Episode Transcript
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Scarlett Solo USB-8 (00:00):
Hey guys,
today's episode is finally the
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episode where we're going totalk about how owning my own
private practice was literallynever my dream.
And it's something that I'vereally wrestled with over the
last almost two years sinceopening is, it's been really
hard to come to terms with thefact that most of my friends,
fellow entrepreneurs, um,everyone seems to have always
had this dream of owning abusiness, whether it be digital,
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or a brick and mortar, orhealthcare, or something.
And that just never happened tome.
And I want to start off thisepisode by saying that if that's
not you, that is okay.
You will grow to love it, youwill find whatever it is you're
supposed to be creating, andeverything will work out.
Because To me, nothing seemedpossible, especially opening up
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my own practice in any kind ofbusiness.
I was the type of person thatdefinitely could work for
others.
I love to follow rules.
I am an extremely organizedperson.
I've had many jobs throughoutthe years and I've loved them
all.
I love management.
I love all of it.
and so for me, when it came tothe fork in the road where I had
to make a decision for the nextphase of my career, I felt
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really limited because of thelocation where I practice.
And the next logical step for mewas to open my own private
practice, which again, never inthe cards.
If you would have asked me as akid, if I would ever be a
business center, I'd say no.
All throughout undergrad, gradschool, even after grad school,
it was just never, ever.
Never a desire for me.
Scarlett Solo USB-9 (01:27):
You don't
have to do what's expected of
you and what the norm is.
You can truly create somethingthat is designed for you.
this episode was actuallyinspired by the Founders
Journal, which is one of my alltime favorite podcasts, by Alex
Lieberman, the co founder ofMorning Brew.
I have yet to find a podcastthat really targets me the way
that this one does, and they hadan episode this past summer, I
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believe, That is callednavigating career pivots and the
word pivot.
Yes.
Always makes me think of thefriends series, if you've ever
seen that episode, but I thinkit's important to accept career
pivots and to also let it takeyou to the next level.
So for me, I was faced with acareer pivot in the spring of
2022 I could just feel it kindof rocking my world and I was
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hesitant, I was resistant, I didnot want to follow through with
it, but it kept tugging at meand I started to realize that I
wasn't being fulfilled I had tomake a change.
it was really hard because Iloved my boss, I loved my job, I
loved my patience, but I knewaround that time that I had to
unfortunately make that bigjump.
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because of where I practiced, myoptions were pretty limited.
With my skill set andbackground, there just wasn't a
lot of career opportunities inmy city.
So that left me at that forkroad that I mentioned where I
had to make a decision and Iultimately realized that that
decision was opening up my ownprivate practice.
And so I sat down literally tobare bones, pen and paper, and
decided to just write what aresome of the things that inspire
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me.
What do I love about being achiropractor?
What do I love about healthcare?
What are my skills?
What are my weaknesses?
And I kind of put it alltogether and I wrote out this
pretty robust business plan,that ended up taking a lot of
time.
But I'm so glad I did it becauseduring those several months of
creating my practice on paper,it helped prepare me for the
actual hard stuff that was yetto come as far as actually
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creating a business that wasgoing to be sustainable.
I think in another episode, I'mprobably going to dive into my
business plan a little bit morein depth and go segment by
segment and just kind of talkabout how I built it.
I looked at some templates, butI decided to kind of tweak
things and make it my own.
And to this day, my businessplan is guiding a lot of my
practice decisions mixed in withstatistics and reports.
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So we'll definitely do that.
I think it would be really,really helpful if that's
something that you would like tohear, go ahead and shoot me an
email or message me on socialmedia about what you're looking
for.
And I'm happy to touch on it inan episode.
So for me.
I started out as an associatechiropractor, like most people
do, just like a lot of ushealthcare providers, we work
for other people a lot of thetime.
And there's nothing wrong withthat.
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I enjoyed it.
I loved it.
I got to the point with both ofmy associateships where I did
not have to take on as many newpatients because my patient base
was full.
It was a great place to be inpractice.
and like I said, I just had thebest patience ever.
So I was pretty surprised andrealized I was going to have to
overcome a lot of fears andchallenges when opening up my
own practice.
I knew nothing about businessmarketing.
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I barely knew how to network.
Finance and taxes were some ofthe biggest things that I had to
overcome and I tried to embracethat change head on.
And the reason why this podcastreally inspired me is because it
touches on the importance ofbeing a newcomer and how fresh
perspectives are okay to have.
