Why is it that patients leave your practice, your CA is late or fails to show up for work, the attitude around the office is negative due to your lack of excitement and the momentum in the practice is dropping. The reason that you attain growth in your practice is because of three major factors: Inspiration, involvement and interest. When ever you want to grow at anything, these factors will help you to move toward it. If you have lost your lust or inspiration for what you are currently doing it may be because one of the three components is missing. Your patients demand your leadership and ability to lead them down the path of good health. Without your inspiration and the feeling of hope that you give them how are they going to be expected to follow? You see when you are inspired there is absolutely no stopping the want you have for what you are doing. There is no need to have someone motivating you to get the things done that are necessary to build your life and your practice. For example if you were going on an exotic vacation, you would be packed and ready to go the night before, most likely you would arrive two hours early so that you didn’t miss your flight. You maybe telling your patients about this trip a couple of weeks before you are scheduled to go, so they can share in your excitement. Inspiration is the most important component of the four I’s that we are discussing. Sure you have several of your own words that you may use for your inspiration, and if that’s the case use them. My point to you is that until you come to the conclusion that you are fed up with your current condition you will not be inspired to reposition your practice or yourself. The interest level that you have in your practice is equal to the amount of patients that you are able to see. If you’re mind is outside of the office when you are inside the four walls of your office your patients will be able to pick up on your level of sincerity when you are talking to them about exercise programs, scheduling appointments, and their points of interest concerning their health care needs. You have heard before the importance of becoming interested instead of interesting to your patients. This sums up the reasons for not being distracted while working with your patients. Your staff members need to be as interested as you are in the patients well being and their necessity for their health care. Interest just means that you truly do care and the intention behind the adjustment and the words and actions that you instill in the patient may make a difference in their chiropractic belief system and how much they tell others about your services. Intention flows throughout the practice and is the very reason behind doing what you do for the patient. If there is any distraction and your intention varies at any point during the adjustment, it could alter the outcome of the patient’s results. The intention during the adjustment is critical to the patient’s outcome after the adjustment. The last of the Four I’s is not one to be overlooked because with out patient’s involvement in their health there is a limited amount of interest. Patients need to be made accountable for what they are supposed to be doing to help themselves. This is the area where patients discontinue care due to boredom or limited change in their condition. Patients want to have involvement and a decision in how they can improve their health through exercise, rest, diet and other aspects of their health care. Through out this article it important to emphasize that the patient, the team members and the doctor all play integral parts in the healthcare triangle and in the participation of the four I’s. If in any circumstance that one of the points of the triangle is not contributing it will weaken the structure of the practice. The four I’s need to be put up in areas of your office so that everyone can focus on what is valuable to the patient and to always remember that the four I’s can make a practice one that is sought out or one that is stagnant. There are several other I’s such as improve, importance, and influence just to name a few, but you know what, all this does not mean a thing unless you take these words to heart and start applying them to your practice and start believing them from your inside. If you wonder why things aren’t going as well as they should be in your practice look inside and find the answers they are there all you have to do is look for the four I’s.