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Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
June, 2002, Vol. 02, Issue 06
Just Tell Me What I Need to Know to Pass the Test
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
These are the words to make any instructor wince! I want my students to be inspired by what I teach. I'd like them to learn Asian/Chinese medicine because it's fascinating and it works. But practically speaking, like it or not, exams are necessary for evaluating theoretical material learned, setting standards and creating laws.There is also a certain amount of information you need to commit to memory before you are able to pass an exam. This article is designed to help you learn the Asian Bodywork Therapy (ABT) theory portion of the National Certification Exam (NCE) so you can continue to do whatever it is that you love the most. The NCBTMB states that the NCE covers some basics of Traditional Chinese Medicine, and although this outline is as simple as you can get, I can't guarantee that it covers all of the questions asked.
I have to tell you truthfully though, that if this subject matter doesn't thrill you and/or you have had little or no training in ABT, don't worry. According to Cliff Korn, a past chairman of the NCBTMB, there is only a small percentage of the content outline pertaining to traditional Chinese medicine on the exam, and you can probably miss every single ABT question and still pass. Call the NCBTMB if you don't believe me! Spend your time studying the information that you learned and know it well, rather than trying to cram a lot of material into your head that you may find irrelevant to your practice.
Don't get me wrong, I am a big supporter of the NCE. If you graduate with a degree in massage, take the NCE whether you think you need it or not. You will be glad that you did, particularly if you ever decide to move to a state that requires it for licensure.
If you practice any form of ABT, such as shiatsu, acupressure or tuina, I recommend you take the more appropriate ABT exam offered by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM). The NCCAOM has been the benchmark in Asian medicine for almost 20 years; their acupuncture certification is already being used in 42 states for licensure.
The benefits for doing so are numerous. Diplomate ABT (NCCAOM) is the highest certification available in the field of ABT, clearly distinguishing the education and standards as separate from massage. If you practice any form of ABT, I believe that this is the single most important action you can take to support your personal growth, your profession and the field of ABT as a whole.
So if you are determined to forge ahead and learn "just what you need to pass the exam," here are my suggestions, followed by a five-month game plan to learn some basics.
Admit That You May Be Afraid
Many people suffer from exam anxiety. Most of the time it's not rational. I don't remember ever failing an exam in my life, but I still suffer from exam fear.
If you feel the same way, get someone to work on your Kidney meridian to help you calm your fears. The Kidneys in Chinese medicine relate to the Water element, which relates to fear.
Lie face down. Ask your partner to hold the Kidney shu points bilaterally. (Bl 23, located 1.5 cun/anatomical Chinese inches from the space below L 2.) With their free hand, have them thumb-press up from your sole along the medial posterior aspect of your leg slowly. Ask them to finish by rubbing the lower back vigorously, then gently holding the area beside the lumbar vertebrae bilaterally with their palms.
Form a Study Group
All of my students who form study groups do well on their exams. Start five months ahead of time if you need to cover a lot of material that you haven't already learned thoroughly in your course of study.
Commit to meeting one time a week and stick to it. Divide the list of topics to cover evenly over the time you have left before the exam. (See below for a suggested basic outline.)
Rotate among the people in the group presenting a topic each week. For example, one person on the list presents the basic yin/yang theory with relative associations the first time you meet. Use handouts, drawings and any other materials you can think of to make it interesting and fun. Laugh as much as possible as that helps to open your Heart/Mind and you will remember things longer. If you like the people you are studying with, it also has a similar good effect on your memory, as this all relates to the Fire element.
Start each meeting by quizzing each other on material that you went over last time. When you ask a question that draws a blank, give someone time to pull it out of his or her memory reserves. If they still can't get it, when you finally tell them the answer, they will tend to remember it longer.
Here is a 20-week game plan for covering basic ABT theory:
The night before and day of the exam, get plenty of rest and relax. My clients swear that they do better on exams if they have a shiatsu session the night before. There are points and meridians that can be worked on specifically for clear thinking and grounding, allowing you to access the information that you studied so hard.
Eat a warm, nutritious breakfast.
When you sit down to take the exam, even before you look at anything, make charts of all of the elements, meridians and times. You then have something to refer to if you blank out during the exam from overload.
Skip over questions you don't know and go back to them later. You may find that another question will spark your memory and you will get that question. When you finish the exam, go over it again for careless errors.
If you follow these steps and prepare methodically, you have nothing to worry about come exam time. But remember, if you pass the NCE, it's a national certification in massage and bodywork, not specific to Asian Bodywork Therapy such as shiatsu or acupressure. Advertise your credentials proudly, accurately and ethically!
Author's note: For a more detailed study guide, see the chapter by Barbra Esher and John Johnston in the new edition of Tappan's Healing Massage Techniques, due out at the end of this year.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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