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I think one of the most powerful things about owning a business is the ability to leverage making money without performing some or all of the service. This amazing gift requires one monumental thing…a great team. The hiring process can prove to be one of the more difficult tasks when it comes to running a successful business.  Unless you have worked for the government interrogating people it’s not easy to ask the right questions and decipher through a potential good or horrific candidate.    For example the candidate on paper who went to the right school, has a great background, says all the right things in the interview, looks the part, acts the part and then three months down the road they do a “Dr Jekyll and Mr Hyde” on you.  Your once perfect hire now has their secret wife calling the office because she wants to know when her husband is working and when he gets paid because his three children you knew nothing about are hungry.  Think I’m kidding? If something along these lines has happened to you, you have my condolences if not, well then you have something to look forward too.   To help with this often lengthy, time and money consuming process, I have been experimenting with a “group interview” process to help weed out the good from the bad candidates.   The next time you find yourself in need of a great team member try out my steps below.  So far I have tried it in two of my businesses and I have really enjoyed the simplicity and ease it has brought to my life when it comes to hiring.   10 Steps to Creating a Group Interview Set a day and a time for your group interview. This does not need to be a convenient day or time for people to come in. It’s preferred during a routine staff meeting.  (If you don’t do weekly, biweekly or monthly trainings you may want to strongly consider implementing one.) Place your ad. Decide in advance who you are hiring. Is this front desk staff or an associate doctor/independent contractor DC, etc? I recommend great websites like com .  Your business’s Facebook or Instagram accounts are good for recruiting too. INVITE EVERYONE…really? I can’t possibly hire the milkman to answer the phones.! (Shriek shriek!). How do you know? Remember above?…have you been perfect with hiring in the past? Have you made egregious errors in judgment? If you have, it may be time to try something new. You can always turn the milkman down later. All you do is give everyone a call, invite them to the group interview and print off all the resumes. If they don’t show up, those resumes go directly into the trash.  See? Already sorting through the pile. The Big Day: C ollect everyone’s names and numbers who attends Day 1. The easiest way for me was to check it off on their resumes.  If it’s a big group use name tags.  Trust me, the more candidates the better. Looking Good: You and your current staff should be happy, excited and be dressed to impress for the event. One of the most important concepts of the group interview is to set the tone for what it’s going to be like to work for you. Be sure your current team greets the candidates and interacts with them until the start time. Introductions: S tart with your current staff and have them introduce themselves and their role in the company. Systematically, have your candidates stand up and introduce themselves to the group and have them answer the question: “Why are you here?” Explain your business ..what I mean is what are some of the most important areas of your business and what will this particular group of candidates be responsible for? For example, someone applying to work the front desk is going to have a different set of responsibilities than hiring a DC or will they? If you want your potential new doctor to answer the phone, take patients off electrical muscle stimulation, sell packages of visits or put together claims for insurance companies than they need to know up front. I like to make this part as detailed and painful as possible. I have found that honesty of the manager/owner up front saves a lot of time, energy and money.  Replacing staff is in fact one of the biggest expenses to any business. Dreaded #7… This one I feel like I may get a bit of resistance with but bear with me. What I mean by a script is, let’s say you have had enough with insurance companies and you’re a cash practice and now you are selling packages of visits to your patients.  In order to make your life easier, create a script of how that should be presented to patient’s every time.  Print off a portion of that script, have your candidates pair up and listen to them as they do the script to each other. That’s right they have to Role Play. Are they resistant to doing it? Did you see eye rolling? Are they boring? Can they interact with other people? The same can be done if you are hiring a front desk person.  Make a little script for a phone call and have them do the same thing with the phone call.  I’m not even joking how much this little concept (#7) has revolutionized the ease and ability to select a good candidate. Role Play Some More: once the initial shock of this wears off, have them switch partners. I switch enough times that everyone meets each other. (There is a reason for this). Finisher: Once again, you go around the group and ask them, “Why should I hire you and one other person in this group?” (Do not allow them to cop out, make them pick someone else in the group and why).   Pretty crazy right? Here is the thing.  After #10, I already have another day and time set up for a return.  I usually do 2-3 days later and when they come back they need to have their resume, the application for employment filled out, availability and the script that they were working on memorized. If they show up for day #2 with all that, that is a well-qualified candidate.  Listen to their script, show them around the office and consider setting up a final interview.   If you’re in need of some great new additions to your team, consider the above 10 steps and let me know how it worked for you! What ideas or tricks do you have when it comes to hiring? Do you have a favorite question you like to ask or a quality you always look for?   Kassandra Schultz D.C  
