resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
May, 2003, Vol. 03, Issue 05
Mad Qi Disease
By Lisa Marie Bader, AOBTA CP, AOBTA-MN legislative chair
Editor's note: This article originally appeared in the AOBTA newsletter Pulse.
Author's preface: Although this article pertains to the entire Asian bodywork community, I write from the perspective of my personal experience in Minnesota.Asian bodywork therapy has a rich history in this state; an incredible amount of advocacy and hard work by a few key individuals has helped the profession evolve to where it is today.
The interesting thing about being in a position of working with others is that you find quite quickly that issues appearing to be "no brainers" in your mind are not always viewed in the same light by others. Being relatively new to the position of legislative chair, I constantly marvel at how many different viewpoints there are within a group of people representing the same organization. The fact that people are coming together for a common cause doesn't necessarily mean they will flow from point A to point B in the same manner. It is a perfect example of that wonderful diversity within humans that can both bring us together and pull us apart.
Take, for example, our recent meetings in Minnesota regarding language in a voluntary registration bill that had been re-introduced to the state legislature. I knew some topics would require more discussion than others, but I didn't plan on the issue of the NCBTMB's National Certification Exam (NCE) vs. the NCCAOM's Asian Bodywork Therapy (ABT) Exam being one of them. To give you some context, AOBTA-Minnesota has a long history of working with the massage community in attempts to pass legislation that would finally enable us to practice freely in the state, without having to jump through the hoops of individual municipalities. Given that history, the language in the bill reflects its pre-NCCAOM ABT Exam origins. With the development of the ABT Exam three years ago, it seemed quite clear that folks would be of the same mind when it came to the discussion of removing references to the massage and bodywork exam, as it was no longer an appropriate measure of our knowledge. Granted, it never was; it was just all we had in terms of a national exam.
Consider the following facts: The NCE, developed by the National Certification Board for Therapeutic Massage and Bodywork, is a predominantly massage-oriented exam that includes some questions that touch on Chinese medicine - none of which need to be answered correctly to pass the exam. The ABT Exam, developed by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM), is a specialty exam for Asian bodywork therapists based solely on Chinese medicine theory. Both are entry-level exams that test knowledge aspiring therapists should have, coming out of their respective educational programs; consequently, the heavily weighted massage nature of the NCE puts it in the massage category because it does not test any level of ABT competence, although there is a danger it could be represented that way. The ABT Exam tests a more comprehensive level of ABT information; you have to demonstrate entry-level competence to pass.
The purpose of creating an educational standard is to ensure a certain level of proficiency in a profession or field of study. It is a way of protecting the public and promoting a particular level of expertise within the profession. In much the same way, the requirement of passing a nationally accredited exam in one's field of study creates a benchmark that regulatory bodies can look to. At this juncture, the NCE most closely satisfies that need within the massage community, as the ABT Exam most closely satisfies that need within the Asian bodywork therapy community. If I take this statement one step further, when considering legislation, it would follow that the language should reflect the standards and exams that apply most closely to one's professional field of study.
On to the next fact. The NCE costs $225; the ABT Exam costs $750. Ouch. "Aha," you say, "I can see where this may be problematic." Indeed, this is often the turning point in the conversation about which exam ABTs should take. People support the ABT Exam until the topic of money comes up; then, boom, quick as a flash, lights go out, doors close and you've lost them. Their eyes glaze over, and you know somewhere in their heads, they must be calculating how many cups of green tea from the local tea shop they are going to have to sacrifice to pay for this test.
I'm not here to justify the cost of the ABT Exam; it's expensive. We could leave it at that, go our separate ways and remain in this box we've created, with budgeting concerns that have the potential to limit our vision and hinder our professional development. Money is a reflection of much more than bean-counting; it's about beliefs, values, planning, etc. Most of us, at one time or another, have had a certain degree of anxiety and issues involving money. I think those concerns come to bear in this conversation and are part of what makes consensus difficult. Nevertheless, I invite you to keep reading, even if it's a bit uncomfortable.
I am not willing to go our separate ways for two reasons: First, I'm deeply disturbed by this "box" we've created, and its implications; second, I am an optimist, and I believe that when people come together and start brainstorming, creative ideas start to bud, and their flowering gradually brings them outside of this box. Sit and chew on these bits with me a few moments longer.
