Lit leadership lessons: How dental professionals can honor boundaries

Fence

By Amisha Singh, DDS

A full day of dental patient care. Payroll waiting to be done. The local PTA meeting to which I probably should have said no. Dinner is not planned and the whole family is hungry. Sometimes in our lives, we feel as though we have no choice but to give, give, give. Everyone needs something, whether it be our team, our patients, our families, or our communities. And as dentists, we are givers. For many of us, it is why we went into this work. However, the adage of “you cannot pour from an empty cup” is truer than ever. We have been pouring on overdrive for the past year and a half plus. We poured through uncertainty and scarcity and fear. We poured for our loved ones, we poured for the patients who needed us, and we poured for the world that was suffering.

Wellness has always been an issue in the world of health professionals, and you will hear me cover it fairly frequently in this column and in my speaking and teaching. But what I want to focus on today is boundaries. Are they the antidote to all of our wellness issues? Not quite, but they help.

I speak from experience. I can remember the first time, as an adult, I learned the word boundary and what it meant. My mind was blown! So wait … I am supposed to draw a line in the sand in front of my parents, my family, my peers, and even my teachers?! I am supposed to put myself first? Without realizing it, I had been operating under the rule that I was expendable. It sounds harsh when you put it like that, but many of us may still be operating on autopilot with that as the underlying rule.

Think about all the decisions you have made in the past week. How many of them, when you had to choose between you and someone else, did you choose yourself? Your rest versus the bake sale for the classroom. Your workout versus fitting in that one last emergency dental patient. Your hydration and bio break versus the endless back-to-back schedule. I don’t know about you but, for the most part, if it is me versus something else, the something else usually wins. But what does this mean over the long term? We all know … it means fatigue, weight gain, high blood pressure, stress, and burnout. But like most poisons that do not kill us outright, we die sip by sip. But we keep continuing to sip.

So I went out seeking a formula for the antidote, the all elusive boundary. And I stumbled upon a blog by Career Contessa (one of my favorites), which held just the formula I was seeking. So I am going to highlight a few of her points and discuss how they apply to us, the givers of the dental world.

Assessing personal boundaries

Before we ever consider work, we have to think about our personal boundaries first. Mostly, because if you are anything like me, I let personal boundaries get violated by work all the time. A patient needs to vent? No problem. A team member needs me to pick up slack? I’m there! And what ends up happening is that I completely press mute on my limits, my feelings, and my needs. So think:

Which of my needs have I not met recently?

What feeling of mine do I need to honor?

Are there promises I made to myself I have broken?

Communicate Upfront

For every boundary, identify who is on the other side and let them know in clear and kind terms where that line is being drawn.

Think:

Which boundaries do I need to set in my personal and professional life? How will I communicate them up front with clarity and kindness?

Do my systems support these boundaries I have created?

Delegate!

There is good work and there is great work. What work can you give to others which will be their great work and will free you up for more of your great work? Got it? Good … now give it away!

Say No!

Think about all the things which you may have said yes to … out of loyalty, out of obligation, out of guilt, out of fear. Write them all down and then cross them off. Make calls, send emails, do what you need to remove them from your plate. They deserve to be done by someone who is passionate about them. And you deserve that time back.

Take time off.

I know, it feels impossible. It feels not do-able. But it is. I will give you the life-changing advice I once got from one of my favorite mentors (guess who … his last name rhymes with “ice”): Schedule the important stuff first. Dr. David Rice blocks his schedule for things that matter most like rest, family time, and self-care. I took a page out of his book (sometimes I falter, but I still try) and it has been life-changing!

What other advice do you have about boundaries? What has worked for you? Share below!

NEXT READ: Leadership lesson: The power of creativity

Note: “Autumnal fence off The Grove ~ South Farnborough” by Polyrus is licensed with CC BY-ND 2.0. To view a copy of this license, visit https://creativecommons.org/licenses/by-nd/2.0/

BONUS ON BOUNDARIES

Anastasia Turchetta recently gave a fascinating talk on the importance of boundaries during an Ignite retreat. Watch the video below to hear her thoughts.

