Chiro PCP - Growing a Successful Patient-Centered Practice

Hey Docs,It's a harsh statement, but that doesn't make it any less true.  Most of us are afraid of the word "sales."  Most of us are stuck in a discount/poverty mindset.  And most of us aren't growing enough to see the dial change from roughly 10% market share for our profession.So, we are killing ourselves by thinking that we are worthless.  Yet, there are so many people paying lots of money for services that we are best suited to provide.  STOP... I mean really, STOP!  Read that again.If that is true (and it is), then the crime is not in giving too much care.  The crime is in giving too little value for the dollars the patient spends.  If you are afraid to treat a patient over months or years to give them the results they desperately desire, then get the hell out of the profession.It's time to know our worth and be compensated for it.  Again, people are paying money to someone and generally someone who does only a fraction of what you can do.  Be the high value expert you are and don't be afraid to collect on what you deliver.This podcast will help you change your mindset on the topic.  Good Luck and #keepmovingDr.J

Hey Docs,As a student and as a new doctor, life can be difficult.  You are surrounded by struggle and negativity all while amassing a ridiculous amount of debt.  Even better, you are continuously reminded of the statistics surrounding success in the chiropractic profession.  Well, I can't help that.But I can help you with something else.  I can help you with the realization and understanding of one concept that can unleash you from this crappy scenario.  Self-limiting beliefs are at the heart of all suffering and stagnation.  And if that is true (which it is) then identifying these beliefs and shifting your mindset is the key toward building lasting success.Enjoy this podcast as it dives into the 5 different types of self-limiting beliefs and shares a story of how they were needlessly hampering the success and confidence of a chiropractic student.  Hopefully you can find a few gems that allow you to break free from your self-imposed cage.  Hopefully it will push you towards experiencing a better life.Good luck and #keepmovingDr.J

Hey Docs,This episode hits pretty hard for some of you.  Patient acquisition is very important, but patient retention is the lifeblood of a practice.  It doesn't matter how many patients come through the front door if they just sprint to the exit.I recently discussed this concept with a chiropractic student.  He had just finished a fantastic seminar.  Many of the best and brightest minds in our profession provided him a great deal of solid information.  But there was a problem... a really big one."How are you going to get the patient to understand all that?"It was a very simple question that was received by a very long silence and quite a lot of head scratching.  The answer was eventually, "we never really talk about that."Boom!  This podcast is dedicated to these unfortunate truths.  If we can't connect with the patient, the patient won't understand our value.  Even worse, if another doctor does connect with a patient, the patient won't even care about the value... they'll just say "yes."  This is why there are many practices that provide little value, yet experience massive financial success.  Patients generally care more about connection than outcomes.  The magic is when you deliver both.   When connection is established and value is delivered, your patients will do what we all want... stay, pay, and refer!Enjoy, Good Luck, and #keepmovingDr.J 

Hey Docs,As promised we are going to discuss the art of "PRESENTATION" as the main topic of this podcast.  And yes, it is the one catalyst that will drive you towards lasting practice success faster than any other variable.But no, this is not a "presentation" like the  solar system at the 5th grade science fair.  On the contrary, this is how you draw out the most important aspects of the patients existence while finding the epic conflict in their life.  Then how you formulate their perfect ending where they ride off into the sunset (telling everyone about you).  And most importantly, how you position yourself as the expert guide that will lead them through the many challenges they face on their quest to recovery.  Sound familiar... as Donald Miller teaches in Marketing Made Simple, it is the basic construct to every "good" story/movie/series presented since the beginning of language.  Listen and enjoy this podcast to understand how you can leverage the power of stories and the power of presentation for the benefit of your patients and your practice!Good luck and #keepmoving

Hey Chiros,When we leave school we are never smarter, yet never more unprepared to deliver that knowledge to the market.  This is why we struggle so much with attrition and success across our profession.This podcast dives into that disconnect with specific focus on giving rehab/home exercise programs.Too many times we see young doctors and students wanting to jump to the end.  They have so much awareness of assessment and treatment from school and seminars.  But, they neglect that real world practice is not like a test in school.  Jumping to the end does not get you an "A," it gets you a major problem.Enjoy this podcast as we discuss dosing a patient's wants so that you can eventually attack what the patient needs.Good Luck and #keepmoving

The One Thing To Understand Before Starting a Practice is...Every chiro student will have to do the same things regardless of their practice decision.  In other words, whether or not you are an employee, independent contract, or solo practitioner, what you do to succeed will be the same.If you've listened to this podcast, you know we push students toward business ownership unless they have a great opportunity as an employee.  But it is also very true that there are risks with this decision.One of the metrics to consider is REVENUE/SQUARE FOOT/HOUR.  You don't have to be a math major to understand that this is really just a profitability exercise:To be profitable I need to make a lot of REVENUE, "or"To be profitable I need to make a certain amount of REVENUE per SQUARE FOOT of office space, "or"To be insanely profitable I need to maximize the amount of HOURS I/we work to generate the maximum REVENUE per SQUARE FOOT possible with the lowest overhead.  Again, it shouldn't be a surprise that this podcast will help you understand that the 3rd scenario is best.  Yet, that isn't what you see in most practices; especially, those stuck in "old school" thought.Enjoy the podcast and remember to subscribe on ChiroPCP.com to get your copy of "The 5 Critical Things You Need for Practice that You Won't Get in Chiro School."  Good Luck and #keepmoving.

Any new professional will have challenges.  Imposter syndrome, anxiety, depression, self-doubt, and many other emotions will gnaw at the best of us.Many professions see their young graduates go on to quick and substantial success.  And while I wish I could say that is true for chiropractic, we both know that is simply not the case.After nearly a century and a half in existence we are still eating our own young.  After that many years, we are still operating off the same practice management dogma, educating the same curriculum, and still providing dismal opportunities to our fresh graduates.So, what's the solution?As we've discussed in previous podcasts, it is the duty of the successful chiropractor to start creating better opportunities for bright, new doctors.  But it is also important for current students and recent grads to understand some important areas of focus that aren't discussed in chiro school.  This podcast is dedicated to the 2 most important things a student or recent grad can focus on to change their immediate future.  Good luck and prepare to broaden your perspective.  

 Metaverse, Decentraland, and Chiropractic (You) Hello My Friends,Welcome back to the ChiroPCP podcast. I apologize for the delay but I've been recovering from Covid-19. It was a relatively easy ride for me and my daughter, but I know that hasn't been the case for everyone. If you or a loved-one has struggled with the pandemic, my heart goes out to you.Regardless, I had a lot of time to think and think I did. One of those thoughts was centered around the difference between Telemedicine and a Virtual Office. Specifically, the limitations of the Telemedicine platform and the unlimited adaptability and specificity of a virtualized office.This podcast focuses on the current (unstoppable) trends in the market surrounding Facebook's transition to Metaverse Platforms and how companies like Decentraland are already cashing in. But more importantly, I cover the need for chiropractic to utilize such a great opportunity to move up the "hierarchy ladder" of healthcare. From streamlining your most commons, to standardizing your brand, to building great customer loyalty, now is the time to virtualize your office. Email me at jared.vananne@telecarerx.com if you're interested in beta testing or visit telecarerx.com to learn more and schedule a demo. Good Luck and #keepmoving

