Author: LauraAllenMT

Massage therapist, author, educator, blogger
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A Sermon on the Science of Massage

This isn’t one of my rants about massage research–although that’s definitely a sermon I plan to keep on preaching. It’s about the basic things that we all ought to know, if we’re calling ourselves massage therapists.

I love anatomy and physiology, and the study of pathology is fascinating to me. The human body is an amazing thing, and the more I know about the way it works, the more competent and empowered I feel to do a good job as a massage therapist. Sadly, that sentiment isn’t shared by everybody.

I’ve been tutoring students and teaching my class in how to pass the exams for over ten years. I can’t tell you the number of times someone has said to me “I just want to do massage. Why do I need to know this stuff?” A few weeks ago, I actually had someone who has graduated from massage school (but not yet passed their exam) ask me where the trapezius is located. I didn’t know whether I should feel sorry for them at their lack of education, or whether to give them a swift kick in the butt and point out how lazy they must be not to know this by this time.

Due to the lack of regulation in some places (there are still 8 states where anyone who wants to may call themselves a massage therapist with no education at all), and the time-honored tradition of grandfathering people when legislation does come in, there are thousands of people practicing massage who know nothing of the sciences associated with it.

Massage is an art form, to me anyway, as well as a science. And I’ll concede that there are people who can give an amazing massage that don’t know what the trapezius is. But the fact is, I don’t want a massage from any of those people.

If I go to get a massage and say “It hurts when I do this,” I feel much better about getting it from someone who knows what muscle does that. If I make an appointment for a hot stone massage, and then put on the intake form that I am suffering from a severe case of peripheral neuropathy, I’d like for that therapist to know that I shouldn’t be receiving that type of massage. If I’m taking muscle relaxers, I’d like for the therapist to know that my muscle reflexes are inhibited and my sense of pain tolerance is dulled, and that therefore a lot of deep thumb work could leave me bruised and feeling battered. If I have a raging case of shingles, I’d feel better knowing that the therapist would send me back home without a massage. I might have walked in the door as an uneducated member of the public thinking that a little cream spread around on me would make me feel better. I’ve had that happen during my career.

I don’t know everything there is to know–yet.  But I’m happy to say my education didn’t stop at the massage school door. It’s never over, and it will never be over. That doesn’t mean I’m sitting around reading an A&P book cover to cover for entertainment, but I figure the more I know about it, the better I become. When a client comes in and mentions a condition I’ve never heard of, or that they’re taking a drug I’ve never heard of, I’m going to take five minutes to look that up before I put my hands on them. When I can help someone by showing them a stretch, or giving them a few hints about how their body mechanics or the ergonomics in their work space can be involved in their pain, I’m empowering them to feel better and improve the quality of their daily living.

There are some brilliant minds in this profession, and the way I see it, they’ve gotten where they are not because they give a fabulous massage, but because they have knowledge. I made a FB comment one time about the way something works, and no less than Erik Dalton corrected me. I’ll defer to him in a heartbeat. It will take me years to know everything he knows, and he’s been at it a lot longer than I have. And even though he’s making a few noises about retiring to Costa Rica, I don’t think the day will come when he decides he knows enough. He’ll be basking in the tropical sun reading a fascia journal.

I’m never going to be the next Erik Dalton, and chances are you aren’t aspiring to that, either. But I think the burden is on us, as professionals, to soak up the science of massage like a sponge. At a minimum, knowing not just the names of a few major muscles but of all of them, along with their origins, their insertions, and the actions they perform. At a minimum, having an adequate pathology and drug reference handy or Internet access for looking those things up–and actually doing so–in our work spaces.That act alone will cause you to learn something new every day and it will only take a few minutes. That’s my sermon for today.

Get over the idea that only children should spend their time in study.  Be a student so long as you still have something to learn, and this will mean all your life. ~Henry L. Doherty

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Substance and Sustenance

Substance: what something is made of.  Sustenance: support, maintenance, nourishment.

On a personal level, I have a tendency to think that whatever your character traits, your qualities–your personal substance–is all about, has a lot to do with what you do to sustain that. I don’t intend the word sustenance just in the context of what you’re having for dinner…rather, in the context of what is it you do that sustains not only your body, but your mind and your soul.

On a business level, I think the same is true…if you’re a basically positive person, and you do things that sustain that, it’s going to carry over into your massage practice, or whatever it is you do for a living. If you’re steeped in negativity, you’ll remain there, unless you take some action meant to change that, and that will carry over into your business as well. We all have our off days. When we go too long without taking care of ourselves, we have more of them!

I’m taking care of myself this week. That actually started today; my husband and I enjoyed a boat ride, swimming, and a picnic at the lake with some friends. Tomorrow we’re heading off to Ireland. I’m fortunate to have an annual class there, so it’s a few days of work and a few days of pleasure. Actually, the work is pleasurable to me, too. I look forward to it every year. It’s one of those things that sustains me. The day we get there, we’re heading straight to a spa for a day of rest and restoration.  After the class is over, we don’t have a plan. I like to travel that way, just go where the wind blows.

