer are high. The way in which an interviewer closes an interview generates positive feelings about the practice. But it can also prevent the filing of a lawsuit. An inappropriate closing can mistakenly lead an applicant into believing that the position will be offered. When it is not, the natural feeling of betrayal and hostility could lead to a charge of discrimination. To close on a positive note yet minimize the possibility of a lawsuit, the following steps might be taken.

  1. Indicate that you have pursued all of the issues on your agenda.
  2. Ask the applicant if he/she has any questions or if there are any remaining issues which should be explored.
  3. Avoid any general comments indicating approval or disapproval of the applicant’s responses. Don’t build false hopes or unwarranted discouragement.
  4. Thank the applicant for providing useful information.
  5. Indicate what will happen with the information including:
    who will evaluate it
    when the decision will be made
    how the applicant will be notified

  6. Stand first, indicating the finality of the interview and escort the applicant to the appropriate exit.


Larry Silver

Dealing with a problem employee

Posted by Larry Silver

By Ken DeRouchie
I received an email recently from a doctor having a staff problem. I replied to her and thought this might benefit some other people out there so I’m going to have this be my new article.

Question:

As an employer, how can you tell to your employee to stop her

  • being hyper
  • not to laugh at the end of each sentence
  • to stop blowing her nose as everybody can hear it
  • to stop asserting herself on someone else’s conversation

I had such a hard time saying something to my assistant about these issues. Everybody in
the office is being affected and I am not happy at all with her. I tried my best to tell her what I would prefer from her as an employee but it hasn’t worked.

Please help me.

Dr. S

Answer:

Dr. S,

There are several things that can help you in this current situation and help prevent this from happening in the future. This is a bit of a lengthy reply due to the nature of your problem. Please take the time to read through this as I believe it will give you some insight into the problem and how to handle it.

The first, and probably the most important thing is to make sure that you have very detailed job descriptions and office policies in place. In your office policy manual, there needs to be written policies about acceptable and unacceptable employee behavior. When new employees are hired, they are given a copy of this policy manual and they are to read and sign off on them. This lets them know what is and isn’t permitted in your office. They agree to this and you now have legal recourse for disciplinary action and/or termination for non-compliance.

As new policies are written, a copy is handed out to all employees for them to read and sign off on. These signed agreements are then added to their personnel files. These can then be referenced in regular employee evaluations, disciplinary actions and if needed, termination situations.

If, however, you only deliver your requests verbally, you leave these requests open to interpretation. It is imperative to have everything in writing so that there is no room for interpretation.

The other underlying issue I see here is hiring the right people to begin with. There are three steps here.

  1. How to attract the right kind of employees
  2. How to determine who to hire
  3. How to train them to do their job properly after you’ve hired them

When you are looking to fill a new position, the wording of your ad/listing is key. Where to advertise is also key. Utilizing employment agencies that pre-screen applicants to YOUR qualifications can greatly increase the quality of candidates you see, weeding out the lower quality people ahead of time.

Determining who to hire is a shot in the dark for most doctors. They read a resume, conduct an interview and take a shot. No one writes on there resume that they are chronically late, don’t take direction and can’t get along well with others. What you see on a resume is only what the applicant wants you to see. Similarly, all you hear in an interview is what they want you to hear. They say the right things or at the very least what they think YOU want to hear in order to get the job.

After they are hired they stay on their best behavior until they get comfortable and then they become themselves. Only then do you know who you’ve hired.

We believe you need a more objective way to screen and hire people so that you have a better idea of who they are, what kind of personality they have, their responsibility level, their aptitude and their work ethic. Corporations have been hiring people this way for years. Small businesses suffer through much higher turnover rates due to their lack of successful hiring techniques.

We teach doctors to test applicants. Personality tests, IQ tests, Aptitude tests are all implemented to get a feel for who a person is and how they will fit in to your practice and interact with the staff and more importantly your patients.

Once you have hired the right person, you then need to make sure you train them properly. This is where detailed and up to date job descriptions and office policies come into play. It is vital that you equip your new employee with the proper tools to do their job rather than throw them to the wolves and hope they pick up the proper way to do things as they go.

Here is a policy regarding employee performance evaluations. Take a look at this as I think it will give you an idea of the kinds of policies you should have in place in your office policy manual.