Student Loans, Business Acumen, & Practice CompetenceHello Chiropractors,Welcome back to the ChiroPCP podcast. Today we are going to talk about how you make the big 3 work once you are out of school. The big 3 are referenced above but in case you are adamantly against backtracking, here you go:How will you manage your Student Loans?How will you develop good Business Acumen?How will you gain Practice Competence?So is this more for the younger doc? Yup, but older docs can take practice inventory to ensure they are doing well and adapt where they aren't. Regardless here are the main focus points:Figure out your best strategy for tackling student loans and never forget that becoming wildly successful so that you can pay them off at the end of tax season is a great strategy.Having a mentor or coach that helps you “burst at the seams” as soon as possible is a great way to achieve the aforementioned strategy.Be aware that the ticket to practice competence is ultimately patients/patience. You have to be patient with your progression but also never miss the opportunity to gain a small ounce of competence with every single patient encounter.This is a long one, but I was passionate about it's importance. Enjoy it and hopefully take something that will help you have the best day, week, month, and year of your life.Good Luck and #keepmoving,Dr.J

Was Chiropractic the Right Career Choice?We all started with different stories in how we found chiropractic and how it impacted our lives.  Then we started school and received roughly the same education, passing the same tests, and graduating with the same degrees.Why then is there so much variance within our profession regarding earnings/salary?Why is there a $100,000 swing from the average of the best and worst states?Why does the income distribution of our profession mimic that of our country?Don't get me wrong, I'm not calling for single payor, a free ride, or income redistribution.  But this podcast will discuss the ridiculous difference between our profession and that of dentists, NP's, PA's, PT's, and really any other health care specialist that enters the market.  They have relatively fixed and standardized opportunities (that are quite nice) and... we don't.But there are a few solutions out there.Enjoy the podcast and #keepmovingDr.J

Are You Giving More than You Are Getting?That is the ultimate question we have to ask ourselves.Welcome back to ChiroPCP!  We are tackling the concept of "Absolute Value" or "Value Equity."  Yes, you could probably call this "Leverage," but we want a different term that doesn't carry a negative perception.  This comes from the concepts held within two books I have recently consumed.  The first is "7 Levels of Communication" and the second is "Go Giver."  Both of these books are critical to chiropractors both young and old.  Doctors who've been around the sun a few more times stand to benefit from a reinvigoration of your practice from the networking side.  Younger doctors will reap the benefits of ensuring they stay the course as they develop a great practice on a strong foundation.  Regardless, it's all about "Value Equity."Most people understand Equity, but if you need a quick refresher it is the difference between what you owe and what something is worth.  For example, if I owe $50,000 on my mortgage and the house is worth $550,000, then I have $500,000 in equity... YAY!  On the contrary if I owe $50,000 and the property is worth $5000, then I have -$45,000 in equity... BOO!Transition this to the doctor patient relationship and "Value Equity" can be understood as the difference between what a patient pays for your services and the value they feel they received.  Score a positive equity and you have the beginning of a good referral source.  Come out with no equity and things probably won't go very well.  Lose the equity battle and things will get ugly fast.Enjoy this podcast as it dives into the concept and sheds some light on specific strategies and approaches to consistently win the "Value Equity" game.Good Luck and #keepmovingDr.J

Hello People,I have missed you all as I'm certain you have missed me... crickets???... whatever!Life has thrown me a few curve balls and some significant tragedy and that is why there has been a gap in episodes.  Not to make excuses, but to share the experience for your potential benefit, here are the list of events:Office Manager experienced 2 tragedies in her immediate family in 1 month.Hired a New AssociateRenovated and Expanded my CrossFit GymUpgraded the Chiropractic Office AreaRegained Access to Hacked Facebook Business Page Accounts (Awful Process!)Still Spending 10-12 hours/week coaching my son and his buddies in their final year of middle school football (sniffle, sniffle, tear, tear).Some of you can relate, and some can't even imagine.  For those in the ladder group, get ready baby cause life's a comin'!  Regardless, character is shown in adversity and businesses are tested through tragedy.  Knowing who you are and what you stand for helps you personally, while having great systems helps your business survive the onslaught.I am happy to report that business is good and we are heading into 2022 with a lot of momentum.  But how is that possible?  Aside from all the things we discuss about building a patient-centered practice in previous episodes, we can answer that question in this episode with the following - PROVIDER POWER!Provider power can be defined as the amount of work that needs to get done in a particular office visit divided by the time it takes to effectively do it.  The quicker you effectively complete the task, the more powerful you are.  The longer it takes to effectively do the job, the weaker and more diluted you are as a provider.  We operated an office will a very solid provider power... thank God!!!Much of this was inspired from a student who was shadowing me this past week.  He is a great kid with a bright future, but was admittedly a little wet behind the ears when it came to business.  So I asked him - "How long you gonna take with your patients?"His response, "Oh, you know.  Probably around... about... 30 to 40 minutes at the start.  But then I'll probably cut it back as I get busy."  Enjoy the podcast to hear how I helped him through this lack in Provider Power.Back at it People!  Good Luck and #keepmoving,Dr.J

Which is the model for the future?Life gets busy. It gets real. And, it can get very mess – yours and the lives of your employees.I hate to put it that bluntly, but it is the truth. Tragedy and hardship are not always in our control. In fact, the severe varieties are rarely in our control and they generally come without any warning.Would you be okay if a few terrible things happened to you or those you employ?As hard as it sounds and as cruel as it may be, you have to ask yourself this question in order to be prepared for inevitable misfortune. And if you are running a staff driven practice with minimal technological assistance, you are vulnerable.Don't get me wrong. I know many offices doing incredibly well under the staff driven model. But what happens if someone has to leave with only a days notice? What if two of your employees leave for a better opportunity? How will you pick up the slack? Will those people be easily replaceable? Will their tasks be covered quickly and efficiently?Maybe you are a delegating boss and can answer all those questions in positive certainty. But, maybe not. If less certainty is the case, consider these things:How am I doing my new patient intake?How am I doing my assessments?How am I doing my patient education?How am I doing my at-home exercises or recommendations?How am I taking payments or payment plans?How am I doing my scheduling?How am I doing billing and collections?What services does my phone provider offer?How much Staff vs. Tech?There are many other considerations, but the previous list covers a considerable portion of what good technology can either do or significantly streamline in your practice. Obviously a busy and growing practice needs someone to oversee these things. But unless that practice sees an incredible volume (100's of patients per day), you probably shouldn't need more than one person. That's right, one solid employee or 2 part-time staff should be able to assist a doctor or multiple doctor's with those tasks. That's only true if you have the right tech.Just like all other industries, we need to embrace technology to do the simple tasks so the humans we pay can be more efficient at doing complex tasks that generate a better bottom-line. It's that simple – reduce overhead and improve dollars generated per hour worked. That's a beautiful recipe for a successful and fulfilling practice.Our 3 Headed Monster of Tech Awesomeness…ChiroTouch – practice management machineTeleCare Rx – Video based patient education, assessment, home exercise, and infinitely scalable engagement machine.Demand Force – virtual assistant with practice communications, marketing, and reputation managementEnsure that you have a multi-headed monster of tech awesomeness so you can survive and thrive now and into the future.Good Luck and #keepmovingDr.J

