Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
July, 2002, Vol. 02, Issue 07
Massage Education Failing, Part V
By Ralph Stephens, BS, LMT, NCBTMB
Editor's note: Parts I-IV of this article appeared in the March-June issues of Massage Today.
In my previous four articles, I've discussed the failing educational system of our profession.It is easy to find fault and moan about what's wrong. It is always more difficult to improve things. I am just a guy who writes a monthly column. I have no illusion that I have the answers to all the problems in massage education. My writing about it may not change anything. My real goal is to educate you about the extent of the problem and hopefully to stimulate an open discussion within the profession that will lead to positive change.
You can change things. Education must be dealt with at the state level. It will require concerned therapists, educators and schools who care about quality, to get together and come up with solutions that will work in their state. The laws and procedures in each state are different and must be dealt with individually. Ideally, there should be some consistency state to state. However, since there is no national leadership, you will have to do the best you can in your area. Do not attempt to organize all the schools or every educator. Only those with a true commitment for quality deserve your attention. Never attempt to reach a consensus of every school. Consensus is the absence of leadership.
It is the lowest common denominator process that prevents excellence. It is time to strive for excellence. It is time for leadership. It is time to do what is right. You who care must fight for what is right. Do not allow the K-Mart mentality of mediocrity or the whining of underachievers deter you from setting the highest practical standards possible. Set your goals and make your case to your regulatory boards and education departments. Most board members and legislators will side with an argument for excellence. It only takes a few dedicated individuals to change laws and rules.
Many of you have written asking how you can help, how you can join in, how you can improve things in massage education. This is how. Find other people in your state who care. Get together and write a proposal. Take it to your state licensing boards and legislators and departments of education. Then, stay in regular contact with them until action is taken.
Petitions may have to be circulated to show that many people, both professional and public, are concerned with your cause. Most people will sign a petition urging excellence and high standards. Only those involved in the substandard education will resist. They will not have the creditability or the evidence to win the debate.
In part four of this series, I made three suggestions to improve massage education. I suggested two years of college as a prerequisite for students entering massage/bodywork schools; three years of successful practice experience for instructors and one year for teaching assistants of massage/bodywork techniques; and thirdly, and requiring students to keep a daily diary of every hour of training they receive. I offer these suggestions as a place for those of you who care to start the debate.
This month, I have two more suggestions. My suggestions revolve around two organizations, COMTA and the Council of Schools. Whoa, look at the hands go up. Don't bother to write about my being a shill for the AMTA. I commend the AMTA when it does well, and knock it when it doesn't. Its sponsorship of these two organizations is good. COMTA had to be started by someone. No one else was willing to fund or tackle true accreditation for massage schools. It is a huge process to organize an accrediting agency. There needed to be an accreditation program for massage/bodywork programs. Finally there is one. (Refer to the June article.)
AMTA initially funded COMTA. Now, COMTA is administratively independent of AMTA, complete with its own elected board of directors. This is the same process that was used to start the national certification process. Right now, COMTA accredits massage/bodywork programs and the institutions that provide them. This makes the schools eligible to administer financial aid programs for students. The other accreditation agencies only accredit the institution. This is why so many accredited schools have such lousy programs. They run their businesses well and pass institutional accreditation. This is easy for community colleges and established trade schools, which explains why many of them get by with poor-quality massage programs; only the business is accredited. (Of course, there is also the phoney-baloney mail-order accreditation from the psuedo-association that accredits nothing, but looks like it does. This disgrace to education and our profession needs to be outlawed. It is consumer fraud.)
To require small schools to go through a legitimate accreditation process would destroy them. Many large schools do not go through the process because they do not want to deal with financial aid programs, anyway. Schools must increase revenue by at least $36,000 just to cover the costs of administrating financial aid. However, if there was pressure from the profession, COMTA could create program accreditation, which would not involve the expense of being approved for and administering financial aid. This needs to be done. Once accomplished, all schools should have to become program accredited within three years of opening.
The other suggestion is a sort of school mentoring program. The best organization now in place is the Council of Schools. Yes, it is sponsored by AMTA -- Get over it. It is also an administratively independent organization. While good schools are not going to mentor their competition, nor should they, an organization like the Council of Schools allows schools to network, receive instructor training, work to create educational standards and hopefully raise the level of education in the profession. While membership cannot and should not be required, it needs to be made politically correct to belong. (PC needs to be good for something. Maybe this will finally be it!)
It is time to march forward. The problem is clear. Entry-level education for the massage/bodywork profession is failing and must be improved. I've proposed a few solutions - come up with more of your own, hopefully better ones than what I've presented. A mechanism to accomplish change has been outlined. It is up to you, to all of us who care, to act. The longest journey is initiated with the first step. It is up to you who care to take the first step. Go now! May your efforts benefit suffering humanity!
Click here for more information about Ralph Stephens, BS, LMT, NCBTMB.
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