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  • Writer's pictureNicole Cozean

Flying Solo at Your Clinic: An Employee's Guide to Success

Updated: Feb 14

In a recent survey we conducted on the State of Pelvic Rehab, we found almost half (49.7%) of you are the only pelvic rehab provider in your clinic.

Nicole knows the feeling of being the only pelvic rehab provider in her clinic - as a new grad she was tapped to start and run a pelvic health program at a large hospital program.

There are major challenges to being the only pelvic provider, for both you as the employee and for your practice. Your boss or manager is often initially supportive, but that may not last.

Flying Solo at Your Clinic: An Employee's Guide to Success

Pelvic PT Rising: The pelvic health tools to make you a better clinician and/or a more successful business owner. We want every single pelvic health practitioner to be more confident and successful in your practice and career!

  • Clinical Courses: Game-changing online courses to make you more confident, challenge your thinking and improve patient outcomes

  • Business Resources: Helping 500+ pelvic health practitioners confidently start, grow and build their dream business!


Just think of some of the challenges to an ortho practice or hospital program adding pelvic rehab:

  • Having to provide a private (and hopefully well-appointed) treatment room

  • Dealing with a very different patient population

  • Not working (hopefully) with aides and giving you more time with patients than your coworkers are receiving

  • Dealing with complex patients means longer plans of care and more issues with insurance denials and appeals

  • They have to change the paperwork for you. And the website. Market to new physicians and in the community. And provide new training to the front desk.

  • And somehow give mentoring and training for you, which they can't provide because you're the only one!

These aren't insurmountable obstacles. But many times, it falls on you to do extra (often unpaid) work to try and make things run - training the front desk, marketing in the community, fixing the forms, etc. So ask yourself two questions:

  1. What do pelvic patients deserve, and are they getting that?

  2. And what do I (as the employee) deserve, and am I getting that?

Sometimes it's difficult to create an environment where both of those answers are 'yes' if you're not working in a pelvic rehab specific practice. So advocate for yourself, advocate for your patients, and if it's not happening you might have consider taking another position.

As Nicole said in the full episode:

"You can take a step back as an employee and check in with your non-negotiables!"

Learn more about pelvic health with our Clinical Courses

All of the Rising clinical courses are designed to:

  • Challenge the way you think

  • Make you more confident in your clinical practice.  

  • Allow you to go-at-your-own pace (all online!)

  • Let you go back to your work: you'll have lifetime access to the lectures and handouts.  Check out all the clinical courses we offer (

Curious about private practice? Check out our Business Resources

  • We've now helped more than 200 cash-based pelvic health practices start and grow.  

  • We want to make sure you're building a business that works for you (instead of vice-versa) and actually enjoy the process along the way!  

  • See all the business resources we offer (, tailored specifically to pelvic health!


Nicole Cozean, PT, DPT, WCS

Founder of Pelvic PT Rising and PelvicSanity Physical Therapy in Southern California.

Dedicated to forever changing pelvic health with online clinical courses to help you be more confident in your practice and business resources to help start and grow pelvic health businesses.

Jesse Cozean, MBA

Co-founder of the Pelvic PT Rising and the Rising Podcast.

Jesse uses his business experience to help pelvic health business owners start and grow their practices so they can build a practice that truly works for them. From website design, SEO, conversions, marketing, finance and money mindset, he wants to make the process of owning your own practice easier and fun.

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