I am founder and president of National Academy of Osteopathy (Canada), National University of Medical Sciences (Spain), National University of Medical Sciences (USA), National University of Medical Sciences (Panama), Canadian Union of Osteopathic Manual Practitioners, Osteopathy Chronic Pain Clinics of Canada, Osteopathy TV and Osteopathy Bank of Commerce & Investment. I also serve as the Minister of Education for the Southern Cherokee Nation in the USA.
It was such a happy occasion to see Dr
Mehdi Shiravi, a graduate of the Doctor of Physical Therapy (DPT)
program of National University of Medical Sciences (Spain) in Iran travel to Toronto, Canada to visit us at National Academy of Osteopathy.
Dr Shiravi is a current Diploma in Osteopathic Manual Practice (DOMP)
program student of the National Academy of Osteopathy, class of
I was so surprised to receive two Persian rugs
as gifts from Dr Shiravi. One of the Persian rugs had our NUMSS (Spain)
logo in it!
Thank you Dr Shiravi for such unique beautiful priceless gifts. This rug pictured below will go on my office wall!
To achieve phenomenon growth you must work at making competition
irrelevant. One way to do so is by offering convenience. Patients pay
for convenience. And they more often choose manual osteopaths that make
their lives more convenient.
I give you an example. Over two
decades ago I was the busiest chiropractor in Canada seeing 150 patients
per day. To achieve this growth I
constantly worked at differentiating myself from competitors. For
example I was one of the first chiropractors who used to send drivers to
pick up patients and bring them to my clinics for treatment. At that
time no one was offering this service. I used to charge $250 per hour
for treatments when I started offering patient pick up services and a
round trip would cost me $30.
It took a while for others to
copy this service and now many of the rehab clinics in Toronto offer it.
However my clinics received tons of patient referrals from patients and
family physicians who loved this idea. And even though competition
started offering this service quickly my referral sources continued
sending me patients. I made competition irrelevant by offering the
patient pick up service.
In our schools I follow the same
principle. For example I teach over 200 unique business lectures not
taught elsewhere. These are street smart business principles that make
our alumni successful in business. It is hard for other schools to offer
these lectures. They simply cannot afford to hire successful
businesspersons to teach these lessons. This is one way we make
Sit down and think what you can add to
your osteopathy clinic that would make your competition irrelevant? Can
you start treating at 6AM for example for senior citizens who wish to
get up early? Can you offer late evening, or Sunday services? What can
you add to your clinic that would be hard for others to copy? Every
clinic is different and only you can find out what works best for your
So take a daily journal and a pen and start writing
these ideas on a daily basis. You will be surprised by the ideas that
come to your mind if you do this a few minutes every day. You soon can
put the competition in your dust!
To achieve phenomenon growth
you must work at making competition irrelevant. One way to do so is by
offering convenience. Patients pay more for convenience. And they more often
choose manual osteopaths that make their lives more convenient.
give you an example. Over two decades ago I was the busiest
chiropractor in Canada seeing 150 patients per day. To achieve this
growth I constantly worked at differentiating myself from competitors.
For example I was one of the first
chiropractors who used to send drivers to pick up patients and bring
them to my clinics for treatment. At that time no one was offering this
service. I used to charge $250 per hour when I started offering patient
pick up services and a round trip would cost me $30.
It took a while for others to copy this service and now many of the
rehab clinics in Toronto offer it. However my clinics received tons of
patient referrals from patients and family physicians who loved this
idea. And even though competition started offering this service quickly
my referral sources continued sending me patients. I made competition
irrelevant by offering the patient pick up service.
schools I follow the same principle. For example I teach over 200 unique
business lectures not taught elsewhere. These are street smart business
principles that make our alumni successful in business. It is hard for
other schools to offer these lectures. They simply cannot afford to hire
successful businesspersons to teach these lessons. This is one way we
make competition irrelevant.
Sit down and think what you can add
to your osteopathy clinic that would make your competition irrelevant?
Can you start treating at 6AM for example for senior citizens who wish
to get up early? Can you offer late evening, or Sunday services? What
can you add to your clinic that would be hard for others to copy? Every
clinic is different and only you can find out what works best for your
So take a daily journal and a pen and start writing the
ideas on a daily basis. You will be surprised by the ideas that come to
your mind if you do this a few minutes every day. You soon can put the
competition in your dust!
Here is an email sent to me by one of our doctor of botanical medicine/doctor of osteopathy students of National University of Medical Sciences (Spain).
Dear Dr Pourgol,
I just wanted to share a story with you. I have been working with the
American Red Cross disaster medical services as a Lead RN in Carolina. I
have been leading both military and civilian medical teams during
hurricane Florence and Michael and wanted to let you know that I am
using everything that I am learning from the DO course to advise clients
displaced in the disaster as to how to best meet their musculoskeletal
disorder needs. I really want when I finish the DO course to start a
free clinic for those who do not have insurance in the USA. I have
attached pictures of one of my team's during the disaster and wanted to
say thank you to NUMSS for such fantastic manual osteopathic education.