When I started practice, I hated the word "protocol."  Fast forward 10 years and it's still not my favorite word, but I have learned to respect its power.  Protocols are critical to standardizing and scaling your practice.  Yet, they can function as a box for you to live in or a microscope from which you view the world.  I don't think anyone wants to live in box or miss the vast beauty of the world, so we have to know the risks and benefits.We say it all the time..."Patients aren't textbooks.""Don't grow up trying to be another doctor.""Take ownership of your outcomes.""Take off the blinders."These are all directions that protocols can lead toward if they are followed too strictly.  But if we don't have them, we risk flying around in a chaotic work environment that is sure to breed burn-out.So, if we are going to have protocols we need to be mindful of their intent.  Protocols should...set your tendencies so you can work with confidencefirmly set you subconscious so you can see the bigger picture while you are working on the small part.strengthen your Red & Yellow Flag awarenessstandardize your practice for scalability.Whatever your protocols are or will become, please ensure that you take the risks and necessities into consideration.  Doing so will help you build the patient-centered practice you've always wanted.Good Luck and #keepmovingDr.J

The Dunning Kruger effect.  The inability to recognize one's lack of ability.  From personal experience, I believe that a lot of chiropractic students who transition to private practice struggle with the Dunning Kruger effect.  But it's not what you might think.  And it's not really their fault.Chiropractic school is all about passing boards and not killing people.  Private practice is all about connecting with patients and transitioning knowledge into absorbable bites.  In other words, how students are trained is roughly the exact opposite of how they will need to successfully practice.The struggle with the Dunning Kruger effect isn't based on stupidity or intellectual ignorance, but rather due to young doctors being virtual extensions of textbooks and exams.  It's been beaten in their minds to do all these things that are true and real, but not often pertinent.  They will be able to site research and have high level intellectual conversations with patients who couldn't care less.  They will dominate the incubator of student clinic but fail epically in the jungle of real-world practice.Solution? – Make your knowledge relatable.  This podcast discusses the idea of taking all this expertise and transitioning it to the real world.  The trick is to make it easy and convenient.  If you can transition ease and convenience into your expertise in a relatable fashion, your patients will not only care about what you say now but care about everything you will ever say.Good Luck and #keepmovingDr.J

Season 1 & 2 are behind us and it is now time for Season 3.  Conceptual Awareness and the Push to 50% market share will be the driving force behind this season.  The previous seasons have been a lot about previous experience and added outside perspective.  The combination of these things into 'bite-sized' concepts will help every chiropractor willing to listen understand how to generate a patient-centered practice and improve our professional outlook.You can't go on Facebook or Instagram without seeing 5 different consultants or practice management firms beating the "new patient" drum.  30 new patients in 30 days$20,000 increase in 1 monthTriple your practice overnightThese are but a few of the hooks seen on social feeds trying to entice chiropractors toward the old model of operation that has lead to no change in market share and only a small portion of the market.  It's time to move beyond begging for new patients or doubling recommendations as practice growth strategies.  There is a better way.What you do when the patient walks in the door will dictate what they say when they leave.  If they love what you do they will say nice things.  If they love the look and feel of your office they will share that with their friends.  If they love the convenience and technological advancements in your practice, they will tell anyone and everyone who may need your help.It doesn't take to long to realize that its not about new patients in the door or the length of treatment recommendations.  Nope!  It's all about these 3 things:Take good care of your patients and deliver good resultsHave a clean and inviting office environmentEnsure technological convenience for you and the patientSucceeding on these three levels will keep you happy and busy.  More importantly it will help you avoid the desperation of needing tons of new patient, not to mention help you sleep at night.Good Luck and #keepmovingDr.J

BHAG - Big Hairy Audacious GoalIn "Good to Great," Jim Collins discusses that one of the major differences between companies that fizzle and those that flourish is the company having BHAG's.  Chiropractic is not a company.  It is an industry.  Yet, if I've learned anything in my life it's that great concepts transcend specialties.  So, if BHAG's work for companies, they should work for Chiropractic.And they must work if we are to stay relevant in Healthcare.  To this point we have been stuck at roughly 10% market share for decades.  Therefore, I think our BHAG should be to grow to 50% market share.That's all fine and dandy, but it's not the goal that makes the machine work.  It's the intentional process of moving towards the goal - moment by moment, day by day, week by week, year by year.  So, what's the process?I contend that we need to start our focus on 3 things:Increasing the Bottom-Line of every ChiropractorImproving the Educational System to make new Chiro's "Day 1 Ready" for BusinessExpanding the Opportunities for New Grads If we can make significant improvements in these areas, we should see the following:Happy and Wealthy Doctors Eager to GrowNew Doctors Ready to be Productive Day 1More Quality Opportunities for New GradsI will be focusing on doing my part.  Please do the same so our profession can grow and flourish in correlation to the world's health and wellness.Good Luck and #keepmovingDr.J

Last week we talked about fear and vulnerability.  This week we will discuss the old school thought process that permeates both the practicing profession and it's educational system.Don't get me wrong.  I love the power of the adjustment and I believe that nothing will replace it.  However, if we are operating on the same thought as those in the early days, we are doing the profession a disservice.  Yet, the data shows that we are most likely stuck in old school thought for 2 distinct reasons:We haven't grown in market share for decadesThere is a huge gap between successful doctor and new gradUnless we change the way students progress through school and the way established doctors create opportunities for new grads, our profession will be in trouble.  We will be stuck in old school thought, we won't see more than 10% of the population, and new grads will have little to no opportunity.Honestly though, how long can schools keep up the charade?  How long can established doctors have a predatory mindset with new graduates?Think about it, if a publicly traded company showed little to no growth for 10 months, you'd probably want to be investing your money elsewhere.  Chiropractic hasn't grown much in market share for several decades.  When will quality prospective students just decide to sell insurance instead of become chiropractors?  If they look at the data, they probably should start right now.  This can't be a reality.  As established doctors we must provide better opportunities and close the gap by having open and honest conversations with new doctors.  On the other side, young doctors need to seek out different styles of thought as well as mentorship, coaching, and development to help them be business ready day 1 after graduation.If both sides can succeed the profession can thrive and grow in a manner unfathomable... without fathom.  Do your part and #keepmovingDr.JP.S. The boomers will be gone and medicare will be broken at some point.  

Whether in school, in life, or in practice, we've all had it.  The paralysis of fear is demoralizing.  But, far worse, is when it prevents us from growth as we seek shelter in it.  That cozy dark section of our mind where no one can judge us or make us feel dumb.  That damp corner where nothing changes and surely nothing grows.So, yet another paradox to deal with.  Stay comfy and never flourish or risk judgement and unleash your true potential.  The answer is obvious, but the method of converting fear into confidence is excruciating.  I'm not going to sugar coat that at all.  It really sucks... but, it's totally worth it.This podcast dives into the silliness of fear and the misconceptions surrounding vulnerability.  Much of this came to light in a conversation with Danielle Eaton.  Her business is Aligned Practice, where she has helped countless chiropractors work less so they can live more.  She shared a funny, fear based story surrounding shredding a copy of a patient's drivers license and stressing severely over mentioning it to the head clinician.  When she finally told Dr. Nelson about the license he said, "okay, just get another copy at the next appointment."  Then he smiled and walked away.Fear sucks.  It throws us into anxiety and stress and often needlessly.  It threw a successful young women into negative self talk and shame.  But that was all internal.  Externally, when it actually came into the real world, it barely hit the radar.Thankfully, Danielle can now laugh at this story as she consults chiropractors to get more from their time and live a "fully fulfilled" life.  Yet, had she stayed in the shelter of her fear she would have never materialized.  She would have never impacted her community.  She would have never created so much change and positivity within the profession.  She wouldn't have allowed herself to be her.Let's all take a moment to do a self-audit with how we handle our fear.  Next, develop a strategy to unleash fear from your brain and let it out into the world.  Most often, you'll be ashamed of your wasted time as you see your perceived fear evaporate in reality.  For more help with understanding fear and accepting vulnerability as a strong weapon for your personal growth, check out anything from Brene Brown.Yeah Women!  Good Luck and #keepmovingDr.J

