resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
November, 2011, Vol. 11, Issue 11
Challenging Sacred Cows
By Ralph Stephens, BS, LMT, NCTMB
Some big changes are coming in the regulatory and professional development areas of our profession. While we are making these changes, it is time to have an open discussion about several "sacred cows" that tend to come along with regulation.
The first is continuing education. I am a huge believer in continuing education, especially for a profession that has such an abysmally low entry-level education standard. However, there are two ways to go about it, forced and voluntary. Which is best?
In a series of columns some years back (November 2006, January, March, and May 2007 issues of Massage Today), I explained that professional regulation of healthcare professions (licensing) hides under the mantra "to protect the public." The "safety of the public" is supposed to be the reason for licensing. This is utter nonsense and typical government-bureaucrat double-speak. Never has the public gone to the legislature demanding protection from a healthcare profession, or probably from any other profession. It is always the profession(s) going to the legislature begging for a government-granted monopoly to practice their discipline without competition. The "public safety" line justifies regulation and allows government to expand (revenue and staff) and the profession to control entry into the field while mandating professional development (cash flow). Never believe what bureaucrats and politicians say. Carefully observe what they do and its effects. There lies the truth – it's a form of outcome-based education.
The classic and most obvious example of this is the fact that medical doctors and their system, regulated by the state's medical boards, are allowed to kill more than 250,000 people a year through mistakes. This is by their own figures. That's more people killed by doctors than by guns, drunk drivers and wars combined each year. The public isn't being protected at all, the profession is. Try to discipline an MD. You have to go through the medical board. Same for all licensed healthcare providers. Regulation is really to protect the profession from the public. However, if for the sake of discussion we accept the public safety premise, is there ANY evidence out there that mandatory continuing education hours have any positive effect on public safety? The Pew Foundation did a study sometime ago and could find no evidence.
Are some people being injured by massage therapists? Of course. However, there is virtually no documentation of massage related injuries. Many experienced therapists, including this author, report anecdotally helping people recover from injuries received at the hands of other therapists. It is happening. The question becomes, is there any reason to believe that mandatory continuing education will prevent or lessen any of these injuries? If there is no documentation of injuries from massage, no documentation that continuing education would prevent injuries that might be occurring, and no documentation that continuing education protects the public, why is it mandated in our statutes?
The obvious answer is professional development. We have such a low entry level we need further training some say. But do we really "need" it? If a massage school graduate wants to function at entry level and just give nice soothing, general, non-specific massages for the length of their career, do they really "need" continuing education mandated for license renewal? If they cannot do that safely without forced CE Hours, maybe we need to raise our entry-level standard. It is time to have this discussion, factually, and make the decision based on evidence. While I am not a fan of evidence-based medicine, for decisions like this, I am a believer in no more government regulation than necessary. This is a discussion we must have and now is the time.
Why now you ask? Because the Federation of State Massage Therapy Boards (FSMTB) along with other stakeholders in our profession are about to create a new continuing education provider approval process and FSMTB is also writing a model massage law. Also, the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) is currently revising their continuing education provider approval process. Now is the time to review our concepts of regulation before these documents are written, as it will be very difficult to change them once implementation starts.
How much continuing education do we really need to renew a license to practice massage? Is there any public safety reason for mandatory CE Hours? Maybe mandatory CE hours should only be for true public safety issues like CPR-First Aid, abuse reporting, etc.? However, do those courses really improve public safety? Prove it!
How many LMTs have used CPR-First Aid on a patient in their practice? How many people have been "saved"? Is the time and money invested giving any return other than to the providers of the classes? Do we really need CE provider approval at all? If so, why? Virtually every provider that applies gets approved. All that is required is paperwork filled in correctly and money, so what's the point?
While we are at it, do approval processes for continuing education providers in any way protect the public? Where is the evidence one way or the other? Provider approval has become a cash cow for the NCBTMB and some state boards. More and more state boards are getting into the act. It is merely a tax. This time consuming and expensive tax gets passed along to those who take continuing education courses. Is a continuing education class any better at protecting the public or promoting professional development because some instructor or quite commonly a school administrator can fill in a bunch of paper work and submit a fee? Once approved, the worst provider and the best are equal.
Please note, I have not advocated any position on these issues. I will do that in my next column. In this article I want to stimulate your thoughts, your input and your involvement. We can talk about it here in the pages of Massage Today, and I am sure we will, but it will be best, and most influential, if you send your input to: the FSMTB ( ), ABMP ( ), AFMTE ( ), and AMTA ( ) as well as other stakeholder organizations. This is your chance to be heard, to have real input on the future of this, your profession. A stakeholders meeting is coming up soon, in October I believe. Seize the moment and let somebody know your ideas and concerns. If you don't, you have no grounds to complain later. If you are not at the table, you are on the menu.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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