Episode Details
Mastering Chiropractic Business: Dr. Paul Shrogin's Journey from Neuroscience to Chiropractor.
Join us on the ChiroX Show as we dive deep into the world of chiropractic business with Dr. Paul Shrogin.
Discover how Dr. Shrogin transitioned from a promising career in neuroscience to mastering the art of running a successful, multi-stream chiropractic practice. Learn the secrets behind building a resilient business, tips for ensuring a superior patient experience, and the importance of having multiple income streams.
Dr. Shrogin also shares valuable insights on effective hiring practices, navigating challenging business transitions, and practical advice for budding chiropractors.
Whether you're a seasoned chiropractor or just starting out, this episode is packed with essential strategies and lessons for building a thriving practice. Don't miss it!

Key Takeaways
Core Philosophy for Practice Growth
- Balance business sense with patient care. Dr. Schrogin's journey from neuroscience to chiropractic was driven by a desire for a holistic approach, stronger patient relationships, and a better work-life balance than traditional medicine offered. He emphasizes that while the clinical side is crucial, a chiropractor's education doesn't prepare them for business, so that knowledge must be sought out.
- Play the long game. Dr. Schrogin focuses on building trust with patients by getting them better and getting them "out my door," even if it means less short-term revenue. This approach builds a successful, long-term practice because patients trust him enough to refer their entire families and return years later for different issues, which is a key part of his success.
- Leverage multiple streams of income and referrals. To create a stable business, Dr. Schrogin doesn't rely on just one source of revenue or patient leads. His practice has a mix of personal injury cases, general insurance, and cash patients. He also cultivates multiple referral sources, so if one dips, he can lean on the others to maintain stability.
Business and Operational Strategies
- Know your numbers to stay objective. Dr. Schrogin is a big proponent of tracking key metrics to take the emotion out of business decisions. Important numbers include total patient visits, new patient visits, where those new patients came from, and average collections by case type. He also recommends tracking your own energy level to compare your feelings with objective data.
- Run a lean business from the start. Dr. Schrogin learned the importance of having a low-expense business from a previous job where poor financial decisions led to the company's failure. He advises new business owners to start by doing as much as they can themselves and keeping expenses low until they prove success and have stable profits.
- Dedicate time to work on the business. Dr. Schrogin's "CEO time" is specifically for tackling big projects and goals that can't be completed in short bursts between patients . He recommends prioritizing projects that are "easy to accomplish" and have a "high impact" on the practice.
Team Building and Marketing
- Focus on hiring for personality over skill. When hiring, Dr. Schrogin prioritizes a candidate's personality, work ethic, and willingness to be part of a team over their specific skills, because skills can be taught. He screens candidates through a rigorous process and then incentivizes his "A players" to stay by offering opportunities for professional growth and quarterly team activities.
- Build a strong online presence and ask for reviews. Dr. Schrogin learned the importance of having a good Google presence, with congruent listings on various platforms like Apple Maps and Yelp. He's a top-ranked chiropractor in his area by building a patient experience that drives people to willingly share their stories online, a process that has added over 300 Google reviews since he took over the practice.
- Seek out a coaching group. He credits a lot of his success to joining a coaching group that provides accountability, challenges his ideas, and connects him with other successful colleagues. He emphasizes finding a program that resonates with your personal style and doesn't rely on a rigid script.

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