resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
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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