A New President for AOMA: A Conversation With Mary Faria
Dr. Faria was formerly a health care executive for over 30 years, the last 17 of those years as vice president and chief operating officer of Seton Southwest Hospital in Austin. She chairs the board of Austin Mayor's Health and Fitness Council.
Knocking Down the Doors: Big Media Success for F4CP
Three articles authored by a DC or a chiropractic organization and promoting the value of chiropractic care – par for the course if you're Dynamic Chiropractic, but if you're Forbes, BOSS Magazine and Becker's Spine Review, three media outlets tailored toward high-level executives and decision-makers, we're talking about an entirely different story.
The Raw Food Debate: Practitioners Discuss Nutrition & TCM
Licensed acupuncturist and fellow blogger Elissa Gonda joins this month's column for a conversation about raw food diets. She brings her perspective on the healing potential of a raw primal diet.
2018 Gallup-Palmer Report: Key Findings
The fourth annual Gallup – Palmer College report is out; here are some of the key findings excerpted directly from the executive summary regarding Americans' experiences with chiropractic care relative to the management of neck and back pain:
A Soy Isoflavone That Packs a Punch: Genistein
Soybeans contains unique substances called isoflavones, most notably genistein and daidzein, which have been shown to block the buildup the dangerous type of testosterone in the prostate gland linked to prostate enlargement and prostate cancer.
Reaching for Our Roots: Healing Digestion With a Simple Traditional Therapy
Are you ignoring a powerful tool in your doctor's bag? Many acupuncturists realize that Spleen Qi deficiency has reached epidemic proportions in the U.S. Yet, we don't prioritize educating our patients about the importance of warm, cooked foods.
Cynicism and Burnout: It Can Happen to You
Trying to achieve fulfillment as a doctor in today's health care environment is a "rigged game" and physicians are programmed to burn out. At least this is the opinion of Dike Drummond, MD, in his thehappymd.com blog.
Bad for the Back! Exercises That Can Prevent Healing
The questions "Who gets well? Who doesn't? Why?" prompted the following observations based on my close to 40 years of chiropractic practice.
Electrotherapy Gives Hope for Patients With Spinal Cord Injury
There has been little optimism for recovery from a spinal cord injury because the central nervous system does not repair itself well. The severity of the injury depends on the affected area.
Acupuncture in Hospital Systems: Transitioning From Tolerated to Celebrated
I've had the pleasure of working with Susan Luria, Director of University Hospitals Health Systems Connor Integrative Health Network (CIHN) for the past year on the Integrative Health Policy Consortium (IHPC) Board of Directors and Federal Policy Committee.
Year in Review: DC's Best of the Best for 2018
As 2018 winds down, let's highlight the most popular articles in Dynamic Chiropractic by month (December – this issue – excluded, of course).
The Top 5 Strategies to Manage Your Reputation Online
You don't need an acupuncture website anymore! Okay, maybe that statement is a little over the top. But it's not that far from the truth. A recent study on Google searches revealed that 34 percent of all searches resulted in no clicks at all.
ACA Champions H.R. 7157; ICA Voices Major Concerns
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
VA Choice Claims Denied? Here's How You Can Get Paid
The VA Choice Program (PC3 as well) indeed pays for chiropractic care including manipulation (CMT 98940-98943) and some physical medicine services.
A Guide to CBD Dosing: The Correlation Between Dose & Potency
There is an abundance of information available about the daily use of whole plant hemp CBD oil to help maintain and support a healthy lifestyle, however there remains a lack of sound guidance on CBD oil dosing.
Reality Check: Do We Need to Try Harder?
While waiting for a flight to a recent chiropractic event, I overheard the ticket agent at the gate next to mine on his cellphone. His side of the conversation went something like this: "Where are you now? How long before you think you can be at the gate? OK, that will work, see you soon."
Malpractice Insurance: Understanding the Cover Letter
Purchasing medical liability insurance is quick, easy and not terribly expensive. The benefits are clearly listed on a certificate—but do you really know what you are getting with that peace of mind?
Exercise Therapy Following Motor Vehicle Trauma (Pt. 2)
In cases of cervical spine trauma, particularly trauma related to a motor vehicle accident, my plan is to teach the patient one exercise per session and build a progression. This is an effective approach I call an "activation circuit."
Acupuncture is a Science-Based Medicine
A longstanding patient of mine came in for a routine treatment after she recently began seeing a chiropractor for neck pain. She saw him a couple of times and wasn't getting the relief she had hoped for, so he recommended she let him do dry needling.
Dietary Supplements That Help Restless Leg Syndrome
It is estimated that 7-10 percent (possibly up to 15 percent) of the U.S. population has restless leg syndrome. It is a bit more common in women than men.
Map It: Understanding the Customer's Journey
One of the biggest marketing mistakes most practice owners or administrators make is not putting themselves in their prospective or current patients' shoes. How do they think and feel about you and your practice? What makes them take action?
The Truth About Malpractice Claims Against DCs (Pt. 1)
Over the past 20 years of active practice, I have seen a number of scary case scenarios regarding signs, symptoms and patient presentations in my office. These presentations scream, This patient is going through an event or This patient does not need chiropractic care, they need emergency care.
VA Chiropractic Reduces Veterans' Use of Opioids?
Utilization of pain medication – particularly opioids – has been massively high in among veterans for decades, but Veterans Administration guidelines that recommend nonpharmacological first-line treatment options create a greater opportunity than ever for VA chiropractors to make a dent in the opioid and overall pain-management crisis.
