We are F-A-M-I-L-Y: How to Work with Family in Your Practice

Working with family members poses a unique challenge to any business. While it can be stressful, we know firsthand how productive and rewarding working with family can be. We know this firsthand as Jay and Mara are a father-daughter duo and partners in Shorr Solutions, a national practice management consulting company, and Robert has worked with his mother, the medical director of RenovoMD in Shrewsbury, Massachusetts, as well as his brother, in the management of the practice.


One thing is for certain, working with family has the potential to both expose underlying issues in your personal relationships and bring out the best in you and your team. This unique challenge comes with bringing on a team member you already know so much about. Both positive and negative, you share a wealth of experiences with this individual, and often personal feelings will cross over into your business relationship. At times you may find yourself being overly lax or even hypercritical of this relative. It is important to set boundaries and clear expectations to make sure the work relationship stays productive and the personal relationship remains on good terms. Keeping communication open and honest, clearly defining expectations, and maintaining a good work and life balance goes a long way in ensuring a productive work environment.



Working with team members, in general, can be stressful, but working with the family poses a unique challenge. Communication is key and business relationships can be strained and fall apart quickly if everyone is not clear in their role. Miscommunication leads to misunderstandings which leads to conflict within the company. Make sure the company’s goals and individual responsibilities are clearly defined. Discuss what the company wants to achieve and outline the roles everyone must play in order to make that happen. Most importantly, make sure the company’s mission and goals and those of the individual are aligned. Having a good understanding of this helps everyone work more effectively.



Organization charts establish a hierarchy and boundaries in the practice. Having a formal organization chart will also help maximize efficiency. Businesses,  especially family businesses, do not run smoothly when everyone is stepping on each other’s toes. Discuss and outline how company decisions will be made and who is allowed to make them. Make sure that it is known whether or not one person has the final say. The nature of your business and the relationship between the team members will assist you in making these decisions, and having this structure in place will keep the entire office on task and efficient.  For example, one person may have a final say when it comes to marketing, while another may have a final say when it comes to expenses.



Make sure each staff member, related or not, has a role clearly defined with a job description. Not only will a job description outline who does what, but it will also outline what is expected. Responsibilities need to be completely and clearly described, so focus can be directed where appropriate. Often times with a family business, formalities tend to fall by the wayside, but when this happen, one person will inevitably feel they’re being taken advantage of or doing more than their fair share. It is important that these are written out and reviewed together to help each staff member stay on task. Another thing to keep in mind when writing a job description, make sure details such as salary and benefits are clearly outlined, although these should not be made public to the rest of the staff. Having this in advance and in writing will eliminate the threat of disputes later.

It is vitally important that all negotiations and contracts are collected in writing. When working with family, companies have a tendency to operate under informal agreements. Should issues arise, they are left in a precarious situation with nothing to refer back to. Having formal documentation prevents any miscommunication and gives the company something to fall back on. This goes for business agreements between the practice, medical spa and spa, and each employee relationship, as well as if you’re using other family businesses as vendors. For example, if a family member owns a floral company, laundry service, or cleaning company, all agreements should be put into writing, even if services are done in trade. It’s important to note that this should occur no matter what, but again, we find formalities tend to drop off with family members.



As family, there may be some crossover between work life and home life, but it is important to maintain a professional tone at all times within the workplace. While you may already have an existing relationship with coworkers, it is important to maintain those boundaries. Be mindful of the difference between work issues and home issues. Remember that there are different approaches to an issue as a family member versus a coworker. If possible, try to leave work discussions for the office and personal conversations at home.  We always say that family relationships always come first – we’ll always love our family, even if we sometimes don’t agree with them as co-workers, bosses, or partners.


When working with family, it may be difficult to draw a line between where work ends and where your personal life begins. Because these things are so intertwined, the day-to-day demands of the office may put a strain on your home life. As a coworker, your family must respect your time away from the office as much as they respect your ability to be a productive team member during office hours.



Fostering trust between members of the family and all members of the business are vital. It should go without saying to always work with integrity and back up your words with actions. Because it is a family business it does not entitle certain people to take certain liberties and this must be made clear from the start. As a family member, there is a large target painted on your back and your daily performance will be under increased scrutiny. Show co-workers you are dedicated to the company and can perform at a high level. Remove all doubt that you are in your position because you are the best person for the job and that your hiring was not based on nepotism. Fostering strong relationships with non-related coworkers is as important as maintaining familial relationships.