Next week in my business trip to Italy I will have meetings at University of Padua in Veneto, near Venice.
I love this university as it is one of the oldest universities in the
world where Galileo Galilei used to teach for 18 years. I have seen his
burial place in Florence and now will get to walk where he used to walk
and talk where he used to talk. This is such an hour.
The medical school in this university has one of the oldest anatomy theater in the world. The church allowed human dissection in this
university as long as the cadaver was from a foreign convicted and
I do hope my two universities also get to
operate over a millennia! Imagine having National University of Medical
Sciences in the year 3018! That would be amazing!
While there are many types of investment vehicles available
to manual osteopaths here are the three fundamental ones I recommend to my
1-Invest the maximum amount you
can in your own business. But make sure what you buy/spend money on is an
asset, not an expense. Before spending money ask yourself is this going to make
money for me? If yes, it is an asset, if not, it is an expense and liability.
Use your money mainly to buy assets such as equipments that generate money,
resale supplies and marketing. Yes, marketing is an asset, not an expense. If
you focus on this principle you will make competition irrelevant as most do not
invest in their business to make money. Most invest in expenses not assets.
2-Own the home you live in if
you plan to stay long term in that location. I do not recommend you own the
building where your clinic is located unless it is a home office where you work
and reside. If you do decide to own the commercial building where you work at,
buy it under a different corporation from your clinic and then ask your clinic
to lease it from your other corporation, and do not buy it under your own name.
It is not wise for your clinic or yourself personally to own the place you work
due to liability issues.
3-Invest to the maximum of
your registered retirement saving plan limit (RRSP, 401K, etc) in exchange
traded funds. At the minimum invest $250 per month in US & Canadian Index
funds. Never invest in an actively managed mutual fund. Historically computer
managed ETF is far superior to human managed mutual fund.
One reason why we are successful in our schools is the fact
that we make competition irrelevant. Others
cannot compete with us because they cannot afford it. This we achieve by
investing everything back into our business. For example making our school
multilingual would costs a lot. But this once done would make us the first and
only osteopathic education provider to offer multilingual education. If we did
not invest our profits back into our schools, we would not have been to receive
a go ahead approval from our board for this project.
I believe investing in your business is the best type of
investment. Investing in stocks and real estate usually give under 10% of
profit per year. Investing in your business generates up to 1000% or more of
interest per year. For example if you invest $100 in stocks, next year you
would have $108 on average. If you invest $100 in real estate, you would have
$107.50 next year. But if you invest this $100 in marketing for example, and
get just 1 patient who visits you 5 time at $140 per hour, then you made $700
which is 600% of interest!
I receive the lowest salary of all employees at National
Academy of Osteopathy. I have never received any income from National
University of Medical Sciences (Spain) since 2012. And since 2016 I only
received $5000 US from National University of Medical Sciences (USA). All
income is given back to the schools for them to grow and as a result for
osteopathy to be expanded worldwide. This is one reason why we are so good at
what we do. Because we invest everything we make back into the business.
We are happy to announce that osteopath, Sonia Zaki,
DOMP represents the Osteopathy Chronic Pain Clinics of Canada (OCPCC)
in Montreal, Quebec, Canada. We now have 227 clinics worldwide in 16
countries across 4 continents (America, Europe, Asia, Africa).
Sonia is a graduate of the National Academy of Osteopathy. She is also a
member of the Canadian Union of Osteopathic Manual Practitioners.
was founded in September 2017. With 227 locations across the world
OCPCC is now the largest privately owned chronic pain clinic in the
All manual osteopaths joining OCPCC are chronic pain
specialists who have graduated from one of our three schools, the
National Academy of Osteopathy (Canada), National University of Medical
Sciences (USA), or National University of Medical Sciences (Spain).
Welcome to OCPCC Sonia! We are happy to have you in our team.
Clinic # 227 750-A Côte de la Place d'Armes, Montréal, QC H2Y 2X8 Phone:514-316-1987 firstname.lastname@example.org
I was so impressed by Panama City. I did not see even one homeless person on the streets!
It is such a wealthy, clean, safe and cosmopolitan city and a great
place to open an osteopathy clinic.
It also has so many pastry shops and
cafes, more than any other city in Latin America. Over 100
restaurants/coffee shops in just one of its malls, that happened to be
the largest mall in Latin America!
Being wealthy means everyone has a car though and the traffic is bad
there. Also the city is not so green as every inch of it is developed
into high rise buildings.
