resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Talking to Patients About Healthy Aging
I've noticed that a particular category of patients seems to make up more and more of my practice – they work out, but still experience lots of degenerative joint disease (DJD) issues.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
Understanding and Identifying Pediatric Growth-Plate Fractures
In general, fractures in children heal well with little intervention as long as the alignment is good. Fractures involving the growth plate, however, are a different issue. In fact, growth-plate injuries are the primary reason for the subspecialty of pediatric orthopedics.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
5 Ways to Occupy Occupational Health
Despite the progress that has been made to better protect workers, occupational health and safety remains a priority area for many national governmental organizations due to the widespread problem of occupationally related morbidity and mortality.
Saying No to Medicine
An interesting article recently appeared in Men's Journal titled "When to Say No to Your Doctor." The article begins with the summary statement above and effectively arms readers with information that will help them "take more responsibility for your own health care, because you can't be sure anyone else is.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Calcium Helps Prevent Colorectal Cancer
Over the past 25 to 30 years, studies have suggested calcium may confer protection against colorectal cancer.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Transparency and Accountability: Q&A With the CCE
Every profession needs an organization dedicated to upholding the quality and integrity of its degree programs and educational institutions.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Blaming the Gluteus Medius, Overlooking the Deltoid
The gluteus medius (Gmed) is commonly written about, strengthened and blamed for many conditions, and rightfully so. After all, the Gmed plays a role in pelvic stability, hip motor control and lower-quarter dynamic movements.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Help Patients Achieve Optimal Vitamin D Levels
Much research has been done on vitamin D levels and their impact on health; optimal levels have been correlated with a reduced risk of developing numerous conditions.
Web Marketing: Content Is King
Google's sweeping updates to its search algorithms over the past few years have brought a paradigm shift in how you can optimize your chiropractic website to gain maximum marketing leverage.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
The X Factor in Clinical Research: The Patient
It was the great baseball legend, former New York Yankees catcher Yogi Berra – he of countless aphorisms, each with a mind-bending twist – who once declared, "You can observe a lot by watching."
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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