You've had this patient. Great rapport, understood the diagnosis, asked good questions, left the room looking like someone who was going to smash the home program. Two weeks later, nothing. Or worse, they did it wrong the whole time and only mention it in passing at the next session.
Read MoreAcross Parts 1 and 2, we looked at why patient visit average (PVA) is worth taking seriously as a clinical signal, and how the first few sessions should be structured so patients see value building over time rather than being front-loaded with everything at once. So where does that actually leave the numbers?
Read MoreIn Part 1, we looked at why patient visit average (PVA) is a clinical signal, not just a business number - and why front-loading patients with information in session one quietly erodes the perceived value that keeps them coming back. So what should those early sessions actually look like?
Read MoreWe were talking KPIs with a group of mentees this week, and the same number kept coming up: a patient visit average sitting around four. Not zero engagement, just not enough to actually finish the job.
When we dug into why, the pattern was almost always the same, and it traces straight back to what happens in the very first session.
Read MoreSay "KPI" to most pelvic health clinicians and you'll see a flinch, usually earned by the wrong kind of KPI.
This week's blog is about the three we think are worth tracking, and why one in particular ties directly back to what the evidence says actually gets patients better.
Read MoreWhen a physio asks us about moving into women's health, we usually say the same thing first: get solid MSK experience under your belt.
It's not a formality. Managing a patient's whole journey in MSK teaches you how to actually run a caseload, and that's the foundation pelvic health work sits on top of.
Pelvic health also brings its own extra layer of hard: rebooking, cancellations, keeping patients motivated. Walking in with people-management confidence already sorted makes a real difference.
Read MoreYou spent months finding a great pelvic physio. Interviews, reference checks, the whole process. So what happens when they leave twelve months later for the clinic down the road?
Read MoreDreading a particular patient on the schedule, not because of the clinical complexity, but because you know the session will be heavy. Going through the motions of empathy without really feeling it. Taking a birth story home with you.
None of that makes you a bad clinician.
This week we wrote about compassion fatigue in pelvic health specifically - how it's different to burnout, why it's easy to miss because it looks like ordinary tiredness, and what actually helps (hint: it's not a bubble bath).
Read MoreWhat to Actually Look for in a Women's Health Mentor
A post came through a physio networking group this week that we see some version of almost every month: "Looking for recommendations of someone to mentor my women's health physio?"
Simple question. Genuinely hard to answer well - because "find someone senior in women's health" is where most clinic owners start, and it's usually not where the mentoring gap actually is.
Here's what we'd suggest looking for instead: trained-to-mentor vs. just good at the job, coaching vs. answering, soft skills coaching, business acumen, responsiveness, and why that hour-long guest lecture won't move the needle on its own.
You have done the course. Maybe you have got a staff member who is keen. You have downloaded the equipment checklist and you are starting to think seriously about launching a pelvic health stream in your clinic.
It is an exciting space to move into. The demand is real, the clinical work is meaningful, and it adds genuine depth to what your clinic offers.
But before you order the equipment and start promoting the service, there are some questions worth sitting with. The clinics that build sustainable pelvic health services ask them upfront. The ones that struggle usually wish they had.
Read MoreYou hired someone great. You invested in their training. And now, somewhere in your week, you're also finding time to mentor them - a debrief after a session, questions between patients, an end-of-day attempt to coach someone through a case you never quite got around to.
Here's what that's actually costing you, and why there's a better way.
If your senior clinician charges $300 an hour and spends three hours a week on mentoring tasks, that's over $3,600 a month in opportunity cost - quietly, every month. And that's before asking whether they're actually good at mentoring, which is a separate question entirely. Being a great clinician doesn't make you a great mentor. The two require different skills, and clinical training doesn't teach the second one.
Read MoreReturning to pelvic health practice after maternity leave is one of the most common times physios reach out to PPPM for support. From clinical confidence dips and caseload rebuilding to managing fatigue, changed perspectives after a lived birth experience, and the particular challenges of working independently — this post covers the honest reality of the return and what good support actually looks like during this transition.
Read MoreThe rebooking conversation doesn't have to feel salesy.
But for a lot of pelvic health physios, it does.
And the reason is usually not a personality thing or a confidence thing.
It's a clarity thing.
When your clinical plan is clear, when you know why this patient needs to come back weekly for the next six weeks and you can explain it in plain language, the rebooking conversation isn't a sales pitch. It's just the next step in the plan.
The discomfort shows up when the reasoning isn't fully formed. When you're not quite sure how to justify the frequency. When you hedge instead of recommend.
On the blog this week we've written the practical version of how to shift this, including the specific language that helps and what to do when patients push back.
Read MoreThe best pelvic health physios are hard to hire. But a great MSK clinician with strong foundations and genuine interest in the specialty is something worth investing in. In this post, we share the six-step blueprint we use to develop pelvic health clinicians from scratch, including how to run a gap analysis after their first course, structure intensive early mentoring, and build caseload complexity progressively. If you're a clinic owner thinking about growing your pelvic health stream, this is the practical starting point.
Read MoreIf you've ever thought "I really should be connecting with GPs" and then done absolutely nothing about it - you're in good company.
Building a referral network is one of those things that sits permanently on the to-do list of most pelvic health physios. It feels vaguely important, mildly uncomfortable, and somehow never quite urgent enough to actually action.
Read MoreAre you a physio who wants to grow your women's health caseload but still spending most of your week in MSK?
You're not alone - and the answer might be simpler than you think.
Marketing doesn't have to mean paid ads or hours on social media. When you reframe it as a tool for crafting your ideal role, it becomes one of the most powerful things you can do for your career.
We've put together our top three strategies for clinicians who want to build the caseload they actually want!
Read MoreHiring the right physiotherapist - or landing the right role - comes down to one thing: knowing what's really being looked for beneath the surface of an interview question.
We've sat on both sides of the table at MPPP, and we've learned that the best hires are rarely the most polished candidates. They're the most open ones.
We've written a guide for clinic owners and clinicians alike - breaking down the questions that matter, what great answers actually look like, and how to show up as your best self on either side of the table.
Read MoreHere's something we see all the time. A physio has a senior colleague they can call when they're stuck. They're getting guidance. They're getting answers. They feel supported.
And yet - they're not getting better as fast as they expected. They still reach for their phone to ask someone else what to do. They still don't quite trust their own clinical reasoning.
The support is there. So why isn't the growth?
Because what they're getting isn't mentoring. It's teaching. And while both have value, only one of them builds the clinician you're capable of becoming.
Read MoreI had the loveliest call recently with a brand new pelvic floor physio - fresh out of her first training and full of great questions. Her best one? "What are your top tips for a baby pelvic physio?" Nobody tells you this stuff when you're starting out. So here it is - the honest version.
Read MoreYou finish the session five minutes over. Then ten. You're eating lunch at your desk at 2pm and driving home with half your brain still in the clinic. Here's the thing - it's not a time management problem. It's a boundary problem. And left unchecked, it's one of the fastest routes to burnout.
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