Podcasts about arkansas state board

On today's show, a summer camp for children with complex communication issues. Also, a nonprofit focused on civic engagement in Arkansas is filing suit against the Arkansas State Board of Election Commissioners over the process of signing a form. Plus, you may be familiar with a bar crawl. But what about a yarn crawl?

Today, Blake and David explore how artificial intelligence is reshaping accounting, discussing its potential to handle 70% of information-based tasks and impact workflows like data collection, reconciliation, and client services. They criticize the current theoretical approach to accounting education, advocating for more practical, hands-on learning experiences. They also dig into the ongoing 150-hour rule debate, examining recent state board initiatives for alternative CPA pathways and concerns about the accounting talent pipeline. Blake and David tackle the recent Evolve cybersecurity breach and its implications for fintech companies and move on to listener feedback and questions.SponsorsLiveFlow - http://accountingpodcast.promo/liveflow Relay - http://accountingpodcast.promo/relayMakersHub - http://accountingpodcast.promo/makershub Genwise - http://accountingpodcast.promo/genwiseChapters(02:40) - Vacation Plans and Quiet Vacationing (07:45) - Generative AI in Accounting (10:37) - Challenges and Opportunities in AI Adoption (18:38) - CPA Firm Dynamics and Partner Retirement (28:58) - Survey Insights and Alternative Pathways to CPA (33:05) - Arkansaw State Board of Accountancy Pursuing Alternative Pathways to CPA (34:19) - Blake and David Look at the California CPA License Survey (37:29) - Addressing Concerns About CPA Mobility (38:10) - Survey Reflections and Critique (42:38) - Listener Mail: Nebraska's CPA Changes (43:55) - The Practicality of Accounting Education (01:00:38) - Evolve Bank Cyber Attack (01:06:35) - Closing Thoughts and 4th of July Message  Show NotesMillennials call it ‘quiet vacationing,' but it's really remote work gone wrong—and it's CEOs' worst nightmarehttps://fortune.com/2024/05/23/quiet-vacation-millennials-gen-z-harris-poll-remote-work Death, Taxes, and AI: How Generative AI Will Change Accountinghttps://a16z.com/generative-ai-in-accounting/ Tech lag named top risk for accountants in 2024 Intuit QuickBooks surveyhttps://quickbooks.intuit.com/r/news/accountant-tech-survey-results/ Finding Qualified Staff Is the Top Issue Facing Most CPA Firms In 2024https://www.cpapracticeadvisor.com/2024/06/07/finding-qualified-staff-is-the-top-issue-facing-most-cpa-firms-in-2024/106519/ Help! A Partner Wants to Retire Earlyhttps://cpatrendlines.com/2024/04/24/help-a-partner-wants-to-retire-really-early/ Arkansas State Board of Public Accountancy – Proposed Rule Changeshttps://www.labor.arkansas.gov/licensing/state-board-of-public-accountancy/proposed-rule-changes/ California Board of Accountancy https://www.dca.ca.gov/cba/ California Board of Accountancy's LinkedIn Post on CPA Next Surveyhttps://www.linkedin.com/posts/cbanews_we-want-to-hear-from-you-this-weekend-is-activity-7212584294232285184-25sa CPA Candidates Approved To Sit At 120 Hours Starting 1/1/2025https://nebraska-cpa.thenewslinkgroup.org/cpa-candidates-approved-to-sit-at-120-hours-starting-1-1-2025/ Evolve Hit With Fed Enforcement Action, But Why Did It Take This Long?https://substack.com/home/post/p-145886596 Cybersecurity Incidenthttps://www.getevolved.com/about/news/cybersecurity-incident/ Yieldstreet says some of its customers were affected by the Evolve Bank data breachhttps://techcrunch.com/2024/07/02/yieldstreet-says-some-of-its-customers-were-affected-by-the-evolve-bank-data-breach/Need CPE?Get CPE for listening to podcasts with Earmark: https://earmarkcpe.comSubscribe to the Earmark Podcast: https://podcast.earmarkcpe.comGet in TouchThanks for listening and the great reviews! We appreciate you! Follow and tweet @BlakeTOliver and @DavidLeary. Find us on Facebook and Instagram. If you like what you hear, please do us a favor and write a review on Apple Podcasts or Podchaser. Call us and leave a voicemail; maybe we'll play it on the show. DIAL (202) 695-1040.SponsorshipsAre you interested in sponsoring the Cloud Accounting Podcast? For details, read the prospectus.Need Accounting Conference Info? Check out our new website - accountingconferences.comLimited edition shirts, stickers, and other necessitiesTeePublic Store: http://cloudacctpod.link/merchSubscribeApple Podcasts: http://cloudacctpod.link/ApplePodcastsYouTube: https://www.youtube.com/@TheAccountingPodcastSpotify: http://cloudacctpod.link/SpotifyPodchaser: http://cloudacctpod.link/podchaserStitcher: http://cloudacctpod.link/StitcherOvercast: http://cloudacctpod.link/OvercastWant to get the word out about your newsletter, webinar, party, Facebook group, podcast, e-book, job posting, or that fancy Excel macro you just created? Let the listeners of The Accounting Podcas...