It's important to improve reviews.  When done frequently, quality reviews will be a huge benefit to your practice for the following reasons:They appear in the place new patients look most often.If they are high quality and frequency, they will improve your SEO (findability)They will act as a key performance indicator of your BRAND!So, if you get great reviews and you get them often your practice should be growing.  However, if they are low quality reviews, you will hear and understand what is wrong with your practice.  The next step would be to fix those things.  So, all good things!But, how do you improve reviews?There are many ways to get better reviews.  However, this podcast focuses on three:Office Flow & EnvironmentConfidence and ConnectionASK FOR THEM!  (Through an auto-responder)The podcast does the deep dive, but the concept is to have a smooth and easy progression from the website to your front door.  Next, have a CLEAN and NEAT office with an inviting and comforting staff.  Then you can knock their socks off with your confidence as you build a "listening to understand" connection.  And finally, have an autoresponder email request them to leave a review with the click of a button.Easy, right?  It can be if you pay attention to these things.Good Luck and #keepmovingDr.J

Bitter and vindictive relationships usually end poorly.  Many times, they progress right back into other bitter and vindictive relationships that also end poorly.  You know, almost like a trend (sarcasm intended).If you think this podcast is about personal relationships, then I am sorry.  It's not.  Instead, it's about the chiropractic profession and the often bitter and vindictive relationships between employers (established doctors) and employees (new grads).I'd love to say that this isn't a big issue and times have changed, but I know that's not the case.  I still talk to many unhappy, if not angry, young doctors who are jumping from place to place in an attempt to find stability.  It's also evident that there is turmoil between these parties.  With our profession seeing such a small portion of the general public, it's obvious we have issues.  Established doctors aren't providing great opportunities.  New grads aren't aware of the grind and are jumping into bad long term contracts.Somethings got to change!This podcast focuses on the current state of the profession with respect to associateships, what is fair for both parties, and where both parties are failing.  It is important for employers and employees to understand these aspects in order to start generating better relationships .Established doctors need to understand that new hires are looking for a like-minded office that will mentor, understand their risk, provide a reasonable contract, and allow for long term growth and potential equity.New hires need to understand that "good" offices are looking for doctors who are committed,  understand the risks on both sides, are willing to work hard to get things rolling, and who realize the amazing situation they are providing compared to going alone.  If we can start here and avoid the common errors in the process, our profession stands to improve massively over the next decade.Here's to hoping!Good Luck and #keepmovingDr.J

It's a question that deserves major consideration.  Are you speaking, and essentially communicating, in a way that your patients understand and appreciate.This all came from a resent conversation I had with a chiropractic student.  He had just finished a DNS seminar.  While he loved the information and knowledge, he and a lot of other students were concerned about whether or not patients would buy in.  Interesting!I'm more of a mechanist, but I don't shy away from the important aspects of holistic care.  That said, I was excited for these students to be at a DNS seminar but also excited to know they where questioning how to apply the knowledge within a practice.  I pray that they never stop questioning the authorities within chiropractic, especially with respect to taking our craft to the masses.Too often we see chiropractors speaking a foreign language to their patients.  Sure they're speaking English, but the patient isn't hearing a damn thing.  They might as well be speaking in Matrix code because everything is going in one ear and out the other.Don't get me wrong, I'm not suggesting that what the doctor is saying is wrong.  In many cases, it's 100% right.  Unfortunately, the patient still doesn't care.This podcast discusses what you have to do to succeed with patient communication:Speak their Language - Communicate in ways that make perfect sense TO THEM!Start at the Beginning to Build Equity - Help them succeed in areas important TO THEM!Sprinkle in the Important Complexity once they are Bought In.Stop crushing your patients with clinical information or they'll find the back door much quicker than they should.Connect, Build Equity, and Sprinkle in Complexity over time and you will build a practice of raving fans who are expressing true health, stability, strength, and wellness.Good Luck and #keepmovingDr.J

It's no secret that we aren't seeing more than 10% of the population.It's also no secret that our profession has the best chance to change the status of chronic disease in the country and the world.Why then, do we continue to struggle?  Why are new doctors in a sink or survival-float scenario?  Why do so few doctors succeed wildly?  The number of answers to these questions are unfathomable.  Yet, we need to have some sort of focus.Today, I will break it down into a list of 3 Gifts that aren't regularly being given to new patients.  And no, I'm not talking about a coffee mug, a T-shirt, and a nice crisp high five.  I'm talking about the emotional gifts that mean everything to growing and sustaining a great patient-centered practice.But, before we list those 3 essential things, we should probably touch on the unfortunate truth.  Most patients are getting 3 lumps of coal on their first appointment.  They are as follows:ConfusionSecond GuessingDilution of the Course of ActionTo sum this up, the patient leaves confused regarding if the doctor even knows what their problem is, questioning whether or not they made the right decision going to a chiropractor, and feeling lost in the dilution of information that was chucked in their direction.No wonder we're struggling!Instead, give these 3 gifts:ClarityConfirmationClear Course of ActionEnsure that the patient leaves with clarity that you're both on the same page with an identifiable issue, confirmation that you are the best doctor for them, and a clear course of action for today and the weeks, months, and years to come.Doing so will improve your practice and the entire profession.Good Luck and #keepmovingDr.J

First impressions are everything.  Whether you are dating, doing job interviews, or managing a new patient, first impressions  shape the future of your relationships.  Do well and you begin a easy progression.  Do poorly and everything stops before it can start.Unfortunately for most young or new chiropractors, school did not prepare you to make a great first impression.  On the contrary, school actually prepared you to do poorly.  Nearly everything you were forced to do in school stacks the deck against you when you start your practice.Before you go crazy and start marching on your alma mater, hear me out for a moment.  Schools are setup to ensure you pass boards and manage to not kill anyone.  They are not set up to help you understand the subtleties of doctor-patient communication.  Your clinicians weren't focused on helping you learn the psychology of decision making.  Pass Boards,  Don't Kill Anyone.  Those are their main objectives.  So it only makes sense that fresh chiropractors struggle with crushing the first impression.  This podcast dives into these concepts:The 3 S's that screw up the first impressionThe 3 C's that help you conquer a patient's first visit.Enjoy and #keepmovingDr.J

Hey People,Welcome back to the ChiroPCP podcast.  Last week we touched on "down time" and now it's all about opportunity and the current state of chiropractic and healthcare in general.Unfortunately, we aren't fully ready for what the pandemic has provided in terms of public perception.  Never before have so many people been looking away from drugs and surgery and toward conservative methods to produce and maintain health.  Yet, we aren't optimally positioned to take advantage of that opportunity.Why?Our institutions, our established professionals, and our graduating doctors are missing key components to make that optimization a reality.Schools - They need to start being honest and providing a better pathway for students.  We need doctors walking into practice with all the tools necessary to succeed in chiropractic and business.Established Professionals - We need to stop feeding on the newest crop of graduates, handing them crap opportunities and little more than frustration.Graduating Doctors - You all need to get out and fail now so you can succeed later.  You need to develop some GRIT by putting yourselves in tough situations and making them comfortable and manageable.  Coming out of school should see you with all the momentum you need to succeed.So, we all have our parts!  This podcast covers them all in depth.Good Luck and #keepmovingDr.J

