My RD Journey

From Undergrad -> Internship -> RD -> Private Practice!


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Tips for Writing Your First Book

Welcome back to My RD Journey! For the past few months, I have been working on my first book! I had been thinking about writing a book for the past year now, but it wasn’t until the beginning of this year that I actually thought I COULD do it. I was so full of self-doubt about my skills as a writer and my ideas as a Dietitian, that I was terrified to start compiling ideas for my book. I mean who am I to write a book?!

I purchased a few books (see below for my recommendations) and before I knew it, I was more than excited to write. I started testing my book ideas out with my clients and fellow Dietitians and I became more confident in my book ideas. After a while, I started to have this “itch” to write something tangible that people could use long-term. Is weird as this may sound, it was like I NEEDED to write and it truly became a passion of mine.

At this point, I finished a first full draft of my book and have it out to my beta readers for commenting. I must had re-read and edited 100 times before sending it to my first reader! Once I get the edited versions back, I will do another couple of revisions before the final editing process. I have decided to self-publish, so I have a bit more back-end work to do.

Anyways, for today’s post, I wanted to share with you some of the resources and tips that helped me in the beginning stages of writing my first book!

Create a Timeline 
One thing I did not do for this book, but plan to do for my future ones is to create a timeline for writing and editing. I started toying around with my book idea in May, but it wasn’t until almost July that I had content written down. In August, I started planning out when I would edit, send copies to my beta readers, re-edit, etc. Having a timeline pushed me to work harder and gave me a clear vision of my book’s path. I highly suggest getting together a timeline for your book now.

Practice Writing
If you don’t currently have a blog or social media page, get one! Start practicing your writing skills. The more you write, the more you learn about yourself, your style of writing, your method of writing, etc. Are you someone who likes the pen and paper? Would you rather type it out? Does writing at home distract you? Learning about yourself now, will help when you start writing a longer-form book.

Pull From Previous Content
If you have been blogging or writing articles for a while, pull from that content when creating a book. Think back to previous lessons and presentations. All of that material can become apart of your book. Use the great things you have already created as an outline for this book or future ones!

ID How to Capture Ideas 
I often get random ideas about books or content for the book I am writing while driving, showering, or sitting on the train. One of the biggest tips I have is to find a way to capture these ideas. I now carry around a small notebook to jot down thoughts. I have a notepad app on my phone that also voice records, and I keep a brainstorming document on my laptop. I never remember all of the fleeting ideas I have, so being prepared with ways to capture them has been super helpful.

Join Mastermind Groups

I am apart of a few different writing groups, one of which is within the AND. I love these groups for not only the tips, but also, motivation! Join online groups, email newsletters, or in-person meet-ups!

Get Over Your Fears
Your first book may not be your greatest book, and that is totally okay! Put your heart and soul into what you are doing and just know that the second time around, you will be even better. You will always have people who dislike your content, whether it be a book or blog. You will also always have your die-hard readers and followers. Focus on that positive energy! One thing I kept reminding myself in this process is that I know what I write will at least help one person (even if that one person is a family member).

Just Write 
For about 2 months, I was so concerned with learning the best way to write, the best way to market my book, and the best way to format my book, that I didn’t actually even write anything! I was psyching myself out of writing thinking about all the things I needed to do. I pushed that all aside and basically said to myself that I was worrying over a product that I didn’t even have yet! My final piece advice to aspiring writers out there is to just write. Get it all out on paper first and then worry about the rest.

Are you thinking about or currently writing a book? What have been your most helpful tips in the writing process? Leave a comment below and let me know!

Great Books That Relate to Writing/Creativity/Niche:
Make Your Idea Matter
Start Writing Your Book Today
Writing the Damn Book
The War of Art

Look out for my first book coming SEPTEMBER 2017! 


