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International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
April, 2007, Vol. 07, Issue 04
Are You Under Contract?
By Jenn Sommermann, LCMT
Unfortunately, it's still not the norm for massage business owners to have employment contracts with their massage therapists. Although things are changing and employers are more informed than ever, the average business owner still does not protect themselves or their staff with a written contract.We previously have been a more lax profession and our personalities, by nature, are trusting and friendly. However, as our industry has become more professional and our business training savvier, we are starting to understand how important a working contract is. A handshake won't do the trick anymore. Every massage therapist should have a contract, either as an independent contractor or employee.
I wish I could tell you this is preventive in nature, and for the most part it is. But, as a business teacher and coach, I hear too many stories that prove how important this concept is. I was inspired to write this article because a former student called with his "nightmare story." It seems an entire staff of massage therapists was fired because they wrote a letter of complaint about a recent promotional venue at the spa at which they were employed. The spa offered a 50 percent discount during a two-week period, and the cut came strictly from the therapists' pay. When the therapists wrote a letter and complained, a meeting was called. That same day, the therapists (I think there were 10) were questioned, fired and told to vacate the premises immediately. My former student called me to discuss if this was legal. I asked, of course, if there was a contract.
The good news is that he said there was a contract, sort of. It came in the form of a 38-page handbook for employees. However, nothing was negotiated and there was no room for discussion. It was a "take it or leave it" handbook and had to be signed by the employee. There also was a clause in it stating the employer had the right to change things as they saw fit. The bad news is it wasn't really a contract and did not have the "right" information in it to support both the employer and the therapist. A truly fair contract will support and protect both parties.
I can't stress how important a contract is, as a starting place for negotiation and as a concrete design of what the working relationship and model will be for the duration of employment.
Here is where it went wrong. First, there was, in fact, information about promotions. However, it only stated that the establishment had the right to run them. There was no description about how they would impact the therapist or their pay. Often, promotions are run and the house takes the hit, or a combination of the house and therapist will be affected. If the massage therapist were to assume the entire financial burden, wouldn't you want to know that going into the job? That is not to say you wouldn't work for someplace that assigned the financial burden to you. Rather, the information would be helpful so you could budget and/or plan your finances. Perhaps you rely on other sources of income and two weeks of a pay cut are fine, if it brings in more volume and is good for business. The converse side is, if you rely completely on this one paycheck for your personal finances, this could be a problem. Maybe you could not afford such a change in salary. Either way, knowledge is power and it would be helpful to know for future financial planning.
Second, there should have been a paragraph detailing termination agreements. If the business owner wants to fire you and end your job immediately, that is their right, but it should be in writing. Similarly, what if you are not happy? Are you allowed to walk, or are you obligated to give some notice? I am not an advocate for walking off the job. I always think the right thing to do is give at least two weeks notice. Whatever you and your employer decide, it should be detailed in the contract. Wouldn't it be helpful to know these things before you start working someplace?
Lastly, how are disputes handled at places of employment? A good contract will detail this in the unfortunate event that it happens. How stressful is it to think you cannot have a voice at your place of employment for fear of losing your job? If something like this were made clear in the contract/handbook, perhaps there would have been a forum to vent their grievances instead of everyone being fired.
There are many other topics I would suggest for an employment contract. And when it comes to contracts, the more information there is the better. Take any uncertainty out of the employment situation and detail the working relationship and model as much as possible. I have detailed three topics for you, given the unfortunate example from my student. In addition, I have named the other two on my Top 5 and provided this list for your reference.
Topics for written working contracts:
This is not an exhaustive list, but it is a start. I strongly suggest you get your hands on The Business of Massage by the American Massage Therapy Association and use it as a resource. It's an excellent book you will use for years to come. As ambassadors for the field, we must encourage employers to have working contracts. If they don't, suggest it. Be proactive. Draw one up yourself. If they don't like it or won't sign it, ask yourself, "Do I really want to work here?"
Above all, protect yourself and stay focused.
Click here for previous articles by Jenn Sommermann, LCMT.
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