Showing posts with label #DPTStudent. Show all posts
Showing posts with label #DPTStudent. Show all posts

Wednesday, October 12, 2016

The VPTA Student Conclave 2016 Experience


I had the truly distinguished privilege and pleasure to be the #VPTASC2016's keynote speaker and additional breakout sessions speaker. The topics:
  1. The Inspired Professional
  2. Launching BEYOND Entry Level
First, here's the 15 minutes of my keynote:


AND... In no specific order, here are some take away points & highlights:



























Okay... my cut & paste function is officially tired. You get the idea ;)

It was an amazing production. The students, faculty, and everyone involved should be IMMENSELY proud. It was polished. It was professional. It FELT like a legit conference put on by event planners and media producers.

Again, my deepest thanks for being able to contribute to the event.

Annnnnnd.... That's all folks!

Monday, February 29, 2016

Now That CSM Is Over

So, CSM was in-sane.

The biggest conference in physical therapy in the United States happened two weeks ago. And, I'm *finally* starting to feel like I'm recuperating.

Perhaps the best part of it was finally being able to meet the many people I first "met" via social media. Yeeeees... there were a LOT of #APTACSMSelfie's!


Now That CSM Is Over

Now that CSM is over, it's time to reboot, refocus, and grind away!

First off, I'm looking forward to getting my dad blog, Daddy In The Raw, started up in good stride again. There are a lot of past posts that I did have scheduled out; but, just didn't feel the timing was right since things change as blogs & life-in-general develop. I'll be pushing them out shortly so that we can all catch up with how the heck this happened...


Secondly, I'm really pleased to share that UpDoc Media Version 2.0 is up! This includes a brand new look, a refocus on our boutique digital marketing service, and the grand opening of the UpDoc Media Store!

Finally, I *KEEP* flirting with the idea of doing some kind of regular broadcast. I'm not sure what that regularity will entail... I've had several requests for a podcast, some for a traditional YouTube vlog, plenty of people love #Periscope. I'm just trying to figure out best medium, best time day, best frequency, etc.

What I want to make unique about this broadcast: I want it to be kind of a rolling Q&A that encompasses mind set, attitude, success, business, professional development, and how to relate personally, professionally, collegially, etc... kind of blend the content of what I have here, at UpDoc, and even at Daddy In The Raw in a more universal & comprehensive outlook on how to approach that magical blend of balance, go-getting, and achievement.

ALSO, I want to make this regular broadcast manageable... something less than 10 minutes per broadcast. There are already enough 30+ podcasts and what nots out there. This one is going to be fast flowing, no nonsense, only the good stuff....

Alright, enough of me dreaming out loud about it :)

Let me know if you're interested.

OKAY. That's it for now! CSM is over. It's time to get back to work!

Wednesday, February 10, 2016

#DisneyPT & CSM Tips



ARE YOU GOING?!

1 month ago, I wondered how many folks going to CSM were also going to crash Disneyland. The answer: At least 30! So, then I got to wondering, which day would people plan on going? And, it appears that Wednesday the 17th is going to be the majority day. However, there will be some going on Thursday, Friday, and even Saturday.

So, if you are indeed going, I am pleased to have 10 Tips on how to make the trip absolutely perfect!


Otherwise, that's just about it. In case you need some tips in attending CSM for the 1st time, here are two posts, one from a general perspective & another from a student's perspective. Enjoy!

Monday, January 11, 2016

CSM and Disneyland

So, I put out a poll on Facebook and Twitter. Here are the results:

There will be at least 30 of your colleagues & their families, romping around at the Happiest Place On Earth!

Can both be done?! Well... I'll let you decide ;) This post isn't about finding or making the time. This post is all about what you can do while you're at Disneyland and some tips from a seasoned Disneyland Annual Passholder in how you can maximize your Disney experience at the parks. After all, if you've decided to go... you already know that it is worth it. And, if you are wavering, maybe this post will show you what 30+ people already know... it is worth it ;)

LOL. Who are we kidding? Of course I'm trying to get you to go!

CSM and Disneyland

I probably don't even need to say it, you probably already know: I'm a Disney FIEND. I love all things Disney & Star Wars; therefore, Disneyland (and Disney California Adventure) is just plain awesome. The fact that CSM is but and only next door to the Disneyland Resort, I can only hope that more and more of you will be helping me do a #DisneyPT TAKEOVER!

Considering that most of the CSM activities will be ceasing around 5 or 6pm -- AND -- that Disneyland is open until midnight for both the Friday & Saturday... there should be plenty of opportunities to get into the parks.

Here's what's up!
The Disneyland Resort is undergoing all sorts of changes in preparation for Star Wars land. What this means is that the train will be down and much of that same area surrounding the transition between Frontierland and Fantasyland. The good news is that because there is a bit less to do there, you don't have to feel paralyzed by too many options and trying to fit everything in. You'll have your option of park hoppers and various ticket prices to reflect how many days you wish to get in.

If anything, I'm hoping to organize an unofficial PT takeover... but, more news on that later.

