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Calling All Massage Organizations: 911

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Report from the AFMTE 2013 Annual Meeting

I just returned from attending the fourth annual meeting of the Alliance for Massage Therapy Education, held this year in St. Charles, MO. I’m a founding member of this organization, and once again, it was a fabulous event. I would have to say that this was the best one in the history of the organization. Kudos to Nancy Dail and Cherie Sohnen-Moe, who spent the last year organizing the event, along with the other board members–all volunteers, I might add. This is the kind of thing that can’t be pulled off by just one person. Many people worked behind the scenes to make it happen.

I arrived on Wednesday night in time to visit with Ryan Hoyme (aka the MassageNerd), Greg Hurd, Allissa Haines, and Ralph Stephens. The Embassy Suites puts on a heck of a nice free happy hour, as well as a nice breakfast, and their staff was very efficient and attentive to our group. The meeting kicked off Thursday morning, and the next two days were filled with informative keynote speakers, great classes for educators, and plenty of visiting with friends, old and new.

During the annual reports, President Pete Whitridge reported that the organization now has over 300 members. About half were in attendance, and the rest missed out on a great time! Treasurer Sue Bibik reported that the organization is debt-free, which is quite an accomplishment since the Alliance is less than five years old.

Whitney Lowe’s keynote, Developing the 21st Century Teacher, really hit the nail on the head with the need to utilize technology and advance our own skills as educators. He is always a dynamic speaker. I had a visit with Jan Schwartz, who along with Whitney is one of the educators behind Education Training Solutions. Thursday evening, I missed the opening reception in order to go speak to Bloom, a networking group of massage therapists in St. Louis. The founder, Sara Newberry, took me out to a fabulous dinner at a rustic Mexican restaurant before the meeting, which was attended by about a dozen MTs. I really enjoyed my time with them.

Friday morning, Dr. Janet Kahn presented Massage in the Age of Healthcare Transformation: Our Opportunities and Responsibilities. Kahn has the inside track on the Affordable Care Act and how that stands to affect integrative health practitioners. After Kahn’s presentation, I ran into AMTA President Winona Bontrager, who assured me that AMTA was indeed going to take some action to support massage therapists as participants in the ACA, a move that she had just a few moments to explain during a panel presentation from the leadership of all 7 national massage organizations. She stated that they would be unveiling that very soon. It was very gratifying to me to see Karen Armstrong, VP of the FSMTB,  Sue Toscano, President of the NCBTMB, Anne Williams, Director of Education for ABMP, Winona Bontrager, President of AMTA, Ruth Werner, President of the Massage Therapy Foundation, and Kate Zulaski, Executive Director of COMTA, on the dais together. Later that afternoon, Kate and Dr. Tony Mirando of NACCAS, presented together on Coming to Agreement on Core Curriculum–another warm and fuzzy moment since these two organizations are competitors. It was a great presentation.

Friday was also the day for memorial tributes to our colleagues who have departed this life in the past year. One of the highlights of my trip was the tribute to Bob King, who just passed a couple of weeks ago. I joined David Lauterstein, one of the Educators of the Year and a primo guitarist, and Cherie Sohnen-Moe onstage to offer Bob a little musical tribute. Bob was a fan of “Blind Al” Wilson of Canned Heat, so I played a little harp and Cherie and I provided the backup vocals while David played and sang Canned Heat’s song, “On the Road Again.” I hope someone got a video of that!

Friday night, I attended the ELAP meeting facilitated by Anne Williams of ABMP and Cynthia Ribeiro, Immediate Past President of AMTA. Both of these ladies have a passion for education, and I acknowledge that wholeheartedly even though I have had plenty of concerns about the ELAP. About 20 or so of us piled into the room to hear about the ELAP and to get our questions answered. I was amused to see that their Power Point presentation referred to “angry bloggers,” and I assume that meant me and Sandy Fritz…we’ve both stirred the pot on that front, but in the end, I hope that some good information comes out of this. It was quite momentous in any case to hear that AMTA and ABMP, the two largest competing organizations in massage therapy, have shared some of their top-secret data with each other in the interest of the common good in order to facilitate this project.

Saturday, I attended the NCB CE Provider Update presented by Sue Toscano and Donna Sarvello of the NCBTMB. Their presentation was peppered with questions from the crowd regarding the new Board Certification and the (yet-again) revised version of the Approved Provider CE program. which they stated would be rolled out on November 1. I seized the opportunity to give them an earful about all the pseudo-science classes they have approved for CE, and also to inquire about how many people have earned the new Board Certification. The answer was over 1200, and that almost all of those have been grandfathered in from the ranks of those who were already Nationally Certified and met the new criteria. I gathered that it has been a very small number that have actually taken the new Board Certification exam. Toscano’s explanation was that due to the fact that the new exam just rolled out in January, and requires that people have 250 hours of work experience within six months (among other things), that newer graduates are just now starting to take it.

We also had our annual Author’s meet and greet organized by the lovely Nancy Dail–there were more than 20 textbook authors present.

Other highlights for me were having my blog and Sandy Fritz’s blog recognized for driving a lot of traffic to the AFMTE website, finally meeting longtime FB friend Emmanuel Bistas, and spending a few moments with Sandy Fritz, Bob Jantz, Gabriela Sonam, Benjamin McDonald, Sally Hacking, Allissa Haines and Greg Hurd, Stephanie and Brian Beck, and many more. Saturday morning I had breakfast with educator and author Elaine Stillerman, whom I had never met, and she is a ball of energy in spite of her recent back surgery. My plane was delayed both coming and going, and I visited with Linda Beach while we were waiting an inordinate amount of time to depart–actually got on the plane and then had to get back off an hour later. I had a little nap in the St Louis airport and woke up to find I was about to fall over on Dr. Janet Kahn–I hope I wasn’t snoring and drooling–and chatted with her for about an hour.

