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.
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.
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...
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.
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.
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.
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.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
January, 2016, Vol. 16, Issue 01
Integration: Team-Based Care and Collaborative Practice are the Future of Healthcare
By Martha Brown Menard, PhD, LMT
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.Interest in interprofessionalism dropped off for several years and was then renewed after a series of reports from the Institute of Medicine1,2 raised concerns about the quality of health care delivered in the United States, including reductions in patient safety and increases in medical errors, and noted a connection to the need for health professionals to work better together.
The lack of teamwork, collaboration and communication was leading to increased health care costs and poorer health outcomes. Leaders in quality improvement recognized the importance of team-based and collaborative care models – starting with students and continuing into professional settings – to meet the Triple Aim:3 improved patient or consumer experience, lower costs, and better health outcomes, in all settings and professions. The NCIPE and its supporters believe that high-functioning teams can improve the experience, outcomes and costs of health care.
Traditionally, IPE has referred to interprofessional education. The most commonly accepted definition, adapted from the Centre for the Advancement of Interprofessional Education in the United Kingdom and the World Health Organization, states that it "occurs when two or more professions (students, residents and health workers) learn with, about, and from each other to enable effective collaboration and improve health outcomes." According to the NCIPE website, "While called by different names, we call it interprofessional practice and education, or the "new" IPE. We use the phrase "interprofessional practice and education" (IPE) as a way to create a shared space between interprofessional education, interprofessional practice and collaborative practice. The 'new IPE' does not replace the principles related to these concepts – rather, it embraces them."
The "new" IPE is not about education for education's sake. It's about improving health, creating support systems and trying different models of practice. It intentionally supports people – including health professionals, health workers, students, patients, families and communities – to learn together every day to enhance collaboration and improve health outcomes while reducing costs. This is an exciting vision that holds opportunities for the massage therapy profession, and one that is relevant to all of us as health care consumers.
Implications for Education and Practice
The increasing focus on interprofessionalism as part of health care means that there may be more opportunities for massage therapists to work as members of health care teams in clinical settings. Exactly what form this may take remains unclear, however. While massage therapists are regulated providers in the majority of states within the US (44, at last count, and the District of Columbia), relatively few currently work in integrative health care settings such as a chiropractor's office or in hospitals — approximately 12% to 25%, according to 2014 industry estimates.4,5 One factor in this disparity is the relative lack of academically-based entry-level education massage therapists typically receive, and the perception of other health care professionals that there is a high degree of variability in the quality of massage education nationally.6 Those responsible for hiring decisions at health care facilities and within human resources departments may not know what specific qualifications and criteria potential massage therapy team members should meet, or how to credential them to work in that setting.
Another issue is that many massage therapists typically work as individual practitioners, rather than as members of a team. Medical settings in particular tend to be hierarchical in nature, and some massage therapists may have little experience in how to work with others in such a structured environment. As newer members of the team, massage therapists will be expected to "speak the language" and be familiar with practices such as charting and medical records, standard procedures for infection control and universal precautions, and applying research evidence to practice. It will also be important for massage therapists in these settings to be able to explain what they do and their clinical decision-making process to co-workers using language that other health care professionals can understand. Massage education will increasingly need to incorporate topics such as these into the curriculum so that graduating students who choose this career path can be prepared to work as effective and respected team members in health care settings.
So, what can current practitioners who are interested in working more interprofessionally with conventional health care providers do? The NCIPE has created the Nexus: A means of connecting health professions education, specifically interprofessional education, and transforming health care practice – creating a true partnership and shared responsibility, conversation, language and learning. In the Nexus, clinical practices in transforming health systems that partner with health professions education programs think and act differently, serving as learning organizations that support continuous professional development while educating the next generation of health professionals.
The Nexus provides a wealth of online resources, which can be accessed at: https://nexusipe.org/. These include a directory of members, educational resources, IPE events, and updates on ongoing research projects. Massage therapists can register as a user on the site at no charge, and can download papers, participate in discussion groups and attend webinars. There are also several free, e-learning modules on topics such as "Interprofessional Communication" and "What is Interprofessional Education." The NCIPE is a wonderful resource for educators and therapists interested in interprofessional education and practice.
An additional resource is the Academic Consortium for Complementary and Alternative Health Care. ACCAHC also provides many free resources for integrative health practitioners, such as a desk reference on the integrative health professions, a webinar series, resources for evidence-informed practice and credentialing of practitioners, and a newsletter with current events in integrative health. Sign up for the ACCAHC newsletter, the Collaborator, at their website: www.accahc.org.
Perhaps most important, however, is for practitioners to network with other health care providers, both conventional and integrative, within their own communities. Attending events at local hospitals and introducing yourself can be a great way to increase referrals as well. Look for continuing education opportunities for health care providers at area universities, and consider attending these, especially if there is a lunch or social time scheduled as part of the event. You may be able to attend at a reduced cost if you are not registering for CEUs, or if these are not offered for massage therapists. And if you are interested in attending a national event, think about the International Congress on Integrative Medicine and Health, focusing on research, education, clinical practice and policy, to be held in Las Vegas, NV, May 17-20, 2016. Visit the conference website for more information: www.icimh.org/.
Martha Brown Menard, PhD, LMT is a research scientist. She currently conducts user experience research for Questis, Inc., a financial technology firm in Charleston SC. An award-winning educator and author, Dr. Menard offers financial wellness coaching and is a member of the Association for Financial Counseling and Planning Education. She is also an honorary member of the Registered Massage Therapists' Association of Ontario.
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