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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?
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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?
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.
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.
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 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.
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.
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.
August, 2002, Vol. 02, Issue 08
Twelve-Step Program to the Post-ABT Exam Party
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
In my last column (in the June issue), I suggested how to organize a study group to learn the Asian medicine portion of the NCE. This seems to be the major concern of massage therapists taking the exam, even though it is well-known that the NCE can be passed without knowing the answers to any of these questions.Regardless, many people wrote saying that they appreciated the guidance. I also received letters requesting something similar to study for the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) Asian Bodywork Therapy (ABT) exam. I recommend that you use the outline that comes with the exam booklet! This article is based more on my shiatsu program. All of my graduates last year passed the exam, so you may be able to study and review this information and also do well!
If you plan on taking the ABT exam, hopefully you are already registered, as the deadline is August 9. This leaves you 12 weeks to bone-up on your traditional Asian medicine foundation concepts. Get together with as many as you can and commit to supporting each other in knowing this material cold. (Cold being yin, means you learn it to the deep dark depths of your being!)
A good way to organize your time is to divide these 12 "steps" by the number of people studying together, and assign who will teach each week. So if you have 12 people in your group, each person will teach one segment of this material one time. It's best to teach the information that you know the best, so you aren't just reading from a book. Make it fun and interesting, and include as many audio-visual aids as possible. Give out handouts. If you don't know what you are teaching at all, don't worry, you will know it by the time you finish preparing your lesson!
Also, have all the people who are not teaching that week write down five questions on the material presented the previous week. Start each class with a review from the previous week - it could consist of nothing more than answering those questions. Cut the questions apart (so that each question is on a separate piece of paper), put them in a bag and pass it around, randomly picking and answering questions. (This strategy gives everyone the opportunity to think about and consider each question, rather than people just calling out the answers.) You didn't have time to make up questions? Well then, you'll have to make up 10 for next week! A study group takes more of a commitment than just meeting once a week; you have to work at learning this information!
By the way, this system works for any number of people. If there are just two of you, alternate between teaching and writing questions based on the information you've learned the prior week. If it is just you, study the material in a methodical way, and compile a bank of questions to test yourself later.
12 Steps/ 12-Week Program
[Unless otherwise specified, the page numbers referenced in brackets appear in Foundations of Chinese Medicine by Giovanni Maciocia, Churchill Livingston Press.]
Yes, I omitted a lot of detail from this outline -- for example, just about all of the yang organ pathologies. That's because you need to pull back and focus on the big picture. You probably are not going to run across Heat in the Small Intestine in your practice and most people wouldn't consider it "entry-level" knowledge.
Yes, I also left out Western medicine. You need to have taken at least 100 hours of it to sit for the exam but it's such a small percentage of your knowledge base that I wouldn't spend too much of your time reviewing every muscle origin and insertion. (Just as I don't recommend massage therapists learn Asian medicine for the NCE, unless it was a significant part of training.)
I also didn't include questions on the different forms of ABT. Don't worry about the different techniques for styles you don't know. You couldn't possibly, nor would you want, to learn them all. It's more important to know the basic theory. Pulse and tongue is included in all 12 weeks. It's part of learning the signs and symptoms; for example, a reddish tongue for yin deficiency and a swollen, pale tongue for yang deficiency.
One last thing: several textbooks have test questions in the multiple-choice style used on the NCCAOM exams. Check them out to see if they might be useful. TCM Study Guide Series Acupuncture, Kang Tai Press, Chicago; and Tests: Chinese Acupuncture and Moxibustion, Foreign Language Press, Beijing.
Again, I am not telling you what is on the exam, but I am giving you an approach that I know works. I am committed to you succeeding; write me and let me know how you did!
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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