resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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%.
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.
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.
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.
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.
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.
June, 2006, Vol. 06, Issue 06
A Discussion About Continuing Education
By Cliff Korn, BS, LMT, NCTMB
Are you a life-long learner? I know I am. At times, I think I could be happy as a perpetual student. I love the process of evaluating what I know, comparing it to the knowledge and beliefs of whoever is teaching a class, and then choosing those items that fit into my specific needs and circumstances that I can take back to my practice.
When I first graduated from massage school, I found there was a whole new world of education available to help me make great strides in my capabilities.There were many and frequent "ah-hah" moments for me. As my thirst to learn more grew and my time was spent in ever more workshops, the "ah-hah" moments started to diminish significantly. I learned rather quickly "there wasn't much new under the sun" and many of the things I was learning were similar actions and thought processes repackaged with different marketing terms. When I first recognized this, I was appalled, lamenting my loss of "ah-hah." I quickly outgrew my simplified and unrealistic expectations of continuing education though. I no longer find it necessary to get a wealth of new ideas from each workshop I attend. I also now realize that "similar" doesn't equate to "the same" and I find that nuances of style and intent actually are more than the same old thing with a new name. I don't need big "ah-hah" moments these days. One new idea, technique, or way of evaluating a situation that I can use in my practice is all I need to make me feel I'm getting real value for my education dollar.
I recently was reading responses on a massage chat group that expressed varying opinions on the desirability of mandating continuing education and requiring finite amounts annually. For me, the discussion was moot, as I am a member of several professional associations, all of which require specified hours of continuing education. I am nationally certified, and required to obtain continuing education hours if I choose to maintain that certification. My state also requires hours of continuing education to continue to practice. This has been the case for me since I began practicing in 1993, so I just accept it as "what is."
Most of the time, I think requiring a certain amount of continuing education on an annual basis is a good idea. The fact that CE is required lets me deduct the cost of the education on my tax return. Now, the IRS does have stipulations for this deduction in addition to it being required by law or an employer. The continuing education must "enhance or maintain skills." Being a CE Junkie, I end up in workshops of varying quality. Some I have attended were so bad that it would be doubtful if they meet this criterion.
One issue with continuing education has confused many in the last several years. At least as long as I have been practicing, continuing education has been provided in "CEUs" (Continuing Education Units). I believe 50 minutes of instruction equals one CEU. Recently, we see less use of the term "CEU" and observe it replaced by CEC (Continuing Education Credit) or CH (Contact Hour). At least one professional association and the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) use this terminology. It stems from definitions of the International Association for Continuing Education Training (IACET). The Continuing Education Unit (CEU) was created by IACET as a measurement of continuing education. One (1) IACET CEU is equal to ten (10) contact hours of participation in an organized, continuing education experience under responsible sponsorship, capable direction and qualified instruction. When I checked the list of authorized providers on the IACET Web site though, I could find none that appeared to offer continuing education in massage-related subjects.
I was impressed to find there is an organization whose sole focus is to positively influence the quality of continuing education. So does this mean that IACET-approved providers, or NCBTMB-approved providers are always going to be providing CE that is useful and of high quality? Not necessarily. Both organizations appear to be more concerned with the educational process of the provider than the content of the workshops presented. IACET's Web site says, "IACET approves the process, not the content - our standards apply across all disciplines. Through an emphasis on the educational process, the standards ensure clear program development and valuable learning outcomes."
The IACET's process approval is one I wish massage therapy CE providers would either obtain or emulate. Wouldn't it be wonderful if all of our CE providers were measured on criteria in Organization, Responsibility and Control, a System for Awarding Credit, Learning Environment and Support Systems, Needs Identification, Learning Outcomes, Planning and Instructional Personnel, Content and Instructional Methods, Assessment of Learning Outcomes, and Post-Program Evaluation? (Those are the 10 criteria IACET uses in approving providers.) The criteria would represent a systematic approach to cause learning to occur. It might not guarantee high quality, but it would go a long way to make it much more likely!
Since this time last year, I have enjoyed a varied menu of continuing education. I have experienced Ethics, Seated Therapeutic Massage for Carpal Tunnel, Hawaiian Lomi Lomi, Documentation in the age of HIPPA, Advanced Clinical Skills: The Pelvic Bowl, Myofascial and Deep Tissue Techniques, Breast Massage, and Massage Therapy and the Shoulder Complex. I have no intention of using everything presented in these workshops in my practice, but I am ever so glad to have taken them. My clients and I are better off because I chose to invest the time and money. Just as a new table, advertising or signage is an investment in your business, so too, is education. Check out www.irs.gov/pub/irs-pdf/p970.pdf to assist you in determining how much of your education investment you can deduct from your taxes. As a matter of fact, I need to check with a tax advisor myself because later this year I'm participating in a continuing education program on a cruise ship at sea! I want to make sure I get a business deduction from the portion of the trip that represents work-related education. Maybe I'll see you there, and we can both get a nice write-off and help our practices at the same time!
Thanks for listening.
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 by 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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