Patient Centred Training

06/02/2026

𝐁𝐞𝐜𝐨𝐦𝐢𝐧𝐠 𝐭𝐡𝐞 𝐖𝐚𝐫𝐫𝐞𝐧 𝐁𝐮𝐟𝐟𝐞𝐭 𝐨𝐟 𝐂𝐡𝐢𝐫𝐨𝐩𝐫𝐚𝐜𝐭𝐢𝐜
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Billionaires aren't what they used to be, are they?
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Back when I was a kid, being a billionaire was something you might aspire to.
I mean, who wouldn’t want practically limitless wealth, right?
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Nowadays, practically anytime you hear someone use the word billionaire, it’s generally with contempt - typically accompanied by “corporate overlord” or “hyper-wealthy elite”.
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However, there’s one particular billionaire who bucks the trend - and is actually someone I still aspire to:
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Warren Buffet.
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And odd though it might sound, I think most practitioners could learn a lot from Warren.
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Not because of his wealth, or business success, but because of how he approaches problems in his life.
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Most of us - because of a completely false assumption - end up taking the complete opposite approach, and never realise how miserable it can leave us.
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And that’s true whether we’re talking about running a practice, or simply treating patients day-to-day.
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Today's video addresses this, explaining what the assumption is, and how to fix it by taking a leaf from this rather unusual billionaire’s book.
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It might change how you think about what you do - and leave you feeling more energised and enthusiastic as a result.
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And if you do own your own practice (or aspire to soon), we’ll be using this exact approach in my next event - The Patient Experience.
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Myself and Kevin Christie of Modern Chiropractic Marketing are teaming up for this one day, business focused workshop that will make 2026 your best year yet.
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I don’t usually do business-focused events, but with Kevin bringing some serious expertise working with some of the biggest names in the EB Chiro world, this is one you won’t want to miss.
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We’ll be in Stratford, London on June 20th - full details in the comments.
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P.S. That other big announcement I mentioned is still coming - I know I teased it last week, but it’s taken a bit longer than I’d hoped to get it ready.
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So rather than do a rush job and put out something second-rate, you’ll have to bear with me for another couple of weeks… I promise it’ll be worth it though ;)

03/02/2026

𝐁𝐞𝐢𝐧𝐠 𝐥𝐢𝐤𝐞𝐝 𝐢𝐬 𝐨𝐯𝐞𝐫𝐫𝐚𝐭𝐞𝐝
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This weekend I had the honour of giving the Keynote speech at the AECC’s Future Pathways event for this year's graduates.
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It was a sold out event, with over 100 students and almost 50 clinics attending.
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What I didn’t know was that I’d be following the RCC President Stuart Smellie, and his very professional PowerPoint deck - not sure I’d have gone with a cartoon character on my title slide if I’d known that!
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Now, most people for this audience would have gone for something typically motivational:
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“𝘠𝘰𝘶’𝘳𝘦 𝘨𝘰𝘯𝘯𝘢 𝘥𝘰 𝘨𝘳𝘦𝘢𝘵… 𝘠𝘰𝘶’𝘳𝘦 𝘴𝘰 𝘣𝘭𝘦𝘴𝘴𝘦𝘥… 𝘺𝘰𝘶 𝘢𝘳𝘦 𝘵𝘩𝘦 𝘧𝘶𝘵𝘶𝘳𝘦!”
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Typical cliché hype.
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As many of you will know though… that’s not me.
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Don’t get me wrong, I could have pulled that off easily at this stage in my career, and I’m sure they’d have loved it.
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Instead though, I took a different approach - I talked about fear.
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I spelled out for them how overwhelming their first 12 months would be.
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How there’s no safety net, they’ll be constantly second guessing themselves, and the stakes will be much higher than they are now…
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I could see eyebrows raising when I did - this was not the talk they were expecting.
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I laid it out for them, and didn’t sugar coat anything.
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“The start of your career is going to be full of difficult situations, anxiety and overwhelm,” I told them.
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“And when you’re in front of a patient, you’re going to be looking for any way to make things easier…”
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This wasn’t scaremongering for its own sake though, there was a point to it all
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I wanted them to understand the reality of practice in the real world, so they’d be able to accept the challenge, and see what lay on the other side.
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Because whether they end up working for someone, running a solo practice, or having a big multidisciplinary clinic one day… they’re going to need to be a leader.
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A lot of newer DC’s don’t realise the responsibility that comes with being a clinician - and that it requires leadership.
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If you aren’t leading your patients, you’re failing the responsibility they’ve gifted you when they walk through your door.
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And most of all, there’s one choice we all have to make as leaders:
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“𝘋𝘰 𝘐 𝘸𝘢𝘯𝘵 𝘵𝘰 𝘣𝘦 𝘭𝘪𝘬𝘦𝘥… 𝘰𝘳 𝘥𝘰 𝘐 𝘸𝘢𝘯𝘵 𝘵𝘰 𝘣𝘦 𝘶𝘴𝘦𝘧𝘶𝘭?”
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Choosing to be liked is tempting - telling patients what you think they want to hear, softening your recommendations, saying “it’s up to you… see how you go…”
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Longer term subscribers will know that one of my issues with the evidence based side of chiropractic is our tendency to under treat out of fear.
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(Yes, there are practitioners who over-treat, but they're not the majority)
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Undertreating is far more common, and - excluding the rare ones who hard sell the same big plan to everyone - a bigger problem for patients.
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It’s an abdication of leadership, and it’s putting our own need to feel safe above the patients need for a clinical leader.
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And as I told them on Saturday, the irony is that in the long term, patients actually like useful practitioners… and don’t like those who aren’t.
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So if you want patients to like you, you might as well just be useful.
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(Being liked for its own sake is overrated, anyway)
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Of course, most of the folks reading this aren’t students, and many are clinic owners themselves.
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So you might not need to hear that like they did - though some could likely use a reminder!
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Here’s my real point: this concept goes way beyond just patients and treatment recommendations.
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It goes for being a mentor, an employer, even a colleague
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In fact, I was faced with the same choice when I was invited to give this keynote:
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Do I tell them what they want to hear, or what they actually need?
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Something warm, fuzzy and motivational, that strokes my ego?
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Or the truth, even if it’s tough to hear?
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And although it got some shocked expressions in the moment, ultimately the feedback was better than any cliché, happy-clappy empowerment speech others might have given.
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In the last few days, I’ve had more grateful emails, messages and comments from students than I can count, sharing how much it make them think.
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In other words, they weren’t grateful because I made them feel good, but because someone treated them like adults and trusted them with the truth.
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And whether it’s a patient, an associate, or a new grad asking for guidance, the same choice will be showing up in your practice each day
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You can choose to “play it safe” and aim to be liked in the moment…
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Or choose the braver path, to be truly useful.
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Being liked might feel safer, but being useful is what leadership actually looks like.
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Worth remembering the next time you feel the pull of pleasing someone in the moment.