PERFORMANCE EVALUATIONS
We have established a procedure for evaluating job performance on a regular basis. These Performance Evaluations are vital for future planning and provide fair, timely and objective measurement of performance of job requirements.

We conduct at least two evaluations of a new employee during the first year. The first after approximately 90 days of employment and a second evaluation is completed after 9 to 12 months of employment.

Thereafter, each staff member receives a performance evaluation at least twice per year.

We will advise you of the time for your scheduled review at least seven days in advance. This gives both of us an opportunity to prepare so that areas of mutual concern can be addressed.

The performance appraisal is designed to:

  • maintain and improve job satisfaction by letting staff members know we are interested in their job progress and personal development
  • serve as a systematic guide to recognize needs for further training and progress planning
  • ensure a factual, objective analysis of an employee’s performance as compared with job requirements
  • help place employees in positions within the practice that best utilize their talents and capabilities
  • provide an opportunity to discuss job problems or other job-related interests
  • serve as an aid in salary administration
  • provide a basis for coordinating goals and objectives (those of the employee and of the practice)
    give recognition for superior performance

The performance evaluations will address job factors and behaviors that are observable, measurable and specifically related to job performance. The factors we consider are:

  • quality of work
  • employee relations
  • quantity of work
  • patient relations
  • job knowledge

Salary adjustments are not necessarily made at the time of the performance evaluation.

Your current situation is a volatile one. This person is causing you stress, is making the other staff uncomfortable and is bringing the overall morale of the practice down. Patients can and will pick up on this and it will negatively effect their experience at your practice. Doctors that are uncomfortable with leadership and necessary confrontation and communication will often let these situations go until they fester and erupt into a hostile situation. Good employees can leave a practice when a bad employee is not confronted and handled. If you don’t implement better hiring techniques followed by detailed job descriptions and office policies, you open your self up to the possibility of lower quality employees who don’t get trained well. Ultimately this will cause stress for you and conflicts with your staff. However, if you hire higher quality employees and equip them with ALL of the tools needed to perform their job, you will find that they are more inclined to deliver what is needed and wanted by you and they will strive to achieve it.


Larry Silver

From the Editor: Hiring, Orientation and Firing: A Constant Struggle

Posted by Larry Silver

It’s amazing how prevalent issues involving hiring and firing personnel can be across a spectrum of vocations. As probably the only practice management publication that conducts ongoing surveys of doctors in various healthcare professions, our surveys continue to document the immense stress involved with personnel issues in private practice.

Every day our surveyors find doctors who know they could have more efficient and productive practices were it not for the various personnel problems that they have to deal with. Unfortunately, one or two bad apples in a practice can undermine the constant efforts on the part of doctors to expand their practices. Decent employees suffer for it. Our surveys show this over and over.

Such situations often come down to lack of any know-how on how to properly hire. How do you get that dream employee? How do you offload the employee who spends his/her days surfing the Internet, daydreaming or being generally non-productive?

In this issue, we provide some successful practice management solutions for the screening and hiring process when looking for productive employees. We also provide information on how to terminate the bad apples. You’ll also learn about how to best orient a new employee to your practice with the least amount of downtime.

As usual we also provide news articles from a range of sources that we hope you find interesting and useful. Additionally, our profiles of three different doctors will provide a cross-section on how practice management consulting can help with staff issues and be a real boon to one’s success.

I’m also putting out a call for any of our readers who are interested in sharing their experiences. We’ve had, in past issues, great contributions from some readers. We would like more! Please let me know if you are interested in contributing any articles about your practice and/or health care management issues for inclusion in Practice Solution.

Sincerely,

Larry Silver

Managing Editor

The Practice Solution Magazine


Larry Silver

Applicant Screening

Posted by Larry Silver

The Group Interview
Finding a new employee is a very time consuming process. To consolidate efforts and streamline the initial stage of the interview / selection process, have all the applicants who meet the basic criteria come into the office for a “group interview” session. The purpose for this is that it consolidates the office manager’s efforts, giving you an opportunity to get a look at the applicants and screen out those whom you do not care to invest any more time in. The finalists from this segment will then be invited back for an in-depth individual interview.
Once you have collected all of the resumes from your advertising, go through them and screen out those that do not have the qualifications you are looking for. Take into consideration whether or not the applicant included a cover letter, and whether that letter really communicates something about the applicant. Look at the experience, background and talents being conveyed in the resume and letter.

