WEBVTT 00:00:02.024 --> 00:00:03.225 You're listening to the PT Pinecast, 00:00:03.326 --> 00:00:05.046 where smart people in healthcare come to 00:00:05.067 --> 00:00:05.807 make noise. 00:00:06.286 --> 00:00:07.788 Here's your host, Jimmy McKay. 00:00:07.807 --> 00:00:10.609 All right. 00:00:10.628 --> 00:00:11.329 Thanks, voice guy. 00:00:11.909 --> 00:00:13.410 Eric Robertson, Jimmy McKay. 00:00:13.650 --> 00:00:14.169 Eric Robertson, 00:00:14.210 --> 00:00:16.971 no stranger to podcasting and thinking 00:00:17.010 --> 00:00:17.850 about big ideas. 00:00:18.231 --> 00:00:18.952 I like big ideas. 00:00:18.972 --> 00:00:19.832 These are the kinds of things that you 00:00:19.852 --> 00:00:19.952 do. 00:00:20.012 --> 00:00:21.132 You think about big ideas and you tell 00:00:21.152 --> 00:00:21.693 people about them. 00:00:21.893 --> 00:00:22.452 Yeah. 00:00:22.472 --> 00:00:24.073 Well, you can't just have big ideas. 00:00:24.092 --> 00:00:24.853 You kind of have to share them a 00:00:24.873 --> 00:00:25.434 little bit. 00:00:25.513 --> 00:00:26.974 And we used to share them in blogs. 00:00:27.195 --> 00:00:28.434 You started a blog a long time ago. 00:00:28.873 --> 00:00:30.375 Really long time ago, yeah, I think, in, 00:00:30.434 --> 00:00:31.936 I think, in, I think, in, I think, 00:00:32.076 --> 00:00:33.235 in, I think, in, I think, in, 00:00:33.276 --> 00:00:35.898 I think, in, I think, in, I think, 00:00:35.917 --> 00:00:38.098 in, I think, in, I think, in, 00:00:38.459 --> 00:00:40.539 I think, in, 00:00:50.265 --> 00:00:51.905 in our profession and the idea is great 00:00:51.966 --> 00:00:53.588 get in a room talk about them but 00:00:53.847 --> 00:00:56.450 am i you and myself like i hope 00:00:56.469 --> 00:00:57.890 you get some solutions while you're in 00:00:57.911 --> 00:00:58.990 there it's like talking about problems is 00:00:59.030 --> 00:01:00.753 fun we call that therapy it needs to 00:01:00.773 --> 00:01:02.314 be some constructive thoughts let's do 00:01:02.334 --> 00:01:04.215 something about this so what are you ex 00:01:04.334 --> 00:01:05.855 so the also the rule when respect the 00:01:05.876 --> 00:01:08.537 rules of graham sessions is you're 00:01:08.578 --> 00:01:11.421 supposed to not attribute it to any to 00:01:11.480 --> 00:01:13.001 anyone and by it i mean an idea 00:01:13.022 --> 00:01:14.001 so you can say what was said but 00:01:14.022 --> 00:01:15.143 not who said it this way people are 00:01:15.183 --> 00:01:17.265 free to move about the idea spectrum 00:01:17.957 --> 00:01:19.858 What have you been excited to see either 00:01:19.899 --> 00:01:21.560 discussed or at least on the docket? 00:01:21.579 --> 00:01:22.740 Because we're still at noon on the first 00:01:22.760 --> 00:01:22.980 day. 00:01:23.180 --> 00:01:24.361 Yeah, I mean, we're just getting going, 00:01:24.962 --> 00:01:25.462 which is great. 00:01:25.503 --> 00:01:27.963 And it's already been so energizing and so 00:01:28.144 --> 00:01:30.266 inspiring, as it always is. 00:01:30.926 --> 00:01:32.406 And I think the thing that really got 00:01:32.427 --> 00:01:34.007 me going was the last session. 00:01:34.087 --> 00:01:35.948 It was about collective bargaining and 00:01:36.388 --> 00:01:37.069 mega groups. 00:01:38.150 --> 00:01:39.551 And I have to be honest, 00:01:39.570 --> 00:01:40.572 when I saw that on the agenda, 00:01:40.591 --> 00:01:41.311 I was like, what's that? 00:01:41.393 --> 00:01:43.034 I don't think I want that. 00:01:43.073 --> 00:01:43.754 But yeah. 00:01:43.974 --> 00:01:45.474 know what it was about was pts coming 00:01:45.493 --> 00:01:48.775 together and uh using their collective 00:01:48.814 --> 00:01:51.896 power to gain leverage right and so there 00:01:51.915 --> 00:01:54.537 was this idea of uh listen payers don't 00:01:54.557 --> 00:01:58.578 really care about value which is a little 00:01:59.097 --> 00:02:01.959 uh like surprising it hurts but okay yeah 00:02:01.978 --> 00:02:03.959 you compassionately argue value and but 00:02:04.000 --> 00:02:05.680 they don't respond to that they'll be like 00:02:05.719 --> 00:02:07.561 happy to hear it but they're going to 00:02:07.581 --> 00:02:10.061 respond to leverage and the next step of 00:02:10.080 --> 00:02:11.882 that was learning what can we 00:02:12.816 --> 00:02:14.877 incorporate in our business of physical 00:02:14.917 --> 00:02:17.258 therapy that dentists have done right 00:02:17.318 --> 00:02:19.658 who's done it who's faced similar or the 00:02:19.699 --> 00:02:21.300 same or similar problems and what have 00:02:21.319 --> 00:02:23.121 they done about it and then does that 00:02:23.161 --> 00:02:25.080 apply to us because not everything applies 00:02:25.200 --> 00:02:27.301 across different verticals and that's what 00:02:27.322 --> 00:02:29.383 the the nice part of this conversation was 00:02:29.462 --> 00:02:31.044 was it was constructive it was people who 00:02:31.063 --> 00:02:32.685 were already solving it that way people 00:02:32.705 --> 00:02:35.265 have created these uh mega groups if you 00:02:35.286 --> 00:02:37.606 will or you know collaborative networks 00:02:37.667 --> 00:02:37.826 where 00:02:38.406 --> 00:02:39.665 they've gained leverage and they've been 00:02:39.725 --> 00:02:40.247 successful. 