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Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
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 previous articles by Angie Patrick.
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