You Took Your Levels 1, 2, 3 — So Why Do You Still Feel Like You Have No Idea What You’re Doing?
Let me tell you about a place I lovingly call the Awkward Zone.
It’s that gap between finishing your introductory pelvic health courses — your Levels 1, 2, maybe even 3 — and actually feeling GOOD about sitting across from a real human and treating them. You’ve got the certificates. You’ve got the highlighted manuals. And you’ve got this quiet little voice that whispers, “errmmm… I don’t think I’m ready.” If that’s you right now, take a breath. You’re not broken, you’re not behind, and you definitely didn’t waste your money on those courses. You’re just in the zone almost every single one of us passes through. I lived there for YEARS longer than I needed to, and the whole reason I started The Stubby Nails Club was so you don’t have to.
The courses teach you the “what.” They don’t teach you the “now what.”
Here’s the thing nobody says out loud: intro courses are designed to give you a foundation, not a finished practice. You learn how to perform an internal exam. You learn the muscles, the layers, the basic incontinence stuff. But then a real client walks in with five complaints, three medical conditions, a history you weren’t expecting, and a look on their face that says “fix me” — and suddenly all those tidy modules feel very far away.
That gap is normal. It is not a reflection of your intelligence or your potential. It’s just the part of the journey that formal courses aren’t built to cover.
The signs you’re in the Awkward Zone You might recognize a few of these (I sure did): You ruminate over cancellations and no-shows, convinced you did something wrong. You stay up at night replaying a tricky case, wondering if you handled it right. You feel a little wave of panic when a pregnant client books in. You quietly dread seeing male patients on your schedule. And sometimes — be honest — you perform an internal exam mostly because you feel like it’s expected, not because you have a clear clinical reason. None of this makes you a bad physio. It makes you a new one.
Why “stubby nails” though? Because the people who get it, GET it. Short, practical, ready-to-work nails are kind of our little badge of honour in this field. The name is a wink to the realness of this job — and a reminder that this is a club, not a competition. We’re all in here together, figuring it out.
What actually gets you out of the Awkward Zone Spoiler: it’s not another weekend course. It’s repetition, real feedback on YOUR cases, a community to ask the “silly” questions, and someone a few steps ahead who can say “yes, that’s normal, here’s what I’d do.” That’s mentorship. That’s the difference between collecting knowledge and actually applying it with confidence. You don’t have to take as long as I did to get here. If you’re nodding along to every paragraph in this post, come hang out — subscribe to The Stubby Nails Club on YouTube & Patreon, peek at the vault of videos, and if you’re ready to truly close the gap, applications for the small-group mentorship are open! You don’t have to navigate this alone. Checkout www.pelvicpro.ca for more mentorship deets!
Made with love and compassion,
Jane J. Bai, MSc PT