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

Qualities of a Great Leader in a Vision Practice

As many experienced doctors know, learning and applying the technical aspects of optometry or ophthalmology is only half of what it takes to be successful. Whether a doctor is running his or her own solo practice or working as an associate alongside many others, leadership plays an enormous role in setting the course for your professional career as well as the future of your practice as a whole.

Here are some leadership qualities we often see successful vision docs portray in their own practices:

1. Have a clear vision - If a patient were to walk into your practice a year from today, what would be different? What about five years? Or ten? Having a written, clearly-defined vision for your practice not only help set future goals and objectives for sustaining and improving patient care, but it also gives your team a target to shoot for each and every day.
2. Get your team motivated - Motivate your team in a style that matches the vision of your practice. Setting clear goals and measuring success through performance targets is a great way to increase productivity and keep everyone on task. Learn how your team responds to different stimuli as well. If you sense your morning routines are becoming drab and motivation is low, consider having special days, change in dress, or activities that involve patients to help shake things up.
3. Don’t settle for less – With competition at an all-time high in the vision industry, now is not the time to sit back and coast when it comes to providing excellent care each and every time a patient is in the chair. Excelling in all areas of your practice, from friendly customer service when a patient walks in the door to the actual treatment itself and your own bedside manner, will all play pivotal roles in determining the success of your practice.
4. Continuing education = continuing success – Continue to challenge yourself to grow professionally and personally every day. Whether its books and articles, classes, or professional peer groups, find a way to continually develop and hone your leadership skills.
5. Be a good example – When it comes to your actions, attitude, and reactions, how you control your own emotions will become a clear indicator of how the rest of your team should control theirs. Maintaining a positive energy and treating each team member with respect are key elements in developing your role as a successful leader.
6. Clearly communicate your expectations – This is an area where many doctors (and bosses in general) really struggle. Developing great policies and procedures for your practice is great in theory, but if none of those ideas and expectations are communicated effectively, they become useless. Reinforce your expectations in employee handbooks, morning huddles, and one-on-one meetings with staff regularly. Hearing the same expectations daily reiterates their importance and helps keep everyone on-track.

Becoming an effective leader doesn’t happen overnight, and it most certainly doesn’t come without intentional effort. How successful you are at becoming an effective leader ripples through every aspect of your vision practice, and can in many cases make or break the success of your team as a whole. With some patience and practice, though, any optometrist or ophthalmologist can mature into a great leader and set their practice on course for many years of success and prosperity.

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

Hiring an Associate Optometrist or Ophthalmologist Who Requires Visa Sponsorship

Long a part of medical doctor staffing, optometrists and ophthalmologists requiring visa sponsorship have come to represent a much larger segment of the available work force. Often these associate candidates bring extensive training and geographic flexibility that is not easily found in the domestic applicant pool. Also, they often offer a longer-term associate solution, as the visa process discourages the kind of “job-hopping” that is more routine with traditional early career optometrists and ophthalmologists.

Whether a practice is considering sponsoring a new Visa or transferring an existing Visa, the process is not as intimidating as it may appear. Our friend Ken Gauvey of The Law Practice of Ken C. Gauvey (http://www.gauveylaw.com/) provides the following overview of the Visa sponsorship process from the employer’s perspective. For more information or to consult with an immigration lawyer, please contact Ken Gauvey at www.gauveylaw.com.

Hiring Doctors in the Era of Health Care Shortages

The U.S. faces a national shortage of doctors. In fact, the Association of American Medical Colleges released a report indicating that the U.S. shortage of qualified physicians is at 20,000 now with half of the nation’s doctors being over the age of 50. As a result, that shortage, even before the introduction of the Affordable Care Act, is expected to grow exponentially in the coming years. A study in the Annals of Family Medicine projects that the country will need 52,000 more primary care physicians by 2025. According to the Journal of the American Medical Association, only one in five graduating medical residents plan to go into primary care. In the face of this shortage, it is clear that hospitals in the U.S. will have to rely more on qualified foreign doctors to fill this gap.

Unfortunately, the means to hire foreign nationals are limited and complex. In general, when hiring a foreign national doctor, the immigration timeline follows a predetermined schedule. In many cases, a doctor will need a J-1 waiver, followed by an H-1B visa, followed by some form of permanent residency sponsorship. Doctors who come to the U.S. to finish their studies commit to a two-year period of practicing medicine in their home country. The J-1 waiver is required to waive that two-year commitment. In exchange, those doctors agree to work for three years in the U.S. in a medically underserved area. However, once the waiver is approved, the doctor still needs an H-1B visa to actually work in the U.S.

