Self - Ax Tool PGD
Self - Ax Tool PGD
Self - Ax Tool PGD
Self-AssessmentTool
Instructions for using the Self Assessment Tool
_____________________
Using the easy Five-point Scale, on page 10, determine your overall level for each competency. It is not
necessary to determine levels for each knowledge and/or skill statement. Use the scale as a guide to make your
most honest assessment. Assigning your level is more an art than a sciencea method to help you determine
where to focus your development.
Enter your rating against the appropriate competency listed on the Target Levels page in the Your Level
column.
Remember: This self-assessment process is designed to help you clearly identify which areas will be most beneficial for you to develop. To
gain the most from this exercise, you will need to be honest with your self-assessment. Being true to yourself is the only way for you to
identify your critical development areas. You may find that you rate yourself as a 1 or 2 in several competencies. Please
Compare Your Level with the Target Level for each competency. In the Difference column enter the
positive (if you rate higher) or negative (if you rate lower) amount of the difference between the target level and
your level. If the target level and your level are the same, enter 0 in the difference column.
Scan the Difference column to identify what you consider to be your most significant areas for development.
Highlight those competencies.
Now, go back to your Knowledge and Skill Inventory, review the checked boxes for your selected competencies
and choose three areas to develop over the next cycle.
Add the reference numbers of your three selected development statements (i.e. 4.7) to the space provided at the
bottom of the Target Levels document.
A point to consider: Some knowledge and skills are easier to learn than others and take far less time. Some can be learned through
attending a course or seminar; others can only be learned through experience and persistence. When choosing your three areas, be careful to
ensure a good mix of development that will not prove to be too easy or onerous on you.
STEP 4: Build a development plan
Now using the Development Log write the reference number of the development statement in the first column.
In the second column, write down the actual competency and development statement.
Now, identify how you plan to develop that particular knowledge or skill. Think about courses/workshops that
are available; research using books, magazine articles and the internet; attending discussion groups; using a mentor
or shadowing a peer therapist to help you learn. There are many different ways to learn. Add this information
to the third column.
Also, think of situations when you have found learning to be easy and enjoyable. How did you go about learning? Do you learn best in a
structured/classroom environment or by teaching yourself at your own pace? This will give you a good indication of your learning
preference/style. If you make learning enjoyable, you are far more likely to acquire and apply the newly learned knowledge and skill.
In the fourth column, set a reasonable time frame for completing your development. Take into consideration the
method you plan to use and how long it will take; consider your client schedule, upcoming vacations, etc.
In the last column, indicate how you will determine whether you have been successful in learning and applying the
newly acquired knowledge or skill. This may be through feedback from peers, clients or even through a peer
assessment. Everyday, you come into contact with a variety of people who can provide you with valuable
feedback.
You will need to evaluate this area carefully, otherwise your time spent in development might not be maximized. Do not overlook this
important step ensure it is complete before moving onto the next development topic.
Repeat the previous steps for the other two areas you have chosen to develop.
An optional step you may choose to complete is to determine which competencies you have identified as
strengths. (They will show as a positive number in the Difference column.) You may possess a particular
expertise that can be shared with others. Consider various activities, (i.e. mentoring, facilitating discussion groups,
workshops, writing articles, working on committees) that will assist others with their personal development and
help you maintain and possibly enhance your current expertise.
Satisfactory
Need
Develop
-ment
KnowledgeandSkills
Readeachstatementandaskyourself:CanIconsistentlyandreliably?Iftheansweris
yes,placeacheckmarkintheSatisfactorycolumn.Iftheanswerisno,placeacheckmark
intheNeedsDevelopmentcolumn.
GeneralCompetenciesTheseknowledgeandskillsaretransferableandcanbeusedinmostprofessions.Theyare
organizedinalphabeticalorderforeasyreference.
1.BusinessAcumen
2.Business
Development
Icanconsistentlyandreliably:
1.Understandandimplementgeneralprinciplesofbusinessmanagement.
2.Understandthegeneralprinciplesoffinancialmanagement,accounting,
budgeting,personalandbusinesstaxes.
3.Understandrelevantlegislation,restrictionsandfunctionsofregulatorybodies
4.Understandbusinessownershipissues/concerns.
5.Identifywhatconstitutesreasonablefeesforservicesandcreateappropriate
feestructure.
