AP Reference Guide

Reference Guide For Approved Providers
Mission: The mission of the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) is to define and advance the highest standards in the massage therapy and bodywork profession.
Version 10.1
The National Certification Examination for Therapeutic Massage and Bodywork (NCETMB) and the National Certification Examination for Therapeutic Massage (NCETM) programs are accredited by the National Commission for Certifying Agencies (NCCA).
National Certification Board for Therapeutic Massage & Bodywork Code of Ethics
(Revised October 2008)
NCBTMB certificants and applicants for certification shall act in a manner that justifies public trust and confidence, enhances the reputation of the profession, and safeguards the interest of individual clients. Certificants and applicants for certification will:
I.
Have a sincere commitment to provide the highest quality of care to those who seek their professional services. Represent their qualifications honestly, including education and professional affiliations, and provide only those services that they are qualified to perform. Accurately inform clients, other health care practitioners, and the public of the scope and limitations of their discipline. Acknowledge the limitations of and contraindications for massage and bodywork and refer clients to appropriate health professionals. Provide treatment only where there is reasonable expectation that it will be advantageous to the client. Consistently maintain and improve professional knowledge and competence, striving for professional excellence through regular assessment of personal and professional strengths and weaknesses and through continued education training. Conduct their business and professional activities with honesty and integrity, and respect the inherent worth of all persons. Refuse to unjustly discriminate against clients and/or health professionals. Safeguard the confidentiality of all client information, unless disclosure is requested by the client in writing, is medically necessary, is required by law, or necessary for the protection of the public. Respect the clients right to treatment with informed and voluntary consent. The certified practitioner will obtain and record the informed consent of the client, or clients advocate, before providing treatment. This consent may be written or verbal.
XI.
Respect the clients right to refuse, modify or terminate treatment regardless of prior consent given. Provide draping and treatment in a way that ensures the safety, comfort and privacy of the client. Exercise the right to refuse to treat any person or part of the body for just and reasonable cause. Refrain, under all circumstances, from initiating or engaging in any sexual conduct, sexual activities, or sexualizing behavior involving a client, even if the client attempts to sexualize the relationship unless a pre-existing relationship exists between an applicant or a practitioner and the client prior to the applicant or practitioner applying to be certified by NCBTMB. Avoid any interest, activity or influence which might be in conflict with the practitioners obligation to act in the best interests of the client or the profession. Respect the clients boundaries with regard to privacy, disclosure, exposure, emotional expression, beliefs and the clients reasonable expectations of professional behavior. Practitioners will respect the clients autonomy.
II.
XII. XIII. XIV.
III.
IV.
V. VI.
XV.
XVI.
VII.
VIII. IX.
XVII. Refuse any gifts or benefits that are intended to influence a referral, decision or treatment, or that are purely for personal gain and not for the good of the client. XVIII. Follow the NCBTMB Standards of Practice, this Code of Ethics, and all policies, procedures, guidelines, regulations, codes, and requirements promulgated by the National Certification Board for Therapeutic Massage and Bodywork.
X.
2009 National Certification Board for Therapeutic Massage and Bodywork. All Rights Reserved.
Reference Guide For Approved Providers Table of contents

Code of Ethics................................................................................................................................................................. 2 Tips on Getting Organized...................................................................................................................................................... 4 Pre-requisite Information........................................................................................................................................................ 5 Reference Guide: Section 1 Basic Applicant Information...................................................................7 Reference Guide: Section 2 - Administration......................................................................................9 Reference Guide: Section 3 Courses & Conference Submissions. ...................................................... 15 Part A: Conferences/Symposiums/One-day Educational Presentations ..................................................................15 Part B: Renewal Course Submissions. ......................................................................................................................... 16 Part B: Initial General Submission Directions........................................................................................................... 17 Part C: New Course Submissions................................................................................................................................ 18
Reference Guide: Section 4 Detailed Course Breakdown. ................................................................................... 20 Reference Guide: Section 5 - Distance Learning Coursework.............................................................................. 23 Reference Guide: Section 6 - Home Study Coursework.......................................................................................... 24 Reference Guide: Section 7 - Curriculum Development / Evaluation................................................................. 26 Reference Guide: Section 8 - Marketing/Promotion.......................................................................... 29 Policies. ....................................................................................................................................... 30 Appeal When an Application for Approved Provider Status has been Denied........................................................ 30 Appeal of Decisions for Complaints against an Approved Provider......................................................................... 30 Approved Provider Logo Policy.................................................................................................................................... 30 Auditing Process. ........................................................................................................................................................... 31
Standards of Practice.................................................................................................................................................. 33 Standard I: Professionalism................................................................................................................................................... 34 Standard II: Legal and Ethical Requirements..................................................................................................................... 35 Standard III: Confidentiality................................................................................................................................................. 35 Standard IV: Business Practices............................................................................................................................................ 36 Standard V: Roles and Boundaries........................................................................................................................................ 36 Standard VI: Prevention of Sexual Misconduct................................................................................................................... 37
MAIL COMPLETED APPLICATIONS (WITH PAYMENT) TO: NCBTMB Re: Approved Provider Department 1901 S. Meyers Rd., Ste. 240 Oakbrook Terrace, Illinois 60181
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Pre-requisite Information
Courses taught at least once in the last three years To be approved as a provider, an applicant should already be operational as a provider of continuing education courses and be able to meet all the criteria that the NCBTMB requires for approved providers of continuing education. Toward this end, NCBTMB requires that an applicant, specifically, an initial applicant must submit at minimum one course that has been taught at least one time in the past three (3) years. Renewal submissions have already met this criteria and therefore are exempt. If however, you are an initial submission that strictly functions as a membership, association, or accreditation organization and only sponsors annual conferences or symposiums for one-time only sessions, you are exempt from the teaching once in the last 3-year rule. Continuing education courses must exceed a basic 500-hour core program Continuing education courses that contain core curriculum content will not be accepted. The criterion by which the NCBTMB determines a course to be continuing education in scope is that it covers material not usually taught in the core 500-hour curriculum that is covered by the National Certication Exams (the NCETMB and the NCETM) administered by NCBTMB.* *500 hours reflected in the National Certication Exams (the NCETMB and the NCETM) administered by NCBTMB: 125 hours of instruction in the bodys systems and anatomy, physiology, and kinesiology 200 hours of in-class, supervised hands-on instruction in massage and bodywork assessment, theory, and application instruction 40 hours of pathology 10 hours of business and Ethics instruction (a minimum of 6 hours in Ethics) 125 hours of instruction in an area or related eld that theoretically completes your massage program of study Continuing education courses must expand and enhance the knowledge base of NCBTMB participants by addressing not only soft tissue manipulation, energy elds, body movement, and business practices, but also acknowledge and demonstrate a holistic approach to care of the client and self with the ethical use of adjunct therapies and modalities that impact and support a level of wellness of the body, mind, and spirit. Acceptable content includes, but is not limited to: 1. Applications of massage and bodywork therapy for specific needs, conditions, or client populations. 2. Client assessment protocols, skills for client record keeping, strategies for interfacing with other health care providers 3. Use of external agents such as water, light, sound, heat, cold, or topical applications of plant or mineralbased substances 4. Body-centered or somatic psychology, psychophysiology, interpersonal skills which may include communication skills, boundary functions, phenomena of transference, countertransference and projection 5. Standards of practice, professional ethics or state laws
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6. Strategies for the marketing of massage and bodywork therapy practices 7. Theory or practice of ergonomics as applied to therapists or clients 8. Hygiene, methods of infectious disease control, organization and management of the treatment environment Inappropriate content includes, but is not limited to: 1. Diagnose (allopathic-based) clinical conditions 2. Implement allopathic medical/surgical procedures 3. Physically invasive, e.g., ear candling, colonics, etc. 4. Incorporate chiropractic/osteopathic, e.g., ballistic, thrust oriented or other services and procedures which require additional licensure or certification, i.e., Yoga or Pilates Instructor Certification, Physical Therapy, Personal Training, Weight Training 5. Prescribe herbs, nutritional supplements, and/or pharmaceuticals 6. Perform hypnosis 7. Perform an aesthetician facial 8. Perform electrical stimulation, ultrasound 9. Psychological counseling 10. Psychic, clairvoyance, telepathic, astrology, religious or spiritual practices 11. Acupuncture Exceptions: Courses that will be allowed only when the course is designed/outlined and titled as strictly for the therapists personal self-care and not to be taught to others or performed on clients. A certificate of completion may be requested by NCBTMB for such exceptions. 1. Perform active strengthening/physical training to others (acceptable for therapists self-care only) 2. Perform yoga (acceptable for therapists self-care only) Promoting a product Programs specifically designed to promote a product or commodity that must be purchased by the participant for use or resale to the public are not acceptable. (The NCBTMB does not endorse any particular products or services and the use of the trademarked NCBTMB logo in such a manner as to imply this is strictly prohibited.) Disclaimer NCBTMB is not responsible for any course information, course title and hours not submitted within the providers application for review.
National Certification Board for Therapeutic Massage and Bodywork www.NCBTMB.org

