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AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
September, 2010, Vol. 10, Issue 09
The Changing World of Education
By Keith Eric Grant, PhD, NCTMB
"For everything you have missed, you have gained something else, and for everything you gain, you lose something else." -- Ralph Waldo Emerson
Back in December 2003, I attended a lecture by William A. Wulf, then president of the National Academy of Engineering. One of his comments that struck me was on the difference between small improvements in technology that make something already being done easier and on the continuing and often unexpected social changes stemming from huge quantitative changes in technology. He noted that he had a computer in his briefcase 100 times faster than the ENIAC computer (circa 1946), which weighed 100 tons and was the size of a squash court. The computer in his briefcase? It was a greeting card with a microprocessor to generate music. Wulf also quoted a statement by computer scientist Danny Hillis, likely looking back from the late 1990s to the late 1970s:
"I went to my first computer conference at the New York Hilton about 20 years ago. When somebody there predicted the market for microprocessors would eventually be in the millions, someone else said, 'Where are they all going to go? It's not like you need a computer in every doorknob!' Years later, I went back to the same hotel. I noticed the room keys had been replaced by electronic cards you slide into slots in the doors. There was a computer in every doorknob."
In the last 15 years, we've seen great changes in the diversity of people using electronic communication. E-mail lists and "UseNet" groups became common and then morphed into social networking and communication media such as Facebook, Twitter, Flickr, Skype, and YouTube. We can now share thoughts, pictures, and videos in ways unthinkable a few years before. With Skype, we can converse with colleagues by voice, share text and Web links, and even see their computer desktop or share ours as we work on projects together. Our friends and colleagues can now as easily be across the world as across town.
Communication has changed enormously in the amount of information that can be moved and stored and in the capabilities to display it. Communication also changed both in the move from media control of information to individual control and in information media having to adapt both in presentation of information and in finding new business models -- a transition that is still in process. Now, I believe, we are on the verge of such changes in education, including, at the least, didactic elements of massage training. There is a tremendous amount of effort and creativity being thrown into technology for education.
Technology in Education: Hybrid Textbooks, Interactive Tools, and More
This morning, before sitting down to write, I chatted with Susan Salvo, author of Mosby's Pathology for Massage Therapists, about her experience with Elsevier Publishing's hybrid textbooks. The textbooks are hybrid because they include a physical textbook, an access code to online interactive modules, and a user guide.
In using such technology for hybrid classes, Salvo stresses the need for the teacher to demonstrate access within the class and to provide regular links and contact via e-mail. For the student, the online modules provide additional ways of learning and the ability to review material until they grasp it. According to Elsevier's description, their Evolve Course Management System (CMS) is available to instructors upon adoption of a core textbook and provides both learning resources for a corresponding textbook along with access to a comprehensive suite of communication and organization tools. These tools include discussion boards, e-mail, chat rooms, calendars, address books, task organizers, and more, allowing an instructor to customize course content, build online tests, create assignments, enter grades, post announcements, manage student groups, and much more.1 (Ryann Ellis provides a more general discussion of the desirable features of such a learning management systems.2)
Jan Schwartz and her colleagues at Education and Training Solutions3 have taken a more direct path to online learning -- one that includes being a provider of classes for Massage Envy. Schwartz noted that they chose Moodle4 as a course management system (CMS) because of it being developed and maintained by "an open source concept community -- working together to create a product that just keeps getting better".
Schwartz, who holds a masters degree in Sustainable Entrepreneurship: Specialization in E-Learning spoke with me about the flexibility of such systems. Moodle, for example, provides for synchronous sessions with group chat rooms and having office hours in which students can talk with the instructor. It also provides for students doing group projects together, working asynchronously as their own time permits. An example she gave was for students to read an article, review it, and then comment on at least two of their classmate's reviews. Schwartz notes that part of the instructor's role is to nudge students to stay on topic in the work rooms and to be succinct. There's a social forum provided for more casual interactions among students.
At this point, online learning can't teach the basic kinesthetic vocabulary of massage skills. Some things still need to be learned in person. What the technology is capable of providing is both theoretical knowledge and demonstrations of ways of applying a kinesthetic vocabulary once learned. At this point, there are still state laws and board regulations that can prevent full utilization of current technology. Both the technology and its use for education in general are evolving so rapidly at this point, however, that such laws and regulations will increasingly be seen as quaint anachronisms. Students who have grown up with technologically-based education will push the profession into using technology for its full potential in providing training that is both flexible and highly interactive. From a regulatory standpoint, training concerns should not be about how content is delivered, but about how well students can demonstrate their mastery of required content after training.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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