What Red Flags Could Your Team Be Giving Off in the Interviewing Process?

During the typical interviewing process, most companies focus on identifying red flags and weeding out candidates who are not ideal. While this is a necessary practice, employers should also give consideration to the red flags their team members could be waving, and how this may be deterring future hires. As the executive, managerial and professional labor market has become overwhelmingly candidate-driven in the last few years, more employers are realizing they must overhaul their interviewing procedures, to attract top performers who frequently have several job offers at their disposal.

Click to watch the video.

The main goal of an interview is to provide both the hiring company and the candidate an opportunity to determine if there is a mutual fit. On the candidate’s end, more emphasis is often placed on the tangible insight they can gain from the meeting, including how interviewers respond to certain questions, inconsistencies with how various team members discuss the potential role, and the aspects of the job that are emphasized vs. those that are minimized. On the company’s end, the assumption is the candidate has most of the required skills to take on the open role. The focus from their perspective is more about cultural fit, intangible insight and the overall impression left by the candidate.

In light of the fact that employers must now attract and recruit in a candidate-driven market, they should be thinking about the lasting impression they are leaving with prospective hires. “Companies really need to transition away from interview methodologies that are solely focused around what the candidate is bringing to the table, and think more about how they are presenting themselves to applicants,” says Suzanne Rice, director, U.S. franchise development.

Rice suggests the following for companies that are looking to revamp their interviewing process:

Provide direct responses about the role and the company. Candidates will see through vague or evasive responses. If the position has experienced frequent turnover or ongoing challenges, be honest about the issues and discuss how the role has been restructured. This is an opportunity to show that thought has been given to the position and its overall purpose in the company strategy, rather than just trying to backfill the role.

Demonstrate an enjoyable working environment. Candidates are looking at everything from their potential workspace, dress code and how team members interact with each other to work from home policies, office amenities and perks. Avoid any negative discussion of past or current employees, and don’t be dismissive of subordinates who may be briefly introduced to candidates. Use every opportunity to show a fun workplace, engaged employees and why you like working for the organization.

Maintain consistency. No matter what team members are tasked with interviewing, everyone should be on the same page about the responsibilities that will be assumed in the role. If the candidate receives conflicting information about the position, they have no choice but to assume this confusion will continue if they take the job.

Promote opportunities for advancement. Most candidates look at how a new role will provide them with new growth opportunities. Employers want someone who will remain in the position for a significant length of time, but it’s important not to forget to discuss any training or upward mobility programs, providing viable examples of how employees can advance within the company. Future employees want to feel their new employer is invested in their professional development.

Regardless of how your organization approaches the interviewing process, the main goal should be to leave candidates with a positive impression. “Not every candidate will be right for the company, but their ability to talk about their interview experience in the marketplace and potentially disseminate info that presents the brand in a good light, is invaluable. The ‘interview’ should be approached not only as a way to qualify potential new hires, but also leveraged as a marketing opportunity to communicate why the organization is a great place to work.”

The Importance of Selling Your Opportunity

While the financial aspects of any job opportunity play a significant role in swaying a candidate’s decision to accept an offer, a vision practice owner must take into consideration more than just salary when selling an opportunity. Since more than 60 percent of our placements relocate to the area after accepting an offer, the practice owner needs to put themselves in the associate candidate's shoes and start asking themselves questions about the opportunity before a candidate ever walks through the door.

What does the neighborhood look like? How are the schools? What are selling points of the community? If the candidate was interested in living in the city and the practice is located and hour or two out, the owner should talk about how easy it is to pop into the city whenever they want to. Is the outside of the practice presentable? Is the candidate welcomed with a smile from your front desk or office manager? Is the staff smiling and enjoying themselves while they work? Is the candidate’s name on the welcome sign? Do you understand any barriers the candidate may have to moving to your community? What’s the cost of living? What is their spouse’s career? Are their kids involved in sports, dance, academic, or other extracurricular activities? Have you noticed I haven't mentioned money or anything vision related yet?

