November 2008
International News
Practice Management
Continuing Education and Events
State Legislative Activities
AAAOM Activities
AAAOM Student Organization
National AOM Issues
Links
Products, Services, and Member Savings

Table of Contents:

International News



State Legislative Activities


Sponsors of:

National AOM Issues



Practice Management


Sponsors of:

AAAOM Activities



Links


Sponsors of:

Continuing Education and Events



AAAOM Student Organization


Products, Services, and Member Savings

 

Greetings AOM Members and Colleagues:

Thanksgiving means reflecting on how rich our lives are. So we, at AAAOM, thank you for all the support you give to the profession. We thank you for your membership in the AAAOM. We recognize that our association’s strength directly connects to each one of you who has chosen to join. And we thank the AAAOM-SO members who represent the largest increase of members in the AAAOM. It may sound like a graduation cliché to say “you are the future,” but this is a fact for the AOM profession. We thank the AAAOM-SO for its passionate engagement in many activities and issues. Good things are visible on the horizon for the profession and our ability to work together to achieve common goals.

We can think of no better time to meditate equally on those less fortunate—on those among us facing struggles of a larger order. On that account, this issue of the Qi-Unity Report features an interview with Joe Chang, a pioneering acupuncturist who works currently to integrate AOM protocols to treat PTSD in the military. His ongoing effort represents an unparalleled opportunity to relieve suffering. The specter of PTSD is far larger than we may realize, as the condition afflicts more than 30% of all soldiers that have served in Afghanistan and Iraq. Joe Chang discusses how AOM can ameliorate this enormous problem and what his work represents in terms of practitioner opportunities.

Jim Pastore, AAAOM-SO vice president, contributes a study of PTSD to accompany the interview; this is an exhaustive but concisely written summary designed to educate those wishing to better understand the disorder. In addition, AAAOM-SO Vice President of Communications Elisa Behnk contributes her reflections on what the recent AAAOM conference in Chicago means from a student’s perspective.

You can read a slice of the ASNY newsletter from New York and investigate the best of the AOM internet articles through the domestic and international links we have gathered for you. But don’t stop there! John Weeks contributes integration-based articles from his Integrator Blog, a selection that always takes the pulse of the integration trend and encapsulates a vision of where the profession stands—as well as where it is going. What about international events and what they mean for health care policy in America? Charles Ignacio Roman looks into the WHO “Beijing Statement” and what this may imply for integration in the U.S.

Look to the Qi-Unity Report for information on the issues that affect your life and practice in AOM.

The AAAOM is interested in your feedback. We invite you to use our General Feedback page to let us know your opinions and insights.


International News

The WHO “Beijing Declaration” Could Mean Greater AOM Acceptance in U.S.

By Charles Ignacio Roman

According to an article in the China Daily dated November 11, 2008, “The World Health Organization (WHO) issued a declaration in Beijing on Saturday calling for its member states to integrate traditional medicine (TM) into their national health systems.” The organization summarized the role of traditional medicine in healthcare systems and highlighted the progress, challenges, and future direction of its development in the "Beijing Declaration." It also recognized traditional medicine as “one of the resources of primary healthcare services to increase availability and affordability, as well its contributions in improving the health of those targeted in the United Nation's Millennium Development Goals.”

What does this mean for the acceptance of acupuncture and Oriental medicine? At the very least, it suggests a trend in a direction of broader acceptance, with the implication that “traditional medicine” not only currently exists as the primary medicine in many societies but increases its “availability and affordability.” This is an oblique acknowledgement that many countries in the world cannot afford the high price of allopathic care or, alternatively, will need to bridge whatever economic gaps exist with traditional care for places that do not have robust national health-care infrastructures in place. “Traditional Medicine” also means making whatever economic infrastructure one has available work.

While it’s difficult to know precisely how the “Beijing Declaration” will affect AOM acceptance in the U.S., one can reasonably see a trend toward greater international acceptance of complimentary and alternative medicines. With president-elect Obama seeking to restore some lost credibility in the last eight years of isolationist rule in the U.S. and with a Democrat majority in congress, declarations of this kind could very well impact domestic health care policy in the U.S.


International Links for November, 2008

A recent Italian study reported in the Journal of Traditional Chinese Medicine compared the effect of acupuncture for headaches versus conventional pain killer therapy. One of the most interesting features of this study is that each patient was given a complete examination prior to the start of the test. This allowed the acupuncture therapy to be tailored to the individual causation of each patient’s condition.
acupuncture.fitnessinfoguru.com


There are several days every month to which members of the Academic Association of Traditional Chinese Medicine Kuala Lumpur and Selangor look forward. These are the times when the members travel out of their clinics to provide free medical treatment to residents at specific locations.
thestar.com.my


The British Acupuncture Council (BAcC) has found that more people are turning to traditional acupuncture to alleviate symptoms caused by the emotional strains of everyday life. A recent survey reveals that the tolls of the 21st century are affecting younger people with under-40s seeking traditional acupuncture treatment for emotional issues such as depression, stress and anxiety. 57% of those citing emotional issues are under 40 - a third of who are men - with Londoners representing the highest proportion of sufferers than elsewhere in the UK.
pharma-news.moviesmusic.biz


Several rare herbal plants aboard the recent Shenzhou-7 space mission have now been transferred to a Chinese nanobiotechnology lab for study. The plants, including rauwolfia and salvia miltiorrhiza (red sage, dan shen), were used to produce nanomedicines to treat cancerous tumors, Professor Zhang Yangde with China's Laboratory of Nanobiotechnology at the Central South University told the Changsha Daily newspaper in Hunnan Province on Thursday.
news.xinhuanet.com


Practitioners and patients of traditional Chinese medicine rue the fact that it is being swallowed up by Western medicine. But perhaps the best TCM doctor in Shanghai is determined not to let that happen, writes Zhang Qian.
www.shanghaidaily.com


Early October is the time of year when mountains of mottled green and brown fresh jujubes (or Chinese dates, zao) can be found piled up in the green grocers. Jujubes have been cultivated in China for more than 4,000 years with around 40 different cultivars. Unsurprisingly they are a frequent feature of traditional Chinese medicine, used in treatments for sore throats (possibly due to their mucilaginous nature), stress, and constipation (perhaps due to the laxative effect of the fiber) amongst other things.
www.chinadaily.com.cn


Pelvic girdle pain causes a stabbing or dull pain in the buttocks and pelvis, which may radiate down the leg. It is experienced by about one in five pregnant women and can last beyond pregnancy, leading to long-term sick leave and incapacity.

