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Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
May, 2012, Vol. 12, Issue 05
NCBTMB Announces New Credential
By Kathryn Feather, Senior Associate Editor
The National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) recently announced the creation of a new board certification credential, as well as a 12-month plan to improve its overall product offerings and communication tools and support."We are totally changing everything we do," said Mike Williams, NCBTMB CEO. "In the past, we have over promised and under delivered. With these improvements, at every point where NCB and the profession intersect there will be significant upgrades."
According to the NCB, the massage industry is at an interesting crossroads. There are therapists practicing under stringent standards similar to other health care providers, and then there is illegal and fraudulent activity undermining the profession’s efforts. Williams believes the best way to establish greater credibility for therapists is by raising standards. Over the course of the next 12 months, NCB will launch a board certification credential, an online career management system, a new continuing education program and an online education resource.
Of each of these new endeavors, the new board certification credential has produced the most questions for therapists. According to NCB, beginning with the first quarter of 2013, the new credential will go into effect, thus phasing out the current National Certification credential. This change has prompted many therapists to question just how this impacts them, whether they are up for recertification or in the process of being initially certified by NCBTMB. To determine how this change effects you, see the chart below:
Board Certification Criteria
The requirements for obtaining the new NCB board certification credential include passing the Board Certification Exam, 750 hours of education, 250 hours of hands-on work experience (25 hours of community service may be credited toward this requirement), successful completion of a criminal background check and a commitment to adhere to the NCB Code of Ethics and Standards of Practice. According to the NCB, additional qualifications for this credential will be determined based on feedback from the profession.
For those therapists that graduated from a program with fewer than 750 hours of education, they will be required to complete continuing education for make up for the difference. These continuing education courses must meet NCB’s definition of continuing education and be taken from an NCB assigned school, an NCB approved provider or an accredited college or university. For currently nationally certified massage therapists to achieve board certification, they must meet the board certification eligibility criteria as of their next recertification date and passing the board certification exam will not be required.
Once board certification is achieved, recertification will need to be completed every two years and must be completed within 90 days of the expiration of a therapists certification. According to NCB, in order to retain an active board certification status, therapists must complete 24 hours of continuing education every two years and 100 hours of hands-on work experience or massage-related volunteerism, administration, teaching, curriculum development or writing and publishing of research. For therapists who are unable to meet the recertification requirements due to extenuating circumstances, inactive status is available for up to four years. While in an inactive status, therapists may not identify themselves as a Board Certified Therapist.
In instituting this change, NCB believes that the new credential - by including additional education, hands-on experience and a background check - will ensure that therapists achieving this credential will have the proper foundation to better serve their clients. NCB will also determine additional qualifications for this credential based on feedback from the profession.
The NCB also announced some additional changes that will go into effect throughout the year. In the summer of 2012, they will launch what they are calling a new career management system, a new online portal where all interaction with NCB can be accomplished, as well as a new website to showcase this new technology. Once complete, applications for all exams, recertification, approved providers, school reviews and payment for all NCB services and products can be done through the new portal. Also in the summer of 2012, all continuing education courses will be vetted for approval, based on feedback obtained through the Massage Approved Provider Panel (MAPP). Instructors will be required to submit their qualifications to teach each course.
NCB also announced that effective immediately, they are discontinuing the online practice exam and they will launch a new online educational resource offering thousands of questions to help candidates test their knowledge of many specific practice areas. The NCETM and NCETMB, currently accepted for licensure in 39 states will be retained, according to NCB. According to the press release, "the exam may now be taken at any time prior to graduation; however, formal notification will be released only upon proof of graduation from a minimum 500-hour massage therapy program. State licensing requirements are dictated by the individual states."
"All of the programmatic and operational enhancements that NCBTMB is making have the full support of the Board of Directors," said Alexa Zaledonis, NCBTMB Board Chair. "This is exactly what the massage profession needs to elevate practitioners to a higher level in order to earn the respect and trust of the health care community. The bottom line is that certification needed advancement and we listened to the public and we learned a lot."
CEO Mike Williams summed up the new offerings by saying, "we are committed to creating a career path for massage therapists by delivering the highest quality programs possible."
Massage therapists who are currently Nationally Certified are already on the pathway to Board Certification and can transition to the new credential beginning in 2013 by meeting the eligibility requirements. They will be exempt from taking the Board Certification exam as long as their National Certification credential is active. It is important to note that the National Certification credential is valid through the expiration date printed on each individual s certificate. This chart illustrates the necessary steps to achieve Board Certification based on the year of recertification.
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