Guest guest Posted April 25, 2007 Report Share Posted April 25, 2007 Hi folks - I posted a question a while ago, and no one has responded (surprised me, given the topic), so I thought I'd post it again. Please note: there has been lots of talk about how to launch/maintain a business, but that's not my question. Here it is: A friend and I have been talking about the joys and wonders of starting a business as an acupuncturist, and how (or whether) that information is passed on to acupuncture students. So I'm running a mini-poll: How long did it take for your business to provide you with a steady, reliable income that met all your needs? This would be defined as an average monthly patient flow that paid all business expenses, covered all personal expenses, and was able to absorb fluctuations (things like unexpected cancellations or patients moving on). Did anyone at your college discuss this with you prior to graduation? Those of you who are currently acupuncture students: is this on your curriculum? Thanks so much! Karen Karen R. Adams Lic Ac, Dipl Ac, BA(Hons), BS Four Directions Healing Arts 112 Avenue A Turners Falls, MA 01376 413-863-8033 413-768-8333 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 25, 2007 Report Share Posted April 25, 2007 HI Karen, Acupuncture is a tough and challenging career. It maybe considered as an expensive hobby. Besides, the politics is involved, the medical board and FDA are always trying to find ways to eliminate us out of their sights...... Nobody knows for sure that acupuncture therapy and herbal therapy will be handled by an acupuncturist or by MD. They " MD " all want to control the market. They'd rather have their nurses taking a few seminars getting certified and perfoming these acts than acupuncturists. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 25, 2007 Report Share Posted April 25, 2007 Hi Karen, Interesting questions. Here's what I can tell you...... I put about $2000 of my own money into supplies and such before I opened my practice. Luckily, my patient flow was such that I was able to pay all my business bills the very first month. I started taking a small salary within the first few months but I it wouldn't have been enough to live on if I hadn't had a second income in my home back then. I now make a regular salary but it's no where near the $100,000 a year some acupuncture business classes suggest. I suppose I could get closer to that if I worked differently, but I'm not willing to change. I don't take insurance and and about 20-25% of my patients are on a sliding scale, including some who pay $20 or less for a treatment. The other reason my salary is decent but not great is because, at 58, I'm not interested in working the crazy hours I did when I was younger. As to acupuncture school training for practice management, it was close to non-existent. We were offered one 1-credit course and my memory of that is mostly the instructor urging us to charge lots of money for our treatments. There was no information given on developing a business plan, advertising, dealing with insurance companies (for those who were interested in that), scheduling, front desk protocols, etc. etc. I've been in practice for eight years, so maybe acupuncture schools are offering more in this area now. I sure hope so! When I look around at my colleagues, the ones who are doing the best (and that means quality of life as well as money) are the ones who, like myself, had experience running businesses before they opened their acupuncture practice. Karen, I hope you'll post the results of your poll. Peace, Liz Casey - Karen Adams Chinese Medicine Wednesday, April 25, 2007 7:06 AM poll was acupuncture business startup Hi folks - I posted a question a while ago, and no one has responded (surprised me, given the topic), so I thought I'd post it again. Please note: there has been lots of talk about how to launch/maintain a business, but that's not my question. Here it is: A friend and I have been talking about the joys and wonders of starting a business as an acupuncturist, and how (or whether) that information is passed on to acupuncture students. So I'm running a mini-poll: How long did it take for your business to provide you with a steady, reliable income that met all your needs? This would be defined as an average monthly patient flow that paid all business expenses, covered all personal expenses, and was able to absorb fluctuations (things like unexpected cancellations or patients moving on). Did anyone at your college discuss this with you prior to graduation? Those of you who are currently acupuncture students: is this on your curriculum? Thanks so much! Karen Karen R. Adams Lic Ac, Dipl Ac, BA(Hons), BS Four Directions Healing Arts 112 Avenue A Turners Falls, MA 01376 413-863-8033 413-768-8333 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 25, 2007 Report Share Posted April 25, 2007 HI Karen, Acupuncture is a tough and challenging career. It maybe considered as an expensive hobby. Besides, the politics is involved, the medical board and FDA are always trying to find ways to eliminate us out of their sights...... In near future, nobody knows for sure that acupuncture therapy and herbal therapy will be honored and handled by an acupuncturist. They " MDs