resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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%.
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).
July, 2013, Vol. 13, Issue 07
It's Time to Start Bursting the Education Bubbles
By Ralph Stephens, BS, LMT, NCTMB
Changes are upon the education community in the U.S.A. Massage education is no exception. In the mid-1980's, we had relatively few massage schools, best guesses are around 100 total. Massage schools peaked in 2009 at about 1,600.Now, the number is down to about 1,300. We have gone from about 74,000 students enrolled in massage therapy programs in 2005, to just over 40,000 in 2013. Talk about a bubble bursting - the trend is down with only 26.2% of massage schools reporting growth in enrollment since 2010. It is still amazing how we train more than 40,000 people a year, yet our profession has only grown 181,600 therapists in the past 14 years.
Something is very wrong with our educational system to produce that degree of dropout and failure. Are we as a profession in decline? (These numbers are from the recently released ABMP biennial massage therapy school enrollment census for 2013 and previous therapist surveys. Thanks to ABMP for this incredible work and for permission to share it here.)
There is also a lawyer bubble. Law schools became huge profit centers for colleges and the number of law schools increased from 175 in the 1980's, to 201 in 2013; however, the number of law school applicants is down 38% in three years. Reasons given are interesting. Seems law school deans are less than honest about the legal profession when recruiting. Seems most law students arrive at school misguided about the nature of legal practice. There are twice the graduates as there are jobs. Anything here look familiar? Both professions need a bit more honesty in advertising and recruiting.
The higher education bubble has also burst. The Wall Street Journal reported in May that the average "tuition discount rate" offered incoming freshmen last fall by private colleges and universities has reached an all-time high of 45%. At the same time, the "sticker price" tuitions at both private and public colleges increased by the smallest amount in 2012-13 than any of the last dozen years. Is higher education a worthwhile investment if it entails five, even six-figure college loan debt that cannot be discharged in bankruptcy?
Educational institutions have been awash with federal cash for decades. Federal Title IV funding has driven massage school expansion and enrollment, especially in for-profit corporate and chain schools. Now Americans owe more in student loan debt than we collectively owe on credit cards. What have students been getting for the money they owe, as well as the money the Feds are paying their schools on students' behalf? More administrators and more bureaucracy. "The scariest number I've seen is that in the Cal State system between 1970 and 2008 ... the number of faculty only went up 3%, but the number of administrators went up 237%," said Sean Flynn, a Scripps Economics professor. "The entire educational system has had massive amounts of money thrown at it and most of it has gone to things that have not improved the actual educational outcomes."
If the profession of massage is going to thrive and be an active participant in the healthcare community, either allopathic/traditional, alternative or hopefully both, some serious changes must be made in our educational system and they must be things that improve educational outcomes. Otherwise, we will be in a continuous down trending decline.
We need better screening of students, more honesty in marketing and trained, professional educators in the classrooms. This must start with the adoption into state laws or rules of teacher training standards for massage school instructors, phased in of course, but as quickly as possible. We need comprehensive teacher training programs and to bring them about we need the commitment and financial support of the major membership associations.
The beginnings of such programs have been created and published by the Alliance for Massage Therapy Education (AFMTE) as the Teacher Education Standards Project (TESP). Phase One of the TESP is now published and the development of the other phases is beginning.
Educators – Get Involved
The Alliance is the only stakeholder organization in the massage/bodywork profession that represents and advocates for our educators – schools, school instructors and CE Providers. If you care about the future of massage education, you need to belong to and participate in The Alliance. There is so much to be done. It needs to be done by our own educators.
The Alliance is hosting its annual conference this month, July 18 – 20, 2013, in St, Charles, Mo. (St. Louis). It is not too late to register and attend. If you want to join and be part of the greatest "brain trust" in massage education, if you care about the future of this profession, if you care about the direction of massage education and if you want to help raise the quality and abilities of massage teachers, you need to attend. Register now at www.afmte.org and help create a "Culture of Teaching Excellence."
The Bigger Picture
Setting standards is a great first step. Next we have to develop curriculum to train teachers to teach the lineage of our profession with both heart and mind. The dirty little secret here is that we need to develop the standards to create a group of teacher trainers – a group qualified to teach teachers how to teach. So it is a three-tiered process: training trainers, who train teachers, who teach students.
It is time our massage educators become active, yes vocal, in supporting The Alliance, creating the TESP and implementing changes in our massage educational system that brings about improved educational outcomes.
Until we can consistently turn out well-trained, skilled therapists, we will never be able to deliver the full potential of massage to the public. If we want to take our rightful place in the forthcoming integrative medicine system or even be accepted by the public as a reliable therapy for relaxation (or more), we must expedite the development of teacher standards. To my fellow educators at all levels - get involved and be a part of bringing our profession to its next level. It is educators that must lead the way.
Background Checks? Just say "NO!"
The National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) is trying to impose background checks on therapists and even on continuing education providers. Somebody over there own an interest in a background check company? The problem with continuing education in the massage profession is not that criminals have become CE providers and are perpetrating crimes on CE course attendees. It is insulting and degrading that one of our stakeholder organizations thinks so little of us. Many of us fought for years to get out from under discriminative, degrading local ordinances requiring police inspections, STD tests, chest X-rays and generally treating us like prostitutes until proven otherwise. Now our own stakeholder is throwing us back into that era. Shame on you NCBTMB. I support your Board Certification Program, but not if it requires us being treated as criminal suspects. Background checks have no place in an advanced credential for a healthcare/wellness profession.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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