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Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols & treatment Timing
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
Acupuncture Points: Broadening Our Scope and Diagnostic Work
As every practitioner knows, the correct diagnosis is everything. Most healing disciplines rely on the use of symptomatology for their treatment implementation. Beyond symptomatology, we have clinical tests to provide more objective findings.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
November, 2012, Vol. 12, Issue 11
Where Did All the Graduates Go?
By Ralph Stephens, BS, LMT, NCTMB
A very strange thing is happening in our profession. It has been going on for some time. The numbers are frightening and hardly anyone talks about them. Do you know that massage therapists are disappearing at an alarming, almost inexplicable rate? What, pray tell, is happening to all of them?
It is absolutely amazing how many massage schools there are "out there" and how many people graduate from them. Yet, the total size of our profession has not grown anywhere near the rate it "should" have. It seems we have an incredible percentage of our graduates dropping out of the field and fairly soon after graduation.
The following statistics are courtesy of ABMP. They have been conducting very thorough surveys since 1988 to track the profession and provide it with improved services and products. Here is what they found in their bi-annual surveys to determine the total number of practicing therapists/practitioners in our profession.
1998 = 139,390
In 14 years, there has been a net gain of 181,610 massage therapists. That is an impressive number. The massage profession is growing, on average, 12,972 per year. Hip hip hurray!
But wait, for the same 14-year period, according to ABMP's bi-annual school universe survey, massage schools handed diplomas to 748,752 individuals. That is a yearly average of 53,482 diplomas. What happened to the other 40,510 each year? Where did they go? How could there be such a huge drop out rate, almost 75%? I am shocked.
This is a significant indictment of a large portion of our education sector that seems to be fleecing people who, after their school experience, either run away or are unable to find career opportunity. I know that not all people who go through a massage school program intend to practice professionally. I went to school with some people who were in the program for personal growth, their own health, or to just practice massage on their family. However, that was less than 10%. Not a statistically valid number, I am sure, but let's just say 10% never intend to practice.
Some become so excited about healthcare that they immediately or eventually go on to other fields like physical therapy, nursing, chiropractic, etc. I just had a pre-PT graduate in a seminar who is taking a break from college and attending massage school, but who intends to get her PT degree and incorporate lots of soft tissue care into her PT practice. I know of MD's who have gone through massage programs to learn about this alternative therapy to better utilize it or prescribe it. This sector might be another 10%. Together this explains about 8,100 out of 40,510 each year on average for 14 years. That's still 32,410 MIA's. Does anybody wonder or care what happened to them?
I have asked colleagues what they attribute the high drop out rate to and many opinions are given, most based around inadequate training in what it takes to develop and maintain a practice. Opinions are abundant, excuses plentiful, but it is difficult to explain a 75% dropout rate without casting suspicion on unscrupulous recruitment.
In my opinion, we have a moral crisis. It mostly goes back to the "Seven Deadly Sins of Massage Education" I listed in the August 2012 issue, coupled with two additional factors. We have recruited people into the profession promising easy work and high pay. Both lies. Not everyone and not just anyone can do this work, yet everyone is told, "sure you can." One student was told by her high school counselor, "go to massage school, its easier than cosmetology." The example set for most students, in way too many schools, is dishonesty. Dishonesty occurs from copyright violations in teaching materials, to instructors who are unskilled in the teaching process and sometimes in the work, or worse sexual predators, to false promises of "at your convenience employment for big bucks," to exploiting students in school clinics. Most programs' graduates are inadequately trained in technique, self-care, and business/marketing skills, while given unrealistic expectations. When reality hits, they fail, get injured or run away.
Those 32,000 people a year are a cash cow for schools. I am not against profit or success. Massage is great knowledge for people to have and will probably positively impact their lives and the lives of their family and friends, whether they practice professionally or not. So, the question becomes, is this a problem for concern, or just a statically interesting phenomena? Are these 32,000 people each year happy with their outcome? If so, fine. But if not, we have a real problem that needs to be addressed, and soon.
At one time, massage was rated as the profession with the highest job satisfaction score. Yet, we lose 32,000 people a year. Are we still satisfied? Are we content with this failure rate? Should all schools be required to survey their graduates after two or three years and find out if they are doing massage, and if not, why? Are prospective students being advised of this dropout rate? Should they be?
Best Laid Plans
A year ago I announced my intended retirement and a "Farewell Tour." The best laid plans. Then I met with the Social Security Administration and the IRS. Always do that before planning retirement – they are very much involved. Seems I dare not retire until I am 66, my new "full retirement" age, or the IRS will take about 50% of what I make over social security and there is no way I am going to submit to that. The "Farewell Tour" is temporarily cancelled and I am gearing up for another two years on the road. I will be presenting my medical massage certification series one more year and adding a new series of seminars – Neural-Reset Therapy (NRT). I look forward to sharing as much as I can with as many as possible in the next two years so that when I do retire, I can go anywhere and get a great massage!
Send the Bums Home
The elections are upon us. As usual, I am against the Ruling Class (incumbents) and urge you to send them home. The Ruling Class is the problem, not the 1%. In three election cycles, we could have this mess cleaned up if everyone voted against every incumbent. If you really think about it, you'll do it!
It's That Time Again
Most faiths have a holiday during this time. There is a reason for this season besides shopping and gift certificates. Make it a joyous time for those around you.
I want to thank Massage Today for another year of ink and all of you who read this column. Think more next year, and join in to help bring the massage profession up to its potential, for the sake of suffering humanity. If the world doesn't end in December, I look forward to seeing you next year, here and out there at seminars or wherever we are destined to meet.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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