resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
March, 2001, Vol. 01, Issue 03
An Ethics Addendum
By James "Doc" Clay, MMH, NCTMB
In its recently issued Standards of Practice document, the National Certification Board offers two standards governing our treatment of each other namely, that we should:
These two areas of mutual respect deserve a closer look:
First, we are quite a motley assortment of practitioners, certainly more varied in our beliefs and practices than any other health profession.We might be ridiculed for it from the outside, but the fact is, that is our greatest strength. Our approaches have not yet been so thoroughly researched, documented, codified and standardized that anyone can say that this, that or the other approach is uniform and universal. This state of affairs may make it a bit harder for the consumer to decide which therapy (or therapist) to choose, but it also makes a broad variety of choices available.
One of the problems that this variety presents, however, is a kind of intense denominationalism among therapists, often amounting to cultism. Each developer and teacher of a new approach tends to offer his or her system not as a way to do bodywork, but as the way. It's very reminiscent of the proliferation of psychotherapies with which we were inundated from the '50s through the '80s, and the devotion to these cults has persisted in spite of research showing that no single psychotherapy was significantly more effective than another.
On a broader level, whole categories of bodyworkers turn up their noses at each other: the energy workers see the clinical types as materialistic and reductionist, and the clinicians sneer at the unscientific "woo-woo" approaches of the energy workers.
Lost in this struggle for "truth" is the client. The client wants something, and each of us is bound and determined that our particular approach will fill the bill. We all know very well that we must refer medical conditions to physicians, and mental health problems to counselors, but how many of us think to refer a client to another bodyworker when our approach doesn't seem to fit the client's needs?
I remember putting a lot of time and energy into convincing a client that his applied kinesiology sessions were a bunch of nonsense. All I did, in fact, was to provide him with increasing amusement, because he knew very well that the approach worked for him. And if a client knows that he or she is being helped, who am I to say that the client is wrong? It's all very well to have our beliefs, and to practice within their framework - but we have an ethical obligation, both to each other and to the public, to show respect for each other.
The second aspect of our ethical treatment of each other has to do with gossip. The ninth of the ten commandments tells us that we are not to bear false witness against our neighbor, and it's my guess that, right after the one about not coveting, it's probably the most universally violated.
There is a wonderful story about a man who hated his rabbi so much that he spread false rumors about him. He later regretted this behavior, and went to the rabbi to apologize, and asked him what he might do to correct the results of his actions. Without saying a word, the rabbi picked up a pillow and led the man outside, where a stiff breeze was blowing. He handed the man the pillow and told him to rip it open and scatter the feathers into the wind. The man did so, and the wind carried the feathers far and wide. Then the rabbi said, "Now go and get all the feathers and bring them back to me."
"But that would be impossible!" the man exclaimed. "They are scattered to widely for me ever to find them all!"
"And just as impossible," responded the rabbi, "would it be for you to bring back all the rumors you have spread."
When we believe that another therapist has behaved unethically or illegally, we have various resorts available to us. The NCBTMB has an ethics committee to adjudicate complaints about unethical behavior. In states with licensure, there are boards to receive such complaints. For illegal actions, we have courts of law. There are also civil courts. When we believe a wrong has been done, we obviously have the choice of reporting or not reporting it to the appropriate authority. But one resort to which we are ethically obligated not to turn is rumor and gossip, in the attempt to destroy a therapist's reputation. Such vigilante justice is clearly unethical, because it offers the accused no opportunity to mount a defense.
There are four things to remember when we hear of some unethical behavior:
Our professional organizations can set forth codes of ethics and standards of practice, but these are never the last word. The last word is the code of ethics inside us - one of self-respect and respect for others. That code takes precedence.
Click here for more information about James "Doc" Clay, MMH, NCTMB.
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