If you haven't been to Disneyland in the last couple years... or decade. This is what you stand to gain!
  1. Tommorrowland is entirely Star Wars'd out. The whole place is now undergoing something called the Season of the Force. The whole area has Star Wars music, decor, and Star Tours is now a 4-D experience along with a special scene which ties in the new Star Wars movie, The Force Awakens!
  2. The Paint The Night Parade is perhaps Disneyland's best parade ever! Not only did it debut for Disneyland's 60th anniversary; it gave the proper nods to the old Electrical Parade which is now available in Disney World, Orlando.
  3. Oh, right! It's Disneyland's Diamond Anniversary!
  4. Many of the "fun" rollercoasters have been upgraded. This includes the Matterhorn Bobsled as well as Frontierland's Big Thunder Mountain. I went on Big Thunder just last week and the upgrades are incredible!
  5. Disneyland allows for FastPasses for you to spend in the park while your pass, waits in line and allows for a return time for you to cut the majority of most lines. If you have children, you can also use what is called a Rider Switch Pass where one of you waits through the line and the other gets to do something else. Then, you switch the passes and take 3 guests with you to cut the majority of the line. A similar effect goes for wheelchair access.
  6. There are a LOT more new shows including Mickey and the Magical Map, a brand new World of Color show in Disney California Adventure.
  7. Oh! And, if you aren't familiar with Disney California Adventure... it's the "adult" park. There, you will find great food, great rides (actual rollercoasters and what not), and great booze. That's right ALCOHOL.
  8. Space Mountain is now Hyperspace Mountain, re-themed with projections of Star Wars effects to really accelerate the ride experience.
  9. Many of the dark rides in Fantasyland have been upgraded in one fashion or another. An example is Alice in Wonderland and the new dynamic projections they have as you go through the ride itself.
  10. Downtown Disney has become its own thing. Great shops. Excellent food. Speaking of which, maybe #10.5 is Trader Sam's Tavern at the Disneyland Hotel... the volcano explodes regularly... as does the rush in drink orders ;)
So, finally, I must ask... if you're not planning on going yet... are you now?!

Wednesday, January 6, 2016

Three-In-One BLAB Fest

Hi everyone,

Here is a much delayed release of my 3-in-1 blab session covering acute physical therapy, vitals, and professional ownership. I meant to release this quite a bit earlier, but! Well... life :)

So here they are!

  1. Vitals are VITAL (A Follow Up)
  2. 5 Ways Acute Care Was My Ultimate Game Changer
  3. Physical Therapy Attitude Check: Do you own or do you work?
Thanks for all the inspiration and engagement regarding those Facebook posts. Hope you enjoy these. And, get ready to laugh because it is beyond apparent how exhausted I was recording these. LOL! =P

Physical Therapy Attitude Check: Do you own or do you work?

Physical Therapists tend to go to their daily jobs as workers. And, yet, there is all this complaint about being undervalued, under appreciated, being at the bottom of the totem pole, etc.  Ironically, this attitude is actually the root of the problem.

If you "work for," you will always care less.

If you "take ownership," then you will always care more. And, we need people to care more.


5 Ways Acute Care Was My Ultimate Game Changer

You either love it or hate. If you're like me, you probably went into PT school thinking about outpatient ortho and/or sports, waiting that magical 5 years until you're good enough, and then opening up your own business.

Well, as life would have it, I would rotate through various settings and some how found the acute care hospital to be my love and passion as it pertains to the raw potential to which PTs can learn -- and -- to which PTs can contribute.

Here Are 5 Ways Acute Care Was My Ultimate Game Changer


  1. Best application of knowledge base.
  2. Highest level of clinical diversity. Yep, I did plenty of manual, ortho, and even ED.
  3. Highest level of clinical complexity. Where else are you going to get someone who has 20 different medical conditions, blood that should be melting out of their body, vital signs that make no sense, but are agreed by all in the medical team to appropriate for home discharge?
  4. INTENSITY. With the most intense medical situations & most intense patient care scenarios.
  5. Largest political canvas in healthcare. Acute care requires savvy to navigate and typically 10-15 years to move into a significant space of leadership (system level, VP, c-level, etc.), 2-5 years for first promotion. 5-10 years for leadership opportunities.

Some quick commentary. People get scared of the ICU. Well, the ICU is the safest place. You have the quickest response team right there, more monitoring that you could ever ask for. Rarely, does anything "go wrong" in terms of PT in the ICU. In fact and in my experience, all the accidents, strokes, and crazy events occurred on ortho (DVTs), trauma (complexity, despite medical stability), and medical units (because, the guard is down).

Additionally in acute care, you get exposure and opportunities to serve in wound care; be it laser, wound VAC, or MIST... or traditional stuff, sharps, even maggot. You get imaging, coordination with the entire healthcare spectrum of professionals. 

The opportunity in acute care for PT is immense. The ability to leverage nearly the entire spectrum of our clinical training is wonderful. Sure, you're not going to do mobs on everyone. But, really, is doing mobs all that PT is about? Surely not.

Think about acute care. It was the ultimate game changer for me. It remains, to this day, one of the most influential and significant leveraged experiences which affects my clinical practice.

If you're a student, get IN a hospital rotation. If you're a new grad, get some per diem hours... you will never regret it.

Vitals Are VITAL!

So, I shared on the Doctor of Physical Therapy student's Facebook group this insane vitals situation, with a patient I saw this past week. You can find it linked HERE:

Essentially, I had a patient present with absolutely no signs, no distress, no discomfort, no nothing... with a normal'ish blood pressure. But! With a heart rate of 37bpm and O2 saturation of 77%.

Yeah... NOT. NORMAL.

My intent in posting that to the Facebook group was to convey how important it is to take vitals. I know it is still a point of disagreement and contention. Still, I've been told more than once that in any discipline or setting in healthcare, failure to take vitals (when someone goes wrong) is the first place lawyers check in terms of negligence.

Just something to think about. You've been warned.

In any case, I'll get on with this post only to say that it is a PASSIONATE topic for me. If you resonate with me, be on fire with me! If it offends you, I'm sorry it does... it doesn't change the facts. But, I think you'll find that the majority of clinical leaders out there agrees with the position I take.

Here's a quick recap:



Follow Up: Vitals Are VITAL!

To my knowledge, it's a happy ending. Our patient recovered and we can't entirely explain what happened. Personally, I still think referring to ED would've been more prudent -- but, per the policy given & the process followed, she was deemed medically stable enough to stay inpatient. However, the cardiologist involved did suggest "other" avenues of approach given a repeat situation.

My interpretation? I think there was a massively hidden cardiac issue given the "regular" irregular heart rate, history of complaint of chest pain, fatigue, etc. Doesn't that sound like a heart attack to you? Sure, the question: What could we have done? Comes up. Maybe nothing, maybe everything.

