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Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
September, 2008, Vol. 08, Issue 09
The Ethics of Learning
By Elaine Stillerman, LMT
I got an e-mail the other day from a massage practitioner interested in my MotherMassage home study program. She also wanted the name of a practitioner in her area who had taken my three-day workshop so my student could teach her the hands-on techniques.Or, she asked, could she just learn prenatal massage from the videos on You Tube?
I subsequently logged on to the prenatal massage videos posted there and was horrified. After viewing many of them, I can see how the misinformation by these self-appointed "experts" can be confusing and misleading for practitioners and outright dangerous for expectant mothers. There was only one clip (shown on CW11-TV) that demonstrated accurate and appropriate massage techniques.
I am not shocked at this anymore. I have become inured to these cheap shots. I get this all too frequently in my classroom when massage practice managers send one or two employees to take my class for the sole purpose of teaching the rest of the staff the prenatal protocol when they return. I hear this same scenario from other presenters as well. For any facility to offer specialized treatments by unqualified practitioners is unethical and irresponsible. I ask you: Would you want to receive a medical procedure from a doctor who was shown the procedure once from someone who just learned it themselves? Or perhaps from a doctor who watched the procedure on a video or read about it in a book? I don't think so.
While one certainly is more extreme and potentially life threatening than the other, the same conceit remains: The only way to learn a technique and receive the on-site supervision of a trained professional is to attend a workshop in the preferred modality offered by a qualified practitioner.
I am confounded that massage professionals who mostly go into this proud profession because they want to help people and believe in natural healing processes, would cheat the very people whom they claim to care about. What does this say about the state of our profession? Are a few rotten eggs going to spoil it for the rest of us who do take the time, expense and care to come to a class?
I recognize the majority of massage practitioners are conscientious and eager to learn new modalities to enhance their professional and personal growth. But there still are too many out there who think buying and watching a video or reading a book qualifies them to practice a new technique and charge their clients a premium for their new skills.
Home study courses or textbooks alone can't teach hands-on training even if a video is part of the package. Those practitioners who take the easy way out and avoid attending workshops and pursuing continuing education courses, do themselves and (worse) their clients a great disservice.
Approved programs are offered all over the country by qualified professionals. Determined and interested massage practitioners have numerous opportunities to enjoy these stimulating workshops. Motivated practitioners might have to travel far distances (and incur steep expenses) in order to receive the training they seek, but the education and experience are well worth the trouble. I have had students from Europe, America and the Caribbean, and even students with young children attend my classes. So these difficulties don't have to become road blocks.
Hopefully, advanced education courses are taken because of interest in the subject matter, not simply to fulfill statutory or national continuing education requirements. Regardless of the impetus, attending hands-on classes still remains the only effective way to learn hands-on modalities.
Massage videos or reading a book can serve useful purposes. They can reiterate and reinforce techniques that already have been learned in the classroom and they can remind practitioners of body-saving and hand-saving mechanics. But they should not serve as the primary source of training. You can't ask a video/book questions and the video/book cannot provide feedback as to whether or not you are doing the techniques correctly.
Home study courses also fill a void. They provide fundamental information about a modality to offer an overview of a specific technique. From that, students can determine if they want to pursue the subject further and attend a class. These home study courses don't - or shouldn't - qualify anyone as a specialist in a specific modality. Nor should anyone assume proficiency in a technique because they passed a home study program. To call yourself an "expert" in a modality after a home study program or video presentation is dishonest at the very least and borders on consumer fraud.
Massage practitioners and bodyworkers must embody high standards of training and professionalism. Watching a video (whose sources are sometimes questionable) or reading a book (also sometimes questionable) and considering oneself adept and competent are not the ways to set and uphold these standards.
Click here for previous articles by Elaine Stillerman, LMT.
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