Yoga Center of Steamboat
Pilates, pronounced pi lah teez, is a specific type of exercise method, named after Joseph Pilates. Sometimes instructors are certified, but it is not a requirement for teaching the method, nor is licensing through the State of Colorado Department of Regulatory Agencies.
Monday, October 27, 2014
Wednesday, October 22, 2014
Consumer Guide to Steamboat Bodyworks-Physical Therapy
Johnson & Johnson Physical Therapy
SportsMed at YVMC
No names are listed for either practice, however, the websites that are listed provide useful information regarding practitioners and credentials.
The State of Colorado Department of Regulatory Agencies does require licensing for physical therapists.
License information for all professions for which licensing is required is easily accessible. https://www.colorado.gov/dora/licensing/Lookup/LicenseLookup.aspx
SportsMed at YVMC
No names are listed for either practice, however, the websites that are listed provide useful information regarding practitioners and credentials.
The State of Colorado Department of Regulatory Agencies does require licensing for physical therapists.
License information for all professions for which licensing is required is easily accessible. https://www.colorado.gov/dora/licensing/Lookup/LicenseLookup.aspx
Saturday, October 18, 2014
Consumer Guide to Steamboat Bodyworks-Pharmacies
Lyon's Corner Drug
No names are listed so no credentials can be checked.
Pharmacy is a term with Greek roots meaning sorcery, poison, drug, or medicine. In modern times, pharmacy is a health care profession that provides and dispenses drugs and medicine, and as such, pharmacists are required to have state licensing.
Drugstores are a hybrid that combines the dispensation of prescription medicine with retail sales of cosmetics and other miscellaneous products. Enterprises that include pharmacies, such as grocery stores and general merchandise stores, are required to follow HIPAA (Health Information Portability and Accountability Act) to protect patient privacy, which includes communication between patient and pharmacist. Most of these kinds of businesses use some type of controls, such as barriers and signage, that is intended to keep shoppers and waiting customers some distance away from patient-pharmacist consultations. This is called reasonable safeguard, the minimum requirement under HIPAA laws, which do not require the elimination of all risks of breach of privacy as long as reasonable safeguards are used.
However, not all establishments have easily discernible reasonable safeguards and shoppers, waiting customers, pharmacy employees and retail employees may not be aware of how they might be infringing on patients' privacy. In that regard, patients' and consumers' considerations in protecting their privacy would be in their own best interest. It is always reasonable and appropriate to ask a pharmacist to ensure the privacy of all patient-pharmacist communications.
"Best of the Boat" is a designation that is not of much use for consumers. It is an advertising gimmick resulting from a popularity contest in which people vote for their favorite stores or businesses. However, the contest itself is not very popular. With a low participation rate, some businesses and stores win their category on a single vote, with other participants in the same category receiving no votes. All votes can come from relatives or friends or anyone with a vested interest in a store or business. "Best of The Boat" is designed to generate advertising dollars, not to assure consumers of quality of goods or services of any particular store or business.
No names are listed so no credentials can be checked.
Pharmacy is a term with Greek roots meaning sorcery, poison, drug, or medicine. In modern times, pharmacy is a health care profession that provides and dispenses drugs and medicine, and as such, pharmacists are required to have state licensing.
RX is from the Latin word meaning recipe.
However, not all establishments have easily discernible reasonable safeguards and shoppers, waiting customers, pharmacy employees and retail employees may not be aware of how they might be infringing on patients' privacy. In that regard, patients' and consumers' considerations in protecting their privacy would be in their own best interest. It is always reasonable and appropriate to ask a pharmacist to ensure the privacy of all patient-pharmacist communications.
"Best of the Boat" is a designation that is not of much use for consumers. It is an advertising gimmick resulting from a popularity contest in which people vote for their favorite stores or businesses. However, the contest itself is not very popular. With a low participation rate, some businesses and stores win their category on a single vote, with other participants in the same category receiving no votes. All votes can come from relatives or friends or anyone with a vested interest in a store or business. "Best of The Boat" is designed to generate advertising dollars, not to assure consumers of quality of goods or services of any particular store or business.
Friday, October 17, 2014
Consumer Guide to Steamboat Bodyworks-Personal Trainers
Focused Fitness
Nicki Parks, ACE Certified Personal Trainer
The State of Colorado Department of Regulatory Agencies (DORA) does not require licensing for personal trainers. Nicki Parks is listed in the Ace Integrated Fitness Training® database as a personal trainer.