Richard Hughes, IV, JD, MPH, is a partner at Epstein Becker Green where he provides legal and strategic counsel to biopharmaceutical and other clients with a particular emphasis on vaccines, prevention, and early intervention.  He is also a professorial lecturer in law at The George Washington University Law School where he teaches vaccines and preventive services law.  Richard returned to EBG last year after serving Vice President of Public Policy at Moderna during the COVID-19 pandemic and as Managing Director at Avalere Health where he built and led the Vaccines Team. He previously held roles with Merck and the Association of State and Territorial Health Officials, and as a gubernatorial appointee to the Arkansas State Board of Health.  As a nationally recognized vaccine thought leader, he has led many efforts to expand access to vaccines and preventive services and improve public health outcomes. https://www.linkedin.com/in/richardhughesiv/ Learn more about Emily's work helping health tech and life sciences lawyers find their dream careers at her website, or on her LinkedIn profile. 

In this episode, AAPT President, Rob Tillman, talks about leadership and diversity in physical therapy. Today, Rob talks about being a leader, effective delegating, and the problem of bad advice by industry leaders. How Does Rob balance his life? Hear about Rob's journey to where he is today, advocating for diversity, and the shortfalls of the industry, all on today's episode of The Healthy, Wealthy & Smart Podcast.   Key Takeaways “You can't get anybody stronger by giving them opioids. You can't correct biomechanics by having somebody on muscle relaxers.” “Change doesn't happen overnight. Attitudes can happen overnight. Mindsets take a little bit longer to change.” “Competency burns down barriers.” “The key thing in business is to manage as many variables as you possibly can.” “Not only do we not have diversity when we're looking at the body types we have to work with, we're not having systemic diversity at all in medicine.” “You can treat everybody fair, but it's impossible to treat everybody the same.” “The outcome is when you get them back to doing what they want to do in their lives.” “The best leader shows people how to do it.” “There's a difference between believing in something and living something.”   More about Rob Tillman Rob Tillman is the president of Ortho Rehab & Specialty Centers. In 1986, he received his degree in physical therapy from the University of Missouri. Rob immediately saw the need to attain a level of clinical competence that would allow him to effectively address the complex needs of his patient population. With this in mind, he enrolled in a post graduate residency training program with the Sorlandets Institute which later became known as the Ola Grimsby Institute. He is a Fellow of the American Academy of Orthopedic Manual Physical Therapy and American Academy of Physical Therapy. Rob attained the highest level of clinical certification available in the field of orthopedic rehabilitation. Since then, he has received international recognition for his research on the lumbo pelvic system and has written benchmark works on the thoracic and cervical regions, as well. Rob has presented at several national and international conferences on a wide range of healthcare-related topics. He is also a recognized authority in the arena of sports medicine, having been credited with the rehabilitation design and training programs for many professional athletes and organizations including professional baseball, a Superbowl MVP quarterback, an NBA championship-winning power forward and a four-time golf world long drive champion.   Suggested Keywords Healthy, Wealthy, Smart, Healthcare, Physiotherapy, Rehabilitation, AAPT, APTA, Priorities, Education, Diversity, Leadership, Advocacy,   To learn more, follow Rob at: Call the office: 501-975-4040 Website:          https://www.pt-orthorehab.com AAPT:             https://www.aaptnet.org LinkedIn:         Rob Tillman Facebook:       Rob Tillman   Subscribe to Healthy, Wealthy & Smart: Website:                      https://podcast.healthywealthysmart.com Apple Podcasts:          https://podcasts.apple.com/us/podcast/healthy-wealthy-smart/id532717264 Spotify:                        https://open.spotify.com/show/6ELmKwE4mSZXBB8TiQvp73 SoundCloud:               https://soundcloud.com/healthywealthysmart Stitcher:                       https://www.stitcher.com/show/healthy-wealthy-smart iHeart Radio:               https://www.iheart.com/podcast/263-healthy-wealthy-smart-27628927   Read the Full Transcript Here:  00:00 Hello, this is Jenna cantor. I am here with the ROB Tillman who is currently the president of a PT and also is in charge of the ortho rehab and specialty centers. He is just a top physical therapist in the profession. We got I had the major pleasure of meeting him in person for the first time at the APTA 100 years Gala. Was it 100 years? It was, yeah, yeah, we were all dressed up, I got to freak him out with my excited energy, because I was so excited to be meeting you, Rob. And I, by luck convinced you to come on this fun ride and do this interview with me on healthy, wealthy and smart. Thank you so much for agreeing to come on. My pleasure. It same. It absolutely is just wonderful. So um, I would love to just start with if people could learn more about how you got to these leadership positions, start from wherever you feel comfortable. But I would love to hear how you got to now. I mean, you're heading these things. Of course, I mean, so many things. So please share.   01:10 Well, to be honest with you, I I didn't really seek to be president or leader of anything. I just really wanted to I went to physical therapy school and I wanted to do sports medicine. So I learned that while I was trying to do sports medicine and orthopedics most patients have that come to an outpatient physical therapy clinic have neck or back pain. So I decided to go ahead and learn something about how to deal with neck and back pain. So I did a residency with a group called Restore Landis Institute, which is now the older Grimsby Institute for four years and did a residency and passed by competencies and became what's called a level two manual therapist by the Norwegian standards. And I think it's still the highest level of competency, internationally recognized in orthopedic manual therapy, started teaching courses, and orthopedic manual therapy after I gained my level of competency and start working with the group was held South back then it was the world's largest healthcare Corporation geographically. And I started troubleshooting clinical operations, and learned how to do the administrative things. And then next thing you know, I'm a vice president. And then I'm a senior vice president, and then they have their accounting scandal. And then, so I started my own company about 18 years ago. And all the while while I'm doing my, my, my core competencies and working, you know, to make a living