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Private Practice Tools & Apps

When I first started PorrazzaNutrition, I did a lot via paper (i.e. my accounting, charting, etc) and I soon realized just how many files I was accumulating. Over the past couple of years, I have implemented a few systems/applications in my practice and I have complied a list of just some of them for you today. There are tons of competing products/services on the market; however, these were ones I have used personally and were satisfied with. This is not a sponsored post and I do not work for any of the companies featured below.

Organization
Trello– I have just started using this free app/site and it is awesome for individuals and teams! I love that you can create different boards (topics) and lists. I used for long-term lists and also for some of the committees I am on. I also use the boards as ideas for my blogs and then I list out talking points. It is great for me when I am not able to sit down and write on paper.
Google Drive- If you have not used GD, start now! You get a ton of free storage! I store informational sheets, blank assessment forms, and documents that I use most often on-the-go. It is way better than storing a ton of stuff on my laptop and then only being able to access if I am on it. I use GD a lot for committees I am on. It is easier to share a folder with the minutes than emailing documents back and forth every month.
Tools for Wisdom Planner– I am totally still a pen-and-paper planner person. I tried using an online calendar and hated it! I like crossing things out and being able to flip through the months with a paper planner. I am super picky about my planners and will spend hours trying to find a good one each year (haha). I currently use the Tools for Wisdom since I specifically wanted a planner with a month view plus the days in columns with an hour-by-hour format. The pages are thick enough that highlighters do not bleed through (I am a color coding queen). I might switch up again for next year since this does not include any 2018 months. I am totally open to suggestions here!

Accounting – Quickbooks
When I first began my practice, I didn’t have a ton of income/expenses so I just tracked using ledger sheets. After about 2 years, I started looking around and Quickbooks came up a lot. It is super simple to use and cheap (I pay $5.30/month). You can save different transactions for the future so they are automatically categorized as they come in. I use the app a lot on-the-go, especially since you can scan in receipts. I still use a separate accounting sheet to track unpaid classes or checks that have not been cashed yet. It definitely makes tax season a lot simpler since you can just import your information from Quickbooks without having to enter in everything manually.

Media
Dropbox– I have the Dropbox app on my phone and computers and it makes it really easy to upload files or pictures. I take a ton of photos and it syncs automatically with my computer where I can then move them to an external hard-drive or save to my photos.
-Canva– Awesome for designing posts for social media, blogs, etc. So many free images/templates.
Pixabay–  Royalty free pictures. I take a lot more of my own photos now; however, this was really helpful for me initially.
Snapseed– Free app for editing photos. One of the best I have used so far.
Tiny Scanner– Free app that functions as a portable scanner. Your scans can be saved as a PDF or an image. I have the free version and just delete the scans once they are uploaded to where they need to be. Really useful for scanning large documents especially if you are out or don’t have a scanner at home (mine is a bit temperamental).

Newsletters – MailChimp
I use MailChimp for my bi-monthly newsletters. I also embedded a sign-up form on my website (GoDaddy) that links to my account. I like being able to embed newsletters in emails and then track the statistics after each email blast. I use the free version for my practice and have not felt the need to upgrade further yet.

As I mentioned in the beginning of the post, this is not a complete list of every tool/app I use in practice; however, it does include my main ones. I will be posting another blog to include my counseling/billing resources too!

I am always open to suggestions for tools, so leave a comment and let me know what types of software or applications that you use that have made your business life that much more productive (or simpler).


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April Recap – Lessons Learned

April has probably been my busiest month so far in full-time private practice. I had two conferences, both of which I was apart of the planning process, 3 speaking engagements, plus my normal business load (clients and classes). I definitely thought a lot about balance and what that means for myself and my future practice. As I mentioned in my previous blog post, I have been trying to change how I do business to allow for more free time.

So, this month (and those in the future), I want to share with you my “Lessons Learned,” “Key Defining Moments,” and “Business Goals.” I decided on these topics for a few reasons; one of which is that other RDs always ask me what I would have done differently (hence lessons learned) when starting my practice. I also always get asked how I keep myself motivated, which involves pivotal moments and setting goals for myself. My hope is that my monthly recap can help someone else in their practice or career in general.