THE FIRST INTERVIEW
Phone those applicants that appear to be the very best and schedule them to come into your office to fill out an application. During this phone call you can “rate” their phone voice and composure and get a bit of a feel for their willingness. Make notations on the resume. Schedule all of the applicants for the same time (i.e., an evening after work or a Saturday morning).
Make preparations ahead of time. Have packets of paperwork ready for each of your applicants. Their packets will contain an application, a questionnaire, a sheet they will fill in with their employment goals and what their understanding of a practice is. They will also be asked to write a brief collections letter and sign an Authorization for Release of Information form.
When the applicants arrive, welcome them and deliver a brief statement (10 minutes or less) about the practice and the position. Then direct them to the pre-printed packets handed out. Have them:

  1. Fill out their Job Application Essays.
  2. Fill out their Hiring Questionnaire.
  3. Write a brief letter to a client who has an overdue account (which gives you a good indication of how the person deals with others on sensitive matters).
  4. Sign and date the Authorization for Release of Information form.

As the applicants complete their forms, rate them on their appearance (1-5) and take them individually into a private office to conduct a brief interview (about 5 minutes for this first interview). This will give you a feel for the person.
Before your applicants leave, give them each a card for a complimentary exam at your office. (This is optional, but could garner a new patient even if not hired.) Thank them all for coming in and let them know that they will be hearing from you within the next couple of days.

EVALUATING YOUR APPLICANTS
After your applicants leave, you can go over what you know about them so far by rating them each in the following categories:
The Application:

  • Is it neat and legible?
  • Is it thorough?
  • Does this person “job hop”?
  • Are there unexplained lapses in employment history?

The Employment Goals:

  • Check the spelling, punctuation, grammar and composition.
  • What do this person’s goals tell you about him/her?
  • Do his/her goals indicate that he/she is looking for a long-term position?

The Collections Letter:

  • Check the spelling, punctuation, articulation, content and professionalism.
  • Is this letter friendly yet firm?
  • Does this letter actually “communicate”?

Their written version of the purpose of a medical practice:

  • Look for the person’s basic understanding of the purpose.
  • Check the person’s ability to articulate and communicate effectively.
  • Does the statement convey the attitude you are looking for in the position you are filling?

AFTER THE INTERVIEW
Based on what you know at this point, you will be able to determine whom you wish to have back for a second interview.

  • Phone those applicants and schedule them for their second interview, which you will schedule separately (since it will take longer than the first interview).
  • Send reference letter request forms to former employers of your final applicants.

Send rejection letters to those applicants who did not qualify for the second interview.


Larry Silver

Interviewing and Selecting Employment Applicants

Posted by Larry Silver

The personal interview represents the basic process to use for selecting the best available person for a job. Relying on the interview process for finding the right person demands that the interviewer possesses the necessary expertise for planning and conducting an effective interview.

Great attention must be paid to the selection / interviewing process. By doing so, you will minimize staff problems such as troublesome employees or dissatisfied employees who seek employment elsewhere. While other factors in the working environment have a great influence on the employee’s performance and satisfaction, fewer problems will arise when the selection interview is regarded as the first critical step in hiring and keeping a qualified worker.

Interviewing and selecting employees can become a time-consuming responsibility for the office manager. However, if this process is regarded with high importance, the likelihood of hiring the right person who will enhance the practice increases greatly.

THE INTERVIEWER’S PURPOSE
The office manager must be careful not to enter the interview with any preconceived ideas about the applicant that can compromise an intelligent hiring decision. If, before or during the interview, the interviewer thinks in evaluative terms or reacts to statements from the candidate from a judgmental attitude, several results could negatively affect the hiring decision:

  • First, an evaluative attitude runs the risk of premature evaluation. If the interviewer reacts negatively to any particular applicant response and thereby decides that the applicant is not suitable, an otherwise valuable employee might be lost.
  • Second, an evaluative attitude increases the likelihood that important questions might not be asked because the interviewer’s mind is already made up.

