resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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 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.
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.
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.
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.
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.
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.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.