The fact is, without taking those vitals, most clinicians would've gone ahead with a full course of treatment for the day. That would've included a lot of exercise, both strength & cardio; exercise that very well may have cause the situation to go from odd into critical.

My follow up, simply stated, is this: Vitals are vital, not just because they are standard of care. Not just because it may implicate negligence when omitted. Not just because it's the right thing to do.

Vitals are vital because they serve as the prerequisite for just about EVERY physical therapy intervention we know. Exercise? It starts with vitals because we are causing a physiological stress response. And... I could go on. But, I just stopped typing this long list because it's exhaustive to even do so. Really, if you can't think of why and how important the cardiorespiratory system -- one QUARTER, mind you -- of physical therapy practice is, in how it interacts and is interdependent with the other three systems we treat... someone, needs to rethink how they practice.

Harsh? Sure. But, vitals are vital. Don't you dare put your patient at risk, ever.

Tuesday, December 1, 2015

My First BPPV Case

This blog post is vlog really. It starts with my first BPPV case as a new grad. What's most entertaining is how this lead to me being the primary vestibular clinician in the department and how that lead down a whole 'nother road in Emergency Department PT and catching those strokes that like to evade the all powerful MRI. Yep... this one is alllll clinical ;) #backtomyroots

My First BPPV Case



Wednesday, October 21, 2015

Behind The Movement: GetPT1st

Hi everyone, so we're back to healthcare advocacy & physical therapy. Today, I want to dig into something I'm sure you've noticed... GetPT1st. While our profession has the APTA, all the state associations, special interest groups, PAC, Move Forward, etc. -- I was rather impressed that a separate and private entity went out of its way to further the cause of improving the lives of others through physical therapy.

As GetPT1st developed, I took joy in noticing a very unique aspect in both their focus and methodology. The focus was outreach from the perspective of the consumer and the methodology was primary engagements via social media from provider to consumer.

And, what better, than to have front line representatives interact with their market's end-users.

Well, it is happening again, GetPT1st is planning another internet takeover and I'm happy to share excerpts from an inside scoop behind the movement.

Behind The Movement: GetPT1st

GetPT1st started with the early realization that the majority of Physical Therapy information available on the web was too technical and inappreciable by consumers. And, if the information about physical therapy was not technical or free from clinical terminology, it was far too shallow that consumers would still not be interested.

As the digital marketplace grew, the founders of GetPT1st notice a global trend in Physical Therapy (PT) business.
  1. With no true marketing plan, PT businesses had no active budget for paid marketing or advertising.
  2. As a result, the financial health of such businesses would inevitably start to suffer.
  3. Finally, PANIC -- business owners would realize the need for change and reach for anything.
  4. Unfortunately, they would throw money in any and every direction in hopes it would somehow bring in clients and give business a boost.
The GetPT1st founders realized there was a big need for affordable marketing solutions for the average PT business owner. Most of the available marketing services at the time were too expensive to be used and were better suited for large chains and corporations. And, since outsourcing marketing initiatives was out of the question, small PT businesses either haphazardly filled this need internally or not at all. 

After some networking via APTA's Combined Sections Meeting and through social media, the idea came to the point where the founders felt the need to contribute to the profession on a much larger scale.

Once a team was officially gathered, there were three goals for GetPT1st.
  1. Creating an engaging community of PTs, PTAs, and students via social media to generate both interest and support with the idea of GetPT1st.
  2. Expansion. The creation of consumer friendly and shareable content that both prospective customers and clinics could use on their websites and in social media.
  3. Destination. To become the first choice destination website for consumers as it pertained to physical health concerns which physical therapy is best equipped in serving -- and, in essence, to drive a majority share of mind as far as the physical therapy brand is concerned.
It is in this final goal which Get PT 1st aims to make it's ultimate contribution; to convert healthcare consumers who would otherwise see another provider before a physical therapist. And, to expand the profession's brand equity and share of mind to which, if there is any physical therapy needs as we the profession knows it, they the consumers would also identify in the same way.

These are the words from one of the founders: "We need to focus on reaching the public instead of fighting and using all of our collective resources on the "fringe." We need to major in the big things. It might not directly help all the subspecialties of PT immediately (peds, aquatics, women's health), but it will help raise our profile and benefit all over the long run. But, that's one thing we (the PT profession) are terrible about - the long term plan and vision. Which is why we are also horrible about marketing, advertising, and branding. We don't realize that immediate, short term gains are great, but we need to look further down the road."


Personally, I feel that the GetPT1st movement is one of the best examples of end-user marketing to date for any discipline within healthcare. It meets customers from their perspectives, their opinions, and their interests. Rather than focusing on what providers find interesting and intriguing, it converges on consumer engagement to what the customer needs and wants most... to Get PT 1st for all their physical health concerns.

This type of approach benefits our profession as a whole. And, what benefits us as a whole will summatively benefit the parts as well.

Great work. Awesome strategy. Get PT 1st.



For more about GetPT1st please visit:

Wednesday, October 14, 2015

5 Ways to Make $6-Figures as a Physical Therapist

Making $100,000 or more is and has been a big benchmark for years now as the "You've made it moment." Being that the median income in the United States is currently about $52k circa late 2015, making twice as much as "the middle" definitely has a nice shine to it.

However, one begs the question: Can a Physical Therapist make Six Figures a Year? After all, it was reported that the average PT makes about $80 annually...

My answer: YES!

Today's post is all about .........!

5 Ways to Make 6 Figures as a Physical Therapist

It starts with attitude!


MAIN POINT:
PTs will never make 6-figures if they keep regarding their job, position, career, or profession as a 9-5 gig. Physicians, surgeons, attorneys, and accountants who make their 6-figures work 50, 60, 70, sometimes 80, or 90 hours a week. The earning potential is there! PTs need to reach out and grab it, own it, and grow it out.