00:02:41.046 --> 00:02:42.106 So you have MSOs, 00:02:42.266 --> 00:02:44.407 Managed Service Organization, or IPAs, 00:02:45.548 --> 00:02:47.508 Independent Practice Associations, 00:02:47.848 --> 00:02:48.348 and again, 00:02:48.368 --> 00:02:49.530 there's more experts in the room. 00:02:50.550 --> 00:02:51.949 How do we come together without having to 00:02:52.110 --> 00:02:53.711 be bought and sold into each other? 00:02:53.871 --> 00:02:54.911 We can remain separate. 00:02:55.831 --> 00:02:57.611 How do we get a bunch of tubes 00:02:57.792 --> 00:02:59.353 on a lake and just hang on and 00:02:59.372 --> 00:03:00.052 now we're a big group, 00:03:00.073 --> 00:03:01.173 but at any point I can be like, 00:03:01.332 --> 00:03:03.133 I'm good, I'm still my own tube. 00:03:03.294 --> 00:03:03.533 Right. 00:03:03.653 --> 00:03:03.813 Right. 00:03:04.254 --> 00:03:04.514 Yeah. 00:03:04.615 --> 00:03:05.134 And, you know, 00:03:05.194 --> 00:03:06.735 that was another idea that came up in 00:03:06.776 --> 00:03:07.796 this is that, you know, 00:03:08.037 --> 00:03:09.578 the business of physical therapy isn't 00:03:09.598 --> 00:03:10.378 really complicated. 00:03:10.938 --> 00:03:11.098 Right. 00:03:11.139 --> 00:03:12.419 It's like people come in, 00:03:12.639 --> 00:03:14.040 you do a thing that we all know 00:03:14.061 --> 00:03:15.421 how to do to them and then we 00:03:15.442 --> 00:03:16.462 build them for it. 00:03:16.502 --> 00:03:16.703 Right. 00:03:17.002 --> 00:03:18.383 So there's nothing necessarily secret 00:03:18.584 --> 00:03:20.344 about physical therapy as a business. 00:03:20.384 --> 00:03:20.485 Right. 00:03:21.025 --> 00:03:22.887 And so it was about sharing and 00:03:22.926 --> 00:03:25.687 collaborating and stopping the kind of the 00:03:25.768 --> 00:03:27.469 fear of, you know, 00:03:27.509 --> 00:03:29.871 or this like maybe misguided but totally 00:03:29.911 --> 00:03:31.572 understandable sense of like, well, 00:03:31.632 --> 00:03:32.492 I need this autonomy. 00:03:33.152 --> 00:03:33.992 Because at the end of the day, 00:03:34.033 --> 00:03:36.835 you gain more autonomy by collectively 00:03:37.014 --> 00:03:39.455 owning the practice of clinical physical 00:03:39.475 --> 00:03:39.795 therapy. 00:03:40.836 --> 00:03:43.076 And now you can use that long lever 00:03:43.197 --> 00:03:43.377 arm, 00:03:44.397 --> 00:03:46.859 and you can bargain for things like better 00:03:46.878 --> 00:03:47.299 rates. 00:03:47.579 --> 00:03:47.878 Yeah, 00:03:47.938 --> 00:03:50.139 I like the lever arm pull in there. 00:03:50.199 --> 00:03:51.221 Now we can leverage. 00:03:52.781 --> 00:03:54.282 That's one topic that was on there. 00:03:55.021 --> 00:03:57.282 What's something you wish was on here? 00:03:57.323 --> 00:03:58.484 What's something that you're like, hey, 00:03:58.503 --> 00:04:00.104 man, maybe next year, 00:04:00.144 --> 00:04:01.905 but why aren't we talking about this? 00:04:02.205 --> 00:04:02.525 Yeah. 00:04:02.544 --> 00:04:03.544 So, you know, 00:04:03.566 --> 00:04:05.526 Graham Sessions has its roots in private 00:04:05.566 --> 00:04:06.286 practice, right? 00:04:06.306 --> 00:04:07.287 That's where it started from. 00:04:07.907 --> 00:04:08.326 And at first, 00:04:08.347 --> 00:04:09.268 when I first was coming to Graham 00:04:09.307 --> 00:04:09.608 Sessions, 00:04:09.627 --> 00:04:10.687 I think my first one was like the 00:04:10.747 --> 00:04:11.627 second or the third one. 00:04:11.687 --> 00:04:12.489 I can't remember which, 00:04:12.929 --> 00:04:14.568 but it was almost exclusively private 00:04:14.609 --> 00:04:15.729 practice owners in the room. 00:04:16.470 --> 00:04:17.990 And it's since diversified, right? 00:04:18.031 --> 00:04:19.971 And so now I think they announced there 00:04:19.990 --> 00:04:21.711 was seventeen of the eighteen sections or 00:04:21.732 --> 00:04:22.692 something represented here, 00:04:22.711 --> 00:04:23.593 which is fantastic. 