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Testimonials

Rosie, RDH

Rosie, RDH

I had the pleasure of working with Candy as a dental hygiene consultant over the course of several months, and her...
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Rosie, RDH

I had the pleasure of working with Candy as a dental hygiene consultant over the course of several months, and her impact on both our hygiene department and overall practice was exceptional. Candy is highly knowledgeable, approachable, and genuinely invested in the success of the team. She is an excellent listener who takes the time to understand challenges and provide practical, effective solutions. One of the qualities I appreciated most was her accessibility, she was always available to answer questions, offer guidance, or return a call when needed. Her hands-on approach and commitment to helping our team succeed were evident in every interaction. Candy’s focus extends beyond productivity and practice growth; she truly cares about the people within the practice and works to create a supportive, collaborative environment. As a fellow dental hygienist, it was especially refreshing to work alongside someone who shares a similar philosophy and approach to patient care, team development, and practice success. We view many aspects of dentistry and hygiene through the same lens, which made collaboration seamless and productive. Having the opportunity to work with another hygienist who understands the challenges, opportunities, and importance of our role was invaluable. The hygiene modules she developed were incredibly valuable. They were well organized, easy to follow, and provided clear, actionable guidance. The accompanying handouts and resources gave our team the tools and confidence needed to implement new concepts successfully. Her training materials were practical, relevant, and tailored to the real-world needs of a busy dental practice. Candy’s expertise and dedication to excellence have made a lasting impact on our team. I would highly recommend her to any dental practice looking to strengthen its hygiene department, improve systems, and support the growth and success of its team. She is a true asset to any practice fortunate enough to work with her.
Rosie, RDH
Dr. Justin Elikofer

Dr. Justin Elikofer

Our story with IgniteDDS began almost five years ago when my wife and I purchased an established fee-for-service practice. At...

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Dr. Justin Elikofer

Our story with IgniteDDS began almost five years ago when my wife and I purchased an established fee-for-service practice. At the time, we promised the team that everything would stay the same. The practice was thriving, and from the outside it seemed clear they had found a successful recipe for success. Our goal wasn't to change it—we simply didn't want to mess it up.

What we discovered was that while everyone wanted the outcome of success, there wasn't alignment around how we achieved it or measured it. Success in room 1 wasn't the same as Room 2. It took us nearly four years to fully understand that because we were doing well. During that time, we also realized we weren't leading as effectively as we could have been. We weren't communicating a clear vision, establishing consistent standards, or implementing clear protocols. Instead, we allowed people to continue doing things their own way. Some team members appreciated that freedom, while others felt frustrated by the lack of consistency and direction.

After four years, we found ourselves at a crossroads. We felt stuck. Morale was low and we weren't sure we could get the practice where we wanted it to go on our own.

As owners who value relationships as much as results, David immediately stood out to us. His personality was authentic, approachable, and trustworthy. He was someone we could see ourselves learning from and building a genuine relationship with. Being local was a bonus, but what really resonated with us was that his vision for practice growth, demonstrated through his own private practice, closely mirrored our own. He had already built the type of practice we wanted to create.

This stood in contrast to many other consultants we spoke with, whose focus seemed to be on PPO models and increasing volume. David's experience aligned with the type of practice we wanted to build: a high-touch, high-end patient experience centered on quality rather than quantity.

The IgniteDDS team—David, Dawn, and Candy—started by helping us understand where we truly stood. Through discovery, data gathering, and DISC assessments, they helped us identify opportunities for improvement and build a foundation for long-term growth. Rather than jumping straight to solutions, they gave us clarity.

Candy's coaching was instrumental in aligning our hygiene department and our office as a whole with the hygiene department. With her help, we were able to improve the patient experience and new patient process.

We also tackled practical issues that had become major challenges, including an accounts receivable system that was largely out of control. IgniteDDS didn't just point out problems—they provided systems and processes to solve them.

One of the most valuable aspects of the relationship was having experienced coaches to help us navigate team conflict and leadership challenges. As practice owners, those situations can feel isolating. Having a trusted team to walk through difficult conversations and decisions was invaluable.