Encourage co-workers and give them the praise they deserve. Be attentive to their needs. Many times, they may feel like a family member is pushing them out. Remind, and more importantly show, fellow staff member that everyone is a valued member of the team, regardless of who they are related to. Respecting the feelings of your co-workers will thought not completed?


In any family business, it is extremely important to not let personal feelings come into the workplace. Maintaining a professional atmosphere is a priority.  You can’t let work place drama come home with you and vice versa. Be open and honest about your thoughts and address any issues that may arise up front. Letting issues sit and fester may lead to an explosion later on that may damage your relationship. You already know your family co-workers. You understand what makes them tick and (especially in the case of siblings) what buttons to push in order to annoy them. This insight might make it difficult to be rational with your thought and feelings. Don’t let emotions get in the way of your professional relationship. Disagreements will happen, but you don’t want them to affect your business or your relationship. Your behaviors and attitudes also have an impact on other co-workers, so pay attention to how any dispute would affect them. Save the heated personal discussions for outside of business hours. It is important to remember that you are co-workers during operating hours, but you’re family forever.



Jay Shorr




Jay A. Shorr, BA, MBM-C, CAC I-XIV is the founder and managing partner of Shorr Solutions, a Florida-based medical practice consulting firm assisting practices with their operational, administrative, and financial health. He served as the vice president of operations and practice administrator for a leading board-certified dermatologist and cosmetic surgeon and held partnerships in two leading South Florida plastic surgery centers. Shorr has served as a professional motivational speaker for nearly a dozen industry organizations. He is a certified medical business manager (CMBM) from Florida Atlantic University, a certified aesthetic consultant (Levels I-XIV) at The Aesthetic Show and The Aesthetic Academy, and a member of The Aesthetic Show’s 2019 Scientific Advisory Board.



Mara Shorr edited




Mara Shorr, BS, CAC II-XIV, is a partner and vice president of marketing and business development for Shorr Solutions, bringing more than a decade of marketing and communications experience to Shorr Solutions’ clients. She is a Level II through XIV certified aesthetic consultant utilizing knowledge and skills from her previous positions in marketing for two separate leading dermatology, cosmetic, and plastic surgery practices located in South Florida. Focusing on both internal and client strategies in traditional and new media, she is a public speaker and has written for a number of industry publications.

Webinar: Pigmentation: Disorders, Causes, and Treatments

Pigmentation: Disorders, Causes, and Treatments

Hyperpigmentation is a complicated condition faced by many skin care professionals and consumers alike. This presentation will explore the mechanisms of melanin formation and melanocyte function, as well as associated states of hypo and hyperpigmentation. Learn why the enzymes tyrosinase, phenylalanine oxidase, and newly discovered lightening mechanisms such as melanosome transfer (MIT) and melanin stimulating hormones (MSH) inhibitors are key components in melanin formation.


Michael Q. Pugliese, BS, LE is an informed educator, writer, and asset to the skin care industry and the third-generation CEO of Circadia by Dr. Pugliese in 2006. His dedication and leadership to the brand has grown to achieve international recognition and distribution worldwide. This global expansion has created a skin care regimen for every skin type in the world. Pugliese’s compelling lectures honors the tenets of modern skin science discovered originally by his grandfather.  By following in his grandfather’s footsteps, he has been driven to deliver a clear message on skin care to all his clients and fellow educators in the industry. In addition to the success in the skin care line, Circadia also has the first physician formulated pillowcase. This is formulated to work in harmony with the body’s natural circadian rhythms which protect from environmental damage, while focusing on skin repair during evenings rest.




Virox Technologies Inc earns LEED Gold Certification

In 2012, Virox was the first chemical manufacturer in Canada to earn LEED Silver certification.  Virox Technologies Inc. is proud to announce that amidst the COVID-19 Pandemic and working tirelessly to meet demands for patented disinfectants, that they have achieved LEED Gold certification from the United States Green Building Council (USGBC) for our 65,958 square foot headquarters, which includes the company’s corporate offices, research and development laboratory, manufacturing, and warehousing facility. 