Let's return to the conversations in Minnesota. One of the main concerns arising out of our discussions is that ABTs need to be clearly set apart from massage therapists in this bill. Given the fact that ABTs have to go through massage programs to be able to practice in some states, I believe I can safely say that the general consensus here supports the concern of distinguishing ourselves as a separate profession. Essentially, we would work to put language in the bill so that it is representative of two distinct communities working together to create legislation that benefits both. It was from this starting point that another board member and I attended legislative meetings and worked to ensure that the differences between massage and Asian bodywork were not lost in the politics. So, when many ABTs on our language task force favored keeping the NCE in addition to the ABT Exam, solely for reasons of cost, it felt as if the foundation from which we were operating was being eroded.
This is where I get confused and disturbed. First of all, as I understand it, the exam is not just a hoop one jumps through to be regulated. It is the next step in the process of meeting a professional standard, similar to one taking exams while in school to demonstrate a certain level of knowledge and technique. People who take the ABT exam are showing they have indeed met a certain level of competency that is not automatically assumed just because they meet educational requirements. If that were the case, why bother taking any tests at all during our education, since we have already met the standard by taking the classes? Ridiculous, you say? Precisely. We want to continue to gain credibility in the larger community. Regulators and the general public depend on a board exam to ensure a required minimum standard of knowledge.
Given that exams test for a certain level of proficiency, it simply doesn't make sense to adopt one that is irrelevant to what we do. This undermines not only the Asian bodywork profession, but also the Chinese medicine profession. This is cause for deep concern because, essentially, what I hear people saying is when push comes to shove, it's OK to be identified with massage and to let the public assume that our ABT training and level of knowledge are no different from that of massage therapists.
If that is all the profession means to you, be prepared to go through a massage program to practice Asian bodywork. You also might need to consider adding those ginger chews and muffins into your green-tea-budget equation, because massage school costs about 10 times as much as the ABT Exam. When the cost of an exam is the sole determining factor that dictates an essential piece of our foundation, it all begins to sound like a case of "Mad Qi Disease" to me!
The NCE has been a stepping stone for our profession, and for that I am grateful, but it's time to move on. We're growing as an organization and as a profession. Certain aspects of that growth are exhilarating; other aspects are rather problematic. Change is difficult and often elicits gut-level responses and impassioned speech. This can be good because it generates conversation and discussion. It challenges people to identify what they are unhappy with; how the process can be improved; and what their vision of change is.
I would like to take this one step further, and emphasize that these conversations, suggestions and visions cannot be isolated events that a few individuals discuss among themselves. They need to be passed along and shared with the state board and state representatives, or communicated through your newsletters. Parts of those conversations need to reach AOBTA's national leadership, and some may need to occur in the larger community of Chinese medicine. We cannot isolate ourselves if we are to continue to ensure our place and solidify our identity in that larger community.
I think it's important to realize that as communities (the ABT arm of the NCCAOM and the AOBTA), we are symbiotic. Therefore, although we are working in different ways and with different missions, we achieve a common outcome: advancement in professional development and credibility.
Let's get back to an important point: what we can do to defer the cost of the exam. How about some old-fashioned brainstorming ideas involving fundraisers? This is a great opportunity for the community to come together and have fun (Why do you think they are called "FUNdraisers"?) while creating more public awareness about Asian bodywork. The format can be as simple as a benefit concert, or as involved as organizing a silent-auction dinner party or raffle. Approach a local coffee shop that offers chair shiatsu, and ask to include a tip jar for raising funds to take the ABT exam; or arrange for a bit of street-chair shiatsu downtown, with proceeds being applied to the cost of the exam. Brainstorm with Minnesota Public Radio, which sponsored a here in the Twin Cities that proclaims: "Public Radio ... shiatsu for the mind."
There are numerous ways to go about this (and I'm sure they're far more creative than what I've mentioned). Yes, they do take time and effort; most things worth doing tend to. Frankly, I'd rather spend my time continuing to do the hard, rewarding work of building a stronger community and profession than trying to combat Mad Qi Disease. Don't be afraid to ask the world for what you need. Be empowered. Step outside the box. Allow yourself the freedom to envision and dream. Talk about it. Share your visions with others. When you do, you'll find amazing things can happen. You'll start meeting wonderful people and making incredible connections that can be transformative. Growing is hard, but it doesn't have to be drudgery every step of the way. We are shaping the future of our profession. Let's build it with a solidly rooted foundation. Talk to each other. Visualize the future you want to create - then begin creating it.
Author's note: Special thanks to Yolanda Asher and Andrea Cyr for their support and invaluable input in the creation of this article. I absolutely love the conversation and dialogue percolating around this issue, and I welcome any thoughts, questions or rebuttals you may be inspired to share. I can be reached at ; please reference "Mad Qi" in the subject line.
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