resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
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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