resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Managed Care Subverts Chiropractic
A study published in the American Journal of Managed Care underscores why so many chiropractic patients go out of network in order to get the care they need: Managed care may be effectively locking them out.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Thinking About Cohen's Kappa
Let's think about some notions of reliability and validity, and about what it means for diagnostic examiners to agree in meaningful ways. Diagnostic tests must obviously be both reliable and valid.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Dietary Fat and Prostate Cancer: An Important Update and Review of Mechanisms
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
A Tribute to a True Chiropractic Leader
President of Texas Chiropractic College (alumnus, class of 1950) and the American Chiropractic Association (ACA) Board of Governors. President of the Texas Chiropractic Association and twice-appointed member of the Texas Board of Chiropractic Examiners.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Why More Patients Don't Come to Your Office
Every so often, something turns out to be much easier than anticipated. It's like ordering a piece of furniture or a child's toy that comes in 167 pieces.
Troubleshooting: Billing Multiple Fees for the Same Service
I am afraid I may doing something illegal. I have heard I cannot bill different fees for the same service.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
When Patients Lie (Bribe or Flatter)
Recently, a new patient told me about what I thought was a novel twist on the doctor-patient relationship. She felt she had to lie to her DC to discontinue her treatment.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Active Care for Ankle Sprains
An ankle sprain is a common injury, since this joint is required to perform complex movements under high forces during normal walking. In fact, 10 percent of all emergency-room visits are ankle-sprain related and an estimated 25,000 ankle sprains occur in the United States daily.
We Get Letters & Email
It was with great interest that I read "Trouble in the Wellness Waters?" in the May 1, 2015 issue of Dynamic Chiropractic. I heartily applaud Dr. Hayes for his insightful and informative article.
Do You Have a Post-ICD-10 Strategy?
Post-ICD-10 planning is critically important to the health of a practice, in part because ICD-10 is brand new to providers, payers and related affiliates alike.
February, 2012, Vol. 12, Issue 02
Challenging Sacred Cows, Round Two
By Ralph Stephens, BS, LMT, NCTMB
Part I of this column in November 2011, rang a bell with many of you, mostly positive. I sincerely appreciate all the responses. I hope even more of you sent your input to the governing bodies of our profession. They need to hear the roar of the crowd in their boardrooms.
I want to clear up something before I go forward. First, an esteemed colleague and visionary of our profession wrote to me asking if I did not believe in science because of my comment, "While I am not a fan of evidence-based medicine..." Of course I believe in science. In fact, I believe Science is Golden. However, I am a seeker of truth and, quite often, science has become the seeker of political expediency. There is too much pseudo-science going on out there that's being accepted as truth. I am a huge fan of research and science. However, I do not see that evidence-based medicine and the resulting standards of care protocols have improved the health of the public. I do not believe that if we go to evidence-based massage protocols (for this you shall do that), we will serve the individual client better. It is an allopathic paradigm, based on obsolete Newtonian physics, desperately trying to protect allopath's Central Dogma. If we are going to base massage on research, it should be quantum physics-based, a new paradigm that treats the individual holistically. Sometimes I am probably too idealistic.
We have this deep longing to validate our profession through research. Yet, our profession is based on totally arbitrary standards, established out of expediency or consensus with no evidence or research to support them what so ever. Still, we defend them as if they had validity. Where did the 500-hour entry level standard come from? It was chosen in about 1985, primarily for the economic benefit of schools and to create more massage therapists faster. It was a down to a price instead of an up to a standard decision.
The National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) institutionalized the 500-hour standard with its job task analysis. This was a classic case of "research" stacked to produce a desired outcome. The resulting certification exam degenerated into an entry-level licensing exam because that was where the money was. Yes, it was partly because it was the only "legally defensible exam" available and making it a licensing exam (forcing people to take it) generated the money to launch the organization successfully. However, it was a bastardization of the original vision, which was to elevate the profession with a meaningful certification. Instead, it set the lowest common denominator and institutionalized it.
There has been no scientific competency research to justify any of our various entry-level hour standards, 500, 650, 750, 1000 or whatever. Before we set any more standards based on arbitrary numbers of hours, we need competency-based criteria as to what is a required skill-set to provide excellent massage to the public. Work soon to be published by the Alliance for Massage Therapy Education (AFMTE) will clarify the MTBOK and map its knowledge, skills and attitudes into specific learning objectives. It is time we stopped picking our standards because some number looks or feels good. It is even more important that we stop picking hour numbers because that is how many it takes to get student aid, or maximize school efficiency or other greedy financial reasons. It is time we put the good of the massage consuming public first and focus all our efforts on serving them the best we can, with the highest quality and competency reasonably possible at entry level.
Where did 12 hours of mandated continuing education a year come from? It, too, is a dartboard number with no basis in reality. Is a day and a half a year really going to elevate anyone's skills? Is an unsafe therapist going to be made safe by 12 hours a year of forced attendance at some course or by purchasing a home-study program?
Since we so lust for research to validate what we do, how about validating our own standards with some? What proves that three hours of ethics every four years has any effect on the ethical behavior of our profession? Prove 12 hours (or however many hours) a year of mandated continuing education protects the public or brings about professional development. If you can't prove it, drop the mandate. What proves a provider approval process improves the quality of continuing education? All provider approval does is create cash flow for organizations and state regulatory boards. It does nothing to insure quality. It is another lowest common denominator process because if it is not, lawyers will tear it down. That is the society we live in. (Other times I am a realist.)
I am a continuing education provider. It is in my best economic interest to work for standards that force more people to take more continuing education. However, money is not my motivator. Providing the public with the best possible massage is. I do not think people forced to take continuing education necessarily learn a thing, practice safer, or utilize what they might learn. People should take continuing education because they want to better serve their clients, to become more successful, to grow and lots of other positive reasons.
As our various organizations attempt to improve our status by raising arbitrary standards, the new students, practitioners and providers are being "taxed" to death. As I look over the landscape of our profession, the most glaring inadequacy I see is the lack of standards and qualifications for massage instructors. While I am not a fan of following the allopathic model, in this case, I think it is time we follow the lead of nurses (and primary/secondary schools) in establishing qualification for massage educators. We need more quality in education, not necessarily more quantity. The time has come for this stage of advancement in the massage profession.
A new organization has been created and is working toward this and other improvements in massage education. It is the Alliance for Massage Therapy Education. You need to support this group immediately and help bring about this important plank in the professional development of our profession – the establishment of standards and training programs for massage therapy instructors at all levels.
We need to demand our standards for educational hours and continuing education hours be based on quality, scientific, non-politically or economically influenced research instead of "dart board numbers." If we can't prove it, why do it? Here is a great job for The Massage Therapy Foundation and a good reason to support and donate to them, too.
Membership organizations should be encouraged to contribute and support these efforts, but have little or nothing to say in the process. Their primary interest is more members, which is the main reason we have the mess of regulatory incongruences and arbitrary standards we have today.
As The World Turns
Meanwhile, the FDA is posed to take away food supplements. If you value your access to supplements, check out my previous article at www.massagetoday.com/mpacms/mt/article.php?id=14523. We are in the economic and political mess we are in because of the Ruling Class in Washington, DC. They write the laws, not Wall Street. As we enter this election year, remember it is all the fault of incumbents. Vote against every incumbent, of either party, every election. It is our only hope of breaking the Ruling Class and restoring freedom, which brings prosperity.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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