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.
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.
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.
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.
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.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
November, 2002, Vol. 02, Issue 11
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.
Ouch! That hurts. You've been fired from the spa.
It never feels good to get fired, but in your case, it's particularly jarring. Your heart was in the right place, you were doing a great job as supervisor of the massage and body treatments department, and everyone at the spa really liked you -- everyone except one person, that is.
As I suspected, the notorious Ms. X., the spa director, couldn't take the pressure of an up-and-coming therapist who was liked by both management and staff. She was afraid for her own job, perhaps rightly so, and she must have pulled the right strings to get you ousted before you irremediably blocked her own corporate ascension. It's funny, isn't it, how you became a therapist in the first place to escape corporate politics, but now find yourself deeply affected by them once again?
What advice can I give you now that you're out in the big world again, soon to be in need of a job, cut off from the security of the spa that had become more of a home than you had realized? It's not so easy to just stand up and walk away from the spa industry entirely, as you had thought you might be able to do. It's gotten into your blood, hasn't it? The friendships you formed with therapists and other professionals in the business have become important to you now. To leave the spa world would be to leave a part of your family behind. So what are you supposed to do now?
ISPA Was the Right Move
First of all, I'm glad you took my advice and attended the International Spa Association (ISPA) conference in Anaheim, even though you were there as a free agent. It was the right move. The easier thing to do would have been to fold your tail between your legs and slink away. The spa was no longer paying for your trip or your conference registration. You had no support structure to take care of you, no corporation backing you as you continue to grow in the industry. Well, Lou, in the long term, that's the best way to grow, even though it may hurt you in the short term, especially in the wallet.
Attending the conference was a positive, proactive step. Instead of licking your wounds, you put yourself precisely in the spot where the largest concentration of people were gathered who might be able to help you with your next step. And look how it turned out - not just one, not just two, but three new job possibilities!
A Step Backward?
I'm sure the first of these new job possibilities came as a complete surprise. After less than a month, you've been asked to come back on board at the spa. While attending a breakout session entitled "Making Retail Work in your Spa," you ran into your former employer, the owner of the spa, who was attending the conference. When he saw you proactively investing in your own career and education, attempting to learn all you could about making spas work profitably, he took you aside and made you a secret offer to come back on board as the spa director, ousting Ms. X!
You probably made the right choice not to go directly to the owner in the first place, letting Ms. X. and the general manager conspire in the matter of your firing. That way, you had even more clout when you ran into the owner himself. There you were, on your own dime, eagerly soaking up the kind of information a spa owner so dearly wants his employees to focus on - profitability. And where was Ms. X. this whole time? Receiving a manicure in the spa to look her best for the grand ball? I can't believe it. She seems to have chosen the worst possible time to relax and take care of herself. It would have been better for her career if she had taken her manicure before the conference, rather than take time away from valuable learning experiences in order to spruce herself up for the ball. I can just imagine how that looked to the spa owner.
Now you have to decide if you want to head back into the political intrigue you've just been ejected from. The owner will be on your side, but the general manager and his allies might well make things difficult for you. It's definitely a feather in your cap to be asked back by the owner, and he'd protect you in your new position, but this move might be a step backward. It's a tough call.
A Step Up?
A rival spa, across town from the one in which you've been working, spotted your talent, and the owner swooped down upon you at a cocktail reception. I've seen many spa careers get boosted at ISPA cocktail receptions. What a heady experience to be stalked by headhunters, isn't it? You'd start as an assistant spa director, but you'd still be making more money than you were, with better benefits, and more prestige. This spa has a bigger name, a loftier reputation. You can see yourself shooting up the ladder of the spa world, can't you? Within a few more years, if you continue the way you are now, you could end up as an executive in charge of spa operations for a worldwide chain of luxury resort spas. It's happened before.
Hmm, this one is definitely worth considering.
An Intriguing Possibility
Perhaps the most intriguing possibility, from my point of view, is the conversation you had with the woman at the networking breakfast who has gone onboard with a new medical spa startup and thinks you might be a good match for their team. It would mean starting over again as a therapist instead of a supervisor, but you'd be learning a lot in a cutting-edge environment. In my opinion, medical spas are the wave of the future, with prestigious institutions on the verge of opening their own versions on that theme in the near future. The doctors involved with this project were all trained at the Mayo Clinic, which is a pretty good pedigree. This opportunity may be the least certain of your options, as the spa isn't even open yet, and it would require moving to another state. On the other hand, the adventure quotient here if high, and the rewards as far as experience and learning go could be tremendous.
The Right Track
Wow, so many choices. Do you see how this industry works? People keep revolving in and out of positions at a furious pace. It's up to you to keep yourself educated, informed, and well balanced in all applicable disciplines in order to maintain your value as an employee. I think it was wise to take the CranioSacral workshop after leaving the spa, further honing your hands-on skills. And attending ISPA was crucial. Try and see yourself from an employer's point of view now: you have proven therapeutic skills, you're effective at managing people and capable of making tough decisions, and you're learning more about daily operations and profitability. What's it all boil down to? You're becoming a well-rounded valuable asset for any spa, and that's what it takes to succeed in this industry today.
Have no fear. You're on the right track. All you have to do is keep doing what you're doing. One of these new possibilities will work out for you, I'm sure, but as usual, the decision will not be a simple one. Your career, and your future, hangs in the balance.
I look forward to hearing what decision you make.
Until then, take care,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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