FAKTR Podcast #90 FAKTR Podcast Ep. 90 - Master’s Series: Sports Chiropractic with Dr. Tim Stark, Part 2
Jessica Riddle 00:00:15 - 00:00:54
Hi there. It's time for another episode of the FAKTR podcast. I'm your host, Jessica Riddle. And today, doctor Todd Riddle will continue his special master series with doctor Tim Stark. If you tuned in for part 1, you know we've been diving deep into doctor Tim Stark's fascinating journey through the world of sports chiropractic. His invaluable experiences in the field and the profound insights he's gained from a career dedicated to advancing the profession. As we transitioned into part 2, we left off discussing the quintessential elements of building a successful practice, fostering genuine relationships and trust within your community. Doctor.
Jessica Riddle 00:00:54 - 00:01:38
Stark's philosophy of embodying care and commitment to his community strongly resonates with the timeless saying, they don't care about how much you know until they know how much you care. This is a great quote and one that really represents how doctor Stark has approached his role as an educator and a clinician throughout his career. In this episode, we'll further explore his extensive contributions to sports chiropractic education, delve into his innovative approaches in multidisciplinary care, and hear about his unique experiences in chiropractic education both in Japan and Australia. So settle in. This is an episode you'll wanna listen to more than once. Let's cue the intro music and get started.
Dr. Todd Riddle 00:01:47 - 00:02:08
You mentioned eventually a transition to Australia. I I'm very curious because knowing what I know about you and the conversations we've had, I feel like that that was also then I don't wanna call a pivot, but it maybe that's what it is into a whole other trajectory that maybe you maybe you did see coming. But curious about that transition to Australia.
Dr. Tim Stark 00:02:09 - 00:02:36
No. I didn't see any type of international opportunities in in my crystal ball back in the day. So I was in full time practice, and I told Michelle, I said, I'm gonna give full time practice 3 years. The end of 3 years, if I really miss teaching because I was doing a lot of teaching during the residency. Really enjoyed it. My grandmother was a teacher. Don't know if that means anything genetically, but so I think teaching might be in the blood. And so I said, I'm gonna give full time practice 3 years.
Dr. Tim Stark 00:02:36 - 00:03:09
I think that's a fair time to determine whether I wanna just go all in for practice or if I really miss teaching and and wanna resonate and rebound back. Well, after about a year and a half of practice, I just thought I practice is okay, but teaching is where I can make a bigger impact. And there is a a quick story with, again, Brian Nook, one of my mentors. When I was finishing my internship or externship, he said, Tim, you owe it to people to practice. I go, what does that mean? He said he said, you're smart. You have good hands. You can differentially diagnose. You can relate to people.
Dr. Tim Stark 00:03:09 - 00:04:06
You owe it to your future potential patients to practice. And I thought that was an interesting statement. In other words, maybe I or we owe it to our community to make an impact, to take whatever skill set or talent that we might have, and then turn that back and turn it around and make an impact and make things better for maybe you, but in your family, but for others particularly. And I thought that was empowering. And so when I was oh, and then in regards to Australia and and teaching, I felt like I could make a stronger impact if I were teaching. So it's one thing for me to see 70 to a 100 patients a week. It's another thing for me me to maybe see anywhere from 30 to 60 future doctors and make an impact on them to see 70 to a 100 patients a week times, whatever, 60. And I just thought that was a tremendous opportunity.
Dr. Todd Riddle 00:04:07 - 00:04:18
That's 10 x. Thank you. That's exactly right. You could see your 100, or you could work with a bunch of Cairo students and vicariously see 1,000, 100 of 1,000.
Dr. Tim Stark 00:04:20 - 00:05:02
Yeah. And I think that was the the pivoting point. So we're now, what, 8 years in the practice. Prior to that, the years prior to that, I was softly looking for different opportunities to teach full time. There was an opportunity in Surrey, which is in chiro programming in England, which did close down. So it's probably good that that didn't pan out, but I was interested in that opportunity. And then I get a phone call from, again, Brian Nook, who was in Australia, and he was building working with Steven Pallister to open up a brand new Cairo School at Murdoch University in the Perth, Australia Western Australia area. And he reaches out to me, and he said, Tim, keep if you're interested, we're gonna be looking for future instructors here as our as our program grows.
