Navigating Cash-Based PT Practices & Career Growth Strategies

WEBVTT

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figure put a little rock

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music in the background get

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people waking up this

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morning uh that's dave

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kittle nope this way that's

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dave kittle on the right

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side of your radio dial I'm

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jimmy mckay absent today uh

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on the screen but not in

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our hearts is tony maritato

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as he's hanging out with

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some family today dave how we doing

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Jimmy, good morning.

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Feeling great.

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And in case Tony happens to

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be tuning in live on a run or something,

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he'll notice my AirPods are

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in and he might get upset.

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But Tony, I got my microphone,

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my Yeti plugged in,

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and we're just using this

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to block out some background noise.

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Let's just keep it like that.

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Okay.

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Okay.

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And from the former radio guy,

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stop touching the microphone.

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Okay?

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Stop touching it.

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Fix up sound.

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All right.

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So Tony is out,

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but we're actually going to bring him in.

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He doesn't even know this,

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but he's going to be here

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just not only in spirit and mind,

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but let's kick off today's

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conversation on PT

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Breakfast Club with some

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conversations that are

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going around the internet.

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We have our fingers right

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here on the pulse.

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of the profession and some

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results have been coming

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out this week and people

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always eager to share

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successes and failures.

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You like to see that to

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people sharing publicly

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failures and how to rebound

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from them because it happens.

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And a big one is results

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came out just a couple of days ago.

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A lot of our colleagues now

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are a little heavier in

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terms of their email signature,

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and they've got more

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letters after their name talking,

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of course, about

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Clinical Specialist Examinations.

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And for maybe those PT students,

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or I heard from some pre-PT

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students who actually

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listen to the show and the

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streams when we put these things.

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Clinical Specialization, Dave,

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how would you frame it?

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It's a school for people who

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want to go to more school.

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I think that is the perfect

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way to frame it.

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Yeah, just advanced degrees, really.

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Or advanced certifications.

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It's not degrees, it's certifications.

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So more specialization maybe

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in your practice area.

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Some examples.

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I'm not going to list them

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all because I'll miss one

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and then you'll be angry at me.

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Orthopedic clinical specialist,

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sports clinical specialist,

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pelvic health specialist.

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clinical specialist, pediatrics,

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geriatrics.

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So different areas of

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physical therapy practice

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that you can specialize in,

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you go and take this examination.

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And if you pass, poof,

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you are now a more

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competent and confident

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physical therapist, as we say.

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so this question one of my

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new favorite websites I was

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big on reddit maybe five

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six years ago and then like

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took a reddit purge but now

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I'm back on it baby I got

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the notifications and

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everything and this was a

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great question posed uh by

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maestro it almost looks

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like maestro clitoris but

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it's not that's the person's uh username

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Hi,

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my annual review is coming up and I

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just passed my OCS exam.

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Congratulations.

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How much money should I ask for?

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Which is not an invalid question, right?

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They back it up by saying

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they work at an outpatient

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clinic in Pennsylvania.

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They're currently at 85K a

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year with five years of experiences.

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uh annual reviews coming up

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and with a newly obtained

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ocs title how much raise

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should I ask for well first

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of all you've been out for

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five years you're in

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pennsylvania with 85k we're

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going to talk about that um

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but dave you're somebody

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who employs other

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clinicians tony will weigh

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in on this on the next time

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we have him on the stream

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but I wanted to get your thoughts

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Does adding the OCS to someone make you,

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someone who employs clinicians,

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automatically give them a

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raise if they came to you?

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If this person came to you,

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what would Dave say?

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No,

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it does not automatically give a

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therapist a raise.

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It might be shocking.

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Oh, by the way, by the way,

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that music playing,

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I thought it was another

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thing in my browser.

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So I'm like, I got this music playing.

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Sorry, I turned it off.

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Yeah, yeah, okay, we're good.

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I didn't wanna say anything,

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but now I said it's all good.

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It was going.

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Okay, so no, I mean,

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it doesn't necessarily

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result in a higher salary.

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It depends on like the

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intent and all of that.

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And yes, I mean,

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you also share with us in

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the chat with Tony and I,

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a screenshot that we'll get

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to as well about I think it

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was like a comment and then

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you reply to it so that

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that person's comment I

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believe in and we and we

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can maybe pull up on the

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screen in a minute but um

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it does not automatically

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um result in a race

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unfortunately the biggest

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driver of all this again it

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all comes back to

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reimbursement and insurance

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and all that so that is not

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increasing it's you know

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plateauing or in some cases

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shrinking or declining so

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it's hard to say okay

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Um, now you have your OCS,

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which by the way,

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that should be no surprise.

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Like every practice is

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probably like helping these therapists,

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right.

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Go into the OCS or GCS or whatever.

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And it should be,

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hopefully they should be right.

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And, and they might even be covering it.

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So that's, I don't know.

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I don't know.

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I think it's maybe a couple

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of thousand bucks.

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I think it's,

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I think someone was just telling me,

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I think it's like 1500

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bucks when all said and done,

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you got to pay for a little

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nickel and dime fees that

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they hit you with.

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Yeah, so all of this, by the way,

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I believe,

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regardless of the size of the practice,

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organization, whatever,

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that should be discussed ahead of time.

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So if Jimmy's a therapist in

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my practice and if Jimmy

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comes to me and says, hey,

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I'm looking to sit and get my OCS,

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we would have a conversation about it.

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I'd be like, oh, interesting.

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Or maybe if the employer,

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especially if the employer

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is saying to their staff, hey,

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we have a tract where you

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can get an OCS or do this

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or that and we'll pay for it or whatever.

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There should be some conversation.

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Maybe it's not.

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I feel like there's these

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comments on Facebook and

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Reddit and all over because

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the employer is probably not saying, oh,

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by the way,

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like this is going to be great for you,

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your resume, your confidence,

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your differential diagnosis,

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whatever it might be.

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But in that conversation,

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if it's brought up by the

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employer or me in this case

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with Jimmy as my pseudo

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physical therapist,

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I think it's kind of on me to say, hey,

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here's what that would look like.

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Here's what that would do

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for your clinical practice.

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for your compensation.

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I think that needs to be

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part of the conversation.

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And the fact that it's not

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is why these therapists go

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online and write all these comments.

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We can turn this into Reddit as well.

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If you're watching a live stream,

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you can drop a question or a comment.

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You want to chime in below,

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you can do that.

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We did have comments because

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that's how Reddit works.

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And I'll get into some of my thoughts,

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but I wanted to share some

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of what these came up.

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Let's see.

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No, let's do this one.

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Yeah.

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Josh Funk, Rehab to Perform chimed in,

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raise plus potential

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employee classification change.

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Example, staff PT to senior PT,

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salary change and benefits improvement.

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Now, Josh is the kind of person though,

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that here's the key that

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Dave mentioned that I want to highlight.

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This is to me, the hinge point.

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Josh lays this out before,

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before you start, I'm guessing,

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I don't know this,

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before you start working

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for rehab to perform,

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there is a clear track and

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clear progression.

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Now,

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someone like Josh or a

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forward-thinking clinic owner says, well,

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I can't bill more for

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somebody who has their OCS.

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Maybe you can't.

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Right.

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I mean,

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I worked at a clinic where I was a

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new grad PT and the rate was cash based,

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was X. And to work with one

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of the senior PTs was different.

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And people understood that

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because we explained it differently.

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We explained the value

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proposition differently.

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Jimmy's great.

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Someone else has been doing

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it longer and you can pay for that.

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Right.

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So the reimbursement from

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the insurance company might

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not be different.

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Right.

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That's flat.

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They don't care.

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That's okay.

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You know who does care?

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The person you're putting your hands on,

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the person looking you in the eye,

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that patient might care.

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So if you can explain that value,

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can you get more for giving more?

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You just gave, I just mentioned,

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it's $1,600 to get your OCS, I believe,

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after fees on top of if you

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pay for resources to study with it.

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By the way,

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my podcast offers one of those resources,

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one of the sponsors of the show,

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the Academy of Orthopedic

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Physical Therapy, Current Concepts.

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That's the one I did a Twitter poll.

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That's the one most people use, right?

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So you're talking $1,600 in fees plus $300,

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$400 in resources.

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You're investing in yourself.

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Fantastic.

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How can you reap that reward?

00:09:11.493 --> 00:09:14.456
Can you as a cash practice

00:09:14.956 --> 00:09:16.359
or a practice that is going

00:09:16.379 --> 00:09:19.604
to bill insurance and build

00:09:19.644 --> 00:09:20.705
this into a tract?

00:09:21.004 --> 00:09:22.246
Because as we mentioned before,

00:09:22.727 --> 00:09:23.609
one of the leading causes

00:09:23.688 --> 00:09:24.529
of burnout is...

00:09:25.230 --> 00:09:27.292
not seeing a clear path to growth.

00:09:27.412 --> 00:09:28.351
If you can't see that,

00:09:28.392 --> 00:09:29.712
you're going to feel frustrated.

00:09:30.072 --> 00:09:30.994
But I'm guessing someone

00:09:31.014 --> 00:09:32.693
like Josh Funk right there says, yes.

00:09:33.414 --> 00:09:34.815
And he was able to respond

00:09:35.014 --> 00:09:36.635
rather quickly after I posted this.

00:09:36.755 --> 00:09:38.356
He didn't make this answer up.

00:09:38.636 --> 00:09:40.017
This answer is baked into the cake.

00:09:40.057 --> 00:09:40.898
He didn't think about this.

00:09:42.599 --> 00:09:45.441
John DeLucci, also on LinkedIn,

00:09:46.160 --> 00:09:47.142
he said he would research

00:09:47.322 --> 00:09:48.783
internally before taking

00:09:48.822 --> 00:09:50.063
too much external feedback.

00:09:50.163 --> 00:09:51.804
I take this as John saying like, hey,

00:09:51.845 --> 00:09:53.105
before you just walk into

00:09:53.125 --> 00:09:55.767
your boss's office, slinging guns,

00:09:56.427 --> 00:09:57.369
double six shooters,

00:09:57.589 --> 00:09:59.409
like he's saying the same thing,

00:09:59.450 --> 00:09:59.929
which is like,

00:10:00.049 --> 00:10:01.291
make sure you understand

00:10:01.551 --> 00:10:03.653
what your employer is

00:10:04.173 --> 00:10:05.594
talking about or where this goes.

00:10:05.994 --> 00:10:07.475
Do this before you sign up for the test.

00:10:07.495 --> 00:10:08.135
Because ironically,

00:10:08.456 --> 00:10:09.716
results are going out right now.

00:10:11.533 --> 00:10:12.453
It's also time to sign up

00:10:12.474 --> 00:10:14.054
for the next clinical

00:10:14.095 --> 00:10:15.416
specialist examination season.

00:10:15.436 --> 00:10:16.475
This thing is just circular,

00:10:16.535 --> 00:10:17.057
round and round.

00:10:17.417 --> 00:10:18.618
It's like a carousel up and down.

00:10:18.937 --> 00:10:19.778
So John is saying like,

00:10:20.318 --> 00:10:21.399
gather objective data,

00:10:21.519 --> 00:10:23.520
tangible performance data, like this.

00:10:23.620 --> 00:10:24.221
John's saying,

00:10:24.261 --> 00:10:25.802
go in armed with information.

00:10:25.842 --> 00:10:27.984
This makes Dave nod and smile.

00:10:28.043 --> 00:10:29.264
Why does this make you nod and smile?

00:10:31.174 --> 00:10:32.216
Because it needs to be

00:10:32.275 --> 00:10:33.876
backed up by something objective.

00:10:34.116 --> 00:10:37.220
And if you're speaking to a decision maker,

00:10:37.419 --> 00:10:38.880
a manager, a director,

00:10:38.900 --> 00:10:40.302
especially some co-owner or

00:10:40.341 --> 00:10:41.322
an owner of a practice

00:10:41.342 --> 00:10:43.085
who's going to be the main decision maker,

00:10:43.105 --> 00:10:45.405
I want to see that.

00:10:45.426 --> 00:10:46.346
I want to see objective data

00:10:46.366 --> 00:10:47.248
because otherwise it's just

00:10:47.307 --> 00:10:48.729
subjective and it's like touchy feely.

00:10:48.749 --> 00:10:51.191
It's like, oh, this is good because I,

00:10:51.490 --> 00:10:53.552
you know, alphabet soup after my name.

00:10:53.572 --> 00:10:55.575
No therapist says this, but again,

00:10:55.615 --> 00:10:56.014
it's subjective.

00:10:56.254 --> 00:10:57.596
about my ego and you know

00:10:57.755 --> 00:10:59.256
I'm I'm you know better

00:10:59.336 --> 00:11:00.437
complete I'm better I'm

00:11:00.477 --> 00:11:01.719
completing more things I'm

00:11:02.259 --> 00:11:03.659
I'm doing more things but

00:11:03.679 --> 00:11:04.541
then it's like yeah but

00:11:04.581 --> 00:11:06.381
like uh are you know are

00:11:06.402 --> 00:11:07.082
you getting more google

00:11:07.102 --> 00:11:08.964
reviews are you uh having

00:11:09.004 --> 00:11:10.205
lower cancel no show rates

00:11:10.325 --> 00:11:12.485
are you getting more word

00:11:12.525 --> 00:11:13.547
of mouth referrals that are

00:11:13.826 --> 00:11:14.947
coming back and saying I

00:11:15.148 --> 00:11:15.828
you know I want to work

00:11:15.849 --> 00:11:17.090
with jimmy and and as

00:11:17.149 --> 00:11:18.110
opposed to I want to work

00:11:18.129 --> 00:11:19.130
with concierge pain relief

00:11:19.150 --> 00:11:20.272
so those are the things you

00:11:20.312 --> 00:11:24.495
should also consider uh making objective

00:11:25.409 --> 00:11:26.812
You present that to your employer,

00:11:26.851 --> 00:11:27.852
then the employer is like, oh, yeah,

00:11:27.893 --> 00:11:28.212
you're right.

00:11:28.253 --> 00:11:29.754
Like if we did this, this, this,

00:11:29.835 --> 00:11:32.277
like you're showing like

00:11:32.456 --> 00:11:33.778
objective improvement or

00:11:34.078 --> 00:11:36.621
objective findings or support for this,

00:11:37.042 --> 00:11:38.023
it makes it a lot easier.