Take Away Talking Points:
  1. Home health should easily be at $100-$110k per year of either total or just direct paid compensation. In fact, I've heard as high as $250k but that was with a PT grinding out 60+ hours a week... probably more.
  2. Location based facilities such as SNFs or government facilities can pay minimum of $45/hr. It isn't a stretch for them to pay $48/hr to get you to 6-figures. Many can easily afford $50/hr and I know of a local one in the boonies of San Diego that is $60/hr!
  3. Travel, Registry, and Staffing Agencies contract with companies for human resources to be available at a moment's (or short time's) notice. About 10 years ago, new grad PTs were making $90k a year with these contracts. Add the sign on bonus of $10k+ a year, and you've made it.
  4. Supplementing your income with any of the 3 above by shortening your 40 hours or simply adding to it is a great strategy.
  5. Making a director level management position is a sure way to make it to $100k. However, make sure companies don't low ball you during the initial offer.

Monday, June 8, 2015

5 Tips for Surviving BIG Life Events

Be it a wedding, new born.. boards... interview, or, whatever... big life events have a funny way of making us drink too much coffee, sleep 3 hours a night, overdose on adrenaline, and crash.

This post is inspired by the Therapy Insiders podcast "7 Days Until" -- and, so!

Here are....!

5 Tips for Surviving BIG Life Events


1. Don't over prepare.

2. Remember to have fun.

3. Everyone hits rock bottom.

4. Remind yourself!

5. Feeling unprepared is normal.

Tuesday, May 19, 2015

5 Tips For Choosing A School

I found this topic request to be a little bit ironic, because, most of the time we don't get to "choose" the school we get into. However, we do get a choice as to which schools we apply for, and hence, the programs to which we give our futures to. After giving it some thought, I realized, there's actually a lot to think about. The school market is much like the job market; firms (schools, and believe you me, it is a business, though the professors/educators themselves are likely to be more authentic than that) are looking for strong candidates to sustain themselves while applicants are hoping to get the best bang per buck.

Therefore, after some careful thought, I felt that these five tips serves to build a strong foundation to which you can make a strategic choice in dedicating the next 4-8 years of your lives.

Here are........!!!

5 Tips For Choosing A School

Just so we're all together here: In the fly of the moment, I decided to record this as a vlog as well. So, here is the vlog and I'll keep the transcriptish-written-content below for your perusal. Enjoy!


1. What's their network?
A school is a brand experience. When you go to a school and get a degree, or even apply for internships from, what you are saying is that you bring the brand promise of that school's brand image to whatever you're trying to sell yourself to. Big names like Harvard, Yale, Johns Hopkins, USC, Stanford, Michigan, NYU, etc. These names have very strong brand equities, and by extension, you as a student there, get to benefit from that image. This is the beginning aspects of a school's network.

As the network expands, you need to discern what their affiliations are, what are the available internships, rotations, and extra curricular opportunities. Who attends their job fairs? How active are the alumni?  

What are their networks? (Affiliations, internships, rotations, opportunities, job fairs, etc)

2. What's their brand equity?
Since I mentioned it in Tip #1, I'll reiterate that the brand equity of any given school is most definitely important. HOWEVER, it is only important if the brand is well known. Basically, no one really cares as an employer or receiving clinical affiliation site unless your school is well known and/or top tier. Does this means that the school's brand is all you should consider? NO! It means that if this is the last step of schooling you're going to have, make sure that its a good one - AND - make sure that if the name isn't well known, that their Tip#1 NETWORKS give access to brand experiences that are.

"What's in a name?" A LOT!

3. Where is it?
Location. Location. Location. Location is a big deal, no matter what we're talking about. Such is the case because of housing costs, safety, lifestyle, geopolitical-cultural considerations, etc. It's ALWAYS important to consider the location of the school. How close or far it is to home, friends, and extended family can very well play a crucial role in your support system while away at school.

4. What is the cost?
Debt is a big deal; student debt follows you forever. Now, while I don't believe in only considering the academic experience as a pure dollar for dollar ROI calculation, one would be a fool not to think on the earning potential AFTER school given the costs of completing it. If one were to go into $200k of debt and only be able to make $50k/year, paying that off in 30 years would you'd also ANOTHER $200k in interest! So yeah... what's the real cost?

5. Who is teaching you?
The professors at any school can be a big deal when it comes to the outgoing value of your education. After all, it's part of the brand. If one of your professors, even just one is renown in their field and you get to brag that they were your professor... that's a fun and powerful thing during a job interview. Also, the general venerability of the professors at any given institution also lends to the perceived quality of education. Sadly, the most famous of professors rarely make the best instructors; however, they offer you their brand by extension. Yet, the less well known professors tend to be quite accomplished and can be amazing teachers to which you'll not only learn a lot, you'll learn how to apply that knowledge and sharpen your mind for any future task that comes your way. In any and all cases, consider who will be teaching you.

Wednesday, April 22, 2015

5 Tips For Finding A Mentor

Finding a good mentor (or even several) gives you invaluable advantages in your journey towards establishing, developing, and growing a career. I can certainly attribute some very critical circumstances to which I relied upon a mentor's words of wisdom to choose the best paths which lead me to where I am today. There, I present to you....

5 Tips For Finding A Mentor

1. Personality
When finding a mentor, make sure they have a good personality. After all, you'll be interacting with this person for quite some time in the coming future. They need to be personable, compatible, and respectable in your eye. They'll likely have many encouraging things to say to you, and, if they're a good one, they'll have some chastising and constructive criticism as well.

2. Keeps you in check
Speaking of which, one of the most important things a mentor can do for you is to prune and sharpen your dreams. Much like a diamond cutter makes the rough that much more valuable with each strike, your mentor must carefully and purposely prune you into the gem from behind the rough. This can include reining you back in when your head is way beyond the clouds -- like, in outer space. They also know how to smack you out of your depressio-doldrums as well. In essence, they keep your outlook balanced and keep you honest with yourself.