In my recent quest to investigate the ups and downs of practicing chiropractic around the world, it would be a shame to not put Australia on the list.   I know for Americans, the idea of spending a couple of weeks vacationing in Australia would be nothing short of a dream come true.  From the beaches, the food, kangaroos, touring Sydney, I have never heard of a bad trip to Australia (at least among my circle of friends). The tales of their journey to literally the other side of the world, have been nothing short of spectacular.    First we will investigate how chiropractic works in the land down under and then why Australia could be one of the coolest places to live.   Chiropractic in Australia Australia is the third most populated in the world with chiropractors.  First is the US and second is the UK and Australia is not backing down in terms of development and how they want to move the profession forward.   My recent interest in Australia peaked after my Alma Mater, Palmer College in Davenport IA, sent out their latest newsletter.  The big article in it was how Australia is completely moving towards evidence based chiropractic.  BJ Palmer who? Remember, Palmer College still has BJ’s mansion intact with all his collections and very peculiar knick knacks (hey at least the mummies in the basement have been donated to museums).  The entire town from street corners to parks seems to have some kind of homage or story related to the Palmers.  Side note: if you have never visited this campus you must put it on the to-do-list, it’s a trip. Anyways, all this to say I am surprised that Palmer would do a feature piece on the evolution of chiropractic in Australia.  There was talk of taking the words “innate” completely out of the education along with the “philosophy” of chiropractic.  If your a die hard, old school chiropractor this might not be the country for you.  If your into science and research well this could be a great fit.   They have four Chiropractic Universities With a 5 year accredited chiropractic programs RMIT University in Melbourne Macquarie University in Sydney Murdoch University in Perth Central Queensland University (In school, rumor had it that Australia had the hardest National Boards to pass)   They have national legislation Chiropractic Board of Australia ( gov.au )   They have chiropractic groups Australian Chiropractors Association ( asn.au ) Chiropractic Australia ( org.au )   Private Health Insurance does have options to cover chiropractic care Australia has national/public healthcare options called ‘medicare’ however it does not cover chiropractic treatments.   It might seem like the wild, wild west in terms of distance to get there (22 +hr flight from NYC) but legally and from recent poles surveying the citizens a big percentage of the population is satisfied with their chiropractic care.   Job Opportunities abound! Check out com , type in Australia and see what’s out there. My last search revealed several full time and part-time positions   If that’s not enough reasons to get you excited about Australia, Check out these top 10 reasons it’s listed as one of the top places in the world to live…. Fresh Air (one of the lowest rates of pollution in the world) Nature …this one got me. They have over 500 national parks, world heritage sites and swimming pools in the ocean! Climate …it’s like southern California with less population and pollution. Temperate is the key and generally stays under 80 degrees F but no less than 55 degrees in the colder months. Multicultural Society ..almost half the citizens were not born there so you will fit right in. Healthcare System …besides the universal health care not covering chiropractic it’s still rated as one of the most efficient systems in the world. Plus they do have private options. Low Population Density …only 6.4 people per square mile. Compare that to New Jersey in the US with 1,205 people per square mile and currently 1,010 people per square mile in England. Job Opportunities …even I told you this one. Unemployment stays around 5% in Australia compared to 3.9% in the US (well it’s been higher remember 2008?) and can range from 15.2% in Spain to 4.1% in the UK. Chillin’ …apparently it’s known for it’s laid back lifestyle and friendly citizens with relatively low crime rates. Travel …from coast to coast, mountains, desert back county wilderness there is no shortage of adventures if you live in Australia. Universities …besides having a handful of chiropractic colleges there are still more than 1200 universities for higher education. Even if your starting out on your chiropractic journey, Australia has everything you need for a fulfilling and successful career.