Another large impact came through our office managers' work with Dawn. Rather than relying on the doctors to drive every initiative, IgniteDDS empowered our office managers to take ownership of the process and lead from within the organization. They embraced that responsibility wholeheartedly. No challenge was too large or too small. Dawn consistently met them where they were and helped them develop the confidence and skills to lead. The answer was rarely, if ever, "no." Instead, it was, "Let's figure out how."

Today, our practice is more aligned, more accountable, and better equipped to deliver the experience we've always envisioned. We have clearly defined protocols, team agreements, and expectations that simply didn't exist before. Our collections have improved significantly, particularly through implementing systems that helped us address and recover outstanding balances.

If we could offer one piece of advice to another practice owner considering IgniteDDS, it would be to identify the team members who are willing to take ownership and invest in their growth. Share your vision with the IgniteDDS team, trust the process, and allow them to help shape your team into the organization you want to become.

Working with IgniteDDS has been one of the most impactful investments we've made in our practice, our team, and our own growth as leaders. Are things perfect? No. Are we closer? Absolutely, yes!

Dr. Justin Elikofer
Dr. Sanjie Jackson

Dr. Sanjie Jackson

I was running on empty, and honestly, everyday I thinking of my exit strategy when I met Dr David Rice. ...
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Dr. Sanjie Jackson

I was running on empty, and honestly, everyday I thinking of my exit strategy when I met Dr David Rice. As the sole owner of two dental practices, I knew I couldn't continue trying to do everything on my own. Not if I wanted to grow and lead at a higher level. Partnering with IgniteDDS has been, hands down, one of the best investments I've made for both my practices and my team. Just halfway through my first year with IgniteDDS, the impact has already been remarkable. The knowledge, systems, accountability, and leadership development they have provided have transformed the way we operate. Not only have I gained valuable tools and insights as an owner, but my entire team is getting empowered with skills and confidence that are helping us elevate every aspect of our patient experience and practice performance. What sets IgniteDDS apart is the genuine commitment they have to their clients' success. Their guidance is practical, actionable, and tailored to the everyday realities of me running two dental practices. I am incredibly grateful for Dr. David Rice, Dawn, Candy, and the entire IgniteDDS team. Their expertise, continuous encouragement, and unwavering support have made me feel like I am not alone on this journey. If you're a practice owner looking to strengthen your leadership, improve your systems, and create sustainable growth, I cannot recommend IgniteDDS highly enough. The value they provide is truly exceptional, and I am excited to see what the rest of this journey brings.
Dr. Sanjie Jackson
Alyse Berta

Alyse Berta

Dawn, thank you for the great advice and guidance you’ve shared as we work on improving our practice's efficiency. I...
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Alyse Berta

Dawn, thank you for the great advice and guidance you’ve shared as we work on improving our practice's efficiency. I truly appreciate your support and the time you’ve taken to help us move forward in a more streamlined and effective way. Your insight has been incredibly valuable and is helping us make meaningful progress.
Alyse Berta
Dani S.

Dani S.

IGNITEDDS has made a real difference in our practice and in my role as office manager. The support I’ve received has...
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Dani S.

IGNITEDDS has made a real difference in our practice and in my role as office manager. The support I’ve received has helped me grow with more confidence and clarity, and our systems and leadership have improved because of it. Dawn has been an incredible support to me personally, always present, approachable, and truly invested in our success. I never feel alone when challenges come up, and that level of guidance and encouragement has been invaluable. IGNITEDDS doesn’t just support practices; they support the people behind them.
Dani S.
Eva B.

Eva B.

Working with IGNITEDDS Coaching has been such a great experience! Having David as a dentist makes a huge difference. He truly...
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Eva B.