It’s good to get a change of scenery, and be around some new people. I enjoy hearing how others run their businesses and about their lives. One thing that I always ask when I’m teaching a class is how often the therapists get a massage themselves. I’m mortified at the people who admit to not having had one in months. And most often, those are the therapists who are struggling in their businesses. I offer the suggestion that you have to practice what you preach. Otherwise, you’re not nurturing yourself, and your substance will suffer.  You’re like an instrument that needs tuning. You can still play a song, but it’s off-key, if you’re not giving yourself over to that same feeling of well-being we give people when they come to us. Don’t let a tight budget keep you from getting massage. Someone will trade with you.

Make time for whatever it is that sustains you…whatever it is that you enjoy doing. Don’t use the excuse “I don’t have time.” If you knew that today was your last day on earth, would you spend it at work? Probably not! I’m an admitted workaholic, and I’ve found out the hard way that if I don’t do the things that sustain me, the universe will usually end up knocking me flat on my butt. Usually, if I get sick or run down, or some business woe is driving me crazy, it’s normally a kick in the pants that says “slow down, it’s time to stop worrying about everything else and take care of yourself.”

Substance and sustenance. They go together. I’m going to be busy sustaining myself, so I’ll see you when my vacation’s over.

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Teaching the Teachers

I inadvertently insulted a massage school owner yesterday by making a FB post saying that I wasn’t impressed by a school that had only one teacher to teach the entire curriculum, and that I wouldn’t choose such a school, personally. To begin with, I wasn’t speaking of his school when I made the post, and I had no idea that he was teaching his entire program himself, as his website gives a different impression, listing four faculty members. A couple of his satisfied graduates weighed in with the fact that they were pleased with their education, and many more who didn’t attend that particular school offered comments about the need for diversity and differing perspectives. Some said they’d rather have one good teacher than a bunch of bad ones. I’m going to stick to my guns on that one, and it is just my opinion and mine alone, that it wouldn’t be for me.

There’s no law anywhere that I’m aware of that prohibits one person teaching the whole program. The standards for massage therapy education vary from state to state. The quality of massage therapy education varies from school to school, and even from teacher to teacher. I also stated in my post that I’ve seen the good, the bad, and the ugly. There are brilliant and engaging teachers; there are teachers who know their subject but who are so droll and boring you can’t bear to sit through it; and the sad fact is that there are plenty of people teaching who shouldn’t be teaching at all. A good massage therapist and one who is good at teaching are two different things, many times.

Some states allow anyone who’s breathing to teach a class, and schools often take advantage of that by using last year’s graduates as this year’s teachers. At the other extreme are states with requirements that you must have a college degree in the area you are teaching, at least for science-based classes like A&P, or that you have been licensed as an MT for X number of years before you can teach hands-on classes.  There’s no consistency.

I’m at the end of my five years of service on the North Carolina Board of Massage & Bodywork Therapy, and I have served the School Approval Committee that entire time. Since I’ve been on the inside, I can state that our system isn’t perfect…we state in our rules that teachers should be “trained” but we don’t go far enough with that…there’s no set number of hours of training required, and each school basically does whatever they please on that front. One has a year-long training program. Another has a two-hour orientation and calls it their training program. The others fall somewhere in between. My pet project recently has been encouraging schools to teach research literacy to their students. It seems to be slow to catch on. Some school owners have the attitude that if something isn’t in their board’s requirements, they’re simply not going to do it, and that’s a shame.

So who teaches the teachers? The AFMTE is working on a big project, the National Teacher Education Standards Project. I applaud that wholeheartedly, but I will point out that the AFMTE isn’t a regulatory board and all they can do is put it out there, they can’t force anyone to participate. The Massage Therapy Foundation is offering classes around the country in teaching research literacy, but the same is true of them; since they’re not a regulatory board, they can’t force participation. That’s just too bad on both counts! I’d personally like to see teaching research literacy a requirement in every school. Both of these organizations are saying, “Here we are, here’s what we can do to improve education.” But again, since there’s no law requiring it, some–and by some I mean the vast majority–aren’t getting on the bandwagon. What I fail to understand is why any school owner or program director wouldn’t want to give their school–and their students–their best shot.

While I do concede that there’s a complainer in every crowd, when I see the same complaint from multiple students/graduates, it gets my attention. There is rarely a day that goes by that I don’t get emails or phone calls from students all over the country with some tale of woe about their school experience.

On last weeks’ blog, Self-Sabotage–or How I Got Your Clients, I offered up a bunch of the reasons that clients have given me about why they left another therapist and started coming to me. So here are some of the comments that I have received from students:

“Even though it’s in our school catalog that we have a dress code, our teachers don’t follow it themselves. They dress in the same way we’re told not to.”

“There’s no substitute. If a teacher has to be out the class just gets canceled.”

“The teacher is rude if anyone questions anything. Her answer is usually because I say so. I don’t think she knows the real answers.”

“Our teacher didn’t like teaching Ethics, so at every so-called Ethics class, they would just spend the whole hour talking about something else.”

