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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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?
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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