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Troy Cole

Sales Coaching for Refractive & Cataract Surgery Teams

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“Covert Content” and the Attention Economy

The holiday shopping season is always a stark reminder of how every day, hundreds of corporations are vying for our attention.

And yes I’m talking about advertisements, but that’s not all. It’s all the subscription networks on your SmartTV – Paramount+, Disney+, Peacock, Netflix. And the app alerts you constantly receive on your phone from social media, news apps, and more.

Think about it – even YouTube, your go-to email app, your local radio station… they all want a piece of the hottest commodity on the market – Your Attention.

(Not-so-Fun Fact: Companies like Facebook, Instagram and TikTok employ teams of psychologists whose sole job is to make their apps more addictive. To keep and increase your attention.)

And in the same way, you’re trying to get the attention of your prospective patient. And you leverage these media channels / apps to do it.

Think of social media / google / radio / tv / various media as attention aggregators. They get the attention, then they direct that attention to companies that market on their platforms (I.e. your practice).

Once THEY have attention, they can direct it to you. Once YOU have your prospective patients’ attention, you can direct it to the action you want them to take.

Anyone who can’t attract attention, does not pass “GO.” They’re not even in the game.

If you consider how much NOISE is out there… and how it’s going to get even noisier in 2024 with the election noise…

The question them becomes, “How can we send a SIGNAL that cuts through all that NOISE?”

This is where Covert Content comes in.

The term :Covert Content” is loosely defined as “Brand materials, messages and creative that fly under the ‘Marketing Radar’ of your target consumers.”

Our minds are insanely powerful assets. They keep us breathing, keep us safe and keep us from getting completely overwhelmed by the never-ending stimuli that bombard our senses literally every waking moment.

(Think about it, you wake up, check your phone, and there’s ALREADY notifications from news, email, social media, the weather app and calendar reminders. It’s truly every waking moment…)

How do our brains keep us somewhat on track amidst this battle for our attention?

By subconsciously (and sometimes consciously) sorting through the noise to attempt to identify what is important (i.e. what demands attention) and what can be ignored.

You look into a vast forest, and suddenly see movement 100 yards in the distance. What does your brain do? Tells you to discard everything else, focus on the movement and figure out what it is.

That’s great for forests. But in our day-to-day lives, we’re essentially looking into a vast space of millions of moving objects, and our brain is attempting to do the same type of sorting.

One way the brain does this is with what we call our Marketing Radar.

Gary Halbert was one of the greatest direct response marketers of all time. He shared a perfect example of the Marketing Radar as it relates to direct mail (and this can apply to any medium).

Gary would remind his clients and his student repeatedly, “Most Of The People In America Sort Through Their Mail While Standing Over A Waste Basket!”

He talked about how when people get their mail (actual physical snail mail), they stand over the trashcan and sort it.

The piece with a handwritten address and stamp on it goes in the “open” pile. Looks important, may be from someone personal, worth my attention.

The piece with a printed promo for 0% interest for 6 months, in a legal envelope with computer printed address label and metered mail stamp – right into the trash. It’s marketing garbage.

(This time of year is a prime example. My wife carefully sorts through the mail to ensure no Christmas Cards accidentally end up in the ‘junk mail’ pile…)

If we entertained every message that came into our personal ecosystems, we’d never make it out if the house. We need our Marketing Radars to survive.

When you think about it, our brains sort social media posts, internet links, commercial messages and emails in the same way Gary described sorting snail mail.

“Is this marketing?” YUP. Keep scrolling.

“Is this… something else? What is this?” Interesting… stop and pay attention.

And so goes the “digital sorting” method.

Unfortunately for a lot of practices, important messages and information are discarded by prospective patients simply due to bad packaging. It looks and smells like marketing. And they scroll on.

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So how do you package your marketing message in such a way that it gets through to your prospect patient? You use a Covert Content delivery mechanism. So prospective patients not only stop the scroll, but actually consume and are influenced my your message.

There are many ways to do his. We run a number of advanced Covert Content campaigns that have cut lead costs in half or more, literally overnight. (Example – 2 weeks ago we plugged in a new “Covert Content” piece of ad creative and dropped lead costs from $110/lead to $15/lead in a one particular campaign).

The details of these advanced campaigns are reserved for our private clients. But here are 3 easy ways to get you rolling with Covert Content on social media. And I guarantee as simple as these are, almost no one will try them. So if you do, you’ll be ahead of the game for sure.
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1. “Real-Time FAQ” – “What do I post social?” You’re hit with questions from patients all day long. Next time this happens and you think “That’s a common question…” pull out your phone (or have one of your team come in with a phone) and film a “Real-Time FAQ.”

ex. “Hey, just had a lovely patient ask me a great question – X. This comes up a lot, so I want to address this with you…”
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2. “Info in Caption” – Using images you capture in the office is great. But a lot of times those images need to be contextualized or explained further. Hence the “Read Caption” sticker or note on your Story.

