Time-Saving Tips for Your Practice & Life
Of all the finite resources we possess, perhaps the most valuable one is time. There never seems to be enough time to accomplish everything that must be done, and all too often we sacrifice things in our personal life to meet the demands of our practice.
A Historic First for Chiropractic Assistants
The New Jersey State Board of Chiropractic Examiners will begin issuing licenses as early as Nov. 1, 2018 to chiropractic assistants who have undergone a 500-hour training course and passed a competency exam.
Multichannel Access: Software for a Better Customer Experience
It is no secret that today's consumer has high expectations when it comes to how and when they can contact a business. In fact, one of the reasons clinic management software has become so popular with acupuncture practitioners is they allows customers to book appointments and make payments online day or night.
The Benefits of Going Paperless
The benefits of going paperless in your practice are profound. If you haven't done it yet, here's why you should.
Support Patients With Multi-Channel Customer Service
It's no secret that today's consumers have high expectations when it comes to how and when they can contact a business. In fact, one of the reasons clinic management software has become so popular is that they allow patients to book appointments and make payments online day or night.
Bringing Acupuncture to Ohio
The jolt of seeing a woman conscious and talking during surgery left a lasting impression in 1971 when acupuncture was on the national news.
UHC Up to Its Old Tricks With Latest Headache Policy
A decade ago, UnitedHealthcare announced changes to its chiropractic services policy that declared manipulative therapy for headache unproven and ineligible for reimbursement.
Neck Pain: Activation Exercises
In observing patients and studying rehab, I have learned that tight muscles are weak muscles and that stretching is sometimes less effective than muscular activation. There is a delicate balance between joints that move too little and joints that are hypermobile.
X-Ray: To Be or Not to Be - That Is the Question
For the past year, I have been asked by many practicing chiropractors, college presidents, faculty and others what my opinion is on the "Choosing Wisely" guidelines the American Chiropractic Association (ACA) recently adopted for its members.
The Science Behind the Efficacy of Cosmetic Acupuncture
The beauty industry continues to boom and grow constantly, from topical creams, lotions and potions all the way to cutting edge cosmetic surgeries.
Food for Thought: An Examination of Diet & Digestion
Even an acute poison can become an excellent drug if it is properly administered. On the other hand even a drug, if not properly administered, becomes an acute poison. — Charaka Samhita
Working for Someone Else: Know the Rules of the Game
Many of us decide to become acupuncturists because we are healers at heart and want to focus on treating patients, not because we want to own and operate a business. So we work for someone else, which can have great advantages, especially as a new graduate.
Travel-to-Treat Coverage Finally Becoming a Reality?
Long-awaited legislation poised to hit the president's desk extends liability insurance coverage from one state to another for DCs and other state-licensed health care professionals who care for athletes / athletic teams that cross state lines.
The Origin of Blood
The Roman doctor, Galen, (2nd century AD) did pivotal work to prove that blood, which he thought was produced by the liver, and the cardio vascular system existed. He conceived that the arteries and veins were two separate networks.
Depression & The Secondary Vessels
As an acupuncturist I see many people suffering from depression. I often think depression is the major imbalance of our culture. I have a patient I've been working with for several years. Her major challenge is chronic stubborn depression.
The Importance of the Scapulohumeral Rhythm
The shoulder has the greatest range of motion of any joint in the body. What is often overlooked in shoulder mechanics is that motion in the shoulder is not purely at the glenohumeral joint.
It's Time to Reward Yourself
An interesting study recently published in the Journal of the American Heart Association (JAHA) confirms what we all learned when we were children – and serves as food for thought as to how you can improve your practice and your personal life.
Lead Patients to the Fountain (and Foundation) of Youth
We're all seeking the fountain of youth and marketers are capitalizing on it. (Global demand for anti-aging products, treatments and services was valued at 140.3 billion in 2015, according to Zion Market Research.)
Your First Impression Always Deserves a Second Chance
Doctor, have you ever had a patient you just couldn't "warm up to"? You know, the kind of patient who "irks" you, who has a hidden agenda to get something you haven't anticipated, perhaps causing you to want to hide in a closet when they come in for treatment.
That's a Wrap: Compression Bands for Contemporary DCs
Over the past decade, compression bands have been increasingly utilized in trainer and manual therapy offices. I was first introduced to the compression band by Kelley Starrett, author of Becoming a Supple Leopard, and have since been using it as a teaching tool.
Chiropractic Management of Patellofemoral Arthralgia
Patient reports with pain in the front part of her right knee, especially during and after her weekly Zumba class. She states there has been no injury of which she is aware. No outward sign of injury is observed.
Vaccine Injury? The Autism Debate (Part 2)
As suggested in my first article on this topic [August 2018],1 my impression is that the vaccine authoritarians and radicals have not helped to mold a proper social / political environment for addressing the issue of vaccine injury.
