resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
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.
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.
April, 2004, Vol. 04, Issue 04
By Keith Eric Grant, PhD, NCTMB
"If all we are interested in is technical competence, then we have become a trade school. If technical competence exists but not the necessary attitudes, values, and behaviors of the professional, then our graduates may wear the trappings of that profession, but would no longer be a representative of the profession."3
Professionalism seems to be a term that gets mentioned a lot and explored little.Searching the Internet for the keywords "massage and professionalism," I came across an AMTA Web page that stated, "professionalism in the field of massage therapy has been greatly elevated in the last 10 years," and an Oregon Massage Therapists Association page proclaiming that a purpose of the association was "to support and develop massage professionalism." Both pages assume that we know exactly what was professionalism is. Do we?
Perhaps the most common perception of professionalism is an ongoing commitment to learning and improving skills.1,2,5 Some feel that continuing education should be forced upon a profession's members. Tan notes, however, that for physicians, the minimal results of such forced learning have been sobering.8
He believes a far better approach than coercion is to instill the curiosity of discovery, encouraging members to be seekers of knowledge rather than rote learners or copiers of lecture notes: "Ah, we see a servant's heart and the motivation to serve. Motivation is not exactly the same as incentive. Motivation comes from within, and innate drive. It is a humane value, whereas incentives are social constructs or individually valued rewards for desired behavior."8
Believing professionalism stems solely from learning and certification can become a recipe for idolizing the trappings and missing the essence. Striving for training and occupational regulation is not equivalent to creating professionalism. Law, medicine and pharmacology seem to worry that their professionalism is being undercut.3,4,8 However, there is no evidence that their levels of technical education or occupational regulation are waning.
Professionalism, I believe, is less about what we require externally from those entering the profession, and more about what we evoke within their hearts. The commercialism of what we offer needs to be balanced by the spirits of service, collegiality, pride, independence, leadership, and integrity.7 Commitment is much easier to inspire by offering a challenging example than it is to force by rules and regulations.
According to Justice Sandra Day O'Connor, "Personal relationships lie at the heart of the work. Even in the face of the vast technological advances of the information age, the human dimension remains constant, and these professional obligations will endure. ... A business can focus only on profits. A profession cannot. It must focus first on the community it is supposed to serve."4
As professionals, we are accountable for our actions and communication. There is a wide consensus that civility and altruism are corner stones of professionalism. Within any profession there are differences in background and perspective. Offering each other civility and respect rather than elitism and disdain are indicators of professionalism. Be quick to offer a helping hand to less advanced colleagues and equally be slow to undermine a colleague's position by an inappropriate remark or document. Justice O'Connor strongly believes that even within the conflicts of law, one can "disagree without being disagreeable."4 Our tasks of civility within massage are simpler. Our attitudes should be kept congruent with our healing goals of touch.
As professionals, we have a fiduciary relationship with clients, and an obligation of trust and compassionate concern for the client's welfare that takes priority over other concerns. Roscoe Pound, Dean of the Harvard Law School from 1916-1936, perhaps framed this best. If we strive toward professionalism, we could do far worse than to heed his words: "[W]hat we mean by the term profession when we speak of the old recognized professions (medicine, the law, ministry). We mean an organized calling in which men pursue a learned art and are united in the pursuit of it as a public service. As I have said, no less a public service because they may make a livelihood thereby. Here, from the professional standpoint there are three essential ideas: organization, learning, and a spirit of public service. The gaining of a livelihood is not a professional consideration. Indeed, the professional spirit, the spirit of a public service, constantly curbs the urge of that instinct."6
Furthermore, "The term [professionalism] refers to a group...pursuing a learned art as a common calling in the spirit of public service - no less a public service because it may incidentally be a means of livelihood. Pursuit of the learned art in the spirit of public service is the primary purpose."7
Editor's Note: Due to the unpredictable nature of the Internet, some links may not be operational.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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