Virox’s sole focus is engineering revolutionary disinfectants in the war against pathogens. Their patented formulations are not a mere alternative to current disinfectants, but game-changing technology platforms with demonstrable superiority over legacy disinfectant chemistries. Virox is dedicated to the development (innovate), optimization (formulate), adoption (educate), and acceptance (validate) of a fundamentally new approach to disinfection that has been reviewed and endorsed by third party authorities, the scientific community, official regulatory bodies and key opinion leaders in a broad range of industries. Those industries include human and animal health markets around the globe in over 70 countries. 


 To help upgrade their LEED certification, Virox hired an external consulting team. Developed by USGBC, LEED (Leadership in Energy and Environmental Design) is an internationally recognized green building certification system that provides third-party verification that a building was designed and built using strategies aimed at improving performance in key environmental areas. 


 When asked why chemical manufacture would want to undertake such a challenge, Randy Pilon, President and CEO stated, ”It is the right thing to do. I challenged the team to achieve LEED certification and through the process, we created a company that has completely changed its culture and embraced the challenge of being the greenest of the green with such a passion that we achieved LEED Gold status. It seemed only fitting that if we develop and manufacture certified green products we should do so in a certified green building.”


Himalayan Source Responds to COVID-19 with Launch of Private Halotherapy Experience with Minimal Human Contact for Spa Guests

Helping spas and wellness centers envision new ways of doing business in light of the COVID-19 pandemic, Himalayan Source announces a new, private halotherapy experience for clients that minimizes human contact while delivering multiple therapy modalities — turning treatment rooms into salt therapy rooms that maximize client wellness and business revenues. Himalayan Source’s new concept will be piloted by Hand & Stone Massage and Facial Spa in Delray Beach and is expected to launch June 1, 2020.

Designed for use by one person at a time, Himalayan Source’s private halotherapy experience combines far-infrared heat therapy with the benefits of Himalayan salt to create a luxury healing experience with a particular focus on supporting respiratory health with minimal human contact. Designed to be added to any treatment room, the private halotherapy experience may be offered as a standalone treatment with no therapist commission needed or as an add-on/upgrade in conjunction with a facial or massage.

“We designed this private halotherapy experience to help clients feel comfortable returning to spas,” said Ann Brown, co-founder of Himalayan Source. “During this time of high anxiety because of COVID-19, it is crucial that we support guest health and wellness in our community. This grounding, healing salt therapy experience allows spas to offer wellness in an environment that minimizes risk for clients.”

During the private halotherapy experience, a client or member benefits from true halotherapy while enjoying the soothing view of an aesthetically pleasing, glowing Himalayan salt wall. Breathing in pharmaceutical-grade particles of salt from a halo generator, he or she relaxes on a massage table that provides far-infrared heat therapy combined with gemstones, pulsed electromagnetic held therapy (PEMF) and LED light therapy. Guided meditation to restore body, mind, and spirit rounds out the experience to provide total rejuvenation and recentering.

“Safety has always been a top priority at Hand & Stone. As we prepare to reopen and our guests return for some much-needed relaxation, we are thrilled to offer them extra peace of mind with this new halotherapy service offered by Himalayan Source,” said Katherine Chenier, owner of the Delray Beach Hand & Stone franchise that is piloting the new concept.

Combining expertise in Himalayan salt therapy and understanding of ergonomics, human engineering, and kinesiology, Himalayan Source offers a full line of Himalayan salt concepts to complement any spa or wellness space. Clients include the Langham New York, Jewel Grande Montego Bay Resort & Spa in Jamaica, the Biltmore Miami-Coral Gables, Gaylord National on the Potomac, and more. For more information, visit HimalayanSource.com.

Caption: Himalayan Source’s new private halotherapy experience, set to pilot at Hand & Stone Massage in Del Ray, Florida in June, adds a new therapeutic experience with minimal human contact for spa guests.
888-576-3525  himalayansource.com


Pro - Glow Peel 55%

In our Pro-Glow Peel (PH 2.2), we offer a unique blend of naturally-derived lightening agents that work together synergistically to even skin tone and texture for an overall brighter and more youthful complexion.
8444777546  Herbalskinsolutions.com


PH Balance

The antioxidants, vitamins, and minerals that stem from the organic ingredients in the PH Balance toner feed the skin with the nutrients it needs to reduce inflammation that leads to acne, keeping breakouts at bay, while simultaneously fighting free radicals to decrease pigmentation and brighten the skin.
8444777546  Herbalskinsolutions.com


