One of my main sources of inspiration on leadership is author, blogger and marketer Seth Godin.  I feel his ideas on change and leadership are not only timely, but very relevant to the chiropractic profession.

I do not believe our profession has an identity crisis. As a chiropractic coach, consultant and speaker in our profession, when I survey the crowd we mostly all agree on what we do and what we are trying to accomplish. What tangles us up is the ‘how’ we do it.  We know who we are, but the rest of the world does not know what we do. We don’t have an identity crisis but a communication crisis! How do I know? For the last 100 years, although the profession has grown, we have not reached our Tipping Point. Still a measly 10% of the population in North America sees a chiropractor regularly. If we didn’t have a communication crisis, most people would know what we do! But they think we’re back doctors…

In Seth Godin’s recent talk at TED, he dives into concepts that are essential for chiropractors to embody if we are going to have a health care revolution and change the world!  We no longer can persuade and push people into our care using Scare Tactics. Rosen’s Care vs. Scare approach is the cutting edge of communication and leadership for chiropractic practice management.

Are you challenging the status quo?  We need to lead people, be a heretic and do the opposite of what ‘everybody’ else does and what ‘everybody’ else knows. Why do you want to be just like ‘them’ anyway? Trying to appease and belong to the status quo is what has damaged our profession in the first place.  If you are not stepping up in your community, speaking your truth and sharing the story, we need to address your mission, vision, values and Certainty. This is the first step in becoming a true leader in your community.

Are you creating a culture and connecting a tribe of people? If they are in your office, they want to be lead. What is the culture you’ve created? At my office, we had a culture statement about what we stood for. And then we created a tribe of people who wanted what we were about!

They key to building strong tribes is two-way communication. Have curiosity about the people in your tribe, help them share and connect their stories to spread the word. Ask questions of your tribe. At Rosen Coaching, our entire communication model is centered around asking questions! Long gone is the ‘I’m the doctor, you’re the patient’ approach. We are human beings first and doctors second. Let us help you connect and communicate in a way that is consistently building relationships with your tribe.

What do most people want? They want to be heard. They want to feel important. They want to be missed. Make them a part of something. Make them a part of our movement to change the world with chiropractic wellness care. Our philosophy of living is one that needs to be heard – the health of the world depends on it.

Tags: care tactics, Care vs. Scare, Certainty, Chiropractic Coach, Chiropractic Consultant, communication, Culture, Leadership, Seth Godin, Status Quo, TED, Tipping Point, transform, Tribe

In the book, Change or Die by Alan Deutschman he studies the 3 keys of change, and what works and doesn’t work.

In a recent blog post, Ask vs. Tell, I explored the power of asking questions to shift consciousness, beliefs and therefore behaviours.   This follow-up post is meant to look at the two types of questions we can ask: Scare Questions or Care Questions. What do I mean?

A good portion of our profession and practice management companies uses scare tactics and fear to manipulate people to do what we want.  Our perspective, at Rosen Chiropractic Coaching is that fear and manipulation have no place in a chiropractic wellness model.  We stand for clean communication with compassion.

In Change or Die, Alan Deutschman explores the three “F” words: Force, Facts and Fear and why they don’t work. When the three “F” words become too much, people go into denial as a protective mechanism. They make irrational decisions that could cost them their life (only 10% of heart attack patients changed their lifestyle despite the fear and threats).  In contrast, Dr. Dean Ornish had 75% of heart attack patients change their lifestyle with the three “R” words: Relate, Reframe, Repeat.

So we need to relate to the people we care for. We need to build rapport, bond, connect, offer hope and relieve their fears.  We need to reframe their consciousness and beliefs about health, and ask questions to shift their current paradigm, to plant seeds and teach under the radar. And we need to repeat these questions in our daily interactions, our Touch-Tell-Ask-Teach and find ways for people to become successful every visit, working towards a new goal. We as their doctor, need to lead them, inspire them and empower them.  And we need to create a culture in our office creates a supportive community.

