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®
NATIONAL CERTIFICATION COMMISSION FOR ACUPUNCTURE
AND ORIENTAL MEDICINE
2011 ANNUAL REPORT
NCCAOM® 2011 ANNUAL REPORT 1
CORE VALUES
The NCCAOM has adopted the following core values for the organization:
TESTING EXCELLENCE
Our organizational mission drives us to produce valid and reliable measurements of competence in AOM practitioners who seek certification from us.
SERVICE
• PublicProtection:Wearecommittedto safeguarding the public from practitioners who have not demonstrated their competence.
• PublicBenefit:Wearecommittedtomaking available to the public reliable information that will help them to enjoy the benefits of health services from competent AOM practitioners.
• Diplomates:Wearecommittedto improving the reputation for excellence of AOM practitioners who have demonstrated competence through our certification processes.
INTEGRITY
Wearecommittedtoupholdingbasicsocietal norms of truthfulness and honesty in all our organizational words and deeds.
MISSION
The mission of the NCCAOM®
is to establish, assess, and
promote recognized standards
of competency and safety in
acupuncture and Oriental
medicine for the protection and
benefit of the public.
The NCCAOM carries out its mission in the following ways:
• Documenteligibilitytositforcompetency examinations, passage of which is required for certification.
• Developvalidandreliablecertificationexaminations administered in a highly secure test centers.
• Requiredemonstrationofcompetencymaintenance and ongoing professional development through the recertification process, required every four years.
• RequireadherencetotheNCCAOM® Code of Ethics, enforced by the NCCAOM® Grounds for Disciplinary Action.
• Workcloselywithstateregulatoryboards for the exchange of information on examination score reports and disciplinary cases.
TRUST
Wearecommittedtopromotinganorganizational environment that allows those who work for NCCAOM to rely on one another to accomplish the tasks requiredbyourmission.Wemaintainthe same commitment in our joint activities with other organizations with whom we collaborate for the betterment of the AOM community.
LEADERSHIP
Wearecommittedtoactingresponsiblyto advance the interests of the AOM community through our certification process.Weunderstandourleadershipto be inseparable from our mission of service to the public and to the AOM community.
• Volunteerism:Wearecommittedto engaging AOM practitioners and other public member volunteers in the activities necessary to keep our certification exams and processes relevant to the state of the art of AOM.
• Support:Wearecommittedtobeingaresponsible corporate member of the larger community in which we live and serve.
(Pictured left, front row, left to right) Weiyi Ding, Vice Chair, Tess Hahn, David Canzone, Chair, Dr. Kory Ward-Cook, CEO, Denise Hsu (Back row) Susan Chapman, Treasurer, Eugene London, Bryn Clark, Secretary, Mike Klug, Michael Garland, Jan Ste Germaine
2 NCCAOM® 2011 ANNUAL REPORT
A MESSAGE FROM THE CHAIR AND CEO OF NCCAOM®
A s we look back on the NCCAOM® accomplishments and challenges from 2011, we pause to evaluate the organization’s progress towards meeting the strategic
goals established by the NCCAOM Commissioners and staff in 2008. The NCCAOM® 2008 - 2012 Strategic Plan calls for seven goals, which are provided in the chart accompanying thismessage.Whathasbeenourprogresstodate?Whathavebeenthechallengesinmeetingthesegoals?Finally,whatplansdoestheorganizationhavetowardsmeetingthesegoals?
GOAL #1: ESTABLISH NEW CREDENTIALS TO MEET THE CHANGING NEEDS OF THE ACUPUNCTURE AND ORIENTAL MEDICINE (AOM) COMMUNITY
ThisGoalhasnecessitatedtheNCCAOMBoardofCommissioners to first examine the effectiveness and purpose of our current NCCAOM certification programs. Duringthefirst20yearsfollowingtheestablishmentofthefirstNCCAOMcertificationprogram,theDiplomateofAcupuncture, in 1984, the number of certified and licensed
KORY WARD-COOKCEO
DAVID CANZONECHAIR
acupuncturists rose significantly each year. Concurrently, the expansion of scope for licensed acupuncturists to be able to practice Chinese herbal medicine also grew and continues to grow in states with a licensing act for acupuncturists. In the 1990’s the NCCAOM studied the need to either expand the currentDiplomateofAcupuncturecertificationtoincludeChinese herbal medicine competencies or to create another certification.Followingayearofgatheringstakeholderinput,the NCCAOM created its second NCCAOM certification program,theDiplomateofChineseHerbology.In1995when this additional certification was added many of the acupuncture state licensing boards wanted to have their licensed acupuncturists require demonstration of competency in Chinese herbology as well as foundations of Oriental medicine, point location and acupuncture. In the early 2000’s the NCCAOM responded further to the needs of the AOM professionbyaddingathirdcertification,theDiplomateof Oriental Medicine. Along with the roll-out of this new certification program in 2004, there was a profound new way in which the NCCAOM could most effectively provide each acupuncture licensing board certification exams which
®
GOAL #1Establish New Credentials to Meet the Changing Needs of the Acupuncture and Oriental Medicine (AOM) Community
GOAL #2Be a Resource on Demographic and Descriptive Information about the AOM profession
GOAL #3Assure that Internationally Educated Applicants for Certification Meet the Same Standards as U.S. Applicants
NCCAOM® 2011 ANNUAL REPORT 3
could be used for their candidates for licensure to specifically demonstrate competency by requiring passage of one or more NCCAOM examinations used for both licensure and certificationpurposes:FoundationsofOrientalMedicine,PointLocation,Acupuncture,ChineseHerbologyandBiomedicine.Onanothertract,theNCCAOM,inresponsetoarequestfromtheAOBTA,wasaskedtocreatetheDiplomateofAsianBodyworkTherapy;thatcertificationprogramwaslaunchedin2000.Fastforwardto2011;theAOMprofessioncontinues to evolve. More states are adding demonstration of competency in Chinese herbs as well as biomedicine. Although there is no national standard to which all state acupuncture licensing board subscribes, currently 23 states require full NCCAOM certification.
Duringtheyear2011,theNCCAOMBoardandstaffcontinued to work with a number of the state regulatory boards in adding either full certification or passage of other examinationassessments,specificallyChineseHerbologyorBiomedicinetotheirlicensingrequirements.Seepages12–15ofthe2011YearinReviewformoredetails.