Lessons Learned 
“Always assume there is something to learn.” “Don’t just show-up, but engage.” 
Sometimes when I think about going somewhere I question whether I will get anything out of it. I mean, after all, my time is critical for me to keep a hold on. I realized that you get what you put into ANY situation. If you want to learn, ask questions and be involved. Engage in conversations and do more than just show-up. If you approach situations with a mindset of knowing you will learn, you will.

“Take advice from the experts.” 
What is funny about this lesson is that I always tell people to see a Dietitian for nutrition help because they are the experts. Somewhere along the way I stopped applying this to my personal/business life. Instead of hiring an accountant for tax season, I figured I would do it myself. About 6 hours later, I filed my federal and state taxes, plus learned how to pay quarterly ones. I then realized I had two city taxes to file only days before the deadline. I tried doing the forms myself online and could not get the numbers to populate correctly. It basically kept saying I owed $0, which I knew was incorrect. After a brief panic attack, I realized that I had the business card of an accountant I knew from school AND I had just reconnected with him while on the train. Despite it being late notice, he helped me to figure out what I was doing wrong fairly quickly and all was well. What I learned from this was breaking down wasn’t going to solve a thing; taking action and figuring out a plan would. I also realized it would have been so much easier (and tax deductible) to have worked with him from the beginning instead of wasting all that time stressing and struggling through it on my own. While I am a huge proponent of learning for yourself, it is really important to know what your limits are.

Key Defining Moments 
PAND AME 
This year I was apart of the planning process for the Pennsylvania Academy of Nutrition & Dietetics’ Annual Meeting and Exhibition. To be honest, I had not gone in the past since I thought I wouldn’t get much out of it. It was such an awesome experience for me. Not only did I get to know some other great Dietitians, but I learned a ton! The best thing about it was that a few RDs came up to me saying they had read my RD Journey blog and had followed me to learn more about private practice. These were people I either never met before or those I knew from years ago but didn’t keep in touch. I also saw a few of my previous preceptors and one had said she still used materials I created for her programming. I was super proud of myself but also realized that I needed to continue on the path I was on to build my brand and products even further.

Running for the Train
Since I really hate driving downtown for my cooking classes, I have been taking the train instead. This means I walk about 1.2 miles to the train station lugging all of my stuff for class. I had a lot of materials for my class last week, so I had a backpack full of stuff plus a rolling suitcase. I had a difficult class attendee who was arguing with me about olive oil being bad for you since it is controlled by the MAFIA, yes the MAFIA. This attendee also said doctors have nutrition certs and you should trust them for diet advice. Needless to say, I was a bit flustered, which then led to me being a careless and cutting my thumb with a knife. Not sure anyone noticed; however, fast forward to me rushing to clean-up to catch the train on time. I ran 3 blocks with a huge backpack and a rolling suitcase all while holding a paper towel on my bleeding thumb since I couldn’t find band-aids. Two ladies also yelled to me, “Run! You will make it. We believe in you,” which just added to the level of crazy. I made it with 3 minutes to spare (only because the train schedule changed and I didn’t realize). So, I am standing there sweating with a bleeding thumb and said to myself, “Never again.” This day was a huge defining moment for me because not only was the afternoon stressful, but I was doing all of it to not even represent my own brand. I definitely had a lot to think about while walking the 1.2 miles home.

Business Goal #1 – Do more as PorrazzaNutrition and less as a contract worker to build someone else’s company.
I made the decision this month, to cut back on the number of cooking classes I do for contract work (see train story above). Not only was the pay not adding up in terms of the time spent, but I also realized these classes are just providing income in the short-term and not allowing me to grow as PorrazzaNutrition. I made a commitment to myself to really focus on doing things that will build my brand and provide income, even if it is in the long-term. This is a huge mental shift for me since I am walking away from quick income; however, long-term, I know this is the best route.

