SF Massage Ordinance Updates

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March 11, 2004 Test Meeting

Greetings List Members,

We had a good meeting this morning with DPH about creating a test for a permit for massage practitioners that is required by the new massage ordinance.

Attending were nine people representing the AMTA, private practitioners, massage businesses, St. James Infirmary, which provides medical and social services to sex workers and their families, and three representatives from a UCSF group studying the conditions of immigrant women working in massage parlors.

DPH staff brought in copies of the current Police Department exam and asked the group to go through each question and indicate whether they thought the questions would be appropriate for the new exam.

There was an clear agreement amongh the stakeholders regarding the inappropriateness of most of the questions. The Police test, in general, was considered a test for people with far more training than 100 or 200 hours. Most of the questions dealt with detailed muscle/bone identification and muscle function.

The group suggested some categories of questions that were more relevant to 100 hours of traiing. They included:

-Practice management (including how to comply with the massage laws0
-Anatomical orientation (proximal, distal, anterior, posterior, etc)
-Gross anatomy for major muscles and bones (match the name with the muscle/bone using diagrams)
-Hygiene for client and practitioner
-Screening for contraindications
-Appropriate technique (balancing Western and Eastern questions)
-Self-Care/Body Mechanics
-First Aid
-Modality identification and their uses/intentions for appropriate referrals

Areas that were not seen as particularly needed for inclusion:
-Kinesiology (actions of muscles, insertions/origins)
-Physiology
-Pathology

The purposes of the test that were discussed were to help define a core knowledge base for new practitioners and a minimum screening mechanism to assure that practitioners had actually attended a school, rather than bought a diploma.

It turns out that the current Police test is rife with abuse, not surprising because of its level of difficulty. Candidates sitting for the test do not even have to verify their identity with a photo ID and grading is sometimes done subjectively, according to some witnesses familiar with the process.

The one gaping hole of attendence at the meeting was the lack of representation from the massage schools, which will need to prepare their students for the exam. I hope that the schools represented on this list will make every effort to make certain that their voices are included in subsequent meetings.

Finally, everyone agreed that practitioners who have already passed a national exam recognized in the industry, such as the one used used by the NCBTMB, should not have to take the local exam.

For homework, DPH asked that everyone bring to the next meeting some sample questions in each of the categories. The final test will be confidential and available only to DPH staff, but they would like to have two or more versions of the test and a pool of questions to choose from.

The next meeting will be in two weeks. When there is a date set, I will send it around. Tell your colleagues to keep informed by signing up on this informational list at http://www.sfordinance.com.

In touch,
David Palmer

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