For example, this is a good tip for anyone who likes to post pictures in the OR, holding stacks of premium IOL boxes. That might be a flex to their fellow surgeons (idk if it is or not), but the challenge is that prospective patients – the target audience – don’t know what they’re holding, or why it’s important.

So explain it in the caption – “these are custom lenses, each one is ordered specifically for a patient, which means today is a day that 11 people are going to get their vision back, it’s a celebration day at our practice, etc etc.”
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3. Memes and GIFs – Funny. Sharable. But the biggest benefit with memes and gifs is when done correctly, they shed new light / perspective on a situation. They give people a new angle from which to perceive a decision, which is persuasive.

These modes of communication (yes, that’s what they are) can be incredibly powerful in that way. But again, it has to be done right.

Meaning it needs to make you think ever so slightly. Look at your favorite meme pages. The content isn’t obvious. It’s not a celeb smiling with a caption that says “Me after LASIK.” It needs more depth than that to make it clever and memorable, but not so much that it requires intense concentration.

It’s a fine line. But if you just stop to think “WHY did I think this meme was clever?” You’ll start to get a feel for it.

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OK, that should be enough to get you started. And if you want to go deeper on these strategies and use them to your advantage in 2024, you’ll wanna be sure to check out the message I send on Monday (New Year’s Day).

We have something very special, exclusive and useful for practice marketers in the new year. So keep your eyes peeled for that.

Have a great NY weekend. See you Monday…

Troy
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PS – In Monday’s message, I’m also gonna spill the beans on my all-time favorite Covert Content medium – Email marketing. Don’t miss it.

Updates to your marketing playbook for 2024

As we wrap another year and take a glance in the rear view…

WOW it’s been a wild few years, hasn’t it?

Remember that time you were coerced into closing your practice literally overnight? That was nuts.

But you took action and figured out a way through. And your reward – a prosperous 12-24 months (depending on your market) of refractive surgery volume that had the essence of the “good ol days” of LASIK.

Yet now, like a ruby-slippered protagonist gazing across the technicolor Land of Oz, it’s safe to say…

“We ain’t in Kansas anymore, Dorothy.”

More accurately, we ain’t in 2021-22 anymore.

During the initial wave of the “Refractive Resurgence,” marketing your practice was fairly straightforward. Get in front of your prospects, showcase your brand and the trust you have with your patients, and book the consult. Get em in the door and do your thang to get folks on the books.

But we’re in a different time. The refractive wave has faded, the economy has dipped, and it’s yet again a strange new world. The only constant is change.

And the playbook from a few years ago doesn’t work nearly as well anymore. At least not on its own.

So let’s talk about 2024.

Big changes are happening in the marketing world. For example, Google is changing how we get answers to our questions in search. So is TikTok. Social media is changing how attention is gathered. And we’re seeing major shifts in the types of brands that are exploding (and those that are falling by the wayside).

Not only that, but we’re moving into a contentious election year. You wanna talk about added distractions in the marketplace… we’re gonna see em this year.

All that said… you STILL have folks in your market in need of your services.

You STILL have people who can afford them at your premium price point.

And you STILL have people in your market turning 18 every day and reaching ocular maturity (and people turning 45 every day needing RLE, and people turning 65 every day in need of laser cat sx…). So there’s an “evergreen” element to the market that can benefit you.

The question is: what pivots do you need to make to take full advantage of the current opportunities?

You know how to pivot. You did it during the plandemic, and look at you now. You made it out on top, even stronger than berfore. You prospered from the shifts you made.

So what’s your move now? Well, that’s what we’re talking about this week and next. I’ll be messaging you about the opportunities in the market / marketing / sales / comms that you need to take full advantage of in 2024 if you want to dominate.

​Keep your eyes peeled on your inbox tomorrow, where we’ll dive into the rise of “Covert Content” and how you can double your lead volume from certain ad channels by adding 3 specific types of “Covert Content” to your digital marketing mix.

See you tomorrow…

– T-Cole
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PS – If you clicked the Ejector Seat link by mistake and want to make sure you don’t miss a message, reply and let me know, and I’ll get you sorted out.

PPS – If you have specific questions about marketing / sales going into 2024, hit reply and ask away. I personally read every reply.

Why I was actually EXCITED for Jury Duty

Tis the season for FUN mail. Christmas cards, holiday packages, charcuterie boards, mini cupcakes and…..

A Jury Summons?!