When I was first writing thatbusiness plan, I kept thinking I
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needed to be like other people.
I needed to be like otherpractices.
And then I sat down to do mymarket research on chiropractic
practices in my area and Iquickly realized I don't have to
be like them at all.
sitting down and really honingin on what I was good at and
maybe finding a problem in mycommunity that I could solve was
ultimately the most importantthing, making sure that you're
creating a practice that getsyou fired up in the morning to
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be a part of, you know, when Idid all of my training at my VA
hospital on the East coast, Iwas fired up for work every
single day because of the way Ifeel about the veteran
population.
That is a really specialdemographic for me.
And so by being immersed in thatpopulation and in that setting,
Work was a privilege and Iwanted to make sure that
whatever private practice Icreated, I wanted to feel the
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same way.
I wanted to be excited aboutgoing to work every single day.
If kids don't rave you up, forexample, don't create a
pediatric practice.
If internal medicine doesn't doit for you and you want a more
specialized niche you probablyneed to make a change.
And this goes for a lot offields, One of them that comes
to mind is nursing.
It is so important in nursing tomake sure you're choosing to
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work on a floor that representsyou and what you feel fulfilled
and called to do.
There are so many avenues in alot of healthcare specialties,
and it's really important tochoose the one that makes you
excited to go to work everysingle day because patients can
tell.
Trust me.
So I think it's really importantto embrace the pivots as they
come.
Sometimes that can look likesome cognitive dissonance and
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becoming uncomfortable at workor no longer having that
excitement every single morningwhen you go on in.
And it's important to act on it.
So a lot of the times that comeswith preparation.
Now I didn't get a ton ofpreparation when I decided to
make all these changes.
I recommend taking at least sixmonths.
Stay at your current job if itis a safe environment and you
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feel comfortable doing so.
Stay there while you plan yourexit, while you plan your
practice.
I also learned right away thatyou are going to have people
that disagree with the way thatyou choose to run your practice.
They're going to think that whatyou're doing won't work.
They're going to think that whatthey're doing is better.
They're not going to supportyou.
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And I think that was a reallyhard realization for me.
I shared my business plan with alot of people.
I was constantly on phone callstrying to learn from other
people.
And to be honest, most of thefeedback I got was negative.
Oh, that'll never work in yourcity.
Or, why would you do that?
No one does that.
And at first, I let it get tome.
And then I realized I reallyneeded to stick to the things
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that really got me excited andI'm so glad I did because now
that business plan has led me tomake incredible decisions for my
practice and our quote unquotemodel that would not work is
currently thriving and has beenso well received not only by
patients but also a lot of thepeople that I'm networking with,
other chiropractors, otherhealthcare providers, And we're
really taking the community bystorm just trying to promote
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evidence based care and valuebased care.
And it's been really incredibleto watch and I want to remind us
that as health care providers itcan be super easy to stay within
our health care bubble.
What I did was I got outside ofthat bubble Mostly because of
the negative response I wasgetting about my business plan.
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And I decided to learn aboutbusiness and entrepreneurship
and marketing and all of thesethings from non healthcare
businesses.
And I'm so glad I did that.
It's one of the best things Iever did.
Founders Journal, the podcastthat I've mentioned in this
episode so far, is one of thehallmark ways that I learned and
gathered ideas and becameinspired to do so.
So for example, I knew I wantedmy practice to be based on
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putting patients first, valuebased care.
patient based care.
I wanted to set parameters formy providers in my practice.
I want every provider in mybuilding to have a max cap of
patients that they see per day.
That way patient care is theultimate most important thing.
In order to do that, you have toreally know your systems in and
out.
And remember when I decided toopen up my own practice, I knew
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nothing about these systems.
So it was really important forme to take some time before I
open to learn how to runstatistics, to learn how to run
reports, to learn how to processthis data and make valuable
decisions for my practice.
And because of the time andenergy I put into that, that
made it possible for me to setthese parameters of cap to
patient visits per day and makesure that I am still generating
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enough profit in collectionsevery single month to not only
cover my overhead, but obviouslysucceed and profit on my
business.
Contrary to popular belief, Ithink you can be ethical, you
can put patients first, and youcan keep the lights on, and
more.
You can be a successful practicegenerating collections per month
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that is extremely sustainableand successful, and you can
follow the rules.
You can make sure that you aredelivering the best patient care
possible and getting greatresults with your patients.
So that is what I set out to do.
