A Rude Awakening: Unintended Plagiarism

Writing has been a big part of my life since I was in middle school, when I helped put the school annual together, and wrote in it that I wanted to be a writer when I grew up. I started college right after high school in the 70s, and wrote political articles for The Patriot, our school newspaper. A few years later, when I was working as a chef at a mountain resort, I started writing a regular column for their monthly newspaper. My first magazine article was published in a regional magazine, Spirit of the Smokies, over 20 years ago. I’ve written numerous articles published in nearly every massage publication, and over 300 blogs.

In 2003, when I was working at the massage school I attended, I wrote my first book. Students were complaining about the prep guides that were out at the time to help study for the National Certification Exam from the NCBTMB, which was the licensing exam at the time in most regulated states. I cheekily thought I could do a better job, so I wrote a guide. I had copies of it wire-o bound and printed at a local print shop, and the owner of the school sold it in the bookstore. It never occurred to me to sell it to anyone except the students at the school. I still have one copy of that original in my possession, and it’s pitiful…it wasn’t professionally edited, it had no pictures, no index, and all around, it was just awful.

In spite of that, Lippincott Williams & Wilkins published the book. The owner of the massage school had received a letter from them asking if she would be interested in reviewing books from them, and she tossed it to me and said “Why don’t you do this, you’ll be good at it!” So I filled out an application, which involved listing anything you had published. I listed my book. A few weeks later, they contacted me and asked me to send them a copy…and the rest is history. They published the first edition in 2005, and went on to publish three editions of the book, as well as four other books I authored. They also threw me plenty of work as a reviewer, and writing curriculum for massage schools and ancillaries for other textbooks.  A few years ago, they decided to get out of the massage part of the healthcare publishing business, and returned my copyrights to me. I have since self-published my books. I haven’t even shopped them to other publishers. I have enjoyed being responsible for them from start to finish.

One of the high points of my career was Nina McIntosh, the author of The Educated Heart, personally asking me to author the future editions of her ethics book. She had been diagnosed with Lou Gehrig’s disease, and she didn’t want the book to die when she did. She had Lippincott sign a contract to that effect. When Lippincott dropped the massage line, and gave the copyright to Nina’s heirs, her heirs signed that over to me. I have authored the 4th and 5th editions and have been proud to carry on her work. I also took over writing her regular column, Heart of Bodywork, in ABMP’s magazine, Massage & Bodywork. It has been a great privilege, and I was flattered to be asked.

I was asked to revise Clay & Pounds Basic Clinical Massage Therapy: Integrating Anatomy & Treatment, after the original author died. It was one of LWW’s best-selling books, and during the revision, I found (and corrected) 75 anatomy mistakes in it. I’ve always wondered how many students learned the wrong thing from the original. David Pounds, the illustrator on the book, is brilliant, and won an award for the book.

Another high point of my career was winning a case study contest from the Massage Therapy Foundation, which resulted in being published in the International Journal of Therapeutic Massage & Bodywork, a peer-reviewed publication. My study is indexed on PubMed. I had to cut the word count of the study in half for publication, and it was picked apart by their editors and by my own advisors before being published…in fact, I asked them to pick it apart before I ever submitted it. That was my first, and only, foray into writing for a peer-reviewed journal. I usually stick to writing about ethics and business.

I’ve written other self-published books on various topics, and edited and ghost-written books for other people who had a good story to tell, but weren’t writers. It’s been a rewarding part of my life. I haven’t gotten rich from it, but I’ve had a lot of personal satisfaction of being able to do what I enjoy doing. I usually have one or two people waiting in the wings for my services on that front.

Last weekend, that came crashing down around my head.  I submitted an article to a science-based magazine that I have written a couple of articles for in the past, and a couple of days later, received an email from the owner telling me they would not publish my article or any future work of mine because I was guilty of plagiarism. I almost choked. This magazine expects references on all articles, linked within the article, and I had done that. I responded to him that I had never intentionally plagiarized anything in my life, and that I thought I had provided the source links throughout the article.  He acknowledged that I had provided the links to the original work (all were research studies), but told me I had too many words copied verbatim that should have been in my own words. Strangely, a plagiarism checker, which I have never used before, but have since investigated, will computer-generate those alternative words for you, when it catches something that is plagiarized. I have never used a plagiarism checker, but it’s apparent that I need to start. It does seem kind of ironic that something that should be changed into your own words doesn’t actually have to be in your own words; the computer will change them for you.

This whole episode made me feel physically ill. I truly cannot describe how I felt. I was filled with embarrassment and shame. I cried in front of my husband, and threw up after I got the message, and have had a serious flareup of my IBS in the few days since.

I thought of the many times I have contacted other teachers to ask if I could use something they’ve written, or gotten quotes from to include in something I was writing. I’ve asked massage therapists to contribute to things I was writing, and asked some of the most well-known and illustrious teachers in massage if I could use something they’ve written, or a picture they’ve taken, and I have never been refused. They have all been very gracious about it. One teacher, who didn’t know me at all, when I contacted to ask if I could include something he had written in a class I was teaching, laughed and said, “Thanks for asking, most people just steal it!”

I thought of a time when people on FB kept sending me links to material from one of my own books that was being shared without any credits, saying “Isn’t this from your book?”. The illustrations from the Clay & Pounds book that I revised (pictures by David Pounds, accompanying text for them was mine) were being shared by a physical therapy company in Brazil with the statement “For more lessons like this, visit our website.” By the time Lippincott’s lawyers got that stopped, it had been shared more than 600,000 times on FB alone.

I thought of a time when I shared an article written by a well-known  friend and colleague on my social media, and a reader went ballistic and claimed it was someone else’s work. The author of it shared proof that she had written it in the 90s, long before the person that the reader was claiming whose work it was ever did a massage, and long before she was on social media holding herself out as an expert on the topic.

For the record, anyone is free to use anything I have written, whether that’s in a class or a publication. Please leave my name and/or the link to the book, article, or my website on it.

I am sharing this story because it was a hard life lesson for me. Although no one other than myself and the magazine owner, who is someone I know personally and like and respect, and whom I don’t expect to make this public or to ruin my reputation in any way, knows about it, I thought it was important to share this lesson. I thought I was doing the right thing when I included the links to the source articles in my article. I didn’t go far enough. I failed to include quotation marks. I am approved by the NCBTMB to teach over 30 classes, and I plan to run every single one of them through a plagiarism checker to make sure I’m not guilty of anything else. This is a good article, Accidental and Unintended Plagiarism, which is enlightening. Unfortunately for me, I should have read that before submitting the article.  I regret this entire incident. I regret that after writing for the past 50 years that this has happened this late in my career.  It’s never too late for a wake-up call, regardless of how painful it is.

Coronavirus and Massage Therapist Resources

Laura Allen

We are living in extraordinary times. Everyone I know has experienced hard times at some point, individually, but as a whole nation, and as the collective of massage therapists, we are currently going through things that we didn’t expect to go through. When this started (before it was acknowledged as a pandemic, and unfortunately even since), some people had the belief that it was something that existed on the other side of the world and wouldn’t affect us. Others have claimed it’s just a germ, or just the flu, or a political conspiracy. As a nation, we were ill prepared. I will save my political rant about that for another day (or another book). Right now, people need help.

Many massage therapists have voluntarily shut down their practice, and that includes those who have no savings and are worried about where their next rent payment will come from. Others are continuing to work, citing their finances. Others work for chains that threaten that they will have no job if they refuse to work. Harder times are coming, unless we do everything we can to stem the spread of this illness.

I have put together some information and some resources that massage therapists will hopefully find beneficial.

Financial Help

    • Today (Saturday March 21) as I am writing this, the Senate and the House are in session, putting differences aside, and working with White House negotiators trying to finalize the details of the economic stimulus plan. Current thought is that individuals and small businesses will receive $1000-$1200 checks, and the plan is to get them out there very quickly, hopefully April, and there may be an additional payment in May. The current thought is that if you filed taxes last year, you will not have to do anything special in order to receive it; it will automatically be mailed to you. I suggest watching national news shows to keep updated on this.

