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Location Considerations:

Where do you want to live and practice?

One of the first decisions you will make as you begin to think about going into practice is where you want that practice to be located. Over the next few issues of [ITAL]Student DC, [/ITAL]we will take you from a broad general view of location (region, state, and province) down to the specific street address where your practice will be located.

Along with personal goals for other areas of your life (see the “Personal Goals” article), your practice location decision begins with a personal decision. Where do you want to live? It’s quite possible that where you start out you will end up, so think about where you want to live until you retire.

Although we are sure you’ve thought about where you want to live, here are some considerations that might help you organize those thoughts:

Hometown
Many people go away to school and come back to set up practice in their home town. There are, of course, benefits and drawbacks to going where “everybody knows your name.” The benefit is the built in base of potential patients who already know you. The drawback is that everybody still remembers you as you were in high school.

Family
If you have a spouse or significant other and children to help make the location decision, their wishes must be taken into consideration.

When you’re collecting your thoughts about location, here are some points to consider:

Size of town
Would you rather live in a small town, medium-sized town, or suburb of a big city?

Climate
How do you feel about heat, humidity, snow, rain, cold? Do you need to live in an area where there are four definite seasons?

Culture
Do you require an area where there are museums? Theater? Ballet? Major zoo? Music and concerts? Family cultural activities?

Sports
What spectator sports do you want to be close to: Race tracks? Football stadiums? Baseball fields? What kinds of sports do you enjoy participating in? What kind of activities do you like? Where do you have to be in order to do these — mountains, beaches, streams or rivers?

Schools
Is the quality of public-school education important to you and your family? Do you like living in an area with several good colleges and a major university?

Medical
Do you or a family member have specific medical needs which require you to live near a major medical center or a city with access to special medical facilities?

Airport
Do you need to live near an airport with access to lots of other cities?

Crime
Is it important for you to live in an area with very low crime?

Lifestyle/ethnic diversity
Do you want to live in an area where there is a large diversity of people?

Region
Do you want to live in a certain region (East, Mid-central, Midwest, etc.)?

Religion/churches
Do you want to live in an area that has certain types of churches or synagogues or other religious groups?

Cost of living
How much does cost of living in certain areas matter to you?

You’ll notice that we haven’t mentioned competition as a factor in where to live and set up practice. We’ll be discussing competition in later issues, but it shouldn’t be a top priority at this point.

One young DC, for example, spent a lot of time analyzing locations and ended up making the decision in favor of her personal preference, despite that area having a lot of competition. She doesn’t regret the decision.

Another veteran chiropractor moved after graduating to an area where he was told there was little competition, but he and his wife weren’t happy there. He advises going “where your heart is.”

HERE ARE A COUPLE OF SUGGESTIONS TO HELP MAKE THE DECISION:

• Make a list of your top five criteria for location and make up a comparative analysis of several locations using those criteria.

• To break a mental dilemma between two locations, use the “gut check” technique: Label one location “heads” and the other “tails.” Flip a coin and look at the result. Then ask yourself, “Is this the outcome I wanted?”

You’ll be surprised how often your subconscious will give you your answer.

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