From the Vault

Here is a recycled rant (trimmed down with new comments in italics) from about a year ago that is fairly appropriate for the carnival that is the current FPD ‘debate’.  The more things change, the more things stay insane.  I had heard much talk of increased opportunities for AOM in intergrated settings and hospitals…a year ago.  Well the same crap is being slung around today to give merit to changing the entry level of AOM with the FPD.  Think Benjamin Dierauf in the AIMC thread and on the TCM Yahoo group…him and Will Morris.  Unbelievable crap speweth forth from thine odious gullets as if it were truth.  But they are used to presenting their opinions as truth. As soon as Mark Seem makes his winter break appearance, the Shenmen will really be taking off their costumes!  

They are adopting CAN strategies, sending in letters and generally attempting to organize the most apathetic profession ever conceived.  So do your part and say, “Thanks, but no thanks.” to the FPD.    —————————————————————————————————

de Qi! duh Qi!

The Integrator Blog notices Disintegrative Medicine is on the rise, Mark Seem lets the entry-level cat out of the bag…too bad it’s road kill, AAAOM provides a forum for conversation that it can’t totally control!

de Qi!…-  The Integrator Blog gets some strong de Qi for it’s analysis of a recent American Hospital Association/Health Forum survey titled i>Summary of Results of the Complementary and Alternative Medicine Survey of Hospitals, which studied the use of CAM in hospitals.  The press release for the survey cheerily reported that 37% of hospitals offered some form of CAM in 2007, up from 26% in 2005.  Awesome!  Looks like that doctorate thingy might be a good idea, right?  Well, not so fast there, CCAOM.  For one, the 2007 survey had a dismal response rate of 12%, down from 21% in 2005.   As John Weeks, the man at the Integrator calls it, “The lower response rate in 2007 (12%) as compared to 2005 (21%) creates the awkward reality that the marquis finding of an increased percentage of hospitals with some CAM (37.4% versus 26.5%) is based on responses from significantly fewer hospitals (748 in 2007 versus 1394 in 2005)…The apparently robust increase in the percentage of hospitals with some CAM (37.4% in 2007 versus 26.5% in 2005) may not be real.”

True enough, one would think that the hospitals with CAM would actually bother to respond to the survey.  Second, while the report finds that acupuncture, as well as the other top three out-patient modalities are actually in decline, with a slight increase in acupuncture in the in-patient setting being observed, only 11% of participating hospitals that do not offer CAM are planning to begin to offer any CAM by an average of 18 months from the late 2007 date of the survey. CAM is only in the strategic plan of 50% of those hospitals actually offering it and 70% of the CAM programs don’t have a strategic plan themselves.  Someone needle Liver 3 quick!  We’ve got a vision problem!

Some more key findings:  55% of hospitals discontinued CAM for poor financial performance, 40% for re-prioritized hospital initiatives and 35% for lack of community interest.  56% of hospitals offering CAM don’t expect the program to break even.  Um, that’s a problem.  In the age of evidence-based medicine, where is the evidence that acupuncture is actually wanted in hospitals or other western-based integrative care facilities?  Or that it is cost effective?  It sure aint here.  I haven’t seen one single shred of evidence that acupuncture is actually in demand at western medical settings outside of the cluck-clucking of school owners and representatives of credentialing agencies.  Yet, we are told that we must continue to increase and modify competencies to satisfy the needs of an industry that doesn’t want or need AOM, not on any appreciable scale that is.  Would anyone like to dispute this survey?  I know, I know.  Change is a comin’ and I’m caught in the past rather than looking to the future.  