 

    • The Department of Labor has several important announcements on their website. While there is a statement to contact your individual state, the Federal  government has issued specific new guidance for the states. Under the guidance, federal law permits significant flexibility for states to amend their laws to provide unemployment insurance benefits in multiple scenarios related to COVID-19. For example, federal law allows states to pay benefits where:
    • An employer temporarily ceases operations due to COVID-19, preventing employees from coming to work;
    • An individual is quarantined with the expectation of returning to work after the quarantine is over; and
    • An individual leaves employment due to a risk of exposure or infection or to care for a family member.
    • In addition, federal law does not require an employee to quit in order to receive benefits due to the impact of COVID-19.

 

    • Obviously, I cannot list resources for specific states. My suggestions are for you to contact your state unemployment office to find out. There are local offices in most towns. I live in a very small town, but there is one here.

 

    • If you are a business owner, the Small Business Administration is helping small businesses with long-term (up to 30 years) loans at 3.75% interest that can cover operating expenses, payroll, etc. When you call your local office, say you are inquiring about the Economic Injury Disaster Loan (the name they are giving to this instance).

 

    • If you have credit card debt, don’t panic. Call your card company. Many of the major credit card companies are offering cardholders the opportunity to skip payments without interest. 

 

 

    • If you have a student loan, now is a good time to ask for forbearance. Contact your particular lender.

 

    • Many utility, phone, and internet companies are giving people a break right now by easing shutoffs and forgoing late payments. Call your utility company to find out what they are doing.

 

    • There is further help for both renters and for homeowners. The Forbes website states that they will update this list as more information becomes available.  Best advice, though, is if you feel your are going to get behind on your mortgage, call the lender now. Don’t wait until you’re in real trouble of being foreclosed on. In this environment, and because lenders often get the information about financial developments before they do, they will often be sympathetic and help you out by deferring payments or accepting partial payments, or even refinancing at a favorable rate. They do not want to get stuck with a bunch of defaulted foreclosure properties in the midst of a recession, which we are undoubtedly heading for. They would probably rather take some money that no money, or give you a grace period on making payments.

 

If you rent, or your home (or office space) is financed by an individual, all the more reason to handle it and call them now. See if they are able and willing to work with you. I have seen quite a few therapists on FB who said that their landlords were very sympathetic and willing to work with them. If you don’t ask, you’ll never know. Some landlords may take a hard line or just not be in a financial position to do so themselves and refuse, but if they think about it carefully, they may decide that they would have difficulty replacing their reliable tenants in this environment, and work with you.

 

    • Seek LOCAL resources. Now is not the time for pride to stand in the way of doing things you wouldn’t normally do, such as going to a food bank or going to local charities to ask for assistance. Rutherford County NC, where I live, is NC’s largest county, area-wise, largely rural, and only has a population of about 60,000. There are probably at least 20 food pantries here that are operated by churches and community organizations. There is also a soup kitchen open somewhere every day of the week. There are several local non-profits that help people with rent, heating expenses (thank God the need for that is close to over in most places).

 

    • Insurance tip from Allissa Haines: If you buy your health insurance on the national or your state exchange, you can probably edit your application to reflect your new income and get a lower rate. Allissa and Michael Reynolds have also made a lot of their podcasts available for free at https://www.massagebusinessblueprint.com/free-stuff

      Speaking of insurance, keep in mind that your liability insurance will not cover you in the event of a client catching the virus in your practice. Allissa, incidentally, was exposed to the virus, and was in the uncomfortable position of having to call her clients to tell them that they had been exposed. You do not want to find yourself in that position.

 

Seek a temporary job. Go to a local temp agency and see what’s available. MANY grocery stores are currently hiring due to the food panic that’s going on. Yes, you will still be in contact with people. However, grocers are not a licensed profession, and they do not swear to a code of ethics that they will First Do No Harm. Amazon is hiring. Walmart announced  yesterday that they plan to hire 150,000 additional workers. Ingle’s announced the same.

There are many massage therapists that have other degrees, other trade experience, and/or other skills. I personally know many who are everything from CNAs, nurses, truck drivers, and formerly (or still part-time) work in other professions. Medical personnel are in great demand right now, and so are all kinds of support staff in hospitals, from the janitor to billing coders.

I’ve also seen some enterprising therapists who are doing home deliveries for people who can’t get out…doing errands, going to pick up groceries or to the drugstore for the elderly or immune-compromised. Some are even doing it as volunteers. If you are in the position of being able to do that, what a service to your fellow inhabitants of the planet.

Now that schools and day care centers have been shut down in many places, it’s possible that neighbors who are still able to work may need reliable temporary child care.

  • Unless you are 100% self-quarantining, there is hardly any work situation we can be in where we will not be exposed to someone. Social distancing is the best way to flatten the curve. It gives us the best chance of not passing this on to anyone. Going out anywhere to work is a risk, but again, those who work outside of licensed health professions do not swear that they are going to uphold a code of ethics to first do no harm. If you are a license therapist, you took that oath. Uphold it.We cannot maintain any social distance with our hands on unclothed bodies and our face inches away from theirs.

Be creative. You may possess skills that other people need that you can do at home, such as website building skills or baking bread (since there seems to be a run on that at the grocery store), proofreading, sewing, preparing taxes if you’re that savvy, or any number of things.

  • If you are a member of a professional massage association, contact their leadership and ask for their assistance in getting unemployment coverage for massage therapists during this unusual circumstance. They pay lobbyists in nearly every state. You will find the links to their leadership on their websites.

ABMP has a link on their website supporting the effort to obtain benefits for massage therapists. It allows you to send a pre-written letter that they have supplied to your congressperson by filling in your info and submitting a form. PLEASE take advantage of this call to action. They also have updates on their website about the actions in different states as far as shutting down or limiting massage therapy. ABMP also has a link to state shutdown orders on their website. 

AMTA has a link on their website supporting the effort to obtain benefits for massage therapists. It allows you to send a pre-written letter that they have supplied to your congressperson by filling in your info and submitting a form. PLEASE take advantage of this call to action. AMTA also has a link to state actions on their website. 

Keep Up with the Latest Updates

PLEASE keep abreast of your state’s situation by checking the website of your governor, your local health department, and your state massage board. There has been a lot of criticism of state boards, due to confusion that state boards have the legal authority to shut down the practice of massage on a statewide basis, which is not true. They are regulatory boards, not legislative. They can and should make announcement once your governor has signed an executive order to curtail massage, or order the shutdown of anything in your state, but they cannot personally mandate that massage therapists have to shut it down.

City councils have in some cases taken it on themselves to shut it down on a local basis. Here in my state of NC, Asheville’s council has shut it down. Other places may do the same.

Some state boards have extended the deadline for CE/license renewal and/or made allowances for taking your CE, due to the cancellation of massage meetings and conventions. In my state of NC, we are allowed to do all 24 hours online this time, instead of the usual 12. Check your board website for info.

Professional association members can get CE online at no additional charge; it’s included in your membership dues.

Centers for Disease Control

World Health Organization

 

Wise Words from Massage Therapists that I Listen to:

From Ruth Werner:
Ignore My Earlier Advice. Shut It Down.

My friends and colleagues, it’s time to shut it down. It’s past time to shut it down.
I wrote a piece two weeks ago that provided some ideas about how to take care of your practice, assuming you were still seeing clients. I hereby rescind that advice, and I apologize to anyone who was misled.

Close your practice.

For how long? Who knows?

If it were me, I would start with four weeks and re-evaluate after three.
Wouldn’t it be great if we had all the information we needed to make informed, non-panicky decisions that we knew would maximize effectiveness against the spread of COVID-19 virus, and minimize financial hardship? Sadly, we don’t have that data.

No one is going to make this decision for you. Not your membership organization, not your state board, only you.

No one is going to make this any easier for you.

This is your call. And if you want my opinion (and presumably you’re interested, because you’re reading this), here it is: close your practice.

Here are some things we know that have led me to this point of view:

1. The time between exposure and symptoms can be up to 14 days.

2. The virus is contagious for days before symptoms develop, so your “healthy client” might not be.

3. The virus stays intact on surfaces for several days; it stays intact in the air for several hours (at least).

4. COVID-19 is extremely contagious, and it doesn’t take a lot of exposure to spread from one person to another.

5. The virus appears to be contagious after symptoms subside—but we don’t know how long.

6. At this point, older people and those with impaired immune systems are not necessarily more likely than others to catch the virus, but they are more likely to need extensive medical interventions. (Although that may be changing. In some countries the number of people in hospital care are skewing much younger.)

7. We don’t have enough medical capacity to manage what’s coming—which makes it even more vital not to add to that load in any way.

