Chris Chippendale, DC talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

Learn to communicate what you do and goals for the patient based on what they want. Patient centered evidence based care evolves and Chris Chippendale DC talks shared decision making and much more.

Chris Chippendale, MChiro DC PgCert MRCC (Pain)  and I just briefly talk about qualifications and differences of a UK vs USA trained chiropractor.

Most chiropractors in the UK are cash based. He talks about how he set up his fees and we touch on membership practices, charge per hour and flat fees. What is the biggest determining factor on the price per visit?

When is it appropriate to do a double charge, how to handle flare ups if you do a membership plan and what about case fees instead of per visit?

Do case fee patients vs per visit change how you recommend care?

What is Patient Centered Care versus Doctor Centered Care?

Follow the doctor orders and what I think is appropriate. The doctor will ride in and save the patient. This type of model is normal. Patient care is about the hero journey. The doctor is the guide to the patient so the patient can reach their health goals. It’s about shared decision making, giving the patient a choice.

How do you handle the patients who say, You are the Doctor, You tell me the Best option?

I’m here to help you get what you want out of care. I want us to work together and for you to be an active part of care.

When trying to get patients to do exercise or make changes, it’s easier to meet them where they are than to steer them in a direction they don’t desire to go. Understand they may have a ton of things going on in their life so to do 3 exercises is the best they can handle at the present time. This could be the essence of patient centered care.

What do you, Patient, want from care so that when we are done you would say this was a good use of time and money? Patient may think they coming from pain but really that was there for 3 years, what has the pain taken from their life that they want back.

Link their words that they described their issue as, during your report of findings. We are grabbing, cracking, stretching and pushing so that area can move better and working better.

Bone out of place is obviously not something he would say, but when do you correct a patient’s wrong beliefs and when do you just let it go?

Ask for a referral when a patient is expressing enthusiasm but before they get better.

Intimate Time With Yourself - not what it sounds like

BOOKS David Allen Getting Things Done, Jonathan Haidt The Righteous Mind