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Ethics: Health Professionalism

4 Hour CE Course

Average rating based on the following evaluation questions:

  1. The presentation of the subject was clear and to the point.
  2. Content was interesting to me.
  3. I gained new knowledge.
  4. The materials held my attention.
  5. I can use this information in my practice.
  6. This program met my personal expectations.
  7. Overall quality of course content and materials were excellent.

Enrollment Options

Fully Online Materials and Test

Contents: online manual; plus online multiple-choice test


Materials and Test Shipped to You

Contents: Manual and workbook with multiple-choice test shipped to you.



This short course gives massage therapists and bodyworkers an opportunity to reflect on their own professionalism and several important ethical considerations that relate to the health professions.

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Content Outline

Being a Professional 1 hour
Theory, Science and Pseudoscience 1 hour
Paradigms of Health and Illness

The Therapeutic Process

  • Assessment
  • Referrals
  • Therapeutic Action
  • Outcome Evaluation
1 hour
Ethical Considerations 0.5 hours
Open-Book Test and Course Evaluation 0.5 hours
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A lot of good and very useful information. I especially liked the assessment section.

Callie B. Paddock, CMT, LMT Lexington, KY

The course was/is designed in an easy to read and follow format. Excellent information for anyone working in the health care field. I am keeping my booklet for reference.

Dalla Richan, LMT, Celestial Massage, Orem, UT

I learned so much more than I expected I would. The information is very valuable in my practice. I will keep this book for future reference and also use the information to improve our practice. I will share the information with other therapists in our office. I also highly recommend this course to others.

David Lopez - LMT

This course embraces history, art, science and ethics, using simple yet powerful words and examples. What could have been boring and dry reading was interesting and refreshing!

Ellen F Kornmeyer, LMBT, Nags Head, NC

This was a great use of my time and money!

G. Robin Sell, Massage Therapist, Monroe, NC

appreciate the ease in which I could attain, pay for and complete the course material

Gail McNertney, CMT

This program and study guide is to the point, factual and informative, easy to use.

J. Crowther, Bel Air, Maryland

Great ethics material! Loaded with useful information.

Janice Coyle, PDMT, Well-Body Muscle Therapy, PA

This course helped me to complete my requirements while working within my schedule.

Jason Isenhour, LMBT, Cornelius, NC

I really enjoyed the "Paradigms of Health and Illness". Thank you for holding my attention by looking at more facets of a common topic! I loved being able to test online. That\'s a nice plus for those of us with a busy schedule.

K. Little NCMT Rexburg, ID

The list of terms helped tremendously to be able to remember meanings and retain the information

Karen Bauer, Travelers Rest, South Carolina

Very well organized content, well explained, comprehensive and well related to the course subject matter.

Linda Wozniak Vital Signs Massage & Bodywork

course very informative and easy to take.

Lisa Haygood LMT

The course is easy to take anywhere you go.

Lori Shimko, LMT, Mossillon, OH

Very clean presentation.

Lynn R. Bartoszek, NCTMB - Port Charlotte, FL

This course was very detailed and insightful.

Megan Riggleman, CMT, Massage Envy, Springfield, Va

This was my first home study course. It was written well and all information was meaningful to my practice. I will definitely refer to others.

Patricia Ann Juchter, LMT, Tranquil Acres Massage, Wilton, IA

The course was very informative and will continue to be used as a reference, particularly in the area of client records. Amongst the myriad of CE courses to choose from - glad to have chosen this one.

Peregrine Barber-Gormley, NCTMB Certified/NM State Licensed MT

The course was very informative and will continue to be used as a reference, particularly in the area of client records. Amongst the myriad of CE courses to choose from - glad to have chosen this one.

Peregrine Barber-Gormley, NCTMB Certified/NM State Licensed MT,

I liked how the course was broken up into different categories, that really helped the time fly by.

Rachel S. Broad, LMT

An excellent course to refresh the mind and hone the skills - I am a nurse as well as a massage therapist with a masters in counseling psychology.

Sister Mary Janine Rajkowski, RN, LMT-C, Center for A Balanced L

Good course. Lots of interesting information.

