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Thinking About Cohen's Kappa
Let's think about some notions of reliability and validity, and about what it means for diagnostic examiners to agree in meaningful ways. Diagnostic tests must obviously be both reliable and valid.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Why More Patients Don't Come to Your Office
Every so often, something turns out to be much easier than anticipated. It's like ordering a piece of furniture or a child's toy that comes in 167 pieces.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
We Get Letters & Email
It was with great interest that I read "Trouble in the Wellness Waters?" in the May 1, 2015 issue of Dynamic Chiropractic. I heartily applaud Dr. Hayes for his insightful and informative article.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Managed Care Subverts Chiropractic
A study published in the American Journal of Managed Care underscores why so many chiropractic patients go out of network in order to get the care they need: Managed care may be effectively locking them out.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Do You Have a Post-ICD-10 Strategy?
Post-ICD-10 planning is critically important to the health of a practice, in part because ICD-10 is brand new to providers, payers and related affiliates alike.
Dietary Fat and Prostate Cancer: An Important Update and Review of Mechanisms
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Active Care for Ankle Sprains
An ankle sprain is a common injury, since this joint is required to perform complex movements under high forces during normal walking. In fact, 10 percent of all emergency-room visits are ankle-sprain related and an estimated 25,000 ankle sprains occur in the United States daily.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Troubleshooting: Billing Multiple Fees for the Same Service
I am afraid I may doing something illegal. I have heard I cannot bill different fees for the same service.
A Tribute to a True Chiropractic Leader
President of Texas Chiropractic College (alumnus, class of 1950) and the American Chiropractic Association (ACA) Board of Governors. President of the Texas Chiropractic Association and twice-appointed member of the Texas Board of Chiropractic Examiners.
When Patients Lie (Bribe or Flatter)
Recently, a new patient told me about what I thought was a novel twist on the doctor-patient relationship. She felt she had to lie to her DC to discontinue her treatment.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
May, 2014, Vol. 14, Issue 05
To Be an Employee, a Contractor or Self Employed? That is the Question
By Angie Patrick
Our industry has a wide array of opportunity for the newly graduated therapist. It also presents a wealth of opportunity for seasoned therapists who may have been hit hard in the past years of economic uncertainty.Recently, I read a survey from the Day Spa Association sharing that 2013 and 2014 have shown some significant increases. It claims the Spa Industry is indeed in growth mode.
This news is indeed encouraging. Moreover, I have had a number of conversations with employers within the spa and wellness industry who claim they are on constant lookout for therapists, as the need of the wellness seeking public outnumbers the quantity of therapist applicants. In one case, I learned that the lack of available therapists caused locations to close rooms and turn away clients as a result of not having enough personnel to cover the demand.
I have spoken to therapists in private practice who also share they could expand their practice, if only there were two of them. They have more need for their services than they have time in the day to assist. This news also sounds encouraging. Could it be that the need for therapists has grown and people understand the importance of massage therapy in their lives, health and wellbeing? It sure sounds like it!
So what does this mean to you? Well, that vastly depends on what your needs are and whether you want the responsibility of running a business, contracting for a company or being hired. These are three very different roles and each has their own perks. I want to share a bit of high level insight as to the potential benefits of each and provide a bit of information to help you decide if one of these options is for you.
If your personality seems to show a penchant for understanding the ebb and flow of business, social and print marketing, and the importance of the principles of strong money management, then this venue may be for you. As a self-employed therapist, you need to have a solid understanding of what the reality of profitability looks like and a plan on how to make it happen. You will be your own marketer, buyer, scheduler, workforce, accountant and boss. Being your own boss sounds pretty good, but in order to be successful as a solo practitioner, you should really understand it involves far more than being a competent therapist. The responsibilities of the success or failure of your practice rest solely on your shoulders and the rewards are great if you are willing to do all of the jobs above with as much effort and energy as you put into the role of therapist.
If taking on the full responsibility of running a business isn't something that speaks to you, then perhaps you should consider becoming a contractor. In this role, you are still working for yourself, but have contracted your services for a price to another business owner. This provides a bit of autonomy however, you will likely be asked to work a specific schedule which is conducive to the needs of the business owner and not necessarily your need. This may be a good tradeoff for you, as you can leave at any time and are often free to pursue other interests and opportunities at the same time. Additionally, you should be prepared to do the work in the manner the company requires and not necessarily how you would in your own business.
These parameters should be clearly explained and discussed before you enter into a contract agreement so there are no misunderstandings of the expectations. There are perks to being a contractor, such as tax deductions and other economic benefits. These are better explained to you by your accountant and the opportunities may vary by state. Some of the upside may include the ability to deduct business expenses on your own income tax return. These can include office space, mileage, per diem and more. To learn more about the benefits of being a contract employee, please see your local employment bureau.
If neither of these options seem suited to you or you really do not want the added responsibility of running a business or keeping records of every expense so as to itemize, then perhaps being an employee may be of greater interest to you. The benefits of being employed by a company as a practicing therapist are numerable. Not the least of which, you will be free to concentrate more of your efforts on client care. The marketing, money management and ordering may well have nothing to do with you. You should be prepared for the reality that you will be doing your job in the manner required by the company you work for and it may include retailing and rebooking of the client. This is generally accepted as being the case and many prefer this to the other methods of ownership or contracting.
Occasionally, these positions can offer benefits such as healthcare and 401K. Another perk may be a regular income you can rely upon week after week to better manage your personal expenses. There is a wealth of places looking to hire dependable and talented therapists and the growth of need shows no sign of slowing. The industry as a whole seems to be growing. It has seen its share of difficulty in recent years, as all industries have. The economy has had a great impact on discretionary spending. However, while massage was once considered a luxury or splurge by many, it is now becoming more mainstream and accessible to the public. Certainly now more than ever, preventative healthcare and stress management are more forefront and people are seeking alternatives to the high cost of healthcare.
They are doing this by working to take better care of their body, their mind and spirit in ways they have not done before. They are more inclined to work to stem the causes of long-term illness such as chronic stress, pain and inflammation in ways they would not have considered as little as ten years ago. In doing so, this has created an increased need for properly trained and licensed therapists across the nation. Many larger companies are adopting the philosophy of preventative care, and this too has opened some doors for massage therapists to walk through and build a lucrative career.
You already know you love caring for others. You have a service heart that wants only to provide a means toward greater wellness. You have learned your craft and continue to hone it to become the best therapist you can be. Now, the decision which lies before you is how to go about the business of using these talents to sustain your livelihood and prepare a home for you and your family. I hope the information here may have sparked your interest to investigate further into the various roles you can fill and helps you in finding the space that is right for you.
Click here for more information about Angie Patrick.
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