Requirements for ACE certification include CPR (cardiopulmonary resuscitation) and AED (automated external defibrillator) certification as well as basic first-aid.
This is important for clients. Due to the nature of personal training, which sometimes is done at the client's home or another private setting, and because physical exertion can cause injury or a health emergency, it is important for personal trainers to have relevant training to handle such situations.
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IronEdge Coaching - Heather Gollnick
The State of Colorado Department of Regulatory Agencies (DORA) does not require licensing for personal trainers.
"Numerous certifications" is listed for this individual, however, that is not much help for consumers. Without listing specific certifications, they cannot be checked and consumers are not given necessary information about the type of certification, which makes it difficult for consumers to determine whether this coach would be well-suited to their needs.
Nicki Parks, ACE Certified Personal Trainer
The State of Colorado Department of Regulatory Agencies (DORA) does not require licensing for personal trainers. Nicki Parks is listed in the Ace Integrated Fitness Training® database as a personal trainer.
Requirements for ACE certification include CPR (cardiopulmonary resuscitation) and AED (automated external defibrillator) certification as well as basic first-aid.
This is important for clients. Due to the nature of personal training, which sometimes is done at the client's home or another private setting, and because physical exertion can cause injury or a health emergency, it is important for personal trainers to have relevant training to handle such situations.
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IronEdge Coaching - Heather Gollnick
The State of Colorado Department of Regulatory Agencies (DORA) does not require licensing for personal trainers.
"Numerous certifications" is listed for this individual, however, that is not much help for consumers. Without listing specific certifications, they cannot be checked and consumers are not given necessary information about the type of certification, which makes it difficult for consumers to determine whether this coach would be well-suited to their needs.
Thursday, October 16, 2014
Consumer Guide to Steamboat Bodyworks-Osteopathic Physicians
Dr. Jennifer McPeek, D.O.
DO stands for doctor of osteopathic medicine, which indicates graduation from an osteopathic medical school and a degree that is similar to MD, doctor of medicine. Dr. Jennifer McPeek is licensed with the State of Colorado Department of Regulatory Agencies (DORA), DR.0038739.
Credential protocols suggest proper placement of professional designations as Dr. before the name or DO after the name, but not both at the same time. In addition, periods are not used in academic degrees or other credentials.
Osteopathy is a term derived from two Greek words, osteon (bone) and pathos (disease).
Osteopathic physicians can do the same things as medical doctors, such as diagnose, treat, order tests, and prescribe medications, with a major difference being that osteopathic physicians offer OMT, Osteopathic Manipulative Treatment, which consists of manipulation or massage of joints and muscles, which is based on the osteopathic theory that the structural integrity of the musculoskeletal system has a direct bearing on the structures and systems of the body and manipulation of joints and muscles can restore health to diseased structures and systems of the body.
The only problem with osteopathic theory is that no evidence exists to support it.
Likewise, cranial osteopathy or craniosacral therapy, the theory of rates or pulses in cerebrospinal fluid as a diagnostic element and manipulation claimed to restore health, has lost credibility due to lack of evidence of biological plausibility, effectiveness and diagnostic value.
For Consumers
Osteopathic physicians' real value is as medical doctors and those who have completed residency training at a medical hospital have the knowledge and training consumers expect from medical doctors. Osteopathic physicians who promote manipulation do not have unique insight that offers benefits beyond possibly helping with back pain and osteopathic physicians who promote cranial osteopathy should be avoided altogether.
DO stands for doctor of osteopathic medicine, which indicates graduation from an osteopathic medical school and a degree that is similar to MD, doctor of medicine. Dr. Jennifer McPeek is licensed with the State of Colorado Department of Regulatory Agencies (DORA), DR.0038739.
Credential protocols suggest proper placement of professional designations as Dr. before the name or DO after the name, but not both at the same time. In addition, periods are not used in academic degrees or other credentials.
Osteopathy is a term derived from two Greek words, osteon (bone) and pathos (disease).
Osteopathic physicians can do the same things as medical doctors, such as diagnose, treat, order tests, and prescribe medications, with a major difference being that osteopathic physicians offer OMT, Osteopathic Manipulative Treatment, which consists of manipulation or massage of joints and muscles, which is based on the osteopathic theory that the structural integrity of the musculoskeletal system has a direct bearing on the structures and systems of the body and manipulation of joints and muscles can restore health to diseased structures and systems of the body.
The only problem with osteopathic theory is that no evidence exists to support it.
