Guest guest Posted December 20, 2006 Report Share Posted December 20, 2006 I teach TCM theory to beginning students in their very first semester. One thing I always ask them is how many of them plan to stay in Santa Cruz. In the past, half the class would raise their hands. This past semester, only 2 out of 31 students raised their hands. It seems that the word is getting out that practicing in a saturated area is a very poor choice for students who have large amounts of debt. While Todd's words may sound bitter, I think we need to remember them when we are counseling students about where and how to start a practice. I also mention to the students that many of them may need another source of income while practicing. I have always done that, and I still enjoy practicing 15 years after graduating. It is best to prepare students up front for the financial realities so they can do a better job of planning where and how they will practice. I completely agree that the schools have not done enough in this regard. - Bill ............................................. Bill Schoenbart, L.Ac. P.O. Box 8099 Santa Cruz, CA 95061 office phone: 831-335-3165 email: plantmed ............................................. >>>Have you tried private practice in an area where there is not hundreds of acupuncturists? It seems to me that as our profession matures, we are getting expanded coverage by carriers, enough to expand to cover our expanding number of practitioners. This of course may not be happening in areas where it is popular to live, aka where the colleges are.>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2006 Report Share Posted December 20, 2006 Hello, I lurk on this board and have felt that since I am only a second year TCM student I was not qualified at this point to offer my opinion. However, reading this thread has really upset me because it seems that the deck is completely stacked against the students. This is my second career, my first was that of a very capitalist money making corporate burnout . So I feel qualified to offer my opinion on how bad this situation really is and how unfair the school makes if for the student to get a return on investment. I offer this opinion especially after reading Bob's dirty little secret. After so far spending 40K on my education (half way through the process) I am still not allowed to offer my acupuncture services free to family and friends or even potential future patients. I believe this also may include prescribing herbal formulas.....I have spent $40,000 and I am still not qualified to offer a free treatment or suggest an herbal formula, how wrong is that, in my opinion very wrong. Prior to getting out of school with a gigantic debt of $100,000 students should be able to begin cultivating a beginning base of patients by offering promotions of free treatments and selling basic herbal formulas, I mean why the hell not? This way they can get an idea of what it is going to take to get themselves going.... Bob spent 100 hours of acupuncture training...... and I have spent ummmm lets see 5 classes of 40 hours of acupuncture classes for a total of 200 hours, 6 classes of OM classes for a total of 240 hours and 6 classes of Herbs for a total of 240 hours......just to name a few...and I can't begin to develop a possible patient base? Not to mention accumulate the much needed experience to become successful. These poor kids, the minute they get out of school, with no patient base and no experience, they have to start repaying debt.....This is just not right. Regards Holly Bill Schoenbart <plantmed2 wrote: I teach TCM theory to beginning students in their very first semester. One thing I always ask them is how many of them plan to stay in Santa Cruz. In the past, half the class would raise their hands. This past semester, only 2 out of 31 students raised their hands. It seems that the word is getting out that practicing in a saturated area is a very poor choice for students who have large amounts of debt. While Todd's words may sound bitter, I think we need to remember them when we are counseling students about where and how to start a practice. I also mention to the students that many of them may need another source of income while practicing. I have always done that, and I still enjoy practicing 15 years after graduating. It is best to prepare students up front for the financial realities so they can do a better job of planning where and how they will practice. I completely agree that the schools have not done enough in this regard. - Bill ............................................. Bill Schoenbart, L.Ac. P.O. Box 8099 Santa Cruz, CA 95061 office phone: 831-335-3165 email: plantmed ............................................. >>>Have you tried private practice in an area where there is not hundreds of acupuncturists? It seems to me that as our profession matures, we are getting expanded coverage by carriers, enough to expand to cover our expanding number of practitioners. This of course may not be happening in areas where it is popular to live, aka where the colleges are.>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2006 Report Share Posted December 21, 2006 Hi All- As a new practitioner (graduated in 2004 from NESA) I have read this thread and related threads with great interest. While I agree with many who have posted here that we as practitioners face significant challenges (most importantly in my opinion, our own internal challenges)in our quests to become financially successful while practicing OM, I have a slightly different outlook on the prospects for success. My feeling is that the world is wide open for those who are now entering this field (or for those already in it for that matter). The same reasons that make practicing OM a challenge in this country (it's not mainstream, its relatively " young " , lack of infrastructure, insurance/cash issues, etc etc) also offer us practically unlimited opportunity. My feeling, which has been borne out by