31/01/2026

𝐒𝐡𝐨𝐰 𝐝𝐨𝐧'𝐭 𝐓𝐞𝐥𝐥 𝐏𝐭 𝟔: 𝐖𝐡𝐚𝐭 𝐢𝐟 𝐢𝐭 𝐝𝐨𝐞𝐬𝐧'𝐭 𝐰𝐨𝐫𝐤
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Right, time for the final final video in series.
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Everything we’ve covered in the last 2 weeks works incredibly well when patients can feel the difference straight away.
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But this video is about the moments when they don’t.
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When you ask, “Do you feel that?” and they genuinely can’t.
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Or when you recheck after an adjustment and it hasn’t changed the way you expected.
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If you’ve ever felt that slight internal wobble in those moments, this one is for you.
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In the video, I walk through what’s actually happening when patients can’t feel the difference yet, why that’s useful information rather than a problem, and how to handle it without panic, over-explaining, or trying to force a result.
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You’ll see:
… how low body awareness changes what you rely on in that moment
… what to say when nothing feels different yet (for them or for you)
… how thinking just one step ahead keeps trust intact, even when things don’t go to plan
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One of the bigger themes running through this whole series is that results rarely come from hands-on skill or communication skill alone.
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It’s the blend of the two that makes the difference.
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When what you do with your hands and how you guide the patient’s attention are working together, things land very differently.
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If you’ve found this series useful, you’re going to want to keep an eye on your inbox next week.
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I’ll be sharing something new that builds directly on this way of working, and takes it further than a short video series ever could.
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More on that soon.

