resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
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
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