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Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
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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