AsignificantdecisionmadebytheNCCAOMBoardofCommissioners in 2011 was the decision to announce theretirementoftheDiplomateofAsianBodyworkTherapy(ABT)certificationexam.TheNCCAOMBoardof Commissioners subsequently began assembling a blue ribbonpanelofABTstakeholderstoconsiderapotentialnewcredentialforABT.ThepanelmetinJuly2012andtheABTcommunityofstakeholderswillcontinuetoexaminealternativecredentialsforthedisciplineofABTin2012andinto 2013.
GOAL #2: BE A RESOURCE ON DEMOGRAPHIC AND DESCRIPTIVE INFORMATION ABOUT THE AOM PROFESSION
This Goal continues to be realized through several different channels of communication. To begin, the launching of the newNCCAOMwebsiteinFebruaryof2011hasresultedinadditional ways to gain greater recognition of NCCAOM Diplomatesbythepublic(i.e.moretrafficgoingtotheNCCAOMwebsite).Althoughoneoftheprimarypurposesof the revamped 2011 NCCAOM website is to focus on providingbettertoolstoassistapplicantsandDiplomatesinobtaining certification and recertification, a more prominent feature that was implemented was the promoting of NCCAOMDiplomatestothepublic.Thishasbeenachievedby the addition of the Consumer section featuring helpful information for consumers about each NCCAOM certification program as well as the News and Events and Regulatory Affairs sections with relevant and up-to-date information and news regarding the AOM profession and legislative requirements and activities.
In November of 2011, the NCCAOM pilot tested the first NCCAOM® Demographic and Clinical Practice Characteristics Survey. This survey questionnaire is made available to all Diplomateswhentheycompletetheirrecertificationprocess.DatadescribingactiveDiplomates’demographicprofile,practice settings and clinical practices will continue to be collected year-round and publications will be forthcoming in 2013. This data will be useful in collecting important information trends that will provide measurements for growth and changes in the AOM profession.
GOAL #7Develop New Products and Services for Diplomates
GOAL #6Partner with other National AOM Organizations to Gain Recognition/Acceptance of the Profession by Federal Agencies
GOAL #5Explore the Emerging Market and Need for Ongoing Credentials for All Five Branches of Oriental Medicine
GOAL #4Encourage Use of NCCAOM Examinations by Every State with Licensure for Acupuncturists
4 NCCAOM® 2011 ANNUAL REPORT
Bytheendof2011,NCCAOM’svigilanceininformingthe public about seeking NCCAOM certified practitioners resulted in the following significant outcomes as a measure of NCCAOM Goal #2’s success:
• SevencitationsonMedline;
• Over20Mediainquiriesrelatedtopressreleasessentoutby the NCCAOM or by reporters interested in obtaining informationaboutacupunctureandOrientalmedicine;and
• FourpublicationsorpressreleasespromotingNCCAOMDiplomatesandNCCAOMcertification.
GOAL #3: ASSURE THAT INTERNATIONALLY EDUCATED APPLICANTS FOR CERTIFICATION MEET THE SAME STANDARDS AS U.S. APPLICANTS
This Goal necessitated the appointment of the NCCAOM BlueRibbonAdvisoryPanelonInternationalEligibility.Thisprestigiouspanel(Seethelistofthesepanelmembersunder2011BoardofCommissioners,Councils,CommitteesandPanelsonpage7)whichwasconvenedin2011andwillconclude at the end of 2012 adopted the following goals:
1. DeveloparecommendationforexpandingeligibilityforRoute2:FormalEducationforInternationalApplicants,so that international applicants applying through this RoutewillbeassuccessfulasapplicantsapplyingthroughRoute1:FormalEducationforU.S.ApplicantsinachievingNCCAOMcertificationandU.S.statelicensure;and
2. DeveloparecommendationtodeterminewhetherornottoinstituteanEnglishlanguageproficiencyrequirement.
The panel will deliver its final report and recommendations totheBoardofCommissionersinFebruary2013.NCCAOMstakeholders will be contacted in 2013 to provide input on any recommendation that has significant effect on NCCAOM certification eligibility policies.
GOAL #4: ENCOURAGE USE OF NCCAOM EXAMINATIONS BY EVERY STATE WITH LICENSURE FOR ACUPUNCTURISTS
Goal #4 is an NCCAOM strategic goal that will help to facilitate reciprocity in each state with an acupuncture practice act.During2011thefollowingactivitieswereundertakentomeet this goal:
• ProvidedtestimonyonNCCAOMcertificationstandardsandthesafepracticeofAOMbyNCCAOMDiplomatestoover25stateAOMregulatoryboardsandlegislativebodies;
• WrotelettersofsupportforlegislationthatpromotesAOMtoseveralstatelicensingboards;and
• Providedup-to-dateinformationtostateregulatoryagencies, legislative members and committees, state association leaders and members of the media on national and international use of NCCAOM examinations and certifications.
During2011thestateofWashingtonaddedpassageoftheNCCAOMBiomedicineexamasaprerequisitetolicensure.
GOAL #5: EXPLORE THE EMERGING MARKET AND NEED FOR ONGOING CREDENTIALS FOR ALL FIVE BRANCHES OF ORIENTAL MEDICINE
Although this goal has not resulted in any additional NCCAOM credentials as of the close of 2011, the NCCAOM Boardandstaffcontinuetoreceiveinputfromvariousstakeholders on the need for a certification or a certificate of qualification in many other areas of Oriental medicine such as Tai Chi or Qigong, Chinese herbal dispensing, or Chinese dietary counseling. As mentioned under Goal #1 above, the NCCAOM continued to dialogue with members of the ABTcommunityrelatedtoapossiblenewcredentialforthisdiscipline.