Dr Helen Elden and her team at the Sahlgrenska Academy in Goteborg, Sweden, investigated the use of acupuncture. They gave 58 women with PGP a course of 12 acupuncture treatments plus standard medical care. A further 57 patients received non-penetrating sham acupuncture plus standard medical care.
www.staffnurse.com


Move over Prozac: Mother Nature has her own brand of antidepressant. It's an herb known as St. John's wort, and it works. Extracts of the herb are effective in the treatment of mild to moderate depression, according to a recent Cochrane Review, part of a database that provides summaries and interpretations of high-quality medical research.

Scientists at the Center for Complementary Medicine in Munich, Germany, analyzed findings from 29 clinical trials that included more than 5,000 participants from several countries. Based on the results of these trials, the German researchers concluded that extracts of St. John's wort are not only superior to placebo, they are just as effective as many commonly prescribed prescription drugs in the treatment of depression.
www.paramuspost.com


TWO traditional Chinese medicine (TCM) hospitals will be built in Shenzhen to further promote traditional healing practices. One of the hospitals will specialize in acupuncture and massage and the other in treating liver disease.

To date, 95% of the more than 1,700 hospitals and outpatient departments in the city are providing TCM services while half of the more than 600 community clinics are offering these services for their patients
www.visitchn.com


Larimar, a four-star spa hotel sitting atop a small hill in the southern Austrian town of Stegerbach, has been very popular since it started operation more than one year ago. The hotel does not owe its success to luxury, comfort, nor competitive prices, for it can hardly compete with nearby rival five-star hotels, villa spa hotels or the cheaper public spahotels in these regards. Yet, Larimar has managed to achieve almost daily full booking since September. Its secret, said manager Johann Haberl, lies in introducing traditional Chinese medical therapy to its services.
news.xinhuanet.com


Gaofang is a condensed tonic of herbs and animal ingredients in a paste that reinforces energy, both yang and yin, as needed. It is many people's favorite winter tonic, but it's potent and care is advised since many people dose themselves incorrectly.

Traditional Chinese medicine practitioners prescribe it according to one's constitution, and many kinds with different ingredients and properties are commercially available. A prescription can also be compounded by a TCM pharmacy though some people do it at home.
www.shanghaidaily.com


Wang Yu decided to give acupuncture a try. According to Chinese traditional medicine, the needles help the body regain its balance. In the case of obesity, this results in weight loss. Another advantage is that all the patient needs to do is just to lie down. But Doctor Pan Shanying says acupuncture is a lot of work. It will only be effective if the patient is willing to maintain a healthy diet.
www.cctv.com


Wild animals are climbing back onto Chinese plates after the deadly SARS virus made some diners wary, and booming demand for traditional medicine is also threatening some plants, environmentalists said on Wednesday. The demand for medicine could also be as destructive to natural vegetation and habitats as the quest for food, in a country where traditional medicine is widely used and has also yielded valuable compounds for use in Western treatments.
timesofindia.indiatimes.com


A rising star in the field of genome research has been lured back to Canada from the U.S. to carry out the world's largest plant DNA project at the University of Alberta. Plants used in some cultures as herbal medicines will be among those tested and there's already a lot of excitement about the possibility of new medicines emerging from this research.
www.google.com


State Legislative Activities

NATIONAL REPORT

Editorial Note: The following excerpt derives from the ASNY newsletter and is printed here with ASNY permission.

In October, ASNY attended the AAAOM conference in Chicago. We met with other state leaders in the Council of Presidents meeting and participated in the reorganization of their structure and relationship to the AAAOM. Michael Jabbour (V.P.) joined the AAAOM bylaws committee to help them refine their goals and missions. We also met privately with the legislative director of the AAAOM and discussed how to best move forward with the Hinchey Medicare _ FECA bill.

In November, ASNY spoke, along with NYSAC and the United Alliance of Professional Acupuncturists at the ATCMS Summit conference in Flushing, Queens. We also met with and spoke with representatives from the Washington, DC political community.



National AOM Issues

Integrator Blog News & Reports

Integration, by nature, asks us to open our peripheral visions. We are served to look at the whole of the field. We need to develop new fascia, new connectivity. Opportunities crop up in new places. The Integrator Blog News and Reports is meant to provide you with information, insights and tools to enhance integrated care in the environment you serve.

- John Weeks, publisher-editor

Appointments in the Obama Era: What's Up for Integrative Medicine and Health Freedom?

Obama transition watchers have noted a number of nominations which may bode well, or ill, for the integrative practice community and natural products industry. Most give a thumbs up to appointments for former U.S. Senators Tom Daschle and U.S. Senator Tom Harkin. Congressman Henry Waxman, who has taken over a key role in the House, is a cause of concern for some. Meantime, leading "health freedom" advocates believe that the sky may be falling with the Democratic majorities: writer Peter Chowka forecasts that we may be witnessed "the end of alternative medicine" and health freedoms. Here is a run-down with comments from members of the community. The stage is first set with a Cliff's Notes review of action under Clinton and Bush.
More ...

Historic Alliance: Integrative Practice Groups Unite Behind Congressional Resolution Promoting Wellness

A medical reform movement is afoot in the integrative practice community. The present goal is as powerful as it is sublime: Tell Congress that, whatever healthcare reform efforts are undertaken, wellness must be included. The focal point of the current campaign is House Concurrent Resolution 406 (H.Con.Res.406) introduced by US Representative Jim Langevin (D-RI). H.Con.Res.406 expresses “the sense of Congress that any effort to reengineer the health care system in the United States should incorporate sustainable wellness programs that address the underlying causal factors associated with chronic disease.” Is this something the AOM community should back?
More ...