The drive from airport to your hotel does
not feel like you are in Latin America. I felt like I am driving in
Toronto as all you see are skyscrapers!
Panama is a superb place to work as a manual osteopath. The profession
is popular here due to presence of large number of ex pats from UK.
Panama has clean air, beautiful beaches and unspoiled nature. The
amazing flora and fauna exceed your power of imagination. Panama City (a
mini New York and the most modern city in Latin America) has pleasant
boulevards, skyscrapers, great restaurants and an exciting nightlife.
The largest mall in Latin America is located in Panama City. It has 700
stores and over 100 restaurants Above all, Panama is a tropical country
with a climate like a perpetual summer.
Panama has two seasons:
its dry season runs December to May while the rainy season runs May to
December. Temperatures all year varies between 21 and 30 degrees Celsius
(between 70 and 86 degrees Fahrenheit). In the rainy season, showers
generally last less than one hour.
With annual growth of over
10%, the country is doing great. Panama City is the number one financial
center in Latin America and the number 5 in the world.
has been chosen as the number one retirement destination for its
affordable cost of living, healthcare, safety, weather and
Currency is US dollar which offers amazing
benefits to those who work here. The personal income tax has a
progressive rate. Below $11,000 US you pay no tax. Between $11,000 and
$50,000 you pay 15%. Above $50,000 you pay 25% tax. For income generated
outside Panama you pay zero tax. Income tax is taken only for income
generated inside Panama. There are exceptions however. For example
farmers pay no tax if their income is less than $250,000. There is also
no capital tax, and no inheritance tax.
Panama has a population
of 3.5 million people. However it does not have enough people to work in
its businesses as it is expanding rapidly. Due to this it has made a
program that residents of 47 friendly countries can apply and receive
immediate permanent residency which allows them to work and open a
business in Panama. It costs about $20,000 (includes lawyer fee) and
after 5 years Panamanian citizenship and a passport will be issued. You
can have dual citizenship in Panama along with your first country of
There are two ways to work in Panama as a manual
osteopath. The first and easiest one is to use the program mentioned
above if you are a resident of one of the 47 countries (Andorra,
Argentina, Australia, Austria, Brazil, Belgium, Canada, Chile, Croatia,
Cyprus, Czech Republic, Denmark, Estonia, France, Finland, Germany,
Greece, Hong Kong, Hungary, Ireland, Israel, Japan, Latvia,
Liechtenstein, Lithuania, Luxembourg, Norway, Malta, Monaco, Montenegro,
Netherlands, New Zealand, Poland, Portugal, San Marino, Serbia,
Singapore, Slovakia, South Africa, South Korea, Spain, Switzerland,
Sweden, Taiwan, United Kingdom, United States and Uruguay.) You, your
spouse, and all children under 18 can apply and come together as a
family. The application cost is $5000 plus $2000 per person in your
family. However it is almost impossible to do it yourself as every form
is in Spanish. It is best to hire a lawyer, which makes the cost about
As a resident, you can work for another clinic or
open your own osteopathy clinic. In Panama you can call yourself an
osteopath as the profession is not regulated there. There are some
private health plans in Panama but most people pay cash for osteopathic
care. If you open your own clinic, it is recommended that you learn
basic conversational Spanish. However many speak English here.
you are not a resident of the above 47 countries, there are other ways
you can work in Panama but in most cases you have to find employment
with a medical/physiotherapy/health clinic and they apply for a
temporary work visa for you. In this case you cannot open your own
clinic and you cannot become a citizen and you always work as an
employee until you apply for permanent residency and get accepted as a
Panama is a prosperous country. US dollar is
the currency. Tax is reasonable. People are wealthy and there is a
large demand for osteopathy in this country as there are only a few
manual osteopaths here. Panama City is amazing for those who love
cosmopolitan life. Those who prefer the slow country living also have
the option of working/living outside Panama City which has a slow pace
I just got back from Panama City and getting ready to go to work at
National Academy of Osteopathy when I saw a Facebook post by Nusha Shishi, one of my students in Germany.
This is such a great way to start the day! She made my day and I am grateful to have students who like how I teach!
"Today is another beautiful day spent with my online university. And I
am very happy and grateful to all the teachers and people who made the
online program. This is wonderful! Teachers give
great knowledge and I'm just fascinated by them. I also want to say
thank you so much, Dr Shawn Pourgol for the inspiration that your
lessons give, for your love for us and love of osteopathy. This is a
titanic work and I admire how easily you present it. Thank you for the
business lectures in which there are so much wisdom and inspiration and
are so interesting to watch. Dr. Shawn Pourgol has become part of my
family, even though I personally do not know him. He is always here when
I watch lectures or study techniques. I cannot express all my gratitude
with words. I'll be short of words. I'm happy! I love osteopathy! I
love my teachers! Thank you so much!"