About Ethics Courses Ethics Courses cannot be offered in conjunction with another modality. Ethics courses must be stand-alone courses. When combined with another subject matter, the course will be denied. Every course incorporates some elements of ethical issues; but in order for a course to qualify, per NCBTMB criteria, as an Ethics course, the entire instructional time must be allocated and focused on Ethics. Refer to the NCBTMB Standards of Practice within this Reference Guide for a complete listing of the standards. Length of courses The NCBTMB will only allow a course for continuing education credit if it is 50 (fty) hours in length or less. If you have a course that is longer than 50 hours, then it must be broken up into smaller increments. To be eligible to complete this application, you must submit at least one course that is 50 hours or less in length (in addition to meeting the requirements of the above three paragraphs of the Acknowledgment Statement). If you offer a certication program (e.g., craniosacral) that is longer than 50 hours in length, then you must divide your program into separate courses that are each 50 hours or less in length. The rationale for the 50 hours per course limit is to support certificants who get caught between recertification cycles.
Reference Guide: Section 1 Basic Applicant Information
1.1 Initial or Renewal Status: Indicate whether you will be completing this application as an initial or
renewal applicant. Notes for Renewals: (a) If your status has lapsed up to three years, but not exceeding three years, submit as a renewal applicant and pay additional fees. (b) If your status has expired, (gone lapsed beyond three years), you must submit as an initial applicant.
1.2 Individual or Organization Status: Indicate whether you are an individual or organization.
(a) An individual approved provider is the only person responsible for course material, the teaching of that material, and the maintenance of transcripts as well as promotional/marketing content. (b) An organization is dened as more than one person who is involved in the creation, administration, and delivery of the course(s). You may be a sole proprietor who employs another, or others, to do the marketing, registration, record keeping, office work, or even teaching of the course. Or, A partnership or a corporation that has formed a group of individuals that teaches different courses. Note: If your organization changes hands (new ownership), your approved provider number is not transferable. An initial application is required by the new owner. The former approved provider number will be retired.
1.3 Massage or Bodywork Schools: School that offer a degree core curriculum program and
continuing education courses are asked to check this box.
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1.4 Contact Information: This question asks for your contact information. Please indicate your name here as you would like it listed with the NCBTMB. If you are an organization, please indicate your business name here. If you are an individual, but you use a business name (dba, or doing business as), we encourage you to list your business name here. 1.5 Secondary Contact Information: Organizations may include a secondary contact person. This person will be able to contact NCBTMB regarding CE issues. As a security precaution, NCBTMB will not speak to anyone other than the primary and secondary contact persons listed within this application. If you are applying as an individual, please check the N/A checkbox. 1.6 Payment: This question asks you to indicate which form of payment you are using and amount due. Fees must be paid by credit card, money order, cashiers check, or personal check, made payable to NCBTMB. We only accept VISA or MasterCardNCBTMB does not accept American Express or Discover. If paying by credit card fill out all information on the application form including the signature. Be sure to include any additional fees (if applicable).
Fee Policy
FEE: $400 ORGANIZATION: $175 INDIVIDUAL This entitles you to a review process, certificate if approved and the posting on our website of accepted courses meeting NCBTMB criteria for continuing education that accompany this application. RENEWAL LAPSE STATUS FEE Lapse fees are applicable for Renewal submissions, effective January 1, 2009. Your status as an NCBTMB Approved Provider is lapsed until all documents and fees are received. During lapsed status, you cannot use the NCBTMB Approved Provider log or advertise that you are an NCBTMB Approved Provider. Up to 2 years lapsed $75
NON SUFFICIENT FUNDS FEE: $25 If your credit card is declined, we will only accept payment by money order or certified check. If your personal check does not clear a $25 charge will be added and we will only accept subsequent payment by money order or certified check.
1.7 Opt In/Out for Mailings: Please answer this question and check it if you do not want your contact information released for referral purposes, or offered to others, through the sales of mailing labels.

