We have the practice manager saying one thing and our head tech nodding her head in aggreement. But when the rubber meets the road the head tech does the opposite of what she was agreeing with. ex. Work as a team to figure out the best way to do 'x'. reality:Head tech does it her way and if you suggest a different way, then you are now the enemy and she goes on the war path to get you in trouble/find errors in your work.
Other than documenting each offense and seeming like a whining child, are there ways you can bring this vengeful behavior to the attention of the higher-ups?
Thanks!
"No One Wants to Work With Her....What to Do?"

Dear Editor:
I work at an academic hospital in a stressful environment. Our unit runs 24/7, 365 days a year. We have one staff member who is a prime candidate to look at her "wake." No one on our staff wants to work with her, however, she is oblivious to her impact, demeanor and just plain refusing to be a team member. We would love to have her assess her wake. There is not one person who is willing to put the truth on the table because of her nasty nature. Advice?
Dear Team Member:
Who is the leader or manager of your team? I am curious to know if the person with responsibility for your staff knows and understands your dilemma. If not, I suggest you all, as a team, ask for a meeting in which to discuss the problem and potential solutions. The very worst thing you all can do is NOTHING, as that only allows the poor behavior of one employee to destroy the climate of the workplace for the rest of you.
When you set up this meeting, it is imperative that go prepared and in a proactive state of mind. This meeting is a problem-solving summit, not a "tattletale" session. You will want to be able to describe, using examples and behaviors, how this coworker's wake is causing difficulty. Then, assure your supervisor that you are reporting this issue not to get your colleague in trouble, but because you fear for the morale of the staff if something is not done.
Now is the time to examine how employees (everyone, not just your toxic colleague) is coached and provided feedback on performance and teamwork. Hopefully, there is an evaluation program in place, and it is being utilized to manage and shape employee productivity and work-related behavior. This is the place for correction to start, and your feedback will provide the information your manager needs to begin to coach your difficult employee.
If such a system is not in place, it needs to be started. There are many such evaluation programs available to managers and you should ask your employer to get one started. Not having such a system of checks and balances is the main reason why such situations occur. If people are not held accountable for their behavior and their work, some will misbehave or take advantage of the system. That has obviously happened in your workplace. Let me describe how such a system works.
Once your supervisor agrees to begin to do evaluations, the entire work group should sit down at a meeting and agree on their workplace vision . What do you all want your work relationships to be like? How do you want to cover for one another? How do you want to interact with one another while working?
What behaviors will not be tolerated in the workplace? Make sure everyone is very clear in this. Behaviors such as rudeness, drama, aggressive and passive aggressive interactions, and lack of team support are examples.
The entire team should be present and involved in this meeting and the manager can take down the vision, have it typed up, and all of you can then meet with him/her and sign it. Future evaluations will be measured against this document. In this way, you, as a team, have effectively set the boundaries of behavior for your interactions. You have made your desire to have a supportive and cordial workplace known and you all agree to keep each other accountable for sustaining this culture.
This type of document allows the entire team, including the leader, to explicitly define expectations. By signing the document, you all commit to the expectations. It then becomes the document by which all of you, including your leader, agree to be measured.
When your manager now sits with each employee to evaluate the job to date, this document leads and guides the discussion. I always like to start such discussions by asking each team member to self evaluate, using the document as a guide. After I hear how each person views themselves, I share my observations and feedback. We then discuss areas of strength and areas that need improvement. These become the next "coaching goals" for that employee, and are noted. If an employee is having difficulty, weekly meetings are held to monitor progress, until behavior seems to be improving. Then, monthly meetings are held. And finally, six month or annual evaluations can be reinstated.
This process brings the toxic behavior out into the open where it can be discussed. Employees must self-examine and reflect on their impact on the team. They are coached to learn more appropriate ways of working on the team.
If a troubled employee has the initiative and willingness to change, this process will help them do it. If not, this constant reflection and accountability will create enough dissonance that the employee may choose to leave and go elsewhere, where such scrutiny does not occur. Even if this does not happen, this process allows consistent and thorough documentation, all necessary in case the employee needs to be dismissed.
Just like any high-quality sports team, we all need coaching, practice and accountability. We need to know what is expected and what won't be tolerated. And, when our "team play" becomes sloppy or destructive to the group, we need to know the coach will fairly correct our behavior and hold us to the team standard. The coach can't win the game alone, and your team can't play without a coach.
With this letter in hand, (or an outline of the steps I've suggested), I recommend you approach your manager or leader and let them know that you want the very best for your team and you want the team to be able to function maximally . Given this desire, you would like to ask that a "tune up" be done to get everyone moving in the same, productive direction. Perhaps you can offer to help coordinate the initial meeting with the team?
In closing, destructive team members don't arise overnight and they aren't "cured" quickly. Although frustrating, it is good to keep this edict in mind as you all undertake this process. Look for small changes in your team member and validate them to her and to the team as you see them happen. Be vigilant in watching for such change as you want to make sure to reinforce it. In this way, you are all a part of "fixing" the problem rather than its discouraged beneficiaries.
Good luck with the process!
Dr. Kathleen Ruby
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6 comments so far...
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hypocrite running rampant
Bad Behavior Response from the Editor
Dear Readers,
When the owner/manager is the person with the consistent difficulty, the practice/workplace is in trouble. Although I wish it were not true, this is one of the most common issues I'm asked to address within the profession. I would ask all leaders, by way of this message, to reflect upon how you run your practice.
Most of us dislike confrontation, like things to run "our way" and don't slow down enough to consider how our behavior impacts our colleagues. Just think how much more pleasant most of our work places would be if we took care of people problems as they come up, were open to at least trying new ideas, and thought before we acted, or at least reflected on our own behavior periodically!
