How to Keep Your Job in 2020

Become A Recognized Expert

Become A Recognized Expert

How’s The View?


Are you viewed as an expert in your community?

Or are you just another worker bee fighting to make it through your daily schedule of patients?

I’m not a big fan of comparing ourselves to other professionals. It’s usually a no-win exercise. However, I believe it’s wise for us to periodically look up from the daily grind to see how the world of therapy has changed.

Hopefully, you haven’t bought into the myth that if keep your head down, work hard and do what expected your job is going to be “safe”.

I wouldn’t count it.

Recently at a hospital in my community, the entire therapy staff was told to reapply for their jobs during a major department restructuring to cut costs. Even the therapists that had been with this hospital for over 25 years were not spared.  Unless these seasoned therapists can justify their salaries they will be sent packing. 

To succeed in today’s healthcare marketplace it’s of vital importance that you are recognized as an expert and have a community of loyal supporters that follow you wherever you go. 

Now, here’s what might surprise you.

The Explosion of Part-Time Therapy Jobs


By 2020, 40 to 50% American workers will be freelancers. (Thomas Fisher “The Contingent Workforce and Public Decision Making”) Imagine what your clinic would look like if half of the employees including therapists were temps or part-time workers. 

Most of us will have to work even harder to hold on to the few full-time jobs with benefits.

If you’re one of the therapists who is having their hours reduced or sent home when patient loads are low you know first hand what the new healthcare economy feels like.  

As the next healthcare economy emerges, what does ‘self-employed’ therapy jobs really mean for you? You might be asking what a freelance healthcare worker looks like or what skills must be mastered to be a freelance therapist. 

” The next economy is not next; it’s already here.”

                                    – Thomas Fisher, University of Minnesota

First and foremost, we have to stand out in an area of practice or expertise. We need to have something to offer the marketplace that few others do.

In other words, our knowledge and skills as therapists is just the price of admission. In today’s competitive environment it’s essential you create a professional platform where you’re known as a catagory authority who can be trusted. Without a platform to get noticed we simply are lost in the overabundance of choices that consumers face. 

For the majority of us, our therapy degree didn’t prepare us to position our value in the marketplace. This is where physical therapists often burying their heads in the sand, opting instead for the safety of a larger entity run by so-called business and marketing experts.

To their own peril, there are a lot of therapists that are not taking personal responsibility for their professional reputation or brand. Sure, you can take the chance that perhaps all those hours helping patients will be noticed and pay off.

But why risk it?

Why not take the time to think strategically about how you’d like to be recognized then work to make it happen.

Become Self-Reliant


You might be confident in your clinical knowledge and skills. Most therapists are and they should be. The problem is they aren’t recognized as such by the people that make the most difference–healthcare consumers. Therapy professionals have relied on physicians and large healthcare organizations to feed them their daily supply of patients.

It’s like the bears at national parks that are fed by tourists. They’ve become dependent on artificial food sources and forget how to feed themselves. When convenient food sources are cut off bears are helpless to fend for themselves and struggle to survive.  


For decades therapist’s incomes have been dependent upon others for their weekly supply of clients and payments. As referral sources are controlled, therapists realize they need to generate referrals for themselves to make a living.  

Become A Recognized Expert


Dorie Clark, one of my favorite authors, has interviewed hundreds of leading thinkers in fields from technology, business and healthcare. Her research has shown there are consistent and reliable strategies that any professional can follow to become a recognized expert.

Based on her research over the past decade, Dorie has developed a resource called the Recognized Expert Evaluation Toolkit, which you can use right now, for free.

It’s a scored evaluation that will quickly show you where you stand in terms of your brand in the marketplace.  The assessment will give you feedback about where you can most effectively focus your efforts to build your professional brand.

It will help you determine…

…what stage of development your public profile is at, compared to your peers…

…how you perform in the three fundamental elements of becoming a Recognized Expert…

…how to get the greatest ROI on your brand-building activities…

…and you can download it all, right now for free:

Recognized Expert Toolkit


Get Dorie Clark’s Recognized Expert Evaluation Toolkit [FREE]

The big benefit of following Dorie’s advice is that you are able to build a professional platform that is able to withstand any changes in the healthcare system. No matter the economic framework, consumers will always be searching for experts they trust for the care of their bodies. 

If nothing else, stopping to look up will help you think more creatively and take responsibility for your own career. Without a doubt, therapists who approach their careers this way will be increasingly rewarded in the future. Those who don’t will be exposed the whims and politics of policy makers and institutions. 

Tell us about how you’ve taken charge of your career by becoming a recognized expert in the comments or on social media.


Paul Potter is a physical therapist and mentor who lives in Lincoln, Nebraska, with his wife, who is also a therapist. They have four daughters. For more than 35 years he successfully managed his own private practice. He now shares his knowledge and experience through teaching and mentoring therapists who want to have their own practice. 