Every annual meeting of the AFMTE seems to get better and better. I urge all educators to join this organization and to PARTICIPATE. They have recently started a Human Energy Bank, so that those people who may not have time to take on a full-time volunteer position can volunteer to handle a specific task. There are many other benefits to belonging, which are detailed on the AFMTE website. As a founding member, I feel like I have definitely gotten my money’s worth every year. We are also looking for industry partners to join us. This is THE organization for schools, school educators, and CE providers. We’re doing more than just holding a meeting. The Alliance provides a comprehensive range of services to this community, and represents their interests in all domains. This advocacy comes into play in dealing with regulatory issues, accreditation, standard-setting initiatives such as the Alliance’s National Teacher Education Standards Project, as well as ongoing efforts to get massage therapy better recognized by and integrated into the health care delivery system. As Jan Schwartz said during one of our previous annual meetings, “if you’re not at the table, you’re on the menu.” Janet Kahn, during her presentation, said “you’re in the door, or in the dust.” Don’t be left out.

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ELAP: Stop Insulting Our Intelligence!

I spent a big part of last week responding to the first draft of the Entry Level Analysis Project (ELAP). I shared it on my social media several times and encouraged everyone in the massage profession to respond. While I do still encourage everyone to respond, I must say that I have some distress at the way this is being presented.

The powers that be seem to be worried that the massage community is lacking enough intelligence and ability to comprehend information. 

The framework being used to disseminate the first draft of the ELAP prevents anyone outside of the closed-door system that launched and produced this document from being able to read, comprehend and comment on it as a whole. Being restricted to viewing one learning objective at a time does not allow the reader to place individual elements in a larger context, which is vital for being able to properly evaluate this kind of work. We are finally being shown the Curriculum Map that the ELAP Workgroup developed, but only in small bits through a keyhole. This strategy is sure to reduce the number of people who would otherwise want to take the time to read and comment on something that is of potential importance to the field.

Over the past three years, people in our field have successfully reviewed and commented on two drafts each of the Massage Therapy Body of Knowledge and the Alliance’s Core Competencies for Massage Therapy Teachers — both lengthy and complex standards documents.

In addition, there are some other flaws in the document and the entire process. Instead of my repeating every word Sandy Fritz has said, I suggest you click on this link and read her blog. Fritz makes it very clear she wants this project to succeed, but brings to light a lot of issues that need to be corrected.

If you’re a regular reader, you know I haven’t been thrilled about this from the beginning–and I do mean the very beginning — starting with the way it was initially presented at a Leadership Summit when it was not on the approved agenda for discussion. If anyone other than Bob Benson, Chairman of ABMP, had done that, they would probably have been told to sit down and request that it be a possible agenda item for the next meeting.

In the meantime, I have warmed up to the idea — in theory — but I have some issues with the way it is presented. Like Sandy, I object to the document telling us how to teach. This is supposed to be about entry-level information and what that is–not how to get it across. There are also some faulty assumptions–like the one that all massage teachers are familiar with Bloom’s Taxonomy. Sorry to disappoint you, but some teachers couldn’t tell you what a taxonomy is if their life depended on it — particularly at those schools where last year’s students are this year’s teachers.

This is a research project. It’s not going to be the law — at least not in my lifetime. It’s intended to be the road map for what should be presented in entry-level massage programs. A lot of work has gone into it, and I do have appreciation that it has been a collaboration among our professional organizations. However, these organizations need to realize that there are intelligent people out here who want to look at the big picture instead of having it spoon-fed to us in kibbles and bits. I believe the Workgroup will get more and better feedback if the Curriculum Map as a whole was available for comment.

If you think this is a good idea, then contact the leaders of ABMP and AMTA. In the meantime, this is what we have, and I urge you to take the time to read it, take the surveys, and comment.

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ELAP First Draft and Call for Comments Released

The first draft of the ELAP (Entry-Level Analysis Project) has finally been released. It’s been more than a year since I first blogged about it.

This research project proposal was introduced by ABMP and has come full circle from the first statements put out about it, which put me out quite a bit. The initial proposal stated: There is no step in this proposal to obtain input from the broader massage profession or from other health-care or bodywork organizations during this project. The reason is simple—the work group is simply performing a work task in writing learning outcomes and objectives for job tasks defined by surveys already conducted by FSMTB and NCBTMB. It doesn’t matter what stakeholders, or other groups think should be taught or shouldn’t be taught. The work group would be responding to what therapists report they do, on a day-to-day basis, in their massage-related environments as part of their jobs.

They had to back up and punt on that. The ELAP website now contains the following statements clarifying the purpose and scope of the project:

The Entry-Level Analysis Project (ELAP) is a research project that defines the minimum number of training hours necessary to acquire knowledge and skills essential for safe and competent practice as an entry-level massage therapist. The project was initiated through conversations between the Alliance for Massage Therapy Education, American Massage Therapy Association, Associated Bodywork & Massage Professionals, the Commission on Massage Therapy Accreditation, the Federation of State Massage Therapy Boards, the Massage Therapy Foundation, and the National Certification Board for Therapeutic Massage & Bodywork.

ELAP aims to obtain and use research data and analysis of findings from other massage profession projects to inform the creation of an entry-level curriculum map. The map will define the essential elements of an entry-level curriculum necessary for safe and competent practice in a massage career, as well as the number of hours deemed necessary to teach these learning objectives and outcomes. The project outputs will be used to inform the Federation of State Massage Therapy Boards (FSMTB) Model Practice Act designed to promote interstate portability of credentials in the massage profession. The recommendations of the ELAP project will be available to the massage profession as a resource to enhance consistency of entry-level curricula in massage and bodywork training programs.

The ELAP website now contains five webinars explaining the various facets of the project, and numerous surveys to complete. You do not have to complete all of them; the option is to pick and choose those areas that interest you the most.