Business Goal #2 – Create and upload at least 3 YouTube videos in May. 
As some of you may know, my drive for video creation was halted when I was in a car accident about a year and a half ago. This is another piece of my business that will not only expand the individuals that I reach, but also, create passive income in the future.

Business Goal #3 – Create a solid outline for my first e-book.
I keep saying that I want to write an e-book and telling people my plan; however, all I have done is write down topics. So, my goal for this month is to actually get more of an outline together and brainstorm chapter specifics. I got so caught up in formatting and how to write the book that I lost sight of the fact that the content is the most important thing. Who cares about formatting and selling when you don’t have a product yet? Priorities!

What lessons have you learned this month? Did you have any defining moments or obstacles you overcame this month?

Stay tuned for next week’s post for my thoughts on my first conference speaking engagement!


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Balancing Work & Personal Life

Happy Saturday! This is going to be a bit shorter of a post since I have a ton of cooking to do for Easter tomorrow. I am making about 70% of the menu this year, which I am so happy about, since it was a slow process getting my whole family interested in healthier meals/sides.

The past few weeks, I have had a lot of time to reflect on how one-sided my life felt in terms of balance. I felt like I was always working and just squeezed in time for myself or my family. I still wasn’t working on the things that I had set goals for (like writing an e-book or creating Podcasts) and I really needed to make that change. I had a few family issues this week (all resolved) that made me appreciate the fact that I have a private practice and do have flexibility. I did realize that my time still needed to be adjusted for a more optimal day-to-day routine. So, with that being said, this post brings to you my top 3 tips/lessons for having a more balanced work and personal life.

1. Set (and Keep) Boundaries for Yourself
I am the worst at keeping my boundaries. I will say to myself that Tuesday I am not booking clients so I can work on x-y-z. Then, a client comes along needing an appointment and I say, “Hey, what’s an hour?” The reality is that the 1-hour appointment also includes travel time + prep + post work (billing, report writing, etc) and can really break the concentration I had going for the day. I now schedule in my calendar the days where I don’t see clients and I stick to it. Setting boundaries also means not checking emails or your phone constantly. I no longer answer emails after 8pm, unless it has been a late day for me. I always think to myself that, “It can wait, or they would call.” If not, I end up checking the email, spending the time to respond or react in some way and ultimately it feels like my work day is just dragging on and well into my personal time.

2. Schedule It
Going along with keeping boundaries, use your calendar to schedule when you are doing personal things. I planned out the days I would go to the gym and when I would be gardening. I also set days for office-work for my business and times when I would work on content creation. This could mean seeing clients on Mondays, Wednesday and Thursdays and also teaching classes on Wednesdays and Thursdays. It could mean Tuesdays are when I garden and spend time doing personal things. It could mean Fridays are office-work days where I follow-up on billing issues, work on social media, etc. At first I had the thought that my life was so planned it leaves no wiggle room; however, I discovered that by setting aside the time initially, I had more freedom and flexibility.

3. Don’t Overbook Yourself
When I first started my practice full-time, I just wanted to get as many clients scheduled as I possibly could. After realizing that I wasn’t spending time on furthering my practice, I began to cut back on my workload and space it out a bit more. If I overbook, I end up stressed out and really just not at my prime. Not overbooking yourself ties right into keeping the boundaries you set. If I lose a client because I can’t see them in 2 weeks, then so be it. It rarely has happened that someone doesn’t want to wait for an appointment; however, I know for my sanity and stress level that cramming in an appointment isn’t good for me. Usually, those cram-in appointments take the place of the time I wanted to go to the gym or time I wanted to create something. In the long-term, it isn’t worth it. In my last blog post, you can read all about how I have been striving to reform my practice to allow for more flexibility while maintaining income in the long-term.

In the end, the reason I am so busy is due to my own fault in over scheduling and plain overbooking myself. I no longer want to be so busy that I can’t enjoy the things I love like gardening or spending time with my family or cooking. So, my personal commitment is to streamline my business and tasks that go along with it to be able to have the optimal work-life balance for me.