Dr. Tim Stark 00:05:02 - 00:05:32
I think it's probably gonna be 6 months to 12 months out, but maybe keep it on your radar if you have any interest. And, of course, an international move is scary for so many reasons. And so, literally, I get a phone call, like, another 2 months later from him, and he said, we need we need 4 faculty now. And he said, the posting is up. Apply if you're interested. Don't apply if you're not. And I said, I'll talk to Michelle tonight. And and so, anyway, long story short, I applied, interviewed, and was offered a position.
Dr. Tim Stark 00:05:33 - 00:05:55
And that went over telling family and friends you're moving to the other side of the planet. Literally. Yeah. It was it was a it was a tough go in in some capacities. Yeah. Some people were super excited and some people not at all that moving your family away from them and not getting that You
Dr. Todd Riddle 00:05:55 - 00:05:58
had children in the mix at this point too. Right?
Dr. Tim Stark 00:05:58 - 00:06:15
Yep. Yeah. Gosh. How old were they? They were, like, 3 and 6 or 3 and 7 or something like that. I'm trying to remember. Yeah. I think my oldest was in 2nd grade, And she was halfway through 2nd grade, and they bumped her up to 3rd grade when we got there. And the other one was not even in preprimary or kindy yet.
Dr. Tim Stark 00:06:15 - 00:06:33
So she spent a year there in Australia before she went to the very first level, which I think is either kindy or preprimary in Australia. But that was a it was I again, that's one of those things. I would never not do the US Air Force. I would never not go to Australia. That was a great opportunity.
Dr. Todd Riddle 00:06:33 - 00:06:50
I I love Australia, so I can fully I can fully respect that thought process. Tell us a little bit about your time at Murdoch. You had a opportunity to teach, but you had a lot of opportunity to develop develop programs. There was Japan involved in there at some point. Tell us some some more about that.
Dr. Tim Stark 00:06:50 - 00:07:23
Yeah. It was a it was a brand new program. It was building from scratch. Again, I like to do that type of work. I believe when I got there, it was gonna be a 5 year program. So outside of America, and I know you probably have a number of international listeners as well, the program in Australia was a double bachelor's degree. There are other programs in Australia where it was a bachelor's degree, and then the second part of the Cairo program was a master's program. And the way Australia worked and way the the federal subsidies worked was the government would mostly pay for your bachelor's degree.
Dr. Tim Stark 00:07:24 - 00:08:10
But once you went on to a master's degree, a lot of that subsidy diminished, and the student was paying for most of that master's degree. So it was rather brilliant for Murdoch University to say, we're going to do 2 bachelor's degrees, and we're going to get subsidies for potentially both of them. And you would think that you would need some sort of graduate level schooling to practice chiropractic in in various different countries. And we call ourselves doctors of chiropractic. That's the DC credential that we get after our names here in in America, but that's not necessarily the case outside of America. Same thing with medical doctor, MD. Those are the letters you get after your name here in America. Those aren't necessarily the credentials you get after you earn after your name outside of America.
Dr. Tim Stark 00:08:10 - 00:08:44
So the schooling is quite different. To to think like to not think like an American when you go overseas is something that takes some training. I was just on a phone call yesterday with some colleagues, and I said and it was an international call. And I said, I know I'm thinking like an American, but here's here's the way here's here's the way I think about this particular point. Yes. I have, again, an awesome opportunity to teach full time in a half, man. The teaching load was aggressive. We had we were building courses while we were teaching them, and, hopefully, we did a good job.
Dr. Tim Stark 00:08:44 - 00:09:24
We call them Pallister Pioneers, which are the very first group of students that graduated from the Murdoch University, Cairo program because the dean of the program, his name was Steven Pallister, so they call themselves the Pallister Pioneers. Great group. Fantastic group. I hope we did them justice with being able to build this plane while we were trying to get it off of the ground at the same time. And I stay in touch with many of them, and I I I sure hope that we we did a good job. Administration had an awesome opportunity to administrate some programs there. So one of my interests, of course, is sports science and and sports chiropractic. And so I was handed a piece of paper.
