resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
May, 2002, Vol. 02, Issue 05
Massage Education Failing, Part III
By Ralph Stephens, BS, LMT, NCTMB
Editor's note: Part I of this article appeared in the March 2002 issue; part II appeared in the April 2002 issue.
In my last two columns, I have pointed out the downward spiral occurring in the education side of our profession.This discussion was inspired by the results of a poll that showed over 50% of practicing therapists felt they had received substandard education, ranking their education as "fair to poor." In the first column, I discussed the overall problem of incompetent schools. Last month, I explained how the National Certification Exam for Therapeutic Massage and Bodywork is part of the problem and is incapable of being part of the solution in its current form. This is based on the fact that the knowledge base it tests is determined by a survey of the profession. As the profession expands with more and more poorly trained therapists, the survey will bring back data from a "dumbed-down" profession. This will continually reduce the level of material covered on the exam to the lowest common denominator of an ever-less-educated profession.
I have also explained that research will not help elevate a profession that is incapable of reproducing the results found by the research.
It was brought to my attention that we need to offer suggestions when pointing out problems. Those suggestions will come in future columns. Before a solution can be created, the problem must be clearly understood. The options for a solution must also be understood. It should be clear that the current national certification process is part of the problem and offers no way out. Research will not help at this point, either.
The problem is bigger than just the education of our profession. The massage/bodywork community has become the landing site for every new-age idea to come down the pike. Esoteric and fringe massage techniques seem to be a safe port of harbor for poorly trained instructors and practitioners who lack a solid educational foundation in the basic sciences and manual therapies. In its attempt to accept everyone, every theory, every technique and every practice, the massage community and it's "mis-leaders" have failed to clearly define itself and set clear standards for education and licensure for massage therapy. Due to this failure, the profession has been unable to achieve the recognition and credibility massage/bodywork deserves as a health care profession. By lacking boundaries and by trying to be the campground for every group, cult, mystic, shaman and personality whose ego requires a special name for their version of the same strokes, we have reached a point where we have no idea what we do or who we are, and neither does the public or the health care profession.
The blame for this can be placed squarely at the feet of the associations and pseudo-associations of this profession. The pseudo-associations are not associations at all, but for-profit corporations who are nothing more than mail-order vendors of insurance and meaningless credentials. The only significant, valid professional association has repeatedly backed away from setting meaningful standards, definitions and legislation because it might exclude someone and lose some checkbook members.
Both types have been largely controlled by a few individuals who have recognized and taken advantage of the extremely high level of practice failure in new massage graduates especially, among the twenty something generation. This failure rate has created an opportunity for schools and associations that prey on the constant influx of new students -- about 50,000 per year. With this constant turnover, the "leaders" pretty much run the show the way they want. Any standard that would in any way restrict entry into the profession, even if it improved the quality of the profession and the care received by the public, is a threat to the "leaders" cash flow. Naturally, they resist standardized licensing and the setting of any other meaningful standards. There will be no help from the insurance vendors. In fact, they will fight every effort to improve the situation. The only hope for help from the true association is that it is possible for concerned, "new blood" to become actively involved and change the direction currently being followed.
So, what about government regulation? Is it a solution, or another part of the problem? Think about it. The only excellence you'll find in our government is in its military and propaganda systems. The rest of the time, government is inept, inefficient, and another lowest-common-denominator system. The departments of education do little regarding enforcement of standards at postsecondary schools, especially "trade schools." They do not have the staff to monitor the hundreds of schools in each state for compliance. They respond only to complaints, and then usually are unable to do much. Why? Because it usually becomes the school's word against the student's. Our regulatory boards (licensing boards) are in the same position. They are not set up to monitor schools and often do not have any authority over schools other than to approve a submitted curriculum. As I mentioned in the March column, anyone can get a curriculum approved, because even if they are totally incompetent, the state board must help them until they get the forms right, and then must approve them. If standards were set higher, regulatory/licensing boards would just have to help more.
Regulation will have to be part of the solution eventually. However, it will have to be done skillfully, so as not to burden the good schools to the point of extinction. That result would leave only community colleges and general business schools, whose primary concern is their automechanic and cosmetology programs.
To the people that I now have hopping mad, remember: Our profession's education system is failing, and you know it. Do not direct your anger at me for being the one to say so. Don't shoot the messenger. Direct your energies toward a constructive solution that will do the most to help humanity. Change is often painful and growth is often difficult. However, if we as a profession do not do something soon to rescue our failing education system, we may be faced with the possible loss of the ability to practice that which we love.
Next month, I will share more massage education horror stories and begin presenting suggestions for change.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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