As I was perusing through the different job opportunities on chirorecruit.com I couldn’t help but be intrigued by the Philippines.  The only experience I ever had was as a kid.  My first stepfather was a marine and he was stationed in southern California. I remember our next door neighbors were another military family and the wife was Filipino.  At the time, this was not so uncommon.  Between my stepfather’s friends and my friends at school, there were a lot of marines who had been stationed in the Philippines and then would come back to the states newly married. In the summers when I was home from school, the neighbor marine would go off to the base for work and his wife would proceed to grill fish all day while listening to Celine Dion song my “Heart Will Go On” from the movie Titanic over and over again in Filipino.  In my adulthood I figured there is probably way more to the Philippines than the US marines finding their next wife. I went on the hunt to figure out why we as chiropractors need to pack their bathing suits, get on a plane and move to paradise immediately.   Here are the top 6 reasons to practice in the Philippines.   The Market is Not Saturated   The most recent stat I could find came from 2013 which stated that there was only 24 chiropractors in the entire country.  I’m going to assume that number has gone up in the last five years but based on the clinics I could find, it has not gone up substantially.   English is the Second Language   If your coming from the States, UK or Australia this one makes living in paradise even simpler.  Yeah sure Italy has great wine, food and a chilled lifestyle but there is that learning a brand new language thing that you don’t even have to mess with in the Philippines.   Cash is King   At least from what I could find and from the job listing posted on chirorecruit.com , the Philippines seems to be very cash oriented. I’m not saying there isn’t the possibility of insurance being in the picture, I just couldn’t find it.    It is Totally Legit   In 1997, the Philippine government passed the TAMA act and out of that came the creation of the Complimentary and Alternative health care division.  In 2006, the Asian Pacific Federation of Chiropractic Doctors was formed.  In 2009 came the governing body to certify chiropractors.  At that time, only 22 doctors were certified to practice in the Philippines and they all had graduated from US colleges.   It’s all Set up   If your looking to be an associate, it appears the handful of clinics that are already in operation are killing it.  Cash only practices and they take care of your visa, paperwork and get you all situated when you enter the country.  What could be easier than that?   https://chirorecruit.com/job/54694/associates-needed-in-philippines/     Check out the Pictures   I knew that the Philippines are a pretty tropical place to be but I didn’t have a clear image on what it looked like.  Holy moly…if you don’t either than do what I did and google it.  Just reading the description from lonely planet was enough to question my life choices. Beautiful white sandy beaches, crazy rock formations, big thriving cities to small seaside communities seems like the perfect combination of ease, language and the ability to make a living in paradise. ****Bonus Reason to Live Here***** Cost of Living   It’s 109% more expensive to live in the US than the Philippines! A movie ticket is just over $3.00, a pint of beer is $.94 and to make $1000 per month (not a week or a day) goes a long way to living the good life.  It’s almost hard to fathom.  If your coming from Europe, the Euro has been kicking the dollar’s butt for a long time so cost of living will be even more economical for you.     For more information on the Philippines check out:   https://www.investopedia.com/articles/personal-finance/041315/retiring-philippines-pros-cons.asp   https://circleofdocs.com/the-chiropractic-industry-in-the-philippines-perspectives-from-a-chiropractor-in-makati-manila/   https://www.docmikeblog.com/about-docmike/     Kassandra Schultz D.C          
