Podcast Education & Career Podcast 5 Feb 2026

Quitting Physiotherapy

Quitting Physiotherapy

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Content

00:00:00 Intro and the big question: why does a passionate physiotherapist leave the profession?

00:03:42 Why physiotherapy was chosen: sports background, injuries, and early motivation

00:05:13 Workload, balance, and no burnout

00:06:40 Sponsor: Premium membership

00:07:17 From patient care to management: views on efficient, hybrid care and the right care in the right place

00:10:24 Overtreatment vs insured sessions: ethics and clinic policy

00:12:06 Ambition, ownership, and scale of impact

00:14:27 The purchasing plan: from the first years to the concrete process

00:16:09 Why the purchasing failed and business lessons learned, market fit, agreements, transition period

00:19:17 Considered paths, education, research, own practice, and the choice for a health insurer to increase impact

00:22:29 Sponsor: WriteUpp practice management software

00:24:20 Low rates, productivity, and admin work: the health insurer’s view

00:27:29 Relationship between health insurer and therapist: shared goal and trust

00:30:53 New role at Zilveren Kruis: tasks and the value of a physio background

00:33:23 Clinic vs office: differences in workday, focus, and downtime

00:36:20 How do we keep passionate professionals? Perspective, career paths, and regional primary care cooperation

00:37:43 Sponsor: Physiotutors online courses

00:39:18 Career outlook and conditions for a possible return

00:41:21 Advice to the next generation, including his own children, about physiotherapy

00:42:30 Closing message: working together toward sustainable, accessible, local care

00:44:15 Closing

Guests

Arjan elshof profile

Arjan Elshof, MSc.

He worked for almost 12 years at Sport Medisch Centrum Almere, where he grew from physiotherapist to senior manual therapist and team lead. During those years he focused on shoulder rehab and rehab of overhead athletes. He worked with the Dutch baseball federation as a coach and team physiotherapist and spoke at international conferences about dynamic rehab after shoulder surgery.

 

Arjan holds a Master’s degree in Manual Therapy and a Master’s degree in Musculoskeletal Ultrasound, and completed training in dry needling and sports rehab. Alongside this, he built an online presence through his Instagram account “that_physio_guy” and his platform yourphysio.online, where he treated patients remotely long before e-health became common practice.

After more than ten years of clinical work, teaching, and leadership, Arjan decided to leave physiotherapy. He now works at Zilveren Kruis, where he contributes to care that is ready for the future.

Description

In this episode, we discuss the journey of Ajan Elshof, a former physiotherapist who transitioned to a care-intensive advisor role. We explore the reasons behind his departure from physiotherapy, including changing perspectives on care, the challenges of practice management, and the relationship between physiotherapists and insurers. Ajan shares insights on the future of physiotherapy, the importance of innovation, and the need for collaboration in the healthcare sector.

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