duh Qi
…- Mark Seem…the pulse is slippery with this one.  His article in Acupuncture Yesterdaygets some big drooling duh Qi here.  First question, Mark:  Have you already integrated the core competencies you mention in your advertisement, um, I mean article, as well as critical thinking skills and information literacy into the curriculum at your school, the Tri-State College of Acupuncture?  Yes?  If so, and it can be done in a masters level education, why is a first professional doctorate needed? Is it “…to enable graduates to also practice in other health care systems like hospital-based practices and integrative multidisciplinary settings.”?  Please refer to the above survey before you sling that crap my way.  As for “Biomedical Competencies: The Big Difference” I offer the same critique. CAM is trending way down, not up.  Pet therapy beats acupuncture 46% to 18% as an in-patient modality in hospitals.  That cat is certainly out of the bag too, dude.  And it’s got rabies.  Maybe we ought to put it down.  Actually, considering that information, you’d probably have an easier time convincing me that we should legislate to make cats a medical device and lobby for a first professional doctorate in Cat Petting.  We could make it more professional sounding.  How about Service Cat Rubbing Energy Worker?  I’d definitely go to school at SCREW U.   I just can’t shake the feeling that the FPD is an attempt to screw me. 

Acupuncture jobs are not on the horizon in hospital-based practices and integrative multidisciplinary settings and I ask, no, I beg you sir, pleeease show me any evidence to the contrary.  Not something related to a school like an externship either.  And stop with the crap about competencies from the Institute of Medicine. That goes for all of you school types.  Give us real evidence that would justify “a little prod from AOM practitioners to offer sufficient evidence of consensus to ACAOM for renewal of its review and finalization of standards for a first-professional doctorate in acupuncture and in Oriental medicine.”  Until then it’s all duh Qi.

(note: “sufficient evidence of consensus” for ACAOM was the AAAOM survey results and a Tri-State College of Acupuncture alumni survey.  These findings lead ACAOM to issue their second resolution on the doctorate at their 2009 summer meeting.  CAN opinion was not considered by ACAOM, in spite of griping by Seem and others that it was largely the “small yet vocal minority” that is CAN that torpedoed the process the first time.  fishy? hmmm……..)

de Qi!…-  AAAOM-  Huh?!?!  de Qi for the fake face of the profession, knee biters of the establishment, the tail that wags the dog, the hand in the shell game?  Well, they get some de Qi with their forum, specifically the doctorate dialogue.  Yeah, I am obsessed with the doctorate.  

That forum was a freakin’ morgue until CAN showed up to play and it still is outside of that particular discussion area.  Hmm, why is that?  It’s because the acupuncture professional “community”, well…it just doesn’t exist. It’s not a community in any real sense.  It’s more a lonely conglomeration of isolated individuals. That’s why CEU classes feel like group.  “Hi.  My name is the Zang Fool and I am a lonely acupuncturist.”  “Hi, the Zang Fool!”  It’s like Mad Max out there.  The first one that is, not the one with Tina Turner.  Hell, I bet most practitioners would kill for the sense of community they had in Bartertown.  Considering that most acupuncturists have to trade with each other for treatment, I guess it is kind of like Bartertown too.  But it is still fun to watch the conversation.  I just love big words and statistics, especially when the statistics are from another profession.  Of course, this dialogue is a necessary evil for the acupuncture-industrial complex “consensus” process.  Be sure to weigh in on their survey on the first professional doctorate. 

(you can actually still take this survey, though it won’t count.  and these clowns are leading the profession?  duh Qi….)

The Zang Fool
Author: The Zang Fool

<p> This is a satirical blog post by a practitioner that is serious in his attempts to both increase acupunctures accessibility to the public and challenge practitioners preconceived notions of what acupuncture is and how it functions in society. It may make you laugh, but that is just a means to an end. That end is thought and ultimately positive change. This is what all good satire does: prick, prod and provoke thought and positive change within a community. </p> <p> Satire has long been a part of muckraking and this profession is teeming with muck.  So, in the wake of the nonsense spewed from the foul anus of the Acupuncture-Industrial Complex come my musings on life, love and the proposed doctoral program. </p>

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duh Qi…de qi!

The Integrator Blog notices Disintegrative Medicine is on the rise, Mark Seem lets the entry-level cat out of the bag…too bad it’s road kill, AAAOM provides a forum for conversation that it can’t totally control and PCOM finally figures out how to separate the branch from the root…with Community-Style Acupuncture!