
Two decades of training physical therapists through residency and fellowship, leading clinical operations nationally. Writing about what systems do to the clinicians inside them — and the development infrastructure no one built.
| Platform | Pricing | Only free issues | Publishes | Weekly | |
|---|---|---|---|---|---|
| Issues | 7 | Subscribers | Read | thedevelopmentgap.substack.com |
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## The Flat Profession
The morning schedule showed two names side by side in the eight o’clock slots. One belonged to a clinician who had been out of school for seven months, still learning to trust the examination findings that matched the textbook. The other be...
The patient is fifty-six years old, with right-sided low back pain that has not responded to two courses of physical therapy over the past fourteen months. The first course — eight visits at a clinic near the patient’s workplace — followed ...
It is 8:30 on a Tuesday morning in an outpatient orthopedic clinic. Two new patient slots have opened. Two referrals came in overnight, both flagged as routine. The scheduling coordinator checks who has an opening and places them.
The writers behind this newsletter.
Two decades of training physical therapists through residency and fellowship, leading clinical operations nationally. Writing about what systems do to the clinicians inside them — and the development infrastructure no one built.
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