resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
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.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
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.
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.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
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."
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.
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.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
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.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
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.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
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.
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.
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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