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What Does “CDA” Really Stand For?

By December 4, 2017 February 18th, 2020 Coaches Corner

Dear Coaches,

I am at the end of my rope. My dental assistant has been with me for six years and the patients love her. She is a decent enough dental assistant – she is not always on the ball but she knows the procedures pretty well and after six years she knows my clinical routines. 

The problem is her attitude. She shows up late several days per week and cruises into the morning huddle like she didn’t do anything wrong. She refuses to do work that is “below her,” such as confirmation calls, even if she has down time.

She can also be a bit of a rabble-rouser with the other members of the team. I have noticed that everyone else has a great attitude and are real team players, but as soon as Diana enters the picture everyone starts fighting and pointing fingers. Last week she threatened not to attend the annual team Christmas dinner unless we changed the location to a fancy steak house, even though it was already on the schedule. She also bad-mouths other team members (and me!) in front of the patients. She won’t attend CE courses even though I pay her to do so. I have warned her about all of these things several times and she promises to change but never does. It actually seems like she is getting worse. I am wondering if CDA stands for Certified Dental A-hole! What should I do?

Dr. R Fader
Bayonne, NJ

Dr. Fader,

You sure ask a lot of questions for someone from New Jersey. So we have a few for you.

1) Who owns this practice?
2) What kind of dirt does Diana have on you?
3) Why are you so afraid of this person?
4) Are you out of your mind?

As coaches, we rarely go into a practice and recommend firing a team member. That is the reason some people are afraid of coaches, and we recognize that.

However, the situation you describe, if it is indeed accurate, is pretty horrendous. Unacceptable behavior. Multiple warnings. One person bringing down the entire practice. You know what to do. We know what to do. So stop being a wimp. It’s time Diana gets the opportunity to “contribute” somewhere else!!
Coach Rich
Coach Dave

Dr. David Madow and Dr. Richard Madow are actual dentists who have been helping dental offices become more successful for over 28 years. They are down to earth, real people who personally connect with their clients and are proud to call them friends. If you have a question for this column, please write to them at We are now offering a complimentary 30-minute coaching session! Please CLICK HERE to schedule yours. Doctors only please.

The Madow Brothers

Author The Madow Brothers

Event Coordinator at The Madow Group. Hope has broad experience in project planning and execution. Focus on problem solving and increasing efficiency in both large and small business environments. Direct experience with sales and marketing, team management and employee training.

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