Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
December, 2014, Vol. 14, Issue 12
Taking the Massage Therapy Profession to the Next Level
By Massage Therapy Foundation Contributor
Contributed by Jolie Haun PhD, EdS, LMT; Derek Austin, PT, DPT, MS, BCTMB, CSCS; S. Pualani Gillespie, LMT, MS, RN, BCTMB
Professional accountability is the backbone of advancing a field of practice for professionals. In the field of health and wellness, complementary and alternative medicine (CAM) disciplines have made great strides in validating the profession's accountability through regulatory mechanisms such as formalized accredited education, licensure and laws of practice. Brett and colleagues published a 2013 review in Explore focusing on an in depth examination of competencies for public health and interprofessional education for four CAM disciplines including naturopathic medicine, chiropractic health care, acupuncture and oriental medicine and massage therapy. This month's review presented by the writing group at the Massage Therapy Foundation takes a closer look at this review to highlight the educational accreditation standards for massage therapy.
Brett and colleagues identify public health and other competencies as a core contributor to maximizing service to patients and the public through cooperative collaboration among health care professions. Educational accreditation standards are the framework for delivering competencies and are the foundation for interprofessional education. Brett and colleagues suggest requiring competencies through accreditation standards ensures massage therapists are trained to practice in clinical care settings. To orchestrate this effort, the American Massage Therapy Association (AMTA) created the Commission on Massage Therapy Accreditation (COMTA) in 1989. COMTA is the only accrediting agency recognized by the U.S. Department of Education (USDE) to offer programmatic accreditation for massage therapy schools. Programmatic accreditation gives COMTA the authority to require participating schools to teach and assess specific competencies.
COMTA also requires competencies focused on skills required for the massage therapist to responsibly refer clients to other health care professionals and to develop and maintain healthy relationships with those professionals:
Brett and colleagues noted two examples of interprofessional training and education that is promoting the field and massage therapy professionals entering the workforce. They first identify the Pillsbury House Integrated Health Clinic, a social service organization that provides services to the underprivileged and underserved population. CAM practitioners and students deliver care in this clinic in an integrative approach, while providing learning opportunities for students.
The second example presented by the authors is the training provided by the Hospital-Based Massage Therapy (HBMT) courses, which focus on the unique practice setting of the hospital for massage therapists. HBMT courses teach interprofessional skills related to communication, documentation and clinical aspects that are needed to succeed when providing massage therapy services in the hospital environment. These interprofessional educational programs exemplify the opportunities to allow students to gain professional competencies while serving patients and promoting public health.
Though COMTA accreditation supports advancement of the field and assures competency of massage therapy school graduates, to date COMTA only accredits 88 massage schools and programs, representing less than 10% of all massage therapy schools. Furthermore, the authors indicate a major challenge to implementing the accreditation standards is that though COMTA schools are required to show evidence of education and assessment designed to help students achieve each of the competencies, schools are able to interpret the level at which the competency is taught and assessed which introduces significant variation in the approach taken by individual schools. As such, COMTA competencies reflect a relatively "low-bar" standard. Institutional accreditation is currently available however these agencies are viewed as, "a less onerous route to accredited status and access to federal title IV funding," however the field of massage is moving away from programmatic accredited institutions to implementing a state level license. Despite the evident benefit of increasing the standard of competencies for the field of massage therapy, currently there are no plans to change the interprofessional education or public-health related competencies.
As professionals in the field of massage therapy continue to conduct research in diverse patient populations, the use of massage in clinical settings will continue to increase. As such, the need for implementing COMTA accreditation will become more apparent and ultimately a necessity for massage therapy schools. Perhaps increased standards at the state level or advanced credentialing in the field could also help massage therapists learn the skills needed to work with clients across various healthcare settings. Some American massage therapists may be surprised to learn of Canadian massage therapists obtaining 2,000 or more hours of massage education at a minimum. Some American curriculums may simply be too short to cover both clinical skills and needed public health competencies.
Brett and colleagues suggest in their review that, due to the vast acceptance of massage therapy in health related and non-health related settings, massage therapists are in a position to have a real impact on public health through participation in interprofessional clinical settings. The authors ask the question, "How can a profession which is practiced on the beach or in a hotel spa have a meaningful impact on public health?" The popularity of massage alone makes it a powerful tool for promoting public health. Massage therapists should accept the need for entry-level practitioners to learn certain interprofessional competencies.
The authors contend, in order for massage therapists to maximize their impact on public health, "They will need to embrace their responsibility as true healthcare providers and not retreat to the shelter of the limited scope of technicians." Considering that COMTA competencies are developed by professionals within the field of massage therapy, it seems that meeting these competencies could be the best, first step toward embracing that responsibility.
Supporting the advancement of the field of massage therapy is a primary mission of the Massage Therapy Foundation. You too can support this mission by donating to the Foundation: www.massagetherapyfoundation.org.
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