Where the $120 Goes and Where it Would Best Serve

[From my Integrative Practitioner column] When my neighbor and colleague Tom Ballard, RN, ND, a primary care physician in the Seattle marketplace, sent me a letter-to-the-editor he'd had published in the Seattle Times, I began thinking about a hopeful, practical research agenda for NCCAM. Ballard wrote to the editor that an article on MRSA failed to note the contribution to the problem via our overuse of antibiotics. Ballard concluded: “Perhaps the crisis of MRSA will help swing the medical pendulum back toward a whole-systems approach to infections: First strengthen the host and utilize natural compounds, saving drug therapy for last." I took Ballard's hope and upped it a notch: Might the new focus on effectiveness research by incumbent NCCAM director Josephine Briggs, MD provide us an opportunity to frame far more interesting questions, such as Ballard suggests, and yield significant individual and population benefits from NCCAM's work?
More ...

Why Integrative Practice is Missing from the Health Reform Debate

I take it as an assumption among integrative medicine and natural healthcare practitioners that they agree on one strongly held, if ill-formed, policy notion: Health care would be better with more of what we do. Most assert that their type of care would ultimately cost less, too. Naturally then, any true healthcare reform would include more of them, and be organized around their whole person, patient-centered healing principles. I’ve operated with a notion like this for 25 years. Then why is integrative practice missing from the health reform rebate?
More ...

Resources

Integrator Archive by Subject for January-June 2007
More ...

Integrator Archive by Subject for 2006: All Hot-linked
More ...


Practice Management

The Key to Higher Performance – Get On the Same Page!

By Joe Calhoon

Our world will never be the same. Recent economic and political events have created a new playing field for business success. In order to make the most of the current realities, leaders must adapt to the changing marketplace and engage the capacity of their people to achieve business results.

It all starts with a plan; better yet, a Dynamic Business Growth Plan.

Developing a clear and simple plan will strengthen employee morale, increase productivity and improve profitability. This planning process won’t take long. The plan will fit on a single page. It will be easy to communicate. It will keep your team on track and, most importantly, it will be easy to adjust as the economy improves. An effective planning system is the most reliable predictor of business growth – it keeps everyone on the same page and ultimately leads to higher performance.

To develop your plan and get your team on the same page, start by answering these six questions:

What are you trying to build? (Vision)
Vision
is your desired future state. You must look beyond the current realities to your more promising future. A vision ignites people’s passion and harnesses their unique strengths to grow the business.

Here are the four basic elements of a useful vision statement:
  1. What business you’re in.
  2. What products and services you offer.
  3. Who you’re trying to serve.
  4. The scope of operations (local to global).

If you don’t agree on these four elements, it will be difficult for your team to make meaningful progress.

Here is the vision of Apple Computer: “Apple is committed to bring the best personal computing products and support to students, educators, designers, scientists, engineers, business persons and consumers in over 140 countries around the world.”

What is your purpose? Why do you exist? (Mission)
Mission
is purpose. Mission motivates. The root word of motivation is “motive.” Motive is why you do what you do.

Unfortunately, many mission statements are too long; they make a good cure for insomnia. A mission statement works best when it’s short and clear. It should fit on a t-shirt; it should be ten words or less.

The mission of Federal Express is: “The world on time.”

Here is an effective way to define your mission. Simply ask the question, “Why not just shut this organization down, close the doors and sell off the assets?” This gets to the core of why you’re in business - your mission.

How will you treat each other moving forward? (Values)
Values
define code of conduct. An appropriate set of values defines what’s acceptable and what’s not acceptable in the way you treat one another. Values build strong relationships and create high-trust organizations. With a strong set of values, employees will often receive greater acceptance, appreciation and respect at work than in many other areas of their life.

Lou Holtz is recognized as one of the world’s most successful college football coaches. Lou understands adversity. He has never taken over a winning team, yet, within two years, every one of his teams played in a Bowl game. Many attribute his success and the character of his players to these three values – do what’s right, do your best and treat others as you want to be treated.

Vision, mission and values are long term; they don’t change much over time.

How will you measure progress? (Objectives)
Objectives
are the numbers that measure progress. Think of the dashboard in your car. Your business needs a dashboard, a set of indicators that tell you how your business is doing.

Jack Welch is widely recognized as the most effective executive of the 20th Century. He said, “Too often we measure everything and understand nothing. The three most important things you need to measure in a business are customer satisfaction, employee satisfaction, and cash flow.” Those are your three core measures.

In fact, businesses that obsessively focus on meeting the needs of those three stakeholders – customers, employees and owners (CEO) – while developing their leaders are 756 times more profitable than comparison companies (according to a study reported in Corporate Culture and Performance).

What are the categories of work to be done? (Strategies)
Strategies
are the high-level choices you make that determine the course you’re going to follow. Usually you will have between three to seven categories of work to be done in the next year or so.

There are many ways to write strategies, but here’s a method that is simple and effective.

  1. Define your strategic categories. They might be called marketing, human resources, innovation, productivity, etc.
  2. Start with a verb and clearly define the end in mind.
  3. Use the words “by” or “through.”
  4. Identify your strategic choices.

This marketing strategy helped Wilson Auctioneering double their revenues in one year – “Reposition Wilson Auctioneering through television advertising and focus on bigger deals.”

Strategic CategoryMarketing
End in Mind“Reposition Wilson Auctioneering
‘by’ or ‘through’through
Strategic Choicestelevision advertising and a focus on bigger deals.”

Larry Grill, VP of Corporate Services for Alabama Power, recently explained his leadership philosophy. “The further you go up the corporate chart, the greater your responsibility to serve others. Unfortunately, many leaders lose the ego battle and undermine their own effectiveness. Leadership is best described as servant leadership.”