6.Understandtheimpactofclientsatisfactiononbusinessresultsandclient
outcomes.
7.Operateallapplicablebusinesssystems/softwareessentialtoperformwork,
improveeffectivenessandprofitability.
Icanconsistentlyandreliably:
1.Examinecurrentclientbasetoidentifyretentionandexpansionpotential.
2.Identifytargetclientgroupsformarketinginitiatives.
3.Developbusinessplansthatarticulatebusinessgoalsandtimelines.
4.Developanetworkofcontactstoexpandbusiness.
Icanconsistentlyandreliably:
1.Encourageandberesponsivetoclientschoicesregardingtreatment.
2.Encouragetheclientsfullinvolvementintheplanning,implementationand
managementoftheirownhealthcare.
3.Adjusttreatmentinlinewithchangingclientpreferencesandpriorities.
4.Actintheclientsbestinterestatalltimes.
5.Advocate,respectandsupportclientsethicalandmoralrights.
6.Identifyclientsobjectivesandjointlydevelopreasonablegoals.
7.Follow-upwithclientregardingsatisfactionlevelsand/orreasonsfor
discontent.
Icanconsistentlyandreliably:
1.Interactcooperativelywithclientsandsubstitutedecision-makers.
2.Acknowledge,valueandrespectothersneeds,viewpoints,opinionsand
culturalbeliefs.
3.Recognizeandrespectclientboundaries.
4.Demonstrateempathyandconcernforthefeelingsandneedsofothers.
5.Createrapportbyestablishingopenandhonestcommunication.
6.Definetherapeuticrelationshipsincludingtherapist/clientpowerdifferential,
transference/countertransference,privilegedcommunicationand
confidentiality.
7.Provideconstructivefeedbackandwillinglyacceptfeedbackfromothers.
3.ClientFocus
4.ClientRelations
CompetencyTitle
Satisfactory
Need
Develo
p
-ment
5.Communication
Icanconsistentlyandreliably:
1.Providecompleteandaccurateinformationinasensitiveandtimelymanner.
2.Communicateverbally,clearlyarticulatingthemeaningandcontentofthe
message.
3.Listeneffectively,usingsilenceandquestioningtechniquestoclarify
communication.
4.Recognizeownbodylanguageandinterpretbodylanguageofothers.
5.Uselanguageandterminologythatissuitabletoeachpersonsunderstanding
andbackground.
6.Acknowledgetheclient.
7.Writeclear,concisetreatmentplans,reports,lettersandmemosinatimely
manner.
8.Makeeffectiveformalandinformalpresentations.
Icanconsistentlyandreliably:
1.Understandandcomplywith:
RegulatedHealthProfessionsAct
MassageTherapyActanditsregulations
HealthcareConsentAct
StandardsofPractice
CodeofEthics
Otherapplicablelegislation(municipal,provincialandfederal).
2.Complywithinformedchoiceandconsentrequirements.
3.ReportanyoccurrencerequiredundertheMandatoryReportingrequirements.
4.Understandinsuranceregulationsandissuesparticularlywithrespecttothird
partybilling.
5.Safeguard/protecttheclientsrighttophysicalandemotionalprivacyand
confidentiality.
6.Recognizepotentialconflictsofinterestanddealwithrelatedissuesand
conduct.
Icanconsistentlyandreliably:
1.Bringconflictsintotheopentoenablecollaborativeresolution.
2.Maintainobjectivity.
3.Usedisagreementsasatooltostrengthenworkingrelationshipsandimprove
clientfocus.
4.Seekassistance,whennecessary,ifconflictsarisebetweenthetherapistand
theclient.
5.Addressimportantissues,recognizingthedifferencebetweenmainandlesser
issues.
6.Acknowledgethevalueinallpointsofview.
Icanconsistentlyandreliably:
1.Collaboratewithmembersofotherhealthcareprofessionsandthirdparty
payerstomeetpublicandindividualhealthcareneeds.
2.Referclientstootherhealthcareproviders/specialistsanddrawontheir
expertisetoimproveclientoutcomes.
3.Demonstraterespectandsupportforotherhealthcareprofessionsandmembers
4.Promoteteamworkandconsiderothersneeds.
5.Workcollaborativelywithpeoplefromdiversebackgroundsandadapt
responses/approachaccordingly.