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Reference Guide: Section 2 - Administration
2.1 Sanctions: If any type of sanction has been imposed on you by a government or non-government organization, check the YES box and fully explain the circumstances. The explanation should include what the sanction was for, when it was imposed, by whom, and your current status, as well as any other pertinent information. You must also attach a copy of the sanction letter within your application. 2.2 Compliance (State/Jurisdiction): By offering continuing education classes, whether you are an individual or an organization, you are a business. Businesses usually need to register with their town/city, county, and/or their state/province, and comply with whatever rules are imposed by the governing body(ies). This question is simply conrming that you are in compliance with whatever governing body(ies) has/have jurisdiction over your business. If you are in compliance, please check the YES checkbox. If you are not, check the NO checkbox and explain fully. 2.3 ADA and Title VII: This question asks you to agree to meet the requirements of the American Disabilities Act (ADA) and Title VII of the Civil Rights Act (CRA, VII). The ADA requires you to make reasonable accommodations for an individual with a disability except where it causes undue burden. CRA, VII requires that you do not discriminate on the basis of race, color, religion, sex, or national origin. By checking the checkbox, you agree to comply with these two acts. 2.4 Registration, Cancellation and Refund Policies: The NCBTMBs policy regarding the maintenance of participant records (including transcripts). The NCBTMB requires that you have written policies regarding the registration, cancellation, and refund of your courses. Your explanation should include the following five elements outlined below: 1. How you register participants 2. Deadlines for registration 3. Cancellation policy 4. How deposits are handled 5. How refunds are handled 2.5 Instructor Evaluations: This question asks organizations to describe how their instructors are evaluated (if you are applying as an individual, please check the N/A checkbox). Some examples of ways in which instructors can be evaluated are: 1. Observing them teaching a class 2. Reviewing student evaluations 3. Evaluating their knowledge base via a conversation, or 4. Evaluating their hands-on skill (if they will be teaching hands-on classes). Please describe fully all ways in which you evaluate your instructors. Note: By definition home study courses do not have instructors. However, they do have at least one individual who is responsible for communicating with participants regarding the content of the course (e.g., when questions come up about the content). This individual may be described as a course counselor. If you are an organization that only offers home study courses, then this question regarding your course counselors should be answered. 2.6 Qualified Instructors: Organizations are asked to read this question carefully and then check the checkbox as confirmation of your assurance to provide qualified instructors and teaching. We ask that all instructors and teaching assistants use this format. Only submit a biographical form for instructors teaching a course outlined in question 4.1 of the initial application (for one live seminar, one home study, and/ or one distance learning course). If audited, biographical forms may be requested for all other instructors
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and teaching assistants. Do not submit biographical forms for any other instructor at this time with this application. See the Biographical Form below (also available on our website, www.NCBTMB.org). (Item 2.2 in Renewal Application)
INSTRUCTIONS: Information must be typed. Do NOT attach any additional information; submit all information on this form. Make as many copies of this form as necessary. Name: _______________________________________________________________ Are you NCTM or NCTMB? Check all that apply:
Profession Type Type
Yes Instructor
State
No
If yes, provide your number: ___________
Administrator
Number Expiration Date
List current governmental issuance granted below (if applicable): State Licensure State Certification State Registration Municipal Permit Other (Describe) List current professional certification(s): (e.g., NCTMB, CST, NMT, MFR, etc.) (If applicable) Professional Certification Number Date Issued
Preferred mailing address: Address: City: Telephone: ( Email: State: ) Zip: Fax:
Country:
If instructor, list course(s) taught: 1. 4. 2. 5. 3. 6. Education (include basic preparation through highest degree held):
Institution (Name, City, State) Major Area of Study Degree, Diploma, Certification(s) Year Awarded
1. 2. 3. Course Education Experience (Required): Describe your qualifications to teach the continuing education course(s) listed in 3.1, 4.1, and 5.1 of this application.
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2.7 2.9 Certificate of Completion (Verification Card*) or Achievement: This question asks that you issue either a certificate of completion or achievement. The certificate must be titled either Certificate of Completion or Certificate of Achievement. If attendance is the only requirement of a participant, then a certicate of completion is given. If some type of written or practical examination is given that the participant must pass, then a certicate of achievement is awarded. It is possible for a course to offer both types of certicate. For example, if you have an examination but not everyone is required to take it, then those participants that do not take the exam (or perhaps take it and fail) are issued a certificate of completion. Participants who take and pass the examination will be awarded a certicate of achievement. Keep in mind that particpants can only be awarded one type of certificate. Each certicate must include the following information: 1. Participants name 2. Course title(s) and date(s) of course 3. Number of Continuing Education Hours granted (These hours must be stated as either Continuing Education Hours or CE hours) 4. The NCBTMB Approved Providers name as submitted with this application (The name of the organization or the name of the individual provider.) If you are an individual provider, do not include your dba (doing business name on your certificate) 5. Providers contact information: mailing address, email, phone number 6. Your NCBTMB Approved Provider number (if not yet approved, insert 000000-00) 7. Signature line for Approved Provider (if an organization, administrator and instructor must each sign, if they are different individuals) Note: The 100% criterion also applies to conference/symposium/one-day membership education sessions. A verification card may be issued in place of a certificate of completion. (See Section 3, Part A). Sample Certificate Forms
CERTIFICATE OF COMPLETION NCBTMB APPROVED PROVIDER NAME 7 MAIN STREET HOMETOWN, CT 00000 Date of Course: ___________________________________ Name of Participant: _______________________________ ASSESSMENT AND DEEP TISSUE MASSAGE OF THE NECK 8 CONTINUING EDUCATION HOURS NCBTMB APPROVED PROVIDER #00000-00 Instructor(s) Signature(s) _______________________________ _______________________________ NCBTMB Approved Provider Signature (Organization Status Contact Person) _________________________________ CERTIFICATE OF ACHIEVEMENT NCBTMB APPROVED PROVIDER NAME 7 MAIN STREET HOMETOWN, CT 00000 Date of Course: _____________________________________ Name of Participant: _________________________________ ASSESSMENT AND DEEP TISSUE MASSAGE OF THE NECK8 CONTINUING EDUCATION HOURS NCBTMB APPROVED PROVIDER #00000-00 Instructor(s) Signature(s) _________________________________________________ _________________________________________________ NCBTMB Approved Provider Signature (Organization Status Contact Person) _________________________________
* See Section 3, Part A within this Reference Guide for a Verification Card sample.
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2.10 Continuing Education Transcripts: This question asks that your continuing education transcripts be titled Continuing Education Transcript. See the sample Transcript Form below. If a certificant requests a transcript, providers are asked to provide one. 1. Participant transcripts must be made available for all participants. Transcripts are a cumulative record of all courses taken by a specific participant. Administration and maintenance of continuing education participant transcripts and other education records are stored separately from the transcripts/educational records of core curriculum students. 2. All participant records are condential and can only be reproduced by written permission of the participant (or by written request from the NCBTMB). Any request by a participant for copies of his/her educational records must be handled in a timely manner. 3. Note: Many providers use sign-in sheets for to track participants attendance; however, sign-in sheets do NOT satisfy the requirements for a participant transcript.
SAMPLE TRANSCRIPT FORM Beatrice Healthy 1313 Mockingbird Lane Anytown, USA 55555 (555) 555-5555 BHealthy@Health.com Approved Provider # 55555-55 CONTINUING EDUCATION TRANSCRIPT PARTICIPANT NAME________________________________________ Address ____________________________________________________ Phone numbers(s) ____________________________________________ Email address _______________________________________________ Course Title Date CE Hours
Notes:
2.11 Ethics Requirement: Ethics Courses cannot be offered in conjunction with another modality. Ethics courses must be stand-alone courses. If combined with another subject matter, the course will be denied. Every course incorporates some elements of ethical issues; but in order for a course to qualify, per NCBTMB criteria, as an Ethics course, the entire instructional time must be allocated and focused on Ethics. Refer to the NCBTMB Standards of Practice within this Reference Guide for a complete listing of the standards. (Item 2.3 in Renewal Application)
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2.12 Course Hour Ranges: Course ranges cannot fluctuate from one session offering to the next. There is only one exception. Providers can teach an abbreviation of a course as an intro once the full course is accepted, e.g., for a local AMTA Chapter. Usually, the AMTA Chapter, if an NCBTMB Approved Provider, will be responsible for submitting the course abbreviation and issuing a certificate of completion or a verification card. However, if you will be offering the abbreviated course and issuing certificates of completion, then, it is your responsibility to submit the course to NCBTMB as a separate course. Include the reason for the abbreviated course offering and date, e.g., Course Title [AMTA IL 2007].
2.13 Schools Offering Continuing Education: Schools that offer a core curriculum that exceeds 500-hours and covers material not covered by the National Certication Exams (the NCETMB and the NCETM), i.e., Shiatsu, Reflexology, etc., may opt to offer these courses to Nationally Certified Massage Therapists and Bodyworkers (non-graduates from the school) as continuing education. (Item 2.4 in Renewal Application) 2.14 Home Study/Kinesthetic/Distance Learning Testing: When a participant is issued a certificate of achievement for a home study/kinesthetic or distance learning course, an evaluation is required. The evaluation may be practical or written, at the discretion of the Approved Provider. If you choose a practical evaluation, please read the statement regarding qualified proctor(s)/instructor(s) and check the checkbox provided. This acknowledges your responsibility to ensure that all supervisors are qualified. You are further agreeing to keep biographical forms for each supervisor. If audited you may be requested to submit this information to the NCBTMB. (Item 2.5 in Renewal Application) Helpful Hints Regarding Practical Examinations Option 1: Have someone who has taken your live seminar and who you have approved as being trained and qualified to proctor a practical examination: Have evaluators/proctors available in centrally located cities across the country, on a specific day perhaps. On that assigned day, the evaluator would administer the hands-on practicum. Have evaluators/proctors available by appointment for a one-on-one practicum. Notes: (1) Promotional material must state that they will be required to complete a practical examination and how they can do so. (2) Decide how to inform your students when and where proctors will be made available. Option 2: As the provider, you may offer a live seminar for one day (8 Hours) where you or a qualified contracted instructor provides instruction including the actual practicum. In this setting, everyone will first review the material they have studied on their own and then the qualified instructor will observe students in a hands-on performance.
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2.15 Evaluation Process: This question asks you to explain how feedback that you have received in the past has led to changes in the content or delivery of your course(s). The reason for providing evaluation forms to the participants who have attended your course is to receive feedback so that you can improve the quality of content or delivery of your course. 2.16 Promotional Policy: Many promotional methods can be used to market a continuing education workshop, such as fliers, print ads in magazines and newspapers, websites, word of mouth, or even radio or television advertisements. Promotional materials must include the following information. (a) Clearly identify which course offering(s) are offered for NCBTMB continuing education hours (b) Date(s), time(s), and location(s) of course offering(s) (c) Cost of the course offering(s) (d) The number of CE hours for course offering(s) (e) Prerequisites (if applicable) (f) NCBTMB statement (to be given upon approval) Read each statement listed in question 3.5. A checkmark denotes your compliance. NCBTMB is cognizant that some marketing tools are costly; therefore, we want to encourage you to make adjustments in future printings. If audited, you may be asked to provide proof of promotional materials. Note: Schools marketing/promotional materials for continuing education courses must be identified as continuing education and available as continuing education credit for graduates only. If audited, you will be required to provide samples of promotional materials.
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Reference Guide: Section 3 Courses & Conference Submissions
Part A: Conferences/Symposiums/One-day Educational Presentations * Organizations such as memberships, associations, accreditation institutions, i.e., AMTA National, COMTA, etc., that offer an annual conference or symposium with many sessions are asked to fill Section A. Submit the items listed below. The Verification Card will function in place of a certificate of completion. Only sessions attended should be stamped. Only full hours or half-hour increments will count towards continuing education credit. Example: If a session is for 75 minutes, only 60 minutes (one hour) can be awarded credit for continuing education. Please keep track of session attendance in the event a participant needs a replacement card. See the sample Verification Card below. Note: Conferences and symposiums may be subject to a separate pricing structure in the future. * If you are a non-membership, association, or accreditation body, i.e., a school, an institution, etc., you may also use this format to sponsor a conference or symposium. Be sure to the following items with your submission: 1) a program brochure with course descriptions or an abstract for each session, 2) each presenters biographical sketch, 3) a completed verification form, and 4) a copy of the evaluation form to be filled out by participants when evaluating sessions and presenters.
Conference Title
Date of Conference Conference Location (City, State) NCBTMB Approved Provider # 000000-00 Mailing Address City, State Zip code Providers Phone Number Providers Email Address Providers Web site
Friday, June 8, 2009 Tax and Record Keeping Presenter: Jane Doe June 8, 2009 2 CE Hours Postpartum Massage Techniques Presenter: Jane Doe June 8, 2009 3 CE Hours Promoting Practice Presenter: John Doe June 8, 2009 3 CE Hours Zen Kinesiology Presenter: John Doe June 8, 2009 2 CE Hours Creating Client Relationships Presenter: Jane Doe June 8. 2009 3 CE Hours Ethics: Roles and Boundaries Presenter: John Doe June 8, 2009 2 CE Hours Massage Therapy Research Presenter: John Doe June 8, 2009 3.5 CE Hours Energy Medicine Presenter: Jane Doe June 8, 2009 4.5 CE Hours
Sample Verification Card
If you are only offering one course at a monthly meeting, you may consider issuing a certificate of completion. Winter 2010
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Part B: Renewal Course Submissions How to view your current course listing: 1) From www.ncbtmb.org, go to CE Providers and access Find an Approved Provider. 2) From the Find an Approved Provider screen, type in your provider number and strike the enterkey on your keyboard or click on the find button on your screen. 3) Click on the details button on your screen to view your courses as submitted and reviewed with your last renewal submission. If no changes exist on your website listing, simply print out your website list; write No changes on the sheet and follow the Steps to Renew instructions in Part B within the application. If you have course info listed on our website that has changed since your last application review, we ask that you identify the changes, i.e., more/less hours, new/old course name, etc. Include the following information: a) The last time you offered the courses, e.g., No longer taught as of 2/2/2008; b) Provide the original name, the new name, the former and new hours. Be sure to state the actual start date for the new course name or hours occurred, i.e., Name change as of 2/2/2008 or Hour change as of 2/2/2008. (a) NCBTMB only lists courses submitted and reviewed with the application. (b) If you are converting a live seminar into a home study or want to begin offering home study courses but have never done so before, read the text immediately following this paragraph. Converting a Live Seminar Course as a Home Study Course NCBTMB Approved Providers whose course listing is currently listed on the NCBTMB website, please read below: 1) Once you have done a pilot for a home study course, and the course was reviewed and accepted by the NCBTMB continuing education committee as meeting NCBTMBs criteria for continuing education, then a pilot is not required for future home study submissions, including live seminar conversions. 2) As an approved provider of live seminar and home study courses, you may convert any of your live courses (as listed on our website) to home study. 3) As an approved provider who has not offered a home study course beforea pilot is required if you want to offer either a home study for an already accepted live seminar course or a newly designed course. You must complete one pilot for one course. Refer to Section 6 for more details.
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Part B: Initial General Submission Directions Initial applicants are asked to follow the directions as outlined within the application. Be sure to answer all application sections for (1) live seminars, (2) distance learning, (3) home study or any combination of the three.
OPTION
Based on the information provided for Section C: New Courses Submissions please follow these directions. Select the course(s) with the most CE hours. Choose only one course listed. Answer questions 4.1 and 4.2. Complete Sections 7 and 8. Choose only one course listed. Answer questions 4.1 and 4.2 Complete Section 5, 7, and 8. Choose only one course listed. Answer questions 4.1 and 4.2 Complete Section 6, 7, and 8. Choose one live seminar and one distance learning course listed. Answer questions 4.1 and 4.2 (for each course) Complete Section 5, 7, and 8. Choose one live seminar and one home study course listed. Answer questions 4.1 and 4.2 (for each course) Complete Section 6, 7, and 8. Choose one of each (a live seminar, a home study and a distance learning course) listed. Answer questions 4.1 and 4.2 (for each course) Complete Section 5, 6, 7, and 8.
Live Seminars ONLY
Distance Learning ONLY
Home Study ONLY
Live Seminars and Distance Learning Live Seminar and Home Study
A combination of all three types
Final Step:
Mail
items listed above, plus Sections 1, 2, a signed/dated Code of Conduct Agreement and the Statement of Understanding with payment to NCBTMB.
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Part C: New Course Submissions
CHART ABBREVIATIONS Live Seminar HSC = Home Study Cognitive Content HSK = Home Study Kinesthetic/ Hands-on Course Content DL = Distance Learning EXPLANATION Course conducted in the physical presence of an instructor; 100% attendance is required Requires an examination and Certificate of Achievement Requires a proctored examination and issuance of a Certificate of Achievement Requires a proctored examination and Certificate of Achievement only if course content includes a hands-on technique portion Requires 100% attendance and not passing an examination (live seminar) Requires participants passing an examination
COC = Certificate of Completion COA = Certificate of Achievement
NCBTMBs continuing education committee will review all course titles submitted. Submit at least one course that has been taught at least one time in the same format within the last three years this only applies to initial applicants. Do not submit curriculum courses that reflect another certification program, i.e., Yoga Instructor Certification, Pilates Instructor Certification, Weight Training, Physical Therapy, Personal Training, Hypnotherapy, etc. Such courses do not fall within the scope of knowledge and technique in the profession of massage and bodywork. Course Titles: If a course title being submitted is vague, please rename and state the old name and the new name and when this correction will take place, e.g., Old Course Name (New Name beginning 2/2/2008). Vague titles will be denied. Only courses that meet our criteria for continuing education will be accepted. Course Type (Live Seminar, Home Study/Cognitive or Kinesthetic, Distance Learning): Check only one per course title. Refer to Section 5 (Distance Learning) and Section 6 (Home Study) for additional support within this Reference Guide. Category Type: Please use your best judgment placing your course(s) within one of the following categories. At this time, you may only choose one category. Please type the category name that applies or an abbreviation of the name [provided within brackets below]. Note: If you have selected Other as your category, please write in the name of your designated category. The information you provide under Other will assist the NCBTMB in identifying if there is a need to expand this list in the future.