00:04:24.612 --> 00:04:26.112 But there's still like a very business 00:04:26.913 --> 00:04:28.814 heavy focus in that, which is good, like, 00:04:30.314 --> 00:04:30.495 but 00:04:30.995 --> 00:04:33.038 Sometimes I think education happens in a 00:04:33.079 --> 00:04:34.720 different universe, right? 00:04:34.781 --> 00:04:36.101 And so the things that are happening in 00:04:36.122 --> 00:04:38.185 the economics that drive decisions in 00:04:38.264 --> 00:04:40.708 education are very different from the 00:04:40.747 --> 00:04:42.389 economics and the realities of what 00:04:42.509 --> 00:04:44.771 clinicians in practice are experiencing. 00:04:44.791 --> 00:04:46.074 So a good example of that would be, 00:04:46.093 --> 00:04:48.336 you know, we're educating for less time. 00:04:49.369 --> 00:04:49.569 Right. 00:04:50.228 --> 00:04:50.928 Which makes sense. 00:04:51.149 --> 00:04:51.310 Right. 00:04:51.370 --> 00:04:52.769 Education costs are so expensive. 00:04:53.009 --> 00:04:53.470 Cut a year. 00:04:53.629 --> 00:04:54.009 Yeah. 00:04:54.250 --> 00:04:54.910 Let's cut a year. 00:04:55.151 --> 00:04:56.451 You know, but on the other side, well, 00:04:56.511 --> 00:04:58.130 where does where you didn't learn 00:04:58.170 --> 00:04:58.851 something for a year. 00:04:58.872 --> 00:04:59.692 Right. 00:04:59.771 --> 00:05:00.031 Right. 00:05:00.591 --> 00:05:01.372 Or you learned it, 00:05:01.411 --> 00:05:02.471 but it was twice as fast. 00:05:02.492 --> 00:05:03.213 So it's half as good. 00:05:03.452 --> 00:05:04.793 And I'm making numbers, but you get. 00:05:04.853 --> 00:05:05.153 Yeah. 00:05:05.213 --> 00:05:06.192 And, you know, and OK, 00:05:06.213 --> 00:05:07.274 we can't generalize that all the way 00:05:07.293 --> 00:05:07.553 across. 00:05:07.593 --> 00:05:08.754 But but in general, 00:05:09.553 --> 00:05:11.795 I think business owners are concerned that 00:05:11.834 --> 00:05:13.154 PTs are coming out and they need more 00:05:13.175 --> 00:05:13.454 training. 00:05:14.216 --> 00:05:15.096 And so where does that come from? 00:05:15.355 --> 00:05:15.855 How do you do that? 00:05:16.560 --> 00:05:17.882 And I think that's something we need to 00:05:17.901 --> 00:05:18.302 talk about. 00:05:18.322 --> 00:05:19.642 As a matter of fact, somebody said, like, 00:05:19.663 --> 00:05:19.963 OK, well, 00:05:19.983 --> 00:05:21.142 we're talking about primary care physical 00:05:21.182 --> 00:05:21.504 therapy. 00:05:21.584 --> 00:05:22.303 And somebody mentioned, well, 00:05:22.363 --> 00:05:23.425 residencies could solve that. 00:05:24.365 --> 00:05:25.425 And I'm thinking to myself, OK, well, 00:05:25.446 --> 00:05:25.865 there's like, what, 00:05:25.906 --> 00:05:27.887 six hundred residency slots and most of 00:05:27.906 --> 00:05:28.586 them orthopedics. 00:05:28.666 --> 00:05:30.067 How many primary care residency slots do 00:05:30.088 --> 00:05:30.827 we have to fix that? 00:05:31.449 --> 00:05:33.009 It might be four. 00:05:33.050 --> 00:05:33.649 Maybe it's ten. 00:05:33.870 --> 00:05:34.250 I don't know. 00:05:34.730 --> 00:05:35.310 Somebody surprised. 00:05:35.350 --> 00:05:35.810 Not a lot. 00:05:36.050 --> 00:05:36.190 Right. 00:05:36.211 --> 00:05:38.091 But it's if you compare that to the 00:05:38.112 --> 00:05:39.432 twelve thousand graduates we have each 00:05:39.452 --> 00:05:39.572 year. 00:05:40.213 --> 00:05:41.254 something's not working about our 00:05:41.295 --> 00:05:42.857 residency model. 00:05:42.916 --> 00:05:43.858 And so I think these are things I 00:05:43.877 --> 00:05:45.680 would like to talk about is how do 00:05:45.721 --> 00:05:48.264 we reimagine clinical training that 00:05:48.303 --> 00:05:50.086 happens after you graduate that's still 00:05:50.206 --> 00:05:51.166 absolutely required 00:05:53.038 --> 00:05:53.918 and do that in a way that we 00:05:53.939 --> 00:05:54.699 can scale it. 00:05:54.720 --> 00:05:56.661 Do it from a position of abundance where 00:05:57.221 --> 00:05:59.142 you don't have to accept a low salary. 00:06:00.004 --> 00:06:02.505 You don't have to have a really long, 00:06:02.567 --> 00:06:03.526 very expensive, 00:06:03.607 --> 00:06:05.209 time-consuming residency that takes a 00:06:05.269 --> 00:06:05.488 year. 00:06:06.329 --> 00:06:07.250 And that's something that I've learned 00:06:07.610 --> 00:06:09.132 from my art world. 00:06:09.172 --> 00:06:10.653 So when I was in art school, 00:06:10.713 --> 00:06:11.894 you learn about residencies, 00:06:12.115 --> 00:06:13.355 and residencies are defined by the 00:06:13.375 --> 00:06:13.877 institution. 