my experience thus far as well as the experiences of many of my classmates, is that, because the practice of OM is not as established as say Biomedicine, we can create our own reality when it comes to our practices. We are only limited by our own creativity and motivation (or lack thereof). I have classmates who: practice in gyms, in yoga studios, with MDs, in hospitals, in integrative medicine clinics, on cruise ships, in corporate settings, with other OM practitioners, with chiropractors, in community acupuncture clinics and the list goes on. To me, this is all very exciting, hopeful and inspirational. Does it mean that it is going to be easy? Of course not - and it shouldn't be easy. Are there going to be lean years, maybe, but this is not specific to practicing OM - it is the case when one begins in many new fields (especially when working for oneself). Do we have a lot of debt - yep, but who doesn't these days? Interest rates are relatively low, you can always defer, and maybe eventually we'll have loan forgiveness programs in place. Anyway, just wanted to add some positive perspective to this conversation. Happy Holidays - Adam Schreiber , holly mead <flwfree wrote: > > Hello, > > I lurk on this board and have felt that since I am only a second year TCM student I was not qualified at this point to offer my opinion. However, reading this thread has really upset me because it seems that the deck is completely stacked against the students. > > This is my second career, my first was that of a very capitalist money making corporate burnout . So I feel qualified to offer my opinion on how bad this situation really is and how unfair the school makes if for the student to get a return on investment. I offer this opinion especially after reading Bob's dirty little secret. > > After so far spending 40K on my education (half way through the process) I am still not allowed to offer my acupuncture services free to family and friends or even potential future patients. I believe this also may include prescribing herbal formulas.....I have spent $40,000 and I am still not qualified to offer a free treatment or suggest an herbal formula, how wrong is that, in my opinion very wrong. > > Prior to getting out of school with a gigantic debt of $100,000 students should be able to begin cultivating a beginning base of patients by offering promotions of free treatments and selling basic herbal formulas, I mean why the hell not? This way they can get an idea of what it is going to take to get themselves going.... > > Bob spent 100 hours of acupuncture training...... and I have spent ummmm lets see 5 classes of 40 hours of acupuncture classes for a total of 200 hours, 6 classes of OM classes for a total of 240 hours and 6 classes of Herbs for a total of 240 hours......just to name a few...and I can't begin to develop a possible patient base? Not to mention accumulate the much needed experience to become successful. > > These poor kids, the minute they get out of school, with no patient base and no experience, they have to start repaying debt.....This is just not right. > > Regards > Holly > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2006 Report Share Posted December 21, 2006 I totally agree with Adam: where there's a will, there's a way. Bob , " Adam Schreiber " <chinesemed wrote: > > Hi All- > > As a new practitioner (graduated in 2004 from NESA) I have read this > thread and related threads with great interest. While I agree with > many who have posted here that we as practitioners face significant > challenges (most importantly in my opinion, our own internal > challenges)in our quests to become financially successful while > practicing OM, I have a slightly different outlook on the prospects > for success. My feeling is that the world is wide open for those who > are now entering this field (or for those already in it for that > matter). The same reasons that make practicing OM a challenge in this > country (it's not mainstream, its relatively " young " , lack of > infrastructure, insurance/cash issues, etc etc) also offer us > practically unlimited opportunity. My feeling, which has been borne > out by my experience thus far as well as the experiences of many of my > classmates, is that, because the practice of OM is not as established > as say Biomedicine, we can create our own reality when it comes to our > practices. We are only limited by our own creativity and motivation > (or lack thereof). > > I have classmates who: practice in gyms, in yoga studios, with MDs, > in hospitals, in integrative medicine clinics, on cruise ships, in > corporate settings, with other OM practitioners, with chiropractors, > in community acupuncture clinics and the list goes on. To me, this is > all very exciting, hopeful and inspirational. > > Does it mean that it is going to be easy? Of course not - and it > shouldn't be easy. Are there going to be lean years, maybe, but this > is not specific to practicing OM - it is the case when one begins in > many new fields (especially when working for oneself). Do we have a > lot of debt - yep, but who doesn't these days? Interest rates are > relatively low, you can always defer, and maybe eventually we'll have > loan forgiveness programs in place. > > Anyway, just wanted to add some positive perspective to this conversation. > > Happy Holidays - > > Adam Schreiber > > > , holly mead <flwfree@> wrote: > > > > Hello, > > > > I lurk on this board and have felt that since I am only a second > year TCM student I was not qualified at this point to offer my > opinion. However, reading this thread has really upset me because it > seems that the deck is completely stacked against the students. > > > > This is my second career, my first was that of a very capitalist > money making corporate burnout . So I feel qualified to offer my > opinion on how bad this situation really is and how unfair the school > makes if for the student to get a return on investment. I offer this > opinion especially