I urge everyone to give feedback. It happens too often in our field that there is either no opportunity to give feedback, or the opportunity is presented and ignored….the MTBOK (Massage Therapy Body of Knowledge) was a prime example of that. Only a smattering of people responded to that, and then it came under all kinds of criticism when it was released. If you don’t take the opportunity to express your opinion, then don’t gripe when it comes out and you don’t like it. Visit the website and take advantage of your opportunity to participate.

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Report from the International Massage Therapy Research Conference

This past week I was blessed to attend the International Massage Therapy Research Conference. This event is only held every three years and it was my first time attending. It was held at the Seaport in Boston, a beautiful hotel right on the harbor and right across the street from the World Trade Center, in a great part of town. We enjoyed excellent service from the staff there, so kudos to them.

I arrived on Wednesday in time to view the DVD showing of the International Fascia Research Conference from Vancouver. The presentations from that conference were fascinating, and that event will be the next thing on my wish list. Nothing is better at a movie than popcorn and Milk Duds, which were provided…some of the science presented was above my head, but hey–I went there to learn!

The Conference officially kicked off on Thursday morning with Massage Therapy Foundation President Ruth Werner making some opening remarks, followed by a beautiful blessing from three Native American ladies who were present. Dr. Jeanette Ezzo was the opening keynote speaker. Her topic was “Mechanisms and Beyond: What is Needed to Prove the Effectiveness of Massage?” I must confess I was taken aback at one of her early comments regarding acupuncture. She stated that although there was no scientific proof the meridians exist, that “the efficacy of it gets us off the hook.” I was rather surprised to hear that at a research conference where the focus was on scientific evidence. There was also a poster display, including one entitled “Is There a Place for Energy Work for Children Living With Autism?” It’s just my personal opinion that it was out of place there. That was my only complaint about the entire experience.

On Thursday I also attended a presentation on “Massage Therapy for Specific Conditions,” where four different researchers presented their studies on tension headaches, osteoarthritis in the knee, vascular function, and chronic pain in opiate-addicted patients.

Thursday afternoon I attended the newcomer’s luncheon, where Jerrilyn Cambron, Ruth Werner, and Allissa Haines all gave short talks to those in attendance. Thursday night I attended the welcome reception and met up with a lot of friends.

Friday morning I met with my representatives from Lippincott Williams and Wilkins and then listened to the keynote speech from Leslie Corn, “Somatic Emphathy: Restoring Community Health With Massage,” followed by a panel presentation on “Massage in the Community; Informing Public Health.” That afternoon. I attended a workshop in “Best Practices Guidelines: Building the Framework,” presented by Michael Hamm, Keith Eric Grant, and John Balletto–all previously known to me as Facebook friends–so I was glad to meet them all in person and participate in their class.

Saturday I attended Dr. Janet Kahn’s keynote speech, “Massage in 21st Century Healthcare: Let’s Seize the Moment.” Dr. Kahn’s presentation was probably the most informative and eye-opening moment for me, personally, about the state of health care in general in the US. Let’s just say it is not a pretty picture! As Dr. Kahn pointed out, there is a trend among our politicians to act as if the US has the best health care in the world, but the statistics really show the contrary.

That was followed with a panel presentation on “Next Steps in Massage Therapy Research” moderated by Bodhi Haraldsson, Research Department Director at the Massage Therapist’s Association of British Columbia. I’m telling you now, I could nearly cry when I see how much is done in Canada to advance massage therapy research compared to what is done here. We look disgraceful in comparison. Research literacy is required of every student in every school. $100 of each therapist’s registration fee is used to fund massage therapy research.

Saturday afternoon’s final event was a workshop, “Massage Therapy Research Agenda Planning,” where the approximately 250 attendees split into small groups to brainstorm recommendations for future massage therapy research.

During the whole event I got to visit with so many people, both longtime friends and people I  had only previously met through social media. I shared breakfast one morning with Keith Eric Grant, who was blogging about massage long before I started. I had lunch one day with Lisa Mertz from New York, whom I had previously met in person at the World Massage Festival. Saturday night I had dinner with Ben McDonald and Cliff Martin, owners of Massamio, that I had previously met at another conference.

All in all, it was just a wonderful event. My only regret is that I couldn’t attend every single presentation; some of them overlapped and there was just no way to be in two places at once. Thanks must be given to AMTA as the major sponsor of this event. Other sponsors included Books of Discovery, ABMP, the MA Chapter of AMTA, Anatomy Trains, and Wolters Kluwer/Lippincott Williams & Wilkins. The staff of the Massage Therapy Foundation and numerous volunteers kept things running smoothly. A round of applause to them all.

That being said, I feel compelled to go on a rant before I close out this blog. If you are an educator and/or a school owner, you owe it to your students to see to it that they are research literate. I believe there is a serious lack of any knowledge of research literacy in this profession. I am not asking schools to turn out researchers…I AM asking that the basics of research literacy are included in your curriculum, so that your students at least know the difference in what is valid research and what is website hype, one of the numerous myths of massage, or claptrap from a magazine. There is just no excuse for not doing it.

This event only takes place every three years, and the location of the next one has not yet been decided. I don’t care if it’s held on the moon; I will plan to be there.

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Report from the World Massage Festival

I just returned from attending the World Massage Festival in Las Vegas, and what a blast! I’ve been attending this annual event for several years, and this was the best one yet. My husband, Champ, accompanied me, and we really had a fabulous time. This event is like a family reunion every year, so I really enjoyed seeing so many people I know and don’t get to see often. The Festival was held at the Tuscany Casino and Hotel, which turned out to be a wonderful place…I think my suite was as big as my house.