00:06:14.887 --> 00:06:16.509 So a museum might have a residency where 00:06:16.548 --> 00:06:18.990 you come in once a week and do 00:06:19.031 --> 00:06:19.831 some lectures. 00:06:20.471 --> 00:06:22.254 A residency might be you go to Montana 00:06:22.293 --> 00:06:23.894 and live in the wilderness for six months 00:06:23.915 --> 00:06:24.334 and make art. 00:06:24.815 --> 00:06:27.478 So the institutions define the residency. 00:06:27.517 --> 00:06:29.839 And the analog into practice would be the 00:06:29.879 --> 00:06:32.601 practices define the residency. 00:06:32.622 --> 00:06:35.644 So seeing more residencies embedded or 00:06:35.725 --> 00:06:36.586 created by the practice. 00:06:36.605 --> 00:06:37.807 There are some out there that do that. 00:06:38.170 --> 00:06:38.430 Yeah, 00:06:38.891 --> 00:06:41.773 so residency is defined by the people who 00:06:41.793 --> 00:06:43.233 are delivering them, right? 00:06:43.394 --> 00:06:44.113 So if you have a clinic, 00:06:44.153 --> 00:06:45.334 there's going to be certain variables that 00:06:45.355 --> 00:06:46.134 are really important to you. 00:06:46.154 --> 00:06:47.336 Your values are going to be there, right? 00:06:47.375 --> 00:06:49.737 Maybe you value positive psychology 00:06:49.776 --> 00:06:52.119 education, right? 00:06:52.158 --> 00:06:52.959 Where does that go? 00:06:52.999 --> 00:06:54.699 How does that fit into an orthopedic 00:06:54.740 --> 00:06:55.240 residency, 00:06:55.661 --> 00:06:57.942 which the accreditation process requires 00:06:58.201 --> 00:06:59.783 the curriculum to be this big and full 00:06:59.822 --> 00:07:01.363 of all of these things of orthopedics? 00:07:01.944 --> 00:07:03.024 Maybe you don't see anybody with feet, 00:07:03.564 --> 00:07:04.004 let's just say. 00:07:04.504 --> 00:07:05.466 You don't need the feet curriculum. 00:07:07.341 --> 00:07:08.322 But you don't want the psychology 00:07:08.362 --> 00:07:09.023 curriculum. 00:07:09.142 --> 00:07:10.624 And our current framework doesn't allow 00:07:10.663 --> 00:07:10.903 for that. 00:07:11.223 --> 00:07:12.185 And so I think we need to really 00:07:12.204 --> 00:07:13.365 shake some things up if we want to 00:07:13.384 --> 00:07:15.125 start training people more meaningfully 00:07:15.266 --> 00:07:16.266 after they graduate. 00:07:17.026 --> 00:07:18.668 What are you excited for in terms of 00:07:18.687 --> 00:07:19.528 the future of PT? 00:07:19.728 --> 00:07:21.249 I know a lot of times people look 00:07:21.288 --> 00:07:21.608 at, 00:07:21.670 --> 00:07:23.050 I don't think Graham Sessions is focused 00:07:23.069 --> 00:07:23.550 on the negative. 00:07:23.591 --> 00:07:25.732 I think it's focused on let's find ideas, 00:07:25.812 --> 00:07:26.632 not just problems. 00:07:27.673 --> 00:07:28.492 And we focus on, 00:07:29.052 --> 00:07:31.074 by our nature of humans, what's wrong. 00:07:31.615 --> 00:07:32.814 But what are you excited about in the 00:07:32.855 --> 00:07:34.276 future of PT where we are now? 00:07:34.935 --> 00:07:35.596 I like this question. 00:07:35.637 --> 00:07:35.857 You know, 00:07:36.911 --> 00:07:38.973 I had Jim Gordon on my podcast on 00:07:39.033 --> 00:07:40.773 PT Outcast a few months ago, 00:07:40.952 --> 00:07:42.413 and he said a thing that's been just 00:07:42.533 --> 00:07:43.413 percolating in my head. 00:07:43.434 --> 00:07:44.435 And it's like, you know, 00:07:44.454 --> 00:07:45.574 the future is not guaranteed. 00:07:45.654 --> 00:07:47.216 And the people who are working today are 00:07:47.255 --> 00:07:48.115 defining the future. 00:07:49.055 --> 00:07:50.416 And it's that idea, right? 00:07:50.456 --> 00:07:53.338 Like, what is doesn't have to be, 00:07:53.737 --> 00:07:54.778 you know, and I think, you know, 00:07:54.798 --> 00:07:55.999 we have a lot of energetic people, 00:07:56.059 --> 00:07:57.059 just you look around this room, 00:07:57.119 --> 00:07:57.759 it's exciting. 00:07:58.600 --> 00:08:00.581 And one of the themes of this is 00:08:00.620 --> 00:08:01.521 right on the agenda that 00:08:01.819 --> 00:08:02.019 you know, 00:08:02.040 --> 00:08:03.341 diamonds are formed under pressure. 00:08:03.841 --> 00:08:05.122 And so as, as a profession, 00:08:05.163 --> 00:08:06.024 if we're struggling, 00:08:06.064 --> 00:08:07.324 if we're feeling some pain points, 00:08:07.925 --> 00:08:08.545 like let's lean in. 00:08:08.896 --> 00:08:09.997 Yeah, I like that. 00:08:10.257 --> 00:08:10.858 Hi. 00:08:10.898 --> 00:08:11.918 I guess session just let out. 00:08:12.759 --> 00:08:14.000 I don't know what was being discussed a 00:08:14.079 --> 00:08:14.620 second ago. 00:08:15.379 --> 00:08:17.161 I asked this question a few weeks ago 00:08:17.180 --> 00:08:18.281 because I wanted to get a good litmus 00:08:18.302 --> 00:08:18.562 test. 00:08:18.742 --> 00:08:20.523 I came to my first Graham Sessions ten 00:08:20.562 --> 00:08:20.942 years ago. 00:08:21.603 --> 00:08:22.483 Didn't know what to expect. 