NCCAOM® 2011 ANNUAL REPORT 5
GOAL #6: PARTNER WITH OTHER NATIONAL AOM ORGANIZATIONS TO GAIN RECOGNITION/ACCEPTANCE OF THE PROFESSION BY FEDERAL AGENCIES
This is a goal that has made tremendous progress since 2008. The NCCAOM utilized some of the demographic and clinical practice characteristics from the results of the NCCAOM 2008JobAnalysisSurveytobetterdefineandtracktheAOMprofession.ThisdatawasusedtoprovidetheBureauofLaborandStatistics(BLS)requireddataneededtotracktheAOM profession for the purposes of classifying acupuncture as a separate profession. As a result of the NCCAOM’s last jobanalysissurvey(SeeNCCAOM 2008 Job Task Analysis Survey: A Report to the Acupuncture and Oriental Medicine Community)datawassubmittedtotheBLSandcurrentlythe O*Net-Online occupational search engine provides the followingoccupationalcode:29-1199.01–Acupuncturists.AcupuncturistsarenowbeingtrackedbytheBLSandhavebeenidentifiedasa“BrightOutlook”occupationwhichmeansthat the need for Acupuncturists and growth of the field is expected to expand rapidly in the next several years, will have large numbers of job openings, or are new and emerging occupations. The data generated from the NCCAOM 2008 JobTaskAnalysis(JTA)alsoprovidedinformationforseveralpublications. One of the most significant of these publications wasthe2011-2012AmericanMedicalAssociation’sHealthCareCareersDirectorythatfeatured“ComplementaryandAlternativeMedicineTherapies”practitionerswhichincludedacupuncturists and Oriental medicine practitioners for the first time in the history of this publication.
GOAL #7: DEVELOP NEW PRODUCTS AND SERVICES FOR DIPLOMATES
During2011theNCCAOMmadesignificantprogresswith this goal. One of the most significant outcomes for this goal was the upgrade to the NCCAOM website which included the addition of a more robust Find a Practitioner Directory and NCCAOM® Professional Development Activities
(PDA) Search Engine. After the launch of the newly designed NCCAOM® Find a Practitioner, staff received many favorablecommentsfromcandidates,Diplomatesandother interested stakeholders, including the general public. BasedonadditionalfeedbackregardingthenewlydesignedNCCAOM® Find a Practitioner, staff received suggestions for further enhancements. Additional search features were added;currentlythedirectoryallowssomeonetosearchbyname, state, city, zip code or certification type. More recently the NCCAOM also created a feature that allows individuals tolocateDiplomatesoutsidetheU.S.;acountrysearchwasalsoadded.Finally,basedonfeedbackfromtheNCCAOMDiplomateSatisfactionSurveys,theNCCAOMbeganofferingfreepersonalizedwebsitestoallactiveDiplomates.
Wehopethatthislookbackto2011,andearlier,hasgivenyouaperspectiveonhowtheNCCAOManditsDiplomatesare making an impact in the healthcare arena. As always we welcome your comments, suggestions and feedback on NCCAOMproductsandservices.PleasecontactDr.KoryWard-Cook,[email protected] if you have any questions or information to share with us.
David Canzone, DOM, Dipl. Ac. (NCCAOM)®, Dipl. NBAO Chair, NCCAOM® Board of Commissioners
Kory Ward-Cook, Ph.D., MT(ASCP), CAE Chief Executive Officer
6 NCCAOM® 2011 ANNUAL REPORT
2011 NCCAOM BOARD OF COMMISSIONERS
The2011BoardofCommissionerswascomposedoftenCommissionerswhichincludedsevenProfessionalmembers,threePublicmembersandanon-votingChiefExecutiveOfficer.Belowarethemembersofthe2011NCCAOMBoardofCommissioners.
DAVID CANZONECHAIR
KORY WARD-COOKCEO
MIKE KLUGCOMMISSIONER
DENISE HSUCOMMISSIONER
SUSAN CHAPMANTREASURER
TESS HAHNCOMMISSIONER
JAN STEGERMAINECOMMISSIONER
WEIYI DINGVICE CHAIR
MICHAEL GARLANDCOMMISSIONER
EUGENE LONDONCOMMISSIONER
BRYN CLARKSECRETARY
NCCAOM® 2011 ANNUAL REPORT 7
2011 NCCAOM GOVERNANCE ORGANIZATIONAL STRUCTURE
FINANCE COMMITTEE
CommitteeChair,BOCTreasurerMembersBOCChair,Ex-officioCEO,Ex-officioStaffLiaisonStaffSupport
PROFESSIONAL ETHICS AND DISCIPLINARY COMMITTEE
Committee ChairMembers and GuestsStaffLiaisonStaffSupport
GOVERNANCE DOCUMENTS COMMITTEE
CommitteeChair/BoardLiaisonMembersBOCChair,Ex-officioCEO,StaffLiaisonStaffSupport
BOARD DEVELOPMENT COMMITTEE
CommitteeChair/BoardLiaisonMembersBOCChair,Ex-officioCEO,Ex-officioStaffSupport
RESEARCH COMMITTEE
Committee ChairMembers and GuestsBOCChair,Ex-officioCEO,Ex-officioStaffLiaison
BLUE RIBBON ADVISORY PANEL ON INTERNATIONAL ELIGIBILITY
Committee ChairCommissioner MembersDiplomateMembersAOMOrganizationalRepresentativesPublicMemberSubjectMatterExpertsBOCChair,Ex-officioCEO,Ex-officioConsultantStaffLiaisonStaffSupport
ELIGIBILITY COMMITTEE
Committee ChairBoardLiaisonMembers and GuestsCEO,Ex-officioStaffLiaisonStaffSupport
RECERTIFICATION COMMITTEE
Committee ChairBoardLiaisonMembers and GuestsBOCChair,Ex-officioCEO,Ex-officioStaffLiaison
COUNCIL OF EXAMINATION COMMITTEE CHAIRS
Committee ChairChairsofEDCsBoardLiaisonsofEDCsBOCChair,Ex-officioCEO,StaffLiaisonStaffSupport
EXECUTIVE COMMITTEE
BOCChairBOCViceChairBOCTreasurerBOCSecretaryChiefExecutiveOfficerMember-at-Large(optional)
STANDING COMMITTEES, COUNCILS AND PANELS
EXAMINATION DEVELOPMENT COMMITTEES**
AcupuncturewithPointLocationAsianBodyworkTherapyChineseHerbologyFoundationsofOrientalMedicineBiomedicine
**Each EDC Committee includes Chairs, Board Liaisons, Memebers, Guests and Staff Liaisons
BOARD OF COMMISSIONERS7ProfessionalMembers
3PublicMembersChiefExecutiveOfficer
8 NCCAOM® 2011 ANNUAL REPORT
BOARD OF COMMISSIONERS
DavidCanzone,ChairWeiyiDing,ViceChairSusanChapman,TreasurerBrynClark,SecretaryKoryWard-Cook,CEOTessHahn,CommissionerMichael Garland, CommissionerDeniseHsu,CommissionerMikeKlug,CommissionerEugeneLondon,CommissionerJanSteGermaine,CommissionerGailRemsen,SupportStaff
COMMITTEES, COUNCILS AND TASKFORCES OF THE BOARD
EXECUTIVE COMMITTEE
DavidCanzone,ChairWeiyiDing,ViceChairSusanChapman,TreasurerBrynClark,SecretaryKoryWard-Cook,CEOMichaelGarland,Member-at-LargeGailRemsen,SupportStaff
2011 BOARD OF COMMISSIONERS, COUNCILS, COMMITTEES AND PANELS
FINANCE/AUDIT COMMITTEE
SusanChapman,ChairMichael Garland, MemberJanSteGermaine,MemberMikeKlug,MemberDavidCanzone,Ex-officioKoryWard-Cook,Ex-officioNeelTenali,StaffLiaisonIreneBasore,StaffSupport
2011 NCCAOM ORGANIZATIONAL STRUCTURE
By the end of 2011, the NCCAOM had 16 full-time
staff and 2 part-time staff. The Chief Executive
Officer serves as the chief staff member.