In the last blog, the discussion was about how countries around the world view chiropractic. If you currently live in the states, UK, Canada or Australia chiropractic is clearly defined and regulated.  This is not the case in many countries.  I commandeered the legend below from Part 1 of this blog series to catch us all up to speed.  Below the legend describes countries from “a-d” in how chiropractic is viewed according to that countries government and/or regulating health care overlords.  Please review the chart below (especially if there is a specific country you are interested in) and then following the chart the discussion will lead into what the fancy legend is actually talking about.   Legend : a Legal pursuant to legislation to accept and regulate chiropractic practice b Legal pursuant to general law. c Legal status unclear, but de facto recognition. d Legal status unclear and risk of prosecution African Region Botswana a Ethiopia b Ghana b Kenya b Lesotho a Mauritius b Namibia a Nigeria a South Africa a Swaziland a Uganda c Zimbabwe a Asian Region China c Hong Kong – SAR China a India c Indonesia d Japan b Malaysia b Philippines a Singapore b South Korea d Taiwan d  Thailand a Vietnam c Eastern Mediterranean Region Bahrain a Cyprus a Egypt b Iran a Israel a Jordan b Lebanon b Libya b Morocco c Qatar a Saudi Arabia a Syria c Turkey a United Arab Emirates a European Region Austria c Belgium a Croatia b Denmark a Estonia b Finland a France a Germany b Greece c Hungary c Iceland a Ireland b Italy a Liechtenstein a Luxembourg b Malta a Netherlands b Norway a Portugal a Russian Federation b Serbiaa Slovakia b Spain d Sweden a Switzerland a United Kingdom a Latin American Region Argentina b Bolivia a Brazil b Chile b Colombia b Costa Rica a Ecuador b Guatemala a Honduras b Mexico a Panama a Peru b Venezuela b North American Region Bahamas a Barbados a Belize b Bermuda b British Virgin Islands b Canada a Cayman Islands a Jamaica b Leeward Islands a Puerto Rico a Trinidad & Tobago b Turks & Caicos a United States a US Virgin Islands b Pacific Region Australia a Fiji b Guam a New Caledonia a New Zealand a Papua New Guinea b Tahiti a     So now what exactly is the legend talking about?   Legend : a Legal pursuant to legislation to accept and regulate chiropractic practice b Legal pursuant to general law. c Legal status unclear, but de facto recognition. d Legal status unclear and risk of prosecution “A”= Fully Legal   There are at least 35 countries that have gone through legislation defining exactly what chiropractic means and how it can be practiced.  Through that process that also encompasses scope of practice, what sort of training/education a person needs to be qualified and so forth.  “Full legal status” also can back a DC with access to malpractice insurance and possibly being covered under insurance companies and/or recognized by universal/single payer and/or socialized health care systems. The laws can change quickly so it’s important to check back periodically and see what your country of interest is up too. I remember when I was a student at Palmer (in the US), the school was recommending that all entering students have a bachelor’s degree and then take all four sets of boards plus the PT section because in the future most states would be moving towards those requirements.  Sure enough, six years later I have been looking at possibly relocating from Ohio to Florida and Florida licensure wants a 4 years degree before Chiropractic College plus passing all sets of boards.  Hurray for listening when I was in school!   “B”= Somewhat Legal   As we move down the list, the licensing portion will continue to get sketchier.  “Somewhat legal” means a country does recognize the chiropractic diploma, which entitles a person to practice chiropractic however it can also be used for natural healers, drugless practitioners, physical therapists and/or massage therapists.   “C”=Not Legal   This one now gets really tricky. The country does not recognize chiropractic however there are also no laws to prevent you from practicing. The exception would be countries that are still part of the Commonwealth which have a “common law” that does make it legal to practice chiropractic in those countries.   Side note: In case you were like me and couldn’t remember what Commonwealth meant, this is what Google had to say about it:   “Commonwealth —is a voluntary association or confederation of 52 independent sovereign states, most of which were once part of the British Empire.”  Thanks google.com…always appreciate your wealth of knowledge.   Back to somewhat illegal, you still may need a work visa or possible citizenship to practice chiropractic in this type of country.  The easiest way to potentially skirt around this issue would be to work for another DC.  To run your practice as foreigner may prove to be very difficult.   “D”=Illegal (somewhat tolerated)     All leave this one up to you and your best judgement… Chiropractic is generally completely illegal and in most cases only MDs are allowed to treat patients for any conditions.  In some Eastern Europe countries some MD’s have converted over to a DC and then limit their scope of practice to just chiropractic. And in some cases, the government can prosecute you for practicing without a license. This certainly is not a new concept (the MD vs DC fight continues to rage in the US even after chiropractic is a portal of entry healthcare profession) but that doesn’t mean in the future the laws will stay that way.   The moral of the story is, before you up and move to a foreign country always check with the governing bodies to see where chiropractic is legislatively.  For more insight, google.com is an easy resource to figure out what the chiropractic board is (if they have one) for that country.    Kassandra Schultz D.C    