00:08:22.863 --> 00:08:23.964 I asked my audience on LinkedIn. 00:08:24.144 --> 00:08:24.464 Of course, 00:08:24.504 --> 00:08:26.225 it's biased because it's my audience, 00:08:26.245 --> 00:08:26.466 whatever. 00:08:26.485 --> 00:08:27.146 And I just said, 00:08:27.166 --> 00:08:29.387 do you even know what Graham Sessions is? 00:08:29.408 --> 00:08:31.149 And it was like eighty percent. 00:08:31.509 --> 00:08:31.629 No. 00:08:32.328 --> 00:08:33.509 did not know what it was. 00:08:33.929 --> 00:08:34.950 So I think the funny part is we're 00:08:34.970 --> 00:08:35.110 like, 00:08:35.230 --> 00:08:36.909 make sure you don't tell anybody what was 00:08:36.950 --> 00:08:37.350 said here. 00:08:37.370 --> 00:08:38.971 I'm like, no one knows we're here. 00:08:39.471 --> 00:08:39.650 Look, 00:08:39.671 --> 00:08:41.572 we're like waving from the top of APTA 00:08:41.611 --> 00:08:42.951 Tower here, but no one, everyone's like, 00:08:43.011 --> 00:08:43.831 I don't know who that is. 00:08:43.851 --> 00:08:44.613 I got stuff to do. 00:08:45.592 --> 00:08:46.493 But how do we, 00:08:46.793 --> 00:08:47.953 my thought of doing these live streams 00:08:47.994 --> 00:08:48.173 was, 00:08:48.274 --> 00:08:49.933 let's get these ideas out of the room. 00:08:50.173 --> 00:08:51.794 I don't want, they're awesome here. 00:08:51.955 --> 00:08:52.595 Let's spread them. 00:08:52.875 --> 00:08:54.456 Uh, what's something that, uh, 00:08:55.235 --> 00:08:56.697 that you wish it will be on the 00:08:56.736 --> 00:08:57.376 docket tomorrow. 00:08:57.437 --> 00:08:58.557 You get the dry erase board, 00:08:58.638 --> 00:09:01.198 Keaton Ray and Sharon Dunn who facilitate 00:09:01.219 --> 00:09:03.039 this now come to you and they go, 00:09:03.059 --> 00:09:04.000 you got one slot. 00:09:04.039 --> 00:09:04.880 What are you going to talk about? 00:09:05.421 --> 00:09:05.620 Oh, okay. 00:09:05.660 --> 00:09:05.860 Yeah. 00:09:05.900 --> 00:09:06.942 So, you know, Keaton and Sharon, 00:09:06.961 --> 00:09:08.142 by the way, are doing a great job, 00:09:08.182 --> 00:09:09.042 like running into this. 00:09:09.062 --> 00:09:09.363 This is, 00:09:09.442 --> 00:09:10.562 this is good to see them running. 00:09:10.623 --> 00:09:11.323 It's a good energy. 00:09:11.964 --> 00:09:12.964 Um, and, uh, 00:09:13.063 --> 00:09:14.404 and they've had some fun things happening. 00:09:14.864 --> 00:09:16.585 I think if I was going to have 00:09:16.605 --> 00:09:17.546 the dry erase marker, 00:09:17.586 --> 00:09:18.245 if I could do that, 00:09:19.586 --> 00:09:21.008 I would like to talk about the thing 00:09:21.028 --> 00:09:21.687 I brought up earlier, 00:09:21.748 --> 00:09:24.149 combining the worlds of education business 00:09:24.188 --> 00:09:27.792 decisions and business. 00:09:28.072 --> 00:09:30.993 And also the subcontext of that is the 00:09:31.313 --> 00:09:33.414 pending crisis in grad plus loans. 00:09:33.434 --> 00:09:34.095 Oh, yeah. 00:09:34.654 --> 00:09:34.836 Right? 00:09:35.096 --> 00:09:36.777 What would you now? 00:09:36.856 --> 00:09:38.437 Yeah, we have a problem already. 00:09:38.977 --> 00:09:39.938 And it's going to get worse. 00:09:39.999 --> 00:09:41.139 Yeah, it's going to get worse. 00:09:41.198 --> 00:09:42.840 And so I think that's the urgent thing 00:09:42.860 --> 00:09:44.081 that I wish would have been on the 00:09:44.100 --> 00:09:44.221 agenda. 00:09:44.321 --> 00:09:44.480 Well, 00:09:44.500 --> 00:09:46.023 there is some education in this room, 00:09:46.062 --> 00:09:48.184 but if that's true, 00:09:48.205 --> 00:09:48.904 which I think it is, 00:09:48.924 --> 00:09:50.287 this is more business heavy and that's 00:09:50.326 --> 00:09:50.626 fine. 00:09:51.206 --> 00:09:52.788 It's housed under the APTA private 00:09:52.828 --> 00:09:53.389 practice section. 00:09:54.029 --> 00:09:56.471 Is there a space for a different name, 00:09:56.491 --> 00:09:58.533 but a Graham Sessions of Education where 00:09:58.634 --> 00:09:59.575 you get one hundred and fifty people in 00:09:59.595 --> 00:10:00.535 the room and they go, hey, man, 00:10:00.836 --> 00:10:01.216 hash it out. 00:10:01.236 --> 00:10:02.357 We're not unlocking the doors until you 00:10:02.498 --> 00:10:03.158 get some solutions. 