“Our teacher doesn’t know anything about the licensing laws in our state.”

“Our teachers are always contradicting each other and you don’t know who to believe.”

“The A&P teacher couldn’t pronounce the anatomy terms.”

“Our teacher lets us out early all the time because she has somewhere to go. I don’t think I’m getting what I’m paying for.”

“My teacher has had affairs with several students.”

“My teacher’s girlfriend is in the class and he uses her for every massage demo.”

“All of our tests are open-book. I don’t feel like there’s any proof that we’ve learned anything.”

“My teacher tries to impose his religious beliefs on us.”

“My school told me it wasn’t going to be a problem that I had a criminal record but after I graduated I found out I couldn’t get a license.”

“The teacher just graduated last  year and in spite of the fact that she has failed the exam three times and doesn’t have a license, the owner feels sorry for her and is letting her teach.”

“There’s no diversity. One teacher teaches everything.”

“One of the female teachers gives every male student a hard time and picks on them constantly.”

“When I complained to the owner about the unprofessional behavior of one of the teachers, she told me I was free to drop out but I wouldn’t be getting my money back. She didn’t even listen to the complaint.”

“My school experience has been very disappointing but I’ve already paid the money and I’m just trying to stick it out until graduation.”

I honestly could go on for days with the comments. And like I said, when it’s just one whiner, I don’t pay much attention, but when I hear the same thing repeatedly about a school, I encourage those students to report it to the board. If our board gets a half-dozen complaints about the same school or the same teacher, you can bet we’re going to investigate it. I sometimes get emails from students who say they are afraid of retaliation if they complain, and that’s too bad. It just means that whatever problems are there will be perpetuated for the next class of students.

As a school owner or program director, your priority should be to get the best people you can get to teach your students, and to ensure that they are not only familiar with the subject, but that they are trained in teaching adult learners, that they incorporate research references into their class, that they are trained in teaching to diverse learning styles, and that they present themselves and behave themselves in a professional manner. If you allow your teachers to come to class looking like a homeless person, then the blame is on you as much as it is the teacher. If you look the other way while your teachers are having affairs with students, the blame is on you as much as it is the teacher. If you don’t listen with an open mind whenever a student has a complaint about an instructor, shame on you. If you’ve heard the same complaint more than once and haven’t discussed it with the instructor, double shame on you.

If you really want the education that you’re offering to be the best that it can be, you’ve got to teach your teachers. Don’t just hire someone and hand them a syllabus and think they’re going to do a good job. There are resources available and you should be using them.  If you’re not conducting a thorough teacher training program, or requiring your instructors to attend one, or not having teachers trained in research literacy and teaching that to students just because it isn’t a state law, then I urge you to step up to the plate and go beyond what the state law requires. Your school will benefit from it. Your students will benefit from it. The massage-seeking public will benefit from it.

Resources:

ABMP Massage School Instructor Resources

Alliance for Massage Therapy Education

AMTA Schools Resource Center

 

 

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Self-Sabotage, or How I Got Your Clients

There are some great massage therapists in my town (other than the ones who work with me), and this isn’t directed at them. But in every town, and mine is no exception, there are massage therapists who are thriving, and massage therapists who are barely surviving…many of whom eventually give up and go back to doing whatever they used to do, or find some other way to make a living.

Sometimes, a business just doesn’t make it in spite of your best efforts.  Setbacks happen that are beyond our control, sometimes serious things like a health crisis, or your spouse losing a job, or some other trauma and drama interferes with our lives and our plans. Sometimes the location just isn’t ideal, or you’re in an area that’s already saturated when you’re just getting started. Sure enough, these things can all be roadblocks to success.

It’s sad but true, though, that people commit self-sabotage, leading the clients they do get to keep looking for another therapist. If your client retention rate isn’t what it should be–or what you hope for it to be–take a good look at the situation. Over the years, I’ve gained many clients who told me they had seen another therapist, and decided to go elsewhere–meaning they came to me. Here are just a few of the comments I’ve heard:

“I really liked her massage but her office was a mess and the bathroom wasn’t clean.”

“I asked him to lighten up several times, but he kept saying, “I can’t, because this is what you need.”

“She could never start my appointment on time. She was always late.”

“She insists on doing Reiki on me at the beginning of every session and I don’t want it, I want the hour of massage I am paying for.”

“He won’t shut up. He talks the whole time.”

“He kept trying to sell me an expensive water filter.”

“She is always trying to sell me this juice that’s $50 a bottle.”

“She’s constantly having some personal problem that requires her changing my appointments.”

“When I was face down on the table I noticed a bunch of dust bunnies on the floor. Two weeks later when I went back they were still there.”

“He did some thing walking around me and banging on a little gong for ten minutes before he started the massage.”

“He told me he had to massage my breasts, it was part of the massage.”

“She answered her telephone during my massage.”

“She’s always telling me I need to do this detox program she sells.”

“She has some kind of aromatherapy oil permeating the air and it’s just overwhelming. Just because it smells good to her doesn’t mean it smells good to me.”

