Don’t Ever Miss An Opportunity To Negotiate

career negotiation Jun 18, 2019

So, I am sitting in the waiting room and my car is nearly finished. The service manager informed me that they just had to pull it off the lift and I would be good to go.  I nodded to him and began thinking about what I had to do the rest of the day. Meeting, mentoring call, baseball practice and SCREEEEECH. The sound of screeching tires and a wham followed by shattering glass made me look up just in time to see my car sitting WITH me in the waiting room.  Yes, I mean WITH me. The attendant somehow drove my car through the glass window into the waiting room instead of through the open overhead door of the garage into the parking lot.

The shock wore off eventually and I was given a pickup truck as a courtesy vehicle.  Awesome. I have a wife and four kids, so this doesn’t fit us all. It was inconvenient but several weeks later my car was finally ready for pick up.  Now that the dust settled and I’m about to get my car back, I was wondering what I...

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Are You Settling for an Average PT Career? The PT Career I Never Imagined

burnout career growth Jun 08, 2019

About week ago I was standing looking out at Niagara Falls with some of my favorite people.  I wasn’t on vacation, I was working. And I wasn’t just working. I had traveled with colleagues to Buffalo to use the Y-Balance Test (one of my "professional babies") for testing the players at the NHL Combine.  This wasn’t my typical Thursday, but its not completely unusual either. However, if you asked me what I was doing 15 years ago on a Wednesday afternoon, the backdrop would have appeared a lot different than the 8th wonder of the natural world and professional sports.

15  years ago I was in the clinic full time.  I was working a typical schedule and imagining a day with more athletes, more flexibility, and honestly something different. I remember thinking maybe PT was no longer for me. I still remember the level of frustration on one particular day when I was doing passive ROM on what felt like the 20th rotator cuff repair of the day.


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I wasted $20,000 dollars paying off my PT student loans

career student loans May 16, 2019

They say ignorance is bliss and I have to say that when it came to my loans, this statement couldn’t be more accurate.  At the end of PT school, I remember sitting in a presentation about loans. The speaker discussed how credit card debt was like bad cholesterol and student loans were like good cholesterol.  I’m a sucker for analogies and took this sentiment in full stride. I had good cholesterol. Nothing to worry about. Nothing needed to change.

So for the first three years of repayment, I looked at my loans as necessary and harmless- they were just another expense to be paid monthly.  I set myself on a graduated plan that would increase every two years, selected autopay, and made sure the $520 was included in my budget every month.

I remember wishing I didn’t have loans, but found solace knowing that this was the only way I could have become a physical therapist.  And while it was lousy, I was paying for an education I valued highly. So, I...

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Burnout in physical therapy.... Is PT school to blame?

burnout career May 04, 2019

In a previous post we discussed the truth behind apparent mastery. It evidently hit a nerve. Either people said they had felt this way or were going to pass it on to a current student. It made me wonder if we are causing the feeling of burnout in PT school.

Here’s what I think happens:

You start PT school so excited….you have worked so hard to get there. You finally get there and you know it will be hard, but maybe not this hard. It’s okay, at least you are FINALLY studying something you actually care about (not how a lens works or how many moles are in 3 grams of Copper). Then it hits. You are once again studying things you don’t care about. There are only a few classes that actually breath life into you. But you are told to bide your time because it will get better.  You believe this wholeheartedly, put your head down, and keep working toward the finish line.

You are filled with the ideas of how important what you are learning is. It is about...

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The Reframe

career Apr 13, 2019

As I was laying in bed, my eyes shot open as if I was late for something.  But, I knew I wasn’t late. Instead, I was trying to remember how I was going to start my presentation.  I ignored the fact that it was 3 am and started searching for the words in hopes to silence my uneasiness.  This experience is nothing new for me. I never have trouble falling asleep, but when I am stressed or anxious I wake up between 2 and 3 am unable to fall back asleep.

This weekend I’ll be giving a talk at the SHAPE National Conference and my doubts and insecurities won’t let me forget it.

At one time, I would have tossed and turned the rest of the night (and subsequent nights).  But, I don’t give into it anymore. I know it is not the talk itself that is waking me up, but the fear of failure that I’m trying so hard to ignore.  Ignoring it never works (for me at least). Instead, it just gets louder and louder until I can’t ignore it.

