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Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
April, 2014, Vol. 14, Issue 04
Explore the Benefits of Working at a Resort Spa
By Ann Brown, LMT
A year or so ago I wrote for Massage Today about the benefits of working in the resort/hotel spa industry and still feel I have some unfinished business on the subject.I did a brief search about recent information on massage therapists in hotel/resort spa settings and really found some bullet points and statements that were farfetched or just incorrect. I wanted to clear up any misconceptions because I still think this is a viable pathway for massage therapists to build a rewarding and lucrative career.
I consider myself optimistic and lucky and I try to find the good in almost all situations, so my next sentence might go against the grain of my thinking but it is really how I feel right now. I think the economy is still having some "pains" in getting back to normal. Most would say there is no looking back because it will never be the same as it was in 2006 and earlier. I'm not sure I have adopted 100% of that theory, but I do know that at the resort spa I have worked at for the last 13 years, our revenues are down. Down from 2006 for sure, and down from last year, too. I have cut some of the expenses to make sure our profit margins are still okay and no hands-on therapist has taken a pay cut, but we have cut lots of other things including paper good, to goods for marketing, to toilet paper. We are also really trying to define whether our marketing strategies have worked and if there is really ROI (return on investment) because marketing can be very expensive and you must measure each and every effort in this area to ensure you are not trying to attract a client that will just never come to your spa.
First, I want therapists to understand that a resort/hotel spa can be a great place to work. I know that most therapists getting out of school really want to be their own boss. With that title, comes lots of other challenges, duties and hats to wear including managing other team members whether they are independent contractors or employees, advertising/marketing, payables/receivables, linens, laundry, equipment, scheduling, menu/brochure treatment selections, mission, vision, culture, referral programs and the list goes on and on. It's a lot for someone that has just been skilled to do hands-on massage to bar all of that responsibility right out of school. Many of the top business books will tell you that the best massage therapists, guitarists, painters and even drywall hangers don't make the best managers. Their skill is their talent and what they love to do. Many that choose massage therapy as a second or third career have already "been there/done that" regarding management and running a business, and were searching for a career where they can do great massage, exceed guest expectations and not deal with personnel issues and P&L statements.
As I looked at some of the articles available about working in a resort spa, many did not paint a great picture; long hours, up to eight massages a day, being an employee instead of a boss, working hours that are not your favorite, seasonal and a little bit of "us vs. them" (big corp vs. massage therapist). I would be hard pressed to apply or send in my resume after reading many of the articles. I hope I am here to, at least, encourage you to try out an interview first and see for yourself.
I brought up the economy and how slow it is to recover because I see lots of good therapists that are in their own practice or a small practice and they are just suffocating. They are talented but have lost some of their clients to this slow economy and lost some to others being more competitive (less expensive) and they seem to be paralyzed. They seem to have this hope (I do, too) that the economy will come back and they will make the same money and grow in clients, but I have to wonder, how long do they try and hang on? What is the right amount of time before you regroup and think of other options. I know when you have invested time and money into your own business that it can feel terrible to have to throw in the towel.
This has got to be one of the hardest decisions to make because there is no perfect answer or just the right timing. And maybe your overhead is low and you think you can stick it out and get past this slump, but the more important question to me is, why did you get into your profession? I would think most of you would say you got into the massage profession to help others, do hands-on work, educate others, help reduce pain, provide relaxation and stress reduction, etc. So why not hang your hat somewhere that you can see clients each day, raise the bar for the client to understand massage, assist with health/wellness/stress relief or pain reduction, spend the bulk of your time doing hands-on work and get paid for each massage.
You have the ability to inform and educate your clients and hope they will prioritize getting massage/bodywork in the future, whether at a resort/hotel spa or a local spa/massage business in their area. What if you could see multiple clients a day, a steady supply of new clients, be supplied uniforms, linens, equipment and oil/cream and have your taxes taken out by the employer and not as a independent contractor or self-employed? Sounds appealing to me! I know our resort offers medical/dental, complimentary lunch, CEU training based on some minimal requirements, provides liability and professional insurance for the hands-on staff and allows the staff to trade with each other for the benefit of their own bodies and allows their friends and family to receive discounts for spa services. Again, sounds good to me.
The marketing of the spa and the booking of clients is done for you and we even supply business cards for the staff and referral cards so they try and promote themselves for request massages and to build relationships with our local clientele. I really have come to love the team spirit and having a team around since I do not know everything or every modality. It is a nice way to refer a client to someone within your brand that has the certification and ability to do a modality that may benefit the client even further. I think this is a win-win for you and the client.
I have heard over my 20 years in the spa industry, more when I first started in the mid 90's, that the spa will take a big percentage of the treatment price. I know you could make 100% if you are self-employed, but with that 100% you have expenses and these must be weighted into each dollar. Insurance, rent, overhead including equipment, linens, marketing, laundry, etc., and many of these expenses can really take from each and every dollar you make. Additionally, if your business is down and you are not seeing the same number of clients as two years ago, that dollar is getting stretched more since many of your expenses can be fixed like rent/lease which is the same amount of money with more or less clients. And we all know it gets more expensive to do business with less clients.
I think most massage therapists have weighed this all out at one time but I am hoping, if you have a reduction in clients, you will put this back on your list for reflection. I know there is a shortage of good therapists in the spa business and many hotel/resort/ medical/destination spas are doing much better than two years ago and need good therapists on their team. Just go for an interview and see if there is a fit between your style/ethics/mission and the spa. Good luck and send me an email if you have any questions.
Ann Brown, a licensed massage therapist, is a member of the International Spa Association's board of directors and serves as spa director at Spa Shiki at The Lodge of Four Seasons in Lake Ozark, Mo. She also provides management consulting services through Spa Insight Consulting.
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