Education – Page 7 – Laura Allen MT.com

November 6, 2011November 7, 2011

Massage: The Big Picture

I was just cruising through my social media sites, and it has reinforced for me something that I’ve known for quite some time about massage therapists: they’re a caring bunch. That’s not exactly a big surprise; after all, our job is helping people feel better. I’d say a certain amount of caring and compassion is a prerequisite for becoming a massage therapist. We all care about our clients…even when I see posts from people who may not be working in their ideal situation, that’s pretty consistent.

I’ve written over the years about why I think it’s important for massage therapists to care about The Big Picture–to be aware of and involved in what’s going on around them, and I want to expand on that on several fronts. It’s the 4th anniversary of my blog. Humor me, and I’ll tell you why I think it’s important.

I get a lot of “I’m busy running my business. I don’t have time to think about it,” in reply to something I’ve reported about massage regulation and legislation. If you’re in Alabama, why should you care about something happening in Michigan? Here’s the reality check: When something detrimental happens in the regulation of massage, it sets a precedent and makes it easier for it to happen somewhere else. That could be anything from the consistent referencing of our businesses as “massage parlors” in legislative language, something we’ve all wanted to get as far as possible away from, to crazy zoning laws requiring massage businesses to be located in seedy areas zoned for heavy industry, prohibitions on having a massage therapy business located in a shopping mall, or prohibiting massage being performed after 8 pm. Yes, indeed, those are all realities, but if they’re not affecting you personally, people don’t want to think about it. Based on my questioning therapists in the classes I teach, not even 10% have read the entire practice act in their own state. They don’t know the letter of the law even where they’re practicing. That’s a pretty sad state of affairs. I get questions all the time from therapists wanting to know “is it legal for me to do so-and-so?” and while I pride myself on being a fountain of information, it’s all right there on your board’s website. Read it.

Massage is suffering growing pains right now…I think of it as the evolution and revolution of massage. We’re stuck in that place in between being an industry and being a profession. Some don’t care which way it goes. I do. If something affects my right to practice massage, my license, my certification, my teaching of massage therapy, I want to be informed about it, and I want to be in a position to take action on it. I’m a provider of continuing education, approved by the NCBTMB, so I want to keep up with what they’re doing–and any other developments in the realm of teaching CE. At the current time, the Federation of State Massage Therapy Boards is working towards giving their own approval of continuing ed. I’m watching that like a hawk, because a) it could mean I have to fill out an application to get another approval from another entity–or even individual approval from each state I teach in b) it could end up costing me more money for another approval, although that hasn’t been decided yet and c) if my class isn’t involved directly in public protection, it might not be approved at all. This initiative is still in the planning stages, and it serves me as a provider to stay informed and know what’s going on.

In the same vein of education, I am a member of the Alliance for Massage Therapy Education, and I encourage everyone else who has any involvement in education to join immediately. The Alliance is working on a project to define teaching standards on a national level…to spell out the knowledge, skills, and attributes that one needs to have in order to teach both entry level massage and CE. What if I don’t live up to those standards; will I be cast into the abyss? I don’t want to be clueless about what’s going on. I want to have some input into that project–and if you’re teaching, or aspiring to, you should want the same thing. This is going to happen; not overnight, but it is going to happen. I don’t intend to be the last to know. I’d rather make the effort to be involved in the process. I will never forget the statement made by Jan Schwartz at the last Alliance meeting: “If you’re not at the table, you’re on the menu.” I don’t intend to be chopped liver.

Then we’ve got the massage therapy associations. A lot of people just sign up for membership because they want the insurance, and they don’t care about the leadership, or the government relations, the networking opportunities, or anything else. I personally do care who is running them–and what they’re actually doing. I personally do care what they’re doing on the front of government relations. State boards cannot lobby–that is the domain of AMTA and ABMP–and any special interest group who has the wherewithal to hire a lobbyist–like the chiropractic associations, for example, or PT associations who think we’re encroaching on their territory. And if I think one of my membership associations is doing something that doesn’t protect the rights of massage therapists, or serve the highest good on that front, I am perfectly capable of calling them up and giving them an earful–or taking my membership dollars right out of the coffers. Let me add that my legislators also hear from me, and if I don’t like what they’re doing, I let them know that, and I don’t vote for them the next time.

Related to education, to me anyway, is the state of evidence-based practice of massage and the need for research literacy. I support the Massage Therapy Foundation, and if you have a single dollar to spare, I suggest that you support it, too. Research literacy should be taught in every massage school. I’ll go further and say the teaching of that should be mandated by state boards who license schools. Frankly, any school who is not teaching their students how to be research literate is not worth their salt. That doesn’t mean you have to be a researcher. It means you have to know what constitutes valid research and how to find it…which in turn will lead to throwing out some of the long-standing “myths of massage” that are perpetuated. If you’re still teaching that massage is detoxifying the body and that drinking a lot of water after the massage will flush those toxins out, you’re in dire need of research literacy. I just completed my first peer review and site visit for COMTA, and I am happy to say that the teaching of research literacy is one of their required standards. I have a new appreciation for them after really delving into their standards and it would be a great thing for every school to seek that accreditation. Basically, for a school or massage program, it means “I’m doing more than the state requires me to do in the interest of higher standards.” Amen to that.