Yo People,Welcome back to the ChiroPCP podcast.  We hope you are enjoying the content and using the actionable items to improve your Patient Centered Practice!The last few episodes have come from conversations with some elite level chiro's from my graduating class.  This episode will step away from their shared expertise and engage a situation that many of us are feeling this very moment - The Office is Closed.Heavy snow fall and sub zero temperatures have rocked a major section of the country.  For many of the business in these areas, that means they are closed to business.  They did nothing wrong.  They aren't sick.  They didn't oversleep.  Nope, Mother Nature said, "Err-body stayin' home today!"In these small scenarios, as well as the large scenario of the pandemic, it's important to understand the situation as being a blessing and not a curse.That said, I am guilty of initially being pissed off!  Yesterday, I was set for a maxed out day to start a maxed out week.  The initial downshift of patient flow from the beginning of the new year was over and we were back to rockin' and rollin'.  But, Mother Nature had a different idea, and I was offended by that idea.  After resolving my inner immaturity, I shifted to a more productive approach.  Just like everyone else, I find myself wishing I had more time to do the things that would help the global picture of my life and practice.   And though that's a fact, I was missing the opportunity placed at my feet - the Blessing!This episode dives into these concepts and encourages you to find the blessing in downtime regardless of your scenario.  We all want more time (the game is always against us), don't miss the opportunities when extra time is provided.Good luck and #keepmovingDr.J

Welcome back to the show and thank you for your likes, shares, and comments.  We are starting to see more organic reach which is always a good thing.  Please continue to spread the word to those who may benefit.Last week we borrowed the expertise from Dr. Clay and Dr. Travis.  This week we do the same with Dr. Jason Hulme of Active Spine and Joint Center in Hendersonville, Tennessee.  Whether it's at his office humming with 2 associates and a solid staff or on his Facebook Live show "2 Docs," Dr. Jason is getting things done.  Aside from that, he is also an adjunct professor, presenter, and consultant for chiropractic colleges, MPI seminars, and any chiropractor looking to inject solid assessment and rehab principles into their practices.  Long story short, he's a busy dude and we are grateful for the time he gave us last week.One of the gems I grabbed from Jason was his clinic's acceleration once a solid and consist system was implemented to generate predictable results.  He uses and teaches SFMA to not only generate positive results for his patients but also scale his practice with a common language.  Because all of the doctors in the practice use the same assessment and treatment flow, it is easy to co-manage patients and open up time for other opportunities and adaptations.  With this setup, it is easy to see that Dr. Hulme doesn't plan on burning out any time soon.  And why would he?  He is currently dominating the 5 ways to avoid burnout.This podcast dives into all 5, but the concepts are easy.  The first 3 revolve around how you get things done.  The last 2 are the benefits you will reap to expand not only your practice, but your entire existence.Outcomes - generate great and consistent outcomesSystems - have solid systems that reinforce and scale the ability to generate outcomesEfficiency - fine tune the systems to make generating outcomes easyOpportunity - take advantage of extra time and resources to practice and/or live betterAdaptation - always be looking to adapt and grow so that being awesome never gets oldI hope you enjoy the show and again, thank you much to Dr. Jason for his time.Good Luck and #keepmoving

Is one more important than the other?  Can you have both?Welcome back my Brothers and Sisters,This week we must thank Dr. Clay Gasparovich and Dr. Travis Mohr for sharing their time and expertise with me. These two guys may be the most successful chiropractors from my graduating class (if not, let me know so we can chat ;-)). Dr. Clay practices in South Carolina and Dr. Travis hails from Tampa, Florida. Both operate large clinics with several specialty practitioners seeing multiple hundreds of visits per week. They embody the phrase, "Go Big or Go Home!"The next several podcasts will highlight some gems we covered in our 2 hour mega meeting. So much fun. And, again, thanks to these guys for sharing some knowledge.This weeks episode will cover something Dr. Travis mentioned when discussing chiropractors in general, but more specifically newer doctors. It's probably more important to have chiropractic charisma than clinically competent when you first start practicing. That doesn't mean you throw out the clinical aspect, but we must consider what the patient cares about... "Do I like this doctor?"If young doctors start by being likeable and generating a contagious atmosphere around their practice they will succeed at a quick rate. Their clinical competence doesn't need to be that good because, "people don't care how much you know, until they know how much you care." Caring buys visits and commitment. Simple as that. (Podcast - Are You Connecting With Your Patients?)But that doesn't mean we focus solely on charisma. Not at all. People aren't dumb. They will eventually see through smoke and mirrors and you will be exposed if you lack clinical competence. So, it's critical to have both (Jim Collins - "Good to Great"). Collins discusses the "power of and" in his book, clearly showing that companies that embrace the "power of and" succeed and those that don't fail in comparison. Our profession is divided right now between charisma and clinical competence; vitalism and evidence-based. But if we can combine them and have equal distribution, our profession will grow exponentially.Action StepDo a practice and self audit. Where do you sit on the chiropractic charisma - clinical competence spectrum?Identify the locationIdentify the gaps in your practiceFill the gapsWatch your practice adapt, grow, and solidifyWatch the perception of the profession improveMake smores and drink scotch... with Ron BurgundyGood luck and #keepmovingDr.J

In reading Seth Godin's book "Tribes," I came to several realizations.  One in particular stood out when he discussed the emergence of the CrossFit tribe.Globo-gyms, personal trainers, and boot-camps had been around for years if not decades.  While they all offered the same thing (better looks and health), none ascended to the level where CrossFit now stands.  Why?All had cult-like followings.  All shared a common interest.  Why did CrossFit succeed to such a higher level than any of its predecessors?The answer is simple.  They focused on quantitative instead of qualitative measures and rallied around a centralized leadership team.  Doing so allowed them to prove consistent results and maintain a consistent product and message.  Can Chiropractic do the same?This podcast is focused on understanding the parallels and differences be CrossFit and Chiropractic.  It also touches on the 3 biggest things preventing Chiropractic from enjoying a similar success (Fear, Shame, and Safety).Hopefully you can take some gems.  Hopefully we can all move forward and beyond 7-10% of the market.Good Luck and #keepmovingDr.J

If Jerry Kennedy has learned one thing in his time as a chiropractic consultant, it's that chiropractors will make some weird decisions.Dr. Jerry graciously gave me an hour of time to discuss his experience as a chiropractic consultant.  His business can be found at rocketchiro.com and his specialty is patient-centered chiropractic marketing.  He's a great guy with a robust membership site full of "how to" videos that help chiropractors with marketing and business awareness.As promised, I took some gems from the conversation and shared them in the podcast.  The main points are as follows:As a profession we will jump at the "get rich quick" scheme without having the infrastructure to support it now or into the future.Many struggling docs will be looking for these schemes, but neglecting to invest in the foundations of a good business structure.Because of this, our profession continues to not only struggle with succeeding, but also with providing solid opportunities for incoming doctors.Ask yourself these questions:Do I know that a solid business has 7 Divisions? (Can you name and describe them)Does my practice identity align with my passion to be a chiropractor?Am I making decisions that support that connection and make my life easier over time?Enjoy the podcast to fill in the gaps.  As always, #keepmovingDr.J

