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FAN Arthur Yin (1,2), XU Jun (1,3), and LI Yong-ming (1,3)
©The Chinese Journal of Integrated Traditional and Western Medicine Press and Springer-Verlag Berlin Heidelberg 2016
1. American Alliance for Professional Acupuncture Safety, Greenwich, Connecticut (06878), U.S.A.; 2. American Traditional Chinese Medicine Association, Vienna, Virginia (22182), U.S.A.;
3. American Acupuncture Association of Greater New York, New York (10016), U.S.A
Correspondence to: Dr. FAN Arthur Yin, Tel: 1-703-499-4428, E-mail: ArthurFan@ChineseMedicineDoctor.US
DOI: 10.1007/s11655-016-2630-y

ABSTRACT In the last twenty years, in the United States and other Western countries, dry needling (DN) became a hot and debatable topic, not only in academic but also in legal fields. This White Paper is to provide the authoritative information of DN versus acupuncture to academic scholars, healthcare professional administrators, lawmakers, and the general public through providing the authoritative evidence and experts’ opinions regarding critical issues of DN versus acupuncture, and then reach consensus. DN is the use of dry needles alone, either solid filiform acupuncture needles or hollow-core hypodermic needles, to insert into the body for the treatment of muscle pain and related myofascial pain syndrome. DN is sometimes also known as intramuscular stimulation, trigger points (TrP) acupuncture, TrP DN, myofascial TrP DN, or biomedical acupuncture. In Western countries, DN is a form of simplififi ed acupuncture using biomedical language in treating myofascial pain, a contemporary development of a portion of Ashi point acupuncture from Chinese acupuncture. It seeks to redefifi ne acupuncture by reframing its theoretical principles in a Western manner. DN-like needling with fifi liform needles have been widely used in Chinese acupuncture practice over the past 2,000 years, and
with hypodermic needles has been used in China in acupuncture practice for at least 72 years. In Eastern countries, such as China, since late of 1800s or earlier, DN is a common name of acupuncture among acupuncturists and the general public, which has a broader scope of indications, not limited to treating the myofascial pain.
KEYWORDS dry needling, acupuncture, biomedical acupuncture, authoritative evidence, experts’ opinions, consensus

dry-needling-facts-aapas-white-paper-1-online-122016

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[Information in 2006]

-What are the requirements to become an Acupuncturist?

The requirements to practice acupuncture are determined by each individual state and vary according to the different states.  In most states across the country the requirement is graduation from an accredited school of acupuncture and successfully passing the national certification examination (NCCAOM).

There are more than 50 schools of acupuncture accredited in the United States.  Accreditation is done by the Accreditation Commission for Acupuncture and Oriental Medicine (ACAOM) which is recognized for this purpose by the U.S. Department of Education.  To be accredited, a school must meet a number of standards for facilities, faculty and program.  The degree program is at the Master’s level or higher and typically includes more than 3,000 hours of instruction and supervised clinical practice.  It takes approximately three years to earn the degree.  For most schools, a bachelor’s degree and proficiency in English language is required.  Information about ACAOM and a list of schools can be found at www.acaom.org.  A few states, including
California, do their own accrediting of schools and may recognize schools within and outside of the boundaries of the state.

-Which certification are needed?

For most states, certification involves passing the certification examination of the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM). This examination is offered several times each year at different locations around the country(now using computer testing method).  To be eligible to take the examination, a candidate must have graduated from an accredited school of acupuncture.  To maintain certification through a career, an acupuncturist may be required to participate in Continuing Education courses approved by the NCCAOM and submitted to them every two years. Some states, notably California, operate their own certification system and examination and do not use the NCCAOM. Information about certification may be found at www.nccaom.org.

-Which licenses are needed?

Licensing requirements vary widely from state to state for acupuncturists.  In addition, many states permit other health professionals to practice acupuncture under different rules.

Physicians are often permitted to practice acupuncture with little or no additional training.  In some states physicians, chiropractors,naturopaths, and other healthcare professionals may be allowed to practice acupuncture with as little as 100 to 300 hours of instruction.  National organizations like the AOMAlliance (www.aomalliance.org, now AAAOM)  encourage the public to seek out the help of fully trained acupuncturists, usually designated by the letters L.Ac.(Licensed Acupuncturist) following their names.  These are the professionals with the most complete education and training in the field of acupuncture.

-What are the typical starting salaries?

