Frequently Asked Questions

Below are some initial questions many clients have when they first contact Top Practices. The questions below may address many initial concerns you may have. If you don't find the answers here, you should contact us for answers to questions specific to your case. The consultation is free.

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  • How much should I spend on marketing a podiatry practice?

    The Harvard Business School number is 14%.  Budget for 14% of your collections—that is, your net revenue.

    That is the short answer. Here is a more thoughtful answer:

    There are variables that affect this number.  The most significant factor is the size of your practice. As a practice gets bigger, economies of scale kick in and your percentage will naturally drop. In a smaller practice, there are minimum standards for what you need to do and very little of it is free.  If you use 14%, it gives you a benchmark and you can work from that number.

    You should look at what you spent last year and the year before to get a baseline.  Then look at everything you want to do on your marketing organizational board and make an estimate of what that would cost.  You will likely find that you are under-spending. Then, based on what you want to accomplish with your goals for new patients and total patients, see how fully executing your plan would change your budget and make some very educated decisions.

    Two more important things to note:

    1. Budgeting for growth is always an “educated guess” process. It’s not like other departments that have obvious and easily calculated costs based on production.  It means making a calculated investment.  It also means being flexible throughout the year and tracking results to make the appropriate adjustments.

    2. The BEST answer to this question is that you should spend as much as you possibly can – if it is working. The key is to do the right things, and the Top Practices plan is a guide to doing just that.

    When your marketing plan is working, it is fun.  Remember, you are in the business of marketing a podiatry practice.  You might as well enjoy it.

  • What will I receive at the Summit?

    What will you receive at the Top Practices Summit? PATIENTS…period.

    Patients are the goal.  More importantly, you’re aiming for a reception room filled with exactly the kind of patients you want to see that day.  Happy Patients who refer to you and return to you.


    The only reason you market your practice is to build a practice filled with these patients.  The only reason you manage your practice well is to provide excellent service to these patients.  That way you heal them and turn them into raving fans of you and your staff, so they tell everyone about you.

    Patients.  There is no other reason for the Summit. 

    At the Top Practices Marketing and Management Summit, you will experience two and a half days of workshops, expert presentations, and roundtables designed to enable you. That way you can grow your practice, love working in your practice, and profit abundantly from your practice.  Nothing else.

  • Can I bring my staff to the Summit?

    You not only CAN, you SHOULD! The practices that bring staff members always get more done when they return to their offices. This is because they don’t have to try to translate and transmit the great ideas and enthusiasm they just learned at the Top Practices Summit to people who have no context or clarity for it. It may be hard for your staff to make the changes you learned about at Summit on your own, but they would benefit from it so much if they just knew what to do.

    We have seen doctors come by themselves the first year to check it out, only to bring 1,2, or 12 staff members the next year because they understood the critical importance. 

    Here is what past attendees have to say:

    "The Top Practices Summit was very motivating! This was the best money I have spent in 10 years. This conference has provided us the roadmap we needed to go places we want to go with our practice. I finally feel liberated in that I can get back control of our practice and take the direction we want to take it." - Meeta Pancholi, DPM 

    "I leave with over 30 ideas to take back and implement." - Hans Blaakman, DPM

    "I leave with a renewed sense of commitment to achieve excellence and a plan to accomplish my goals I am motivated to make the changes necessary to convert my practice into a successful business." - Scott Shields, DPM

    So YES! Bring your staff so that you can guarantee your momentum stays strong when you leave the Summit. 

  • Why types of practices attend the Top Practices Marketing and Management Summit?

