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Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
April, 2003, Vol. 03, Issue 04
Half a Mind
By Keith Eric Grant, PhD, NCTMB
In searching to fulfill our kinesthetic and interpersonal selves, some of us have diffused inward through the membrane surrounding the domains of massage, almost as if an osmotic pressure drew us forth. For those conversant with the lymphatic system, consider it a type of Starling's Equilibrium. The permeable nature of entry into part-time massage practice originally drew me to transit back and forth between high-tech and high-touch. Should the membrane surrounding entry into practice be made less permeable by raising entry requirements, the flow of those such as myself will likely divert to other venues.
Cliff Korn's March 2002 editorial [www.massagetoday.com/archives/2002/03/11.html] touched on attitude differences between part-time and full-time massage professionals. I am going to revisit some of the considerations he raised in that article, and touch on an additional consideration: demographics.
Here in California, 193 massage schools are supervised by the Bureau for Private Postsecondary and Vocational Education (BPPVE) under the Department of Consumer Affairs. In contrast, the American Massage Therapy Association (AMTA) Web site lists 28 schools in California, a few of which wouldn't fall under the BPPVE jurisdiction. One conclusion that can be drawn from this discrepancy is that the vast majority of California massage schools are teaching modular programs with initial segments shorter than the 500-hour AMTA entry criterion. At a recent panel discussion at De Anza College in Cupertino, Les Sweeney, executive vice president of the Associated Bodywork & Massage Professionals (ABMP), noted that the average initial module length of ABMP member schools in California is 175 hours. I believe such schools exist in a very particular ecological niche in terms of their economic and social benefits.
On the economic side, these short-term career-training modules are not eligible for federal financial aid. Such aid requires accreditation and a minimum program length of 600 hours. Taking on the extra costs, record-keeping requirements, and job-placement minimums associated with accreditation and financial aid would force most of these small schools to either grow or close. What these schools serve well, and thrive in meeting, are the needs of pay-as-you-go, adult profile learners. Many of these adult learners are seeking career transitions or augmentations, an example of the latter being sports trainers adding massage skills to their toolkits. A characteristic pattern I have seen over more than a decade of teaching in a modular program is for students to use the initial module for immediate-but-limited entry into the massage profession. They then use their practice earnings to continue with further modules over a period of several years, improving their business and marketing skills as the scopes of their practices grow.
A recent report by the National Center for Educational Statistics summarizes a number of the differences between those entering postsecondary training with adult career experiences, and those who might take such training immediately follow secondary schooling.9
An Australian report on lifelong learning also notes the growing reliance on self-employment and balancing the requirements of multiple jobs.1
What emerges from this discussion is that California supports a pattern of modular schools with early entry training that is a near-optimal match for adult learners in career transition or augmentation. I believe such schools are in the forefront of an emerging paradigm for the 21st century; they fulfill a role of facilitating development of meaningful life work for students juggling significant other responsibilities.4 As compared to their larger counterparts with longer single programs, modular schools are more oriented to the attitude profile of adult learners - who have been noted to be more self-directed; bring in more life experiences, be more goal-oriented; demand more immediate relevancy of material; and be more focused on immediate application than younger learners.6,7
There are also synergies between these modular career-training programs and their surrounding communities. The general manager of a southern California school estimated recently that 15 percent of its students are learning skills to support home care of ill or aging family members. Because of the short-term, modular nature of individual training sections, the classes also serve a function for those undertaking self-directed career exploration. Such career exploration is a learning process embedded in a larger context of growth and personal exploration.5 Such exploration is often triggered by life transitions; it forms an essential adaptive response to an era of rapid social and economic change. Entering massage training can be a result of self-reflection and a desire to help others more directly, with the decision still to be made whether a total career change will take place.2,8 While these community functions of modular training are far from sufficient to support a massage school in themselves, they augment and enrich the vocational training environment that can be offered.
In his editorial, Cliff Korn noted that full-time massage practitioners seemingly place more emphasis on networking, and certainly on being more represented at conferences. Overall, I believe this is a difference not in the importance placed on networking, but in the manner in which it is accomplished. For the part-time practitioner, continuing education often is achieved while on vacation from other jobs, partially depleting what remains for family activities. Every training activity must stand on multiple legs. Multiple-day or weeklong workshops often have higher payoff in both usable skills and more in-depth networking than shorter conference interactions. For some of us, massage is a multitasking experience. We give it our all during our segments of participation, but on the average, have only half a mind to give.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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