Leaders serve the employees who serve the customers, which improves the bottom line. This is a winning strategy for any business.

Who will do what by when? (Priorities)
Priorities
translate strategies into results. Priorities define who needs to do what by when.

Unfortunately, many business plans are lengthy documents that sit on a shelf collecting dust. Almost every plan is missing the most important element: priorities.

Priorities start with a verb, end with a date and have something measurable in between. Priorities include problems to solve, goals to achieve or capacities to develop. For example: “Finish vehicle maintenance by 12/19/08.” “Sell $200K in new business by 11/28/08.” “Complete marketing plan by 12/5/08.”

In closing, here are three principles that help leaders engage employees, accelerate growth and increase profits.

No Involvement, No Commitment – Involve your team to a greater extent as you move through the six elements. In other words, you want your team less involved in creating vision, more involved in creating strategies and priorities.

Progress, Not Perfection – Your plan does not have to be perfect for your team to make significant progress. You will reach a point when it is best to quit planning and start achieving.

80/20 Principle – Focus your team on the 20% of your activities that produce 80% of your results. Keep asking, “What is most important?” Then, do that.

Only 12 percent of businesses have a business growth planning process in place. By answering these six questions and getting your team on the same page, you develop a significant competitive advantage. The key to higher performance is developing your Dynamic Business Growth Plan and consistently achieving your most important priorities. You will be building a more effective team and a stronger capacity to prosper in the years ahead. Now, go for it!

Joe Calhoon is the President of PriorityAdvantage™ – the smartest way to run a business. He has 25 years of experience working with business owners and business leaders who want to develop higher performing organizations. In addition to helping start more than 20 new business ventures, Joe has served 500 different organizations on four continents including 3M, Best Buy and Ritz Carlton Hotels. He is co-author of both “On the Same Page,” and “Prioritize!” For more information visit www.joecalhoon.com or call 816-285-8144.


Trust Your Teammates: Everyone Wins

By Mark Eaton, former NBA All Star

Trust is essential in today’s business world. Every day people talk about how important trust is, yet few know how to create it. Trust comes when people know they can count on you. Trust comes when people know you’re there for them. When people protect each other, there is trust – it’s that simple. When you’re committed to others and their well-being, you can expect an extraordinary commitment in return.

In the NBA, basketball players follow the concept of “sticking together.” They know by protecting each other, working collaboratively and standing united against the competition, their chances of winning greatly increase.

In business, the only way you can do your job effectively, be creative and be innovative is when you know that someone has your back. When you’re confident someone is watching out for you, you’re more willing to take risks to increase the bottom line. Unfortunately, in most companies, people are just there to collect a paycheck. There’s no creativity, no innovation and no risk-taking, all because there’s no sense of trust among team members. After all, if you know no one is backing your ideas, why try to implement them? The chance of failing is too great.

The world of professional basketball offers the perfect learning example: In basketball, one person’s job is to guard the basket. As long as that person is doing his job, his teammates up the court can take risks and try to steal the ball from the other team. If they’re unsuccessful with the steal and the competition happens to get by them, they can count on the person guarding the basket to protect the team and keep the rival from scoring.

If the team members can’t count on each other, they’re not going to take risks. They’re going to play it safe. They’ll stay in front of their man, do their best to not let him score, and stay in a defensive mode rather than taking an offensive position and going for the score.

The same is true in business. People may have some good ideas, but they don’t voice them because they don’t feel protected. They don’t feel that sense of trust or appreciation, so they stay under the radar and do just enough to not get fired. They become clock-watchers who only care about themselves and their own agenda. As a result, you have a company filled with people who know only how to complain and whine rather than take action and responsibility. Now you no longer have a team; you only have divisiveness.

If you want people in your company to not only think of new ideas but also execute them, then they need to feel supported. Protecting your teammates is a key ingredient in the NBA, because if you don’t have that trust, then things quickly fall apart. For businesses to succeed, they need the same mentality. If you want your company to grow, to change, to innovate, to succeed, and to rise to the top of your industry, then you can’t afford to have a bunch of people playing it safe. You need the creativity and entrepreneurial spirit that comes when trust abounds.

So if you’re ready for your company to go from a “playing it safe” rookie to an innovative all-star champion, then consider the following suggestions.

1. If you’re an employee, encourage fellow employees to step out and take risks.
What would it be like if everyone on your team truly felt safe? If you want to be invaluable, be the person people can count on. If you want to have enduring relationships, look out for others. Put others first. When you protect others, they take risks. They know they won’t be criticized should they fail. When you protect others, you create an environment of safety and freedom. That’s what supports innovation and the immediate response required in a world and market characterized by incessant change. When you protect others you sometimes give up an opportunity or put yourself on the line. But when you do that, you show people you care. Therefore, let people know that they have your trust and support, even if that’s not the prevalent culture. Remember that change has to start somewhere.

2. If you’re in management or a supervisory position, become a protector.
Encourage your people to come to you with ideas. When you decide to implement one of the ideas, let your employees know you completely support them. Win or lose, you’re there for them. If you must, think of your employees as your children. As a parent, your first priority is protecting your young. Just like children, adults do their best when they feel cared for and safe. So if you want peak performers, create an environment where everyone feels safe. The ideal manager is like the coach who stands up for his team. The ideal manager who creates an atmosphere of trust is really creating a space where people will exceed expectations.

3. Observe how behavior changes in the workplace with the implementation of this concept.
One glimpse of trust starts a wellspring of performance and confidence. Think about it … if your supervisor said to you, “That’s a great idea. Take this project on. You have my complete support,” how would you feel? You’d probably feel a sense of shock, and then a sense of eager anticipation. You’d be excited and quick to tell others on your team what just happened. Then your co-workers would think, “Wow. I have an idea, too. I want to talk to the boss about it.” So one simple gesture of trust can create a sense of energy and enthusiasm in the workplace, which is really what everyone wants. The more management communicates with their staff that they’re creating an environment of trust, the more ideas and innovation that people will bring to the table.