Smiling K. Kroesen LMT RPP RCST

Very informative & refreshing. The boundaries help to bring business practices to light & assured me I've been practicing properly.

Theresa Meunier, East Freetown, MA

This is a very informative ethics course. It refreshes things that can be easily forgotten. It helps to remind all of us how important ethics and professionalism is to our clients as well as to us as therapists.

Tracy Lynn Carter, NCMT, Green Timber Therapeutic Massage, Ashto

The course was easy, practical, and refreshed my boundary practices for the safety of myself and client. Thank you!

Veronica H. Hernandez, LMT, Body Care Massage Therapy, Las Cruce

Found this course to be thorough and thought provoking. Very relevant to my practice.

Wendy Szeqedi, LMT, NCTMB, Natural Healing Clinic, Shawnee, KS

Excellent material. Good refresher course. Pleasant and interesting reading. Test questions fairly reflected course material. Thank you!

William J. Hout, Columbus, OH

Really wonderfully written and informative!

Mary Beth Packard, RMT

This course was amazing! It really gave me some great information to not only use in my own practice, but to also share with my peers as well. Thanks!

Michael Perry, LMT

I highly recommend this course and I will definitely return to this website for future CEU courses.

Jennie Montero-Iovino, LMT, NCTMB

Overall very easy to follow. Learned more about ethics and being a professional

Jessica Shultz, LMT

Good refresher course and was able to pick up a couple of things i might have missed while in school. Thanks!

Michael Rouse, LMT, NCTMB

This was very nice to do at home and take my time reading what interested me most, catching up on history i had forgotten about, years ago!

Kory Douglas, LMP, NCTMB

This course was informative and will be excellent reference material in the future. Also concise and well organized.

Corey Scott, LMP

I just got through teaching this course, but needed to take it to fulfill my state requirements. It was well organized and easy to understand. Much appreciated.

Suzanne Friedman, LMP

Thank you for bringing back what is truly important to being a professional.

Claire Balint, LMT, NCTMB

Excellent course. Being an RN BSN as well as a MT, I found the course held my interest and stimulated my thoughts regarding the MT profession.

Janice Jagoda, LMT, RN, BSN

This was the first experience I had taking an online course. It was very organized and easy for me to follow.

Carol Lavoie, LMT, NCTMB

I really enjoyed the part about boundaries and the Client and Practitioner Bill of Rights. I find it challenging in my practice not to bend the rules for people. I think this class will allow me to shift my mentality.

Laura Jack, LMT, LMP, NCTMB

Enjoyed the content of the subject and test. Retained the information and will be back to do more of the classes. Thank you!

Whitney Frisbey, LMP

Very well written and prepared

Garrett Hovendick, NCTMB

This was great - concise yet thorough. I really appreciated the online format!

Elizabeth Puloka, LMT

Easy and straight forward, that being said, the information presented held great value which should be a key base in any professional business.

Stormy Darch, LMT, NCTMB

A good and necessary review of ethics practices in the field of body work

Elaine Kizziah, LMT, NCTMB

A good and necessary review of ethics practices in the field of body work

Kenneth McArtan, LMBT

Great refresher on key elements on the ethics of running a small massage business.

Anne Hagan, LMT

Awesome course because you can do it all on your own time schedule.

Shaelynn Nolan, NCTMB

I thought it was very informative and useful to me as a LMT

Tifanny Ochman, LMT

Excellent content and easy to understand.

Anita Fowler, LMT

It was beneficial to review the role of ethics in practicing massage therapy. I feel we need to be ever mindful of how we present ourselves to our clients...

Sandra Lamb, LMT

Very good layout. It helped put things into perspective and gave some good case studies as reference to how important ethics are in everyday situations.

Renee Rymus, LMT

Enjoyed the course.

Cheryl Pavlik, LMT

This course included all aspects of therapeutics, encompassing detailed descriptions and comparisons of each modality. The ethics of therapeutic massage are important and the additional information leads to a greater awareness for referring clients in need.

Suzanne Bonnen, LMP

The course was well written and presented. Met my expectations and more. Thank you

Carol Gainer, LMT, NCTMB

Excellent; easy to read; liked having the hard copy questions available.