6.Compliance
7.ConflictResolution
8.Interprofessional
Relations
KnowledgeandSkills
CompetencyTitle
Satisfactory
Need
Develo
p
-ment
9.OngoingLearning
10.ProblemSolving
andDecision
Making
KnowledgeandSkills
Icanconsistentlyandreliably:
1.Takeresponsibilityforownlearningandpersonaldevelopment.
2.Assessownlevelsofknowledge,skillandjudgementinrelationto
professionalnorms.
3.Continuouslyseekandassimilatenewinformation.
4.Accessandusetheinternettocommunicatewithotherhealthcare
professions/practitionersandaccessnewinformation.
5.Openlyseekopportunitiesforlearning.
6.Usecriticismandknowledgeofpastmistakestoavoidfuturemistakes.
7.Sharelearningwithothers.
8.Seekoutnewtechnologytosupportandenhanceperformance.
Icanconsistentlyandreliably:
1.Understandandapplycriticalthinkingtechniques.
2.Identifythesourceoftheproblembygatheringandanalyzingsufficient
informationbeforemakingadecision.
3.Generateandconsiderinnovativealternatives.
4.Evaluatepotentialriskandimpactofpossiblesolutions.
5.Identifyandremovepotentialbarriers.
6.Usesoundjudgement,combiningknowledgeandexperience,andmake
timely,effectivedecisions.
7.Recognizeownlimitationswhenmakingdecisionsandknowwhenthey
shouldbereferred.
Icanconsistentlyandreliably:
1.Set-upandmaintainaccurateclientclinicalrecordsinaccordancewith
regulationsandstandards.
2.Establishandmaintainaccuratebusinessrecordsincludingfinancial,business,
equipmentandclientappointmentrecords.
3.Establishandmaintainaneffectivefilingsystemwhethermanualorcomputerbasedadheringtosecurityandprotectionprocedures.
Icanconsistentlyandreliably:
1.Beawareofownvaluesandidentifywhenvalueconflictsinterferewithclient
care.
2.Demonstrateacommitmenttocontinuousimprovement.
3.Beaccountableforownactionsanddecisions.
4.Performonlythosefunctionsforwhichoneisqualified.
5.Setrealistictimeframesthatdonotcompromisequalityofcare.
6.Takeresponsibilityforownhealthandwellbeing.
11.Records
Management
12.SelfManagement
TechnicalCompetencies-TheseknowledgeandskillsarespecifictoMassageTherapy.Foreaseofuse,theyhave
beenorganizedbyprocess.e.g.themostlogicalorder.
13.Anatomy
Icanconsistentlyandreliably:
1.Usedirectionalvocabulary(e.g.proximal&distal).
2.Usemovementvocabulary(e.g.flexion&extension).
3.Useanatomicalvocabulary(e.g.scapulavs.shoulderblade).
4.Identifyrelevantanatomicallandmarksand:
Musclesandtendons
Fasciaandconnectivetissue
Bones
Joints
Viscera
Majorarteriesandveins
Lymphaticvessels
5
Centralandperipheralnervoussystems
CompetencyTitle
14.Physiology
Satisfactory
Need
Develo
p
-ment
15.Pathology
16.MassageTheory
KnowledgeandSkills
Icanconsistentlyandreliably:
1.Understandtheoperation,functionsandimpactof:
Cells
InflammationandRepair
Tissues,i.e.epithelial,connective,muscle,nerve
Regulationofhomeostasis
Nervoussystem
Muscularsystem
Cardiovascularsystem
Lymphaticsystem
Immunesystem
Respiratorysystem
Renalsystem
Gastrointestinalsystem
Endocrinesystem
Reproductivesystem
Integumentarysystem
Fluidandelectrolytedynamics
Icanconsistentlyandreliably:
1.Understandthereactionsofthebodytoinjurysuchas:
Cellularadaptation/tissueresponses
Neoplasia/anaplasia
Cellulardegeneration/necrosis
Infectiveagents
2.Understandthepathophysiologicalprocessof:
InflammationandRepair
Nervoussystem(e.g.Flaccidity,spasticity,neuritis,upper/lowermotor
neuronlesions)
Muscularpathologies(e.g.contraction,spasm,trauma)
Cardiovascularpathologies(e.g.Congestiveheartfailure,Hypertension)
Lymphaticpathologies(e.g.Edema,Malignancy)
Immunepathologies(e.g.Rheumatoidarthritis,HIV)
Respiratorypathologies(e.g.Asthma,Emphysema)
Renalpathologies(e.g.KidneyStones,failure)
Gastrointestinalpathologies(e.g.colitis,diverticulitis)
Endocrinepathologies(e.g.adrenalinsufficiency,hypo/hyperthyroid)
Reproductivepathologies(e.g.ovariancysts,prostatitis)
Skinpathologies(e.g.lipoma,atopicdermatitis)
Fluidandelectrolyteimbalances(e.g.hypokalemia)
Infectiousdiseases(e.g.hepatitis,tuberculosis)
Skeletalpathologies(e.g.osteoporosis,osteoarthritis)
Psychopathology(e.g.anorexia,mentalandemotionalconditions)
Nutritionaldeficiencies(e.g.scurvy,vitaminsandminerals)
3.Understandpain,paintheoriesandpainreferraltheories.
