resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
February, 2016, Vol. 16, Issue 02
Electile Dysfunction: Setting a Dangerous Precedent
By Ralph Stephens, BS, LMT, NCTMB
With the 2016 Presidential campaigns sucking up all available bandwidth in the media, there were two recent elections in the massage therapy field that passed under the radar that raise deep concerns about fairness, transparency and democratic process.
I'm talking here about the Board of Directors elections for the American Massage Therapy Association (AMTA) and the Federation of State Massage Therapy Boards (FSMTB). Both elections featured dubious changes in voting procedures that were not authorized by the respective memberships of these non-profit, tax-exempt organizations. The changes have resulted in the diminishment of the voice of the members and the further concentration of power in the hands of very few people.
AMTA's annual election for its Board of Directors and Officers have not garnered much attention in recent years, with less than 3% of the 56,000 professional members voting. However, these elections have been run according to an open and fair process, with all AMTA members having equal opportunity to run for seats on the Board. A Commission on Candidacy (itself elected by the membership) was in charge of ensuring that candidates met basic qualifications in the AMTA Bylaws.
This past August, the AMTA Board changed the entire election structure, giving the President the power to select the Commission on Candidacy (COC). The COC, in turn, was empowered to select a slate of candidates from the pool of those who submitted applications, with just one candidate for each Board seat. The entire slate was presented to the membership during a two-week window in November for an "Accept" or "Reject" vote. By the way, the voting instructions gave no information on what would happen if a majority of members rejected the slate. If that wasn't bad enough, the new election structure removed the ability of AMTA members to select the association's President and Vice Presidents. The officers are now chosen by the Board of Directors, after the rubber-stamp election takes place.
AMTA's 2014 Board elections reached a new low in cronyism, as Board members were allowed (for the first time) to publicly endorse their favorite candidates. The 2015 Board election has now enshrined cronyism as the law of the land, as the entire selection process is now controlled by the association's President. And this closed-shop mentality was used effectively to screen out some highly qualified candidates who would have pushed the association in much-needed new directions. Bar the door to change, and order up another round of drinks to celebrate!
The press release sent out by AMTA on the recent election touts its success in doubling the participation – up to a whopping 6%. They claim that 87.7% of the 3,389 members voted to approve the slate. Since there were no other choices or options given, this vote cannot be given any more credence than someone hitting the "Like" button on a Facebook post.
Why does this election process and the AMTA Board even matter? Because the organization is a public trust, and it is sitting on a cash reserve of $15 million that could be used to truly advance the profession and improve the quality of services provided. As it is, much of the association's money is used for the care and feeding of itself, the professional staff, and its state chapters. AMTA is little more than a social welfare club for those who serve in "leadership" positions at the state and national levels – massage therapists who get free travel, lodging and CEU's for conferences and conventions. Fun for them on your dime.
Here's another way to look at what has happened: Imagine that the election process for your local city council was changed by the council without being put to the voters for approval. The new rules allow the mayor to choose a committee to hand-pick candidates, and only one candidate is presented to the voters for each open council seat. And once the election is complete, the council chooses a mayor from within its own group. Conflict of interest? An affront to the principles of representative democracy? You're damn right it is, and it's exactly what AMTA has committed.
Their claim to being a "member driven organization" is now a total lie. They are now driven by the President and Executive Director, supported by a 1% "Ruling Class." No dissent allowed. And yes, I am an AMTA member.
It Gets Worse
Well, it's no prettier over at FSMTB, where its leaders have gradually reduced the power and voice of the state massage regulatory agencies that constitute the membership of this important organization. Just before representatives of the state agencies gathered for their Annual Meeting last October, the process for electing members of the FSMTB Board of Directors was changed without the permission of the Member Boards. Sound familiar? In the new process, candidates (hand-picked by the Nominating Committee) were pitted against each other for specific seats, instead of all candidates running at large for the available seats on the Board. It's a mystery who decided which candidates were to run against whom. And forget about Member Boards being able to nominate candidates from the floor during the meeting – that right was taken away a few years ago.
This last-minute change to the election process did not go over well, and a number of Member Boards abstained from the vote to express their concern with an action that had been taken without their permission. The meeting was further muddied by a vote taken on a resolution introduced by the New Jersey Board to change the exam requirements for the MBLEx. The resolution was passed by the Delegate Assembly, but was later invalidated by FSMTB staff because a page was left out of the materials provided on this resolution. Why even hold these meetings, with the appearance of a representative democratic process, if it can all be changed by the whim of professional staff "behind the curtain?"
FSMTB appears to be emulating some of the worst behavior of NCBTMB when that organization was in its heyday. Over the last several years, the Federation's annual meetings have become vacation junkets ... on the beach in San Juan, the French Quarter in New Orleans, and most recently in Albuquerque for the big international Balloon Fiesta. That one ensured there was plenty of hot air to go around at the meeting.
The success of the MBLEx has taken FSMTB from poverty to poshness in just seven years. With the organization now sitting on a cash reserve of about $8 million, they should be utilizing it for the good of the profession. As I mentioned in my last column, FSMTB can't even make good on its most basic obligation to provide exam preparation materials to students and massage schools. Why should we trust them to handle continuing education approvals?
As the expression goes, "Follow the Money." In the case of these two organizations, it leads to the executive directors of AMTA and FSMTB – each of whom are making more than $300,000 per year in compensation. These individuals are the ones in real control, with the glad-handing Boards of Directors there mostly for show. The problem is that the people in these elected positions have forgotten that they have the power to hire and fire their executive directors if they are not performing up to snuff. It's time for them to wake up and find association management professionals who can bring these organizations into higher levels of service.
If you care, you must put pressure on your State Massage Board to work to reform The FSMTB. If you are an AMTA member, you should let them know how you feel, and soon. The price of freedom is eternal vigilance and involvement. If you don't protect your rights and freedom, they will be taken away. And they are very hard to get back.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.