We arrived on Sunday and I spent the afternoon helping out at the registration desk with our fearless ringleader, Cindy Michaels. Cindy is Mike Hinkle’s better half; Mike cooks up all kinds of great ideas and Cindy puts them into action.  Jenny Ray and Janelle Lakman, the Sacred Stone Medicine ladies, were also working registration so we all had a big time visiting in between. Sunday night was the Hall of Fame ceremony, emceed by Judi Calvert, and it was very enjoyable. This year’s honorees are Cindy Ballis, Karina Braun, Eric Brown, James Charlesworth, Scott Dartnall, Robin Fann, Irene Gauthier, Sally Hacking, Ryan Hoyme, Andrea Kelly, David Kent, Mark Lamm, Paul Lewis, Rena Margulis, Karen Menehan, Angie Patrick, Donald Peterson, Sharon Puszko, Art Riggs, George Skaroulis, Kevin Snedden, Cherie Sohnen0Moe, Les Sweeney, and Ruth Werner.

Monday morning, I was honored to participate in a Student Day panel with Lynda Solien-Wolfe, Cherie Sohnen-Moe, David Kent, Joe Bob Smith, James Waslaski, David Otto, Ryan Hoyme, Michael McGillicuddy, and Angie Patrick. I hope I didn’t forget anyone! The students were so appreciative; all got a goody bag, there were lots of door prizes, and one lucky soul got a starter kit–massage table, massage chair, rolling stool, bolster, sheets, and all kinds of products.

Monday afternoon, I taught my Educated Heart ethics class, which was well-attended by a great bunch of therapists. Champ and I had dinner with Lynda Solien-Wolfe and Joe Bob Smith and we had a great time.

Most of the day Tuesday, I spent in the exhibit hall. I worked a little in the Sweet Serenity booth–speaking of which–I was determined to win the fabulous quilt so I bought 30 tickets. All the proceeds went to the Shriner’s Burn Center and over $1200 was raised, last time I got the count. Ryan Hoyme and I did a book signing of our new Manual for Massage Therapy Educators. I woke up with a crick in my neck, and James Waslaski and Bruce Baltz both worked on me. We had lunch with Bruce and Ryan and Yvette Hoyme. Tuesday night was the awards ceremony. David Kent was the keynote speaker and he did a fabulous job. David is an emotional speaker. Enid Whittaker jumped up on a massage table and did a Bonnie Prudden warmup and she was great! Vivian Madison-Mahoney received the Legislative Award. ABMP was honored as the Association of the Year (again!). The wonderful Michael McGillicuddy was named Teacher of the Year. I was personally surprised with receiving the Distinguished Service Award. After getting home at 1:30 this morning, I am going blank on the rest of the winners, but I’ll be sure to announce them on FB as my memory returns!

By Tuesday night I was feeling slightly under the weather. I slept in Wednesday morning, and Champ attended James Waslaski’s Pelvic class in my stead. He loved it. I ended up having a late breakfast with Judi Calvert, owner of Hands On Trade Association and the premier massage historian of the world. At noon, when all the classes broke for lunch, the drawings took place. One lucky winner received an Office Makeover package worth over $11,000–and I did indeed win the quilt! I was thrilled to death!

I would have to say that the highlight of my trip this year was meeting Mark Lamm of Bio Sync, and his beautiful wife Leah. Mark has been my FB buddy for several years, and I was shocked to find out that he is 84 years old. He looks at least 20 years younger than that and is just one of the most vibrant people on the planet. He did some work on my aching shoulder and it was amazing. HE is amazing. Leah and I snuck out to the restaurant for a little while and I felt as if I’d known her my whole life. They are both just beautiful people. Mark is committed to teaching at the Festival in 2015. I’ll be there!

Other highlights, and there are just too many to name, but I was glad to see my buds Scott Dartnall, Eric Brown, Christopher and Xerlan Deery, catch up with Lori Ohlman of the NCBTMB, Dari Lewis, Stephanie Beck, the totally awesome Judith Aston, and all the other folks I only get to see once or twice a year. The vendor hall was jumping this year…I got a few goodies myself! I also met a few of my FB buds: Andrea Lipomi, Bert Davich, Rob Flammia and saw some of my NC peeps, too, like Jake Flatt.

Wednesday night, I attended the Board meeting of the Massage Therapy Alliance of America. I’m not on the Board; I just take care of their website, but I love this group of dedicated people. They are stewards of the Hall of Fame and advocates for the rights of massage therapists. Then we had a late dinner with Mike and Cindy, Darcy Neibur and her husband Dennis, and Mike Hinkle’s parents, who are always helping at the Festival.

The World Massage Festival is come as you are. Leave your suit and tie behind and be casual. The instructors and class offerings are top notch, the price is as low as they can possibly keep it, and the atmosphere is all about family and friends. The 2013 Festival is being held on the Queen Mary in Long Beach, CA. I will definitely be there!

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If at first you don’t succeed….

Try, try again. That’s what the regulatory board in my home state of North Carolina is recommending when it comes to getting the Federation of State Massage Therapy Boards to do something about the confusing status of continuing education approvals.

Two years ago, the NC Board of Massage & Bodywork Therapy introduced a resolution at the Annual Meeting of the FSMTB (which was held in Puerto Rico). This document instructed the Federation’s Board of Directors to “begin the process of developing a new national approval program for continuing education providers and courses.” The organization’s leadership responded positively to the resolution, and announced to the profession in the Spring of 2011 the launch of a comprehensive project to do just that. They also invited AFMTE, AMTA and ABMP to work with them to provide input that would help shape the project.

In spite of this clearly stated intention to develop a “centralized quality assurance process for all courses taken by massage and bodywork therapists for the renewal of State licensure or State certification” (quoted verbatim from the FSMTB press release dated 3/29/11), the outcome of this process missed the mark by a country mile. The MOCC Proposal, which stands for Maintenance of Core Competencies, failed to deliver what the state boards asked for, and what FSMTB promised.