and moving up in the in the company I was with. I'm at a group called the American Academy of physical therapy that was established about 30 years ago. And   02:54 it was in 1989. Yeah,   02:57 it was it was a black folks that had concerns about access to physical therapy, school and quality care in the black community. And I learned about them through who is now my best friend, Leon Anderson, the third, his dad, Leon Anderson, Jr. is the founding president of the American Academy of physical therapy. And I just really started teaching what I had learned to the group and expose them to the specialty of manual therapy, and I just kind of hung around and enjoyed myself with them because that's the first time I really experienced unconditional love, professionally, in physical therapy, because they just made me feel welcome. A lady who's deceased now named Diane Ellsbury. I call her my PT mom. She'd says, Hey, Rob, baby, how you doing? And just hug me and just what do you need anything? Are you taking care of yourself? You're not working too hard. Are you just like an auntie type thing. And then I became more involved in the operations and joined a committee called the innovative services committee. And innovative services was that's exactly what it does. It does cool and innovative things like create programs, we established a navigation program for mentorship for for our young folks coming through an advocacy wing that was concerned about practice acts and access to care and licensure issues and things like that. In the process, I somehow got appointed to the Arkansas State Board of physical therapy. So that's how I ended up wearing these hats. And while I'm on the board and Arkansas State Board of physical therapy beginning about 1617 years ago, I'm currently still on the board. And it's it's rewarding. It's rewarding. It's a lot of work, but it's rewarding, and I'd rather be at the table than not be at the table for a lot of the things that are going on because our profession continues to evolve. The physical therapy profession continues to evolve. And as an E involves then we have to be able to apply the clinical concepts that we are. In general learning in physical therapy school. State practice acts can hinder your ability to perform the things that you've learned if you're not careful. So we really have to make sure that all of the practice extra current and access to physical therapy is available because we are the most green profession. In healthcare. It's all hands on care and exercise. You can't get anybody stronger by giving them opioids. Okay, you can't correct biomechanics by, you know, having somebody on muscle relaxers, you know, it's kind of hard to strengthen somebody while on muscle relaxers also, by the way, but as we're looking at all these things that I'm doing at the same time, it's just when people ask me to do something, I don't want to be the person that's complaining about things not being done appropriately. I want to be the person that's kind of like a catalyst, or at least an advocate or participant in moving things forward and making things better. And sometimes you don't get paid for. Okay, but but, but that's why I love the Academy because it's the service academy. It's, you know, it's a place to come and serve and love the people that you're with and be loved, have a positive attitude and move some things forward.   06:21 I think sometimes people get caught up into looking at the AAPT or the APTA as something that needs to serve them. The APTA is also a giant service group. If we look at it appropriately, and as we come together, and share concepts and ideas, the current leadership of the APTA has done a lot better on sitting down and really trying hard to understand the challenges of the black community, just so my my hat's off to past president, Sharon Dunn, and also the current president, Roger Ver, and, and Justin Moore, the CEO, and Carmen Elliott, who's vice president over Dei, I think that they're really putting their best foot forward on working towards things. I think that we all have to be patient, and monitoring the progress as we do blend initiatives and work together on things. Because change doesn't happen overnight. attitudes can happen overnight, mindsets take a little bit longer to change as far as our train of thought. But behavior patterns take a lot longer than that, and coordinating behavior with other groups and other people take even longer. So I've learned to be a bit more patients in my practice, and my working with folks. And I've also learned that not everybody that doesn't understand the EI or the hardships that other groups are having. They're not all necessarily opposed to other folks doing well, or what somebody would call a racist or something like that. They just don't get it. And sometimes people want to get it. And those are the ones that we have to engage in conversation with and share ideas and have our thick skin on, to work together on things and not be so easily offended because we've all got pasts. I try not to be so easily offended and angered by things. But also, I have still pretty good intolerance of people that are in denial about other people's hardships. That's a little bit tough to be in full denial about other people's hardships. And there's current legislation that's going through several states that actually don't want America to tell America's full story. Because some people aren't comfortable with hearing about America's past and some of the impressive things that have taken place in this nation. But while we're deleting some truths that need to be spoken about America's past, we're deleting the chance for especially when in this case, black people to tell our kids and society in general, the challenges that we've had, and the reality of how we got to where we are and what we need to do collectively about. So that's another thing that's happening in today's society, but I do believe in general things are moving forward. As far as being president of the Academy, I never wanted to be president of the Academy. I wanted to be the guy that shared the cool clinical stuff. And just got to hang out with people that were just loving folks. I became chair of the innovative service committee. When BV Clemens retired, one of our founding presidents. He was later President second president of the Academy. And when he retired and took a step back, I took over the innovative services committee. And then I was asked to run for the director position, which the innovative services committee reported reports through the director director's position. It's now under the director, our current director, Renee crater Dr. Crater, great lady. Man few years ago, they asked me if I would consider being president of the Academy. Are you sure you want to do that? But my skill set on big A former officer in a large company and my background and all the things that I've been working on and still doing, including being on boards and things like that fit the skill set that was needed for the president at that time. And again, I'm humbled and honored to serve as the president of the Academy. I've done it for the last three and a half years, I can't wait to get the next crew of people trained up and ready to take over as we're pushing forward on things. But right now, it still currently fits my skill set and and and I hope that the academy is satisfied with my leadership and innovation and my quirky ways of dealing with things but it certainly has been my pleasure still serve as president of the Academy.   