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MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
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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