    More than 150 podiatry practices attend the Top Practices Summit every year.  Here’s a partial list of the types of practices that attend the Top Practices Marketing and Management Summit:

    • Solo or small podiatry practices that want to market effectively without breaking the bank.
    • Large podiatry practices with multiple doctors and locations that want to organize and systematize their marketing so that it is effective for all doctors and all offices.
    • Podiatry practices that are already successful in their marketing efforts and want to improve them.
    • Podiatry practices that are struggling with their marketing, patient numbers, and revenue. 
    • Members of Top Practices attend the Summit every year to stay on top of Internet changes (primarily because Google changes continuously) and because our practices are always raising the bar and improving how we market.
    • Podiatry practices that are not members of Top Practices attend to learn how to explode their growth and manage it.

    This is not a closed-door, members-only event—anyone who wants to learn is welcome. There is no other event like the Summit for helping you see how to solve your problems. 

  • What is the Top Practices Marketing and Management Summit?

    The Top Practices Marketing and Management Summit is a two-and-a-half-day conference for podiatrists and their staff who are tired of being frustrated with the results they see in their practices.  It is focused entirely on building podiatry practices through excellent marketing and efficient management.

    The Summit is held once a year in the early fall, and roughly 250 doctors and staff attend.  Dozens of podiatrists who are succeeding in their management and marketing take the stage to open their files and show their colleagues how they were able to “defy the experts” and see significant growth in their patient numbers and profitability.

    If you are wondering any of the following, you will find the answers at the summit:

    • How to market a podiatry practice
    • How to manage a podiatry practice
    • How to improve my practice’s bottom line
    • How to use the Internet and social media to market my practice
    • How survive the Affordable Care Act


  • What is a Top Practice?

    Every practice owner has their own personal definition of what a top practice is, but here is what is at the core of every definition of a top practice: 

    "A professional practice that is managed and marketed using systems that serve the owners instead of the owners feeling like they are serving the practice."

    A top practice allows a doctor to practice medicine at the highest level because they aren't distracted by the constant needs of running the business. A top practice performs at such high levels automatically that the owner is able to focus their attention on their personal lives and achieve a significant and dramatic increase in their own happiness. A top practice enables its owners to live their lives according to their terms and theirs alone - no matter what.

    Podiatrists from all over the globe are having their breakthrough year. The reason is really rather simple. They were ready, and they decided to do something about it.

    Make this year your year. Mark your calendars for the Top Practices Marketing and Management Summit to kick start your goals this year. 

  • What Should be the True Purpose of My Podiatry Practice?

    One of the reasons for owning a professional practice, for being in business, is to have a happy, healthy, exemplary life. And yet most people that are struggling as small business owners, as all doctors are, as all lawyers are, find that they’re really dealing with stress and unbalance in their lives. So, you’ve got to get control over your practice first, so that your personal life can be everything that you want it to be. The steps to that are simple:

    Number one, know exactly what you want. What your goals are. Remember this: your practice’s purpose is to serve you. It’s to help you live your ideal lifestyle. It’s not the other way around where you’re serving this practice that’s keeping you working nights and weekends and feeling stressed. So know your goals, and then get very serious about learning how to manage your practice. Find out more about how Top Practices can help you learn to manage by the numbers and not just by hope.

  • Will Top Practices’ Marketing Ideas Work in a Down Economy?

    That’s a great question right now, because we are in a down economy. The fact of the matter is, it’s a wonderful opportunity to employ these kinds of educational, information based marketing ideas because in a down economy everyone else is hunkered down, everyone else is pulled back, and you virtually have the stage to yourself at this point in time. I tell everyone, if you’re in a down economy like we currently are, this is one of the best times to be out there marketing, making sure that you’re letting people know that you can help them solve their problems with their feet and their ankles. And I’ll tell you this, people in Top Practices are having, in the last few years, the best years of their practice in terms of growth. In terms of numbers of new patients, reactivations, and referrals. When you do everything, and you do it right, it simply doesn’t matter if there’s an up or down economy because people always need your help.

    Find out how you can mastermind with hundreds of other successful, driven podiatrists by joining the Mastermind Group.

  • Should I Be On Facebook?

    Should you be using facebook?

