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The Paul Gough Show

The Paul Gough Show

The Paul Gough 766 Episodes Sep 18, 2026

If you're a physical therapy clinic owner looking for tips, tools and strategies for growing your business, this is the podcast for you. Your host is Paul Gough - a former Professional Soccer Physical Therapist turned successful business owner and best selling Author from the UK. As well as running his own 4 location clinic, Paul works with clinic owners from all across the USA, Canada, Britain, Australia and beyond. Paul talks about everything from marketing, sales and hiring staff to leadership, finance and the mindset needed to become a world class clinic owner.

Episodes

EP 817 ☕️ "Should Staff PT's Be Forced To Wear Your Clinic Uniform?" [Coffee with Goughy]
EP 817 ☕️ "Should Staff PT's Be Forced To Wear Your Clinic Uniform?" [Coffee with Goughy] Sep 18, 2026 1:05:00 Today, I break down three real-world business stories — Starbucks uniforms, Uber layoffs, and UK work-from-home laws — and what they reveal about the fight every clinic owner is now facing.Explains why employee "identity" demands (uniforms, individualism) are colliding with what businesses actually need to survive, using the Starbucks dress-code controversy and the Ed Sheeran opening-act backlash
EP 816 ☕️ "6 Successful PT Clinic Owners Tell The Truth About Building A Private Practice In 2026" [Coffee with Goughy]
EP 816 ☕️ "6 Successful PT Clinic Owners Tell The Truth About Building A Private Practice In 2026" [Coffee with Goughy] Sep 18, 2026 35:55 Today, six successful PT clinic owners divulge the mistakes, beliefs, and hard-won lessons that shaped their businesses.Reveals candid confessions on firing top-producing toxic employees, going nearly six figures into debt, and the marketing tactics (newspaper ads, $150K salaries, sales scripts) they once thought were bullshit, but now swear byUncovers why revenue without profit almost sank severa
EP 815 ☕️ "Is The PT Profession In Crisis? Your Questions Answered!" [Coffee with Goughy]
EP 815 ☕️ "Is The PT Profession In Crisis? Your Questions Answered!" [Coffee with Goughy] Sep 17, 2026 1:12:36 In Today's Episode, I Answer These Questions:Why are PT clinics generating more revenue than ever while owners are taking home less money?How can a $2 million clinic be a worse business than a $1 million clinicWhat is a respectable profit margin for a PT clinic in 2026—and how vulnerable is an owner operating at just 5–10%?Why should clinic owners pay themselves a $150,000 salary before calculatin
EP 814 ☕️ "What is One Thing a Staff PT Has Said That Pissed You Off?" [Coffee with Goughy]
EP 814 ☕️ "What is One Thing a Staff PT Has Said That Pissed You Off?" [Coffee with Goughy] Sep 14, 2026 1:13:28 Today, I break down the staff comments that are quietly driving clinic owners to their breaking point — and what's really behind them.Reveals the real pattern behind entitled staff attitudes, and why it's not insurance or the economy that's killing your clinic's growthBreaks down why insecurity — in owners and employees alike — is the hidden root of nearly every "my staff PT pissed me off" story y
EP 813 🔥 "Are You the Reason Your Patients Quit?" [Paul on Fire]
EP 813 🔥 "Are You the Reason Your Patients Quit?" [Paul on Fire] Sep 10, 2026 6:14 Today, I break down why patients quietly quit on their PTs, and how giving out too many exercises can be doing more harm than good.Revealing a blind spot most clinic owners never catch until it's too lateBreaking down the simple shift that separates practices patients stay loyal to from the ones they quietly leave👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here:
EP 812 🔥 "What Are You Holding Onto That Creates A Bigger Headache Elsewhere?" [Paul on Fire]
EP 812 🔥 "What Are You Holding Onto That Creates A Bigger Headache Elsewhere?" [Paul on Fire] Sep 9, 2026 6:35 In this one, I rant about why holding onto the wrong tasks is quietly wrecking clinic owners' businesses, using the mechanic phone-tag story and a mother-and-ironing analogy to make the point.Uncovering the real reason business owners keep holding onto low-value work — and what it's secretly costing themBreaking down a simple test to spot where your time is misallocated before it turns into a much
EP 811 🔥 "Is Your Comfort Zone Costing You Six Figures?" [Paul on Fire]
EP 811 🔥 "Is Your Comfort Zone Costing You Six Figures?" [Paul on Fire] Sep 8, 2026 8:37 Today, I break down why avoiding marketing and outreach is quietly bankrupting clinic owners, and why workshops are outperforming digital ads right now.Explained that success comes down to a binary choice — go do the "ground game" (networking, referrals, in-person relationships) or master direct marketing (Google, Facebook, email) — and that avoiding both out of fear or comfort is what's actually
EP 810 ☕️ "Are the PTs Asking for 150K Actually Any Good?" [Coffee with Goughy]
EP 810 ☕️ "Are the PTs Asking for 150K Actually Any Good?" [Coffee with Goughy] Aug 28, 2026 1:11:46 Today, I made the case that patients don't pay for research or clinical credentials — they pay for "the magic," and that's the real litmus test for whether a PT is worth what they're asking for.Introduced two litmus tests for a PT's true value: how many patients specifically call and ask for them by name, and how much of a fuss gets kicked up when you try to move them to another providerArgued tha
EP 809 ☕️ "Why Don't My Staff PTs Respect Me?" [Coffee with Goughy]
EP 809 ☕️ "Why Don't My Staff PTs Respect Me?" [Coffee with Goughy] Aug 27, 2026 1:13:52 Today, I tackled the question "Why don't my staff PTs respect me?" — tracing it back to a self-respect problem in the business owner rather than the employees themselves.Explained why respect from staff starts with an owner's own self-belief, and broke down the cultural shift since 2005 where employees stopped automatically respecting "the boss"Unpacked how entitled, "why should I?" attitudes trac
EP 808 🔥 "How Long Have You Been Trying to Fix Your PT's Rotten Attitude?" [Paul on Fire]
EP 808 🔥 "How Long Have You Been Trying to Fix Your PT's Rotten Attitude?" [Paul on Fire] Aug 27, 2026 18:16 Today, I broke down why detachment — not attachment — is the key to being a good parent, boss, and business owner, using the parallel between raising kids and managing staff to make the point.Explained that trying to change someone's attitude is a losing game, since beliefs are ~88% fixed, and the real job is to observe, offer a nudge, and let people self-select in or outArgued that owners get emo
EP 807 ☕️ "Is Your Staff PT's Bad Attitude Costing You Money?" [Coffee with Goughy]
EP 807 ☕️ "Is Your Staff PT's Bad Attitude Costing You Money?" [Coffee with Goughy] Aug 24, 2026 1:11:43 Today, I dug into whether staff PT attitude is costing clinic owners money, breaking down where attitude actually comes from and why you can never train it away.Explained that attitude is a manifestation of belief systems (88% fixed for life), so performance plans and "attitude correction" courses are futile — you either tolerate it or cut the person looseArgued that owners and employees are clash
EP 806 ☕️ "Should Staff PTs Make More Than Clinic Owners?"
EP 806 ☕️ "Should Staff PTs Make More Than Clinic Owners?" Aug 21, 2026 1:11:24 Today, I broke down whether staff PTs should out-earn clinic owners, using reactions from a Facebook debate to unpack the "and life" mindset that separates thriving business owners from those stuck blaming insurance companies and the marketplace for their problems.Explained why owners deserve a CEO-level salary plus profit, and called out the excuse-making that keeps struggling clinics stuckCalled

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