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Remembering Joe Weider (1920-2013)
With the death of Joe Weider, the world's most famous body-building visionary, crusader, fitness magazine publisher and icon, on March 23, 2013, chiropractic has lost one of its greatest friends and supporters.
Why You Should Get to Know the National Vaccine Information Center
Barbara Loe Fisher has been a diligent advocate for providing parents with the information necessary to make informed decisions regarding the usage of vaccinations for their children.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
News in Brief
Controversial Florida PIP Law Under Review; D'Youville Chiro. Students Learning Art of Co-Managing; And the Award Goes To...; F4CP Recognizes Major Contribution by ChiroTouch.
Going Shoeless: The Pros & Cons of Barefoot Running
With the subculture of barefoot runners and the products catering to them growing daily, just about every chiropractor has been asked at one point or another about their opinion regarding barefoot running.
We Get Letters & E-Mail
Patient Perception and the Farce of "Fast Relief"; A Fly in the Ointment; Persecuted for Choosing to Practice Chiropractic.
Some Thoughts on the TMJ
The temporomandibular joint is an interesting and dynamic articulation that can cause a lot of problems.
Side Effects From Big Pharma: Wellbutrin – Dangerous for You and Your Baby
Are some of your pregnant patients taking Wellbutrin? If so, it could be a danger to them and their baby. This drug is extremely popular, but it has a serious history.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
Have a Heart: Say No to Soda
It's not enough that soft drinks and other sugar-sweetened beverages have been linked to cavities and weight gain, among other negative health consequences.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Chiropractic: The Right Choice for Relieving LBP
"Low back pain (LBP) is a common threat to medicine and a reasonable threat to all national health care systems. ... Reducing ineffective treatments is necessary to decrease the LBP associated costs."
What the Science Says About Magnesium Stearate
It's often been said that scientific studies can be used to support just about anything. But discoveries are never made one study at a time.
SOAP Notes: It's Time for a Cleaning
I have been planning for some time to write an article about how traditional SOAP notes do not fit chiropractic practice, and the unfairness of holding DCs to a model clearly created for and primarily applicable to medical physicians.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
Are They Finally Fixing Medicare Reimbursement?
Even with federal sequestration cuts taking effect in March, including a 2 percent reduction in Medicare reimbursement to health care providers, hope may be on the horizon in the form of a much-anticipated, perpetually suggested overhaul of Medicare's Sustainable Growth Rate formula, which serves as the basis for determining physician reimbursement.
The Potter's Wheel: Reflections on Practicing in a Technology-Driven World
In my very early years of practice, an older patient named Cora would call me at home, usually late Sunday night after she had consumed an unknown quantity of beer.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
Correcting Kid Logic in Health Care and Research Design
A recent broadcast on public radio described a fascinating phenomenon known as kid logic.
A Building Block of Healthy Aging
Coenzyme Q10 has gained enormous attention in recent years, and with good reason —it's the Energizer Bunny of the cellular world.
Medicine Presents: A Great Opportunity
The changing nature of health care presents both opportunities and challenges. While we tend to focus on our profession, we can sometimes forget the impact other health care professions can have on us.
Research Abstracts From the Journal of Manipulative & Physiological Therapeutics
Effect of Pain Relief on Lumbar Muscle Function and Activation; Effects of Thrust Amplitude and Duration of HVLA Spinal Manipulation; Immediate Effects of Upper Thoracic Manipulation on Cardiovascular Response.
What They Don't Say Could Hurt You
I have written previously regarding the difficulties of drawing information from patients who are poor historians, forgetful or just plain uncooperative. The thought to revisit the topic occurred recently during preparation for an upcoming seminar.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
April 25, 2012
Updated: CA Massage Board Reviews Policy
Chairwoman Dixie Wall says Board will review the non-staff expense reimbursement policy at the next board meeting and that CAMTC scaled back expenses at the American Massage Conference.
By Kathryn Feather, Senior Associate Editor
The Chair of the California Massage Therapy Council, Dixie Wall, issued a statement today saying the board would "review it's non-staff expense reimbursement policy at the June board meeting to ensure that the policy reflects CAMTC's commitment to fiscal responsibility." Wall also stated the approved policy would be available via the website after the meeting at www.camtc.org.
"When CAMTC first started planning the staffing for the AMC, the total conference attendance was estimated between 2,000 to 3,000 individuals. CAMTC planned accordingly by proposing that more staff attend to handle the number of participants," said Wall. "Later, when it was discovered that massage professional attendance would be closer to 1,000, CAMTC adjusted the staffing plan accordingly."
Wall said that now "only three directors intend to request reimbursement for travel expenses" and not the seven originally mentioned in an article that appeared on MassageToday.com last week. "Four of the seven spent their own time and money to attend and assist with this conference," said Wall. "The way in which the motion was framed was unclear because it gave the impression that the number of Directors attending the conference was not capped and that reimbursement was unlimited. In fact, that was never the intent."
As reported previously, a majority of the California Massage Therapy Council Board (CAMTC) voted at their Tuesday, April 10, 2012 meeting to reimburse themselves for travel expenses to next week's American Massage Conference (AMC), just days before the conference is set to take place. The invitation to attend the AMC and to claim reimbursement from the CAMTC was made to all current board members with no cap on how many could request reimbursement.
Seven board members submitted their expenses for attending the event prior to the Board meeting. CAMTC is also sending six staffers to the event, primarily to man the organization's booth, but at the time of the vote, no specific duties or responsibilities were given to the board members who have indicated that they plan on attending. However, after this article appeared on MassageToday.com, CAMTC CEO Ahmos Netanel submitted a list of duties board members will now be expected to perform. These duties include helping staff answer questions at the booth, manning a separate table from 11:30 a.m. to 4:30 p.m. Friday in the student area during "Career Day," being available to answer questions during a free presentation to AMC attendees and being available throughout the convention hall and at the Saturday evening Gala to meet certificate holders and answer any questions.