00:10:03.399 --> 00:10:04.419 Yeah, you know, I think there is, 00:10:04.460 --> 00:10:06.581 but I think that would also be misguided. 00:10:06.802 --> 00:10:07.081 Oh, why? 00:10:07.561 --> 00:10:10.903 because the separate universe, right? 00:10:11.143 --> 00:10:12.864 The universes need to evolve together. 00:10:13.004 --> 00:10:13.264 Got it. 00:10:13.323 --> 00:10:13.504 Okay. 00:10:13.725 --> 00:10:14.304 Yeah. 00:10:14.325 --> 00:10:14.485 Yeah. 00:10:14.524 --> 00:10:15.846 So, so what I, what I think though, 00:10:15.946 --> 00:10:18.106 it may be Graham sessions that needs to 00:10:18.126 --> 00:10:20.808 maybe have a flavor of education, um, 00:10:20.849 --> 00:10:21.989 that leans in a little bit more, 00:10:22.028 --> 00:10:22.409 but you know, 00:10:22.429 --> 00:10:23.549 you gotta be careful because it's like 00:10:23.950 --> 00:10:25.350 different universes have different 00:10:25.370 --> 00:10:25.791 cultures. 00:10:26.912 --> 00:10:27.091 Right. 00:10:27.192 --> 00:10:28.993 And so there's a culture here that has 00:10:29.052 --> 00:10:30.333 existed and has evolved. 00:10:30.693 --> 00:10:31.595 And there, as you said, 00:10:31.615 --> 00:10:32.774 there's plenty of educators here in the 00:10:32.815 --> 00:10:33.014 room. 00:10:33.096 --> 00:10:33.515 Yeah. 00:10:33.735 --> 00:10:33.816 Um, 00:10:34.778 --> 00:10:35.457 How do we take that? 00:10:35.599 --> 00:10:37.179 I don't really know. 00:10:37.879 --> 00:10:39.480 Maybe that's the topic that we put on 00:10:39.500 --> 00:10:39.841 the agenda. 00:10:39.880 --> 00:10:40.601 Maybe we ask the room. 00:10:40.861 --> 00:10:41.302 Yeah, right. 00:10:41.522 --> 00:10:42.702 I mean, like you said, when it started, 00:10:42.722 --> 00:10:44.043 it was business, business, business, 00:10:44.163 --> 00:10:45.565 and then somebody along the way probably 00:10:45.585 --> 00:10:48.067 said, we're talking a lot about academics, 00:10:48.147 --> 00:10:49.847 but none of them are here to defend 00:10:49.908 --> 00:10:50.528 or explain. 00:10:51.129 --> 00:10:51.989 Maybe we should invite some. 00:10:52.448 --> 00:10:54.110 A long time ago in Graham Sessions, 00:10:54.190 --> 00:10:55.390 we had a session that was, 00:10:55.630 --> 00:10:57.331 are we admitting the right people to PT 00:10:57.351 --> 00:10:57.613 school? 00:10:57.653 --> 00:10:59.094 Right, right, right, right, right. 00:10:59.114 --> 00:10:59.953 And it was fascinating, right? 00:10:59.974 --> 00:11:01.054 They did StrengthsFinder, 00:11:01.394 --> 00:11:02.816 and they did it with entry-level PT 00:11:02.855 --> 00:11:03.155 students, 00:11:03.196 --> 00:11:04.336 and then they did StrengthFinder with... 00:11:04.697 --> 00:11:05.898 For all the people who are attending 00:11:05.918 --> 00:11:07.118 Graham sessions who are leaders of the 00:11:07.158 --> 00:11:09.158 profession and like thought people and and 00:11:09.198 --> 00:11:10.519 what would they find out completely 00:11:10.558 --> 00:11:11.320 different Wow, 00:11:11.460 --> 00:11:13.080 not a shock though not a shock but 00:11:13.100 --> 00:11:14.900 completely different right the in general 00:11:14.941 --> 00:11:17.721 PTs were like harmonizers and relators and 00:11:17.802 --> 00:11:19.101 And then the people in the room were 00:11:19.162 --> 00:11:20.763 not they were the strategy people. 00:11:20.783 --> 00:11:21.663 They were the confronters. 00:11:21.702 --> 00:11:23.703 They were yeah competition people Have you 00:11:23.724 --> 00:11:25.445 ever taken that I have what do you 00:11:25.585 --> 00:11:26.345 do you remember one or two? 00:11:26.445 --> 00:11:27.225 There's five, right? 00:11:27.326 --> 00:11:27.985 Yeah, five. 00:11:28.066 --> 00:11:28.306 Yeah. 00:11:28.326 --> 00:11:28.625 Yeah. 00:11:28.645 --> 00:11:29.125 Do you know yours? 00:11:29.245 --> 00:11:31.826 I do Yeah, so it was ideation. 00:11:32.047 --> 00:11:33.488 We got it strategy. 00:11:33.648 --> 00:11:33.888 Okay 00:11:34.278 --> 00:11:37.480 communication, competition, 00:11:37.520 --> 00:11:38.662 and my favorite one is woo. 00:11:38.802 --> 00:11:39.402 I'm a woo. 00:11:39.442 --> 00:11:40.363 I'm a number one woo. 00:11:40.383 --> 00:11:41.244 I know, that's why we hang out. 00:11:42.144 --> 00:11:44.186 Woo, communication, 00:11:44.326 --> 00:11:46.908 but my communication was third, ideation, 00:11:47.009 --> 00:11:50.451 futurist, and one more. 00:11:50.471 --> 00:11:52.732 And then I bring this up because I 00:11:52.793 --> 00:11:54.934 took StrengthsFinders once, 00:11:54.955 --> 00:11:55.696 and it's one of those like 00:11:56.926 --> 00:11:57.946 It's a strengths test. 00:11:58.105 --> 00:12:00.307 What's the one with the INTP or whatever? 