after reading Bob's dirty little secret. > > > > After so far spending 40K on my education (half way through the > process) I am still not allowed to offer my acupuncture services free > to family and friends or even potential future patients. I believe > this also may include prescribing herbal formulas.....I have spent > $40,000 and I am still not qualified to offer a free treatment or > suggest an herbal formula, how wrong is that, in my opinion very wrong. > > > > Prior to getting out of school with a gigantic debt of $100,000 > students should be able to begin cultivating a beginning base of > patients by offering promotions of free treatments and selling basic > herbal formulas, I mean why the hell not? This way they can get an > idea of what it is going to take to get themselves going.... > > > > Bob spent 100 hours of acupuncture training...... and I have spent > ummmm lets see 5 classes of 40 hours of acupuncture classes for a > total of 200 hours, 6 classes of OM classes for a total of 240 hours > and 6 classes of Herbs for a total of 240 hours......just to name a > few...and I can't begin to develop a possible patient base? Not to > mention accumulate the much needed experience to become successful. > > > > These poor kids, the minute they get out of school, with no > patient base and no experience, they have to start repaying > debt.....This is just not right. > > > > Regards > > Holly > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2006 Report Share Posted December 21, 2006 Holly, To be frank, I don't think a student is ready to treat patients after only two years. We're barely ready after four years! Besides, it's against the law and might prevent you from getting a license if somebody complains. On the other hand, I have never heard of students who don't practice needling each other outside of class. Regarding herbs, recommending Yin Qiao to a friend with a cold is no big deal, but starting an herbal practice will also get you in trouble with the licensing authorities if somebody turns you in. The people who seem to successfully match your model are the massage therapists who have a good practice and then go to acupuncture school. They continue to practice under their massage license while in school, introduce TCM principles to their clients, and recommend a few simple herb formulas. When they get their licenses, they often are successful in converting many of their clients to acupuncture. - Bill ............................................. Bill Schoenbart, L.Ac. P.O. Box 8099 Santa Cruz, CA 95061 office phone: 831-335-3165 email: plantmed ............................................. >>>>>Bob spent 100 hours of acupuncture training...... and I have spent ummmm lets see 5 classes of 40 hours of acupuncture classes for a total of 200 hours, 6 classes of OM classes for a total of 240 hours and 6 classes of Herbs for a total of 240 hours......just to name a few...and I can't begin to develop a possible patient base? Not to mention accumulate the much needed experience to become successful. These poor kids, the minute they get out of school, with no patient base and no experience, they have to start repaying debt.....This is just not right. Regards Holly >>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2006 Report Share Posted December 22, 2006 Hi Holly and everyone, I am about eight years into practice and remember being eager to start treating people while still in school. I think we have all been there. In this discussion you hear themes of our growing as a profession, which includes wanting to be taken seriously by other professions. Most programs become increasingly more demanding as they mature, and have stricter entry requirements (at least the good ones do). We don't even uniformly require a bachelor's and we give out master's and now doctorates. The issue of success after graduation is shared by all professions, as is the underlying cost of the education. My undergrad was $100,000 (family paid), where I majored in biology. How many six figure jobs do you think were waiting for me after graduation? So then I went on and did a master's in oceanography, (luckily I had the sense to go to Canada where I only paid $200/month in tuition and left that degree without debt), and still didn't meet up with that $100K job. So now I am doing acupuncture straddling student loan debt (about $50K), but grossing about $120-150K. So, this degree is producing way better than the other two degrees have. Will it last? I hope so. We all do. Am I a " success " ? By what measure? I am making it, but certainly don't take it for granted. I still have periods where I have to cut way back with expenditures and rethink things, but guess what? So does everyone else in business. I know you understand all of this coming from your background, but don't get too freaked out by the dissenters on the list, even though they make some valid points. Some are too optimistic, and some have had their heart broken and become bitter and biased. Even if you were able to do acupuncture on whomever while in school it would maybe only benefit those that don't move away, and the general consensus is that most should practice away from a school. You will have to work your ass off being self-employed when you start out, and at every point thereafter (especially if this is your only source of income). If you are entering into the profession thinking you will be getting a stress-free money tree, think again. When you are able to help people it gives back beyond words, when you can't it sucks, and then there are all the money issues of business. It has been worth it for me thus far, but it hasn't been effortless, so we can't equate " success " with easy, fairness or guaranteed. A book that I like other than Points for Profits is Book Yourself Solid by Michael Port. Best, Sean _____ On Behalf Of holly mead Wednesday, December 20, 2006 1:29 PM Re: Re: is it financially feasible to study and practice Chinese Hello, I lurk