resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
April, 2010, Vol. 10, Issue 04
Does Your Staff Support You or Weigh You Down?
By Jenn Sommermann, LCMT
One of the most challenging aspects of being a business owner is managing staff. Interviewing, hiring, training, overseeing, motivating and sometimes firing staff, can take countless hours.Some wonder if it is even worth it. It can be a very lucrative part of any practice, if handled correctly. But it can also be a nightmare, especially if the staff member doesn't work out well and puts a burden on the practice. Getting the right staff member in the first place is the key to success. In the scheme of things, most of the energy should be spent on the hiring. It isn't about a warm body to fill the therapist's spot; it's about the right person. The concept of team is critical when you are looking to bring on a therapist. There are many things to consider.
As I mentioned, hiring is step one and where a good part of your energy should be spent. I used to conduct a verbal interview with a candidate first. This was level one and in the interest of not wasting anyone's time, a verbal interview weeded out most folks. If I was impressed by the verbal interview, a second hands-on interview was conducted. The interviewee had to perform a 40-minute massage on me and teach one exercise. If there was a tie between candidates, a third massage interview was performed on one of my staff members so they could have a voice in the decision process. I was never trying to replace or duplicate my hands. Moreover, I was looking for someone to "complete" the existing practice; a team member who would fit with the model I had established. To me, the team concept was far more important than finding someone who could perform an identical massage to me.
Another criterion important in my hiring process was the candidate's business etiquette and professionalism. Dress code, hygiene, timeliness and speaking voice all played a roll. Manicured hands tell a lot about how someone cares for their "tools." It was also an indication of how they would care for my equipment. My office was run in a very specific way and it was very successful. I needed a therapist who was willing and able to follow my format, accurately and with pleasure. Notice again, the focus was not on technique. I trusted the technique was there and short of giving a lousy massage, I opened myself to the possibility that there are enough clients for everyone's style.
Once hired, training started right away. It has been my experience that therapists want a fair wage and as much autonomy as possible. Even though they were working under the umbrella of my practice, I allowed them to feel like they were running their own business as independent contractors. The training that occurred was largely based on how I ran the office, what the expectations were, how to chart client notes, and shared marketing efforts. Again, there was not much emphasis on technique because I wanted the therapist to feel as if they could do their own thing.
After a certain amount of time and once I had gained confidence in the therapist, I let them fly solo. I stopped reviewing their notes and allowed them to schedule their own appointments. This gave them freedom and flexibility, creating a further sense of autonomy. With this vote of confidence came years of loyalty, as my therapists often commented that working for me was the best of both worlds.
Weekly staff meetings kept motivation high. However, there were times when one therapist could bring the entire staff down with negativity. You know what it is like sometimes. The phone doesn't ring so you obsess about it. The more you obsess, the more the phone doesn't ring. It is a vicious cycle. Basically, what you focus upon expands. If the negativity is left to perpetuate, it can grow and spiral out of control. One person can have a large effect on an entire practice. Nip this in the bud. If necessary, single that therapist out and train them to stay positive. Remember, this is a team sport, and if that person cannot commit to a positive attitude, they may not be the right fit for the practice. In this case, do what you have to do. That might mean this therapist needs to find employment elsewhere. It may sound harsh but, remember, this is your business. Your income depends on it.
Most of my staff worked out well and stayed with me the entire time I had my group practice. Some even remained after I sold my business, because the new owner followed my business model. I am proud that I was able to provide an environment that warranted loyalty and dedication. It was my greatest business success.
That being said, I did have to terminate someone once. It was one of the hardest things I had to do, but it was absolutely necessary to the success of my practice and the success of my therapists. If you find yourself in this case, talk to someone. Rehearse what you will say so you feel confident going in. Be kind but be firm. Remember, this is for the team.
A good staff can make your life much easier. If you put the time in to find the right people, you will feel supported and can be quite successful. If you find you have made a poor decision or the therapist is not the candidate you anticipated, cut your losses early. Don't linger with this decision, as it can affect the entire team and business model. Ultimately, you want a staff that can support you, lift you up and, when appropriate, fly solo. A staff that weighs you down is bad for everyone.
Click here for previous articles by Jenn Sommermann, LCMT.
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