resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
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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