resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
August, 2001, Vol. 01, Issue 08
Education and Training
By Keith Eric Grant, PhD, NCTMB
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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