7 of 13 things that annoy your staff: The unfulfilled promise of change.

It's why many veteran staff members no longer want to attend seminars.

There's nothing quite as inspirational as learning some new idea that could deliver better patient care, make the job more enjoyable, improve efficiencies or incorporate some innovation. And nothing quite as demotivational as then having it dismissed out of hand by a boss who may be uncomfortable with change or prefers things just as they are.

Maybe it's a bad idea. Maybe you've tried it before. Maybe it's too disruptive. There can be countless legitimate reasons why you wouldn't want to even test the idea.

But you'll want to be careful. Spike too many of these suggestions and they're sure to stop coming and any emotional investment in the practice will come to a screeching halt as well.

It turns "our" practice into "my" practice.

Bill Esteb has been a chiropractic patient and advocate since 1981. He is the creative director of Patient Media and the co-founder of Perfect Patients. He’s been a regular speaker at chiropractic gatherings since 1985. His 12 books explore the doctor/patient relationship from a patient's point of view. His chiropractic blog, coaching program, patient focus groups and consulting calls have helped hundreds of chiropractors around the world. Since 1999 Monday Morning Motivation has been emailed to over 10,000 subscribers each week.