00:11:38.344 --> 00:11:38.663
And again,

00:11:38.803 --> 00:11:39.664
all this should be discussed

00:11:39.705 --> 00:11:40.206
ahead of time.

00:11:40.505 --> 00:11:42.067
The fact that then a therapist goes

00:11:42.727 --> 00:11:44.769
I kind of, I kind of get it when I,

00:11:44.950 --> 00:11:45.390
by the way, I,

00:11:45.571 --> 00:11:46.692
when I first read some of

00:11:46.711 --> 00:11:48.092
these things this morning, I was like,

00:11:48.813 --> 00:11:50.355
I can't wait for this episode.

00:11:50.394 --> 00:11:51.876
I'm going to be yelling in the microphone.

00:11:52.157 --> 00:11:53.557
These therapists are ridiculous.

00:11:53.577 --> 00:11:55.240
Uh, but again, the,

00:11:55.440 --> 00:11:56.321
some of the blame does need

00:11:56.341 --> 00:11:57.601
to go into the side of the

00:11:57.642 --> 00:11:58.623
employer because there's

00:11:58.702 --> 00:11:59.984
obviously a lack of communication.

00:12:00.323 --> 00:12:00.725
So again,

00:12:01.004 --> 00:12:02.746
therapists gets their OCS or

00:12:02.767 --> 00:12:03.726
advanced certification.

00:12:04.028 --> 00:12:06.929
They go on Twitter, LinkedIn, uh, Reddit,

00:12:07.049 --> 00:12:07.410
wherever.

00:12:07.431 --> 00:12:08.591
And, um,

00:12:09.211 --> 00:12:10.373
either complaining or asking

00:12:10.552 --> 00:12:12.073
about this or that with a raise.

00:12:12.114 --> 00:12:13.735
I mean, all that should be discussed.

00:12:13.774 --> 00:12:15.395
Like how come the employer is not saying,

00:12:16.356 --> 00:12:18.057
okay, you have five years experience.

00:12:19.042 --> 00:12:19.902
You sit for your OCS.

00:12:19.961 --> 00:12:20.903
If you get your OCS,

00:12:21.643 --> 00:12:24.023
it'll include a bump of whatever.

00:12:24.043 --> 00:12:25.663
And it might be like,

00:12:25.783 --> 00:12:27.543
or if you want to raise in

00:12:27.563 --> 00:12:29.524
salary 5% or 10% or whatever,

00:12:30.085 --> 00:12:31.664
maybe that includes X, Y, Z,

00:12:31.804 --> 00:12:33.625
other responsibilities that

00:12:33.645 --> 00:12:34.586
we're going to kind of add

00:12:34.625 --> 00:12:36.066
into your whole role.

00:12:36.486 --> 00:12:37.527
But you as the clinic owner

00:12:37.547 --> 00:12:38.307
should be able to,

00:12:38.687 --> 00:12:39.567
you should be able to get

00:12:39.846 --> 00:12:41.687
more out of someone with more experience.

00:12:41.888 --> 00:12:42.847
Like you should be able to

00:12:42.908 --> 00:12:45.269
make sure that you can convert on that.

00:12:45.729 --> 00:12:46.308
now I want to do we're

00:12:46.328 --> 00:12:47.110
watching a live stream if

00:12:47.129 --> 00:12:47.850
you happen to be watching

00:12:47.870 --> 00:12:48.890
the podcast I'll narrate it

00:12:48.910 --> 00:12:50.111
for you dave I want you to

00:12:50.172 --> 00:12:51.631
turn turn to your right on

00:12:51.652 --> 00:12:52.832
the camera turn rotate

00:12:52.893 --> 00:12:54.173
right so you're facing me yeah

00:12:55.336 --> 00:12:55.556
Yep.

00:12:55.956 --> 00:12:56.596
I like this.

00:12:56.755 --> 00:12:57.115
I like this.

00:12:57.275 --> 00:12:58.777
Are we going to do role play?

00:12:59.177 --> 00:13:00.576
Here's how this is.

00:13:00.596 --> 00:13:01.297
I'm turning like this.

00:13:01.778 --> 00:13:03.498
Right now, it's Drew McKay saying, hey,

00:13:03.778 --> 00:13:05.738
boss, I got my OCS right now.

00:13:05.837 --> 00:13:08.458
And Dave's thinking, cool story, bro.

00:13:08.599 --> 00:13:09.499
Tell it to someone else.

00:13:09.999 --> 00:13:11.460
Now, right now, we're opposed.

00:13:11.580 --> 00:13:12.679
This is me trying to get a

00:13:12.759 --> 00:13:14.441
raise from Dave going, hey, man,

00:13:14.860 --> 00:13:15.760
give me some more money.

00:13:16.701 --> 00:13:18.241
But what I think having the

00:13:18.322 --> 00:13:19.864
conversation beforehand

00:13:19.903 --> 00:13:21.684
does is now face the camera, Dave.

00:13:22.625 --> 00:13:23.746
Now we're on the same team.

00:13:24.047 --> 00:13:26.028
Like we are both on the same side here.

00:13:26.489 --> 00:13:28.389
I want you to advance as a therapist.

00:13:28.691 --> 00:13:29.610
You want to make more money.

00:13:30.251 --> 00:13:31.293
I want you to make more

00:13:31.332 --> 00:13:33.495
money because if we can make more money,

00:13:34.115 --> 00:13:36.996
it's a wee thing and not a, Hey, give me,

00:13:37.216 --> 00:13:37.817
it's a stick up.

00:13:38.038 --> 00:13:38.918
It's not a stick up here.

00:13:39.318 --> 00:13:39.519
Right?

00:13:39.919 --> 00:13:41.581
So having that conversation early,

00:13:41.620 --> 00:13:42.522
which is what I like about

00:13:42.562 --> 00:13:44.923
Josh Funk is he built this into the cake,

00:13:44.943 --> 00:13:45.083
right?

00:13:46.086 --> 00:13:46.346
He's like,

00:13:46.386 --> 00:13:48.508
how do I keep therapists around longer?

00:13:49.008 --> 00:13:50.609
We mentioned before on an episode,

00:13:50.629 --> 00:13:51.629
you really can't keep great

00:13:51.669 --> 00:13:52.649
therapists forever, right?

00:13:52.669 --> 00:13:53.150
Because they're going to

00:13:53.171 --> 00:13:53.850
break out of that mold.

00:13:54.030 --> 00:13:54.850
But how do you keep them

00:13:54.910 --> 00:13:55.831
happy while they're there?

00:13:57.212 --> 00:13:57.513
Happy,

00:13:57.533 --> 00:13:59.533
well-trained therapists make great PTs.

00:13:59.573 --> 00:14:00.514
They make great healthcare.

00:14:01.095 --> 00:14:02.855
So this conversation needs

00:14:02.895 --> 00:14:04.716
to happen before... It's

00:14:04.777 --> 00:14:06.677
sign-up time right now in July 2024.

00:14:06.677 --> 00:14:09.619
If you're just signing up willy-nilly,

00:14:09.639 --> 00:14:11.179
and I just texted a friend who's like,

00:14:11.220 --> 00:14:11.899
I'm going to sign up,

00:14:12.681 --> 00:14:14.501
find out what this gets you

00:14:14.601 --> 00:14:16.423
besides being more confident.

00:14:16.442 --> 00:14:18.003
And that's a great investment in yourself.

00:14:18.844 --> 00:14:19.903
But if you'd like to see a

00:14:19.943 --> 00:14:21.004
return on your investment,

00:14:21.565 --> 00:14:22.426
and you should because

00:14:22.446 --> 00:14:23.785
you're a fantastically

00:14:23.826 --> 00:14:25.147
qualified healthcare professional...

00:14:26.437 --> 00:14:27.817
have the conversation first.

00:14:29.219 --> 00:14:31.299
Can I, so I'm going to mention in my,

00:14:31.340 --> 00:14:32.100
this is my opinion.

00:14:32.179 --> 00:14:32.639
This is a,

00:14:32.860 --> 00:14:34.201
I know this goes out to a PT

00:14:34.221 --> 00:14:35.381
podcast and learn,

00:14:36.121 --> 00:14:36.883
learn Medicare billing

00:14:36.903 --> 00:14:37.883
potentially also today,

00:14:38.384 --> 00:14:39.464
but this is my opinion.

00:14:39.484 --> 00:14:41.644
And this is, this is against like,

00:14:41.926 --> 00:14:42.985
like the corporates in the mills.

00:14:43.306 --> 00:14:43.546
Okay.

00:14:43.687 --> 00:14:46.008
So if you are potentially

00:14:46.067 --> 00:14:46.847
working for one of these

00:14:46.947 --> 00:14:51.831
higher volume places and they allow you,

00:14:51.850 --> 00:14:52.250
they cover,

00:14:52.350 --> 00:14:53.491
they pay for you to go through,

00:14:53.769 --> 00:14:56.029
you know, go do your OCS, whatever.

00:14:56.190 --> 00:14:57.289
And let's say it might even

00:14:57.309 --> 00:14:58.150
have been that therapist

00:14:58.191 --> 00:14:59.990
that posted on Reddit about, hey,

00:15:00.051 --> 00:15:00.892
I'm five years out.

00:15:01.292 --> 00:15:02.292
I just got my OCS.

00:15:02.711 --> 00:15:04.253
What type of raise should I ask for?

00:15:04.273 --> 00:15:07.614
I could, if I had to bet $1,000,

00:15:07.614 --> 00:15:09.394
I would bet that that person

00:15:12.870 --> 00:15:13.809
in general that asked that

00:15:13.850 --> 00:15:15.091
question would be working

00:15:15.130 --> 00:15:16.912
for a larger corporate or

00:15:16.991 --> 00:15:19.513
mill because a lot of these

00:15:19.552 --> 00:15:21.453
corporates and mills have

00:15:21.874 --> 00:15:23.855
the recruiting power and

00:15:24.154 --> 00:15:24.855
they know that they're

00:15:24.875 --> 00:15:25.995
going to have people come in and out.

00:15:26.035 --> 00:15:27.056
They have a whole system

00:15:27.096 --> 00:15:28.297
built for recruiting and

00:15:28.336 --> 00:15:29.037
hiring and all that.

00:15:29.716 --> 00:15:31.038
And they don't,

00:15:32.378 --> 00:15:33.499
I don't want to say they don't care,

00:15:34.451 --> 00:15:37.231
because of course they don't

00:15:37.251 --> 00:15:38.032
want therapists leaving.

00:15:38.991 --> 00:15:40.091
But a therapist who leaves a

00:15:40.111 --> 00:15:41.153
private practice is

00:15:41.432 --> 00:15:43.013
significantly more damaging

00:15:43.192 --> 00:15:44.232
and challenging for the

00:15:44.253 --> 00:15:45.754
practice owner compared to

00:15:46.453 --> 00:15:48.433
a corporate that has a

00:15:48.474 --> 00:15:50.075
booth at every conference

00:15:50.335 --> 00:15:52.575
and can outspend everyone

00:15:52.754 --> 00:15:53.916
on Indeed ads or whatever.

00:15:54.196 --> 00:15:54.995
Like those corporates,

00:15:55.395 --> 00:15:56.775
they have more slots

00:15:56.995 --> 00:15:58.116
because they have more therapists, right?

00:15:58.136 --> 00:15:58.657
So they have more slots.

00:15:58.677 --> 00:15:59.557
They can avoid the loss.

00:16:00.477 --> 00:16:01.859
They can absorb the loss.

00:16:01.899 --> 00:16:04.140
They have more slots for DPT students,

00:16:04.221 --> 00:16:04.360
right?

00:16:04.380 --> 00:16:06.243
So they have a bigger net in

00:16:06.283 --> 00:16:07.303
terms of like the minor

00:16:07.323 --> 00:16:08.183
league system of like

00:16:08.203 --> 00:16:09.085
bringing therapists up

00:16:09.125 --> 00:16:11.447
through DPT clinical

00:16:11.486 --> 00:16:12.927
rotations and then hiring.

00:16:14.129 --> 00:16:18.072
So they don't have to communicate this.

00:16:20.094 --> 00:16:21.274
Or they feel like they don't have to.

00:16:21.455 --> 00:16:22.816
They feel like they don't have to say,

00:16:23.135 --> 00:16:24.417
okay, we'll pay for your OCS.

00:16:25.217 --> 00:16:26.658
And then it includes an

00:16:26.698 --> 00:16:29.100
increase of salary or roles,

00:16:29.140 --> 00:16:30.001
responsibilities, whatever.

00:16:31.812 --> 00:16:33.432
And it probably goes back to

00:16:33.452 --> 00:16:34.232
some of the insurance

00:16:34.732 --> 00:16:37.014
ceiling with payment reimbursement.

00:16:37.033 --> 00:16:38.154
Like they don't wanna be like, hey,

00:16:38.215 --> 00:16:39.394
here's how you can ascend

00:16:40.274 --> 00:16:41.155
and climb up the ladder in

00:16:41.196 --> 00:16:41.816
the organization,

00:16:42.096 --> 00:16:44.557
which is different than Josh Funk who,

00:16:44.817 --> 00:16:45.878
I mean, he's got 10 locations,

00:16:45.898 --> 00:16:47.738
which is pretty darn big

00:16:47.778 --> 00:16:49.078
scale and pretty impressive.

00:16:50.038 --> 00:16:52.399
But he's still focused on

00:16:52.539 --> 00:16:53.961
everything that he puts out, everything,

00:16:54.120 --> 00:16:55.081
all the decisions, whatever.

00:16:55.341 --> 00:16:57.162
It's as if like he's still

00:16:57.562 --> 00:16:58.883
operating as like a three

00:16:58.923 --> 00:16:59.724
person practice or

00:16:59.764 --> 00:17:01.804
something like he really does care.

00:17:01.825 --> 00:17:03.745
He arguably he cares a lot

00:17:03.884 --> 00:17:06.185
more than and he likes to

00:17:06.227 --> 00:17:07.707
be open and transparent and

00:17:07.727 --> 00:17:09.028
communicate that with his staff.

00:17:10.103 --> 00:17:10.962
And that's that's the

00:17:10.983 --> 00:17:12.284
difference between his

00:17:12.344 --> 00:17:14.105
comments about this as

00:17:14.164 --> 00:17:15.105
opposed to some of these others.

