This episode is for outpatient rehab clinicians (PTs and chiros, 3–10 years in) who get patients 80–90% better but can’t crack that last 10% and feel like they’re “spraying and praying.” Brandon, an 8-year PT who was about to apply for a prestigious fellowship, shares how PRA’s framework finally let him consistently find root causes (especially spine involvement), explain it clearly to patients, and stop guessing his way through plateaus. It shows clinicians who think they need “more courses” that what they really need is a diagnostic thought process that works in both insurance and cash settings.

If your patients get “mostly better” but you can’t close the last 10%, this is for you.

Brandon was literally filling out a fellowship application when he realized he didn’t need more tools… he needed a framework.

In this episode, you’ll see how he:

Went from 8 years in outpatient and chronic 90% plateaus to consistently finding true root causes.

Stopped “spraying and praying” with random interventions and started using a clear diagnostic sequence.

Used a deeper neuro exam and myotome testing to catch spine involvement he used to miss.

Changed one communication line (“Did I explain that well?”) and instantly got truer patient feedback.

Realized a year-long fellowship would just give him more of the same skills without organizing his thinking.

Reframed PRA as an investment in his own clarity and his patients’ outcomes, not just another expense.