First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
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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