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Board Certification: To Do or Not To Do

Apr 18 / Jennifer Carlson, LMT, BCTMB
In essence, board certification is not just a badge of honor; it reflects an MT's unwavering commitment to excellence and a promise to provide the best possible care for their clients.
What is one small step that each of us can take to immediately send an unspoken message to the public that we have a passion for our profession? That we take their care seriously?

What can we do to make it clear that we promise a practice of accomplishment above the state licensure level?

I first became board certified in 2016. As an Ontario RMT who had moved to New Jersey, I needed to obtain my license to practice massage in order to, you know, make a living! The NJ Board of Massage and Bodywork Therapy had directed me toward the NCBTMB exam so that I could prove my competency and THEN I could apply for state licensure. It had been over 10 years since I had taken an exam of that magnitude. Ontario's certification exam for massage therapy had two components, the MQC and the OSCE.

The MCQ is a computer-based exam consisting of 150 questions and candidates have three hours to complete it. The MCQ can be taken before or after the OSCE.

The OSCE is a clinical exam designed to evaluate the candidate’s knowledge and application of skills using clinical scenarios in seven test stations. Candidates have 90 minutes to complete the exam.

After having experienced both the MCQ and the OSCE, taking another exam wasn't my favorite idea. Ever the perfectionist, I needed to feel fully prepared. So, I poured over NCBTMB's website, purchased the practice exam, and began a THOROUGH review of everything that seemed to be quite similar to what I had learned in my three years at Fleming College. Board Certification required an exam similar to the MCQ portion of Ontario's process. It couldn't be that bad, right? Except, I then reflected on that crippling anxiety that I had felt, as a 21 year old, heading to my MCQ back in 2005. I cried the entire way to the testing center! Imagine the surprise of the testing center clerk when I run-jump hugged her after she told me that I passed. There were a lot of emotions flying around that afternoon!

Having to take a similar exam, this time, was a bit different. I may not have liked the idea initially, but I didn't feel as anxious - and the content was all review! That is, except for any state specific legislation and regulations. That was something that I needed to research, learn, and understand fully. The Standards of Practice, Code of Ethics, laws and regulations weren't very different from Ontario. There were some subtle differences in scope of practice. Nothing major. There were, however, significant differences in entry level education expectations.

After investigating what New Jersey held as their minimum requirements, I was happy - if not, DELIGHTED - to challenge NCB's exam and have BCTMB beside my name. You see, no longer having the College of Massage Therapists as a regulatory body and moving into state board licensure - I saw immediate value in being able to market myself as Board Certified. It meant feeling confident in having the right demographic of clients reaching out. Clients who were searching for an MT to help them with their wellness journey. Those who know me, know that I'm a solution seeker. My massages are rarely without treatment of some kind. When someone asks for "just relaxation", I take calming their nervous system on as a personal mission. When I see a health history form that is fairly blank in terms of conditions and areas of concern, I feel challenged to search out imbalances within the tissues that even the client was unaware of. I see board certification as proof to the public that I am in this profession to serve them to the best of my ability and if my ability is lacking then they can be sure that I will find the training necessary to boost my skill and show up better for their care.

I've chosen to keep my certification active. After COVID, I had mistakenly let my certification lapse, lost track of time, and needed to re-take the exam to re-establish the credential. Yes, you read that correctly. I voluntarily put myself through the MCQ jitters, for a third time. Yes, you read that correctly.
This time, I was excited to be tested. Yes, you read that correctly, yet again.
I had been coordinating and instructing the MT Program at Brookdale Community College for four years and found value in having a fresh perspective on taking a state exam. It helped me to provide my students with more sound advice on studying subject matter, relieving test anxiety, and navigating critical thinking in order to pave the path to success!

The "Why" for my "What"!
- Board Certification Edition

Board certification is a game-changer for massage therapists, clients, and the holistic healthcare system. It represents a commitment to high professional standards, lifelong learning, and continuous improvement in practice. This voluntary credential goes beyond state licensure, showcasing expertise and competence in advanced massage therapy assessment, care planning, and practice.

Let’s dive into the advantages of board certification:

For Massage Therapists:

- **Enhanced Reputation and Credibility**: 

Both credibility and reputation are dynamic in nature. Board certification can add stability in this area as it highlights a massage therapist's dedication to their craft and commitment to delivering top-notch care.

- **Increased Marketability and Earning Potential**:

A highly marketable MT is more likely to attract new clients and build their schedule, thus increasing earning potential. Employers, hospitals, and insurance companies often prefer board-certified massage therapists, which can lead to more job opportunities and higher pay.

- **Lifelong Learning and Skill Development**:

In today's rapidly changing job market, lifelong learning is crucial for staying relevant and competitive. The certification process and ongoing maintenance keep massage therapists updated on the latest advancements in their field.

- **Access to Advanced Education and Research Opportunities**:

Board certification opens doors to further training, research, and leadership roles. These opportunities foster critical thinking, communication skills, and problem-solving abilities, ultimately leading to innovation and improved quality of life. 

For Clients:

- **Confidence in Provider Expertise**: 

Clients can trust that board certification provides a reliable indication of a massage therapist's qualifications and experience in their area of care. It allows clients to trust their MT as a go-to resources for advice for soft tissue care and body movement.

- **Improved Patient Outcomes**:

While research is ongoing, studies suggest a connection between the education and practice required for board certification and better client outcomes. Measuring and improving patient outcomes is crucial for evaluating the effectiveness of massage treatment and ensuring high-quality care with an accumulative effect. 

- **Access to Specialized Care**:

Board-certified massage therapists often possess specialized knowledge and skills essential for managing complex medical conditions.

For the Holistic Healthcare System:

- **Improved Quality of Care**: 

Board certification raises the standard of practice, resulting in safer and more effective client care. This offers clients and MTs to work together to create personalized care plans to manage specific health needs

- **Accountability and Professionalism**:

Board certification ensures that massage therapists adhere to high standards of conduct and ethical practice. BCTMBs are accountable for their clinical hypothesis, treatment plans and patient outcomes. This includes acknowledging and addressing treatment errors with revisitation to the plan of care and a pivot in the approach to treatment.

- **Facilitation of Research and Innovation**:

Board certification encourages massage therapists to engage in research and innovation, leading to new treatments and practices. Keen providers may help organizations solve problems, develop new products and services, and improve processes, ultimately leading to increased efficiency, and client satisfaction.

In essence, board certification is not just a badge of honor; it reflects an MT's unwavering commitment to excellence and a promise to provide the best possible care for their clients.