I think a major stride was made a couple of months ago when the leaders of the profession all came together for the Massage Therapy Leadership Summit. Ego and personal agendas had to be left at the door. The ABMP, AFMTE, AMTA, COMTA, FSMTB, MTF, and the NCBTMB came together for the first time to discuss common problems. They’ll be doing it again in 2012. This wasn’t a “my organization is better than your organization” meeting. This was about The Big Picture.

So that’s where I’m at right now. I can’t roll along just surviving and only caring about my own clients and my own business. It’s not just about me. It’s not just about you. It’s about The Big Picture and massage therapy on the whole.

October 25, 2011October 25, 2011

Report from the AMTA National Convention 2011

I have just returned from attending the AMTA National Convention in Portland, Oregon along with about 1400 fellow therapists, and I must say I believe it was the best one yet! The folks at the Oregon Chapter were great hosts. I wouldn’t have expected anything less, especially since we were in the hometown (well, the adopted hometown) of President Glenath Moyle. Incidentally, Glenath is the most exuberant and delightful leader to come down the pike. She is a ball of energy and one of the friendliest and most approachable people on the planet.

I arrived on Monday night so I could attend the Board of Directors meeting on Tuesday. It was a great meeting, no big surprises, and just one good report after another. An increase in membership and finances in good shape, and in the present economy that’s good to hear.

Tuesday evening, I hung out with Xerlan Geiser-Deery and Christopher Deery, John Seigel, Michael Reynolds, and Allissa Haines. We went to one of Portland’s many brew pubs and enjoyed some great food and fellowship. Wednesday, the opening ceremony was hands-down the best. The keynote speaker was Kevin Carroll, author of Red Rubber Ball, and he had me both laughing and in tears before it was over. I later had my inaugural introduction to the House of Delegates, which was a great experience. That night, I attended the annual Lippincott Williams & Wilkins author’s dinner. We went to a great restaurant called Mother’s. I sat with Joe Muscolino and Celia Bucci and really enjoyed myself. Also in attendance were LWW staff members, including my lovely editor Linda Francis, without whom I would have never written a book, along with Kelly Squazzo, Pat Archer, MaryBeth Braun, Ruth Werner, Les Sweeney, Leslie Young, Anne Williams, Eric Brown, Diana Thompson, and probably a few people I am forgetting. It was a fun evening and we were the last people to leave the restaurant.

Thursday was more time in the House of Delegates. That is quite a process. Ann Blair Kennedy had authored a number of position statements and there was heavy debate before quite a few of them passed. Thursday night, we had a little blogger’s meeting in the bar, attended by Allissa Haines, Dale Favier, Kelli Wise, Kat Mayerovitch, Chris Widlund, John Seigel, and Lisa Santorino. All of us except Chris, who is pregnant and had a good excuse to stay in and rest, walked over to an Asian restaurant recommended by John and we consumed a copious quantity of all kinds of Thai and Chinese goodies. After we left we all headed out to the Rock Bottom to attend the Facebook Friends party. What a gathering! There were wall to wall people. I met so many FB friends I couldn’t name a tenth of them!

Friday I attended a great class in how to make research posters, taught by the newly-married Kim Goral Stevenson. I worked in a group with Rose Chunco, Kat, Jerrilyn Cambron, and another beautiful soul that my mind is going blank on at the moment! I knew I should have written all this down! Friday night, all the folks from the North Carolina Chapter attended the dinner cruise on the Spirit of Portland hosted by the OR Chapter. We laughed so much we nearly cried. The food was awesome and the company was better. It was a blast.

Saturday, I blew off the two classes I had registered for, hopped on the train, and rode around the city. I don’t usually duck out on classes, but frankly I was running on empty by that time…I went straight to Portland from attending the FSMTB meeting in Los Angeles and my poor old brain had absorbed about all it was going to by that time. I came back to the hotel in time to take a nap so I could attend the dinner dance. It’s fun for everyone to get all dressed up for dinner and dancing. The band sounded great. I didn’t stay late; I was just too tired to party til midnight, but it was definitely a festive gathering.

In between all the official festivities, I visited with a lot of old friends, especially the fine folks from my own chapter, and the GA chapter. That crowd is a bunch of characters and I just love them. I got a half-hour foot massage at the Sanctuary, and made several visits to the exhibit hall. One day I sat talking with Bill Brown, the Deputy Director of the AMTA for over an hour. He’s a great guy and I really enjoyed getting to know him better. I also spent time visiting with Sally and Ed Hacking, Kathleen Gramzay, Lynda Solien-Wolfe, Ariana Vincent, and too many more to count.

