Confessions from a specialty office: There’s more to collaboration than a referral

Vector of two doctors putting puzzle pieces together a symbol of team work and collaboration
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Collaboration between healthcare professionals is crucial for optimal client care. However, in my experience working in a specialty office, I frequently observe information gaps, miscommunication, and unclear roles and responsibilities, which can lead to confused staff and patient dissatisfaction. To ensure a smooth experience for both the patient being referred and the involved offices, it is crucial to avoid the following mistakes when collaborating with a specialty office.

Miscommunication

If your office does not have a referral protocol, take the initiative in creating one. Using a standard referral form and ensuring they are complete and legible, including all patient information, radiographs with dates taken, and any photos. A preferred contact method is essential here too, as people may now choose to receive a text message or email to book their appointment. A final touch on any referral would be a phonetic spelling of the patient’s name or any preferred name that the patient uses. Visit this link for a template to implement into your office today or use it as a guide to create your own!

Communicating between offices is also an essential factor to discuss. Does the doctor want to provide their email as a direct link or is calling the office to discuss with other team members an accepted means of communication? If multiple patients are to be referred to the same office, consider investing in a secure shared practice management platform. Clearly define how updates and treatment outcomes will be communicated. Establish a routine to review cases, especially those requiring long-term co-management.

Unclear roles and responsibilities

Ensuring everyone on both teams knows their roles and responsibilities is crucial in achieving patient-centred care. Defining roles for the referring doctor, specialist, dental hygienist, assistants, treatment coordinators, and office management team members is essential, as they must understand not only their roles but also their boundaries. This ensures the patient receives consistent care without overlap or gaps in service.

Lack of professional relationships

Strong professional relationships are the foundation of successful collaboration. Regular check-ins are crucial for maintaining rapport and can even open up possible opportunities for joint continuing education. No matter how seamless your referral system is, issues are bound to arise. Addressing them respectfully and constructively helps resolve misunderstandings quickly and maintains professionalism. Finally, maintaining a mutual respect by acknowledging others’ expertise and values is crucial in maintaining a positive working relationship.

Not prioritizing patient-centred care

Ensure that all offices use consistent language when discussing treatment plans with patients. Perfected materials, treatment sequencing, and aesthetic outcomes should all be coherent among all treatment providers. Educate your patient together and reinforce each other’s recommendations to achieve patient confidence.

Effective collaboration is about building partnerships grounded in trust, communication, and shared goals. By respecting each other and always putting the patient first, teams can deliver extensive coordinated care that benefits everyone involved.


Liisa is a registered dental hygienist with almost 20 years of experience specializing in orthodontics. Her extensive knowledge led her to become the Orthodontic Curriculum lead at RDHU. She is a published author with articles in Oral Hygiene and OH Canada Magazines, earning her a Reader’s Choice Award nomination. Outside the operatory, she is a Certified Personal Trainer, Pilates Mat instructor, and Healthy Eating and Weight Loss Coach. Although Liisa loves to travel, she is a true homebody who enjoys spending time with her husband, two children, and her dog.