When Computers Cause UCS: Adjusting Strategy
With the widespread use of mobile devices such as smartphones and tablets, the incidence of "text neck" has reached almost epidemic proportions. But there is another challenge to the spinal health and well-being of our technology-driven society.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
A Simple Miracle: Treatment for Mysterious Foot Pain
Under the old ICD-9 diagnosis codes, there was actually a diagnosis for "adventures in medical mismanagement" to describe patients who had been run down the rabbit hole of poor case management and care. I encountered one of those patients in my office today.
September, 2011, Vol. 11, Issue 09
Creating Your Path to Success
By David Kent, LMT, NCTMB
To establish a reputation as a skillful massage therapist, with a talented array of techniques, requires consistency in a few areas over time. To become that therapist and design the practice of your dreams, you must be clear as to the knowledge, professional image and experience needed to achieve those long and short-term goals.This article will take you through the process by providing insightful questions and examples to help you clarify the steps and ignite the motivation to follow through on the actions necessary to create your path to success. Refer to "The SMARTER Approach to Achieving Your Goals" and "Practice Building: Taking Your Practice to the Next Level".
Your ability to assess your patients symptoms, communicate your findings and design and implement effective treatment plans is easy when you understand how the body works and have the professional support tools to do your job. Mastering these skills and support tools can greatly influence if a patient reschedules, upgrades services, purchases a multi-session package, refers others and in some cases the amount of your tip.
Specialized areas of study are an excellent way to create a reputation and set you apart from the other massage therapists in your area. For example, since 1992 to the present, my continuing education involves dissection seminars at the University of South Florida College of Medicine in Tampa. The knowledge from these seminars is applicable to all forms of bodywork. The decision to make the investment was easy since the percentage of healthcare providers who perform a human dissection during the course of their education and training is relatively low. I understood taking part in this unique learning experience created a special bond among its participants in the healthcare community.
I have met many physicians over the years that attended the College of Medicine in Tampa. Sharing that I studied anatomy in the same dissection lab is a great icebreaker that gives me further opportunity to develop an ongoing professional relationship — and a referral network.
Therapists who have taken a human dissection seminar have a definite advantage over those who have not. For one, physicians and other healthcare providers know that if you have taken a dissection seminar, you are committed to learning. If you were a doctor and had a choice of therapists in which to refer patients, do you think knowing a therapist attended a dissection seminar might influence your decision? What if you were the consumer? Would that level of advanced training influence your decision to see him or her?
There will be situations when your current schedule, location or finances prevent you from taking the seminar of your dreams. Your next option is to order the home study materials for the course. This gives you the freedom to watch and review everything anytime, anyplace, before and again after attending the seminar. Invest in well-organized programs that include manuals and other visual aids like charts that make the learning process easy and support your treatment sessions.
Ask yourself, what specific seminars or home study programs must I invest in now to achieve my long and short-term career goals? Then write a list of the seminars and home study programs and next to each item write the date you plan to accomplish this goal.
Presenting a professional image takes place on many levels; from how you speak and dress to the assessment and education tools you utilize. Read "Practice Building: Getting Inside Your Patients Head".
Besides the many talented skills in your hands, one of the most powerful tools a massage therapist holds is in the palm of their hand: an iPhone, Android, Smart Phone, iPad or Tablet. They allow you to run your business. You can make calls, schedule appointments, email, research online, get GPS directions, take payments and watch videos.
The built in camera lets you take still photos to document posture or video for range-of-motion and gait. The large screens let you zoom in to instantly assess and educate your patients. We all know the saying "a picture is worth a thousand words." Doctors utilize X-rays, MRIs and other imaging to educate patients, design treatment plans and document progress. You must use tools to take postural analysis photos to document and educate patients regarding how the effects of their high shoulder and forward head posture does indeed create myofascial pain and trigger points. The camera allows you to record video footage documenting dysfunctional movement patterns assessing their entire body during gait (Photo 2). Read "The Initial Treatment: Generating Thousands to Your Practice".
This Charts are a powerful visual tool that demonstrate your ability to understand the patient's pain and develop an effective treatment plan. Charts help you instill a comforting level of confidence to your patients as you explain the connection between their pain, limited range-of-motion, posture, trigger points and how your treatments help.
Charts are a phenomenal way to introduce a clinical presence to any treatment setting. Charts are engaging and provide a perfect visual aid for patient education. Hanging in each treatment room of my clinic is a postural analysis, skeletal, muscular, range of motion and full set of trigger point charts. I even have the same group of charts hanging in my reception area and use them when answering questions for the public that stop to inquire.
If you're a mobile therapist you might want to invest in flip charts to educate patients and present a professional image during outcalls, chair massage, health fairs or any time wall space is not available.
Ask yourself, what specific visual aids must I invest in to achieve my long and short-term career goals? Then write a list and next to each item write a target date.
It will require a little practice getting comfortable presenting the image of a confident healthcare provider. Part of this involves wearing certain attire and answering questions while referencing specific visual aids.
Practice taking posture photos and zooming in on each image to assess a forward head or slumped rounded shoulder pattern. Postural photos show which muscles are shortened, and which are lengthened contributing to neck pain and or back pain and how your treatments can help.
Learn how to properly use your charts to educate patients so you can show visual pain referral patterns of trigger points for common complaints like headaches, neck and back pain. A skeletal chart will aid with correlating trigger points and posture.
Practice by going out and "cold calling" a few miles from your ultimate target area. Pick multiple plazas to go introduce yourself and tell them who you are, what you do, where you are located and how you can help. After a few days, you will be amazed how much better and comfortable you will be answering the questions and referencing your educational tools. Now it is time to target your market.
Congratulations, reading and completing the steps outlined in this article was a major step toward creating your personal path to success. There is big difference between knowing what to do and doing what you know. Keep this list close, review your list frequently and take daily action. Your professional career investments must be wisely focused to be effective. Enjoy making your practice unique and setting it apart.
Click here for previous articles by David Kent, LMT, NCTMB.
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