DIRECTOR OF EXECUTIVE AND
VOLUNTEER SERVICES
EXECUTIVEOFFICE
ADMINISTRATIVE ASSISTANT
DIRECTOR OFPUBLIC,
PROFESSIONAL AND REGULATORY AFFAIRS
MANAGER OF PROFESSIONAL
ETHICS
DIRECTOR OF
ADMINISTRATION
MANAGER OF CERTIFICATION
SERVICES
CERTIFICATION RECORDS ASSISTANT
DIRECTOR OF TESTING SERVICES
DIRECTOR OF
FINANCE
ASSISTANT CONTROLLER
DIRECTOR OF TEST
DEVELOPMENT
MANAGER OF PDA AND QUALITY ASSURANCE
ADMINISTRATIVE ASSISTANT
ADMINISTRATIVE ASSISTANT
CHIEFEXECUTIVEOFFICER
MANAGER OF INFORMATION TECHNOLOGY
CUSTOMER SERVICE
REPRESENTATIVE
ADMINISTRATIVE ASSISTANT
NCCAOM® 2011 ANNUAL REPORT 9
GOVERNANCE DOCUMENTS COMMITTEE
Michael Garland, ChairDeniseHsu,MemberMikeKlug,MemberDavidCanzone,Ex-officioKoryWard-Cook,Ex-officioGailRemsen,StaffLiaison
BOARD DEVELOPMENT COMMITTEE
Michael Garland, ChairBrynClark,MemberWeiyiDing,MemberDavidCanzone,Ex-officioKoryWard-Cook,StaffLiaisonGailRemsen,StaffSupport
PROFESSIONAL ETHICS AND DISCIPLINARY COMMITTEE
Michael Taromina, ChairScottCormier,MemberCathy Goldstein, MemberValerieHobbs,MemberDeniseHsu,MemberMikeKlug,MemberRebeccaCassidy,StaffLiaison
ELIGIBILITY COMMITTEE
BrynClark,ChairJanSteGermaine,MemberMaryWu,MemberChristine Chang, MemberEugeneLondon,MemberKoryWard-Cook,Ex-officioIreneBasore,StaffLiaisonSheilaLusis,StaffSupport
RECERTIFICATION COMMITTEE
JanSteGermaine,ChairFayeSchenkman,MemberMikeKlug,MemberMaryanne Travaglione, MemberAmySear,MemberDavidCanzone,Ex-officioKoryWard-Cook,Ex-officioIreneBasore,StaffLiaison
COUNCIL OF EXAMINATION COMMITTEE CHAIRS 2011
WeiyiDing,ChairJasonHao,MemberDeniseHsu,MemberEugeneLondon,MemberJanSteGermaine,MemberCathy Goldstein, Member
BarbraEsher,MemberTessHahn,MemberDavidCanzone,Ex-officioKoryWard-Cook,StaffLiaisonYvonneSanders,StaffSupportPamFrommelt,StaffSupport
ACUPUNCTURE WITH POINT LOCATION EXAM DEVELOPMENT COMMITTEE
JasonHao,ChairDeniseHsu,BoardLiaisonRuthDalphin,MemberJonathanDaniel,MemberLawrenceHoward,MemberDavidMyrick,MemberZongLanXu,MemberEr-QiangLi,GuestDavidCanzone,Ex-officioKoryWard-Cook,Ex-officioYvonneSanders,StaffLiaison
CHINESE HERBOLOGY EXAM DEVELOPMENT COMMITTEE
WeiyiDing,ChairandBoardLiaisonYuxinHe,MemberAnneJeffres,MemberQing-YaoShi,MemberChristine Chang, GuestZhenHu,GuestDavidCanzone,Ex-officioKoryWard-Cook,Ex-officioYvonneSanders,StaffLiaison
FOUNDATIONS OF ORIENTAL MEDICINE EXAM DEVELOPMENT COMMITTEE
EugeneLondon,Chair&BoardLiaisonJanSteGermaine,MemberShaozhiLi,MemberXiaohaiLi,MemberXiaotianShen,MemberJoanBoccino,MemberDavidCanzone,Ex-officioKoryWard-Cook,Ex-officioPamelaFrommelt,StaffLiaison
BIOMEDICINE EXAM DEVELOPMENT COMMITTEE
Cathy Goldstein, ChairTessHahn,BoardLiaisonDennisMoseman,MemberDavidMiller,MemberJanetZand,MemberBingzengZou,GuestIman Majd, Guest
DavidCanzone,Ex-officioKoryWard-Cook,Ex-officioPamelaFrommelt,StaffLiaison
ASIAN BODYWORK THERAPY EXAM DEVELOPMENT COMMITTEE
BarbraEsher,ChairJanSteGermaine,BoardLiaisonMichael Casper, MemberRylenFeeney,MemberBrianSkow,MemberDeborahSmith,MemberDavidCanzone,Ex-officioKoryWard-Cook,Ex-officioPamelaFrommelt,StaffLiaison
RESEARCH COMMITTEE
BrynClark,ChairSusanChapman,MemberWeiyiDing,MemberJanSteGermaine,MemberEugeneLondon,MemberDavidCanzone,Ex-officioKoryWard-Cook,Ex-officioMinaLarson,StaffSupport
BLUE RIBBON ADVISORY PANEL ON INTERNATIONAL ELIGIBILITY (BRAPIE)
BrynClark,ChairDeniseHsu,CommissionerMemberTessHahn,CommissionerMemberMalvinFinkelstein,DiplomateMemberEladSchiff,DiplomateMemberJeannieKang,AAAOMRepresentativeCarlaWilson,ACAOMRepresentativeSteveGiven,CCAOMRepresentativeMaryWatterson,Registrar,CTCMA,CanadaPennyHeisler,ExecutiveDirector, MarylandStateAcupunctureBoardCharlesKim,ViceChair,California AcupunctureBoardBarbaraNichols,PublicMember, ImmediatePastCEO,Commissionon GraduatesofForeignNursingSchoolsRobertWatkins,PublicMember,Chair, NAFSA:AssociationofInternationalEducatorsDaleCyr,PublicMember,CEO, AmericanRegistryforDiagnosticMedical Sonography(ARDMS)SharonGoldsmith,GoldsmithandAssociates, Consultant/FacilitatorDavidCanzone,Ex-officioKoryWard-Cook,Ex-officioIreneBasore,StaffLiaison
10 NCCAOM® 2011 ANNUAL REPORT
NCCAOM’sfinancialconditionasofDecember31,2011continuedtoremainverystrongandstable.DespitecontinuedoveralldownturninU.S.economy,NCCAOMhasbeenabletomaintainaverystrongfinancialposition.TheNCCAOMFinance
Committee,Boardandstaffcontinuedtonavigatethefinancialpositionoftheorganizationsuccessfully during the year. As part of the overall NCCAOM strategic goals implementation the staff upgraded the constituent management databases and IT network in order to improve efficiencies and better serve the needs of all stakeholders.