  Part 1   I think there comes a point in everyone’s life where we are open to the possibility of leaving behind the familiar and ushering in the different aspects of a new country, customs and maybe new language.  Opening your eyes to a unique landscape filled with people who have musculoskeletal complaints common to all humans and unusual afflictions that many of us have only read about in textbooks.  When I was in chiropractic school, I was fortunate enough to do a clinic abroad trip in one of my final trimesters to Brazil.  It was a beautiful country with amazing food, lush forests and the patients I saw, have no doubt helped shape me into the doctor I am today.  The cases my classmates and I witnessed were not for the faint of heart.  Before you pack your bags, check out to the list below to see where your favorite country is on the chiropractic issue.   The likelihood that your reading this, has me to assume that you are probably living in and/or practicing in one of the “big three’s.” I’m not talking religion here.  The top three countries with practicing chiropractors as of 2015 were; US 65,000, Canada 8,300 and Australia 4,845. I would also like to mention the UK is a very close fourth with 3,013. These countries see chiropractic as totally legal with legal rights protecting doctors (yah for malpractice insurance), coverage under insurance companies and the majority if not all of the population at least have heard of chiropractic. The amount of chiropractors continues to grow as more colleges pop up in different countries, governments recognizing chiropractic as legit and as risk takers like you take the plunge to bring chiropractic to some of these remote (and not so remote) countries.   According to the wfc.org, besides the countries mentioned above, here is the rest of the list of the top countries where chiropractic is currently being utilized and recognized by governments:   800  Brazil, France, Japan, Sweden 750  Norway 700  Denmark 600  South Africa 500-100  Belgium, Ireland, Israel, Italy, Mexico, The Netherlands, New Zealand, South Korea, Spain, and Switzerland 100-50  Argentina, Chile, Finland, Germany, Hong Kong SAR China, Iran, Singapore   Now, I think it’s a safe bet to assume that just because you are legally allowed to practice in the above countries doesn’t mean the citizens of those countries won’t need some educating on the benefits and mechanics of chiropractic.  Heck, I can only speak on behalf of Americans most of my patients need to be re-educated from the clutches of traditional medicine and big Pharma anyways…on that note the difference now is, you have the difficult task of trying to do that in a foreign language.  I was talking with a fellow colleague who has been interested in practicing in Italy for years.  He heard that many practices would furnish a translator until the new doctor has a better grasp of the language.  The translators we had in Brazil were a lifesaver!   If none of the above countries are of interest than take a look at a more comprehensive list.  Below is a list taken directly from the wfc.org.  If you want even more details please feel free to go to them directly. Legend : a  Legal pursuant to legislation to accept and regulate chiropractic practice b  Legal pursuant to general law. c  Legal status unclear, but de facto recognition. d  Legal status unclear and risk of prosecution African Region Botswana a Ethiopia b Ghana b Kenya b Lesotho a Mauritius b Namibia a Nigeria a South Africa a Swaziland a Uganda c Zimbabwe a Asian Region China c Hong Kong – SAR China a India c Indonesia d Japan b Malaysia b Philippines a Singapore b South Korea d Taiwan d  Thailand a Vietnam c Eastern Mediterranean Region Bahrain a Cyprus a Egypt b Iran a Israel a Jordan b Lebanon b Libya b Morocco c Qatar a Saudi Arabia a Syria c Turkey a United Arab Emirates a European Region Austria c Belgium a Croatia b Denmark a Estonia b Finland a France a Germany b Greece c Hungary c Iceland a Ireland b Italy a Liechtenstein a Luxembourg b Malta a Netherlands b Norway a Portugal a Russian Federation b Serbia a Slovakia b Spain d Sweden a Switzerland a United Kingdom a Latin American Region Argentina b Bolivia a Brazil b Chile b Colombia b Costa Rica a Ecuador  b Guatemala a Honduras  b Mexico a Panama a Peru b Venezuela b North American Region Bahamas a Barbados a Belize b Bermuda   b British Virgin Islands b Canada a Cayman Islands   a Jamaica b Leeward Islands a Puerto Rico a Trinidad & Tobago   b Turks & Caicos a United States a US Virgin Islands   b Pacific Region Australia a Fiji b Guam a New Caledonia a New Zealand a Papua New Guinea b Tahiti a   If you’re a little confused by the terms used in legend than come check out my next blog which will delve into more detail on what legal, somewhat legal, somewhat illegal and totally illegal means in terms of practicing chiropractic. Kassandra Schultz D.C
