Stop the Revolving Door: Rethink Your Onboarding Strategy 

By: Dawn Patrick, Dental Practice Coach + Director of Operations IgniteDDS 

In a busy dental practice, it’s easy to assume a new hire will “figure things out” after a few shadowing shifts. But that’s a fast track to burnout—for the new team member and for the team trying to train them on the fly.

Onboarding Systems for New Hires That Set Clear Expectations 

A well-structured onboarding system helps your practice avoid costly turnover, build team confidence, and ensure every patient experience stays consistent. 

That’s why a 30/60/90-day onboarding plan is more than a training checklist—it’s a blueprint for success. 

Why Structured Onboarding Matters 

The first 90 days are critical in setting expectations, establishing trust, and building momentum. When a new team member knows what success looks like at each stage, they feel supported—not overwhelmed. 

In dental practices, where systems and patient care are tightly connected, onboarding helps:

  • Clarify roles and reduce confusion 
  • Prevent repeated mistakes or misunderstandings 
  • Free up other team members from constant, reactive training 
  • Build long-term loyalty and a strong team culture 

How to Design an Onboarding System That Works 

1. Start Before Day One 

Send a welcome email with:

  • A brief intro from the doctor or office manager 
  • First day logistics (arrival time, who to ask for, lunch plans, etc.) 
  • Dress code, team photo, and daily schedule 
  • Practice values or mission statement 

2. Assign a Mentor or Training Buddy 

Choose someone in the same or similar role who can answer day-to-day questions, model systems, and offer support. This builds connection and trust from the start. 

3. Create a Customized Training Binder or Digital Guide 

Include: 

  • Office login credentials 
  • Phone scripts and communication expectations 
  • Checklists by week and by role 
  • Paperwork (time-off forms, policy summaries, etc.) 
  • A space for notes and questions 

Your 30/60/90-Day Onboarding Framework 

Here’s a sample structure you can adapt for clinical or administrative roles: 

Days 1 to 30: Learn and Observe 

Goal: Introduce systems, culture, and routines. Prioritize shadowing and learning, not perfection. 

Benchmarks

  • Complete OSHA/HIPAA compliance training 
  • Shadow each team member’s workflow
  • Learn clock-in/out procedures, office software basics 
  • Observe 5+ patient handoffs 
  • Understand scheduling protocols and role responsibilities 

Days 31 to 60: Practice and Participate 

Goal: Begin performing core tasks with supervision. Reinforce communication skills. 

Benchmarks

  • Assist with or complete role-specific duties (with support) 
  • Use verbal skills and scripts during real patient interactions 
  • Participate in morning huddles and team meetings 
  • Weekly check-ins with the team leader or doctor 
  • Start working more independently in scheduling, charting, or setup 

Days 61 to 90: Own Your Role 

Goal: Operate with confidence, consistency, and accountability.

Benchmarks

  • Fully manage daily responsibilities in your role 
  • Handle patient conversations independently 
  • Complete a self-assessment or reflection form 
  • Final 90-day review with feedback and clear next steps 
  • Identify goals for ongoing growth or cross-training 

Tips for Long-Term Success

  • Consistency is key: Use the same system for every new hire. Update as needed.
  • Celebrate progress: Acknowledge small wins in team meetings or morning huddles
  • Avoid info dumps: Spread training out to prevent overload. 
  • Document everything: Keep checklists and notes in each team member’s file. 
  • Ask for feedback: New hires often have the best insights into what’s missing in your current system. 

Conclusion: Strong Starts Create Strong Teams 

Your new team member wants to succeed—your onboarding plan helps them do it. A thoughtful 30/60/90-day process doesn’t just train someone, it tells them, “You matter here. We’re invested in your growth.” 

And that investment? It pays off with lower turnover, better systems, and a team that truly works together. 

Would you like a 30/60/90 downloadable checklist resource for onboarding new hires?

Keep Reading: How Clear Agreements Create a Thriving, Accountable Dental Team

Photo by RDNE Stock project

Dawn Patrick

Dawn Patrick

Dawn has 30+ years of dental experience spanning all facets of dentistry including pediatric, cosmetic, complete health, and sleep. During her career, Dawn enjoyed 25 years in practice management including marketing, team training, and consulting. She joined IgniteDDS in June 2022 as Director of Operations. Dawn enjoys working directly with teams and customers to create a win-win. She is passionate about creating systems and processes that allow teams to excel. In her spare time, Dawn enjoys time with family, her two Goldendoodles, and traveling with her husband, Jon.