resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the 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 more information about Jenn Sommermann, LCMT.
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