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NCBTMB list of categories 1. Animal massage [ANM] 2. Aquatic massage [AQM] 3. Aromatherapy [ART] 4. Body psychology [BP] 5. Bodywork Asian studies [BW/AS] 6. Business/marketing [B/M] 7. Chair massage [CM] 8. Deep tissue techniques [DTT] 9. Distance learning [DL] 10. Energy work [EW] 11. Ethics [E] 12. Ethics (includes Standard V: Roles and Boundaries) [ESV] 13. Health care massage (e.g., oncology, geriatric, pediatric, pregnancy) [HCM[ 14. HIV/AIDS [HA] 15. Home study/Cognitive [HSC] 16. Home study/Kinesthetic [HSK] 17. Movement and exercise therapies (e.g., Alexander, Feldenkrais, stretching, Pilates, yoga) [MET] 18. Non-NCBTMB pro rietary certification Programs (e.g. craniosacral, myofascial release) [NN] 19. Reflexology [RF] 20. Research [RS] 21. Science (e.g., advanced courses in anatomy, physiology, kinesiology, pathology, above and beyond what is taught in a core curriculum program) [S] 22. Self care (e.g., body mechanics, meditation) [SC] 23. Spa treatments [ST] 24. Sports massage [SM] 25. Teacher Training Program [TTP] 26. Therapeutic massage (e.g., medical massage, clinical massage, orthopedic massage) [TM] 27. Other [O]
# CE Hours: The number of hours for a course is based on 60-minutes of instruction (or 50-minutes with a 10 minute break) as determined by the IACET (International Association for Continuing Education and Training), which has been approved as an accredited standards developer for the ANSI (American National Standards Institute). This means that a 10-minute break is allowed for each hour that a course is held. Lunches do NOT count toward the hours of a course. Only full hours or half-hour increments will count towards continuing education credit. Example: If a session is for 75 minutes, only 60 minutes (one hour) can be awarded credit for continuing education. Ranges of hours are not accepted. There is only one exception. Providers can teach an abbreviation of a course as an intro once the full course is submitted and posted, e.g., for a local AMTA Chapter. (See question 2.12 Initial Application) Certificate Type Each individual participant in a course can be awarded only one type of certicate (i.e., you cannot give both certicates to the same person for one course). Please indicate which types of certicate are given for each course. Refer to 2.7-2.9 within the Reference Guide for additional support.
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Course Status: For each course listed, please state: 1) Current: Check this box for all courses currently active course offerings that you intend to continue offering as continuing education courses. 2) Future: Check this box for courses scheduled to be taught within the next 12 months. Indicate the future date on the space provided. 3) Conversion: Check this box if converting a live seminar course listed on our website to a home study course. Note: not applicable for 1st time home study submissions.
Reference Guide: Section 4 Detailed Course Breakdown
If you are submitting a live seminar course, complete Section 4. 4.1 Please choose the live seminar course listed in Part C with the greatest number of continuing education hours to fill out this question. Do not choose a future course. Question 4.1 is presented as a chart with subsections referred to as Box 1, Box 2, etc. Each box must be completed. What you must do: 1) Provide the name of the course to be broken down (with the greatest number of continuing education hours) 2) Provide the start and end time for the course for each day of the course, e.g., 8:00 5:00 3) Provider the total number of days of course, e.g., 2 days 4) Provide the last date taught, e.g., November 25, 2007 5) Provide a course description, learning outcomes, a detailed time breakdown as it correlates to content being taught, a description of the physical classroom, and the name of the instructor(s) for this course and his/her qualifications. Box 1: Course description (50-100 words): Provide a general overview of the course that in a few sentences captures the essence of what this course is about. Box 2: Learning Outcomes List learning outcomes for your course that are measurable. See the chart below as a guideline on the required number of measurable learning outcomes you will need to provide for the course.
Course Length (Hours) 1 to 3 4 to 6 7 to 9 10 to 12 13 to 15 16 to 18
Required Measurable Learning Outcomes 1 2 3 4 5 6
Learning outcomes are not a list of what is taught or covered during a course. Rather, they are a list of the knowledge base and skill set that the participants of your course will possess after having attended your course.
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Most importantly, these learning outcomes must be stated in terms that are measurable. In effect, measurable terms are action terms. Some examples of terms that are usually effective measurable terms to employ in learning outcomes are: list, state, explain, discuss, describe, and perform. For a course to be accepted, its outcomes must reect a knowledge base and/or a skill set that are appropriate and relevant to the massage and bodywork eld per NCBTMBs guidelines for continuing education and be measurable. Here are two examples addressing learning outcomes first one written as measurable, per NCBTMB guidelines, and the second is not. Acceptable (Measurable) Example Learning outcomes stated in measurable terms might be: 1. The participant will be able to list the 5 major muscles/muscle groups of the posterior neck; and 2. The participant will be able to perform three stretching techniques for the posterior neck. The terms in these two learning outcomes that make them measurable are list and perform. Unacceptable (Not measurable) Example Learning outcomes in non- measurable terms might be: 1. The participant will learn the 5 major muscles of the posterior neck; and 2. The participant will know three stretching techniques for the posterior neck. These learning outcomes are not measurable because it is not possible to measure what someone has learned or knows unless the participant demonstrates this knowledge in a measurable way. Box 3: Time Breakdown Provide a detailed breakdown of the time spent in your class correlated to the content of your course hour by hour. We ask that the breakdown provided here be detailed and thorough. (Not applicable for home study). The number of hours for a course is based upon 60-minutes of instruction (or 50 minutes with a 10/minute break). The time for lunches must be deducted from the hours of the course, i.e., a course that begins at 8:00 a.m. and ends at 5:00 p.m. equals 8 continuing education hours. The lunch hour has been deducted. Homework and practice time not in the presence of an instructor cannot be counted as continuing education hours. If your course typically starts and ends at certain hours, please indicate those hours. If your course is taught over more than one day, please indicate this. (See the following example.) Following are two (2) examples detailing what is required for the breakdown of the time frame of your course and how the time frame needs to be correlated to the course content objectives. This is the format we recommend.
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Example 1 8 CE Hour Course 8:00 AM 5:00 PM General Statement: A 10-minute break is given for each hour of instruction or a 20-minute break is given for every two hours of instruction throughout the day. Introductions.. 15 minutes Overview of course.... 10 minutes Anatomy of the back.. 25 minutes Break.. 10 minutes Anatomy of the neck.. 50 minutes Palpation of the neck.. 50 minutes Break.. 20 minutes Palpation of the neck.. 30 minutes Neck injuries.. 30 minutes Example 2 8 CE Hour Seminar Length of Day 8:00 AM 5:00 PM Introductions.. 8:00 8:15 Overview of course.... 8:15 8:25 Anatomy of the back.. 8:25 8:50 Break.. 8:50 9:00 Anatomy of the neck.. 9:00 9:50 Palpation of the neck.. 9:50 10:40 Break..10:40 11:00 Palpation of the neck.11:00 11:30 Neck injuries..11:30 12:00 Lunch....12:00 1:00 Neck injuries. 1:00 1:50 Break. 1:50 2:00 Neck assessment 2:00 2:50 Neck stretching.. 2:50 3:40 Break. 3:40 4:00 Neck stretching..... 4:00 4:30 Question and answer. 4:30 4:50 Course summation.... 4:50 5:00 Lunch.... 60 minutes Neck injuries. 50 minutes Break. 10 minutes Neck assessment 50 minutes Neck stretching.. 50 minutes Break. 20 minutes Neck stretching..... 30 minutes Question and answer. 20 minutes Course summation.... 10 minutes
Box 4: Physical Classroom (ONLY APPLICABLE FOR LIVE SEMINAR COURSES) Describe the physical resources present in the classroom when participants are taking your course(s). These physical resources might include massage and bodywork equipment such as massage tables, linens, mats, etc., as well as standard classroom resources such as desks, chairs, overhead projector and/or a computer for PowerPoint, and other equipment. If you teach different classes in various locations, please describe the typical physical resources that you have and use in your classroom. (Not applicable for home study or distance learning). Box 5: Instructor(s) Provide the name(s) of each instructor for this course. Include a biographical form for the instructor. If course is taught equally by two instructors, provide both biographical forms. Use the biographical form template provided
within your application. This template may also be accessed from our website under the CE Providers area. Organizations are asked to keep biographical forms for all other instructors and teaching assistants. If audited, you will be requested to submit to NCBTMB.
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5
Reference Guide: Section 5 - Distance Learning Coursework
Section 5 deals with distance learning courses. The definition of distance learning course is one in which the participant receives instruction that involves interaction between the instructor and participant, but the participant is not in the physical presence of the instructor. The typical example of a distance learning course is one in which the participant stays at home and receives instruction via the internet or over the telephone. Typically, lecture format courses lend themselves well to distance learning. Hands-on courses do not. A distance learning course is NOT the same as a home study course; with a home study course, even though instruction may be given at a distance via books and/or videos, the participant does not interact with the instructor. Note: When responding to this section, do not refer us to your website to answer questions on this application. All information requested must be supplied within this application. Please choose the home study course listed in Section 4: Detailed Course Breakdown with the greatest number of continuing education hours to fill out this section. 5.1 Method of Instruction: This question asks you to describe what the method of instruction/interaction is for your distance learning course. Please be as specific as possible and thoroughly answer this question within the application. 5.2 Technical Support: Beyond instructional support for the content of the course, distance learning courses require technological support. This question asks you to outline the technological support that may be needed by the participant to take and complete your course and how you determine actual class participation. Answer this question completely as outlined within the application. 5.3 Password: This question asks you to provide whatever registration information, including passwords, is needed to access your distance learning course. Such information will allow the members of the Continuing Education Committee to directly access your course to see how it functions. Note: Access information is required for minimum 2 peer reviewers. Failure to provide password(s) will result in rejection of application.
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6
Reference Guide: Section 6 - Home Study Coursework
Section 6 deals with home study courses. The definition of a home study course is one in which the materials are usually either mailed to the participant or accessed on line by the participant. The participant then does the coursework at his/her own pace, including all assignments and quizzes/exams, hence the alternate name, selfpaced course. Home study courses have also traditionally been called correspondence courses. (Section 4 in Renewal Application) (1) A home study course typically covers cognitive (theory based) content, but may also cover kinesthetic (handson) content. (2) A home study course cannot award a certicate of completion because there are no set times for attendance, with the exception of proctors for hands-on evaluations. All home study courses are certicate of achievement courses. (3) It is not acceptable to refer us to your website to answer questions on this application. All information requested must be supplied within this application. Please choose the home study course listed in Section 4: Detailed Course Breakdown (within the Initial Application) with the greatest number of continuing education hours to fill out this section. 6.1 Instructional Materials: Home study courses usually employ books, manuals, audio CDs, and/or DVDs. This question asks you to list every instructional item that is used by the participants of this course. Further, two full sets of materials must accompany each of the (2) copies of this application. Include with your submission any written materials that are not separately bound. Note: These submitted materials become the property of the NCBTMB and will not be returned. (Item 4.1 in Renewal Application) 6.2 Password: This question asks you to provide whatever registration information, including passwords, is needed to access your home study course. Such information will allow the Continuing Education Committee to directly access your course to see how it functions. Note: Access information is required for minimum 2 peer reviewers. Failure to provide password(s) will result in rejection of application. (Item 4.2 in Renewal Application) 6.3 Pilot Study: Another difficulty inherent in home study courses lies in determining the number of continuing education hour credits to award for such a course. To accurately determine the number of hours to award for a course, it is necessary to have rst conducted a pilot test in which you administered this course and received feedback from at least five participants as to the number of hours necessary to complete each unit objective of program content of the course. Adding these unit objective/program content hours together then determines how many continuing education hours are awarded for the course. See the sample Home Study (Pilot) Feedback Form below. Note: The individual unit objectives of program content and the allotted time needed to accomplish them should be entered in Section 4: Detailed Course Breakdown. If audited, you will be asked to explain exactly how you determined the number of continuing education hours for your home study course. (Item 4.3 in Renewal Application)
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Sample Home Study (Pilot) Feedback
NAME OF APPROVED PROVIDER Approved Provider # 55555-55 Home Study (Pilot) Feedback Form Continuing Education (CE) Hours per Objective Name (optional): ___________________________________________ Course Title: __________________________ Course Date ___________________ Unit Objective Number of Hours Needed to Complete Each Unit
1 2 3 4 5 6 7 8 9 10
Total Number of Hours
6.4 Testing Type: We ask that your format be either multiple choice (with four options), short
answers and/or essay. True and false questions are not acceptable for home study. It is mandatory that five (5) questions are given for every continuing education hour awarded. Checking each box under question 6.4 acknowledges your compliance. (Item 4.4 in Renewal Application)
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7
Reference Guide: Section 7 - Curriculum Development/Evaluation
Select only one course described in Section 4: Detailed Course Breakdown to complete Section 7. 7.1 Research and Theories: This question asks you to describe how you incorporate new research into your course content. Include in your response any or all of the following that have contributed to your course development: 1) the journals you have read relevant to the field, 2) which research conferences you have attended, or perhaps 3) your participation in documented research studies. There must be some basis for what you teach beyond the simple fact that you assert it to be true. If there is no research to back up your assertion, then you must explain upon what basis you assert the knowledge/skill set of your technique/theory to be true. 7.2 Teaching Strategies: Learning styles of participants differ. Some people are primarily auditory learners; for these people, lecturing is the best means of delivering course content. For visual learners, seeing the content is most helpful in the forms of: a PowerPoint presentation, transparency overheads, demonstrations, and so on. Still others are primarily kinesthetic; this is especially common in the world of massage and bodywork. Kinesthetic learners absorb material best by physically engaging in the content, for example by hands-on practice. This question asks you to describe the method by which you convey the content of your course to meet the needs of various learning styles. 7.3 Summative Evaluation: Please submit a summation of the evaluations from the last time that you presented the course. Use a blank evaluation form from the last time you taught a class. Please make sure that feedback requested includes a rating system that you can numerically tally for each question asked, and not just a space for written comments. Evaluation forms should be specific to the course being offered. Indicate the number of students that attended the class on the top of the page. (See the sample forms below). Note: If this is an initial application and you have not used an evaluation form in the past, then please submit a summary of the positive and negative narrative comments that you have received from one of your courses. Please be aware that once you are approved as a provider of continuing education by the NCBTMB, you will be required to use an evaluation form with a rating system that allows you to numerically tally student responses. See the example below. Create your own forms.
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SAMPLE ONLY NAME OF APPROVED PROVIDER Approved Provider # 55555-55 Continuing Education (CE) Workshop Summative Evaluation Form (Live Seminar) Title of Workshop ___________________________Workshop Date: _____________________________ Total number of participants reflected in this summary: ___________ Direction: Please indicate with a circle your answer to each question below. 1. a) b) c) Instructors presentation style Like his/her style very much It was OK Did not care for style of teaching. Tally 2. a) b) c) d) 4. a) b) c) Instructors expertise level Definitely an expert on the subject Knows more than I do Knows less than I do. Not applicable Instructors assistants Added to the class Distracted from the class Not applicable. Tally
10 5
9 6
3. a) b) c)
Instructors preparedness Very prepared Somewhat disorganized Class poorly planned.
Tally
Tally
9 6
15
Comments: _________________________________________________________________________________________ ____________________________________________________________________________________ Facility and resource 1. Materials used in class a) b) c) d) A valuable resource Helpful Neutral Distracted from class
Tally
State either, Yes, No, or Not sure (NS).
N/A
Tally
9 5 1
15 15 2. The classroom was conducive to learning. 15 3. The classroom and bathrooms were clean. 15 Comments: ______________________________________________ ___________________________________________________
State either True (T), False (F), or Not applicable (N/A) 2. My time was well spent. 3. My money was well spent. c) Not applicable.
Other 1. The time allotted to cover material. a) About right b) Not enough c) More than needed
Tally
N/A
Tally
15
10 5
10 5
Comments: _________________________________________________________________________________________ _______________________________________________________________________________________________
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For Home Study SAMPLE ONLY NAME OF APPROVED PROVIDER Approved Provider # 55555-55 Continuing Education (CE) Home Study Evaluation Form Title of Workshop ___________________________Workshop Date: _________________________________ Total number of participants reflected in this summary: ___________
5-Excellent
4- Very Good
3-Good
2-Fair
1-Poor
N/A
1. What was the degree of ease in communicating with the provider regarding home study materials? 2. What is the quality of the home study materials? (For example, are they professional in appearance? Is their information accurate? Are they free of typos?) 3. How well did the provider supply adequate support for content questions? 4. How would you rate the quality of the handouts and manuals?
5. Did the home study materials support the unit objectives?
6. How well was feedback given to the participants regarding their progress throughout the course? 7. Was all testing (quizzes, exams, and/ or other assignments) carried out in a private and secure manner?
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8
Reference Guide: Section 8 - Marketing/Promotion
8.1 Marketing Methods: This question asks you to list the methods that you use to market your
courses. Many promotional methods can be used to market a continuing education workshop, such as fliers, print ads in magazines and newspapers, websites, word of mouth, or even radio or television advertisements. If you use print ads, please list the specic magazines and newspapers in which you advertise. If you use a website, include the website address. promotional material for each course described in Section 4: Detailed Course Breakdown. Each sample you attach should be from the most recent offering of that course. Insert your promotional samples within your application.
8.2 Sample Promotional Materials: This question asks you to attach samples of your printed
If you advertise on your website, please submit copies of your website advertisement.
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Reference Guide For Approved Providers Policies

