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How did you get better using the ID system?

Exit forum ID Forum Discussion How did you get better using the ID system?

This topic contains 10 replies, has 9 voices, and was last updated by   Ryan Pribble September 2, 2016 at 9:24 am.

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    Eric Lambert, DC

      Here’s a topic I know I have thought about myself lately, that I think may benefit others.

      Can those of you who have been using the ID system for a longer period of time, mainly the fully credentialed guys, share your thoughts on what you did personally to get better with ID system?!

      What are you doing or have done to get better that might help other’s who want to get better and more successful using the ID system?



      Cody Scharf, DC

        Great question, Eric, because I think its easy for a lot of people to feel they “have it” or are “good enough.” There are a number of things I am doing to continue to improve my practice. One of my favorite quotes is “In this world you’re either growing or you’re dying.” I use this as motivation to try and improve on a day to day basis.

        Personally, I hired Dr. Brady as a coach early on in my practice. I continue to utilize his coaching 3 years later. Why? There are still questions I have about communication, treatment, business management. My communication still has a ways to go, but without the coaching I would be light years behind.

        For treatment, I continue to go to as many hands on seminars as possible, I plan to be at all but 1 this year, along with small groups several times a year. Something I started recently was for every patient visit I place even more emphasis on really “nailing” the most important structure of the patient. I think this has really allowed me to make continual improvements by critiquing what I’m feeling and trying to analyze what will happen after with the retest.

        I also plan to have Dr. Brady travel to my office this year for complete practice evaluation. I know this will continue to bring my practice to another level of success.

        The more time I invest in the ID system, the more return I see in my practice success. Im interested to here what others have to say as well.


        Christopher Stepien

          Amazing question.

          I believe I started studying ID in 2008. I just found my Feb 2009, Syracuse, ID Manual.

          I’ve definitely found that there are “Best Practices” to developing in ID efficiently and as quickly as possible.

          1. Go to every seminar. At the last seminar I was at a few months ago, Carl told me that at the Instrument seminar in Jan 2012, I told him “Don’t bother with other seminars. Just do ID.” Fast forward to Aug 2016 (4.5 years later), Carl hasn’t missed a seminar. Carl treated me a few months ago and his technique was stellar. I treated him + he gave me amazing, awesome feedback. Carl invested fully in ID. I, on the other hand, was half-assed.

          However, based on Carl’s lead, I will have taken 6 seminars this year. This was my goal. Even though I’ve been doing ID almost twice as long as Carl, Carl took it more seriously and it shows. Therefore, I’m focusing fully on ID so I can “Be like Carl.” We should get shirts made.

          2. Do Coaching with Dr. Brady. This makes me focus on ID on a weekly basis.

          3. Focus on ID principles every day, with every patient, in every case. I have to constantly remind myself of the principles.

          4. Don’t be distracted by other life pursuits. I own a CrossFit gym. One of my signature strengths is curiousity + I am an auto-didact. So I like to learn new things on my own and I’m distracted by shiny objects (SEO, adwords, blogging, playing guitar, meditating, spirituality, etc. etc.). CrossFit distracted me for years in a way that negatively affected my practice. It was a valuable lesson, but I wish I learned it sooner.

          Hope my lessons are helpful.


          Christopher Stepien

            I forgot #5.

            5. Be on the forum + think through cases before Bill or Carl respond. I’ve noticed that people who are proficient in the system tend to respond to cases before Bill does. Therefore, I try to be on the forum and think through the ID process and try to answer it. Sometimes, I’ll even answer and see what other docs will say.

            This makes sure that I’m thinking the way I’m supposed to be thinking.



              Great stuff from Chris and Cody and I can attest to that as well!

              One thing that has really helped me that I got from Dr. Brady was to look at my schedule before I start the day and pick 2 to 3 structures that I know I am going to work and go back and watch those treatment videos. It really helps and serves as a reminder of all the steps and making sure that we dont miss any steps!


              Carl Nottoli, DC

                This might be my favorite forum thread so far. Cody, Chris, and Matt have so many valuable insights. About 1.5 years ago Dr. Brady told me to spend as much time with him and Dr. Lytle as possible to improve as fast as possible. I can certainly say that this is true. But there are a few common characteristics that high level ID providers have or you will have to have if you want to be high level. I like details so bare with this long post 🙂

                1) A focused drive to get better each and every day. The key word is focused–ID has the tools built in the system so don’t get distracted. A little each day goes a long way.

                2) Iron sharpens Iron. You have to meet up with other ID providers outside seminars, share cases, and be willing to take advice from peers. Ryan Pribble, Cody Scharf, Matt Lytle, and Paul Nottoli have been instrumental in my growth as an ID doctor.

