Volume XI Issue II 397 South Swing Road Greensboro, NC 27409 1-800-621-4664 www.bentsonclark.com 2nd Quarter 2016 Embracing The Next Generation of Orthodontists By: Shannon Patterson, CPR, CMSR s a recruiter, I have the pleasure of working with candidates who are looking for career opportunities as well as clients who are looking to sell their orthodontic practice or who are searching for an associate to join their practice. I can tell you one thing for sure, as more and more Baby Boomers reach retirement and the first generation of Millennial orthodontists start to look for practice opportunities, it is clear that the orthodontists of this new generation have different expectations for their careers than the generations before them. A Currently there are four generations practicing orthodontics in today's workforce. A generation is defined as "a group of individuals, most of whom are the same approximate age, having similar ideas, problems, attitudes, etc." Each group views the world through a different lens based on the events that occurred during the time the group was coming of age. Understanding the diversity of each generation's viewpoints provides insight that can help strengthen how you run your practice. However, failing to understand generational differences can create conflict between colleagues in a practice. When a new generation enters the workforce they bring new ideas about practice philosophy, communication skills, team collaboration, feedback and a expected professional behavior. So, what is the current generational workforce in the orthodontic marketplace? In This Issue: Embracing The Next Generation of Orthodontists page 1 The Associate Income Divide page 4 The Millennial Mom: Her Native Tongue is Technology page 5 Silent Generation: Born 1925-1945, (Current Age 71-91) Millennial Moms: What To Know About This Tech-Savvy Generation Yes, there are still orthodontists who are practicing from this generation. Raised by parents who survived the Great Depression they also witnessed a wartime America. They tend to be hard workers who struggled to succeed; they often keep quiet, respect authority and are very patriotic. 2016 AAO membership data shows that 6.4% of practicing orthodontists fall into this category (see graph on page 2). Percentage of Adult Patients Impacts Practice Management Baby Boomers: Born 1946-1964, (Current Age 52-70) page 7 This generation witnessed the civil rights movement and the Vietnam War. This was the first generation that was influenced by television and music. They were promised the "American Dream" as children and as a result, they can be seen as greedy and materialistic. They tend to be hard workers who are fulfillment-seeking, direct communicators and also loyal to both employers and employees, and competitive. 2016 AAO membership data shows that 37.9% of practicing orthodontists are Baby Boomers. Sterilization Process: What You Need to Know for 2016 Generation X: Born 1965-1981, (Current Age 35-51) Many in this generation grew up in dual income families who witnessed the end of the Cold War. They are said to be the first generation that will not do as well financially as their parents did. They often display individualism and skepticism. They are result driven and are willing to put in extra time to get a job done well. 2016 AAO membership data shows that 41.9% of practicing orthodontists are Gen-Xers. Millennials (Gen Y): Born 1982-2001, (Current Age 15-34) Many in this generation grew up in a child-focused world, where parents strived to protect them from all of the evils in the world. They witnessed school shootings, the page 6 page 9 The Bentson Clark reSource (ISSN 1559-1360) is published quarterly by Bentson Clark & Copple, LLC, 397 South Swing Road, Greensboro, North Carolina 27409. Periodicals postage paid at Greensboro, North Carolina 27409. Telephone: (336) 379-8822 / (800) 621-4664 Fax: (336) 333-0015 Website: www.bentsonclark.com Email: [email protected] Editorial Address: 397 South Swing Road Greensboro, NC 27409 Subscription Price: $95.00 per year, 4 issues Cover Price: $28.00 each ©Bentson Clark & Copple, LLC, 2016. Copyright strictly reserved. This journal is intended for use by the individual to whom it is addressed and may not be reproduced in whole or in part or redistributed in any way - including reproduction for internal distribution - without the prior written permission of Bentson Clark & Copple, LLC. Bentson Clark reSource 2nd Quarter 2016 Embracing The Next Generation of Orthodontists AIDS epidemic and the 9/11 terrorist attack. This generation's hope is to be the next 'great generation' and turn around all the wrong they see in the world today. They are optimistic, techsavvy, confident, team-oriented, sheltered and achievement focused. They desire flexibility and respect in the workplace. 2016 AAO membership data shows that 11.8% of practicing orthodontists are Millennials. Breakdown of AAO Membership By Generation Source: American Association of Orthodontists, 2016. In the USA, there are 84 million Baby Boomers, 68 million Gen-Xers and 79 million Millennials! Many Baby Boomer orthodontists have spent their entire careers building up solo practices, and as they reach the age of retirement they are looking to hand the reins over to a buyer so they can ride off into the sunset. But will the new generation of orthodontists rush to buy a practice, or do they prefer associate opportunities that will allow them to buy-in over time? Let's first identify what factors are impacting today's orthodontic residents' career choices and their preferences on purchasing a practice versus working as an employee. Our 2015 Orthodontic Resident Survey showed that 54% of today's residents plan to enter the marketplace as an employee with only 29% planning to purchase a practice. In our 2014 survey those numbers were reversed with 56% planning to purchase an existing practice with only 28% planning to work as an employee. Has the dream of owning an orthodontic practice disappeared? The answer is no, but a variety of factors, including staggering student debt, the rise of Dental Service Organizations (DSOs) and changing lifestyles, have impacted young orthodontists career decisions as they enter today's job market. We have noticed a decline in the desire to purchase a solo practice out of residency and an increase in the desire to be an associate or join a partnership. What do you need to know about this generation if you want to recruit one as an associate or as a buyer in the future? Debt is the most influential decision in a young doctor's career choice. I often hear previous generations mention that today's young doctors have made bad financial decisions and it's their fault they have so much debt. I am happy to report that is not the case. The American Dental Education Association (ADEA) estimated the average educational debt for 2016 dental school seniors was $255,567, more than twice the average "They are in 2002. In addition, many committed orthodontic residents will accrue an additional $200,000 team members in student debt by the end who place a of their residencies, which totals to over $400,000 in high value on