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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.
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.
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.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
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.
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!
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."
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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...
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.
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.
August, 2001, Vol. 01, Issue 08
What to Do When Your CE Is Not What You Expected
By Cherie Sohnen-Moe
How many times have you taken a CE course that didn't quite live up to your expectations? It's important to distinguish whether you just didn't enjoy the course, didn't like the course content, or thought the course was in some way misrepresented.Perhaps the course wasn't the best learning venue for you. (See "Learning Environments" in the May 2001 issue of MT.) If it was a "live" course, logistical issues such as uncomfortable chairs, poor acoustics, or lack of temperature controls could have made learning difficult.
It's important to investigate what recourse is available to you, if you determine that the CE course didn't deliver as advertised; the stated objectives weren't met; the quality of the materials was substandard, or you feel that some type of impropriety occurred (i.e., a financial issue or an issue of inappropriate behavior by the course facilitator).
Contact the CE Provider
The first step is to address your concerns directly with the course provider. Most providers will be open to your comments as long as they are presented in a respectful manner.
Determine ahead of time several options for remedying your complaint. Some possibilities are: a full or partial refund; repetition of the course; or a commitment on the provider's part to make necessary changes.
If you are unable to resolve your complaints directly with the provider or the provider's company, you can contact the Better Business Bureau in the provider's city; lodge a complaint with state and national organizations; or file a lawsuit.
Associations and State Boards
I contacted two national associations (AMTA and ABMP), one certifying board (NCBTMB), and four state licensing boards (where CEUs are required). Neither the AMTA nor the ABMP have "approved providers," so there isn't any action they can take. The process for handling complaints with NCBTMB Category A Providers is to submit your complaint in writing to the NCBTMB office. After it is reviewed, NCBTMB may directly contact the provider and require that the complaint be addressed or changes in policy be made. If it can't be resolved to NCBTMB's satisfaction, then the provider could lose his or her Category A Provider status. Many states require CEUs for license renewal. Here are the results of the four we contacted:
The Better Business Bureau (BBB) can be quite helpful. The BBB requires that complaints be filed in writing. Contact your local office by phone to request a form or you can go online. The URL for most cities is www.[cityname].bbb.org. Thus, the address in my city is www.tucson.bbb.org. If you can't locate your BBB directly, just go to the main site at www.bbb.org and you will find a search site for other BBB offices in the U.S. and Canada.
When you submit your complaint form you can also request mediation or arbitration. The BBB is affiliated with many trained mediators and arbitrators (the cost of these services vary). Once you have submitted your complaint, a copy is mailed to you and the provider/company. This letter also contains a status update section.
You can also call the BBB before taking a CE program to find out if the provider/company has any complaints on file. The BBB will give you broad categories of the type of complaints, the number of complaints, and the resolution status.
Filing a lawsuit is usually the last action to take once all other avenues of resolution have failed. If you are looking for financial reimbursement you can take your complaint to small claims court. This can be a hassle if the provider is not in your area. Also there are limits to the amount you can sue for in small claims court, and that varies by state. Contact your local justice court for the specific rules and procedures. Nolo Press provides a good deal of information on this topic. (See www.nolo.com/encyclopedia/small_claims_court_ency.html). If your complaint has to do with issues such as sexual harassment, you can file a civil suit. Contact your state attorney general for information on how to proceed.
Shout It from the Rooftops
It can be quite tempting to tell everyone about a bad experience you've had with a CE provider. I've overheard uncomplimentary conversations about providers and read similar postings on Internet newsgroups. Be careful of what you say so you are not sued for defamation.
The two major branches of defamation are slander (verbal) and libel (written). Make sure that you state your concerns as your opinion. It's fine to be emphatic and say, "I won't do business with this person and nobody else should either!" Always stick to the facts. The minute you start embellishing the truth you get into trouble. For instance, saying someone is a crook could be actionable, but stating that you never received a refund or that the course was too basic is fine.
Action can be brought against you if you try to interfere with someone's right to contract. The term for this is Tortious Interference with Contractual Relations. The measure is if you stated something that is not true and contacted someone who is doing business with that person. For instance, you know a school has hired a CE provider to facilitate a workshop and you contact that school and badmouth the provider; you could be liable. Again, you can state facts, but be cautious about the wording. Gary Wolf, attorney at law in Tucson, Arizona says; "Truth is the best defense for a defamation claim."
An Ounce of Prevention
Most problems can be averted by due diligence. (See my article on "Evaluating Continuing Education Providers" in the March 2001 issue of MT.) Invest your time in checking out CE providers and their courses. Yet, there may be times when you are dissatisfied with a course, despite all your research. My motto is that whenever possible, talk directly to the person who can do something about the problem -- which in this situation is the CE provider.
In subsequent issues, we will explore what constitutes a good distance-learning course; CE administration/tracking; and how to prepare before attending a class. Please feel free to contact me with questions or suggestions.
Click here for previous articles by Cherie Sohnen-Moe.
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