Ambiguity: The Culture Killer

June 16, 2025
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“If culture eats strategy for breakfast,” then ambiguity is what gives culture heartburn.

Culture isn’t posters on the wall. It’s not a laminated “Mission Statement” forgotten behind a plant in the breakroom. Culture is what your team does when you’re not in the room. It’s the values you actually live—not the ones you say you do.

And values, by definition, are non-negotiable.

Take a moment to consider this: If your values can be bent, blurred, or brushed aside based on convenience, then they’re not values—they’re just vague suggestions. And that’s where ambiguity creeps in like a slow gas leak. Silent. Subtle. Toxic.

A Tale of Moral Clarity

The New Testament doesn’t shy away from addressing ambiguity head-on. In fact, it tells the story of a crusade against it—four times over. In the Gospels of Matthew, Mark, Luke, and John, we find Jesus flipping tables in the temple, enraged at the money changers exploiting the faithful.

Quoting the prophet Isaiah, Jesus declares, “My house shall be called a house of prayer, but you make it a den of robbers”(Matthew 21:13).

There was no confusion about where he stood. No ambiguity. He didn’t call a meeting. He didn’t form a committee. He drew a line.

What About Your Practice?

Unfortunately, too many dental practices today are temples of ambiguity. We say one thing… and do another.

Let’s talk about a few ways this shows up:

“Respect” as a core value? Then why are patients left waiting 20 minutes past their appointment time? Why is the team regularly asked to stay late without notice? Actions speak louder than framed values.
“Teamwork” on your website? But Sarah shows up late again and no one says a word because “she’s the best assistant we’ve ever had.” Translation? The rules don’t apply to everyone equally.
“Integrity” in the new hire packet? Yet the back office quietly bills out a procedure a little differently “just this once” to help the numbers. And everyone looks the other way.

Each of these sends a crystal-clear message—just not the one you intended.

Ambiguity Breeds Anxiety

When values are unclear or inconsistently enforced, people get confused. Confusion creates mistrust. Mistrust creates silos, politics, and toxic workarounds. And pretty soon, you’re not leading a team—you’re refereeing a turf war.

Even worse? Patients notice. They can feel when a team is out of sync, when communication is off, or when people are just going through the motions. That “vibe” they feel? That’s culture. Or the lack of one.

Culture Needs Clarity

Clarity doesn’t require perfection. But it does require consistency.

Here’s what that looks like in practice:

If “respect” is a value, then that includes respecting everyone’s time—patients and team members alike. That may mean redesigning your schedule, cutting off late patients, or rethinking how you manage emergencies.
If “teamwork” is a value, then no one is above accountability. Not even your best assistant. Especially not your best assistant.
If “integrity” is a value, then billing, clinical documentation, and communication with patients must align—even when it’s inconvenient.

So, How Do You Begin?

Start by looking in the mirror.

Ask yourself:

Where am I tolerating behavior that contradicts our stated values?
Where have I sent mixed messages—verbally or by omission?
Where am I expecting others to uphold values I’m not living out myself?

And then… draw your line. Flip a proverbial table if you need to.

Because ambiguity may not show up on your P&L—but it’s poisoning your culture from the inside out.

And a culture built on clarity? That’s what eats ambiguity for breakfast.


Want help translating your practice values into real behaviors and systems your team can rally around? Let’s connect. Culture isn’t something you hope for—it’s something you build. On purpose. Book a 20-minute Clarity Session with me and let’s start making your values undeniable.

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Dr. Michael Goldberg is one of the leading educators on dental practice management in the United States.

Michael ran and sold a prestigious group practice in Manhattan and has been on Faculty at Columbia University and New York-Presbyterian Medical Center for 30 years including Director of the GPR program and Director of the course on Practice Management.

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