29/01/2026

29/01/2026

𝐒𝐡𝐨𝐰 𝐃𝐨𝐧'𝐭 𝐓𝐞𝐥𝐥 𝐏𝐭 𝟓 ​ ​ 𝐒𝐭𝐨𝐩 𝐒𝐞𝐧𝐝𝐢𝐧𝐠 𝐌𝐢𝐱𝐞𝐝 𝐒𝐢𝐠𝐧𝐚𝐥𝐬!
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Are you shooting yourself in the foot every time your patient walks in the room?
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These last couple of weeks I’ve been sharing my specific process for proving the value of my treatment to my patients.
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To say it’s gone down well would be an understatement… the amount of “I’m really loving this!” type emails and DM’s I’ve been getting are so rewarding to me!
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Not only have folks been seeing the results for their patients - they’re also having more fun in clinic too.
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If you’ve already been putting this into action already, keep up the good work.
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If you think it’s helping now, the results only compound over time…
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If you’ve not watched them yet, make sure to do it ASAP - FYI I’m considering turning this into a larger paid course in the future, so they might not be up for much longer…
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Either way, up to now I’ve been showing you how to get your patients feeling progress, not just hearing your explanations.
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Today though, we need to talk about something different - one small habit that quietly undoes all of your hard work.
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And almost everyone does it, too.
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On the surface, it seems well meaning, and feels patient centred…
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… the problem is, it sends a completely mixed message about what actually matters.
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And that mixed message ends up devaluing everything you end up doing at that visit - before they’ve even sat on the bench.
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Check out the video to find out what it is, and what to do instead.
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Again, this works best when you’re already doing steps 1-4, so make sure to catch up on those first if you need to.
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Otherwise, you’ll have confused patients ​ - not because they’re “difficult”, but because you trained them that way.
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Tomorrow, I’ll finish the series by tackling the question everyone asks next: what to do when things don’t go to plan, and why that’s better news than you think.

27/01/2026

𝐒𝐡𝐨𝐰 𝐝𝐨𝐧’𝐭 𝐭𝐞𝐥𝐥 𝐏𝐭. 𝟒: 𝐆𝐢𝐯𝐞 𝐭𝐡𝐞𝐦 𝐃𝐨𝐩𝐚𝐦𝐢𝐧𝐞!
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Ok, Part 4...
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… Up to now, we’ve looked at how to help patients understand what’s going on, and how to get them to actually feel the problem you’re addressing.
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Now I’ll show you how to go beyond them just trusting you know what you’re doing, and instead proving it to them - by making them instantaneously ​ 𝘧𝘦𝘦𝘭 𝘱𝘳𝘰𝘨𝘳𝘦𝘴𝘴.
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Feeling progress in the session is critical to showing patients the value of your care.
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If your patients associate seeing you with progress towards their goals, they will trust you more than 𝐚𝐧𝐲𝐨𝐧𝐞 else.
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Dopamine plays a central role here - it’s the brain’s signal that something is working, and worth repeating.
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Showing patients in the moment progress means you’re getting their brain to release a hit of dopamine - and the more the better.
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In the video, I show you how to deliberately create those dopamine moments in-session, without more explanation, more education, or hoping they notice a change by next week.
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You’ll see:
… the simple test that turns each technique into a clear “that’s better!”
… why most DC’s weaken the dopamine signal by waiting too long
… how to stack multiple moments of progress into a single visit
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This builds directly on what we covered in Parts 1 to 3, so it’ll land much better if you’ve seen those first.
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You can watch this on its own, but it won’t work half as well without that groundwork in place.
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Tomorrow, I’ll show you the very common thing that completely undermines this at the start of the next visit, and how to avoid it.

26/01/2026

𝐒𝐡𝐨𝐰 𝐃𝐨𝐧’𝐭 𝐓𝐞𝐥𝐥 𝐏𝐭 𝐈𝐈𝐈 - 𝐓𝐡𝐞 𝐏𝐨𝐰𝐞𝐫 𝐨𝐟 𝐈𝐧𝐭𝐞𝐫𝐨𝐜𝐞𝐩𝐭𝐢𝐨𝐧
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Last week I sent you 2 videos on how to prove the value of your care to your patients, without endless explanations that go in one ear and out the other.
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In Part 1 we looked at why mixing learning styles matters if you actually want patients to learn, not just listen.
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In Part 2 we covered how you set the loop early, so they know what to pay attention to when you examine and treat them.
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This video is about what comes next…where explanation stops doing the heavy lifting, and the patient starts to feel the thing you’ve been talking about.
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Not in a vague, “trust me” kind of way, and not by telling them what’s wrong.
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Instead, we’re going to use their own sense of “interoception” to cue their nervous system into the underlying cause of their problem.
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You’ll see:
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- The specific cue that turns “I guess that makes sense” into “yeah… I can feel that!”
- Why the typical, obvious way most people do this leaves so much on the table,
- How symptoms, explanation, and exam get linked into one coherent experience
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One note before you watch - this will land much better if you’ve seen Parts 1 and 2 first, because this method is built directly on that groundwork.
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If you jump straight to this without the setup, it’ll still kind of work… just not nearly as well.
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So make sure to watch those first, then come back here for this one.
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Tomorrow I’ll show you a simple strategy to maximise your patient’s “dopamine fix” and create massive momentum at every single visit.