It is also important to realize that there are going to be things about your practice or opportunity that the candidate does not like. Maybe it's being on call. Maybe it's working some weekends. Maybe your practice isn't in the most desirable neighborhood, suburb, or community. The best way to overcome these obstacles is by communicating your mission. Explain that you've developed a growing and loyal patient following by your absolute commitment to serving the needs of your community. You may not like working periodic evenings or weekends, but you would only be asking the associate to do this because it is consistent with your mission. If you sell them on your mission and ask them to help you serve that mission, many of the little issues disappear.

Keep in mind the best candidates have many options. Treat every candidate like he or she could be your partner or the buyer of your practice, even if you initially think of them as your second or third choice. Many make the mistake of only treating their initial first choice candidate well. Unfortunately, many practice owners find out that candidate is also the first choice of two or three other practices. Sometimes the first choice candidate turns out to have baggage, a negative attitude, or simply isn't able to accept your opportunity. In the meantime, a practice owner has likely ignored equally qualified candidates. Having multiple candidates interested in your opportunity is a great problem to have. It also strengthens your negotiating power. You've heard the saying that most interviewers make up their mind about a candidate in “x seconds.” The same is true for candidates. Let's face it, you are in competition for the best candidates with regional and national practice management companies. Many can offer more money, better benefits, more training, or newer facilities. What these organizations can't offer is the things that set your practice apart. Your practice has a special place in the community you serve. Play that up.

If the technology or equipment in your practice needs some updating, use this to your advantage. Let the candidate know you've been holding off on updating until you locate your new associate. Since he or she is going to be a big part of the practice’s future, you want them involved in selecting the next generation of equipment and technology. Signal you are willing to teach, but you are also willing to learn. Many early career optometrists/ophthalmologists have received specialized training that simply wasn't available previously. Make sure you are signaling that you want this to be a win-win opportunity. Show you have a genuine interest in their career, their interests, and their family. These are things that practice management companies often miss.

During the interview, you expect a candidate to be personable, confident, and organized. You expect them to keep commitments, stay motivated to constantly improve, and always have the best interests of their patients in mind. Did you know candidates are looking for the same qualities in you as a practice owner? If you aren't prepared, you are late, the office is a mess, and you speak poorly of previous or current associates and staff members, expect to watch your candidate turn and walk away from your opportunity. Interviews are a two lane road, so remember that the candidate isn’t the only one on the spot.

Finally, remember that paying attention to the little things will save you money. Although money is important, it often isn’t a candidate’s top priority. We use the acronym CLAMPS: Challenge, Location, Advancement, Money, People and Stability/Security. If you score high on Challenge (always improving clinically) , Location (your community is appealing to the candidate), Advancement (possibility to buy-in), and People (upbeat team environment), you stand a very good chance of landing an associate who is also considering a position in an impersonal corporate environment with higher income potential.

ETS Vision is a Vision Recruiting firm specializing in finding and placing Optometrists, Ophthalmologists, and Practice Leadership Professionals throughout the United States. www.etsvision.com

Resumes That Give You the Edge

A resume or a curriculum vitae (CV) will serve as a vital and necessary tool in your career as an Optometrist/Ophthalmologist. I have seen thousands in my time as a Search Consultant of vision docs across the U.S., and I would like to share some tips on what to do when preparing yours.

1. Know the difference : Resumes are a summary of your employment and educational background and experience. CV’s are meant to be very detailed, and should outline everything associated with your field of study including: education, research, publications, continuing education, employment, etc.
   
   
2. When to use Resume versus CV : Resumes are more appropriate for gaining employment in clinical practice. When practices are hiring a new Associate, they want to quickly review a candidate’s background. An easy to read-at-a-glace resume is what you want to provide. A lengthy CV would not be appropriate in these situations. CV’s are used primarily in the areas such as academia and research.
   
   
3. Resume content : Again, a resume is a summary. Keep it to two pages if possible, three at most. I advice all job applicants with lengthy resumes to cut back on the “fluff” such as hobbies, personal statements, family info, or other personal info not relevant to the job search.
   Note to new graduates: one page is fine. Don’t create content that doesn’t really help you just to get a second page. Highlight your achievements in academia.
   
