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Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
December, 2004, Vol. 04, Issue 12
An Accreditation Quagmire
By Cliff Korn, BS, LMT, NCTMB
In September, Massage Today featured an article concerning the Department of Education's approval of the National Accrediting Commission of Cosmetology Arts and Sciences (NACCAS) to accredit massage programs in post secondary schools (www.massagetoday.com/archives/2004/09/01.html).
Two years ago, when NACCAS was still petitioning for approval as a massage accrediting entity, I wrote an editorial expressing my generally negative opinions (www.massagetoday.com/archives/2002/11/11.html).
Since this month's issue features several "point-counterpoint" pieces on accreditation in general (see front page), I revisited some of my thoughts.I hope you read these articles carefully because they express some poignant but divergent thoughts on this complex issue that will impact the future of massage therapy as we know it.
Two years ago I wrote, "I am all for ubiquitous accreditation of massage schools. I think it would solve a multitude of sins, including easing the job of massage therapy regulation and reverting national certification to the voluntary credential it was designed to provide. However, I do think massage school accreditation should have a programmatic theme, with massage therapy taught by massage therapists as a core requirement."
While I still agree with that statement in theory, I now question the practicality of seeing it happen in the near term.
In keeping with "theory," I submit that the quality of education and ultimate competence of a graduating massage therapist should not be affected by the accrediting body. If approved by the Department of Education, one must assume that the same standards are applied to the approval of one entity as to all. Since a standard is a constant against which all models are judged, it makes no logical sense that one accrediting entity should provide superior criteria to the commonly accepted ones of a competitor. If this theory could be proven true, it then would make no difference at all who accredits as long as the standards remain constant.
Thus, it seems to me that the correct question for now is not the "who" of accreditation, but the "why" of accreditation. In the world of academia a degree from an unaccredited institution is less than worthless. (The term "match book diploma" is used to show the disdain. I'm sure you get as much spam as I do from purveyors of "degrees by mail," who promise you can be an ND, PhD, or other postgraduate-degreed person by submitting life experience and a healthy check.)
Massage therapy has never traditionally required a degree, however, and therefore falls out of the academic realm; it has historically fit into the craft or trade school model. Massage therapy has also shown itself to be a profession where one can succeed through mentoring and apprenticeship. This longstanding route into the field is still used and is one of the primary reasons that the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) has a portfolio review process as an alternate method of determining eligibility. If there was an accreditation requirement for every massage-education program, it is doubtful that this portfolio review process would remain a method of determining equivalency to massage school graduation.
So what, then, are the pros and cons of mandated massage school accreditation? Who has the potential to benefit and who doesn't? Certainly, massage therapists relocating to other states could benefit. I feel it is highly likely that ubiquitous accreditation would enable ease of license reciprocity from state to state. Massage boards would know that the transcript a candidate for licensure had from a distant state was equivalent to a transcript from the home state. The massage boards themselves could also benefit, as they wouldn't have to generate their own educational eligibility criteria or use criteria developed by NCBTMB, NCCAOM, or other outside credentialing bodies. It is likely that those who employ massage therapists might also benefit.
The largest single massage therapist employer group is the spa industry, which is forced to spend large amounts of time and money training massage therapists to integrate into spa therapists. As ubiquitous accreditation would frequently increase the hours of massage education needed to graduate, it is most likely that more schools would have additional curriculum elements to fulfill those needs. An argument for the public benefit is that the basic knowledge of therapists everywhere would be similar; therefore, equivalent levels of care would be available equally all over the country.
The potential exists for the schools to benefit from accreditation as they would become a much more significant force in the industry. Their impact and voice could approach the power that accredited chiropractic and naturopathic colleges now have in the realm of integrated health and wellness. Finally, the accrediting bodies themselves would certainly benefit, as that is how they generate their longevity and cash flow.
Opposing arguments also abound. Individual therapists may be adversely affected by having to pay more money to enter the profession, as costs to attend an accredited school could be higher. Schools have the potential to see reduced enrollments due to the higher tuitions they would likely need to charge to cover costs of added curricula and more stringent teacher criteria.
The professional massage associations could lose clout as the voices of accrediting bodies and schools overtake their influence. The NCBTMB would potentially lose its desirability as a front-end hurdle for state licensure. The public could theoretically lose as the tougher entry requirements into the field may actually reduce the number of therapists available to choose from.
So, for me, the jury is out on the overall benefit of ubiquitous massage school accreditation. Logic tells me that accreditation makes education better. I have had that logic bubble punctured by a recent discussion with a good friend and school owner who, at the tip of his tongue, was able to generate a long list of examples why accreditation does not always mean enhanced education or a better school. They were not knee-jerk responses to a perceived threat, but thought-out, concrete examples of accredited institutions that regularly turn out less-qualified therapists than other schools, and ones who have not had their educational ability affected other than to increase their costs. I heard his arguments and agree with his examples but still feel that industry-wide we would have better educated therapists if accreditation were the norm.
I ponder the paradigm shift that would evidence itself though, due to the higher costs. Fewer people would likely take advantage of massage as a part-time opportunity to make additional income from home-based businesses. I don't need to check the surveys and studies to know that a significant portion of working therapists do not use massage as their primary income source. Would one impact of ubiquitous accreditation be that the demographics of the profession would shift to only careerists? Would that be good or bad? Hmmmm...
At present I support massage schools going for accreditation, but I'm pretty pleased that it is a voluntary process.
What do you think?
Massage Today encourages letters to the editor to discuss matters related to the publication's content. Letters may be published in a future issue or online. Please send all correspondence by e-mail to , or via regular mail to:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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