10:46 I'm so everything you shared, i Nobody sees me. But I have this very excited smile, listening and everything. And I love hearing things. In your own words, you are a very, very humble individual and the amount of service you have provided to the physical therapy profession at large. Thank you.   11:06 So it's my pleasure. It's my pleasure. It really is. It doesn't even seem like work.   11:12 Right? And and that shows anyone who works with you, like I've known you for a blink of an eye. I mean, it's been, gosh, half a year now. Yeah. But like it from for you are so kind you know how to like enter a room, whether it's on email, or text or whatever, in the friendliest way. You are. So I find you to be so approachable. And very, as a leader, it's still no denying what your position is. I just really think you are really, you said, I love what you bring to the table. Love it, just enjoy very much. Yeah, from the from the amount of time I've known you. How do you handle things with being what doing what you're doing? And I've never asked you this before. And that life balance, you know, people talk about work life balance. How do you do that? From what I've seen, you have specific times, you're like, I am not replying back, which is great. Could you talk about that a little bit more where you kind of set boundaries and stuff. So that way, you're able to handle everything and not overwhelm yourself.   12:20 Sometimes I My wife's a surgeon, she's a breast cancer surgeon, the Chief Chief of breast cancer at the University Hospital here. She's comfortable multitasking and doing a bunch of stuff. I really want to make sure I'm a perfectionist and whatever I put my hands on. So if my attention is split, if my attention is split, I know that I'm not going to do the thing that I'm working on, as well as I could. So I do one thing at a time. I do one thing at a time. When I'm in clinical notes. Sometimes I can reply to a text sometimes I can't. But I want to make sure when I fix a problem, that problem that has my undivided attention, my total undivided attention and I'm giving it my best that I possibly can. As I'm trying to resolve the issues that I have in front of me. I love that I feel   13:15 like it's a very attainable way to approach life rather than just going just one thing at a time. Do that. Good. All right. I love that. I've actually even been doing that this week. Not even purposely because you said but now I'm going to be like Rob said this I'm inspired. I've been doing that this week where I I had it upon me to finish up the project we're working on together and I was like nope, let's hone in and now like it's at a really good spot you know now and then I moved on to it. I've already moved on to other things because again,   13:47 that's it's because even in relationships if I know I'm doing the best I can with that relationship even if it goes awry. At least I know for sure I did the best I could with it. Oh I love that. I love that so much that way you don't have any regrets. Yeah, yeah, yeah, it   14:03 makes me think of what that tattoo that that tattoo where it says no regrets but regrets is spelled in properly regards because I love that I kind of want I'm not into tattoos but if I got one it'd be either Disney or that. I love that so much. So now as when you are a leader of a as a leader of a PT how is that different from being a leader at a clinic? Like a clinic owner? How is that different?   14:38 I'll say it's the same it's just the objectives are different. Objectives are different. Okay. Now when when you're dealing with a clinical situation it to me if you're doing it the right way you're focused on your outcomes. Yeah. I'm not in a silo to where you know the orthopedic surgeons are upstairs and they own my my practice you They're gonna send me patients regardless of company, you know, so we're outcome oriented. And we get the things that are a little bit tougher than the guys that have the automatic referral that own their own PT practice. I've learned that competency, burns down barriers. You know, people don't care if your margin, if you know what you're doing and they got back pain, they're going to come and see you. That's true, that's true. But key thing in the key thing in business is to manage as many variables as you possibly can. Because they're variables that you can't manage. So being timely looking professional, okay, incompetent, having the tools that you need to get people better. I mean, how many PTSD see that, that work for a group that owns the practice that doesn't even have the tools to get the outcomes that they need, and they're working with the only resistive equipment they have is exercise to me. You know, you have to have what you need. And I'm our chief proponent of physical therapists independent practice, but I'm also a huge proponent of us owning our own businesses. And not working for groups that own you.   16:14 Yeah, we do. Uh, you know, I really see and feel what you're saying there, I have my own practice. And there's a lot to be said, because we all shine in a different way. We're all doing evidence based, but when we're able to come through as a as the autonomous decision maker that we've been trained to be, we can really help those patients, we can be a best service. I truly do believe that.   16:40 Yeah, I think so. But, you know, by the same token, we have to go the next step, and do what's defined by the way that the APTA is going, and the different academies and specialization. Oh, yeah, I've heard somebody give the worst advice at a three state meeting once and I'm not going to get the states because it might tip it off, it will. But this guy stood up and said, to the students, when you graduate, don't worry about training anymore. You already know enough, you know, you know, everything you need to know, to really make it. And I sit there. And then I asked the question, I said, Well, I think that the APTA is going towards specialization. So how does this fit in with that, but I know darn good. And well, after serving a four year residency in orthopedic manual therapy, that I'm a far better and more competent clinician. Also, you know, even being a co author and co author in some textbooks and defending my my thesis internationally at the First and Second World Congress on low back pain. It helped me to learn more, always active clinician, because I've learned more. And I have a more diverse patient population, because I'm a specialist in orthopedic manual therapy that's paid his dues. And and I believe we get superior outcomes when you go through residency training. Of any comment. Yeah, of any kind. So that was the absolute worst advice I've ever heard anybody give some young kids right out of school.   