resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Connections Worth Making
"If most doctors are like me, [they are] isolated physically and professionally. I do not make the time to connect with other doctors and also a lot of doctors do not want to be connected for a lot of reasons. Dynamic Chiropractic keeps me grounded and connected.
Are You Really a Healthy Eater?
I always giggle a little bit (to myself) when someone comes into my office and informs me that they are a healthy eater. What exactly does that mean? Does that mean they eat sugar in moderation? And what's that, exactly?
It might have been a miserable start to the day in the heart of downtown San Diego. A heavy rain had soaked the large homeless population congregating near the intersection of Third Avenue and Ash Street as they waited for a free breakfast to be served at the First Lutheran Church on the corner.
The Easy Way to Learn How to Document ICD-10
The 2015 Work Plan for the Office of the Inspector General (OIG) includes a focus on chiropractic services. This means chiropractors can expect to see more audits and reviews in the coming year because private payers pay attention to the OIG's focus as well.
What's Triggering That Point?
An orthopedic friend recently saw a patient of mine. He felt an injection of a trigger point (TP) at the upper trapezius and surrounding areas was necessary, since that was the patient's area of chief complaint and there was a tender, radiating nodule.
Case Histories from Bali: Treating Balinese Chidren with TCB and Shonishin
When I moved to the island of Bali in 2005, I offered my services in Bumi Sehat, which means Healthy Mother Earth, a free birthing center for poor and disadvantaged local women located in Ubud.
Leg Length and Pelvic Fixations
A common component of low back pain is sacroiliac joint dysfunction. Signs of SIJ dysfunction can include fixation with reduced range of motion, and localized pain or joint laxity and inflammation.
Finding Balance in the Clinic
This past December, I celebrated 11 years in practice. I seriously don't know where the time went. I feel beyond blessed and grateful to be practicing our profound and beautiful medicine and to be helping guide my patients restore a state of optimal health.
A New Era of Injury Awareness Means a New Focus on Prevention
Despite a dramatic Super Bowl last month, the National Football League has taken quite a few hits lately concerning player injuries, particularly concussions.
Adjusting the Occiput on the Atlas
You may never see a particular set of patients in your office – the ones who are either afraid of neck adjustments or have had a bad experience. A vast majority of those who had a bad experience did not have a life-threatening vascular event.
The Conscious Evolution of Healing, Part 2
The idea of transmission is very important in the Chinese medical classics. According to author Claude Larre, the ancient Chinese were highly interested in the connection between things. Nothing was looked at as an isolated entity.
It's Time to Create a Strong Acupuncture Footprint
Footprints in the sand. Footprints in the snow. Where do these footprints go? Some are big, some are small, but footprints are made by all.
Reflections: The Art of Teaching Asian Medicine
Over the past three decades, my global workshops have been translated into German, Swiss German, French, Romansch, Spanish, Lithuanian and Xhosa. Time to offer you new teachers a few tips!
Joint Supplements for Athletes (Part 1)
Maintaining joint health should be a daily focus for athletes. Joint health is a complex issue for everyone, but for athletes it poses a greater concern.
Neuroscience: Where Western Medicine and Chinese Medicine Can Come Together
The recent advances in neuroscience are truly incredible. With this expansion of scientific knowledge, I would like to see even more research into the neuroscientific basic of acupuncture and Chinese Medicine.
Acupuncture and Homeopathy: Bioenergetic Brothers
Acupuncture and homeopathy share an important healing principle: bioenergetics. "Bio" means "life," so bioenergetics is literally "life energy."
Online Efforts That Convert Traffic Into Patients
Most chiropractors are using "dinner with the doc," "refer a friend," customer appreciation days, grand openings, health fairs, chamber of commerce meetings, and other networking events to get new patients.
Put the Social Back Into Social Media
Social media is more than a passing fad, it is definitely here to stay. Social media apps and channels of distribution may evolve, but the concept of social media is now big business and a part of all our lives.
We Get Letters & E-Mail
We Have Come a Long Way – But There's a Long Way to Go; Grounded and Connected.
Old TCM Sayings: Treat the Front to Treat the Back
Chinese medicine college was, and always will be, a memorable time. It was a time of massive personal and professional growth.