and FDA " all want to control the market. They'd rather have themselves or their nurses taking a few seminars getting certified and perfoming these acts than acupuncturists themselves. The market is tough everywhere. It depends on the location and the acceptance of the local residents if they do believe in acupuncture you might have a chance to survive. It would be nice for all of us who graduated would have a chance to get into a hospital or clinic to establish our career there " equal opportunity " . How fast you grow and how stable your income will make depends upon your skills in management,performance and marketing. There are so many MDs in need of seeing more patients, I've seen some of them had closed their offices for this reason. We are competing with them. I suggest you should try to find any family physicians " clinical office " and join them. Some of them are now in thirst to join us to make their office growing. Try this way first before running an office on your own. I think you may need more exposure and more experience. Good luck !!!!!!!!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 25, 2007 Report Share Posted April 25, 2007 Dear Karen, I think that there are three prerequisites to successfully start up an acupuncture business: 1. A love of people. Everywhere I go, when I'm in the market, the park, or the study hall I engage people that I meet. It is so easy to have the conversation shift to health and invariably it can lead to acupuncture and what you do. Also, to neighborhood venues that tailor to heath such as gyms, health food stores, physicians offices, etc., make yourself known as a neighbor. Offer free classes and seminars. When you schedule them, send out releases to the local newspapers. Also, (and others might disagree with me!) take your patients or potential patients phone calls and don't charge them for them. I feel that what goes around comes around, and if you are kind, giving, and make it clear that you are available for quick 5-10 minute phone calls, of course, at your convenience, you will further solidify your relationship. 2. A niche. Do things differently than other acupuncturists in your area, either by treating a specific population (as an Chasidic and orthodox Jew I am constantly getting calls from my community), a specialty such as infertility, cardiology, dermatotogy, etc. or an additional skill or modality such as integrating CranioSacral therapy, using a laser, etc. 3. Presentation. Make sure that your office is attractive, your staff is pleasant and that location is accessable so that people not only like you but will like coming to see you. I disagree with those who say that it is tough to build up a business. I also think that money shouldn't be an issue, either. I charge a lot, I think. My sessions are 2 hours and I charge $90 per hour plus herbs. I also run a cash business. I will give a receipt or statement if a patient asks for it, otherwise, I don't. Those who can't afford that much, I ask them how much they are able to pay for each session up front, and I abbreviate the session to an hour. The one prerequisite, though is that they do pay something, for I have found that those who say that they can't afford anything don't take their appointments seriously, and don't show up or come late. Building my business has been fun and challenging. And it hasn't taken a lot of money, either. What it does take is creative thinking, getting out there, and again, loving yourself and loving others. In my tradition there is a Mishna (part of the Oral law) which says, " If I am not for myself, who will be for me? if I am only for myself what am I? and if not now, when? " Much success, Yehuda Frischman, L.Ac, CST, SER www.traditionaljewishmedicine.com Karen Adams <k_r_adams wrote: Hi folks - I posted a question a while ago, and no one has responded (surprised me, given the topic), so I thought I'd post it again. Please note: there has been lots of talk about how to launch/maintain a business, but that's not my question. Here it is: A friend and I have been talking about the joys and wonders of starting a business as an acupuncturist, and how (or whether) that information is passed on to acupuncture students. So I'm running a mini-poll: How long did it take for your business to provide you with a steady, reliable income that met all your needs? This would be defined as an average monthly patient flow that paid all business expenses, covered all personal expenses, and was able to absorb fluctuations (things like unexpected cancellations or patients moving on). Did anyone at your college discuss this with you prior to graduation? Those of you who are currently acupuncture students: is this on your curriculum? Thanks so much! Karen Karen R. Adams Lic Ac, Dipl Ac, BA(Hons), BS Four Directions Healing Arts 112 Avenue A Turners Falls, MA 01376 413-863-8033 413-768-8333 Ahhh...imagining that irresistible " new car " smell? Check outnew cars at Autos. