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A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
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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