Because making changes in life can be challenging and these new behaviours need to be reinforced with love and support, not fear and commitment. This is exactly what we do at Rosen Coaching to help you have a thriving wellness practice! We address the 3 R’s in the LAASR Mastery process. If you want a communication system based on the 3 R’s then give us a call!

Tags: Alan Deutschman, Ask vs. Tell, care tactics, Change or Die, Chiropractic Coach, Chiropractic Coaching, Chiropractic Practice Management, Chiropractic Wellness Model, communication, Denial, Facts, Fear, Fear Tactics, Force, Leadership, Reframe, Relate, Repeat, scare tactics, Scare vs. Care, True Wellness Model, wellness chiropractic practice management

What Do Michael Jackson, Elvis Presley and a long list of other celebrities have in common? Harmless prescription drug and painkiller abuse in volumes and mixtures. These famous celebrities are the ones you hear about in the media.  However, the fact is, many medical errors are not reported, including death by such medicines deemed ‘normal’ to use by society.  Tylenol, Advil, Demerol, Oxycontin, Dialudid, Panadol are just a start. Throw some antidepressants, antianxieties and sedatives into the mix and voila! You have a highly addictive cocktail of deadly drugs. Do we have a global problem? I think so. We just hear about the famous ones…

From the Death by Medicine Report by Drs. Null and Dean in 2003), as few as 6% of adverse drug effects are ever reported.  Sadly, deaths estimated in 2003 due to adverse reactions to prescription drugs is 2.2 million per year. And the leading causes of adverse drug reactions were antibiotics (17%), Cardiovascular (17%), chemotherapy drugs (15%), and anti-inflammatory agents (15%).  Can you imagine what this number is now, six years later, with more and more ‘advancements’ in medicine and big pharma?

As wellness chiropractors, doctors of ’cause’, we want to be addressing the bigger picture in our offices – that health and life come from the inside-out.  If you are not teaching this principle to the people you serve, you are just another modality to them.  Health does not come from taking medicine or cutting things out of the body. It comes from the life force, carried unimpeded over the nerve system reaching to every cell, tissue and organ in the entire body. Do they know this? Do they understand the physiological implications if this nerve impulse is impeded? Do they know that it is your job to remove this interference and allow the fullest expression of life?  If they don’t, they need to.  Or they could end up like Michael Jackson, just not as famous.

How are you using this most recent, tragic death of an icon as an educational opportunity in your office?  We coach our clients to ask thoughtful questions to the people in their offices to illicit a response, rather than just lecture them about the overuse of medicine in our societies.  We need to shift their consciousness and beliefs about health and wellness.  How about the following as a start to get your mind going:

• What do you think killed Michael Jackson?
• Do you know that prescription drugs are just as dangerous as recreational drugs?
• What happens when you give a healthy person medicine they don’t need?
• If drugs can make a healthy person sick, how do they make a sick person well?
• What do you think, can medicine make someone healthier or just take their symptoms away?
• Where does health come from? What causes us to be healthy? What keeps us alive?
• What does the Nerve System control? What part of your body could live without Nerve Impulse?

May I suggest that you look at our LAASR process of communication (Listen, Acknowledge, Ask, Solution, Resolution) when educating, answering difficult questions and in all of your interactions within and outside of your practice.  It will literally transform your level of communication and results!  It is what we teach and how we coach chiropractors to great levels of success! Let’s start to manage your chiropractic practice in a true wellness model.

Tags: Adverse Drug Reactions, Chiropractic Coach, Chiropractic Consulting, Chiropractic Practice Management, Death by Medicine, Elvis Presley, Health, LAASR, Life Force, Medicine, Michael Jackson, Nerve System, Prescription Drug Abuse, Subluxation, Wellness Care, Wellness Chiropractors, wellness practice management

For many people, their understanding of health, where it comes from and how to stay well is as deeply ingrained as some smoker’s beliefs about smoking.

We are living and practicing chiropractic in a medical world. Although we are in a shift of a wellness revolution, the majority of people who show up in your chiropractic office are bombarded by big pharma advertising and years of thinking that health comes from drugs or surgery.  And it is your job to change their mindset and beliefs about health and healing, where it comes from and how to get it. Good luck!

