resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
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.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.