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 25, 2007 Report Share Posted April 25, 2007 I would say that it took me about 3-5 years to get my practice going. However, I am fortunate enough to be able to work out of my home so overhead it low. Jamie Chinese Medicine , " Karen Adams " <k_r_adams wrote: > > Hi folks - I posted a question a while ago, and no one has responded > (surprised me, given the topic), so I thought I'd post it again. > Please note: there has been lots of talk about how to launch/maintain > a business, but that's not my question. Here it is: > > A friend and I have been talking about the joys and wonders of > starting a business as an acupuncturist, and how (or whether) that > information is passed on to acupuncture students. So I'm running a > mini-poll: > > How long did it take for your business to provide you with a steady, > reliable income that met all your needs? This would be defined as an > average monthly patient flow that paid all business expenses, covered > all personal expenses, and was able to absorb fluctuations (things > like unexpected cancellations or patients moving on). > > Did anyone at your college discuss this with you prior to graduation? > > Those of you who are currently acupuncture students: is this on your > curriculum? > > Thanks so much! > Karen > > Karen R. Adams > Lic Ac, Dipl Ac, BA(Hons), BS > Four Directions Healing Arts > 112 Avenue A > Turners Falls, MA 01376 > 413-863-8033 > 413-768-8333 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2007 Report Share Posted April 26, 2007 Yehuda: Very interesting response on your business model. I have a question on point #3. Do you do all sessions for 2 hrs or some just 1 hr. Do you see only one person at a time during the 2hr session? During the one hour session? I hate to ask such a mundane question with this eloquent expose below - but that mundanity becomes a sticking point (no pun intended) for me. This is great, Yehuda. I'll have to post it somewhere so I can see it regularly. " In my tradition there is a Mishna (part of the Oral law) > which says, " If I am not for myself, who will be > for me? if I am only for myself what am I? and if not now, when? " These are two cards I have on my desk: " I dwell in possibility " -Emily Dickinson and " A cup of tea together will make us glad, and a little friendship is no small matter. " -Words from a Japanese folk song I Anne -------------- Original message ---------------------- > Dear Karen, > > I think that there are three prerequisites to successfully start up an > acupuncture business: > > 1. A love of people. Everywhere I go, when I'm in the market, the park, or > the study hall I engage people that I meet. It is so easy to have the > conversation shift to health and invariably it can lead to acupuncture and what > you do. Also, to neighborhood venues that tailor to heath such as gyms, health > food stores, physicians offices, etc., make yourself known as a neighbor. Offer > free classes and seminars. When you schedule them, send out releases to the > local newspapers. Also, (and others might disagree with me!) take your patients > or potential patients phone calls and don't charge them for them. I feel that > what goes around comes around, and if you are kind, giving, and make it clear > that you are available for quick 5-10 minute phone calls, of course, at your > convenience, you will further solidify your relationship. > > 2. A niche. Do things differently than other acupuncturists in your area, > either by treating a specific population (as an Chasidic and orthodox Jew I am > constantly getting calls from my community), a specialty such as infertility, > cardiology, dermatotogy, etc. or an additional skill or modality such as > integrating CranioSacral therapy, using a laser, etc. > > 3. Presentation. Make sure that your office is attractive, your staff is > pleasant and that location is accessable so that people not only like you but > will like coming to see you. > > I disagree with those who say that it is tough to build up a business. I also > think that money shouldn't be an issue, either. I charge a lot, I think. My > sessions are 2 hours and I charge $90 per hour plus herbs. I also run a cash > business. I will give a receipt or statement if a patient asks for it, > otherwise, I don't. Those who can't afford that much, I ask them how much they > are able to pay for each session up front, and I abbreviate the session to an > hour. The one prerequisite, though is that they do pay something, for I have > found that those who say that they can't afford anything don't take their > appointments seriously, and don't show up or come late. Building my business > has been fun and challenging. And it hasn't taken a lot of money, either. What > it does take is creative thinking, getting out there, and again, loving yourself > and loving others. In my tradition there is a Mishna (part of the Oral law) > which says, " If I am not for myself, who will be > for me? if I am only for myself what am I? and if not now, when? " > > Much success, > > Yehuda Frischman, L.Ac, CST, SER > www.traditionaljewishmedicine.com > > > > > > Karen Adams <k_r_adams wrote: > Hi folks - I posted a question a while ago, and no one has responded > (surprised me, given the topic), so I thought I'd post it again. > Please note: there has been lots of talk about how to launch/maintain > a business, but that's not my question. Here it is: > > A friend and I have been talking about the joys and wonders of > starting a business as an acupuncturist, and how (or