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Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
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.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
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?
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
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.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
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.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
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.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
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 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.
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.
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.
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.
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.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
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.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
February, 2004, Vol. 04, Issue 02
Advanced Certification: The Future of Massage Therapy?
By Rebecca J. Razo
Arizona massage therapist Steve Miller has always been passionate about education. After completing his master's degree, he began a career in academic counseling until a tumor scare and chronic pain led him to seek massage therapy.Following a successful round of treatment, Miller began looking into massage therapy as a side job, but his passion for the practice won him over, and he eventually transitioned from education into massage therapy full-time.
However, Miller became frustrated when he discovered that Arizona prohibits massage therapists from billing insurance carriers for their services. "In many states, massage therapists are not required to be paid by third-party carriers because the carriers often feel the work is not significant and performed by uneducated practitioners," he said. Realizing that quality of education was a huge sticking point with the insurance industry, he decided that the massage profession needed to be elevated to a level on par with similar health care professions, such as physical therapy.
Using his educational background, knowledge of massage therapy, and feedback from a wide range of health care professionals and consumers, Miller set out to create a new, advanced form of massage therapy certification that would, in part, enable qualified therapists to bill insurance companies. Miller collaborated with physicians, massage therapists and insurance companies, and eventually established the curriculum for the Certified Diplomate of Massage Therapy (DMT) using criteria similar to that of a Doctor of Physical Therapy (DPT) degree.
This January, Miller announced the creation of the DMT and his new organization, the International Center for Excellence in Massage Therapy (ICEMT), which will oversee the DMT certification. According to the ICEMT Web site, "The DMT serves as the top-level credential for massage therapists and is the equivalent of a Doctorate degree."
Miller asserts that the DMT is essential to the advancement of the massage therapy profession: "By developing the DMT certification, the ICEMT verifies the practitioner has completed a rigorous program of study with the same background as other professionals who perform similar work. We can then begin working with insurance carriers to recognize this and accept DMTs as providers in their network."
Although the National Certification Examination (NCE), offered through the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB), already validates the practice of massage therapy, Miller stresses that the DMT is an advanced certification option only available to experienced massage therapists, while the NCE certifies entry-level massage therapists: "The DMT only seeks to recognize those practitioners who have completed a rigorous academic and research program. It is not meant for everyone, nor is it meant for entry-level practitioners. It also does not mean that if one does not have the DMT they are a poor therapist," he notes.
The DMT curriculum takes stock of an applicant's academic history, clinical and research experience, and civic performance. Much like a typical DPT degree, applicants must possess a bachelor's degree from a nationally accredited university with a grade of B or higher; have completed a series of science and mathematical courses, including anatomy, physiology, chemistry, biology, calculus, and statistics, among others; have completed a 500-hour or greater massage education program; have had one year each of clinical experience and civic involvement; and have completed an independent research, study or continuing education program. To apply, therapists must complete a portfolio process in which their qualifications are reviewed by three members of the ICEMT evaluation board, which consists of two naturopaths, three massage therapists, and three non-health care- professionals.
Depending on how well the DMT is received in the massage community, the ICEMT will pursue independent accreditation from the National Commission for Certifying Agencies (NCCA) - a branch of the National Organization for Competency Assurance (NOCA) - the same organization that accredits the NCBTMB's exam.
As for the ICEMT's immediate plans, Miller says the organization will begin issuing press releases to get the word out to the industry about the new certification; it also plans to work on educating insurance carriers at the local level about the DMT. If successful, ICEMT will expand its efforts to other areas.
In the meantime, does Miller worry about how the ICEMT and DMT certification will be received by the profession? "I'm sure that it will be laughed off as a joke [by some]," he muses. "Every venture incurs risk, and while I hope for the best with regards to the ICEMT and DMT, it bears little on my personal outlook on the field, life, and my abilities."
For more information on the ICEMT or the DMT, visit www.icemt.org.
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