There are so many things about this situation that should have been different. I could list a bunch, but (A) it wouldn’t help and (B) isn’t our blood pressure high enough without recounting all the ways our systems have failed us? And this frustration doesn’t even include some of the nutso crazypants stuff I’ve seen on Facebook and other outlets. For the record, keeping your throat moist will not prevent you from getting sick with COVID-19. Neither will holding your breath for 10 seconds.

But if we all commit to extreme social isolation, it is practically for sure that the impact of COVID-19 in this country will be less extreme, at least in the short run. While roughly the same number of people will get sick, it will happen over a longer period of time. This “flattening of the curve” means our health-care facilities might be able to keep up with our needs (see link here), which means the mortality rate will fall. And the day will come when we might be able to look back and say, “Wow, that wasn’t so bad—weren’t we silly to over-react?”

This will demonstrate that we did it right.

The naysayers and virus-skeptics and my-immune-system-is-strong-so-I’ll-do-what-I-want folks will point fingers and scoff and say we all fell for a huge hoax. Let them. They are wrong.

There’s a parallel in our recent history. In the 1970s, massive changes were put in place to limit the type of air pollution that caused acid rain. At that time, rain was literally melting our forests and corroding our buildings, not to mention what it was doing to groundwater. The changes, while expensive and inconvenient for many industries, worked. Acid rain is no longer considered a threat. And the result: some people (including some politicians who should *swearword* know better) suggest that the changes were unnecessary, because look: acid rain isn’t really a problem! Argle bargle. You can’t *swearword* win.

Let’s Make Some Lemonade!

The financial burden of losing several weeks’ of business is undeniable. I’m sorry, there’s no easy way out of this. Once this crisis has passed, it will be important to plan ahead for the next one. Financial planners recommend having at least a month’s worth of expenses put in an accessible savings account—just for events like this.

That said, having some dedicated but unscheduled time to devote to business holds a lot of potential.

This is a great time to do a really thorough cleaning of your office. Go in when it’s empty, and disinfect your equipment and surfaces. Do a top-to-bottom refresh. Dust, launder, swab, decontaminate, and shine up all your stuff. Listen to loud music while you do it. It will be fun. And when you go back to work—oh, such a joy it will be to enter your gorgeous, sparkling workplace!

This is a great time to take some continuing education online. Go shopping in the rich ABMP collection of online CE classes, here. You could take some business classes, and use this time to make plans for a grand re-opening. You could take some research literacy classes, and go on a PubMed.gov treasure hunt for articles that are up your alley. Have you always been curious about a certain technique or approach to bodywork? Here’s an opportunity to explore it to see what you might want to pursue in live classes.

Do you send out blogs or newsletters for your clients? Get ahead on your writing, and put some pieces away for later. It’s more important than ever to keep those lines of communication open, so this is a good investment of your energy. Let your clients know that while you can’t see them in person, you’re thinking of them.

It’s tax time: get ahead of your taxes for this year, and set up your books for easy use next year.

If you are caring for children during this time, include them in appropriate activities. Make them your model while you watch a technique video. Learn, or re-learn, some anatomy together. Make this time a gift.

Most of all, breathe deeply and be kind. Let’s take care of each other and help each other through a scary time. We’re going to be OK. We will emerge, poorer in money, but richer in experience, because we took the right actions. And we will be ready to help our clients and our communities come back up to full speed when the time is right.

From Cal Cates

Dear everyone who offers a service or type of care that is (when we’re being truly ego-free and honest) non-essential, but who is still staying open and touching/interacting in close proximity with people, but who is “being careful” and “prescreening”,
I have taken the liberty of creating a simplified form to support said caution and prescreening.
1. Please use the space below to list every surface you have touched, every place you have gone and the names of every person who has been within 6 feet of you over the last 14 days.
2. Please use the space below to do the same for each person that you listed above.
When you’re done thoroughly completing this form, the COVID-19 crisis should be over and we’ll be cool to proceed.

From Tracy Walton:
I understand that professional organizations are finding it hard–really hard–to discern right action right now. I have compassion for them and for all of us.
At the same time, this directive falls short (note–she was speaking of the original statement from AMTA, which did not advise therapists to stop doing massage).
The guidelines and messages from other countries are crystal-clear:
Social distancing now. Not tomorrow, now.
Massage is not in accord with social distancing.
Massage therapy may be health care, and important and essential, but it is elective and requires close contact by its nature.
Asymptomatic clients and therapists can and most likely are transmitting the virus.
We cannot afford to miss this. The stakes are unfathomably high.
My practice is closed for 3 weeks and probably longer.

About Me
I started taking bodywork classes back in 1993, finished massage school in 1999, and was in the first wave of people to get licensed in NC. I taught Ethics and marketing classes to my own class in massage school. They needed an instructor and I was qualified, so I was hired. I love massage therapy. I received my first one over 30 years ago when I woke up one morning and couldn’t turn my head. My enlightened mother took me to get a massage. After spending over 20 years in the restaurant business, I sold out and started massage school. I became an Approved Provider of Continuing Education, and since that time, I’ve taught more classes than I can count, mainly in the areas of Ethics, but also teacher training classes, marketing, and massage classes.

I also spent several years volunteering as a Unit Coordinator, and later as the administrator of all the coordinators for the NC Chapter of AMTA. I spent five years serving on the North Carolina Board of Massage & Bodywork Therapy, and was twice a delegate to the FSMTB. I’m the author of Heart of Bodywork, the Ethics column of ABMP’s Massage & Bodywork Magazine and the author of numerous books. Most are massage related; a few are on other topics, including one on the state of healthcare in every nation in the world.

I spent 13 years as a clinic owner employing a chiropractor, numerous massage therapists, a naturopath, an acupuncturist, an esthetician, and at various times, other practitioners. I closed it in 2016 when my deceased husband, Champ Allen, was sick. I spent three years working as the Massage Division Director of Soothing Touch, the massage product company, and for a little over a year, I have been working for CryoDerm, the pain relief and massage product company. They are a family-owned company located in FL; I live in NC. I am fortunate to get to work from home. I was recently promoted to President of Sales & Marketing there.

I have also maintained a very small client list for massage that I see in a local spa, usually about 6-8 clients per month. I am not seeing anyone at this time, and don’t intend to until I can be sure it’s safe to do so. I don’t know when that will be. None of us do. I am practicing social distancing and as close to self-quarantine as I can get. My mother, who lives a few miles away from me, is 81, in compromised health, and needs help at times, so I will continue to go there as needed. She has a  home  health care aid most days. I will run necessary errands to keep her from going out. Otherwise, my husband James Clayton (I remarried last year) and I are staying at home with our dogs. Even my brother, who lives directly behind me, and I are maintaining 6 feet between each other. He was injured in a serious accident last year, has had 7 surgeries as a result of that, and has implanted antibiotics. James is a two-time cancer survivor who has had a lot of chemo and radiation, which does a whammy on the immune system, so I certainly don’t want to bring anything home to him.

I wish you all the best in these trying times and I hope you all remain well.

Laura Allen Clayton

Opinion: Cancer and Massage

Note: A revision was made to this blog 06/02/18 after Tracy Walton contacted me about leaving out the second part of her critique. The link to it is below. 

I feel compelled to offer my own opinion of the recent hullabaloo regarding a difference of opinion between Dr. Jeffrey Cullers and Dr. Ross Turchaninov and Tracy Walton about Oncology Massage. I have read the initial article put forth by Cullers and Turchaninov, the Wang et al study, the other research articles that were quoted by Cullers and Turchaninov, the initial response from Walton, and the second round, and feel compelled to comment. I have been a massage therapist, author, and educator for almost 20 years myself. My late husband was also a licensed massage therapist as well as a cancer patient, and this subject is dear to my heart.

For those who are unfamiliar, here are the links:


The original article by Dr. Jeffrey M. Cullers and Dr. Ross Turchaninov, Massage Therapy in Cases of a Newly Diagnosed Cancer

 

The critique from Tracy Walton, which appeared in Massage Today, Does Massage Spread Cancer

 

The second article from Tracy Walton, which appeared in Massage Today, Can Massage Spread Cancer in the Newly Diagnosed?

