resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Code Connection: 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.
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.
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.
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?'
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).
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.
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.
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.
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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.
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.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
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.
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.
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.
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?
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.
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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