    People often say to me, “Do I need to be on Facebook? Isn’t that for kids? Isn’t that for really banal conversations that people have?” The answer is no way. Over 200 million people have joined Facebook in just the last few years and the majority of those people are women 35-65 years old, which is the group of people who make the primary decisions about healthcare for their families.

    If I said to you that for several thousand dollars you could get a software program that would help you build a large and focused referral network around your practice, you might say, “Well, great! Sign me up!”

    Well guess what, that’s Facebook, and it’s absolutely free. So get on Facebook today.

  • Is All Advertising Bad?

    No! Not all advertising is bad.

    In fact, there really is no kind of bad advertising, there’s just bad messages. That’s really where we fall down whenever we’re using any kind of media. I don’t care if you’re in the newspaper, I don’t care if you’re on television or radio. If you’ve got the right message, and that message needs to be focused on the problems, concerns, and worries that the people that you can help are having, not on your qualifications or your experience or education, or even your claim that at your office “we’ll treat you like a member of the family”.

    Because the truth of the matter is, people can only focus on their own problems and their own concerns, they really just don’t care about, nor can they evaluate, your qualifications. They’re really looking for solutions to their problems so if you advertise in any medium but you focus it correctly, you make the right offer, you capture that information that you get and then you begin to build your list, then anything that works is good.

    If you want to learn to start advertising your practice like a pro, connect with us and fill out a Mastermind application today.

  • How does Top Practices Work?

    I get asked this question a lot and the answer is simple: You become a member of the Top Practices Mastermind Group by filling out the application. When it is accepted, you’re in until you want to leave. No contracts, no minimum requirements, nothing.

    If you’re getting value, you stay. If you aren’t, you leave. Easy. Then you participate in our regularly scheduled phone calls or webinars that are very focused on marketing and business development. They’re scheduled far in advance and all calls are recorded and archived on the Top Practices website and the key calls are burned on a CD and shipped to you each month. So you never miss a meeting, regardless of your schedule.

    In addition, we have private consults with each practice each month, focused on their practice only. The Top Practices website is a treasure trove of resources available to you 24 hours a day, that will answer your every question you have about marketing your practice. Easy.

    Finally, Top Practices acts as an agency to our members. We have artists and production experts that will help you accomplish everything you need in developing the tools you’ll use to build and grow your practice. We leave nothing to chance and are with you every step of the way as you change your practice marketing into a successful program that builds your new patient numbers, builds your referrals, and your reactivations and recalls. Easy. Don’t wait to download a Mastermind application today.

  • How does Rem Jackson Know How to Market Podiatry Practices?

    As the CEO and founder of Top Practices I help podiatrists and other professionals grow and develop their businesses using innovative and out of the box marketing methods.

    I’m often asked by people as they meet me, “How is it that you know how to market professional practices?

    The answer is that Top Practices has become a laboratory of best practices by podiatry offices, small businesses, and legal practices all around the country. I’m often at the center of a wheel of fabulous, groundbreaking ideas. One of the strengths of Top Practices is that the members in the Mastermind group are 100% committed to sharing the best ideas and it’s amazing to me how more sophisticated those ideas become as time moves on.

    One of the ways that I’m able to help people market their practices is by showing them the path that has worked for literally dozens and dozens of other practices. Now is the time for you to join the Mastermind group to begin growing and shaping your practice

  • How is Top Practices Different from Other Marketing Companies

    I’m often asked, “How is Top Practices different from other companies that might be interested in helping professionals market their practices?”

    And the answer is that we take a 180-degree different approach than almost any other kind of marketing or PR firm you might be interested in. Because I’m not that interested in PR, and I’m not that interested in marketing in the traditional ways. Primarily because they don’t work.

    You spend a lot of time, a lot of effort, and a lot of money promoting yourself instead of really getting inside the heads of the people that are having the kinds of problems that you can solve. It’s called “entering the conversation that is already going on in the minds of the people that you want to attract.” So at Top Practices, we have a four-step foundational process that helps you get connected to the people who need your help. It helps you find out who they are and then over time have them become patients of yours. Once they’re patients, we spend an enormous amount of time, effort, and focus on making sure that they stay active, healthy patients who are referring to you on a regular basis. 