4.Understandmaladaptivestressresponses.
Icanconsistentlyandreliably:
1.Understandtheprinciplesandpracticeofmassagetherapy.
2.Employcriticalthinkingskillsinplanningclientcare.
3.Applyknowledge,skillsandjudgementderivedfromvarioussourcesand
disciplines.
4.Understandthecontraindicationsoftherapeutictreatment.
5.Understandmechanicalandreflexeffectsoftherapeutictreatmentonclient
healthandwellbeing.
6
CompetencyTitle
17.Massage
Techniques
Satisfactory
Need
Develo
p
-ment
18.ClientAssessment
Icanconsistentlyandreliably:
1.ApplySwedishTechniques,e.g.effleurage,petrissage,tapotement,
rocking/shaking,strokingandvibrations.
2.Applyothertechniquessuchas:
Jointmobilization
Stretchtechniques
Triggerpointtherapy
Fascialtherapy
Frictions
Icanconsistentlyandreliably:
1.Identifyandrecordthrougheffectivequestioning,theclientsoverallsituation,
history,andgoals,usingsubjectiveandobjectivetechniques.
2.Examineclientbyobservinggait,posture,signsofpainandgeneralwell
being.
3.Applyregionalassessmenttechniques.
4.Performspecialtests,including:
Orthopedic
Neurologic
Circulatory
Muscular(e.g.painatrest,stretch,resistedaction)
Rangeofmotion
Proprioception
Clientquestionnaires(e.g.Oswestry,Vernon-Mior)
5.Developanappropriatetreatmentplanwhichincludes:
Measurablegoalsandoutcomes
Clientexpectationsandcommitment
Typesoftreatment(s)
Effectsoftreatment(s)
Frequencyandduration
Clientself-careplan
Ongoingclientevaluation
6.Analyzeresponsesandinterpretinformationtodetermineclientsneeds.
Icanconsistentlyandreliably:
1.Preparethetreatmentareaandselfinaccordancewiththeprescribed
StandardsofPractice.
2.Positionanddrapetheclientappropriatelyfortreatment.
3.Clearlycommunicatetheroleofthemassagetherapist.
4.Informclientsofotherhealthcareserviceoptionsandtreatmentsknownto
you,orrefertomedicalpractitioner.
5.Provideinformationabouttheproposedtreatment,alternatives,material
affects,riskandsideaffects,andconsequencesofreceivingornotreceiving
treatment.
6.Receiveproperconsentfortreatment.
19.Pre-treatment
KnowledgeandSkills
CompetencyTitle
20.Applying
Treatments
Satisfactory
Need
Develo
p
-ment
21.Hydrotherapy
Icanconsistentlyandreliably:
1.Understandandapplytheprinciplesoftherapeuticremedialexercise.
2.Understandtheprinciplesofkinesiology,kinematicsandkinetics.
3.Understandmuscleandligamentbiomechanics.
4.Understandtheeffects,uses,indicationsandcontraindicationsforremedial
exercise.
5.Understandthedifferencesbetweensafeversusunsafeaerobicexercise.
6.Identifytheconditionsaffectingtheapplicationoftherapeuticexercises.
7.Performrangeofmotionexercises.
8.Designanappropriateprogramofexerciseandensurecorrectperformanceby
client.
9.Monitorprogress.
23.OngoingClient
Evaluation
Icanconsistentlyandreliably:
1.Identifyandadapttreatmentfortheclientthroughthestagesofhealing.