To remind you, the MOCC Proposal was based on a new (and unproven) concept of separating continuing education that relates to “public protection” from all other CE that is taken for “professional development”. MOCC recommended that only CE related to “public protection” be required by state boards for renewal of licensure, and everything else be put into the voluntary category, to be regulated by… well, the proposal didn’t even mention NCBTMB. If this all weren’t bad enough, FSMTB would become the exclusive provider of coursework needed to maintain “core competency” in the subjects related to “public protection”.

For more background on the MOCC issue, refer to my blog posts of 3/14/12 and 4/15/12. It’s also illuminating to read the press release AMTA issued on 4/23/12 which contained a complete repudiation of the Federation’s proposal.

In a friendly game of golf, you can take a “mulligan” every now and again–a “do-over”. My colleagues at the NC Board are giving the FSMTB leadership an opportunity to take a mulligan on this vitally important CE approval issue. They have recently submitted another resolution to be discussed by Member Boards at the upcoming FSMTB Annual Meeting in New Orleans on September 27-29. This resolution is much like the original from two years ago, and its appearance at this point in time indicates that the need for a single-source national CE approval program has not gone away.

The primary rationale is contained in this statement from the new resolution:
“Reliance upon the NCB Approved Provider program has been problematic for state boards because (a) NCB is a private, non-profit corporation that lacks oversight from and accountability to state regulatory boards; (b) its program has not adequately evaluated the quality or relevance of CE courses; (c) administration of this program has had notable service delivery problems over an extended period of time.”

That’s all true, but the opera ain’t over ’til the fat lady sings. The NCBTMB has the infrastructure already in place–and this will be nothing more than another case of duplicated efforts if the Federation steps in and tries to take it away without consideration of the NCB’s position in that marketplace. I think a collaboration would be more appropriate; by contracting with the NCB to administer CE approvals, FSMTB could establish the accountability structure that state boards must have with NCB, and FSMTB wouldn’t have to reinvent the wheel. They could just improve upon it.

Yesterday, I conducted one of my Scientific Facebook Polls, and asked the questions: How many MTs REALLY care what is happening with our professional organizations and what they are doing? How many people care about the MTBOK, the ELAP, the MOCC (don’t y’all love all these acronyms) or even know what they really are? How many people care about the legislation and regulation of massage? How many people care that there are initiatives to raise standards for teachers of massage therapy and for massage education in general? Do you care about all those things, or would you rather just be left alone to do massage?

I got 75 replies in a 24-hour period, and one thing is apparent: to the average massage therapist trying to make a living, many perceive our organizations to be all about politics and all about money. To some extent, that’s true…the one with the most money wins. The perception is also that they all have their own agendas. Actually, recently some of them seem to have the same agenda, but they’ve wasted time and money in duplicating efforts, or opposing each other’s efforts, and scrapping over turf wars. In a recent blog I urged the NCBTMB to take themselves out of the entry-level exam market and suggested that the FSMTB assists them financially in return for their doing so. Earlier this week, in a piece published in Massage Today, Ralph Stephens called on AMTA and ABMP to offer “substantial and ongoing financial support” to COMTA and AFMTE, to further their important efforts to improve the quality of massage therapy education.

FSMTB and the NCB have recently conducted new Job Task Analysis surveys, both of them seriously flawed, in my humble opinion. These surveys show a strong bias towards the clinical/medical side of massage therapy, and contain virtually nothing about the KSA’s related to delivering massage therapy as a primary means of facilitating well-being and integration. From my perspective, the latter is of equal or greater importance.

In addition, the FSMTB survey has a special add-on section to gather data for the Entry-Level Analysis Project (ELAP). This dual-purpose survey does ask lots of questions about specific medical conditions, but it contains nothing about the client/therapist relationship. The word “relax” does not appear anywhere, and the word “relaxation” shows up just once.

There’s also an over-focus on the huge number of modalities that are marketed in this field. Many of these listed are obscure and little-understood. It’s wrong to ask a therapist to define themselves by a single named modality. Practitioners typically use a broad range of methods with clients. The modality is not the treatment — it’s the totality of what a practitioner brings to the session.

Finally, this Federation JTA is similar to the recent JTA from NCBTMB: another duplicated effort that still falls short of giving an accurate picture of what happens in the real world of massage therapy. You can count how many times a week we give a massage or take SOAP notes, but that’s not what it’s really about. It’s about our rapport with the client, and what kind of results we are able to produce, and what kind of trust we can inspire in our therapeutic relationships. The MTBOK generally missed the boat on this as well, although I have high hopes that the line-by-line analysis and re-mapping of the MTBOK that was conducted by AFMTE will give us a usable body of knowledge.

As a result of these large-scale projects, it’s likely that the kind of incomplete and disjointed training that is typical in our field will get further enshrined as the baseline for education. Skewed survey questions produce skewed data. Using that data to build a new standard for the entire field is not just wrong, it’s a crime against the lineage of massage therapy. Just look at what has happened to the other health care professions who have organized themselves around the mechanistic/reductionistic model. People are treated as parts, and no discipline ever looks at the whole person. Massage therapists still have the ability to treat holistically. Relaxation is being relegated to a lower-class status of therapeutic effect, when it’s one of the most valuable aspects we offer with this work.

This whole scenario illustrates one thing: the time has never been more ripe for getting our act together, and that isn’t going to happen while there’s all this push and pull and one-upmanship going on with the organizations. When the leaders of the seven primary stakeholder groups sat down at the table for the first time last September, the ELAP proposal appeared out of nowhere–it wasn’t even on the agenda and it got slid in anyway. I would like to see them sit down again, and take a serious look at these issues. Put ego and profit aside. Take a real look at the flaws in your information-gathering processes. If you want to see what massage therapists really think, sign on to my Facebook page and you might get a rude awakening at their opinions of you. You wouldn’t exist without us, and what we think does matter. A Job Task Analysis survey asks what we do--and frankly, it isn’t near as important as what we think. Consider that.