Dr. Tim Stark 00:09:24 - 00:10:33
It was basically an application to the university to build a new program. And so it would come from the college of chiropractic, but it would go to the University of Murdoch and for to build this master's degree. And I looked at it, and it said a master's degree in sports chiropractic. And I said, who else teaches a master's degree in sports chiropractic? And doing I think Google is probably around at that time. This was a while ago. So just didn't see that as being a common master's degree. And I said, and then who's our market? Who who's going to be interested in a master's of sports chiropractic? Well, of course, the prerequisite would be you have to be a chiropractor. And I said, well, why are we doing this? And I said, let's can we put a pause on this and back up and and and understand the why behind this? And I said, if we're we're looking to build some sort of sports presence at a master's degree level, is chiropractic really the direction we wanna go, or should we consider sports science something a bit more broad? Then we've got a market that's this wide versus this wide chiropractors only versus physiotherapists versus anybody with a bachelor's degree in sports science, etcetera.
Dr. Tim Stark 00:10:34 - 00:11:08
So now we're we're we really opened up the floodgates per se for a much broader titled master's degree. So long story short, we tore up the paper application for a master's of sports chiropractic, started a new path of building a master's of sports science, which I, again, had an opportunity. It was a pleasure to be able to build that. I think it's still running. I hope it's still running. But we did build into the curriculum map allowing sports chiropractors, those with some sort of certificate or advanced degree, to enter the program with advanced standing to finish at a bit of a faster rate.
Dr. Todd Riddle 00:11:08 - 00:11:19
That's such a game changer too. So where does Japan come in? Because I have a great affinity for Japan. I think they're really trying to get chiropractic together there. So tell us a little bit about your time with the Japanese chiropractors.
Dr. Tim Stark 00:11:21 - 00:12:15
I love Japan. Man, I'm I'm just trying to remember I'm trying to think of where to start. There's so many cool memories about being there. So how did it relate to Murdoch University and some of the history on that? I'm hoping I'm not speaking out of order, and I hope that I know the history accurately. But there was a agency in Japan that reached out to Murdoch University to partner with our chiropractic program at Murdoch University to establish a bridging program there in Japan. I understand and, again, I was just small peanuts hearing I think I heard I heard that there was an another American program, chiropractic program in America, that was talking with this agency and getting them started. And it turned out that this American chiro program decided not to pursue it any further. And I think the ball was already rolling with this chiropractor program in Japan.
Dr. Tim Stark 00:12:16 - 00:12:42
And so they reached out to Murdoch University and invited us and or we nurtured a relationship, if you will, to build this program. It was a bridging program. We had some really interesting Japanese students in the program. Many of them had, like, a bachelor's degree in exercise maybe or health or biology. Some of them were also experienced as judo practitioners.
Dr. Todd Riddle 00:12:42 - 00:12:42
Yes.
Dr. Tim Stark 00:12:43 - 00:13:19
Judo practitioners. So judo practitioners in America, we think of judo as a sport. And, of course, with the Olympics just finishing up, judo was was a highlight. But judo practitioners, judo starting in Japan, was actually a a form of health care with joint manipulation, and they were fantastic. Phenomenal. They're joint manipulation, super fast, high velocity, low amplitude. That's a term that we use in the chiro role for the non chiros that might be listening. But high velocity, low amplitude, which means when we move a joint, we're moving at just millimeters, but as fast as we possibly can.
Dr. Tim Stark 00:13:20 - 00:13:27
And imagine some sort of sport where you have to be able to move super fast, but in a very controlled manner. Judo is
Dr. Todd Riddle 00:13:27 - 00:13:28
Perfect.
Dr. Tim Stark 00:13:28 - 00:14:02
By definition, exactly that. So it was really impressive to teach some sort of joint manipulation, whether it be a soft tissue manipulation, joint manipulation, and watch these guys and gals catch on to it so fast and be able to do it at an incredibly high level already. So participating in this bridging program in Japan was great. We would go there twice a year. When I was in Australia, we would fly there twice a year. It was usually on a break when we were on break at Murdoch University. And we would go to Japan, and we would teach anywhere from 2 to about 3 and a half weeks at a time. It was very intensive.
