Academy President ready for Symposium, addresses reimbursement for medical acupuncture
By Michael W. Coomes, MD, FAAMA
I just took the dog out for a walk -- a short walk. It's cold outside, and the wind chill is on top of that
I don't know about you, but the combined AAMA ICMART Symposium in Washington, DC next week, along with the Cherry Blossom Festival, is sounding rather appealing to me right now!
Recently, I had the opportunity to give an acupuncture presentation to a local business service organization. Thinking about my audience and their likely degree of sophistication, I removed many of the drier scientific slides and concentrated on history, indications and simple explanations. When I asked if there were questions, much to my surprise and delight, I was met with a host of questions that went far beyond my expectations. They were interested in hearing more about the neurochemistry models and how they reconciled with the TCM conceptual model!
Obviously, some had done a little homework. Thinking that was the toughest question of the session I was about to finish when a woman asked "How do insurance companies currently reimburse for acupuncture?" I recalled a recent letter from United Healthcare Insurance Company requiring "documentation of scientific evidence" for acupuncture's efficacy before they would reimburse. Other AAMA members have received similar letters so I responded by suggesting that her question may be one of the most important problems facing the acupuncture community at large.
I reviewed generally the pros and cons of a cash only type of practice versus an insurance reimbursement set up. I explained that for many acupuncturists both physician and non physician alike the relatively low reimbursement rates from insurance companies required seeing more patients per day with necessarily shorter visits or longer days to cover overhead and maintain profitability. I noted that the Academy had been working to try and improve reimbursement rates via changes in the insurance coding but that it was too early to see the impact of those changes. When I asked who, if any, were paying cash for their medical acupuncture visits, the few who answered said uniformly that they used their insurance.
I realize there was an inherent bias in this group who attended my presentation. I suspect most were people who were not yet entirely convinced of the benefits of acupuncture for their health care and therefore not willing to commit much money out of pocket. According to David Eisenberg's follow-up survey reported in the 2002 December/January issue of Alternative Therapies in Health and Medicine on the use of CAM healthcare services approximately one third of Americans continue to use some type of CAM therapy and for the most part pay for it out of pocket. This is unchanged from his initial landmark survey published in 1997.
The use of herbal therapies and yoga has seen the greatest increase in utilization while acupuncture and other therapies remained essentially unchanged. Since both herbal therapies and yoga are generally not paid for by insurance yet increasing in utilization, I ask the obvious question: "Is the proper strategy for us to be working to gain insurance reimbursement for our services thereby hopefully broadening accessibility to acupuncture but running the risk of becoming a financially nonviable business operation?" The other side of the argument is, if indeed our services are perceived as valuable, is it then reasonable to expect the consumer to pay cash and then deal with the insurance company themselves?
This dilemma has remained unresolved for years. I would like to see a dialogue regarding this question within the Academy so that we might act in an appropriate and uniform manner to help our members achieve not only the best outcomes for their patients but for themselves as well. So as the presentation/discussion came to a close, I asked them to think about whether or not they would consider paying cash for their next medical acupuncture visit if it meant keeping the option of having medical acupuncture services available.
I look forward to seeing many of you at our wonderful gathering in Washington, DC, next week.
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Informative speakers, workshops ready for AAMA Symposium, ICMART
By Tapan K. Chaudhuri, MD, FACP, FRCP(C), FAAMA
Co-Chairperson for the 2006 Symposium - ICMART 2006 Congress
American Academy of Medical Acupuncture, and
Bryan L. Frank, MD, FAAMA
Co-Chairperson for the 2006 Symposium - ICMART 2006 Congress
President, ICMART 2004-2006
International Council of Medical Acupuncture and Related Techniques
We are very excited about the approach of our 2006 AAMA Symposium/ICMART Congress. This Symposium is being held jointly with ICMART, and we are expecting a significant international participation in this event. The Congress is being held in Washington DC, from April 7-9.