00:17:15.205 --> 00:17:17.166
And I almost bet that these

00:17:17.527 --> 00:17:18.267
that in general,

00:17:18.287 --> 00:17:19.268
when someone asks this question,

00:17:19.587 --> 00:17:20.469
they're working for some

00:17:20.709 --> 00:17:22.130
bigger place that doesn't

00:17:22.170 --> 00:17:23.349
really care about the whole

00:17:23.450 --> 00:17:24.530
ladder being built out and

00:17:24.570 --> 00:17:26.332
communicating and having a

00:17:26.392 --> 00:17:27.531
collaborative like we did a

00:17:27.571 --> 00:17:28.333
little role play in the

00:17:28.373 --> 00:17:29.153
whole collaborative thing.

00:17:29.472 --> 00:17:31.855
They just they have so many candidates.

00:17:32.474 --> 00:17:34.096
They they probably feel like

00:17:34.115 --> 00:17:34.635
they don't need to.

00:17:34.675 --> 00:17:35.016
I don't know.

00:17:35.517 --> 00:17:35.596
Yeah,

00:17:35.616 --> 00:17:36.676
I think that's the difference between

00:17:36.737 --> 00:17:37.637
growing and scaling.

00:17:39.162 --> 00:17:40.722
like josh is trying to grow

00:17:40.784 --> 00:17:42.404
or practices like that and

00:17:42.444 --> 00:17:43.625
I know I know it's more

00:17:43.665 --> 00:17:44.626
than rehab to perform we

00:17:44.646 --> 00:17:45.988
keep mentioning josh just

00:17:46.008 --> 00:17:46.788
because he had that comment

00:17:46.808 --> 00:17:47.750
but I think it's the

00:17:47.769 --> 00:17:48.569
difference between growing

00:17:48.589 --> 00:17:50.971
and scaling where scaling

00:17:51.011 --> 00:17:52.394
is like how do I put a zero

00:17:52.433 --> 00:17:56.057
behind this and clinics

00:17:56.076 --> 00:17:57.077
going from five to ten

00:17:57.137 --> 00:17:58.118
they're trying to put a one

00:17:58.179 --> 00:17:58.778
behind they're trying to

00:17:58.898 --> 00:18:00.740
add one instead of multiple

00:18:00.780 --> 00:18:02.281
they're trying to plus one instead of 10x

00:18:03.817 --> 00:18:06.117
And you can only do that by retain.

00:18:06.137 --> 00:18:08.819
You can't lose two therapists, is my guess,

00:18:08.880 --> 00:18:12.261
at a location and stay afloat for long,

00:18:12.501 --> 00:18:15.463
is my guess.

00:18:16.003 --> 00:18:18.465
Real quick, shout out to Will Boyd.

00:18:18.486 --> 00:18:19.006
Join in live.

00:18:19.026 --> 00:18:19.846
Thank you for the comment, Will.

00:18:19.866 --> 00:18:20.946
Yeah,

00:18:20.967 --> 00:18:22.028
we're going to have Will on the show.

00:18:22.147 --> 00:18:22.607
And Josh.

00:18:22.647 --> 00:18:23.548
We've mentioned Josh in the

00:18:23.568 --> 00:18:24.269
last couple of weeks.

00:18:24.328 --> 00:18:26.351
I feel like Josh... And Josh...

00:18:27.627 --> 00:18:29.689
should have his own show or podcast.

00:18:29.848 --> 00:18:30.229
He does.

00:18:30.490 --> 00:18:31.230
Well, yeah,

00:18:31.509 --> 00:18:32.770
but we have to perform does we

00:18:32.810 --> 00:18:33.411
talked about, I mean,

00:18:33.451 --> 00:18:35.672
I talked about him with him

00:18:35.692 --> 00:18:36.732
a couple of years ago and I was like,

00:18:36.752 --> 00:18:37.732
there's no reason you shouldn't.

00:18:39.013 --> 00:18:39.814
And he, they do now.

00:18:40.095 --> 00:18:41.615
I'll have to check it out.

00:18:43.676 --> 00:18:46.377
So bottom line, ask first,

00:18:47.097 --> 00:18:49.559
if it's not in place, bring a proposal.

00:18:49.579 --> 00:18:51.800
Oh,

00:18:51.820 --> 00:18:53.142
I want to mention another metric that

00:18:53.182 --> 00:18:53.761
someone had said.

00:18:55.188 --> 00:18:56.147
I can't remember who said it though,

00:18:56.208 --> 00:18:57.248
so apologies.

00:18:57.587 --> 00:18:58.108
I'm good at that.

00:18:58.128 --> 00:18:59.368
I remember the quote, but not the author.

00:19:01.568 --> 00:19:04.309
Track your show versus no show,

00:19:04.329 --> 00:19:08.090
your cancellation rate over six months.

00:19:08.151 --> 00:19:09.171
Give it like a decent amount

00:19:09.191 --> 00:19:10.790
of time and see if it's

00:19:10.891 --> 00:19:12.871
different than some of your coworkers.

00:19:14.451 --> 00:19:15.332
That was, I think,

00:19:15.372 --> 00:19:16.991
that was like an Instagram comment.

00:19:17.011 --> 00:19:18.332
Yeah, that was a quote I had on Instagram.

00:19:18.353 --> 00:19:19.313
I asked this question on Instagram.

00:19:19.613 --> 00:19:20.673
Why is that important, Dave?

00:19:22.619 --> 00:19:24.922
that so so you want to read

00:19:24.942 --> 00:19:26.061
it I have it pulled up yeah

00:19:26.102 --> 00:19:27.002
who said that give credit

00:19:27.643 --> 00:19:30.605
uh at the pelvic mama okay

00:19:31.086 --> 00:19:31.986
all right so so she

00:19:32.026 --> 00:19:33.707
commented to you on

00:19:33.826 --> 00:19:35.828
instagram um let me just

00:19:35.848 --> 00:19:36.388
make this a little bit

00:19:36.409 --> 00:19:39.631
brighter sorry okay so uh

00:19:40.432 --> 00:19:42.873
at the pelvic mama said ocs

00:19:42.932 --> 00:19:43.993
here and this is my take

00:19:44.134 --> 00:19:45.255
document your cancellations

00:19:45.295 --> 00:19:46.496
and no shows versus what

00:19:46.516 --> 00:19:47.996
you produced in the past or

00:19:49.214 --> 00:19:52.099
versus other clinicians, which is genius.

00:19:52.380 --> 00:19:52.621
Yes.

00:19:53.603 --> 00:19:55.346
This is what we're talking about.

00:19:56.686 --> 00:19:57.146
They said,

00:19:57.207 --> 00:19:58.428
I saw my productivity increase

00:19:58.448 --> 00:19:59.127
tremendously.

00:19:59.228 --> 00:20:00.147
Not sure if it was because I

00:20:00.188 --> 00:20:01.288
projected more confidence

00:20:01.328 --> 00:20:03.608
subconsciously as I felt I

00:20:03.809 --> 00:20:04.970
finally understood what I

00:20:05.009 --> 00:20:07.070
was doing or if my skill

00:20:07.090 --> 00:20:08.711
sets actually improved too.

00:20:09.211 --> 00:20:11.271
But patients would show up

00:20:11.432 --> 00:20:12.353
like clockwork to my

00:20:12.373 --> 00:20:13.073
appointments and even

00:20:13.113 --> 00:20:14.732
suggest that they were about to cancel,

00:20:15.073 --> 00:20:16.233
but came when they heard

00:20:16.574 --> 00:20:18.994
that they were seeing this therapist.

00:20:20.134 --> 00:20:24.557
So yes, the numbers of improvement, uh,

00:20:25.531 --> 00:20:26.051
They said,

00:20:26.613 --> 00:20:28.153
but you have to show consistent

00:20:28.554 --> 00:20:30.135
consistently high numbers

00:20:30.756 --> 00:20:31.616
that you can take to your

00:20:31.656 --> 00:20:33.877
boss and ask for that raise.

00:20:34.338 --> 00:20:36.220
I did and I got it.

00:20:36.580 --> 00:20:39.542
And then, Jimmy, you commented positively.

00:20:40.002 --> 00:20:43.405
So that is how you approach things.

00:20:44.266 --> 00:20:45.547
If your employer does not

00:20:45.586 --> 00:20:46.467
give you the track with

00:20:46.626 --> 00:20:47.748
here's the raise bump,

00:20:47.788 --> 00:20:48.627
here's the increase in

00:20:49.127 --> 00:20:50.648
compensation or roles or

00:20:51.348 --> 00:20:51.989
responsibilities.

00:20:52.009 --> 00:20:53.109
Speak my language, man.

00:20:53.230 --> 00:20:53.509
Speak.

00:20:53.630 --> 00:20:55.329
Talk to me about me.

00:20:55.770 --> 00:20:57.391
It's the sexiest sound I'll ever hear.

00:20:57.891 --> 00:20:59.291
And talk to me in my language.

00:20:59.592 --> 00:20:59.811
Right.

00:21:00.251 --> 00:21:01.512
That's why I learn all the hip,

00:21:01.692 --> 00:21:03.153
cool kid jargon.

00:21:03.413 --> 00:21:04.634
You know, skibbity toilet.

00:21:04.653 --> 00:21:06.055
My friends like understand

00:21:06.095 --> 00:21:07.174
how to talk to people in

00:21:07.214 --> 00:21:09.135
their language and their ears perk up.

00:21:09.675 --> 00:21:11.278
So talk to me about why your

00:21:11.317 --> 00:21:14.279
batting average is 20 points higher than,

00:21:14.539 --> 00:21:14.780
you know,

00:21:14.820 --> 00:21:15.922
it's why that would the stat

00:21:15.961 --> 00:21:17.103
wins above replacement.

00:21:18.403 --> 00:21:18.584
Yeah.

00:21:18.624 --> 00:21:18.903
War.

00:21:19.444 --> 00:21:19.625
Yeah.

00:21:19.825 --> 00:21:20.326
Your, your,

00:21:20.506 --> 00:21:22.988
your war above replacement is

00:21:23.048 --> 00:21:23.729
like when you're,

00:21:23.788 --> 00:21:25.009
when you're at work and

00:21:25.029 --> 00:21:26.590
you're in the lineup, we do better.

00:21:26.691 --> 00:21:27.271
We win more.

00:21:28.073 --> 00:21:30.255
So I want to not lose you because you're,

00:21:32.318 --> 00:21:32.919
As a baseball fan,

00:21:32.959 --> 00:21:33.640
I can't believe I never

00:21:34.039 --> 00:21:34.720
made that connection.

00:21:34.960 --> 00:21:36.980
So thank you, Mr. Yankee fan here.

00:21:37.240 --> 00:21:37.721
All about war.

00:21:38.280 --> 00:21:38.560
All right.

00:21:38.681 --> 00:21:40.541
So would love to hear from you.

00:21:41.162 --> 00:21:42.942
I have this post up on all my socials,

00:21:42.962 --> 00:21:44.824
but you can comment on the

00:21:44.864 --> 00:21:45.644
live stream or wherever,

00:21:45.683 --> 00:21:47.463
even if you're watching recorded.

00:21:47.744 --> 00:21:49.944
Would love to know your experiences, too,

00:21:50.465 --> 00:21:51.846
because I understand this.

00:21:52.246 --> 00:21:53.467
We're giving tactical advice

00:21:53.606 --> 00:21:54.326
or what would you do?

00:21:55.928 --> 00:21:57.548
And this is not a vacuum, right?

00:21:57.648 --> 00:21:58.469
I bet you some people have

00:21:58.489 --> 00:21:59.749
done things like this and

00:21:59.789 --> 00:22:01.789
bosses have said, eh, tough,

00:22:02.430 --> 00:22:03.730
not giving you the raise, right?

00:22:04.030 --> 00:22:04.931
Here's a question for you.

00:22:06.971 --> 00:22:07.571
She mentioned,

00:22:07.832 --> 00:22:09.153
Pelvic Mama had mentioned

00:22:09.413 --> 00:22:11.753
that she felt more

00:22:11.814 --> 00:22:13.233
confident when she had her OCS.

00:22:13.595 --> 00:22:14.154
Is this like...

00:22:15.224 --> 00:22:16.766
chicken or the egg people

00:22:16.806 --> 00:22:17.866
who sign up to take a

00:22:17.906 --> 00:22:19.228
clinical specialist exam

00:22:19.868 --> 00:22:21.569
think that they can pass

00:22:21.589 --> 00:22:22.310
that exam or think that

00:22:22.351 --> 00:22:23.211
they're worth it or going

00:22:23.231 --> 00:22:23.971
through the experience is

00:22:24.011 --> 00:22:25.574
worth it those people

00:22:25.673 --> 00:22:26.494
probably feel more

00:22:26.575 --> 00:22:27.935
confident and then that

00:22:28.016 --> 00:22:29.057
confidence is that

00:22:29.116 --> 00:22:30.917
contagious so is it like is

00:22:30.958 --> 00:22:32.599
it self-selection bias I

00:22:32.640 --> 00:22:33.559
think I'm using that term

00:22:33.599 --> 00:22:35.102
right like the people who

00:22:35.221 --> 00:22:36.522
are self-selecting for this

00:22:37.443 --> 00:22:38.704
probably are good clinicians

00:22:40.928 --> 00:22:41.167
Yes.

00:22:42.608 --> 00:22:44.150
And then once they actually

00:22:44.230 --> 00:22:46.411
get the OCS or whatever, you know,

00:22:46.431 --> 00:22:47.852
the neuro or the geriatric

00:22:47.932 --> 00:22:50.053
or whatever certification,

00:22:50.413 --> 00:22:51.693
then they pass it and then

00:22:51.713 --> 00:22:53.194
they even have more confidence now.

00:22:53.255 --> 00:22:54.675
So it like steps up a level.

00:22:54.695 --> 00:22:55.395
It's confirmed.

00:22:57.257 --> 00:22:57.497
Yes.

00:22:57.897 --> 00:22:59.798
And arguably, like, I think.

00:23:01.211 --> 00:23:03.833
those therapists typically

00:23:03.873 --> 00:23:05.054
have like better, you know,

00:23:05.294 --> 00:23:07.295
maybe patient communication styles,

00:23:07.414 --> 00:23:09.395
like they're outgoing.

