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	<title>The Practitioner&#039;s Journey &#187; patient quality</title>
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		<title>How To Deal With Your Next Practice Ultimatum</title>
		<link>http://practitionersjourney.com/2010/10/how-to-deal-with-your-next-practice-ultimatum/</link>
		<comments>http://practitionersjourney.com/2010/10/how-to-deal-with-your-next-practice-ultimatum/#comments</comments>
		<pubDate>Mon, 11 Oct 2010 13:11:27 +0000</pubDate>
		<dc:creator>Dan</dc:creator>
				<category><![CDATA[partners and associates]]></category>
		<category><![CDATA[patient quality]]></category>
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		<guid isPermaLink="false">http://practitionersjourney.com/?p=1073</guid>
		<description><![CDATA[A friend once told me to never be held hostage to ultimatums. It&#8217;s good advice. They never lead anywhere good. You&#8217;d be surprised, though, at how often they appear in practice. Your staff member says, &#8220;I need a raise, or I quit.&#8221; Your associate says, &#8220;I need a bigger share, or I&#8217;m leaving.&#8221; Your patient [...]


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			<content:encoded><![CDATA[<!-- Start Shareaholic LikeButtonSetTop Automatic --><div style="clear: both; min-height: 1px; height: 3px; width: 100%;"></div><div class='shareaholic-like-buttonset' style='float:none;height:30px;'><a class='shareaholic-tweetbutton' data-shr_count='none' data-shr_href='http%3A%2F%2Fpractitionersjourney.com%2F2010%2F10%2Fhow-to-deal-with-your-next-practice-ultimatum%2F' data-shr_title='How+To+Deal+With+Your+Next+Practice+Ultimatum'></a><a class='shareaholic-fblike' data-shr_layout='button_count' data-shr_showfaces='false' data-shr_href='http%3A%2F%2Fpractitionersjourney.com%2F2010%2F10%2Fhow-to-deal-with-your-next-practice-ultimatum%2F' data-shr_title='How+To+Deal+With+Your+Next+Practice+Ultimatum'></a></div><div style="clear: both; min-height: 1px; height: 3px; width: 100%;"></div><!-- End Shareaholic LikeButtonSetTop Automatic --><p>A friend once told me to never be held hostage to ultimatums. It&#8217;s good advice. They never lead anywhere good.</p>
<p>You&#8217;d be surprised, though, at how often they appear in practice.</p>
<ul>
<li>Your staff member says, &#8220;I need a raise, or I quit.&#8221;</li>
<li>Your associate says, &#8220;I need a bigger share, or I&#8217;m leaving.&#8221;</li>
<li>Your patient says, &#8220;I&#8217;m not coming in unless you stay open late.&#8221;</li>
</ul>
<p>None of these are unreasonable things for someone to <em>want</em>, but when they come as ultimatums, they forgo discussion and ruin relationships. Once you give into one ultimatum, you can be sure there are others to follow.</p>
<p><strong>Why We Give In To Ultimatums</strong></p>
<p>One word: <em>fear</em>.We have a tendency to fold when presented with an ultimatum because we&#8217;re afraid of the consequences of staying strong.</p>
<ul>
<li>We&#8217;re afraid that we can&#8217;t live without the person making the ultimatum. <em>I can&#8217;t pay my bills without this person&#8217;s help/rent/percentage.</em></li>
<li>We&#8217;re afraid that we&#8217;re in the wrong. <em>They&#8217;re probably right. I have been giving too little.</em></li>
<li>We&#8217;re afraid we&#8217;ll be disliked. <em>If I don&#8217;t agree, then I&#8217;m a bitch.</em></li>
</ul>
<p>The truth: <em>ultimatums hold you hostage</em>. You might think you can&#8217;t live without someone, but the reality is that once you give in to a no-choice demand, you can&#8217;t live <em>with</em> them for any length of time.</p>
<p>Ultimatums are the grown-up version of a temper tantrum. They don&#8217;t belong in your practice.</p>
<p><strong>How To Deal With Your Next Ultimatum</strong></p>
<p>Does this mean that every ultimatum means you break up? Not necessarily. Often ultimatum-givers a) don&#8217;t realize quite what they&#8217;re saying; or b) don&#8217;t realize that you might actually stand up to a bully. Once they&#8217;ve been enlightened, they may change their position. Here&#8217;s how to bring the light.</p>
<p><strong>1. Restate the Ultimatum in Simple Terms</strong></p>
<p>Ultimatums often wear disguises. They come as veiled threats, where the subtext says, &#8220;or else&#8221; but the surface conversation is more passive.</p>
<p>Your first step is to drag the subtext into the light. Clarify by saying, &#8220;Just to be perfectly clear, my understanding is that you are leaving unless I do X.&#8221; <em><strong>Important</strong></em>:<em> This is NOT a question. It&#8217;s you restating what you heard. Before they respond, you need to move to the next step.</em></p>
<p><strong>2. State Your Position on Ultimatums<br />
</strong></p>
<p>Follow that same phrase with, &#8220;If this is an ultimatum, then I accept your resignation/decision to leave/etc. If you&#8217;d like to discuss ways we can continue to work together, though, I&#8217;d be happy to do that.&#8221; Ideally, this sentence follows the previous with no break.</p>
<p>The goal here is simple: to clarify that an ultimatum means <em>goodbye</em>, plain and simple. You need to be clear that an ultimatum has no power in your relationship other than to end it.</p>
<p><strong>3. Stand Firm</strong></p>
<p>More often than not, the first two steps will result in some serious backpedaling on the part of the ultimatum-giver. If they don&#8217;t, then stand firm. If this really is an ultimatum, then accept their offer. Say goodbye. Thank them for the relationship to date, and move on.</p>
<p><strong>Remember: </strong>The only way for the first two steps to work is if you are truly strong in your resolve to say goodbye to ultimatums. <em>Don&#8217;t be afraid</em>. No one is indispensable.</p>
<p>Ultimatums are black and white, one-sided demands that have no place in a healthy practice. Don&#8217;t be held hostage.</p>
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