Kudos, and a Few Thumps on the Head

The year is winding down; all the award shows have been on television lately, and I’d like to give out a few of my own, along with a thump or two on the head of those who need it. Call me a critic! These are my opinions only and should not be construed as the opinion of anyone else.

Kudos to Rick Rosen for starting the Alliance for Massage Therapy Education, and to the organization for putting on one of the best meetings I’ve ever attended earlier this year, and for taking the initiative to set some standards for teaching massage. If you are involved in massage education and you haven’t joined yet, I suggest you quit procrastinating.

Kudos to the Massage Therapy Foundation for all the work they do in promoting research in the field, and in particular for offering classes in Teaching Research Literacy. And to Ruth Werner for being such a fabulous ambassador for the organization.

Kudos to the executive officers and chairs of the Alliance for Massage Therapy Education, the 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 for coming together this year at the Leadership Summit, and particular kudos to Bob Benson of ABMP for taking the responsibility for making that happen.

Kudos to Paul Lindamood, former CEO of the NCBTMB, for doing such a great job in putting that organization’s finances back in order. I was very sorry to see him go.

Kudos to AMTA, in particular the Oregon Chapter, and Glenath Moyle, National President, for putting on one of the best conventions in my memory. Kudos also the the thousands of AMTA members who volunteer at their chapters and the national level.

Kudos to ABMP for their generosity in allowing everyone, regardless of what organization they belong to (or none at all) to read Massage & Bodywork Magazine online for free, and for providing the huge forum at www.massageprofessionals.com, which is also open to everyone.

Kudos to Facebook. Not only are they my favorite place to hang out online, they are also spending millions of dollars building their new data center in my hometown, and providing much-needed employment in a very economically depressed area.

Kudos to Dr. Christopher Moyer, Bodhi Haraldsson, Paul Ingraham, Ravensara Travillian, Alice Sanvito, Rose Chunco, and the other folks out there who keep beating the drum for Evidence-Based Practice of massage.

Kudos to Jan Schwartz, Whitney Lowe, and Judith McDaniel of Education Training and Solutions. They don’t toot their own horn enough about some of the excellent work they have done for the Massage Therapy Foundation, the World Skin Project, and in general advancing excellence in online education.

Kudos to Angie Patrick of Massage Warehouse for her tireless work in the Sanctuary and raising money through massage for the Massage Therapy Foundation, the Liddle Kidz Foundation, and other worthy causes.

Kudos to all the massage therapists in the trenches, who give of their time in performing community service and their income to support deserving populations and those who can’t afford massage. I know hundreds of them so I just can’t list them all here, but every day, someone is out there donating the awesome power of touch in hospices, abused women’s shelters, the VA hospitals, homeless shelters, and hospitals. Bless them all.

Kudos to all those teachers out there who have what I refer to as “a higher calling.” Those who are teaching hospice massage, cancer massage, pediatric massage…There are too many to name, but they are led to work with the sick, the dying, the special-needs. Bless them all, and those they teach.

Kudos to any massage school and/or instructor who is teaching their students to be research literate.

And now, a few thumps on the head. The names have been omitted so as not to put the magazines who publish my blog in danger of a lawsuit, but you know who you are:

A thump on the head to the therapists who say “I’m better than any doctor or chiropractor. I will heal you when they can’t.”

A thump on the head to the therapists who say “I don’t refer out to anybody. No one is as good as I am.”

A thump on the head to the therapists who say to their clients “You really need this  (expensive water filter, nutritional supplements, foot patches, juice by so-and-so) etc that I am selling.”

A thump on the head to the therapists who say “I don’t need continuing education. I already know everything there is to know.”

A thump on the head to the therapists who impose energy work on every client who gets on their table, as if it is some God-given right, when the client hasn’t asked for it, doesn’t want it or believe in it, and it hasn’t been discussed.

A thump on the head to the therapists who are telling their clients that massage is detoxifying them and that they need to drink a lot of water to flush out their toxins.

A thump on the head to the therapists on massage forums who can’t behave and can’t have civil discourse, and instead resort to name-calling and personal attacks.

A thump on the head to the therapists on Facebook who are identifying themselves as MTs and posting pictures of themselves that look like they belong in the centerfold of Hustler.

