resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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!
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...
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.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
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.
August, 2001, Vol. 01, Issue 08
Education and Training
By Keith Eric Grant, PhD, NCTMB
"There is a great difference between knowing and understanding: you can know a lot about something and not really understand it."
- Inventor Charles F. Kettering
I might as well admit it right up front: I'm averse to educational standards, at least as they are usually promoted.In truth, I love teaching, I love furthering my own knowledge, and I encourage others to do likewise. My collection of reference books and videos continually strains my ability to store them. My aversion to such standards comes not from an antipathy toward learning, but from a feeling that they are more postural displays than genuine efforts to guide the content and timing of teaching and learning. In hearing statements about efforts to "professionalize" massage or about the massage profession "maturing," I understand promoting the requirement of more up-front hours of education as a sort of credentialing arms race with other professions.
What I find desperately lacking is discussion about matching training with the specific needs of application, and consideration of when, experience-wise, such training will be most effectively retained. What I also find lacking is a realization that learning is taking new forms in many technical domains, as the flux of newly generated information doubles every four to seven years. The implication of this knowledge explosion is that we must increasingly view learning as an ongoing, largely self-directed process whose measure is not what we know up front, but our skill at accessing resources and networks to learn what we need for immediate use. The challenge of practice lies not in amassing knowledge, but in winnowing the understanding we need from the total harvest of disciplinary knowledge.
In designing the length and content of massage programs, we need to differentiate between training and education. Ironically, perhaps the clearest differentiation of training and education in terms of goals, context, and methodology comes from the military venue:
This differentiation is further developed on a recent report on military training and education for the beginning of the 21st century:
If we want to create massage degree programs, we should not develop programs that are simply a prolongation of skill training. When we extend from massage training to massage education we should aim to produce graduates that not only can perform techniques, but who also can interface with other healthcare and social care needs. Graduates should have the vision and skills to develop and manage new programs, and the background to successfully write grants to fund their programs. In short, our program should address developing leaders for the social context of massage.
In contrast, I believe that massage training should be much more pragmatic and specific. We should approach training programs with the hard-eye to costs and benefits of a corporate training manager. Content of a training program should address skills applicable and demonstrably needed in the near future - a "just in time" approach to learning that reinforces training with immediate experience. Given the rate at which unused knowledge decays to oblivion in the human mind, training should be designed to be provided in a modular/incremental fashion. Hours of training should be defendable in terms of the hours required to convey and practice well-defined content appropriate to the trainee's near-future practice. Continuing education workshops should supply the ability to draw on a greater pool of clinical experience. In practice, much of what is offered falls far short of this objective. Our goal, rather than convincing practitioners that their continued learning depends on being force fed, should be to teach them the skills for awareness, observation, and self-directed learning. Practitioners who can teach themselves will still be interested in attending workshops of value to them. The motivation comes from encouragement, sharing, and following Joseph Campbell's notable advice: "follow your bliss".
Beyond what we learn in formal situations, there are numerous opportunities for self-directed continual learning. There are also opportunities to marshal our personal knowledge and skills to become a resource center. By sharing our experience and vision, we can lead without a formal portfolio. In Japan, there is the concept of a person of wisdom being a national living treasure. We can all aspire to be living treasures for our personal communities of co-learners.
In closing, I'll return to Charles Kettering for a forward-looking 1941 statement on the necessity of interspersing experience between increments of theory:
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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