Michale Solloway, RhD, RPP, NCTMB

Great Course. I use the manual for information as reference when needed. Thank you.

Wendy Pervere

The course was very excellent I would recommend it to others!!

Patricia Leedom, LMT

This course was succint and to the point. Four hours of ethics is a necessity for me to renew my massage license and this was the perfect course to take at home. Thank you for providing this to a working mom who can't take the time to go to workshops away from home.

Lily Woll, LMT

Thank you for this course; it is convenient for me being so busy these days to complete my requirements on time.

Ruth Fahrbach, LMT

Well written and interesting!

Marissa Montoya, LMT

This course helped refresh items I had previously learned as well as giving me new tools to use in my practice.

Rhonda Heyns, LMT

I thought this course was very informative and well done. I was able to refresh the information I need and obtain the credits to maintain my certification. Thanks!

Virginia Blue, LMT

This was a very good course. I'm glad I decided to use it. The material was understandable and it was easy to find answers. It was affordable and well worth the price.

Alisha Henderson, LMBT

Well presented and well covered with clear examples pertinent to the subject.

Delight Craft, LMBT

Such a great refresher and really reaffirmed the importance of SOAP notes and documentation, as well as breaking down the details of a referral.

Monica Salazar, LMT

Very straight forward to the point and applicable.

Linette Yard, LMT

Really good course. Very easy to navigated and do in the comfort of my home!

Natasha Dillmon, LMP

Enjoyed this course very much and looking forward to another one.

Charles Metzgar, LMT

I found this course interesting. Including ethics into it was an added benefit.

Jane Marron, LMT, NCTMB

Very informative with a easy to follow layout! Thanks!

Andrea Cain, LMT

Great course, learned some new ethical definitions and quickly fulfilled my state licensing requirements for ethics.

Morgan Miller, LMT

Informative and interesting. I have a better appreciation of my ethical and professional obligations.

Jennifer D'Aquino, LMT

Very helpful, good pace, layout and content. Liked it!

Denise Reinwald, LMT

Text was easy to read and kept my attention. I was able to retain the information read with ease.

Justin Kucharski, LMT

This is a good refresher course on ethics, and the way it was presented made it interesting.

Susan Stockdale, LMT, NCTMB

This was well written and informative.

Andre Calihanna, LMT, NCTMB

Exceptional ease when purchasing, downloading materials, and during the actual test taking process. Very satisfied with product and price!

Jaclyn Barletta, LMT

It was wonderful information.

Amanda Gerrick, LMT

Really great and thorough course. The information is relevant to my profession and can be applied accordingly.

Sean Davis, LMT

I thoroughly enjoyed this ethics course. The presentation was great and the content provided valuable information.

Coble-Tyson, LMT

Great course! Very helpful and informative. Kept my attention.

Cimaron Roy

I appreciate the class and course materials are straight to the point and easy to understand.

Camille Johnston, LMP

Very user friendly, and content is valuable and refreshing.

Marissa Touhey, LMT

As a necessary requirement I found this course fairly painless and actually very informative, well laid out, and easy to navigate. Thank you.

Elizabeth Janele, LMT, NCTMB

I was happy that it was so straightforward.

Wendy Hall, LMP

I loved it. Wasn't overpowering...interesting.

Eva Griffith, LMT, NCTMB

It was a good course, I gained new info I can use in my practice especially in accepting and giving medical referals and working with other health professionals. I felt it was very well written.

Heather Rasch, NCTMB

Very professional!!

Spencer Moss, LMBT

Very informative and interesting content. Would recommend to others.

Jose Echaniz, LMT, NCTMB

I was pleased with the information I received in this course. I definitely learned some was a great way to refresh my memory regarding ethics.

Joanne Terestre, LMT

Great classes! I am spreading the word! Such a great affordable option to get some Required CEU's in!! Will be back for sure!!!

Erin Meade, LMP

This was more thought provoking than I expected. I appreciate the contemplative exercises encouraging the student to look at personal philosophies and I also appreciated the cases presentations. I also appreciate the respectful approach to alternative therapies. I am curious why such a relatively large amount of attention was paid to pseudoscience. However I did find it thought provoking for examining my own views on energy work and other alternative modalities that I use. I would also like to see transference/counter-transerence examined in a little more detail, but it did get the point across. Like if the client is transferring mother issues, how might that be recognized by the therapist. Thank you for the thoughtful materials.

