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

Thank You To Bill Esteb, www.patientmedia.com, for allowing me to share this simple yet powerful post of his with you!

Tags: Bill Esteb, Chiropractic Practice Management, Chiropractic Practice Success, Duality, Law of Opposites, Patient Media, Universal Laws

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

Are you a pessimist, an optimist or a leader?  We need to look at how you deal with challenge and adversity to find out. Most people say they are optimists when asked, but if we look at the proof of their external results we might find out otherwise.  John Maxwell, one of my favourite authors on leadership, says this:

“The pessimist complains about the wind.  The optimist expects it to change. The leader adjusts the sails.”

Sailing without a charted course is like driving without a map or GPS, and like setting goals without an action plan.  It leads to circular action, unintentional sabotage, and rarely reaching your desired destination.

Not only do leaders have a vision and mission, they set long-term and short-term goals with a definitive action plan.  AND they consistently take intentional action, stay on the charted course, adjust the sails and the course as needed.

To manage your chiropractic practice like a leader we need to ensure you are the captain, keeping the big picture about what practice growth you want and what you are trying to achieve.  You need to look at the conditions, the charted course, and take consistent action AND you need to lead your team!  A world cup skipper cannot sail the ship themselves.  They need a solid team with the same vision, desires and willing to work hard and be rewarded for it. As chiropractic coaches and consultants, we help office create and manage a Dream Team and help Get The Team To Grow The Practice!

If you have been being a pessimist or an optimist during the stormy conditions of the past 6 months, it’s time to step up your leadership of yourselves, your practice management and your team!  People in your community need your help. It’s time to lead the chiropractic wellness revolution!

Tags: Action Plan, Charted Course, Chiropractic Coach, Chiropractic Consultant, Chiropractic Practice Management, Dream Team, Get The Team To Grow The Practice, Goals, Leadership, mission, Optimist, Pessimist, Sailing, Taking Action, vision, 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

As a chiropractic coach it is my mission to help chiropractors reach the level of success they are looking for and to create their dream wellness practice.  For some, that is a small retirement practice, and others it is to manage a high-volume practice that serves hundreds of people each week. Either way, part of my role is to help chiropractors clearly define what they want and then to help them get it.

When looking for big changes in life, whether different results in practice, or in helping the people you serve to make changes in their personal lifestyle there is a key element to remember: small things lead to big things.  It is the consistency of action on small things that will get you the big results you are looking for.  You can’t climb a mountain in one stride ~ it’s one inch at a time. Without keeping this in mind, it is easy to get frustrated at any moment with your progress. Without a coach, it is difficult to see the forest for the trees.

One of my mentors, Robin Sharma, uses this quote with high-powered executives to get them to live great lives and run world-class businesses, “Small daily acts of greatness lead to stunning results.” 

Your frustrations with your progress in practice are the same as your practice member’s frustrations with their progress and results.  It is not only powerful to remind them of this concept, but to remind yourselves as well.  

1. Know what you are working towards – have a clear vision.

2. Have a plan to get there. 

3. Take small actions steps daily and over time you will create the life and practice of your dreams.  If you improve 1% each day for 30 days, you will have made a 30% leap forward (not including compound improvements). Be better today than yesterday.

Here is BJ’s quote on The Big Idea to really hit this home.  Found in Chapter 1 in Volume XVIII, otherwise known as The Subluxation Specific-The Adjustment Specific:

“A slip on the snowy sidewalk in winter is a small thing. It happens to millions. A fall from a ladder in the summer is a small thing. It also happens to millions. The slip or fall produces a subluxation. The subluxation is a small thing. The subluxation produces pressure on a nerve. That pressure is a small thing. That decreased flowing produces a dis-eased body and brain. That is a big thing to that man.

Multiply that sick man by a thousand, and you control the physical mental welfare of a city. Multiply that man by one hundred thirty million, and you forecast and can prophesy the physical and mental status of a nation. So the slip or fall, the subluxation, pressure, flow of mental images and dis-ease are big enough to control the thoughts and actions of a nation.

Now comes a man. And one man is a small thing. This man gives an adjustment. The adjustment is a small thing. The adjustment replaces the subluxation. That is a small thing. The adjusted subluxation releases pressure upon nerves. That is a small thing. The released pressure restores health to a man. This is a big thing to that man.

Multiply that well man by a thousand, and you step up the physical and mental welfare of a city. Multiply that well man by a million, and you increase the efficiency of a state. Multiply that well man by a hundred thirty million, and you have produced a healthy, wealthy, and better race for posterity. So, the adjustment of the subluxation to release pressure upon nerves, to restore mental impulse flow, to restore health, is big enough to rebuild the thoughts and actions of the world.

The idea that knows the cause, that can correct the cause of dis-ease, is one of the biggest ideas known. Without it, nations fall; with it, nations rise.

This idea is the biggest I know of”.

Stick to the small things that will create big things!

Photo Credit: Jamen Rhodes Photography/ Climber: Chris Meyer (my brother)!

Tags: Action Plan, Big Things, BJ Palmer, consistency, Dreams, Frustrations, Goals, Progress, Results, Robin Sharma, Small Things, Success, The Big Idea, wellness chiropractic practice management

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 a chiropractor, do you know what your vision is? Do you know why you get up every day and do what you do?  Without a clear vision of where you are headed it can be hard to stay the course.  Just like a raft guide who doesn’t know where he’s headed, a chiropractor without a vision can get easily lost. If you can’t clearly articulate your vision, that is the first thing to master to have success in practice.  Because you are not just leading yourself, you are leading your team and the people you take care of.

Your mission is how you are going to accomplish your vision. What will it take to get there?  It answers the 5 W’s of who, what, where, when and why. Your vision and mission is what guides your everyday action and reduces the overwhelm of your To-Do list.  It is essential to start with the big picture in mind to have a successful wellness practice and life for that matter!

Like the raft guide, you are steering the raft of your office for the people you serve, your team, and the community.  Do you know which direction you are headed?  Are you padding upstream or with the current flow of the river of life? Your vision and mission are essential to being able to course correct with wellness practice management principles.  As a chiropractor, are you stepping up to the level of leadership required to save lives in your community?

Next, what does it take to have a successful wellness chiropractic practice? Have you got what you need and are you implementing the strategies to do so? Just like the raft guide has to pack meticulously to have the correct rations of food, tools, supplies and emergency necessities, do you know exactly what you need to run a wellness practice and in the correct amounts?  Or does it feel like you are flying by the seat of your pants (or hanging on to your life jacket)?  May I suggest that you start to look at your practice as if you were a raft guide, who is responsible for the lives, the well-being, the nourishment, and the enjoyment of yourself and others on your journey.  Nothing can be left to chance in the wilderness ~ have a vision, make a plan, have what you need and course correct to be in the flow of life and success! But don’t wing it… your happiness and the health of your community depends on it.

Tags: chiropractic, Leadership, mission, Practice Management, Success, vision, wellness, wellness chiropractic practice management