EGF Cellular Activator

As part of an at-home skin care regimen, the EGF Cellular Activator provides nourishment and cellular regeneration when topically applied through it’s plant-powered poly-peptide complex, which supports the slowing down of the aging process and contributes to a noticeable boost in the skin’s firmness and elasticity for an overall youthful appearance.
8444777546  Herbalskinsolutions.com


Skin Cancer Foundation Partners with Miiskin to Promote Self-Skin Exams

This Skin Cancer Awareness Month, Miiskin, a digital health platform who works in support of The Skin Cancer Foundation, is reminding people of an essential step in skin self-examinations that may save lives: remember to look for new lesions on the skin, in addition to watching for changes to existing moles.

The 80/20 reminder of self-exams reminds people that about 70-80 percent of melanomas arise on seemingly normal skin, while 20-30 percent of melanomas are found to develop in existing moles, according to The Skin Cancer Foundation. The first “See” from the Skin Cancer Foundation’s “The Big See” public health campaign, aligns on the message that identifying new moles is a potentially life-saving step in skin self-exams, and should be performed in addition to tracking changes to existing moles and spots that become unusual for a period of time.

The Skin Cancer Foundation is supporting Miiskin to provide a helpful tool for tracking skin changes. The Miiskin app, used by 500,000 people around the world, allows users to digitally track the appearance of skin and moles for early detection of skin changes, including the appearance of new moles and changes to existing moles. It is the first AI-powered, skin health app to offer individual mole and wider-body skin mapping, based on the science of mole mapping methods used by dermatologists. Side-by-side photo comparisons, reminders for routine checking, and other tools empower users to identify concerns to bring to their doctor. It does not evaluate the risk level or diagnose skin cancer.

To further empower people to perform comprehensive self- exams on a regular basis, Miiskin is offering the premium app subscription to users free for three months. This 3-month free trial is available by visiting https://miiskin.com/scf.

For more information on how to consider the 80/20 reminder when performing skin self-exams, read Miiskin’s Self-Exam Guide.


SunFX Finishing Powder

SunFX Finishing Powder the perfect solution to post spray tack! Use after completion of a spray tan treatment for a sheer flawless finish & to eliminate any post spray stickiness. Delicious tropical burst scent and free from TALC, GLUTEN, NUT & PARABEN
8586843010  www.sunfxamerica.com


Elina Organics Angelite Crystal Elixir

Always 100% organic, cruelty-free and handmade, Elina Organics is proud to announce the launch of Angelite Crystal Elixir. This new elixir will visibly firm and hydrate dry and aging skin while healing and calming acne-prone complexions with Angelite Extract, Snow Mushroom, and Copper Peptides. It smells like a delicious orange blossom and will make your skin extremely soft. It can be used as an anti-aging serum or calming moisturizer. Any complexion will benefit from this collagen restoring formula!

Ingredient Highlights

ANGELITE CRYSTAL - This peaceful crystal embodies the gentle vibrations of your guardian angels. When you feel its divine energies of support, the Angelite meaning acts as a direct line between you and the angel realm. It is a very powerful stone for healers. It also provides protection for the environment or the body. In holistic traditions, Angelite has been used to cool and rejuvenate skin.

COPPER PEPTIDES - Copper peptides help to reduce inflammation and speed up healing of the skin. They also help to firm the skin by increasing collagen and elastin proliferation.

TREMELLA (SNOW) MUSHROOMS - They help lighten hyperpigmentation, age spots, and old acne scars by inhibiting melanin production. In fact, according to several studies, they are more effective than vitamin C and kojic acid for skin brightening. Tremella is an incredible youth-preserving mushroom that has the ability to rejuvenate, moisturize, and hydrate the skin naturally. Its unique polysaccharide compounds show remarkable water retaining properties. To give you a better idea of their water-holding differences, hyaluronic acid holds up to 1000 times its weight in water while Tremella mushroom holds about 5 times more water than hyaluronic acid.
269.384.2170  https://elinaorganicsskincare.com/angelite-crystal-elixir/


The Best in the Biz

Anna Babinksa

Emily Davis

Elina Fedotova

Hailey Miller