Yup, that’s what hit MY mailbox 2 weeks ago. And if you’re like my wife Susan and most people, your reaction is along the lines of “Oh great, how can I get out of this?!”

But I was actually excited to be heading into court to be part of this process.

Why? What would thrill me about burning several productive work days sitting in a courtroom, having to reschedule meetings, disrupting my daily routine…?

I had this sneaking suspicion I would learn a ton about persuasion that I could use for myself and bring back to share with our coaching clients.

Suspicion confirmed. Even BEFORE I was on the actual jury, I had several pages of notes on observations, tactics and strategies from the defense and the state attorneys during the selection phase.

And then after being sat on the jury (I was Juror #1 btw)… and watching the case unfold and reach the conclusion… I ended up with several more pages of notes. What a treasure trove of education on the topic of persuasion!

I was pumped about Jury Duty for the same reason I was excited to attend a timeshare presentation a few years ago. I wanted to SEE how it works and what I could LEARN.

Then I use my “particular set of skills” (Liam Neeson reference) to distill my newfound knowledge into repeatable processes and tactics our clients can apply in their interactions with patients.

For example, in our coaching community (The Green Room), we did 1 hour and 12 minute group coaching call yesterday, the majority of which was spent reviewing the case and the persuasion tactics at play throughout the process I experienced.

And we discussed how to apply those concepts in patient interactions. People were furiously scribbling notes as I shared my lessons (which isn’t necessary since our weekly coaching calls are recorded so our clients can go back and look at them any time, but to each their own).

We covered:

  • Multiple tactics on how to get “out of the weeds” in a convo with a patient and get back on track toward booking surgery
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  • How to use “identity” to empower patients and build rapport (very powerful)
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  • How to “inoculate” patients against misinformation from other practices (in case they happen to be visiting a competitor for a consultation too)
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  • The power of “painting the picture” and how it can help even the most hesitant patients become comfortable with your process and move forward with scheduling
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  • The 2-word phrase to avoid at all costs because it instantly creates doubt and downgrades your authority
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  • Why and how we have to teach patients how to think so they make the right decision (and how this played out during jury deliberations – fascinating!)
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  • Why “your argument is only as good as your evidence” and how to stealthily gather and leverage “evidence” to build your “case” toward scheduling a consult / surgery
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  • and plenty more…

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Couple big takeaways for you today:

1. If you get called for jury duty, go. Check it out. I don’t even care about the whole “civic duty” aspect. Just go so you can learn and observe!

2. As you go through your daily life, try to maintain some awareness around interactions that make you think / feel a certain way.

This can be an interaction with a cashier at a store, an advertisement you see, a comment you read online. If something makes you think differently, or causes you to pause, or makes you feel negatively, or gives you a small dopamine hit…

Just take 2 seconds and say “Why?” Why did I like that? Why did I NOT like that? Why am I still thinking about that one sentence someone uttered in passing 4 hours ago? What made me stop and read that post?

Think about it, then make a note of it, or screenshot it. I use a tool called Workflowy.com to hold any random thoughts / ideas I have. You can use a phone note or even a small notepad (I use those too when I’m on the go).

Hopefully you get the idea here. Experience, ponder, glean, apply. This is a habit you can build.

This habit served me well on Jury Duty as I gleaned valuable lessons on persuasion, and thus it served our coaching clients as well when we brought the education back to them.

And it’s a habit that will serve you well, as long as you’re practicing this approach in your daily interactions.

Hope that’s helpful! And if you’re in the Green Room and couldn’t make the call, the replay of this coaching session is now posted in the “Backstage Convos” section of our app. Go and watch / listen at your leisure. I promise you’ll get some gold nuggets from it.

And for anyone reading this who is NOT currently enrolled in our coaching programs… the new year is a great time to introduce your team to a new initiative. Especially one that is educational, encouraging and empowering, which is what we’ve created in our coaching ecosystem.

I don’t know if you can actually coach “culture,” but I can tell you the practices that are involved in our coaching have a stronger culture and an even higher level of belief than they had when they first started with us.

And to be clear, we do NOT take all the credit for that. Heck, for us to invite any practice to join us, they must already have a good culture, strong leadership, etc. We don’t allow toxicity into our coaching community (protects us and protects our clients).

But I can say our coaching programs have helped to build confidence and camaraderie among the folks we coach, which results in more conversions, which results in a positive and energetic team, which results in stronger practice culture.

It’s all connected, ya know.

Enough for today. Hit me with any questions or if we need to chat about coaching, or if you want to know more about Jury Duty.

Best,

T

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PS – It was a drug possession case and the dude was found guilty.

 

Why there are no $100 hot dog stands (more on VALUE)

Quick story from back in my ad agency days…

We had a client that specialized in Age Management. They had a premium Age Management service – concierge medicine-style access to the provider, customized bioidentical hormone + supplement package delivered to your door, twice yearly deep-dive physical and body scans, the works.