3. Attentive and accessible
A good mentor needs to be quickly accessible and very attentive to the many things you won't be saying. They can read between the lines, through your poker face, and into your heart-of-heart-of-intentions... even the ones YOU don't even know you have. They are quick to respond to your questions and can do so with compassion as well as understanding. After all, they were once where you were.

4. Willing to check up on you
Sometimes, mentees forget to check in with their mentors. A good mentor will remember you; recall that its been a couple months of radio silence. For whatever reason, I've found that this is commonly the time when mentees need their mentors most. As such, if you see a prospective mentor who has a habit of checking in on people, remembering them even after months if not years past, you've found a good one.

5. Willing give you the ugly, ugly truth.
When it's all said and done, you're moving onto the next phase of life, your mentor needs to be willing to give you the ugly, ugly truth. Stage by stage in our lives, we tend to see things with a certain lense of naivety. However, with this innocence exists the wonderful thing of hope. However, hope must be tempered with reality as carbon is tempered with iron to make steel. When hopes and realities align, great things happen. Sometimes, the ugly truth is what is required to harden the steel, create a definitive edge, and purpose an instrument to a great cause.

This last one certainly happened to me; my mentor promoted me outside of his very organization with his sharing of the ugly, ugly truth. You know what? I'm better for it, and, it's a testament to his mentorship that he was willing to lose me for my own betterment.


So I ask you, have you found someone?

Do they have all these qualities? Well... Ask them out! ..... As a mentor, of course ;)

(I know you were thinking it.)


That's it for now. Until next time!
-Ben

Monday, April 20, 2015

5 Tips For Finding "Clinch" Rotations


So.....! Clinch means really awesome??? You kids and your new words... #FeelingOld. Alright! Let it never be said I don't rise to random and rather serendipitous challenges!

Here are.........!!!!

5 Tips For Finding a "Clinch" Rotation

1. Network Early, Network Often.
I can't say it enough, "It's not what you know, it's who you know." I said so as lately as this post and probably all the posts in the career paths label. Yet, what I mean by network is that I encourage you to seek out those who may be able to offer you a favorable introduction to a highly competitive clinical rotation. Think on it: a rotation at NYU Medical, Harvard, Stanford, UCLA, Michigan, Johns Hopkins... just to name a few. It'd be pretty cool, huh? Therefore, it is best to make contact with people early, establish a relationship with them, become likable to them, turn up the charm, and make the connection both relatable and regular. How, you ask? It can be as simple as cold calling a facility. Call up that world class hospital you've been thinking about, ask for the PT department, request to be forwarded to the PT student coordinator.

Do this a year in advance since most likely, all the spots this year are already filled and start networking. You could also leverage social media and make contact that way. There's always your friendly PT Pub Night. Oh, yes! CSM is always a welcome way to make an approach, establish contact, and hope to continue the connection in a meaningful way until the rotation is settled. All those booths with people waiting to be talked to? Yup! That's your in. Oh, one last networking opportunity is via alumni. For this, many times networking is through social media or just serendipity. In any case, CIs from the same program typically love to take on students from their alma mater -- it's a great opportunity to pass the torch and gossip about the professors... I mean, speak... only.... professionally..... always.


2. Don't Be Afraid To Move
Some of the best clinical experiences are far, far away.
Yes, I know... it is expensive. Yes, I know... it can be annoying to move. And, yes... I know, it's just an overall pain. But, guess what? It is temporary. Quite short term, in fact. And, being that some of the best rotations require just a bit more umph in mobility, it's likely that only the local students will take interest. This is a good thing since many times, CIs will get bored of the same students from the same program... they just may want a little mix-it-up and that's where you can come in. But really, the REAL reason not to be afraid to move is that when you come out with your DPT, you will want to be able to put on your resume that you did a 12 week rotation at NYU Medical's Cardiac Rehab program. NOT, that you landed a super convenient rotation close to home that no one knows about. Besides, you BETTER believe you'll get a job in any acute care hospital after that world famous rotation (more on this in tip #4).


3. Seek Out Teaching Facilities
Be it clinics, hospitals, university affiliates...etc. such facilities tend to offer students the most well rounded and comprehensive learning experiences for any given clinical rotation. Hospitals as such, usually offer students to observe surgery and will have them rotate through the breadth of the campus. Another advantage of seeking out teaching facilities is that the CI population is quite likely to have a natural way of teaching with a passion for grooming up and coming students. It truly comes across with a quality difference when rotating in a for-profit-SNF experience versus an outpatient "sports medicine" wing attached to a teaching university's medical campus. Trust me, it's worth looking into.


4. Seek Out Big Names and Big Brands
The true competitive advantage that any given clinical rotation offers isn't the experience per se. Certainly, if your CI is an OCS, SCS, FAAOMPT, and 20 other credentials, is a great communicator, savvy mentor, amazing clinician, and is also an empowering teacher.... Then, yup, you stuck gold! But, the likelihood of this being the case on the draw isn't so high. Surely, if you network early, you can up your chances. BUT! If you were to rotate at one of the larger brands as mentioned above, it becomes no question as to the quality of your training (be it the case or not). The bottom line for many hiring managers is this: "Can I trust this person?" When you are able to state that you rotated at one of the nation's largest and most venerable medical campuses, it becomes much to your favor in the job market as the strength of the brand you rotated with now becomes attached to that of your own.


5. Get To Know Your People
DCE...ACCE...CCCE...CIs???? What ARE those? Well, this link will tell you and so will I. The DCE/ACCE is typically the same person who arranges and matches available rotations to the students in the DPT programs. The CCCE is the site coordinator who receives the students from DPT programs to which the CI (clinical instructor) will supervise every move the student will hence make. Getting to know your DCE is of paramount importance; because, if they like you well enough, they may very well labor to set you up with a choice rotation. Now, don't squander this. Don't choose some conveniently located rotation close to home; choose something that will challenge you and will up your overall value as a future job market applicant.


Sooooooo..... That's it! Those are my tips for finding a "clinch" rotation. Haha, it was definitely a lot of fun spinning this post together. Please keep the ideas coming; requests are always warmly welcome.