Most chiropractors I coach and consult, or speak with in the field tell me that they educate the people in their office.  And the usually follow up with, “but they still don’t get IT.”  And if they did get it, our entire profession would already have thriving, true wellness chiropractic practices.  So something’s not working in our approach…

What does educate mean? To most chiropractors, they lecture and talk ‘at’ their people until they are blue in the face and the person is tuned out. There is an important distinction to make, between educating by telling or educating by asking good questions.

Try and convince a smoker that smoking is bad for him.  Tell him all the things he already knows (or doesn’t) that it is killing him. Use fear. Use threats. Use your authority as a doctor. Lecture until you’re blue in the face.  Does anything change for the smoker? Nope, he still doesn’t ‘get it’.  That’s right, his beliefs and mindset haven’t shifted one bit from all of your telling.

And this is what most chiropractors who are not having high retention, thriving wellness practices are doing.  Trying to educate by telling.  I gotta tell you, from my experience, that’s never going to work. Why? Because it’s from the outside-in, it is your idea and not theirs. Because how do human beings do react when someone tells them what to do? Resist. So you get decreased compliance, they like you less and wonder when you’ll use your authority again to get them to do what you want.

Remember a smart guy named Socrates? His philosophy was one of asking questions to have the person think. And since doctor in Latin means ‘teacher’, it’s about time our profession stopped lecturing and started asking better questions to really teach the chiropractic principle of health. Why? Because when a person thinks, processes and answers a question, it comes from the inside-out and they own it.  Since it was their idea, there is no resistance, they feel valued and given a voice. There is increased  compliance and likeability and you don’t use authority, you use leadership. How’s that for congruence with chiropractic philosophy?

But oh wait, there’s one more benefit.  Not only will they ‘get it’, understand health, healing and chiropractic at a deeper level, but do you think that it is easier for them to refer their friends and family if they can articulate their newfound understanding themselves?  And the practice itself grows from the inside out by high retention and high internal referrals.

So the trick is to find out how to ask better questions during every interaction of Visit 1, Visit 2, Daily Interactions, Re-Assessments, Re-Reports and in handling difficult questions. We coach chiropractors this day in and day out.  It will transform your practice, your relationship and your life. And you’ll help shift the consciousness of the world. Let us know if we can help.

Tags: Asking, Authority, Beliefs, Chiropractic Coach, Chiropractic Consultant, Chiropractic Philosophy, Chiropractic Practice Management, Chiropractic Practice Success, Chiropractic Principle, communication, Convince, Educate, Fear Tactics, Health, High Retention, Inside-Out, Internal Referrals, Lecture, Medicine, Mindset, Outside-In, Questions, Results, scare tactics, Shift Consciousness, Socrates, Telling, True Wellness Practice, wellness revolution

We are at the halfway point of 2009, are you on track to reaching and exceeding your goals?

Maybe you didn’t set goals for yourself and your practice at the beginning of the year.  If you didn’t, don’t beat yourself up.  Take some time to pull together some goals for the back half of 2009.  What do you really want to achieve? What do you want to look back upon? How much growth are you looking for?

If you did set goals, are you halfway to achieving them?  If so, congratulations! Maybe you should celebrate with your chiropractic coach and recalibrate in case you set the bar too low! Or maybe you’ve been working so hard to reach your goals that we’ll exceed them by the end of the year!  Spend some time with your coach to figure out what IS working?  What is the “Winning Formula” that you’ve found to help you create such success?  What else can you leverage to get more results, success and momentum?  For the first six months of this year, we have been consulting offices that are expanding and having record-breaking months!  It’s time to put the pedal to the medal.

If you set goals and you’re not on track to achieving them by the end of the year, why not?  What do you we need to change to make it happen? Is it your action steps and follow through?  Have you been resistant to changing the way you do your communications and procedures because it’s outside of your “comfort zone”?  Are you stuck on perfecting the foundation because you are afraid to make change?  Has your vision gotten cloudy?

