resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
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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