Another high point was the debut of Rise and Shine, the CD of music donated by massage therapists to benefit the Massage Therapy Foundation. I just got to listen to my copy today, and I am very proud to be included in such a talented group of people. The music is just great. Get a copy if you haven’t already!

Portland is a beautiful city. The train is awesome. The people were friendly. I never made it to Voodoo Donuts–but I did get to eat one provided by the folks from the American Massage Conference. If I had any complaints about the whole thing, it’s just that there were too many wonderful things going on at the same time. I hated having to miss one event to attend another, but that’s the way the ball bounces when that many people come together and try to accomplish as much as we can pack in to just a few short days.

The AMTA National Convention will be held in Raleigh NC in 2012. I don’t know how we’re going to top the OR folks, but we’ll give it our best shot! I hope to see you there!

October 8, 2011October 10, 2011

The Financial Health of Our Organizations: COMTA

This is my third year of doing an annual report on the financial status of the major non-profit organizations of the massage therapy profession. I am not an accountant or a financial expert. This information was taken directly from FORM 990, the Return of Organization Exempt from Income Tax, which is published on Guidestar.

COMTA is the Commission on Massage Therapy Accreditation. Obtaining accreditation from COMTA is a voluntary and rigorous process that few schools choose to go through; of the hundreds of massage schools and programs in the US, less than 100 have the credential. It is a banner of excellence, requiring that the school do an in-depth self-study and meet high standards meant to insure that they are offering a program and learning environment of the highest caliber.

Non-profits are on a different filing schedule than the rest of us; this form covers the fiscal year of COMTA from 03/01/09 to 02/28/10.

COMTA’s revenue increased by $167,345 over the previous filing. While they still showed a deficit overall of $98,102, it is a vast improvement over last year’s deficit, which was in excess of $277,000. I guess this does go to show my ignorance on the financial matters of non-profits…COMTA isn’t the only one operating in the red, and you just have to wonder how our non-profits keep on going whenever they’re showing such losses. Presumably, some of that money comes from savings and other assets. COMTA’s assets have dropped by almost $100,000 in the past year, leaving them with net assets of a little over $93,000.

COMTA is a smaller organization than most of the other non-profits, because of the nature of their work. They are not a membership organization and they don’t have a big staff. Their Executive Director doesn’t receive anywhere near the amount of compensation of those in comparable positions in the membership organizations; Kate Ivane Henri Zulaski’s salary, including benefits, is slightly over $57,000. Only one other executive salary was paid, and that amount was a little over $14,000 to former interim director John Goss. COMTA also employs only one staff member. Site visits are carried out by volunteers who get their travel expenses paid and a $100 per diem. It’s great that volunteers will take time away from their offices to do the visits, as most would probably make a good deal more money if they stayed at home and did massage.

This is the second year in a row that COMTA did not receive any grant money from AMTA, and presumably will not be receiving it in the future. The future of COMTA, and their financial stability, is dependent on their ability to bring in income from their accrediting services and their ability to cut expenses to the bone. Their office expenses more than doubled this year; the costs of conference and workshop attendance also increased by almost $14,000. However, I won’t criticize the conference attendance; I think that’s a necessary part of networking and it gives them the opportunity to recruit new schools.

I’d like to see COMTA enjoy a substantial increase in the number of schools and programs they accredit. And of course anytime you’re working to increase business, you’re going to see a subsequent increase in costs. It costs money to recruit through marketing efforts, it costs money to train volunteers, and it costs money to do site visits. It’s a worthy credential that 93 schools and programs currently have. COMTA is the only accrediting body focused on the massage profession. There are others accrediting agencies, but some of them accredit everything from airline pilot schools to lawn mower repair programs. I appreciate the organization being focused on massage education.

The economy has been tough for all non-profits, and COMTA is no exception. Schools and programs that may want the accreditation have probably held off due to the recession. May next year be better for them and for us all.

Disclosure: I have taken the COMTA Peer Review training and will conducting my first site visit at the end of this month.

September 20, 2011September 20, 2011

The Leaders of the Massage Profession

Last week, the leaders of all the major organizations representing the massage therapy profession came together in St. Louis for a Massage Therapy Leadership Summit.

I have personally prayed for this to happen for a long time, and was thrilled that it took place. Rick Rosen, Executive Director of the AFMTE, shared this photo on my Facebook page. I of course spread it through my networks, and it prompted a question from Julie Onofrio: “Are these people massage therapists, and have they ever been in practice?” I’ll try to answer that to the best of my ability. I’ve had the pleasure of meeting all these folks, and I know some of them better than others. In the event I get any of the facts wrong here, I’m sure someone can straighten me out!

