Finding Purpose in Private Practice: A Four-Part Exploration – (Part 1: Uncovering the Role of Purpose and Mission)

Introduction

In healthcare, success often gets measured by external markers: the number of patients seen, the caliber of equipment purchased, or the efficiency of billing systems. While these are important, focusing on them in isolation can lead to a nagging sense that something more fundamental is missing. This something—often described as purpose or mission—is what unifies all those daily decisions into a coherent, meaningful path (Collins & Porras, 1994; Sinek, 2009).

In this first post, we’ll unpack why purpose and mission are crucial in private practice. We’ll also introduce you to Joseph and Bonnie, two physical therapy clinic owners facing a crisis that can teach us a lot about how quickly things unravel when purpose drifts out of sight.

1. More Than a Collection of “Right” Decisions

Healthcare professionals pride themselves on making “right” decisions:

  • Hiring the right people and firing those who prove to be a poor fit
  • Investing in top-tier equipment for diagnostics or therapy
  • Seeking expert consultants to streamline operations
  • Emphasizing personal well-being with exercise, nutrition, and adequate rest

All of these actions are vital. However, purpose (or “mission” in a business context) weaves these separate initiatives into a bigger picture that resonates with patients, staff, and owners alike (Osterwalder & Pigneur, 2010). Without a unifying purpose, each “right” decision stands alone—like puzzle pieces without a completed image to guide you.

Healthcare’s Missing Word

  • In business, it’s “mission statement.”
  • In personal development, it’s “purpose” or “calling.”
  • In healthcare, we often assume our altruistic drive to help patients is enough. But a clearly articulated purpose transcends assumptions, serving as a daily reminder of why we do what we do (Schwartz, Simon, & Bessen, 2018).

 

2. Purpose as the “Hidden Substance”

The text draws a parallel between “empty space” and purpose. Even when things appear empty, something profound exists beneath the surface. In healthcare, this intangible element is your guiding mission—the principle that tells you and your team, “This is why we opened our doors; this is what makes every patient interaction matter” (Kotter, 2012).

  • Patient Engagement: When you say to a patient, “We’re on a mission together,” you invite them into a collaborative relationship, boosting compliance and trust.
  • Team Cohesion: A mission grounds staff members, offering them a sense of belonging and direction (DeCelles, 2020).

 

3. Introducing Joseph and Bonnie

Joseph and Bonnie own a physical therapy clinic in Utah. Their once-thriving practice now struggles under financial strain and personal stress. They’ve let their health slip, gained weight, and even their children are showing signs of distress. Despite being clinically competent, they’ve lost the spark that made their work meaningful.

Why Their Story Matters

  • Real-Life Consequences: It’s not just about losing money—patients suffer, staff morale dips, and personal relationships fray.
  • Relatable Crisis: Many healthcare professionals eventually face a moment where their why feels blurred, replaced by endless to-do lists.

 

Conclusion

Healthcare practice ownership involves countless “right” decisions, but those choices need a compass to ensure they lead somewhere fulfilling. Purpose acts as that compass, anchoring each decision to a larger mission that resonates on both professional and personal levels (Sinek, 2009). In the next part, we’ll delve deeper into Joseph and Bonnie’s story, illustrating what happens when survival mode replaces purposeful practice.

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