It may not be a hiring problem: A look at the patterns behind dental team turnover

Hiring in dentistry is hard, and Dr. Matthew Norton does not dispute that. But when the same problem keeps repeating, he says, it is worth looking deeper at what is happening inside the practice as well as in the labor market.

In this episode of The DrBicuspid.com Podcast, host Kevin Henry talks with Norton about StrengthPrint, his approach to helping leaders and teams see the patterns underneath recurring frustrations. Norton describes a dentist who employed roughly 50 team members in nine years at a practice that was not large. That history does not prove a cause, Norton says, but it is a reason to ask what keeps happening, no matter who is on the team.

Headshot of Dr. Matthew Norton.Dr. Matthew Norton.

Norton walks through a common recurring loop. A doctor who wants things done well steps in when something gets difficult. The team learns to check with the doctor before acting. The doctor grows frustrated that nobody takes ownership and steps in even more. Everyone is trying to help, Norton says, but those responses can worsen the problem.

To make sense of these patterns, Norton uses a sequence he calls contribution, conditions, and consequence. 

A dentist's decisiveness can bring clarity but turn into taking over under pressure. An assistant's attention to detail can protect quality but turn into checking every decision when mistakes feel too costly. Rather than thinking in strengths and weaknesses, Norton suggests that strength has a price under certain conditions, and that "your greatest strength can become expensive when you lose choice over it."

Norton compares his approach to team dynamics to diagnostics. Dentists would not treat a symptom without x-rays or a cone-beam scan, he says, and teams should look beneath the surface before assuming the answer is another system or process.

For a first step, Norton recommends choosing one recurring situation, not everything that is not working with the practice. If decisions keep landing on the dentist, let the assistant own one decision for a week or two within agreed boundaries, then debrief. Norton also raises a second "T" beyond turnover: toleration, or how long people accept situations that feel subpar.

Norton offers a free 30-minute pattern discovery conversation you can book here.

Listen to the full conversation below.

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