Appeal When an Application for Approved Provider Status has been Denied An Organization and/or an Individual shall have thirty (30) days to file a written request for an appeal following receipt of a notice that their Approved Provider application has been denied. Such request shall be sent to the Chief Executive Officer by certified mail, overnight express mail, or such other delivery method containing written verification of its delivery. The Chief Executive Officer shall notify the NCBTMB Continuing Education Committee about the written request for an appeal. A final appeal may be filed directly to the NCBTMB Board of Directors. Appeal of Decisions for Complaints against an Approved Provider An Approved Provider shall have the right to file a written request for an appeal following receipt of a notice that an adverse decision was made against the Approved Provider. By requesting an appeal, the Approved Provider agrees to be bound by the provisions of the Rules and Procedures for Ethical Complaints and Discipline for Approved Providers in all matters relating thereto. The Chief Executive Officer shall notify the Chair of the Continuing Education Committee and the Chair of the Continuing Education Investigative Panel about the written request for an appeal. Absent extraordinary circumstances, in the event that an Approved Provider fails to request an appeal within the time and manner specified, the Approved Provider shall be deemed to have waived the right to such appeal and to have accepted the sanction, if any. Such action shall thereupon be final. A final appeal may be filed directly to the NCBTMB Board of Directors. Approved Provider Logo Policy As an NCBTMB Approved Provider, you may include the AP logo on all your printed and online materials. This lets practitioners know that your offerings can be applied to their continuing education requirements for recertification, which gives you a competitive edge. It is important to keep in mind that there are usage restrictions. The NCBTMB Approved Provider logo has been registered with the US Patent and Trademark Office and is protected by its rules and guidelines for using trademarks. Any violation of its use can result in legal action. Approved Providers must not use the logo with any other descriptive qualifier, such as endorsed, recommended, etc. The log cannot be used in conjunction with any other product such as apparel, books or videos or in affiliation with diagnosing (allopathic-based) clinical conditions, prescription of herbs, supplements and pharmaceuticals, implementation of allopathic medical/surgical procedures, chiropractic manipulations or other services or procedures that require additional licensure or certification.
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Auditing Process
Each year the NCBTMB randomly selects individuals and organizations who apply for approved provider status to be audited. The audit requires applicants to further verify the materials that have been submitted to the Approved Provider Committee. Materials may be requested as far back as four (4) years. An audit may also include the actual auditing of a specific course by an NCBTMB Approved Provider reviewer. The NCBTMB has the right to audit any provider. Should it be determined that the provider has provided false or misleading information when applying for provider status, members of the Approved Provider Committee or their designee may deny future provider status and begin disciplinary proceedings in accordance with the NCBTMBs bylaws. If audited: You will be notified in writing of what verification documentation will be required and/or if a reviewer will attend a specific course for audit. Once your documentation is submitted, it will be evaluated by the Approved Provider Committee. You will be notified in writing of the committees findings. Items that may be requested for an audit 1) Biographical Forms for instructors and teaching assistants. (Duplicate the template provided within the application). 2) Sample Transcript: A sample continuing education transcript (You may edit the template found in the Reference Guide). 3) Sample Certificate of Completion or Achievement (You may edit the template found in the Reference Guide). 4) Certificate of Achievement Grading Process: If you offer a course that awards a Certificate of Achievement, you must use a formal objective grading process to determine whether the participant will be awarded the Certificate of Achievement. Explain the criteria used for a written, verbal or hands-on exam in which a technique or massage/bodywork session is performed and evaluated. Attach a copy of every written quiz/exam administered. 5) Distance Learning or Home Study Assessment Process: An explanation of the process used to determine the achievement of learning outcomes when awarding a Certificate of Achievement for distance learning and/or home study participants. a) What format(s) for assignments and quizzes/exams is/are used? b) How is security and privacy of the testing process guaranteed? c) If a hands-on exam is given, exactly how is that accomplished? d) How do you guarantee privacy when disclosing quiz and exam grades to the participants? 6) Promotional Materials: Actual promotional materials for all or specific continuing education courses, including website content, catalogs, brochures, etc.
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7) Promotional and Marketing Policies: Provide your written policies regarding: How you register participants; Deadlines for participant registration; Your continuing education cancellation policy; and How deposits and refunds are handled.
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Reference Guide For Approved Providers Standards of Practice

