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Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
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.
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.
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.
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.
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.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
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.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
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.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
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.
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.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
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!
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
March, 2002, Vol. 02, Issue 03
Massage Education Failing
By Ralph Stephens, BS, LMT, NCTMB
The February issue of this fine publication featured a most disturbing poll. Over 55% of the respondents felt they received fair or poor training from the massage school they attended.Less than 30% felt their training was excellent. (Editor's note: See "How would you rate the training you received at your massage school?" in the MassagePoll archives, available at www.massagetoday.com/massagepoll/01archive/12_01.php.) This is a disgrace. It should be an embarrassment to everyone in this profession. I knew it was bad, but not this bad. The edu-crats will whine that this was not a "valid instrument." The mis-leaders of this profession have consistently disregarded and denied the clear will of the majority, and they will ignore this. I see this poll validated every weekend when I conduct continuing education seminars. The overall skill level of entry-level therapists is declining.
Yes, there are great schools out there turning out therapists who are better trained than ever. This is not about them. I do not mean to tar them or their graduates. However, someone has to point out the truth about education in this profession. My next few columns will attempt to do just that. Hopefully they will spark dialogue that results in action to clean up the educational system of our profession. We must police our own.
There was a time when experienced, successful therapists with good communication skills felt the need to open massage schools, to pass along what they had learned and to grow the profession. At that time, the typical students were in their mid-20s or older, usually with some postsecondary education, and were switching careers. They had somehow discovered massage and had a burning passion to learn the profession. Seventeen years ago, there were about 50 massage schools in the entire country. Virtually all of them were good programs with experienced instructors.
Times have changed. Now massage schools are being opened by opportunists trying to "catch the wave." Sadly, the instructors in many programs are therapists that are so unsuccessful in their private practice that they are willing to work for $12-$15 per hour teaching, not because they want to or because they are good communicators/teachers/examples, but because they have to in order to pay their rent. Thus, the failures are training the future therapists in many cases. Yes, good schools are being opened, unfortunately at a ratio of about one good school to five poor ones. If this continues for too long, we will drown in mediocrity.
Students are younger, often just out of high school. Several have told me they chose massage because their counselor told them it was easier than cosmetology school. Others were promised unrealistic incomes by massage school recruiters. Usually "big bucks from insurance" was implied. It is sad, I daresay disgusting, when a profession with so much potential uses a promise of participating in an extortion scam as its recruitment tool.
When I was chair of a state regulatory board for massage, I was often asked, "What do I have to do to open a massage school?" After explaining the paperwork process, I would ask how long the individual had been a therapist, and if they had any background in education. The answers I heard were sickening. One woman stated that she was still a student in a massage school, but could see that schools were where the money was, so she was opening a school as soon as she graduated. She had no teaching experience. She does now, at the expense of her students. Applications were submitted with schedules that did not add up to the number of hours advertised. How can schools provide quality education when they are run by people too stupid to fill in the application for school approval? Of course the board would reject such incorrect applications, but unfortunately, the way the bureaucracy works, the board has to clearly explain what the proposed schools did incorrectly and allow them to re-submit. Usually within two to five additional tries, they would finally get the application right. The board would then be forced to approve them, knowing more lousy schools were coming on line.
Complaints have been filed against incompetent schools by students and graduates. Unfortunately, after filing their complaint, massage therapists seldom testified against a school. They seldom kept records of the hours and subjects received until after the fact, which is not valid evidence. Students and graduates were often threatened by the school owners. One school owner had a biker type for an intimidator; another threatened witchcraft and voodoo spells. Without evidence and witnesses, boards can take no action and the lousy schools continue to rip off their students. The public is ripped off because it keeps getting inferior massage and bodywork from the schools' graduates. Our profession is eroding rapidly. These poorly trained therapists are opening their own schools or becoming instructors at schools. The downward spiral accelerates.
Lousy therapists can come out of the best schools, and great therapists can come out of the worst schools. However, when over half of the respondents feel they received a fair to poor education, it means that about half of the therapists out there are inadequately trained and are not capable of doing good work unless they are self-motivated to make significant investments in additional training. This means that the majority of people receiving massage are receiving substandard work. This is going to backlash on our profession.
The poll from last month should be a call to action. It will be interesting to see if it will be. Tune in next month to read why research and the National Certification Exam will compound the problem.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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