At this halfway mark you’ll want to re-assess your initial goals.  Do they still fit for this year? Do they need to be altered because of life changes?  Are you still passionate about them?  Do they need to be recalibrated from this halfway point? 

If you’ve been stuck in a rut of old pattern or thinking, talk to us and get out of it!  There is no point doing the same thing and expecting different results! They called that insanity!  Now is the time you have to stretch yourself, for growth and change only happens outside the “comfort zone”.  If the ‘old way’ worked, you’d be as successful as you want to be, already!

Tags: change, Chiropractic Coach, Chiropractic Practice Management, Comfort Zone, consultant, Goals, half time, halfway mark, Insanity, Internal Resistance, practice success, resistance, Success

I’ve been learning to surf since 2005. It’s tough since I don’t live on or near a coast – so I have to travel far and  wide for surf. Both the east and west  coasts of Canada have surf (brrr) and  we’ve fallen in love with warm water  surf of Central America.

Despite not being able to surf on a regular basis, I’ve seen some great improvements in my skill with the investments of time and money that I’ve made so far, yet I’m not where I want to be. There is still lots of surf I can’t handle, and sometimes my surfing gets worse instead of better (Re: My Christmas Vacation in Costa Rica). 

Yet here are the things I’ve learned from surfing that apply directly to succeeding in chiropractic practice.  And as a chiropractic coach and consultant, I work with chiropractors day in and day out on these challenges as they show up in practice. Whether you surf or not, you’ll get this:

• Success and mastery won’t just come to you. You have to create it.  It is not a matter of ‘luck’.
• Your head space and mindset matters! Your subconscious mind is always looking to validate what you believe to be true. Check your head or get a coach to check it for you.
• Get clear on your big vision and keep it in the forefront of your mind, even when you are not getting results. Keep perspective.
• Set realistic goals to reach your vision.
• Don’t be so hard on yourself. It doesn’t help you get what you want any faster or easier. It probably makes matters worse.
• Plan your work and work your plan. Consistent action is the only way to achieve your goals. Actions are the small things that create the BIG thing: Success!
• Repetition is key. Just because you’ve done something once doesn’t mean you don’t need to practice.  
• Recognize the first step is unconscious incompetence: you don’t know what you don’t know. A scary place!
• Next is conscious incompetence: you know what you don’t know.  At least you can seek out answers and get help.
• Then comes conscious competence and you start to get the mechanics of the skill. Ahhhhh finally! If you want to be mediocre, stop here.
• After hard work and refinement, it becomes unconscious competence where you don’t have to think about what you are doing because it is so ingrained in your nerve system – and you are on your way to mastery!
• As soon as you think you’ve got a skill, something will happen and you’ll be back at square one again. Shake it off and go again.
• Patience is key – you can’t rush nature and you can’t push the universe.
• Be prepared, develop strong foundational skills and work hard – the opportunity will come to you when you are ready.
• Results don’t happen immediately!  Real successes are not quick fix solutions. Get to the cause.
• Don’t always do what everybody else is doing. Be exceptional.
• Be grateful for what you have and what you are given! Gratitude every step of the way is key.
• Take responsibility for everything.
• Get back up. Paddle back out.
• Everything has a Dip: excitement phase, frustration phase, uphill battle phase, and then success.
• Don’t start something unless you want to push through The Dip to get to the other side – otherwise it is a complete waste of time and money.

Chiropractic practices always have a Dip, whether it be starting a practice from scratch, buying an existing practice, or changing your practice from a pain-based model to a wellness model.  We get excited by the idea and we start the process.  We soon get frustrated by the lack of immediate success, wonder what we got into and either quit or press on.  Those who continue to keep their vision big and take action on their plans eventually push through The Dip.

Your DIP could be building a dream team staff, it could be breaking through the glass ceiling of the volume you’ve always maxed out at, it could be starting your practice, or changing your chiropractic practice to a wellness model. Or something else entirely.  But your good idea starts to seem like a bad idea when you are in The Dip. That’s when you know you need help!

