resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
May, 2011, Vol. 11, Issue 05
The Future of Massage Therapy
By Sandy Fritz
The foundation of the future of massage therapy is the quality of our education today. I wonder how many would agree that the educational structure for future massage therapists is, well, a mess.One definition of a "mess" is a chaotic and confused situation. Chaotic and confused describes massage education right now. I am confident that this mess is actually an opportunity; and one that we can no longer ignore.
It is estimated that there are approximately 1,500 massage therapy educational programs in the United States, according to an Associated Bodywork & Massage Professionals survey.1 While community college programs are increasing, most of this education can be found at private vocational schools that offer many different types of training programs. There are also a couple of corporation-based, multi-campus massage school systems that have acquired various single-program massage schools and are unifying the curriculums. There are very few single-program massage schools left.
Three Components to Learning Success
As a textbook author, I have had the opportunity to communicate with many massage therapy program directors and teachers. I rarely find a teacher or school/program director that wants to deliver inadequate massage education. More commonly, school/program directors are confused about what to teach and/or have a difficult time finding qualified teachers. There are differing opinions about what a curriculum should cover, which contributes to the confusion about what to teach; and finding experienced teachers, who are also experienced massage therapists is challenging. A school can have the curriculum and the teachers but without committed students there is no education being transferred. (We will go more in-depth about students in a future article: MT November 2011 issue.)
This is the basis for the educational mess. Bottom line for learning success is all three components (a solid curriculum, skilled teachers and committed students) must be in place.
The curriculum is the easy part. Schools do not differentiate themselves by curriculum. All massage therapy instructional programs should be teaching a very similar curriculum. Schools display excellence through effective teaching of the curriculum. What to present in a massage curriculum is clearer now than ever before. The Massage Therapy Body of Knowledge (MTBOK) project has provided a platform for the knowledge, skills and abilities (KSA) for entry-level massage therapists. The document is not perfect and the massage community will have to sort through their differing opinions. However, the identified KSAs for entry-level massage therapists are accurate enough to build a curriculum.
The various exams used for licensing also reflect a body of knowledge that when compared with the MTBOK show a high level of agreement. There is plenty of information on the Web. Check it out yourself:
We should also discuss an important paradigm shift in the education (curriculum) of massage therapists in the U.S. We have gone from information-based education to competency-based education. An information-based curriculum is limited since it focuses on factual content. Professional competencies are the measurable skills and abilities that identify successful massage practice. Curriculum should be competency based. Unfortunately, the tests that are used for licensing in the U.S. are based on a factual knowledge model, which then forces a school to educate in a fact-based way, since schools are measured both by accrediting bodies and state regulators on the percentage of students who pass licensing exams.
Competencies are the demonstration of application from the information received. Competencies are actually very concrete. Either the students can do what is required or they cannot. The idea of competency is not new and it is time for the U.S. massage community to adopt this method to determine the student's ability to practice massage. Multiple provinces in Canada have adopted the Entry-to-Practice Competency Profile, which defines the minimum expectations of newly registered massage therapists (who are entering practice for the first time). The Practice Competencies were validated by means of a survey of registered massage therapists in British Columbia, Ontario, and Newfoundland & Labrador. The survey confirmed that massage therapy practice is common across these provinces.2.3
Changing the Curriculum
Now, here is the messy part: changing the curriculum. It is not as simple as it seems. If a school is accredited, a curriculum change can be considered a substantive change requiring both a time and financial commitment to the accrediting body. There currently are schools that want to make the updates but are waiting until their next accreditation cycle to avoid the hassle and cost. There are similar requirements for the school's state licensing process.
Changing curriculum requires changing lesson plans, changing exams, retraining of teachers, changing program schedules, and the list goes on. This is hard enough for a single program massage school. I know since I have owned a massage school for 26 years. Can you imagine the mess in a multi-campus educational structure?
Regardless of the mess, we have to make these changes. It is hard but those who manage massage therapy educational programs have to make the hard decisions and deal with the conflict and frustration of change. I have and it is not fun. However, we as educators owe a quality education to those who seek us out to learn.
There are educational materials offered by academic publishers that cover the entry-level KSAs in the MTBOK. An effective competency based curriculum can be built using professionally created textbooks, lesson plans, presentation material and online support.
Once you have the curriculum in place, then you need the teacher. As previously stated, all educational programs for massage therapy should be teaching the same foundational curriculum. The way a school differentiates itself is how well the teachers are able to teach the information and that requires committed quality teachers. The availability of massage teachers - who are aware of the most current information and can effectively deliver that information in the classroom - is limited. Those that commit to teaching massage therapists have little support right now and that adds to the mess. Fortunately, the Alliance for Massage Therapy Education is committed to addressing these issues.
What makes a skilled massage therapy teacher? They have to know the material. They need to be able to pass the same tests the student will have to pass. Anatomy teachers need to understand massage and massage teachers need to understand anatomy and physiology. Teachers need to remain current. It is inexcusable for educator to present dated and inaccurate information. Teachers have to teach the school's curriculum – not what they think is correct. Schools and program directors must not allow inaccurate information in the classroom and they also need to provide ongoing educational opportunities for their instructors. Finally, school management must provide support for the teachers in the form of supplies, equipment, textbooks and reference material, and now electronic-based learning systems.
So here is the mess. Competency is based on experience. Experienced massage therapists should be the foundation of the instructor pool. However, these same experienced individuals must not allow their personal opinions to bias their teaching. One of the biggest problems school directors face is a teacher who will not support the curriculum. Yes, part of massage practice is an art but that art is based on the science. I listen over and over to program directors as they describe how a teacher creates confused and frustrated students because they will not present the curriculum as developed, or they disagree in the classroom with information presented by other teachers.
Just like business is business--teaching is teaching. There are skills needed to be a teacher. If we are going to rely on experienced massage therapists to be the foundation of the instructor pool, then we also need to teach them how to teach and how to use the resources available to them. Schools owners, program directors and the corporate executives must be committed to teacher training.
Teacher turnover at many schools is a huge problem. Schools invest in training teachers and then they quit. There are excuses for quitting. The most common I hear are low pay and lack of support. Committed and quality teachers will always be underpaid because they go beyond the "job description". Poor teachers are always overpaid. Teaching is a path of service. However, teachers need to be compensated enough so they can continue to teach. The other reason that teachers quit teaching is the inability to manage the student dynamics – a growing problem. The final component of learning success is the student, which we will discuss in part two.
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