Another article from Walton,  Choosing Our Words Wisely…Language Matters which appeared in Massage Today

 

The original study from Wang et al, Manipulation Therapy Prior to Diagnosis Induced Primary Osteosarcoma Metastasis—From Clinical to Basic Research

 
First of all, Culler’s and Turchaninov’s  display of condescension towards Tracy Walton, and the standards of practice of the S4OM in general, is evident in their second response, “people are busy, but we are forced to address this issue so here we go again” attitude…it seems that neither thinks anyone should have dared to challenge them or offer any response.

Second, as every scientist including Cullers and Turchaninov are aware, or even a layperson with a basic knowledge of research (I fall into the latter category) knows, one research study does not an accepted scientific theory make. Research is meant to be replicated. If there was any subsequent replication of this study, I was unable to find it, and welcome anyone who is able to point to the replication of this one. I do not imply, nor does Walton, that Wang et al’s study does not have any value. She never said any such thing; she in fact referred to it as “an unusual and important contribution to discussion.” What she did say is that some important omissions existed in the paper: a lack of reporting of the timing of manipulation therapies prior to the diagnosis of cancer, and that the original study did not mention specific body areas that were massaged, pressure used, or joints moved–all valid points.

Third, the attack on Walton’s ethics is absurd. Yes, we are obligated to first do no harm, but due to the omissions in the original study by Wang et al mentioned by Walton , this is not even up for debate, although Cullers and Turchaninov have chosen to imply that it is. There is simply nothing in the study to indicate when a person had received massage prior to being diagnosed with cancer. That could be construed to mean that anyone who ever gets up in the morning with musculoskeletal pain and seeks a massage for relief better beware, because banish the thought, they might have bone cancer and that could affect their prognosis years down the line.

Simply put, the study was lacking some very important information, and to jump from that to accusations of unethical behavior on the part of Walton or any other massage therapist is unprofessional and beyond the pale. The statement that if there is even a 1% chance that MT could cause metastasis in a cancer patient between diagnosis and treatment, that is cause not to give a massage doesn’t ring true. None of us are guaranteed the next breath, and there is in all likelihood a 1% chance that any client could have a heart attack  and die on the table. Does that mean we shouldn’t give anyone a massage? No. It’s a big jump that  just doesn’t add up.

The S4OM has made invaluable contributions to the education and practice of massage therapy for cancer patients, as has Tracy Walton. That is not to minimize any contributions made by Cullers and Turchaninov, nor those of Dr. Wang. The organization does not feel that this one study from Wang et al, nor the subsequent discussion that ensued between Walton and Cullers/Turchaninov, warrants any change in their current standards of practice. Walton stated that the authors brought up interesting points, but they do not add up to a change in OMT practice. I feel confident that Walton and the S4OM do everything they can to keep up with current research and that whenever a change in their standards of practice are actually warranted, they will be implemented.

Arkansas Massage Therapists: Be(a)ware

The state of Arkansas has more massage legislation going on than you can shake a stick at.  Here’s a quick recap of this legislative bonanza:

AB 145 would dissolve the Arkansas Board of Massage Therapy and transfer duties to the Department of Health, effective Oct. 1, 2015. This has passed both the House and the Senate and been sent to the Governor, and it’s almost a 100% certainty that licensing massage therapists is going to be turned over to the DOH. It’s beyond incredible to me that the current board members apparently did not protest the dissolution of their Board. However, from the mess that they seem to be in, perhaps the Board members felt it’s best to just go along with the change. Unfortunately, in the past few years, the Arkansas Board has apparently been on a downhill slide with their finances.

According to past Board member Susie Byrd, the current board took power in ’09 when Byrd left. At that time, there were 3550 therapists, two people running the board office, and an annual budget of $74,5000. Marilyn Graham was hired as the Executive Director in ’09. As of 2014, 5 years into Graham’s tenure, there are 1990 therapists, four people in the board office, and an annual budget of $248,000. According to Byrd, when she departed from the the Board, the Board had $250,000 in reserves. That $250,000 has been spent, and according to Byrd, Graham has asked for an additional $60,000 twice in the past year. The Dept of Finance and Administration told the board they had to either fire two people or raise fees, and that the legislators would not grant a fee raise. Considering that Arkansas has lost so many licensees, while doubling their staff and moving to bigger, better offices, their spending definitely seems out of control, and it’s no wonder the state feels compelled to do something.

Derick Corbin, a massage therapist in Russelville, Arkansas, has used his social media pages to try and rally the troops to get in touch with their legislators to prevent the dissolving of the Board, but I am almost certain that due to the mismanagement that has been allowed to go on for the past 5 years, it will in fact be dissolved. Corbin initially brought these legislative issues to my attention. He confirms that the present Board has allowed Graham to run the agency unchecked and unmonitored and believes that has caused the insolvency. When he first contacted me about it, I suggested that the Board needed to reach out to the Federation of State Massage Therapy Boards, who helps guide member Boards in situations like this. Unfortunately, this administration also saw fit to drop their membership in the Federation. Corbin states that the previous Board was comprised of honest, hardworking people. As he truthfully pointed out to me, the burden is on a Board to oversee an Executive Director, and to question it when finances (or any other executive decisions and actions) seem improper. It looks like this Board should have been asking some hard questions long ago, and didn’t, or they wouldn’t be in this mess right now.

I read all the minutes from Board meetings that appear on the website. Donna McGriff, a former Board member who has served three different tenures on the Board, told me that she and Byrd had repeatedly asked the Board to require a review of Board finances in the meeting once per quarter. According to McGriff, that never happened, and there is no mention of it in any meeting minutes.

AR: HB 1729 will require all boards to be subjected to a sunset review every 12 years as of 2017 by a Sunset Review Committee. The Committee will also review board finances.  I’d be very interested to see a detailed accounting of the past five years myself.

AR: HB 1589 would have exempted Bowen Therapy/Technique practitioners from licensure requirements for massage therapists. This bill was defeated yesterday and is just waiting on the Governor’s signature.

AR: SB 546 eliminates  a former requirement of a  general education development and changes  the requirement to a high school diploma or high school equivalency diploma approved by the Department of Career Education and is just waiting on the Governor’s signature.

AR: HB 1562 changes the requirements for CE hours for instructors to 250 CE hours, requiring the 125 hours for a master massage therapist license (only 18 are allowed to be taken online); Master Massage Therapist licensure requires 125 CE hours (with no more than 10% online); adds human trafficking, sexual misconduct, and lewd behavior to reasons for license denial and revocation; provides exemption from licensing for cosmetologists and Bowen Therapy practitioners (the Bowen exemption was defeated yesterday on a separate bill), if they are certified by a professional organization or credentialing agency; adds new sanitation requirements; requires massage schools to maintain board licensing examination pass/fail rates and includes the provision and that if a school has a pass rate of below 75%, the board can place the school on probation; requires massage therapy clinics and spas to register with the board; provides policies for probation and addresses military active duty considerations, and is just waiting on the Governor’s signature .

According to Byrd, 4 schools were previously given probationary status because of low pass rates, and three of the four school owners went screaming to the legislature that the Board members had a vendetta against them. One of them only had a 50% pass rate–actually up 2% from the 48% they had a few years ago. That’s pitiful, in my estimation, and I can’t imagine spending my money to attend a school with that kind of record. Any school can experience a temporary setback for a number of reasons–incompetent instructors, management changes or upheaval of some sort–but a school consistently having that low a pass rate ought to be out of business altogether, if they can’t get up to snuff within a probationary period. If they can make a case for why they’ve had a short-term lapse in pass rates, that’s one thing, but just being allowed to carry on permanently with that kind of rate is beyond the pale.

I’ve seen it happen time after time that when some detrimental legislation gets passed–many times directly due to the failure of people to contact their legislators to express their concerns and ask them to vote the other way–within a few weeks people will start calling me or asking on social media what to do. I applaud Byrd and Corbin for trying to motivate massage therapists to take action,and applaud those therapists that did take action. I’d like to be proven wrong here, but I fear the Arkansas Board is going down the river. Those of us who have been around for awhile will recall when a previous director, now deceased, almost single-handedly bankrupted the National Certification Board for Therapeutic Massage & Bodywork. Board members–on any board–need to keep in mind that they are charged with running a board in a fiscally and ethically responsible manner, and that includes questioning the decisions of an executive director, and intervening before things deteriorate to the point they have deteriorated here. This Board is one of the oldest massage boards, formed in 1952. To see it lost in this way is a travesty, and one that could have been prevented.

Deal, or No Deal?