Dr. Danielle Eaton of Aligned Practice was so kind as to give us an hour of her time to discuss her extensive experience dealing with chiropractors as an expert consultant.  A quick view at the timeline shows her and I attending Logan at roughly the same time (2009).  She, like so many of us, started her own practice and embraced the entrepreneurial grind of business development.  After several years, she realized that the passion for the model she was operating was dwindling as her calling to be a mother intensified.  So, she forced a pivot in her career moving towards consulting.Over the course of 4 years, she built a large membership-based business model that also offered premium 1 on 1 consulting.  Many of us would be ecstatic with hundreds of happy members and the ability to charge $700 for a 1-hour strategy session, but Danielle wants to have an even bigger impact.  To see what she's doing now, head over to Aligned Practice website at drdanielleeaton.com.This podcast discusses a few of the bigger take-aways from our conversation.  But, it focuses on one thing - THE BIGGEST STRUGGLE FOR CHIROPRACTORS.  I thought it would be getting out.  You know, being in front of people.  And while it is a major struggle for many of us, it isn't the biggest struggle.  Time and again, the thing her community referenced was consistency... or lack there of.Enjoy the podcast to understand why consistency may be an issue and how we can attack it.  Hope you find some gems.Good luck and #keepmoving,Dr.J

Hey Friends,Welcome back to the ChiroPCP podcast.  We are starting a brand new season today with some significant changes.  Aside from shorter podcast, we are increasing our reach into the profession to bring you more value to each episode.  I will be meeting with as many successful chiropractors as I can as well as doing research into best practices.  All with the hopes of leveraging each episode into something that can help your practice and our profession.Welcome to Season 2!This episode will discuss what the best chiropractic offices are doing with respect to social media.  From how many posts per week to the method of content marketing, we will cover the things that are working for 3 different practices.Not only that, these practices represent very different philosophical constructs and business structures.  Yet, they are all successful in building a brand and impacting a community.Enjoy the show.  And remember, if no one knows you're out there, you really don't exist.Let's make our profession better,Dr.J

Welcome Back Peeps!How's that title for search engine optimization?!It's a game we must play and an improvement we will make in this the 22nd year of the 21st century.  That's right, do the math my friends.  2020 will soon be a thing of the past - thank God!  2021 will be a year filled with unprecedented opportunities for the chiropractic profession.  If this is indeed true, we must prepare.Like all surviving businesses and platforms, ChiroPCP can improve from a yearly review.  In this the first year/season of the podcast I learned a great deal:Podcasting can be very hard.  Sometimes the topics punch me in the face and flow with ease.  Other times I have a general idea but piecing it together in a cogent fashion while practicing chiropractic, running a CrossFit gym, coaching youth sports, and being a husband and father can be a bit of a challenge.The profession is struggling with the same problems it has for decades.  From conversations with patients and other DC's it is evident that the perception of the field hasn't changed a great deal.  Furthermore the chiropractic opportunities for recent grads are few.  And many are gross in terms of ethical practice.  Very sad!I can get better and serve more.  I don't want this to get all biblical, but it's true.  In my assessment of my year as a human I have much room for improvement.  And much of that improvement can bring greater levels of value to those around me, as well as myself.So what will change for ChiroPCP?  I've wrestled with the question for a few days.  Based on these sessions of pontification and the many discussions with other DC's, I've come to a few conclusions.  They are as follows:As it's primary goal, ChiroPCP will continue to focus on  increasing the market share of the chiropractic profession through personal growth, business growth, and evidence-based outcomes.I will seek to do this in a few new ways:Increasing interviews with current and prospective chiropractors to expand my knowledge base and the bring it to the community.Refine my capacity to solve problems within the Chiropractic profession via my own work within the trenches – private practice.Identify common threads of belief and practice within the broad array of chiropractic diversity.I hope to continue having fun and providing gems for you to immediately use in life and practice.  2020 was a tough year on many levels, but the universe is based on balance.  Let see 2021 as a great equalizer for our profession.Good Luck and #keepmovingDr.J

Social Posts, Disgruntled Profession, & a 2-Step SolutionA recent social post from a respected colleague generated a crazy amount of comments.  Most were of the variety that a doctor of chiropractic would expect, but one answer came up over and over again - and it was kind of shocking.The question was, "If you could go back to chiropractic school, what would you do differently?"Many of the answers were obvious to a doctor whose been out for few years.  Experience has slapped us all in the face with the reality that we shouldn't have taken out so much debt and we should have lived a more frugal lifestyle.   Other answers surrounding caring less about grades and more about competency, as well as seminars and mentors peppered the comments here and there.But what was the answer that knocked me off my feet?  What was the answer that may have been the most common of all?"Not go"It came up over and over with varying levels of anger, frustration, and bitterness.  But it shouldn't be the case.This podcast dives into the 2 things that current, new, and future doctors need to consider and utilize if we are to grow and prosper as a profession.Enjoy, Good Luck, and #keepmovingDr.J

Welcome back my Chiro Crew,We took some time off last week to chill out with the family.  Hopefully you did the same in a very safe manner so we can stay on top of this pandemic thing.Speaking of the pandemic, how will it change how you plan for 2021?  Have you planned for 2021?  Do you know what I'm talking about when I say the word "plan?"Hopefully you take planning seriously.  If not, this podcast will help you understand why you should.  You may also want to reference the Marketing Diamond podcasts from earlier this year to get you fully prepared.To cut to the chase, people are still a little freaked out with the colder months coming.  We seem to have survived Thanksgiving, but we have Christmas and New Years quickly approaching.  Add Flu Season to the mix and it is understandable that hospital resources are once again at the forefront of many community decisions.But how long will this last?It is my belief that the United States will be vaccinating the vulnerable by the end of the year.  Recent reports say that 100% of the US population will have the opportunity for vaccination by the end of June.  Say what you must about vaccinations, but do realize that the majority of the population will feel much better when they are available.  Legislators and community leaders will have something to protect their political capital.  In other words, your target market will once again be comfortable scheduling an appointment with you.This podcast focuses on what you must do now to survive and thrive by the end of 2021's second quarter.Enjoy and #keepmovingDr.J

Old School Methods, New Age Methods, and What's Working NowWelcome Back Chiro Brothers and Sisters,A new wave of COVID-19 has us all a little concerned about the future of our communities and our ability to deliver services.  I hope this podcast finds you well and in a position to deliver services and value to your patients.This podcasts discusses Marketing and specifically what every chiro needs to be doing right now.  Old school methods are okay, but they are largely irrelevant or impossible right now.  Many new-age things are great, but businesses know that and will exploit you over simple things.  Regardless, you need to know the tried and true methods of marketing that never change - pandemic or not.Lastly, I give you my key focus points for marketing upgrades or fresh starts for both existing docs as well as aspiring student and those that are fresh out.As always, I hope this resonates with you on at least a few levels.  At a minimum I hope it helps you develop your ideal Patient Centered Practice (ChiroPCP).  We need to serve 50% of the population.  A step in that direction starts right now.Good Luck and #keepmovingDr.J