Revised October 2009
Background
The purpose of the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) is to foster high standards of ethical and professional practice in the delivery of services through a recognized credible certification program that assures the competency of practitioners of therapeutic massage and bodywork. These Standards of Practice ensure that certificants and applicants for certification are aware of, and committed to, upholding high standards of practice for the profession. Also, the Standards of Practice are meant to assist members of the general public, including consumers, other health care professionals, and state and municipal regulatory agencies or boards with understanding the duties and responsibilities of NCBTMB certificants and applicants for certification. The NCBTMB developed and adopted the Standards of Practice to provide certificants and applicants for certification with a clear statement of the expectations of professional conduct and level of practice afforded the public in, among other things, the following areas: Professionalism, Legal and Ethical Requirements, Confidentiality, Business Practices, Roles and Boundaries, and Prevention of Sexual Misconduct. These Standards of Practice were approved and ratified by the NCBTMB Board of Directors, representatives of the certificant population and key stakeholders of the NCBTMB.
Preamble
These Standards of Practice for the profession of therapeutic massage and bodywork are the guiding principles by which certificants and applicants for certification conduct their day-to-day responsibilities within their scope of practice. These principles help to assure that all professional behaviors are conducted in the most ethical, compassionate, and responsible manner. Through these Standards of Practice, NCBTMB seeks to establish and uphold high standards, traditions, and principles of the practices that constitute the profession of therapeutic massage and bodywork. The Standards are enforceable guidelines for professional conduct, and therefore, are stated in observable and measurable terms intended as minimum levels of practice to which certificants and applicants for certification are held accountable. Upon submission of the application for the National Certification Examinations, each applicant for certification must agree to uphold and abide by the NCBTMB Code of Ethics, Standards of Practice and applicable policies. Certificants or applicants for certifications failure to comply with the Code of Ethics and the Standards of Practice as provided herein constitutes professional misconduct and may result in sanctions, or other appropriate disciplinary actions, including the suspension or revocation of certification. NCBTMB certificants and applicants for certification are obligated to report unethical behavior and violations of the Code of Ethics and/or the Standards of Practice they reasonably and in good faith believe have been performed by other NCBTMB certificants and applicants for certification to NCBTMB. These Standards of Practice reflect NCBTMBs clear commitment that certificants and applicants for certification provide an optimal level of service and strive for excellence in their practice. This includes remaining in good standing with NCBTMB, committing to continued personal and professional growth Winter 2010
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through continuing education, and understanding and accepting that personal and professional actions reflect on the integrity of the therapeutic massage and bodywork profession and NCBTMB. Certificants and applicants for certification are responsible for showing and maintaining professional compliance with the Standards of Practice. NCBTMB requires certificants and applicants for certification to conduct themselves in a highly professional and dignified manner. NCBTMB will not consider and/or adjudicate complaints against certificants and applicants for certification that are based solely on consumer related issues or are based on competitive marketplace issues. As the therapeutic massage and bodywork profession evolves, so, too, will the Standards of Practice. The Standards of Practice are, therefore, a live and dynamic document and subject to revision in keeping with the changing demands and expectations of the therapeutic massage and bodywork profession.
Standard I: Professionalism
The certificant or applicant for certification must provide optimal levels of professional therapeutic massage and bodywork services and demonstrate excellence in practice by promoting healing and wellbeing through responsible, compassionate and respectful touch. In his/her professional role the certificant or applicant for certification shall: a. adhere to the NCBTMB Code of Ethics, Standards of Practice, policies and procedures b. comply with the peer review process conducted by the NCBTMB Ethics and Standards Committee regarding any alleged violations of the NCBTMB Code of Ethics and Standards of Practice c. treat each client with respect, dignity and worth d. use professional verbal, nonverbal and written communications e. provide an environment that is safe and comfortable for the client and which, at a minimum, meets all legal requirements for health and safety f. use standard precautions to insure professional hygienic practices and maintain a level of personal hygiene appropriate for practitioners in the therapeutic setting g. wear clothing that is clean, modest, and professional h. obtain voluntary and informed consent from the client prior to initiating the session i. if applicable, conduct an accurate needs assessment, develop a plan of care with the client, and update the plan as needed j. use appropriate draping to protect the clients physical and emotional privacy k. be knowledgeable of his/her scope of practice and practice only within these limitations l. refer to other professionals when in the best interest of the client and practitioner m. seek other professional advice when needed n. respect the traditions and practices of other professionals and foster collegial relationships o. not falsely impugn the reputation of any colleague p. use the initials NCTMB only to designate his/her professional ability and competency to practice therapeutic massage and bodywork, or the initials NCTM only to designate his/her professional ability and competency to practice therapeutic massage q. remain in good standing with NCBTMB
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r. understand that the NCBTMB certificate may be displayed prominently in the certificants principal place of practice s. use the NCBTMB logo and certification number on business cards, brochures, advertisements, and stationery only in a manner that is within established NCBTMB guidelines t. not duplicate the NCBTMB certificate for purposes other than verification of the practitioners credentials u. immediately return the certificate to NCBTMB if certification is revoked v. inform NCBTMB of any changes or additions to information included in his/her application for NCBTMB certification or recertification
Standard II: Legal and Ethical Requirements
The certificant or applicant for certification must comply with all the legal requirements in applicable jurisdictions regulating the profession of therapeutic massage and bodywork. In his/her professional role the certificant or applicant for certification shall: a. obey all applicable local, state, and federal laws b. refrain from any behavior that results in illegal, discriminatory, or unethical actions c. accept responsibility for his/her own actions d. report to the proper authorities any alleged violations of the law by other certificants or applicants for certification e. maintain accurate and truthful records f. report to NCBTMB any criminal conviction of, or plea of guilty, nolo contendere, or no contest to, a crime in any jurisdiction (other than a minor traffic offense) by him/herself and by other certificants or applicants for certification g. report to NCBTMB any pending litigation and resulting resolution related to the certificant or applicant for certifications professional practice and the professional practice of other certificants or applicants for certification h. report to NCBTMB any pending complaints in any state or local government or quasi-government board or agency against his/her professional conduct or competence, or that of another certificant, and the resulting resolution of such complaint i. respect existing publishing rights and copyright laws, including, but not limited to, those that apply to NCBTMBs copyright-protected examinations
Standard III: Confidentiality
The certificant or applicant for certification shall respect the confidentiality of client information and safeguard all records. In his/her professional role the certificant or applicant for certification shall: a. protect the confidentiality of the clients identity in conversations, all advertisements, and any and all other matters unless disclosure of identifiable information is requested by the client in writing, is medically necessary, is required by law or for purposes of public protection b. protect the interests of clients who are minors or clients who are unable to give voluntary and informed consent by securing permission from an appropriate third party or guardian c. solicit only information that is relevant to the professional client/therapist relationship d. share pertinent information about the client with third parties when required by law or for purposes of public protection e. maintain the client files for a minimum period of four years f. store and dispose of client files in a secure manner Winter 2010
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Standard IV: Business Practices
The certificant or applicant for certification shall practice with honesty, integrity, and lawfulness in the business of therapeutic massage and bodywork. In his/her professional role the certificant or applicant for certification shall: a. provide a physical setting that is safe and meets all applicable legal requirements for health and safety b. maintain adequate and customary liability insurance c. maintain adequate progress notes for each client session, if applicable d. accurately and truthfully inform the public of services provided e. honestly represent all professional qualifications and affiliations f. promote his/her business with integrity and avoid potential and actual conflicts of interest g. advertise in a manner that is honest, dignified, accurate and representative of services that can be delivered and remains consistent with the NCBTMB Code of Ethics and Standards of Practice h. advertise in a manner that is not misleading to the public and shall not use sensational, sexual or provocative language and/or pictures to promote business i. comply with all laws regarding sexual harassment j. not exploit the trust and dependency of others, including clients and employees/co-workers k. display/discuss a schedule of fees in advance of the session that is clearly understood by the client or potential client l. make financial arrangements in advance that are clearly understood by and safeguard the best interests of the client or consumer m. follow acceptable accounting practices n. file all applicable municipal, state and federal taxes o. maintain accurate financial records, contracts and legal obligations, appointment records, tax reports and receipts for at least four years
Standard V: Roles and Boundaries
The certificant or applicant for certification shall adhere to ethical boundaries and perform the professional roles designed to protect both the client and the practitioner, and safeguard the therapeutic value of the relationship. In his/her professional role the certificant or applicant for certification shall: a. recognize his/her personal limitations and practice only within these limitations b. recognize his/her influential position with the client and not exploit the relationship for personal or other gain c. recognize and limit the impact of transference and counter-transference between the client and the certificant d. avoid dual or multidimensional relationships that could impair professional judgment or result in exploitation of the client or employees and/or coworkers e. not engage in any sexual activity with a client f. acknowledge and respect the clients freedom of choice in the therapeutic session g. respect the clients right to refuse the therapeutic session or any part of the therapeutic session h. refrain from practicing under the influence of alcohol, drugs, or any illegal substances (with the exception of a prescribed dosage of prescription medication which does not impair the certificant) i. have the right to refuse and/or terminate the service to a client who is abusive or under the influence of alcohol, drugs, or any illegal substance
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Standard VI: Prevention of Sexual Misconduct
The certificant or applicant for certification shall refrain from any behavior that sexualizes, or appears to sexualize, the client/therapist relationship. The certificant or applicant for certification recognizes the intimacy of the therapeutic relationship may activate practitioner and/or client needs and/or desires that weaken objectivity and may lead to sexualizing the therapeutic relationship. In his/her professional role the certificant or applicant for certification shall: a. refrain from participating in a sexual relationship or sexual conduct with the client, whether consensual or otherwise, from the beginning of the client/therapist relationship and for a minimum of six months after the termination of the client/therapist relationship unless a pre-existing relationship exists between a certificant or applicant for certification and client prior to the certificant or applicant for certification applying to be certified by NCBTMB b. in the event that the client initiates sexual behavior, clarify the purpose of the therapeutic session, and, if such conduct does not cease, terminate or refuse the session c. recognize that sexual activity with clients, students, employees, supervisors, or trainees is prohibited even if consensual d. not touch the genitalia e. only perform therapeutic treatments beyond the normal narrowing of the ear canal and normal narrowing of the nasal passages as indicated in the plan of care and only after receiving informed voluntary written consent f. only perform therapeutic treatments in the oropharynx as indicated in the plan of care and only after receiving informed voluntary consent g. only perform therapeutic treatments into the anal canal as indicated in the plan of care and only after receiving informed voluntary written consent h. only provide therapeutic breast massage as indicated in the plan of care and only after receiving informed voluntary written consent from the client
Winter 2010
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Reference Guide For Approved Providers Glossary of Terms