The theme of this combined meeting is "The Expanding Horizon of Acupuncture: An International Celebration". We are fortunate to have assembled a great number of very well known and talented speakers representing several countries. They are: Tran Viet Dzung, MD and Michel Marignan, MD from France; Jacqueline Filshie, MD and Palle Rosted, MD from England; Marcos Diaz Mattelari, MD from Cuba; Everke Heinrich, MD, Dominik Irnich, MD, Walberg Maric-Ohler, MD and Beatte Strittmatter, MD, from Germany; Im Qua Smith, MD from Australia; Alejandro Elorriaga, MD from Canada; Francisco Lozano, MD from Mexico; Judith Balk, MD, Bryan Berman, MD, Tom Burgoon, MD, Bryan Frank, MD, Bruce Gilbert, MD, Jane Grissmer, MAc, Butch Levy MD, Paul Magarrelli, MD, Peter Marinakis, PhD, MAc, and members of TAI-SOPHIA group from United States.
Workshops are of varied interest and designed to be a practical hands-on type of learning experience. They will include the role of acupuncture in Detoxification Treatment, Immunological Disorders, In Vitro Fertilization, Male and Female Infertility, Medical Emergencies, Pain and Symptom Control of Cancer, Sport Injuries, and Stroke Rehabilitation. Auricular Acupuncture (Barr's School) will be presented as well as a workshop on how to Identify and Treat the Blockage in Difficult Patients. Diagnosis and Management of Patients from a 5 Element Perspective will be Demonstrated on Live Patients. A New Method of Acupuncture Point Stimulation by Pneumatic Pressure Pulse Therapy (PPAT), Acupuncture in Posturology, Acupuncture in Wilderness and Travel Medicine, and Traditional Chinese Acupuncture, are also scheduled.
Plenary sessions will include lectures on acupuncture treatment in Dental Problems, fMRI Studies on Depression Acupoints, Headache, Herpetic Neuralgia, Osteoarthritis, TCM and Geriatrics, and TMJ.
This program will be further enhanced by contributions of free papers from international ICMART delegates and Academy members. There was also the opportunity to apply to make Poster Presentations and to submit papers for the research competition. Financial awards will be given for outstanding work on the free papers, poster presentations and the research competition. You won't want to miss the presentation of physicians' work in Washington, DC.
On Saturday evening, we have arranged for an optional dinner cruise on the Potomac River. We will cruise past the Washington skyline and the famous landmarks while we enjoy the company of colleagues from throughout the world.
On behalf of the Academy and ICMART, we invite you to participate in this grand event and make it successful. We will see you next week in Washington, DC.
Complete Symposium Details
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Academy Board seeks input from membership on UnitedHealthCare claim issues
By Robert Schulman, MD, FAAMA
AAMA Board Director
It has come to the attention of Academy Board Members that UnitedHealthCare (UHC) insurance company has been denying claims for acupuncture in spite of telling the provider and patient that acupuncture is a covered service. At least in the experience of one provider, when UHC is contacted, they say that the claim was either 1) Denied in error and will be paid, or 2) The codes used (the two codes for acupuncture with electric stimulation) are not AMA approved codes, or 3) The treatment is experimental, and the provider must supply peer reviewed literature documentation of the efficacy of the treatment for the diagnosis.
When the provider's office demonstrates that in fact these codes are valid, and were paid previously by UHC, the provider is informed that the claims will be re-adjusted. However, subsequent to this, the claims are paid, but dollar amounts are erroneously calculated to UHC's advantage. Additionally, the provider's office typically points out that the diagnoses used are those that were stated as being covered under the patient's benefit determination via telephone confirmation.
The AAMA Board would like members to convey their experiences with UHC so that we may combine and form a concerted effort in communicating with the company. Please forward responses via e-mail to Academy Executive Administrator Jim Dowden at email@example.com.
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Check out the new website: www.DABMA.org!
The American Board of Medical Acupuncture (ABMA) proudly announces the creation of its own website, www.DABMA.org. The website asserts the ABMA's independence and confirms its unique focus: to maintain high standards for the examination and certification of physician acupuncturists as medical specialists. In so doing, the website provides visitors to the site information about the board certification process, approved educational programs and a downloadable application and affidavit.
Patients seeking Board Certified physician acupuncturists can peruse the list of Diplomates of the ABMA (DABMA's) and sort by name and location, or input a physician's last name to find his or her city and state. DABMA's can also check this list for the expiration date of their certification. The "Links" page provides immediate access to the AAMA website's "Find a Medical Acupuncturist," the Medical Acupuncture Journal and the new "Medical Acupuncture Learning Center," designed to foster awareness of the breadth and depth of acupuncture research and applications. The "Exam Validation Process" page on www.DABMA.org will be available shortly and will expound on the considerable efforts invested in developing and maintaining a fair board examination process, and will contain information about question construction, focus, review, and validation.
