Hands On Hands Off

How to Communicate with Confidence in the Clinic: Jason Silvernail

Jason Silvernail joins the show to break down the essential communication and leadership skills clinicians need to thrive—and to protect themselves from burnout, conflict, and misalignment. We explore the principles behind assertive communication, how to establish a confident presence, and what it means to communicate clearly without crossing into arrogance or dominance. Jason offers practical, real-world strategies for handling interruptions, navigating tension, setting boundaries, and keeping conversations focused. EPISODE TOPICS INCLUDE: • Mindset and behaviors of assertive communicators • Body language, tone, and leadership presence • Techniques for clarity in difficult conversations • Active listening and feedback as two-way communication • Holding boundaries in professional interactions • De-escalation strategies for disruption, interruptions, and conflict This episode is for clinicians, mentors, educators, and leaders who want to show up with more confidence and communicate with purpose.

Kids Aren’t Little Adults: Rethinking Pediatric Manual Therapy with Ginny Henderson

Pediatric manual therapy has been built on adult techniques — and that’s a problem. Educator, clinician, and researcher Ginny Henderson joins us to expose the missing guidelines, the hidden dangers, and the new evidence-based techniques designed specifically for growing bodies. We cover: • Why kids’ bones are more vulnerable — and how to mobilize safely • The biggest misconceptions clinicians bring from adult PT • Combining joint mechanics with motor learning for better outcomes • How chronic pain presents differently in children • The powerful (and often overlooked) influence of parent beliefs • When pain is nociceptive… and when it’s actually nociplastic • How PTs can start making better decisions tomorrow with pediatric patients This is one of those “I didn’t even know I needed this” conversations — and it might change how you treat kids forever.

High Benefit, Low Risk: What Research Really Says About Manual Therapy

Dr. Gail Deyle joins the show to discuss clinical reasoning, diagnostic skill, and the evidence supporting OMPT. A true clinician-scientist, Dr. Deyle has spent decades conducting clinical trials, mentoring fellowship-trained clinicians, and advocating for direct access and advanced evaluation skills in physical therapy. In this episode we explore: • Why PTs are essential contributors to global health • Evidence showing OMPT’s high benefit and low risk • The real impact of fellowship training on clinical outcomes • Advanced interviewing and reasoning as core PT competencies • The importance of diagnostic screening by PTs • Direct access and why restrictions harm patients Guest: Dr. Gail Deyle Organization: Army Baylor Doctoral Fellowship

The Trait Every Great PT Shares — with Dr. Gail Deyle

In this episode, Jimmy sits down with the legendary Dr. Gail Deyle — clinician-scientist, mentor, and one of the most cited researchers in orthopaedic manual physical therapy. Dr. Deyle breaks down: * The defining trait of clinicians who excel after fellowship * What separates great mentors from good ones * Real-world stories of PTs catching critical medical conditions * The biggest mistake clinicians make in their early reasoning * Why MSK health is a global opportunity for PTs * How clinicians can start contributing to research * The power of collaboration between clinicians and research faculty A concise but insight-rich conversation with one of the most respected voices in the profession. 00:00 – Intro: Why Dr. Gail Deyle is a PT legend   00:36 – Welcoming Gail + Reno conference gambling banter   01:15 – What trait predicts fellowship success?   02:36 – Seeing former mentees grow into experts   03:24 – What makes a great mentor?   04:43 – PTs as frontline diagnosticians   06:48 – Real examples: PTs catching serious conditions   08:22 – The biggest unlock in advanced clinical reasoning   10:04 – Making implicit reasoning explicit   11:35 – Communication, feedback & the mentor/mentee relationship   12:00 – PTs as an untapped force in global MSK health   13:10 – Red light / green light: habits to stop and start   14:55 – Dr. Deyle named in the top 2% of cited researchers   15:28 – Why clinicians should participate in research   15:48 – Closing

Transforming Sick-Care, One Patient at a Time

Dr. Tim Flynn joins the show for a powerful conversation about what it really takes to transform a broken healthcare system. A clinician, educator, and innovator, Tim has spent decades teaching around the world, challenging outdated models, and reminding clinicians that change starts with one encounter at a time. In this episode, we explore: • Why the U.S. operates a “sick-care” system — and how to shift away from it • What “Live health to sell it” means for providers and patients • The role of purpose-driven teaching in PT education • Disrupting entrenched systems without losing sight of patient connection • Lessons Tim learned early in his career teaching in the U.S. Army Baylor PT Program • How clinicians can create meaningful change at the individual and systemic levels Whether you’re a student, seasoned PT, or someone passionate about healthcare reform, this conversation will leave you thinking differently about your work, your patients, and your purpose. About Tim Flynn: Tim is a clinician, teacher, and international speaker who works with private clients, leads national and international workshops, and contributes to the Substack OwnMyHealth. His career reflects a lifelong commitment to service, critical thinking, and the healing power of human connection.