In a clinical practice, business success usually is measured by increased income, increased numbers of patients seen per day and lower operating expenses. By comparison, practice success may be measured by factors such as high percentage of favorable clinical results, high patient satisfaction, high referral levels, and personal satisfaction with regard to hours spent in the practice vs. time allowed for family, travel and self. The combination of business and practice success creates what is known as personal success, which may be defined by the material things of life: nice homes, autos, clothes, and a never-ending shopping cart of luxuries.
In the March 2006 issue of Acupuncture Today, the poll question was, "On average, how many patients do you treat during a typical day in practice?" The published response was extremely disturbing; it showed that of the total respondents, a full 72.8 percent of practitioners attend to 10 patients a day or less, with close to 40 percent of those seeing less than five patients per day. Only 7.3 percent reported treating 20 or more patients per day. These statistics are far less than acceptable for a profession whose practitioners are capable of so much more.
It is a known business fact that the more people, customers, clients or patients one sees, the higher the income and the more established the business. Therefore, in any business it is imperative that growth of people served be a vital part of success. However, on the other hand, I have known doctors in my career who only wanted to see five patients per day, in order to play golf or in one case, go sailing every afternoon. These individuals were highly successful only because they charged between $350 and $500 per treatment. Therefore, they could be very financially successful with just a few patients. Obviously, this is the rare individual who could, or would even attempt, to stage this type of practice.
The disclaimer that accompanied the March 2006 Acupuncture Today poll stated, "These results are based on 247 responses. As this is a voluntary, nonscientific survey, caution should be used in generalizing the results." I would love to think the results derived from this survey were totally in error; however, the national Gallup poll, which is known to have a +/- ratio of less than 3 percent, is conducted in exactly the same fashion as the AT poll, as is every other official poll in the country.
Out of morbid curiosity, I created an identical poll which was mailed to graduates of the International Academy of Medical Acupuncture. Of the poll questions sent to medical and chiropractic practitioners in the four divided sections of the U.S., representing the entire nation, an almost identical number of responses to the Acupuncture Today poll were returned at the time of this writing, namely 239 (eight less than the AT poll), with responses still coming in which were not considered for this article. However, the feedback was exactly as reported. The difference between the two polls was that the DCs and MDs showed an almost polar opposite: 69 percent of those practicing acupuncture attested to treating 20 acupuncture patients per day or more, whereas only 5 percent stated they saw five or less patients per day. The remaining 26 percent stated they treated an average of 10-20 acupuncture patients per day. In essence, 95 percent of poll respondents reported they treat 10 acupuncture patients a day or more, with close to 70 percent treating 20 or more. This, of course, compares to 72.8 percent of acupuncture practitioners seeing 10 patients a day or less according to the AT poll. The above statistics are for acupuncture patients only and do not represent the totality of the entire practice day; a certain percentage of patients would not receive acupuncture but other therapies. We are only talking apples to apples, acupuncture patients by MDs/DCs vs. acupuncture patients by LAcs.
Where is the profession going wrong when there is so much right with it? Why are our LAc practitioners barely surviving when they should be thriving? Unlike medicine and chiropractic, acupuncture has never had any bad press. The general public has been given a positive report of acupuncture since the first article was published on it in 1971 (that's 35 years). Virtually every newspaper, magazine and national broadcasting channel has reported positively on acupuncture numerous times. The same cannot be said for either medicine or chiropractic. However, hundreds of thousands to millions of patients are clamoring to receive acupuncture and do, in fact, seek out those medical and chiropractic physicians, who by state scope-of-practice laws, utilize acupuncture as an adjunct to their clinical practice. These patients should be seeking out licensed acupuncturists (LAcs) as well. Why are potential patients not knocking down the doors of acupuncturists?
It was told to me years ago by one of my Asian mentors in southwest China that "To become a Master, just do what Masters do." The same can be said about emulating those who already are successful: just follow their lead and do what they do. However, I also fully realize that there is a large proportion of the AOM profession that would rather fail than emulate the approaches of an MD or DC utilizing acupuncture. Please bear in mind that it depends on where you are in life and if business and practice success are priorities for you and your family. Otherwise, it is best to stay firm to principles that obviously are not working. However, your dignity, ego and self worth will be preserved.
For those who are willing to investigate why the success scales are so tipped in favor of chiropractors and medical doctors, allow me to share with you what I know to be fact. My personal research revealed several practice principles which were common denominators among those highly successful DCs and MDs polled. Compare these 20 observations with what you are doing and how you are practicing. If you are not satisfied with your practice, see if one or more of these items used by highly successful practitioners may appeal to your practice sense. You don't have to agree with them; this is just how highly successful practitioners practice. Don't blame the messenger for the message. The observations are as follows:
Perhaps one or more of these tips will spawn a practice- and life-altering experience for many reading this. The 20 tips shared here are simply those common-denominator factors seen in many highly successful acupuncture practices. What was reported here are all items that were reported to me by other practitioners; however, I can personally endorse and relate to each of these.
Best wishes in your overwhelming success. Remember, When the student is ready ... the teacher shall appear. The above tips are based on responses from 239 teachers who may help expand your practice awareness. Are you ready? Let me know of your success.
Chronic pain afflicts over 20% of the adult population. Sadly, most MDs have essentially no education in treating pain, beyond offering a few toxic medications. Then they tend to steer people with pain away from those health practitioners who are trained. This puts the acupuncture community on the front lines for addressing this epidemic.
When the body is going through a stressful event, the sympathetic system is activated. This activation will help the body with a life-threatening situation. If this state is activated for prolonged periods of time, it starts to consume energy. These traumatic events that generate stressors in the autonomic nervous system (ANS) will eventually become internalized.
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One of the things that makes acupuncture so difficult to measure is that the medicine actually does contain some esoteric aspects. There have been numerous studies that demonstrate the neurochemical reasoning behind why acupuncture points stimulate the autonomic nervous system to enact change However, not all the benefits of TCM can easily be measured by randomized, controlled trials. But does that make them fundamentally and definitively untrue?
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