Acceptable Accounting Procedures: Rules, conventions, standards, and procedures that are widely accepted among financial accountants. Boundary: A boundary is a limit that separates one person from another. Its function is to protect the integrity of each person. Competency: Study and development of a particular professional knowledge base and skills associated with and applied in practice within that knowledge base. Counter-Transference: A practitioners unresolved feelings and issues which are unconsciously transferred to the client. Dignity: The quality or state of being worthy, honored or esteemed. Dual Relationships: An alliance in addition to the client/therapist relationship, such as social, familial, business or any other relationship that is outside the therapeutic relationship. Genitalia, Female: Labia majora, labia minora, clitoris and vaginal orifice. Genitalia, Male: Testes, penis and scrotum. Impugn: To assail by words or arguments, oppose or attack as false. Integrity: Honesty. Firm adherence to a code of values. Multidimensional Relationships: Overlapping relationships in which the therapist and client share an alliance, in addition to the therapeutic relationship. Progress Notes: Notes written, by a practitioner certified by NCBTMB, and kept in a separate client file that indicates the date of the session, areas of complaint as stated by client, and observations made and actions taken by the practitioner. Sexual Activity: Any verbal and/or nonverbal behavior for the purpose of soliciting, receiving or giving sexual gratification. Sexual Harassment: Sexual harassment consists of unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature when: 1. Submission to such conduct is made either explicitly or implicitly a term or condition of an individuals employment; 2. Submission to, or rejection of, such conduct by an individual is used as the basis for employment decisions affecting such individuals; or 3. Such conduct has the purpose or effect of unreasonably interfering with an individuals work performance or creating an intimidating, hostile, or offensive working environment. Scope of Practice: The minimum standards necessary for safe and effective practice and the parameters of practice determined by the certificants professional training and education, and, when applicable, regulatory bodies. Therapeutic Breast Massage: Manipulation of the non-muscular soft tissue structure of the breast up to and including the areola and nipple. Transference: The displacement or transfer of feelings, thoughts, and behaviors originally related to a significant person, such as a parent, onto someone else, such as a massage therapist (or doctor, psychotherapist, teacher, spiritual advisor, etc.).
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1901 S. Meyers Road, Suite 240 Oakbrook Terrace, IL 60181 1 (800) 296-0664 or (630) 627-8000
www.NCBTMB.org
All rights reserved. No part of this publication may be reproduced or transmitted by any means, electronic or mechanical, including photocopy, recording or any information storage and retrieval system, without permission in writing from the publisher. Permission is hereby granted to reproduce complete copies of all forms in this publication, with their copyright notices, for instructional use only and not for resale. Mail completed applications (with payments) to: NCBTMB Re: Approved Provider Department 1901 S. Meyers Rd., Ste. 240 Oakbrook Terrace, Illinois 60181
This reference guide contains information on how to become a National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) Approved Provider. To avoid problems in processing your application, it is important that you follow the guidelines outlined in this reference guide and the accompanying application. If you have any questions about the policies, procedures or processing of your application, please contact NCBTMB at info@ncbtmb.org or by phone at 1-800-296-0664. Additional copies of this reference guide may be obtained from our website free of charge.
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Reference Guide For Approved Providers