Until Next Time!
-Ben

PS. Click here to see the original post "5 Tips For Finding a Clinical Internships." 

5 Tips For Finding Clinical Internships

While different than another coming post with the title of finding "clinch" rotations, this post circulates on finding rotations when the competition is tough, versus the other post which is finding the most choice rotation you can get your hands on. This post will circulate on what to look out for, what opportunities to capitalize on, and, which rotations you may wish to avoid. Certainly, there will be some overlap in content since the topic at hand is so similar. Yet, in any and all cases, I hope you find this post valuable and helpful in your journey.

Here are............!!

5 Tips For Finding Clinical Internships

1. Big name, big brand, big resume builder.
Look lets face it, we're in a consumer's society where branding matters. When you rotate with a place of national if not international acclaim, you then will be blessed with that affiliation. There is also a big advantage in seeking these venues out. They are BIG with lots of rooms and armies of clinicians where the likelihood of you landing a clinical internship will be quite high. The brand value added, a definite plus ;)

2. The setting is important.
Clinical exposure is a big deal and makes you more marketable as a prospective employee. Try not to double up on the same setting, but rather, spread out your breadth of exposure. This is also helpful in simply landing ANY setting since there are many opportunities out there typically untapped for student rotations. You just have to ask, have your DPT program's DCE help facilitate, and the likelihood of getting a rotation just went up!

3. Favor rotations where people are able to teach.
Private practice is great; however, it can be tight operations with a high pressure on productivity. The same goes for SNFs and for profit home health. As such, teaching and learning in such settings tends to be rushed and sometimes even haphazard. When compared to big organizations that love to teach, it becomes night and day. Lots of larger organizations tend to not be on the cutting edge, at it were. However, it won't really matter as what you need most out of these rotations is: (A) to have one, and, (B) to have quality exposure to a healthcare industry setting.

4. Reach out via social media.
It's happened before and it will happen again! Social media has been a great way to bridge opportunities for both clinicians, affiliation sites, and students alike. I've been a part of such dynamics in the past and it is actually quite rewarding to use something like Twitter to connect people together for the benefit of a deserving and learned student. It's good stuff.

5. Consider areas where no one else is going.
Similar to the words of Tip #2, sometimes choosing a setting where no one is going is a good way to get a rotation. Going in the opposite direction to where everyone else is going allows you a bit more freedom. The trade off is that you may have to physically move to the rotation locale or you may have to settle for a less than favorable setting. But hey, when comparing being held back due to lack of a rotation versus having one.... having one is better than none.


It's actually a rare thing for DPT students to be held back because of unavailable rotations. What IS common, however, is that students are biting their nails... waiting for that rotation to finally get pushed through the proper channels. Personally, I hate living on that nervous ledge. I rather have things better planned out. So while this post circulated around the situations of IF you were struggling in finding a rotation... the follow up post will be centered on how to secure a choice rotation.

Stay tuned!!

UPDATED: Here's the follow up! 5 Tips for Finding "Clinch" Rotations.

Monday, April 6, 2015

5 Tips For Salary Negotiations

I've been noticing a lot more talk about salaries and compensation packages on social media as of late. After getting involved in a small conversation myself, it inspired me to write up a blog post on exactly this topic. Note, some of this perspective may be off by just a few years since my days as a rehab director. Nevertheless, the concepts and business constructs remain valid.

I hope you enjoy yet another student and career oriented post...!!!

5 Tips For Salary Negotiations

1. Start with a strong point of reference.
This may seem almost silly to advise; but, you'd be surprised how many times I was approached (unsolicited, mind you), with someone looking for a job saying "Oh yeah... here I am and I'll work for THIS amount." That amount, being something like 20-25% above my highest paid staff (not to mention even more than that, my own).

Doing your own market research on what competitive compensation packages are for your region is the first action of respect when you're approaching the table for negotiations. While you can certainly use websites like Glassdoor (which is actually fairly accurate), asking around for primary sources is the best. Nevertheless, anything is helpful -- just get an idea where the median compensation is per dollar and then extrapolate the totality of possible compensation packages. Check out this Cyber PT guest post for more info, and, this post on related interview tips in the same vein.

All this to say, be very mindful about the range your dollar signs can go. Most hiring managers, regardless of their titles, are typically paid only 5% above the average pay grade. There's a lot of red tape, unwanted overtime, and headaches that come with that 5%; RESPECT THAT FACT as you approach the table.

2. Know the business structure.
Knowing the business structure is an exercise in deciphering a department and/or firm's supply chain. This is really important to understand because while Tip #1 lets you know a good base of reference for negotiating a number, Tip #2 tells you the actual wiggle room you have while negotiating. While some places can't give you anything above what they initially offer (via company policy), some places just won't. It's not always up to the hiring manager.

Therefore, there exists several key factors to consider; the area, the location, and WHY they need to hire. Also, if and when (because you should) tour the facility to which you are a prospective candidate, take a peek and ask around as to what the turnover has been like. This will give you a huge clue as to why they are hiring and what the wiggle room per dollar actually is.

A department filled with senior staff; veterans of the department for 10+ years are very expensive to retain. They've received 10 years worths of merits and successive raises; it is likely they will want to hire you to lower their cost per minute. If the department is basically all new staff, what you are likely looking at is a shuffling period for the department or company; there is definitely wiggle room in this case.

Also, take a look at what the temp staffing is like. They need to fill a position, that's why you are there; however, they also need to have that position in the supply chain currently manned otherwise they are losing out on precious revenue and botching their customer service. So, take a look at how expensive the local registry (outside agency staffing) is, how much per diem they may be using, and whatever travel staff might be present. These are huge hints as to what they are spending to keep the department floating.

The middle point between how high you can ask for versus how much money they are wasting on temp staff represent the wiggle room between what they can offer and what you can ask for.