Likewise, cranial osteopathy or craniosacral therapy, the theory of rates or pulses in cerebrospinal fluid as a diagnostic element and manipulation claimed to restore health, has lost credibility due to lack of evidence of biological plausibility, effectiveness and diagnostic value.
For Consumers
Osteopathic physicians' real value is as medical doctors and those who have completed residency training at a medical hospital have the knowledge and training consumers expect from medical doctors. Osteopathic physicians who promote manipulation do not have unique insight that offers benefits beyond possibly helping with back pain and osteopathic physicians who promote cranial osteopathy should be avoided altogether.
Thursday, October 9, 2014
Consumer Guide to Steamboat Bodyworks-Orthopaedic Surgeons
Orthopaedics of Steamboat Springs
No names are listed, however the ad on the same page as well as the website provides the names of four doctors, all of whom are licensed with the State of Colorado Department of Regulatory Agencies (DORA).
Dr. Eric Verploeg, DR.0029871
Dr. Michael Sisk, DR.0037745
Dr. Andreas Sauerbrey, DR.0033499
Dr. Henry Fabian, DR.0034169
In addition, the website provides information about education, training, specialized training, certification, specialized care, and other information which is extremely helpful to consumers who are considering orthopaedic health care.
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Orthopaedic refers to the musculoskeletal system and the treatment of injuries, diseases, and conditions of bones, joints, ligaments, tendons, muscles, and nerves.
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Steamboat Orthopaedic Associates, P.C.
Both doctors are licensed with the State of Colorado Department of Regulatory Agencies (DORA).
Dr. Bryan Bomberg, DR.0029881
Dr. Alexander Meininger, DR.0051713
Their website includes important information regarding education, training, specialized training, certification, and areas of specialized care that can help consumers make informed decisions about orthopaedic health care.
Their website includes important information regarding education, training, specialized training, certification, and areas of specialized care that can help consumers make informed decisions about orthopaedic health care.
Wednesday, October 8, 2014
Consumer Guide to Steamboat Bodyworks-Nutritional Supplements
Family Medicine of Steamboat Springs
No names are listed, however the ad consumers are directed to lists the names of two medical doctors and one physician assistant. All are licensed with the State of Colorado Department of Regulatory Agencies (DORA).
Millie Flanigan, PA.0001325
Phaedra Fegley, DR.0043109
Rosanne Iversen, DR.0031614
This is important for consumers because this enterprise, which is also listed under Aesthetics & Skin Care, Family Medicine, and Nutrition & Diet, promotes supplements and complementary and alternative practices in its listings, as well as the ad consumers are directed to and the website provided. For consumers, having the information that these individuals are licensed in the medical field and dabbling in alternative practice, which is generally considered less safe and effective than science-based medicine, can help to determine whether this type of enterprise would be a good choice for health care.
Medical professionals who promote supplements and complementary and alternative practices are not common due to ethics and exploitation issues.
"The for-profit sale of goods to patients by physicians inherently creates a conflict of interest. Physicians engaging in this activity have a direct financial interest in selling the goods to patients; but the sale may or may not be in the best interests of the patients. Physicians may be tempted to sell items for profit even though their patients do not need the products. Even if most physicians are capable of resisting such temptation, the more ethical course is for professionals to avoid placing themselves in temptation's way, This conflict of interest is particularly troubling in the office setting, where most patients appear because they are in need of medical attention. In the ordinary market setting, consumers can be trusted not to purchase items which they do not want, thus a voluntary sales transaction is taken to be in the best interests of both parties. But the voluntariness of any sale to a patient in a medical office setting is open to serious question. . . .
The offer of goods In the treatment setting puts subtle pressure on sick and vulnerable patients to purchase them. Patients may purchase goods out of a misplaced desire to please or to "get in good" with their physicians. They may feel that they have to purchase those goods in order to secure the physician's favor. These feelings, whether justified or not, may interfere with the open exchange and the level of trust between physician and patient"
From American Medical Association
Council on Ethics and Judicial Affairs (CEJA)
Policy Statement
From the American Medical Association (AMA), Opinion 8.063 – Sale of Health-Related Products from Physicians’ Offices
No names are listed, however the ad consumers are directed to lists the names of two medical doctors and one physician assistant. All are licensed with the State of Colorado Department of Regulatory Agencies (DORA).
Millie Flanigan, PA.0001325
Phaedra Fegley, DR.0043109
Rosanne Iversen, DR.0031614
This is important for consumers because this enterprise, which is also listed under Aesthetics & Skin Care, Family Medicine, and Nutrition & Diet, promotes supplements and complementary and alternative practices in its listings, as well as the ad consumers are directed to and the website provided. For consumers, having the information that these individuals are licensed in the medical field and dabbling in alternative practice, which is generally considered less safe and effective than science-based medicine, can help to determine whether this type of enterprise would be a good choice for health care.