00:23:09.977 --> 00:23:12.617
They already kind of have

00:23:12.637 --> 00:23:13.298
the total package.

00:23:13.338 --> 00:23:14.159
Now they just add something

00:23:14.199 --> 00:23:15.819
else and it boosts their,

00:23:16.401 --> 00:23:17.601
I don't want to say like their pride,

00:23:17.621 --> 00:23:19.663
their ego, a little bit all that.

00:23:19.823 --> 00:23:20.903
It's badge value.

00:23:20.962 --> 00:23:21.503
You know what I mean?

00:23:21.824 --> 00:23:22.664
It's badge value.

00:23:23.404 --> 00:23:24.405
Will Boyd giving like

00:23:24.445 --> 00:23:25.906
another perspective on this.

00:23:26.047 --> 00:23:27.548
If you view yourself as a

00:23:27.627 --> 00:23:29.128
revenue producing team member,

00:23:30.076 --> 00:23:31.878
You're in the lineup, you're on the team,

00:23:32.699 --> 00:23:33.920
especially in a small practice.

00:23:34.240 --> 00:23:35.442
Even more important if

00:23:35.461 --> 00:23:36.402
you're in a small practice

00:23:36.481 --> 00:23:38.124
because it's a smaller boat, man.

00:23:38.223 --> 00:23:39.065
You're not on an aircraft

00:23:39.085 --> 00:23:41.267
carrier or on a destroyer.

00:23:41.926 --> 00:23:42.928
And you track your own

00:23:43.028 --> 00:23:44.048
metrics like you're a small

00:23:44.088 --> 00:23:45.769
business owner within the small business.

00:23:46.703 --> 00:23:49.566
right trust me man as a as a

00:23:49.605 --> 00:23:51.166
former has been baseball

00:23:51.186 --> 00:23:52.607
player I knew pretty much

00:23:52.647 --> 00:23:53.788
what my average was I knew

00:23:53.828 --> 00:23:55.329
my last 10 at bats I know

00:23:55.349 --> 00:23:56.471
how many strikeouts I'd had

00:23:57.092 --> 00:23:59.173
so track your metrics like

00:23:59.192 --> 00:23:59.933
you're a small business

00:24:00.013 --> 00:24:00.913
owner within the small

00:24:00.954 --> 00:24:02.915
business and you can demand

00:24:03.516 --> 00:24:05.917
more pay it's just showing

00:24:06.097 --> 00:24:09.441
it's showing stats and uh

00:24:09.980 --> 00:24:11.281
that's what I get that's

00:24:11.301 --> 00:24:12.262
what it talks someone's language

00:24:14.015 --> 00:24:14.935
My first couple of years out of school,

00:24:14.955 --> 00:24:15.655
I know recently I was

00:24:15.675 --> 00:24:17.016
telling you guys that my

00:24:17.056 --> 00:24:18.116
first job was a physician

00:24:18.136 --> 00:24:19.616
in practice in New Jersey.

00:24:20.137 --> 00:24:21.157
I did this.

00:24:21.377 --> 00:24:24.499
I tracked within the medical

00:24:24.558 --> 00:24:25.740
record or something, I tallied up.

00:24:26.519 --> 00:24:27.660
So there were a couple of

00:24:27.680 --> 00:24:28.520
different therapists.

00:24:29.340 --> 00:24:30.682
There was a senior part-time

00:24:30.701 --> 00:24:31.261
physical therapist.

00:24:31.281 --> 00:24:32.602
There was a PTA who was full-time.

00:24:32.642 --> 00:24:34.002
There was myself and another

00:24:34.182 --> 00:24:35.644
physical therapist that were full-time.

00:24:36.144 --> 00:24:37.564
I compared my completed

00:24:37.624 --> 00:24:39.105
visits to the other

00:24:39.545 --> 00:24:41.786
full-time physical therapist and compared

00:24:41.986 --> 00:24:42.665
That therapist,

00:24:43.026 --> 00:24:43.967
we were kind of around the

00:24:44.007 --> 00:24:45.406
same age and experience

00:24:45.426 --> 00:24:46.227
level and all that, right?

00:24:46.768 --> 00:24:47.748
I forget the number,

00:24:48.948 --> 00:24:52.068
but on an annual basis, looking back,

00:24:52.088 --> 00:24:53.690
I was about to sit down

00:24:53.730 --> 00:24:56.151
with the guy who is the

00:24:56.230 --> 00:24:57.290
physician and the physical

00:24:57.330 --> 00:24:58.632
therapy practice manager,

00:24:58.692 --> 00:24:59.471
so the decision maker.

00:25:00.192 --> 00:25:01.011
I prepare for this.

00:25:01.392 --> 00:25:02.173
I forget the number,

00:25:02.673 --> 00:25:05.814
but I had completed dozens and dozens,

00:25:05.834 --> 00:25:06.453
maybe even

00:25:10.471 --> 00:25:11.633
maybe even like a hundred or

00:25:11.673 --> 00:25:13.773
something visits difference,

00:25:13.794 --> 00:25:15.255
a hundred or two, like a lot,

00:25:15.295 --> 00:25:16.455
a lot more visits than my

00:25:16.496 --> 00:25:17.496
counterpart of like,

00:25:18.217 --> 00:25:18.856
we're both full-time

00:25:18.876 --> 00:25:20.478
physical therapists and we

00:25:20.498 --> 00:25:21.959
have the same years of experience,

00:25:21.979 --> 00:25:22.239
whatever.

00:25:23.119 --> 00:25:24.180
And I knew that therapist

00:25:24.220 --> 00:25:26.541
completed visits and I took my

00:25:27.162 --> 00:25:28.041
productivity and that

00:25:28.061 --> 00:25:28.883
therapist productivity.

00:25:28.962 --> 00:25:30.403
And I said to the practice manager,

00:25:30.463 --> 00:25:30.884
I forget,

00:25:31.304 --> 00:25:32.964
I went to some like little calculation,

00:25:32.984 --> 00:25:33.265
whatever.

00:25:33.605 --> 00:25:34.484
I'm like, you know, if you're,

00:25:34.885 --> 00:25:35.645
if you're making a hundred

00:25:35.685 --> 00:25:37.567
or whatever dollars per in

00:25:37.626 --> 00:25:39.146
revenue per visit and times

00:25:39.708 --> 00:25:42.449
the here's times the extra

00:25:42.469 --> 00:25:44.710
visits that I saw above my counterpart,

00:25:45.009 --> 00:25:47.570
that Delta, I came up with some number.

00:25:47.931 --> 00:25:48.392
And then I said,

00:25:48.412 --> 00:25:49.531
I'll percentage of that number.

00:25:49.852 --> 00:25:50.873
And it was like, I said, $10,000.

00:25:50.913 --> 00:25:51.813
So I was like, my rate should be $10,000.

00:25:51.913 --> 00:25:52.733
And the practice manager said,

00:25:57.070 --> 00:25:58.351
Laughed in my face.

00:25:58.731 --> 00:25:59.112
Wow.

00:25:59.751 --> 00:26:08.095
What year was this?

00:26:08.115 --> 00:26:08.575
2012 or 2013.

00:26:09.115 --> 00:26:09.414
Yeah.

00:26:10.154 --> 00:26:10.454
Okay.

00:26:10.595 --> 00:26:12.435
I think we've come a long way since then.

00:26:15.096 --> 00:26:16.678
So I don't know.

00:26:16.857 --> 00:26:17.518
I don't know.

00:26:17.798 --> 00:26:18.758
The practice manager, by the way,

00:26:18.778 --> 00:26:20.118
not a clinician and

00:26:20.519 --> 00:26:22.479
oversees this big physician group,

00:26:22.778 --> 00:26:24.700
ortho surgeries and physical therapy,

00:26:24.720 --> 00:26:25.000
whatever.

00:26:25.059 --> 00:26:26.079
So whatever.

00:26:26.460 --> 00:26:27.681
So they laugh in my face.

00:26:27.800 --> 00:26:29.500
And then a year or so later,

00:26:29.540 --> 00:26:31.442
when I was moving up here to Brooklyn.

00:26:32.454 --> 00:26:35.076
That practice manager was like, oh,

00:26:35.435 --> 00:26:36.696
we heard that you're leaving.

00:26:36.757 --> 00:26:39.698
By the way, I gave like a month notice,

00:26:39.897 --> 00:26:42.019
by the way, which I think is appropriate.

00:26:42.558 --> 00:26:43.618
I gave a month notice.

00:26:43.638 --> 00:26:44.599
We got to the end of that month.

00:26:44.700 --> 00:26:45.460
And then the practice

00:26:45.500 --> 00:26:47.681
manager asked me to stay

00:26:47.740 --> 00:26:48.661
for another like two or

00:26:48.701 --> 00:26:49.922
three weeks to help with coverage.

00:26:52.563 --> 00:26:53.502
I was like, have a nice life.

00:26:54.743 --> 00:26:55.064
Bye-bye.

00:26:56.198 --> 00:27:00.560
What is your opinion on notice?

00:27:00.980 --> 00:27:01.701
How long do you?

00:27:01.721 --> 00:27:03.582
It's got to be a month.

00:27:03.761 --> 00:27:04.883
I mean, if you're a professional.

00:27:05.482 --> 00:27:05.663
Yeah.

00:27:05.702 --> 00:27:05.963
Like,

00:27:06.044 --> 00:27:08.005
I think it maybe depends on the situation,

00:27:08.025 --> 00:27:11.086
but I would love, like,

00:27:11.146 --> 00:27:12.847
I did it even though I had

00:27:12.867 --> 00:27:13.627
a bad taste in my mouth,

00:27:13.688 --> 00:27:15.148
even for them at that point.

00:27:15.865 --> 00:27:16.746
You know what I mean?

00:27:16.786 --> 00:27:18.165
And I was just a staff physical therapist.

00:27:18.286 --> 00:27:19.586
If I'm a clinic director,

00:27:20.147 --> 00:27:21.407
absolutely a month or more.

00:27:25.490 --> 00:27:26.090
Will, man.

00:27:26.131 --> 00:27:27.211
Will, you know me, man.

00:27:27.352 --> 00:27:27.771
You know me.

00:27:27.791 --> 00:27:30.294
In pediatrics,

00:27:30.574 --> 00:27:32.055
it was funny because I was in pediatrics.

00:27:32.454 --> 00:27:34.756
And when I was hired, Amy, my mentor,

00:27:34.777 --> 00:27:36.857
was like, just promise me one thing.

00:27:36.877 --> 00:27:38.098
Because it was different in peds.

00:27:38.159 --> 00:27:38.519
She was like,

00:27:38.558 --> 00:27:39.839
these kids become attached to you.

00:27:40.619 --> 00:27:40.960
She's like,

00:27:40.980 --> 00:27:42.080
you got to give me like a month

00:27:42.121 --> 00:27:43.162
and a half because like we

00:27:43.201 --> 00:27:44.402
have to like we have to

00:27:44.442 --> 00:27:45.742
like get the kid used to

00:27:45.843 --> 00:27:47.203
you leaving and someone else coming.

00:27:47.223 --> 00:27:48.105
And I was like, oh,

00:27:48.125 --> 00:27:48.964
I never thought about that.

00:27:49.265 --> 00:27:50.726
But she had seen it and it

00:27:50.925 --> 00:27:52.146
was not about a money thing

00:27:52.186 --> 00:27:53.768
with Amy and good beginnings, by the way,

00:27:53.788 --> 00:27:54.548
in Virginia.

00:27:55.068 --> 00:27:56.288
It was not about a money thing.

00:27:56.349 --> 00:27:58.451
It really was about like the children.

00:27:58.530 --> 00:27:59.692
And she goes even more just

00:27:59.731 --> 00:28:00.412
as much as the kids.

00:28:00.451 --> 00:28:01.413
It's the parents to the

00:28:01.432 --> 00:28:02.413
parents who start to freak

00:28:02.512 --> 00:28:04.193
out like what you're leaving.

00:28:04.233 --> 00:28:05.214
You can't do that to us.

00:28:06.905 --> 00:28:07.965
What is your current stat in

00:28:07.986 --> 00:28:09.406
your adult baseball league right now?

00:28:09.446 --> 00:28:09.906
What's your batting?

00:28:10.727 --> 00:28:11.247
I love this.

00:28:11.326 --> 00:28:13.167
Well, I, we actually don't,

00:28:13.567 --> 00:28:15.847
I wish we used an app because I,

00:28:16.449 --> 00:28:17.009
so a couple, okay.

00:28:17.108 --> 00:28:19.229
A couple 2019, this is before COVID.

00:28:19.308 --> 00:28:20.349
I play for some league in

00:28:20.369 --> 00:28:21.849
central park and they track

00:28:21.930 --> 00:28:23.450
like with the game changer app.

00:28:24.010 --> 00:28:25.211
And I led the league then in,

00:28:26.363 --> 00:28:28.623
like average and hits and I

00:28:28.643 --> 00:28:31.124
think RBI or whatever, but this weekend,

00:28:31.324 --> 00:28:32.483
this weekend league I played now,

00:28:32.564 --> 00:28:33.944
it's like, it's a men's league.

00:28:34.025 --> 00:28:37.684
It's, it's kind of a hodgepodge.

00:28:37.724 --> 00:28:38.184
Like we,

00:28:38.346 --> 00:28:40.145
like the catcher calls balls and strikes.

00:28:40.625 --> 00:28:41.546
Oh, yeah.

00:28:41.665 --> 00:28:42.306
Yeah.

00:28:42.566 --> 00:28:43.166
Yeah.

00:28:44.067 --> 00:28:46.067
We wear like your, you know, we wear our,

00:28:46.247 --> 00:28:48.188
our old high school and college jerseys.

00:28:48.248 --> 00:28:49.788
So it's, it's, it's,

00:28:50.799 --> 00:28:51.901
it's less serious.

00:28:51.921 --> 00:28:52.382
So I don't know.

00:28:52.761 --> 00:28:54.623
I do have, I do have two home runs this,

00:28:54.762 --> 00:28:55.604
this spring so far.

00:28:55.644 --> 00:28:55.824
Yeah.

00:28:56.605 --> 00:28:57.025
I'm a two,

00:28:57.065 --> 00:28:58.145
I'm a two point per game

00:28:58.586 --> 00:28:59.928
Wednesday night beer league player,

00:28:59.988 --> 00:29:01.368
just in case anybody keeping track.

