Reference Checks: The Questions That Can Make or Break Your Practice

In many ways, the eye care community is isolated from the rest of the business world. While the corporate world is encroaching, most practices are still built around the owner who, generally, has little formal business training and may well remember the days when a handshake was enough.

As recruiters, we often start our relationships with vision practices who have recently gone through a frustrating and often messy termination. Unfortunately, the doctors who leave the biggest messes easily find other employment only to leave a similar wake of destruction in their next office. Why is it so easy for these doctors to ruin one practice after another?

Vision Practices, as a group, routinely fail to protect the practice, staff and patients by performing a simple reference check. The importance of reference checking is well-documented in the larger business world.

Simply checking license history is no longer enough. You have the right to ask for references, and you should not settle for personal references. Ask for contact information of previous employers or faculty, if appropriate. Here are some practical steps to help make a reference check call easy, informative and less time consuming.

Confirm the details

Do not be shy to ask how the reference knows the job seeker. Find out how long they have known each other. If the reference is a former employer, ask for dates of employment. Ask what their function was in that position.

Decide what you want to know before you call

When we perform reference checks on behalf of our clients, we ask the reference to rate the job candidate on productivity, the quality of their work, their oral and written expression, their working relationships, their motivation and initiative, and their punctuality and attendance.

Know what he/she does well

Ask the reference what they would consider to be the job seeker’s greatest strengths in the position. Also, ask what the employer’s expectations were and how well the job seeker fulfilled them. Do they work better independently or under direct supervision?

Know where the job seeker could improve

This is a great way to ask for constructive criticism in a way that will not make the reference feel uncomfortable about giving a bad reference. Be sure to ask if the job seeker was open to critique and if progress was made toward improvement.

Would the reference hire or re-hire the job seeker?

This is straight to the point. If you hear “No,” make sure that you know why.

When you finish the reference check, be sure to thank the reference for the time that they spent with you and the information they provided. They may well have just saved you from a bad decision or enabled you to sleep well with the decision you will make.

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

Optometrists and Ophthalmologists - Are You Ready for the Interview?

Are You Ready for the Interview?

You want to work for the practice, they've seen your credentials and they've asked you in for an interview. You want the job. Here are some suggestions that will help you make sure your interview goes as well as possible.

Preparing for the interview

Thorough preparation is critical. It is great for your confidence in the interview room and it leaves a very positive impression with the interviewers.

 

1. Get the logistics right. Time, location, interviewer's name and position title.
2. Do your research. Find out as much as possible about the practice: size, scope, location of the office and any satellite locations, etc. The practice website should be a very good source. If the website includes a biographical sketch of the owner, be sure to research the organizations and institutes of which the owner is a member.
3. Do some more research. Make sure you have key data in your head about your existing and most recent employers.
4. Do even more research. Ask former co-workers to tell you about your professional traits. What did they most admire? Try to find some faults as well. This leaves you more prepared for questions such as "what are your greatest faults" or "if I were working with you ...".
5. Prepare questions. The employer will be trying to work out whether you fit the available role. You should also take the opportunity to ensure that the practice is right for you.
6. Practice (see below). Take time to run through some of your answers. Don't over-rehearse, but make sure that you are coming across confidently.
7. Present yourself well. Find out what the office culture is regarding business dress. If in doubt, go more formal, not less formal. Make sure you are well groomed on the day.

What you should practice

When practicing for an interview, you should focus particularly on the way you answer questions.

1. Be descriptive. Don't just answer "yes" or "no" to questions. But also avoid "over-answering." Make your answers colorful but not lengthy.
2. Sell yourself to the interviewer, but without exaggeration or telling lies. You are there to market yourself, "blow your own trumpet" and explain why you'd be right for the role. But don't come across as arrogant.
3. Avoid making negative remarks about your current employer, or past employers or colleagues. This will only reflect on you in the interview.
4. Be determined. Make it clear that you want to get the job, even if you are given information in the interview that sheds a new light on the role. Be positive, and then evaluate the opportunity again when you are away from the interview. Don't burn your bridges.
5. Have positive body language, and maintain a good posture.

Remember: expect unexpected questions. It's fine to pause for thought. It's also acceptable to admit you don't know the answer.

