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Defining and Advancing High Standards?

The National Certification Board for Therapeutic Massage and Bodywork has issued a press release this week regarding the "premature disclosure" of their plan to create a new membership organization.

I scooped their big announcement on my blog, but in fact, I did not publish that until I had seen a number of comments publicly made about it on Facebook. Les Sweeney, president of ABMP, has now issued a letter that has been shared on the Massage Magazine website, stating that they had received information as well.

Karen Menehan, editor in chief of Massage Magazine, added a note at the end of Sweeney's letter, stating that she was printing the letter in its entirety, as she felt the NCB's announcement had far-reaching implications on the massage profession, and also stated that she had asked the NCBTMB leadership for a response, which she would have printed in the same space, but none was forthcoming.

This brings up another important point to me. Massage & Bodywork Magazine is a competitor of Massage Magazine, just as Associated Bodywork & Professionals is a direct competitor of the American Massage Therapy Association. And yet, in Les' words: "We welcome competition and have learned through experience interacting with AMTA that we can constructively work with them on issues of common concern to the profession even while vigorously competing for members."

It seems that there are in fact a lot of issues of common concern. That's one of the main reasons the Federation of State Massage Therapy Boards was formed; not just so they could create another exam, but so the state massage boards could share information on issues of common concern. Has the NCBTMB welcomed that competition? Definitely not, even though there is a statement on the Federation's website acknowledging the place and value of certification and stating it is the hope of the FSMTB that the NCBTMB will support them.

"Collaborative competition" is a term I have used many times. It's a healthy way to do business. Can you and I file a lawsuit whenever another massage therapist sets up shop down the street? No, we can't. We can refuse to speak to that competitor, if we chance to meet them at the grocery store or in a continuing education class, but what will that help? Nothing at all.

I also wonder, as this new NCBTMB initiative is launched, about the status of other projects that are supposed to be in the works, such as the national practitioner database, and the offering of advanced certifications. I don't think there's been a press release from the NCBTMB about the practitioner database since 2007.

This will be interesting to watch as it unfolds. The stated mission of the NCBTMB is supposed to be "to define and advance the highest standards in the massage therapy and bodywork profession." I'm not sure that this latest action meets the definition of defining and advancing high standards, but I welcome arguments to the contrary. I guess it's all in the interpretation.

Peace & Prosperity,
Laura Allen

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Comment by Keith Eric Grant on July 19, 2009 at 4:11pm
Going back up to Jan's comment on 6 July, I have long had (and vocally shared) a concern that a small board of persons lacking any direct line of public accountability and public meeting and review guarantees should be "defining" standards. The purpose of a certification organization should be to determine the needed knowledge, skills, and abilities for a set of job activities derived from job surveys and to create a measurement instrument to assess their attainment. In many ways, the definition of "defining" itself has led the NCBTMB off of an appropriate track.

I also have long held that there is a difference between "requirements" (e.g. hours) and "standards" (levels of expected performance for specific competencies). A requirement is basically the demonstration of gluteal seat hours in some classroom. A standard is an expected level of performance on expected tasks. It seems that the massage profession has long confused the two.
Comment by Ariana Vincent, LMT, MTI, BCTMB on July 6, 2009 at 3:55pm
Thank you very much for the press release, Laura.
Comment by Laura Allen on July 6, 2009 at 3:44pm
Here is the press release, Ariana:

This week an important NCBTMB initiative was prematurely disclosed – an affiliate relationship that will result in extensive new benefits for our certificants and all practitioners. Acutely aware of the financial pressures generated by the current economic climate, NCBTMB has long been concerned that no effort on a national scale exists to address the high costs incurred by massage therapists in their personal and professional lives.

"As a result, the USA Massage Resource Alliance
(usaMRA), a nonprofit organization, will soon debut across the country in support of massage therapists everywhere. It will provide low-cost products and services meant to ease the effects of a tough economy, featuring free enrollment for all NCBTMB certificants in good standing. There will also be an affordable option for non-certificants.

"usaMRA benefits will include a comprehensive liability insurance product that will be available to all 91,000 certificants and offered to all NCBTMB assigned schools across the United States. The malpractice insurance will be administered by an experienced, longstanding leader in the industry … usaMRA and NCBTMB look forward to providing more detailed information in the weeks ahead, and are excited to be able to help improve the quality of life of those who work so hard to touch the lives of others."
Comment by Jan Schwartz on July 6, 2009 at 2:07pm
The stated mission of the NCBTMB is supposed to be "to define and advance the highest standards in the massage therapy and bodywork profession." It's my understanding that the profession defines its educational standards, not one organization. And, how does one advance the highest standards when there are many schools, and an increasing number of states, that have higher entry level standards than "the highest standards"?
Comment by Ariana Vincent, LMT, MTI, BCTMB on July 6, 2009 at 1:17pm
You wrote: The National Certification Board for Therapeutic Massage and Bodywork has issued a press release this week regarding the "premature disclosure" of their plan to create a new membership organization.

I'd be interested in reading the NCBTMB press release you mentioned in your blog.

The press release evidentially wasn't sent to NCBTMB providers or practitioners.

I did receive the following from Les Sweeny of ABMP.