whether) that > information is passed on to acupuncture students. So I'm running a > mini-poll: > > How long did it take for your business to provide you with a steady, > reliable income that met all your needs? This would be defined as an > average monthly patient flow that paid all business expenses, covered > all personal expenses, and was able to absorb fluctuations (things > like unexpected cancellations or patients moving on). > > Did anyone at your college discuss this with you prior to graduation? > > Those of you who are currently acupuncture students: is this on your > curriculum? > > Thanks so much! > Karen > > Karen R. Adams > Lic Ac, Dipl Ac, BA(Hons), BS > Four Directions Healing Arts > 112 Avenue A > Turners Falls, MA 01376 > 413-863-8033 > 413-768-8333 > > > > > > Ahhh...imagining that irresistible " new car " smell? > Check outnew cars at Autos. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2007 Report Share Posted April 26, 2007 It took me 6 months to cover clinic & life expenses. Interestingly, it was exactly what I had set as a goal. My clinic mate said about the same for him. No, my school did not discuss this topic, but I think it would be quite difficult to nail down, as everyone's circumstances are so different. Good luck! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2007 Report Share Posted April 26, 2007 Hi Karen, This issue was one of the reasons AOM professional associations have been pushing so hard for increased educational standards for the past 10 years. Starting in 2004-5, both ACAOM accredited and CA approved schools were required to significantly increase their hours in this arena. While some schools squeak by with the minimum and weekend courses, where I work, AIMC Berkeley, we take this very seriously as our mission is to produce successful practitioners. We teach a 3-trimester series on Practice Building and follow it up with a Practice Management class where students are required to submit a business plan <http://www.aimc.edu/acupuncture-school/professional.html>. Our first cohort for this curriculum will graduate this Fall, so we'll see how they do. My sense is they are way ahead of students on the older curriculums. Benjamin Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 29, 2007 Report Share Posted April 29, 2007 Great work Benjamin, keep it up and maybe others will follow. Mike W. Bowser, L Ac : bdierauf: Thu, 26 Apr 2007 11:20:42 -0700Re: poll was acupuncture business startup Hi Karen,This issue was one of the reasons AOM professional associations have beenpushing so hard for increased educational standards for the past 10 years.Starting in 2004-5, both ACAOM accredited and CA approved schools wererequired to significantly increase their hours in this arena.While some schools squeak by with the minimum and weekend courses, where Iwork, AIMC Berkeley, we take this very seriously as our mission is toproduce successful practitioners. We teach a 3-trimester series on PracticeBuilding and follow it up with a Practice Management class where studentsare required to submit a business plan<http://www.aimc.edu/acupuncture-school/professional.html>. Our first cohortfor this curriculum will graduate this Fall, so we'll see how they do. Mysense is they are way ahead of students on the older curriculums.Benjamin _______________ Invite your mail contacts to join your friends list with Windows Live Spaces. It's easy! http://spaces.live.com/spacesapi.aspx?wx_action=create & wx_url=/friends.aspx & mkt=\ en-us Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2007 Report Share Posted May 3, 2007 It took me 2 to 3 years. It was not covered in school in a business management class, but it was covered if you took chinese medicine seriously and read the classics. I suggest for people to meditate on and contemplate the various classics associated with cm and derive benefit for their business from that. I do however believe that cm school should provide courses on the various dangers associated with clinical practice in this culture, the specifics, in other words. Insurance dangers, legal issues, getting sued, accused of malpractice etc etc. Hugo Jamie Whartenby <jwhartenby Chinese Medicine Wednesday, 25 April, 2007 6:05:48 PM Re: poll was acupuncture business startup I would say that it took me about 3-5 years to get my practice going. However, I am fortunate enough to be able to work out of my home so overhead it low. Jamie Traditional_ Chinese_Medicine , " Karen Adams " <k_r_adams@. ..> wrote: > > Hi folks - I posted a question a while ago, and no one has responded > (surprised me, given the topic), so I thought I'd post it again. > Please note: there has been lots of talk about how to launch/maintain > a business, but that's not my question. Here it is: > > A friend and I have been talking about the joys and wonders of > starting a business as an acupuncturist, and how (or whether) that > information is passed on to acupuncture students. So I'm running a > mini-poll: > > How long did it take for your business to provide you with a steady, > reliable income that met all your needs? This would be defined as an > average monthly patient flow that paid all business expenses, covered > all personal expenses, and was able to absorb fluctuations (things > like unexpected cancellations or patients moving on). > > Did anyone at your college discuss this with you prior to graduation? > > Those of you who are currently acupuncture students: is this on your > curriculum? > > Thanks so much! > Karen > > Karen R. Adams > Lic Ac, Dipl Ac, BA(Hons), BS > Four Directions Healing Arts > 112 Avenue A > Turners Falls, MA 01376 > 413-863-8033 > 413-768-8333 > <!