resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
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.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
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.
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?
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.
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.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
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.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
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.
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.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
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.
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.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
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.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
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.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
February, 2011, Vol. 11, Issue 02
Time for Change
By Ralph Stephens, BS, LMT, NCTMB
A new year can bring so many changes. Just so you know, my column will only appear four times this year. So many great authors out there, I'm sharing the ink. I have also decided that 2011 will be my "Farewell Teaching Tour" and I will significantly cut back on travels after 2011.So, come study with me when I am near your town as this could be the last time.
I'll still be around; I have lots left to share and do. But after 20 years on the road as an instructor and 13 as a musician, the road has lost most of its charm.
Change is the only constant, so watch for the changes and join in when and where you can. As always, I will be posting regular editorials on my blog: http://ralphstephens.tumblr.com, and others.
Speaking of change, a major change must occur in our profession and soon. That brings me to the feature topic of this column.
The biggest problem with massage is that almost anybody can do it with minimal training to some degree. Friends and lovers can learn to give a very enjoyable massage by reading a short article or watching a video. It takes very little to train someone to give a relaxation massage that feels reasonably good to consumers who have minimal expectations and even less awareness of the true potential of massage as therapy. I am not discounting the benefits of the parasympathetic response. My point here is that turning out thousands of massage school graduates who struggle to pass a very basic licensing exam and can hardly give a decent non-specific massage, then "placing" them in low-pay, high-turnover jobs is not going to gain us acceptance by other healthcare professions and may create a backlash against us by consumers, especially at rates of more than $100/hr.
In the short run, this is a cash cow for schools and associations but it is no way to build a profession.
So, how did we get to this place? Well, to ponder this, we have to go back into the past.
I love this quote: "When the past no longer illuminates the future, the spirit walks in darkness." Alexis de Tocqueville
During the last century, when massage was having its renaissance in the 1970s and 1980s, the vast majority of people entering the profession were in their 30's, had college degrees and/or significant business and life experience. They had discovered alternative health and had a passion to learn how to better help themselves as well as to help others. Most were seeking a more desirable way to earn a living, "outside the box" where they were in control, in a much healthier environment and lower stress situation. It was rare that anyone came to massage school right out of high school, but those who did had a burning passion to learn the profession and to help people.
There were only 50 or so schools in the entire U.S. in the mid-1980s. Massage schools of that time were started by experienced, successful, professional therapists who had a passion for what they did, a knack for teaching and either wanted to share their knowledge and skills with other like-minded individuals or needed to train people to help them in their clinics. This worked rather well, because the instructors were accomplished professionals and the student base was highly motivated, self-funded (for the most part) and possessed the life experience and skills to create an alternative healthcare practice in whatever situation they chose.
These individuals could be turned into massage therapists with six months to a year of training (500 - 1,000 classroom hours) very easily and effectively. They were also acutely aware their school education was insufficient and invested in advanced continuing education at every opportunity. Because they could make a good living doing massage, they could afford this investment in advanced training, which brought huge returns in increased business as they learned how to help more people and conditions.
Today, we have a very different group of people entering the profession. Students are being recruited from the lower income, lower academic strata of high schools with promises of easy work, high pay, and guaranteed loans. These students may or may not have a passion for massage or health, for that matter.
I recently asked a student why she was in massage school. She said her guidance counselor told her she better go to massage school because it was easier than cosmetology - so she did. That is a sad perspective of massage: "It's the easiest school you can go to." The 500-650 hours of education might turn a 30-year-old, degreed professional into a massage therapist, but it will not turn the majority of today's 18-year-old, high school graduates into one.
Times have changed and we must too.
What We Must Do
The time has come to raise educational standards. Hours must increase to include more comprehensive life skills and much better massage skills. Hours in and of themselves are not the answer; curriculum and outcomes must be changed to turn out a healthcare professional that is literate in the language and techniques of the profession. It is time that we not only increase the scope of our training programs, but set significant competency standards for who can teach massage. The "if you can't do it, you can always teach it" philosophy must be abolished. Further, a good therapist does not necessarily make a good teacher, especially to today's students.
I know both these proposals are threats to the cash flow of our current school system, especially in the short run. However, for-profit schools using Title IV funding are coming under increased government pressure to increase placement and lower loan defaults.
A better-trained graduate would help with both those issues, and the only way to do that is to have better trained instructors who actually know how to teach. Most other professions have teacher training/competency standards. It is time we do too. Why? For the primary reason we should do anything: to provide better massage therapy to the public.
Of course, this will have to be a ramp up, not a jump up. Such a change will require the cooperation of all the major "stakeholders" in the profession. A proposal to create standards for instructors has been placed on the table by the Alliance for Massage Therapy Education. It deserves serious consideration and support of all. You can view the proposal at http://www.afmte.org/archives/1419.
We have to start somewhere and the best place to improve education and, thus, the profession is improving the quality and abilities of the instructors teaching the work.
Keep warm. Be Well. See you this spring!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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