In my last blog, The Good, the Bad and the Ugly, I reported that the only good thing that came out of the recent FSMTB Annual Meeting was the announcement that NCBTMB and FSMTB had reached an agreement on licensing exams, which promised to spell the end of the long “exam wars”. FSMTB trumpeted this news in their October 3rd press release, which stated:

“FSMTB and the NCBTMB have worked cooperatively to reach an agreement that the NCBTMB will no longer provide examinations for licensure purposes and will now focus exclusively on delivering quality certification programs. This supports the common goal of the FSMTB, Associated Bodywork and Massage Professionals (ABMP), American Massage Therapy Association (AMTA) and the Alliance for Massage Therapy Education (AFMTE), for the Massage & Bodywork Licensing Examination (MBLEx) to be utilized as the sole licensure exam for the profession, thus facilitating licensure portability for therapists.”

Too bad that we really can’t celebrate this news because the so-called “agreement” did not include the Approved Continuing Education Provider Program operated by NCBTMB (which 27 state massage boards use in one way or another). Like rubbing salt in the wound, the FSMTB turned right around and passed a resolution to create their very own CE approval program–as if NCBTMB didn’t exist.

It actually gets worse. I received word that at last week’s Florida Board of Massage Therapy meeting in Orlando, it was stated publicly that there was really only a “letter of intention” between the two organizations that was signed before the FSMTB Annual Meeting, and that the details of this letter would be worked out later in a formal agreement.

Now I’m no attorney, but a letter of intention is NOT the same thing as a legally-binding agreement. It’s more like putting a small deposit down on a house to get the process started, with the purchase contract and the mortgage money to come later. A lot can happen between those two steps.

So I’m confused here… is there a deal, or is it no deal? For the FSMTB to send out a national press release with the subject line “FSMTB AND NCBTMB REACH AGREEMENT” when no final document appears to have been signed, raises all kinds of red flags and ethical questions.

We never needed two competing licensing exams, and we sure as blazes don’t need two competing national CE approval programs. Looks like it’s time for the heads of these two organizations to get back to the negotiating table and work out the rest of this deal, for the benefit of the CE community and the profession as a whole.  And don’t come out until you get it settled!

Weekend Update

A lot has happened this past week. First of all, the massage world lost a wonderful person with the passing of Dan Barrow. He was the long-time moderator in the AMTA House of Delegates, among his many other accomplishments, and was just one of the nicest people I’ve ever met. He will be missed. My sympathies go out to his lovely wife Virgina and his family and friends. You can read his complete obituary here.

One good thing happened this week. Steph Lasch was arrested at the Minneapolis-St.Paul airport after she had boarded a plane bound for Beijing, China, with her husband and her son. This has been a long road for a lot of massage therapists. In case you don’t know the background, you can read it here.

Since last fall, I have been communicating regularly with the Lino Lakes Police Department to keep up with what has been happening in her case. I had provided them with numerous pages of FB conversations and other print items where she claimed to be a certified public accountant, a certified fraud investigator, a third-year law student, a tax expert, a marketing expert, and everything except the president of the United States.The dozens of massage therapists who reported her to that department, and also to the FBI, the Attorney General, the Better Business Bureau, and everywhere else they could turn to will hopefully get some justice now. People may never get their money back, but it is my big hope that her actions do not go unpunished.

Although she never got any of my money personally, I had appeared, along with three other women, as a blogger (about professional ethics, at her request) on a massage coaching website she had going on. She had announced far and wide that I was her mentor, and I felt compelled to just keep trying to spread the word about the avenues people could use to complain on account of that. The police report actually focuses on the money she defrauded massage clients of at her business location, and not the dozens of therapists she stole from. In any case, she’s currently in jail. I’d love to attend her trial. You can read about it here. My last piece of advice to her was to get her act together for the sake of her child. I contacted the LLPD again this evening and they told me that her son was handed over to her husband; they were on the plane with Steph but her husband was not charged with anything.

Champ and I attended the NC AMTA Convention in Statesville this weekend. We had a good time visiting with people we don’t see often enough and both of us enjoyed our continuing education. Champ took an ethics class with Felicia Brown and I took a class in teaching and classroom management from Dr. James Zarick. One of the best classes I have ever attended. Desiree Sawyer was elected as our new chapter president. I spent this morning visiting with Mike Hinkle, founder of the World Massage Festival. I am honored to be the keynote speaker at this year’s Festival in Las Vegas. I guess I’ll just try to make as few people mad as possible!

I spoke up at the business meeting about AMTA national office decision to do away with chapter fees. I want it to go on the record that I think this is the worst move this organization has ever made. In my opinion only, this move was designed to make AMTA’s membership fee more competitive with ABMP. The fact is, ABMP has a different business model than AMTA. ABMP does not have state chapters to support. They don’t have hundreds of volunteers. Personally, I think they’re a fine organization with fine people at the top, and they just operate differently. I think AMTA needs to quit worrying about ABMP and focus on doing the best for the massage profession. This is impacting chapter budgets, and while they have rolled out some additional benefits for the chapters, I don’t think it offsets what they’re losing. I’ve seen the budgets from three different states in the last few weeks and it is having an impact, and not a good one. I think they will regret this move in the long run. I’d like to see a massive letter-writing campaign to the Board of Directors describing the negative impact this will have on the chapters’ ability to provide top-notch education experiences on a state level and on chapter donations to the Massage Therapy Foundation. Please do that here.

I’ve had an emotional week myself. I implemented some changes at my business, which never happens without a few growing pains, and the death of an old friend whose funeral I had to miss in order to attend the convention have made me a little whacked out this week. Then hearing the news about Dan Barrow, followed by the news about Steph Lasch, and it has seemed like a roller coaster. The world just keeps turning.

Peace and Prosperity.


Massage Regulation: What is the Point?

Seems like almost daily, on one of my networks, someone will post the question of “what good is massage regulation really doing?” They often throw up points like “prostitution still exists,” and of course it does and it always will. Other complaints are about how much money the state revenue department, or the licensing board, or the Federation, or the testing company is making.Then we’ve got the complaints about taking CE to satisfy the law, and how that’s just a money-making racket. As a CE provider, believe me when I say I’m not getting rich off of it, and very few are. But back to the question, what is the point?

The point of licensing in any profession is basically quality assurance for the public, for their own safety and protection. To get a license, you’re supposed to have x number of hours of education. You’re supposed to pass an exam proving entry-level knowledge . In most places, you’re supposed to get the continuing education in order to keep it. You’re supposed to agree to abide by a code of ethics and uphold standards of professional behavior. You’re supposed to first do no harm. You’re supposed to act in the best interests of the client.

There are now only a couple of states that are the last holdouts with no regulations in the works or already in effect…anyone may call themselves a massage therapist or any other derivative indicating massage, whether they actually know anything or not.

In reality, it’s hard to find out exactly how many members of the public have been harmed by massage therapy. The insurance companies and professional associations don’t like to release that information. Many of the state massage board websites do have license verification online, and some do list disciplinary actions, but in most cases that will only show up if you already know the name of the therapist that has been found guilty of some infraction. It must be said that not every single person who has been found guilty by a board is really guilty…there were times during my own five years of board service that I did not believe the accused person was guilty, but the majority voted that they were. It must be also be said that some therapists who are in fact guilty never ever get reported and thus keep preying on the public. There just aren’t any guarantees, just like with any other walk of life or profession. There are people in every profession that are dishonest or predatory, and massage therapy is no different.

All things considered, I think licensing has been a valuable thing, and personally, I’d like to see it in every single state. Yes, there are still people who will practice illegally. There are still prostitutes who will hide behind massage. But I think on the whole, licensing has brought a healthy amount of awareness and credibility to massage therapy.

I’m not resentful of having to get a criminal record check to get a massage license. If we were being singled out I’d be upset, but every other health care provider in our state has to do it. I’m not resentful of having to take continuing education….I love learning and I actually look forward to taking CE. However, I do think there comes a point in time when that should be optional. Realistically, should someone who has been practicing for 20 years need to attend an ethics class the same as someone who has only been practicing for a year and may not have even faced any kind of ethical dilemma yet?

I’m not happy with the present state of the CE environment, anyway. I think a person who is taking science-based classes or classes designed for public protection deserves more credit than people taking fantasy-based classes. With the long list of inappropriate classes that are currently approved, I really don’t see how attending a class in shape-shifting is doing anything to protect the public.