   
4. Don’t include personal data such as marital status, age, national origin, social security number, etc. This information can lead to possible discrimination or worse, identity theft. In the United States, the Equal Employment Opportunity Commission (EEOC) sets rules for what information employers are allowed to use when making a hiring decision. Learn more at http://www.eeoc.gov/.
   
   
5. Make your resume readable and proof your grammar and spelling . I don’t recommend using complicated resume formats or layouts. Often times these layouts hurt you rather than help set you apart. Most employers and recruiters use databases and software that will scrub for information, and if the format is not straight forward it may not get seen as you would hope. Follow this order:
   
   1. Name and contact info
   2. Education
   3. Work History
   4. CE
      
      
6. Measurable achievement sets you apart. Share facts when possible. The questions I get from employers generally are: A) How well did he/she rank clinically in school? B) How much does this doctor produce monthly in his/her current role? C) How many eye exams does this doctor perform weekly/monthly? D) Does the doctor speak Spanish?
   
   Success and ability are measurable. Make a point to know and share what you bring to the table.
   
   
7. Skip the fluff: As stated in point 6, measurable data is best. I will give you some insight into nearly every resume and interview I’ve seen or done: Every doctor is “great with patients and the staff”. They all say it. When I ask, what set’s you apart? They tell me their “patients want to follow them wherever they go.” If you’re a nice doctor, we’ll get that in the interview by meeting and speaking with you. The points that get you into an interview are the measurable ones.

The information I have shared above is very basic, but so often I see doctors overcomplicating what should be a very simple summary of their careers and education. You should know what employers are looking for when reviewing resumes. They are looking for work experience, education, and measurable achievement. Give them that information in order set you apart from other applicants.

 ETS Vision is a Vision Recruiting firm specializing in finding and placing Optometrists, Ophthalmologists, and Vision Staff throughout the United States. www.etsvision.com

Annual Planning – To Add or Not to Add an Associate

With the holiday season in full swing and the end of the year approaching faster than ever, many practice owners utilize this time of year to put the finishing touches on their business plans and goals for the upcoming year. Perhaps one of the most important decisions any practice owner will make during annual planning is whether or not to add an associate to their practice.

Knowing if your practice is ready to hire an associate, however, is key to determining the success of any expansion. Here are some tips to follow when considering the addition of an associate to your practice, including good reasons to add and good reasons to wait:

Good Reasons to Add

It fits with your mission – If you offer a unique set of services to your target patient base, your production numbers are above industry norms, and you can easily add more patients by offering more capacity, it might be a good time to look at adding an associate.

It fits with your long-term strategy – We’ve written numerous articles over the years about having a clear picture of what you want your practice to look like and be like in five years, ten years, or when you are ready to transition out. If you don’t have a long-term objective, it’s important to develop one before hiring anyone. If you need some help, we’ve put together a great guide on preparing a business plan and organizing your objectives and goals: Grow Your Practice in the Upcoming Year with a Business Plan

A great opportunity presents itself –One of the best indicators it may be time to add an associate is if there is an underserved patient population in your community and you could fill a new associate’s schedule by catering to their needs.

You find an associate with the following three qualities –

1. His clinical philosophy is in sync with yours

2. Her personality fits well with yours and that of your office culture

3. Your long term goals align (i.e. she wants to buy an office in 5 years, you want to sell your office in 5 years)

If these three things align, just about all other issues can be worked out in time. If clinical philosophies, personalities, or long-term goals are not in line, however, don’t make the hire.

Complimentary Skills – If an associate loves working with pediatric patients or performing certain procedures that you routinely refer out, you may be able to add a complimentary revenue stream to your practice without adding patients.

You can afford to fail – Adding an associate is a calculated risk. Make absolutely sure that if an associate does not work out, it will not seriously jeopardize the long-term health of your practice. We’ve seen Optometrist/Ophthalmologists literally hand their practice over to a new associate on their first day so the owner could take an extended two month vacation or stop practicing altogether. This is a recipe for disaster, and often comes with costly consequences for the practice owner.

You are truly prepared – Make sure you have the operatories, systems, and staff to support a new associate before you make a hire. The reason that most associate relationships fail is because the practice simply wasn’t ready. There are plenty of great associate opportunities out there. Don’t lose a great associate because he or she lacks the equipment, staff, mentoring, or patients. Just because you need an associate does not mean your practice is ready for one.