                3) Humility. Admitting to yourself that you’re not as good as you should be is extremely difficult. You have to take your licks and be willing to suck it up to improve the next time a challenge faces you.

                4) There is no substitute for a lack of technical skill. You have to get to multiple seminars and you HAVE to do small group with Dr. Brady. Then repeat.

                5) YOU are your biggest asset and you need to treat yourself that way. Spending time and money on ID is an INVESTMENT, not an expense…bottom line.

                6) Be confident and don’t beat yourself up if you fail. I would hire or be treated by a good ID provider any day over the top ART (or any other technique) provider. As an ID provider, you have the skills and knowledge that others just don’t have or choose to ignore.


                Matthew Lytle

                  Wow!! I have really enjoyed reading the responses to an outstanding question.

                  All of the comments have been very thorough and spot on. Obviously Dr. Brady is doing things right to have so many talented people involved in ID. If I were to add anything that helps me it would be demand excellence from yourself. Close is absolutely not good enough. My wife asked me one time what my goal was with practice, how good did I want to be? I told her I had a target on the back of Bill and would not stop until I hit it. The problem (or great thing) is that the target is moving away much faster than I am going toward. We are amazingly blessed to have the best doctor in the world at conservative musculoskeletal healthcare at our fingertips. Dr. Brady demands excellence and all of us know that earning a good job from him takes work. Continue to demand excellence from yourself on every patient, every pass, every seminar. It’s a tall task and an endless one but the rewards are worth it. The other replies outline the details. It takes time so keep plugging away at your highest level and you will get there.


                  Brandon Cohen DC, CSCS

                    Yes to all of it.

                    Chris makes some great points about Carl’s progress over the past couple of years. He went from average to extraordinary!

                    I have had to be very dedicated in my progress. As I tell Bill all the time, change is hard. I had a professor in chiro college that said something to the effect of, “Humans are 65% water, and water always takes the easiest course.”

                    I am not an absorb it and apply it guy. I have to be very specific in how I apply things. I try to do one thing better each week. At first it was just measuring, then it was getting consistent with measuring. If I don’t review my notes, I forget. I try to make it part of my daily routine, but find I need a review binge every couple of weeks to keep on the progression track.

                    I initially was doing a seminar a year, which was a terrible idea. Then I did two, it wasn’t good enough. I would come back to the seminars and get the same feedback for my treatment. 3 a year is a minimum for me, and I do more as schedule allows. Investment not expense. Seminars are priority number one, but I put my notebook on my desk when I leave at the end of the day as a reminder of what I need to do first thing when I show up in the morning. As I am able to stay on task, my questions become less dumb during my coaching calls. Oh…the coaching. I can’t say if its more important than the seminars, because it probably isn’t, but Dr. Brady has a way of letting you know you are stupid because you don’t always think things through, but have the answers and are smart enough to figure it out so you don’t feel bad. Now I’m getting side tracked.

                    Keeping my focus on what I am doing, and the purpose of the whole thing helps me stay on target.


                    Eric Lambert, DC

                      WOW! Just WOW! What awesome answers, thanks everyone!

                      I definitely feel like I, as Chris said, “half-assed” ID until last year. And in the past year ID is changing my practice, although slower than I’d like at times, for a much better practice than I had prior. I really appreciate everyone taking time to answer. I think this topic will help others who are thinking the same as I am.

                      This year I committed to changing things and working the ID system even more. I have my massage therapist, Maggie, take 3 seminars in the spring and I took 3 as well. So we are well represented in West Michigan.

                      This fall I plan to be at all of the seminars to get even better at my skills and confidence. I look forward to seeing all of you there.


                      Adam Holen D.C.

                        This is awesome! Very good question and insightful answers especially for someone like me who’s going on my 3rd year of ID and admittedly “half-ass’d” it for far too long. Working with and learning from an extremely talented ID provider in Dr. King has given me the opportunity to eat some humble pie every day and realize just how challenging ID can be. When you’re at a point where you at least know there’s still a plethora of stuff you don’t know and have difficulty with what you’re trying to measure, diagnose, feel/treat accurately, it’s advice and help like this that is motivating for someone who’s “working through the suck.” Along with Dr. King, this forum and site have been incredibly helpful for when things get frustrating (which is basically daily for me). So I truly appreciate insight from all the talented ID providers with “targets on their back” that I know I’ll never catch, but still motivate and challenge me to suck less every day. Thanks guys, I look forward to seeing you this fall and Congrats Carl!

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