Some state boards are self-supporting. Some are at least partially subsidized by the state. Some try to educate the public. Some don’t. Some pursue illegal massage more than others. Nothing’s perfect.

The point, to me, is that the majority of us, by paying for that license and jumping through the hoops, are proving that we have at a minimum, the entry-level knowledge to practice massage safely. The majority of us have taken the education, and passed the exam, and meet our CE requirements. The majority of us are practicing ethically. The majority of us are trying to keep massage and sex separated. The majority of us abide by the rules. The majority of us are just here to take care of our clients and do the best we can. There will always be some bad apples, but I think requiring licensing has weeded out a lot that might otherwise be here. Just my opinion.

NCBTMB: At Least They’re Consistent in Bending the Rules

I’ll say one thing for the National Certification Board for Therapeutic Massage & Bodywork: at least they’re consistent in bending the rules.

The NCBTMB has a new Government Relations Liason, Billie Shea of Nevada. Shea has been a massage therapist for 14 years. She has previously served as the chair of  the Nevada State Board of Massage Therapy, and has also served as a delegate and later as a board member on the Federation of State Massage Therapy Boards.

I’ve pitched a few fits recently about the NCBTMB ignoring their own bylaws and breaking their own rules, and I feel compelled to pitch one more. The NCBTMB website announcement about Shea being hired as the new Government Relations Liason states that she has been Nationally Certified for 13 years. According to several of my sources, that is not true.

She was initially certified in 2000 and renewed one time before letting her certification lapse. I contacted Shea by email yesterday to ask her how she became Board Certified since she was not currently Nationally Certified, which is one of the requirements unless you are taking the new exam, and she responded to me that she had been contacted by the NCBTMB and offered the opportunity to become Board Certified early this summer. Her response stated that she forwarded my email to the NCBTMB so they could make a response, and they have not responded.

According to the NCBTMB’s website, there are two paths to Board Certification. One of them is to take the new exam and meet the other requirements, which include 750 hours of education, passing a background check, having 250 hours of work experience, and having a current CPR certification. The other path is to be CURRENTLY Nationally Certified under their old paradigm, and meet the new requirements.

Shea isn’t the only one who has been offered this deal; in my previous blogs about massaging the rules, I reported that two other nationally known massage therapists that I have known personally for years were both offered to be “grandfathered in” to the new Board Certification, in spite of the fact that their own National Certification lapsed about 7 years ago. They both felt it was an unethical offer since it violates the rules of the NCBTMB, and declined to do it.

So, bottom line, Shea has not been Nationally Certified for 13 years as it states on their website. That certainly doesn’t mean she will do any less of a job as their GR person, and since at this point in time I am of the mindset that my own Board Certification is worth about as much as a turd in a punchbowl, it’s no big deal to me. The big deal, to me, is the dishonesty about it. Why put a PR spin on something that is not true? Shea knows it, the NCB knows it, and why is it necessary to pad her resume? She has a long record of volunteer service and it wasn’t necessary at all. For the record, my own National Certification was current, and I did meet the other requirements for Board Certification. I was prepared to take the exam and actually somewhat disappointed that they decided to grandfather the current certificants into it instead of having us take it.
I would like to know why the NCBTMB approached well-known massage therapists who have been expired for years and offered them this “opportunity” to be grandfathered in on Board Certification, and why they feel that’s an ethical practice.

It doesn’t look good when an organization puts something out there, says “here are the requirements,” and then proceeds to blow those off in some self-serving interest. And it doesn’t look good when a therapist accepts that. In fairness, there are plenty of massage therapists who don’t keep up with the rules, including in their own state, much less at the NCB. However, I don’t think Shea falls into that category. She’s been involved in the governance of massage for many years, and if the NCBTMB hired her to be the GR liason, I’m sure they have confidence in her abilities. She ought to know better, and I’m sure she does.

If they are just going to grandfather anybody and everybody who has ever been Nationally Certified, then for crying out loud, just say that up front and be done with it.

Furthermore, I have the idea that there are board members at the NCB, and perhaps even Executive Director Steve Kirin, who do not even have any knowledge of all these surreptitious activities and who would not be in support of them. Whatever else I can say about them, I know for a fact that there are some ethical people there. Apparently there are also some who are not. I would hate to think it was a board decision to put forth requirements, and then throw in the caveat that “but we can ignore these rules for the choice few when it suits our purpose.” I’d rather believe that someone there took it on themselves to act in this manner, but the fact is, it has happened and someone needs to be accountable for it. I have to refer back to that pesky problem, once again, of Improper Delegation of Authority. This is the kind of thing that happens when there is no government oversight and no public accountability.

I will agree with one thing from the NCBTMB’s website: the statement that “a higher credential is needed in the industry.” I agree wholeheartedly, and they need to get it that this is the kind of thing that minimizes the value of the very thing they are trying to promote. Certification needs to mean something. Operating in this manner assures that it does not.

 

An Interview with Dr. Leena Guptha, New Chair of the NCBTMB

From Laura Allen: I have skewered the NCBTMB in my blog several times over the years, including very recently. It has been a tradition with me for several years to interview the executives and chairs of the massage organizations as they come on board, so I am interviewing Dr. Leena Guptha. In fairness to her, I would like to state that she had only been the Chair for ten days when I went on my last and most serious rant about the organization, so I certainly do not hold her personally accountable for the things I have complained about. Here is the interview I conducted with her.

1. Dr. Guptha, please tell us about your background, work experience, and education.

Background: Daughter of a Scientist and a Philosopher, Wife of a Physician/Scientist, Mother of two Physicians, Grandmother of a two year old.

Work Experience: (Relating to Holistic Therapies and Lifelong Learning)

  1. Practicing: 23 years of manual therapy across three countries, with my primary interests in basic science, musculoskeletal alignment, ethics, research and business.
  2. Teaching: Science and Hands-On instructor at various Colleges including but not limited to Connecticut Center of Massage Therapy; University of Bridgeport; Chicago School of Massage Therapy; National University of Health Sciences; Pennsylvania Institute of Massage Therapy; Lehigh Valley College; and International College of Osteopathic Medicine.
  3. Administration: Held positions of Director of Education, Dean of Academic Affairs, Campus President in corporate schools.
  4. Research: The Ergonomics of Driving and Back Pain, teaching Research Literacy to graduate students, osteopathic dissertation supervisor.
  5. Volunteerism: NCBTMB, AMTA Chapter, AMTA National Board and the Massage Therapy Foundation.

Education; Massage Therapy (LMT), Osteopathic Medicine (DO), Naturopathic Medicine (ND), Acupuncture/Oriental Medicine (LAc), Complementary Medicine, Hypnotherapy (BCH) and Business (MBA Hons).

2. How did you first become interested in massage therapy?

When I was a child, my father had a hobby of tinkering with cars, (not that I recall any of them actually road worthy, sorry Dad), suddenly one day while under the bonnet (hood) as he lifted the battery and twisted—he suffered an acute low back pain. My three wise uncles advised painkillers, anti-inflammatory medication, and six weeks rest on a wooden door.

This acute phase passed and he was back to work six weeks later. The next time it happened there was no possibility of time off.  I saw him suffer in agonizing pain. I started feeling his back to see what actually hurt and what did not. As a child this lead me to develop a rudimentary sense of palpation and soft tissue.  Then I took my first massage therapy course at age 18 and have studied many modalities since. Interestingly, my father still has not needed the spinal surgery earlier recommended by my uncles and proposed more recently by his physician.

3. What led you to volunteer for service at the NCBTMB?

Through the development of a hospital based program and my own research, I felt strongly that therapists at the hospital should be nationally certified by NCBTMB. I took the exam too, later a newsletter with Cliff Korn on the front page came to our home in Madison, CT and this led me to become a volunteer.

Later, I moved to IL and visited the HQ of AMTA. During that tour, Liz Lucas said “you should become a member of the Association”.  At a similar time I visited the Indiana to present at their state conference and there I learned about volunteerism at the state level. I then discovered the  Illinois Chapter, who welcomed me with open arms, that led to various roles, including the passing of licensure during my Chapter Presidency. The Illinois Chapter encouraged me to meet the National AMTA Board, the first person I met at the meeting Laurel Freeman, encouraged me to run for the AMTA National Board.