Medical professionals who promote supplements and complementary and alternative practices are not common due to ethics and exploitation issues.
"The for-profit sale of goods to patients by physicians inherently creates a conflict of interest. Physicians engaging in this activity have a direct financial interest in selling the goods to patients; but the sale may or may not be in the best interests of the patients. Physicians may be tempted to sell items for profit even though their patients do not need the products. Even if most physicians are capable of resisting such temptation, the more ethical course is for professionals to avoid placing themselves in temptation's way, This conflict of interest is particularly troubling in the office setting, where most patients appear because they are in need of medical attention. In the ordinary market setting, consumers can be trusted not to purchase items which they do not want, thus a voluntary sales transaction is taken to be in the best interests of both parties. But the voluntariness of any sale to a patient in a medical office setting is open to serious question. . . .
The offer of goods In the treatment setting puts subtle pressure on sick and vulnerable patients to purchase them. Patients may purchase goods out of a misplaced desire to please or to "get in good" with their physicians. They may feel that they have to purchase those goods in order to secure the physician's favor. These feelings, whether justified or not, may interfere with the open exchange and the level of trust between physician and patient"
From American Medical Association
Council on Ethics and Judicial Affairs (CEJA)
Policy Statement
No reliable statistics exist on how many doctors sell such products, and those who do are breaking no law. Yet for many experts, legality is beside the point.
''You can't exploit the patient for your own financial interest,'' said Dr. Leonard Morse, chairman of the American Medical Association's council on ethical and judicial affairs. ''This is a doctor-patient relationship, and your patient's interest transcends your financial interest.''
Dr. Stephen Barrett of Quackwatch, a medical watchdog Web site, put it this way: ''I tell people to avoid doctors who sell vitamins. It's a sign of bad judgment; you've made a wrong scientific judgment, in addition to which you're selling to a captive audience at a price that's inflated.''
From the American Medical Association (AMA), Opinion 8.063 – Sale of Health-Related Products from Physicians’ Offices
In-office sale of health-related products by physicians presents a financial conflict of interest, risks placing undue pressure on the patient, and threatens to erode patient trust and undermine the primary obligation of physicians to serve the interests of their patients before their own.
(1) Physicians who choose to sell health-related products from their offices should not sell any health-related products whose claims of benefit lack scientific validity. When judging the efficacy of a product, physicians should rely on peer-reviewed literature and other unbiased scientific sources that review evidence in a sound, systematic, and reliable fashion.
(2) Because of the risk of patient exploitation and the potential to demean the profession of medicine, physicians who choose to sell health-related products from their offices must take steps to minimize their financial conflicts of interest. The following guidelines apply:
(a) In general, physicians should limit sales to products that serve the immediate and pressing needs of their patients. For example, if traveling to the closest pharmacy would in some way jeopardize the welfare of the patient (eg, forcing a patient with a broken leg to travel to a local pharmacy for crutches), then it may be appropriate to provide the product from the physician’s office. These conditions are explained in more detail in the Council’s Opinion 8.06, "Prescribing and Dispensing Drugs and Devices," and are analogous to situations that constitute exceptions to the permissibility of self-referral.
(b) Physicians may distribute other health-related products to their patients free of charge or at cost, in order to make useful products readily available to their patients. When health-related products are offered free or at cost, it helps to ensure removal of the elements of personal gain and financial conflicts of interest that may interfere, or appear to interfere, with the physician’s independent medical judgment.
(3) Physicians must disclose fully the nature of their financial arrangement with a manufacturer or supplier to sell health-related products. Disclosure includes informing patients of financial interests as well as about the availability of the product or other equivalent products elsewhere. Disclosure can be accomplished through face-to-face communication or by posting an easily understandable written notification in a prominent location that is accessible by all patients in the office. In addition, physicians should, upon request, provide patients with understandable literature that relies on scientific standards in addressing the risks, benefits, and limits of knowledge regarding the health-related product.
(4) Physicians should not participate in exclusive distributorships of health-related products which are available only through physicians’ offices. Physicians should encourage manufacturers to make products of established benefit more fairly and more widely accessible to patients than exclusive distribution mechanisms allow. (II)
Issued December 1999 based on the report "Sale of Health-Related Products from Physicians' Offices," adopted June 1999.
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