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Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols & treatment Timing
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
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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