  • What is the Cost of Marketing?

    The cost of marketing

    I’ll sometimes hear from doctors, or even lawyers, “Rem I’d love to market my practice right now, but I just don’t have the available funds.”

    I understand that this is a key issue that all small business owners face. It sound like this:  "How can I achieve what I want, and spend what I have to do to make that happen, without having my bottom line go down even further?"

    The fact of the matter is, you need to find a pathway. You need to find a program that is proven, that other people can tell you, “I’ve done this and it works.”

    At Top Practices there are literally hundreds of doctors that can tell you this works. When you come to Top Practices, I will show you how to make sure that you can put the minimum investment in. I won’t tell you that you can do this for no investment, because that’s simply not true, and it’s not possible.

    As you build this marketing machine, it becomes a profit-building machine and over time, there’s no expense associated with good marketing at all. It’s 100% growth and profit. Join the Top Practice Mastermind group and we’ll show you the way.

  • Is the Internet All I Need?

    Is the internet all I need to market my practice?One of the common misconceptions that I hear that people have, after they’ve had a chance to hear me speak at an event, is that the marketing that I’m focused on at Top Practices is related specifically to the Internet. And that is simply not the case. The Internet is one of the most valuable, critical, and absolutely important vehicles that we use for marketing. It’s also one of the places where you can get the quickest gain and really build your practice fast. But it’s not the entire part of the foundation.

    In fact, there are four pillars to very good marketing. The first one is good quality, web-based marketing, because that happens to be where people are turning to first to look for answers to their medical and health questions.

    The second one is referral-based marketing – I like to call that shoe-leather marketing. That’s making sure that the relationships with the referring business around you are solid and really well constructed.

    Third, of course, is internal marketing. That’s making sure you stay connected to your database. Last is external marketing.

    So the answer is: No. Everything we do here at Top Practices is not focused on the Internet. But is surely is important. Look through the Mastermind Group application to learn more about marketing along the four pillars to grow your practice.

  • What is the Top Practices Summit "Playbook"?

    The Top Practices Summit is a unique experience in a number of ways. One of the unique benefits of attending the Summit is that you and your staff leave with a clearly defined understanding of how to install the systems and protocols you will need to build and grow your practice. All of the materials from the conference are organized as a “Playbook” that contains implementable systems for you to take back with you. This Playbook is easily one of the most popular assets of the Summit. 

    On the last day of the Summit, Rem is joined by the top experts who will complete the step-by-step marketing and business development plan inside the Summit Playbook. If you leave the conference without an actionable plan to truly grow your practice and inoculate it from hospitals, competitors, insurance companies, Congress, and yourself, you haven’t been paying attention. Remember, it is impossible to make these changes instantaneously. There’s no “purple pill” or “silver bullet”, but there is a plan, and THIS IS IT.

    Don't miss your chance to join us for this exciting and innovative podiatry conference.

  • Is the Summit just for main practitioners?

    One of the many great things about the Top Practices Summit is that it’s a conference for everyone. Bringing your staff with you is guaranteed to make the next year much easier. You can’t do transform your practice by yourself and you need your team to work with you on this.

    Doctors who bring their key staff members with them to the Summit always experience the most gain afterward, because their staff already understands the plan, has bought into the plan, and knows their part in making the plan a reality.

    It is virtually impossible to bring back the attitude, knowledge, and motivation that are gained at the Summit and transfer it to your staff on your own. When you rkey people experience a conference filled with high performing peers, they are able to return to your practice and move forward quickly. Seriously consider bringing your key staff members to get the most out of this experience and to implement your plan for double-digit growth.

    Top Practices Marketing and Management Summit for Podiatry Practiecs