I will say up front that as for the most part these are organizations that have many members, huge budgets, and myriad issues and details to take care of, I don’t believe that being a massage therapist is a prerequisite for being a CEO or an ED. That is a position that generally requires a college education, and enough expertise to run a multi-million dollar concern. The AFMTE is only two years old–they don’t quite fall into that category yet, but they will someday. Leadership of such an organization doesn’t necessarily require one to be a massage therapist, although it would certainly require an interest in massage. Here’s my scoop on the leaders:

Rick Rosen, the founder and Executive Director of the AFMTE is indeed a licensed massage therapist. In fact, he is the proud owner of the first massage therapy license issued in the state of North Carolina. He is the co-founder, along with his wife Carey Smith, of the Body Therapy Institute in Siler City, NC, which they started in 1983. It is one of only two COMTA-approved schools in the state. He was the founding chairman and a past member of the North Carolina Board of Massage & Bodywork Therapy, and was the first Executive Director of the Federation of State Massage Therapy Boards. He currently serves as Executive Director of the Alliance for Massage Therapy Education, a national organization for massage schools, teachers and continuing education providers. Rick is a 2010 inductee into the Massage Therapy Hall of Fame, and was named as one of the Top 10 People in Integrative Medicine/Integrative Health Care in 2010. He also has a degree in advertising from the University of Florida, a master’s in humanistic psychology from West Georgia College, is certified by the Hakomi Institute body-centered psychology, is certified in structural integration, and is a graduate of the Florida School of Massage.

Pete Whitridge, the President of the AFMTE, has been a massage therapist since 1987 and has been an instructor at the Florida School of Massage since 1989. He has served AMTA on the Council of Schools, served 5 years on the Florida Board of Massage including being the Chair, served COMTA as a reviewer, has also served on the faculty of the Spacecoast Health Institute for 14 years, and Indian River Community College for 7 years. He is also on the Education Committee of the Massage Therapy Foundation. Pete also has a BA in History and Political Science.

Shelly Johnson, Executive Director of AMTA, served as the Deputy Director for 8 years before being named ED in 2010 after the departure of Elizabeth Lucas. Shelly is not a massage therapist, but she has worked with associations for 22 years, including the American Society for Quality. She also was previously Executive Director for the American Society of Neuroscience Nurses, the American Board of Neuroscience Nursing, the Neuroscience Nursing Foundation and the American Society for Healthcare Materials Management of the American Hospital Association. Johnson has a BA in Political Science and Communication from Augsburg College.

Glenath Moyle, President of AMTA, gets the longevity award in this crowd! Glenath has been doing massage for more than 50 years. In her first career, she was a geriatric nurse, and massaging patients was a regular part of her routine. She attended massage school in Portland OR and started practicing in earnest in 1987. Prior to becoming the President of the national organization, Moyle was a tireless volunteer in her state chapter. Needless to say, she’s very excited that the national convention is coming to her hometown this year.

Bob Benson, the Chair of ABMP, is a graduate of Harvard College and Harvard Business School. Prior to coming to ABMP, Benson worked in public policy in Washington, DC, and spent 19 years as President of two public companies. The membership of ABMP has grown by more than 10 times over since Benson came on the scene. He was the catalyst for the creation of the Federation of State Massage Therapy Boards, notably funding that organization to get it off the ground, and he worked for nine years to get statewide regulation in California, where he now serves on the board of the California Massage Therapy Council.

Les is More! Les Sweeney, President of ABMP, joined the organization in 1994 after learning about association management at the Club Managers Association of America. He served as VP from 1999-2006. Sweeney has an MBA from the University of Colorado. In 2006, Les decided to step up to the plate and get an education in massage! He graduated from the Holistic Learning Center in Evergreen and became Nationally Certified in Therapeutic Massage. Les has expressed to me personally that he just wanted to know more about massage and get the “real feel” for what ABMP members do. Good for him for taking the plunge and investing in that.

Kate Zulaski is the Executive Director of COMTA. She has a BA in Geology, and attended the Institute for Psycho-Structural Balancing in CA, and went on to become the Dean of Education at the school before joining COMTA in 2009.

Kate has in-depth experience both as a massage therapy practitioner as well as an educator, having most recently served as Dean of Education from 2006 to 2009 for the International Professional School of Bodywork (IPSB) in San Diego, California. Prior to being named Dean of Education, Zulaski also served as an IPSB Massage Instructor and Clinic Supervisor. Zulaski has also studied a variety of bodywork modalities through the California Naturopathic College; Society of Ortho-Bionomy International; the Natural Healing Institute; and the International Professional School of Bodywork. She has been active in volunteer work for the AMTA Teacher of the Year Awards Committee and the Alliance for Massage Therapy Education Standards Committee, and is a long-time member of the ABMP.

