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Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
July, 2009, Vol. 09, Issue 07
Massage Board and MBLEx Under Fire
By Christie Bondurant
Budget cuts and a new amendment to an Oregon bill threaten the Oregon Board of Massage Therapists (OBMT) along with the Massage and Bodywork Licensing Exam (MBLEx), the current primary exam accepted for licensure in Oregon.
The seemingly innocuous House Bill 2059 requires health professional licensees to report prohibited conduct of another licensee to regulatory boards. But it has now caught the attention of some major massage therapy associations due to a recent amendment that came as a surprise to the associations.
The bill, introduced late last year, has meandered unopposed through various bodies of government for about five months, until May when the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) proposed an amendment to the bill requiring the OBMT to accept their national certification exams. The new amendment, HB 2059-A7, states: "The board shall accept passage of the National Certification Board for Therapeutic Massage and Bodywork examination of another board-approved national standardized examination as meeting the written examination requirement contained in this paragraph."
The Senate Committee on Health Care and Veterans Affairs held a public hearing discussing the bill on May 12, 2009. Representatives from the NCBTMB were there to propose the amendment to the committee as well as outwardly make accusations against the Associated Bodywork and Massage Professionals (ABMP) portraying the association as a for-profit insurance company. The ABMP was not present at the hearing to testify in defense and was unaware of the new amendment until after the hearing.
The next day, the ABMP released a statement addressing the members of the committee. In the letter, Jean Robinson, ABMP government relations director, called NCBTMB representative Jackson Williams' claims against the ABMP false and added background and explanation to the genesis of the MBLEx.
Robinson wrote: "In his testimony, Jackson Williams, the representative from the NCBTMB, characterized ABMP as a for-profit insurance company that masterminded an elaborate scheme to create a new exam, an easier one than the national certification exam offered by NCBTMB, in order to 'increase the number of licensees so they can regulate more people, collect more fees, sell more liability insurance policies.'"
Robinson added: "Unfortunately, the committee only heard the NCBTMB's perspective, which differs from most in the profession. The NCBTMB lobbied for more than ten years pursuing and persuading states to adopt the NCBTMB exam as a de facto licensing exam and were successful in maintaining their monopoly and power over the profession. ... Years ago the massage regulatory and education communities approached the NCBTMB board with serious concerns about administration of the exam, incompetent customer service issues causing applicants delay in entering the profession, and the NCBTMB creating policies that did not comply with existing statures in states. NCBTMB ignored the concerns and did nothing to improve their processes. The regulatory boards had no other choice than to form their own organization and develop their own examination."
When asked to comment about the amendment as well as the accusations made against the ABMP, the NCBTMB released this statement: "We are pleased that the Senate Health Committee of the Oregon Legislature voted to restore recognition of the National Certification Exam for licensure purposes. This Committee, which is comprised of health policy experts, heard from all stakeholders and weighed the arguments pro and con. Our sense was that the senators found that the Oregon Board of Massage Therapists was unable to offer a convincing rationale for refusing to allow applicants to choose our exam. ... We look forward to building a productive working relationship with the Board going forward." NCBTMB chose not to comment further on Williams' claims against the ABMP.
However, the exam is not the only concern on MBLEx supporter's minds nor is it the only large issue facing the Oregon Board of Massage Therapists. In the current struggle to address a $4.4 billion budget gap, Oregon Gov. Ted Kulongoski is proposing cutting costs by eliminating certain state bodies, including the Oregon Board of Massage Therapists. In a speech addressing the city club of Portland on May 15, Gov. Kulongoski compared the state's financial status to the current American car manufacturer's financial woes. He said, "GM is going to have to live without Pontiac even though there are probably millions of loyal supporters too. I get that. But the money simply isn't there anymore. Some government functions have to go, at least for the foreseeable future. Oregon state government can no longer be all things to all people. That's why I am asking the Legislature to suspend a wide variety of agencies, boards and commissions." The Oregon Board of Massage Therapists was included in the governor's list of boards to be suspended.
Without a board to regulate licensing examinations, then HB 2059, if passed, would require the NCBTMB exam to be taken.
For information on the 2009-11 budget including a summary analysis of the governor's recommended budget go to: www.leg.state.or.us/budget/home.htm.
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