18:10 I think there's been a lot of advice out there that can be off, but I definitely think that's really, it's off. I'm thinking you got me thinking of I grew up as a ballerina. And ballet is impossible to perfect, however, that every ballerina is trying to perfect it what we're doing with our lines or bodies, you know, it's definitely out of the anatomical positions. And when you first start out like that, you learn all the dance steps, you learn all that, does that mean? I'm done? No. I'm always taking class, I'm always working to get better. And I learned so much from my life as a ballerina, I was pretty intensively in it at one point for a good portion of my life. And I learned the importance of always learning, always practicing and having to be passionate about it. Because if I wasn't passionate about it, I wouldn't be showing up and putting in my best. So having that background and then going into physical therapy as my new profession. Definitely was in line the idea of, of course, I'm always going to be learning Absolutely. What Why would that would make me the worst person to work with if I was start in one year of Tottenham?   19:22 No, I'm haunted by what he said. But it motivated me to teach something different to people in that. Yeah. With me, because I hear somebody saying something in full. He said it in full sincerity. He really didn't think anybody need to learn anymore. Yeah, but that's terrible. So let me go and teach people why they need to learn more. Yeah. Because especially when you're minority or a woman, you had better have it together. If you're out there on your own, you have better have a superior product because you're not in that good old boy network. Well, you're an outsider, also, if you better do it better.   19:56 Yeah, it's yes. And also If we're going off that you're going off with the research at the time that you learned it, we did not do diverse bodies, we do not have diverse bodies in research, we are massively lacking that, you know. So we need to be open and ready and seeking and creating more of that information to learn from to better serve.   20:20 I'm glad you're saying that because not only do we not have diversity, when we're looking at the body types that we have to work with, we're not having systemic diversity at all in medicine, because different people, the guy named D'Amato wrote a book a long time ago called Eat right for your blood type. And he talked about how different types of blood types have different types of foods that they can metabolize, and using their systems and have it not function in a fashion that's detrimental to the person. And lo and behold, different people can eat different things and perform differently. I'm gonna type O blood time, I need dense protein. Some people that are more of a type A blood type may not need as much dense protein, they may be able to make it by carb loading and eating pastas and things like that. If I eat a bunch of pasta before I go into an athletic endeavor, I'm going to suffer versus somebody else may be able to metabolize that and move forward with it. So everybody's different. And I think we're just now getting to the point to where we're paying respect to the difference in the different physiologic physiologies that different people have. And it just so happens that certain physiologies are grouped together in different ethnicities. Yeah, and because of because of that, because of that, then we have we have an evolving ability to specialize care to specific individuals. Yes. When When, when it's all mainly designed for just one certain group, or one certain physiology. Mm hmm. Body Type one certain athletic performance level?   21:59 Yeah, no different different, different, different, different levels of stress and anxiety, depending on what your background is. The stress and anxiety, someone gets the food, the blood type, that all affects healing. Yes. And it can definitely take away from the exercises they're doing.   22:18 Or give you a specific example of that, I'll give you some with COVID. With COVID. They're finding the people that get most sick from COVID have low vitamin D levels. Okay? Now, black people can't synthesize vitamin D, vitamin D is actually more of a hormone than it is a vitamin. Okay. And when you're exposed to sunlight, your body synthesizes its own vitamin D, which is a vital hormone for the basic function of your system, in your in your body. Okay? Well, black people can't synthesize as well, because we have more melanin in our skin. And the melanin reflects the sunlight. And so we have to have an increased exposure to sunlight to have the appropriate vitamin D level. Well, everybody was told to stay home for first three or four months during COVID. And lo and behold, black folks died at a higher rate than everybody else did. Okay, sky like, wet, your black folks have a more problem with high blood pressure, isn't it, and we eat the same thing that everybody else eats. But just so happens that affects us differently. And it may be because certain ethnic groups can't metabolize that metabolize the same foods the same way that other folks can. And so I think as we look at those things, and be more specific with it, we can teach through the whys. We're talking about, you know, masking up and what to do to not get COVID. But we're not telling people in specific you need to have this number of these nutrition nutrients every day. Okay, to where your system is more healthy. And your hydration level needs to be exactly this. I think that we could have done a far better job and still can have telling people what they need to have in their systems to be healthy.   24:07 And on that note, we'll take a quick break to hear from our sponsor and be right back. When it comes to boosting your clinics, online visibility, reputation and increasing referrals, net Health's Digital Marketing Solutions has the tools you need to beat the competition. They know you want your clinic to get found get chosen and definitely get those five star reviews on Google. Net Health is a fun new offer if you sign up and complete a marketing audit to learn how digital marketing solutions can help your clinic when they will buy lunch for your office. If you're already using Net Health private practice EMR, be sure to ask about its new integration. Head over to net health.com forward slash li tz y to sign up for your complimentary marketing audit.   