“He spent the whole hour talking about his divorce. I’m a psychologist so I guess he thought I would give him some free counseling.”

“She had her cat in the office. I’m allergic to cat hair.”

“She had her dog in the office and he barked at me. I’m afraid of dogs.”

“She was dressed really sloppy and barefoot.”

“The sheets just had some kind of funny smell.”

I could keep on, but I think you’re getting the picture. At least I hope you are.  The vast majority of the time, when someone tells me that they’ve left another therapist, it has absolutely nothing to do with their skills as a massage therapist. It’s lack of caring, lack of service, or lack of professionalism. If your office is clean and uncluttered, and you’re on time for your clients, giving them what they ask for and what they’re paying for, and presenting a professional persona, don’t give up. And if any of these things could be said about you, change your ways, if you want to cultivate the kind of satisfied clients who turn into regulars and send you referrals.  Otherwise, the people who come through your door are just going to keep looking for that therapist who meets their expectations.

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American Massage Conference Bats 1000

I spent the weekend with over 1000 massage students and therapists, plus all the great vendors and support staff in Atlanta this weekend at the inaugural American Massage Conference. I’d have to say they definitely batted 1000! A good time was had by all!

There were just too many good moments to talk about them all, so some of my personal highlights:

Teaching my exam prep class Friday and ethics on Saturday, great people in both classes…dinner with Allissa Haines, fellow blogger of Writing a Blue Streak fame…sitting on a panel with Whitney Lowe, Felicia Brown, Les Sweeney, and Tony Zak…sitting with BioFreeze Bob, Lynda Solien Wolf, James Waslaski and his assistant, Michael McGillicuddy and Gloria Coppola at the awards dinner…getting the award for Massage Therapist of the Year and seeing my friends be recognized, including Ryan Hoyme (the MassageNerd) as the winner of the Innovation Award, Anita Shannon as Educator of the Year, Felicia Brown as Volunteer of the year…hanging with Sandy Pearce from Massage Today…hearing the great keynote speech at the One Concept awards…getting a 30-minute foot massage at the Sanctuary…playing music on stage at the gala with Errol N Schroeder of ASOMAssageMusic…

Playing some tunes with Erroll and Schroeder

Then there was eating the homemade ice cream provided by BioFreeze Bob…hanging with Paul Lewis, who is one of the nicest people in the massage business…having a group picture made with all the WIBB bloggers in attendance…eating lunch with Lynda Solien Wolf…getting interviewed about CE by Gloria Coppola…the Pirate Party out on the roof at Stat’s…the totally awesome vendor booths… getting interviewed alongside Angie Patrick by Karen Menehan of Massage Magazine…watching James Waslaski dance the electric slide with about 20 women on the dance floor…getting foot massage of the automatic variety at two different booths…chatting with Glenath Moyle…seeing Michael Reynolds of www.spinweb.com, one of my personal idols…chatting with the folks from FSMTB…Elizabeth Langston, Exam Development Director of the NCBTMB sitting in on my exam prep class…having a visit with Rick Rosen of the AFMTE...visiting at the ITEC booth for about 45 minutes and finding out all about what they do and how they do it…meeting so many FB friends for the first time and seeing a lot of people I haven’t seen in awhile…watching Paul Lewis and Donna Sarvello performing an energy dance on the party bus…visiting with Christopher Alvarado and Angela Palmier…watching Tina Allen’s little son Otis out on the dance floor…

I could go on and on, but to make a long story short, it was simply fabulous, so kudos to Scott, Angie, Eric, Monica, Melanie, Robyn, anybody I missed, the staff of the Holiday Inn for doing a great job, and all concerned. It was one of the high points of the year and they all deserve to be congratulated for pulling off such a huge and successful event!

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Civil Discourse

Civil discourse, according to Wikipedia, is engagement in conversation intended to enhance understanding.

I’ve seen the good, the bad, and the ugly, when it comes to that. The good took place recently at the MAAP meeting I attended with the folks at the NCBTMB. It was a great meeting of intelligent people who were all invited to participate in a discussion about continuing education, and not an ugly word was spoken.

The good was exemplified again this past week in the comments on my previous blog post, and on the AFMTE LinkedIn page in response to Rick Rosen’s position paper “Vision for the Optimal Role of National Certification.”

Some very bright minds have weighed in on that. Some of them support Rosen’s position; some disagree; some like parts of it. And somehow, the conversation has managed to take place without name-calling, insulting anybody’s mama, or the questioning of people’s ethics and/or credentials in a rude manner. People have been free to express their opinion and have done it in a polite manner.

That is completely contrary to what has been happening on a couple of the other discussion forums that I participate in.  A few weeks ago I made a post on the massageprofessionals.com website, entitled “Stop the Insanity.” It was a plea for people to engage in civil discourse and leave behind the bad behavior. I’m sad to say that it hasn’t happened; the mudslinging has continued, and several people who really have a lot to contribute to intelligent discussions have left entirely on account of it. It happened again this week on another website when the owner sent out a notice to everyone on the site making an accusation against a fellow therapist. He later admitted his error in judgment as an emotional response to something he was passionate about and apologized publicly, and I’m glad.