Leave a comment and let me know what your tips/strategies are for keeping your work and personal life in balance.


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Setting Income Goals – Billable vs. Non-Billable Hours

Hey there! A few weeks ago, I posted about setting fees in your private practice. As a follow-up to that, I wanted to break down how I determined my monthly and yearly income/expense benchmarks. This is just my way of setting income goals and it is by no means perfect. I am not an accountant or even have a business background, just a dietitian running a private practice and learning things as I go! You don’t necessarily need to do every step listed in every order, again, I am just posting this as a guide for my fellow private practice RDs and RDs-to-be.

Step 1a: Figure Out Your Personal Expenses
I separated my expenses into business and personal, but since I am self-employed, both get factored in to my equation. I found it easiest to figure out what my expenses were per month and then times that by 12 to get the yearly expenses. Any expense that was paid yearly (car insurance, etc), I divided out to see what a monthly average cost would be. My estimated monthly personal expenses ended up totaling $1470, which brought my yearly personal expense total to $17,640.

Examples of personal expenses: food, living (rent, utilities), medical (bills and medications), car-related (gas, inspection, etc), gym membership, phone bill, etc. I also added in here an extra $100 for miscellaneous expenses (i.e. gifts, clothes, etc).

Step 1b: Figure Out Your Business Expenses
Many of you who have been following me the last year or so may know that I do primarily in-home counseling and some work-site counseling. I don’t have any overhead for office space rentals, etc. I just wanted to throw that out there since my monthly business expenses may seem a bit low. My estimated monthly business expenses ended up totaling $400 initially; however, I did have to add in health care costs since I pay for my own insurance now. That brought me up to about $700/month for business expenses.

Examples of business expenses: office supplies (ink, paper, etc), travel/parking for classes/counseling, cooking class materials, referral fees, memberships, business banking fees, health care, liability insurance, faxing services/machine, etc.

Step 2: Figure Out Yearly Income 
Right off the bat, I know that I need to make at least $26,040 to cover my personal and business expenses (monthly expenses x 12). I also wanted to be able to save some of my income and not just live paycheck to paycheck. When I first figured out my desired income, I settled on $40,000 for the year. This level of income would cover my expenses + estimated taxes. For estimated taxes, I averaged about 15.3% being paid towards federal (SS + Medicare) and about 4% for PA tax. I rounded this up to about 25% just to cover myself. With taking out about $10,000/year for taxes and $26,040 for expenses, that left me with about $3,960. This number could vary in real life since I overestimated for expenses and taxes. Also, when doing taxes for the year (or quarterly), you do get some tax breaks for being a business owner and a lot of my expenses were write-offs. Regardless, I still wanted to have a rough estimate to figure out my income goals. If you wanted to have $40,000 be what you would see after taxes, just do the following -> ($40,000 x 25%) + $40,000 = $50,000. You could also think to yourself that you just want to make ends meet. In that case, you could do the following -> (Yearly expenses x 25%) + Yearly expenses = Desired yearly income.

Step 3: Figure Out Monthly Income Goals
One easy way to figure out monthly income goals would be just to divide out your desired yearly income by 12. Still using the $40,000, that would be $3,333/month. With $50,000/year that would be about $4,167/month. From this point, there are a lot of ways you can figure out client goals; however, below I list just two of them. Before I get into that, I just want to point out that you will need to think about what is considered billable versus non-billable hours. You may work a 40-hour week and end up only being able to bill for 20 hours of that. Billable time is what you are getting paid for (i.e. counseling appointment time, class time, etc). Any office work, emails sent, time prepping for an appointment, etc may not be time that you can necessarily bill for. So, when thinking about client goals just know that this is the billable time or amount of time in which you receive payment for services.