He has authored On Fire: Ignite Your Passion with a Cash Therapy Practice and the Cash Practice From Scratch Course. His website is dedicated to helping therapists achieve professional and financial freedom. Connect with Paul on his website or on LinkedIn paulpotterpt. You can also get more free resources at

Kickstart Your Practice For Growth

How To Use Crowdsourcing To Launch A New Idea

Kickstart For Practice Growth

So, you’re working at a clinic where you’re not completely happy.

I’ve been there, and well… it sucks. There’s no simpler way to put it.

As a result, you might be thinking you’d like to kickstart your practice into high gear.

Worst of all, you’ve got this burning desire to do something special that won’t go away. You’ve had a great practice idea for a couple of years but haven’t done anything with it. You’re concerned it won’t make enough money and it will end up being an expensive hobby. Your mom thinks it’s a good idea but she’s doesn’t really count because you’re not going to charge her.

You might afraid that  you’re going to be stuck in factory-like therapy jobs churning out patients for the rest of your life.

So where do you turn to for sustainable practice growth?


Large brands like PepsiCo and McDonalds have turned to crowdsourcing strategies to help their businesses win in the marketplace. It can be an effective way to test out ideas while keeping costs low. Some of you may have participated in a Kickstarter or GoFundMe crowdfunding  to help bring a creative project to life.

In today’s world, it seems like crowdsourcing an idea, product, or cause is everywhere. But to traditional healthcare professionals, using crowdsourcing as a growth strategy probably means you need to have your head examined. Afterall we’re the experts, we know what our patients need, isn’t that what we get paid for–diagnose problems and deliver solutions.

Hold your horses, not so fast kemosabe!

Why not use the power of crowdsourcing in healthcare? Sites like PatientsLikeMe, a personalized health network has more than 500,00 members is helping people learn treatment options not directly from medical experts but from other people with similiar conditions.

PatientsLikeMe helps people connect with others who know firsthand what they are going through. Members can learn from the aggregated data of a crowd to make treatment decisions and receive support from others just like them.

Why not use the power of crowdsourcing to validate your practice ideas before you invest boatloads of money and time?

McDonaldization of Physical Therapy

How To Overcome "Happy Meal" Healthcare

The McDonaldization of Physical Therapy

The McDonaldization of Physical Therapy

Do you ever feel like you’re expected to deliver patient outcomes like a McDonald’s drive-through?

The next time you’re at a fast-food restaurant and you’re thinking about ordering a “value meal” think twice whether it’s really a good deal or not. 

Value meals are commonly used by fast-food restaurants to facilitate bundling, up-selling, and grouping items together at a lower price. As the healthcare industry moves toward value-based care, bundled payments are a popular pricing model for sharing risk and accountability.

Are bundled payments healthcare’s version of a “Happy Meal”?

Perhaps it’s just me becoming a grumpy old man, but it seems I’m frequently expected to dish out low cost, convenient, ‘fast food’ physical therapy.

You probably know what kind of care I’m talking about. The quick and easy recipe-driven therapy that provides immediate gratification. It fills you up (and your schedule) with empty calories but leaves both you and your patients needing something more substantial.

The fast-food business model has forced its way into mainstream America in all parts of our economy including physical therapy. This phenomenon been researched and analyzed. The term McDonaldization has come define its cultural influence on society.

We are going to take a closer look at the McDonalization of physical therapy and ways you might avoid the downside of its dehumanizing effects.

Expect Referrals

3 Reasons to Expect Referrals From Your Patients

Expect Referrals


Imagine a time when therapists didn’t weren’t concerned about referrals.

There was a time not too long ago when all a therapist had to do was work hard at getting people better, develop relationships with a few referral sources and you’d be good to go.

Largely due to the explosions of provider networks every therapist is now an active participant in the creation of new referrals–whether we like it or not.

If you hear yourself saying, “I believe that you get referrals by doing great work not by asking for them” then I want to challenge your mindset for your own good. Good physical therapy is just the admission price. An extraordinary patient experience is what earns us referrals and grows our practices. 

It stands to reason that any patient who experiences an extraordinary outcome and level of service is far more likely to become a part of your referral network.

Remarkable therapists expect to receive referrals from every patient as a natural course of providing care. If fact, expert clinicians are convinced something went wrong when a patient doesn’t refer friends and family.

How about you, do you expect referrals from your patients?

How To Escape Hamster-Wheel Practices

3 Reasons To Start A Micropractice

There is a common dissatisfaction among therapists with very traditional, very busy practices. Mega-practices with enormous overheads are employing large numbers of therapists in high-volume, hamster-wheel clinics. There is also growing trend among healthcare providers to jump off the high volume treadmill for a more satisfying experience.

Innovative primary care doctors, nurse practioners and therapists are escaping the hamster-wheel starting micropractices. As a result they are finding professional and financial freedom never dreamed possible.

