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.
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.
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.
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.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
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.
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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 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.
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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