So, I...

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What I wish physical therapy students and new graduates knew about their faculty (and all PTs for that matter)

career new graduate student Mar 25, 2019

I was sitting in my office and I think my jaw actually may have hit the desk after I heard what she said. She told me she loved orthopedics, but didn’t think she was smart enough to do it. I was shocked. This was an extremely gifted student. She looked at us faculty as if we could do no wrong. She looked at us as if we had it all figured out. She looked at us in such a way that she had convinced herself she never could be like us.

This was such a punch in the gut for me. Rather than inspiring physical therapy students, we were somehow demotivating them or worse, intimidating them. We had taken the best and the brightest and made them feel like they couldn't do it. This is the opposite of what I had hoped and what I feel is my purpose. So, I want to set the record straight. I want to share this for all physical therapy students and graduates past, present, and future.

 This is the real story about your faculty:

We don't know everything

What looks like brilliance is...

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What I learned from MLB spring Training

career Mar 14, 2019

As soon as the players stepped on the field to warm up, the little kids started yelling at the top of their lungs, “CAN I GET YOUR AUTOGRAPH!!!????!?!!!?!?” While these requests were mostly ignored, a couple of players and coaches would say “Sorry, we are working right now but we will sign when we are done.” More on that later...

You can feel the excitement when the players take the field for the first time in months. The atmosphere is electric! The opportunity to be a part of spring training performance testing over the past several years has been amazing! This past year made the biggest impact on me. Here is what I learned:


The players were encouraging to each other on the field

As they made plays, they would cheer for each other. It was so amazing to see and hear the positivity especially during a practice. It made me think? Does our team cheer for each other that way? Does yours? When I ask this question of others, I frequently hear the response...

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Alligators and Your PT Career

burnout career Mar 07, 2019

“She saw 36!! And one was just lying across the trail!”

“What?!? How is this allowed?”


This was the conversation before my friend and I went to Everglades National Park.  We couldn’t believe that there were going to be rogue alligators next to us on a bike trail.  No confinement, no cages, no barriers between us and them- just us and wild alligators.

Now, I’ve seen the discovery channel and allowing this did not seem appropriate.  But, everyday hundreds of people explore the Everglades and I figured if they could do it so could I.

So we start driving to the park and on the way we see our first alligator.  I’m instantly excited. Afraid? No way, not anymore. I planned to photograph every alligator we saw.

The first two miles we were on the lookout for alligators with laser focus to make sure we didn’t miss a single one.  Those first two miles of the fifteen were glorious. We...

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The 3 Principles To Getting Your Ideal Career

career Feb 20, 2019

“You have to see it to be it.”  I recently heard this and it makes sense to me.  You see people doing what you want to do, and you work toward making it happen for yourself.  I can’t imagine something out of absolutely nothing. I need to see someone doing what I want to do to get me started.

Even more so than, “you have to see it to be it,” you actually have to, “take action to get traction.”  You may judge my rhyme, but each of us has been stuck at some point. We’ve seen what we wish we could be doing… but seeing it hasn’t been translated into being it like the saying suggests.

The problem exists when we don’t know the how part.  We see what we want to become, but so many of us get stuck because we don’t know how to get there.  That’s what happened for me. I wanted more opportunities to speak. But with no speaking experience, the opportunities weren’t exactly...

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The Biggest Mistake I Made In My PT Career

burnout career Feb 10, 2019

I need to get this out in the open.  I’ll be the first to tell you that physical therapy is awesome and that you can have an insanely rewarding career in it.  But, I didn’t always feel that way.

I’ll be honest, the moment I passed my SCS exam, was the exact moment I also realized everything I hated about physical therapy.

Let me explain...

So here’s what my path (and many of our paths) in physical therapy look like:

Get into grad school

Finish clinicals

Graduate PT school

Pass the boards

Complete a residency

Achieve board specialization


Suddenly I reached the end of this LONG plan with no where else to go.  I achieved an incredible amount, but shortly after passing the SCS, I found myself dissatisfied.  

As I was working toward residency and board certification, I rarely had time to think about anything else except the finish line.  I had tunnel vision - get to the end. But when it ended, my blinders were ripped...

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