Randy Swenson, a COMTA Commissioner who was also present, is a chiropractor. Dr. Swenson is currently a tenured professor and Dean of the College of Allied Health Sciences at National University of Health Sciences (NUHS). He developed the Massage Therapy Program in 1999 and continues to manage the day-to-day operations of the program. He is also responsible for the day-to-day operations of the Bachelor of Science in Biomedical Sciences degree completion and professional pre-requisite programs. He was previously the Academic Dean and the Dean of Curriculum Development for the chiropractic program at NUHS. He holds a Doctor of Chiropractic degree from NUHS and a Master of Health Professions Education from the Department of Medical Education of the University of Illinois at Chicago. He has led NUHS Steering Committees for Higher Learning Commission Self-Study Reports (SSR) and Commission on Chiropractic Education SSR’s. He has led and written COMTA SSR’s for the NUHS massage program. Dr. Swenson has been a site-team member, site-team leader and off-site peer reviewer with COMTA since 2006.

Ruth Werner, fearless leader of the Massage Therapy Foundation, is the author of the Guide to Pathology for Massage Therapists and the Disease Handbook for Massage Therapists, both published by Lippincott Williams & Wilkins. Werner is a graduate of the Brian Utting School of Massage in Seattle in 1985, and completed the Advanced Training Program and Teacher Training Program with the Muscular Therapy Institute in Cambridge, MA in 1991. I’ve attended a couple of classes (a definite privilege!) taught by Ruth, where she honestly shared with the class that she feels her real talent is sharing research about massage rather than actually doing massage. We’d all be a lot worse off if that wasn’t so. Her pathology book has been my go-to source from the moment I entered massage school. She has taught curriculum at 4 massage schools and continuing education classes all over the world.

Debra Persinger, Executive Director of the FSMTB, has a PhD in human services from Kansas State University. Dr. Persinger, a native of New Zealand, joined the National Certifying Commission on Acupuncture and Oriental Medicine (NCCAOM) in 1996. Before accepting the position of interim CEO, she served as the commission’s executive director of operations, and was originally hired to be its director of examination development. Persinger is also co-author of Sand to Sky: Conversations with Teachers of Asian Medicine (iUniverse, 2008).

Paul Lindamood, current CEO of the NCBTMB, has more than 20 years of executive-level experience. Lindamood has devoted his career to positioning, directing and promoting associations, professional firms, healthcare organizations, businesses and non-profits. In fact, it was in this capacity that he first began working with NCBTMB, directing the organization’s communications, public relations, media and re-branding strategies. He has worked with a wide-range of healthcare and non-profit organizations and led successful branding, fundraising, recruitment and consumer awareness initiatives for American Red Cross, United Way, International Association of Business Communicators, Jobs for Graduates, Leukemia Society of America, March of Dimes, Multiple Sclerosis, Muscular Dystrophy, City of Hope, Hospice, Junior Achievement, Small Business Administration, and many others.

Alexa Zaledonis, Chair of the NCBTMB, is the owner/operator of Even Keel Wellness Spa, a therapeutic massage and skin care center in Annapolis, Maryland. A graduate of the Baltimore School of Massage, she passed the NCE in 2002 and has spent the past seven years building her practice in the community. Zaledonis is a certified Lotus Palm Thai Yoga Massage practitioner and a Certified Personal Trainer through the National Strength Professionals Association. Zaledonis currently is completing her Yoga Teacher Training (RYT200). She also teaches Thai Massage seminars at Even Keel Institute for Continuing Education and is an NCBTMB-approved provider.

A former Certified Public Accountant, Zaledonis specialized in healthcare and nonprofit organizations for more than 15 years. She received her bachelor’s degree from Albertus Magnus College in New Haven, Connecticut. I spoke to Zaledonis earlier today, and she told me that in addition to working 40 hours a week on behalf of the NCBTMB, she also personally does an average of 17 massages a week. A fellow workaholic!

Well, folks, there you have it. So yes, many of these folks do have actual massage experience. And those that don’t have been around this business long enough to appreciate those of us who do. They have all, in my opinion, served the massage profession with the best of intentions and keeping their eyes on the fact that it is the massage therapists in the trenches that they are working for. May they all enjoy peace and prosperity.

September 4, 2011

The Financial Health of Our Organizations: NCBTMB

Author’s note: This is the third year that I have reported on the financial state of the non-profit organizations of the massage therapy profession. The information I use to write these is obtained from www.guidestar.org, which is a clearinghouse of information on non-profits. If a non-profit does not provide their own Form 990 filing to Guidestar, it will be provided by the IRS, providing the organization meets the obligation of public disclosure. I am not an accountant or a financial expert. I merely offer this series as a source of information.

Just like last year, there’s good news, and there’s bad news for the organization. The National Certification Board for Therapeutic Massage & Bodywork could be the poster child for cutting expenses when revenue drops. They have done a bang-up job of tightening the belt without making services suffer….I say that because people complain to me about any of our organizations all the time, and I haven’t gotten many complaints about the service from the NCBTMB in the past year.

