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The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
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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