Unfortunately, these things do not happen in most workplaces of today. I challenge practice leaders, and also all employees to answer these questions for yourself. What is your greatest contribution to your workplace? How do you make it a better place to work? What would your coworkers say about you if they were asked? Your candid answers may help you find some areas where growth is needed!
Although we cannot force others to think about the impact they have on others, each of us can self police, and therefore not remain part of the problem. Then, if you find yourself in a practice that, even after you truly try to become part of the solution, continues to treat you and others in ways that are not conducive to work place well being, it is time to leave. It may take some time, but find a workplace that understands that good medicine and good business both stem from attentive and careful leadership. People should not dislike going to work every day!
That is my question as
That is my question as well.
I just left a job as an associate DVM that I held for nine years because the non practicing owner DVM became more and more controlling with tendencies to mircomanage. I attempted several times to reverse the course, but when I spoke directly to the owner, he claimed the issues were mine and I had to just deal with them. When I went to his partner, I got a pat on the head and a "Oh, well, that's just how he is." After 2 years of trying to get the higher ups to wake up to the fire going on, I gave up and I quit. I really enjoyed that job the first seven years I had t, and I had great clients that I miss. I wish I could have gotten the partners to see the damage they are inflicting on the practice they worked so very hard to build.
I also just want to say to NancyAllen above--if you're finding jobs where you are 100% expected to change your protocols, then you are not doing a great job of vetting a practice before you go aboard. I went to Cornell too, and I've not had a problem introducing new ways to do things to places I've worked. In some cases, I found the established protocols better than mine, so I changed. In others, my ways were adopted.
Bad Behavior
I have been in private practice solo since 1998. I have a small country practice in a small community. I currently have one full time employee. He is more or less the do all person. He runs the front desk, assists me with veterinary care, janitorial and anything else I throw his way. I made it clear to him when I hired him that he would have to be very flexible in his job responsibilities. For a long time I hired younger women and it seemed whenever I had two women working for me at the same time I would run into problems. These consisted of bickering, dominance issues, passing the back, etc. You get the idea. I had to fire a few employees who took it upon themselves to challenge my policies and protocols even though they were employed by me. I have learned to be assertive in both a professional manner as well as in a diplomatic manner. I agree these are objectives that were never discussed or taught in veterinary school. I started at a job where the technician ran the show also. I allowed this the first year because she showed me the ropes as a new grad. However, once I started to challenge her I became the bad "bad guy" so to speak. It was about then that I chose to leave that practice and go solo. I still have challenges with my staff but I have learned to watch out for certain personality traits when I interview people that I learned from unpleasant lessons in the past. I do find that veterinary medicine does seem to attract a lot of "control freaks" maybe more so that some other professions. I have learned to be more patient but tolerate less of the behavior that is not healthy in a working environment. I try more often to go with my intuition and listen to what my gut is trying to tell me. After all shouldn't I enjoy go to work at my own business everyday?
"Bad" Behavior by Colleagues
I have yet to see a staff member be called to task because he/she was impossible to work with. I've worked as an associate vet in a number of hospitals and all I've seen is variations on the same theme. The practice owner sets the tone. The non-vet staff runs the show. I, as the newbie, have to mold the way I work to satisfy the help, not the other way around. The help has no interest in helping me do things the way I'm comfortable doing them. They insist on doing things one way and one way only - the way the person who signs their paycheck does them. It is a lose-lose situation.
This is the reality in private small animal practice. What I've experienced is very common for the new associate vet. Unfortunately, they do not prepare you for this in the Ivory Tower. In fact it's quite the opposite. They tell you to do it their way in school but then, once you're out in the real world you'll be able to do things as you wish. Nothing could be further from the truth. No wonder so many vets quit private practice in less than ten years!
Private practice owners want the associates to "get 'em in, get 'em out" in fifteen minutes maximum and get as much money as you can soak the pet owner for. I, for one, cannot do a sick animal appointment in fifteen minutes, especially when I have to get the history myself, despite being told the assistants get it. They're not medically trained and thus have no idea what's behind the questions they're told to ask. If you don't know why you're asking a question you're not going to get an informative answer. For example, I've seen "dry and canned" written next to "diet" by the assistant. The assistant might as well have written "food". Then I'm called to task because I "took too long". I am very efficient, but I'm also THOROUGH as I was taught to be at Cornell.
For my efforts I'm greatly appreciated by the clients and tossed out on my ear by the practice owner. I have experienced being insulted and humiliated by the practice owner in front of the client. I have also been challenged by the assistant in front of the owner. In the latter case I have NEVER received any support from the practice owner.
Something is dramatically wrong and it's not just me and others in my situation, but peoples' precious pets who suffer for it. That, my friends, is what is really happening. You can talk about these meetings to solve personality problems 'til you turn blue but you won't accomplish anything except getting yourself in trouble. I know what I'm talking about. I've seen it over and over and over, unfortunately.
At school we were taught that if you practice good medicine, the money will follow. Well, practice owners don't believe that. They also prefer to keep incompetent help who stay for decades working for very little money than keep a really caring associate long enough for that associate to build up a clientele. And - they lie about it at the interview. They'll tell you they understand it takes a while for the clients to warm up to a new vet and then once you're hired, you are NEVER given any time to establish yourself with the clients! It's really sickening and again, it's the patients who suffer for it.
What do you do when the
What do you do when the owner/ manager is the one with the problem? This person does not recognize the behavior as a problem and places the blame for the behavior on the rest of the staff (ie if Sally would just do her job I wouldn't have to throw a tantrum)








