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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.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
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?
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.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
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.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
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.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
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.
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.
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.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
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.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
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.
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
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.
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.
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.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
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.
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."
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
July, 2012, Vol. 12, Issue 07
Moving Massage Therapy Toward a Brighter Future
By Ralph Stephens, BS, LMT, NCTMB
Exciting things are happening in our profession of massage. I am more positive about the profession's future than I have been in many years. We are being included in the development of the new Integrative Healthcare Paradigm largely through the work of the Academic Consortium for Complementary and Alternative Healthcare (ACCAHC – "The Consortium").The Massage Therapy Foundation is representing massage at international research conferences and promoting massage research. Both of these organizations deserve our support. Many of our stakeholder organizations are stepping up and moving us toward being accepted as a real profession. I want to share more of the good things that are happening with you and point out some problems that will hold us back from reaching our potential, while making some constructive suggestions. In the spirit of full disclosure, while I am on the Board of Directors of the Alliance for Massage Therapy Education, I am not speaking for the Board. All opinions in this column are my own.
So, let's start about a year ago when the youngest stakeholder organization in our profession, the Alliance for Massage Therapy Education (Alliance) published a position paper recommending a change in focus for the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB). The paper proposed that NCBTMB let go of its entry-level certification and testing program and replace it with a voluntary post-graduate certification credential that would follow mandatory state licensure. This new and upgraded program was suggested as an alternative to the so-called "advanced" certification program that NCBTMB was promoting. For its part, the Alliance took a lot of heat for having the audacity to "tell other organizations what to do."
Then, in mid-March, NCBTMB took us all by surprise by announcing that lo and behold, it will sunset the National Certification program in 2013, and replace it with a new post-graduate credential called Board Certification (with specialty certifications to follow). Kudos to NCB's leadership for finally being able to break out of an operating model that was heading off the cliff, but also kudos to the Alliance for planting the seeds and advocating a bold position for the future welfare of the whole profession.
Time for Teacher Standards
Separate from all of that, the Alliance has proposed the single most important step needed in the advancement of our profession – the development of standards for massage teachers. The National Teacher Education Standards Project (TESP) is a five-phase plan that will establish core competencies for massage therapy teachers, along with model teacher-training curricula, training resources and ultimately, certification programs. Phase one of the TESP, The Core Competencies for Massage Therapy Teachers, has just been released for public comment and input.
Once again, the Alliance is ahead of the curve in putting forth a project of this nature. It is an ambitious, long-term effort, estimated to take five to ten years. The goal of this effort is to create a culture of teaching excellence in our field with the downstream result of therapists being able to deliver a better massage to the public.
The nursing profession went through a similar process many years ago and there are additional excellent model(s) to draw from. The massage profession must begin the training of our teacher corps, turning them into true educators, rather than simply therapists with a textbook publisher's lesson plan in hand. Just because a therapist can give a good massage does not mean they have the knowledge, skills and attitudes (KSA's) to effectively teach beginning massage therapists. It will take time, but it will be worth it. If you are a massage educator and want to be on the cutting edge of massage education, check out the Alliance website www.afmte.org to become involved in this process. In a national survey conducted by the Alliance, 80.4% of respondents agreed that competency-based teacher training standards are needed in the massage profession. Only 6.8% disagreed. The time has come.
Massage students are only as good as the quality of instruction they receive. Better instructors make better therapists. The only way to elevate our profession to the status it deserves, and that most of you desire it to have, is to improve the knowledge and skill level of our teachers. If you are a massage instructor, view this as an opportunity to improve your teaching skills. We can all get even better than we are now – right? The standards will be phased in over time in a supportive way. Our entire industry needs to support this endeavor, as nothing else can do more to get the public higher quality massage than developing and implementing a teacher standards program. Just as we are what we eat, a profession is what its practitioners have been taught.
The Storm Clouds
However, the two largest stakeholders – our major membership organizations – have set out on a wayward mission to standardize the hours required for licensure and to come up with a learning objectives map for entry-level massage programs, the "ELAP." PLEASE – don't just do something!
The number of hours required for licensure are currently completely meaningless quantities. They are dartboard numbers that have been picked out of convenience to school operators or for accessing Federal Student Aid. Standardizing the country on an arbitrary number of clock hours will not magically improve competency or portability. There is simply no data that shows the public is getting a safer massage from graduates of a 1000-hour program as opposed to a 500-hour program. One thousand poorly taught hours will not produce a better therapist than 500 poorly taught hours. In fact, it may produce a worse therapist with more substandard habits and lack of awareness, burned out and broke. The number of clock hours that will eventually be nailed to the wall by the ELAP, if it is allowed to proceed, as the "evidence-based" standard will be completely meaningless if we cannot assure that at least 90% of entry-level program graduates can give a massage of satisfactory scope and quality. What we need are curricula with academic integrity, not just some arbitrary number of hours and a few learning objectives.
Further, clock hours are an unsound way to specify an educational program. We need to move to an academic credit-hour system, like every other healthcare profession. We must move to an educational system based on competencies, which includes assessment of student performance at each level of their training. COMTA has had a competency-based curriculum standard for more than a decade, yet our major stakeholders are off to re-invent the wheel. Why not use COMTA's existing program, updated with the MTBOK, now with its re-mapped KSAs? (More brilliant work done by the Alliance.)
Besides, job task analyses (JTA's) (the ELAP is to be based on a new JTA being done for the MBLEx), while psychometrically valid and legally defensible, measure what people who are not necessarily successful and who do not know what they do not know, think others should know to be successful. They primarily serve to dumb a profession down, especially as its level of competency decreases. New JTA's only lower the floor. It is time our profession comes up to a competency standard developed by successful experts, not down to a price or worse, to a continually lower common denominator.
The "license portability" promised by this ELAP project will likely not happen, as there are many other factors besides hours in laws and rules that affect portability. Supporting model legislation by the Federation of State Massage Therapy Boards (FSMTB) is the best way to achieve portability. Besides, portability is not the burning issue nor essential for the development and improvement of a profession.
A "Kneaded" Idea
Come-on stakeholder leaders, don't waste our dues dollars on another ivory tower task force whose report will be thrown on the pile with all the others. It is time to support:
If you really want to do something constructive, help us dramatically modify or put the ineffective modular program format out to pasture for good. And for extra credit, how about developing and implementing reasonable admissions standards instituted in every school that offers a massage program? We should not be throwing our doors open to the academically inept, and/or ethically challenged (like felons) guaranteeing failures, loan defaults, and future ethics complaints.
This approach is the most efficient way for massage therapy to achieve its potential with both the public and the arising integrative medicine-healthcare community – both of whom are waiting for us to elevate ourselves to a true alternative healthcare profession. Will we step-up and meet their expectations? More importantly, will we decide to live up to the potential our profession has to offer the public?
Think about it. If you care, get involved.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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