David Newman, LMT

This course was well written and easy to understand and covered lot of great material

Victoria Carroccio, LMT

Course was a good review, even after practicing for 10+ years.

Amy Murray, LMT

Great refresher course with very valuable insights and usable information.

Nic Scogna, LMT

Thank you for preparing this course so well and for not making silly trick questions as I found on my massage boards several years ago.

Darlene Hester, LMT, NCTMB

This was a very great ethics course! Especially being online. The personal stories, I felt, help me wrap my mind around how severe it can be if you don't chart properly.

Lucy Morgan, LMT

Information was presented well and flowed nicely.

Michele Barron, LMT, LMBT, NCTMB

I was glad I found this Institute. The course objectives, what was expected of me, what I needed to do, and what I learned from the Institute were great and understandable. I would recommend this Institute for others if they are truely interested in learning other than just getting the credits they need for continuing education classes.

Tiffany Kott, LMT

Great learning experience. It's a good way to review my Ethics.

Jemima Crossfield, LMP

I will be using this program in the future and have passed on information to other therapists in my area that have been looking for home study programs that cover a wide varity of topics. Thank You

Susan Sawvel, LMT

Any massage therapist should take this course. It pertains to all our practices and gives great legal, moral, and ethical advice. I definitely learned a lot of useful information.

Michelle Perkins, LMT

The courses content and test were clear. It was a great time/money-saver to access this online. I will recommend this course to my classmates.

Colette Gilbert, LPTA, LMT

Thank you for opening my eyes to things that I was not aware of before I took this class...good and useful information I can can keep in mind as I begin my business. This program was easy to use.

Roxanne Petrie

Information was presented well and flowed nicely.

Michele Barron,

I found this Ethics course approached ethics from a different view, I enjoyed the course.

Kaaren Amodeo, LMT

Thank you for providing clear, effective and efficient information at a very much appreciated economical price.

Rena Steiner, LMP

Honestly, ethics courses are my least favorite to take. This course was actually fairly interesting and I learned a few things which I am grateful for. Thank you!

Holly Andreas, LMT, NCTMB

The course was interesting and informative. I learned things that will help me in my business.

Richard Canderlaria, LMT

Great and to the point. No unnecessary “filler” material. Also very educational. After 29 years as a massage therapist I have taken mandatory ethics classes and this was by far the best and most concise.

Karin E. Kimbrough, LMT

experience, and reinforce my professional goals.

Kathy Duprey, LMT

This was exactly what I needed! The information was clear and concise, easily accessible, and very thorough! I will absolutely be using the Institute's courses again!

Rebecca Connolly, LMT

An excellent overview of ethical professionalism; providing clear directions on therapist-client boundaries.

Nancy J. Lawrence, LMT

This specific course definitely refreshed my memory on some laws and well as provided new information on the different forms of medicine!

Heather Belisle, LMT

Ethics is my least favorite, required, continuing education. It is my least favorite because it is usually all repetitive and boring. There were things in this course that were new to me and kept me engaged. Thanks!

Alyce Kellogg, LMT

This class was more informative and interesting than any other Ethics classes I have taken.

Susan Harvey, LMT

This is a well designed course that contains the essential information that all practitioners should know. Very well done!

Robert Schrei, LMT

The course took a lot of attention to details needed in a MT practice!! Very impressed!

Robin Warren, LMT

This was an exceptional course that covered a wide variety of ethical considerations! I highly recommend it for practicing therapists.

Patrick Nicholson, LMT

I really enjoyed the course, and appreciated the personal/therapist examples (one of the reasons I like in-class training). Thank you for this course, and it will help me in thinking about new ways to expand my practice. I found many new classes that I want to take at another time. I will definitely be back for more.

Barbara L. Downing, LMT

This course certainly met my personal expectations. Thank you.

Florence Cathy Ortiz, LMT

This course was a great reminder of my original ethics class I took when I was in school. There were also sections that had information that I hadn't studied before. All in all this was a very informative course that was easily understood and very straight forward. Thanks!