The J-1 Waivers are limited. At present, each state only gets 30 of them. Moreover, each state has its own processes and procedures developed by the state department of health in place to determine who gets one of the waivers. Some states require the putative employer to demonstrate six months of recruiting efforts. Other states have few actually requirements outside of an application. Some states process the waivers at no cost to the employer; others have large fees associated with waiver requests. Having knowledgeable counsel who is familiar with the requirements for multiple states is of significant benefit to the employer. Once the state approves the request, the U.S. Department of State has to approve it. This process generally takes six to ten weeks. Following this, the Department of Homeland Security (DHS), through USCIS provides the final approval.

Concurrent with the review, the employer can file for the H-1B, which is the visa that actually allows the doctor to work. With premium processing, the H-1B can be approved, along with the final waiver, two to three weeks after the Department of State issues its approval. The H-1B is valid for three years, and permits one three year extension. During this period, the employer has to make a determination on whether to sponsor the employee for permanent residency.

There are many ways to obtain permanent residency through an employment relationship. The two most prominent ways are the National Interest Waiver (NIW), and Labor Certification. If a doctor subject agrees to work for five years (two in addition to the typical J-1 service requirement) in a medically underserved area, the doctor can immediately apply for a NIW. Additionally, assuming an immigrant visa is immediately available; the physician can also file for permanent residence, though the final approval of permanent residence is granted only upon proof of five years of service. An additional benefit afforded by the NIW and concurrent application for permanent residence is that the immediate family of the physician may apply for work authorization. Moreover, this process avoids the Labor Certification process which is time consuming and expensive.

The Labor Certification process requires the employer to conduct a specific test of the labor market to determine whether there are any qualified, ready, willing and able U.S. physicians to fill the position. The employer must conduct, at minimum, a two month recruiting effort using methods dictated by the U.S. Department of Labor. The employer must conduct a good faith recruiting campaign using five different types of recruitment efforts such as newspaper advertisements, web advertisements, etc. The employer has to interview minimally qualified candidates and if one candidate meets the qualifications the Labor Certification process fails. Therefore, this process requires an in depth review of the job description, and strict adherence to the regulatory requirements for the recruiting campaign. At the end of the recruiting effort, assuming no minimally qualified candidates are found, the employer, through their attorney, can file the Labor Certification application asking the DOL to certify the position. The DOL can request an audit, approve or deny the application, or have the employer redo the recruitment process under DOL supervision. Once approved, the employer can file the employment-based visa application. Following approval of the visa, and the completion of the three-year waiver requirement, the doctor can then file for permanent residency, subject only to the per country limitations in this process.

The process for hiring foreign national doctors is complex, but manageable with competent legal counsel. Employers should not shy away from engaging in this process especially as the shortage of doctors in this country continues to grow. However, employers do need to know the options when seeking to hire doctors who are subject to the J visa requirements. Competent legal counsel can manage the J waiver process and the H-1B process; and provide legal guidance throughout the Labor Certification process; and can prepare the remaining immigration filings. Therefore, while hiring doctors can be complex, employers cannot afford to shy away from the process in this era of health care shortage.

For more information or to consult with an immigration lawyer, please contact Ken Gauvey at www.gauveylaw.com.

Hiring an Associate Optometrist – Experience vs. Potential

When we start working with a practice, we collect a lot of information about the owner, practice, and the position. Some details are quantitative, but many crucial points are open for interpretation. Most practice owners tell us they need an experienced optometrist for their position. In most cases, that is the best option. In fact, most of the doctors we place have over one year of experience in practice or residency. But what are the tradeoffs to experience? When should an office consider hiring a doctor a year or two out of school rather than five to seven years out?

Experience

Pros-

• Production: Optometry School is just the beginning. It takes several years, lots of CE and thousands of chair side hours for most optometrists to hit their stride. An experienced optometrist should be better able to handle a full schedule.
• Known quantity: A seasoned optometrist brings credentials, a work history, and track record of past successes that will allow a new employer to project reasonably accurate results
• Less Babysitting: With experience comes independence and the ability to handle

Potential

Pros-

• Malleable: While an experienced optometrist will come to your practice with his or her own idea on how an office should operate or with a well-defined clinical philosophy, a less-experienced optometrist will be open-minded and receptive to guidance.
• Less up front needs: This is true of patient load as well as guaranteed income. While many recent graduates have huge student loan debts to consider, they typically have less expense in the rest of their lives. They also come to your practice without the burden of trying to reach previous income levels. They typically are better able to handle a growing practice than an optometrist who needs to maintain a higher standard of living
• Superstars are still available: Most practices would love to hire an optometrist who is motivated, great with patients, can keep procedures in house and who will be a boom to the practice for years to come. Optometrists like that are rarely available long. These are the optometrists who are partners or practice owners within a few years of practice.

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