resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
May, 2003, Vol. 03, Issue 05
Mad Qi Disease
By Lisa Marie Bader, AOBTA CP, AOBTA-MN legislative chair
Editor's note: This article originally appeared in the AOBTA newsletter Pulse.
Author's preface: Although this article pertains to the entire Asian bodywork community, I write from the perspective of my personal experience in Minnesota.Asian bodywork therapy has a rich history in this state; an incredible amount of advocacy and hard work by a few key individuals has helped the profession evolve to where it is today.
The interesting thing about being in a position of working with others is that you find quite quickly that issues appearing to be "no brainers" in your mind are not always viewed in the same light by others. Being relatively new to the position of legislative chair, I constantly marvel at how many different viewpoints there are within a group of people representing the same organization. The fact that people are coming together for a common cause doesn't necessarily mean they will flow from point A to point B in the same manner. It is a perfect example of that wonderful diversity within humans that can both bring us together and pull us apart.
Take, for example, our recent meetings in Minnesota regarding language in a voluntary registration bill that had been re-introduced to the state legislature. I knew some topics would require more discussion than others, but I didn't plan on the issue of the NCBTMB's National Certification Exam (NCE) vs. the NCCAOM's Asian Bodywork Therapy (ABT) Exam being one of them. To give you some context, AOBTA-Minnesota has a long history of working with the massage community in attempts to pass legislation that would finally enable us to practice freely in the state, without having to jump through the hoops of individual municipalities. Given that history, the language in the bill reflects its pre-NCCAOM ABT Exam origins. With the development of the ABT Exam three years ago, it seemed quite clear that folks would be of the same mind when it came to the discussion of removing references to the massage and bodywork exam, as it was no longer an appropriate measure of our knowledge. Granted, it never was; it was just all we had in terms of a national exam.
Consider the following facts: The NCE, developed by the National Certification Board for Therapeutic Massage and Bodywork, is a predominantly massage-oriented exam that includes some questions that touch on Chinese medicine - none of which need to be answered correctly to pass the exam. The ABT Exam, developed by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM), is a specialty exam for Asian bodywork therapists based solely on Chinese medicine theory. Both are entry-level exams that test knowledge aspiring therapists should have, coming out of their respective educational programs; consequently, the heavily weighted massage nature of the NCE puts it in the massage category because it does not test any level of ABT competence, although there is a danger it could be represented that way. The ABT Exam tests a more comprehensive level of ABT information; you have to demonstrate entry-level competence to pass.
The purpose of creating an educational standard is to ensure a certain level of proficiency in a profession or field of study. It is a way of protecting the public and promoting a particular level of expertise within the profession. In much the same way, the requirement of passing a nationally accredited exam in one's field of study creates a benchmark that regulatory bodies can look to. At this juncture, the NCE most closely satisfies that need within the massage community, as the ABT Exam most closely satisfies that need within the Asian bodywork therapy community. If I take this statement one step further, when considering legislation, it would follow that the language should reflect the standards and exams that apply most closely to one's professional field of study.
On to the next fact. The NCE costs $225; the ABT Exam costs $750. Ouch. "Aha," you say, "I can see where this may be problematic." Indeed, this is often the turning point in the conversation about which exam ABTs should take. People support the ABT Exam until the topic of money comes up; then, boom, quick as a flash, lights go out, doors close and you've lost them. Their eyes glaze over, and you know somewhere in their heads, they must be calculating how many cups of green tea from the local tea shop they are going to have to sacrifice to pay for this test.
I'm not here to justify the cost of the ABT Exam; it's expensive. We could leave it at that, go our separate ways and remain in this box we've created, with budgeting concerns that have the potential to limit our vision and hinder our professional development. Money is a reflection of much more than bean-counting; it's about beliefs, values, planning, etc. Most of us, at one time or another, have had a certain degree of anxiety and issues involving money. I think those concerns come to bear in this conversation and are part of what makes consensus difficult. Nevertheless, I invite you to keep reading, even if it's a bit uncomfortable.
I am not willing to go our separate ways for two reasons: First, I'm deeply disturbed by this "box" we've created, and its implications; second, I am an optimist, and I believe that when people come together and start brainstorming, creative ideas start to bud, and their flowering gradually brings them outside of this box. Sit and chew on these bits with me a few moments longer.
