This topic contains 7 replies, has 2 voices, and was last updated by Brandon Cohen DC, CSCS January 22, 2019 at 11:44 am.
January 10, 2019 at 11:41 am #2725
So things around the office have been going pretty well as of late. Lots of happy patients, referrals, and I’ve got a nice trade with a small marketing company for FB ads that start soon who is just as excited about my growth potential as I am. Now that things are picking up, I look to the calendar this spring and I wonder what should be my priority: hiring front desk staff or going to all the seminars this spring? What comes first? My prices are going up next week and that should help me to have my cake and eat it too, but I don’t think it will be enough to have both.January 10, 2019 at 12:54 pm #3016
Adam Holen D.C.
The question depends more on where you’re at on a clinical basis. My gut instinct is to say front desk as this will make your PAVE score increase which has the trickle-down effect of more focus for you, better care for your patients and ultimately more referrals so more hands-on experience. Plus that will increase your financial status to consider adding both front desk and (later) more seminars.
However, I had a similar dilemma a little over a year ago, and it was between seminars and the coaching program. I went with coaching because my diagnosis, communication, and business practices were lacking compared to treatment. On our first or second call, I asked Dr. Brady how much I was fucking up by not taking insurance. His response was “How often are you making a sustainable change to a test?”
That would be the same question I’d ask yourself. Yes, you need the front desk staff and to continually be increasing PAVE, but if you aren’t consistently improving function, it will be a slow build. So you have to be honest with yourself and gauge how stable is the base of your ID pyramid (testing & treatment).
If you’re comfortable and confident in your diagnosis and treatment skills, I’d say front desk for sure. If you could use more training for faster more effective results, then seminars may be your best option for now.January 10, 2019 at 3:22 pm #3017
Option 3: No-interest credit card for 1 year and both! I did this twice in the fall of 2017.January 11, 2019 at 7:09 am #3018
Carl Nottoli, DCParticipant
Great insight from both Adam and Chris. Both spot on!
I agree with Chris ultimately with doing both. The base of the ID pyramid is technical proficiency for a reason. Everything builds off of that. If you continue to crush that you will have the money to pay staff. Try to avoid looking at problem solving as either/or when both improve your mission. Figure out how to manage your budget in other places.January 11, 2019 at 9:19 am #3019
In a perfect world both would be the answer, but I’m done convincing myself to overleverage myself financially for ID. I 100% attribute my growth to ID and I do regularly make some great sustainable results. I even recorded a video testimonial where the patient says, “ Treatment from Dr. Scott makes me feel like a motherf*cking rockstar. You need to see him!”
Before I started with ID I was working out of small rooms in 2 gyms, charging $45 for a 30 minute visit (all cash). As of Monday I’ll be at $65 for what equates to a 10-15 minute appointment (only scheduling 20 min slots to allow for front desk work; will go down to 15 with staff) and I’ve got a small but beautiful 2 treatment room office in the heart of downtown.
To get where I am now I credit carded the seminars I took plus bought into one of the gyms I was working at (big mistake). Then I overextended myself again with Dr. Brady coaching (overextended but worth every damn cent) and either the security deposit/buildout of my new space. I have confindence in ID, but my extra $ outside of my seminar/staff dilemma is solely going to erasing my previous overextensions. I’m going on a 2 day snowboarding trip in northern WI that I anticipate to be my only “vacation” in 2019. There is no fat to cut in my budget, but I’m all in on practice growth for 2019. I’m banking on riding a thin margin to bigger gains by using the tools I learned through coaching and ID. With that being said, front desk staff would raise my PAVE score and would allow me to see more patients, which would be particularly useful for the start of my early days and end of my late days and for upcoming events. Thanks everybody for your opinions and support!January 16, 2019 at 12:21 pm #3020
William Brady, DCParticipant
Great question with some great answers. First off, let me congratulate you on your new office. And further congratulate you for your investment in ID. As you know starting a practice from scratch is a grind. You can only overextend so far. Sounds like you have reached your limit. With that in mind my advice is to get the front desk staff. Even mastery treatment won’t undo the negative perception of ‘struggling doc’ if you don’t have staff.January 16, 2019 at 5:23 pm #3021
Thanks! My goal is to ultimately to attend every seminar and at least 2 small groups a year, but figuring out which way to immediately invest money was a question I had. Hopefully I will find someone worth retaining by the end of March, kick all kinds of ass through the summer, and return to attending seminars in the fall.January 22, 2019 at 11:44 am #3022
Brandon Cohen DC, CSCSParticipant
I was going to say seminars….I’m a slow learner though. I worked by myself until I was seeing 80/wk. That was way too long. I didn’t realize I was fighting against myself.
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