00:12:00.326 --> 00:12:02.587 That's a personality test. 00:12:02.607 --> 00:12:03.528 This is a strengths test, 00:12:03.548 --> 00:12:04.428 which I know we're splitting hairs. 00:12:04.849 --> 00:12:05.849 And I remember I was working for this 00:12:05.928 --> 00:12:08.629 big, big, huge PT company, and my boss, 00:12:08.769 --> 00:12:09.350 who was not a PT, 00:12:09.370 --> 00:12:11.051 he was a management guy, was like, 00:12:11.171 --> 00:12:12.191 I want to talk to you about your 00:12:12.211 --> 00:12:12.751 spreadsheets. 00:12:12.772 --> 00:12:13.192 I was like... 00:12:13.792 --> 00:12:15.153 I immediately broke out into sweat. 00:12:15.393 --> 00:12:16.274 And I was like, cool. 00:12:16.293 --> 00:12:16.653 All right. 00:12:16.673 --> 00:12:17.514 And he's like, 00:12:17.575 --> 00:12:18.875 I want you to spend a lot of 00:12:18.916 --> 00:12:20.017 time getting better at spreadsheets. 00:12:20.397 --> 00:12:21.398 And I was like, okay. 00:12:21.778 --> 00:12:22.778 Now I have a counter idea. 00:12:22.919 --> 00:12:23.539 And he's like, what? 00:12:23.600 --> 00:12:23.960 And I was like, 00:12:24.480 --> 00:12:26.282 are the people at this organization who 00:12:26.341 --> 00:12:27.482 are great at spreadsheet already, 00:12:27.863 --> 00:12:29.585 are they getting better at communication 00:12:29.644 --> 00:12:30.284 and ideation? 00:12:30.304 --> 00:12:30.966 And he's like, well, no, 00:12:30.985 --> 00:12:31.606 that's ridiculous. 00:12:31.626 --> 00:12:31.886 And I go... 00:12:33.216 --> 00:12:34.618 then why don't you just give the 00:12:34.658 --> 00:12:36.259 spreadsheet test to the spreadsheet people 00:12:36.359 --> 00:12:37.359 and let me go woo and I do. 00:12:37.379 --> 00:12:38.759 I'm going to go out and woo. 00:12:38.840 --> 00:12:39.961 And that didn't go over well because he 00:12:39.980 --> 00:12:40.780 just wanted me to get in line. 00:12:40.801 --> 00:12:41.381 And that's why I was like, 00:12:41.642 --> 00:12:42.662 my time here is limited. 00:12:42.822 --> 00:12:44.062 I understand I'm in the wrong spot. 00:12:45.144 --> 00:12:46.144 We have a tradition on the show. 00:12:46.705 --> 00:12:47.284 Every episode, 00:12:47.565 --> 00:12:48.365 it's called The Parting Shot. 00:12:48.405 --> 00:12:51.908 This is The Parting Shot. 00:12:52.008 --> 00:12:54.028 One last mic drop moment. 00:12:54.109 --> 00:12:54.849 No pressure. 00:12:54.869 --> 00:12:57.431 Just your legacy on the line. 00:12:58.990 --> 00:12:59.171 All right, 00:12:59.191 --> 00:13:00.431 first time I've ever done live streams 00:13:00.551 --> 00:13:02.351 from anywhere other than my living room. 00:13:02.751 --> 00:13:04.371 We've recorded but never just streamed 00:13:04.392 --> 00:13:04.591 this. 00:13:04.692 --> 00:13:06.352 So I'm dumbfounded people are watching. 00:13:06.373 --> 00:13:07.033 What are you doing? 00:13:07.052 --> 00:13:07.633 Don't you have a job? 00:13:07.653 --> 00:13:08.332 It's the middle of the day. 00:13:08.352 --> 00:13:08.993 It is the middle of the day. 00:13:09.094 --> 00:13:11.053 Parting shot brought to you by our friends 00:13:11.094 --> 00:13:12.134 at Empower EMR. 00:13:12.693 --> 00:13:14.195 They're giving you what clinicians are at 00:13:14.215 --> 00:13:15.855 least asking for is smoother 00:13:15.894 --> 00:13:17.775 documentation, faster documentation, 00:13:19.035 --> 00:13:20.995 ease of use in the app you most 00:13:21.015 --> 00:13:22.496 likely, fortunately or unfortunately, 00:13:22.596 --> 00:13:23.677 use a lot in your life. 00:13:24.116 --> 00:13:25.498 Kick the tires and light the fires at 00:13:25.538 --> 00:13:27.197 EmpowerEMR.com. 00:13:27.278 --> 00:13:28.158 All right, so your parting shot, 00:13:28.198 --> 00:13:29.780 your last chance for a mic drop moment 00:13:29.821 --> 00:13:30.682 or a soapbox statement. 00:13:30.962 --> 00:13:31.943 What do you got? 00:13:31.964 --> 00:13:32.283 What do I got? 00:13:32.303 --> 00:13:34.047 I'm going to go back to this residency 00:13:34.086 --> 00:13:34.366 model. 00:13:34.868 --> 00:13:35.607 I think it's time, 00:13:35.688 --> 00:13:38.052 and I think I'm ready to disrupt this 00:13:38.111 --> 00:13:39.614 residency model and kind of turn it on 00:13:39.673 --> 00:13:39.933 its head. 00:13:40.682 --> 00:13:40.863 Um, 00:13:40.942 --> 00:13:42.443 in the spirit of Graham sessions being a 00:13:42.484 --> 00:13:43.464 little spicy, spicy, 00:13:43.884 --> 00:13:45.725 I want to wreck the accreditation model 00:13:45.764 --> 00:13:46.284 for residency. 00:13:46.325 --> 00:13:48.065 I think that's completely broken. 