Gonstead Extravaganza 2012

Creating Successful

Associate Doctor Relationships

Dr. Stephen Franson

drstephen@bonfirehealth.com

Why Take On An Associate?

• WHY IS THIS IMPORTANT?• MENTORING - Apprentice• GONSTEAD TECHNIQUE• PROFESSION

“Who should consider taking on an Associate?”

The Hedgehog Concept

PurposePurpose

FinancialFinancial SkillsSkills

Why Become An Associate?

• To Learn! - Continued Education• To have a Mentor• Observe Experienced Doctor• Speed Proficiency• Benefit from Doctor’s Mistakes• Learn a Practice System• Focus on Doctoring• Secure your present and your future

VISIONVISION

2 Components of Successful Relationships

• EXPECTATIONS• AGREEMENTS

EXPECTATIONS: ASSOC DOC

• WHAT DO YOU PREPARED TO CONTRIBUTE?• WHAT VALUE DO YOU ADD?• WHAT DO YOU HOPE TO GAIN?• WRITE IT DOWN

EXPECTATIONS: SR DOC

• WHAT DO YOU PREPARED TO CONTRIBUTE?• WHAT VALUE DO YOU ADD?• WHAT DO YOU HOPE TO GAIN?• WRITE IT DOWN

GUARD RAILS

• PHILOSOPHY• PROCEDURES• SYSTEMS / SCRIPTS• EXECUTION• TEAM• RESPONSIBILITY

CONTRACTS

• HOW IS RELATIONSHIP GOING TO END• LAWYERS ARE PLUMBERS• GRANULAR DISCUSSIONS: TTB

EQUILIBRATION

PROS AND CONS

COMMON PITFALLS

• LACK OF CLARITY• MIS-ALIGNMENT

–PHILOSOPHY–PRACTICE VISION–GOALS–EXPECTATIONS

3 REALTIONSHIPS

• DOCTOR• BOSS• FRIEND

3 REALTIONSHIPS

• BOSS• MANAGER• MENTOR

ASSOC DOC ARRANGEMENTS

STREET SIGNS

Solid White

• Established Senior Doctor

• New Associate Doctor

• Two Distinct Practices

• Assoc Doctor starts and cares for their own patients

• Coverage and limited over-flow

Double Yellow

• Established Senior Doctor Phasing - Out

• New Associate Doctor Taking Over

• Senior Doctor Retiring

• Assoc Doctor overtakes Sr. Doctor over time

• Assoc Doctor Buys Practice

Broken White

• Established Senior Doctor

• New Associate Doctor

• Blending practice

• Assoc Doctor shares patients w Senior Doctor

• Coverage and Over-flow

Multiple LanesBroken White

• Established Senior Doctor

• Multiple Associate Doctors

• Blending practices

• Assoc Doctors share patients w Senior Doctor

• Coverage and Over-flow

“Associate Program”

• Established Senior Doctor• Energetic / Passionate / Business Minded• Mature Practice / Solid Systems • Solid Well-Trained Team• Sustainable and Scalable• Academic Environment• “Totem Pole”

The Associate Program

Exit Right• Established Senior Doctor

• Associate Doctor Groomed for Launch and Start-Up of Satellite

• Assoc Runs Satellite

• Assoc Doctor Buys Clinic

• Repeat

Exit Left• Established Senior Doctor

• Associate Doctor Groomed for Take-Over of Existing Practice

• Senior Doctor starts new location

• Assoc Doctor Buys Original Clinic

ARCHETYPES OF DOCTORS

• What kind of Doctor are you?• How do you like to practice?• What is the ideal match for you in an

Associate Relationship? • What is the compliment archetype for you?• What are you looking for?

Cruisey Cadillac

• Established “Old Timer” - Classic• Low Stress / Easy Going• Old School• Mentor

Old Jelopy

• Established “Old Timer” • Ready to go fishing

Sports Car

• Fast and Furious• High Energy• Growth Oriented• Leader / Driver

Pick Up Truck

• Work Horse• High Capacity• Hard Worker• Rugged Team Player

Sport Utility Vehicle

• Utility Player• Does all things well• Flexible and Dynamic

ARCHETYPES OF PRACTICES

• What is your practice like today?• What would you like to create?• What are you ready to build?• What would you like to sustain?

Practice Types

Practice Types

HOW DO YOU FIND / VET OPPORTUNITY

• MATCH MAKING• SPEED DATING• IDENTIFICATION• CONTACT INFO• VISIT / OBSERVE• INTERVIEWS

Introduce Yourselves

IGNITE YOUR HEALTH

For more information

drstephen@bonfirehealth.com

bonfirehealth.com

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