As the year wraps up, it’s tempting to jump straight into planning what’s next — without ever stopping to reflect on what just happened.

In this episode, we talk about why crafting a clear narrative for your year is one of the most powerful (and overlooked) tools for preventing burnout, building perspective, and entering the next season grounded instead of reactive.

We explore:

• Why high performers default to focusing on what didn’t go well
• How negativity bias distorts your view of the year
• The clinical parallel between helping patients make sense of their story — and doing the same for yourself
• Why even experienced CEOs struggle to give themselves credit
• Our one-sentence narrative for 2025, shaped by becoming a family of four while expanding our impact in pelvic health
• How reflection creates psychological closure and protects against burnout

We’ll walk you through a simple exercise to help you name your own one-sentence narrative for the year — before you start planning the next one.

If you’re feeling tired, behind, or like the year slipped by too fast, this episode is your invitation to pause, zoom out, and recognize what you’ve actually built.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health. PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016. It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes. Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Binary questions are easy — and often misleading.

In this episode, we break down one of the most powerful (and underused) communication tools in pelvic health, leadership, and life: the 0–10 scale.

Instead of asking questions that are heavily influenced by power dynamics, assumptions, or people-pleasing (“Are you okay with this?”), the 0–10 scale opens the door to nuance, curiosity, and honesty.

We discuss:

• Why yes/no questions shut conversations down
• How a 0–10 scale creates psychological safety and intellectual humility
• How defining the ends of the scale matters just as much as the number
• Why the scale naturally leads to better follow-up questions
• How this tool keeps conversations collaborative instead of adversarial

We shares real-world examples of using the scale:

• Gaining consent for internal vaginal or rectal treatment
• Asking about comfort with students or shadowing
• Clarifying goals like returning to running or biking (and whether those are real goals)
• Interviewing clinicians and understanding true interest in patient populations
• Navigating employee requests without jumping straight into action

This simple shift turns communication into interaction — and helps you gather better information, build trust faster, and avoid unnecessary conflict.

🎓 48-Hour Clinical Course Sale
To celebrate this episode, we’re running a 48-hour flash sale on all Pelvic PT Rising clinical courses.

• Use code RISING26Lifetime access to all courses
• This is the only sale like this we’ve done all year

If you’ve been thinking about taking one of Nicole’s clinical courses, this is the time.

👉 Learn more and grab your course at
www.pelvicptrising.com/clinical

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health. PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016. It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes. Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

A lot of pelvic health business owners are just surviving.

They’re working hard. Seeing patients. Paying the rent and bills, with maybe a bit left over for themselves.

But surviving isn’t why most people started a practice.

In this episode, we talk about what it actually means to thrive as a business owner—and why the success you want is often on the other side of the work you’ve been avoiding.

We walk through the five core areas we see in truly thriving practices:

• Financial confidence
• Lifestyle and time freedom
• Clinical excellence
• Daily enjoyment
• Community impact

We also discuss why willpower alone rarely gets people there, why grinding harder often backfires, and how getting the right support can completely change the trajectory of your business.

If you’ve ever felt stuck between “it’s fine” and “this isn’t what I imagined,” this episode will give you clarity—and a framework to think differently about what’s next.

👉 Want to see where you fall right now?
Check out our Thriving Practice Calculator:
www.pelvicptrising.com/thriving-practice

Business Accelerator Program - Closing Tomorrow!

If you want to take your business to the next level - to truly thrive - we'd love to help you. Find all the details and register at www.pelvicptrising.com/accelerator. Registration closes tomorrow (Fri, 12/19).

See how 425+ business owners have transformed their practice!

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health. PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016. It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes. Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Mentorship has become a buzzword in pelvic PT and OT — but most conversations around it are incomplete.

In this episode, we break down the four distinct types of mentorship that actually shape clinical confidence, patient outcomes, and long-term career satisfaction. Most clinicians receive some mentorship — but very few receive all four.

We unpack:

• Hard Skills
  Hands-on techniques, assessments, and interventions — what most people think of as “mentorship,” and what many con-ed courses focus on.
• Soft Skills
  Communication, motivation, managing difficult personalities, and helping patients truly buy into care. Often overlooked, but frequently the difference between average and exceptional outcomes.
• Information
  Understanding diagnoses, testing, medical management, and knowing what actually matters for the patient in front of you — not just what’s theoretically interesting.
• Professional Development
  Career guidance, burnout prevention, time management, and mentorship that considers you as a person — not just a clinician.

We also talk honestly about what to do if you’re not getting this level of mentorship where you work — and how to approach your career strategically instead of hoping things improve on their own.

🔍 Looking for a clinic that prioritizes mentorship?

We’ve built a Hiring & Mentorship Map featuring pelvic PT/OT practices — many within the Pelvic PT Rising community — that value training, growth, and long-term career development.

👉 Explore the map: www.pelvicptrising.com/map

Whether you’re early in your career or years in, this episode will help you identify what kind of mentorship you’re actually receiving — and what you may be missing.

Business Accelerator Program

Are you a business owner looking to take things to the next level in 2026? If so, make sure you check out the Business Accelerator Program - the January cohort is now open for registration!

👉 www.pelvicptrising.com/accelerator

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health. PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016. It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes. Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

In this rapid-fire episode, we’re celebrating Cohort #6 of the Pelvic PT Rising Business Accelerator 🎉

To mark the milestone of 400+ graduates and 800+ practices mentored, we’re pulling back the curtain and breaking down the entire Accelerator curriculum… in 18 minutes.

