My RD Journey

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


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Business Lessons Learned – Letting Go

This past month, I have been thinking a lot about what I want to do long-term with my business. One major thing I learned is that it is okay to just let go. Let go of aspects of your business that are not working. Let go of hangups you have on moving forward. Let go of bad business connections.

I used to think of letting things go as a sort of moral failure; that I just wasn’t working hard enough at whatever it was to make it succeed. The fact is that I have changed since I started my business and I can guarantee many of you reading this have done the same at some point in your career. Maybe the change was gradual and you didn’t even notice it right away or maybe it was sudden and out of necessity. I needed the change in my business to become a better and more well-rounded professional. Letting go does not mean you didn’t put in the time and effort for success. It is not to be seen as a “failure,” but a learning experience, opportunity for growth, or chance to try something new.

I challenge you to look at your business with an outside perspective. What is eating at your time and not producing results? What connections are more damaging to your business and/or productivity than they are beneficial? What can you you let go of for the opportunity to grow?

Earlier this week, I sat down at my business journal and just brain dumped what I was thinking. I wrote down things I wish I had known (and did now), tips for myself, frustrations, “aha” moments, just everything. I filled almost 4 pages with random thoughts and it was actually quite invigorating. Going back a few days after writing, I realized there were some gems in my string of random thoughts. If you have a rough day (or month) or even a great one, take a few moments to just write out your thoughts on paper. No judgement. No worries about grammar. Just write and see what realizations you come to have about yourself and your business. This could help you in taking the next step in your business or changing the way you run things.

Below are just a few of the many business tips and realizations I brain dumped that day.
-I think I would like (and need) a secretary to help with fielding calls and scheduling appointments. (This made me look into online scheduling software).
-I like guiding and teaching, which make me want to search out more opportunities to do presentations and also develop more programs to coach or work with other Dietitians.
-Some days, I am just completely unmotivated and that is okay. Every day won’t be super productive. Just as long as those unmotivated days don’t become an issue for business.
-Mid-day gym sessions really boost my productivity and momentum.
-A support system can really make or break you. Just having that 1 person makes a world of difference.
-Some days you just work late.
-I wonder how other people see me and my business. I wonder how I could gauge this.
-I need to DO more than THINK. I spend too much time planning and overthinking that this sometimes leads to inaction.
-Relating to your clients is key. Trust begins here and they feel safer opening up.

Have you ever just brain-dumped in a journal? What “aha” moments did you have? Leave a comment and let me know!

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Dietitian Interview Tips

Welcome back to My RD Journey! Things have been a bit crazy over here the past few weeks. I half expected my client load to decrease with the end of summer and beginning of the school year; yet, it is has been the opposite, which is good! I also got the opportunity to teach an in-person class at a local community college for this semester. It was super last minute as in I found out about it on Thursday, interviewed Friday, went to an in-service the following Monday and started teaching Wednesday. I didn’t have access to anything, just a textbook and role-book on my first day. I am now heading into week 4 of classes and I love it! I love being able to teach young minds about nutrition and I especially love that I have so much flexibility in how I teach the materials. Despite the craziness in my schedule, I love that I have the opportunity to teach and ultimately grow professionally. It is very gratifying!

I have been doing a lot of thinking lately about my business and the direction I want to move in. I have enough clients to bring on another Dietitian, yet, I am hesitant to do so since I would have to change up my business structure, figure payroll out, and whatnot. I know a few other RDs that do this; however, I am not sure if this is my ideal long-term business plan. I am also finishing up the editing for my first book and I definitely want to get it out for September. I have about 6 other book ideas fleshed out (some for RDs and some for public); however, I am just struggling to find time to write. I am at the point where I could just continue with my current load of clients and classes; however, a part of me wants to change it up. I also want to have more time to myself versus running around every day. I am wondering if teaching is something I will end up wanting to do more of long-term. Anyone else reach this turning point in their business? What did you do in moving forward?

Since I had recently interviewed for a college faculty position, I wanted to share some of the tips I gained. Whether you are a new RD looking for a job out of your internship or an RD that is debating switching careers, these tips will hopefully provide you with some insight.

(Dietitian) Interview Tips 

1 – Do Your Research
For almost every interview I had, I was asked the question, “Why did you choose ____(insert facility name here” or something along those lines. So, think to yourself, “Why are you interested in this facility or this position?” If you are just trying to get any job, spend a few minutes on the company’s website or Facebook page. Are there programs that they run that you think are great? What about their philosophy for wellness or patient care? Pinpoint some aspects of the facility that you could touch on in the interview.

2 – Bring the Essentials
For my interview, I brought in my resume, CV (which had more detailed information about my education), cover letter, list of 3-4 references, and some examples of my work. Even if the information was submitted already online or via email, I always bring hard copies with me. I have had interviewers put my copies in with my employee file or review with me during the interview. When thinking about bringing work examples, I tailor the materials towards the type of interview I am in. For example, with teaching I had sample lesson plans I wrote for high school students and adults. I normally wait to bring out my work samples until it comes up in conversation.

3 – Be Prepared
If you haven’t interviewed in a while (or ever), make sure you do some practicing with a friend or family member. Go through some of the most common interview questions like: what are your strengths and weaknesses or what is your teaching philosophy or why would you be a good fit for this position or how would you handle scenarios for conflict or working in teams. Trust in the education and experience that you have!

4 – Dress to Impress
I always say to fellow Dietitians and interns that it is better to dress up and be told to dress down than the opposite. Come to the interview in your best professional attire even if you know the position you are applying for involves wearing scrubs.

5 – Come with Questions
When you go in for an interview, you are also, in a sense, interviewing the facility/interviewer. Will this place be a good fit for you? Do they offer the benefits you need? Always come prepared with questions. The last thing you want to do is get into a job and realize it was not what you expected! Ask what a typical day looks like for the Dietitian. Ask about the interview process or training procedures. Don’t be afraid to come with a list of questions to ask. This also shows your organizational skills, that you prepared for the interview and you care about your role as a Dietitian.

Remember to just be yourself and trust in the experience that you have. Leave a comment and let me know your best interview tips!


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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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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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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.