on this board and have felt that since I am only a second year TCM student I was not qualified at this point to offer my opinion. However, reading this thread has really upset me because it seems that the deck is completely stacked against the students. This is my second career, my first was that of a very capitalist money making corporate burnout . So I feel qualified to offer my opinion on how bad this situation really is and how unfair the school makes if for the student to get a return on investment. I offer this opinion especially after reading Bob's dirty little secret. After so far spending 40K on my education (half way through the process) I am still not allowed to offer my acupuncture services free to family and friends or even potential future patients. I believe this also may include prescribing herbal formulas.....I have spent $40,000 and I am still not qualified to offer a free treatment or suggest an herbal formula, how wrong is that, in my opinion very wrong. Prior to getting out of school with a gigantic debt of $100,000 students should be able to begin cultivating a beginning base of patients by offering promotions of free treatments and selling basic herbal formulas, I mean why the hell not? This way they can get an idea of what it is going to take to get themselves going.... Bob spent 100 hours of acupuncture training...... and I have spent ummmm lets see 5 classes of 40 hours of acupuncture classes for a total of 200 hours, 6 classes of OM classes for a total of 240 hours and 6 classes of Herbs for a total of 240 hours......just to name a few...and I can't begin to develop a possible patient base? Not to mention accumulate the much needed experience to become successful. These poor kids, the minute they get out of school, with no patient base and no experience, they have to start repaying debt.....This is just not right. Regards Holly Bill Schoenbart <plantmed2 (AT) gmail (DOT) <plantmed2%40gmail.com> com> wrote: I teach TCM theory to beginning students in their very first semester. One thing I always ask them is how many of them plan to stay in Santa Cruz. In the past, half the class would raise their hands. This past semester, only 2 out of 31 students raised their hands. It seems that the word is getting out that practicing in a saturated area is a very poor choice for students who have large amounts of debt. While Todd's words may sound bitter, I think we need to remember them when we are counseling students about where and how to start a practice. I also mention to the students that many of them may need another source of income while practicing. I have always done that, and I still enjoy practicing 15 years after graduating. It is best to prepare students up front for the financial realities so they can do a better job of planning where and how they will practice. I completely agree that the schools have not done enough in this regard. - Bill ............................................. Bill Schoenbart, L.Ac. P.O. Box 8099 Santa Cruz, CA 95061 office phone: 831-335-3165 email: plantmed (AT) earthlink (DOT) <plantmed%40earthlink.net> net ............................................. >>>Have you tried private practice in an area where there is not hundreds of acupuncturists? It seems to me that as our profession matures, we are getting expanded coverage by carriers, enough to expand to cover our expanding number of practitioners. This of course may not be happening in areas where it is popular to live, aka where the colleges are.>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2006 Report Share Posted December 24, 2006 The following is meant to be encouragement - (I reread the content and felt I needed to say that)!@! Like any professional venture - if you are going into business on your own you need to have a plan. A concise, well-prepared, financially sound business plan, that takes into account, your strengths, weaknesses, opportunities and threats. (SWOT) You need to consider location, competition, social demographics etc etc etc. IMO 2 years before graduating you should already be well on the way to having a completed draft for this plan. Acupuncturists are no more prone to failure in the business world than any other profession - look at how many start-up companies fail to make it to the NASDAQ or even get second round funding. You also need to recognize if you have the entrepeneurial spirit - or not? Can you work 80hrs per week for 2-3 years - doing marketing and business development and treating only a handful of patients a week. Are you prepared to do presentation after presentation to groups of people who are entrenched in the western medical paradigm? Finally you need to have a source of finance - to support you while you grow the business. That includes living costs and business costs - not just for 3 months but likely 12 months - by which time you should hope to be covering the major costs. Some people work in another profession while they are building the business - just realize this likely means it will take longer to develop and also it will be harder to give up the " supporting income " . You may not be in a position to build your client base before you graduate school - but you can utilize the energy and time you have now to hit the ground running when you get that credential. Happy holidays Kayte Halstead, L.Ac Acupuncture 4 Health, Inc , " Sean Doherty " <sean wrote: > > Hi Holly and everyone, > > I am about eight years into practice and remember being eager to start > treating people while still in school. I think we have all been there. In > this discussion you hear themes of our growing as a profession, which > includes wanting to be taken seriously by other professions. Most programs > become increasingly more demanding as they mature, and have stricter entry > requirements (at least the good ones do). We don't even uniformly require a > bachelor's and we give out master's and now doctorates. The issue of > success after graduation is shared by all