We urge you to visit www.DABMA.org and submit your impressions on the comments page. Tell us what you like, what you don't like, and how we can improve to meet your needs as a medical acupuncturist.
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Jan T. Hendryx, DO, has a new book published, Healer's Touch: A Physician's Journey into the Medical Miracle, and Mystical Aspects of Healing ($24.99, Copyright, 2006), which has a chapter devoted to acupuncture that mentions AAMA, etc. More details can be found on Dr. Hendryx's new website, www.janhendryx.com and click on Order.
The International Consensus Conference on Acupuncture, Auriculotherapy, and Auricular Medicine for 2006, emphasizing recent advances in the practice of auriculotherapy, auricular acupuncture, and auricular medicine, will be held at the Chicago Marriott O'Hare Hotel, at Chicago O'Hare International Airport, Aug. 24-27, 2006. Visit the ICCAAAM website at www.ICCAAAM06.org to learn further information.
Dr. Tony Lu's first trip to Mongolia to study "Eight Medicine Buddha Mediation" and Traditional Mongolian medicine with Khamba Lama Dr. Natsagdorj in July 2005 was historical and successful. Sixteen people went on the trip, at which the mayor of Ulan Bator presided over the opening ceremony. Three local TV stations covered the event and the closing ceremony. Their next trip to Mongolia will take place in August 2006. That itinerary and more details are posted at here.
AAMA is accredited by the ACCME to sponsor continuing medical education for physicians. As an accredited provider, the Academy is able to jointly sponsor CME activities with other non-ACCME Accredited organizations. For the last several years, the Academy has limited its joint sponsorship to those programs organized by Academy Chapters. The Academy is pleased to announce that we are now accepting applications from others too. For information about Academy sponsorship, contact Staff Associate Tracey Dowden at firstname.lastname@example.org
The 18th Annual AAMA Symposium will be held in conjunction with ICMART XII Medical Acupuncture Congress - www.icmart.org (International Council of Medical Acupuncture and Related Techniques) on April 7-9 at Marriott Wardman Park Hotel, 2660 Woodley Park, NW in Washington, DC (202/328-2983). The Review Course will be offered on April 4-5, followed by Pre-Symposium workshops on April 6 and the Board Certification Exam on April 9. In addition to national and international speakers who typically present at the AAMA Symposium, a large participation of international colleagues is expected in the poster presentations and the free papers section. These venues will give attendees increased numbers and breadth of presentations to attend in the Medical Acupuncture Congress.
Dr. Hiroshi Nakazawa, Academy vice president, attended the Toyo Hari (Japanese Meridian Therapy) meeting in Tokyo in March. He was in contact with the World Federation of Acupuncture and Moxibustion Societies (WFAS) representative there. WFAS, the arm of World Health Organization, is the only organization that claims legitimacy with respect to 300 hours of physician training. Dr. Nakazawa has been watching their activity closely.
The Best of Both Worlds Foundation has received a public charity status as a 501 C-3 Foundation. It continues to provide grant support for the efforts of www.acubriefs.com, which is the largest online source of references pertinent to acupuncture. The Arizona Chapter of AAMA is a proud sponsor of Acubriefs. Dr. Kimber Rotchford, president of the Best of Both Worlds Foundation, is looking for other Chapters to be supportive, as well, and is seeking contributions from Academy members. An annual subscription to Acubriefs' Librarian Service is available for $60 at www.acubriefs.com/librarian.htm. Visit online www.acubriefs.com or www.acubriefs.com/bbw for information on resources and on how you can support the foundation. You may view 202 new citations listed at: http://www.acubriefs.com/citations/01.06.citations.htm. Citations for Randomized Controlled Trials (and abstracts of RCTs) and Reviews are now noted on the New Citation web page. Currently, there are 36 RCTs and 22 Reviews cited.
Bryan L. Frank, MD, FAAMA, led a team to Nepal last fall for medical missions. The team of four served more than 650 persons in Kathmandu and the hills beyond. Conventional medical care, acupuncture and health education were offered and well received. Academy members interested in serving on short-term missions may contact Dr. Frank at email@example.com or at www.globalmission.us. The next mission is in Ecuador June 3-17, 2006.