If you want support getting through The Dip, email me.  I’d be honoured to help coach and consult you through the process and help you get the success in chiropractic practice you are looking for!

Tags: communication, Success, Surfing, The Dip, wellness practice management

It’s easy to be mediocre.  A mediocre person, a mediocre mother, a mediocre friend, and certainly it is easy to be a mediocre chiropractor.  Look around, most everyone is doing it.  Mastery however is difficult.  Mastery takes hard work, dedication and keeping a big vision in the forefront of your mind and the stamina to follow through.  To be an overnight success takes 10,000 hours of work.  It means you have to push through The Dip. 

What does it take to be a master in the art, science, and philosophy of chiropractic? Even more importantly is what does it take to be a master of communication about our truth of health, healing and chiropractic?  As a start you need to understand personality types and communicaiton/behavioural styles of people. You need to LAASR your Visit 1, Visit 2, Daily Interactions, ReAssessments & ReReports communication to lead people forward.

Do you know what the common denominator of all successful chiropractic practices have? Chiropractors with certainty.  They are clear on their vision and how they are going to achieve it.  They know what they bring to the table.  And they speak their truth boldly and in a way that people can hear them.

Are you the best chiropractor you can be?  Are you communicating chiropractic to the people in your office and community so that they ‘get it’?  Can you turn people on to a healthy lifestyle that includes chiropractic care for them and their families for a lifetime?  Write down what having mastery in your chiropractic career would look like. Then write down the things that would need to change or improve to get there. What support do you need?  A coach?  A consultant?  Practice management tips?   An action plan? Accountability?

Most people get successful ‘enough’ and help ‘enough’ people.  They hit a plateau and get comfortable.  Are you pushing yourself towards mastery?  It’s your life. It’s your practice.  You get to choose. Let us know if we can help. There are too many people sick and dying in your community because they don’t know what you know.

Tags: 10000 hours, Chiropractic Coach, Chiropractic Coaching, chiropractic profession, coach, communication, consultant, LAASR, Leadership, mastery, mediocre, mediocrity, Motivation, Practice Management, Success, The Dip, wellness chiropractic practice management

“Look at ever path closely and deliberately. Try it as many times as you think necessary. Then ask yourself, and yourself alone, one question: ‘Does this path have a heart’?”  ~Carlos Cataneda~

What is the essence of your practice?  What matters most?  If you have passion.  If you are ‘on purpose’.  If you love what you do.  The truth is, everything comes down to your focus, your enthusiasm and the energy you bring to your practice and the people you serve.  

In my chiropractic coaching, I work with chiropractors more about their head space and mindset than on their procedures.  I can easily consult you with typical practice management style and tell you a script to say for your Report of Findings/ Recommended Action Plan.  But if you don’t have passion, or certainty, or value yourself as a chiropractor and the care you provide, it won’t help. We have to coach through these intangibles before we can move forward.

At the time of death, the ancient Egyptians removed all the meaningless organs and discarded them. One that they kept – the heart.  I myself have been in ancient Egyptian temples and tombs and am intrigued by their understanding of the human experience.  When an Egyptian dies and goes to receive judgement by Anubis, their heart is weighed on a set of scales against a feather.  If their heart is lighter than the feather, they have lived a good life and move to the afterlife.  How light is your heart?  When do we let ourselves over-think our practice and ignore our true knowing, our intuition and what is in our heart?

Most chiropractors I know or have coached, who have done the ‘scare tactic’ model of communication tell me deep down it didn’t’ feel right. They went to bed with a pit in their stomach and their heart knowing the incongruency.  But it sounded like a good idea to use fear for patient compliance and to get the promised results.  It might work for short term compliance, but to get long term follow through our job is to have passion, tell people our truth, show them the consequences of their choices and build human relationships through hope and loving communication. 