Guess What?... You're Both UGLY!!!Welcome back my friends.  Did I ruffle some feathers there?  Are panties now in a significant bunch?  Are you chaffing?  Okay, let's nestle down a bit and talk about today's topic - Treatment Plans.Much like our country's current political climate, Treatment Plans are polarizing within our profession.  Long plans, hundreds of visits, and thousands of dollars go up against no plans, 3 visits or less, and hundreds of dollars.  In the end, they only differ by how much the doctor makes.  That probably explains why so many chiropractors do long term treatment plans.  They might as well have something to show for it.That is sad and damaging to our profession.  Just like in politics, the majority of the profession lives in the middle 70-80%.  This zone represents doctors who may lean to one side or the other, but are will to bring the patient into consideration.   We think about the type of outcomes we generate compared to the financial obligations we place on the patient.  We are reasonable.  Yet, the people on the edges generally dominate the conversation, both inside and outside the profession.This podcast discusses the 2 factors that you must consider when adapting your treatment plan length (as well as your treatments in general):Does the patient actively participate?Are the outcomes sustained and objectively verified at high intensity?If you can "truly" answer yes to these question - proceed sir.  If not - it's time to make changes for you, your patients, and the profession.Good Luck and #keepmovingDr.J

It's election night.   It will be the most historic voter turnout and potentially the most violent aftermath of a presidential election.  People are scared, concerned, angry, proud, hopeful, and intolerant.  And some are all of these things at the same time.Oh boy, I'm glad I signed up for this!It's only right that 2020 would throw us yet another crap sandwich.  Yet, this is also a great time to reflect inward as well as understand on the periphery.  Who are you? And, who are the people around you?Can you answer those questions with certainty?Can you answer those questions accurately?Knowing exactly who you are and what you want is critical.  But being respectful to others and their differing opinions is what separates assholes from leaders.  This podcast thoroughly discusses that topic, as well as  the importance of knowing all personality styles.  Achieving this capacity allows a patient-centered practice to grow and thrive.  Missing this opportunity ensures cutting a target market by 50-75%.  Enjoy the episode and make sure you react to the results of the election with everyone in mind.  The world needs a hell of a lot more leader and quite a few less assholes!  Make the right choice.Good Luck and #keepmovingDr.J

It's a question that we are forced to ask ourselves?  How many weeks of vacation can you take?If you look at Facebook or Instagram it's almost a badge of honor or a status symbol.  The longer you take off the cooler you are.  Similar to the system that takes you from 12K in revenue to 120K in just 60 days!Listen, I'm all about making money.  Yet, I also think its important to not always believe the hype.  Too many systems and quick fixes are out there that end up putting chiropractors in even worse positions.  I think that's wrong and shameful.  But, only you can decide on how you feel.This podcast focuses on vacations and whether you should take 2-3 weeks off or a couple of days here and there.  The answer is - whatever floats your boat and helps you deliver for your patients.  Honestly, it has nothing to do with your preference, but more to do with your bottom -line.  The sooner you can "net" a good income, the sooner you can start exercising your financial freedoms.  Therefore, a simple start can yield a great bottom-line in very short amount of time.  On the contrary, a bulky start with multiple "pot holes" may dig you a deeper debt hole.  Try to avoid that.Enjoy, Good Luck, and #keepmovingDr.J

Anxiety, Fear, and Depression will get to us all.Do we have an antidote - a defense to their devastating effects?I believe a major portion of the answer surrounds our understanding and presentation of Passion.  But what if you don't have any?  What if it is hard to find or express?Well, this podcast is dedicated to helping you understand the 4 triggers or switches of passion.  Many of us focus on the most obvious - being passionate about "what" you do.  But when we realize that the coolest portions of what we do only represent about 5% of our life, it gets daunting.  That's probably why so many people are looking for something "greener."  Yet, when they get their they realize it's the same old crap on a different shade of turf.Not to worry, there are 3 other triggers to passion - your why, your how, and your who.  Understanding these and intensifying them in your life may be your ticket to restored passion.Enjoy the podcast and hopefully you can a few gems that make each coming day a little brighter.Good luck and #keepmovingDr.J

Hello my friends,Welcome back to the ChiroPCP podcast.Last week we discussed the progression of the profession.  This week we focus on your practice and it's need for a checkup.  This all stems from a recent presentation I gave to the Logan FTCA (Forward Thinking Chiropractic Alliance).  Instead of discussing common topics like treatment and diagnosis, I spoke on what students need to do now to be ready for tomorrow.  I focused on everything outside the normal chiropractic curriculum.  What I learned from the students was unfortunate.These students were bright.  They engaged in the presentation even though it was over zoom.  They had great questions and showed true intelligence.  Unfortunately, they had the very same fears and concerns that I experienced over a decade ago.  In other words, we have done little over the last decade to prepare chiropractic students to succeed quickly in practice.This podcasts acts as a checkup for your practice on the following levels:·        Are you tracking statistics and are you interpreting them correctly?·        Have you stepped back to look at the broad picture of your practice?·        Do you understand the dichotomies that surround your practice?·        Are you getting business help from outside the profession?Enjoy the podcast.  Hopefully, you have great answers to every question.  If so, we can provide better opportunities for young doctors and start taking the chiropractic profession to the next level.Good luck and #keepmovingDr.J

Hey friends,"2020" and "excitement" haven't really gone together.  Yet, that doesn't have to be the case for the chiropractic profession.Now, before we go any farther, it is important to state that we know COVID-19 has been a devastating thing and we are by no means happy it happened.  However, COVID-19 has changed the way we look at health care.  It has definitely change how the population looks at the medical model for becoming healthy, viable, and resilient.  And, for that, we are excited.  We are excited that the world has an opportunity to redefine how we approach our health and wellness.I don't know about you, but my practice has been very busy with reactivations and new patients looking to improve.  Yes, many of them are coming in with acute issues.  What's different is they are coming in and wanting a more full system approach - they don't want to feel better, they want to be better.Over the last decade I have bled through my eyeballs trying to get people to realize this importance with minimal success.  Today, patients are coming in asking if I can help them make it a reality.  That's exciting!Last episode talked about the importance of outcome assessment, documentation, professional consistency, and research pioneering.  We dove into how succeeding on these topics would dramatically improve the profession.This episode is all about how we should be ecstatic.  For the first time, probably ever, the population is looking to us for a solution.  Not only that, they are running from the MD, the Urgent Care, the Pain Management Specialist and truly seeking an active approach.  Here's to not screwing it up!Enjoy the Show, Good Luck, and #keepmovingDr.J

