resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
June, 2002, Vol. 02, Issue 06
Massage Education Failing, Part IV
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; part III appeared in the May 2002 issue.
When I started this series of columns on education, I knew there was a huge problem in the education sector of our profession.I had no idea how bad it really is. I get more horror stories every week. Just like the Standard American Diet, it is S.A.D.
Before I share some of the best of the worst, I need to issue a correction to a statement I made in the April column. I stated that the National Certification Exam for Therapeutic Massage and Bodywork had a pass rate of over 90%. While true at one time, in 2001 the pass rate for first-time test-takers was 78%. This is either movement in the right direction on the part of the exam, or the reflection of more inadequately trained massage school graduates sitting for the exam. It's probably some of both. I apologize for my factual error and will be more careful in the future. I stand by my other comments on the exam, including my support for it.
Our overall education system in this country is in a bureaucratic mess. Postsecondary schools cannot refuse to enroll anyone, for fear of being sued for discrimination or violating the Americans with Disabilities Act. They often cannot fail any student because, in some states, the student can go to the Proprietary School Board and file a grievance. In some states, it seems that failing grades and absenteeism are not sufficient grounds to deny someone their "right" to graduate. Schools must let anyone in and everyone out. How can we have any kind of quality education system when the government deliberately thwarts schools setting any kind of standard for entry and graduation?
One large trade school with campuses in several states teaches its massage program from videos. Instructors are only room monitors. The instructor is never allowed to touch a student for any reason. How can students learn quality touch when they have never experienced it? This is an accredited school that offers up to a two-year degree. So much for the two-year degree becoming a meaningful standard.
Another school is reported to have a staff of five recruiters and only two instructors.
Students have dropped out of massage school and opened their own schools. Now their students are dropping out and opening more schools. The downward spiral continues.
These are not the worst stories. The worse cases are too embarrassing to put out on public display. Hopefully enough of you care about this situation to do something about it. Changes must be wrought by concerned groups of therapists and educators at the state level. It would be nice to have some national leadership, but there is none in sight at this time -- so think global and act local.
What can be done? The challenge is to create change that improves or eliminates poor schools without punishing the good schools. Big does not mean good. There are lots of really excellent programs that are small.
Several important steps can be implemented without punishing good schools. These are prerequisites, standards for instructors and teaching assistants, and student tracking of programs. These can be implemented through statute or administrative rule by massage boards in licensed states, by proprietary school boards and by departments of education. It will take a lot of prodding by advocates. There will be much resistance by many schools and associations who do not want the cash flow disturbed.
Prerequisites for Acceptance into Massage School
Currently, a student can graduate from high school with straight Ds and sign up for massage school. The school slides them through and another incompetent therapist hits the streets, treating the public to substandard massage, driving the public away from our profession. I propose that before being allowed to enroll in a massage/bodywork training program, the potential student must complete at least two years of postsecondary education (college) with a grade point average of 2.75. Included in that training should be at least one semester of anatomy, one semester of physiology, one semester of marketing/advertising and one semester of basic business accounting. Every other health care profession has educational prerequisites. Most require at least a BA or a BS. I am not suggesting a degree be obtained, just successful educational experience equaling four semesters of full-time student status.
Instructor and Teaching Assistant Credentials
If an instructor cannot make a living doing massage they should not be teaching it. It is time to require instructors in massage schools to have either three years of successful practice, or one year of successful practice and formal teaching credentials. After three years of practice, they may become full-time instructors and would not be required to maintain a practice. These standards would not be necessary for instructors teaching anatomy, business marketing, etc; however, they should have appropriate credentials in the subject taught. To be a teaching assistant, individuals should have at least one year of successful practice. What is successful practice? I will let you argue that one out among yourselves. Regardless, something has to be done to stop massage schools from hiring their failures and making them instructors.
Student Tracking of Massage Programs
All students enrolled in a massage training program should be required to keep daily diaries of the instruction they receive, documenting every hour of time spent (both subjects and instructor(s)). A well-kept diary is great evidence to prove a school did or did not provide the advertised or required program. This will allow regulators to efficiently identify deficient schools. The record should be kept by individual students and never be in the possession of the school. This simple step alone will shape up or eliminate most inadequate schools. It won't improve quality, but it will improve compliance with standards and with the advertised program.
Chew on those ideas. Talk among yourselves. Begin to take action as you see fit. I'm out of space again. Next month, I'll discuss accreditation, school mentoring and more. Strive for excellence -- it is attainable!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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