I could thump all day–and give kudos all day–but I’ll save some for a future blog.

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.

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.

The Leaders of the Massage Profession
The Leaders of the Massage ProfessionMassage Therapy Leadership Summit meeting. The executive directors, CEOs, and board chairs of the Alliance for Massage Therapy Education (AFMTE), the American Massage Therapy Association (AMTA), Associated Bodywork & Massage Professionals (ABMP), the Commission on Massage Therapy Accreditation (COMTA), the Federation of State Massage Therapy Boards (FSMTB), the Massage Therapy Foundation (MTF), and the National Certification Board for Therapeutic Massage & Bodywork were all in attendance.

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.

Meeting in the Middle

One of my fondest dreams is coming true! For several years I’ve been preaching the sermon on my blog that I wanted our national massage organizations to play nice together and it is happening! Earlier today I got the news that all seven of our major organizations will come together for a summit meeting in St. Louis on Sept 13-14. St. Louis is centrally located, and it’s neutral ground. None of the groups involved are headquartered there.

The Alliance for Massage Therapy Education (AFMTE), American Massage Therapy Association (AMTA), Association Bodywork & Massage Professionals (ABMP), Commission on Massage Therapy Accreditation (COMTA), Federation of State Massage Therapy Boards (FSMTB), Massage Therapy Foundation (MTF), and National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) will be coming together, according to the press release.

Earlier this year, I was fortunate to be included in the meeting hosted by the NCBTMB in Chicago, which was attended by all the organizations, except for the AFMTE. During that meeting, several people (including me) talked about the need for all the organizations to come together for the good of the profession. Bob Benson, Chairman of ABMP, stepped up to the plate as he often does and said that he would assume the responsibility for seeing to it that it happened. All the representatives of the attending organizations agreed that they would participate if such a meeting was convened.

According to the press release, the purpose is “to hold a beginning conversation about major structural issues and impediments to profession progress. The desire is to have candid exchange about core challenges, quality concerns, consumer expectations, and organizational roles. Each participating organization is contributing to creation of the specific agenda, which will be finalized at the beginning of the St. Louis meeting.”

All the organizations will be sharing equally in the cost of the meeting. Unfortunately, I won’t get to attend this meeting, but I understand the reason why. The press release further states that in order to promote candor in the meeting, neither the press nor the public will be allowed to attend, and there will be a joint press release issued after the meeting.

I’m sure this will be a lively meeting. Every one of these organizations has their own turf, and some of them are competitors. But I have long said that there’s room in the sandbox for everybody, and I firmly believe that.  Pete Whitridge, President, and Rick Rosen, Executive Director, will be representing the AFMTE; Glenath Moyle, President,  and Shelly Johnson, Executive Director, will be representing AMTA; Bob Benson, Chairman, and Les Sweeney, President, will be representing ABMP; Randy Swenson, Commissioner, and Kate Zulaski, Executive Director, will be representing COMTA; Debra Persinger, Executive Director, and Kathy Jensen, Vice President, will be representing FSMTB; Ruth Werner, President, and Shelly Johnson, Executive Director, will be representing the Massage Therapy Foundation, and Paul Lindamood, CEO, and Alexa Zaledonis, Board Chair, will be representing the NCBTMB.

These are all smart people. They all care deeply about the massage profession. They don’t always see eye to eye, and they may never see eye to eye, but this is a big step forward to me. I look forward to seeing what comes out of it, and I hope it will be good for everyone concerned.  When people come together for the purpose of problem solving, and leave their egos at the door, that’s a wonderful thing, and I hope that will be the spirit this is approached in. Kudos to them all for agreeing to it. I hope my fellow massage therapists will join me in holding good intentions for the highest good at this gathering and for these leaders to go in peace.

Report from the NCBTMB Approved Provider/CE Meeting

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

My Organization is Better Than Your Organization

The massage profession has a plethora of organizations these days.

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

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

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

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

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

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

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

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

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

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

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

The Financial Health of Our Organizations: COMTA

This is my second 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, only about 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 03/01/08 to 02/28/09, and was filed in January of 2010.

