CLINICAL ROUNTABLE RECORDING
Why Good Clinicians Lose Patients
The hands-on vs. hands-off debate is missing the point.
Here’s what your practice actually needs.
If you’ve ever felt that flash of panic when a patient says, “the pain’s back,” then this roundtable is for you.
For allied-health clinicians navigating the gap between evidence-based care, patient expectations, and financial reality.
Do you feel caught between evidence, expectations, and income?
This roundtable shows you how to navigate all three.
Without sacrificing patient trust or retention.
Recorded: Wednesday, 25 March 2026
Duration: 60 minutes
Format: Watch at your own pace
Hosted by The Chronic Pain Method – evidence-based training for allied-health clinicians.
Free for registered clinicians
Watch at your own pace
Workbook Download
What you'll walk away with
60 minutes. One conversation that changes Monday morning.
✔ A third approach to the hands-on debate: one that bridges technique, communication, and patient buy-in without creating dependency or losing income.
✔ Exact language for when a patient flares: evidence-based phrases that maintain trust, shift “you fix me” to “we work together,” and keep them coming back.
✔ A framework for staying composed when financial panic hits: so you respond with certainty instead of reverting to what feels safe.
✔ Practical tools to protect retention: reduce drop-offs during flare-ups while communicating in ways that strengthen patient commitment.
✔ Hear the panel tackle real clinical scenarios: experienced clinicians, a psychologist, and a patient advocate unpack the moments that matter most.
Built by clinicians, for clinicians.
Aligned with national recommendations for psychologically informed, interdisciplinary care.
When even great clinicians feel stuck
You use evidence-based care, yet some patients’ pain keeps returning.
And you find yourself wondering if you should have just stuck with hands-on treatment.
You want to shift toward active, self-management-focused care.
But when patients expect “magic hands” and you worry about losing them to the clinic up the road – financial pressure wins.
When a patient flares after you’ve reassured them, that moment of panic hits.
Do you give them what they expect – or risk the conversation that might send them walking?
You know the research says one thing, but patient retention and your patient’s expectations say another.”
And you’re carrying that tension alone.
You’re not the only one navigating this gap.
The Reflective Practice Tool: The Two Gaps Framework
A downloadable workbook for those moments when a session feels stuck.
When a patient flares, progress stalls, or doubt creeps in.
It helps you identify what’s missing – so you can respond with clarity instead of second-guessing.
Two sides. Two gaps. One tool you’ll use every week.
Use it after sessions, during peer discussions, or when preparing for complex consults.
➡️ Clinical Clarity
A reflective checklist that sharpens your thinking and directs your next step.
The Result: Less doubt, faster clarity, stronger clinical direction.
➡️ Communication in the Moment
Clear language and phrases to stay composed, validate the patient experience, and guide the conversation when pain returns.
The result: Patients feel heard, trust stays intact, and the session ends with direction.
Meet the Panel
Not a lecture, a roundtable of real practitioners, educators, and lived-experience voices who work within an interdisciplinary model where communication and reflection sit at the centre of every case.

Corey Iskenderian
Physiotherapist & Practice Owner · 25+ years
Among the first to bring the CPM method into private practice. He’ll share what made a difference – the wins, the resistance, the lessons, and how retention changed.

Dr Trevor Crowe
Psychologist & Clinical Supervisor · 35+ years
Specialist in the therapeutic alliance – where communication meets clinical trust. He’ll show you where conversations break down between disciplines and how to repair them.

Amie Rule
Chronic Pain Advocate & Author
Two decades navigating the system as a patient. She’ll share what clinicians often miss about emotional readiness and what builds trust from the other side of the table.

Facilitated by Janet Gavrily
Founder, The Chronic Pain Method
20 years in allied health business development. Built CPM to close the gap between what clinicians know and how they communicate, collaborate, and grow.
Over 450 clinicians across Australia and NZ have joined previous roundtables.
A moment every clinician knows
A patient who’s made real progress comes in and says, “My pain’s back.”
Your heart sinks.
You explained the self-management piece.
You shifted away from relying only on hands-on care.
You thought they understood.
Now they’re looking at you like you’ve let them down.
Part of you wonders:
“If I’d just kept doing what they expected, would they still trust me?”
You book another session…. but you’re already thinking:
Will they come back?
Or will they walk up the road to someone who promises to “fix it”?
This happens every day, not because clinicians lack skill, but because most were never taught how to navigate the gap between evidence-based care and patient expectations without sacrificing clinical integrity or financial sustainability.
This roundtable explores how to change that.
You’ll leave knowing how to respond next time with language that keeps patients engaged, your confidence intact, and your practice sustainable.
Watch the Recording
Free for Registered Clinicians
All registrants receive instant access to the full recording
plus the downloadable Two Gaps Framework workbook.
