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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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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%.
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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