For more interview tips and additional information, visit us online at www.etsvision.com. 

Optometrists - What To Know Before You Accept an Associate Position

Finding a new associate position can be a daunting process for both new and experienced optometrists.  While making a good impression on an interview is important, it is equally important to learn as much as possible about the practice. Here is a compilation of questions from job seekers who I have worked with over the years. I hope that this list will make the decision process less intimidating.

Relationship
-Employee or Independent Contractor?
-Employee at will?
-Is the doctor open to restrictive covenant in case of future ownership?
-Is the doctor open to a transition period, if needed? (After purchase)

 Type of Practice 
-What type of practice is it (full scope, pediatric, etc.)?
-Age of the practice?
-When/what do you refer out?
-How many treatment lanes?
-How many opticians?
-How many technicians?
-How much is the practice overhead?
-How long has each employee been there?
-What does the practice do to market itself?
-How many FT and PT staff?

Patients
-What is the patient pool like?
-Have the number of active patient records been reviewed?
-Is the practice growing or declining in number of patients seen, new patients attracted, and young patients?
-Average number of cancellations per week?
-Average number of patients seen by associate per day?
-How far ahead is the doctor book filled?
-How far ahead is the associate book filled?
-Discounts/Bartering/payment plans?
-PPO type of insurance? Insurances: accept all kinds or just selected ones?
-How much is the discounted price of the PPO compared to the fee schedule?
-Medicare or Medicaid acceptance?
-What percent is FFS, cash and discounted PPO?
-When was the last fee increase?
-Are the fees low, high or average for the immediate area?
-Do you offer patients credit?

Schedule 
-Days, hours, on call, etc.
-How many office hours and days per week is the office open?

Duties
-Job description (separate document) or general description

-Is the doctor responsible for pre-testing?
-What were the most of the cases being done by the associate?

Facilities
-Supplies, equipment, support, etc.?
-Is the practice EMR compliant? If so, what system is being used?
-What is the square footage of the office? Can it be expanded?
-Average age of equipment?
-Do you have a confirmation system for appointments?
-How do you deal with NO Show?

Term of contract
-How long?
-What is the required notice period should either party wish to terminate the relationship?

Compensation
-Is there a guaranteed salary, draw, daily rate or hourly rate?
-Is commission determined from collections or production?
-If collections, what is the collections rate in the practice?
-What percentage of production/collections is used to calculate income?
-Is there a chance to increase compensation in the future?
-Taxes withheld?
-How will the associate be paid? (Weekly/bi-weekly/monthly)
-How much on average was the last associate making?
-What was the average associate production per day?
-Can I get a fee schedule of the practice?

Benefits
-Medical Insurance: health and dental?
-Malpractice insurance?
-Disabilities insurance?
-Required CE courses? How much and for how many hours a year? Are they paid for/reimbursed? Is there a stipend?
-Retirement?
-Sick days…….. # allow per yr…..
-Personal days/vacations…..# per yr allow……
-Holidays?
-What benefits are given to the staff?

Expenses
-Define, list, when paid, etc…..
-Will the practice support the acquisition loan (in case of future ownership), pay the overhead expenses and afford a reasonable income?

Other Questions and Notes
-What is your practice Philosophy and Goals? For the Practice and with new patients?
-Have you had associate before? How many? How long did they stay? What was the reason for the associate resignation?
-How do you advertise?
-Who determines how long I have to spend with new patients/initial exam and record?
-Is there a particular doctor in the area who is your main competitor?
-Who sees the patient first (technician or optometrist)?
-Why was the partnership offer turned down by an associate (if applicable)?
-Will I be able to visit the office during regular working hours?

Partnership/Buy-in/Sale
-Discussion/Formula/Price
-What will be the time frame for an associate position before we can talk about partnership/buy-in/buy-out?
-Is there an option for future ownership? Are you considering a move out of state?

Restrictive Covenant
-Define

Chante Smith is the Western U.S. Account Executive and Recruiter for ETS Vision. She can be reached at csmith@etsvision.com or 540-491-9105. ETS Vision is a Vision Recruiting firm specializing in finding and placing Optometrists, Ophthalmologists, and Vision Staff throughout the United States. www.etsvision.com