Pain, Communication, Scope & Ethical Decision-Making
4-Hour Supervised Ethics CE
This is a 4-hour continuing education course for licensed massage therapists delivered as a supervised, self-paced workbook — not through Teachable. You purchase the course, receive the PDF workbook by email, complete four modules at your own pace, and submit your supervised assignment and quiz directly to your instructor.
This course covers pain science, implicit bias, communication frameworks, and scope of practice — not as separate compliance topics, but as one integrated inquiry into what it means to be ethically present with a client who is in pain.
Meets Oregon supervised ethics CE requirements (OAR 334-010-0050) and Washington ethics CE (WAC 246-830). NCBTMB approved — Provider #1003059.
This course does not include the Cultural Humility in Pain Care module. If you need both ethics and cultural competency hours, the full bundle — Listening Field: Pain, Presence, and Ethical Care — covers all five modules and both certificates.
Course Details
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Pain-Informed Ethical Practice is a 4-hour supervised ethics CE course delivered as a PDF workbook. This course works through four modules — pain science, implicit bias, communication, and scope of practice — as one integrated inquiry into what ethical presence looks like with a client who is in pain.
The workbook is delivered to your email inbox after purchase. You complete all four modules at your own pace, within 30 days. When you're ready, you email your typed supervised assignment and 20-question quiz answers directly to your instructor. Melissa reads your work, responds with written feedback, and issues your certificate within 24–48 business hours.
No Teachable login. No platform. Everything happens through your inbox.
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Learning Objectives
By the end of this course, students will be able to:
Describe the IASP 2020 revised definition of pain and its clinical relevance for massage therapists
Apply the biopsychosocial model to client presentations involving chronic or complex pain
Identify racial, gender, and language-access disparities in pain treatment and their ethical implications for practice
Use scope-appropriate communication frameworks when working with clients in pain
Apply a structured ethical decision-making model to pain-related clinical dilemmas
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Pain-Informed Ethical Practice 4 CE Hours | Ethics | Modules 1–4 Oregon Supervised Ethics · Washington Ethics CE
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This course is not delivered through Teachable. It is your instructor's only course offered in this format — a supervised workbook course delivered entirely by PDF and email.
After purchase, you will receive your student workbook (PDF) by Digital download and email. The workbook contains all course content, module readings, private reflections, clinical vignettes, the Supervised Ethics Assignment, and both quizzes.
Step by step:
Purchase the course — workbook delivered to your inbox (must download within 24 hours after purchase)
Read each module and complete the private reflection and practice scenario before moving on
After finishing Modules 1–4, complete the Supervised Ethics Assignment (500–700 words, typed)
Complete the 20-question quiz for Modules 1–4 (typed answers, Word doc or PDF)
Email your assignment and quiz answers to info@listeningfieldtraining.com with subject line: Pain Ethics – Supervised Assignment – [Your Full Name]
Receive individualized written feedback from your instructor within 24–48 business hours
Complete Module 5 (Cultural Humility) and its 5-question quiz — email with subject line: Cultural Humility – Module 5 – [Your Full Name]
Receive Certificate 1 and Certificate 2
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To receive your certificate, you must submit a typed supervised assignment (500–700 words across four prompts) and pass the 20-question quiz with a score of 80% or higher (16 out of 20).
Email your assignment and quiz answers to info@listeningfieldtraining.com with the subject line: Pain Ethics – Supervised Assignment – [Your Full Name]
Melissa reviews all submissions personally. Your certificate is issued within 24–48 business hours of her response. Handwritten submissions are not accepted. One revision may be requested before your certificate is issued.
Keep your certificate with your CE records. Oregon requires CE documentation for five years.
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This course is designed for licensed massage therapists fulfilling continuing education requirements in Oregon, Washington, or with NCBTMB.
It is especially well-suited for practitioners who:
Need Oregon's 4-hour supervised ethics CE requirement
Want ethics CE that goes deeper than compliance checklists
Work with clients experiencing chronic or complex pain
Are interested in the intersection of pain science, bias, communication, and clinical ethics
Prefer a self-paced, workbook-based format with real instructor engagement
This course is not designed for unlicensed or recreational study. An active massage therapy license is required.
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Melissa Haeckel, MA, LMT, NCBTMB Approved Provider #1003059
Melissa Haeckel is a licensed massage therapist, somatic educator, and nurse with over 20 years of experience. This course grew out of years of sitting with a question that standard CE rarely asks: what does it actually mean to listen to pain?
Her work integrates clinical training, pain science, ethical awareness, and trauma-informed practice for bodywork practitioners. Through Listening Field Training, she offers continuing education grounded in ethics, evidence, and professional presence.
The Supervised Ethics Assignment is the point of this course — your written response is read personally by Melissa, and she writes back. That exchange is not a checkbox. It is a real professional conversation.
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Enrollment in this course constitutes agreement with Listening Field Training's Course Policies, including digital access, refund, intellectual property, and professional conduct terms.
Completion window: 30 days from date of purchase
Revision policy: One revision per supervised assignment if requested by instructor
Accessibility: This workbook is designed to be screen reader compatible. If you require accommodations — including extended time, alternative format, or other support — contact info@listeningfieldtraining.com before beginning
Copyright: This workbook is licensed for individual use only. It may not be reproduced, shared, resold, or distributed in any form without written permission
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Certificate 1 — Pain-Informed Ethical Practice (4 CE Hours) is designed to meet Oregon's 4-hour supervised ethics/boundaries/communication CE requirement (OAR 334-010-0050, Interactive Distance Learning via email submission) and Washington's 4-hour ethics/client communication/professional roles and boundaries/state laws renewal category. Approved by NCBTMB as ethics CE.
Certificate 2 — Cultural Humility in Pain Care (1 CE Hour) meets NCBTMB cultural competency CE credit requirements. Applies toward Oregon and Washington general CE hours.
Important: Oregon licensees: this course does not replace the separate Oregon Pain Management Commission (OPMC) module required at least once per renewal period. Washington licensees: this course does not replace in-person supervised hours, health equity hours, or CPR renewal requirements. Verify your complete renewal requirements with your state board.