Members participating in AAMA's referral program will be happy to hear that 70 calls came into national headquarters and 4,141 website hits to the referral page in November 2005; 124 calls and 4,264 website referral hits in December 2005; and 109 calls and 4,979 website referral hits in January 2006 from patients seeking medical acupuncturists in their area. The toll-free number that patients are calling is 800/521-2262.
The spring 2006 Helms Medical Institute Medical Acupuncture for Physicians course will be co-sponsored with the School of Medicine at Stanford University. The Introductory Weekend will be held in San Francisco in April, and the clinical units are at the usual Pittsburgh and Tempe hotels. The fall 2006 course will again be co-sponsored with UCLA.
Members are reminded that the Academy's online calendar lists a variety of meetings, workshops and conferences (where CME and CEU credit can be earned) online. More details on each event can be obtained by visiting the website listed or contacting the sponsoring organization. Academy sponsored events are noted with the logo.
On Wednesday, April 26, NCCAM welcomes Bruce Rosen, MD, PhD, who will discuss "Neurobiological Coordinates of Acupuncture." Dr. Rosen is director of the Athinoula A. Martinos Center for Biomedical Imaging at Massachusetts General Hospital and a Professor at Harvard Medical School. The lecture will take place at 11 a.m. in Masur Auditorium, Building 10, National Institutes of Health (NIH). It will also be videocast on the web at http://videocast.nih.gov/. For more details, visit http://nccam.nih.gov/news/lectures/index.htm#nca.
Dr. Tony Lu announces a Medical Qigong Study and Treatment Trip to Beijing, China with Master Wan Su Jian in September 2006. The itinerary and more details are posted at http://www.medicalacupuncture.org/events/qigong06.html.
If you've read any good books on acupuncture or related products recently, please send that information to AAMA headquarters to be shared with the membership. You can also post a review of the publications in the Academy's online bookstore. Visit www.medicalacupuncture.org, click on AAMA Store and then on Check Out Our Comprehensive Selection. Next click on the book cover (or More Info) and then on Post a Review.
Please send news items and photos to firstname.lastname@example.org.
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Academy Chapter Presidents Council to meet during Symposium
The AAMA Chapter Presidents Council will be having a luncheon meeting at the Marriott Wardman Park Hotel on Saturday, April 8 from 11:30 am until 1 pm with representatives from the State chapters.
This will be a terrific opportunity to meet each other and exchange ideas. They are also excited that joining them will be Drs. Richard Niemtzow and Glenn Rothfeld. Dr. Niemtzow is editor of the Academy's Journal, Medical Acupuncture, and also chair of the Research Committee. Dr. Rothfeld is chair of the Education Committee and the expert on academic programs.
If any Chapter Presidents or Chapter Board members have not received or responded to the invitation sent by e-mail, contact the Chair of the Chapter Presidents Council, Bruce R. Gilbert, MD, PhD, FAAMA, at email@example.com or 516/487-2700.
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AAMA Chapter News
Abraham Kuruvilla, MD, MD(H), will present papers at the AAMA/ICMART Symposium next week, a 20-minute presentation on migraine headache treatment, and a poster presentation on male sexual dysfunction. Dr. Kuruvilla has a paper published on hyperemesis gravidarum in the new edition of Medical Acupuncture.
There will be a continuing education event in May, when Anastacia White will speak on the use of herbal patent formulae in the clinic, with particular emphasis on medicinal mushrooms.
Martha M. Grout, MD, MD(H), attended a workshop in St. Petersburg, Russia on the use of the GDV camera, and brought the camera back to the US with her. The camera uses a technique known as "evoked photon capture" based on the photographic image of photons liberated from the fingertips under the influence of a microburst pulse of electric current through the fingertips. Using this technique, it is possible to distinguish an imbalance of electron storage in the body's organs physically, as well as imbalance which is as yet simply energetic, and which has not yet translated itself into physical damage. The equipment is approved by the Russian equivalent of the FDA, and application has been made to the FDA for approval as a medical device.
In the meantime, Dr. Grout is applying for its use under a research protocol, which will involve simply taking measurements and correlating them with what is known of the patient's clinical condition at the time of measurement. One use of the instrument will be to evaluate the effectiveness of a medical treatment (i.e., acupuncture, on the body's bioenergetic patterns).