COMTA appears to be another organization that has taken a hit due to the recession. In this particular case, COMTA’s financial state this year may be partially attributed to the fact that AMTA’s fiscal year ending 2008 filing shows a grant of over $261,000 to COMTA; no such contribution was forthcoming in the fiscal year ending in 2009. In fact, COMTA’s Schedule A shows that 2008 was the first year that they haven’t received grants totaling at least $240,oo0.

When a non-profit depends largely on grants and public support, and a recession hits, that’s not a good thing. COMTA’s return is showing a deficit of over $277,000 for the year. Expenses go on, whether there’s money coming in or not. And of course COMTA does not rely only on largesse; the organization received $271K in program revenues and investment income, but expenses were just a few thousand dollars short of being twice that amount.

For the fiscal year, the balance sheets show assets of $462,165 at the beginning of the fiscal year, and only $191,213 at the end of the fiscal year. COMTA’s expenses do reflect a decrease of about $15K spent on site visits to schools. The 2008 Form reflects that the then-Executive Director, Stephen Fridley, received a little over $49,000 that year, down from $66K the previous year; that may be accounted for his departure in the midst of a fiscal year; Kate Henrioulle, the present ED, took over the job May 1 of 2009.

In the general scheme of things, I’d like to see the number of schools and programs that are COMTA-approved multiplied exponentially. The organization has been approved by the US Department of Education as an accrediting body since 2002. In order for the organization to be self-supporting, that really needs to happen.

When a recession hits, and donations dry up, only those organizations that can make it without those grants and contributions can survive. And part of the fallout of the recession is not only a lack of grant money, but also that schools who perhaps had planned on seeking COMTA approval may have held off in the past couple of years due to their own financial  issues. Hopefully COMTA isn’t going anywhere anytime soon.

Report from AMTA National Convention

I attended the AMTA National Convention in Minneapolis this week and had a great time, catching up with old friends, meeting new ones, and running all over the place. Minneapolis is a beautiful city; very clean and I felt safe on the street at night, and the people were very hospitable. Here are some of the high points:

Tuesday I attended the Board of Directors meeting. It was business as usual, until Ruth Werner took her place at the table to talk about the Massage Therapy Foundation. Since I’m known for being plain-spoken myself, I appreciate it whenever anyone lays it on the line, and that’s exactly what Ruth did. She stated that while the AMTA and the MTF are bound together in perpetuity, that in order to survive and thrive, the Foundation must seek additional partners for support. She also said that the rumblings about the MTF being ungrateful to AMTA are entirely false, and I agree. AMTA may be the biggest donor to the MTF (this year the donation exceed $500,000), but they’re not the only ones, and we need to be thankful to ABMP, the NCBTMB, Massage Warehouse, and all the other entities and individuals that step up to the plate. I’ve said before that the MTF transcends politics, and it certainly ought to. I personally think it’s the safest and best strategy to have many smaller donors; if there’s only one big one, and finances don’t allow for the usual donation, it could really hurt the Foundation. My own words–not Ruth’s–all the whiny people need to shut up, and that goes double if you’re not putting your money where your mouth is.

Wednesday night I attended the annual Lippincott author’s dinner. It was hosted by Kelley Squazzo, Shauna Kelly, and Linda Francis, my editor whom I hold in high regard. Present were Ralph Stephens, Pat Archer, Ruth Werner, Mary Beth Braun, Diana Thompson, Tracy Walton, Leslie Young Giase, Carole Osborne, and Les Sweeney. I hope I didn’t miss anybody. I’m always a little star-struck and very grateful to be a member of such an illustrious group of people. Lippincott has so many talented massage therapists in their stable of authors. These aren’t just people who decided to write a book. They are working massage therapists and educators and the cream of the crop. The restaurant, 112 Eatery, had an eclectic menu including house-made charcuterie. Leslie asked the waiter to describe the gruyere et mortadella sandwich, to which he replied “cheese and baloney.” HA! You can dress up anything if you list it in a foreign language. It was all good.

President Kathleen Miller-Read gave an opening speech about balance, the theme of this year’s meeting. The keynote speaker at the meeting was Dr. Loyd Frank Jarrell, a chiropractor, who carried on with the theme. While Jarrell didn’t say anything offensive, he was not what I would call a dynamic speaker, and I personally would have preferred to see a massage therapist doing the keynote speech. Some of our past keynote presenters have rocked the auditorium–Judith Aston comes to mind–and Jarrell was more of a big yawn. I also heard a little sniping about Miller-Read giving the President’s Award to her sister, Maureen Moon. To that I can just say boo-hoo; the President has the right to give it to anyone she chooses, and like Miller-Read, Moon has had almost 30 years of service to AMTA.