Dr. Tim Stark 00:14:02 - 00:14:25
The Japanese students were studying on their own for the most part. And then we would come in from us from from Murdoch University. A number of us faculty would go there. And we would have our radiologists teaching radiology and Brian teaching his stuff and myself and others teaching. Mark was a number of instructors were teaching our area of expertise that we're teaching at expertise that we're teaching at Murdoch. Again, very intensive. 10, 12 hour days. You're exhausted by the end of the day because the process of teaching was very slow.
Dr. Tim Stark 00:14:25 - 00:14:46
You're there teaching in English, and then it's being translated. So it's not instantaneous translation, but it's intermittent translation. So I would say something in English. So then my but it's intermittent translation. So I would say something in English. So then my Japanese translator would say it, where if everybody had some ears on instantaneous, that would have speeded things up a bit.
Dr. Todd Riddle 00:14:46 - 00:14:49
And sometimes translations aren't that clean either.
Dr. Tim Stark 00:14:49 - 00:15:14
Oh my gosh. And I try to keep things light in the classroom. You gotta keep people engaged. And if people are smiling and laughing, they're engaged. Yeah. And I would purposely and these were all the slides that I had at Murdoch University that were were we had to basically send them off to Japan many months ahead of time. And then somebody was translating your English into Japanese. So it was the same slide that you use or I use at Murdoch.
Dr. Tim Stark 00:15:14 - 00:15:53
I would have English here. And all the Japanese stuff was on this side. And so when the slide come up, I could just read my English stuff, teach off of that. And I remember teaching about delayed onset of muscle soreness, DOMS. I think I don't know if DLR, Delayed Low Frequency Recovery, even caught on, but that was a term that was being used back then as well. But we were talking about delayed onset muscle soreness and how to potentially remedy it, everything from cherry juice to hydrating. And I had a bullet point in there, and I purposely left it in there. Now, we were told, do not use any slang in your slides when you send them over.
Dr. Tim Stark 00:15:53 - 00:16:13
But I had to leave this in there just to get the reaction from the Japanese students. And the bullet point said, the hair of the dog that bit you. And so, of course, in the drinking days, you would maybe drink a little alcohol the next day, and that would help with that hangover. I don't know. I've never been never had a hangover. I've never been drunk, actually.
Dr. Todd Riddle 00:16:13 - 00:16:14
Great.
Dr. Tim Stark 00:16:14 - 00:16:39
So I'm just taking that by by the word of some of my colleagues. Sure. But that worked for DOMS. If you were sore the next day, just getting going out for a walk or getting on the bike and just getting the blood flowing again is what I meant by that. Right. So I had no problems teaching that at Murdoch University to a bunch of Australians that understood English. And they probably understood the hair of the dog that bit you. But I would purposely grab a glass of water.
Dr. Tim Stark 00:16:39 - 00:17:04
When I when I would see that slide, I'd hit it. I'd see it. I'm just gonna let them bake on that. So I would drink some water, and I would be watching the the Japanese students. And they'd be sprinkling their forehead, and they'd be turning towards each other. I had no idea how that translated in in in Japanese. Yeah. But I'm I would imagine they literally translated it to the hair of the dog that bit you.
Dr. Tim Stark 00:17:04 - 00:17:21
Yeah. And so they're waiting. Oh, I can't wait to hear where this is gonna go, or maybe they thought it was a mistranslation. Sure. But that was that was one of my my fun moments there. But, man, I love Japan. Love walking around one of the cleanest, oldest countries you can visit. So respectful.
Dr. Todd Riddle 00:17:21 - 00:17:25
So respectful. Yeah. Such a great place.
Dr. Tim Stark 00:17:25 - 00:17:28
Right on. How many times have you been called when you go there?
Dr. Todd Riddle 00:17:28 - 00:17:32
Oh, you lose track, and it's that's what's great about it. Awesome.
Dr. Todd Riddle 00:19:21 - 00:19:24
So your time in Australia, how long were we there for?
Dr. Tim Stark 00:19:24 - 00:19:58
We were there for three and a half to four years, just a little bit more than three and a half years, long enough to to gain our citizenship there, and we really wanted to do that. It was really important to us. We just absolutely loved our stay there. There was really no reason to not stay there Right. Come back to America. However, there were some family things that we felt like we needed to better manage, and we could manage those better, of course, living in the states. Getting a phone call at 4 in the morning because of the time change and saying hearing something from the family, and it's like, well, I'm literally 48 hours away.
