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Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
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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