3. Consider the entire compensation package.
Some hiring managers may look at you like you're crazy when you want more money. These managers typically represent organizations that just don't find compensation in cash as the "big" part of pay; they compensate you on benefits. Now, don't take that kind of reaction personally. THEY know that their company gives them amazing benefits. To them, the benefits far outweighs the pay cut in cash. But, you don't know that about their company... not yet, at least.

This is where I tell you to fully evaluate any compensation package before you negotiate. This is also where I tell you that typically, unless you have mad connections or hackabilities, it is unlikely you'll have full access to the details of any given compensation package to where you can make counter offers right off the bat.

Take the offer home. Ask for a day or two to consider it, nothing more. You don't want to be wasting their time, nor yours. Examine the compensation package carefully. ALWAYS consider the entire compensation package; retirement accounts, pensions, matched contributions, health benefits, PTO, con ed dollars, mentoring, fringe benefits, work-life-balance, opportunity for upward mobility, etc.

I've mentioned in the past that some packages take from your direct dollars so they can have some present value of their own to grow the company. In exchange, their contribution matching towards retirement accounts is something truly insane. I've seen companies basically help you accrue upwards of $10k plus a year in retirement funds for the pay cut. So, just make sure you understand the details.

If this is your first job out of school, it's no time to be picky. Most of you already know my stance on what to do as a new grad. However, if this is your 2nd job or otherwise, it's time to get a little bit choosy and hustle depending on the situation.

4. Value Added, Cost Alleviated.
You're probably thinking, "Alright already! I get it. When do we get to the negotiation part?" Well, any smart negotiation needs to map out all the tools and pathways they have. That is why the first three tips are so important. Without those, you can't possibly utilize Tip #4.

The soul behind negotiating salaries is most basely this:
They are trying to rip you off, and, you are trying to get more of what you're worth.

Sorry, that's the truth of the matter. Where the middle ground is found is when the marginal cost of adding you to the department does not exceed the alleviating any temporary staffing costs and/or lost revenue because of your absence. The more value you add and the more cost you can convince them you'll alleviate, the more wiggle room you have to push the upper bound. Sometimes you can demonstrate how you've already proven your productivity is far greater than par. I've mentioned this in my post about writing resumes. You could also use any formal exposure to whatever additional training to your advantage. Example: Home health companies are always clawing for PTs already trained in OASIS. Competency in various EHR interfaces is also a welcome plus.

Just remember, Value = Benefit / Cost. How much benefit can you bring to this department, company, and/or organization for the cost of compensating you for your time, work, and presence? This is a key element in leveraging and justifying whatever upper bounds you wish to press for.

5. The Counter Offer (aka "Who's turns is it, again?")
Whenever negotiating, it is crucially important to know who's turn it is. Meaning, who has the control of the conversation. Now while in most situations, it is more common that the employer has the locus of control and they'll pass the control to you once they make their offer. Nevertheless, there are plenty of situations (to which I've been a part of) where the prospective candidate is actually in control! Just make sure when you make your move that it is actually your turn to speak. 

Now, you're probably wondering when a prospective candidate actually has the upper hand. Well, it happens when the costs of holding a position unfilled has been deemed unsustainable; basically, when the position has been opened for a long time and the market is just really shallow. Trust, me it has happened many times before and will continue to. You just have to have the right timing to strike that iron while it is hot.

So then, when "they" have the control and it becomes your turn, this is what you do:
  • Asking respectfully with words like: perhaps, consider, possibly, etc... Offer what they want , for what they are willing to give.
    • Typically, this means productivity.
    • However, it can also mean work schedule flexibility (ie weekends, 4x 10 hour days... even a 12 on a weekend to help with supply chain challenges)
    • It can also be managerial support; with operations being ever so tight in healthcare, it could very well be that the manager is struggling to contain the angst of their own department. Support from YOU could be a welcome thing. Caution, this could put you at odds with the staff at large. But, it is a negotiation strategy if you really want something.
  • IN RETURN, you then have some room to ask for things they are willing to give you. Surely, this could be another dollar an hour (maybe even 2 or 3). Make sure you quantify this; every $1/hr is $2000/year. Convince them you are both worth this and why they would want you to benefit from this.
    • Example: If feel this would better reflect the value I can contribute (aka what they want); and, would help financially in my circumstances (as a new grad) to which I can fully dedicate myself to this department and to you (the manager).
    • Good managers know that it can cost upwards of $20k in 2-3 months to fully train a new employee. They do NOT want to waste such resources on turnover. The bad managers... well, you wouldn't want to work under them anyway.
    • What this does is it locks in their need with their willingness to give. You're able to give them what they want. And, they don't want to lose that. Since you asked so respectfully, they like your attitude. Liking you is the most important part of any hiring process. Therefore, since they like you, they will want to find ways to help you. They rather not that you hire in, find all sorts of random other places to work per diem for better dollars, and then eventually get offered a full time position there.
    • So just remember, with the most likeable and respectful approach, offer them what they want for what you've gathered they are willing to give you whether in dollars, in benefits, in scheduling (4x 10s, weekend rotations in/out, whatever), sign on bonuses, extra CEU dollars, etc.
However! If the stars are aligned and it is YOUR turn as it is, this is what you do:
  • Asking with even more respect and grace than you would the first situation (as to demonstrate goodwill)...  Offer what they need, for what they are able to give you.
    • Now, I underlined need & able because I've had counter offers from people I genuinely liked; but, the offers were so unrealistic and borderline disrespectful that when I bumped the request up to the powers at be, they got shot down with brutality.
    • So, as stated in Tip #4, most of the time any hiring department wants value added and costs alleviated. Offer them this. Again, many times this is productivity. Other times, its the cost of poor scheduling conflicts due to seniority. Yet, other times, its unwillingness to see certain types of patients for reasons of familiarity, comfortability, competency, whatever it may be.
    • In such a situation, a hiring manager is so pressured to fill both the need of your presence in a position AND the additional value added need being filled, that they are going to do everything they can to convince their own bosses to give you the extra dime and reel you in. I've been there, personally, in such a situation. It's an interesting dynamic and the negotiations can be quite nerve wracking all the way up and down the chain of command. But, the way the hiring manager hustles on your behalf can really make for a wonderful working relationship going forward - it's actually quite touching!
  • IN RETURN, you can now ask for more specific increases in the compensation package that you are desiring.
    • Make sure that you are very clear and REASONABLE about what you're asking for. Avoid insulting the manager and the other staff by asking for a dollar amount far beyond what is actually fair, be it the pay grade or a sign on bonus.
    • Also, be sure that what you ask for is specifically communicated in relation to the need you are willing to offer to fill.
    • Example: If a department is wasting all sorts of dollars for weekend per diem staff, offer to work a relatively robust rotation of the weekend (if they don't already have that in play, or, if their rotations are out of control). In such a case, this is cost containment therefore you can ask for a bit of the cost being contained as part of your pay. You could probably seed in something like: "I'm sure you know that as a new grad, finances can be quite challenging. I like this place. I want to work here and I want to work for you. Could we perhaps, consider a rebuffed weekend rotation for me. For this, perhaps the powers at be would be willing to consider giving me 10 hour days so that I can be more of a work horse on the weekend while increasing my compensation by $X/hr. Just remember that "X" amount must be a reasonable recovery of the marginal value added per marginal cost alleviated.
Some Closing Thoughts
Negotiating your salary is always a game. Sometimes you make it; other times you break it. Sometimes what you ask for is a deal breaker. Other times, it a reluctance. Whatever the case, it is always a gamble. Just remember, the job market is still an element of business. It's JUST business -- it is nothing personal so treat it as such. Therefore, make sure you approach it this way. Surely, be likeable and charming, but also be sure to understand that these days, hiring managers are attracted to humble, thankful, and gracious applicants. Whatever you negotiate, it must benefit them as much as it benefits you. If you can convince them of this, they will surely do whatever they can to make the situation mutually profitable.