student debt. Not only will teamwork and this debt load prevent many are loyal." young doctors from obtaining additional lending to purchase an orthodontic practice, it also discourages them from assuming additional debt to purchase a practice. Workforce data currently shows that 28.9% of dentists are female up from only 16% in 2015. American Association of Orthodontists data shows that 24.5% of today's AAO members are female; however, that number is increasing at a rapid rate. Females make up almost half of the AAO student members at 48.4%. Why is this number so important? Because research indicates that this demographic is more likely to work in partnerships or group practices for schedule flexibility. A 2014 ADA study showed that dentists in large group practices were most likely to be women and doctors younger than 40 years of age. The population shift will also factor into a doctor's career choice. Studies show the overall population is continuing to shift from the northern states to the Sun Belt areas of Florida, the Southwest and West; and from rural areas to more urban and suburban areas. From 2000 to 2010, regional growth was much faster for the South and West (14%) than for the Midwest (4%) and Northeast (3%). Population growth of at least twice the national rate occurred in many metro and micro areas, such as some areas in parts of California, Nevada, Arizona, Texas, Florida and the Carolinas. This shift will have implications for the regional distribution of dentists/ orthodontists and more importantly the DSO markets. So, now that you understand the factors in their career decisions, how do you market an orthodontic practice opportunity to this new generation? The Millennials do have different needs, expectations and working styles than previous generations, and it is important to understand and identify 11 Bentson Clark reSource 2nd Quarter 2016 Embracing The Next Generation of Orthodontists what they are looking for, as you market an opportunity to this generation. They desire diversity, collaboration and most importantly, mentorship. the bad about your practice opportunity and the community when courting a young doctor. Teamwork A recent study found that nearly 80% of Millennials said they desire to be in an opportunity where their employer is more of a coach or mentor as opposed to a boss. This generation is looking to grow, and they want to be part of a team who will be committed to helping them achieve that goal. Contrary to popular belief, Millennials work well with others, and they have a strong desire for feedback on how they are doing at work. This generation values input from everyone involved in the practice. They have grown up in an era with team sports and group activities. They are committed team members who place a high value on teamwork and are loyal. Millennials are very good at taking feedback and implementing changes to make them practice better. Work-life Balance Millennials also desire a healthy work-life balance. There is a generational shift in which young people are placing more value in balancing their work lives with the rest of their lives. While this does not mean they do not have a strong work ethic, it does mean that they value their time and work efficiently through technology. Technology Many orthodontic residents have finished residency with the latest technology, and they want these technologies in their orthodontic practice. They grew up with personal computers, smartphones, tablets and social media, so they are often looking for practices with the best technology. That doesn't make them entitled; it is simply what they are used to, and they feel it helps them provide better patient care. The Millennials are the first generation to be referred to as "technical natives." The rest of us are technical immigrants. This doesn't mean you need to have all of the latest technology in your practice, but you should expect questions regarding the state of technology in your practice. So be prepared and don't get frustrated if this is something they desire and feel strongly about as you engage with them. Transparency This generation is used to having 24-7 access to all kinds of information, and they will not appreciate when important news and developments that affect them in their job or transition is withheld. Be mindful of sharing the good and Mentorship Communicating Texting is to Millennials as talking is to Baby Boomers. When you are courting someone to join your practice, don't be afraid to text them instead of calling them or leaving them a voicemail. Studies show that texting is a vital tool to reach Millennials, as 98% of text messages are opened compared to just 23% of emails opened. Smartphones are how most Millennial residents are accessing their job search resources. Despite being labeled as self-centered and entitled, this generation does not rank salary as the highest factor when seeking employment. In fact, studies show they desire a team environment with mentorship, good benefits, a healthy work-life balance and a practice they can make a difference in. By appreciating and understanding their mindset, skills and background, you can better engage with them to make a difference in your practice and community. If you are looking to transition ownership of your practice or find an associate to join your practice, it is important to understand and embrace these differences and feel confident the future is in good hands. Shannon Patterson, CPR, CMSR is the Director of Practice Opportunities and an Orthodontic Placement Specialist at Bentson Clark & Copple. She is a recruitment leader in the orthodontic industry specializing in placement and retention by engaging a proactive recruitment strategy, helping to place candidates where they will be a successful fit not only for the practice opportunity but also the community. She is also a Kolbe Certified™ Consultant and expert in the Kolbe suite of assessments for selection of the ideal candidate match, specializing in strength-based relationships for both doctors. She believes great clients deserve great candidates and great candidates deserve great opportunities. Shannon Patterson can be contacted at 1-800-621-4664 or via email at [email protected]. Begin your one-year subscription for only $95 by calling 1-800-621-4664 or visiting www.bentsonclark.com. The Bentson Clark reSource is an all-in-one informational publication that provides and analyzes real data from real practices to present the most accurate information available within the orthodontic industry. The reSource has featured over 220 timely articles and interviews contributed by Bentson Clark & Copple’s partners and team members, as well as the industry’s top leaders and consultants. The quarterly publication is written for orthodontists of all career stages, focused solely on the business aspects of running a successful practice. The newsletter can assist all orthodontists in making strategic decisions in managing their practice. Many doctors use the newsletter as a planning tool for the future – from opening an office, to practice growth, to planning for retirement. 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