resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
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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