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Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
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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