Easy, Inexpensive Tools for a Successful Practice (I Promise)
Successful practitioners are the ones who know how to run a business, first and foremost. I became a licensed acupuncturist in 2006. After having worked in chiropractor's offices for nine years, I opened my own office in 2015: four treatment rooms, a back office and a waiting room.
The international standardization conference was held this year in Shanghai, China (June) - this was the ninth plenary session. Meetings for technical committees, or working groups also took place at the conference.
A New NCCIH Director ... One That Backs Acupuncture
The third time is a charm—the National Center for Complementary and Integrative Health (NCCIH), a division of the National Institutes of Health (NIH), announced it's newest director, Dr. Helene Langevin.
An Update From the Acupuncture Now Foundation
Since launching the Acupuncture Now Foundation (ANF), our volunteer leadership has continued to work to achieve our vision of "Creating a World Where the Benefits of Acupuncture are Known and Available to All.
"Don't Crack My Neck": What Do You Do Next?
It's Monday morning and your first new patient of the day, a 35-year-old female, presents with chronic headaches and neck pain. The patient was referred by her primary care provider for evaluation and management without the use of cervical manipulation.
Possession: Blocks to Healing
Before we can approach treatment of a patient's primary elemental imbalance (AKA "Causative Factor" or "CF"), a number of specific energetic blocks must be considered and, if present, removed in order for treatment to be effective. I cannot emphasize this enough.
December, 2014, Vol. 14, Issue 12
NCBTMB Explains Changes, Plans for Future
By Leena S. Guptha, DO, MBA, BCTMB, Chair of the NCBTMB Board of Directors
To move forward as a profession, is important to ensure we understand our past, our present and our priorities for the future. We did not make it to this point alone. We have dedicated so much of our time, energy and resources to an advanced credential, Board Certification, and an evolving Approved Provider Program — reminding all massage therapists and the public that credentials matter.Our work matters. And for those that choose to go beyond entry level, you deserve to be recognized. But, how did we get here?
Recognizing Our Past
Here are some highlights of our history all massage therapists should know to gain context into the recent decisions we have made.
1988: AMTA Board members, along with several of our esteemed authors, massage therapists, school owners and leaders of the profession, began to brainstorm the needs of our profession. At this time, only a handful of states regulated massage therapy — which meant that in several states, someone could dream about becoming a massage therapist and decide the next day to open a business. Despite their good intentions, these therapists did not have the necessary training to help the public heal.
1990: The AMTA Board of Directors invited a handful of massage therapy professionals to create a test that would help with reciprocity throughout states. With this test, massage therapists would prove they had graduated from a formalized massage therapy program. Most importantly, the test would be accepted in the few states that regulated massage therapy. Successfully passing this test would show a higher understanding of massage therapy, as well as how to work with the body.
Mid-1990: Soon after, this same group contacted NOCCA to follow proper certification guidelines — and even hired a Psychometrician to ensure the test would be measured properly. The NCETMB was the first psychometric test for the massage therapy profession.
1992: The first test was delivered by pen and paper in 40 different locations. More than 5,000 massage therapists took the first test — proof that this test was something worth fighting for.
Mid-1992: The National Certification Board for Therapeutic Massage & Bodywork is founded and National Certification credential created. The main purpose of creating this credential was to create reciprocity throughout the United States.
2005: State board members from 22 states come together to talk about aligning the profession and creating standard licensure requirements. This organization, the Federation of State Massage Therapy Boards (FSMTB), creates an entry level licensure examination to create reciprocity throughout the country, the MBLEx.
2013: NCBTMB introduces the Board Certification credential, the highest voluntary credential in the massage therapy profession.
2014: NCBTMB agrees to no longer offer licensing examinations to the public, focusing exclusively on Board Certification, Approved Providers and Assigned Schools.
Throughout the years following 1992, states began regulating massage therapy and many utilized NCBTMB's test as one of their entry level requirements for obtaining a state license. Over time, it seemed that within massage therapy the boundaries and functions of the two credentials (licensure and certification) were blended together and the value of the certification credential was slowly diluted. When compared to healthcare and other medical arenas, however, certification is typically regarded as a higher voluntary credential beyond entry level licensure. These professions are not satisfied with only entry level requirements. In fact, many healthcare professions embrace various higher level certifications — why should massage therapy be any different?
Licensure and Certification
Licensure and certification are not the same. We hope to clarify the distinct definitions here and now and encourage you to spread the word to your fellow massage therapists.
Licensure is a mandatory, entry level credential that allows a massage therapist to practice legally within his/her state.
Board Certification is a voluntary, higher level credential that extends beyond the basic entry level requirements. It shows a deeper commitment to both the profession and the public, including more education, hands-on experience and requires a background check.