Step 4: Figure Out Client Goals (Option 1)
Let’s say you have an income goal of $3,333 per month, this breaks down into a weekly goal of about $833. If you only have 8 hours available for billable hours (i.e. 8 hours to see clients) then this means you will need to charge at least $104 per client and see at least 8/week ($32/month) to be able to reach your desired income goal. If you don’t take insurance and you already know that you charge $120/hour, this cuts the number of clients you see per month to 28 versus 32. You can think about what your time is worth and determine a rate for counseling or general services that is even higher and ends up cutting down on how many hours you need to spend doing things that count as “billable.” If you accept insurance, you are bound to the fee schedule that they set for you. So, if you get reimbursed $120/hour for initial appointments and $108 for follow-up appointments, you may need 10 initials and 20 follow-ups to hit your monthly goal.

Step 5: Figure Out Client Goals (Option 2)
If you do more than just provide counseling services, you can use this option to determine client goals. Working with the $3,333 as a monthly income goal, let’s say you run cooking classes or a nutrition class every month. Let’s say you make $800 per month to run this class 3 times. This leaves you with $2,533 ($3,333 – $800 class) to still make for the month. This could mean about 24 follow-up appointments at an average of $108/hour or it could mean 5 initial appointments at $120/hour and 18 follow-ups at $108/hour. Although this seems like a lot of numbers and scenarios, it helped me to figure out how many clients I wanted to be able to see per month. Once I figured out a client goal number, I worked on a marketing plan. I mentioned in my last blog post that I wanted to work on more programs and content versus services. I love what I do as a dietitian; however, I find myself working a lot and only being able to bill (I accept insurance) for a portion of that time. I want to free-up my time and still hit my income goals, which would mean decreasing the “service” portion and increasing the “product/program” portion.

Step 6: Overview 
In summary –> Desired Yearly Income (Factoring in Business + Personal Expenses + 25% for Taxes) divided by 12 months = Monthly Income Goal. Another option = Desired Yearly Income divided by 52 weeks (or 50 if you take out a week for vacation and another week for sick/personal time*) = Weekly Income Goal. From your monthly income goal, you can determine how many billable hours (and ultimately clients or classes) you will need to reach this. It really helps knowing your hourly rate.
*Normally, with being employed, you may get paid for personal, vacation and sick days. If you are self-employed and offer a service, if you don’t provide the service you don’t get paid.

As a way to check my progress monthly, I created two sort of “snapshot” documents for my finances. The first is the yearly look at my total income, total expenses, and net profit. I made this so I can see where my peak months are for income. The second document I created was for my monthly overview. I tracked the number of appointments (scheduled, cancelled, re-scheduled), classes ran, business and personal expenses, and total income received from both classes and counseling. I also include how many miles I drove that month for business. I was using apps to track my expenses/income before; however, I really like having the paper copy to just have it all laid out in front of me. I just recently got Quickbooks and I really love it, but again just like having my own sheet that makes sense to me.

I hope this blog helped you at least a bit in figuring out your own income/expense goals. As someone who doesn’t have a background in finance/accounting, I wanted to just be able to share my process for setting income/client goals. Leave a comment and let me know what other resources have helped you with figuring out finances. I hope to post my snapshot documents on my website; however, if you wanted a copy to get you started, shoot me an email 🙂


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4-Month Practice Recap – Self-Employed Vs. Employee

This blog post was originally going to be all about setting income goals and figuring out billable hours; however, as I approach my 4-month self-employed, private practice milestone, I had something different I wanted to share first. This revolves around mainly how I left a “9-5” employee job for a 9-7 if not 8-7 self-employed private practice. Was it worth it? Of course and I would do it again; however, I did come to realize a few things this past month that are going to redefine how I do business in the future.

When I first thought about private practice, I didn’t think it would end up being something full-time. Sure, I would have absolutely loved to just be doing my practice; however, I just didn’t see that as being realistic. I was certain I needed the traditional path of jobs to be successful. After a few years, I began to see that full-time private practice was definitely realistic and coming faster than I had imagined. Now, let’s flash-forward to when I was deciding to leave my full-time employee job. I debated with myself A LOT in the months leading up to my quitting. Would I make enough money? Would I actually like what I was doing? Would I get overwhelmed? I was someone who was ingrained with the idea of making money and saving for a future. Not that this was at all a bad thing, but I was fearful that I wouldn’t be saving and would instead drain the savings I had been building for years.

