Having been in marketing for over 25 years for top local and national companies, I am well aware of the changing times and the difficulty of attracting business.  The old tried and true methods don’t stand to the test anymore.  One blatantly obvious area for improvement among practitioners in the health field is the very important skill of giving a presentation to a group.  Please feel free to download my free copy of R E S P E C T for tips on how to give a presentation.  Hope this helps you.  Good luck.