Dr. Todd Riddle 00:19:58 - 00:19:59
Right.
Dr. Tim Stark 00:19:59 - 00:20:05
By the time I book a flight, layovers, etcetera, it's gonna be 2 days before I get there. So I'm not sure how I can help.
Dr. Todd Riddle 00:20:05 - 00:20:07
And so Yeah, very much as Glade. Yeah.
Dr. Tim Stark 00:20:07 - 00:20:21
It was a little frustrating for somebody who wants to be a contributing beneficial family member and just couldn't at times. But we absolutely loved it. We have our citizenship. The whole family does. So we intend to move back probably at some point.
Dr. Todd Riddle 00:20:21 - 00:20:30
That sounds like a solid plan. So you transition back to the US, and where's the first place you land again professionally in the US?
Dr. Tim Stark 00:20:31 - 00:21:13
Well, we moved back thinking that we were gonna buy my in law's lake home. That's where I proposed to my bride out on the dock, and so it has a lot of nostalgia. And so we moved actually into the cabin as a year round home. We moved into the cabin thinking that that's where we were going to reside. Things didn't go as planned. We then realized we need to get the girls in school soon. So we had moved back in the summer, American summer, and we were a couple weeks away from the school from school starting. So we decided then to move back to where I had a practice because the individual that was running the practice that I had sold wanted me to come back and just consult a little bit and help out with a few things.
Dr. Tim Stark 00:21:13 - 00:21:22
And so that was a good opportunity, and it was a really good school district for our our young people, our kiddos, and we thought that was an appropriate move.
Dr. Todd Riddle 00:21:22 - 00:21:32
That's excellent. So at some point, you ended up transitioning back to Northwestern. Is my timeline correct here? Yeah. Okay.
Dr. Tim Stark 00:21:32 - 00:21:43
Yeah. Pretty close. Yep. So we're just a few years away from Northwestern. So I we were in went back to North Dakota, helped my colleague with practice a little bit. Yeah. We were there for a couple of years
Dr. Todd Riddle 00:21:43 - 00:21:44
Okay.
Dr. Tim Stark 00:21:44 - 00:22:30
Going getting back into sports again and volunteering. But, again, I kinda have that itch for teaching. And I got a get a phone call from a very good friend of mine who was working for National University. One of my best friends, Jeff Rich, he's a radiologist, and he was working at National University or had just left. And he said, I heard they're opening up a new campus in Florida, and they're looking for faculty members. And so I called the dean of the program down there and said, what are my opportunities? Is is the position still open? And so long story short, applied, and they said, oh, if Jeff Rich is is recommending you, it's almost a done deal. Almost. So went we we happen to be my my brother-in-law lives in Florida.
Dr. Tim Stark 00:22:30 - 00:22:47
So we happen to be going down there anyway. And I said, I'd be on campus. I can be on campus if it if it's helpful. And I said, yep. We'll set up an interview. Set up an interview. And then David Seaman you know David Seaman, one of the best nutrition guys in the in the industry for sure. He was working there.
Dr. Tim Stark 00:22:48 - 00:23:17
And when I saw him sitting at the interview table, I thought, okay. Done deal. If they did whatever they could to get David Seaman to be teaching in this program, they're doing the right things. And so I was in at that point. And then when David heard that I had contributed to Tom Hyde's conservative sports injuries book in the manner of editing a couple of chapters, just serving as somebody who read them and sent back some feedback to doctor Hyde. Again, one of those giants. Right?
Dr. Todd Riddle 00:23:17 - 00:23:17
No. I
Dr. Tim Stark 00:23:17 - 00:23:51
That we all and you you surely know. Yep. Very influential with Factor. Maybe you can I'm sure everybody knows that follows you. So, anyway, I assisted Tom Hyde with his his textbook, and then Dave Seaman found out about that. And he's and then he was David Seaman didn't I don't think asked me a question after that first one. I'm not sure what that question was, but as soon as he said David said, soon as I heard that you had contributed to talk doctor Hyde's book, if doctor Hyde has that much faith in you, I don't need to know anymore. And so, anyway, started teaching at National University.
