resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
March, 2004, Vol. 04, Issue 03
A Trade or Profession?
By Ralph Stephens, BS, LMT, NCTMB
There it was: a CBS MarketWatch story raving about how the stock of trade schools (career colleges) rose dramatically in 2003. The article listed the "10 hottest fields," and guess what? Massage therapy is the top training program being added to trade schools.Hey colleagues, we're number one - in trade schools - which brings us to the question: "Is the practice of massage therapy a trade or a profession?"
While many of us have always considered it a profession, massage is being increasingly taught as a trade. Let's look at what the dictionary* has to say about this:
The practice of massage involves skill and it can be an occupation, so it clearly meets the definition of a trade. A profession requires extensive education or specialized training. Massage education involves specialized training, but is it extensive? Certainly not at the entry level, and therein lies the problem.
Extensive education is available for those who desire it. There are schools out there that offer more than the minimum requirements to get licensed or pass the National Certification Exam; however, they are few and far between. In most areas, extensive training is only available through advanced continuing-education programs.
Currently, a group of school owners in Florida feels there is no need to increase the educational requirements, so long as the massage therapists cause no harm to the public. It is sad that this group believes our standards of professional training involve teaching students just enough to not harm the public. While that's better than what can be said about many allopathic practitioners (who inflict a lot of harm and bury their mistakes), it sells massage-therapy education short. Why can't we set standards high enough to teach students to do more than not harm the public?
I agree with the argument that more hours for the sake of more hours is not an improvement; 1,000 hours of lousy education is worse than 500 hours of lousy education. Merely raising the entry-level hour requirement will not improve the quality of massage education or the competency of graduates. The root of the problem lies with the low quality of the hours offered. How can we improve massage education and shut down poor-quality schools? (Not necessarily small schools - there are many excellent small schools.)
Massage therapy and bodywork is spiraling down from the fastest emerging new health care profession to a trade because of a lack of enforceable educational standards. What stands in the way? MONEY. Massage schools are a huge part of the massage industry and sit on a raging river of money. School owners and associations need the continuous flow of new students and members. They both see financial disincentives if the entry-level bar is raised, so they resist such attempts. Short, inadequate programs ensure a high dropout rate from the expanding profession, which maintains the demand for new students and graduates.
The low-entry bar, unenforceable educational standards, high dropout rates, and the way massage is currently taught as a trade from "school-in-a-box-curriculums" will slowly drag our profession down from first-door health care providers to tradespeople in relaxation spas and physical therapy departments, working for slightly above minimum wage. While some schools lead by example with excellent programs and superb instructors, others prey on students - often on many levels. What can be done at this point? It is difficult to get in the way of a river of money. It will usually sweep you away or drown you. It is this cash flow that chains us to the status quo of lousy schools. Many of us have searched in vain for effective solutions, and the only organization that has tried to place high standards on massage schools didn't cover its bases and may be sued out of existence.
In the February issue, Cliff Korn talked about "Appreciative Inquiry" - a system of finding the positive and then working to create more of it (www.massagetoday.com/archives/2004/02/11.html). Now, I really like that! I have written previously in this column that you get what you concentrate on. It should be obvious that if you concentrate on eliminating sickness, poverty, cancer, drugs, or anything else, the results are always more of what you don't want. The mind is the creator, and you manifest what you concentrate on. Look around. How successful have the "wars" on poverty, cancer and drugs been? There is more poverty, cancer and drugs than ever. How well has the allopathic medical system - with its entire focus on sickness - done at reducing sickness? It has failed miserably. There is more sickness than ever. (Sorry, but sanitation and hygiene have reduced sickness - not allopathic procedures!)
Those of us who care about education have to change our focus. If we keep focusing on the lousy, "just-do-no-harm" mindset, all we will get is more of the lousy. We need to stop concentrating on lousy schools and the problems they cause. We have to find and focus on the positive and the excellent in massage education. We have to hold up the great schools as models, and steer potential therapists toward them. We have to find the greatness, and work to make it the norm. We cannot fight the current cash-flow-based education system in the trade of massage, but we can begin to create a new channel for cash to flow toward professional excellence. This will build the profession toward being the premier wellness modality in health care.
It is a bold, daring concept to work toward excellence in a culture that holds the likes of Homer and Bart Simpson as its role models, and works to suppress excellence and achievement in the name of "fairness." Remember, life is not fair. Fair is for underachievers; Fair is somewhere between average and poor, and that is not good enough for the health care of our fellow man.
To my colleagues who care about what's left of the massage therapy profession, let's begin thinking about what is excellent in massage education. Let's focus on making high standards the rule, not the exception. We will not fail to bring about what we concentrate on. It's time to start working to implement this concept of Appreciative Inquiry. As one of my teachers told me, "Keep your eye on the donut, not the hole."
*MicroSoft Word 2001 Dictionary
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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