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The
Ideal Dental Practice - Money
Let us
look at the world of business for a second, because this is what
a dental practice is
a business.
·
Name me a business that you can buy for less than it makes in one
year?
· Name me a business that can only be done by people who
have 5 years training?
· Name me a business you can set up in any city in the country?
· Name me a business model where people come to you with
their problems?
This is
the beauty of dental practice. And as such, if a dental practice
is run well, then after the first three years (which is the period
that most practices take to build up a head of steam), the principle
should be taking home at least £100,000 before tax. If you
are making less than this, then you may well be doing something
wrong. And according to a recent government statement, the average
dentist earns £60K. Is that how much you are worth for your
qualifications? Is that how much you are worth for working in a
profession with one of the highest suicide rates? I don't think
so. So what do we do?
10
steps to increase your income
1)
Get good at what you do. How can you justify
charging more than the simple NHS fee, if all you do is the same
treatment? You need to get some postgraduate qualifications. You
need to become an expert at what you do, so that you can stand proud
when a peer examines your work. When you know you are excellent,
and know that your work will last, you can then honestly charge
your patients more. Your work will pass the test of time, and you
will reduce the number of patients coming back with problems.
2)
Cut your unnecessary outgoings. There
are things you spend money on that you really don't need. You probably
have a cupboard full of useless junk that you have bought over the
years. Don't buy it unless you are going to use it. Cut deals with
your suppliers; shop around for the cheapest utility providers.
Insulate the loft of your practice and fit energy efficient bulbs.
Do whatever you can to cut needless waste. And remember to check
the use by dates on the materials in your stock cupboard. Make sure
not to let things go to waste. Oh, and make sure you never, ever,
never buy things on finance. Big ticket items often come with substantial
discounts if you pay everything up front. This does not apply to
buying a practice or a house of course.......although you never
know unless you ask.
3)
Look at your associate. (assuming you are a principle).
Is your associate bringing revenue into your practice, or is s/he
costing you money? If it's the latter, they have to go. Work out
the running costs of each surgery. If your associate is making you
less than that on average, then they have to go. Or do you just
want expensive holiday cover?
4)
Cut the number of days you work. If you are working 6
days, you have no life. You shouldn't be living to do dentistry.
If you are smart, you will work to reducing your time to four days,
with 8 weeks holiday. You will be fresher, healthier, and less stressed.
At the very least, your income may stay the same. Most people see
that it goes up, because you will have the time to organise your
practice more effectively.
5)
Set your hourly rate. Sit down with your accounts and
figure out how much you need to make an hour to get your desired
income. Remember only to count the days that you actually work,
and calculate in the cost of postgraduate courses which should be
paid from your gross. If you don't know your hourly rate, how can
you organise your appointment book and set correct private fees.
6)
Select your patients. There are patients who cancel appointments
at late notice. There are patients who simply don't turn up. Further,
there are those that turn up for a crown prep and proudly state
they now want an extraction. All this affects the efficiency of
your business. You need to organise systems for dealing with these
events when they occur so that you are not financially disadvantaged.
You also need to remove from your practice the people that routinely
do this. Get rid of the ones that waste time in your appointment
book. Free up time for the ones that respect you and respect your
time.
7)
Get rid of the destructive staff members. Some practices
will have grumpy, rude, destructive members of staff (often referred
to as the Dragon). For your practice to be a success you have to
remove these from the equation. But obviously you cannot just sack
them, not unless you want to end up in a tribunal. You have to nice
them out. You have to be so nice that they find it absolutely intolerable
for them to work there. They are miserable for a reason. Try it
and see how long they last. Get good advice from competent people
on the matter. Chris Barrow from the Business coaching company can
help with matters like this. Of course, sometimes the grumpy staff
member is you. In which case you need to work on yourself.
8)
Learn how to sell ethically. You might be the best dentist
in the world clinically. But you need to remember something. Patients
don't want dentistry, they want what dentistry brings. They don't
want a root filling; they want a tooth that doesn't hurt. They don't
want bleaching, they want whiter teeth. If you cannot express your
services in a way that reflects what people WANT,
you will be telling them what they need. People don't buy needs
unless they have to. Get yourself on a proper selling course.
Remember, this is not so that you can sell loads of swanky dentistry.
This is so that you can best serve your patients WANTS. The
truly ethical dentist often finds himself talking patients out of
unnecessary treatment. Don't turn yourself into a used car
salesman. You are better than that.
9)
Dental Menus. How the heck are
people meant to know about the services you offer unless you tell
them. Give them a sheet of paper with tick boxes related to various
items of treatment that they "tick if interested". You
will be amazed at how much ethical business you can pick up from
doing this.
10)
Develop multiple streams of passive income. There are
other ways to make money than just dentistry you know. What do you
really enjoy doing? I am sure your "hobby" can make you
money somehow. The best way is passive income that occurs when you
aren't even about. Your aim is to replace your earned income
from dentistry with passive income from other sources. This
way you can work because you truly want to, not because you have
to.
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