While the office manager must maintain judgment concerning the applicant’s “fit” into the organization, the basic purpose guiding the interview must be to get in communication with the applicant and to collect information (facts, explanations, character traits, etc.). That will provide a basis for predicting an applicant’s potential success on the job. The office manager is a data gatherer.

The office manager must use his/her time wisely. Many interviewers tend to waste much and create negative impressions by asking questions about information already explained in a resume or application form. Oftentimes, the interviewer tends to talk too much. The interview should invite the applicant to do the majority of the talking; that is going to be far more revealing to the office manager as to who the applicant really is. The office manager is looking for things that otherwise could not be found on an application or resume such as:

  • How the applicant feels about past positions
  • How the applicant feels about types of management
  • Is the applicant interested in further training and professional growth
  • How does the applicant work as part of a team
  • How does the applicant appear to handle pressure

The interviewer is not only looking for the qualifications of the applicant, but also:

  • their communication abilities
  • depth regarding goals and motivation
  • the ability to think on their feet
  • the willingness of the applicant
  • the trainability of the applicant

Look for answers and attitudes that demonstrate a sincere interest in contributing, rather than simply what the applicant hopes to get from the business.

Be alert to comments and questions that indicate the applicant’s willingness to learn, to contribute, to be flexible, to take on new duties, and to help out when needed.

COMMON APPLICANT SELECTION CRITERIA

  1. Communication Skills: Messages are clear, easily understood; candidate listens well, is articulate and concise.
  2. Self-confidence: Seems poised and relaxed; attitude is not defensive or hostile; demonstrates ability to accept responsibility; seems to understand personal feelings and ideas.
  3. Sociability: Demonstrates ability to work with others; has pleasant and supportive interpersonal style, able to relate to others with empathy, openness, non-defensive.
  4. Ambition and Motivation: Shows understanding of personal goals and priorities; understands attraction of profession or job; capable of acting/working with minimal supervision or guidance.
  5. Perseverance and Responsibility: Shows evidence of ability to start and follow through; can be counted on to produce and get results even under adverse conditions or stress.
  6. Leadership: Demonstrates ability to influence others toward desired goals and provide appropriate direction and support along the way.
  7. Adaptability: Demonstrates an ability to interact or communicate with a variety of different personality styles.
  8. Appearance: Personal grooming and dress habits are adequate to the demands of the position.
  9. Cooperativeness: Does not appear excessively competitive; possesses give and take attitude.

PLANNING AND PREPARATION
The essence of the hiring decision is to match an applicant’s qualifications with the requirements of the practice as a whole and the requirements of the job. The interviewer must have a thorough knowledge of the job. To evaluate the fit between the job, the practice, and the applicant, the job must be represented in all of its dimensions.

I. Have a thorough knowledge of the job, involving the following:

  1. Duties and responsibilities
  2. Competency requirements: What knowledge is needed to perform satisfactorily? What skills are required?
  3. Enhancement skills: What job-related skills might increase the likelihood of above-average performance?
  4. Performance standards: How is competency to be measured?
  5. Selection criteria: What qualities would an acceptable applicant possess?

II. Prepare for the Interview:

  1. Thoroughly read the resume, cover letter, application and references.
  2. Prepare the questions you plan to ask, avoiding repetitious questions already answered on the paperwork; ask open-ended questions to get the applicant talking.
  3. Confirm that none of your questions are illegal or discriminatory.
  4. Plan the interview so as to avoid wasting valuable time. Failure to plan results in an unstructured interview which is less productive and could appear unprofessional.

FUNCTIONAL OPENING OF THE INTERVIEW:
Opening an interview is functional when it achieves several important purposes:

  1. Explains what is going to happen.
  2. Establishes rapport with the applicant in order to facilitate the flow of information during the next stage.
  3. Actually begins the information-gathering process.

Although it is important to set your applicant at ease when welcoming them to the interview, it is not really necessary to engage in a lot of trivial, “rapport-building” techniques or ice-breakers such as chatting about sports, hobbies, the weather, etc. This can tend to waste valuable time and may even actually create more tension for the applicant who is eager to delve into how they are qualified for the opening.

Remember that this is a professional business meeting, and the beginning of this meeting is more than just to start talking. What is discussed demonstrates how well the interview will proceed later on.

