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News in Brief
Foundation for Chiropractic Progress Enrolls Second Group Member; Focus on Chiropractic Education at WFC-ACC Conference in Miami; Are You Ready for Another "Have-a-Heart" Campaign?
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
The Bottom Line ... From a Surgeon Who Knows
Regardless of individual relationships between providers, there continues to be a type of Hatfield-McCoy feud between the philosophies of medicine and chiropractic, particularly when it comes to musculoskeletal ailments.
The McGill Approach to the Lower Back (Part 1)
Stuart McGill, PhD, brings a unique combination of tools to the table. He is a scientist who also functions as a clinician. He describes himself as a medical consultant who is referred challenging patients. He is both evidence based and practical.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Drug War Rages in Wisconsin
Based on its actions over the past 15 years (review the sidebar in the app version of this article), controversy and the Wisconsin Chiropractic Association seem to go hand in hand.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Correcting Dysfunctional Movement Patterns – Is Local Treatment Enough?
It is widely believed that mechanical, non-traumatic back pain is largely related to dysfunctional or compensatory movement patterns the body has adopted over time.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
"Turn, Turn, Turn"
Many people are credited with saying, "If you remember the '60s, you really weren't there." Given the fact I didn't become a teenager until 1970, I actually do remember the '60s (or at least part of it). And as a child of the '60s, I was, of course, influenced by the music.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Alcohol Consumption Strongly Linked to Risk of Colorectal Cancer
Alcohol intake is one of the primary risk factors for many human cancers, and is strongly associated with cancers of the oral cavity, pharynx, larynx, esophagus, liver, breast, and notably, the colon and rectum.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Giving Chiropractic Some Much-Needed PR
Public relations has not always been the chiropractic profession's strong suit, a shortcoming that has subjected the profession to countless attacks on its legitimacy and seemingly perpetual confusion among the public and the health care world as to the skills and services doctors of chiropractic provide.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Taking the Massage Therapy Profession to the Next Level
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.