resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
December, 2010, Vol. 10, Issue 12
Making the Leap
By Jenn Sommermann, LCMT
How do you know when the right time to jump from employment to private practice is? I have been asked that question a lot lately. Often I consult with massage therapists who have enjoyed the benefits of employment at a variety of venues but somehow think they are missing out on the opportunity to run their own show.They ask me, "When and how do you know you are ready to make the leap?" It is a question that is not easily answered but I will address some key points to consider before making any moves.
Let me start by saying that not everyone is cut out for self-employment. It seems desirable and in this day and age when any employment situation feels less than secure, being in business for yourself has an allure of self-sufficiency and security. Not so fast. Small businesses are closing at alarming rates for the simple reason of not making it, not being able to pay the bills and not generating enough business. That being said, I am not discouraging you but want to pose a few questions first.
Look Before You Leap: Questions to Consider
There are many other factors that bode well for self-employment but in my mind, those are the top four. If the answers to those four questions are less than favorable, do not despair. It might mean that you are better suited for part-time private practice and part-time employment. I would suggest that you not rely 100 percent on self-employment and mix it up with working for someone else.
Is There More Money in Private Practice?
Many people think that private practice means more money. I hate to burst your bubble but not really. If you are one person working in private practice, the amount of money you stand to make is usually close to, if not equal to, what you would make if you worked for someone else. For example, I have a travel business. I charge $100 per hour. Sounds like a lot of money, right? But it takes me almost two hours for every one hour client, with travel time and set-up time. Right away I am down to $50 per hour. Take out expenses and I am knocking on the door of $40 per hour. Gee... I could work for a chiropractor and not have to do any marketing, not have to do any laundry, not make any phone calls, and make about $35 per hour. Why don't I do it then? For me, it's simple. It's about control and the need to be in command of my schedule. So ask yourself, why do you want to be self-employed? If it is for more money, think again. If it is because you want more control, freedom and flexibility, read on.
Knowing When the Time is Right
So when is the right time to make the leap? My suggestion to students is to do both at the same time. If you really know you want private practice and that is the "big" dream, start right out of school, in addition to working for someone else. After all, private practice can mean one client. But that one client turns into two and four and so on. Once you have established a solid base of 10-15 private clients per week and consistently can count on those numbers, it would be safe to consider leaving your employment situation. The problem with those numbers is that often an employment situation means 10-20 clients per week as well. That seems like too much work for the average therapist. The trick is to find the balance.
If you are currently working at Main Street Spa and see 20 clients per week over five days, consider reducing your days to four and taking private clients on two days. That may mean you work six days a week but that is what it takes to build a business. As your two private practice days fill, give up another day at the spa. As your three private practice days fill, give up another day. At this point the spa may catch on that you are working privately and unless you have signed a non-compete agreement, there is no problem. But as a former business owner, I looked for consistency of care for clients and once you are no longer "available", you may want to consider leaving the spa altogether and running with your private practice. If I have the numbers figured right, at this point you are working three days privately and three days at the spa. Your private numbers should be around 12 or so per week, seemingly enough to rely on so that if you quit the spa, you are not destitute. You now have created space for new private clients as well. Remember the universe hates a void and space must be created in order for abundance to fill it.
The bottom line is that I cannot tell you when to make the leap from employment to private practice. Every situation is different. It also depends on how much money you need to make and who else is able to support you, if anyone. This is a case-by-case situation and a large part of my consulting revolves around this very issue. Check your motives, ask yourself the tough questions and be realistic about expectations. Businesses fail every day. The latest statistics suggest it takes two years to build a self-supporting private practice. Having built two massage businesses of my own in two states, I concur with those findings. However, if you do your homework beforehand and don't rush the process, you can enjoy the fruits of self-employment.
Click here for previous articles by Jenn Sommermann, LCMT.
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