professions, as is the underlying > cost of the education. My undergrad was $100,000 (family paid), where I > majored in biology. How many six figure jobs do you think were waiting for > me after graduation? So then I went on and did a master's in oceanography, > (luckily I had the sense to go to Canada where I only paid $200/month in > tuition and left that degree without debt), and still didn't meet up with > that $100K job. So now I am doing acupuncture straddling student loan debt > (about $50K), but grossing about $120-150K. So, this degree is producing > way better than the other two degrees have. Will it last? I hope so. We > all do. Am I a " success " ? By what measure? I am making it, but certainly > don't take it for granted. I still have periods where I have to cut way > back with expenditures and rethink things, but guess what? So does everyone > else in business. > > > > I know you understand all of this coming from your background, but don't get > too freaked out by the dissenters on the list, even though they make some > valid points. Some are too optimistic, and some have had their heart broken > and become bitter and biased. Even if you were able to do acupuncture on > whomever while in school it would maybe only benefit those that don't move > away, and the general consensus is that most should practice away from a > school. > > > > You will have to work your ass off being self-employed when you start out, > and at every point thereafter (especially if this is your only source of > income). If you are entering into the profession thinking you will be > getting a stress-free money tree, think again. When you are able to help > people it gives back beyond words, when you can't it sucks, and then there > are all the money issues of business. It has been worth it for me thus far, > but it hasn't been effortless, so we can't equate " success " with easy, > fairness or guaranteed. A book that I like other than Points for Profits is > Book Yourself Solid by Michael Port. > > > > Best, > > Sean > > > > > > _____ > > > On Behalf Of holly mead > Wednesday, December 20, 2006 1:29 PM > > Re: Re: is it financially feasible to study and practice > Chinese > > > > Hello, > > I lurk on this board and have felt that since I am only a second year TCM > student I was not qualified at this point to offer my opinion. However, > reading this thread has really upset me because it seems that the deck is > completely stacked against the students. > > This is my second career, my first was that of a very capitalist money > making corporate burnout . So I feel qualified to offer my opinion on how > bad this situation really is and how unfair the school makes if for the > student to get a return on investment. I offer this opinion especially after > reading Bob's dirty little secret. > > After so far spending 40K on my education (half way through the process) I > am still not allowed to offer my acupuncture services free to family and > friends or even potential future patients. I believe this also may include > prescribing herbal formulas.....I have spent $40,000 and I am still not > qualified to offer a free treatment or suggest an herbal formula, how wrong > is that, in my opinion very wrong. > > Prior to getting out of school with a gigantic debt of $100,000 students > should be able to begin cultivating a beginning base of patients by offering > promotions of free treatments and selling basic herbal formulas, I mean why > the hell not? This way they can get an idea of what it is going to take to > get themselves going.... > > Bob spent 100 hours of acupuncture training...... and I have spent ummmm > lets see 5 classes of 40 hours of acupuncture classes for a total of 200 > hours, 6 classes of OM classes for a total of 240 hours and 6 classes of > Herbs for a total of 240 hours......just to name a few...and I can't begin > to develop a possible patient base? Not to mention accumulate the much > needed experience to become successful. > > These poor kids, the minute they get out of school, with no patient base and > no experience, they have to start repaying debt.....This is just not right. > > Regards > Holly > > > > Bill Schoenbart <plantmed2 (AT) gmail (DOT) <plantmed2%40gmail.com> com> wrote: > I teach TCM theory to beginning students in their very first semester. One > thing I always ask them is how many of them plan to stay in Santa Cruz. In > the past, half the class would raise their hands. This past semester, only 2 > out of 31 students raised their hands. It seems that the word is getting > out that practicing in a saturated area is a very poor choice for students > who have large amounts of debt. While Todd's words may sound bitter, I think > we need to remember them when we are counseling students about where and how > to start a practice. I also mention to the students that many of them may > need another source of income while practicing. I have always done that, and > I still enjoy practicing 15 years after graduating. It is best to prepare > students up front for the financial realities so they can do a better job of > planning where and how they will practice. I completely agree that the > schools have not done enough in this regard. > > - Bill > > ............................................ > Bill Schoenbart, L.Ac. > P.O. Box 8099 > Santa Cruz, CA 95061 > > office phone: 831-335-3165 > email: plantmed (AT) earthlink (DOT) <plantmed%40earthlink.net> net > ............................................ > > >>>Have you tried private practice in an area where there is not hundreds of > acupuncturists? It seems to me that as our profession matures, we are > getting > expanded coverage by carriers, enough to expand to cover our expanding > number of > practitioners. This of course may not be happening in areas where it is > popular to live, aka where the colleges are.>>>> > > Quote Link to comment Share on other sites More sharing options...
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