The bad news is that revenue has taken another million-dollar hit, almost the same as the decline last year. $800,000 of that can be mainly chalked up to the MBLEx taking away exam revenue. The good news is that in spite of that, the organization managed to get back in the black, nothing short of miraculous since they were $1.9 million in the hole just a year ago. They reported a net revenue of a little over $469,000. The Approved Provider revenue was actually up by almost $100K over last year. Their assets increased by almost $500K, and liabilities decreased by over $200K as well. I’m very happy to see them back in the positive column.

The belt-tightening that went on at the NCBTMB, to me, is also telling of their getting back on track and letting go of the battle with the FSMTB over the MBLEx. Legal expenses dived by $185,000, since they realized the futility of interfering with the states in choice of examinations.

Marketing was scaled back to the tune of over $260K, another sign of improvement to me…instead of wasting money on an agressive anti-MBLEx campaign, their advertising efforts in the past year have focused on their own positives, and that’s a good thing.

Salaries and compensation went down over $300,000. CEO Paul Lindamood’s compensation was $228K, down slightly from last year. I’d have to say he deserves it for his pivotal role in cutting expenses and focusing on the good points of the NCBTMB instead of continuing down the path of destruction that led to legal and financial woes for the organization. The Board and volunteers are also to be commended. There were 8 less employees reported in 2010 than there were in 2009, and 10 less volunteers.

Bottom line: I applaud the NCBTMB for turning it around. Even though revenue on the whole was down, I will almost take bets that as I get through this series, I’ll find that the same has happened at some of our other organizations. The recession has affected organizations just like it has affected massage schools and individual practitioners. Kudos to the NCBTMB for adapting to the situation.

August 28, 2011

CE Providers: Expenses Going Up, Income Going Down

In January of this year, I blogged Continuing Education Providers: Sink or Swim, and followed up that one with the report from the meeting convened by the NCBTMB, where profession leaders were invited to give input into the revamping of their Approved Provider program.

Last week at the wonderful annual meeting of the AFMTE, one of the presentations was by Debra Persinger, Executive Director of the FSMTB, who talked about the intention of the FSMTB to start approving continuing education. One of the burning questions from the audience was “how much is this going to cost us?”, a question without an answer as of yet, since their program is still in the planning stages. Knowing the folks at the FSMTB, I don’t expect it to be anything I would classify as exorbitant, but unless it’s free, it will still be one more expense for us to pay.

I’ve previously mentioned the states who have their own approval process–and accompanying fees to pay–for continuing education providers. With the exception of Florida, who doesn’t charge you additional money if you are already an Approved Provider under the NCBTMB, these range from a couple of hundred dollars to “you don’t want to know.” There’s a reason why I’m not teaching in those states…it isn’t worth it to me, at this stage of my career, to lay out hundreds or even thousands of dollars, and in some cases to complete a mountain of paperwork, to teach in a location that I may visit only once.

Another unfortunate trend is all the expense associated with presenting at trade shows, spa exhibitions, and conferences. At many of these events, not only do you not get paid to teach; in some cases you actually have to pay for the privilege. Big companies who budget thousands of dollars into their advertising plan can afford to pay a big price for a booth. With a few of the heavy hitters being the exception, the average individual provider cannot. It’s a Catch-22 of spending the big bucks to get your name out there, and then rolling the dice to see if you’re going to be able to recoup that in sales–assuming you have anything to sell. Some teachers are just that–teachers–and they’re not necessarily textbook authors or purveyors of DVDs, home study courses, etc.

I’ve been an Approved Provider since 2000, and I have organizational approval. I have a classroom at my facility in Rutherfordton, NC, where I teach myself and host other instructors. During the recession of the past three years, I’ve had to cancel classes that some of the most well-known teachers in massage were scheduled to offer. Some of them didn’t receive as much as one inquiry about the class. In addition to mailing to licensees, advertising in a number of venues, my publicizing it to my email lists and social networks and them publicizing it to their own substantial lists, it just didn’t happen. The classes that did happen have tended to be the ones taught by more local teachers, not as well-known, and not as expensive, as some of the big names.

Some perfectly competent, long-standing, and popular teachers have suffered to the point of drastically reducing the price of classes in order to fill seats and maintain their income. One of the most well-known teachers told me a few weeks ago that his teaching income was down $70,000 last year due to the recession. I know many who have never made that kind of money in any year, and their loss has been proportionate.

All the expense associated with teaching continuing education, in my opinion, is going to have some serious fallout. Some talented, but not necessarily famous, instructors will give it up because they just can’t afford to keep on doing it. By the time you provide handouts, pay your own travel expenses, advertise your class, ship whatever books or products you might have to offer, your profit has flown out the window along with the ridiculous price of your airline ticket.

True, some well-known providers have corporate sponsorship. Those are the exception; not the rule. Corporate sponsorship usually goes to those who are already at the top. They want someone with name recognition whose picture looks good in their advertising and helps sell their products. There are only so many big corporate sponsors. Small, but quality, companies often don’t have that money to spare.