A few years passed, and I was invited to be an appointed member of the NCBTMB Board of Directors by Alexa Zaledonis. Her zest for the massage profession and doing what is right was infectious and I was delighted to join the Board.

Today, seeking the Wisdom and the Pioneering Spirit of our founding educators, who turned a trade into a profession, with a solid grounding and deliverables, I volunteer as Chair of the Board. The historical path is inspiring. I volunteer today with Courage of my conviction that there is a rightful place for certification, specialized training, career path options, quality core education and approved providers of continuing education.

4. I know that you have read my most recent blog calling for the other massage organizations to make a concerted effort to get the NCBTMB removed from the statutory language and rules in the states. What is your response to that?

Each person’s opinion has to be respected and without the benefit of a detailed dialogue with you and a fuller grounding of the contextual relationships, I would be giving an inappropriate response. With that said, I can say that I am confused as to why you would call for the removal. Our licensing exams have been in existence for 20 years, have gone through the profession for vetting four times, and are psychometrically sound testing tools. Most of the states accept NCBTMB’s exams as an option for part of their licensing requirements as a tried and true validation of knowledge to enter the profession safely and competently.  What is wrong with giving therapists a choice in exams to take and a pathway to follow? While, admittedly, NCBTMB has not always done everything right, the value and quality of the NCBTMB exams have never been in question.

In regards to the CE Approved Provider Program, we recognized a few years back that we needed to strengthen the program and review it moving forward. Yes, we held meetings and came out with an advanced program that the profession felt was too restrictive and expensive. So, we went back to the drawing board, we talked to specific groups, held conference calls and put the program out for comment before our re-release last month. We totally understand that the profession is concerned about parts of it and we are more than happy to work through these concerns. This is not indicative of an organization that is not listening or is not responding to valid concerns raised. We are trying. We have to do better and we will.

I am deeply saddened to read disparaging remarks for an organization that was and will remain our alma mater, without whose credentials today, we would not have had the ability to re-invent and elevate ourselves as individuals and as a profession. However, I continue to welcome all critiques, and all constructive recommendations, and call on all serious members of our profession and our stakeholders to be part of the dialogue and solution.

5. What, if anything, does the NCBTMB plan to do about offering specialty certifications, and if they are going to do anything, is there a timeline for that happening?

The NCBTMB Sounding Board was surveyed on specialty certificates and the initial responses appear favorable and supportive. I encourage readers to join the Sounding Board as a mechanism to feed views and input directly to NCBTMB. (The Sounding Board is open to all certificants and can be found on the NCBTMB Facebook page). There appears to be an interest to develop specialties beyond the basic Board Certification, such that an individual could be Board Certified with a specialized concentration in for example Oncology, Sports, Orthopedics, Hospice or Mother and Baby.

Our plan was once the Board Certification credential was established we would continue the discussion and development of specialty certifications with the emerging think tank as well as our constituents.

As an educator myself, I see this as a viable tool for NCBTMB to provide massage therapists who want to grow their skills and abilities. 

6. What do you see as the biggest challenges facing the NCBTMB?

Maintaining and building the confidence of all stakeholder groups despite damaging and disparaging remarks however true or false they may be. Asking the alumni of NCBTMB like you to help us transform with the changing needs of our profession, and join with us to become a leader ahead of the curve.

7. How many people have actually taken the new Board Certification exam, and how many people have been grandfathered in?

When we adopted the Board Certification credential, we understood that its success could only be judged over a period of years. Current certificants could transition into it at recertification time and do not need to take the exam; new graduates would strive to achieve the credential as they became successful in their careers.

The majority of our Certificants are still Nationally Certified and have the option to transition to Board Certification at their renewal time. Currently of those who meet the new standards approximately 3000 have become Board Certified. New graduates with entry level credentials will not be eligible until they have been in practice for at least six months, so we expect these numbers to rise through better communication, outreach and as therapists become eligible and choose to be certified. 

Since our webinar last week and this week, I have become aware of confusion in the profession regarding transition to Board Certification, as well as Board Certification requirements from licensure. We have to do a better job reaching out and communicating both the value and the requirements. Though, our team is working on a daily basis to assist certificants successfully through the transition process, I would like to take the opportunity to address this with the audience here.

The value of Board Certification:

  • Provides a credential higher than entry level licensure
  • It distinguishes the advanced therapist from an entry level therapist
  • Shows a commitment to the profession and to the consumer
  • The medical profession uses and recognizes the Board Certification credential
  • It creates a career pathway as in other healthcare professions.

Requirements to Transition into Board Certification from National Certification:

750 hours of education

Graduate from an NCBTMB assigned school.

·        Additional hours can be submitted from courses taken in continuing education or accredited college or university

·         250 hours of professional hands on work experience (25 hours will be accepted in volunteer work)

·         Current CPR Certification, copy of current identification, sign to oppose human trafficking, Agree to the NCBTMB Code of Conduct, and agree to a criminal background check

Requirements for those seeking Certification for the first time:

·         Passing the Board Certification exam

·         Submit the above transition requirements after six months in practice

 

 

8. Please also address how far back the offer to grandfather people was extended, because I have heard from several massage therapists who let their certification expire years ago that they received an offer to be grandfathered, which definitely minimizes the value of this credential.

Whilst, I am not aware that there ever was a true grandfathering period, we did announce that those who were Nationally Certified would have the opportunity to recertify, or transition, to the new program without taking the new exam. All other criteria would still need to be met. Based on that, the transition time period would end 12/31/2016, since all renewals under the old four year renewal cycle will have concluded.

On a case-by-case basis, those whose certification had expired with NCBTMB in the last year were reviewed once all of their information was submitted. If all other criteria were met they could transition to Board Certification because they did not have the new Board Certification available to them.

Throughout the review process, NCBTMB was sensitive to the following past issues:

1.      In 2013, the grace period was changed to 90 days.  Formerly the grace period was three years after expiration.  Therapists that fell into this category and were not aware of the change, were reviewed and could recertify if they met all requirements.

2.      Experienced massage therapist that were disgruntled with NCBTMB in the past and who allowed their certification to expire, welcomed the new changes and wanted to be reinstated.  These cases also were individually reviewed and, if warranted, they could recertify if they met all requirements.

All reviews that resulted in a successful transition to Board Certification were made in the best interest of the certificants, the profession, the community, and in acknowledgement of past mistakes by NCBTMB.

9. I have long been questioning some of the classes that have been approved for NCBTMB that I and many others feel hurts the credibility of the NCBTMB. There are evidence-based practitioners who will not apply to be a provider because of their embarrassment at being associated with some of the classes that have been approved here. Do you share the sentiment that classes that are based on things that have been scientifically disproven, classes that are based on religion, and classes that are based on products that people just want to sell to the public are inappropriate, and if so, what is the NCBTMB going to do about that and when can we look forward to that happening?

This is a good example of a critique that is thoughtful and constructive. We agree that only qualified Approved Providers should be acceptable and we are actively engaged in ensuring this. My Blog on the ncbtmb.org website calls for experienced educators to form a think tank and from that I envision a collective wisdom, with recommendations, to emerge. I am delighted that you have agreed to participate in the think tank to address such issues with CE classes.

I can add that classes based on selling products specifically are inappropriate and do not qualify for CE credit. Our current course criteria can be viewed by going to: http://www.ncbtmb.org/continuing-education-course-criteria
It is my vision that, based on the considerations from the think tank, these will be reviewed and recommendations will be forthcoming.

10. This is your opportunity to say whatever you would like to say as the new Chair of the NCBTMB. Is there a message you would like to give?

As I have just taken over as Chair, my first 90 days will be spent taking stock and gathering support of colleagues like you who are passionate about the educational system of our profession and have authored books for educators. I would like to tap into that positive and constructive energy, to build on the foundations of the alumni of all of our constituents to be by my side and develop a think tank to learn from old mistakes and ensure that we develop a progressive and meaningful organization that continues the advancement of the profession.  Internal “navel-gazing” as well “external assistance seeking”, behavioral modification and reaching out to all stakeholders to work with us in a positive dialogue to find our rightful place in the profession are all priorities. These are some vital initial steps.

As it is still only the first month of my position as Chair, my priority is more about “listening” than speaking. I am still learning, evaluating, and I am inviting collaboration. 

