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Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
May, 2002, Vol. 02, Issue 05
Rebirthing AOBTA: A Retrospective of Three Years as President
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
What do Shiatsu, Amma, Chi Nei Tsang, Nuad Bo'Rarn, Tuina, Acupressure, Jin Shin Do® and Anma Therapy all have in common? Yes, they have foreign-sounding names, but you won't find them on a menu: they are all forms of Asian Bodywork Therapy (ABT).They have evolved in different parts of the world but, like acupuncture and Chinese herbs, they have their roots in Chinese medicine.
Evidence indicates bodywork predates other branches of Chinese medicine. Our logo, painted and presented to AOBTA by Professor Jin-Huai Wang, means "bodywork" and dates back 4,000-6,000 years ago to China. It was found carved on bones in ancient prescriptions such as, "For stomach pain, press on a point 3 cun below the knee" (sound familiar?). Profesor Wang believes that Asian bodywork is the mother of Chinese medicine.
As members of the Chinese medicine community, we have more similarities than differences. We have the same theoretical framework. The NCCAOM offers national certification for Asian bodywork therapists, as well as for acupuncturists and Chinese herbologists. We have the same challenges, including educating the public on the benefits of our work and assuring our right to practice in each state.
In writing an article about the last three years as president of AOBTA, I figured I needed to make sure you knew who we are before I tell you what it is we have done!
AOBTA stands for the American Organization for Bodywork Therapies of Asia. It is a professional membership association which advocates public policy that protects and promotes Asian bodywork therapy and its practitioners, while honoring the diversity of the disciplines we embrace. AOBTA serves its community of members by:
This is the mission statement the Board of Directors and I created during our strategic planning meeting at the beginning of my term. To accomplish our goals, we started a "Stars" campaign that raised over $10,000, $5,000 of it from board members. We also slashed operating expenses of the organization, covering many of them out of our own pockets, so that we would be working securely in the black.
One of the first challenges we faced was that a significant number of people were offended by the word "Oriental" in our name, when we were known as the American Oriental Bodywork Therapy Association (AOBTA). I know that the OM community has wrestled with this issue for years and has kept using the word, but rather then potentially driving the problem deeper into our "body" by suppressing it, we used principles of Chinese medicine, brought it to the surface and allowed everyone to vent their opinions. When everyone felt that their opinions had been heard, we voted and that was it. We were able to keep our acronym and are still known as AOBTA.
Advocating Public Policy That Protects and Promotes Asian Bodywork Therapists
AOBTA has been proactive in the legislative arena by creating coalitions within the bodywork community. An issue in the past has been that Asian bodywork therapy was automatically subsumed under massage laws without consideration of our separate-but-equal training requirements and different national certification. This left many ABTs in the situation of having to go back to school to take a massage program when they already had as much as three years of training in their field. Already, 12 states have adopted the NCCAOM's ABT exam as an alternative to the national certification examination as we continue working to ensure equitable treatment and recognition of ABT in all states.
Honoring the Diversity of the Disciplines
We Embrace I believe this to be one of our greatest strengths, which has developed even further these past three years. AOBTA used to be thought of as exclusive in a clique-ish sense. We are still discerning in the fact that we adhere to our high standards, but we also welcome and honor all forms of ABT that follow our common curriculum requirements.
Initiating Appropriate Credentialing Criteria
Creating our own national exam has been a goal of the AOBTA since we were created 12 years ago. During the last three years, we have supported the NCCAOM in the first two administrations of the Asian bodywork therapy exam. Many of our members have passed the exam, receiving all of the benefits of national credentialing.
Defining Practice and Educational Standards
Education has made strides over the past three years with the development of our Council of Schools and Programs (COSP). We have seen the biggest growth spurt of COSP since the beginning of AOBTA. An added benefit to membership is that graduates of COSP schools automatically qualify to take the NCCAOM's ABT exam. We have adjusted the fee to encourage smaller schools to join and have also strengthened the communications structure. With the addition of an interim board position of COSP Director, we are hoping to grow and support COSP even more.
AOBTA has also expanded requirements for the student membership category to encourage more students to become involved with the organization, exposing them to the wonders of ABT and our standards of practice. A new category of membership, the Register Instructor (RI) level, has been created as well. Requested by our members, the purpose of this level is to create:
Providing Resources for Training, Networking, and Professional Development
As president of AOBTA, I have had the pleasure of being involved in and attending three top-notch conventions in which we have had some of the best presenters in the field. We have also held six regional seminars at regular intervals between conventions. Speakers have included Kiiko Matsumoto; Jeffrey Yuen; Alex Tiberi; Rick Gold; Pauline Sasaki; Bill Helm; Lonny Jarret; Pamela Ferguson; Jin-Huai Wang; Robbee Fian; Harriet Beinfield; and Efrem Korngold, as well as many other talented and engaging educators in our field.
As a networking tool and as an informative journal, our newsletter Pulse has continued to evolve in marvelous ways under the direct guidance of editor-in-chief Deborah Valentine Smith. Not only is it organized and even more readable, it arrives more regularly, more often and has increased in size by 50%.
Networking opportunities have increased with the development of more state chapters. AOBTA has broadened its networking into the worldwide arena of ABT and expanded its international relationships.
Promoting Public Education about the Benefits of Our Work, Our Principles and Standards
AOBTA has benefited from more media attention then ever. Natural Health, Andrew Weil's Self Healing and others have referred readers to AOBTA as the resource for information and practitioners of ABT. Two new beautiful brochures have been professionally designed; one outlining the benefits of membership, the other available as a promotional tool to inform potential clients about our work and who we are. We also have a new website (www.aobta.org), thanks to our extraordinary webmaster, Randall Sexton. It has a practitioner locator database as well as information about ABT and AOBTA. And if all that wasn't enough, we have also created a list of companies and organizations that give our members discounts. We even send members items such as pens and decals as promotional material.
I can't stress enough that the board of directors deserves the credit for AOBTA's "rebirthing" the last three years. We play and work well together, and I believe we have infused a fun, warm and caring atmosphere into the organization. Bear with me while I personally thank board members Debra Howard (who will be the next president by the time this is printed!); Yolanda Asher; Stuart Watts; Pauline Sasaki; Elene Page; Ruth Dalphin; Pamela Ferguson; Lynn Meffert; Rylen Feeney; Maria Spuller; Wayne Mylin; Phil Guzelf; and Toshiko Phipps. We couldn't have accomplished any of this without a huge amount of commitment and work from everyone on the AOBTA Board and the support from the staff, Angela Pflugfelder and Janet Dobbs.
I will be continuing on as director of education while Debra Howard continues to carry out AOBTA's mission! Most important though, I'd like to thank all AOBTA members for their support. We couldn't do anything without our members! They really are the ones that create the yin substances (membership dues and even extra donations) that support our yang activities. It's their involvement that makes AOBTA all that we are so we can continue to promote the field of Chinese medicine as a whole.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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