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Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
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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