At Rosen Coaching, one of our main tenants that we bring to our chiropractic coaching and speaking around the world, is the concept of “Care vs. Scare” communication. Both Dr. Russ Rosen and I work hard to help chiropractors communicate and practice chiropractic in a congruent model with our philosophy. Our vision is to have chiropractors step into their rightful place as the recognized leaders of true healthcare, worldwide!

Recently, while speaking at an EPOC group in Ottawa, and day in and day out in our coaching conversations with our clients, how deep this concept is embedded in the chiropractic profession really sunk in.

With each interaction in your office, you have a choice: To inspire others to action or to try and manipulate them.  This shows up initially during Visit 1 and 2, but will continue on through your daily interactions, and show up strongly again in your re-evaluations and re-reports, and especially how you handle difficult questions!

Inspiring others requires communicating the ‘why‘ behind chiropractic care and why you do it.  It requires a conversation of finding out where they are at, what they think and teaching under the radar to help them see there is another way. It means empowering people, giving them truth and consequences and leading them to choose what is right for them.  It doesn’t mean sugar-coating the truth, or not talking about consequences, but the intention is to inspire action and empower people.

Manipulating others uses scare tactics to coerce and strong arm people to choosing what you think is right for them.  It means a harsh tone and over-dramatizing the negative, making assumptions, painting people into a corner, giving them one good choice.  Yes this can work in the short term, but it’s not a good way to build strong relationships over the long run, in our opinion.  The intention is to manipulate people to do what you want.

The trick is to REALLY find out what is going on with them, and how we might be able to help them.  Then simply find out what they really want and show them how they can have it!

If you are up for it, I’d like to challenge you to see where in your practice and in your community you can inspire others more.  Will you take me up on it?

Tags: care tactics, Care vs. Scare, Chiropractic Coach, Chiropractic Practice Management, Chiropractic Wellness Model, communication, Rosen Chiropractic Coaching, scare tactics

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

 

 

A More Effective Swine Flu Vaccine

When it comes to the newly-hyped media craze of swine flu, how are you communicating it in your chiropractic office?  Are you part of the chiropractic profession getting caught up in the fear tactics propagated by the government and media or are you grounded in your chiropractic principles?  How is your certainty as a chiropractor?  It’s easy to talk about chiropractic and immune function when people are well, but what about when faced with the proposed ‘Swine Flu Pandemic’?  Can you keep yourself together, use your emotional intelligence skills and not allow the panic to hijack your amygdala?  Can you keep your critical thinking about cause and effect, and your common sense approach to health, wellness and disease to lead your community through this challenge?

My friend, Alain Desaulniers, D.C. has used this photograph and made a poster for his office that says at the bottom, “Chiropractic Care Strengthens Your Immune System. Stay Well Adjusted!”  (He has given permission for other chiropractors to use it, so email me if you would like it).

The last time Swine Flu made an appearance was 1976 and the government quickly pushed through a flu vaccine (doesn’t this normally take time to manufacture “safely”, if there is such a thing?), used fear to mass vaccinate and 25 times more people died from the flu vaccine than of the flu itself. Congressman Dr. Ron Paul’s video on Swine Flu recalls this event and states, “The government shouldn’t be in the medical business”.  This time it is an interestingly more complex virus, a recombinant H1N1-H5N1 avian/human/swine flu virus never to be seen before.  My microbiology might just be rusty but I can’t help but wonder if this is natural genetic evolution or a laboratory virus gotten free?

Let’s look to chiropractic’s history and originating philosophy to on understand the cause and effect of disease, especially infectious illness:

“One question was always uppermost in my mind in my search for the cause of disease.  I desired to know why one person was ailing and his associate, eating at the same table, working in the same shop, at the same bench was not.  Why? … This question has worried thousands for centuries and was answered September, 1895.”    ~D.D. Palmer, The Chiropractor’s Adjuster (1910)

Dr. Fred Barge continued on this theme when he used to say, “Do rats cause garbage or does garbage cause rats?”  Dr. Kevin Donka of Chirothots has continued Dr. Barge’s message with a twist, “Flies don’t cause garbage!”  