24/01/2026

𝐒𝐡𝐨𝐰 𝐝𝐨𝐧’𝐭 𝐓𝐞𝐥𝐥 𝐏𝐭 𝟐 - 𝐒𝐞𝐭 𝐭𝐡𝐞𝐦 𝐮𝐩 𝐟𝐨𝐫 𝐬𝐮𝐜𝐜𝐞𝐬𝐬
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Yesterday, I sent you a really important video.
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It revealed one of the biggest mistakes most chiropractors make when trying to explain care to their patients - even the ones who think they’re great communicators.
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I’ve already had DC’s messaging me to say they can’t wait for the rest of the series, and to learn how to put this stuff into practice.
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And today we’ll do just that...
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One of the main reasons patients don’t instantly feel the benefit of your care isn’t actually to do with your technique.
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Instead, it’s that nothing has prepared their nervous system to notice it yet.
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In Part 2, I walk through something I do before the examination even starts, during the case history, that sets this up properly.
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This isn’t a “lesson” or patient education in the traditional sense - instead, it works by helping the patient recognise and organise their own felt experience, then gently linking it to what we’re about to look for together.
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In this video, you’ll see:
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- What to say before the exam that makes your findings feel obvious, not impressive
- How to talk about what you expect to find without sounding certain or salesy
- Why this one moment often determines whether patients later say “that makes sense” or stay unsure
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If this feels a bit unfamiliar, start with an easy patient and just try the structure.
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You’re not committing to being right here, FYI - just allowing the patient to connect their felt experience to something concrete.
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Then on Monday, I’ll show you what to do during the examination to deepen this even further.
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P.S. Can’t wait until Monday?
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Drop me a quick reply now and I’ll show you where to get Pt 3 early ;)

23/01/2026

“𝐒𝐡𝐨𝐰 𝐃𝐨𝐧’𝐭 𝐓𝐞𝐥𝐥” - 𝐏𝐚𝐭𝐢𝐞𝐧𝐭 𝐄𝐝𝐮𝐜𝐚𝐭𝐢𝐨𝐧, 𝐰𝐢𝐭𝐡𝐨𝐮𝐭 𝐭𝐡𝐞 𝐄𝐱𝐩𝐥𝐚𝐧𝐚𝐭𝐢𝐨𝐧𝐬
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“I wish I could get patients to see the value in my care”
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I’ve heard some variation of this from several colleagues in the past few weeks, and it’s a common frustration.
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You listen well, do a thorough assessment, and deliver a great treatment…
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… so why do so many patients drop out early?
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… or say “I’m gonna see how I go”?
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… or (even worse) if they do come back, say “I just need a quick crack”?
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Back when I started coaching, I’d tell these DC’s it’s likely because of one of two things:
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They either didn’t discover their patient's real goal, or didn't explain their care well enough and needed to work on their Report of Findings.
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Over time however, I’ve realised that sometimes it’s not that simple.
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Sometimes it’s not a case of explaining things at all - or at least, not using words.
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Nowadays, I’m a big believer in the concept of “show don’t tell”.
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I don’t tell patients I’m a great listener, I show them (e.g. with reflective listening)
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I don’t tell them I’m experienced, I show them (e.g. with subtle credibility signals)
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And, crucially, I don’t tell them how an adjustment works, I show them.
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Now, knowing my audience, I know some of you are thinking “I do that too - muscle testing is great for this!”
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And you’re not wrong.
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But what I want to share today goes beyond just muscle testing.
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And you don’t even need to use it - personally, I do this with good old motion palpation.
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And not only that, but even the DC’s who use pre-post testing to show patients the results of their treatment are usually missing a few tricks.
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There’s quite a bit of nuance to this, and multiple aspects to consider.
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But I really want to share it with you, because I’ve realised over the years that it’s such a big part of my success in practice - and why so many patients enthusiastically want to come back, without me needing to persuade anyone.
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(I never try to persuade or convince patients to do anything these days - I just show them what I can offer, and let them decide. Because when you can do what I’m about to show you, the results speak for themselves)
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But because it’s a bit of a bigger topic than usual, I’m going to do this over a few short videos, rather than one long one.
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You’ll be getting a few more emails from me in the next week or so, so make sure to keep an eye out.
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Anyway, in this first video I’ll share some the deeper psychology behind this approach, and why it works better than a lot of the common “learning style” models that most of us use (sometimes without realising it)
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More coming soon…

21/01/2026

Confident Associates = Better Patient Outcomes!

