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Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
April, 2014, Vol. 14, Issue 04
Entry-Level Analysis Project Publishes Report
By Kathryn Feather, Senior Associate Editor
In March 2012, the Coalition of Natioanl Massage Therapy Organizations initiated the Entry-Level Analysis Project (ELAP) with the goals of "defining the knowledge and skill components of entry-level education and recommend the minimum number of hours schools schould teach to prepare graducates for safe and competent practice in the massage profession."
After 21 months of collaboration and more than 500 pages later, the ELAP working group has issued two reports: "The Core: Entry-Level Analysis Project Report" (Final Report) and "The Core: Entry-Level Massage Education Blueprint" (The Blueprint).Member organizations who are part of the Coalition include: the Alliance for Massage Therapy Education, the American Massage Therapy Association, Associated Bodywork & Massage Professionals, the Commission on Massage Therapy Accreditation, the Federation of State Massage Therapy Boards, the Massage Therapy Foundation and the National Certification Board for Therapeutuitic Massage and Bodywork.
In a statement released after publication of these reports, the Coalition explained that two concerns were at the top of the list in the early stages of the ELAP process, which they cited as "inconsistent quality, depth and focus of entry-level massage therapy education and a lack of licensure portability (professional mobility)." The initial objective of the group was to "identify and gain agreement on what should be core elements of entry-level massage therapy instructional programs - the knowledge and skills an entrant to the profession should possess to be ready to work safely and competently with clients."
And so a seven person working group was formed to address these concerns. Group members included Pat Archer, Clint Chandler, Rick Garbowski, Tom Lochhaas, Jim O'Hara, Cynthia Ribeiro and Ann Williams. According to the Coalition statement, "the ELAP process illuminated some predictable strengths in massage education, but also some wide ranging knowledge and skill gaps." The statement also says that "neither the Coalition nor its constituent organizations endorse every specific recommended sub-topic, activity or propsed weighting in the report." The group found that approximately 625 classroom hours of "capable instruction" would be necessary for students to acquire the core skills.
That number of 625 falls close to the average for most massage regulated states. Most regulated states now require 500 total educational hours, while others require more than the 625 recommended. The Coaltiion does "encourage interested parties to focus less upon the total hours and more on recommended subject matter and sub topics. It is vital to understand what The Core is not - it is not a complete massage school curriculum. The contents of this report are seen as the core - the foundational knowledge and skills every beginning massage therapist should possess - that should be part of every entry-level massage instructional program, but not the entirety."
The Coalition hopes this report will influence several professional groups within the massage profession. For the Federation of State Massage Therapy Boards, the Coalition hopes they will "use The Core as it builds guidelines for a model practice act." They also hope state licensing boards will use "The Core in setting education requirements for licensees.
The Coalition hopes the Alliance for Massage Therapy Education will "refer to The Core in creating teacher training standards and curricula and that the National Certification Board for Therapeutic Massage and Bodywork will use "The Core as it identifies beginning vs. advanced knowledge and skills for its Board Certified credential."
The Coalition believes that the Commission on Massage Therapy Accreditation can use "The Core in evaluating massage and bodywork curricula for programmatic accreditation" and that "schools owners, admimninistrators and faculty can use The Core to strengthen or validate curricula and to adopt consistent learning outcomes."
"We believe that the efforts of work group members have resulted in an extraordinary, ground breaking body of work. Their Blueprint, and the underlying process described in the report, gains strength from its intellectual integrity and independence."
Both reports are available for download at www.elapmassage.org.
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