Common sense tells us that rats and flies are attracted to dirty places where there is decaying matter to feed upon.  Just because rats and flies are present at a garbage dump or a dirty restaurant doesn’t mean they caused the garbage, they are an effect of the garbage!  So why do some people get sick and some people stay healthy? It depends on the cleanliness of the body’s environment!  If your body is weak, your resistance is down, and your cells are decaying, doesn’t it make sense that the germ scavengers would find home, food and shelter there?  Of course it does!  The germs don’t cause the disease, they are present when disease is!  It is your internal resistance of your immune system that determines whether you get sick or not. Keep in mind it is called the ‘Germ Theory’ not the ‘Germ Fact’!

Whether or not the U.S. Homeland Security is appropriately given the power to make decisions about the health of Americans, (a political discussion of its own), what are chiropractors doing to coach the people they care for about strengthening their body’s own ‘Homeland Security’?  As a Wellness Chiropractic Coach and Consultant at Rosen Coaching, we coach chiropractors to not only communicate and educate people about the 3 Dimensions of Stress and what causes subluxations, but to provide ongoing communication about the ingredients for a healthy body, first and foremost clear nerve system communication.  What else can people  do to strengthen their immune systems and promote health? Proper nutrition, vitamins and minerals including high doses of vitamin C, movement and exercise, hydration, rest and relaxation, fresh air, sunshine/vitamin D, mental clarity, stress management, emotional peace and fun!

As a chiropractor looking to lead your community to health and wellness, to have practice success and growth as well as to have the life of your dreams you need to stand up, tell the truth and show people there is another way! Let us know if we can help!

Tags: Amygdala, care tactics, Cause and Effect, Certainty, Challenges, Chiropractic Coach, chiropractic profession, communication, Congressman Dr. Ron Paul, Disease, Emotional Intelligence, Fear Tactics, Germs, Immune System, Internal Resistance, Leadership, rosen coaching, Success, Swine Flu, 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

  VS.   

If you are a chiropractor still practicing in a pain based model of symptom relief, I hope you will realize (soon) that the future of the profession lies in wellness care. Like dentistry realized fifty years ago that waiting to pull rotten teeth from people’s mouths with toothaches is antiquated, our chiropractic profession is starting to see the light.  Treating people’s backache’s and using adjustments like expensive aspirin isn’t keeping up with the times.  It’s time to think different. 

People want wellness, look around! From organic food, to fitness gyms people are looking to get well and stay well rather than wait for a crisis.  Our culture is in the middle of a wellness revolution ~ don’t get left behind!  It is time for the chiropractic profession to lead this wellness revolution.  It is up to each one of us.

At Rosen Coaching, we look at two key stats as a litmus test for a wellness practice: your retention or PVA (patient visit average) and the percentage of internal referrals.  You may think you are running a wellness chiropractic practice, but if your PVA is below 60 and your internal referrals are low ~ it tells us that the people in your practice don’t ‘get’ chiropractic like you think they do. If I sat in your reception room and asked the next 100 people through the door why they are there, what would they say?

So what are the symptoms of practice not succeeding and not congruent as a wellness practice?  Of course, low PVA/Retention and low internal referrals as mentioned above.  But what else?  A wellness philosophy for how you manage your practice is key. Do you have systems and a communication model that is reactive as opposed to proactive?  Do  you wait for the number of new people to drop down before you do any marketing or do you have a perpetual, balanced approach marketing calendar?  Do you wait to have staffing issues or do you spend time each week cultivating a Dream Team?  Do you wait for people to drop out of care before addressing their concerns, or do you listen between the words and identify the symptoms of when a person receiving your care is unhappy?  Are you afraid to address their concerns and sweep them under the rug with an assertive or non-assertive ‘brush off’, or do you address them right then and there?  Want some more examples? Disorganization, stress, lack of income, lack of new clients, people don’t ‘get it’, clients don’t follow your recommendations, they don’t sign up for care, they don’t keep their appointments. The list can go on…

Truly the biggest difficulty I see in the profession is the amount of scare tactics that are propagated by some of the biggest chiropractic practice management companies out there.  I truly believe that there is no place for fear and manipulation in a wellness practice, as it is completely incongruent with the very nature of a wellness philosophy.  It’s time to think different and start using trust, hope and truth to help people see what is possible for their well-being. If you are going to have a wellness chiropractic practice, leave the scare tactics at the door.  And start to use a proactive congruent wellness approach in your systems, communications, and practice management.

Tags: care tactics, Chiropractic Coaching, chiropractic profession, communication, future, pain based model, rosen coaching, scare tactics, wellness model, wellness practice management, wellness revolution