24:50 I agree. I absolutely agree. And for me, I I haven't even gone into the nutrition stuff in massive detail with my patients and now you're opening up another door I've actually been getting into cognitive behavioral therapy, right now learning about that not to become a therapist, not at all. But to better compliment how I communicate with people who could do well with it or watch out for trigger words, all that kind of sensitivities. Because the individuals I find my patients really do open up to me a lot. They have been through or going through some of the most jaw dropping things in their lives. And yes, that affects their healing. So I need to make sure I'm not triggering them. By my, the way I speak, if anything, complimenting a journey of healing, as we are working towards a healthier, healthier movement, decrease pain in their life. So yeah, yeah, I definitely get it from from where I've been with the anxiety stuff. Yeah,   25:51 you're dealing with people in their complexity. Journey, people that deal with people in the same with patient care. Now, let's go back to them. You know, zoom out zoom. And you've heard me say that, Oh,   26:01 I love that. Yeah.   26:02 So the deal is, okay, let the we've zoomed in so tightly, let's zoom out so that we can see everything again. And now let's zoom back in. Because, you know, you can teach a kid how to hit a baseball, and he can hit every type of baseball pitch at every speed. But what if he gets hit in the ribcage? Oh, you don't want to get hit the ribcage again? Right? So is that going to alter his ability to perform? Well, if he's so afraid of getting hitting and hurting, then it may be in the back of his mind that he's gonna have problems. So you know, it can alter his performance. So yeah, but the mental aspect of performance of any time. You know, my daughter suffers from anxiety disorder. And and it's hard. But we have to work through it. Because, you know, let's let's be sympathetic to us. But we need to be more patient with some folks and see what we can do to integrate them into a functional position in society. You can treat everybody fair. But it's impossible to treat everybody the same. Ah,   27:06 amen. Amen. All right, I'm going to switch completely into another because it just popped into my head. And I was like, oh, I want to ask regarding leadership. I was talking with another business owner, she's actually new to owning her own private practice. And, and then there's another person who's much more seasoned with his pride, like, yeah. And he said, I'm working on delegating more. And further, and I cringe, because we like to really Oh, that is that's it? How could you talk about your journey with delegation, because as you get, you know, the more of the leader, the higher leadership position, you do have to delegate more. How do you do you know, like,   27:51 Well, yeah, yeah, but here's what needs to happen is you've defined your clinical product, okay? You have to replicate that product, either you have to do it or somebody has to be able to produce the same clinical product that you produce. And it just so happens with mine. It's it's specific care in orthopedics with a high level of differential assessment of Neurophysiology histology and Arthur kinematics, and the appropriate prescription of hands on care and exercise from that. So if somebody comes to work for me, especially in the main office, they're not going to have their own patient load for six months. Until they go through the readings. And they they learn the basic clinical practice for dealing with an upper cervical problem, a lower cervical problem, ribcage issue. Problem with a hyper lordotic spine, a problem with a hyper mobile spine, problem with pelvic issue, be it internally, as far as pelvic floor issues, or biomechanically, when the sacred tubers and sick response ligaments are a little bit loose, and they can't withstand the normal loading. But they should be able to, they have to be able to do all those differentials in there to be a predictable application based upon that assessment and diagnosis, to where we're replicating the outcomes that we need to replicate with patients that present with those pathologies. And that takes time. So now let's go back to the guy that says that the students don't need to learn anymore. Well, they're going to get their lunch eat. All right. There are guys out there that then and ladies that have been doing this forever, that have the highest level of competencies, that'll run them out of business. If the playing field is indeed level, and there's access to the same level of referrals, and getting a good outcome doesn't mean that a person comes and says, Well, I hurt when I'm riding a bike for a long period of time. Well, why don't you take a walking instead? Now that's not an outcome. The outcome is when you get them back to doing what they want to do in their lives. Yes, that's it not modifying their life but getting them back to doing what they want to do so that they can maintain the quality of life that they desire, not telling them that well, if it hurts to bend forward, quit bending forward. No, that's not. That's not an outcome. Right? Right. modification.   30:09 Yeah, yeah. And it's so interesting you say that, because always learning, I have my practice where I'm 100% virtual. And that happened from the pandemic, I was not expecting that, and my performers love it for access everything. And it got me very into, you know, I'm not going to go into the details of what I do. But regarding outcome measures, I literally, that's what we very intensely focus on what they ultimately want to do not just like, oh, I have no shoulder pain, you know, they want to know if they can do this arm movement. And when they dance, you know, every time can they do that without having to worry about it. And then we get them there. And that is why I have a massive increase in satisfaction, because we are fully getting them to that to that their specific goals. I love them for   31:01 that. I'm very, very slow to accept praise for anything that I might do. Because the patient's the one that's got to do most of the work at the end. In the very end, and you're really is only as good as your last patient. You're only as good as your outcomes. Say that you are, yeah, doesn't matter how much you walk around talking about how great you are and how smart you are, if the patient didn't get better than you fail?   31:23 Well, because it's not about us. It's not about us,   31:26 it's about them, it's about getting them better, you know, and that is the most rewarding thing. You know, like, it's, it's,   31:35 I've built my company, we've got five facilities now. But it's one patient at a time, one outcome at a time. And most of the patients that we get come by word of mouth. Nice. Yeah. So you just get after it and handle your business and maintain and be a good steward of the opportunities that come to you. And take care of people the way that you'd want to be taking care of yourself. But back to the point of leadership. Yes. Your best, the best leader shows people how to do it, instead of trying to do   32:05 Yeah, and that's a skill. That is a skill. Oh, well,   32:11 the funny thing about it is I've always gone to church, and I've you know, I've