The Keys to Performance and Success
Trust and loyalty are what distinguishes a team from a group. They’re what make relationships irreplaceable and irresistible, and people invaluable. When you fight for another person and transcend your self-interest, you change the world.

Trust comes when people know they can count on you…that you’re there for them no matter what. When people protect each other, trust is inevitable. It’s that simple. When you commit to protecting others, you can expect an extraordinary commitment in return.

Trust sets people on fire. When you defend another, you find courage that you didn’t know you had. Fighting for someone else and doing more for others than you do for yourself brings out the best in yourself. And that’s where you find the win. It’s called the magic of teamwork.

Mark Eaton is a business speaker and coach who works with organizations and individuals sharing the four commitments that bring about teamwork, breakthrough success and sustained cultural change. Mark’s inspiring journey from auto mechanic to record-breaking NBA player, combined with his practical strategies and principles, help organizations play and win in the biggest game out there. To book Mark for your next event visit www.7ft4.com or e-mail him at info@7ft4.com.



AAAOM Activities

Chinese Advisory Council Appointments

Ann Y. Wang, Chair
Christine Chang, Co-Chair
(Board of Directors for CAC) Johanna Yen
Co-Chair Doreen Chen, LAc, OMD
Council member Shen Ping Liang, LAc
Council member Brian Loh
Council member Jing Chen, Treasurer


Chang_Interview

QUR: How did you go from working in private practice to working with soldiers recovering from battle?

JC: I did not believe the saying “It’s who you know” until I met the vice-president of Med-National. His company is hires healthcare professionals to work in the military healthcare system. One day in my private practice I simply asked him, “So, what do you do for a living?” He explained that he creates contracts for the government, and he employs healthcare professionals to work through these contracts. Then I asked him if he ever came across any opportunities for acupuncturists. He said, “You know, I had two opportunities but did not know who to approach.” So, two weeks later, he approached me with an opportunity about a pilot program for PTSD at Ft. Bliss, TX, and I jumped at the opportunity.

QUR: Why is the military funding CAM research?

JC: What the military is realizing is that the current standard treatment protocols are not working. Standard mental health therapies have primarily included pharmacotherapy and cognitive-behavioral therapy. And if the soldier did not get better and had difficulty coping with the standard treatment, they were forced out of the military against their wishes. This means life-long veteran benefits that the Congressional Budget Office (CBO) estimates to be between $7 and $9 billion over the period 2008 through 2017 are paid to Afghanistan and Iraq veterans.

So there is a big push for evidence-based research for treating PTSD and depression. The RAND Corporation estimates that the government could save as much as $1.7 billion, or $1,063 per returning veteran, through evidence-based research. The savings come from increases in productivity as well as from reductions in the expected number of suicides. So far in 2008, the Pentagon has spent $5 million seeking new ways to treat troops suffering from combat stress or brain damage by researching alternative methods such as acupuncture, meditation, yoga, and the use of animals as therapy.

QUR: You mentioned that soldiers returning from tours of duty experience social problems adjusting to society, and that the military is short on medical staff. Is this part of the shape of opportunity for practitioners in that environment? Please explain.

JC: There is definitely a shortage of staff to treat soldiers with mental health issues. And because there is a shortage of staff, and in addition to the research that has shown positive outcomes for CAM, there is a tremendous opportunity for acupuncturists in military medicine.

In terms of a soldier’s problems adjusting back to society, they tend to adjust better with treatment that includes cognitive-behavioral therapy, pharmacotherapy and CAM therapies (i.e., meditation, acupuncture, reiki, yoga). If they do not get treatment, then they tend to have problems such as DUIs.

QUR: Are there examples of allied health-care workers already integrated into the military model?

JC: So far, there are chiropractors working in Army hospitals throughout the United States. This has been very beneficial in that they have paved the way for acupuncturists as well to work in military hospitals. And because of our predecessors, I have been fortunate to have met many different CAM practitioners at Ft. Bliss. So far, we have a reiki practitioner, a naturopathic physician, a chiropractor, massage therapists, movement therapists (yoga, tai-chi), and art therapists all working towards a common goal.

QUR: You currently work on PTSD patients at Fort Bliss in El Paso, Texas. What percentage of soldiers experiencing PTSD return to the front? What complications present themselves in your treatments?

JC: In our program, we have been able to return 66% of the soldiers back to their duties. The complications that tend to hinder our treatments hinge on compliance. If we cannot get the soldiers to adhere to our program, we will not get the results. Some of the complications include soldiers dropping out of our program due to relocation and physical conditions that limit a soldier’s participation in the program (i.e., traumatic brain injury, or shrapnel that causes severe pain).

QUR: Do the soldiers respond well to the prospect of having acupuncture treatment? That is to say, do you encounter barriers to treatment among them?

JC: One of the keys to success in the treatment of soldiers is that they just want someone to help them. If you show them that you are there to help get them better, you have opened up trust and future dialog with the soldier as a patient. That is the key.

QUR: You mentioned that there are 15,000 soldiers who have already been screened to qualify for PTSD treatment at Fort Hood—the largest army base in the U.S. That’s a huge number of prospective treatments! Will you be recruiting other practitioners to help treat them?

JC: Well, so far I will be the only acupuncturist to be working at Ft. Hood. So I have a lot of work ahead of me. I am trying to not look at the numbers, but instead, I am looking at standard acupuncture treatment protocols that I have used for my patients instead of the customized approach that is common in TCM. By using a standard protocol, I can cut down on the time spent on TCM diagnostics (i.e., differentiation of syndromes, tongue & pulse diagnosis) and get straight into the treatments themselves.

QUR: Please describe the forthcoming project Med-National has on the horizon for inmates in Washington D.C. How do you see that medical model working? Do you anticipate that the inmate population will have similar needs to soldiers?

