resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
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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