I attended a great class from the Research Track, Steps Toward Massage Therapy Guidelines: A First Report to the Profession. While it was a good class and well-presented, I personally signed up for it because Ravensara Travillian was listed as one of the teachers, and she wasn’t there. She was probably out digging up some invertebrates or something of that nature–she’s a very busy and multi-talented woman–but I was still disappointed that the class didn’t include her.

I also attended the COMTA training session for peer evaluators. Some of you may recall that I had a little snarkfest with COMTA earlier this year on my blog, and Kate Henrouille, the Executive Director, had personally invited me to attend the COMTA meeting, so I did. It was a good session and I’m glad I went.

The convention was Party Central this year, too. I attended the President’s Reception with Sally and Ed Hacking. Sally is the undisputed Queen of Government Relations in this profession and currently works with the FSMTB. I’m hoping for some of her knowledge to rub off on me.

I went to several chapter socials, but one of the biggest bangs was the Facebook Friends gathering at Brit’s Pub Thursday night. About 300 of us converged on the Pub and I don’t think they believed the organizers who had warned them that a big crowd was going to show up. The place was packed and I stood at the bar about 15 minutes waiting for a beer. It was a blast.

Friday night, I attended the Massage Envy party, the Massage Therapy Foundation reception, and the Massage Today party. All three were great fun. The highlight was Angie Patrick receiving the Bob and Kathy King Humanitarian Award at the Foundation event. Angie works tirelessly for this profession and it’s great that she was recognized for it.

I didn’t get the count on how many therapists attended this year. I think the economy probably kept it from being as well-attended as last year’s meeting. There were also less exhibitors in the vendor hall. Notably absent was the NCBTMB and the AFMTE. AMTA made the decision to deny both of those organizations a booth, which I personally think was a very poor choice and one that I hope is rescinded by next year’s meeting. I have stated that on this blog and I also wrote a letter of complaint about it to the recently-departed Executive Director, Liz Lucas, just before she left the organization a mere three weeks before the convention. Lucas’ service to AMTA was mentioned by Miller-Read during her opening speech, and also by acting Interim Director, Shelly Johnson.

Speaking of Johnson, I had several opportunities to talk to her this week, and I have decided to throw my support to her for the Executive Director position. No word yet on who else is in the running, but that’s irrelevant to me. Johnson has years of experience as the deputy in that position, and I think she deserves her shot. I hope the BOD will give it to her.

I also attended the Teacher’s Networking Luncheon on Friday and witnessed Melissa Wheeler being honored as the Jerome Perlinski Teacher of the Year. I later had the opportunity to speak with her. She was a good choice for the honor.

As is usually the case when I go to National, the high point for me was connecting with people. I was glad to see so many friends there, including a lot of our NC Posse, meet a lot of my FB friends and blog supporters in person, and as always, there’s something magical and awesome about being with over a thousand people who do what we do. Next year’s meeting will be in Portland, OR. I hope to see you there!

You can see all the pictures I took at the meeting here.

Interesting Changes in COMTA By-laws

I reported in my May 5 blog that COMTA volunteer of more than ten years, John Goss, had been removed from his position, during a meeting he was unable to attend. That led to my reporting a personal experience I had with the organization; I heard through the grapevine that the officers were upset that I had given them negative publicity. I don’t owe them an apology, and there will not be one forthcoming.

I haven’t felt any need to revisit the issue, but an interested party sent me a copy of changes that COMTA had made to their by-laws, effective April 16. I received them while I was on vacation, am just now getting caught up on my correspondence, and I must say, it looks as if they might have been changed in anticipation of getting rid of Mr. Goss.

Here we have an interesting change:

Section 3.12:  A Commissioner who is present at a meeting of the Board at which action on any matter is taken shall be conclusively presumed to have assented to the action taken unless his or her dissent shall be entered in the minutes of the meeting. Such right to dissent shall not apply to a Commissioner who voted in favor of such action.

