resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
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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