Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
July, 2006, Vol. 06, Issue 07
Put Your Hands on Your Monitor, Part Two
By Ralph Stephens, BS, LMT, NCTMB
In my last column, I made two errors. I would like to set things straight right up front. I don't bury my mistakes. First, I stated that the Career College Association (CCA) was part of a campaign to reduce classroom hours in massage programs.That is false. I received inaccurate information from a usually reliable source. While individual schools are working to replace some classroom hours and, in some cases, already are providing distance learning programs to all students, the CCA's President, Nicholas J. Glakas, has made it very clear that CCA, as an organization, is not involved in any such campaign. I apologize for my misstatement and for any angst or problems it might have caused.
Second, due to a poorly worded sentence, some people wrongly assumed I was attacking and demeaning the disabled, the handicapped and the Americans with Disabilities Act (ADA). It was never my intention to do so and I am sincerely sorry if it appeared that way to anyone. A longer version of this apology was published in the June We Get Letters & E-mail section of Massage Today (www.massagetoday.com/archives/2006/06/14.html). I support the ADA and the rights of disabled individuals to have full access to society and, in particular, the massage profession and massage education programs.
The classroom hours standard for massage education was established in approximately 1985 to guarantee massage schools actually were providing the amount of training hours advertised. I am not aware of any distance learning technology that was in existence at that time. There were no career colleges with massage programs at that time either. This standard has been consistent for more than 20 years. It has been written into the licensing statutes or administrative rules of most regulated states. In other words, in many states, it's the law that massage schools must provide classroom hours. Nothing has changed recently to inflict classroom hours on massage schools.
Sadly, many schools are breaking the classroom hour laws and providing distance learning programs in states where classroom hours are required and where the NCBTMB test is the licensing exam. One of the classes many schools provide, or want to provide by distance learning technology, is ethics. Teaching an ethics class illegally! This is pitiful. What a great example for new students - if you don't like a law, just ignore it. Why should students or therapists obey the laws and rules of the profession if the schools don't? This is a dangerous example to set. Where does it end? What's wrong with a "happy ending" if it generates more profit?
Can ethics classes be taught effectively with distance learning technologies? It doesn't matter. It's illegal or against the rules to do so. It's the same for any other class at this time. Until the law is changed, schools are obligated to follow it, so the question becomes irrelevant.
Why my passion over education standards? I entered this profession 20 years ago. It was the establishment of education and licensing standards that elevated massage in the public's awareness. If standards are lowered, making it easier and easier to gain entry into the profession of massage, there is a significant threat that the line between ethical and unethical will blur or disappear. Do we, as a profession, want that to occur? Is it worth taking any chance that it might?
What is the future of the massage profession? Here is a quote to me from one of the career college distance learning advocates: "You represent 'the old guard' of massage therapy (Thank you) and many of your associates are either close to retirement or will sell their schools to a corporation. It is obvious to us that revolutionary changes are in motion that will change the massage guild into an allied health career profession."
Allied health is not alternative and it's not independent. It's under the complete control and direction of the existing medical system. Is this where you want the profession to go? Do you want to be under the PT assistants?
I have nothing against career colleges or corporations. I do have a problem with the ones that are breaking the rules established by the profession they are serving not to mention the laws established by many of the states where they operate.
Maybe we are framing this debate incorrectly. Maybe the classroom hours standard is not the best way to insure quality, ethical therapists. How about a new standard that specifies the knowledge and hands-on skills that a graduate should be able to demonstrate, not just the hours of a program and where they are taught? Of course, this would mean changing a lot of laws and administrative rules. So while the profession develops a new meaningful education standard, let's also develop a piece of model legislation that gives us real professional recognition and protection while guaranteeing the public's access to our services.
Here is my compromise suggestion: Career colleges want the laws and rules changed so they can provide distance learning. We need a more uniform series of licensing laws. How about we work together? Let's develop new education standards. I suggest we start with the New York law at 1,200 hours and add the specifications of what a graduate should be able to do in order to graduate. With a program of this length, distance learning could be used for lecture classes. Concurrently, we should develop model legislation. It's time we strive for the highest common denominator instead of the lowest. The career colleges can then use their lobbying funds to enact the law changes. They will get a huge return on this investment from longer programs, uniform standards and distance technology implementation. However, until the laws are changed, through the legislative process not the courts, schools should obey the existing laws and standards. Fair enough? The right minds could bring this about in two to three years. How about it?
This is an editorial column and is thus my opinion or "My View From Here." I speak only for myself and not for any organization. I can see from "here" that any further discussion of massage educational issues on my part is a waste of good ink. I have brought the issue(s) up and offered my suggestions. It's up to the organizations and other stakeholders (that's you, by the way) to determine the future of this profession. If you care at all, get involved. Hold your associations, regulatory boards, schools and fellow therapists accountable and let them know your views and positions. If you don't work to determine your destiny, your opportunities and your profession's standards, a few others will, and they will not have your best interests at heart. Democracy only works with an educated, informed, participating population. Apathy is the food on which tyrants grow. In these times, tyrants seldom are individuals; they are more likely to be organizations, bureaucracies and large businesses. This column will no longer discuss massage education. I have other fish to fry.
See you in September!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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