XII. XIII. XIV.

Reference Guide For Approved Providers Table of contents

Reference Guide For Approved Providers

Reference Guide For Approved Providers

National Certification Board for Therapeutic Massage and Bodywork www.NCBTMB.org

Reference Guide For Approved Providers

Reference Guide: Section 1 Basic Applicant Information

Reference Guide For Approved Providers

National Certification Board for Therapeutic Massage and Bodywork www.NCBTMB.org

Reference Guide For Approved Providers

Reference Guide: Section 2 - Administration

Reference Guide For Approved Providers

If yes, provide your number: ___________

National Certification Board for Therapeutic Massage and Bodywork www.NCBTMB.org

Reference Guide For Approved Providers

Reference Guide For Approved Providers

National Certification Board for Therapeutic Massage and Bodywork www.NCBTMB.org

Reference Guide For Approved Providers

Reference Guide For Approved Providers

National Certification Board for Therapeutic Massage and Bodywork www.NCBTMB.org

Reference Guide For Approved Providers

Reference Guide: Section 3 Courses & Conference Submissions

Sample Verification Card

Reference Guide For Approved Providers

National Certification Board for Therapeutic Massage and Bodywork www.NCBTMB.org

Reference Guide For Approved Providers

Live Seminars ONLY

Distance Learning ONLY

Home Study ONLY

A combination of all three types

Reference Guide For Approved Providers

COC = Certificate of Completion COA = Certificate of Achievement

National Certification Board for Therapeutic Massage and Bodywork www.NCBTMB.org

Reference Guide For Approved Providers

Reference Guide For Approved Providers

Reference Guide: Section 4 Detailed Course Breakdown

Course Length (Hours) 1 to 3 4 to 6 7 to 9 10 to 12 13 to 15 16 to 18

Required Measurable Learning Outcomes 1 2 3 4 5 6

National Certification Board for Therapeutic Massage and Bodywork www.NCBTMB.org

Reference Guide For Approved Providers

Reference Guide For Approved Providers

National Certification Board for Therapeutic Massage and Bodywork www.NCBTMB.org

Reference Guide For Approved Providers

Reference Guide: Section 5 - Distance Learning Coursework

Reference Guide For Approved Providers

Reference Guide: Section 6 - Home Study Coursework

National Certification Board for Therapeutic Massage and Bodywork www.NCBTMB.org

Reference Guide For Approved Providers

Total Number of Hours

Reference Guide For Approved Providers

Reference Guide: Section 7 - Curriculum Development/Evaluation

National Certification Board for Therapeutic Massage and Bodywork www.NCBTMB.org

Reference Guide For Approved Providers

Instructors preparedness Very prepared Somewhat disorganized Class poorly planned.

State either, Yes, No, or Not sure (NS).

Comments: _________________________________________________________________________________________ _______________________________________________________________________________________________

Reference Guide For Approved Providers

5. Did the home study materials support the unit objectives?

National Certification Board for Therapeutic Massage and Bodywork www.NCBTMB.org

Reference Guide For Approved Providers

Reference Guide: Section 8 - Marketing/Promotion

Reference Guide For Approved Providers Policies

National Certification Board for Therapeutic Massage and Bodywork www.NCBTMB.org

Comments: _ _______