Good Reasons to Wait

Your practice’s systems are inefficient – When was the last time you took a look at your practice’s internal efficiencies? Is your practice producing what comparably-sized practices are? If the answer is no, you may want to speak with a practice consultant so you can get the most out of your current system and team. Adding an associate will not fix your production issues, but will simply add to the inefficiency of your practice.

You want more time off – Many Optometrists/Ophthalmologists make the mistake of adding an associate simply because they want more time off. This reason is perfectly justifiable, but first you need to assess the financial impact of an associate taking over some or all of your current production.  If you can improve your quality of life by adding an associate to share your current workload and give you more free time, by all means do it. Just make sure you get with your CPA to ensure you truly understand the financial impact of such a decision.

You’ve just expanded or built a new office and want to “fill it up” – Just because a new building will accommodate two, three, four, or five associates and the accompanying support staff doesn’t mean you will immediately have patient demand to fill everyone’s schedule immediately. “If you build it, they will come” doesn’t always work when it comes to eye care, especially in the short term.

Your competitor just hired an associate – Can you hear your Mom saying “if all your friends jumped off a bridge, would you?” There is a lot of truth behind that old phraseology, as silly as it may seem. What might be right for a competitor’s practice and financial situation isn’t necessarily best for your own practice, and vice versa. Identifying and assessing your practice’s specific needs and goals will always warrant better results than simply trying to copy your competitor’s strategies.

Adding an associate is an important decision for any practice owner to make. With some careful thought and planning, though, the addition of the right team member to any practice can boost production levels and increase the overall profitability of the practice as a whole.

If you’re considering adding an associate, feel free to reach out to one of our experienced vision recruiters and let ETS find your next great associate for you!

Written by Mark Kennedy, President and Owner of ETS Dental, Vision, Tech-Ops, and Therapy. For more information, contact us and let ETS Vision find your next associate, partner, or buyer today! www.etsvision.com

What to Look for in a Reference

A lot can go into a hiring manager’s decision of whether or not to bring you on as their next employee, including your skill set, work experience, personality, and professionalism. While a lot of emphasis and focus is often placed on the above items, sometimes the deciding factor may come down to how effectively your references portray you as the best fit for the hiring manager’s need.

Here are some guidelines to follow when providing professional references to a potential future employer:

1. Follow the employer’s instructions regarding references – Many job applicants often wonder if they should always include professional references on their resume or application. A good rule of thumb is if a job posting doesn’t request references, then don’t list any references on your resume. When a posting does require references, follow the instructions exactly as listed on the job application. Adhering to an employer’s instructions is always the first step to showing you’re a competent and detail-oriented applicant.
   
2. Choose references wisely – Obviously the most important step to selecting a good professional reference is, well, selecting a good professional reference. But which individuals from your work history would make the best references? Your professional references should all have the following qualities:
   
   1. Genuinely want to see you succeed and do well in your career
      
   2. Able to answer tough questions about you on-the-fly
      
   3. Witnessed you demonstrate both hard skills (specific, teachable abilities) and soft skills (interacting effectively with other people) in a work environment
      
   4. Well-spoken and able to clearly communicate your strengths, expertise, and professionalism in detail
      
3. Avoid workplace conflict – If you haven’t announced to your current employer that you’re looking for a new position elsewhere, carefully consider who you list as a reference if any of those references work with you currently. Make sure your coworker can be trusted to keep your search confidential until you decide to make the announcement in your own time.
   
4. Ask for permission – Reaching out to your professional references before listing them on a resume or application is not only a polite professional courtesy, but also gives you the opportunity to briefly update them on your recent work history and goals. While most individuals you consider as a reference will be willing to help you out, have a few extra potentials in mind in case one of them politely declines or expresses hesitation. Never make someone feel obligated to serve as your professional reference – their hesitation might be interpreted as negativity when your interviewer gives them a call, skewing your chances of landing the job.
   