  1. Greet the applicant cordially and introduce yourself, along with your title, indicating (if appropriate) how you would like to be addressed.
  2. Explain the purpose of the interview and how it will proceed.
  3. Indicate why notes will be taken and ensure that the applicant understands that note taking is not indicative of negative impressions.
  4. If appropriate, ask the applicant how they would prefer to be addressed.
  5. Begin the “rapport-building” and the data-gathering itself by asking questions that are positive and that provide the applicant with an opportunity to begin letting you know who they are.

    Example:

    “What are some of your most significant accomplishments to date?”

    “What personal qualities are represented in those accomplishments?”

QUESTIONING SKILLS
The questions that you ask and the manner in which you ask them determine the extent to which otherwise unavailable information about the candidate will be obtained.

There are some underlying categories that will guide the interviewer in planning specific questions to ask during the interview:

  1. Competency: Is the candidate technically competent to perform the required duties and fulfill the required responsibilities?
  2. Motivation and Willingness: Given that the candidate is competent, does the person demonstrate the motivation to contribute and the willingness your practice is looking for?
  3. Adaptability or “Fit”: How well will the candidate interact in the practice’s interpersonal network? Depending on the specific requirements of a job, the fact that a person possesses a high degree of competency does not ensure that he/she will be able to work with others.
  4. Personal Fulfillment: How well will the company satisfy the needs, goals and ambitions of the candidate? The apparent desirability of the applicant for the company does not insure a constructive fit. Both must be right for each other.

KEY QUESTIONS: DEVELOPING A QUESTIONING STRATEGY
One helpful way to prepare for an interview is the format listed below. For each of the key question areas, develop more specific questions you would ask. List two or three questions you would ask. Try to list two or three questions for each area. While these questions below are themselves not asked, they constitute the background from which the interviewer’s game plan or systematic questioning strategy is constructed.

  1. Competency: What would you ask to determine the extent to which the applicant is technically qualified to perform the job?
  2. Motivation: What questions would you ask to determine if the applicant is highly motivated, willing to utilize those skills that are technical in nature?
  3. Adaptability / Chemistry: How will you determine the extent to which the applicant’s work style, ability to work and cooperate with team members, might justify hiring?
  4. Satisfaction Potential: Regardless of qualifications, the job must be satisfying to the applicant or you will have a potential problem employee. What will you ask to determine if you are the right organization for the applicant?

Do not ask questions to simply fill time and avoid the discomfort of prolonged silence. To ask the right questions, one must know why the question is being asked and how it relates to hiring criteria. Prior to the interview, make two columns on a piece of paper:

  1. On the left, list the qualities or criteria needed in a qualified applicant.
  2. In the column on the right, list those questions which you believe will elicit responses from the applicant or which will provide insight about the candidate’s fit with the respective criteria.

OPEN-ENDED QUESTIONS
When developing your questions, use those that elicit information – open-ended questions rather than closed “yes” and “no” form of questioning. Open-ended questions minimize the possibility of an interviewer talking too much and dominating the interview. They also provide a basis for observing the applicant’s communication skills and ability to organize thoughts. They also give the applicant a chance to provide a more complete picture of his or her thoughts and feelings.

CLOSED QUESTIONS
Closed questions restrict the range of an applicant’s response by calling for a factual or yes/no answer. Closed questions are used to gain a clear position or opinion or to establish a point of fact. By their nature, closed questions do not encourage conversation.

The following examples demonstrate how to get at the same basic information with the two different types of questions. The difference will demonstrate why the open-ended question will keep the applicant talking more as well as call for a statement of position when required:

    Closed: Do you mind working overtime?

    Open: Since some positions may involve working overtime, could you describe the circumstances when you would or would not agree to work overtime?

    Or

    How do you feel about working overtime?

    Closed: Would this position help you achieve any of your goals and ambitions?

    Open: Could you describe the ways in which this position might be related to any of your goals and ambitions?

LEADING QUESTIONS
For the most part, these questions should not be asked. They encourage the applicant to misrepresent true feelings or intentions. The essence of a leading question is its implied pressure for a particular answer. The question implies what an appropriate answer should be.

    Example: “Working overtime wouldn’t bother you, would it?”

    “You wouldn’t mind transferring to _________, would you?”

