I’m sure there are many aspects of your work that are really fulfilling, and I’m sure there are aspects of your daily work that you wish could be easier, maybe even less stressful. What about your work brings you joy? What would it take for you to provide your best work? What would it look like? What would it feel like?

I took an informal survey of dentists and hygienists about what they would need to have an ideal day. When I examined the dentists’ answers, I realized the answers would resonate with every member of a dental team.

The top five answers from dentists were:

1. Having the appropriate instruments to provide excellent care.
2. Opportunity to gain knowledge and skills.
3. Excellent performance/execution of their work.
4. Opportunity to implement new learning.
5. Working with patients who are grateful for their care.

All hygienists desired “time to provide appropriate care for each patient.” Specifically, they asked for:

1. Time to select and sharpen instruments for each person and for the specific procedures they will be doing.
2. Time to properly assess each person’s unique periodontal condition, including time to accurately measure gum pockets and recession, minimal attachment/thickness, and to assess bleeding (blood thickness, how much bleeding, and where it is coming from—is it systemic or localized?).
3. Time to explore possibilities with patients regarding their current condition, past condition, and potential future.
4. Time to debrief and collaborate with the doctor to explore the next steps for the patient.
5. Supportive teamwork across the practice to provide the best care.

Speaking of collaborating with team members, I invite you to ask your team members what their ideal day would include. Discuss, as a team, your shared ideals, and expectations. Consider where expectations do not match and discuss why this is and what must change to meet shared agreements.

Understanding and affirming the needs of others will have a positive impact. The exercise of writing down what works, what could be better, possibilities, goals, and a pathway towards implementation of superior supportive teamwork is likely to increase your practice joy factor.

When I was 19 years old, I started to work as a dental assistant and front office person. In 2003, after 9 years of temporary hygiene work and multiple associate positions, I opened my own dental practice. To obtain bank funding, I had to write a business plan and a vision statement. In 2001, I wrote the following vision statement for the practice I wanted to create. I often look at this statement and find that it still stands true and even more so as time goes on.

My Vision, circa 2001: To create an environment full of learning and growing, that is open and honest, in order to provide individual optimal care with compassion and mutual professional respect for each other and our clients.

Over my years in practice, I have increasingly realized that that a culture of collaboration in the practice is essential for providing the comprehensive quality care that I’ve learned at The Pankey Institute—the care I believe patients deserve to receive.

The Benefits of Team Collaboration

A healthy and positive office culture is not only important for patients, but also for the team, including the leader!

• Healthy Relationships: A culture that is inclusive, compassionate, empathetic, and safe creates healthy relationships that are supportive, understanding, and positive.
• More Appropriate Solutions: An environment that is based on abundance versus scarcity is one that allows an organization to build on all the strengths and positive aspects of every team member. In fact, it is my belief that all team members’ perspectives are valuable. Solutions are more creative and appropriate when there is input from all perspectives of the team. Diversity in thoughts and ideas provides a pathway toward implementation and outcomes that are sustainable, because collaborative agreements are better suited for everyone involved—the leader, team, and patients!
• Increased Trust, Individual Growth, Leadership, and Fun: The fruits of genuine collaboration are trust, appreciation, and ownership…and so much more! Genuine collaboration facilitates learning, growth, accountability, and individual leadership for all members of the practice team. Collaboration breeds shared responsibility, less isolation, and more fun!

Steps Towards the Creation of a Collaborative Team

1. Establish your WHY. The first step is to create a shared vision of your purpose. Why do you do what you do every day? What brings you joy?
2. Stay in Kindness. An office culture built on mutual respect and trust allows for more effective collaboration. Be humble and focus on the strengths of each team member. Stay centered in giving one another the benefit of the doubt. Others will reciprocate with kindness when you are kind and fair. I always think, Do the right thing and the rest will follow.
3. Share. Share your expectations of how you will achieve your shared purpose and vision. Be vulnerable by sharing your needs and desires for achieving the shared purpose and vision.
4. Formulate agreements. Come to shared agreements to help, support, and keep one another accountable in the process of collaboratively reaching your shared vision of your purpose.
5. Celebrate. An important, solidifying step is to enjoy the process of collaboration, celebrate your successes, and have fun along the way!

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Christine Shigaki, DDS is a private practicing dentist in Seattle, WA.
She can be reached at cshigaki@gmail.com