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Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
August, 2005, Vol. 05, Issue 08
By Keith Eric Grant, PhD, NCTMB
There are multiple reasons to take a class or workshop as continuing education. Sometimes the motivation is simply to accumulate points for some organizational or licensing requirement. Sometimes the motivation comes from having heard that some instructor or course is particularly "great." Both can be factors, but will serve you better if you give yourself time and space for a bit of planning. Training serves best when it is put to early use that moves it toward experience.
The first part of what makes a class a good match for you should come from self-reflection about your current practice. Think about things you may have started doing in the recent past, simply because your mix of clients or practice context has changed. If there are techniques or areas of knowledge that you are using but don't feel comfortable with, you've just identified a class you should find. Look for an instructor or teaching group that can fill in and smooth out these areas. One clue for you is that a potential instructor should be able to clearly state how what he/she offers will reinforce your skills and knowledge in your weak areas. If the instructor can't do that, look elsewhere.
Compare what you are offering in your practice now and what you would like to be offering a few years from now. Literally visualize yourself in that role, moving through your day. Confirm that your activities and place feel right for who you are or want to become. Create a transition plan that identifies the steps you need to take to acquire new skills and knowledge, and turn them incrementally into solid experience. Now you have a path and a catalog to guide your course shopping.
The second part of what should draw you toward a class has to do with learning itself. Some recent research on the process of learning has looked at what makes particular video games popular and what occurs as people learn to play them.1-2 One concept that came out of this research was that students prosper when the subject matter challenges them right at the edge of their abilities. Make the lessons too difficult and the students get frustrated. Make them too easy and people get bored. Further concepts noted that practicing new forms of visual and kinesthetic perception literally enhances the ability to perceive, whatever the starting point. A final observation was that, while initially a lot of attention and effort was required, mastery, taking as little as a month to occur, brought a quieting of the brain as measured by the rate of glucose use.
Applying the thoughts above, look for material that challenges you step by step but doesn't confound you. Make sure that the step-in ability is based on where you are currently and equally - that it is indeed a step outside of your current comfort area. Look for presenters who draw you in, include you, and challenge your participation. Look for those whose joy of teaching reaches toward your own joy of learning and doing. Enjoy the process in its challenges to your mind and body skills, and cherish where, with a bit of planning, it can take you.
Oddly enough, then, confronting what was, for me, a new form of learning and thinking was both frustrating and life enhancing. This was a state that I could remember from my days in graduate school and earlier in my career (and when I changed careers midstream). Having long routinized my ways of learning and thinking, however, I had forgotten this state. It brought back home to me, forcefully, that learning is or should be both frustrating and life enhancing so that people keep going and don't fall back on learning and thinking only what is simple and easy."1
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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