NCBTMB Launching Massage Membership Organization?
posted:6/30/2009

According to massage industry leaders, the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) is launching a membership organization that will offer members insurance with the intention to "strengthen the value of NCBTMB."

The NCBTMB administers national certification exams that were used by virtually all states that regulate massage; in the past three years, however, a new organization, the Federation of State Massage Therapy Boards, has seen its exam increasingly implemented in regulating states.

A letter sent to the NCBTMB's board members and provided to MASSAGE Magazine on condition of anonymity on July 1 named the new association as the usaMassageResourceAssociation and noted, "When it launches, usamra.org will automatically be the largest massage association in the country by some 91,000 members."

A statement sent to members of the nation's largest massage association, Associated Bodywork & Massage Professionals (ABMP) by ABMP and provided to MASSAGE Magazine on June 30 by ABMP stated:

"ABMP recently learned of the proposed launch of the USA Massage Resource Association (USAMRA), a membership association created by the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB).

According to a memo to the NCBTMB Board of Directors, it is NCBTMB's intent to enter the association marketplace and offer "a robust membership package including insurance and much more-all designed to strengthen the value of NCBTMB by virtue of its relationship with usamra.org."

We want to share our perspectives on this development and take the opportunity to restate our commitment to you and to the massage and bodywork profession.

ABMP feels it is entirely within NCBTMB's prerogative to try to
find an audience for a new membership association. We are firm believers
that any group or entity has the right to compete in the marketplace. After
all, ABMP was in a similar position in 1987, when AMTA was the only
professional membership organization then serving the field.

That does not mean, however, that we think NCBTMB's decision to
form an association is in its best interest as an organization, or that
their doing so will benefit the profession. Birthed by AMTA 18 years ago,
NCBTMB was created for the purpose of offering voluntary certification to
massage therapists who subscribed to and met high standards of preparation,
knowledge, and ethics. Seduced by the attraction of multiplying
significantly the number of individuals taking an examination NCBTMB
developed, NCBTMB moved into a vacuum, encouraging states to adopt their National Certification Exam for use as a required entrance exam into the
profession, even though their exam had not been designed for that purpose.

Within the past three years, a new organization-the Federation of State
Massage Therapy Boards-emerged (with an initial loan from ABMP) and
developed the MBLEx, a true entrance examination that quickly garnered the
support of both ABMP and AMTA as the entry exam of choice for our
profession.

Both ABMP and AMTA have publicly expressed support for the value of voluntary certification and have encouraged NCBTMB to re-concentrate its energies on serving that original purpose. NCBTMB has resisted that advice, instead aggressively litigating and lobbying to retain a place in entry-level testing and now seeking a new mission to provide professional association services.

While defending NCBTMB's right to try such a new initiative, ABMP believes that NCBTMB has not earned the right to merit your professional membership affiliation. At the core, what should an effective professional membership association provide its members? You have told us:

a.. quickly responsive, knowledgeable service to all
constituents, whether your request for help is simple or complex;
b.. practice development assistance;
c.. first-rate communications, in print and online, to keep
you abreast of new developments in massage knowledge; and
d.. comprehensive liability insurance protection backed by an
experienced staff present to support you should a claim be filed against
you.

NCBTMB can secure some sort of insurance, but lacks experience
in administering such a program. Their experience in providing practice
development and educational content communications is highly limited.

As to basic service responsiveness, NCBTMB's record is widely considered by the massage profession to be deplorable. Stories of no live person to answer the
phone, timely respond to an inquiry, or provide knowledgeable information
are legion. NCBTMB has changed the content of their examinations without
giving either the massage education community or state licensing boards
opportunities for meaningful input. Does this sound like an organization
with the skills to be your chosen professional membership association?

Throughout ABMP's 22-year history, our focus has been on
constantly improving the value of your membership. Liability insurance is an
integral part of ABMP membership and an important element of any massage
therapist's practice. But as we like to say at ABMP, it's only part of the
story. Membership includes an award-winning magazine, valuable publications
and business resources, a robust (and also award-winning) website,
legislative and regulatory advocacy, top-notch service, and an opportunity
to be heard. Through 1,000-plus Massage & Bodywork articles, curriculum and instructional supports for schools and students, and frequent webinars, ABMP has earned wide respect as a contributor to the advancement of massage knowledge and teaching.

Sometimes providing quality customer service is as simple as
making sure someone answers the phone. ABMP has built its reputation over 22 years-one phone call, one conversation, one member at a time. When an ABMP staff member does not immediately have an answer to your inquiry, she quickly finds out and communicates the answer to you. No bull. No
pretensions. Honest acknowledgement of what we do and don't know.

It's not generally ABMP's style to toot its own horn. Perhaps the idea of an organization with demonstrated weakness in customer relations
thinking they can better provide professional membership association services got my Irish up! We welcome competition and have learned through
experience interacting with AMTA that we can constructively work with them on issues of common concern to the profession even while vigorously
competing for members. If NCBTMB moves forward to form USAMRA, we hope to continue to support their certification and continuing education approval activities. Rest assured though: ABMP will work hard to keep you as a member and to ask you to encourage others to share your membership choice.

Thank you for listening; most importantly, thank you for your loyalty to ABMP. We intend to merit your continued support."

Regards,
Les Sweeney, NCTM
President, ABMP

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