The question has been ever present since I went through school in 2006-2009 - In what direction does the profession need to move?Over the last 10 years, I've seen a lot and I've learned a lot.  No matter how confident I am with my assessments and treatments, I can always do better.  I can always learn more.  And my outcomes can always improve.  I think the profession as a whole needs to operate from this mindset.  We can never stop learning, adapting, improving, and recycling the process.Aside from that, this podcast focuses the true giants in the conservative care space.  I highlight chiropractors such as Craig Liebenson and Greg Rose, but also Kelly Starrett and Gray Cook (physical therapists).  They have all collaborated to give us epic texts that guide us in terms of assessment and treatment.  So now we circle back to the question - where does the chiropractic profession need to go?Well, we obviously need to see more than 10% of the population if we want to see our communities beat the chronic disease monster.  But, a better question may be - how do we do that?I firmly believe that if the profession shows more solidarity in the following areas, we will see massive improvement over the next decade:Consistent physical capacity assessments (PCA) for acute care patients and patients starting care for chronic issuesPioneering research to broaden the PCA assessment to include more upper spine and extremity dataA flow towards Functional Movement Screens with sub-acute and progressing patients to reduce recurrence and maintain/develop capacitiesCap off treatment with a patient that can safely and confidently walk into CrossFit/Orange Theory/F45/HIIT/Functional TrainingIf we are the pioneers in not only improving patient outcomes, but fighting chronic disease, we will win in the court of public opinion and substantially increase the objective data that supports our profession as being the best place for pain patients to start.Here's to the next 10 years crew!!!Good Luck and #keepmovingDr.J

In many ways, it is the most important question a chiropractic student will answer - Will I be an associate or an independent contract?Several years later, if things go well, the questions shifts a little - will I hire an associate or an independent contract?There is no right or wrong decision, just the data that comes as a result.  What we've seen  is that the decisions made on each side aren't doing much for our development as a profession.  When you consider the progression of a MD as an intern, resident, and fellow, the physician is virtually guaranteed the capacities of being confident as a health care provider as well as having a high paying opportunity waiting for them.  They have structured well.Take a look at the chiropractic profession and you will see major problems.  We consistently throw under-prepared doctors into the market to be overwhelmed if not consumed by any and all things.  Even worse, existing chiropractors are the primary offenders.  Agreements are generally scaled heavily toward the existing doctor because the new doctor has few options as an associate or independent contract.  We have structured poorly.This podcast discusses the various options, considerations, and obligations of both the new chiropractor as well as the chiropractor providing the opportunity.  With any luck, we can start providing better opportunities to strengthen the progression of young doctors.  Doing so will guarantee a higher likelihood of the profession seeing more than 10% of the population - not to mention our attrition rate dropping substantially.This only happens if both sides participate without ignorance or stupidity... which, can sometimes be a lot to ask.  But, we will ask. And, we will do what we can to help push the trend in the right direction.  Restructuring starts today.Enjoy, Good Luck, and #keepmovingDr.J

Chiropractic is classically defined as being a science, a philosophy, and an art.  This episode will dive into the "art" portion of that definition.As chiropractors, just like all primary care physicians, we all struggle with getting patient's to make behavior changes.  They generally come to us with issues that are caused or intensified by poor life choices.  Unfortunately, changing that behavior can be difficult.If we can't change the patient's behavior, then it becomes very difficult to deliver positive results.  If we can't deliver results, then patients won't be saying very nice things about us.  Therefore, our ability to generate behavior change can be a measurable correlate to our ability to improve patient retention and referrals.  Some of us come by this naturally and some of us see this as a constant struggle.  Regardless, the following concepts will either help you sustain your success or improve your outcomes:Listen - actually shut up and listenUnderstand - don't be thinking about your fantasy line-up... make notes Clarify - talk to the patient to ensure you understand their problem correctlyVerify - allow the patient to verify that your understanding is correctGuide - use the opportunity to start behavior change from a point of trust and connectionFollowing this flow will allow you to make the behavior changes necessary for your patients to rave about you to their family, friends, and co-workers.Good Luck and #keepmovingDr.J

I'm nearly 40.  (boo hoo, sob-sob)Actually, I am loving life and I hope you are regardless of your impending decade.  Much of that is because I've embraced technology and it's many advancements (not always on time, but in good time).Good tech should always make us question how we did it before we made the shift.  But it doesn't always work like that.  It's important to realize that we will always resist new technology.  Not to mention resisting change all together.  However, when we're set with good tech, we unleash efficiency, improve results, and generally save both time and money.  This podcast is about discussing the resistance to change and why it can be quite silly.  It also dives into what your current tech should be doing as well as an option to streamline your practice with something brand new.I hope you enjoy the podcast and I hope it helps you jump into something that makes your life better.Good luck and #keepmovingDr.J

From school, to starting a practice, to seeing the finish line, we all run into overwhelm.Feeling like everything is too much or too hard can paralyze the strongest person. Thoughts of not being good enough or that the world is out to get us can make the smallest situation feel like an epic turning point. All of this is due to the emotional charges of overwhelm .Young chiropractors will struggle with all the business responsibilities, processes, and systems that are necessary to simply open your doors let alone develop a thriving practice. More seasoned DC's will continuously hear the voice in their head asking, "Are you running out of time? Have you done enough? Did you make the right choices? Are you building a worthwhile legacy?" It can all be terrifying, but it doesn't have to be. This podcast discusses few things that can help you fight against negative emotions:Planning - whether you are at the beginning or nearing the end, a solid plan will smooth the pathPro-activity - a great plan means very little without action, don't be afraid to take the wheel and take control of your course.Positive Mental Attitude - Eventually, you will take the wrong turn. It doesn't define you - it's just a transient learning opportunityProductivity - Nineteen things on your list is always better than twenty; and it's always closer to zero!

Marketing Diamond - Part 4We are social beings.  We yearn for the opportunity to share our experiences and tell our stories.Your patients are no different.  They want to share their experiences with their friends, family, coworkers, and really anyone who will listen.  What will they say about you?Part 4 of the Marketing Diamond series is all about internal marketing strategies that help your patients understand what you're both trying to accomplish.  First, you need to ensure they say great things by delivering great results.  Second, you need to have great software, email campaigns, and office imagery to generate the kind of chatter that brings new patients through your door or pushes patients to ask if you are the right doctor for their friends.Good Luck and #keepmovingDr.J

While seminars and lunch and learns still have their place in marketing your practice, the virtual nature of social makes it the perfect place to spread your message.  Match that with the fact that everyone is constantly checking the social feeds and it is easy to understand that social media marketing is an absolute must for your practice.This podcast discusses the various modes of marketing, content requirements, and social media platforms when considering a marketing campaign.  If you want to have (still have) a thriving practice 5 years from now, you have to know, understand, and utilize the 3 concepts listed above.Good Luck and #keepmovingDr.J

If you aren't visible in your community, then you really don't even exist!Harsh? Yes.True? Yes.Visibility is the 2nd part of the marketing diamond series.  It is critically important to any business, yet chiropractors (especially young ones) get heart palpitations whenever the subject arises.This podcast discusses the components that generate CONFIDENCE and EXCITEMENT in the area of visibility.  There is no longer any need to be paralyzed by perfection or perception.  It's time to build power, influence, acceptance of vulnerability, and massive connection any time you walk out your office doors.Good Luck and #keepmovingDr.J

We got into this game because we had a significant passion for helping others.  As chiropractors, we dedicate our professional lives to delivering services that improve our patients.If that's not the case for you... you  got some problems.  If that sounds familiar, then we have some common ground on which to work.  Marketing is the ugly word that many chiropractors don't want to discuss.  However, if we change the focus on how we perceive marketing, then we can actually just unleash our contagious passion to the masses.  But, will anyone listen?That is the topic of this podcast - Finding Your Secondary Passion.  Secondary passions are generally linked to our primary passion (chiropractic practice).  In this podcast, we discuss how combining these passions can help you develop a practice of raving patients that preach and practice everything they experience in your practice.Get ready to improve on this the first part of the four part Marketing Diamond Series.Good Luck and #keepmovingDr.J