You’ll walk away with quick insights from each of the 18 modules, organized across the Three Pillars of a Thriving Practice:

🟦 Pillar 1: Marketing & Sales

How to attract patients consistently, increase conversions, build trust, stand out locally, and stop relying on chance or burnout-driven marketing.

🟩 Pillar 2: Business Systems

The operations, policies, efficiency tools, dashboards, and decision-making frameworks that take you from hustling → stable → scalable.

🟧 Pillar 3: Clinical Excellence

Clinical systems that improve outcomes, boost retention, increase buy-in, and create an unforgettable patient experience.

We also share:

✨ Why mastering only ONE pillar creates a “surviving” business
✨ Why mastering TWO creates a “growing” business
✨ And why mastering ALL THREE is the key to thriving — financially, clinically, and personally

Whether you’re a solo practice owner, a multi-clinician leader, or dreaming of opening your first clinic, this is a fast, dense, practical look at what actually creates a strong business foundation.

Perfect for anyone curious about what the Accelerator is really like — and what successful pelvic practices have in common.

Interested in joining us and having a different business in 2026? Business Accelerator Program is now open for registration at www.pelvicptrising.com/accelerator.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health. PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016. It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes. Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

We dive into one of the most overlooked clinical skills in pelvic rehab:
👉 helping patients make sense of their own story.

Patients often arrive with narratives that are fragmented, confusing, or shaped by years of mixed messages. When clinicians accidentally adopt that narrative, both the patient and the plan of care end up lost.

We explore:

• Why so many patients lack a cohesive understanding of their condition
• How unclear stories lead to frustration, fear, and chasing answers
• Our role in helping patients build a clearer beginning–middle–future arc
• What it means to become the trusted “guide” in their journey
• Key questions that help uncover what’s really keeping patients stuck

This episode will help you reframe the way you approach the patient story — and how to use it to improve buy-in, clarity, and outcomes.

Business Owner Free Training - How to "Convince" Patients to Come to a Cash Practice

If you're a business owner, don't miss our free training on Thursday (12/11) all about converting patients. Replay will be available for a limited time. Register to join at www.pelvicptrising.com/convince.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health. PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016. It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes. Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

🎙️ Why 90% of Pelvic Health Business Owners Aren’t Hitting Their Financial Goals

We break down exactly why so many pelvic health business owners struggle financially — and what to do about it.

This episode is based on data from our community and our experience working with more than 800+ pelvic rehab business owners.
And the truth?
Most owners aren’t missing their financial goals because 'people are afraid of spending money' or 'it just isn't working in my town or they’re “bad at business.”

They’re missing them because the system they’re operating in makes financial success nearly impossible without addressing 5 key issues:

1️⃣ Time — The #1 Business Killer

Whether you’re a solopreneur drowning in admin or a multi-clinician owner still seeing too many patients, time constraints choke your revenue more than anything else.

2️⃣ Pricing — Starting Too Low and Staying Too Low

Most owners undercharge for years… sometimes forever.
Your pricing has to support your life — not just cover rent.

3️⃣ Marketing — “People Find Me on Google” Is Not a Plan

If you can’t tell us exactly where you’d go to find five new leads this week, you don’t have a marketing system.
And without one? You can't control the growth of your business.

4️⃣ Conversions — You Don’t Need More Leads. You Need to Convert the Ones You Have.

If you’re not converting at least 70% of inquiries, you’re leaking money.
This is one of the highest ROI skills you can fix.

5️⃣ Consistency — The Most Underestimated Skill in Business

Life will happen. Burnout will happen.
Systems are what allow your business to survive when you can’t run at 100%.

The Big Picture:

A pelvic health business is a get-rich-slow scheme.
It works — but only if you fix the system and run it consistently over time.

🚀 Ready to Stop Guessing and Start Growing?

The Business Accelerator opens soon!
Six months.
Weekly coaching.
The systems you’ve been missing.
A community that actually gets it.

👉 Apply now at www.pelvicptrising.com/accelerator

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health. PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016. It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes. Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

🎙️ How to Choose the Right Pelvic Health Job + PelviCon Sold Out in 4 Minutes

PelviCon 2026 sold out (again!) in just 4 minutes — which is both incredible and challenging. We wish everyone who showed up at 9:00am could have gotten an in-person spot.

And TODAY is the last day to get the lowest possible price on the PelviCon Live Virtual + Recording pass!

💼 Now… let’s talk about HIRING.

Whether you’re job-hunting now or planning ahead, this episode walks you through the four things you should be optimizing for based on the season of life you’re in.

1️⃣ Optimizing for Pay

Totally valid — but make sure you’re comparing apples to apples.
Pay-per-patient vs. guaranteed hours can mean a 2–3x difference in annual income.

2️⃣ Optimizing for Flexibility

Can you adjust your start and end time? Number of days? Being off for school pickups? These are HUGE quality-of-life factors and often matter far more than an extra dollar per hour.

3️⃣ Optimizing for Mentorship + Career Growth

The reason many residencies pay peanuts is because mentorship is invaluable.
Look for structured mentorship and a program that serves you.

You’re not just taking a job — you’re building a career.

4️⃣ Optimizing for Ethos + Patient Care Model

Ask yourself:

• Will I see multiple patients per hour or one-on-one?
• Does this match the clinician I want to be?

Your fulfillment comes from doing work you believe in.

🔍 Looking for great pelvic health positions?

Use our free Hiring Map: www.pelvicptrising.com/map

It’s full of vetted pelvic health practices actively hiring PTs and OTs.

🔥 PelviCon Live Virtual + Recording

Today is the final day to get PelviCon 2026 Live Virtual + Recording for the lowest price!
👉 www.pelvicon.com

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health. PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016. It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes. Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!