JC: Right now, we’re working on a contract for a re-entry and sanctioned facility for inmates who are on parole. This will be a pain management position for an acupuncturist. I believe this particular population is similar to the military population in that you do not have enough healthcare professionals to take care of the needs of both of these populations. In addition, the cost for medical care is rising each and every year. So from an economic perspective, it is more economical to incorporate acupuncture as a treatment modality not only for pain but for depression and anxiety as well.

QUR: Based on what you have reported, it seems like the federal government may be able to save substantial amounts of money compared to conventional medical care. Where can our membership read more about this and get those numbers?

JC: In a study by The RAND Corporation titled “The Invisible Wounds of War,” researchers estimate that PTSD and depression among returning service members will cost the nation as much as $6.2 billion in the two years following deployment -- an amount that includes both direct medical care and costs for lost productivity and suicide. For a typical service person returning from Iraq or Afghanistan (an E-5 with 5 to 7 years of service), baseline scenario predicts that two year post-deployment costs range from $5,635 to $13,935 for PTSD. Therefore, investing in more high-quality treatment could save close to $2 billion within two years by substantially reducing those indirect costs (lost productivity and suicide. This study can be found at www.rand.org)

QUR: Do you think VA hospitals in the future will have AOM practitioners employed to the same degree they have chiropractors now? Where is this trend heading?

JC: So far, the trend looks more and more towards integrative medicine. Through the funding of research by the Department of Defense and the National Center for Complementary and Alternative Medicine (NCCAM), there are numerous studies that show significant benefits in acupuncture. I believe in a year to four years, there is a good possibility that an acupuncturist will be employed in VA hospitals throughout the United States.

QUR: Can AAAOM members contact you if they wish to participate in the programs you are pioneering? How should interested practitioners get in touch with you?

JC: AAAOM members can contact me via email at . I will be happy to answer any questions on the programs that we are starting up.

AUTHOR INFORMATION
Joe C. Chang, MAOM, DiplOM, LAc, is a second-generation acupuncturist. Currently, he is working as an acupuncturist at the Ft. Bliss Restoration & Resilience Center, Ft. Bliss, TX. This center is a two-year pilot program that provides an integrated approach in the treatment of post-deployment soldiers who are diagnosed with posttraumatic stress disorder (PTSD). He is the first acupuncturist in the United States to be selected for this program. His successes as an acupuncturist at the Ft. Bliss Restoration & Resilience Center- William Beaumont Army Medical Center led to the integration of acupuncture as a treatment modality for PTSD at the Ft. Hood Restoration & Resilience Center at Carl R. Darnall Army Medical Center. He is an invited speaker at the upcoming American Association of Acupuncture and Oriental Medicine’s International Conference. He has co-authored for Occupational Therapy International and Medical Acupuncture, and he is a member of the Military Acupuncture Society for Military Physicians.


First Professional Doctorate Survey

The AAAOM is gathering information from the AAAOM membership to assess opinion on the First Professional Doctorate issue.

An explanation of the general terms involved and the accompanying survey have already been sent to the membership, via an action alert on November 21, 2008. If you have not already participated in this survey, please do so now. Responses are due on December 31st, so we request your immediate attention to this process.
http://www.aaaomonline.org/pressroom.asp?pagenumber=48280


Links

Here are some links to interesting AOM articles gleaned from the internet.

Acupressure helps calm anxious children right before they get anesthesia for surgery, without the nausea and other side-effects caused by sedatives, U.S. researchers reported on Tuesday. Taping an acupressure bead between the eyebrows reduced anxiety noticeably in the children, compared to a similar sham treatment, Dr. Zeev Kain of the University of California Irvine and colleagues reported.
www.reuters.com


The results of a study conducted at Henry Ford Hospital in Detroit suggested that acupuncture controlled hot flashes as effectively as venlafaxine (Effexor) while also providing additional benefits to patients on anti-estrogen treatment for breast cancer.
www.endocrinetoday.com


Acupuncture Websites Made Easy: If you’re like many acupuncturists, you want to set up a website, but you don’t want the hassle or expense. We get around this by providing you with pre-written pages. All the pages about conditions, FAQ, clinic information, etc. are created for you. You can always change any page to exactly the way YOU want it. It’s almost as easy as sending an email.
www.acupunctureclinicwebsites.com


With recent research on radiation therapy and breast cancer in the news, many questions are being raised about complementary approaches decreasing toxicity and increasing effectiveness. Two well-researched and safe complementary approaches to radiation are acupuncture and mineral water (both drinking and immersion).
www.democratandchronicle.com


Researchers at the University of Washington have updated a traditional Chinese medicine to create a compound that is more than 1,200 times more specific in killing certain kinds of cancer cells than currently available drugs, heralding the possibility of a more effective chemotherapy drug with minimal side effects.
www.sciencedaily.com


Treating Addiction with Acupuncture
www.nbc29.com


On a campus bustling with pre-med students toting cumbersome chemistry textbooks and complaining about single-digit medical school acceptance rates, a number of students are trying to infuse their studies with an alternative - alternative medicine, that is.

Introduction to Traditional Chinese Medicine is one of the largest Group Independent Study Projects Brown University has ever approved, according to the GISP's student organizer, Kevin Liou '10. The group numbers 17 registered students and several non-registered students, each of whom represents a different background and set of interests.
media.www.browndailyherald.com


Could an herbal therapy that's been used for centuries in Chinese medicine to strengthen the immune system (Astragalus, huang qi ) hold the key to an effective treatment for Acquired Immune Deficiency Syndrome, better known as AIDS? A new study by scientists at the UCLA AIDS Institute says that's possible.
www.naturalnews.com



www.newscientist.com


ABA Washington Raptors President/Gam Tim Joseph is enthused to announced Team Acupuncturist, Nancy Goodwin, owner of the Sun & Moon Acupuncture Clinic in Longview, WA. Ms. Goodwin received her Master's Degree in Acupuncture and Oriental Medicine from the Oregon College of Oriental Medicine in Portland, OR. She has a BA in Elementary Education from Western Oregon State College; Certificates from the Academy of Myotherapy and Physical Fitness in Lenox, MA and a Certificate from East-West College of the Healing Arts in Portland, OR in Massage Therapy.
www.oursportscentral.com