Participating in a conversation on an Internet forum comes with a few inherent flaws. You cannot hear the tone of anyone’s voice, nor see their body language. What you perceive as sarcasm may in fact just be passion for the subject at hand, that would come off sounding entirely different to you if you could hear and see the person saying it.

There’s a song that says “free your mind, and the rest will follow.” Some people would do well to take heed of that. The close-minded set who think their way is the only way, and who refuse to remotely consider that someone else might have a valid point, cause the conversation to deteriorate into a combination of the bad and the ugly. I have been embarrassed to see otherwise professional people calling each other names, making wild accusations about people’s credentials, refusing to address a legitimate question directed at them, but instead turning around and replying with a snarky comment or answering it with another question and evading the issue altogether.

If I was a member of the massage-seeking public, and I had witnessed the behavior of some of these people on some of these discussion boards, there’s no way in hell I would allow such an angry, bitter, and closed-minded individual to place their hands on me.  I would reach the conclusion that anyone carrying around such an angry and superior attitude couldn’t possibly bring any peace and well-being to me.

I happen not to agree with Rick Rosen; it’s not the first time I’ve disagreed with him and if we both live long enough it probably won’t be the last. In fact some of his own board members at the AFMTE have expressed their concern in response to the comments that have come in on LinkedIn.  It was done civilly and without any wild accusations and bad behavior.  When I run into him at a meeting, I’ll still sit down and have a drink and a chat with him, or anyone else who disagrees with me.  It’s called civil discourse.

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A Matter of Opinion

Last week, the AFMTE released a position paper authored by Executive Director Rick Rosen, “Alliance Offers New Vision for National Certification.” Update 09/20/2025: This no longer exists on their website and I was unable to locate a copy online.

The AFMTE also recently announced that it is partnering with the FSMTB in their initiative to begin approving continuing education.

Both of these have attracted quite a bit of discussion on the various social media sites. And like any discussion, people agree, disagree, and agree to disagree.  I’m glad to say there hasn’t been any mudslinging of the nature that goes on at times in some of these venues. I think these discussions are useful and informative.  They sometimes bring to light a lot of misconceptions that people have about which entity does what, and how they do it.

I encourage everyone to read Rosen’s paper in its entirety, but to make a long story short, it is a plea to the NCBTMB to reorganize, and get out of the continuing education business and the entry-level exam business. The FSMTB has been stating the opinion since their founding 5 years ago that NCBTMB exams are inappropriate for licensing purposes, and encouraging the states to drop those exams and use the MBLEx exclusively. That hasn’t happened.  If the map on the FSMTB is current, 33 member boards are using the MBLEx. If the map on the NCBTMB website is current, 38 states are still accepting their exams, meaning the majority of states are accepting both, and offering their licensees a choice. The AFMTE is also supportive of the Federation’s stance, as is AMTA and ABMP. Still, the facts show that either the 38 states are doing the wrong thing, or else they are exercising their undeniable right to conduct their business the way they want to.

I haven’t been in this profession nearly as long as Rosen or some of the other players here. I became a massage therapist in 1999, and it seems like I joined at a time when everything was just really starting to swirl. I was in the first wave of licensees in North Carolina.  Mr. Rosen actually has license #00001…first person licensed in our state. He has seen and been instrumental in a lot of things happening. I would never try to minimize the contributions he has made to this field. I won’t criticize his career, his integrity, or his belief that he is suggesting something for the good of the profession on the whole.

My criticism is this, and it isn’t directed entirely at him; it’s directed at the concept of any organization trying to mandate to another organization how to run their affairs. We get enough of that from the feds, don’t we?

I believe that the FSMTB and their mission of public protection is a great thing. The member boards come together for the purpose of discussing common problems and looking for workable solutions. Anytime people sit at the table together to try to solve a problem, that’s wonderful to me. I also believe that the AFMTE was started with the noble intent of acting as the voice, advocate, and resource for massage schools and educators. What I don’t believe is that either one of them can unilaterally force the NCBTMB to change their way of conducting business, nor do I think they should have that right.

The FSMTB is developing a model practice act, in addition to developing a CE approval program. They can and do suggest to the member boards that their exam is the appropriate exam, their CE approval (will be) is the appropriate approval, their model practice act (will be) the premier example of an appropriate act, and so forth.  It’s part of the quest to streamline things  in a uniform fashion and promote portability.

However, suggestion is the key word. The member states aren’t bound by any legalities to do what the FSMTB offers in the way of suggestions. If they want to keep the NCBTMB exams, they can. If they want to keep their own practice act, they can. If they want to keep NCBTMB approved providers or continue to approve their own, they can. They all have the right to conduct their business as they see fit within the law.

There is certainly room for improvement, on the practice act front, in particular, when you see all the variance that’s out there between the states. Keith Eric Grant has summarized that. You can access it here.