ThebalancesheetofNCCAOMshowsastrongandfavorableconditionasofDecember31, 2011. All financial ratios continued to reflect a highly favorable position, resulting intheorganizationcontinuanceofitsprudentreservetarget.Bytheendoftheyear,theNCCAOM’snetassetsincreasedby$185,901.TheStatementofActivities(Table 1) shows a totalincomeof$3,549,510representinganaboveaverageleveloftotalincomeforthe2007-2011timeperiods.Totalexpensesfor2011of$3,369,473representsabelowaverageleveloftotal expenses for the same period. Management’s continued efforts to implement prudent cost-saving measures helped achieve these favorable operating results. Table 1 below shows the total income and expenses by major categories. Charts 1 and 2 also show the percent of revenue or expenses for 2011 by major categories.
Susan Chapman Treasurer, 2011
TREASURER’S REPORT
SUSAN CHAPMANTREASURER
NCCAOM® 2011 ANNUAL REPORT 11
TABLE 1: STATEMENTS OF ACTIVITIES AND CHANGES IN NET ASSETS
YEAR ENDED DECEMBER 31, 2011
CHART 1: TOTAL REVENUE BY SOURCE
l Application Fees
l Examination Fees
l Recertification Fees
l PDA Provider Fees
l Administrative Fees
l Exams Administration
l Recertification
l Diplomate and Candidate Services
l Board and Committees
l External Relations
l General Administration
CHART 2: TOTAL EXPENSES BY PROGRAM
45%
24%
26%
2% 3%
55%
12%
11%
3%
8%
11%
REVENUES
Examination Fees $1,529,600
Practice Test Fees 41,610
Application Fees 844,635
Recertification Fees 925,690
PDA Income 85,725
Publication Income 6,984
Administrative Fees 115,266
TOTAL REVENUES $3,549,510
EXPENSES
Examination Administration Costs $1,854,386
Recertification Costs 397,349
Diplomate and Candidate Costs 361,670
Total Direct Costs 2,613,405
Operating Revenue, Net 936,105
Board & Committees Costs 272,813
External Relations Costs 109,045
General and Administrative Costs 374,210
CHANGE IN NET ASSETS BEFORE OTHER INCOME $180,037
OTHER INCOME (LOSS)
Investment Income, (Including net of expenses of $15,000) $5,864
Total Other Income (loss) 5,864
Change in Net Assets 185,901
Net Assets, Beginning of Year 4,420,273
NET ASSETS, END OF YEAR $4,606,174
12 NCCAOM® 2011 ANNUAL REPORT
YEAR IN REVIEW
2011 HIGHLIGHTS
JANUARYInJanuary2011,anewrecertificationcategorywasimplemented:Amaximumofsix(6)PDApointsmaybesubmitted in a four-year recertification cycle for programs in continuing education that relate to areas outside the core competencies that enhance or benefit an NCCAOM Diplomate’spractice.ThisactivitycategoryallowsPDApoints for subjects that do not directly relate to Oriental medicinebutmaystillenhancetheDiplomate’sprofessionaldevelopment (i.e., Native American herbs, crystals, psycho-spiritualhealing,reike,martialarts,touchtherapy,etc.)
FEBRUARYInFebruary2011,theNCCAOMlaunchedanewlydesignedwebsite.AllNCCAOMapplicants,candidatesandDiplomateshave secure direct access to their NCCAOM application status, certification status, exam results and all other information relatingtothecertificationprocess.Diplomatesarealsoable
to update their contact information as it changes, and have a choice of being listed in NCCAOM’s Find a Practitioner directory. The NCCAOM now offers an online application process for new applicants.
AsofFebruary2011,theNCCAOMrequiresdocumentationofaCPRcertificateprogramcompletioninadditiontofourhoursof“safety”and/or“ethics”PDAs.TheNCCAOMseparatedtheserequirementsandCPRnolongercountstowardsthe“safety”and/or“ethics”requirement.CPRhasbecome an additional stand-alone requirement.
TheNCCAOMwascontactedbyHawaiiAOMStateAssociationinFebruaryregardingabillthatwouldallowMDs,DOs,andphysicianassistantstopracticeacupuncturebyauthorizingtheHawaiimedicalboardtoregulatethepractice of acupuncture by its licensees. The legislation would further repeal the authority of the board of acupuncture to
NCCAOM Blue Ribbon Panel on International Eligibility (BRAPIE):
(Back row, pictured left to right) Elad Schiff, Charles Kim, Dale Cyr, Malvin Finkelstein, Steve Given, Barbara Nichols, Robert Watkins, Tess Hahn, Bryn Clark, Carla Wilson, Irene Basore, Sharon Goldsmith. (Front row, pictured left to right) Penny Heisler, Denise Hsu, Kory Ward-Cook, Jeannie Kang.