SECONDARY QUESTIONS
As discussed earlier, your interview will be as successful as you are in engaging the applicant in real communication. Be willing to follow up to a previous response. In this way you are asking for clarification or enlargement of a response.

    Examples: “Could you please explain what you meant by…”
    “Could you tell me more about…”
    “How did you feel about that?”

Secondary questions should be used to probe abstract or generalized responses.

Example: When in response to the question, “What is one of your greatest strengths?” an applicant responds by saying, “My ability to get along with people”. You, as the interviewer need to explore that response to achieve any meaningful understanding of what the applicant has said.

Example; In response to the question, “What are the qualities of an effective supervisor?” the applicant mentions “leadership”. You have no real understanding of the applicant’s concept of leadership. You might ask, “What are some of the qualities you believe leadership involves?”

You want to really know what the applicant is saying and get as clear an understanding of who they are as possible. Abstract or generalized answers must be broken down to more behavioral, specific dimensions for clarity.

COMMON AND IMPORTANT QUESTIONS
Listed below are some of the more common, yet important, questions that can provide valuable insight into an applicant’s job qualifications. They aim at technical and motivational data as well as provide a picture of the applicant’s self-knowledge and communication skills. Some questions may be more or less relevant, depending on the job’s scope of responsibility, complexity and difficulty.

  1. What did you like best about your previous positions? What did you like the least?
  2. What skills are required for getting along with and working cooperatively with others?
  3. How do you expect to be treated by a supervisor or a manager?
  4. Describe the qualities of a good boss.
  5. Describe the qualities of a good employee.
  6. What do you find most appealing about this position?
  7. What are the strengths or assets you would bring to this practice?
  8. What are your limitations that need further attention and development?
  9. What is your definition of a “successful” practice?
  10. What is required to succeed as an effective employee?
  11. What should happen during an effective performance review?
  12. We are looking for an employee that is ________________ (list the criteria). Convince me that you are that person.
  13. What goals do you feel this position will help you attain?
  14. What does “being motivated” mean to you?
  15. (Describe a hypothetical pressured scenario, and ask) How would you handle that?
  16. How would you feel about attending seminars to enhance job training?
  17. What would you do if you saw another employee violating company policy?
  18. We are all defensive about some things. What do you get defensive about?
  19. What is the biggest mistake you have made on the job and what have you done about it?
  20. We all have difficulty getting along with some types of people. What are the people like with whom you find some difficulty?
  21. What are some things you have done that demonstrate initiative and creativity?
  22. What do you know about our practice and what we do?
  23. What have you learned about yourself from your previous job?
  24. If we didn’t hire you, what would we be missing?
  25. What are the greatest reservations you have about taking this position if it is offered to you?
  26. How do you react to criticism?
  27. What does an effective communicator do?
  28. Employment is a mutual relationship. What makes you feel we are right for you?
  29. In what ways would you be both an easy as well as a difficult person to work with?
  30. When you have difficulty with someone, how do you handle the situation? How do you handle defensive people?
  31. What do you hope to accomplish through this position that you were unable to achieve in you last one?

CLOSING
Unfortunately, some applicants who are later rejected are misled into believing that their chances for an offer are high. How an interviewer closes the interview not only generates positive feelings about the practice, but can sometimes prevent the filing of a lawsuit. If, because of an inappropriate closing, an applicant is mistakenly led into believing that the position will be offered and then it is not, the natural feeling of betrayal and hostility could lead to a charge of discrimination. To close on a positive note and minimize the possibility of a lawsuit, the following practices might be followed:

  1. Indicate that you have pursued all of the issues on your agenda.
  2. Ask the applicant if they have any questions or if they feel that there are any remaining issues that should be explored.
  3. Avoid any general comments indicating approval or disapproval of the applicant’s responses; don’t build false hopes or unwarranted discouragement.
  4. Thank the applicant for providing useful information.
  5. Indicate what will happen with the information:

    a. Who will evaluate it;

    b. When the decision will be made;

    c. How the applicant will be notified.

Stand first, indicating finality of the interview, and escort the applicant to the appropriate exit.


Larry Silver

Recruiting New Employees

Posted by Larry Silver

Who, what, where, when and how.

