Practices and other employment venues will no longer settle for average or below average in any area (if they ever did!), as the economic atmosphere is too formidable and practices must be productive. The pool of employees is larger, too. An example of innovation is a dental hygienist as co-owner of a practice, sharing responsibilities, patients, and finances. Multitasking is a necessary skill. If on a salary, a dental hygienist should confirm appointments, help seek new patients to the practice, help the dental assistant, explain treatment plans, and do more to make themselves valuable to the office. Acceptance of treatment plans, the bread and butter of any office, is increased if the patient sees the value of the treatment, if it is communicated as an investment rather than expenditure, and if it is viewed in the context of prevention and wellness. The competition is tough, so an entrepreneurial dental hygienist will find ways to increase his/her value to the practice or other work setting. We must be leaders in our chosen work setting, and lead by example. Simplify your vision for success, and use the technique of career mapping. Be innovative, and increase your communication skills. Commit to excellence, take responsibility for your actions, and constantly measure your progress.