2.Applyappropriatetechniques,withinthescopeofpractice,forthetreatment
of:
Inflammationandrepair
Nervoussystem(e.g.flaccidity,spasticity,neuritis,upper/lowermotor
neuronlesions)
Muscularconditions(e.g.contraction,spasm,contusion)
Cardiovascularconditions(e.g.hypertension)
Lymphaticconditions(e.g.edema,drainage)
Immuneconditions(e.g.rheumatoidarthritis,lupus)
Respiratoryconditions(e.g.Asthma,Emphysema)
Gastrointestinalconditions(e.g.constipation,spasticcolon)
Reproductiveconditions(e.g.secondarytreatmentofsymptoms)
Skinconditions(e.g.skinadhesions,scartissue)
Skeletalconditions(e.g.osteoarthritis,scoliosis,fractures)
Psychopathology(e.g.stress,depression)
Painmanagement
Triggerpoints
Fascialdysfunction
Prenatal/postnatalcare
Postural,structuralandbiomechanicalconditions
Icanconsistentlyandreliably:
1.Understandtheprinciplesofhydrotherapyandadaptapplications.
2.Understandtheeffects,propertiesandfunctionsofwater.
3.Understanddefinitionsoftemperatures.
4.Applyvarioushydrotherapytechniques(e.g.localandsystemicapplicationsof
hotandcold,cryotherapy,baths).
5.Employappropriateadditives.
6.Controltreatmentvariables(e.g.temperature,durationoftreatment,water
pressure,degreeofsubmersion).
7.Monitorclientduringtreatment.
8.Maintainhygieneandcareofequipment.
9.Monitorspecificcontraindicationsfortheuseofhot,coldandcontrasts.
22.RemedialExercise
KnowledgeandSkills
Icanconsistentlyandreliably:
1.Observe,understandandinterpretclientsresponsestotreatmentandadjust
treatmentaccordingly.
2.Selectandimplementanevaluationprocessthatwillmonitortheeffectiveness
ofthetreatmentplanandmaximizepatientoutcomes.
3.Collect,analyzeandusetheevaluationfeedbacktoidentifypersonalstrengths
andweaknessesandtoimprovepracticestandards.
8
CompetencyTitle
24.HealthcareServices
Knowledge
Satisfactory
Need
Develo
p
-ment
Icanconsistentlyandreliably:
1.Interprettheapplicabilityandimpactofrelevantlegislation.
2.Maintainanawarenessofcurrentissuesandevents,andtheirimpacton
healthcareservicesandthegeneralpublic.
3.Assessfuturetrendsandtheirimpactonhealthcareservicesandthegeneral
public.
Icanconsistentlyandreliably:
1.Understandandapplytheprinciplesofhygieneandsanitationastheyrelateto
theclient,equipmentandmaterialsandtheworkenvironment.
2.Understandtheroleofpublichealthinspectors.
3.Understandthecontrolof:
Communicablediseases
Micro-organisms:viruses,bacteriaandparasites
Sexuallytransmitteddiseases
4.Advocatewithotherhealthcareproviderstopromoteandsupportsocial
changesthatenhanceindividualandcommunityhealthandwellbeing.
25.PublicHealth
KnowledgeandSkills
Choose three items from the Knowledge and Skills Inventory that youve checked as Needs
Development. Record these items in the space provided below, on the target level documents and on
your development log. Use the reference number of the specific areas you will be developing, for
example, 22.5 Understanding the differences between safe versus unsafe aerobic exercise.
1.DevelopmentArea 2. Business Development1.Examine current client base to identify retention and expansion potential.
2.DevelopmentArea- 1. Business Acumen1.Understand and implement general principles of business management.
3.DevelopmentArea- 1. Business Acumen2.Understand the general principles of financial management, accounting,
budgeting, personal and business taxes.
FIVE-POINT SCALE
Use this scale to determine the overall llevel of knowledge and skill you have in each competency.Readthedefinitionsand
thenenteryourlevelintheappropriatecolumnontheTargetLevelform.
LEVE
L
TITLE
KNOWLEDGE
AWARENESS/ENTR
Y
Fundamentalawarenessand
knowledgeofessentialconcepts
andprocessesinthecompetency
area.
Abletorecognizeconceptsor
processesandrefertoothersfor
assistance.
Abletoapplyminimal/limitedskills
withincompetencyarea(Dependent).
BASIC
Basicknowledgeand
understandingofgeneralconcepts
andprocessesinthecompetency
area.