NCCAOM® 2011 ANNUAL REPORT 13
regulate the practice of acupuncture by physicians, osteopathic physicians,andphysician’sassistants(atthattime,HawaiiandSouthCarolinaweretheonlystatesthatdonotallowMDstopracticeacupuncture).TheNCCAOMpresentedaletterofconcern regarding this proposed legislation.
MARCHIn March 2011, the NCCAOM, in partnership with Zen Ventures,LLClaunchedtheofferingofcustomizedwebsitesandhostingservicesforallactiveNCCAOMDiplomateswhowant to promote their practices. The free, basic website service canoptionallybeupgradedforanominalfee,ifaDiplomatedesires a more robust personal website.
APRILTheNCCAOMsupportedAB72(Eng),whichwouldmandatethat all health policies cover acupuncture services, through
alettersenttotheAssemblyCommitteeonHealthinAprilof2011.TheNCCAOMalsoworkedwithCaliforniaStateAssociationssuchasCAOMAandCaliforniaDiplomatesto support this bill. Thanks to our letter and other support letters, this legislation passed the committee and will be making its way to the Appropriations Committee for financial implications.
In April 2011, the NCCAOM hosted its first webinar on thesubjectofProfessionalDevelopmentActivities(PDA).ThePDAWebinarpresentationslidesareavailableontheNCCAOM website.
MAYInMay2011,theNCCAOMhostedit’sfirst-everStudentWebinar.The video presentation and slides are available on the NCCAOM website.
Biomed EDC 2011:
(Back row, pictured left to right) Bingzeng Zou, Janet Zand, Dennis Moseman, David Miller, Cathy Goldstein.
(Front row, pictured left to right) Anne Jeffres, Iman Majd, Tess Hahn.
14 NCCAOM® 2011 ANNUAL REPORT
JUNEInJune2011,theNCCAOMpublishedtheresultsofitsfourthDiplomate Satisfaction Survey.Arecord1,941Diplomatesresponded to the survey in 2011. Resultsofthissurveyareavailable on the NCCAOM website.
SEPTEMBERInSeptember,theNCCAOMprovidedtheOregonAcupunctureBoardwithaletterofconcernregardingallowing chiropractors to dry needle in that state. The letter wassubmittedtotheBoardofChiropractorsfortheirhearingand also copied to the Oregon Acupuncture and Oriental MedicineAssociation(OAOMA).TheNCCAOMwasnotifiedbytheOAOMAthattheBoardofChiropractorshasinitiallyapproved language to allow chiropractors to perform dry needling with less than 30 hours of education.
InSeptember2011,theNCCAOMheldaRegulatoryAffairs
Webinar.The video presentation and slides are available on the NCCAOM website.
NOVEMBERInNovember2011,theNCCAOMhostedaDiplomateWebinar.The video presentation and slides are available on the NCCAOM website.
BoardofCommissionerPublicmember,MichaelKlugandChiefExecutiveOfficerDr.KoryWard-Cookparticipatedas panel members at the 2011 Institute for Credentialing Excellence’seducationalsessiononThe Value of Public Members on Certification Boards.
DECEMBERDr.KoryWard-Cook,CEOwasinterviewedbyKatherineBerryfromAcupuncture Professional about NCCAOM’s role in the acupuncture and Oriental medicine profession.
AAAOM 2011:
Amy Sear and Mina Larson.
NCCAOM® 2011 ANNUAL REPORT 15
This presentation and interview can be viewed by going to the following link: http://edu.healthprofessionalcpd.com/l/interview-with-dr-kory-ward-cook/
THROUGHOUT 2011The NCCAOM is pleased to have provided information and testimony to the following states:
• Alabama • Kansas
• California • Massachusetts
• Colorado • Michigan
• Florida • Mississippi
• Hawaii • Montana
• Illinois • NewYork
• Ohio • Virginia
• Oregon
SPECIAL EVENT EXHIBITS: NCCAOM hosted an exhibit at the following events in 2011 to raise awareness of the value of certification and to promote its Diplomates:
• AmericanOrganizationforBodyworkTherapiesofAmerica(AOBTA)Conference,Austin,TX
• American Association for Acupuncture and Oriental Medicine(AAAOM)Conference,Baltimore,MD
• Acupuncture Association of Colorado Annual Conference, Denver,CCO
• FloridaSocietyofOrientalMedicineConference(FSOMA)AnnualConference,Tampa,Florida
• PacificSymposium,SanDiego,California
AAAOM 2011:
(Pictured left to right) Wieyi Ding, Mina Larson, Dr. Kory Ward-Cook, David Canzone, Matthew Bauer, Bryn Clark, Christine Chang.
16 NCCAOM® 2011 ANNUAL REPORT
D uring the year 2011 there were 1,537applicantswhoappliedforcertification. This number is 4.9%
higher than the previous year. Figure 1 shows the number applications received, by year between 2008 and 2011.
The number of certification examinations administered between 2008 and 2011, for each examination module, is shown in Figure 2. Most all states require passageoftheFoundationsofOrientalMedicine(FOM)andAcupuncturewith
PointLocation(ACPL)examinationsfor licensure. Currently 32 states that requirepassageoftheBiomedicine(BIO)examinationand7statesrequirepassageoftheChineseHerbology(CH)examination at the end of 2011. More states continue to add the requirement of passageoftheBIOandCHexams. Figure 3,onpages18–19,showseachstate and the examinations required forlicensurebythatstate.SincefewerstatesrequirepassageoftheCHexamas a requirement for licensure, the
percentage of applicants for certification whotaketheCHexamisless,evenfor a number of those applicants who graduate with a degree or diploma in Oriental Medicine. In 2011 there were noAsianBodyworkTherapy(ABT)certification examinations administered. InJulyof2011theNCCAOMBoardannouncedthattheABTcertificationwillbediscontinuedafterDecember31,2012.Overall, the number of examinations administered in 2011 increased by 10.9% in 2011 compared to 2010.
