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resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
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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