Saturday, April 4, 2015

5 Ways Twitter Changed My Life

As part of my efforts in both advocacy and mentorship, I've found that Twitter has been the most effective social media platform. Now, this is an experience in and for myself -- not to say that other outlets such as Facebook, G+, Linked In, etc. are not better or worse. It's simply that I've found that Twitter works for me. And, we tend to favor things we're good at. In any case, I can't advocate enough that both students and young professionals of all walks and of all industries find their way to Twitter that they may benefit as I have.

Here are...!

5 Ways Twitter Changed My Life

1. Connectivity
Perhaps the biggest benefit I've experienced via Twitter has been connectivity. A broader reach, a stronger platform, and, a more visible personage has been the wonderful results of how Twitter has changed my life. There are many months that I've seen my organic Twitter circles help me reach easily in the millions of unique connectivities in just 7-10s of any given campaign, initiative, or effort of awareness. When Twitter is used naturally (without gimmicky follow-backs and such), it truly becomes a social connection. And, as such, people learn about you, grow to know you with their trust thusly earned. As such, they are willing to lend a helping hand to deserving causes and intents. Twitter has exponentially elevated my connectivity.

2. Community
The Twitter community is something truly interesting. Everyone goes about it their own way; through lists, following apps, hashtags, etc. Nevertheless, people develop a community based on mutual interest, shared values, common goals, and a passion to make better the lives around us. The Twitter community is strong; perhaps stronger than any other social media platform. It is stronger, as I see it, because there are no privacy settings to hide behind. Twitter is largely public. And, it is an outlet for voices; for ideas. A community of ideas can lead to an outbreak of action; it can, it has, and it will continue to. Twitter has grown the community to which I belong.

3. Collaborativity
As if it were such a word... the opportunities to collaborate have been never more accessible than via Twitter. The etiquette of many other methods of communication tend to be more stringent, formal, and closed. It is seen as invasive if unanticipated or uninvited solicitations arrive via email, Facebook messaging, etc. Yet, with Twitter... our words and our ideas are open. Thus, such also is our invitations to more closely connect with each other and work with each other. Twitter has given me more opportunities to collaborate than I've ever experienced before.

4. Calling
I've noticed that through my interactions using Twitter, I've found new and expanded purpose... a calling really. It first expressed itself in the realm of exercise and wellness. Then, it came through the promotion of advocacy issues. Finally, it has matured to the realm of student mentorship and business/management consulting. It is easy to have the blinders on too tight; to be too focused on the issues at hand and be blind to all the glorious opportunities available. Twitter allowed me a far broader scope of examination to the areas which I could serve others... the calling to which I could answer. Twitter has the ability to inspire a new calling.

5. Continued Learning
I've heard it said before that Twitter is the world's best community college. I tend to agree! The plethora of new views, novel considerations, radical methods of approach, controversial mindsets, conflicting but constructive interactions... all of which, many times, leads to finding mutual solutions. Such is the benefit of continued learning in the context of Twitter. There have been personages, video channels, blogs, and Tweet chats that I've been exposed to and have taken part of that have completely blown my mind. Such opportunities to learn that I can assure you after 2 bouts of graduate school and 1 bout of undergraduate work that such experiences do not occur in formal education. And, as I've heard so many times from others (to which I've seen as well), such learnings through Twitter are often times far more influential. Twitter has opened my eyes to continued learning in ways never seen through formal didactics.

Some Closing Thoughts
And, so! These are but five ways Twitter has changed my life. Perhaps even 2 or 3 years ago, such a post may have been considered fickle, shallow, even self serving. But truly, Twitter is a unique platform of communication, and of, information exchange. There is an elemental rawness, even nakedness of expression, that makes us interact in a way which perhaps is more real.... than is real.

Certainly there are those who may be considered "trolls." That's what the block function is for. As to the rest of those many wonderful individuals to whom you can connect, commune, collaborate, find a calling with, and continue to learn from... such are the ways Twitter can change your life.

I hope you give it a chance.