Kristen Hoover, LMT

The material was presented in a well organized manner. The updated NCBTMB standards of practice is good to have; my original was dated back to 2003. Thank you for an easy way to acquire the four ethics CEU's required every two years by the North Carolina Board for license renewal.

Ann Holzgartner Babcock, LMT

The material was clear and straight forward. I enjoyed reading as it reminded me how important it is to set boundaries a in a clear, firm and respectful way to benefit everyone involved. Also, how careful we must be when recording the client's information. Thank you

Arleen Gersten, LMT

I so enjoyed this course and the reference to history on the different health care approaches. Thank You.

Karen Watrouse, LMT

I thought this course was a good refresher course and very useful.

Kirsten Atkin, LMT

The informational was clear, concise and very readable. It kept my attention. Just what I wanted. Thanks

Barbara Matteri, LMT

Very easy to follow content and test, thank you!

Janet Boccelli, LMT

Very good course, even after 10 years as a massage therapist.

Annie Osborne, CMT, NCTMB

I learned how to differentiate, in a reliable manner, the difference between bio-medical, holistic, and OM.

Roberta Michaelis, LMT, NCTMB

I have already taken ethics. Not sure why we need to take every time, it’s the same as always, however, your course was good!

Billie Jo Sullivan LMT

It seems the course has been updated since the last time I took it and has new relevant information for massage therapists. Thank you.

Rhys Webb, LMT

Thank you. I am grateful for the courses you provide and the ease in which I can complete them. Again, thank you.

Anne Sanders, LMT

Very good- Very helpful. All your courses are very good and fun to do. Thank you

Bonnie Bicknell, LMT

Thank you for the course. It was easy to complete and presented some thought provoking questions and examples. I was grateful for the review on many topics and appreciated the detailed glossary of terms. I will use your courses again.

Velma W. Nystrom

This course provided an excellent overview of the ethical issues facing Massage Therapists. I found the suggestions regarding how a person may conduct their intake of clients and maintenance of client records in order to become better practitioners and avoid ethical problems to be very helpful and practical.

Nina Gerosa

An excellent course! Lots of important information for all massage therapists. I really appreciated the "Paradigms of Health and Illness" section in the text. The "Therapeutic Process" section was excellent. Thanks for including all the examples and questions we should consider as health professionals. The best ethics course I have taken in my career as a massage therapist.

Deneen M. Jenkins

I really liked the tone of the instructor. It was not a dry lesson but interesting and thought provoking. She did not steer the subject matter with any bias and I really appreciated that. The points made were with clarity, logic and relevance. Awesome job and thanks for the education!

Maria Lofquist

I've taken many courses from the Institute and find them all highly informative, challenging, and pertinent to my work as a Licensed Massage Therapist. This Ethics course enhanced my grasp of ethics and opened my eyes to various issues I've encountered over my 35 years in practice. I especially appreciate the course delving into all the therapeutic approaches in both 'standard' medicine and the holistic modalities.

Lynn M. Hammonds, LMT

This was a fabulous course. Very well presented. I'm keeping this one in a notebook for future reference.

Kelly Halley, LMBT

Excellent ethics review for healthcare professionals!

Valerie Terriberry, LMT, BCTMB

Completing this course was my first experience with IIHS. The course materials were very well organized and clearly written; the content was current and highly relevant; the course fee was reasonable; and the test questions were easy to understand. I will definitely seek future courses from IIHS. Thanks for such a positive experience!

Pamela Fuller, LMP

This is a wonderful course. Heather who is an employee for this company is an asset to your TEAM.

Loretta Dean, LMT

Great course a lot of good information.

Robert Haman, LMT

These courses are convenient and cover every aspect of the field/modality! I can always use what I learned in these courses!! Thank you!

Tina Toth, LMT

Well organized and easy to access. Excellent class.

Thomas Render, LMT

The course was clear and straight forward. Received materials in a few days and was very pleased with this home study course. Thank you!

Karen Gamby, M.S, A.A, LMT

Excellent course, thank you.

