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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.
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.
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.
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.
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.
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.
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.
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.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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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