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Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
April, 2001, Vol. 01, Issue 04
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.
Congratulations! You're now officially a part of the spa industry.I understand your excitement and also your trepidation, and I'm not surprised that you have a lot of burning questions to ask. For a moment, though, allow yourself to bask in the accomplishment you've just achieved. It's not always easy to snag a position as a therapist in the fast-growing spa sector.
Let's address your question about pay first. It was probably a good idea not to put too much emphasis on the pay scale when you first applied at the spa, because that can turn interviewers off and make it seem like your self-interest outweighs your desire to do a good job. But now that you've got the job, you have to start thinking about your budget, and of course it's only natural that you want to nail down some realistic numbers.
It's a general assumption (stated or unstated) that the pay scale in spas is not worthy of the talent and training most therapists have achieved. Some people in the massage profession feel that the pay in spas can drag down the overall prestige of massage therapists and make it seem that they're not worth as much as they should be.
In my personal opinion, this assumption is incorrect for two reasons. In the first place, spas have a very large overhead that is not taken into consideration by many people. The cost of running a spa is extremely high, with its management staff salaries, facilities cost, heavy laundry expense, equipment cost, product cost, and other drains on the bottom line. It's often hard for a spa to make a profit. If the spa were to give the therapists 80-90% of the price of a treatment, which therapists sometimes act like they're entitled to, the spa would soon go broke and everyone would be out of a job.
Second, the pay scale in spas over the past few years has been going up quite significantly. Factor in the pluses for the therapist, such as built-in clientele, no marketing costs, no facility cost, with products, oils, laundry, equipment all supplied, and, oftentimes, paid training and benefits. You can see that an hourly wage about half of what you'd expect doing a private outcall massage is not unreasonable.
This wage scale is typical of what you can expect at many spas today. Take the spa where you've just landed a job, for example. Your pay scale of $30 per hour is right about in line with this principle, because I know you've been asking $60 per hour from your private clients since you graduated from massage school last year.
And remember, you live in California, in an area with a pretty high cost of living. Extrapolating this to a less expensive part of the country, a new therapist could conceivably be getting $45-$50 per hour from private clients. Therefore, a $22-$25 per hour pay scale in a local spa would be reasonable.
You point out correctly that you might be losing some precious hours, though, because the spa will not be paying you for hours in which you're not massaging. But keep in mind that they will definitely be trying to book you as many hours during your shift as possible. Why? Because the more you're booked, the more money the spa makes!
There are some spas that pay a certain number of therapists a lower hourly wage when they're not giving a treatment, thus making sure there is always someone available for last-minute bookings. Seeing as you're new to this spa, you can't expect to be put on the schedule all the time right away. That's a seniority issue, which I'll deal with in a future letter. When you achieve this level, the spa will have to provide benefits to you, which can run up to 20% of additional cost to the spa on top of your pay. You're going to have to prove yourself first.
The Best Attitude
I wouldn't worry about this too much, Lou. The spa where you've found a job has a great reputation, and as you know, they're booked for much of the year. So keeping yourself busy shouldn't be too much of a problem. I think my best advice to you at this point is the following:
Treat the space you've found as your very own business.
That's right. Try to avoid the typical mistake: looking at the spa as an us vs. them environment, in which the ownership and management are out to get you and your fellow therapists. Avoid excess gossip, chatter, and complaints about your bosses, because that only separates you from a perceived higher level, actually diminishing your power.
Treat each guest as your own private guest in your own private business. Make sure that everything possible is done to make her experience positive. Treat the whole spa like your spa, keeping it neat and orderly. Whenever you have an opportunity, make things easier for your boss and anyone else in management.
This attitude is sometimes known as being a "team player," but that's a term I'm not too fond of, because it gives the impression that you have to wait to take orders from a coach, instead of proactively taking control of your own situation and being your own boss. Even better than being part of the team, is acting as if you were part of the ownership of the team. If you truly believe this is true, and act accordingly, you'll be amazed at how quickly things will change for you in the spa world, and for the better.
Talk to you again soon,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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