20/01/2026

𝐘𝐨𝐮’𝐯𝐞 𝐚𝐥𝐫𝐞𝐚𝐝𝐲 𝐰𝐨𝐧 (𝐞𝐯𝐞𝐧 𝐢𝐟 𝐢𝐭 𝐝𝐨𝐞𝐬𝐧’𝐭 𝐟𝐞𝐞𝐥 𝐥𝐢𝐤𝐞 𝐢𝐭)
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Can I share a thought that’s been sitting with me lately?
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It came out of a conversation with a colleague recently, but it’s one of those ideas that applies whether you’re 4 years out, 40 years out, and anywhere in between
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Most of us assume that when a patient walks in, that’s when everything starts - the trust building, rapport generation, and gaining their confidence.
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As if you’re starting from zero, and try to earn your way to “good enough”.
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But what if that assumption is wrong?
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Today, I wanted to walk you through a simple shift in how I think about first appointments, and how it’s completely changed how I approach (and experience) them.
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When I started making this shift, I noticed I became more relaxed during the appointment itself - and paradoxically, patients became even more confident in me.
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Best of all, it even made them more enjoyable!
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It’s something I genuinely wish I’d understood much earlier in practice.
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Today’s video covers:
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- What the patient has already decided before they ever meet you
- Why most practitioners unknowingly make their own job harder
- How lowering the bar for “good enough” can actually improve care
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P.S. For newer grads, I know this can feel a bit “easier said than done”.
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It’s one thing to understand the shift, but another thing to actually do it.
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If you want some help with that, I’ve got an event in March that will help you do just that.

16/01/2026

𝐖𝐡𝐲 𝐮𝐧𝐢𝐯𝐞𝐫𝐬𝐢𝐭𝐢𝐞𝐬 𝐚𝐫𝐞 𝐦𝐞𝐬𝐬𝐢𝐧𝐠 𝐮𝐩 𝐠𝐫𝐚𝐝𝐬 (𝐚𝐧𝐝 𝐡𝐨𝐰 𝐜𝐥𝐢𝐧𝐢𝐜 𝐨𝐰𝐧𝐞𝐫𝐬 𝐜𝐚𝐧 𝐟𝐢𝐱 𝐢𝐭)
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This one’s mainly for clinic owners.
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Although… if you’re a recent graduate, there’s a very good chance you’ll recognise yourself in it too.
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Over the last 5-6 years, there’s been a pattern that I keep seeing with the clinic owners I work with.
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You hire a new graduate at your clinic - they’re smart, caring, and genuinely want to do the right thing.
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Of course, they have the usual new grad hang-ups about under-treating, poverty-mindset, and assuming every non-textbook symptom is a red flag…
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… “no big deal” you go, “they just need some coaching.”
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Fast forward to 6 months later… and they’re still not getting it.
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For many, this is where the frustration starts kicking in - because you’re really trying to help.
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You give them solid advice, coach them through cases that you know they could handle better, maybe even observe each other’s treatments
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But for some reason, it’s not working.
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They might nod and agree, and say all the right things…
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… But when the patient’s in front of them, they seem to right back to where they started.
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One thing I’ve found over the years, with mentoring both new graduates and clinic owners, is that it’s rarely an issue of giving the wrong advice, or of the associate “not listening”
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It’s that you’re trying to solve the wrong problem.
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In this short video, I explain the real issue underpinning this - and the 3 things you can do now to fix it.
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(FYI, the root of it is something universities 𝘩𝘢𝘷𝘦 𝘵𝘰 𝘥𝘰 in order to graduate “safe” clinicians…
and it’s unintentionally shaping how new grads assess risk, make decisions, and tolerate uncertainty once they’re in practice)
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I’ll show you.
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- Why many graduates are coming out more fearful than ever,
- Why the kind of mentoring that used to work no longer does,
- And what you need to do instead as a clinic owner to remove the issue - so your advice can finally land
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This isn’t about blaming universities, though - more about understanding the environment your associates were trained in.
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That way, you can adapt to what they need now.
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If you’ve ever found yourself feeling stuck with how to help your associate, chances are this is the missing piece.
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PS. If you’d like some help getting your new grads over their impostor syndrome and building their list quicker - without triggering their fears and worries about putting profits before people - then have a look at my newest event for new graduates, and anyone struggling to feel confident in the clinic.
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Our last class (on cervical adjusting and building rapport) sold out pretty quick, but you can save your team a spot here now AND grab the early bird discount if you book before Jan 30th.
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This one focuses on another 2 areas most grads struggle with: the Report of Findings, and Lumbar & lower limb adjusting
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It’s optional and just one day, but it’s there for clinic owners who want external input for their grads rather than trying to be the sole source of confidence and certainty.
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Full details in the comments: