resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
April, 2011, Vol. 11, Issue 04
Massage Therapy Education
The Industry Responds
By Gloria Coppola, LMBT
There isn't a week that goes by that someone does not mention to me their concerns or suggestions about massage programs in the United States. Across the U.S., massage students, therapists, instructors and school owners have shared their joys and frustrations regarding the massage schools of today.
As a former school owner, curriculum developer and instructor, I have seen this profession change in many ways (both good and bad) over the last 20 years. Education about the therapeutic benefits of massage has increased among the public sector. And while this is a great step in the right direction for our profession, there is a much more immediate need that waits to be addressed: massage therapy education. Through a recent survey1 along with several individual interviews, I sought to find out what those in this industry are saying about the state of our education. This article is a compilation of their feedback.
Hours of Education and Curriculum
Many individuals I communicated with agreed that the length of time for a massage program is the most significant change needing attention. In the survey of more than 1,000 massage therapists, over 69 percent responded that massage programs should be 700-1,000 hours in length.
Some individuals I interviewed from schools across the U.S. felt that if the programs were longer (or more spaced out) it would allow time for students to develop as a therapist before they are sent on their own. They would have time to integrate their lives, work, and the healing process that comes with being a therapist. In contrast, faster, more condensed six-month programs seem to be rushing students through training for the sole purpose of making money, while inadequately preparing them for business, and likely setting them up for failure or burnout.
Rick Rosen, founder and co-owner of the Body Therapy Institute in North Carolina and executive director of the Alliance for Massage Therapy Education stated that the goal of the organization is to strengthen and improve massage therapy education overall. However, speaking of student curriculum specifically, he highlighted two key areas that schools need to focus on:
His belief, shared with many others, is that some massage programs offer too many modalities with not enough time devoted to the foundational skills that build confidence, knowledge and awareness.
Many in the survey believed that researching the school prior to attendance was highly important as well. The reason being: the standards of education are simply not the same at every school. Why? For a variety of reasons. Do you know some instructors have never taught anything prior to teaching massage? Often, I have walked in a classroom to evaluate an instructor, only to find them sitting behind a desk learning from the very book that they are teaching. Are there natural-born teachers? Yes, we do exist. However, we all need some basic guidance, teaching skills and training to be effective.
Did you know instructors might get hired for a position they don't have the credentials for? Believe me, I know this firsthand after I was offered this scenario at a very popular massage school. Desperation often leads the administration to hire anyone to cover a class. This is mostly due to a lack of quality instructors and often the pay is inadequate for an experienced instructor.
While compiling this article, I had numerous complaints from students about the instructors of today, many complaining that they have two, three or four instructors for one topic. Feelings of frustration build up and eventually they give up on the whole program.
Massage School Programs
With more and more massage programs popping up across the nation, there is a shortage of well-trained and experienced instructors available. In one of my interviews, an owner of a large school in Kansas City, Mo. expressed that he has seen a shift in the industry over the last eight years. He now sees younger students, many of them entering the programs through promotional venues that promise a high-paying salary for minimal education.
In my findings, instructors across the nation expressed their frustration with the lack of maturity in some of these students. They state that there needs to be a level of commitment. However, many students never realize how much work is involved in the study of massage as admissions offices are not informing them of the intensity. Other instructors shared with me that some school administrations do not support their needs for tools and resources and significantly lack understanding of the emotional component that is involved during these trainings.
Another major concern expressed from colleagues was the offering of title IV funding which may allow individuals who are not qualified to pursue a career in massage or have felony records to enter the program. Although they feel these funding programs might help a less fortunate person explore a career in the healing arts, they also recognize the need to screen those with criminal records. It is my understanding that most, if not all states do not allow someone with a felony record to become licensed. However, from personal experience at a school, I found this situation did exist to my dismay.
Renate Novak, former school owner of Health Choices in New Jersey, has been in the massage industry for 40 years. She feels very few educational centers are doing justice for the profession. She states, "Massage can be a life-changing experience." She explains that most therapists don't receive an education that even comes close to the skills that are possible. Her concerns are that the industry has lowered its standards of respect for massage therapists. As an instructor, her biggest challenges were students with difficult personalities and determining how she would facilitate their integration into the group-learning environment. Several other instructors have shared this same view with me as it continues to be one of the major current challenges across the board.