00:29:01.628 --> 00:29:01.969
All right.

00:29:01.989 --> 00:29:03.089
There we go.

00:29:03.150 --> 00:29:03.450
As well.

00:29:04.791 --> 00:29:05.992
Anything else you want to add for this?

00:29:06.032 --> 00:29:07.113
I think we covered this one,

00:29:07.233 --> 00:29:08.535
this for me anyway,

00:29:08.555 --> 00:29:09.695
all I wanted to go into this.

00:29:10.556 --> 00:29:10.836
Also.

00:29:10.957 --> 00:29:13.659
So we'll we'll tag the therapist at,

00:29:14.318 --> 00:29:15.140
at pelvic mama.

00:29:16.681 --> 00:29:17.461
Tavani.

00:29:19.454 --> 00:29:21.176
Uh, so connect with her, connect with her,

00:29:21.237 --> 00:29:22.758
go follow her on Instagram.

00:29:23.117 --> 00:29:24.019
And Will is probably,

00:29:24.098 --> 00:29:25.359
or either currently or used

00:29:25.400 --> 00:29:26.980
to probably running her pelvic floor, uh,

00:29:28.001 --> 00:29:28.862
Facebook ads or whatever.

00:29:28.902 --> 00:29:30.383
I know Will has been doing, uh,

00:29:30.503 --> 00:29:31.944
supporting pelvic floor

00:29:31.964 --> 00:29:33.164
physical therapists like crazy,

00:29:33.205 --> 00:29:34.266
helping them grow their practices.

00:29:34.306 --> 00:29:34.846
So that's awesome.

00:29:35.446 --> 00:29:35.646
All right.

00:29:35.686 --> 00:29:37.229
Second topic of the show.

00:29:37.409 --> 00:29:38.449
I'll put it up on the screen

00:29:38.489 --> 00:29:39.230
and I'll read along.

00:29:39.851 --> 00:29:41.030
Here's a math question.

00:29:41.192 --> 00:29:41.551
This one,

00:29:41.571 --> 00:29:44.253
I'm in the uncaged clinician category.

00:29:46.055 --> 00:29:46.615
like they should have their

00:29:46.634 --> 00:29:47.295
own energy drink.

00:29:47.675 --> 00:29:49.756
Uncaged clinician Facebook group,

00:29:49.915 --> 00:29:50.576
great group there.

00:29:51.096 --> 00:29:52.817
I love the anonymous feature, by the way,

00:29:52.876 --> 00:29:53.837
on Facebook and how you can

00:29:53.877 --> 00:29:55.057
ask questions anonymously.

00:29:55.238 --> 00:29:55.377
Why?

00:29:55.397 --> 00:29:55.857
Are you serious?

00:29:56.357 --> 00:29:57.398
I kind of like it because

00:29:57.459 --> 00:29:58.419
some people don't want to

00:29:58.459 --> 00:30:00.200
know or they don't want to be known.

00:30:00.660 --> 00:30:01.539
So the question is about,

00:30:01.759 --> 00:30:02.901
we'll get into why you don't like that,

00:30:02.921 --> 00:30:03.661
but questions about

00:30:03.760 --> 00:30:05.060
cash-based gym opportunity.

00:30:05.121 --> 00:30:06.561
Not everybody's as bold as you or me.

00:30:07.642 --> 00:30:08.241
The question about

00:30:08.281 --> 00:30:09.603
cash-based gym opportunities.

00:30:09.643 --> 00:30:10.522
This would be their first

00:30:10.603 --> 00:30:12.584
foray into this type of practice model.

00:30:12.604 --> 00:30:14.724
So they're relying on others' experience.

00:30:14.765 --> 00:30:15.964
This is like a math question.

00:30:16.545 --> 00:30:18.385
And I think this is one of the reasons,

00:30:18.465 --> 00:30:19.586
big reasons people don't

00:30:19.727 --> 00:30:23.147
take leaps is nobody, it's loss aversion.

00:30:23.468 --> 00:30:25.028
No one wants to get hosed.

00:30:25.509 --> 00:30:26.548
We fear losses.

00:30:26.588 --> 00:30:29.049
I just did an Instagram reel on this,

00:30:29.230 --> 00:30:30.490
on the theory of loss aversion.

00:30:31.624 --> 00:30:34.165
We value, or we are more afraid,

00:30:34.185 --> 00:30:35.467
we're twice, I'm making up numbers,

00:30:35.487 --> 00:30:36.528
we're twice as afraid of

00:30:36.587 --> 00:30:38.169
losing as we are of winning.

00:30:38.869 --> 00:30:41.912
I'm twice as scared of

00:30:41.951 --> 00:30:43.613
losing $50 as I am at

00:30:43.653 --> 00:30:44.814
potentially making $100.

00:30:44.814 --> 00:30:47.896
And this is across the animal kingdom.

00:30:47.916 --> 00:30:48.777
I'll get into that too.

00:30:48.978 --> 00:30:50.338
So here's the question from the clinician.

00:30:51.051 --> 00:30:52.952
There's a new gym opening in their area.

00:30:53.053 --> 00:30:55.393
They're offering up 10 by 12 clinic rooms.

00:30:55.932 --> 00:30:56.933
Now, I am a grammar guy,

00:30:56.953 --> 00:30:57.894
so I will pay attention to this.

00:30:58.233 --> 00:31:00.315
Clinic rooms as contracted space.

00:31:00.674 --> 00:31:01.994
Because I stop right there and I go,

00:31:02.115 --> 00:31:02.394
rooms?

00:31:02.555 --> 00:31:03.115
Are you not the only

00:31:03.154 --> 00:31:04.016
clinician that's going to be there?

00:31:04.296 --> 00:31:04.615
Rooms?

00:31:05.175 --> 00:31:06.096
Are you having competition

00:31:06.115 --> 00:31:06.915
within your own environment?

00:31:07.336 --> 00:31:08.096
But we'll get into that.

00:31:08.876 --> 00:31:11.679
So I see that plural rooms and I go, whoa,

00:31:11.699 --> 00:31:12.338
whoa, whoa.

00:31:12.420 --> 00:31:14.461
Or it could be like acupuncture,

00:31:14.641 --> 00:31:16.982
one acupuncture, one PT, one cardio.

00:31:17.002 --> 00:31:17.702
Still competition.

00:31:17.722 --> 00:31:18.903
Still potentially competition.

00:31:18.923 --> 00:31:19.044
Right.

00:31:19.064 --> 00:31:20.045
I'm not moving into a strip

00:31:20.085 --> 00:31:21.705
mall and you're going to have a, you know,

00:31:21.726 --> 00:31:23.467
a Qdoba next to my Chipotle.

00:31:23.487 --> 00:31:25.348
I'd be like, oh man, sorry, man.

00:31:25.648 --> 00:31:26.869
I'm the burrito around here.

00:31:28.070 --> 00:31:29.030
Jim is going to provide a

00:31:29.171 --> 00:31:31.212
scheduling and payment platform.

00:31:31.613 --> 00:31:32.394
That's interesting.

00:31:32.493 --> 00:31:33.433
Slash EMR.

00:31:34.434 --> 00:31:35.195
Supplies.

00:31:36.384 --> 00:31:39.188
including table, needles, IASTM tools,

00:31:39.347 --> 00:31:39.768
cops.

00:31:40.148 --> 00:31:40.749
This is crazy.

00:31:41.230 --> 00:31:43.511
Referrals would likely be easy, proximity,

00:31:44.512 --> 00:31:46.075
gym members, personal training clients.

00:31:46.335 --> 00:31:47.355
I would still operate under

00:31:47.375 --> 00:31:49.357
my own LLC and liability insurance.

00:31:49.377 --> 00:31:52.221
Their offer is a 50-50 split.

00:31:52.820 --> 00:31:56.484
I am not a math guy, but this feels, man,

00:31:56.585 --> 00:31:57.685
they already have their hand,

00:31:57.865 --> 00:31:59.107
not even a little bit in your pocket.

00:32:00.057 --> 00:32:02.699
And on whatever income appointments,

00:32:03.900 --> 00:32:05.161
income my appointments make,

00:32:05.340 --> 00:32:06.382
given the conditions above,

00:32:06.402 --> 00:32:07.402
does it seem like good terms?

00:32:08.002 --> 00:32:09.384
Dave's about to injure his neck.

00:32:09.403 --> 00:32:11.484
He's shaking his head so fast.

00:32:11.905 --> 00:32:12.286
If not,

00:32:12.326 --> 00:32:14.267
what would standard in the industry be?

00:32:14.988 --> 00:32:15.508
When we met,

00:32:15.607 --> 00:32:16.588
I suggested 30-minute

00:32:16.608 --> 00:32:18.971
appointments at a flat rate of 75,

00:32:18.971 --> 00:32:20.291
which would include any manual therapy,

00:32:20.332 --> 00:32:21.692
needling, whatever.

00:32:21.873 --> 00:32:22.292
Sorry.

00:32:22.413 --> 00:32:22.673
Okay.

00:32:23.094 --> 00:32:24.193
Thanks in advance for any insight.

00:32:24.494 --> 00:32:25.895
Dave, thoughts?

00:32:26.635 --> 00:32:29.076
okay first of all um david

00:32:29.096 --> 00:32:30.336
bailiff is a good friend of

00:32:30.376 --> 00:32:31.738
mine who runs the elm cage

00:32:31.758 --> 00:32:33.958
clinician and if this if

00:32:33.979 --> 00:32:35.999
this person by the way you

00:32:36.038 --> 00:32:37.200
just use a search feature

00:32:37.640 --> 00:32:39.000
this has been posted on and

00:32:39.059 --> 00:32:40.480
off for years in that group

00:32:40.580 --> 00:32:41.601
and and in every group in

00:32:41.621 --> 00:32:42.421
the cash based physical

00:32:42.441 --> 00:32:43.961
therapy business success

00:32:44.001 --> 00:32:45.721
group I mean this exact

00:32:45.821 --> 00:32:46.982
thing has been posted before

00:32:48.011 --> 00:32:49.093
So people don't even,

00:32:49.553 --> 00:32:50.333
that's one thing that

00:32:50.393 --> 00:32:51.614
annoys me with all the Facebookers,

00:32:51.653 --> 00:32:52.013
by the way,

00:32:52.513 --> 00:32:53.714
is people just ask questions

00:32:53.734 --> 00:32:54.454
and they're like, hey.

00:32:55.115 --> 00:32:55.516
And it's like,

00:32:56.036 --> 00:32:56.935
there's a search feature

00:32:56.976 --> 00:32:59.278
that shows like five years of questions.

00:32:59.657 --> 00:33:00.938
I know, but have you met people?

00:33:01.057 --> 00:33:01.878
Have you met people?

00:33:03.443 --> 00:33:04.384
That that's why I'm leaving

00:33:04.424 --> 00:33:05.625
more and more of these Facebook groups.

00:33:05.806 --> 00:33:06.286
Okay.

00:33:06.666 --> 00:33:07.686
Um, okay.

00:33:07.887 --> 00:33:08.627
So by the way,

00:33:08.647 --> 00:33:09.929
so you mentioned a couple of things about,

00:33:10.229 --> 00:33:13.011
um, the, the style about risk aversion,

00:33:13.031 --> 00:33:13.291
all that.

00:33:13.332 --> 00:33:14.873
So one thing that sturdy McKee,

00:33:14.913 --> 00:33:15.653
my business partner

00:33:15.693 --> 00:33:16.875
mentioned to me is the

00:33:16.894 --> 00:33:17.954
physical therapy profession

00:33:18.056 --> 00:33:19.797
actually attracts more of those people.

00:33:22.673 --> 00:33:24.256
People that want security,

00:33:24.276 --> 00:33:25.155
they want a salary.

00:33:25.195 --> 00:33:27.318
They don't want to go out on their own,

00:33:27.338 --> 00:33:27.719
all that.

00:33:27.818 --> 00:33:30.682
And that post right there is

00:33:30.721 --> 00:33:32.703
a signal because if you're

00:33:32.723 --> 00:33:34.826
even asking about that, I mean,

00:33:34.925 --> 00:33:35.527
that's not,

00:33:35.646 --> 00:33:37.087
this is not a business really.

00:33:37.167 --> 00:33:38.568
Like this is not you being

00:33:38.609 --> 00:33:39.109
an entrepreneur.

00:33:39.150 --> 00:33:39.810
This is like-

00:33:41.352 --> 00:33:42.653
Yeah, you're an employee basically.

00:33:43.113 --> 00:33:45.534
So, I mean, the uncaged clinician,

00:33:45.653 --> 00:33:47.294
uncaged means helping you

00:33:47.334 --> 00:33:48.555
like get uncaged from the

00:33:48.595 --> 00:33:49.835
whole like healthcare

00:33:49.855 --> 00:33:50.615
system and working for

00:33:50.634 --> 00:33:51.976
someone else and going out on your own,

00:33:52.036 --> 00:33:52.236
right?

00:33:52.276 --> 00:33:53.635
Like that's the whole point of this group.

00:33:53.977 --> 00:33:54.737
And then this person is

00:33:54.817 --> 00:33:56.676
asking a question that is

00:33:56.778 --> 00:33:58.057
not really reflective of

00:33:58.577 --> 00:33:59.417
going out on your own.

00:33:59.538 --> 00:34:01.538
This is such an immature

00:34:01.618 --> 00:34:04.140
question that this person

00:34:04.180 --> 00:34:06.320
is obviously not serious and

00:34:07.393 --> 00:34:09.034
And this is not like,

00:34:09.335 --> 00:34:10.376
this is a terrible deal.

00:34:10.976 --> 00:34:11.818
This is a terrible deal

00:34:11.858 --> 00:34:14.420
because you're not going out on your own.

00:34:14.661 --> 00:34:16.463
The place is gonna provide the EMR.

00:34:16.483 --> 00:34:18.224
You're a therapist.

00:34:18.264 --> 00:34:20.507
You need to go shop around, do demos,

00:34:20.887 --> 00:34:22.228
speak to different EMR companies,

00:34:22.769 --> 00:34:23.570
see which one you like,

00:34:24.521 --> 00:34:25.103
You pick it.

00:34:25.463 --> 00:34:26.563
You build your own business.

