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NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
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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