I was speaking with an instructor who teaches at a community college program and she believes that the slower programs enable the students to foster "body memory" in the movements, which allows for greater understanding of palpation skills. While her original training back in the 90s was a shorter program, she expresses her trepidation in being able to keep up with the demands of the program that she attended.
Hence, the associate's degree program she teaches allows students the time to integrate it all, preparing them with more confidence. Another advantage they have is the resources and funding for equipment and supplies that some school budgets just don't have available. However, because they are a college they are limited in presenting material, very often that a private school can address in the healing arts.
Ariana Vincent, a continuing education provider in Texas, says her program prepared her for Swedish massage, but not deep tissue. She feels a thorough core curriculum should be at least 1,000 hours and that instructors need to be more focused and responsive. Her concerns include clinics that are not well supervised, which was another common complaint from students across the nation.
The individuals who were satisfied with their programs came mostly from private schools or schools that employed "experienced" and "inspirational" instructors. Eighty-two percent of the individuals surveyed said instructors should have a minimum of three years experience as a therapist along with instructor training to deal with a variety of situations and difficulties that might arise in a classroom setting.
So why aren't some schools providing these basics? That will have to be another article, and possibly another survey. But perhaps the influx of ill-equipped educational facilities does not understand the depth of this healing modality and therefore, do not focus on these fundamentals. Perhaps they feel giving a back rub is easy to do and there is nothing else involved. Perhaps they are clueless that this profession requires a profound and professional connection with the client. Or perhaps they only care about making money?
Reflection Of My Findings
Too many students come out of the current massage programs ill-prepared and unable to find the employment that had been promised. I am saddened when I hear employers tell me that potential candidates don't even know how to touch with intention. And I am frustrated when I hear instructors tell me they don't feel they can provide a proper education because there isn't enough time written into their curriculum.
My basic education, over 20 years ago, was a program based in the healing and spiritual approach to massage that took nine months to complete. While I may not have understood it all at that time, I feel it provided me with a knowledge and wisdom of this art that allowed me to explore the boundaries of the body, mind and spirit. I gained a deep respect for the human body and the privilege we have to touch another person. Our training was mostly hands-on, which provided me with a level of confidence I rarely see in programs that offer limited hands-on hours. Although, at the time, the anatomy and physiology was limited and required me to take additional training post-graduation, the foundational hands-on skills excelled.
Many colleagues expressed a need for an associate's degree for massage therapists if we want to be recognized as a health care professional. Perhaps, we need different levels of practice from entry level to clinical therapist levels, as I don't believe personally that every individual requires a degree to be an amazing massage therapist.
However, I do feel that every massage therapist should continue their education with quality classes to further their knowledge after they get their license. It is unfortunate that many states do not have any minimum requirement for licensing renewal. As a result, many never pursue their education beyond their basic foundation. I actually had a woman in my class who had not taken a CE class in 15 years because she was in a state that did not require any further training after the massage certification program.
There is so much to pursue and understand in this growing field. Students need to be prepared to be successful and confident. Business courses that are geared toward our industry are a necessity. What good is the education without the knowledge and skills to successfully practice? I receive numerous e-mails from new therapists stating they can't find work, or can't get their private practice going. They are frustrated and disillusioned because they were not prepared for what is really happening in the field.
We have so much to offer as massage therapists! We are caring, compassionate beings here to serve and provide a healing modality and profound touch to some who may never receive it. We need quality education and supportive environments to learn and grow. We need more instructors who care and who are properly trained. We need employment that supports us on this amazing journey to help others.
Thank you to everyone who shared their views and assisted in the compilation of this article. There was a delightfully overwhelming response received. It should be said that there are many fabulous instructors, therapists and schools out there. What I have experienced, through this research and frequent conversations with colleagues, is that there is an overwhelming concern of what is not happening in the advancement of massage education.
We are passionate individuals about this profession and we feel honored that we get to touch the world!
I would love to hear more about what you think of the state of our education. Contact me at and tell me what's on your mind.
Gloria Coppola has been in the healing arts for 25 years. The former owner of a massage school and curriculum writer for several massage schools across the nation, she is now a continuing education provider. Gloria has also contributed articles to several massage publications over the course of her career. Thanks to Ryan's encour-agement you can also enjoy some video clips on massage at massagenetworknews.com. Contact her at MassageProCE.com or email her at
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