Running your practice is very much like managing a patient. In patient care, you start at a certain point on a continuum of mobility and then you move that patient to a higher level of mobility (hopefully). The way you know you have done it is through your objective measures, whether they are focused on balance, range of motion, locomotion, ability to perform functions, etc. You all know when your change has had the desired impact on your patient. So why would you want to manage a practice that cares for many patients with any less scientific rigor?

Over the weekend, I was talking with a friend who is getting a certification in counseling. He had just finished an exam and we were talking about the class. He said the teacher had made a comment one day in class about the importance of making a connection with the client so that you can help them. Her phase was "Are you meeting the person where they are, or are you starting where the person is?" I cocked my head to the side and raised my ears like a dog and said “Huh?”