Let's return to the conversations in Minnesota. One of the main concerns arising out of our discussions is that ABTs need to be clearly set apart from massage therapists in this bill. Given the fact that ABTs have to go through massage programs to be able to practice in some states, I believe I can safely say that the general consensus here supports the concern of distinguishing ourselves as a separate profession. Essentially, we would work to put language in the bill so that it is representative of two distinct communities working together to create legislation that benefits both. It was from this starting point that another board member and I attended legislative meetings and worked to ensure that the differences between massage and Asian bodywork were not lost in the politics. So, when many ABTs on our language task force favored keeping the NCE in addition to the ABT Exam, solely for reasons of cost, it felt as if the foundation from which we were operating was being eroded.
This is where I get confused and disturbed. First of all, as I understand it, the exam is not just a hoop one jumps through to be regulated. It is the next step in the process of meeting a professional standard, similar to one taking exams while in school to demonstrate a certain level of knowledge and technique. People who take the ABT exam are showing they have indeed met a certain level of competency that is not automatically assumed just because they meet educational requirements. If that were the case, why bother taking any tests at all during our education, since we have already met the standard by taking the classes? Ridiculous, you say? Precisely. We want to continue to gain credibility in the larger community. Regulators and the general public depend on a board exam to ensure a required minimum standard of knowledge.
Given that exams test for a certain level of proficiency, it simply doesn't make sense to adopt one that is irrelevant to what we do. This undermines not only the Asian bodywork profession, but also the Chinese medicine profession. This is cause for deep concern because, essentially, what I hear people saying is when push comes to shove, it's OK to be identified with massage and to let the public assume that our ABT training and level of knowledge are no different from that of massage therapists.
If that is all the profession means to you, be prepared to go through a massage program to practice Asian bodywork. You also might need to consider adding those ginger chews and muffins into your green-tea-budget equation, because massage school costs about 10 times as much as the ABT Exam. When the cost of an exam is the sole determining factor that dictates an essential piece of our foundation, it all begins to sound like a case of "Mad Qi Disease" to me!
The NCE has been a stepping stone for our profession, and for that I am grateful, but it's time to move on. We're growing as an organization and as a profession. Certain aspects of that growth are exhilarating; other aspects are rather problematic. Change is difficult and often elicits gut-level responses and impassioned speech. This can be good because it generates conversation and discussion. It challenges people to identify what they are unhappy with; how the process can be improved; and what their vision of change is.
I would like to take this one step further, and emphasize that these conversations, suggestions and visions cannot be isolated events that a few individuals discuss among themselves. They need to be passed along and shared with the state board and state representatives, or communicated through your newsletters. Parts of those conversations need to reach AOBTA's national leadership, and some may need to occur in the larger community of Chinese medicine. We cannot isolate ourselves if we are to continue to ensure our place and solidify our identity in that larger community.
I think it's important to realize that as communities (the ABT arm of the NCCAOM and the AOBTA), we are symbiotic. Therefore, although we are working in different ways and with different missions, we achieve a common outcome: advancement in professional development and credibility.
Let's get back to an important point: what we can do to defer the cost of the exam. How about some old-fashioned brainstorming ideas involving fundraisers? This is a great opportunity for the community to come together and have fun (Why do you think they are called "FUNdraisers"?) while creating more public awareness about Asian bodywork. The format can be as simple as a benefit concert, or as involved as organizing a silent-auction dinner party or raffle. Approach a local coffee shop that offers chair shiatsu, and ask to include a tip jar for raising funds to take the ABT exam; or arrange for a bit of street-chair shiatsu downtown, with proceeds being applied to the cost of the exam. Brainstorm with Minnesota Public Radio, which sponsored a here in the Twin Cities that proclaims: "Public Radio ... shiatsu for the mind."
There are numerous ways to go about this (and I'm sure they're far more creative than what I've mentioned). Yes, they do take time and effort; most things worth doing tend to. Frankly, I'd rather spend my time continuing to do the hard, rewarding work of building a stronger community and profession than trying to combat Mad Qi Disease. Don't be afraid to ask the world for what you need. Be empowered. Step outside the box. Allow yourself the freedom to envision and dream. Talk about it. Share your visions with others. When you do, you'll find amazing things can happen. You'll start meeting wonderful people and making incredible connections that can be transformative. Growing is hard, but it doesn't have to be drudgery every step of the way. We are shaping the future of our profession. Let's build it with a solidly rooted foundation. Talk to each other. Visualize the future you want to create - then begin creating it.
Author's note: Special thanks to Yolanda Asher and Andrea Cyr for their support and invaluable input in the creation of this article. I absolutely love the conversation and dialogue percolating around this issue, and I welcome any thoughts, questions or rebuttals you may be inspired to share. I can be reached at ; please reference "Mad Qi" in the subject line.
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