The bottom line, to me, is that all of these entities, including the NCBTMB, also have the right to conduct their business as they see fit. Unless and until there is a federal law governing massage, the individual entities can continue to do whatever they do however they want to do it. The FSMTB and the AFMTE could spend days pointing out past shortcomings of the NCBTMB, but it wasn’t “the NCBTMB” as an entity that had the shortcomings. It was the human beings running the organization.

As the FSMTB is only 5 years old, and the AFMTE less than half that, neither of these organizations have been in business long enough to have been plagued with the personnel problems, inefficiency problems, financial problems and so forth that happened in the past at the NCBTMB. Board members come and go. Executive directors come and go. Priorities of boards and organization come and go. Even organizations come and go. Last week I learned from Dr. Kory Ward-Cook, CEO of the NCCAOM, that there was previously a Federation of State Acupuncture Boards that fell apart.

AMTA and ABMP have their own missions and their leadership has their own opinions. As do we all. And any organization, just like any individual, has the right to run their business as they please, as long as they are not breaking the law. The NCBTMB is not breaking any laws by continuing to conduct their business as they see fit. The other organizations are not breaking any laws by conducting their business as they see fit. They all have that right. You don’t have to like it. I don’t have to like it. One organization doesn’t have to like what the other organization is doing. But until the federal government steps in and says, “you must do this,” they can all do as they dang well please. If any of them don’t do well enough at whatever it is they choose to do, they won’t survive.

Everybody has their own opinion on what’s good (or not good) for this profession, what’s good for licensing, what’s good for certification, what’s good for teacher standards, what’s good for education, what’s good for continuing education. There are just as many opinions on all of that as there are opinions on what kind of massage oil you ought to use.  Everyone is entitled to that. And everyone is entitled to conduct their business the way they choose to, as long as it’s within the law.

The AFMTE posted on LinkedIn that they had posted Rosen’s position paper directly to the NCBTMB. I suggest that if the folks at the NCBTMB are interested in hearing more about it or discussing it that they will get in touch. And if they don’t, then I suggest that the AFMTE, and in fact all organizations, concentrate on being good at what they set out to do for their organization, and leave the NCBTMB to do as their board and their leadership sees fit. Their Board is elected by their certificants, and their ED serves at the pleasure of their board.  They may well thrive and survive by doing things their own way, or they may fail altogether.

Either way, I think the burden to make it or break it is on them, just like the burden that is on all the organizations, and on any of us as practitioners and business people. And any insinuation of the NCBTMB being “uncooperative” is an opinion, not a fact. I can tell you how to run your business, you can decline to take my advice, and I will not refer to you as uncooperative. I will assume that you are exercising your right to conduct your business in the manner that you see fit, whether it suits me or not.

That’s just my opinion.

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Report from the NCBTMB Approved Provider/CE Meeting

I just got back from Chicago, where I participated in the Massage Approved Provider Panel convened by the NCBTMB. I have to say it was one of the best meetings I have ever attended. Everybody left their egos and their agendas at the door…not one single moment of tension or dissension occurred, in spite of the fact that competing entities were represented.

MAAP Meeting at the NCBTMB

I spent the weekend sitting next to Bill Brown, Deputy Director of the AMTA. I’ve heard through the grapevine that Bill has wanted to strangle me a few times over my blog, and I’m glad he got the opportunity to know me a little better. I might have managed to convince him that I have a few redeeming qualities and I’m not just the crazy blogger he thought I was.

Cynthia Ribeiro, President-Elect of AMTA, was also present, and what a class act she is. I had supported Cynthia during the AMTA election, and there’s no doubt in my mind that was the right move. She is one fine lady who has made many contributions to our profession, and had a lot to contribute to the task at hand this week.

Bob Benson, Chairman of ABMP and Anne Williams, Director of Education for ABMP were there. Bob brought his considerable business acumen to the meeting. I’ve worked with Anne before and she’s just a go-getter who shares my philosophy of “make it happen.” She has a great sense of humor, too. There was a lot of laughing this week, which is always a great ice-breaker and good for the cohesiveness of the group.

The facilitator, Drew Lebby, provided exactly the right balance of keeping things moving, listening, and explaining. We had breakout groups and larger discussions and the whole meeting just had a great flow. Having been in meetings with some very boring facilitators in the past, I thought he was wonderful and I would highly recommend him to groups who are looking for a great facilitator. He has 35 years of experience at it and it shows.

I heartily applaud the Federation of State Massage Therapy Boards for sending Kathy Jensen, VP of the FSMTB, and kudos to the NCBTMB for inviting the Federation to participate. Since the MBLEx has taken a huge chunk of the NCBTMB’s exam market share, and the Federation has also recently announced plans to jump into the CE approval arena, I can think of past administrations at the NCBTMB that would have spent the time sniping about the Federation as competition instead of inviting them to attend, all the more reason why I appreciate their willingness to play in the same sandbox. That theme was reiterated by Ribeiro and several others this week–this isn’t about your organization, or my organization, or who’s the biggest or the best–it’s about massage and increasing the quality of massage education.