CERTIFICATION ACTIVITIES
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®
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NCCAOM® 2011 ANNUAL REPORT 17
(FIG. 2) NUMBER OF NCCAOM EXAMINATIONS ADMINISTERED BY EXAMINATION TYPE: 2008 – 2011
l 2011
l 2010
l 2009
l 2008
Foundations of Oriental Medicine
Acupuncture with Point Location
Biomedicine ChineseHerbology
Asian Bodywork Therapy
1,383
1,536
1,3031,356
1,272
1,957
1,102
1,534 1,5671,661
1,4221,453
664
901
665749
35n/a n/a42
(FIG. 1) TOTAL NUMBER OF APPLICATIONS FOR CERTIFICATION BY YEAR 2008 – 2011
1,540 1,537
1,833
1,461
2008 2010 20112009
18 NCCAOM® 2011 ANNUAL REPORT
(FIG. 3) STATES AND THE EXAMINATIONS REQUIRED FOR LICENSURE AS OF DECEMBER 2011
STATE PRACTICE CERTIFICATION EXAMINATIONS REQUIRED ACT REQUIRED FOMM ACU PLM BIO CHE
Alabama No No No No No No No
Alaska Yes Yes Yes Yes Yes Yes No
Arizona Yes No Yes Yes Yes Yes No
Arkansas Yes Yes Yes Yes Yes Yes Yes
California Yes No No No No No No
Colorado Yes Yes Yes Yes Yes Yes No
Connecticut Yes No Yes Yes Yes No No
Delaware Yes Yes Yes Yes Yes Yes No
Florida Yes No Yes Yes Yes No No
Georgia Yes Yes Yes Yes Yes Yes No
Hawaii Yes No Yes Yes Yes No No
Idaho Yes Yes Yes Yes Yes Yes No
Illinois Yes No Yes Yes Yes Yes No
Indiana Yes Yes Yes Yes Yes Yes No
Iowa Yes Yes Yes Yes Yes Yes No
Kansas No No No No No No No
Kentucky Yes No Yes Yes Yes Yes No
Louisiana Yes No No No No No No
Maine Yes Yes Yes Yes Yes Yes No
Maryland Yes No No No No No No
Massachusetts Yes Yes Yes Yes Yes Yes No
Michigan Yes Yes Yes Yes Yes Yes No
Minnesota Yes Yes Yes Yes Yes Yes No
Mississippi Yes Yes Yes Yes Yes Yes No
Missouri Yes Yes Yes Yes Yes Yes No
Montana Yes No Yes Yes Yes No No
NCCAOM® 2011 ANNUAL REPORT 19
STATE PRACTICE CERTIFICATION EXAMINATIONS REQUIRED ACT REQUIRED FOMM ACU PLM BIO CHE
Nebraska Yes No Yes Yes Yes No No
Nevada Yes No Yes Yes Yes Yes Yes
New Hampshire Yes Yes Yes Yes Yes Yes No
New Jersey Yes No Yes Yes Yes Yes No
New Mexico Yes No Yes Yes Yes Yes Yes
New York Yes No Yes Yes Yes No No
North Carolina Yes No Yes Yes Yes Yes No
North Dakota No No No No No No No
Ohio Yes Yes Yes Yes Yes Yes No
Oklahoma No No No No No No No
Oregon Yes Yes Yes Yes Yes Yes No
Pennsylvania Yes No Yes Yes Yes No Yes
Rhode Island Yes No Yes Yes Yes No No
South Carolina Yes Yes Yes Yes Yes Yes No
South Dakota No No No No No No No
Tennessee Yes Yes Yes Yes Yes Yes No
Texas Yes No Yes Yes Yes Yes Yes
Utah Yes Yes Yes Yes Yes Yes No
Vermont Yes No Yes Yes Yes Yes Yes
Virginia Yes Yes Yes Yes Yes Yes No
Washington Yes No Yes Yes Yes Yes No
Washington D.C. Yes No Yes Yes Yes No No
West Virginia Yes No Yes Yes Yes No No
Wisconsin Yes No Yes Yes Yes No No
Wyoming No No No No No No No
20 NCCAOM® 2011 ANNUAL REPORT
(FIG. 4) NUMBER OF NEW CERTIFICATIONS AWARDED BY YEAR FOR EACH NCCAOM CERTIFICATION PROGRAM: 2006 – 2011
l 2011
l 2010
l 2009
l 2008
l 2007
l 2006
589 591
754785
467479
622646 658
531 521540
284317 8
28
141
3519 250
443
Acupuncture OrientalMedicine
ChineseHerbology
Asian Bodywork Therapy
Although the number of ACAOM accredited acupuncture and Oriental medicine programs continue to grow, Figure 4 shows that the total number of graduates applying and becoming certifiedineitherAcupuncture(AC)orOrientalMedicine(OM)hasnotgrown significantly during the last four years. In fact, there are fewer newly certified AC and OM certified Diplomatesenteringtheprofessionfrom 2009 through 2011 then from 2006 through2008.However,from2010to2011therewasa2.5%increaseinthenumberofnewlycertifiedDiplomatesofAcupunctureanda3.5%innewlycertifiedDiplomatesofOrientalMedicine.
Figure 5 shows the percentage of Diplomateswhowerescheduledtorecertify, each year, between the years 2008 through 2011. The percentages vary depending upon the particular certification program. In 2011 the percentageofDiplomateswasthehighestfortheDiplomatesinAcupuncture(72%).Thisisthehighestpercentageseen during the 2008 through 2011 time period.
Figure 6 illustrates that the number DiplomatescertifiedinOrientalMedicinecontinues to grow. In fact, there were 25.6%moreDiplomatesofOrientalMedicine in 2011 compared to 2008. This increase was attributed to both the
numberofnewlycertifiedDiplomatesofOrientalMedicineandthoseDiplomatesof Acupuncture and/or Chinese Herbologywhoappliedforcertificationin Oriental Medicine through eligibility route2.Likewise,thenumberofDiplomatesofAcupunctureandChineseHerbology,haveexpectedlydeclinedeachyearowingtothenumberofDiplomatesobtaining a new NCCAOM certification in Oriental Medicine.
NCCAOM® 2011 ANNUAL REPORT 21
(FIG. 5) PERCENTAGE OF DIPLOMATES SCHEDULED TO RECERTIFY WHO RECERTIFIED 2008 – 2010
l 2011
l 2010
l 2009
l 2008
Acupuncture OrientalMedicine
ChineseHerbology
Asian Bodywork Therapy
68.6
57.262.7
72
58.453.6
56.5
66.8
83.6
62.4
69.7 68.9
50.9
42.2
50 48.5
(FIG. 6) NUMBER OF ACTIVE DIPLOMATES FOR EACH CERTIFICATION PROGRAM 2008 – 2010
l 2011
l 2010
l 2009
l 2008
Acupuncture OrientalMedicine
ChineseHerbology
Asian Bodywork Therapy
11,61911,262
10,78310,440
2,4652,129
1,9501,753
3,1503,558
3,8094,234
447 423 357 318
22 NCCAOM® 2011 ANNUAL REPORT
EXAMINATION STATISTICS FOR 2011
D uring2011theFoundationsofOriental Medicine, Acupuncture withPointLocationandChinese
Herbologycertificationexaminationswere administered as computer adaptive examinationswhiletheBiomedicinecertification exams were administered as computer-based linear examinations. TherewerenoAsianBodyworkTherapy certification examinations administered in 2011. There were also no foreign language examinations
administered in 2011. All examinations wereadministeredatPearsonVUEProfessionalTestCentersandtheexamscoring and psychometric analyses were conductedbySchroederMeasurementTechnologies(SMT®).