always gone to church, and different people have different ideas of spirituality and religion. But there's a difference between believing in something. And living something. Yeah. Okay. There's a big difference in believing something and living something. And I go to church now, the preachers, my brother in law, and I was kind of skeptical because my sister in law married this guy, and he's preaching, I was like, you know, just because you got to church doesn't mean I'm gonna be hanging out at church on time. That's such a good guy. He's such a good guy, and he lives it. So now I went from saying that to actually being a part of the service every Sunday and doing devotion at the start of service. So you know, if somebody sees you living something sincerely, and not saying one thing, and then doing another and behaving in a way that's totally outside of what's your professing in a crowd, and I think that's a lot. That's, that's what a lot of people away from spiritual base. Community, is, people are observing what people are saying. And then they're observing that person's application of what they're saying. And seeing if it adds up. And a lot of times that, yeah, you know, a lot of times does, yeah, and I think that's led to a whole lot of skepticism and a lot of our religious organizations. Yeah,   33:35 yeah. Actions do speak louder than words they do. It's just like, exercises,   33:41 exercises. Think about it. Think about it, you know, you know, the only Torah or Qur'an or Bible that people see in public are the behaviors of those people that profess those religions a lot of times, hmm. So, you know, are we living testimony to the Torah, or the Quran or the Bible? Are we are we living testimony to because if we were as diverse as we are with religious beliefs, if it's obvious that we're living, right, you know, everybody, I think would get along a whole whole lot better if the Pharisees were zeroed out. Yeah,   34:19 yeah. But that's where that's where you you jump in for this leadership and for all this volunteer work, because you want to start being the change you want to see in the world and be rather than just being an outsider. Like, let's take action for this change, which I so appreciate that about you.   34:35 Well, I just I'm slow to accept it. But if I do, I'm all in. Yeah, yeah. If I do, I'm all in. Yeah. It's It's It's humbling to be asked to serve in a leadership role of any form of any form, to be called upon to serve because that means somebody thinks enough of you to ask you to think about doing something and being an agent of change or or a vessel of service. Yeah, and that's what I always think about my wife gets a lot of a lot of requests to serve as well. And so we're very understanding of one another's roles. When we're asked to do things that might eat away from our our family time.   35:16 Yeah. Yeah. Kind of hard. Yeah,   35:19 it's rewarding. It's rewarding. I love that.   35:23 Thank you so much for coming on. I know this can inspire so many people. Just when you speak if you ever are at an event and you see Do not be afraid to approach Him, He is the nicest human. Like, go say hi. Ask questions, everything like you're like, Oh, God, no, I'm gonna get   35:42 this better than others.   35:44 Well, yes, you are still human. Of course, of course. But you're very good at communicating that you're like, Hey, you said that with me. You're like, now's not the time. Let's connect another so we did, which was incredible. So yeah, it definitely just a great leader to know to learn from and just, you're just good people. So just thank you for being you.   36:05 Thank you. Thank you for having me. Yes. Turned out to be the way that you wanted it to be this time.   36:09 Oh, my gosh, this is all every time. I feel lucky.   36:13 We'll do it again, if we need to. Oh, my God, I   36:15 would love to. And then, um, how if people want to reach out and connect with you? What is the best way if somebody wants to reach uncle? Oh, I want to I want to ask them a question.   36:25 Well, they can call the main office here in Little Rock 501-975-4040 Or you can look us up on our website at ortho rehab comm and leave a message there, somebody will check it.   36:41 Wonderful.   36:42 Thank you so much. And also don't forget about the American Academy of physical therapy. If people are curious about that. It's a wonderful service based organization designed to deal with healthcare disparities in the face of black community, but we're trying to help everybody, but our leg laser focus for us is to work with the black community and then try to help everybody else as we can.   37:03 I love it. Thank you.

Stacey McAdoo is Teach Plus' Arkansas State Director and the 2019 Arkansas Teacher of the Year. Prior to joining Teach Plus, she spent 19 years in the Little Rock School District (the largest urban district in the state) as an accomplished classroom practitioner, college and career readiness coordinator, and the lead secondary novice mentor teacher for the entire district. As a professional development facilitator of over two decades, she designs and leads sessions that focus on best practices, instructional strategies, empowering student and teacher voice, and promoting equity and the success of diverse learners. Stacey is the founder of The Writeous Poets (a spoken word & youth advocacy collective), an appointed board member of the Central Arkansas Library System, and a member of the National Arts in Education Advisory Council. Additionally, she has also served on the Arkansas State Board of Education, Teach Plus' Arkansas Teacher Policy Advisory Board, and the design thinking Phoenix Project. Stacey holds a BA in Professional & Technical Writing, a MA in Teaching and is finishing up an advanced graduate degree in Curriculum, Instruction, and Assessments. She lives in Little Rock with her husband, Leron, where they are the proud parents of Norel and Jamee. Visit her blog at www.stillstacey.com to learn more about her.

In this episode, Khaliah chats with Richard Hughes IV, JD, MPH, who is Vice President of Public Policy at Moderna. He is a nationally recognized vaccine thought leader and has led many efforts to expand access to vaccines and preventive services and improve public health outcomes. Previously, Richard was managing director at Avalere Health, where he founded and led the firm's vaccines group. Prior to joining Avalere, Hughes practiced healthcare law and served as a strategic advisor at Epstein, Becker and Green. He previously held roles with Merck and the Association of State and Territorial Health Officials, and as a gubernatorial appointee to the Arkansas State Board of Health. Hughes previously held an academic faculty appointment as a professorial lecturer in health policy and management at the George Washington University's Milken Institute School of Public Health. He earned his JD from the George Washington University Law School and MPH from the University of Arkansas for Medical Sciences. 