And again, a lot of people said,Hey, that's not going to work,
but guess what?
It is.
It's kind of funny.
It makes me think of the fieldof dreams.
I'm sure most of you have seenthat video, but they say, if you
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build it, they will come.
And I truly believe if you treatpeople well, They will come.
You will be creating anenvironment where patients are
patients for life, not just aone and done situation.
It doesn't mean that they'regonna need you all the time, and
that's okay.
You want to create a practicewhere people are excited to be a
part of it.
They know whenever they needsomething, you are the go to
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location, and they're going tosend their friends and family to
you.
The number two types of referraltypes in my practice are going
to be internal referrals andthen medical referrals.
You want to make sure thatwhatever practice and business
you're creating is the talk ofthe town.
Everybody wants their friends togo there and everyone wants to
refer to you because of thequality of care that you are
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delivering.
I want to touch also on somereally great advice that was
given to me when I first movedout to Michigan.
I went from the hospital sectorto private practice, and that
was a really big shift for me.
And to be honest, it was a toughone.
I learned very quickly howdifferent my profession is in
the state of Michigan.
As we know, scope of practiceand general perception in
dealings with any specialty canvary state by state.
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And for me, this place was justtough.
It didn't really seem like agreat fit for me at first.
I had an incredible mentor namedDr.
Nate Hinkle Dye, who is achiropractor at the VA hospital
in Des Moines, Iowa.
And he gave me some really greatinformation.
He said, Why don't you take alook at your community?
Take a look at Grand Rapids.
Take a look at your situation.
Right now it looks like abarrier.
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How can we change that barrierand make it something to be
desired?
Something to inspire you?
Treat it as an opportunity.
An opportunity to make somethingout of a bad situation.
And I took that information andthat advice and I literally ran
with it.
He was right.
There wasn't anyone in my areadoing what I wanted to do with
the private practice.
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And this was years before I knewI wanted to open.
But I have stuck with thatadvice.
It has really guided me andallowed me to focus on what
truly matters.
If you are currently at a jobwhere you are struggling to get
up in the morning, every day isjust kind of a job, I really
want you to look around andthink, what can be better?
What do I have to do to makethings better?
It could be a leadership rolewithin your same company.
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It could be a position change.
It could be an entire companychange.
It could be going from W2 workto private practice ownership,
depending on your field.
Any kind of change I think is agood change, and it's important
for us to listen to ourselvesand listen to the emotions that
we're experiencing.
I don't think private practiceis for everyone.
But I never thought it was forme either and now I'm really
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happy looking back that I didit.
Our two year anniversary iscoming up at the end of this
month and I'm just overwhelmedwith emotions when it comes to
that because we've accomplishedso much.
In almost two years we havegrown from a team of one to a
team of seven now and it's justreally Humbling.
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To look back on everything thatwe've gone through, everything
that I've learned throughoutthis process, and know that I'm
creating something that is goingto serve me well as a person, as
a provider, all of the patientsthat we've been able to help,
now me creating a team and beingable to be a part of other
people's lives that way as anemployer, and I'm proud to just
continually learning I think isthe biggest inspiration piece of
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it all.
As healthcare providers, that iswhat we're supposed to do.
We're supposed to learn.
We're supposed to grow.
And this is a great way to doit.
And a lot of what I did when Iwas working on creating my
practice was something I like tocall e learning.
So even if I wasn't activelyreading a tangible book, I made
sure at least once a week Iwatched a video on YouTube or a
podcast episode was listened to,a blog post was read.
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Something happened where I knewto put my focus on something new
that would benefit my practice.
Too often we get reallycomfortable and we don't grow
and that is inside healthcareand outside healthcare.
There are so many smallbusinesses that never strive to
be better and make changes.
It's easy to get comfortable.
So if that is you and you feellike you are currently getting
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comfortable, I implore you tothink back on my story, see how
far I've come and try to getuncomfortable.
It's important to beuncomfortable in order to grow,
and there's a lot of growth tobe had in our careers.
We are fortunate enough to workin health care where, yes, we
have really challenging days andthings are not always fair, But
we get to wake up every singleday and make a difference and I
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think that's important.
So once again, I recommendchecking out the Founders
Journal.
It's the best podcast ever withAlex Lieberman.
I'm just such a big fan of him.
And again, this episode wasinspired by an episode of his,
which is called NavigatingCareer Pivots.
Highly highly recommend.
Thanks for listening to today'sepisode.