Resolve Dental Consultancy
Difficult Conversations Guide 2026
Difficult Conversations Guide 2026
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A Script-Based Guide for Dental Practice Managers to Have the Conversations That Make or Break a Team
- Step 1 — Prepare: Write down the specific behaviour, the impact, the outcome you want, and how they might respond. Have documentation ready. Choose the right time and place.
- Step 2 — Open: Name what the conversation is about immediately. Includes an exact opening script — "I wanted to have a private conversation with you about something I've been observing. I want to be straightforward with you because I respect you, and I think you deserve honest feedback."
- Step 3 — Explore: Ask a genuine question and listen. Includes a summarising script and a reminder that genuine listening changes outcomes.
- Step 4 — Clarify: Be specific about what needs to change and by when. The step most PMs avoid — includes an exact script for the specific ask and the follow-up date.
- Step 5 — Follow Up: Schedule a follow-up before you leave the conversation. Document immediately. Acknowledge improvement or escalate non-improvement.
- Persistent Lateness — 3+ documented instances; includes the exact script for the commitment conversation
- Poor Phone Manner — curt, disengaged, or unprofessional; includes a script that leads with empathy, not accusation
- Performance Not Improving After First Conversation — formal verbal warning territory; includes the escalation script
- Interpersonal Conflict Between Two Team Members — individual conversations first; includes the "what would need to happen" script
- Suspected Bullying or Intimidation — legal obligations explained; includes guidance on consulting the Practice Owner before acting and the initial conversation script
- Resistance to Change — vocal resistance undermining a new system; includes the script for hearing concerns while holding the standard
- Hygiene or Personal Presentation Issue — the most uncomfortable conversation; includes a compassionate, private script
- Poor Clinical Documentation — AHPRA compliance risk; includes the script linking documentation to personal medico-legal risk
- Team Member Going Through a Personal Crisis — a care conversation, not a disciplinary one; includes the "I'm asking because I genuinely care" script and how to address performance alongside support
- Ending a Probationary Employment — includes a clear caution to seek legal advice before proceeding and a brief, direct, compassionate termination script
- Practice Managers who find difficult conversations uncomfortable and want a clear, scripted framework to follow
- PMs who have been avoiding a conversation they know they need to have
- Practice Owners who want their PM to lead the team with confidence and consistency
- Any PM who has ever had a conversation that went sideways because they were not prepared
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I used to dread difficult conversations — performance issues, attitude problems, personal hygiene concerns. This guide gave me a framework and the actual language to use. The preparation checklist, the conversation structure, and the follow-up process have made these conversations much less stressful and much more productive. I've used it four times in the past two months.
I had a long-serving team member whose performance had deteriorated significantly and I'd been avoiding the conversation for months. This guide gave me the framework, the language, and the confidence to have it properly. The conversation was difficult but it went well — we agreed on a clear improvement plan and the team member's performance has improved. I don't think I could have managed it as well without this guide.
The example scripts in this guide are the most useful part. They show you exactly how to open a difficult conversation, how to state the issue clearly, how to listen, and how to agree on a way forward. The language is respectful and professional without being soft. I've adapted several of them for real situations and they've worked well.
I've recommended this guide to four other practice managers since buying it. Difficult conversations are the part of the PM role that most people find hardest and this guide addresses them in a way that's practical, empathetic, and genuinely useful. The framework works for performance issues, interpersonal conflicts, and personal matters. Essential reading.
The preparation checklist in this guide is something I now use before every difficult conversation. It helps me clarify the issue, gather the relevant facts, think about the other person's perspective, and plan how to open the conversation. Going in prepared makes an enormous difference to how these conversations go. Highly recommend.