Things You Probably didn’t know about Occupational Medicine by James Raker DC, CME, FADP

As I travel to chiropractic meetings, conventions, and speaking engagements, I am surprised that most DC’s do not know that there is a huge piece of healthcare pie that they can participate and get paid cash by companies across all of America. Occupational Healthcare is concerned with the safety and wellbeing of American workers. IS THAT NOT A FIELD THAT CHIROPRACTIC SHOULD BE INVOLVED IN???  Plus, the services that you can render to keep workers safe is paid directly by the companies. No insurance problems to deal with. Talk about a cash practice opportunity, this is it. However, I combine it with my regular chiropractic practice as a separate but helpful income stream.


I have been doing DOT physicals, drug testing, and alcohol testing for over 20 years. DC’s in all 50 states can do the drug and alcohol testing, and in 48 states can do the physicals. Why does no one know this?  The opportunity is huge. Consider these numbers. Prior to 2014, any MD, DO, DC, NP, or PA could do and sign off on a DOT physical. There were about 500,000 providers across the country (excluding Cardiologists, Neurosurgeons, and other specialists that would never do simple DOT physicals) that did DOT physicals. Then starting in April of 2014 the government required providers to take a 12 hour certification course and pass a test in order to do DOT physicals. Guess what happened? All the MD’s dropped out because they were to “busy” to do that. So what happened? The number of providers able to do DOT physicals is now down around 60,000 in all the US!!!  So all the work got funneled down to only 10% of the old pool of providers. My work load skyrocketed!  Every company in my town called me because I was one of the few certified providers. Pepsi, Coke, FedEx, Lowe’s, every trucking company, concrete company, garbage truck, electric company, cable company, telephone bucket trucks, etc… started calling my phone. I literally couldn’t put the phone down without it ringing for a week. Now, you may be thinking, I’m too late. The rush is over.  But fear not, there is still too much work, and more trucking jobs being created, than the 60,000 providers can handle. Plus there is another corporate market besides DOT business, that is 10X bigger that you can also tap into doing the same safety type services of drug and alcohol testing, hearing testing, pulmonary function testing, and much more, which pays well, in cash. It is possible to do over $10,000 in services in one day for a company and be handed a check. I have actually on 2 occasions done over $20,000 over the course of 3 days and gotten a check within 10 days, so the return on investment is better than PI, Work Comp, Weight Loss, or even cash prepay chiropractic plans because I’m done in 1-3 days with the work, I don’t have to adjust a patient for the next year to get to keep the money. There is ways to learn how to do this type of Occupational Work thru Diplomate programs at the colleges, or even picking up the basics thru weekend courses such as the one I teach. But the chiropractic profession should be the go to doctor for Corporate America for Safety and Wellness. Why would you deprive yourself of the ability to help companies keep a better workforce and get paid well doing it? It is exactly what Corporate America needs, and WE are the best profession to provide it. Get into the game!!

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