With those thoughts in the back of my mind, I still quit my job and was quite successful being a private practice business owner. My income surpassed what I was making being an employee, I was flexible enough to be able to spend time with my family whenever needed, and I loved being able to choose what I was doing. So, this doesn’t seem so bad at all, right? To be honest, my success was largely due to stretching myself beyond capacity, taking paying gigs whenever possible (even if they were at lower rates than I wanted) and seeing clients even on the days when I wanted to just focus on office work. I wasn’t spending time on creating products for my lesson plan store. I wasn’t spending time on making YouTube videos. I wasn’t spending time on writing a book. I was just working to make money (and of course because I truly like what I do). It was at this point that I realized that I couldn’t add more to my schedule because the time just simply wasn’t there. I also wasn’t adding in the pieces of my business that would be a source of passive income, thus lightening up my day-to-day workload. I was still bound to certain time constraints for classes or counseling for income and low and behold, that cut my flexibility in half.

After a long chat with my beyond supportive boyfriend, I set goals for myself to cut the fat out of my business. My time was more valuable than what I was being paid for some classes and that needed to change. I also needed to actually set and stick to a schedule where I would only see clients and have classes on certain days. I stopped trying to join various committees and groups to network or invest my time in (for free). I stuck with the organizations I was already in and set boundaries for myself as to how involved I would be. I needed to block off time for content/product/program creation. I refused to be a slave to my own business anymore.

So, why I am I sharing all this with you? Well, for me, the easier route in private practice was to just go out and make that quick money. It was the instant gratification and certainly short-term. What was harder was investing (or starting to invest) my time into what would turn into a long-term income source. This long-term income source would free up more of my time so I could actually enjoy being self-employed. I could get back to more of my hobbies without feeling guilty that I wasn’t working on the business. I could spend more time with my family without bringing work along. I could invest more time in personal development and enhancing my skills as a Dietitian. The positive side of this was simply endless.

If you ever get to this point in your practice, think to yourself what you truly want in being self-employed. Do you want to work like crazy for the goal of not having a boss or company telling you what to do or do you want to have more flexibility in what you do on the day-to-day, while still making money through passive income sources? Once you think about what your long-term goal is, break it down to determine short-term goals and plan your schedule around that. It is so easy to get sucked into the work and make money thought process; however, this process can be simplified, streamlined, and more so minimized to create more time for yourself. In the end, isn’t that what we all want…more time?

To sum up this lengthy blog post, I want to say that when I think about my future, I want that future to include more time for myself, my family, and eventually my kids (I don’t have any now). I don’t want to be forced into 8 or 10 hour workdays to make enough money, even if it is on my own terms. This post is by no means me saying that if you want the traditional private practice that it is in some way less ideal or wrong for you. The beautiful thing about private practice is that YOU can create the type of business structure that will suite YOUR needs above anybody else.

So, leave me a comment and let me know your thoughts on this topic. What does your ideal private practice look like? What does your ideal workweek entail?

Stay tuned next week where I will be sharing my thoughts on how to set income goals and defining billable hours!


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Tips for Setting Fees in Private Practice

After turning down an opportunity for a another set of contract classes that I had run in the past, I thought this would be the perfect time to talk about how important knowing your worth is and how to set fees based on that. It is hard to put a price on the service provided as a Dietitian. I want to help people and almost feel guilty charging too much and losing a client; however, at the same time, I rely on my business for income now. I have changed my fees multiple times in the past few years, so today’s blog is going to guide you through my thought process and give you tips for setting your own fees (for individual sessions + classes).

Research Dietitians in Your Area
One of the first things I did when trying to figure out what to charge for counseling sessions was to see what other RDs were charging near me. A few did not list their fees on their website (I will talk about this in other blogs); however, the majority were in the $120-$175 range for an initial 1-hour consultation. I ended up going a bit lower since I had just started my practice and didn’t have a masters degree or specialty certification yet.