BMC Complementary and Alternative Medicine is an open access journal publishing original peer-reviewed research articles in complementary and alternative healthcare interventions, with a specific emphasis on those that elucidate biological mechanisms of action. BMC Complementary and Alternative Medicine (ISSN 1472-6882) is indexed/tracked/covered by PubMed, MEDLINE, CAS, Scopus, EMBASE and Google Scholar.
www.biomedcentral.com




Continuing Education and Events

Research Education Project at Northwestern Health Sciences University Aims to Improve the Practice of Complementary and Alternative Medicine

BLOOMINGTON, Minn. –Northwestern Health Sciences University is in the midst of a groundbreaking research education project focused on integrating research into the practice of complementary and alternative medicine (CAM). The project is being funded by a major grant from the National Institutes of Health’s National Center for Complementary and Alternative Medicine (NCCAM). The grant, totaling more than $750,000, will be awarded over a period of four to five years.

The project is a collaborative effort between Northwestern and the University of Minnesota. Roni Evans, DC, MS, dean of research at Northwestern’s Wolfe-Harris Center for Clinical Studies, and Mary Jo Kreitzer, PhD, RN, Director of the Center for Spirituality and Healing at the University of Minnesota, are leading the project.

The broad objective of the CAM Education project is to facilitate “Evidence Informed Practice” (EIP) among CAM practitioners. Northwestern didn’t coin the phrase Evidence Informed Practice, but it is unique among other CAM education institutions in focusing on EIP. Other institutions teach an “Evidence Based Medicine” approach, which relies heavily on research evidence to inform clinical practice. In the EIP model, all forms of evidence matter, not just research.

“The EIP approach is very broad in scope, and considers all forms of ‘evidence’ as important in informing health care,” emphasizes Dr. Evans. This includes the clinician’s own experience, the historical experience of a profession, clinical findings, patient preferences, and research. Importantly, research is viewed as a resource, and is only one piece of the clinical puzzle. “Our approach stresses the importance of the clinician practicing his or her ‘art’ where all of these pieces are skillfully brought together to provide the appropriate care to the patient,” Dr. Evans says.

Northwestern has long demonstrated a strong commitment to research, but this project takes a first step toward integrating research into the academic programs at Northwestern and adds a stronger emphasis on critical thinking into the educational and clinical programs.

The scope of the project includes:

Who benefits from a project of this magnitude? The changes generated by the project will impact Northwestern students, faculty and practitioners, but patients will receive the biggest benefit. “The patient is really at the center of Evidence Informed Practice. They are the ones who ultimately benefit from a clinician who effectively balances the different types of information that must be taken into account in clinical decision making,” states Dr. Evans.

During the first year, work on the project included building strong institutional commitment and participation; evaluating and analyzing the competencies, needs and skills, and potential barriers for faculty and students; creating plans and timelines for foundational course development; and securing approval for a second year of funding.

Next steps will focus on re-designing existing research-related courses to include tools to help students use research in clinical practice, and adding a critical thinking component to courses throughout the curriculum. Faculty development is already in progress, with opportunities for professional development related to teaching research-related coursework and critical thinking, and to provide tools and resources to help faculty efficiently find and use research in the classroom and in clinical practice. Additionally, online learning opportunities will be created for practitioners in the field to learn more about Evidence Informed Practice.

According to Dr. Evans, there is still much to accomplish in the relatively short time period established by the funding, but she expects the rewards to be great. “It’s been rewarding to experience the collaboration between faculty and students across programs toward the common goal of integrating critical thinking and research evidence into education. I believe this is going to distinguish Northwestern Health Sciences University as a leader in CAM education and in the health care marketplace.”

Northwestern Health Sciences University offers a wide array of choices in natural health care education including chiropractic, Oriental medicine, acupuncture, therapeutic massage and human biology. The University has nearly 900 students on a 25-acre campus in Bloomington, Minnesota.


Free Teleclass Wednesday December 10, 2008 at 5 PM Pacific Time

An Introduction to Ramp Your Practice in 90 Days for practitioners ready to grow their practice to the next level is being offered by Nina Price, MBA, L.Ac., CPCC. Nina is a practice building coach and Licensed Acupuncturist who helps holistic practitioners become more effective in marketing their practices.

This teleclass is an introduction to a 12 week teleseminar which will help both new practitioners and seasoned veterans develop or improve their marketing plan, create new and interesting content, and to actively grow their practices.

For more details and to register for the free teleclass see:
www.rampyourpractice.info

For more details about the 12 week teleseminar:
www.rampyourpractice.info/register.html

For more information about Nina Price:
www.ninaprice.com


AAAOM Student Organization

An Eye-Opening Conference!

By Elisa Behnk, AAAOM-SO Vice President of Communications

Attending the AAAOM conference in October opened my eyes to the incredible variety of benefits AAAOM provides to me as a student. My “Top 5,” are:

1. A focus on students! I was amazed that a large portion of the AAAOM membership is comprised of students, largely due to increased efforts over the past year to develop more awareness about AAAOM among acupuncture and TCM schools across the country. At the conference I found that—specifically for students—AAAOM:

2. Relationships. AAAOM brings students and practitioners together in the same forum in a way we could never achieve independently.

In one conference session the practitioner sitting next to me was very helpful in defining and spelling Chinese terms for me. Turns out it was Acupuncture Desk Reference author David J. Kuoch. What a great introduction to two helpful resources! David, by the way, visited the Student Caucus on Saturday and donated to the student raffle a number of copies of his newly published Volume II.

The Student Caucus was itself a tremendous resource to the nearly 120 students attending the conference. Astute leadership insisted that we switch our seating at the catered lunch so that we could meet someone new from another school. Well, it worked! Now National University of Health Sciences is on my radar in a way it could not have been otherwise, and I have new collegial connections in Chicago.

