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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.
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!
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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...
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.
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.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
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.
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."
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.
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.
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.
April, 2002, Vol. 02, Issue 04
By Steve Capellini, LMT
Author's Note: The Spa Letters column features news, personality profiles, trends, and plenty of professional possibilities for LMTs in the spa industry. The style is epistolary, meaning the articles are letters to a fictional massage therapist friend of the author.
You've done it! You've moved into management! It's a bigger step than you thought it would be, right? And yet it happened incredibly fast.That's the way the spa industry is moving these days. People who show promise are moving quickly to fill the many openings in spa management created by the proliferation of facilities being built. You're riding the wave of a phenomenon. Now you've just got to be careful not to fall off.
OK, now that you've made your choice, there are certain guidelines you can follow that, in my opinion, will make it possible for you to not blow a gasket and run screaming back into the ranks of full time, hands-on massage therapists. That's exactly what happens to many therapists who try working in spa management, because the job is so incredibly different than the one they're used to, with so many unique challenges and potential frustrations.
I don't mean to depress you, but rather to make this decision of yours real, as it's a decision that I made myself several years ago. It's only been a few days, but the initial celebration of your promotion is already over, and now it's time to get down to work.
It's good that you're still going to be working hands-on as a therapist at least half of the time. This will keep you immersed in the work you love while you get your feet wet in the new world of management. In the meantime, here are four guidelines I followed as I transitioned into supervisory/managerial roles in the spa world. I hope they provide some help for you, too.
As you move up in any organization, you're going to need to form relationships with people in many different fields. While you were strictly a therapist, it was easiest probably to make friends with other therapists, plus receptionists, guests coordinators, and others you came into direct contact with. But as a manager, things are going to be different... or at least they should be.
I heard a story once about the CEO of a large corporation who knew the name of everybody there, including the janitors. When I took my first managerial position at a spa, I made it a point to do the same thing, even though it might have been a little premature on my part (I never did become the CEO). Something wonderful happened, though, when I took on that CEO's mentality. As I made it a point to talk with and get to know everyone in every department, people started respecting me, and I quickly figured out that respect breeds respect.
I also was quick to figure out that people who respect you are much more willing to do what you'd like them to do when the time comes to get something done, which leads me to the next point. I believe it's a good idea to be ready to do absolutely anything that becomes necessary to do in the course of your work and the overall spa's operations.
Be Willing to Do Everything
What I mean by this is that you should be ready to get down on your knees and scrub the tiles, clean up in the bathrooms and drill holes through drywall with a ¼th inch bit. If the people who work for you and with you see that you don't hold yourself above anything or anyone, they will not feel shamed when you ask them to do the same thing.
Some managers will disagree with me on this point, thinking that it's better to retain a respectful distance from the staff, and you can take my words with a grain of salt, Lou, but over the years it's worked for me really well. There will always be times when you can get dressed up in a professional suit, sit in a board room and command the respect you deserve for the opinions and insights you've gained through your hands-on work. But don't put the cart before the horse. It's better to get your hands dirty first, then explain how to dig the hole.
What you're going to find in your new position, almost immediately, is that you have a long list of new tasks to accomplish. Whereas your therapist's responsibilities included 1.) showing up;and 2.) performing a good service, now suddenly you're flooded with a lot of options as to how you're going to fill your hours and days when you're not in the treatment room.
My advice here is to set up some priorities as fast as you can. You'll discover what these priorities are quickly, as they present themselves to you on a daily basis. Grapple with the toughest issues first, spending time to work your way entirely through the problem.
With any luck, you can automate the procedure that needs attention, so it won't require so much of your attention in the future. I've done that with payroll systems on the computer, for example, and it's worked great. After you master one area, check it off on your list (you do keep a written list, right?), and more on to the next item.
You Are, After All, the Boss
Finally, Lou, you've got to remember that, even though you were a rank-and-file therapist just last week, now you're the supervisor of the whole spa body treatments department, reporting to the spa director. You have greater responsibilities and greater concerns. You deserve the recognition of the people around you because you've stepped into this position. It's a position recognized by everyone in the scenario - Spa Treatment Supervisor.
Sounds good, doesn't it? Now you have to go out and earn the respect the title demands. I can't wait to hear how it goes!
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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