If you are reading this blog, there is a good chance you are a doctor, you’re going to be a doctor or you’re thinking about being one.   The ability to really help people is an amazing gift and opportunity.  The dark side to drive, ambition and getting through all that schooling is usually (but not always) fueled by a very “type A” go-getter kind of personality.   If that is true for you, there is a very good chance that you may be plagued with perfectionism.  If perfectionism were an Olympic sport, I would have not only made the team but probably won a couple gold medals too.   Here’s the deal, a lot of people and so called experts will tell you that perfectionism is a bad thing maybe even a disease but on the other side of the coin, is usually a very ambitious and goal oriented individual who gets a whole bunch of stuff done in their lifetime.   If this sounds like you, keep reading.  The hankering to want more out of life is an awesome thing so let’s make sure the passion and enthusiasm is channeled into the appropriate avenues. Dotting the “I’s” and crossing the “T’s” In my personal opinion, I think academia can turn a perfectly normal individual into a neurotic basket case.  One time my professor would not accept a paper that I labored over for hours because my name and the date were in the wrong place with the wrong font.   Let me ask you, how in the heck is that preparing me for the “real” world?  When you really break it down, a person who has been inclined to want everything perfect is put into an environment that only perpetuates that inclination.  Consequently, that individual is expected to get a job or start a business and shortly thereafter this paralyzing fear can descend over the individual, which leaves them helpless.   A once perfectly capable individual is now left reeling in paranoia about making sure everything they do moving forward is absolutely perfect. I’m here to tell yah…no one cares.  See those three periods in the last sentence? They totally came out of nowhere, have no grammatical use and would have gotten me an F on any paper I would have turned in previously.  The truth is, to start applying for jobs, creating a website, starting a business, not one single step in that process is going to be perfect.  In fact, most of it is going to be ugly, dirty and probably mess with your control issues.    My advice…(ha I did it again!) focus less on dotting every “I”, crossing every “T” and figuring out where all the comma’s go and start somewhere.   Right out of chiropractic school, I landed what I thought was the perfect job. It didn’t take long to realize, it was not working for me (or for my employer).  In my mind, the next logical thing was to start my own office.  Why on earth would I think that would be a good idea?  I had absolutely no experience doing any of that. I remember my first week in my new office. I had no patients, no skills at marketing and I even forgot to print out new patient paperwork. Yep I was on the road to success.  Just like in school, previous jobs, relationships, you figure it out.   I think the more we meander and think about all the ways our interview with a potential boss is going to go or doubting ourselves on hiring employees because the employee handbook isn’t finished yet or not giving office talks because we don’t have the first speech totally memorized is what stands in our way.   Interviews are always going to be subjective because we can’t control other people, the employee handbook is never going to be finished because you don’t know everything that needs to go in there until an employee does it and talking in front of your patients is never going to be perfect. I know for me, I have passed up on opportunities (and consequently money) because in my mind, what I needed to do on my end was not perfect.  “Perfection before implementation impedes progress” If you don’t believe me consider this.  If you had to be great at something the first time (or even the first few times), there would be a lot less babies born.     Kassandra Schultz D.C   ​
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