00:34:26.643 --> 00:34:27.864
You provide your own tools,

00:34:27.905 --> 00:34:29.306
your own supplies, your own needles,

00:34:29.385 --> 00:34:31.927
table, cups, all that.

00:34:32.128 --> 00:34:33.068
Some other place is going to

00:34:33.088 --> 00:34:33.648
provide all this?

00:34:33.710 --> 00:34:35.090
Like, that's just another job.

00:34:35.231 --> 00:34:36.751
Why even post this in an

00:34:37.092 --> 00:34:38.052
entrepreneur group?

00:34:39.773 --> 00:34:43.416
So, and then the anonymous post is just,

00:34:45.199 --> 00:34:47.139
it's almost below my line, Jimmy.

00:34:47.280 --> 00:34:47.541
It is.

00:34:47.561 --> 00:34:47.621
Oof.

00:34:49.041 --> 00:34:49.402
Almost.

00:34:50.222 --> 00:34:50.422
Almost.

00:34:50.443 --> 00:34:50.682
Yeah.

00:34:50.923 --> 00:34:51.083
Well,

00:34:51.103 --> 00:34:52.324
people are afraid of the anonymous post.

00:34:52.994 --> 00:34:54.057
Go ahead.

00:34:54.239 --> 00:34:55.001
If someone goes in one of

00:34:55.041 --> 00:34:55.784
these Facebook groups and

00:34:55.864 --> 00:34:57.889
posts a question with their

00:34:57.909 --> 00:34:58.431
name next to it,

00:34:58.532 --> 00:34:59.514
guess what happens sometimes?

00:35:00.458 --> 00:35:01.699
people will comment below oh

00:35:01.759 --> 00:35:02.860
that sounds like me or oh

00:35:02.900 --> 00:35:04.021
yeah I had was in the same

00:35:04.061 --> 00:35:05.442
situation then you get

00:35:05.501 --> 00:35:07.143
messages you get you'll get

00:35:07.362 --> 00:35:09.304
uh you'll send it people

00:35:09.324 --> 00:35:10.646
will other therapists like

00:35:10.686 --> 00:35:11.666
you will send messages a

00:35:11.927 --> 00:35:13.248
direct message and then you

00:35:13.268 --> 00:35:14.268
get more networking you get

00:35:14.309 --> 00:35:15.190
more connections you get

00:35:15.449 --> 00:35:16.431
you get to hear from other

00:35:16.471 --> 00:35:17.590
folks that reach out to you

00:35:17.771 --> 00:35:18.811
when you post anonymously

00:35:18.893 --> 00:35:20.994
it's so selfish there's no

00:35:21.054 --> 00:35:22.175
collaboration there's no

00:35:22.195 --> 00:35:23.155
there's no sharing of

00:35:23.655 --> 00:35:25.177
of information and experiences.

00:35:25.958 --> 00:35:27.039
It's very, very selfish.

00:35:27.079 --> 00:35:27.278
Go ahead.

00:35:27.358 --> 00:35:29.400
Well, Christine is not anonymous.

00:35:29.440 --> 00:35:30.061
She chimes in.

00:35:30.121 --> 00:35:31.722
She says, I'm looking at the same model,

00:35:32.463 --> 00:35:34.463
but she's offering a 70-30 split.

00:35:35.244 --> 00:35:35.784
Provider's 70.

00:35:36.686 --> 00:35:37.286
Is that better?

00:35:37.306 --> 00:35:38.347
I mean, it's better.

00:35:38.367 --> 00:35:39.288
It's better than 50-50.

00:35:39.407 --> 00:35:40.248
Where do you feel on that?

00:35:40.268 --> 00:35:40.509
I mean,

00:35:42.269 --> 00:35:44.050
That, that's, I mean, that,

00:35:44.190 --> 00:35:46.353
that sounds awesome, Christine,

00:35:46.413 --> 00:35:47.253
if you can make that work

00:35:47.293 --> 00:35:48.514
and if you can attract providers.

00:35:48.574 --> 00:35:49.335
So Christine is on the

00:35:49.355 --> 00:35:50.175
business owner side.

00:35:51.815 --> 00:35:52.396
Sounds great.

00:35:52.617 --> 00:35:55.199
I mean, so other business models,

00:35:55.219 --> 00:35:56.440
by the way, with physical therapy,

00:35:56.460 --> 00:35:57.719
so brick and mortar, whatever,

00:35:57.780 --> 00:35:58.840
like they want to have

00:35:58.900 --> 00:36:01.342
their whole salary compensation bucket,

00:36:01.682 --> 00:36:02.664
like total compensation

00:36:02.704 --> 00:36:06.206
bucket at like 55 to 60%.

00:36:06.206 --> 00:36:07.007
So if she can give that

00:36:07.067 --> 00:36:08.126
extra margin to the

00:36:08.166 --> 00:36:09.047
therapist and she's only

00:36:09.088 --> 00:36:10.889
looking to do 30% pre-tax

00:36:11.309 --> 00:36:11.869
and make it work,

00:36:13.391 --> 00:36:13.831
interesting.

00:36:13.990 --> 00:36:14.891
Maybe we should have her on the show.

00:36:14.911 --> 00:36:16.052
I mean, it sounds, it sounds great.

00:36:16.092 --> 00:36:18.893
It sounds like doable.

00:36:18.914 --> 00:36:18.954
Um,

00:36:20.804 --> 00:36:21.244
I'd be curious.

00:36:21.284 --> 00:36:22.045
I don't know Christine,

00:36:22.065 --> 00:36:23.186
so I'm going to have to connect with her.

00:36:23.286 --> 00:36:24.126
And I don't know if she's

00:36:24.206 --> 00:36:25.947
brick and mortar or mobile or what.

00:36:26.226 --> 00:36:27.186
But now we do because she

00:36:27.206 --> 00:36:28.907
didn't answer anonymously.

00:36:29.148 --> 00:36:30.148
And that's the beauty of it.

00:36:30.188 --> 00:36:30.768
Exactly.

00:36:31.088 --> 00:36:31.708
Exactly.

00:36:31.748 --> 00:36:32.809
So now it's like, okay,

00:36:32.929 --> 00:36:33.708
I could go connect with

00:36:33.728 --> 00:36:35.469
Christine on Facebook or LinkedIn,

00:36:35.489 --> 00:36:36.550
whatever, see what she's doing.

00:36:37.010 --> 00:36:38.851
Maybe refer therapists to her.

00:36:40.751 --> 00:36:42.251
Maybe I get referrals and

00:36:42.291 --> 00:36:44.193
then I get a referral in that state.

00:36:44.273 --> 00:36:45.132
And then I think of

00:36:45.172 --> 00:36:46.094
Christine and then I refer

00:36:46.114 --> 00:36:47.153
a patient and then she

00:36:47.193 --> 00:36:48.373
benefits downstream from that,

00:36:48.434 --> 00:36:50.094
but not when you post anonymously.

00:36:50.632 --> 00:36:50.871
Tony,

00:36:50.911 --> 00:36:52.393
I didn't see your comment on that thread,

00:36:52.432 --> 00:36:53.213
and I just brought it up

00:36:53.253 --> 00:36:54.032
and didn't see it.

00:36:54.853 --> 00:36:56.014
So if you want to chime in here.

00:36:56.693 --> 00:36:56.934
Oh, wait,

00:36:56.994 --> 00:36:59.014
maybe I did see his comment on that.

00:37:02.197 --> 00:37:02.637
Here we go.

00:37:02.836 --> 00:37:04.297
No, this was something different.

00:37:04.416 --> 00:37:04.657
Sorry.

00:37:05.478 --> 00:37:07.438
I didn't see that comment on the thread.

00:37:07.639 --> 00:37:08.798
So if you want to chime in there.

00:37:09.278 --> 00:37:10.400
I love when you guys comment

00:37:10.619 --> 00:37:12.199
now or later because I love

00:37:12.260 --> 00:37:12.820
sitting there and

00:37:12.940 --> 00:37:14.121
responding or hearing the

00:37:14.161 --> 00:37:15.961
different opinions.

00:37:16.061 --> 00:37:17.222
And I don't even know how to

00:37:17.543 --> 00:37:18.422
respond anonymously.

00:37:20.710 --> 00:37:21.771
What else is on Dave's mind?

00:37:21.791 --> 00:37:22.690
I know we have Freedom

00:37:22.771 --> 00:37:23.791
coming up on Thursday.

00:37:24.771 --> 00:37:26.592
It's 100% off on Thursday.

00:37:28.612 --> 00:37:28.851
Yes,

00:37:28.911 --> 00:37:31.753
we do have the holiday weekend in the

00:37:32.393 --> 00:37:34.092
4th of July on Thursday.

00:37:34.112 --> 00:37:34.853
I almost said Saturday.

00:37:34.873 --> 00:37:35.534
Today's Tuesday.

00:37:37.134 --> 00:37:38.773
You make your clinicians work on Friday.

00:37:39.813 --> 00:37:40.434
Like this year,

00:37:40.494 --> 00:37:42.094
July 4th falls into Thursday.

00:37:42.675 --> 00:37:43.554
Are you open on Friday?

00:37:45.576 --> 00:37:45.715
Well,

00:37:45.735 --> 00:37:46.876
my therapists make their own schedule.

00:37:46.976 --> 00:37:47.876
So if they want to, yes.

00:37:50.043 --> 00:37:53.268
So they have their own... It's your call.

00:37:56.275 --> 00:37:56.335
Yep.

00:37:56.434 --> 00:37:56.896
Let's see.

00:37:57.076 --> 00:37:57.797
I also brought in...

00:38:00.423 --> 00:38:01.244
This is another question

00:38:01.364 --> 00:38:02.085
asked in LinkedIn.

00:38:02.105 --> 00:38:03.565
I'm stealing this from Cody Thompson,

00:38:03.606 --> 00:38:04.606
promised we'd mention this.

00:38:05.246 --> 00:38:06.367
Here's a question he asked.

00:38:06.987 --> 00:38:07.889
Cody asks,

00:38:08.009 --> 00:38:09.110
I'm calling on my cash pray

00:38:09.170 --> 00:38:10.931
gurus for answers to these questions.

00:38:11.351 --> 00:38:12.411
Is there any reason a

00:38:12.452 --> 00:38:13.472
solopreneur cash pay

00:38:13.512 --> 00:38:14.432
therapist couldn't or

00:38:14.472 --> 00:38:16.514
shouldn't accept a student

00:38:17.094 --> 00:38:18.115
for clinical education?

00:38:18.556 --> 00:38:19.456
If you can,

00:38:19.476 --> 00:38:21.177
do you charge the patient if

00:38:21.197 --> 00:38:22.358
the student is providing care?

00:38:22.398 --> 00:38:23.398
This is like a rules and

00:38:23.438 --> 00:38:25.260
regs question and later

00:38:25.400 --> 00:38:26.081
clinical rotations.

00:38:26.181 --> 00:38:27.882
If so, do you charge more slash less?

00:38:33.572 --> 00:38:35.438
I would charge the same dollar amount.

00:38:36.871 --> 00:38:37.572
Because as a student,

00:38:37.612 --> 00:38:39.092
they can't necessarily bill.

00:38:39.574 --> 00:38:40.054
They can't bill.

00:38:40.454 --> 00:38:41.153
Sorry, not necessarily.

00:38:41.173 --> 00:38:41.695
They can't bill.

00:38:41.715 --> 00:38:42.295
They're a student.

00:38:42.454 --> 00:38:43.255
It is under your license.

00:38:43.335 --> 00:38:44.956
You are the one providing the care.

00:38:45.737 --> 00:38:47.518
They might be providing care

00:38:47.637 --> 00:38:48.538
under your supervision.

00:38:49.199 --> 00:38:49.858
Someone's going to tear me

00:38:49.918 --> 00:38:51.380
apart for how I'm saying these things.

00:38:51.420 --> 00:38:53.701
No, I get what you're saying.

00:38:54.101 --> 00:38:57.103
So let's just say if a

00:38:57.143 --> 00:38:59.905
practice is charging $250 per visit.

00:38:59.965 --> 00:39:01.224
Because he's saying cash pay,

00:39:01.365 --> 00:39:02.786
out-of-pocket, physical therapy.

00:39:03.186 --> 00:39:04.726
So if a practice is charging $250 a visit,

00:39:06.327 --> 00:39:09.570
and you're solo and you

00:39:09.610 --> 00:39:10.731
don't have a student and

00:39:10.751 --> 00:39:12.893
you charge 250 and then two months later,

00:39:12.932 --> 00:39:13.672
now you have a student,

00:39:14.454 --> 00:39:15.235
it should just be the same

00:39:15.275 --> 00:39:16.135
dollar amount because the

00:39:16.195 --> 00:39:17.916
therapist is still going to be there.

00:39:19.257 --> 00:39:20.797
The therapist has to still be there.

00:39:21.659 --> 00:39:23.099
The student is not being

00:39:23.139 --> 00:39:25.681
paid because we covered that before.

00:39:26.141 --> 00:39:27.402
The student is going through

00:39:27.422 --> 00:39:28.204
a clinical rotation,

00:39:28.384 --> 00:39:29.344
which they're paying their school.

00:39:31.405 --> 00:39:32.266
the practice potentially

00:39:32.306 --> 00:39:33.789
benefits because maybe we

00:39:33.809 --> 00:39:35.630
want to eventually hire that therapist.

00:39:35.650 --> 00:39:37.353
So we, we get to, you know, we don't,

00:39:37.472 --> 00:39:38.253
we don't get paid either,

00:39:38.414 --> 00:39:40.695
but we also have arguably free labor,

00:39:40.735 --> 00:39:41.117
but it's,

00:39:41.838 --> 00:39:43.259
but our therapist still has to be there.

00:39:43.298 --> 00:39:45.320
So it's like, not really like,

00:39:46.402 --> 00:39:47.402
We're still paying for that labor.

00:39:47.623 --> 00:39:48.922
I'm paying for my therapist to be there.

00:39:49.882 --> 00:39:51.043
So there's a couple of free

00:39:51.083 --> 00:39:52.384
rides there going on.

00:39:54.065 --> 00:39:55.164
You charge the same dollar amount.

00:39:55.284 --> 00:39:56.925
I don't understand like, I mean,

00:39:57.826 --> 00:39:59.005
sometimes these questions

00:39:59.065 --> 00:40:00.827
either on LinkedIn or Facebook,

00:40:01.690 --> 00:40:02.451
I don't know about this guy.