In large practices therapists are expected to crank through patients like a factory worker cranks out widgets. The problem is that neither therapists nor patients are widgets. When therapists are forced to pack out their schedules they feel like they hardly get to know their patients and quality care goes by the wayside.

After a couple of years of hamster-wheel production, therapists feel like their careers aren’t going anywhere and look for something different. Unfortunately, simply changing locations or clinical emphasis doesn’t deal with the organization’s underlying business model or values.

The mega-practice business model causes constant pressure on producers to see the maximum number of patients to cover the huge amount of expenses. Therapist’s career aspirations get lost in the daily overload and overwhelm.

But what’s a therapist to do?

Do therapists in high volume clinics have any options?

I believe we do have options so please read on!

Row Your Boat For A Wildly Successful Year

Do you want a wildly successful year?


If you followed college football this last season you might have heard about one of the most sought after successful football coaches– P.J. Fleck.

This high-energy leader is probably most well know for one phrase that he used to turn around Western Michigan’s football program.


Fleck did not come up with the catchy, yet puzzling phrase by reading motivational self-help books. No, the two time MAC coach of the year relied on his ‘Never Give Up’ mantra to endure the death of his second son due to a heart condition in 2011.

Fleck’s whole life changed while he held his infant son as he took his last breath. That’s when ‘Row The Boat’ came to be. Coach Fleck, used the motivational phrase to lead his football team to a 14-1 record in 2016.

If you desire to make this year wildly successful, the 3 steps contained in the ‘Row The Boat’ mantra will help you get there.

There are three parts to Row The Boat:

  1. Oar- The Energy

  2. Boat- The Sacrifice

  3. Compass- The Vision For Success

Five Things Therapy Entrepreneurs Need To Embrace

Even When They Are Terrifying

Military expedition

I enrolled in a Course Builders Laboratory Course in 2015 to guide me in creating the Cash Practice From Scratch Course that I launched this month. I would not have finished the course without the encouragement and guidance of my Mirasee coach Leslie Taylor.

Leslie recently wrote an excellent blog post where I thought she was reading my mind. I experienced many of the terrifying emotions that she wrote about and I thought of you all. Many of you have taken risks and faced uncertain outcomes as a part of your journey to growing your practice. I thought you would  benefit from her article on what it means to be an entrepreneur and face down your fears. Enjoy!!

“Expect the unexpected I always say and the unexpected never happens”
                           The Whetherman in The Phantom Tollbooth

As Head Coach at Mirasee, I have watched thousands of entrepreneurs work through our programs.

Some are a lot more successful than others, and because I know you want to be in the Successful Group, I thought I’d take a few moments to tell you what separates those who succeed from those who do not.

Make This Year Extraordinary


Chances are, you’re been thinking about 2017.

Most of us do around this time of year. It’s a great time to hit the “refresh” key and get a clean start.

Especially if last year didn’t go as well as you hoped.

If you are an overachiever you might already have written your goals and you’re primed to get started. But before you charge off into another year  I’d like you to bear with a recovering overachiever while I share a few words of wisdom on how to make this year extraordinary.

Hi my name is Paul and I’m an overachiever.

I was born with what seems like a constant need for achievement. If a day passes by without some form of accomplishment I feel somewhat dissatisfied. I love checking things off my to do list.

I have this burning desire within that pushes me to to do more and achieve more. Even after I reach a goal, the fire within flickers for a moment, but very quickly re-ignites pushing me towards the next achievement.

Don’t Be Afraid!

I have A Surprise For You

Happy Holidays!

I hope you are enjoying some time of relaxation and rest this holiday season.

I’ve been reading in Luke during the Advent season. This week I meditated on the angel’s exhortation to Mary in chapter one, verse 29 in the Message bible:

” Mary, you have nothing to fear, God has a surprise for you…”

I find myself a little fearful lately. For most of the year I’ve been working on a course to help therapists who want to start their own practice. The Cash Practice From Scratch course launches in 10 days. The closer the deadline the greater my fear of the unknown.I’m way out of my comfort zone. I’m doing something that I’ve never done before because I believe it will make a difference in people’s lives. Technology is always a challenge. I’m anxious to see if there will be any major glitches within the course.

I like surprises as much as anyone. But I don’t like surprises when I’m fearful.

The angel’s words to Mary seemed to be speaking directly to me.

“Paul, you have nothing to fear, God has a surprise for you…”

When I find myself fretting about the course or if the fear of failure gets the best of me, I try to repeat this verse over and over to quiet my soul.How about you?

Can you trust that God might have a surprise for you? 

Even when you are fearful?

The story of Christmas is full of unexplainable surprises. Perhaps God is reaching into our world, our fears, to do a miracle once again.

Believe In Miracles,

Paul Potter

P.S.- Here’s a short video of the Christmas story that you might enyjoy.