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Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
June, 2002, Vol. 02, Issue 06
By Steve Capellini, LMT
Author's note: The Spa Letters column features news, personality profiles, trends, and plenty of professional possibilities for LMTs in the spa industry. The style is epistolary, meaning the articles are letters to a fictional massage therapist friend of the author.
You see? It wasn't as bad as you thought. When you were able to convince management that the "open book" policy might work for your spa, and that it was a good idea to disclose some of the costs of doing business with the therapists, everyone calmed down a bit. Now the therapists are happier doing the same work they were before, and they feel more a part of the big picture, too.
The open-book policy can be a good one for many spas, and you've seen it work. But now the therapists have just one last bone to pick as far as what they want from the spa, and on this topic I'm going to have to side with them. They want the spa to pay for part of their continuing education in the field, and I think that's right.
Of course, once again you're stuck in the middle as the spa treatment supervisor, needing to appease the therapists on the one side, and management on the other. I think there might be a solution that will make everyone happy.
Retention vs. Detention
I know you might have trouble convincing the spa ownership to invest in furthering the education of their therapists. The first thing you're likely to hear is something along the lines of, "Why should we pay for them to get more training, when then they might just take off and work for a competitor? We'll end up paying for their education and another spa will swoop in and pay them slightly more per treatment, thereby receiving all the benefits of our generosity."
That is a viable concern on the part of your spa management and owners, but guess what? There are countermeasures the spa can employ to minimize worries of this kind.
First of all, certain spa managers and owners need an attitude adjustment. Specifically, they need to alter their concept of the phrase "employee retention." For many managers and human resources departments, retention means something more like "detention." Due to the high costs of hiring and training new people, they will do anything they can to keep the employees they already have, but instead of coming up with inventive ways to make their employees want to stay, they try instead to instill in them a fear of leaving. "What if you loose your insurance?" they say. Or "That other spa might fire you within the trial period. You'd better stay here where you have security." Employees can end up operating out of fear rather than motivation. They feel trapped rather than inspired - detained rather than retained.
Spa management can get around this problem by encouraging their therapists to learn new skills that would make them valuable to competitors. Yes, that's right. It's counter-intuitive, but it works. And the way it works is through incentives and recognition.
Incentives and Recognition
As you well know, Lou, what massage people want most, in addition to good pay and the satisfaction of helping people one-on-one, is some recognition from the people with whom we work. We want our skills and abilities recognized and appreciated.
Some spas offer to assist their therapists with the expense of continuing education, and then when they come back to the spa to use their new skills, they are given special recognition as they move toward becoming "advanced therapists." An advanced therapist is someone who can perform most or all of the modalities offered by the spa and who has been with the spa for a certain period of time. Someone who can perform Swedish, neuromuscular, stone massage, reiki, reflexology and Lomi-Lomi, for example, will help the spa by being available to cover many guest requests during all possible shifts. This person becomes highly valuable and deserves to be considered an advanced therapist, as long as her skill levels are satisfactory in each modality.
That's the recognition part.
The incentive part has to do with pay, of course. Once a therapist reaches the "advanced" level, he or she is paid a little more per treatment, which makes sense because the spa usually charges more for these services as well. In addition, if the spa helps out with the tuition for the classes taken, that adds another incentive to stay with the same company. Imagine working for people who actually want to help you become more qualified so you can earn more! This is the situation at some spas, and the therapist turnover rate in these facilities tends to be much lower than the average.
How Much Is Enough?
There are differing thoughts on the matter of how much is enough when it comes time for a spa to actually shell out money for their therapists' education. Many spas opt to pay for a trainer to come on site and offer classes to the entire staff, which is often more cost-effective than subsidizing therapists' individual classes. However, those that do offer a form of "scholarship" usually give a certain percentage, not the entire amount of the class. A 50/50 split is typical. Sometimes the spa only pays a quarter of the class fee, or a flat rate, such as one hundred dollars per class.
Really, any amount, even just a $50 voucher toward a class, is enough, as long as it demonstrates management's commitment to furthering the skills of their staff.
You also need to be realistic when it comes to what the spa will be willing to provide. You can't expect the moon. I can think of no spa that would offer their therapists a full ride to the Rolf Institute, for example. Financial help is only given for classes and workshops that will give therapists skills they can put to use in the spa immediately after training. If a therapist wants to learn Thai Massage, but it's not on the spa menu, it wouldn't make sense for the spa to subsidize part of the training. However, if several therapists are interested in a new technique, that may be a good opportunity to expand the menu at the spa and add the new modality.
Recognition of Specialists
Of course, some therapists want to stick with what they know best. Becoming an advanced therapist who knows several techniques is of no interest to them. They'd rather hone their skills in one area or technique. In this case, the spa can provide some assistance and incentive for the therapist to take advanced courses within the modality, becoming an advanced practitioner in one specific technique. Often, therapists who get proficient enough in a certain modality end up leaving their place of employment to set up their own studio or clinic, and that too should be encouraged!
Put the Money Where It Matters
Do you see where I'm heading? In my last letter, I told you that therapists need a refresher course on the bottom line of spa operations so they don't get unrealistic expectations about their salaries. I believe therapists, especially newer ones, should be happy to receive a reasonable wage even a little lower than what they might expect. Then at the same time the spa can offer some incentives and recognitions for those therapists who improve and help the spa over the long haul, nurturing those who are willing to commit to the growth and success of the overall enterprise. The cost of subsidizing some training will be lower than trying to keep therapists on board with higher salaries, and it will foster an environment of loyalty.
Even if therapists eventually leaves you to open their own business, you'll have created such good will that they will probably have someone to recommend to you to take their place.
My advice is to tell your spa owners it's smarter to put the money where it matters, in recognition and incentives, rather than an ill-advised raising of pay to try and "detain" a team of therapists.
Talk to you later,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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