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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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
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.
March, 2001, Vol. 01, Issue 03
By Steve Capellini, LMT
Author's note: The Spa Letters column features news, personality profiles, trends, and plenty of professional possibilities for LMTs in the spa industry. The style is epistolary, meaning the articles are letters to a fictional massage therapist friend of the author.
So you've landed your first interview for a job in the spa industry.Congratulations! It wasn't as hard as you thought it was going to be, was it? I told you spas are very much in need of qualified, motivated individuals to make their programs work. In fact, spas are more employee-heavy that almost any other industry. According to a study done last year by PricewaterhouseCooper, there are over 104,000 full-time employees in the spa industry, and over 45,000 part-time employees.
This observation was echoed by Nancy Griffin a friend of mine in the spa industry. Who has done an in-depth analysis of the spa industry. This is what she says regarding the employment picture in spas: "Creative compensation strategies and continuing education will go a long way in creating employee loyalty. Strategies must be developed to minimize employee loss. Turnover is costly to any industry, but is especially damaging in the spa industry because of the high cost of training per employee."
That's right. Spas, like any industry, have trouble retaining qualified employees, so they're hoping you not only qualify for the job you're going to interview for next week, but they also hope you're going to stay with the job for a long time to come. What could be better than that?
I know, I know all of this information is fine, but it doesn't do much to calm your nerves about the upcoming interview. OK, then, let's get to work.
In Human Resources
Since you're applying at one of the big resort spas in your area, you're probably going to have to do a preliminary interview. Depending upon who interviews you, this can either be a fun experience or a rough one. Probably your biggest challenge is going to be keeping your positive attitude. It's easy to get awestruck and depressed by the impersonal atmosphere in some of these larger corporations. You end up sitting in a little plastic chair for hours and taking a test that has nothing to do with your skills as a massage therapist. All I can say is, keep your head up! It gets better.
The most important points you need to get across to the human resources interviewer are the intangible, yet crucial qualities that make you a superior candidate for a position in this fine, upstanding company. Qualities like honesty, loyalty, punctuality, and disciplined focus on the job at hand, for example, are important factors when considering anyone for any position. But it's tricky to just walk in and say, "I'm honest, loyal, punctual and disciplined." Instead, let your résumé work for you, as I suggested in my last letter. Be humble, attentive, and patient. Mostly, stay positive.
The Spa Director
I'm confident that you'll make it to the next step, which is meeting with the spa director. This may very well take place in the spa facility itself, so watch out! Many applicants, when they first step foot in the opulent surroundings of a first class spa, are overwhelmed by the atmosphere, and a little intimidated by all the marble, the muted colors, and the seemingly rich ladies floating around in robes. Remember, this fancy place needs your services to be successful. Just take a deep breath and relax.
Share with the spa director your vision of yourself in the spa industry, speaking with conviction about where you see yourself a few years down the road. You want to show your serious intentions of remaining with the industry (hopefully at this spa), learning as much as you can, and eventually moving your way up to more responsibilities. Be careful here, though. You don't want to appear too greedy or overanxious. For instance, I was recently interviewing a newly graduated massage therapist for a position at a spa project I'm working on, and he said he wanted to start on the management team right away, for a competitive spa director's salary. Needless to say, this individual never even started as a therapist, and I think he'll find it hard to get a job in any spa with that kind of attitude.
It's all about balance, Lou. You want to look extremely eager yet also aware that there are ropes to be learned. This spa director you'll be talking to can be your ally in that respect. Listen to what he or she has to say.
The (Gulp) Test Massage
If you've never given a test massage before, the experience can leave you standing in a puddle of your own sweat, mired in a complex swirl of emotions, the most prominent of which include fear and self-doubt. I know - it's happened to me. The first test massage I gave was to my instructor in massage school in order to graduate. It was one of the most unpleasant experiences of my life. (Hint: don't eat bean burritos directly before giving the test massage.)
You don't have to go through the same pain I did, though. Just relax as much as possible and follow a few simple guidelines:
I know, this probably sounds ridiculous, but I received one test massage from a fellow who kept banging my own hand into my head as he massaged my arm. This went on and on until I had to ask him to stop. Remember, the person receiving the massage wants you to be good. You can help create that impression by not being bad.
Give a nice, courteous, sensitive massage, asking for feedback a few times during the hour. Adjust your massage accordingly. If the interviewer wants a light relaxing massage, give it to her, even if you're a steadfast deep muscular therapist. You need to show a breadth of skills to work in a spa. Also, don't do anything too "far out," like breathing in sync with the "far out," like breathing in sync with the interviewer throughout the entire massage, or crawling up on the table for some esoteric manipulations. Think simple, straightforward massage.
I received a test massage from an applicant who had several years of experience and was very confident and nonchalant about his prospects of getting a job. The problem was, he was too confident, to the point of not really caring. I felt that he was burned out after too many years of doing the same thing, and that his soul wanted to be doing something else. His massage was good, but he didn't get the job.
You'd be surprised how many candidates come in thinking that a little massage will show the full range of their abilities. This is a mistake. Unless the interviewer requests otherwise, assume you will be giving a full-hour massage. This is more than just courteous; it shows that you can perform the job you're applying for, which in most spas is usually full-hour treatments.
Well, once again, Lou, I hope this information helps you a little. I'll be eagerly awaiting news from your interview.
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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