November, 2012, Vol. 12, Issue 11
The Role of CE for Massage Therapists
By Whitney Lowe, LMT
A couple of states and the Federation of State Massage Therapy Boards (FSMTB) are questioning the need for continuing education (CE) for massage therapists. The repercussions of removing CE will affect the massage therapy profession and ultimately the quality of care for clients in those states who implement the policy. Professionals interested in the advancement of the profession should be paying close attention to this debate.
Unlike other healthcare fields such as physical therapy or occupational therapy, massage therapy is actually two primary "tracks." The first track is geared towards the use of massage as a personal care service, with a focus of general relaxation and wellness enhancement. While massage performed for personal care can enhance health, the focus of this track is not the use of massage as a specific treatment. The second track is the use of massage as a healthcare modality. Massage therapists using massage as a healthcare modality address pain and injury complaints, from the mild to the severe, or other issues of compromised health for an individual.
There currently exist no state licensure credentials that distinguish personal care massage therapists from those using massage as a healthcare modality.
Public safety is the primary issue when evaluating the need for CE. Sometimes the public safety concern is conflated to issues of hygiene or ethics only. However, massage as a pain or injury intervention and treatment modality is anything but benign. When performed inappropriately or for a medical condition where it should not be used, there is clearly the potential for harm to the client. Those working with massage in this capacity must be familiar with the contraindications, assessment and treatment protocols, as well as the cognitive components (anatomy, biomechanics, condition specifics, etc) that function to inform the therapist's work with their clients. In addition to the number of other skills that contribute to quality care such as client relations, care and clinical experience.
Right now, for the massage profession, it is inappropriate to remove provisions for maintaining licensure that require advancing the education and training of therapists beyond the entry level. While CE is genuinely debatable for massage therapists working exclusively within the personal care track, it is not for those applying massage as a treatment modality for specific healthcare needs. Without a method for discriminating between the two tracks, CE requirements need to be maintained for the entire massage profession.
Why CE Must Remain a Requirement
There are many good arguments in favor of continuing education in the massage profession. Below are the primary points that frame the importance of the issue.
First, CE fills in training gaps in basic education. The minimum requirement for licensure in many states is 500 hours of training. Even in a top-notch 500 hour program, this is nowhere near enough time to prepare an individual for the complexities of clinical practice that are required for advanced therapeutic massage treatment. While many schools are increasing their requirements and trying to prepare their students for the higher expectations of today's clients, there is no standardization in curricula to meet this particular goal and no state licensures specifically for this type of work.
Second, CE develops clinical competence. It is through the gradual and continual efforts to develop clinical competence that a massage therapist develops their professional skills to a level sufficient to treat clients with musculoskeletal conditions. The Accreditation Council for Graduate Medical Education (ACGME) has noted that clinical competence is not the achievement of a static set of skills. Rather, competence is something developed over time as an individual continually invests in their own self-improvement. The ACGME has described six core competencies that should be developed by medical professionals, which are a very good model for skills a massage therapist in the healthcare environment should aspire to as well. They include: patient care, medical knowledge, practice-based learning and improvement, professionalism, interpersonal and communication skills and systems-based practice.1
Thirdly, CE protects the public. With few exceptions, massage therapists today seek to boost their clientele and practice by taking advantage of the demand for therapeutic massage. If CE is not mandatory, many will not choose any training above and beyond their entry-level training. This is simply not adequate for the many complex clinical decisions faced in addressing compromised health conditions. It is through mandatory CE that massage therapists address their knowledge and skill gap so they can practice in a manner that is competent, effective and safe to the public. Continuing education is the graduate program in the massage therapy field.
Currently, the massage profession by default is set up with a built-in reliance on CE. As the massage profession develops and its healthcare track matures, perhaps it will seek accrediting evaluation criteria that emphasize its role as a therapeutic treatment (similar to the programmatic accrediting criteria for physical therapy and occupational therapy).
With standardized curricula, assessments and accreditation criteria aimed at producing massage therapists equipped for the therapeutic roles they eventually choose, perhaps then we can debate the need for mandatory continuing education. However, note that there is a strong history in every healthcare profession of continuing education requirements in order to maintain the competence level of practitioners.
Resources & Recommended Reading
Click here for more information about Whitney Lowe, LMT.
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