Here are the steps to help you regain heart in your practice:

1.Truly discover your heart, passion and certainty for chiropractic

2. Bring it to your practice in every aspect: communication, marketing, team building etc.

3. Love people where they are and show them there is another way ~ lead them!

4. Make your systems and communications congruent with what is true to your heart

5. Have the practice and life of your dreams

Tags: care tactics, Chiropractic Coaching, communication, Egyptian, Heart, Passion, scare tactics, wellness chiropractic practice management

As chiropractors, hopefully most of us are communicating with the people we care for about the concept of health as a process vs. health as an event.  The accumulation of stress over time and the removal of such stress is the creator of health or disease.  Nothing from the outside. Nothing that just ‘happens’.

After a close family member had a heart attack this weekend I am deeply thankful for event/crisis care that our social medical system provides. It saved her life with incredible speed and skill.  And what I know so conceptually, I was reminded viscerally this weekend where they fall short. Medical care is not designed nor intended to keep you healthy. They view health as an event instead of a process. “This happened, we fixed it. Now take these drugs for life as our best approach to manage it”.  

True health care is the chiropractic understanding: Health is a process. In every moment you are either moving towards health or away from it with your choices. If you accumulate too much lifestyle stress in your nerve system, you will create dis-ease and disease.  We acknowledge this as the CAUSE and make new choices to create a different state of health.  Wellness care is acknowledging what the body needs (and doesn’t need) to be well and continue to take care of yourself with the same level of care, whether you are sick or whether you are well.

But a process takes TIME you say! Ah yes, heart disease didn’t happen overnight. Nor will it disappear with a medical miracle.  They can reactively stop the acute pain of an MI and reestablish blood flow – but the proactive process is just beginning!  But we are a quick-fix society wanting results NOW!  

Even wellness chiropractors, who understand the ‘process vs. event’ concept and communicate this way to the people they serve about symptoms, healing, and chiropractic care can be impatient with their practice and their chiropractic coaching. But I want results NOW they say!  Ah yes, but changes in your practice don’t happen overnight!  Don’t fall into the quick-fix trap, it’s incongruent with our philosophy.

Know what you are trying to accomplish, have an action plan to work towards it, follow through with the actions and produce the results.  In every moment, your chiropractic practice is either moving towards success or away from it with your choices and actions.

Make sure that you are applying the same Process vs. Event principle to all aspects of your life: Your chiropractic practice, your chiropractic coaching, your nutrition, your exercise, your finances… it’s aligned with the laws of nature.  Life is a process, not an event.

Tags: Chiropractic Care, Chiropractic Coaching, Event, Health Care, Medicine, Proactive, Process, Reactive, Wellness Care, wellness practice management

Most people don’t want to know about their disappointed customers.  It scares them and it’s uncomfortable.  Especially if you are a chiropractor, serving with all your heart.  If you are taking care of people with world class excellence, doing your very best, it can really ruin your day to hear from someone who isn’t happy with your service.  In fact, it can start a downward spiral of self-abuse if you don’t get hold of your head space right away.

From the wise Seth Godin, a guru in marketing and leading tribes, he says these words about disappointed customers, “Don’t ignore them”.  

Find out if you can save the relationship and rectify the disappointment using LAASR communication we use in our coaching. Ask for more information to clarify the disappointment. Acknowledge their concerns/fears/feelings. Come up with a solution that works for both parties. And then knock their socks off! Really WOW them.

If they are out the door anyway and are the 10% of the population that will tell you they are disappointed (most will just disappear without a word), don’t hang your head in shame.  Have the guts to ask what they didn’t like about the service? What could we improve upon for next time? The more information you can extract from these people and then change your approach, the better your service will get.  Don’t hide from the hard stuff ~ get as much as you can get!

They key is to take their input not as criticism, but as feedback. It’s not a setback, but valuable information, a gift to evolve your practice, your procedures, your service.  Because we can’t always see how our service is perceived.  It is more important to extract this information from disappointed customers, than it is to ask why the happy ones like your service. Why? Because an unhappy customer tells 20, a happy customer tells 5.

Please share this blog with others if you are happy with it!  Please email me with feedback with what you’d like to see changed.  I value your input. Thank you for reading.

Tags: chiropractic, Chiropractic Coaching, Disappointed customers, Feedback, Happy customers, LAASR