If you are licensed, it does not necessarily mean you are certified. You must meet the minimum requirements for Board Certification, as well as pass the Board Certification exam, to become Board Certified in Therapeutic Massage and Bodywork and hold the credentials BCTMB.
If you are currently Nationally Certified, you may transition into Board Certification without taking the exam as long as your National Certification is current, you meet the minimum requirements for Board Certification and you complete the "Transition to Board Certification" application on the NCBTMB website. Remember, National Certification will officially expire as of December 31, 2016.
For more information on Board Certification, please visit www.ncbtmb.org/board-certification/board-certification.
On October 3, 2014, NCBTMB and FSMTB signed a collaborative agreement, marking the beginning of what we believe will provide greater licensure portability for massage therapists. This agreement stated that, as of November 1, 2014, NCBTMB would no longer offer its NCETM and NCETMB licensure exams to the public. Moving forward, NCBTMB supports FSMTB's MBLEx as the country's entry level licensure examination.
How does this affect you? If you are Nationally or Board Certified, our agreement with FSMTB has not and will not affect current National or Board Certified massage therapists, Approved Providers or Assigned Schools.
This agreement does, however, affect new graduates who need to pass a licensure exam as part of their state licensure requirements. Please be sure to check with your state (and any state in which you wish to practice) to verify licensure requirements.
If you were previously licensed through an NCBTMB Exam, NCBTMB will gladly send score reports to any state(s) to show proof of your credentials as long as the state(s) previously accepted NCBTMB exams. Generally speaking, most states who have previously accepted an NCBTMB exam will likely accept score reports from us. Both NCBTMB and FSMTB want this transition to be a smooth process for all of our current and future therapists. Most importantly, we would like to emphasize that you have not lost your credentials as a result of NCBTMB no longer offering licensure exams.
If you are licensed, along with these recent changes, it's important to note that NCBTMB's decision to no longer offer licensing examinations does not mean you no longer need to maintain your state license. NCBTMB is not a licensing entity, but we do strongly encourage and require each massage therapist to adhere to their state licensure requirements before seeking out Board Certification.
This change also does not mean that you have to take the MBLEx. You are already licensed and do not need to take an additional test for entry level licensure.
By exiting the licensure realm and instead supporting FSMTB's MBLEx as the country's entry level licensure examination, NCBTMB's leadership will focus on doing what's best for our profession and following our mission statement to, "Define and Advance the Highest Standards in the Massage Therapy and Bodywork Profession" with a renewed focus on Board Certification, our Assigned School code program, and strengthening and evolving our Approved Provider Program. In doing so, we simultaneously are furthering our commitment to collaborating with profession-leading peer organizations and our massage therapists to continue improving our programs and processes and create a profession that we can all be proud of.
With our decision to exit licensure, NCBTMB will now exclusively focus on Board Certification, our Assigned School Code program and an evolving Approved Provider program. This change and renewed focus on certification and continuing education empowers us to elevate our profession by mirroring other medical professions that have previously conquered the challenges that lay before us.
Moving forward, another major emphasis for NCBTMB is to work with each individual state on its continuing education requisites to ensure massage therapists continuously seek out and participate in courses that satisfy each state's requirements.
In short, Board Certification was created to mirror other healthcare and medical professions and to tier the massage therapy profession. With this credential, NCBTMB Certificants can be proud of achieving higher credentials than an entry level massage therapist. For some, Board Certification also presents the opportunity to seek out and embrace stronger, more rewarding positions within the medical profession and high-end spas.
Simply put, certificants who have obtained Board Certification can proudly state and prove that they have obtained the highest, voluntary credential within the massage therapy profession. Even more, certificants who commit to and achieve Board Certification understand the progression within our profession and have made the choice to strengthen our profession for our future massage therapists.
Just like in other allied health and medical professions, a new graduate takes a licensing exam and then gathers greater training and experience, all of which actively advances one to become "board eligible." In medicine, once a physician is considered board eligible, he/she may so choose to become Board Certified with a specific focus, such as Internal Medicine. After further fellowship and professional development, he/she also has the option to sit for a specialty board certification. We believe massage therapy should be no different. As a profession, we have hopes and dreams to move in this direction together, but we need the complete support of the profession at large.
Earlier this year, we organized a volunteer-based Think Tank to better advise NCBTMB on continuing education categories represented throughout the profession today. With our new collaborative culture at the forefront, we plan to put this volunteer work out to you, the profession, for your comments and input. We want to be sure we see the full landscape of our evolving profession, which means actively listening to the profession and continuing to make knowledge-based decisions.
We believe that through education and experience, we can work side-by-side with you to integrate with other medical professionals in an allied healthcare setting. Most of all, we believe we will reach the goals that our profession has for so long requested: a single entity licensure examination organization (FSMTB) and a single entity certification and continuing education approval organization (NCBTMB).
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