Factor in Expertise + Education
As I mentioned earlier, I low-balled my initial fees for counseling; however, after getting my masters and having my practice for a year or two, I bumped up my fees to match what others charged in my area. When setting your hourly rate or counseling fees, think about your education, experience, certifications, etc. Your knowledge and level of experience is adding to the value that the client receives in the session (or class).

Base off of Insurance Fee Schedules
If you are a provider for insurance companies, you will have a flat rate that they will reimburse you and that changes slightly from initial to follow-up visit for MNT. You can use the rate that insurance reimburses for self-paying clients or choose to make that a little bit lower since they are paying out-of-pocket. The fee schedule for insurances helped me to alter my pricing a bit.

Triple Your Hourly Employee Rate
Something else I thought about when setting fees for counseling was determining what I was paid hourly when I was an employee and multiplying that by 3. Three seems arbitrary; however, I thought that 1/3 goes to me, 1/3 to taxes, and 1/3 to time spent on prepping. This can just help to give you that baseline rate to build from.

Offer Packages + Add-ins
When I think about my initial counseling fee, I also factor in what other “service” I bring to the session. Will the session include bio-metrics? Will I calculate nutrient needs? Will this be an in-home visit or office-based visit? If your initial session is simpler, you can charge a bit lower for the hour and have add-ins that clients can choose from. Say they want menu planning help, that can be added for an extra $60 (or whatever you will charge). Maybe they want a nutrient analysis done for their current meal plan, that can be an extra $50 or so. I also find it helpful to offer packages to clients.

Note About Charging for Classes
The classes were the hardest for me to determine rates for; however, I found the formula below to help me:
Start with Base Rate – $100/hr (I base this off of my flat counseling rate)
+ Travel Expenses – $.50/mile
+ Parking Fees
+ Prep Time/Lesson Development – $40/hour
+ Cost for Supplies/Handouts

When I determine how I am charging for a class, I alter it on a case-to-case basis. My base rate my be lower or higher depending on if this is an ongoing class or a one-time seminar. If I am driving for more than 30-minutes, I may also add in a fee based on the time spent in my car. Parking may be free for some classes/areas; however, others tend to be $20 just for the hour, so this will change too. If I created lessons on this topic before, I may charge $30 or $40/hour for prep time. If this is a new topic or the client wants it to be more involved, then I may charge $50 or $60 for the hour of prep. Lastly, I factor in a few dollars based off of how many handouts I needed. If I am providing a cooking class, I estimate the amount of food needed and will have another fee added to the pricing.

There are so many ways that you can calculate fees for classes. I have often charged a flat rate (lower than $100) and then added in a cost per person ($20/head) with a minimum number required to run the class. Charging for classes will definitely vary per client/company. For some non-profits, I have accepted a lower rate for a one-time class in exchange for them distributing my business cards or keeping me on a list as a dietitian. It is ultimately up to you to decide what you feel the most comfortable charging.

Final Tips
Setting fees for individual clients and group sessions is often difficult. One of the key things I have learned is really knowing your worth and not being afraid to walk away from something. I have had companies/organizations try and take advantage of my services. I even had one goes as far as guilt tripping me into thinking I was a monster for trying to charge even 1/3 of what I normally do. I am all about giving back to my community and providing free programs/seminars. What I need to be careful of is keeping the balance between free and paid work. I often think about if doing something will open doors for me or create opportunity. If the answer is yes, I will provide a free service (i.e. lunch n’ learn for a company I may partner with, teaching in a school for the day, etc). If the answer is absolutely no (or slim), I rethink my decision. After all, one of the reasons I went into private practice, which I am sure may be the reason for many, is having the ability to choose your own destination.

Leave a comment and let me know if this blog was helpful to you in determining how you will set fees for your practice. Was there something else you thought about that I didn’t mention?

Stay tuned for my next blog that will break down billable hours + setting income goals.