00:40:02.530 --> 00:40:02.831
Hold on.

00:40:03.451 --> 00:40:05.632
Sometimes the questions are

00:40:05.672 --> 00:40:07.634
coming from like marketers and it's like,

00:40:07.653 --> 00:40:08.815
they're trying to, you know,

00:40:09.235 --> 00:40:10.096
they're for engagement.

00:40:10.516 --> 00:40:10.717
Right.

00:40:10.737 --> 00:40:11.496
And there's a couple of names.

00:40:11.536 --> 00:40:12.197
There's a couple of names I

00:40:12.217 --> 00:40:13.559
could mention if you wanted, but like,

00:40:13.719 --> 00:40:14.039
I like it.

00:40:14.079 --> 00:40:14.539
It's obvious.

00:40:14.639 --> 00:40:15.179
It's obvious.

00:40:15.420 --> 00:40:15.981
It's obvious.

00:40:16.300 --> 00:40:16.981
I mean, I ask,

00:40:17.342 --> 00:40:18.822
I ask conversation starters too.

00:40:19.681 --> 00:40:20.222
I know, but you,

00:40:20.302 --> 00:40:22.643
you don't do it from a sense of like,

00:40:22.824 --> 00:40:23.164
then,

00:40:24.264 --> 00:40:26.885
so there'll be these marketers or these,

00:40:27.126 --> 00:40:28.186
uh, business physical therapy,

00:40:28.206 --> 00:40:29.507
business coaches, they ask questions,

00:40:29.708 --> 00:40:30.547
you click on their profile

00:40:30.608 --> 00:40:31.168
and they're like,

00:40:31.289 --> 00:40:32.789
they're a business coach consultant.

00:40:33.130 --> 00:40:34.030
And then also like a,

00:40:34.231 --> 00:40:35.771
maybe a practice owner or, or,

00:40:35.972 --> 00:40:37.452
or like a clinic director or something.

00:40:37.813 --> 00:40:38.052
Got it.

00:40:38.253 --> 00:40:39.713
Um, so they,

00:40:39.833 --> 00:40:41.135
they want owners to like

00:40:41.175 --> 00:40:42.856
comment and then they start

00:40:42.916 --> 00:40:43.916
a conversation with them in

00:40:43.956 --> 00:40:44.916
the comments and then they

00:40:44.956 --> 00:40:45.938
try to take it to DM.

00:40:46.697 --> 00:40:49.581
And then they try to pitch

00:40:49.601 --> 00:40:50.460
them their paid coaching.

00:40:51.081 --> 00:40:52.302
We're still doing that.

00:40:54.625 --> 00:40:55.885
I think also the part of

00:40:55.925 --> 00:40:56.746
this question is like,

00:40:57.568 --> 00:40:58.288
is there any reason a

00:40:58.347 --> 00:40:59.409
solopreneur cash-based

00:40:59.449 --> 00:41:00.190
therapist couldn't or

00:41:00.210 --> 00:41:02.012
shouldn't accept a student for ClinEd?

00:41:02.472 --> 00:41:04.773
Tony not here today, but he's commenting.

00:41:05.574 --> 00:41:06.675
He says, I'm not cash-based,

00:41:06.715 --> 00:41:07.516
but I would say, yes,

00:41:07.576 --> 00:41:08.697
they should be accepting students.

00:41:08.737 --> 00:41:09.777
The value really isn't the

00:41:09.838 --> 00:41:10.478
patient treatment.

00:41:10.518 --> 00:41:12.460
It's not that you can or can't bill more,

00:41:12.641 --> 00:41:13.280
less, whatever.

00:41:14.150 --> 00:41:16.331
It's a chance for the

00:41:16.351 --> 00:41:17.231
student to understand and

00:41:17.271 --> 00:41:18.291
experience the process.

00:41:18.532 --> 00:41:19.753
He tells students that they

00:41:19.773 --> 00:41:20.432
will have the rest of their

00:41:20.472 --> 00:41:21.514
career to treat patients.

00:41:21.974 --> 00:41:22.793
The value in a clinical

00:41:22.813 --> 00:41:23.894
rotation is to get inside

00:41:24.414 --> 00:41:25.835
the business owner's head

00:41:26.056 --> 00:41:27.936
or the CI's head and

00:41:27.996 --> 00:41:29.898
understand why they are

00:41:29.938 --> 00:41:31.199
doing what you're doing.

00:41:31.838 --> 00:41:32.639
So much wisdom there.

00:41:33.179 --> 00:41:33.820
So much wisdom.

00:41:33.860 --> 00:41:35.641
And he's not even here, but he's here,

00:41:35.860 --> 00:41:37.382
but he's there, but he's not here.

00:41:38.041 --> 00:41:38.601
He's everywhere.

00:41:39.262 --> 00:41:40.722
Did you have good clinical experiences?

00:41:40.762 --> 00:41:41.963
Do you look back fondly?

00:41:44.219 --> 00:41:44.539
I did.

00:41:44.559 --> 00:41:44.900
I mean,

00:41:46.260 --> 00:41:48.942
my first one was at a skilled

00:41:48.961 --> 00:41:50.902
nursing facility, which, I mean,

00:41:50.922 --> 00:41:52.824
I don't think you could pay

00:41:52.864 --> 00:41:53.965
me to work at a place.

00:41:54.065 --> 00:41:54.664
But again,

00:41:54.744 --> 00:41:55.666
people need it and it's a

00:41:55.726 --> 00:41:58.947
valuable place in the whole ecosystem.

00:42:00.027 --> 00:42:05.471
My eventual mentor and coworker,

00:42:05.490 --> 00:42:06.972
eventually, I met there.

00:42:09.514 --> 00:42:10.393
he was like working

00:42:10.454 --> 00:42:12.255
part-time at the sniff.

00:42:12.534 --> 00:42:13.695
And then he got me my job at

00:42:13.715 --> 00:42:14.815
the physician owned practice,

00:42:15.016 --> 00:42:16.396
helping negotiate my salary and all that.

00:42:16.456 --> 00:42:18.697
So again, back to networking, whatever, um,

00:42:19.197 --> 00:42:20.057
hospital rotation.

00:42:20.338 --> 00:42:23.039
I was like a day in two days in, I mean,

00:42:23.059 --> 00:42:24.139
it was like, what's it like?

00:42:24.159 --> 00:42:25.199
It was like eight weeks long,

00:42:25.800 --> 00:42:26.239
one or two days.

00:42:26.280 --> 00:42:26.639
And I'm like,

00:42:26.780 --> 00:42:28.141
I am never working in a hospital.

00:42:28.181 --> 00:42:30.822
This is, this is not my style.

00:42:31.342 --> 00:42:33.443
And then, uh, my two outpatient ones, uh,

00:42:33.503 --> 00:42:35.563
market street in Philly with, um,

00:42:37.300 --> 00:42:37.860
Moss rehab.

00:42:37.880 --> 00:42:38.521
That was awesome.

00:42:39.603 --> 00:42:41.844
And then outpatient for four

00:42:41.885 --> 00:42:43.347
months in South Jersey.

00:42:43.626 --> 00:42:44.387
And I was like, yeah,

00:42:44.487 --> 00:42:48.092
outpatient is obviously my, my, my jam.

00:42:48.652 --> 00:42:49.313
I didn't do any home.

00:42:49.333 --> 00:42:50.534
I did like one home visit

00:42:51.255 --> 00:42:53.378
with my mentor or whatever, but yeah,

00:42:54.777 --> 00:42:56.717
Definitely fond memories of rotations.

00:42:56.918 --> 00:42:59.318
It was a time for... I don't know.

00:42:59.478 --> 00:42:59.739
Also,

00:42:59.838 --> 00:43:02.420
it was way less stress than studying

00:43:02.639 --> 00:43:03.621
in physical therapy school.

00:43:04.021 --> 00:43:07.222
Even though you weren't being paid,

00:43:07.262 --> 00:43:07.963
it was like this is...

00:43:08.965 --> 00:43:10.005
this is much better than

00:43:10.304 --> 00:43:11.666
studying for a bunch of exams.

00:43:11.726 --> 00:43:13.286
So like I had a great time.

00:43:13.306 --> 00:43:13.827
How about you?

00:43:13.847 --> 00:43:14.726
This will surprise you.

00:43:14.887 --> 00:43:17.728
One of my CIs said, wow,

00:43:17.807 --> 00:43:18.987
I've never had someone who

00:43:19.027 --> 00:43:20.449
could tell the same story

00:43:20.449 --> 00:43:22.009
26 times in a day and

00:43:22.068 --> 00:43:22.728
change it up a little.

00:43:22.748 --> 00:43:23.630
I'm like, yes,

00:43:24.730 --> 00:43:26.349
I was in radio for 15 years.

00:43:26.471 --> 00:43:27.710
We essentially said the same

00:43:27.771 --> 00:43:29.210
thing a thousand different ways.

00:43:29.251 --> 00:43:29.931
There's only so many

00:43:29.952 --> 00:43:30.731
different ways I can tell

00:43:30.771 --> 00:43:32.251
you that Limp Bizkit is

00:43:32.311 --> 00:43:33.072
coming to the Toyota

00:43:33.092 --> 00:43:34.733
Pavilion on next Thursday.

00:43:34.853 --> 00:43:35.833
I've got to keep changing it

00:43:35.893 --> 00:43:36.693
up every single time.

00:43:37.954 --> 00:43:38.414
That was fun.

00:43:39.135 --> 00:43:40.215
Tony did a double rotation

00:43:40.295 --> 00:43:42.197
at IMG Academy in Bradenton.

00:43:42.257 --> 00:43:45.599
Oh, that's the big funnel for going pro.

00:43:46.001 --> 00:43:47.942
NBA players, great experiences,

00:43:47.961 --> 00:43:48.682
a lot of cash pay.

00:43:49.302 --> 00:43:50.483
Different environments, man.

00:43:50.543 --> 00:43:52.945
I'll tell you, your DCE,

00:43:52.965 --> 00:43:54.588
your Director of Clinical Education,

00:43:56.068 --> 00:43:58.271
has a really big impact on...

00:43:59.525 --> 00:44:01.626
your experience in PT school,

00:44:02.286 --> 00:44:03.887
and some schools have a lot

00:44:04.146 --> 00:44:07.108
of interaction between

00:44:07.148 --> 00:44:08.389
students in the DCE and

00:44:08.449 --> 00:44:10.590
some it's like nothing.

00:44:11.289 --> 00:44:11.510
I mean,

00:44:11.610 --> 00:44:12.831
I think I had a 20 minute

00:44:12.871 --> 00:44:14.391
conversation with my DCE and she's like,

00:44:14.512 --> 00:44:15.192
I understand you.

00:44:15.831 --> 00:44:17.612
And as the narrator voice

00:44:17.632 --> 00:44:19.293
should be playing in your head right now,

00:44:19.414 --> 00:44:21.375
she in fact did not understand me,

00:44:22.054 --> 00:44:23.454
but she was responsible for

00:44:24.416 --> 00:44:25.335
where I was gonna be placed

00:44:25.416 --> 00:44:26.336
for how many weeks

00:44:27.557 --> 00:44:28.159
And this brought,

00:44:28.179 --> 00:44:29.298
this is probably a time for

00:44:29.318 --> 00:44:30.139
a different conversation,

00:44:30.179 --> 00:44:31.760
but it's like an interesting dynamic.

00:44:31.820 --> 00:44:32.902
And I know it's always been

00:44:32.942 --> 00:44:35.063
this way and that should scare people,

00:44:35.143 --> 00:44:37.224
but different schools have

00:44:37.525 --> 00:44:38.846
drastically different

00:44:38.885 --> 00:44:40.666
processes for getting your

00:44:40.686 --> 00:44:41.568
next clinical placement.

00:44:41.748 --> 00:44:42.548
I would actually love to

00:44:42.608 --> 00:44:44.130
hear what the process is

00:44:44.170 --> 00:44:45.530
like from the audience

00:44:45.590 --> 00:44:46.891
because it can highlight there.

00:44:47.132 --> 00:44:48.052
There's not two ways.

00:44:48.072 --> 00:44:49.534
There's like 50 different

00:44:49.554 --> 00:44:50.974
ways that students get

00:44:50.994 --> 00:44:52.856
placed and how they can, how they can,

00:44:53.356 --> 00:44:53.936
you know, sort of,

00:44:54.697 --> 00:44:56.777
advocate not at all there's

00:44:56.878 --> 00:44:58.259
ranking systems there's one

00:44:58.298 --> 00:44:59.059
school who does it as a

00:44:59.119 --> 00:45:01.159
live like uh draft almost

00:45:01.219 --> 00:45:01.940
like we just had at the

00:45:01.980 --> 00:45:03.840
sphere with the nhl draft

00:45:03.940 --> 00:45:05.202
so I would love to hear

00:45:05.222 --> 00:45:06.101
from the audience if you'd

00:45:06.161 --> 00:45:07.043
like to hear about that

00:45:07.083 --> 00:45:09.563
because it this is a I mean

00:45:09.643 --> 00:45:10.764
everything should be up for

00:45:10.905 --> 00:45:11.985
for overhaul or at least

00:45:12.065 --> 00:45:13.306
looked at as an audit like

00:45:13.465 --> 00:45:14.306
are we using the most

00:45:14.365 --> 00:45:15.387
effective model for

00:45:16.606 --> 00:45:18.947
students who are paying not

00:45:18.967 --> 00:45:21.588
a little bit of money um to

00:45:21.628 --> 00:45:22.449
be affected by this

00:45:23.273 --> 00:45:24.594
And then Tony chimes in for the record,

00:45:24.655 --> 00:45:26.036
his DCE didn't help with anything.

00:45:26.096 --> 00:45:26.896
He made the connection and

00:45:26.936 --> 00:45:27.717
secured the contract.

00:45:27.978 --> 00:45:28.717
And that's awesome.

00:45:29.219 --> 00:45:30.679
Some schools would penalize

00:45:30.739 --> 00:45:31.340
a student for that.

00:45:32.041 --> 00:45:33.621
You would not only not get that,

00:45:35.063 --> 00:45:36.244
there might be repercussions.

00:45:36.644 --> 00:45:38.445
So it's just wild, man.

