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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.
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).
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.
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.
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.
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.
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%.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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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