"The main strategy here is not to be a static vendor that just sits at a booth," Netanel said. "Our outreach approach is to be dynamic and interactive by literally reaching out well beyond the confines of our booth, to optimize the impact of our participation."
The topic of reimbursement was introduced at the board's regular meeting on April 10. The agenda item, brought up during the boards teleconference meeting, was titled: "Board member's attendance at the American Massage Conference." Netanel introduced the item by suggesting that while there was ample staff to provide support at the CAMTC booth, there were expected to be a large number of attendees and he was "concerned there will not be enough help." However, critics on the board contended that specific responsibilities were not discussed or defined in Netanel's introduction of this item. Board member Joe Bob Smith then made a motion to reimburse those who assist with CAMTC activities and outreach at the American Massage Conference. The motion was seconded by CAMTC board member Roberta Rolnick who cited the necessity of "accessibility to the stakeholders and helping to improve the reputation of the CAMTC" as reasons for attendance and justification for reimbursement.
When asked about reimbursement policy and if this would be apply to other conferences, Netanel referenced first a 2009 and then a 2010 reimbursement policy passed by the board, which states in part, "Directors may receive such reimbursement of expenses as the Board may determine by resolution to be fair and reasonable at the time that the resolution is adopted." However, some board members didn't think the policy applied to conferences and conventions, only board meetings. "The motion that was passed does not incorporate any caps or guidelines at all. It does not limit the number of directors who can go or what they can request for reimbursement," said board member Mike Schroeder. "For example, the motion provides for full per diem even though the banquet is free and even though nothing is occurring on Thursday other than a golf tournament."
Three board members voted against the motion, including two board members who spoke publicly in opposition to the motion, Bob Benson of ABMP and Mike Schroeder of the American Massage Council. "I am against this motion as I think it is a bad idea and could be viewed from the outside as a boondoggle. I don't believe it is appropriate to bring this up before the board at the last minute, right before the AMC. The Board doesn't represent CAMTC, only the Chair and the CEO can speak for CAMTC. This will cost between $600 and $1100 per board member with no cap on the number of board members who can attend or cap on the size of the reimbursement that a board member can request. I don't think having a group of 'roving ambassadors' is the best use of our funds. I think we should discuss this at the next board meeting and put a policy in place so there can be no appearance of a misuse of funds," said CAMTC board member Mike Schroeder.
"When I heard that Ahmos Netanel planned to have four CAMTC staff members present at the conference plus at least seven board members, I suggested that felt like overkill, said CAMTC Board Member and ABMP Chairman Bob Benson. "ABMP, for example, a major sponsor of the Conference, plans to have four individuals present to lead educational sessions and to host our booth. I support CAMTC taking advantage of a good opportunity at the American Massage Conference to interact with California massage practitioners and educate them about the benefits of CAMTC certification. CAMTC's approved outreach/marketing budget for 2012 includes sufficient funds to support staff attendance at the conference. I voted 'No' on the resolution because I felt allocating additional funds to permit seven board members to supplement CAMTC staff at the conference was excessive and not reasonably justifiable."
"The American Massage Council is very opposed to this unwarranted expenditure of CAMTC funds. Our members worked very hard to pay their dues and the money shouldn't be spent sending board members to conferences where they have no responsibilities," said Schroeder, also owner and co-founder of the American Massage Council.
While efforts were made to contact each of the board members who voted in favor of the motion, only two board members spoke in favor of their attendance and reimbursement. "I'm attending the AMC conference at the request of Ahmos Netanel and to network on behalf of CAMTC," said Board member Keith Grant. "In short, I believe it behooves CAMTC to be seen as accessible and not remote--almost literally 'in touch' with those regulated, particularly given several factors in the start up of CAMTC: a much greater response that was envisioned for the first six months; having to create procedure to handle schools and transcripts that weren't as claimed; and having to fight back against the California Police Chief's Association's initial attempt to dismantle CAMTC. Again, in short, it was a rough start and I believe there are still some people out that need a chance to vent and be listened to face-to-face."
The venue provides a valuable opportunity to network with influential individuals from around the country who have expressed a strong interest in California's unique massage regulation; in short, a chance to learn, teach and network in a setting that rarely comes to our state," said Board member Mark Dixon. "As the first meeting of this type attended by the CAMTC, I believe the small investment is a sound one that will place experienced, knowledgeable professionals before an important audience. Even so, as a volunteer, I stand to lose considerably more in income than the reimbursement. Moreover, I attended last month's AMTA-CA Chapter Educational Conference, representing CAMTC in continuous meetings throughout the weekend. I received zero reimbursement."
The seven board members requesting reimbursement were: Mark Dixon ( ), Deborah Tuck ( ), Roberta Rolnick ( ), Judi Calvert (Calvert did not participate in the teleconference and did not vote), Keith Grant ( ), Elna Leonardo ( ) and Christian Pezza ( ). "I was not surprised that the motion passed despite a few 'No' votes and at least one abstention. I was surprised that several board members for whom Mr. Netanel was requesting expense reimbursement voted in favor of the resolution instead of abstaining," said Benson.
According to Netanel, at this point not all board members who expressed a willingness to volunteer and help with the conference have managed to clear their schedules and confirm their attendance. If all seven members do attend, in addition to the six staff and Chair of the CAMTC Dixie Wall, there will be a total of 14 people associated with CAMTC at the event.
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