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New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
January, 2013, Vol. 13, Issue 01
FSMTB Questions Article, Columnist Whitney Lowe Responds
By Editorial Staff
I write to correct some misinformation that appeared in the November, 2012, Vol. 12, Issue 11 edition of Massage Today in the article authored by Whitney Lowe.Specifically, it is not correct that the Federation of State Massage Therapy Boards (FSMTB) questions the need for continuing education for massage therapists. On the contrary, like Mr. Lowe, the FSMTB acknowledges a need to continuously enhance the knowledge and skills of the massage professional. The FSMTB posits that this is the primary role of membership and voluntary certification organizations. Therefore, the FSMTB recommends that professional enhancement and extended continuing education be encouraged and voluntarily attained at the discretion of the therapist, and that this continuing education be acceptable, but not mandated, for licensure renewal.
The purpose of initial licensing is to determine the minimum acceptable level of knowledge and skill to ensure that the therapist is sufficiently competent to provide safe and effective massage after entry level training. To require more than the minimum acceptable level of competence for licensure renewal would set a more rigorous standard for renewing therapists who not only hold the same license as initial licensees, but who also have typically gained experience.
In addition, the regulatory community does not differentiate between massage practices of relaxation and wellness enhancement and those practices that view massage as a healthcare modality. Roughly half of the licensing states regulate massage as a healthcare profession and the other half as a service profession. The broad umbrella of regulation serves to allow greater flexibility for the various modalities and philosophies encompassed in this profession for licensure purposes; however, mandating that all therapists take continuing education in massage for the healthcare industry is neither practical nor necessary. In fact, the research evidence in the Massage Therapy Job Task Analysis indicates that at entry level, i.e., the level for licensure, there is no significant difference in practice between therapists in the spa, medical, or alternative medical settings.
The FSMTB recently created standardized licensure renewal recommendations which can be viewed on its website at fsmtb.org under the "What's New" section or at: www.fsmtb.org/downloads/Standardized_License_Renewal_Recommendation_Final.pdf
The FSMTB appreciates the opportunity to engage in discussion regarding continuing professional competence and thanks Massage Today for featuring this topic. We are also deeply appreciative of the contributions made by Whitney Lowe regarding this important issue and hope that this information serves to inform ongoing conversations.
Whitney Lowe Responds
To the Editor:
Thank you very much for your attention to addressing these serious concerns about continuing education requirements that were mentioned in my article. I appreciate Debra Persinger's statement of the FSMTB stance on continuing education. However, I would not characterize my original statement in the article as misinformation. I will clarify my point in saying that the FSMTB is questioning the need for continuing education for licensure renewal.
I recognize that the FSMTB is saying there is value in CE, but it is also true that their proposal is questioning the need for continuing education to be mandatory for licensure renewal. At the current time, continuing education is mandatory for licensure renewal in most states. The new FSMTB proposal suggests that continuing education would no longer be mandatory. To me, that is questioning the need for continuing education (for licensure renewal).
In addition, Ms. Persinger states: "…mandating that all therapists take continuing education in massage for the healthcare industry is neither practical nor necessary." I would agree with this statement, but also point out that this is not the current situation. Continuing education courses currently cover a very wide group of subjects, and certainly are not limited to topics related to massage as a healthcare approach.
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