Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
April, 2010, Vol. 10, Issue 04
Does Your Staff Support You or Weigh You Down?
By Jenn Sommermann, LCMT
One of the most challenging aspects of being a business owner is managing staff. Interviewing, hiring, training, overseeing, motivating and sometimes firing staff, can take countless hours.Some wonder if it is even worth it. It can be a very lucrative part of any practice, if handled correctly. But it can also be a nightmare, especially if the staff member doesn't work out well and puts a burden on the practice. Getting the right staff member in the first place is the key to success. In the scheme of things, most of the energy should be spent on the hiring. It isn't about a warm body to fill the therapist's spot; it's about the right person. The concept of team is critical when you are looking to bring on a therapist. There are many things to consider.
As I mentioned, hiring is step one and where a good part of your energy should be spent. I used to conduct a verbal interview with a candidate first. This was level one and in the interest of not wasting anyone's time, a verbal interview weeded out most folks. If I was impressed by the verbal interview, a second hands-on interview was conducted. The interviewee had to perform a 40-minute massage on me and teach one exercise. If there was a tie between candidates, a third massage interview was performed on one of my staff members so they could have a voice in the decision process. I was never trying to replace or duplicate my hands. Moreover, I was looking for someone to "complete" the existing practice; a team member who would fit with the model I had established. To me, the team concept was far more important than finding someone who could perform an identical massage to me.
Another criterion important in my hiring process was the candidate's business etiquette and professionalism. Dress code, hygiene, timeliness and speaking voice all played a roll. Manicured hands tell a lot about how someone cares for their "tools." It was also an indication of how they would care for my equipment. My office was run in a very specific way and it was very successful. I needed a therapist who was willing and able to follow my format, accurately and with pleasure. Notice again, the focus was not on technique. I trusted the technique was there and short of giving a lousy massage, I opened myself to the possibility that there are enough clients for everyone's style.
Once hired, training started right away. It has been my experience that therapists want a fair wage and as much autonomy as possible. Even though they were working under the umbrella of my practice, I allowed them to feel like they were running their own business as independent contractors. The training that occurred was largely based on how I ran the office, what the expectations were, how to chart client notes, and shared marketing efforts. Again, there was not much emphasis on technique because I wanted the therapist to feel as if they could do their own thing.
After a certain amount of time and once I had gained confidence in the therapist, I let them fly solo. I stopped reviewing their notes and allowed them to schedule their own appointments. This gave them freedom and flexibility, creating a further sense of autonomy. With this vote of confidence came years of loyalty, as my therapists often commented that working for me was the best of both worlds.
Weekly staff meetings kept motivation high. However, there were times when one therapist could bring the entire staff down with negativity. You know what it is like sometimes. The phone doesn't ring so you obsess about it. The more you obsess, the more the phone doesn't ring. It is a vicious cycle. Basically, what you focus upon expands. If the negativity is left to perpetuate, it can grow and spiral out of control. One person can have a large effect on an entire practice. Nip this in the bud. If necessary, single that therapist out and train them to stay positive. Remember, this is a team sport, and if that person cannot commit to a positive attitude, they may not be the right fit for the practice. In this case, do what you have to do. That might mean this therapist needs to find employment elsewhere. It may sound harsh but, remember, this is your business. Your income depends on it.
Most of my staff worked out well and stayed with me the entire time I had my group practice. Some even remained after I sold my business, because the new owner followed my business model. I am proud that I was able to provide an environment that warranted loyalty and dedication. It was my greatest business success.
That being said, I did have to terminate someone once. It was one of the hardest things I had to do, but it was absolutely necessary to the success of my practice and the success of my therapists. If you find yourself in this case, talk to someone. Rehearse what you will say so you feel confident going in. Be kind but be firm. Remember, this is for the team.
A good staff can make your life much easier. If you put the time in to find the right people, you will feel supported and can be quite successful. If you find you have made a poor decision or the therapist is not the candidate you anticipated, cut your losses early. Don't linger with this decision, as it can affect the entire team and business model. Ultimately, you want a staff that can support you, lift you up and, when appropriate, fly solo. A staff that weighs you down is bad for everyone.
Click here for previous articles by Jenn Sommermann, LCMT.
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