It is a 100% certainty with any practice that you will need new employees at some time or another, either to replace employees who leave or to help the practice grow. Where do you find the type of people you want to work with, people that you can trust and that will want to see your practice succeed? Read on.

NEWSPAPER:

The most obvious source to be used in recruiting new personnel is the newspaper. But before we discuss the ad itself, let’s take a look at some basics.

Never lower your standards when looking for a staff member. Keep your standards high and remember that you not only want a top quality person, but you deserve that person! Your practice growth depends upon people who are bright, energetic, sensitive, intelligent and outgoing. Be willing to compete for that type of person.

Also realize that possible candidates, the type of people you are looking for, may not be “actively” looking for new jobs. Some of the most qualified individuals already have jobs, but may be looking for a change. These individuals may seem like “cold prospects”, but they actually do “skim” through the want-ads just to see what is out there. So it is very important to develop an advertisement that will attract the person you are looking for.

The Sunday paper is definitely the best time to run your ad. Sunday/Monday is a very successful combination for running an ad as people who are looking will look through Sunday’s paper and continue “looking” at least through Monday’s paper as well. Suburban weekly newspapers are also considered good places to advertise since they often remain in the home all week.

Do not waste your valuable ad dollars by advertising right before a major holiday, as people are less likely to read the classifieds. They are too involved with other matters, and will usually look after the holidays.

DEVELOPING YOUR AD:

When making an ad, use a larger 2-column ad rather than a standard one-column ad. A larger ad may be more costly, but it could very well pay off by gaining greater, faster and more qualified responses because what you are saying will stand out and be seen more easily by more people.

Use an attention-grabbing headline to get peoples’ curiosity, such as “Are You Motivated?” or “Do You Have What It Takes To Be My Assistant?” or “Are You A People Person?”

Offer a competitive salary and benefits. Check around your area and learn what colleagues pay their staffs. You can do this by asking or by simply looking in the newspaper under the classifieds. List the salary range. Fewer people will respond if they do not have any idea of the pay involved.

List specific job duties and skills, e.g. “Must have good people skills and be able to handle a busy client and patient load while maintaining a good sense of humor,” or “Must be able to take initiative and think on your feet.”

Say who you are. This is optional but realize that “blind box” ads have a lower response rate than ads that reveal the employer. To avoid being deluged with phone calls and walk-ins, state in your ad that you will not accept applications in that manner. For example, “Resumes only. No phone calls or walk-ins please.”

End your ad with an invitation to action. Tell interested applicants how to apply and to whom, i.e. “Send resume and cover letter to (NAME) at (ADDRESS).

Keep a file of all the classified ads you run, along with a list of responses to each ad. This will help you determine what ads work the best. Also, when an applicant comes in, ask them which features of your ad drew them to the interview. This could come in very useful at a later date.

AGENCIES:

Employment agencies are another source of recruiting employees, but can sometimes be quite expensive. When dealing with an agency, ensure that you clearly understand their policies and arrangements. Have them put this in writing for you.

If you decide to use the services of an agency, be prepared to state the exact requirements for the position, or your time could be wasted by unqualified applicants phoning you.

For example,

TECHNICIAN:

  1. ONE YEAR EXPERIENCE
  2. GOOD COMMUNICATION SKILLS
  3. X-RAY CERTIFIED

RECEPTIONIST:

  1. COMPUTER LITERATE
  2. EXCELLENT PR SKILLS
  3. GOOD COMMUNICATION SKILLS
  4. ONE YEAR PREVIOUS FULL-TIME EXPERIENCE

WORD-OF-MOUTH:

By letting friends, colleagues, and even patients or clients know that you have a position to fill in the practice, you may find that just the right person comes your way. Never rule out the possibility that it might be easier than you think to find that new employee simply through communicating with your own connections.

NOTICE POSTED IN THE PRACTICE:

As mentioned above, one of your patients or clients may prove to be just the person you are looking for to fill an open position. By posting an employment opportunity notice on your bulletin board, you may find an interested patient whom you already know, and who knows and respects you and would love to work for you. If you use this method, construct an attractive, professional and intriguing notice to be displayed. For any interested inquiries, schedule a formal interview.

TEST APPLICANTS:

If at all possible, test all applicants using a battery of personnel tests so that you can increase your odds of finding the best person.