resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
February, 2014, Vol. 14, Issue 02
Is Hours and Hours of Education Really the Answer?
By Ralph Stephens, BS, LMT, NCTMB
A small but influential group of people in our field have wrapped their brains around the idea that we must increase the number of entry-level education hours to elevate our standing with the public and get massage therapy incorporated into mainstream healthcare. This is only a theory and one that is not substantiated by evidence.
Improving working conditions and opportunities for massage therapists is an important goal for our stakeholder organizations to pursue. However, this single-minded focus on jacking up the number of training hours while ignoring the quality of instructional design and delivery is not only foolish – it is dangerous.
It is time to take a good look at the ramifications of such a decision. A curriculum with more clock hours is going to cost all parties involved more money. Tuitions will have to be raised if schools are to provide longer programs. That will make it more difficult for prospective students to afford massage school. Those receiving Federal student loans and other financial assistance will graduate with more debt. Is more debt a good thing? Usually not, except in the case of politicians and government.
The operative question is: will the graduate of a longer program, burdened with more debt, be able to go out into the field and make significantly more money than a graduate of today's programs? This is where the theory breaks down. Are the massage franchises going to automatically start paying more to graduates who have more hours on their school transcripts? Massage Envy currently has a corporate policy that does not allow individual franchises to pay a newly-hired therapist more – even if they have years of professional practice experience. It's doubtful more training would convert to better wages.
Are hospitals, chiropractors, clinics, spas and cruise ships going to raise the compensation paid to massage therapists because they have more hours of training? Will the public pay 50% more for massage because the therapist has, say 750 hours instead of 500? Will the marketplace support increased prices for massage? The real-world perspective is a resounding "NO."
Consumers are already backing away from massage according to AMTA surveys. So, who will be served by raising hours? New students will have to deal with the logistics and greater expense of being in school for a longer span of time. Facing an already shrinking pool of new applicants, schools will be further challenged as they are forced to provide more classroom space, develop new curricula and pay for more faculty and administrative staff hours. This kind of mandate could push another group of small proprietary massage schools off the cliff. The only institutions that can afford to absorb these expenses are the for-profit career colleges and the publicly-funded community colleges. If this were to occur, it would put more of the true lineage-holders of massage education out of business. That would be a tragic loss to the future of massage therapy.
Who wins here? One might think the public would benefit from a better, more consistent massage delivered, but more training hours in and of themselves do not a better therapist make. I can attest to that as I have received massage from the 2,000-hour wonders in Canada. My most disappointing massage experiences have been in Canada. I am sure there are great therapists north of the border but they are no more common than here in the U.S.
Will more hours taught by today's untrained or under-qualified instructors produce a better therapist? More poorly-taught hours could actually make a worse therapist by exposing students to poor role models over a longer period. Hours are not the answer to providing more consistent and effective massage services to the public.
And what about the much-touted "safety" issue? Aren't these laws in place to protect people from being injured? Well yes, but the fact is the incidence of actual harm from massage therapy is miniscule. But wouldn't more hours create a safer therapist? Anecdotal information from one of our major membership associations shows it may be just the opposite: the higher the number of education hours, the more insurance claims against practitioners. Armed with more tools in their utility belts, it appears that "advanced" therapists may be more likely to get themselves into trouble.
Some are just positive that if we raise our hours, then we will be accepted by mainstream healthcare. If history is any indication of how that works, there is clear evidence that an increase of few hundred hours is not going to open any doors. The medical establishment is not about to let in any practitioner group that does not have a rigorous college-level training requirements.
Case in point: the nursing field is on track to eliminate traditional diploma-level programs in hospitals and community colleges and require a bachelor's degree for all registered nurses. By 2015, the entry-level credential required to become a physical therapist will be a doctoral degree! If they won't hire nurses without a bachelor's, are they going to hire high school grads who finish massage school with even 900 or 1200 hours? Maybe – but only at a level comparable to CNA's or physical therapy assistants. Is working at the lowest levels of the medical pecking order an upgrade? Is that the recognition so many people's egos seek? Oh, that's right, there will be "benefits." Right, maybe if you are full time.
Anything we do hours-wise to gain acceptance by the allopathic medical community will mostly punish ourselves. The only real hope of gaining acceptance by the powers that be is to deliver consistently high-quality, professional massage services to the public. It is public demand that will bring us acceptance and that public trust must be earned.
Saddling entry-level therapists with more debt to work for no more money will prevent them from taking the ongoing continuing education that creates a successful therapists in our system. Remember, we are first-door providers with full autonomy. No gatekeeper sits on our heads. The public has direct access to us. We should be teaching entrepreneurship, professionalism and competency – not just a relaxation routine, enhanced with "deep tissue technique" which seems to have become a way to charge by the pound for pressure, usually un-artfully applied. It is time we provide a solid foundational education for all therapists and honestly advise that post-graduate specialization should be part of their career plan.
We do not have a chance of being accepted by the medical profession in general until we can deliver the goods. Unfortunately, our current system of massage education cannot reliably produce that at any hour level. Until we have a competency-based education with a standardized skill base, taught by properly trained teachers, we are going to continue to contract as a field. We're never going to be taken seriously as long as we keep producing self-congratulating projects like the MTBOK and ELAP that amount to "Bridges to Nowhere."
Fortunately, the solution is not only within our grasp, we have already created it. Sadly, it is being left twisting in the wind by our major stakeholder organizations. Tune in to the March issue for a new proposal to solve this problem. And bring your kites!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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