According to a COMTA insider, who prefers to remain anonymous, the minutes never record votes by commissioner per se unless that commissioner asks that his/her vote be specifically recorded, and since few know this, this section seems intended to silence dissent.  Basically, it says that if you were there, you assented—regardless of how you voted unless it is specifically recorded in the minutes.  The ByLaws do not require votes to be recorded on a roll-call basis.  Seems this is needed before Section 3.12 can be enforced.

Then we have these:

Section 3.14: …In addition, a Commissioner may be removed without cause by an affirmative vote of two-thirds of the Commissioners then in office.

and to top it all off:

Section 4.2:  … Any officer may be removed by the Board of Commissioners at any time with or without cause, whenever the Board of Commissioners believes the best interest of the Corporation would be served thereby.

I stated in my earlier blog that Goss was known for asking hard questions and holding members accountable.  When I contacted COMTA leadership for a quote, before printing my blog about Goss, I got the answer that he was thanked for his past service and wished well in the future.  Later on, COMTA Chair Melissa Wade e-mailed me that due to confidentiality, they could not tell me why Goss was removed, but assured me that if I was elected to the Commission I would have access to the file. Obviously, that’s not happening.

It looks to me like the amended section 4.2 will allow the Commissioners to remove anybody that disagrees with them, or makes them mad in anyway. When you put yourself in the position of being able to remove someone without just cause, what does that translate to? We can remove you if we don’t like your tie? Your attitude? Your questioning our authority?

Board documents, such as practice acts, rules, by-laws and guidelines of any board are living documents, subject to change as time and experience show a need. Hopefully they are always changed with an eye to improving the public protection, service to stakeholders, or whatever the particular entity is charged with doing. I’m not sure that’s the case here.

I’d like to remind the folks at COMTA that big egos at the top, a lack of transparency, poor service to stakeholders,  and changing by-laws to suit whomever is in charge at the time, are the very things that came within a hair’s breadth of bringing down the NCBTMB. I wouldn’t get too carried away with making changes like the ones above. As the present NCB leadership who inherited just such a mess to clean up can attest, it’s not going to serve your organization well at all.

Laura Allen

One of Life’s Little Lessons

Yesterday I notified COMTA that I have withdrawn my name from the ballot to be a commissioner.

The blog I wrote earlier this week, where I reported on some of the recent developments there and offered my opinions about them, didn’t sit well with the folks there, to the point where they were trying to figure out how to get rid of me before I ever got there.

I felt compelled to expose that, so I put up another blog about that.

After some heart-felt discussions with a few of my mentors, I have reached the conclusion that I don’t need to serve on any boards for the present time, other than completing the term I am currently serving on the North Carolina Board. I’m on my last year there. Our Board usually isn’t too controversial, and there aren’t many big doings there that would interest the rest of the world for the most part. We try to practice transparency there, and even though I’m a sitting member, I wouldn’t hesitate to call them out on something if I felt there was a need.

The fact is, I enjoy reporting on legislation and the happenings at all the professional associations of massage therapy…I have the freedom to report on comings and goings, expose activities be they mundane or shocking, and express my opinion whether it’s popular or not. If I’m working for an organization, my ability to report on them goes out the door. And I certainly don’t want my ability to speak my truth affected in any way.

I used to volunteer for AMTA, and I enjoyed that. I’ve enjoyed my time on the North Carolina Board of Massage & Bodywork Therapy. It’s been very enlightening, although stressful at times. I like volunteering; I give 100% whenever I’m devoted to a task, and I would have done the same if I had been elected at COMTA. However, I think it serves the higher good if I’m free to expose what needs to be exposed, and comment on it,  no matter what entity is involved.

I’m still a member of AMTA, also a member of ABMP, a member of the Federation, a member of the Alliance for Massage Therapy Education, and an NCBTMB certificant and provider. I have a vested interest in what these organizations do, the ethical or unethical behavior of their leadership, and the transparency with which they conduct their business. And none of them are safe from my pen! Of course, it’s not all negative. I do give pats on the back when I think they deserve it.

I simply cannot give up my freedom of speech just so I can say I’m in some position somewhere, so no more “positions” for me. My chosen position is blogger, and I’m going to stick to that for the time being.

Peace & Prosperity,

Laura Allen