Dr. Tim Stark 00:23:51 - 00:24:23
Again, it was a building brand new campus, brand new program. I remember seeing the first group of students, and I think they were in their it was a 4 year program, of course, and I think they were in their 3rd year when I started teaching them and got to see them through their 4th year of chiro school after the that undergraduate program too. And, again, a great opportunity. Eventually became the department chair when I was there. That was a great opportunity to assist National University with some administration. Loved teaching great people down there. Hired a few people. Carla Guadagno is a sports chiro.
Dr. Tim Stark 00:24:23 - 00:24:46
You know Carla Yep. And and and so many others. Just some great people. And then I got a phone call from my alma mater, Northwestern. Okay. And they said, yeah. So after a couple years in Florida, got a phone call and said, the dean position's gonna be opening up. Would you have any interest? We know that you've been now on multiple campuses, and we think you could contribute back to Northwestern.
Dr. Tim Stark 00:24:47 - 00:25:29
And so applied, got the dean position at Northwestern Health Sciences University, and I was in that position for a year before the vice president of the clinics, Scott Munsterman, great guy from South Dakota, but he was the vice president at the time at Northwestern of the clinics. He wanted to add more sports medicine and sports care on campus. Again, long story short, I was asked to consult. I consulted, kinda changed the way they were thinking about how to consider sports chiro on campus. They asked me to build and direct this human performance center. They wanted to start a sports chiropractic institute. I and, again, I just said, sports chiropractic is kind of narrow. Yeah.
Dr. Tim Stark 00:25:29 - 00:25:46
Your niche is going to be small. How about human performance? It's a term that's growing within the country. Very broad. We could do rehab and not just think that it's all sports back stuff. And so anyway, I was asked to build and direct that. And so I stepped away from the dean position and and stepped into the director of Human Performance Center.
Dr. Todd Riddle 00:25:47 - 00:26:03
I'll I'll call your return to America, America 2.0. How much do you think your time in Australia influence or informed your teaching when you came back to the states both at National and then again at Northwestern?
Dr. Tim Stark 00:26:03 - 00:26:39
Well, considering if if you were learning how to swim, if you didn't know how to swim and you were thrown in the deep end, it's either swim or die. Right? You you're gonna learn pretty quick. And then the next time you you're thrown in the deep end, it's like, this isn't that scary. I've survived before. I I think this will all be fine. And that's the way it was in Australia was literally was thrown in the deep end of academia, not teaching full time. I was only teaching on weekends, teaching the CCSP and the diplomat for Northwestern and some other institutions in the in the US. So it was just weekend teaching and was very specific on sports chiro.
Dr. Tim Stark 00:26:39 - 00:27:37
They were all doctors of chiropractic already. And so now I'm teaching people that wanna be doctors of chiropractic, teaching clinical neurology, which was not my area of expertise, clinical nutrition, which I was a licensed nutritionist at the time, but I had never really taught clinical nutrition. Clinical orthopedics and rehabilitation was in my wheelhouse, but these were all programs that needed to be built and built in the right way with appropriate pedagogy in mind, which I didn't know much about. So learned a lot about that and about assessment and writing appropriate distractors. And the testing environment in Australia is quite different than the testing environment in America. In that, a lot of the examinations, if a student passed with 50%, 60%, that was really good. Meaning, the exams were far more challenging than a lot of the exams that I was used to in America. So that was quite different.
Dr. Tim Stark 00:27:37 - 00:28:12
And then coming bringing that knowledge back into America where I would then was working with National University and and then eventually Northwestern, I felt like I felt like a almost a veteran academic just because even building the program at National University, yes, it was a deep pool, but been there, done that. Wasn't scary. Loved working with the students, building programs. No big deal. Been there, done that. Writing reports on the administration side, get been there and done that. So I think Australia really helped me establish a very firm foundation to come back to America and work with the institutions here.
Dr. Todd Riddle 00:28:12 - 00:28:42
So speaking of institutions here in America, I mean, obviously, I think since you've been back and you're still very deeply rooted in chiropractic education, we've we've seen a pretty significant, I would like to say, a change or even an uptick of schools. Campbell's got one. Kaiser's got one. Pitt just signed up for one. What do you see as the future for chiropractic education? Is it gonna stay the same? Is it gonna be traditional? Is it gonna incorporate more research, medicine? What what do you see?
