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Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
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 more information about Rita Woods, LMT.
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