Monthly meetings are held on the second Saturday of the month at 9 am at Dr. Martha Grout's office. For more details, call 602/787-8500 or e-mail firstname.lastname@example.org. There are monthly speakers on topics related to medical acupuncture, as well as Chinese and Functional/Integrative medicine. E-mail Rebecca Wilks, MD, at email@example.com to get on the e-mail list for meeting announcements, etc.
Summary of AB2152
A bill that restricts the practice of physician acupuncturists
By Haleh Sheikholeslami, MD
California Chapter President
California Bill: Assembly Bill Number 2152 was introduced by State Assembly Woman Wilma Chan, the chairperson of the Assembly Health Committee, on February 21, 2006. The bill would essentially require physician acupuncturists to meet the educational (3,000 hours of study) and examination requirements as licensed acupuncturists and that it would be a "misdemeanor" if a physician practices acupuncture without such a license (You may see the contents of Bill AB2152 at www.leginfo.ca.gov/bilinfo.html and search for bill 2152). The bill is going next to the California State Assembly Committee on Business and Professions to be voted on by early April. Obviously, the AAMA and the physician acupuncturists oppose the bill as does the California Medical Association. A mass effort is under way to send letters to corresponding assembly members in our opposition to this bill for the following reasons:
- We feel that acupuncture is within the scope of medical practice.
- Physicians take the necessary course requirements to practice acupuncture and know the limitations of acupuncture.
- Acupuncture by physicians are recognized by reputable universities and by insurance companies
- Physician acupuncturists are involved in important research in acupuncture, which may be jeopardized if the bill passes.
- There is no evidence that any harm has been done by physicians who practice acupuncture.
- Last but importantly, patients like having treatments by physician acupuncturists and receive benefits from such treatments. The bill will limit the choice for patients to seek acupuncture from physicians.
Currently, only one state (Hawaii) puts a limitation on physicians who practice acupuncture, and all efforts will be made to not make California a second state with such limitations.
For those of you who waited to the last minute to send in your letters to the Committee on Business and Professions, I have great news! With one click, you can send your opposition to all members of the Committee. Click on this link:
Academy seeks input from California members
To: California Members of the American Academy of Medical Acupuncture
From: Jim Dowden, Executive Administrator, AAMA
Re: Your help is needed urgently
One of the arguments being made in the Legislature is that physicians in California can practice without any documented training. We have argued that to practice acupuncture in California, physicians frequently are required to provide documentation of their training to their hospitals, to their malpractice carriers and to their patients insurance companies.
We have been asked to provide examples of those requirements.
What we need from you:
1. Did your malpractice carrier require you to document training in acupuncture? If so, could you provide a copy of what they asked or what you had to provide? Or send a copy of their requirement from a brochure, application or policy.
2. If you have applied for acupuncture privileges in your hospital, were you required to document your acupuncture training? If so, could you provide a copy of your hospital's requirements regarding acupuncture training.
3. If you have been credentialed by an insurance carrier as a provider of acupuncture services, were you required to document your training or status in AAMA? If so, could you provide a copy of their requirements or provide a brief note as to which insurer it was and what they required.
We really need examples of the types of requirements cited above. If you could provide me with copies of anything that has applied in your situation or a simple e-mail describing those requirements, it will be very helpful.
Please e-mail to firstname.lastname@example.org or fax to 323/937-0959. Please respond ASAP this week so we can be prepared for the April 4 Committee meeting.
The California State Assembly Committee on Business and Professions hearing on AB2152 is on Tuesday, April 04 at 9 am in State Capital room 447.
Georgia Association of Medical Acupuncturists presented, Constitutional Five Element Acupuncture, with Lonny S. Jarrett, MAc, in March in Atlanta, GA. Five Element fundamentals, the power of Sheng and Ke cycle in treatment planning and the healing imagery contained in the acupuncture point names were discussed.
The Maryland Society for Medical Acupuncture recently held elections
for officers. They are:
President: Richard Niemtzow, MD, PhD
Vice President: Luigi Piroli, MD
Treasurer: Iris Davis, MD
Secretary: Robin Cuddy, MD, MPH
New Jersey and Pennsylvania
New Jersey and Pennsylvania Chapters hosted a conference on, Global Thinking in Non orthopedic Musculoskeletal Problems: A New Functional Assessment and Treatment System for Contemporary Acupuncture Practitioners, in January in the South Jersey area. It was a unique hands-on educational opportunity. Dr. Alejandro Elorriaga Claraco, a sports medicine specialist (Spain) and the director of the McMaster University Contemporary Medical Acupuncture Program, presented this new approach, below.