Kenneth Smith, LMT, BCTMB

well written course-valuable material to hold onto thank you

Catherine Hegazi, LMT

The writer presented the material in a clear and concise manner. I enjoyed the material and retained it nicely. Thank you.

Rebecca O'Brien, LMT

Very user friendly!!!

Kristina Montejano, LMT

I Loved this Ethics Course!

Brent Williamson, LMT

Thank you for another straightforward ethics course that gave me a good refresh on the information and policies regarding ethical behavior in the massage profession.

Jennifer Alvarez, LMT, BCTMB

Well-rounded material and great variety of history/examples/definitions. Easy layout made studying well organized and manageable.

Kaitlyn Carl, LMT

Most of the material was not new and I have been practicing for 19 years in my own business. Materials was well written and clear to understand. I would recommend this course to others.

Elaine Czerw, LMT

I thoroughly enjoyed the course. The material covered traditional ethics issues in a fresh manner. I really like this instructor's ability to pack so much information into an appropriate amount of material.

Donald L. Neely, LMT, BCTMB

Love this course I can use for my massage practice.

Yanqiu Xia, LMT

Your course was so clear, and easy to understand. I have found the information to be very useful when describing my proper role as massage therapist to my clients.

Li An, LMT

This test had great study material. It helped me to know what to say to my customers. I will recommend your course to my friends who are studying massage.

Hongjuan Zhang, LMT

I learned how important ethics is to a professional massage therapist. The course taught me medical terms like "prognosis" and how to develop a plan for each patient.

Xin Wang, LMT

Thanks for the CE study material. Wonderful course and educational experience.

Li E Pfefferle, LMT

Best website to get continue education classes.

Lixia Wang, LMT

The study material is very good and a good refresher for ethics in the workplace.

Hyomae Yu, LMT

Good study material. I love it, very useful.

Sujuan Haig, LMT

Very good study material. This course is highly recommended.

Haiyun Wei, LMT

Highly recommend this course.

Suping Liu, LMT

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Learning Objectives

  1. Identify and describe the roles and boundaries of your practice.
  2. Answer commonly misunderstood questions about the scientific method and apply them to setting the boundaries of your practice.
  3. Identify at least one correct application of each component of the therapeutic process: assessment, referral, therapeutic action and outcome evaluation.
  4. Recognize important ethical considerations that relate to the roles and boundaries of professional massage and/or bodywork.
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Sample Text

"It is each practitioner's responsibility to understand the effects each action s/he learns has on the body/mind, and to continually ask questions and deepen his/her learning. Lists or sets of general contraindication guidelines are available from a variety of sources. However, there is no clear agreement among them. The continual and on-going study of one's therapeutic actions, in relation to anatomy, physiology and pathology is a requirement for true professionalism.

The contraindications given in this course are written for the practitioners who have not previously had education in pathology or "medical massage." Practitioners who have advanced or specialized training and skills will, in many cases, be able to go beyond these recommendations.

There are two main types of contraindications discussed herein: local contraindications and systemic contraindications.

  • Local contraindications are those that relate only to a specific area of the body. Local contraindications only prohibit specific therapeutic actions to the specific location where there is an injury, pathology, or vulnerability. When an action is locally contraindicated, it means there are persuasive reasons why it is not appropriate for that specific area of the body. If other actions are NOT harmful to that area, then they are not contraindicated. An example would be a case where the client has a large bruise (ecchymosis or hematoma). We would say that applying pressure in the area of the bruise is locally contraindicated, but an action that does not apply pressure, such as energy work, could be indicated.
  • Systemic contraindications are those that relate to the client's entire body and, like the local contraindications, they relate more to specific actions or techniques than to generic terms like "massage" or "bodywork." Systemic contraindications are rare in ambulatory settings, but are more common in hospital, hospice, nursing home, and home care settings where people more often have serious systemic health problems." (Health Professionalism by Sharon Burch, 2002, p. 36-37)
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Sample Test Question

__________ relate to a specific area of the body where there is an injury, pathology or vulnerability whereas __________ relate to the client's entire body/mind system.

  1. Local contraindications, systemic contraindications
  2. Local indications, systemic indications
  3. Contraindications, indications
  4. Indications, contraindication
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