The 2011 examination statistics on the next page provides examination statistics for each certification examination to include the following groups of test takers:AllTestTakers;FirstTime
Test Takers from the Accreditation Commission for Acupuncture and OrientalMedicine(ACAOM)accreditedschoolsorprograms;OtherFirstTimeTest Takers which include candidates who are internationally educated, from ACAOM candidate schools or programs and/or those candidates who applied through the apprenticeship route of eligibility.TheSchoolRepeatTestTakersis another category of candidate statistics from ACAOM accredited schools.
NCCAOM® 2011 ANNUAL REPORT 23
School FTTT: First time test taker from accredited ACAOM schoolsOther FTTT: First time test taker from international schools, ACAOM Candidate schools or apprenticeship routeSchool RTT: Repeat test taker from accredited ACAOM schools
EXAM NUMBER PASS MINIMUM MAXIMUM MEAN STANDARD STANDARD OF EXAMS RATE % SCORE SCORE SCORE ERROR DEVIATION
ACUPUNCTURE WITH POINT LOCATION
ALL TEST TAKERS 1,370 83.9 21 99 78.04 0.12 9.15
SCHOOL FTTT 1,120 86.5 42 99 79.00 0.11 8.52
OTHER FTTT 68 69.1 21 99 73.19 0.21 15.09
SCHOOL RTT 163 76.1 45 98 74.50 0.11 8.10
BIOMEDICINE
ALL TEST TAKERS 1,515 72.3 28 96 73.90 0.14 10.36
SCHOOL FTTT 1,159 79.6 28 96 76.04 0.12 9.21
OTHER FTTT 66 37.9 31 85 63.83 0.22 13.73
SCHOOL RTT 243 52.3 32 86 68.10 0.14 9.52
CHINESE HERBOLOGY
ALL TEST TAKERS 704 79.4 25 99 78.88 0.15 11.73
SCHOOL FTTT 606 81.2 33 99 79.50 0.14 11.32
OTHER FTTT 34 91.2 25 99 83.74 0.18 14.89
SCHOOL RTT 62 56.5 51 92 70.81 0.12 8.57
FOUNDATIONS OF ORIENTAL MEDICINE
ALL TEST TAKERS 1,302 91.7 34 99 79.92 0.10 8.02
SCHOOL FTTT 1,170 92.8 48 99 80.31 0.10 7.69
OTHER FTTT 70 88.6 34 99 79.09 0.14 10.75
SCHOOL RTT 53 83.0 58 93 74.11 0.09 6.89
EXAMINATION STATISTICS JANUARY 1 - DECEMBER 31, 2011
24 NCCAOM® 2011 ANNUAL REPORT
PEDC CASE CATEGORIES 2008 2009 2010 2011
Misleading/False Information 2 4 8 9
Cheating/Examination Irregularity 3 1 0 1
Malpractice/Negligence 5 2 2 3
Boundary Violations/Unprofessional Conduct 3 2 6 5
Fraud 3 0 3 6
Unlicensed Activity 6 2 1 3
Criminal Conviction 5 13 8 4
Fitness to Practice 0 2 0 0
Administrative Order from School/Professional Association 0 11 10 16
Record Keeping 0 2 1 0
NUMBER OF PEDC CASES BY CATEGORY 2008 – 2011
The Table below shows the number of professional ethics and disciplinary review cases reviewed by the NCCAOM ProfessionalEthicsandDisciplinaryReviewCommittee(PEDC)duringtheyears2008through2011.
NCCAOM® 2011 ANNUAL REPORT 25
PRACTITIONERS ON NCCAOM DISCIPLINARY ALERT IN 2011
The Table below shows the disciplinary actions taken by the PEDCasofDecember31,2012.
LAST NAME FIRST NAME ALERT STATUS
Berkley Mike Probation
Campbell Wendy Probation
Caoili Raul Suspended
Caporuscio Elizabeth Lynn Suspended
Chen Decheng Revoked
Erickson Nils Suspended
Evans Howard Morgan Surrendered
Fors Gregory C. Suspended
Frahmand Zalmai Suspended
Freeman Dale Suspended
Frey Thomas M. Suspended
Gonzalez Maria Suspended
Grigoryan Gratch Probation
Grossberg Daniel Arthur Probation
Gu Ding Suspended
Guan Bihong Revoked
Joo Sun Ok Probation
Kao Victor C. Revoked
Kim Suh Probation
Kim Jason Young Mo Revoked
Kim Cheol Revoked
Kim Kwang Ho Revoked
Kim Hyunbae Probation
Kim Sae Young Suspended
Klatt Frank David Probation
Lee William Hyunsuk Suspended
LAST NAME FIRST NAME ALERT STATUS
Leibell Jonathan Revoked
Liu Chao Revoked
Mai Long Van Suspended
Mazurek Bridgette Suspended
McCormick Terence Surrendered
Meeker Stephen Suspended
Morefield Ronald Lynn Probation
Oh Dae Revoked
Oh Sun Revoked
Pan Kangmei Probation
Park Beck Sun Revoked
Pinault Fran M. Probation
Reynes Phillip Revoked
Rhee Cheong Man Revoked
Ripplinger Joseph John Suspended
Shao Horng-Yuan Probation
Son Ka Myung Revoked
Stein Bartley Lewin Probation
Stone Kokoro Sensei C. Revoked
Syn Samuel S. Revoked
Wang Jianli Probation
Winter Brooke Probation
Wu Helin Probation
Young Ana Suspended
Zhu Qi Probation
National Certification Commission for Acupuncture and Oriental Medicine
76 South Laura Street, Suite 1290Jacksonville, FL 32202tel: 904-598-1005 fax: 904-598-5001www.nccaom.org
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