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October 09.2025
3 Minutes Read

Mastering Difficult Conversations with Underperforming Employees for Better Dental Practices

Effective communication in dentistry: dental manager discusses employee performance.


Understanding the Importance of Addressing Underperformance

In any workplace, especially in a dental practice, the harmony and productivity of the team are crucial. Dr. Emily Johnson, as a dedicated practitioner, knows that every member's performance influences the overall success of her practice. Tackling underperformance is not just about maintaining high standards; it's essential for morale and the health of the working environment. Alan Twigg, a proven expert in health care consulting, emphasizes, “If we let this person slide with mediocre performance, it tells the other employees that they don’t matter— their hard work doesn’t matter.”

The Steps to Effective Conversations with Underperforming Employees

Handling difficult conversations is a skill few have mastered. Alan Twigg outlines a five-step feedback model that Dr. Johnson can embrace in her practice for effective employee communication:

  • Outline Expectations: Start by clearly stating what is expected from the employee regarding their performance.

  • Discuss the Reason for the Conversation: Be transparent about why the meeting is occurring and express your concerns clearly.

  • Warning of Consequences: It's crucial to communicate potential consequences should there be no improvement. This sets a serious tone to the discussion.

  • Invite Feedback: Engaging employees in the conversation allows them to express their thoughts, making them feel valued.

  • Document the Conversation: Keeping records is vital, especially when cooperation is an issue.

Learning Not to Avoid Difficult Discussions

Dr. Johnson might find herself resisting direct conversations out of discomfort. Many professionals, particularly in the dental field, can be conflict-averse. However, addressing issues proactively helps prevent them from escalating. Alan reminds us, “You don’t have to wait a year for the annual performance review. If you see something, say something.” Regular feedback is more effective than occasional, formal reviews.

Ensuring a Positive Workplace Environment

Dr. Johnson has built her practice on integrity and community involvement, and she desires her team to reflect those values. An integral part of fostering a positive work culture is ensuring that every team member is contributing positively. If underperformance is ignored, it can create an imbalance and resentment among high-performers. Swift action serves not only to rectify issues but to also reassure your dedicated team that their contributions are valued and significant.

What to Do When Conversations Don’t Seem to Work

Despite following the steps and engaging positively, some employees may still struggle to improve. In such cases, Alan Twigg suggests that one should reconsider whether the employee is the right fit for the role or the practice. Evaluating a person’s strengths and aligning them with the right tasks can sometimes yield unexpected results, but there are situations where further action may be required.

Wrapping It Up with Trust and Transparency

As Dr. Johnson navigates these difficult waters, keeping trust and transparency at the forefront of her practice is essential. Both patients and staff thrive in an environment of open communication. Regularly engaging in conversations about performance not only uplifts the entire team but enhances patient interactions and overall service quality.

In summary, addressing underperformance can transform a struggling employee into a valuable team member with the right guidance and communication. Dr. Johnson, by following the insights shared by Alan Twigg, can establish a culture of respect, responsibility, and continuous improvement in her practice.

To learn more about these impactful employee management strategies, consider listening to Alan Twigg on the Best Practices Show. Explore how implementing systematic feedback can redefine your team’s dynamics!


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