00:45:39.266 --> 00:45:40.588
And Bo chiming in, go Yankees.

00:45:41.088 --> 00:45:41.949
But it's wild.

00:45:42.489 --> 00:45:43.931
I was going to make a joke and say,

00:45:43.990 --> 00:45:45.192
I didn't know IMG Academy

00:45:45.231 --> 00:45:47.012
was around back when Tony was a student,

00:45:47.072 --> 00:45:47.452
but I...

00:45:50.012 --> 00:45:51.114
I said it anyway.

00:45:51.153 --> 00:45:52.394
Tony, you're not that old,

00:45:52.474 --> 00:45:53.275
and you have so much wisdom.

00:45:53.295 --> 00:45:53.675
We love you.

00:45:53.695 --> 00:45:54.036
We miss you.

00:45:54.056 --> 00:45:54.876
All right.

00:45:55.317 --> 00:45:56.577
We are off on Thursday

00:45:57.177 --> 00:45:58.097
because I will be having

00:45:58.177 --> 00:45:59.119
two scoops of freedom.

00:45:59.239 --> 00:46:00.119
I don't know about you guys.

00:46:00.219 --> 00:46:01.420
I'll be holding a bomb pop,

00:46:01.721 --> 00:46:03.282
doing backflips into my pool.

00:46:04.382 --> 00:46:05.922
Bo did a simple ranked choice.

00:46:06.422 --> 00:46:06.983
I did nothing.

00:46:09.414 --> 00:46:10.614
It was like fortune cookies.

00:46:10.755 --> 00:46:11.295
That's what I got.

00:46:11.454 --> 00:46:12.295
Where are you going?

00:46:12.356 --> 00:46:13.115
Hey, look at that.

00:46:13.336 --> 00:46:13.597
Right.

00:46:13.717 --> 00:46:14.237
So that's fun.

00:46:14.456 --> 00:46:15.277
So ranked choice.

00:46:15.318 --> 00:46:16.197
I'd love to hear about that.

00:46:17.059 --> 00:46:18.199
So we're off on Thursday.

00:46:18.239 --> 00:46:19.420
You should be off on Thursday.

00:46:19.480 --> 00:46:20.380
Don't listen to any like

00:46:20.460 --> 00:46:22.681
this is the anti podcast and live stream.

00:46:23.063 --> 00:46:24.903
Don't listen to our podcast on Thursday.

00:46:25.284 --> 00:46:27.485
Do something with family or friends.

00:46:27.965 --> 00:46:29.547
Don't buy anything that we sell.

00:46:30.007 --> 00:46:31.148
Don't consume anything that

00:46:31.188 --> 00:46:32.568
we make yourselves.

00:46:33.108 --> 00:46:35.070
Listen to some good old

00:46:35.110 --> 00:46:36.692
fashioned Freedom Rock.

00:46:37.052 --> 00:46:37.592
We used to do that.

00:46:37.612 --> 00:46:38.112
We would do it.

00:46:38.152 --> 00:46:39.373
We would do a weekend on my

00:46:39.414 --> 00:46:40.695
radio station because

00:46:40.735 --> 00:46:41.876
everybody loved to hate Nickelback.

00:46:42.056 --> 00:46:43.358
And I ran a rock radio station.

00:46:43.518 --> 00:46:44.719
We played Nickelback because

00:46:44.739 --> 00:46:45.699
people listened when you

00:46:45.719 --> 00:46:46.320
played Nickelback.

00:46:46.981 --> 00:46:47.902
But we had a big weekend

00:46:47.922 --> 00:46:48.541
where we were like,

00:46:48.581 --> 00:46:49.943
we're kicking out the we're

00:46:49.983 --> 00:46:51.123
kicking out the Canadians.

00:46:51.204 --> 00:46:52.746
It's a no Nickelback weekend.

00:46:53.346 --> 00:46:54.827
And it would just be American bands.

00:46:55.128 --> 00:46:56.009
But the funny part is you

00:46:56.048 --> 00:46:57.769
lose a lot of bands that you're like, oh,

00:46:57.829 --> 00:46:58.570
they're not American.

00:46:59.858 --> 00:47:01.099
because a lot of rock bands

00:47:01.139 --> 00:47:02.360
around the world sound

00:47:02.719 --> 00:47:03.641
because they emulate,

00:47:03.681 --> 00:47:04.501
like they grew up listening

00:47:04.521 --> 00:47:05.161
to Kurt Cobain.

00:47:05.181 --> 00:47:06.121
So now, you know,

00:47:06.222 --> 00:47:07.163
one of the notable bands

00:47:07.182 --> 00:47:07.802
that I interviewed,

00:47:07.943 --> 00:47:10.144
Sean Morgan from a band Seether, he,

00:47:10.264 --> 00:47:11.306
you know, walked in the studio and said,

00:47:11.346 --> 00:47:11.766
Hey, what's up?

00:47:11.786 --> 00:47:13.146
And I'm like, Oh wow.

00:47:13.407 --> 00:47:13.947
Gigantic.

00:47:13.987 --> 00:47:15.188
I mean, he's from South Africa.

00:47:15.248 --> 00:47:17.010
I knew that, but like huge accent.

00:47:17.050 --> 00:47:19.610
I'm like, Oh, you literally turn it on.

00:47:19.650 --> 00:47:21.271
So anyway, we went down a rabbit hole,

00:47:21.291 --> 00:47:23.173
but anyway, do something freedom related.

00:47:23.494 --> 00:47:24.554
And I want you to come back

00:47:24.875 --> 00:47:26.596
with all your fingers and toes and,

00:47:27.579 --> 00:47:29.061
Firework accidents are not okay.

00:47:29.101 --> 00:47:30.782
These are your livelihoods for some people,

00:47:31.202 --> 00:47:31.802
so don't do that.

00:47:33.023 --> 00:47:33.523
And by the way,

00:47:33.603 --> 00:47:35.646
I was just texting with Brian Williams,

00:47:35.706 --> 00:47:36.266
one of my buddies,

00:47:36.405 --> 00:47:37.487
who's been on your show a bunch.

00:47:37.507 --> 00:47:38.608
He was at Marymount University.

00:47:38.648 --> 00:47:39.668
We went to the same PG school.

00:47:40.048 --> 00:47:40.208
Yeah,

00:47:40.289 --> 00:47:42.431
so last week he said that he went to

00:47:42.451 --> 00:47:43.510
a Rolling Stones concert.

00:47:43.592 --> 00:47:44.992
I was like, they're still touring?

00:47:45.512 --> 00:47:46.193
And then he said they just

00:47:46.213 --> 00:47:46.914
came out with an album.

00:47:46.954 --> 00:47:47.293
I was like,

00:47:47.534 --> 00:47:48.855
they're creating more new music?

00:47:49.215 --> 00:47:49.596
I wouldn't know.

00:47:49.615 --> 00:47:49.976
Amazing.

00:47:50.396 --> 00:47:50.876
Why wouldn't they?

00:47:50.956 --> 00:47:51.396
Amazing.

00:47:51.496 --> 00:47:52.297
Why wouldn't they?

00:47:52.318 --> 00:47:53.639
All right, Dave, parting shot.

00:47:54.568 --> 00:47:55.188
Parting shot.

00:47:55.289 --> 00:47:55.849
Easy peasy.

00:47:55.889 --> 00:47:56.248
Here we go.

00:47:56.309 --> 00:47:57.050
Bring the numbers.

00:47:57.110 --> 00:47:57.409
All right.

00:47:57.469 --> 00:47:58.351
If you're looking to

00:47:58.391 --> 00:48:00.132
negotiate your salary or

00:48:00.253 --> 00:48:01.293
you're doing your OCS,

00:48:01.333 --> 00:48:02.454
your advanced certification,

00:48:02.514 --> 00:48:03.474
and then you're like, hey,

00:48:03.534 --> 00:48:04.215
what's in it for me?

00:48:04.516 --> 00:48:05.297
What's the pay bump?

00:48:05.677 --> 00:48:06.498
What's this?

00:48:06.958 --> 00:48:07.778
Bring the numbers.

00:48:08.639 --> 00:48:09.639
I mean, if that doesn't work,

00:48:10.320 --> 00:48:11.061
maybe you need to leave

00:48:11.101 --> 00:48:12.842
that place or you need to say, okay,

00:48:13.384 --> 00:48:14.804
am I at the ceiling of

00:48:15.324 --> 00:48:16.786
compensation for this role,

00:48:17.086 --> 00:48:18.288
even with an OCS or whatever?

00:48:19.231 --> 00:48:20.233
if I'm at the ceiling,

00:48:20.992 --> 00:48:22.273
what other responsibilities

00:48:22.313 --> 00:48:25.056
or tasks can I do for more compensation?

00:48:25.655 --> 00:48:27.056
And some therapists might not like that.

00:48:27.217 --> 00:48:28.378
So if you don't like it, then you leave,

00:48:28.398 --> 00:48:29.199
you go find another job.

00:48:29.219 --> 00:48:30.039
But if you're at the ceiling

00:48:30.059 --> 00:48:31.300
of compensation at whatever

00:48:31.340 --> 00:48:33.481
practice you're at, then it might be like,

00:48:33.782 --> 00:48:34.362
you need to add,

00:48:34.521 --> 00:48:36.262
you need to do other stuff, right?

00:48:36.284 --> 00:48:36.824
It might be this,

00:48:36.844 --> 00:48:38.364
it might be video content, audio.

00:48:38.704 --> 00:48:40.005
It might be social media posting.

00:48:40.045 --> 00:48:42.347
It might be other marketing initiatives,

00:48:42.367 --> 00:48:42.668
whatever.

00:48:42.708 --> 00:48:43.047
But like,

00:48:43.088 --> 00:48:44.168
if you get to a point where

00:48:44.188 --> 00:48:45.250
you're at the ceiling somewhere,

00:48:46.471 --> 00:48:48.536
regardless of the customers,

00:48:48.577 --> 00:48:49.940
the health care, the reimbursement,

00:48:49.980 --> 00:48:50.742
the payment model, whatever.

00:48:52.523 --> 00:48:53.882
then the next thing would be

00:48:53.922 --> 00:48:55.563
more responsibilities, which yes,

00:48:56.023 --> 00:48:56.983
would also be, you know,

00:48:57.043 --> 00:48:58.003
more time and effort.

00:48:58.423 --> 00:48:59.463
And if you don't like that, then yeah,

00:48:59.643 --> 00:48:59.885
yeah.

00:49:00.065 --> 00:49:01.545
Leave, go somewhere else, find another job,

00:49:01.985 --> 00:49:04.585
but bring the numbers, start with that.

00:49:05.106 --> 00:49:06.425
Compare yourself to other

00:49:06.985 --> 00:49:08.326
clinicians in the practice,

00:49:08.365 --> 00:49:09.646
in the company that have

00:49:09.666 --> 00:49:10.847
the same type of like role

00:49:10.887 --> 00:49:12.246
and maybe even years of experience.

00:49:12.786 --> 00:49:13.887
And if there's a difference there,

00:49:14.288 --> 00:49:15.387
then it should be clearly

00:49:15.467 --> 00:49:16.887
evident to your decision

00:49:16.907 --> 00:49:17.547
maker or your boss,

00:49:17.568 --> 00:49:19.289
whoever to give you a pay bump.

00:49:19.449 --> 00:49:20.748
And again, yeah, if that doesn't work,

00:49:21.871 --> 00:49:22.333
reach out to me.

00:49:22.353 --> 00:49:23.777
Maybe you could relocate to

00:49:23.797 --> 00:49:24.780
New York City or you could

00:49:24.800 --> 00:49:25.623
go work somewhere else.

00:49:26.380 --> 00:49:27.440
With great power comes great

00:49:27.460 --> 00:49:28.260
responsibility, right?

00:49:28.280 --> 00:49:28.960
If you're going to get a bump,

00:49:29.001 --> 00:49:30.382
there's going to be more responsibility.

00:49:30.742 --> 00:49:31.262
That's okay,

00:49:31.302 --> 00:49:32.362
but it should be commiserate

00:49:32.402 --> 00:49:34.023
with the impact you bring.

00:49:34.284 --> 00:49:35.344
Dave went objective.

00:49:35.364 --> 00:49:36.385
I'm going to go subjective.

00:49:37.286 --> 00:49:37.985
You don't walk into the

00:49:38.025 --> 00:49:38.806
batter's box without

00:49:38.867 --> 00:49:39.547
understanding what the

00:49:39.586 --> 00:49:41.288
strike zone is or how things work.

00:49:41.967 --> 00:49:43.869
So open those lines of communication.

00:49:44.188 --> 00:49:45.809
Ask before you sign up and

00:49:45.849 --> 00:49:47.371
drop $1,600 on a clinical

00:49:47.670 --> 00:49:48.532
specialist exam.

00:49:48.811 --> 00:49:49.032
Hey,

00:49:49.172 --> 00:49:50.492
what is this going to do for my career?

00:49:50.932 --> 00:49:51.853
What could that do here?

00:49:51.913 --> 00:49:52.574
Now, I'm not saying that...

00:49:53.273 --> 00:49:54.094
Money should be the only

00:49:54.135 --> 00:49:55.295
driver for educating yourself.

00:49:55.315 --> 00:49:56.436
I'm going to hard say that.

00:49:56.737 --> 00:49:57.717
I am not saying that.

00:49:58.637 --> 00:49:59.639
But understanding what your

00:49:59.719 --> 00:50:01.420
value is so that you can

00:50:01.681 --> 00:50:02.942
help more people and then

00:50:02.981 --> 00:50:05.943
be compensated for that so

00:50:05.983 --> 00:50:06.724
you can stick around and

00:50:06.965 --> 00:50:07.666
help more people.

00:50:07.706 --> 00:50:08.827
This is cyclical.

00:50:09.146 --> 00:50:10.507
So Dave went with objective.

00:50:10.588 --> 00:50:11.869
My parting shot is subjective.

00:50:12.429 --> 00:50:14.331
Communicate early and often

00:50:14.411 --> 00:50:16.012
and know the rules of the game.

00:50:16.032 --> 00:50:16.813
We're off on Thursday.

00:50:16.853 --> 00:50:17.813
We're back in seven days.

00:50:18.534 --> 00:50:19.235
Thanks for listening.

00:50:19.775 --> 00:50:20.255
Thanks for watching.