00:13:48.144 --> 00:13:49.365 It doesn't serve the profession. 00:13:49.926 --> 00:13:49.985 Uh, 00:13:50.046 --> 00:13:51.186 and so that's what I'm trying to do 00:13:51.225 --> 00:13:52.626 with brain Smith, uh, with, 00:13:52.767 --> 00:13:54.106 with this new entity that I'm starting. 00:13:54.126 --> 00:13:54.767 So talk about that. 00:13:54.787 --> 00:13:55.386 We didn't get into that. 00:13:55.407 --> 00:13:56.048 What is brain Smith? 00:13:56.067 --> 00:13:56.248 Yeah. 00:13:56.268 --> 00:13:57.908 Brain Smith is a new education company. 00:13:57.927 --> 00:13:59.889 We launched it last October and we're 00:13:59.908 --> 00:14:01.649 going to be offering a really, uh, 00:14:01.749 --> 00:14:03.309 excellent limited library, 00:14:03.330 --> 00:14:04.750 but very highly curated, uh, 00:14:04.809 --> 00:14:06.510 real high quality instructor content for 00:14:06.571 --> 00:14:07.471 continuing education. 00:14:08.020 --> 00:14:09.422 And then we're going to be partnering with 00:14:09.481 --> 00:14:11.344 clinics and building residency programs 00:14:11.384 --> 00:14:11.683 for them. 00:14:12.325 --> 00:14:13.285 They are not good at it. 00:14:13.326 --> 00:14:14.986 They don't have the time or the expertise. 00:14:15.006 --> 00:14:15.927 And you're like, I slide in. 00:14:16.227 --> 00:14:17.009 You want the want, 00:14:17.028 --> 00:14:17.830 but you don't have it. 00:14:17.850 --> 00:14:18.610 This is what we can do. 00:14:18.710 --> 00:14:18.971 Yeah, 00:14:19.030 --> 00:14:20.932 I've spent the past several years of my 00:14:20.971 --> 00:14:23.595 career building hybrid programs and 00:14:23.615 --> 00:14:24.654 developing hybrid programs, 00:14:24.735 --> 00:14:26.256 building lots of curriculum and content. 00:14:26.677 --> 00:14:28.359 And so I've developed really nice systems 00:14:28.399 --> 00:14:28.698 for this. 00:14:28.719 --> 00:14:29.679 So let me do that. 00:14:30.293 --> 00:14:30.914 And you do. 00:14:30.934 --> 00:14:33.037 I'll save you time because you'll pay me, 00:14:33.618 --> 00:14:35.100 but I'll get the thing done faster, 00:14:35.159 --> 00:14:36.000 better than you would. 00:14:36.500 --> 00:14:36.721 Right. 00:14:36.881 --> 00:14:38.263 And you continue to do the thing that 00:14:38.283 --> 00:14:38.563 you do. 00:14:38.663 --> 00:14:38.943 Yeah. 00:14:39.004 --> 00:14:40.446 And then it'll be nice because, you know, 00:14:40.725 --> 00:14:42.648 the clinician or the clinic rather gets to 00:14:42.687 --> 00:14:43.730 define what their values are. 00:14:43.830 --> 00:14:44.650 I see what you mean. 00:14:44.730 --> 00:14:45.991 Now, this looks like them. 00:14:46.091 --> 00:14:47.933 This looks smells like them. 00:14:48.174 --> 00:14:48.355 Right. 00:14:48.434 --> 00:14:48.975 As it should. 00:14:49.096 --> 00:14:49.275 Right. 00:14:49.316 --> 00:14:49.475 Right. 00:14:49.495 --> 00:14:50.597 So it's not like here's my residency 00:14:50.618 --> 00:14:50.918 certificate. 00:14:51.217 --> 00:14:53.119 curriculum you take it and go with this 00:14:53.139 --> 00:14:54.158 it's going to be like i have no 00:14:54.198 --> 00:14:55.440 idea what i want but i can tell 00:14:55.460 --> 00:14:56.899 you the ingredients or what i want it 00:14:56.919 --> 00:14:59.260 to feel like yeah the end we treat 00:14:59.301 --> 00:15:00.922 butterflies at this clinic okay so i have 00:15:00.981 --> 00:15:02.702 a butterfly course got it right like that 00:15:02.743 --> 00:15:04.043 kind of a thing perfect and where do 00:15:04.062 --> 00:15:05.844 people go to find out more brainsmith.org 00:15:06.004 --> 00:15:08.565 brainsmith.org uh eric robertson 00:15:08.585 --> 00:15:10.086 appreciate you uh having the guts to do 00:15:10.105 --> 00:15:12.126 the live stream yeah we survived it's a 00:15:12.147 --> 00:15:13.767 good time it's a good time we survived 00:15:13.866 --> 00:15:14.307 back to grams 00:15:15.736 --> 00:15:16.798 That's it for this one, 00:15:17.077 --> 00:15:18.739 but we're just getting warmed up. 00:15:19.220 --> 00:15:21.120 Smash follow, send it to a friend, 00:15:21.341 --> 00:15:23.003 or crank up the next episode. 00:15:23.523 --> 00:15:24.443 Want to go deeper? 00:15:24.903 --> 00:15:28.927 Hit us at pgpinecast.com or find us on 00:15:28.986 --> 00:15:31.528 YouTube and socials at pgpinecast. 00:15:31.948 --> 00:15:34.230 And legally, none of this was advice. 00:15:34.311 --> 00:15:36.072 It's for entertainment purposes only. 00:15:36.692 --> 00:15:37.693 Bullshit! 00:15:37.714 --> 00:15:38.293 See, Keith? 00:15:38.494 --> 00:15:39.575 We read the script. 00:15:39.875 --> 00:15:40.515 Happy now?