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What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
March, 2008, Vol. 08, Issue 03
I Object: The Value of Learning Objectives
By Rita Woods, LMT
The key points in my last article were the need for professional classroom preparation using a variety of teaching methods, understanding that adult learners are focused on education that will change their life, "chunking" the material into easy-to-grasp concepts, and the 12 teaching principles that can guide you as both teacher and student.
This month's article is about learning objectives. You also may see them described as learning outcomes. They are the alpha and omega in education. Literally, it's how you begin and how you end. The objective is to inform the student what is expected of them, they also are used to create your lesson plan and the student's evaluation. In other words, they are used to teach and test. They are so important to the educational process that workshops on writing them correctly are still held for teachers and professors. Hopefully, I can simplify these objectives without getting caught up in the academic nomenclature, of which there is an abundance. There are even types of objectives named after famous educators. For our purposes here, we will talk about what they are, why they exist, what you use them for and the basics of how to write them.
Learning objectives must reflect what skills or knowledge someone will possess after completing a lesson. You also may need to include criteria that must be met. Those criteria can then be used to measure the students' progress. If it can be measured, it can be used to create tests, quizzes, practice sessions and such. It also assures fairness and objectivity. If all students must perform to a minimum standard of competence, what is that standard? You establish that standard with your learning objectives.
Something is expected to happen. You are trying to achieve an objective, create an outcome, gain new skills or learn new things. Change is your goal. Action is necessary. Therefore, your learning objectives need to contain verbs. There are lists of verbs commonly used in writing objectives. Without getting too deep into the differences between cognitive and performance-based objectives, just remember to choose a verb that is appropriate for the skill you want the student to learn. Some good verbs include define, classify, describe, explain, identify, perform, list, compare, and discuss. You can even find lists of appropriate verbs by doing a Web search under "writing learning objectives."
Remember, your objectives should reflect what the student should know or be able to perform after the lesson. You will need to give this some thought. It may seem like a lot of trouble if you aren't used to writing them, but they can make your life much easier in the long run. Your thought process might go something like this: I need to discuss how our muscles change with age. I have enough reference material to cover the topic. It's a growing issue within our profession. I'll need to cover both the academic aspect and the hands-on issues. I have one hour to devote to this topic. So, what do I want them to learn? One possible objective would be: The student will learn the effects of aging on muscle tissue.
That's OK, but it is not clearly measurable. A better option might be: The student will be able to list three changes that occur in the muscle tissue due to aging. Now from a hands-on viewpoint, without actually having to perform on an elderly client, you could say: The student will be able to describe three precautions when massaging an elderly client. You can see how easily those measurable objectives also could become test questions.
Objectives are used for a variety of training situations. Sometimes, it may seem like stating the obvious. However, you still must state the obvious in a detailed manner that reflects observable behavior. Let's say you've hired a receptionist for your business or have rented out a room, and the new person is expected to answer the phone. Your phone training procedure should include objectives. They should be observable because you want and expect the best. However, you may need to reprimand, fire or retrain that employee. Detailed documented training procedures, the same for all employees, may wind up being your only legal recourse if you fire them for poor performance and they pursue legal action against you. A little tip: Always have a detailed training procedure that is initialed by all employees.
So, let's say you created your phone training session and it looks like this: The employee will be able to answer the phone, greet callers and take messages. Kind of vague; isn't it? It may be difficult behavior to correct if they say, "Well, I answer the phone, say hello and take messages." But if you have had complaints about them, you may need to let them go. But wait; they're doing exactly what you said you wanted them to do, aren't they?
So, let's create a different list of objectives. Develop them around clear tasks and expected behaviors that are observable. For instance: The employee will be able to operate our telephone system, including answering the phone using the elements of proper phone etiquette, (you may even want to list some), retrieving new and old voice mail, placing a caller on hold, taking messages by using the office message pad, and transferring calls to the requested person. These detailed points could be bulleted under the main objective of operating the telephone system. Given the same employee was trained in these two different ways, which objectives do you think would produce the best results?
Whether you are the student or the trainer, knowing what is expected of you is the first step to success. Face it: You can't meet your objectives if you don't know what they are. Next month, we'll create lesson plans and exams around learning objectives. See you then!
Click here for previous articles by Rita Woods, LMT.
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