At one of the gatherings, a colleague of mine told me that she met a practitioner from her town looking to expand his practice. She told me that traveling halfway across the country she found easily what she wouldn’t have discovered by staying home—an opportunity to join a practice when she graduates this spring!

3. Access to "the greats" from many different traditions. AAAOM is an open forum for our many varied healing traditions, which ultimately benefits all of our patients.

This year, Judy Worsley from the Worsley Institute, presented an extensive pre-conference session on Five Element Acupuncture theory and practice. The next day, Dr. Josephine Briggs, Director of NIH's National Center for Complementary and Alternative Medicine (NCCAM), revealed how the agency is keenly focused on the question of research in our field. After noting some significant statistics*, she announced that an acupuncturist is being named to the NCCAM board (we’re holding our breath for details!). The following day distinguished Georgetown professor and Washington litigator Sherman Cohn, Esq. traced the history of acupuncture in America from its earliest days through modern practice. His keynote speech at the banquet topped off an already engaging conversation around my table among professionals and students from California, Massachusetts, and Washington, D.C. about the joys and challenges of moving to a new town and cultivating a client base.

4. Thinking ahead … setting up a practice. Even though setting up my practice is over a year and a half down the road for me, I’m beginning to realize it is not too early to start thinking as a professional. At the conference I was able to attend sessions focused on practice-building, seminars on various diagnostic and treatment techniques, and I visited exhibitor booths where I picked up “painless needles,” herbal samples, reference tools, and information on practice-management software.

5. Thinking bigger … our role in the national health care discussion. The way I will be able to practice AOM when I graduate is largely a function of the policies and regulations governing health care practices.

AAAOM legal counsel Michael Taromina spoke about the challenges we now face, such as retaining access to herbs and demonstrating AOM safety. He hammered home the imperative to “show up at the table” in Washington, D.C., where health care policy is being made, particularly now, when a new president and his administration are building a platform for health that will soon impact the way we practice.

AAAOM’s Political Action Committee — which has demonstrated great success on the state level — is poised to act nationally and needs our support. I am committing to support the PAC by contributing $10 per month to help establish our collective voice on Capitol Hill. I’m asking you to join me and do the same. It’s easy… Visit the Political Action Fund site to make your monthly contribution and to learn more about how it can ultimately help you transition from student to practicing professional.

So, this is my list of “Top 5” AAAOM benefits. If you attended the conference, I am curious to know what kinds of things spoke to you? What do you know now that you didn’t before? And what would you like to see at AAAOM conferences in the future? feedback form here I look forward to hearing what’s on your mind!

My email address is behnk@mac.com.


*Dr. Briggs also cited research statistics revealing that 3.1 million Americans used acupuncture during 2007, up nearly 50% from the Center’s prior survey in 2002. Acupuncture is the ninth most common complementary and alternative medicine (CAM) modality used by Americans after supplements, meditation, chiropractic and several other modalities.


Post-traumatic Stress Disorder (PTSD):
The Disorder, Its Diagnosis and Treatment

Jim Pastore, Tai Sophia Institute
Master of Acupuncture Student (September 06)
Clinical Sciences & Practice

ABSTRACT: Post–traumatic stress disorder (PTSD) is a common, disabling psychiatric condition affecting those who have experienced highly-threatening traumatic events. Estimates suggest that 8-10% of the U.S. population will develop PTSD at some point in their lives. Ninety percent of the U.S. population is believed to have experienced trauma severe enough to produce PTSD, and, yet, approximately one-quarter of traumatized individuals are believed to suffer from PTSD. The reason some individuals succumb to PTSD and many others do not is the ongoing subject of research.

The signature symptom of PTSD is an uncontrollable re-experiencing of the traumatic event, such as a flashback experience, accompanied by feelings of intense fear, helplessness and horror. Evidence shows that individuals suffering from PTSD experience a wide range of comorbid conditions, which adds to the disabling nature of the disorder and restricts the effectiveness of treatment. The preferred treatment “package” combines cognitive-behavioral psychotherapy, selective serotonin reuptake inhibitor medication and anxiety management training. Evidence indicates that approximately one-third of individuals treated for PTSD continue to show weekly symptoms one year after the traumatic event. Unfortunately, the majority of those suffering from PTSD do not even seek treatment. This is due, in part, to the disorder’s symptomatic “avoidance” of unsettling situations, in part to the unavailability of treatment in many places, and, in part, to stigmas associated with seeking help for dealing with psychiatric disorders, particularly among certain heavily impacted populations, such as combat troops, women who have suffered physical attacks, and poor, low-income males.

Research continues to look at the epidemiology of the disorder, its biology and the relative effectiveness of different treatment types, including variations in psychotherapy, medications and acupuncture. One recent example is the question: Why have U.S. military personnel serving in the current fighting in Iraq shown a higher prevalence of PTSD than the rest of the general population, and even greater PTSD-prevalence than troops fighting in the concurrent conflict in Afghanistan?

Link to complete paper. (PDF, 100KB)


Products, Services, and Member Savings

Dear Prospective Advertiser:

Investing your advertising dollars in The American Acupuncturist and the Qi-Unity Report makes good sense for so many reasons:

Join our current advertisers to infuse growth into the field your products and services benefit. The reunified organizational force behind the AAAOM means more power toward serving the growth of alternative medicine.

With so much to gain, what better time is there to advertise in The American Acupuncturist and the Qi-Unity Report? Please contact me to learn more at (866) 455-7999.

Yours in Health,

Douglas Newton
Manager, Program Development and Business Services, AAAOM
866-455-7999
916-443-4766 (fax)
info@aaaomonline.org

ENCLS: AA/QUR Ad Card (PDF); Adv. Contract (PDF)


In closing,

As always, your feedback serves as a useful lens through which we may look at how well we are serving our members. Please take a moment to express your thoughts to us.

General Feedback

In Health,


Rebekah Christensen,
Executive Director

Douglas Newton,
Managing Editor