 

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Report from the FSMTA Meeting

Champ and I spent the weekend at the Florida State Massage Therapy Association meeting in ChampionsGate, FL. It was our first time attending this event, and we went there to work in the Soothing Touch booth with Gurukirn Khalsa and his family. The event was  held at the beautiful Omni Resort…a lush tropical setting and superior accommodations. It was hot as the devil–but it got up to 108 ° back here at home in NC while we were there, so I really can’t complain about it. The FSMTA meeting is huge. The organization has over 5000 members, and they had a great turnout.

In addition to working, we had plenty of socializing with friends old and new. I spent over an hour in conversation with Mike Williams, Executive Director of the NCBTMB and our interview will be appearing soon in a future blog. Our booth was right across from the NCBTMB booth so I spent a good bit of time chatting with Lori Ohlman and Donna Sarvello, and later Sue Toscano and Alexa Zaledonis. You may say whatever you like about the NCBTMB–it is staffed by great, dedicated people. Bruce Baltz of Bon Vital is also on the NCBTMB Board, and he gave me a great foot massage.

I spent some time with The Massage Nerd doing a few videos–I suspect they’ll be rolled out soon. Ryan Hoyme stayed busy doing videos for everyone present that wanted one. Since I was actually working, I had short visits with a lot of people instead of longer visits with a few people! Ruth Werner was there with her daughter Lily, as were Leslie Young Giase of Massage & Bodywork Magazine/ABMP and Paul Slomski, representing  the Massage Therapy Foundation. Pete Whitridge, Cherie Sohnen-Moe, and Iris Burman were there for the AFMTE; Kate Ivane Henri Zulaski and Cliff Korn were there for COMTA, and the FSMTB was represented…this is a big meeting, so all the major organizations were in attendance. Massage Today and Massage Magazine folks were there, too. Vivian Madison-Mahoney and her husband John, Leslie Lopez, Pat Donahue and her hubby Joe, Angie Patrick, Scott Dartnall, James Waslaski, Karen Kowal, David Kent, Anita Shannon, Lynda Solien-Wolfe, Michael McGillicuddy….too many people to name but it was like a reunion of some of the nicest and most dedicated people in massage, even when I only got to see them for a minute.

Champ and I attended the FB Meet and Greet…I always meet a few of my FB friends at those events, and it’s turned into such a popular thing that all the major conventions now have one.

Speaking of major conventions, the one glitch was the same that I have noticed at other conventions, and that’s vendors getting upset with the schedule and/or location. I’m not picking on FSMTA here, because something similar seems to happen wherever we go. The particular issue this time was that the vendor hall was slam full of people Thursday evening at 5 pm, and they shut down the vendors so the association could have a 2 hour business meeting. At other organization meetings I have attended, the hall was either so far removed from the mainstream that people practically had to walk a mile to get there, or the hours coincided with the times people are in class and not much over or above that. I encourage EVERY group who organizes a massage event, whether it’s small or large, to give these people a break! Booth space is usually expensive, especially at major events, and these folks go to a lot of expense and trouble to support your events. You need to support them. I’ve heard the suggestion several times that registration should be held IN the vendor hall so that attendees had to walk through it to register, and that’s not a bad idea. As I said, I’m not picking on FL. It is a problem at many places.

The FSMTA has been around since 1939 and has 15 chapters throughout the state. That’s a pretty big accomplishment. I was pleased to meet so many of their members. I had a great time at their meeting and plan to attend again.

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Report from the AFMTE Annual Meeting

I spent last weekend in toasty Tucson, AZ at the Alliance for Massage Therapy Education annual meeting, and for the third year in a row since this organization started, it was one of the best things I have ever attended. There were quite a few new people attending this year, and attendance was up slightly from last year. The meeting was held at the El Conquistador resort, a beautiful venue with gorgeous mountain and desert views.  I was late getting there and unfortunately missed the opening ceremony and the keynote presentation by Benny Vaughn, which I heard was fantastic.

As usual, there were great continuing education offerings…I attended Tracy Walton’s class on “Busting Myths and Critical Thinking Skills,” which was informative and entertaining, and I heard nothing but praise from attendees of the other classes, which included offerings by Stephanie Beck, Martha Brown Menard, Susan Beam, Cherie Sohnen-Moe, Terrie Yardly-Nohr, Nancy Dail, Pat Benjamin, and Ben Benjamin. Bear in mind, these classes aren’t your average CE class–they are directed at massage therapy educators. When these great teachers weren’t teaching a class, they could be found attending someone else’s class. That is one of the most wonderful things about this gathering to me; it is attended by some of the most well-respected and well-known educators in this profession–and they all have the attitude that they’re not finished learning. Kudos to every one of them.

Nancy Dail organized a “Meet the Authors” gathering, and it was amazing. I was humbled to be included in such awesome company. I doubt if I can name all these people   in the correct order in the picture so I won’t even try. Mark Beck was out of the room when the picture was taken but he was present as well. The group included (in alphabetical order) Timothy Agnew, Sandra K. Anderson, Pat Archer, Ben Benjamin, Pat Benjamin, Andrew Biel, Celia Bucci, Iris Burman, Nancy Dail, Sandy Fritz, Julie Goodwin, Martha Menard-Brown, Carole Osborne, David Palmer, Cherie Sohnen-Moe, Ralph Stephens, Tracy Walton, and Terrie Yardley-Nohr. Also absent was David Lauterstein, who had an airline travel nightmare, but his book was present along with the others authored by these amazing people. I don’t know when I have ever seen such talent present in one room.