COMTA was also represented by Commissioner Randy Swenson. Several state board members were in attendance, as were approved providers and a couple of nationally certified massage therapists.

The AFMTE was not represented, although they were invited to participate, and as a founding member of that organization I personally found their refusal to attend distressing. This meeting was about education, and in my opinion, they should have been there. I contacted Rick Rosen to give him the opportunity to explain their absence, and his response was that since the AFMTE has decided to partner with the FSMTB in developing their CE program, he felt it would blur the issue and divert their focus to attend.

Nice try, Rick, but since the Federation was invited, and in fact chose to participate in the meeting, I don’t buy it. The mere term “Alliance” suggests that you are representing education, and not just one faction of it. The Alliance could have made some great contributions to the meeting and you missed out on a good opportunity to do so. Rosen is of the opinion that the Federation should replace the NCBTMB and the individual states who do their own approvals as the only provider/CE approval entity. We’ll just have to agree to disagree on that issue.

No one has been a more vocal critic of the NCBTMB than I have in the past, and I have defended the right of the FSMTB to offer their competing exam, as I don’t believe that any entity is entitled to a monopoly. I will go further and say that I don’t believe any entity is entitled to a monopoly in any arena, so I am not in support of the Federation having a monopoly on continuing education. They have the undeniable right to jump into the market if they choose, and the marketplace will decide. I am personally not going to be dictated to of which entity I have to throw my CE approval business to unless my state makes it a law that I have to choose one or the other. I’m not going to hold my breath waiting for that to happen.

There are 42 member boards in the Federation and so far, although many states have voted to accept the MBLEx, and some have adopted it exclusively, many others have refused to throw out the NCB exams, and continue to give their licensees a choice in which exam to take. I believe the same thing will happen when it comes to continuing education. Some states will go with the FSMTB CE program, and others will continue to allow providers to make their own choice. It’s the American way. Furthermore, in many places legislative changes will be required in order to switch from one to another or add another approval entity, and we all know that legislation most often moves at the speed of molasses. That is also the American way.

There were a number of problems identified with the NCBTMB’s current system. For one thing, some providers have taken advantage of the fact that once they received approval, they could add on classes at will. Some have ignored the fact that there is a prohibition on classes that are based on a product they sell. Some have ignored the fact that there is a prohibition against classes based on religion and/or spiritual practices. Some have ignored the fact that they need to be genuinely qualified to teach in their subject area.

Bruce Baltz, an NCBTMB Board member, mentioned people who teach NMT techniques suddenly throwing in a class in lymphatic drainage needing to be looked at carefully…sorry, but your attendance at a weekend workshop does not qualify you to suddenly start teaching it yourself. The people who have been guilty of these offenses are going to have a little awakening when some of the changes to the program are implemented.

The suggestions for solutions were great and it was interesting to see that when we broke up into small groups to do problem solving, most of the groups were on the same page. Some of the suggestions included requiring providers to submit videos of their classes, a much stricter and more frequent auditing process, an improved evaluation process where students can go online anonymously and evaluate teachers and class content, a required online class for teachers themselves to improve instructor competence…lots of good ideas that the NCBTMB is going to consider and decide which ones to implement.

Every organization and individual at the meeting expressed a genuine interest in assisting the NCBTMB in this endeavor. Even better, they all agreed that all the organizations, not just a choice few, need to come together once or twice a year for the good of the profession. Bob Benson stepped up to the plate on that front and good for him for doing so…AMTA and ABMP can take a few swipes at each other, but in the final analysis, there is room in the sandbox and he knows it.

All in all, I thought it was a wonderful gathering of some of the best and brightest, with the intent of creating a positive outcome, and I was honored to have been included. Paul Lindamood and his team did a great job in organizing the gathering and assembling the best people they could get. And hey, any meeting that includes keeping chocolate on the table at all times does it for me.

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You Say To-may-to, I Say To-mah-to

Actually, I’m from the south, where we often say “mater.” A ‘mater sandwich should be on white bread, slathered with an artery-clogging amount of Duke’s mayonnaise, and eaten standing over the kitchen sink so it can run down your chin and drip appropriately.

Everybody has their opinions…I’m out here regularly expressing mine, and not everybody agrees with them. That’s fine by me. The world would be a boring place if we all thought the same thing, and the world of massage is no different. This morning, as is my habit when I’m drinking my coffee, I looked at the comments on my blog, hung out on FB, checked out the massageprofessionals.com website to see what kind of arguments were brewing, all a part of my usual routine.

There are so many wonderful and dedicated people in our profession.

Some of them think the standards for entry-level education should be raised, and some of them don’t.

Some of them think massage therapy should be regulated to the nth degree, and some think it shouldn’t be regulated at all.

Some think continuing education requirements are nothing but a burden on their time and finances, and some look forward to taking it.

Some think teacher standards need to be raised, and some don’t.

Some think they have good representation from their professional association, and some don’t . Some don’t belong to one at all, nor do they care to.

Some massage therapists think of themselves as health care providers, and some don’t.

Some think evidence-based practice is the only way to fly, while others immerse themselves in energy work and all manner of woo-woo that can’t be proven.

