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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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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).
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.
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.
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.
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.
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%.
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.
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).
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.
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.
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.
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.
April, 2004, Vol. 04, Issue 04
Your Plan, Part Two
By Perry Isenberg
Last month, I looked at the questions and considerations needed to define and secure rewarding employment; I hope it was useful. Your continued feedback will help ensure that these articles continue to be relevant.My goal is to provide insight to improve your chances of finding business and economic success. Without the ability to make a reasonable living, you will not be able to continue providing this much-needed therapy. So, continue telling me what you want me to talk about.
This month, I want to discuss growing into and securing a management position. Like everything, management has its pros and cons, and you need to consider these before deciding to be a manager. They say it is lonely at the top - and it can be - so be aware that becoming a manager often involves some invisible separation from your coworkers; however, management can also be very rewarding.
Management generally involves some separation from coworkers and a level of authority over them. This is a frightful reality that separates the "men" from the "boys," so to speak. Having authority over anybody is a huge responsibility and challenge. I still have difficulty with this at times and am constantly evolving into a better manager with respect to responsibility and proper, appropriate use of authority. Take inventory of yourself and try to be honest. Are you ready for the responsibility of managing people? Make sure you are up to the challenge, and that management would be an asset, not a burden - otherwise you will become frustrated.
Management is more about working with people than about making sure the work is getting done. For example, let's say that you are managing the massage services of a spa with six therapists on staff, and your goal is a profitable department that requires 150 sessions per week. Your job is to make sure this goal is met. In this case, managing your staff is more important than the number of sessions, because unless you can create an enthusiastic, responsible team that works well together and takes pride in the work, all the appointments in the world won't help you achieve that goal. The ability to manage is vital to ensuring your department reaches its goal. Often, it involves taking two steps backward and one forward by changing personnel and/or their responsibilities, until you have the right team assembled.
The next item for self-examination is your use of authority; this is important. I pride myself on being a coworker with my employees and try not to create a daily environment of authority. My coworkers know the "buck stops with me," but it is not something we discuss unless it becomes absolutely necessary. If you want to be a manager so you can be the "boss," stop now! Authority should not be something that is sought; it should be earned as a byproduct of wanting to lead, teach and inspire. Separation from your coworkers is an element of management.
As much as I consider myself a coworker with my staff, the reality is that I am on the "other side" of the fence, involved in dealings that are good for the entire business and not always good for individual employees. This reality creates division, whether you like it or not. Many people have balked at separation and attempted to be "buddies" with their staff, while attempting to meet the needs of their management position. It may work for a while, but ultimately it does not. If you want to be part of the "gang," do not consider management. At best, you can reside at the edge of the "gang's" circle.
Generally, as a manager, you will likely spend less time perfecting your craft and more time managing people and handling general business issues. This can cause some serious stress for the therapists that enjoy helping and healing people. There is nothing better than working your magic to provide clients exactly what they need. So before you leap into management, realize that you will be doing less hands-on work. You must also possess the ability to be organized and handle a variety of components, including staff, scheduling, morale, client needs, upper management demands, product and supply inventories, and legal issues - to name a few. It is likely that you will be on salary and work more hours than anyone else in your department. And if short-staffed, you will be called on to do hands-on work.
Management can be a rewarding goal that, once achieved, allows you to improve your "people" skills, increase your economic opportunities, have greater career flexibility, and additional perqs, such as time off, bonuses and more. I believe most people identify with the advantages of management. Examine the following questions and if they sound exciting, you could be on your way to a successful management career:
If you think you can handle the challenges presented above, I recommend you start pursuing a management position; if successful, you will be on your way to greater economic and career security!
I wish you the best of luck.
Until Next Month,
Click here for previous articles by Perry Isenberg.
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