Muhalab Al Sammarraie, D.D.S., at the beginning from Baghdad, is a web page dental director at AltaMed Well being Services and products within the Los Angeles house, the country’s greatest federally certified well being middle. Known as a 2023 ADA 10 Below 10 Award winner and an Incisal Edge mag 40 Below 40 Best Dentist in The united states for 2023, he serves as a global lecturer at Universidad De Los angeles Salle Bajio and a preceptor for Tufts College College of Dental Drugs scholars. Dr. Al Sammarraie could also be a member of the ADA Space of Delegates and the 2024-26 ADA Management Institutes. Past medical institution partitions, he champions dental get right of entry to for underserved communities and advocates for insurance policies that support the position of FQHCs in preventive care, extending his efforts to fortify displaced Iraqis.
Call to mind a time you hesitated to talk up — a affected person wondering your remedy plan, a teammate lacking a time limit, a colleague pushing again. We’ve all been there. How we reply shapes our groups, our management and the mark we go away in dentistry. Those moments — explaining a process, guiding a group or easing a affected person’s concern — are the place management starts. For brand new dentists, mastering those conversations can imply the variation between thriving and suffering. My adventure taught me they’re now not stumbling blocks; they’re alternatives. My first lesson? It got here now not in a dental place of work, however on a Baghdad boulevard, going through males who had determined I wasn’t going house that night time.
The dialog that modified the whole lot
Some conversations are about insurance policies. Some are about folks. And a few are about survival. Ahead of I ever stepped right into a management position — earlier than human assets, control or mentorship — I discovered how robust phrases might be. I used to be a dental pupil in Baghdad, stuck in a second after I needed to recommend for my existence.
Baghdad, a cradle of poetry, historical past and science — the “Domicile of Peace” — has lengthy thrived with existence and legacy. However after 2003, its colourful streets, as soon as wealthy with tradition, confronted rising uncertainty. Peace used to be examined, and existence was unpredictable — even for a tender D3 pupil like me, striving for a long term.
I had seconds, now not mins, to suppose, learn the room and make a selection phrases that might shift their intent. I wasn’t a pace-setter then, however I needed to lead my destiny with calm and good judgment. Someway, I walked away. That second didn’t make me a pace-setter. It foreshadowed the abilities I’d spend a decade refining: staying calm, assessing stakes and talking with function.
From survival to management: The facility of conversation
Baghdad’s unpredictability didn’t simply check me; it formed me. Running a couple of jobs to live to tell the tale, I stored a low profile, hoping every travel between house and paintings can be secure. In that chaos, I discovered an sudden trail: HR. That survival intuition carried me into dentistry and HR, the place I found out conversation’s true energy.
What began as a need was my coaching flooring. Negotiating office dynamics, resolving conflicts and main groups taught me that technical talent by myself doesn’t outline nice dentistry. Conversation does. A well-placed phrase can flip a affected person’s concern into consider or a group’s rigidity into solidarity. That’s the basis I’ve constructed my management on.
Management is set viewpoint, now not simply choices
My adventure took me from Baghdad to San Diego, into roles that demanded I navigate management from each perspective. Running throughout numerous environments confirmed me a fact: Management isn’t simply managing folks; it’s managing views.
The methods that labored in a single medical institution needed to adapt in some other. Nice leaders don’t simply come to a decision. They learn the room, modify their message and information with readability. Now, as a dentist, director and mentor, I see this day by day. Each and every tricky communicate — calming a fearful affected person, supporting a suffering colleague or rallying a group — is a check of ways properly we grasp the instant.
Why tough conversations pass mistaken
Ahead of we repair them, let’s see why they fail. I’ve noticed those patterns throughout years and cultures:
1. The blame entice: “You blew it” as opposed to “Let’s repair it”
A affected person as soon as flared up over a billing factor — now not the associated fee, however feeling cornered. Repair it: Shift from blame to contribution. As an alternative of, “This helps to keep going down,” take a look at, “How are we able to make this paintings higher?”
2. Emotion overpowers the function
I’ve noticed teammates bicker over schedules whilst sufferers wait. Repair it: Pause. Am I reacting or main? Take a look at: “I pay attention you — let’s determine this out in combination.”
3. Defensiveness over focal point
Minor gripes can drown out large wishes after we “win” as an alternative of perceive. Repair it: Recognize first. Take a look at: “I see why you are feeling that approach. Let’s discuss what we each want.”
My blueprint: 6 steps to guide with grit and charm
I’ve subtle those steps over a decade. Right here’s what works:
1. Know your function: What are you truly after?
2. Get started with admire: Judgment shuts doorways; admire opens them.
3. Keep cool: Pressure rises; I don’t.
4. Lean on details: Reviews blur; information clarifies.
5. Use “I” statements: “I see this — the place do you stand?”
6. Transfer ahead in combination: Answers stick after we construct them.
When feelings surge: The STATE framework
For prime-stakes moments — an disillusioned affected person, a pissed off teammate — I depend on a device that caught with me from my HR coaching. The use of the guide “A very powerful Conversations” as a information and formed by way of my very own revel in in dentistry, I take advantage of this STATE framework to stay stable when feelings flare:
• Proportion the fundamentals: “The plan modified.”
• Inform your take: “That’s most definitely the impediment, now not you.”
• Ask their view: “What’s this like for you?”
• Communicate tentatively: “I may well be mistaken, however perhaps…”
• Inspire problem-solving: “May just a shift assist?”
A last phrase: Conversations aren’t partitions — they’re doorways
Management wishes steadiness. Moderation brings readability; excellence — now not perfection — lasts. When talks get tricky, I ask: Am I fixing or venting? listening or ready? making area for fact?
I’ve noticed resilience shine, from Baghdad’s enduring spirit to California’s clinics. Tricky conversations aren’t limitations; they’re keys to growth. Form them proper, and your paintings, your folks and your function stand tall. For brand new dentists, that is how we don’t simply lead — we encourage. Take a look at those steps on your subsequent tricky communicate. What works for you? Let’s form dentistry’s long term in combination.


