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

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Testimonials

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...
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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
Dr. Layla Lohmann

Dr. Layla Lohmann

Working with Dr. David Rice through IGNITEDDS was a game-changer for our Doctor Development Program. We have a solid foundation ...
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Dr. Layla Lohmann

Working with Dr. David Rice through IGNITEDDS was a game-changer for our Doctor Development Program. We have a solid foundation with our business content and organizational support, but Dr. Rice brought in the critical pieces that truly completed the puzzle. His seamless integration of dental expertise, vendor relationships, and mentorship made an undeniable impact.
Dr. Layla Lohmann
Dr. Brad Eller

Dr. Brad Eller

Dr. Rice brought fresh ideas and meaningful structure to our doctors and offices from day one. He leads every...
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Dr. Brad Eller

Dr. Rice brought fresh ideas and meaningful structure to our doctors and offices from day one. He leads every discussion with knowledge, enthusiasm, empathy, and motivation that truly resonates. He challenged everyone to step outside their self-made boxes and sparked a renewed drive to grow and improve. His approach is humble, yet it’s clear he has discovered a better, more fulfilling way to live and lead. He inspires you to become a stronger version of yourself while embracing every opportunity. His realistic roadmap and focus on balancing success with personal happiness made our inaugural Catalyst program impactful.
Dr. Brad Eller
Dr. Andrew Le

Dr. Andrew Le

Dr. David Rice and IGNITEDDS is just what every young dentist needs! He is extremely helpful in both the clinical ...
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Dr. Andrew Le

Dr. David Rice and IGNITEDDS is just what every young dentist needs! He is extremely helpful in both the clinical and business side of dentistry. His genuine kindness is contagious and he just makes you want to keep striving for the best.
Dr. Andrew Le

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