Today's episode of Redefining Medicine features Lynn and Michell Crouse. Lynn Crouse, Pharm D. of Lake Village Arkansas is the CEO of My Village Pharmacy and owner of 7 community retail pharmacies in Southeast Arkansas and 2 community retail pharmacies in Greenville Mississippi. In July 2018, Governor Asa Hutchinson appointed Crouse as a Board Member to the Arkansas State Board of Pharmacy.  He is serving a six-year term that will conclude on June 30, 2024.   Crouse previously served as the Arkansas Pharmacist Association (APA) 2017-2018 President, APA District President, APA Area 4 Representative, and has served on various APA committees.  He is also a member of the National Community Retail Association (NCPA), the Professional Compounding Centers of America (PCCA), and the International Academy Of Compounding Pharmacists. Crouse earned a Bachelor's degree in Microbiology from the University of Arkansas at Fayetteville (1989), a Bachelor's degree in Medical Technology from Louisiana State University (1990), and a Doctor of Pharmacy degree from the University of Arkansas for Medical Sciences.  He also completed an Advanced Fellowship with A4M in December 2019.   Dr. Michelle Crouse is a clinical consultant pharmacist, compounding pharmacist and community retail pharmacy business owner. Dr. Crouse received her Doctor of Pharmacy degree from University of Arkansas College of Pharmacy in 1996. She and her husband, Lynn, purchased Hunter’s Pharmacy and completed compounding training with Professional Compounding Centers of America (PCCA) in 2003. Since that time, she has purchased 8 other pharmacies. Dr. Crouse has been an instructor for the Diabetes Self Management Education (DSME) program through the American Diabetes Association. She also teaches at UAMS College of Pharmacy and lectures at Harding College of Pharmacy. Professional associations include Arkansas Pharmacist Association, National Community Pharmacist Association (NCPA), American Academy of Anti-Aging and Functional Medicine (A4M), and American College of Nutrition. Having a passion for Functional Medicine, she completed the Advanced Fellowship program with A4M in December 2019. She was voted “Pharmacist of the Year” by the Arkansas Pharmacist Association in 2014. She also serves as a luminary for Arkansas CPESN (Community Pharmacy Enhanced Services Network) and is a member of Arkansas Rural Health Opioid Task Force. Dr. Crouse lives in Lake Village, Arkansas. She is married to Lynn Crouse, Pharm. D. and they have 3 daughters.

In this week’s episode, we provide perspective and conversation on the Arkansas Business Executive Leadership Academy, #R3LRParks Task Force, the City of Little Rock's Frankly Reading Program, and the commencement of online sales tax in Arkansas. We also interview former member of the Arkansas State Board of Education, Dr. Jay Barth, regarding his experience and outlook on State Board of Education and the takeover of the Little Rock School District. --- Send in a voice message: https://anchor.fm/arktimes-rock-the-culture/message

In this week’s episode, we provide perspective and conversation on Arkansas State Board of Education finally releasing criteria for LRSD to exit state control, community forums with the final four candidates to be next police chief of LRPD, and Blake’s breakdown from the Arkansas legislature. In addition, we provide rapid fire perspective on Rock Topics. We also discuss the future of public transit in Central Arkansas with Charles Frazier, Executive Director of Rock Region Metro. --- Send in a voice message: https://anchor.fm/arktimes-rock-the-culture/message

Host Matt DeCample is joined in the Radio CALS studio by Gabe Holmstrom. Holmstrom is the Executive Director of the Downtown Little Rock Partnership, a nonprofit group that advocated for planning, legislation, transportation, economic development and numerous public and private initiatives to improve downtown Little Rock. Holmstrom previously served as chief of staff to the Arkansas House of Representatives, and handled public affairs for Cranford Johnson Robinson Woods after a decade in state and federal government and politics. He has also served as an aide to former Cong. Marion Berry. Holmstrom lives downtown in the Governor's Mansion Historic District and is a graduate of the University of Arkansas at Little Rock. He is a member of the Arkansas State Board of Finance and board member of the Quapaw Quarter Association.

We interview:  Mark Riley, P.D. NCPA President NCPA President Mark Riley, currently serves as Executive Vice President of the Arkansas Pharmacists Association (APA). In this role he is the chief spokesman and advocate for pharmacy in Arkansas, representing pharmacy practice to the State Board of Pharmacy, state legislators, Arkansas Medicaid, other state government agencies, as well as consumers and private businesses.   Dr. Riley is a nationally renowned expert on Pharmacy Benefit Managers* (PBMs) and is Chairman of the Board of the National Community Pharmacists Association, (NCPA®), based in Alexandria, Virginia, which represents the interests of America's community pharmacists, including the owners of more than 23,000 independent community pharmacies, pharmacy franchises, and chains.   Dr. Riley joined APA as Executive Vice President in 2003. He has owned East End Pharmacy in Little Rock since 1983 and served as pharmacist-in-charge until 2003. From 1971 to 1983 he served as manager/pharmacist at Landmark Pharmacy, both in Little Rock.  Dr. Riley's professional affiliations include: member of various steering and standing committees and Board member of NCPA since 1979; faculty preceptor and guest lecturer, University of Arkansas for Medical Sciences (UAMS) College of Pharmacy; member, Arkansas State Board of Pharmacy 1999-2003; and member of the Dean's Council, UAMS. Dr. Riley served on the Board of Directors and was President of APA in 1984-1985. He was awarded APA “Pharmacist of the Year” in 1988.   In October 2011, the Harding University College of Pharmacy honored Dr. Riley by renaming its NCPA student chapter the Dr. Mark S. Riley Chapter. Dr. Riley was the recipient of the Charles M. West Freedom Award from NCPA in 2004; Phi Lambda Sigma Inductee in 2004, RhoChi Inductee in 2003, and Preceptor of the Year in 1990 at UAMS College of Pharmacy; and recipient of the 1984 Leadership Award, National Association of Retail Drugstores.  *PBMs- A Pharmacy Benefit Manager (PBM) is a third party administrator of prescription drug programs. They are primarily responsible for processing and paying prescription drug claims. They also are responsible for developing and maintaining the formulary, contracting with pharmacies, and negotiating discounts and rebates with drug  manufacturers.  See omnystudio.com/listener for privacy information.