Dr. Tim Stark 00:28:43 - 00:29:14
That's great. Yeah. I think the future is very bright. I think back in the early days, there were probably agencies out there that were trying to close down schools and trying to close down the profession. I just don't think that's gonna happen at this point. We've got so much momentum now in regards to where we fit in health care. I think a lot of what we do, and maybe I'm speaking out of turn, but I have a lot of medical doctor friends, I don't think they want to do what we do in regards to musculoskeletal work. There are course medical doctors that have expertise in that area.
Dr. Tim Stark 00:29:14 - 00:30:06
But I would say, for the most part, the GP chiro is prob or the GP medical physicians maybe don't even want to do what we do, which is great. And same thing with physical therapists. I think they have their niche. Athletic trainers have their niche. I think together in, like, the polyclinic environment, I think you've worked in those types of environments as well. I don't think you can beat it. I think when an athlete walks in and they are surrounded by a DO, a DC, a PT, and internationally be a physiotherapist, massage therapists, medical other medical physicians, that athlete's got to feel really good that they are going to be taken care of in the right way as long as that sports medicine team works well with each other. When I was in Rio in 2016, I had heard, and I heard it from the the head of the polyclinic, particularly of the physical medicine side.
Dr. Tim Stark 00:30:06 - 00:30:31
He said, we need to be doing what Tim's doing. And we were having a debriefing at the end of every night. And I just look at him like, oh, crap. What am I doing? Was that did he mean that in a good way or in a bad way? And he was watching. He was watching. We'd have an athlete come in, and I had befriended the deal that was with me, befriended everybody there. And first first of all and I'll come back to your question here.
Dr. Todd Riddle 00:30:31 - 00:30:32
That was okay. Then you do great.
Dr. Tim Stark 00:30:33 - 00:30:35
In in integrated care is where it's going.
Dr. Todd Riddle 00:30:35 - 00:30:35
That's right.
Dr. Tim Stark 00:30:35 - 00:31:04
Right? Whether it be in a school environment or and or the clinical environment, but we would have an athlete come in. And, well, first of all, they wanted to put me in a small 10 by 10 room, and they thought that I needed and wanted that privacy. And the same thing with the DO. Right next to me was the DO, another 10 by 10 room No. That's with a table and it was very sterile. It was very sterile. And then he on this tour, on day 1, they show me the physiotherapy room. And it was this large room.
Dr. Tim Stark 00:31:04 - 00:31:48
There must have been at least 12, maybe 15 physiotherapy tables, and everything you can imagine that went bang. Every different physiotherapy instrument, physiotherapist running around, massage therapist right across the hall, and they had a massive room. And I asked the head of the the physio the physical medicine. I said, can I work here? I would much rather have a table here where I knew there was a physiotherapist there and a DO there and a medical physician there so that when I have an athlete, I can call upon them. So turned out that one of our first athletes that came in was a low back pelvis hip thing. And asked very politely, do you mind if I watch your exam? I just wanna learn from you. And I'm like, oh, that's fine. And so I'm doing my exam, And I said and she was a sweetheart.
Dr. Tim Stark 00:31:48 - 00:32:03
And I said, you want to look at this pelvis, too? Because here's what I think I find. What do you think? And so she came over. She was kind of surprised by that, that she would let me touch her, touch my athlete. And it's not that way. It shouldn't be ownership of of any of this.
Dr. Todd Riddle 00:32:03 - 00:32:10
Can I can I pause real quick? Yeah. What if you don't mind, if you come to with it, do you remember the name of the deal?
Dr. Tim Stark 00:32:11 - 00:32:27
I can picture her. I could bring her up on Facebook. And if I heard her name, I don't maybe it'll come to me, Todd. I might have to go on Facebook here and try to bring it up. But she she was practicing in Rio. Okay. And I don't know if yeah. And, gosh, I feel so bad, but
Dr. Todd Riddle 00:32:27 - 00:32:28
That's okay.
Dr. Tim Stark 00:32:28 - 00:32:47
She was great. So she came around. She reevaluated. She goes, yeah. I think you're right. I think that left side is this and that. And so I did a little bit of work, and then I said, do you want to maybe do some work on this particular area? And she's like and then again, she was, like, very hesitant because she thought it was my athlete. And I and I I I said, this is our athlete.
