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Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
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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