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National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
February, 2005, Vol. 05, Issue 02
By Keith Eric Grant, PhD, NCTMB
Last fall, I spent a bit of time looking at California statistics for massage education and practice. Partly as an outgrowth of legislative activity and partly out of efforts by Associated Bodywork & Massage Professionals (ABMP),1 there was more raw data than normal lying around for me to nose through. One interesting item was the percentage of those entering massage practice that were still practicing five years later.
The data was broken down by hours of core education with a base of about 18,000 entrants per year - pretty solid for statistics. Five-year survival rates were 29.2 percent at a nominal 125 hours, 33.1 percent at about 250 hours, and 37.7 percent at a nominal 650 hours, the last category being 80 percent accredited career schools. The bad news is that the first doubling in training time only gave a 4 percent increase in survival rate and that the subsequent increase in training only contributed a 3.3 percent increase in survival per doubling of training hours.
This is a strong indication that what's being offered on the menu is at best tangential toward keeping people in the profession. The good news is that our statistics aren't devastatingly lower than general small-business statistics of about 45 percent survival at five years.4 The additional good news is that you don't have to ride the averages - individual effort counts for a lot. There are things that will help you much more than hanging around a massage school without specific business and practice goals yet in place.
As the story of "The Princess Bride" goes, Westley's ship has been taken by the Dread Pirate Roberts, who never takes prisoners. Yet, moved by Westley's tale of needing to return for true love, Roberts does spare him to be his valet. Every night for three years, while Westley learns to fight and run a ship, Roberts says the same thing: "Good night, Westley. Good work. Sleep well. I'll most likely kill you in the morning."
Finally, Roberts reveals that he is not the original Dread Pirate Roberts, is now ready to retire and - after a bit of final mentoring - goes his way to leave Westley as the new "Roberts."
The story is about living on the edge as a new entrepreneur, employee or apprentice. If you don't mean business, if you don't pay attention, you won't see the following day. In an article on business survival, Angelo Valenti comments that "in the jungle, animals that are aware are called survivors, while animals that are just awake are called lunch."7 He stresses paying attention to successes, failures and the environment in which they happen. You may practice massage to assist others, but you can only do that by developing and using good business sense.
Once you are consistent about pursuing a massage career, whether full-time or part-time, the next step is your first ad layout. This isn't about brochures and business cards; those come later. This is about the ad you are going to take with you on every interview, presentation or client contact; the one that will walk in on your own legs and that you will see in the mirror before and after. Likely the most important ad you will ever create is the presentation of yourself. It may be a maxim but it is still correct, "You never get a second chance to make a first impression."
Take the pointers available from SCORE (Service Corps of Retired Executives) to heart.6 In particular, think about the context of a job interview or a client situation. Your goal should be to interface seamlessly with their world and needs. Unless you really are providing massage on a Florida lawn, emulate the chameleon, not the pink flamingo.
If you aren't feeling comfortable about business issues, don't panic and don't ignore the problem. There are a number of resources, training programs and opportunities for finding mentors that are available to you at little or no cost. Both online and through regions centers, SCORE answers questions, offers workshops, and provides mentoring.5
The U.S. Small Business Administration (SBA) is a gateway to regional Small Business Development Centers (SBDCs), providing local assistance.10 The SBA is also a gateway to Women's Business Centers.
Try and find a niche of practice and clientele that makes you special.2 Look for opportunities within the social or work contexts with which you are already familiar and comfortable. When you identify a target niche, evaluate your training. If you have training gaps, you can now be specific about your needs and finding teachers who have mastery at what you want to do. You should be able to ask questions, and they should be able to give you specific answers about what you will gain.
Look again at the quote from John McWade at the beginning of this column. The focus of such training to application is what makes it worth your money and time.
If you aren't going to hire a designer, learn some basic design and copywriting yourself for brochure and business card layouts. There are good design books by both John McWade8 and Robin Williams.11 Copywriter Robert Bly has written several helpful books and has a number of articles on his Web site.3 Remember that you are selling satisfaction of your client's concerns, not your technique collection. Reflect that in your approach and advertising. To create success, mean business, find your niche, and get the word out.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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