Dr. Tim Stark 00:32:47 - 00:33:11
We're working together. And then I said, what do you think about some interferential or some ultrasound or whatever? Do you think we should bring over so and so? And so, yeah, we called him over. He wasn't doing anything. We called him over and said, okay. Here's what we're work we're working with this athlete. I did this. She did that. What do you think about some interferential and maybe some some PNF? And the guy's like and the physiotherapist was the same way.
Dr. Tim Stark 00:33:11 - 00:33:28
He goes, well, this is your athlete. I go, no. This is our athlete. This athlete needs the best care, and I feel like you can do this care better than I can. And he's like, yeah. I'm happy to help. Happy to help. So the the head of physical medicine saw that, and that's what he was referencing is we need to be working better as a team, which which was great.
Dr. Tim Stark 00:33:28 - 00:34:21
And I see that happening more in the American institutions, where I think they're starting to see that there is a fit for all of these disciplines to be working together. The monomodal care, the single discipline care, it's got to we have to make it antiquated. Multimodal care, I think, is really the right direction to go. I know if I had a heart issue, I would want a cardiologist. I want the cardiac surgeon. I'd want an awesome nurse practitioner, then a cardiac physiotherapist, all working as a team to make the best determination for for me and a nutritionist, etcetera. And so when somebody comes into you with a migraine or low back or a catch in their hip or their knee, it'd be great if they had a team around them. So teaching this now in at Campbell, at Pittsburgh, I I love it.
Dr. Tim Stark 00:34:21 - 00:35:10
I I think it's going to continue going in that direction. Thinking behind the scenes in regards to the fiscal side of academia, institutions are looking for ways to differentiate themselves. And if they already have a PT program, already have a medical program, it's not that complicated to add a chiro program. And if they can get another 20 more students into their university on campus rather than having them go to another institution. They're they're capturing that small market, which which is helpful. 20 doesn't seem like many, but it's a lot of credits, and there's a fair amount of tuition that comes in with that. So what else let me ask you a question. What institutions do we have in America that only teach chiro? Cleveland, maybe? I don't know.
Dr. Todd Riddle 00:35:10 - 00:35:23
Only teaches chiro? Yeah. TCC is one of those that only teaches chiro. K. Sherman only teaches chiro. I'm not sure about Cleveland, so I don't wanna speak out of turn about those. There's a very small handful.
Dr. Tim Stark 00:35:24 - 00:35:44
Yeah. I think there's and and and that's just it. I think even the chiro institutions that started off just with chiro have really expanded out. John Scaringe of Southern California, man, he's crushing it. That I'm so proud of what he's done. I've talked to him a number of times. I stay in touch with him, and that institution is growing by leaps and bounds as as are many other institutions.
Dr. Todd Riddle 00:35:44 - 00:36:20
Models the way of the future. As you've said, working together in a polyclinic, people always find it very alien when I'm working in a integrated setting with a national team or in just an integrated clinic wanting to pull someone else in. I'm I am not above saying, hey. This one's just out of my wheelhouse, but I know you're really good with this. Would you wanna take a look at this person? Because I feel like they're going to do better with you than they are with me. So I I think that's a really great observation that we're all allowed to play in the same sandbox. It's okay. We're not there to be the person.
Dr. Todd Riddle 00:36:20 - 00:36:32
We're there to be as a team, though we know we need to know what our lane is. Right? We're there to work together as a team to benefit the athlete, not to benefit ourselves.
Dr. Tim Stark 00:36:32 - 00:36:33
Right. Exactly.
Jessica Riddle 00:36:44 - 00:37:36
That's it for today's episode. Be sure to tune in for episode 91 where we wrap up the final installment of our master series with doctor Tim Stark. We'll bring it all together by discussing the future of sports chiropractic, and our 2 powerhouse health care providers will provide some golden nuggets of advice for sports practitioners interested in serving athletes at the highest levels of sport and performance. You won't wanna miss it. Episode 91 drops in 2 weeks. If you enjoyed today's episode and our master series interview format, please be sure to rate the show on your favorite podcast player and visit our website at factorpodcast.com. That's faktrpodcast.com, and leave us a comment or record an audio message. If you have an idea for a future topic we should tackle or guest we should feature, we would love to hear from you.
Jessica Riddle 00:37:36 - 00:37:46
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