But they were running into issues selling their service, which was several thousand dollars for a membership (plus the cost of supplements).

They were stuck on this idea that their target market – high-powered execs and CEOs (men and women) – had “plenty of money” and could “totally afford it.” Which was true. But obviously that didn’t matter, because their offer wasn’t selling well.

We went round and round on this. And I got frustrated, so I finally said, “Guys, your offer’s not selling for the same reason there’s no such thing as a $100 hot dog stand.”

Here’s what I mean:

Can your target demo afford to pay $100 for a hot dog? Yes. Does that necessarily mean they’re gonna do it? Heck no.

And just because a prospective patient can afford a procedure doesn’t mean they’re automatically gonna spend money to do that thing. Which is exactly the problem this age management clinic was running into. Ultimately, their target prospect didn’t understand the value. So even though they had the money, they weren’t buying the service.

You can afford plenty of things that you choose not to purchase. Why? Typically because you simply don’t see the value.

Yes, friend. It always comes back to THE VALUE.

Up to this point, we’ve been talking about a $100 hot dog STAND. The kind you see on the street corner outside a college bar.

Can you build enough value to sell a $100 hot dog in that scenario? Almost certainly no. Which is why you don’t see them.

But are there actual $100 hot dogs? YES.

In fact, here’s a list with Hot Dogs ranging up to $2300. Ridiculous? Maybe to you. But SOME people have apparently seen the value.

If you skim the list, you’ll notice certain elements of VALUE-BUILDING in their descriptions – finer ingredients, scarcity, incredible size, etc.

Even for the expensive hot dogs that have no inherent impressive qualities, their value is tied to some bigger mission or vision. (For example, one hot dog’s proceeds were donated to charity, another used its high price tag to draw attention to the poverty line and hunger around the world).

This message is not about hot dogs. It’s about you, your practice, the patient experience and your prices. Build value beyond your price, and price will not be an issue for you.

Big takeaway: You ALWAYS ALWAYS ALWAYS need to be building value in your practice, your procedures and your results. Once that value is built, embodied and understood by the prospects, selling a $100 hot dog can become a reality.

– Troy “Mustard and Relish” Cole

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PS – I’ve heard from several folks that these last few essays on “value” have really hit home for them. Let me know what you think. And be sure to forward these to your team so you’re all on the same page re: BUILDING VALUE.

How NOT to weed out tire kickers

Was talking to a practice that had a significant number of leads ghosting them.

(Meaning leads who initially engaged online, but fell off the face of the earth once the practice started the conversation.)

After we did some digging, turns out their consult schedulers were sending out a long intro text message that included their full price, even for people who weren’t inquiring about price specifically.

So they were getting a lot of ghosting leads, and also a segment of people saying “Wow never mind, I can’t afford that.”

And at first glance, part of that sounds good, right? We want to weed out the tire kickers up front so we don’t waste time with folks who aren’t serious.

But this is actually a critical mistake, and you end up missing valuable new patient opportunities. And here are a few big reasons why:

  1. Context. The full price isn’t as contextually useful to a lot of folks because many people use (or need to use) payment plans.
    ​
  2. Current costs. People with bad vision are ALREADY paying money to see clearly (glasses, contacts, etc). A fact that almost all of them forget and need to be reminded of. They are ALREADY in an expensive situation, and you’re actually the more affordable option.
    ​
  3. Teach them how to think. Your prospects don’t know how to make elective healthcare decisions, so unfortunately many of them default to price (even though they aren’t necessarily “cheap”). The need to be taught how to think, which takes more than a single text message.
    ​
  4. People aren’t inherently cheap, but they are looking for the best VALUE (go back to my last couple emails on this). They have no way of determining the VALUE we provide this early in the game, and thus the price can often seem expensive without the appropriate context.
    ​
  5. Your consultation in and of itself weeds out tire kickers. Think about it: if someone gets dressed, takes off work, drives across town and spends time with you in your office for 1-2 hours, you can bet they have a PAIN that needs to be relieved. And they’re willing to spend money to do it.

So be careful with putting measures in place that “weed people out” too early, or that provide information in the wrong sequence. Because you (and potential patients) will miss out on great opportunities.

– T-Cole

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PS – In this message, I scratched the surface on a number of fresh perspectives you can use to reframe how your team thinks about price, value and patient education. These are all key topics we hit on a weekly basis in our E3 Coaching Community.

It’s vital to give your team constant exposure to these concepts. The result is a team that has more clarity, more belief and more confidence to handle anything that’s thrown at them from prospective patients. And of course all that means more surgeries booked for you. 💪🏻

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