5. Get updated contact info – Be sure to get updated contact information for all of your references, and verify their information is up-to-date before submitting your resume or application. For each reference, include the person’s name, job title, relationship to you (co-worker, manager, etc.), company name, address, and contact info (at least one phone number and an email address, if possible). Going through the trouble of lining up the perfect reference is wasted time if they can’t be reached.
   

Occasionally check in with your references and make sure their contact info hasn’t changed. If you know a professional reference you listed has been contacted by your potential employer, it’s OK to thank them with one quick email or phone call for their willingness to help you out. Doing so will reiterate your professionalism and will leave your reference with positive feelings toward you that could potentially shine through in their next conversation with a hiring manager.

ETS Vision is a Vision Recruiting firm specializing in finding and placing Optometrists, Ophthalmologists, and Vision Staff throughout the United States. www.etsvision.com

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 eye care industry.  May through August is always the busy time.  Optometrists and Ophthalmologists are completing residency programs, 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 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. 

3)      Are you an Employee (W-2) or an Independent Contractor (1099)?  Associate positions throughout the eye care 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 optometrists and ophthalmologists don’t know when we ask them

b.      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?

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

Other articles to explore:

·         Optometrists and Ophthalmologists - How to Find a Job After Graduation

·         Bits of Wisdom

ETS Vision is a Vision Recruiting firm specializing in finding and placing Optometrists, Ophthalmologists, and Vision Staff throughout the United States. www.etsvision.com

Job Opening: Only Superstars Need Apply

When you Google, “How to hire great employees,” one of the first answers offered is to only hire superstars. It's great advice. If everyone in a company is the best in their field, the company will be unstoppable. Unfortunately it is a hiring strategy that most companies use—and it clearly doesn’t always result in superstar-only companies.


Organizations take great pains to find these impact players. They cast a wide net, eliminate people because of the slightest flaw, and put candidates through rigorous tests and interviews. Yet, no matter how logical these methods seem, they often skip over exactly the type of candidates they are meant to find. And these searches always seem to start with a resume.

In addition to helicopters, armored tanks, and scuba gear, Leonardo da Vinci is also recognized to have written the first known resume. In 1482, while trying to get a job with the Duke of Milan, da Vinci submitted a nine point summary of his skills and experience. By the early 1900’s resumes had become common place, though often consisted of little more than a handwritten career summary. In the middle of the century though, they had come into their own as resumes began to resemble what we know today; a single page typewritten summary of a life and career.

In today’s market, a wide net can quickly bring in hundreds if not thousands of resumes from the most active candidates. With that sea to wade through, resume screening quickly becomes perfunctory. Each resume at first pass can really only get seconds of attention and minor—non-superstar related attributes—become reasons to exclude people from consideration.

“The more dismissive you are of candidates, the less likely you are to actually find who you are looking for. As recruiters we obviously look at resumes, but that is just the first step. The evaluation doesn’t even start until we actually have conversations with potentially qualified candidates.”

To make the process simpler, employers and HR departments are frequently turning to technological solutions to parse resumes and automatically cull the herd. These solutions, though, are still constrained by the narrow manicured view provided by resumes. And people who advertise themselves as superstars, rarely are.

“It’s through a very inaccurate picture that most candidates are rejected. With limited information, the screening process isn’t about finding top candidates, but simply focuses on eliminating as many as possible. Impact players get skipped over every day because a critical skill wasn’t highlighted, the wrong word was used, or because of nothing more than unusual formatting.”

Most every attempt to shorten the screening process seems to do little more than handicap it. So how do you find a hay shaped needle in a haystack?

“Talking. Talk to the candidates, use video if possible or meet in person. Turn interviews into business conversations. Bring a candidate into a problem you are trying to solve and ask for their advice. You’ve got to dig for not just how they work, but how they think and approach problems. If you don’t have time to talk to every candidate who matches the basic requirements, look for reinforcements or use a recruiter. The hardest thing of all is to not eliminate candidates for reasons which don’t matter. At the end of a long search, the best candidate is often one that didn’t stand out on paper and if you’d been just a little more selective, you might have never considered them at all.”

ETS Vision is a Vision Recruiting firm specializing in finding and placing Optometrists, Ophthalmologists, and Vision Staff throughout the United States. www.etsvision.com