It will be interesting to see how the CE environment changes when the FSMTB gets their program up and running. Their mission is public protection, and during her talk, Persinger addressed that fact. I don’t think the Federation intends to start approving Reiki classes, although I could be wrong. I believe their intent is to approve classes that have a direct bearing on public protection, such as ethics, contraindications and the like.

The lack of income is not just an issue for CE providers. Massage schools are notorious for low pay, and therein lies one of the problems in attracting quality teachers. They may deservedly feel they’re better off doing massage for $60 an hour than teaching for $20 an hour. Most of them don’t do it for the money. They do it because they love to teach.

That’s why I do it. I don’t have a corporate sponsor. I can’t afford to go everywhere I’d like to go. I fit in as many events as I can, and sometimes I have to pass one up. I know a lot of providers in the same position. I had many people say to me last week that they would have liked to attend the AFMTE conference but just couldn’t because of finances. Even when a conference is reasonably priced (as that one was), travel, hotel, meals, missing income when you’re gone from your office, or paying someone to be there covering your office when you’re not, adds up.

I’m hopeful that the education atmosphere is going up, along with income for those who provide it. It really doesn’t have anywhere else to go.

August 21, 2011August 21, 2011

Report from the AFMTE Annual Meeting

I’ve just returned from the second annual meeting of the Alliance for Massage Therapy Education in Charleston, SC. It was an excellent gathering from start to finish.

There were keynote speakers throughout the weekend, daily opportunities for those present to give input into the initiative on teacher standards the Alliance is undertaking, informative continuing education classes, group sessions, a comfortable setting, and plenty of socializing with friends and colleagues.

The first keynote address, “Creating a Culture of Teacher Excellence,” was given by Tracy A Ortelli, an education director from the nursing field who has vast experience in implementing standards of teaching excellence in that profession. She was a good choice since the same difficulties basically face any licensed profession when their educational objectives are evolving with no way to go but up. She was very engaging and had a lot of expert advice to share…including what personally jumped out at me: “Do not assume that people learn to be teachers through on-the-job-training, or ‘trial by fire’, rather than through planned, deliberate preparation.” Timely advice for all those last year’s students who are this year’s teachers, and those who place them in those positions.

Executive Director Rick Rosen gave a report on the state of the Alliance, including the good news that attendance at this year’s meeting was up 50% from last year’s inaugural session. Rosen also shared the details of the simplified dues structure and the many new and improved benefits that are a part of Alliance membership.

Becky Blessing gave presentations on the Alliance Code of Ethics and the National Teacher Education Standards Project, and Core Competencies for Massage Therapy Teachers. I attended all three. Ben Benjamin spoke about the dynamics of effective communications. I attended a presentation on government relations led by Sally Hacking, the Queen of Government Relations (she’s actually the GR rep for the FSMTB, but she’s been doing this for 40 years for a number of entities so she’s the Queen to me) and Pete Whitridge, President of the BOD of the AFMTE.

I also attended a session on the proposed new CE approval program of the Federation led by Debra Persinger, and their new CE project coordinator Lorena Haynes, with Sally occasionally making clarifications. Among the attendees at that meeting were Alexa Zaledonis, Chair of the NCBTMB and Sue Toscano, Chair-Elect. They were a class act in that meeting and expressed their willingness to cooperate and collaborate with the FSMTB, an attitude that would do well for all concerned to adopt. It was a lively discussion. Jan Schwartz also gave a great presentation, “The Role of Massage in Complimentary Health Care.” Other topics for massage schools, instructors, and CE providers, including instructional design, financial aid participation for schools, increasing enrollment, and ethics in education were covered by Iris Burman and Cherie Sohnen-Moe, massage school marketing strategist Lex Filipowski, Anne Williams, Dr. Tony Mirando and Demara Stamler, and Nancy Dail.

In between all this great education, I had dinner with Sally and Ed Hacking and Jan Schwartz, enjoyed a fabulous dinner another night with Lynda Solien-Wolfe and ten other friends, and got to chat with Anne Williams and Les Sweeney, Winona Bontrager, Sandy Fritz, Ariana Vincent, Sharon Puszko, Cherie Sohnen-Moe and lots of other folks. Ruth Werner pointed out to me that she had counted nine textbook authors present. Incidentally, Ed Hacking is also 350 pages in to a book he is writing. He let me read the first chapter. I hope I’m still able to write a book when I’m 94! Ed is one smart fellow. I also taped an interview with Ryan Hoyme, the Massage Nerd, and afterward we spontaneously decided to tape a promo for the Alliance, which ended up getting shown at the meeting. That was my first effort as a volunteer for the membership committee. Lynda Solien-Wolfe also gathered me, Bruce Baltz, Cherie, Ralph Stephens, Linda Beach, Anita Shannon and others for a roundtable interview for Performance Health and BioFreeze.