All the major organizations had representatives in attendance, with the exception of ABMP. I’m not sure if they were making a statement by not showing up or not. I had actually spoken to Bob Benson, the Chairman of ABMP, a few days before the meeting and asked him if they would be in attendance, and he did not make any mention of political reasons for staying away…of the likely candidates that would have attended, several were on vacation, one was attending a family wedding and so forth. Still, their absence was notable, no matter what the reason. AMTA, the FSMTB, and COMTA were all in attendance. There was also chair massage offered at the meeting to benefit the Massage Therapy Foundation, and thanks to the efforts of Taya Countryman who organized that effort, over $900 was raised for the Foundation.

Elections were held, and the standing officers were all re-elected. Two new board seats were also added. The AFMTE Board has let go of their management company and are handling it themselves, and the two new board members are needed to help with the many tasks of the organization. Stephanie Beck and Heather Piper were elected as members-at-large.  I agreed to serve on the marketing committee….I don’t do boards anymore of any kind, since that would interfere with my blogging, or at least the perception thereof, but I’m glad to serve the organization on this committee.

Breakout sessions were held to discuss numerous topics of interest to educators, including all the various projects that are going on at the moment, not the least of which is the Teacher Education Standards Project. Other breakout sessions were to talk about the MOCC proposal from the FSMTB, the new policies announced by the NCBTMB, and other issues facing the profession.  There weren’t any formal votes in any of the discussions I sat in on, but a number of people I talked to all said the same thing–that there are a lot of duplicated efforts going on, which is a waste of time and resources. John Weeks, Executive Director of ACCAHC, also gave a keynote address where he stated that we have a tendency to get ourselves trapped in whirlpools–and how much influence we could have because of our sheer numbers, if we would just get out of them.

During the business meeting, President Pete Whitridge announced that the organization has no debt. That’s a fabulous position to be in, but I would like to state that we need and welcome corporate sponsors, as well as individual members. The Alliance has worked very hard to keep membership fees reasonable–and to hold our meetings in reasonable places. Although the El Conquistador is the lap of luxury and a beautiful place, we got a room rate of $99 per night. Many meals were provided as well, so financially, it’s a bargain to join. Please visit the AFMTE website to find out about the many benefits available to you as a member. There are also vendor opportunities and sponsorship opportunities at the annual meeting. Thanks to exhibitors Biotone, Bon Vital, Books of Discovery, the Center for Embodied Teacher Education, F.A. Davis, the International Association of Massage Business, Massage Envy, the Massage Therapy Foundation, Massamio, the National Accrediting Commission of Career Arts & Sciences, Performance Health/Biofreeze, Wellx, and Wolters Kluwer Lippincott Williams & Wilkins. Thanks also to sponsors of the meeting, Massage Today, Massage Magazine Insurance Plus, the Florida State Massage Therapy Associaton, Massage Envy, Books of Discovery, Pearson, Biofreeze, and SOAP Vault. Soothing Touch , Oakworks, and Massage Warehouse, along with many others also donated door and raffle prizes.

On a personal note, I had a big fat time socializing with so many friends and making a few new ones. I had dinner the first night with Julie Onofrio, Kathleen Gramzay, and Karen Hobson. I met with Mike Noble, the new acquisitions editor at Lippincott, and Shauna Kelley, their marketing manager, for dinner on Friday night to discuss a couple of projects, and Saturday night, I had a blast with the team from Massamio and a bunch of other friends–both FB friends and the real variety. I went to lunch one day with Allissa Haines and Gregory Hurd…we went sneaking out to the In-and-Out-Burger for a junk food fix. I spent a couple of hours talking with Ryan Hoyme (aka The MassageNerd), and just in general enjoyed myself and enjoyed seeing everyone. I tried to sit with someone different at every meal and every class so I could visit with as many people as possible, and wish I could have personally talked to everyone there. I did have a few good but short conversations, with Sandy Fritz, Sue Toscano, Susan Beck, Mark Beck, and other good folks. As usual, there just weren’t enough hours in the day.

The biggest thanks, and deservedly so, goes to Cherie Sohnen-Moe. Tucson is Cherie’s home town, and she really went over and beyond the call of duty in helping to organize the event. She’s probably ready for a vacation!

I urge you to join the Alliance for Massage Therapy Education. We are hoping to accomplish some great things, and we need your expertise and your input. We are a non-profit organization and of course donations are welcomed, but what we’d really like is your membership fee–AND your participation. We want and appreciate active members! There are a lot of things going on in our profession right now, as I have reported right here. We need to be sure that education evolves in a way that serves the highest good of the profession, in total transparency, and that our membership gets plenty of input. That’s one thing that is very evident about this group of people–they do want to hear what the members think….and here we have some of the best and brightest minds in the business. You could almost get star-struck at this meeting–but there is not a standoffish person in the bunch. Don’t wait until the next meeting; join us now, and get involved. If you are an educator, school owner, administrator, or industry partner, we need you. And I’m going to shamelessly use the same quote that I used from Jan Schwartz at last year’s meeting: “If you’re not at the table,  you’re on the menu.”

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The ELAP Flap Continues

Earlier this week I received the ELAP (Entry-Level Analysis Project) Description from ABMP. I’ve been blogging about this for several weeks, first because I was upset that it was shrouded in secrecy; then last week because I finally got word of who is serving on this work group. While that information didn’t exactly smooth my ruffled feathers, I was gratified to see that I know some of the people working on it and know that they do the best job they can at whatever tasks they take on. And the document has changed quite a bit from the first proposal I saw, which I had numerous objections to (see previous blogs under this one). That being said, I’m still not thrilled with it.

I feel that there are some big pieces missing here, and that the profession would be better served by pointing resources in a different direction. To begin with, the document makes the point that how regulatory agencies arrived at the 500-hour minimum that has been a benchmark of entry-level education is unknown…that’s true, but it’s also unknown of how states with more hours arrived at those requirements. One thing that’s mentioned is the influence of federal financial aid, which presumably has led some schools  to offer more hours (or states to require them). As is the case with a lot of things, following the money trail often gives insight into real motivation.