-- #ygrp-mlmsg {font-size:13px;font-family:arial, helvetica, clean, sans-serif;} #ygrp-mlmsg table {font-size:inherit;font:100%;} #ygrp-mlmsg select, input, textarea {font:99% arial, helvetica, clean, sans-serif;} #ygrp-mlmsg pre, code {font:115% monospace;} #ygrp-mlmsg * {line-height:1.22em;} #ygrp-text{ font-family:Georgia; } #ygrp-text p{ margin:0 0 1em 0;} #ygrp-tpmsgs{ font-family:Arial; clear:both;} #ygrp-vitnav{ padding-top:10px;font-family:Verdana;font-size:77%;margin:0;} #ygrp-vitnav a{ padding:0 1px;} #ygrp-actbar{ clear:both;margin:25px 0;white-space:nowrap;color:#666;text-align:right;} #ygrp-actbar .left{ float:left;white-space:nowrap;} ..bld{font-weight:bold;} #ygrp-grft{ font-family:Verdana;font-size:77%;padding:15px 0;} #ygrp-ft{ font-family:verdana;font-size:77%;border-top:1px solid #666; padding:5px 0; } #ygrp-mlmsg #logo{ padding-bottom:10px;} #ygrp-vital{ background-color:#e0ecee;margin-bottom:20px;padding:2px 0 8px 8px;} #ygrp-vital #vithd{ font-size:77%;font-family:Verdana;font-weight:bold;color:#333;text-transform:upp\ ercase;} #ygrp-vital ul{ padding:0;margin:2px 0;} #ygrp-vital ul li{ list-style-type:none;clear:both;border:1px solid #e0ecee; } #ygrp-vital ul li .ct{ font-weight:bold;color:#ff7900;float:right;width:2em;text-align:right;padding-ri\ ght:.5em;} #ygrp-vital ul li .cat{ font-weight:bold;} #ygrp-vital a { text-decoration:none;} #ygrp-vital a:hover{ text-decoration:underline;} #ygrp-sponsor #hd{ color:#999;font-size:77%;} #ygrp-sponsor #ov{ padding:6px 13px;background-color:#e0ecee;margin-bottom:20px;} #ygrp-sponsor #ov ul{ padding:0 0 0 8px;margin:0;} #ygrp-sponsor #ov li{ list-style-type:square;padding:6px 0;font-size:77%;} #ygrp-sponsor #ov li a{ text-decoration:none;font-size:130%;} #ygrp-sponsor #nc { background-color:#eee;margin-bottom:20px;padding:0 8px;} #ygrp-sponsor .ad{ padding:8px 0;} #ygrp-sponsor .ad #hd1{ font-family:Arial;font-weight:bold;color:#628c2a;font-size:100%;line-height:122%\ ;} #ygrp-sponsor .ad a{ text-decoration:none;} #ygrp-sponsor .ad a:hover{ text-decoration:underline;} #ygrp-sponsor .ad p{ margin:0;} o {font-size:0;} ..MsoNormal { margin:0 0 0 0;} #ygrp-text tt{ font-size:120%;} blockquote{margin:0 0 0 4px;} ..replbq {margin:4;} --> _________ 24 FIFA World Cup tickets to be won with Mail http://uk.mail. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2007 Report Share Posted May 5, 2007 it's difficult to remember back at this point. i remember a lot of stress and anxiety in the begining. i bought a small practice to get me started, so i had to use credit cards for a while until i got the purchase paid off. i recall staying in the black from the begining, excepting the credit card debt. i lived frugally, and within 1 1 1/2 years had the practice and credit cards paid. since then, i have felt that my wants and needs are met, and feel quite fortunate to be self employed and self supporting, doing something i love, feel passionate about and that is challenging and rewarding. i remember hitting the five year mark and feeling that i had rounded the corner so to speak: could absorb fluxuations, etc. do give the results of your poll. i agree with the others, practice mgmt training was sadly lacking in my program (PCOM). i think getting to the 5y mark involved getting the self-taught, small business training absorbed. k On 4/25/07, Karen Adams <k_r_adams wrote: > > Hi folks - I posted a question a while ago, and no one has responded > (surprised me, given the topic), so I thought I'd post it again. > Please note: there has been lots of talk about how to launch/maintain > a business, but that's not my question. Here it is: > > A friend and I have been talking about the joys and wonders of > starting a business as an acupuncturist, and how (or whether) that > information is passed on to acupuncture students. So I'm running a > mini-poll: > > How long did it take for your business to provide you with a steady, > reliable income that met all your needs? This would be defined as an > average monthly patient flow that paid all business expenses, covered > all personal expenses, and was able to absorb fluctuations (things > like unexpected cancellations or patients moving on). > > Did anyone at your college discuss this with you prior to graduation? > > Those of you who are currently acupuncture students: is this on your > curriculum? > > Thanks so much! > Karen > > Karen R. Adams > Lic Ac, Dipl Ac, BA(Hons), BS > Four Directions Healing Arts > 112 Avenue A > Turners Falls, MA 01376 > 413-863-8033 > 413-768-8333 > > > -- Kath Bartlett, LAc, MS, BA UCLA Oriental Medicine Experienced, Dedicated, Effective Asheville Center For 70 Woodfin Place, Suite West Wing Two Asheville, NC 28801 828.258.2777 kbartlett www.AcupunctureAsheville.com Quote Link to comment Share on other sites More sharing options...
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