resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
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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