Personally, I don’t think financial aid, or the lack of it, should be influencing this project at all. As a former school administrator, I’ve been involved in the financial aid process first-hand in the past. Whenever a recession and massive job layoffs happen, as they have here in my home state for the past three years or so, there’s a phenomenon that occurs. There’s an influx of displaced workers into the community college system, where financial aid is a given, and I’ve been told by students who had never even considered massage as a career that “the job counselor said I could get my schooling paid for if I would study massage.” That’s just not the reason I want to see people coming into the profession.

I feel there are some other tasks that need to be completed before anything like this is undertaken. The ELAP description states only two goals, one of which is to assess how many program hours are needed to attain this KSA (knowledge, skills, and abilities) goal, assuming capable instruction.

That’s a major issue, in my opinion—because you can’t and shouldn’t assume capable instruction. The Alliance for Massage Therapy Education is working on a National Teacher Education Standards Project to define the KSAs needed by teachers, both entry-level and more experienced/advanced. There is also a line-by-line review of the MTBOK going on. To charge headlong into the ELAP before these two initiatives are complete seems like putting the cart before the horse.  In all fairness, I am glad to see our organizations collaborating instead of refusing to play nice, but I would prefer to see them applying their resources to the National Teacher Education Standards project. The ELAP claims to be addressing what it takes to make a therapist able to practice competently. The fact is if the teachers aren’t competent in a 500-hour program, they’re not going to be any more competent in a 750-hour program until they are educated. We need educators who are competent enough to teach competencies, not just stand in front of a classroom for a longer number of hours.

Part of the rationale for this entire undertaking is the perceived  lack of competence of entry-level therapists. While the FSMTB is about to launch a new Job Task Analysis Survey, and the NCBTMB recently did the same, we ought to bear in mind what it is that a JTA shows. They tend to be snapshots of a day in the life of a massage therapist: see the clients, do the laundry, keep up the paperwork. If the perception is that therapists are not doing what they need to do in order to keep the public safe and practice competently, is asking them what they do all day really effective for this purpose? I don’t think it is. As one of the comments on last week’s blog said, “They don’t know what they don’t know.” There will be also be an accompanying survey within the JTA survey, intended to eliminate the “experience bias” present in these types of surveys, but I think that’s a tricky proposition. The return rate on these surveys tend to be very small–and usually answered by the minority of us who actually give a rip about the state of things. JTA surveys tend to be long and somewhat boring and it’s a very small percentage of people who will even fill them out to begin with.

Reportedly, the ELAP project was conceived to help address the problem of portability of massage between the states. One of the statements reads in part “we need to identify the key KSAs required to pass a national licensing exam and provide competent, safe massage in an early massage career.”

Right there is another problem. While the FSMTB would like to see every state exclusively using the MBLEx, it hasn’t yet happened. Since the NCBTMB is increasing the requirements for National Certification, leaving them with only the NESL options for entry-level exams in the states that accept those, the MBLEx will undoubtedly become exclusive in some places, but New York is not going to throw over their exam for the MBLEx, in my opinion. There is no such thing as national licensing, and there is never going to be. National licensing doesn’t exist in any profession I am aware of. If you’re a doctor, you still have to get licensed in each state in which you want to practice. While portability is a pain in the butt for massage therapists, it has never been shown to be harmful to the public or to the profession on the whole. Inconvenient, yes; but harmful, no.

The FSMTB is also working on the Model Practice Act, as mentioned in the ELAP description. While I wouldn’t go so far as to say it’s a waste of time, I don’t expect any influx of the regulated states lining up to change their existing practice acts to whatever the FSMTB comes up with. I’m sure it will be a helpful guideline for the unregulated states if and when they decide to join the fold, but it will be interesting to see how that document ends up harmonizing with the ELAP. Since the MBLEx has been an exam that uses the 500-hour threshold (and in fact, you can take that exam at any point during your education, prior to graduation), if this project somehow demonstrates that more hours are needed, is the FSMTB going to jack up the requirement to sit for the MBLEx? The Model Practice Act project was also undertaken prior to the ELAP project starting up, and while I haven’t seen a draft and don’t know what it includes, my prior knowledge of state practice acts demonstrates that those generally spell out required education and the breakdown of those hours, so presumably the ELAP would affect the Model Practice Act project as well.

Another part of the hoped-for result of this project is to cut down on the number of lawsuits and ethics complaints against entry-level massage therapists. Personally, I believe someone who is going to act unethically is going to do it regardless of how much education they have. When it comes right down to it, the injuries resulting from massage are a tiny fraction of what they are in other health-care related fields. I’m not saying there aren’t any, but on the whole it’s relatively insignificant when compared to the number of practitioners.

Lest anyone think I am against raising the standards of the profession on general principles, that’s not so. I don’t own a school, and I’m already licensed, so it’s not like this is going to inconvenience me personally. In fact, a few years ago when I was on the North Carolina Board of Massage & Bodywork Therapy, we looked at raising the hour requirement here (currently it’s 500 hours). Like any good organizational beaurocracy, the result of that was to appoint a committee to study the situation. The research they conducted was to ascertain whether or not students from schools with higher number of hours had a better pass rate on the exams than students from 500-hour schools. The answer to that was a big fat “no.”

I’m not sure how much money is being spent on this project; the first proposal I saw mentioned between $60-70,000 to be shared as an expense between the organizations. I urge, or rather, challenge, all of these organizations to pour an equal amount of money into the AFMTE Teacher Standards project. Improving the KSAs of entry-level educators—many of whom tend to be last year’s star students, who may be talented at massage but without a whit of experience and training in teaching methodology—will improve the KSAs of the students, the entry-level practitioners. That should be the important first step—the key word there being first. Don’t try to build a house without a good foundation. It’s a waste of time and money, and ultimately, it doesn’t work.