Abletoworkwithoutassistancein
manyskillareasofthecompetency.
Stillneedsassistancewithapplication
ofsomeskills(Partiallyindependent).
OPERATIONAL
Practicalworkingknowledgeand
understandingofstandard,
everydayconceptsandprocesses
Abletoapplyskillsinroutine,stable
situationswithoutassistance
(Independent).
EXTENSIVE
Comprehensiveknowledgeand
understandingofstandardand
non-standardconceptsand
processes.
Abletoapplyskillsincomplex,
diverse,unstableandshifting
situations.
Usesknowledgeandskillstointeract
withotherdisciplinestoadvance
organizationaleffectiveness
(Organizationalinterdependence).
EXPERT
Vast,widespread,expert
knowledgeandunderstandingof
competencyarea.
Abletocontributetoandadvance
globalthinkinginareaofcompetence.
Recognizedasaleader/expertbypeers
(Globalinterdependence).
10
SKILL
Target
Level
COMPETENCY
Your
Level
Difference
General:
1.
2.
BUSINESS ACUMEN
BUSINESS DEVELOPMENT
3.
CLIENT FOCUS
4.
CLIENT RELATIONS
5.
COMMUNICATION
6.
COMPLIANCE
7.
CONFLICT RESOLUTION
8.
INTERPROFESSIONAL RELATIONS
9.
ONGOING LEARNING
2
1
4
4
3
3
2
3
3
3
3
3
0
0
3
2
2
1
1
2
3
1
3
1
2
1
1
2
1
2
1
1
0
2
0
2
2
1
1
3
4
2
2
3
3
1
2
0
1
1
2
2
1
0
1
2
1
0
2
2
2
2
Technical:
3
3
3
4
4
3
4
4
3
3
4
2
3
13. ANATOMY
14. PHYSIOLOGY
15. PATHOLOGY
16. MASSAGE THEORY
17. MASSAGE TECHNIQUES
18. CLIENT ASSESSMENT
19. PRE-TREATMENT
20. APPLYING TREATMENTS
21. HYDROTHERAPY
22. REMEDIAL EXERCISE
23. ONGOING CLIENT EVALUATION
24. HEALTHCARE SERVICES KNOWLEDGE
25. PUBLIC HEALTH
1. Development Area
2. Development Area
3. Development Area
1
2
24
Development Log from September 30th, 2014 to December 30th, 2014 (Date)
Ref.#
Example
4.7
WhatdoIneedtodevelop?
HowwillIlearnit?
ClientRelations:
Provideconstructivefeedbackandwillinglyaccept
feedbackfromothers.
(a)Takeacourseongivingandreceivingfeedback.
(b)Readbooks/articlesIcanobtainfromthelibrary.
(c)Askforfeedbackfromclientsandpeers.Analyze
howIrespond.Askpeershowtheyfeltgivingme
feedbackandhowIreacted.
(d)Participateinlocaldiscussiongroup.
(e)Implementaclientfeedbacksheetandfollow-up
withclientsonbothpositiveandnegative
feedback.
1.
2.
Business Acumen
Business Development
24.
Healthcare Services Knowledge
Ref.#
Example
2.3
AreaofStrength
HowwillIusethis?
BusinessDevelopment
Developbusinessplansthatarticulatebusinessgoalsand
timelines.
(a)Developacourseincreatingbusinessplansand
goals.
(b)FindouthowtoapplyforCEUs.
12
Bywhen?
HowwillIknowIvelearnedit?
th
September30,2005
Whenpeoplethankmeforgivingthemfeedbackthathasbeenhonestandopen.
WhenIcanreactpositivelytonegativefeedbackfromclientsandpeers,anduseitto
improve/enhancemybusinessandperformance.
WhenIcanviewfeedbackasanimportanttoolformypersonalgrowthanddevelopment.
WhenpeopletellmethatIhavebeenopentoreceivingfeedbackandhavenotbeen
defensive.
Dec 30th,
2014
Dec 30th,
2014
Apply what I learned from books and professionals to create better business
When I see results from trying different types of business development
Dec 30th,
2014
Create webinars
Meetings with other healthcare professionals
Referring patients to see these other healthcare professionals
Developmentfornextyear
AdditionalComments
21.2MassageTechniquesApplyothertechniques
Intra-oraltreatment
13