"I have had the opportunity to see Dr. Claraco present his systems before, but this system, presented for the first time in the US, was refined to a new level of effectiveness," said Mitchell Krause, DO, DABMA. "The group from both chapters was greatly excited about the success they saw with local patients who, after failed surgery and rehab programs, saw success that they hadn't realized before these treatments of acupuncture. All the physicians were excited to go back to there offices and try these systems."
Pennsylvania and New Jersey plan to have more combined Chapter conferences bringing in additional prominent physicians to present similar seminars of acupuncture. These programs will be announced in the near future.
Dr. Mitchell Krause will be heading to South Korea as the guest of Kwang Won University. The physicians who practice western and eastern medicine have asked him to give a lecture on the American perspective on Acupuncture. The medical school there has set up a school of acupuncture in Philadelphia and is thinking of future projects in training Western physicians. Dr. Krause will be in South Korea from May 4-13, heavily promoting the AAMA.
The New York Chapter is actively seeking new members and members interested in leadership positions. This is a great opportunity to get involved locally with the Academy. They need active involvement to be able to continue to expand activities. For additional information, contact Chapter President Bruce R. Gilbert, MD, PhD (email@example.com, 516/487-2700).
The Ohio Chapter continues to hold regular Journal Club meetings. These are excellent opportunities to learn about the dynamic changes in acupuncture, interact with like-minded colleagues and improve acupuncture techniques. E-mail Dr. Sandi Amoils (firstname.lastname@example.org) for more details on these meetings.
They would enjoy having more AAMA members in the vicinity participating in their efforts to create a Chapter that is educational and collegial, so please join by contacting Dr. Amoils at email@example.com.
Does your state have a regional AAMA chapter? If not, please consider forming one. Chapters provide fellowship, professional camaraderie, education and curbside consults. E-mail Dr. Bruce Gilbert for more information.
Chapter representatives, please send your updates for the AAMA Newsletter via e-mail to firstname.lastname@example.org.
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Medical acupuncture-related classified ads
The National Center for Complementary and Alternative Medicine (NCCAM) seeks an accomplished, innovative neuroscientist and clinician to fill three pivotal roles: as Scientific Director and Clinical Director of its Intramural Research Program (IRP) and as Senior Investigator responsible for developing a new research program in mind-body medicine. This individual will report to the NCCAM Director and will be a member of the NCCAM leadership. Salary and benefits are commensurate with experience. Qualified individuals are encouraged to email their CV, bibliography, list of three references, and cover letter outlining their relevant experience and vision for leading the NCCAM IRP to: email@example.com, Subject Line: Scientific and Clinical Director Search. Application deadline is July 14, 2006. E-mail receipt of applications and inquiries is preferred; however, candidates needing reasonable accommodation may fax application materials to 301/402-4741. More details on this position are posted here
Small fee for service medical acupuncture practice for sale. Excellent location in Los Altos, CA. Office is beautifully furnished with two exam rooms, reception, office alcove and private bathroom. The practice
is primarily MD referrals. Great marketing materials and website already created. The practice is small because the current physician only worked 1.5 days per week. Huge potential for growth with existing
MD and patient referral base. Contact firstname.lastname@example.org.
Must sell: Helio Pantheon 6 Channel Stimulator, new - never used, includes facial stimulator probes, list price $425, now $300 or best offer. Contact Dr. Susan Kaplan at email@example.com or 914/844-3245.
Medical acupuncture practice with 30-year patient network for sale in Berkeley, CA. Creative arrangement. HMI/UCLA graduate only. E-mail firstname.lastname@example.org.
Mid-Atlantic Permanente Medical Group, PC has an immediate opening for a physician acupuncturist one day per week at the George Mason Clinic in Falls Church, VA. A physician in primary care, neurology, rheumatology, orthopedics or PM&R preferred. Will do general intake h and p to access for integrative modalities for the patient's condition. The patient mix is 95% adult. Medical conditions are predominantly chronic pain, oncology and women's health. Physician must have training in acupuncture, and knowledge of additional CAM modalities is preferred. Respond with CV via e-mail to Kelly.email@example.com or apply online at http://physiciancareers.kp.org.