Some get involved in politics, pay attention to what’s going on in regulation and legislation, and some don’t.

Some step up to the plate and volunteer, and some just want to be left alone to practice massage.

People have their own opinions on what constitutes dressing appropriately for massage, whether or not they should discount services, whether or not it’s okay to give away free massage, whether or not it’s okay to massage friends and family, whether or not it’s ethical to retail products, whether or not it’s okay to give undraped massage.

Every morning, during my routine, I am always noticing the differences of opinion. As I just posted on FB this Easter morning, my friends include Christians, Pagans, Buddhists, Muslims, Hindus, Jews, atheists, agnostics, and pretty much every other religion or lack thereof on the planet. It’s the same with my massage colleagues. The fact that you don’t share my opinions doesn’t make me like you any less, anymore that the fact that you have different religious beliefs would make me like you any less.

We’re all here for the same reason: we know the awesome power of touch. We know massage restores and heals. As for the rest of it, take what you like, and leave the rest. I’m going to go have a ‘mater sandwich.

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My Organization is Better Than Your Organization

The massage profession has a plethora of organizations these days.

AMTA (American Massage Therapy Association) is a non-profit organization that has some executive staff at the top, a board elected by the members, and a hearty band of tireless volunteers that keep the wheels turning. AMTA has about 57,000 members.

ABMP (Associated Massage & Bodywork Professionals) is a for-profit concern, and frankly I’m just sick and tired of hearing that fact stated as a criticism. What is inherently wrong with making a profit? I want to make one in my massage therapy practice, don’t you? ABMP has around 77,000 members.

The NCBTMB (National Certification Board for Therapeutic Massage & Bodywork) , for 17 years, was virtually the exclusive provider of certification exams that were used for licensing in many states, and the approval body for continuing education providers. A few states had/have their own exam. About 90,000 massage therapists are nationally certified. The NCBTMB also has a board elected by their certificants.

Then along came the FSMTB (Federation of State Massage Therapy Boards) with the MBLEx test as a route to licensure, which many of the 40 or so member states have adopted. The Federation also recently announced plans to get into the business of approving continuing education, and they are creating a model practice act. They also have a board, which their state delegates elect.

The new kid on the block is the AFMTE (Alliance for Massage Therapy Education), which aims to advance the quality of education and develop a model of teacher standards. The Alliance has announced that they would be collaborating with the FSMTB on the continuing education project. They still have their first board seated; that’s how new they are.

We’ve also got COMTA (Commission on Massage Therapy Accreditation) in the business of giving accreditation to schools and programs who meet their standards of excellence. Getting COMTA approval is voluntary, expensive and time-consuming. There are only 100 or so that have earned it.

The majority of states now regulate massage, some by their own self-supporting massage board, some lumped in with nursing boards or other health boards. I am often asked by therapists what their state board does for them. Other than issuing their license and in some states licensing schools, the answer is not much. A public board serves the purpose of public protection. Some do a better job than others. State board members are appointed by politicians. The average board is usually composed of a few dedicated people, often includes one or two clueless slackers, and a rebel redneck like me. I’m sure my board is glad I’m at the end of my service. My blog makes them nervous.

I’m a member of both AMTA and ABMP. I’m a member of FSMTB by virtue of my seat on the North Carolina Board, which I will be vacating later this month after five years. I have been a past delegate to the Federation. I am a founding member of the AFMTE. I’ve been nationally certified for over ten years, and an approved CE provider under the NCBTMB as well. I am soon to go on my first site visit for COMTA. I attended their reviewer training after I wrote a few derogatory blogs about them and they invited me to attend. Positive change usually happens from within, doesn’t it?

I have a stake in all these organizations so I’ll pat them on the back when I think they deserve it, and I don’t mind calling them out when I think they deserve it. I have the same attitude with them that I have with other massage therapists who act competitive instead of collegial. This isn’t a contest. If one organization has to fail in order for another to succeed, that’s just a big shame as far as I’m concerned. When one organization slams another and presents half-truths and posturing, it starts to look like a playground fight–better call that a turf war, I guess–and it’s not attractive in the least.

None of these organizations would exist without their constituents–the massage therapists. And none of them can represent all of the people all of the time. They’ve all made moves that didn’t suit me at one time or another, and what ticked me off may have made other MTs perfectly happy, or vice versa. And the therapist who isn’t represented by any of them probably couldn’t care less what they do or how they act. In fact, many of their own members couldn’t care less what they do or how they act. When it comes to the professional associations, many therapists just join for the insurance and have no interest in the political fray at all–until something detrimental happens that affects their license or access to education.

If you don’t like a piece of proposed legislation, contact your legislators to tell them. And if you don’t like the direction your professional organization is taking, contact them to tell them. Get yourself in there as a board member or volunteer and change it from within. Cancel your membership, or switch organizations.  Money still talks. It’s akin to voting…if you don’t exercise that right, then don’t gripe about the outcome. Go to your state board’s meeting and sign up for public comment. You have a voice. It’s only effective if you use it.

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