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Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
July, 2013, Vol. 13, Issue 07
NCB Promotes New CEO
Interim CEO Mike Williams recommends promotion of Steve Kirin
By Kathryn Feather, Senior Associate Editor
The National Certification Board for Therapeutic Massage and Bodywork recently announced the promotion of Steve Kirin from Chief Operating Officer to CEO.Interim CEO Mike Williams, who has been with NCBTMB since the fall of 2011, believes his transitional role is nearly complete and recommended Kirin's promotion to the post, saying it was a "natural progression of the changes implemented at NCBTMB over the past twenty months."
In his role as Chief Operating Officer, Kirin was responsible for the overall operational performance of NCBTMB. He has more than 25 years of experience in management, sales and marketing and establishing operational core functions within organizations. Williams brought Kirin to NCBTMB in December 2011, shortly after his own arrival and the two have worked closely through the many changes the group has ushered in over the past several months. According to Williams, those changes include:
During his tenure as interim CEO, Williams certainly shook things up, promising in a May 2012 interview with Massage Today that, "We are totally changing everything we do. In the past, we have over promised and under delivered. With these improvements, at every point where NCB and the profession intersect there will be significant upgrades." At the time, Williams believed the massage industry was at an interesting crossroads with some therapists practicing under stringent standards similar to other health care professions while others were engaging in illegal or fraudulent activity which ultimately undermines the profession. He said at the time that he believed the best way to establish greater credibility for therapists was by raising the standards.
The board certification credential was the perhaps the biggest change NCBTMB implemented and generated the most questions from therapists. The requirements for obtaining the new NCB board certification credential include passing the Board Certification Exam, 750 hours of education, 250 hours of hands-on work experience (25 hours of community service may be credited toward this requirement), successful completion of a criminal background check and a commitment to adhere to the NCB Code of Ethics and Standards of Practice. According to the NCB, additional qualifications for this credential will be determined based on feedback from the profession.
For those therapists that graduated from a program with fewer than 750 hours of education, they will be required to complete continuing education for make up for the difference. These continuing education courses must meet NCB's definition of continuing education and be taken from an NCB assigned school, an NCB approved provider or an accredited college or university. For currently nationally certified massage therapists to achieve board certification, they must meet the board certification eligibility criteria as of their next recertification date and passing the board certification exam will not be required.
Once board certification is achieved, recertification will need to be completed every two years and must be completed within 90 days of the expiration of a therapists certification. According to NCB, in order to retain an active board certification status, therapists must complete 24 hours of continuing education every two years and 100 hours of hands-on work experience or massage-related volunteerism, administration, teaching, curriculum development or writing and publishing of research. For therapists who are unable to meet the recertification requirements due to extenuating circumstances, inactive status is available for up to four years. While in an inactive status, therapists may not identify themselves as a Board Certified Therapist.
In instituting this change, NCB believes that the new credential - by including additional education, hands-on experience and a background check - will ensure that therapists achieving this credential will have the proper foundation to better serve their clients. NCB will also determine additional qualifications for this credential based on feedback from the profession.
"We've succeeded in a complete programmatic transformation of NCBTMB, including realignment of staff and programs and services to ensure an optimal structure supporting the needs of the profession. With the launch of these initiatives, it is now time to name a permanent CEO who will devote his full time and energy to continue the momentum we've created," said Williams. "There is simply no better candidate than Steve Kirin to continue this role."
"Steve has provided constant and critical support during the changes and advancements over the past year and a half," said Board Chair Sue Toscano. "This is now a natural and exciting progression for all of us. On behalf of the Board, we're grateful to Mike to be at this point of transition; and we look forward to Steve's leadership as we continue to evolve."
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