Working with IGNITEDDS Coaching has been such a great experience! Having David as a dentist makes a huge difference. He truly understands the day-to-day challenges we face in practice. His insight makes their guidance practical, relevant, and easy to implement. Working alongside Dawn has been such a gift! She’s always available to answer questions, talk through ideas, and help us find the right solutions. Her advice is thoughtful, effective, and supportive. It hasn’t just helped me, it’s positively impacted our entire team and elevated our patient experience. I’m incredibly grateful to partner with Ignite as we continue to grow, strengthen our team, and serve our patients at a higher level.
Eva B.
Kylinn Tucker, RDH

Kylinn Tucker, RDH

I had an amazing experience with the IGNITEDDS Coaching program. Especially since I am a new hygienist, everything...
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Kylinn Tucker, RDH

I had an amazing experience with the IGNITEDDS Coaching program. Especially since I am a new hygienist, everything you guys shared was so helpful. It’s evident that you guys prioritize each individual team member of a dental office and do everything you can to make the environment and schedule run as smoothly and efficiently as possible. I learned so much about treatment planning, Dentrix, scheduling, teamwork, and overall ways to continue improving as a new grad. I wish every dental office had the opportunity to complete this program.
Kylinn Tucker, RDH
Dr Ben Truong

Dr. Ben Truong

It was great working with a team to help bring out the best in each of us. Our team is ...
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Dr. Ben Truong

It was great working with a team to help bring out the best in each of us. Our team is small, but we work closely together to provide a great patient experience, while having fun at work as well! Your team was able to help us learn to work together, with each person having a vital role in providing care to the patient! Helping us all become streamlined and on the same page will help us become an even more successful practice!
Dr Ben Truong
Dr. Ronnetta Sartor

Dr. Ronnetta Sartor

The 90-Day Jump Start has been transformative for our office. Dawn and Dr. Rice guided us through implementing essential systems ...
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Dr. Ronnetta Sartor

The 90-Day Jump Start has been transformative for our office. Dawn and Dr. Rice guided us through implementing essential systems and processes, from new patient calls to treatment planning and case acceptance. Their focus on patient care and team accountability has helped us create better structure, improve work/life balance, and stay aligned with our goals. In a short time, our practice has grown tremendously.
Dr. Ronnetta Sartor
Dr. Chandler Oldenburg

Dr. Chandler Oldenburg

IGNITEDDS has been truly transformative for our practice. Within just a few months, our accounts receivable collections increased by $30K, ...
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Dr. Chandler Oldenburg

IGNITEDDS has been truly transformative for our practice. Within just a few months, our accounts receivable collections increased by $30K, and our operations became far more streamlined. Their clear procedures and policies gave our team structure and confidence, while their step-by-step ownership guidance addressed our specific challenges. Thanks to David and Dawn, we feel more organized, empowered, and aligned than ever before. I highly recommend IGNITEDDS to any practice ready to grow and strengthen its foundation.
Dr. Chandler Oldenburg

Amisha Singh

Dr. Amisha Singh is a Denver native and loves living in beautiful Colorado. She founded a scratch start dental practice, Smile Always Dental, in Parker, CO. While in dental school, she was the founder of the first diversity-oriented, nationally-based organization in the school and her passion for organized dentistry continues. She is now an active member of the ADA, CDA, and MDDS. She serves on the CDA House of Delegates, on the ADA Dental Wellbeing Advisory Committee, and on the MDDS and CDA Membership Councils. She is the CDA New Dentist Committee Chair for Colorado. She is also a blogger and professional speaker who works with IGNITEDDS to inspire other dental professionals and provide the resources to be the best clinicians possible. She writes for numerous publications, serves on the junior editorial board for Dental Entrepreneur Women’s magazine, the Dental Economics Editorial Advisory Board, and as co-editor of the MDDS Articulator. She is the AVID Healthcare Liaison for Denver Public Schools and teaches a success series integrated into the curriculum of underprivileged middle school youth to aspire them to careers in healthcare. She was also a workforce diversity consultant for the Colorado Department of Public Health and worked to help recruit underrepresented minorities to the professions of dentistry and medicine. She also serves as an ADA Success Speaker, participates in the ADA Institute of Diversity in Leadership, and is the founder of the CDA Diversity in Leadership program. She was recognized as one of the 2018 10 Under 10 Top ADA Dentists nationally. She also believes in innovation and serves her profession as a DMG Young Key Opinion Leader. Her passion is encouraging entrepreneurial spirit, inspiring others and she wants to dedicate her life to helping make dentists and patients alike be better, healthier, more empowered people. When not practicing dentistry, she loves to get lost in a good book, cook, and do all things creative.

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