Most acupuncturists do not receive salaries, but work to develop a private practice.  The financial rewards of these practices vary widely with experience, entrepreneurial ability, location, and a host of other factors.  In general, many brand new acupuncturists find the first few years to be financially challenging.  A well established
practice will ultimately yield a comfortable living for a family,ranging from $30,000 per year up.  The most successful acupuncturists may make up to ten times that amount.

More and more acupuncturists are joining integrated medical establishments such as hospitals, larger clinics, etc.  These practitioners often receive salaries and are typically compensated similarly to the higher end technical people or at the lower end of the scale for physicians.

-Are there major salary differences between various US states?

The economics of acupuncture mirror the economy of the nation, with the largest financial rewards coming on the coasts and in urban and suburban areas.  Nearly half of the acupuncturists in the United States are found in California.  The most lucrative practices are found there and in the northeastern U.S.

-What is the typical salary at age 40?

For many practitioners, acupuncture is a second career.  Many do not begin practice until after the age of 40.  For those who move straight from college to acupuncture school and then into practice, the age of 40 will have seen them in practice for about 15 years.  Acupuncturists who have remained in practice for 15 years (regardless of age) fall into the category of well-established practices that usually yield $30,000 annually or more.

– How long does it take for the practice to be established?

Most new practitioners find the first three to five years to be the most difficult.  We find that success is usually established by the fifth year, if not sooner.

-How many clients are expected per day?

There are several different practice methods for acupuncturists.  Some choose to operate much like consulting physicians, dealing with a single patient at a time.  Typically they charge higher fees per patient and see four or five patients a day.  Others operate more like clinics, with two or three practice rooms working together.  Their fees may be less and they may see eight to twelve patients daily. Some acupuncturists practice community-style acupuncture and treat patients in groups.  The largest of these clinics may see more than 50 patients every day.

-What are the opportunities for career progression?

Career progression opportunities in acupuncture are closely related to the notion that most practitioners are in private practice. Successful practitioners often find their practices expanding beyond their own ability to serve them.  They may bring in additional acupuncturists, or add other professionals such as massage therapists
or Chinese herbalists to provide a wider range of services.  They often receive invitations to assist in other medical establishments. The very best find their way into the schools as teachers.

– How much demand for acupuncturist is there?Demand for acupuncture is growing exponentially in America.  The National Center for Complementary and Alternative Medicine (NCCAM) an arm of the National Institutes for Health, has documented the ever-growing number of Americans seeking assistance from all forms of complementary medicine, including acupuncture.  At present, nearly 50% of the population routinely turns to one form of complementary medicine or another.  While the number is smaller for acupuncture, there are still an estimated 3 million active or former acupuncture patients.

 – Will the demand grow in the future?

Federal labor needs statistics have estimated the need for acupuncturists at nearly  100 thousand within the next ten years.  Our current educational system will not be able to create that many, but they will find themselves increasingly in demand year by year. Prospects for a career in acupuncture are becoming dramatically more exciting.

– How many acupuncturists are in the US?

It depends on what you count.  Our best guess is that there are between 22,000 and 23,000 practicing acupuncturists. This includes estimates of those practicing underground in urban ethnic communities or in states where the practice is not regulated by law.  There is a like number of other practitioners who provide some acupuncture as part of other practices.  In all, we estimate that as many as 45,000 individuals offer acupuncture across the country.  Only about half of these are fully trained and licensed.

-How many there will be in the next 10 years?

We anticipate that the number of licensed acupuncturists will double over the next ten years.

How do you see the trend in acupuncture in the next 10 years?

It is becoming increasingly clear that the American healthcare delivery system is in transition.  As traditional Western medicine becomes more expensive and health insurance falls out of the means of more and more people, there has begun a movement to find more cost efficient alternatives.  Acupuncture provides very effective treatment for many conditions at a fraction of the cost.  It is also part of
that complex of patient-centered approaches that focuses on wellness, rather than rescue from illness.  Most policy analysts expect all forms of complementary and alternative medicine, especially acupuncture and Oriental medicine, to gain dramatically in popularity over the next few years.  The medicine is safe, effective, less expensive, and less intrusive than modern scientific remedies relying on drugs or surgery.  Prospects for acupuncturists have never been brighter.

This article is edited by Dr. Arthur Fan, the original info is from: http://answers.google.com/answers/threadview/id/754630.html

www.ChineseMedicineDoctor.us

 
   
 
   

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