Moving forward, we acknowledge that every organization that aims to be effective and strives to pioneer inevitably takes some missteps.  We acknowledge our mistakes and should we ever forget, we can count on you to remind us! That means we count. We have a role, and we matter.  Let’s take that energy and focus forward. I want us to collaborate and move forward together with positive, constructive dialogue. Trust that we are able to—and want to—learn from old mistakes.  I invite you and all other productive and passionate stakeholders to help us.  

Now, to the “listening”…my questions are:

  1. In what form, format, and media would certificants like to receive information regarding Board Certification?
  1. What would Approved Providers like to see as the approval process and how can that be realistically implemented?
  1. As a school owner/administrator how can NCBTMB create strong sustainable relationships, what do you need and want from us?
  1. To the entire community and profession at large what specialty board certifications do you want to attain and how do you see that curriculum or requirements being integrated together, give examples of courses, activities or other professional models?
  1. We have made some mistakes. We have had our ups, we have had our downs. What do we need to do to build support and collaboration of our constituents and professional stakeholder groups?

In conclusion, I’d appreciate constructive strategies and comments.  We will listen carefully.

Finally a quote from my ultimate mentor “……pilot takes off an airplane against the wind, not with it.……….. and the naval aviator lands despite the pitch and roll………

Calling All Massage Organizations: 911

I’ve seen some ups and downs since joining the massage profession about 15 years ago, but never, in all that time, have I been as disgusted and dismayed with one of our organizations as I am today. I feel as if I have a vested interest in all of them, so I have the right to complain—and to call on them for help.

The National Certification Board for Therapeutic Massage & Bodywork was the only path to licensing in many regulated states for a lot of years. Their exams are written into the statutes of about 40 states, as is the MBLEx, which has soared in popularity as the exam of choice in the past 5 years. The exam revenue at the NCBTMB has been steadily declining ever since the MBLEx debuted. The “National Certification Exams” as they formerly existed are the same exams being used for the NESL.

It used to be that taking one exam gave you the status of being Nationally Certified and being able to use that to get your license, but that’s no longer the case. There’s no attraction there anymore. The Federation has been in a position for several years to help solve this problem by buying out the NCBTMB’s entry-level exams; they certainly have the money and the infrastructure in place, but they have apparently preferred to stand by and watch the NCBTMB die a slow painful death rather than be in collaboration. Although I have favored the idea of such a deal in the past, at this point in time I am not going to blame the FSMTB for their refusal to play ball.

The majority of regulated states also have it written into their statutes that the continuing education required for maintaining licensure must be from a provider of CE that is approved by the NCBTMB.

As a provider of CE, I was not pleased when the Federation brought up their MOCC (Maintenance of Core Competencies) plan, which would have made all CE optional, with the exception of classes related to public protection, put forth online by them. My concern was that it would put a lot of CE providers, including me, out of business. In reality, based on some of the claptrap that is approved by the NCBTMB, there are a lot of CE providers that should be put out of business. The NCB’s response to my own repeated questioning of some of the things they have approved for CE has not been satisfactory to date.

According to FSMTB Executive Director Debra Persinger, they have let go of the MOCC plan, based on feedback from the profession and member boards. Instead, they have put forth a Standardized License Renewal Recommendation. In a nutshell, the language reads: Licensed massage and bodywork therapists will be required to complete six (6) hours of license renewal requirements annually. At least three (3) of the six hours must meet the State-sponsored Ethics and Professional Practice course requirements that specifically address content pertaining to public safety. The remaining three (3) hours could be exchanged for certain Professional Development activities, including but not limited to meeting accredited certification standards, community service, and research.

Bear in mind, that has not been written into the law anywhere yet that I am aware of, and it is what it is—a recommendation.

In my conversation with Persinger this afternoon, she informed me that the online classes pertaining to public protection will roll out in 2014, and that states that require in-person classes will still be able to have that. She also stated that at the annual meeting of the FSMTB held earlier this month, the member states asked that the Federation form a new CE Task Force to look into the possibility of approving continuing education.

I can recall what I thought was the beginning of the downhill slide at the NCBTMB…and it was years ago. I’ve seen an egomaniac that was hell-bent on bankrupting the organization elected to the Chair position. I’ve seen lawsuits filed against them by two of their former executive directors that dragged on for years. I’ve seen the lawsuits they have filed against state boards for getting rid of their exams. Yes, they had the legal right to do that, but in the big picture, it didn’t win any friends for them. I’ve seen the ridiculous, totally un-credible, fantasy-land classes that they have approved for CE credit. I’ve seen the failed plan to turn into a membership organization, which cost them several years of being banished from AMTA conventions.

I’ve also seen the failed attempt at an “Advanced Certification,” and the morphing of that into “Board Certification.” The NCBTMB website states that those who are currently Nationally Certified must transition to Board Certification by their next renewal. Unfortunately, I have heard this past week from two prominent massage therapists, both of whom had let their national certification expire 6-7 years ago, that they received invitations to be grandfathered in on the new Board Certification. They declined for ethical reasons. Personally, that makes me feel as if my own certification is about as valuable as a used dinner napkin.

I’ve seen their attempts to present themselves to massage schools and certificants as if they are some sort of regulatory organization by using language that insinuated that. I’ve seen their attempts to replace lost exam income by gouging the hell out of CE providers. It was only when they were faced with a mass walk-out of prominent providers, who said they would give it up, rather than go along with the plan, that they had to back up and punt.

I’ve seen times when people could not get a phone call or e-mail to the organization answered, and times when it took months for certificates and approvals to arrive, if they arrived at all. I’ve seen an example, just yesterday as a matter of fact, of them blocking people, including me, from posting on their FB page because they had the nerve to complain—and that was after the new Chair encouraged people on my own FB page to make their comments there. I’ve seen well-respected, seasoned colleagues who are experts in massage organizations and government relations offer to help them and give them advice about how to pull themselves out of some of the messes they’ve made, and I’ve seen that help refused or ignored time and time again. I’ve seen their adamant refusals to own up to their mistakes. My distress with them is not new. It’s just been festering for a long time.

I think the NCBTMB has reached the tipping point. Some would even say they are long past it. I have, in the past, given them hell about some things, and I’ve also come to their defense many times, including some when they probably didn’t deserve it. I have stated many times that I wanted to see them survive and thrive, and I sincerely meant that.

I am sad to say I am no longer holding out that hope. I am sad to say that I think they have outlived their usefulness. I am sad to say that I think their credibility has been shot beyond repair. I am sad to say that although there are staff and volunteers there that I personally know and like, and believe have the best of intentions, things have gone too far. They’ve had years to turn this ship around, and it hasn’t happened.

Therefore, I am calling on AMTA, ABMP, AFMTE, and FSMTB to immediately pull out all the stops and use all their available resources to help get the NCBTMB out of all statutes and administrative rules, as it relates to approval of their exams and use of their Approved CE Provider program. There are only a handful of states that approve their own CE, and if the NCBTMB were to suddenly go out of business, confusion is going to reign in those states that still have the NCBTMB exams and CE provider requirements written into the law.

Removing them from all statutory language in the regulated states doesn’t necessarily mean the NCBTMB will go away. They may continue to limp along for a few more years. They may someday come to their senses and create some valid specialty certifications, and reestablish themselves as a viable entity, but at this point in time, I doubt if they have the financial resources to do so. They’ve wasted a whole lot of money on their previous missteps.

Lest anyone get the idea that I am happy about making this request of our other organizations, let me assure you, I am not. I am sad to see that one of our national organizations has fallen this far. It’s time for positive action, and since they’re obviously not going to take it, the other organizations are going to have to seize the moment. I would suggest orchestrating a hostile takeover, but one of my colleagues who knows much more about regulation than I do informs me that’s impossible due to their structure, so this is the next best thing.

The FSMTB is able to offer government relations support to their member states, and AMTA and ABMP can afford the lobbyists. As a young organization, they don’t have enough resources yet, but with financial aid from the other organizations, AFMTE could be a great alternative approval body for CE. COMTA could possibly step into that role as well, but again, they don’t have the financial resources that the other organizations have. I call on all of them to set it in motion immediately to get the NCBTMB out of all statutes. We all know how slow the government moves so it won’t happen overnight, but I believe it has to happen. The FSMTB has been working on a Model Practice Act, so the time is ripe.

I also suggest that anyone who is Certified, as I have been since 2000, examine what that really means to you. Personally, I will not be renewing mine. There was a time when I was proud to say I was Nationally Certified. That time has now come and gone.