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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.
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."
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.
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.
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.
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.
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.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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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