Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
April, 2009, Vol. 09, Issue 04
NCBTMB Responds to AMTA
Calls decision based on "passion."
By Christie Bondurant
The top story in the March issue of MT reported on the American Massage Therapy Association's (AMTA) recent support of the Massage and Bodywork Licensing Examination(MBLEx). Responding to the AMTA's endorsement of the MBLEx as the premier entry-level licensure exam, the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) issued a statement contending that the AMTA's decision was "driven by passion" and alleging that parties advocating use of the exam have financial interests in mind, not the profession's long-term goals.
The AMTA stated in late January that, after thorough research and two months of open discussions with both the NCBTMB and the Federation of State Massage Therapy Boards (FSMTB), "all issues were examined regarding support for the MBLEx exam, as well as its impact on massage therapists and the [NCBTMB]" itself. Even so, the NCBTMB's response to the AMTA's support of the exam stated that the decision lacked judgement and added that the existence of the MBLEx is "redundant" and will threaten the profession at large as any national health program will not likely back a profession that has "abandoned its status as a credible and credentialed profession."
The AMTA gave its reasoning for the support of the MBLEx, also in the January statement: "For many years, the [AMTA] has supported an envisioned future of portability of massage practice, fair and consistent licensing in all states, and uniform standards for the profession. AMTA continues to believe acceptance of one exam for state regulation of massage therapy will give a consistent message to legislators and regulators that can best facilitate the achievement of these goals. ... AMTA believes the [MBLEx], developed by the [FSMTB], is the best choice for a licensing exam that can lead to portability of massage practice." (To read AMTA's full statement visit: www.amtamassage.org/news/012609release.html.)
The following is the NCBTMB's full response, sent to Massage Today on March 6, titled "NCBTMB's Position Regarding AMTA's Endorsement of MBLEx": "NCBTMB feels, respectfully, that AMTA's decision to endorse the MBLEx was driven by passion rather than reason, and does not promote the long-term interests of the profession. The parties that have advocated the MBLEx have economic interests favoring entry into the profession of a higher number of practitioners content to adhere to lower standards.
"Perhaps the most telling evidence of this intent was the decision to produce a redundant examination rather than jointly create a national practitioner data bank to protect the public. These interests are in direct conflict with the interests of over 91,000 nationally certified massage therapists, who benefit from a field comprised of knowledgeable, highly skilled and committed professionals who can best guarantee quality massage experiences for consumers.
"Introduction of the MBLEx threatens the viability of national certification and the profession at large. If massage therapy becomes the first allied health profession to abandon certification, we can only imagine what kind of message that would send to consumers, patients, hospices, workers compensation bureaus, referring health professionals, and to the Medicare program. Congress stands ready to appropriate over $1 billion for comparative effectiveness research, which has potential to demonstrate the ability of massage therapists to produce good outcomes for patients. It seems unlikely to us that any national health program will be inclined to study, let alone decide to cover, treatment in a field that has abandoned its status as a credible and credentialed profession."
The NCB feels that the "most telling evidence" of the parties' (advocating the MBLEx) economic interests is the lack of collaboration to "jointly create a national practitioner databank." However the FSMTB (creator of the MBLEx) initiated collaboration in 2005, when the federation was established because of their interest in creating a new exam. As reported in Massage Today [November 2005;5(11)], "the FSMTB states that they recognize the scope and potential impact of such a choice and have initiated a dialogue with NCBTMB to explore the possibility of the two organizations working in collaboration to improve NCB's existing exam program."
Collaboration did not take place, and thus the MBLEx, created in October 2007, was developed. According to the FSMTB, at the request of state boards, the exam was "created from a job task analysis survey of more than 7,500 professionals in massage, bodywork and somatic practices."
Why Create the MBLEx?
NCB's role in regulation has been questioned due to "the fact that state boards have had no direct input into the design and administration of this examination program, nor any role in the policy making process of NCBTMB," (also reported in MT, November 2005). According to the FSMTB, the MBLEx was created in part to solve this problem. "By having one licensing exam, the states can assist in the process of portability of licensure for massage therapists. With the MBLEx now in place, it is no longer necessary for state regulatory boards to be at the mercy of, or beholden to any party that can dictate or jeopardize the regulatory boards' function, decision making or integrity."
The NCB, in a second statement released to Massage Today on March 6, explained "NCBTMB's Position Regarding Use of its Certification Tests as the National Standard for Entry-Level Licensure Exams": "NCBTMB whole-heartedly supports licensure through our certification program as the best licensing path for the massage professional. Over 30 years of national policy and precedent in the healthcare field, as well as 16 years of successful implementation by the NCBTMB favoring licensure through certification, supports this successful inter-relationship. NCBTMB's exam program has successfully raised the standards for massage therapy and thereby protected the public health, safety and welfare since 1992. Today, in 33 of 39 states that regulate massage, our licensure through certification programs have successfully helped transform massage into the acknowledged, respected profession it has become. NCBTMB's licensing through certification programs have demonstrated their value to students, schools, regulators and businesses, with consumers as the current, and perhaps the most vital, audience. We believe NCBTMB's licensure programs are inextricably tied to the future growth and credibility of the profession in the United States."
The growing acceptance of the MBLEx may cause alarm for the NCB, however the Federation believes there is a place for both certification and licensure. "The [FSMTB] does not wish to compete with NCBTMB over its certification exams or to engage in a 'turf battle' as some observers have described recent events. The FSMTB maintains the factually-based position that licensure is the function of the licensing boards - not the function of certification boards."
In related news, Massage Today conducted a poll asking readers whether or not they preferred one entry-level exam nationwide. The overwhelming response was "yes;" however, the question still remains which exam is or will be preferred. (See the results of the poll on page 22.) Massage Today will continue to follow this story and update as necessary.
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