North Carolina had a big contingent present at the meeting: Gloria Coppola, Claire Marie Miller, Anita Shannon, Cynthia Loving, Nancy Toner Weinberger, and several more. Industry partners and association members, including Bon Vital, COMTA, the Massage Therapy Foundation, Mother Earth Pillows, NACCAS, Massage Register, and several others had exhibits that were well-visited.

So much happened, I feel like I haven’t covered half of it, and I could go on and on about the wonderful gathering of educators and the work and camaraderie that took place, but I’m going to cut to the chase: every educator needs to join the Alliance for Massage Therapy Education. Whether you are a school owner, program director, CE provider, or industry support partner, the Alliance is going to accomplish great things for the advancement of massage therapy education. This is an opportunity to have a voice and a partnership in many resources for that, and I encourage you not to pass it by. Jan Schwartz closed her presentation with a line I’m going to steal: “If you’re not at the table, you’re on the menu.”

Come to the table. Visit the Alliance website at www.afmte.org and join today.

June 30, 2011June 30, 2011

Massage Regulation: A Comedy of Errors

I’ve spent the last hour reading legislative updates pertaining to the regulation of massage…in the past, I’ve sometimes referred to this as the good, the bad, and the ugly. This time, I’m just going to call it a comedy of errors. I don’t know whether to laugh or cry.

I’m not even going to address all the discrepancies in the number of hours of required education and/or exams required for licensure, or the discrepancies in the hours of required continuing education, or even the wide variances in licensing fees. I’ve commented on that a number of times, and that situation isn’t likely to change at any time in the near future.

Everybody has seen those “outdated laws” posts before, silly laws that are still on the books, like “It’s illegal to ride a horse without a saddle on Main Street after 5 pm every other Sunday.” You get the picture. Some of our massage laws seem about as archaic. You just have to wonder at the logic that goes into some of these things…and you also have to believe that these most assuredly were not proposed by, nor are they likely supported by, massage therapists. It’s the bureaucracy at work.

Many of the statutes that have been proposed or enacted in the past few years are a direct result of the economy and state governments being so deep in dept. Several states are now taxing, or considering taxing services (like massage, hair and nail services, even grass-mowing). Even self-supporting boards have in some cases had their monies raided in the interest of feeding the state’s general operating fund. NH is seeking to abolish their massage board altogether, in the interest of saving money. And in the state of West Virginia, HB 2502 seeks to combine the administrative functions of the massage board with the acupuncture board (not so weird) and with the forestry board (weird), the board of licensed dietitians, and the hearing aid dealers board (at least the last two are still health-related). It makes you wonder what we have in common with foresters. Are foresters out there planting trees while naked or committing some other unethical act? Maybe so.

A lot of states don’t require any fingerprinting and/or criminal record submissions of applicants for a massage license. A convicted rapist or violent criminal can get one. Some states require licensees to provide proof of liability insurance, but most don’t. I personally think that one’s a good idea.

There is so much discrepancy between the states on modalities that have to be licensed. In NC, where I live, Bowen therapy, craniosacral, Rossiter, Zero Balancing, and 24 other modalities are specifically spelled out as requiring a massage and bodywork license. We don’t regulate reflexology, which I really don’t get. I’ve had plenty of reflexology and I would have to say that there is at least as much tissue manipulation going on as there is during a session of acupressure, which we do require licensing for. NY licenses both acupressure and reflexology, and Polarity therapy. I know practitioners who will argue that every modality mentioned in this paragraph is energy work and not massage. You might as well agree to disagree and get a license if it’s required of you.

Speaking of NY, earlier this year SB 1030 was proposed, got stuck in the Higher Education committee, and may have expired due to lack of action. It provides that the commission of prostitution offense by any person upon premises at which a massage therapist regularly engages in his or her profession, or the commission of any such offense by a massage therapist constitutes professional misconduct; provides that upon 3 or more convictions of such offenses upon such premises, or any conviction of a massage therapist of any such offense, the massage therapist’s license shall be revoked. So basically, you can prostitute once or twice, but don’t do it three times or you’ll lose your license. You might even lose it if you weren’t personally prostituting but someone else on the premises was. It’s worded a little vaguely, in my opinion.

In the summertime, not much is happening, because legislatures tend to pack it up and go home. Some things are always left on the table for the next session, and some (hopefully) will never see the light of day again. And some things are urgently needed, like regulation in the 8 states that don’t have any. In each of those states, there are therapists working for licensing, and just as many fighting against it.

You can find regular updates about what is going on in the regulatory world of massage on the legislative briefing pages on the websites of both ABMP and AMTA.

June 24, 2011June 24, 2011

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

June 5, 2011June 5, 2011

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 School Advantage Newsletters

Center for Somatic Teacher Education

Education Training Solutions

Resource ETC

Teaching and Presentation Skills Series

Teaching Research Literacy from the Massage Therapy Foundation