Relationship Between Chiropractic Teaching Institutions and Practice Characteristics Among Canadian Doctors of Chiropractic: A Random Sample Survey

Puhl, Aaron A.; Reinhart, Christine J.; Doan, Jon B.; McGregor, Marion; Injeyan, H. Stephen

doi:10.1016/j.jmpt.2014.09.005

Cited by 39 publications

(51 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the general public 24 and referring health care providers as a group25, 28 remain wary. They cite skepticism for extensive treatment plans and claims of efficacy in nonmusculoskeletal conditions,28, 42, 49 as well as the promotion, by some, of pseudoscientific stands on health practices 6, 46, 52, 53, 54. Skepticism extends to the reliance by some DCs on the as yet scientifically undefined concept of “subluxation” as the sole grounds for providing care 6, 55.…”

Section: Divergent Identity Formationmentioning

confidence: 99%

“…A second source of reputational variability for the profession is that of individual self-identification with intraprofessional factions,6, 54, 55, 59 including that of treatment technique systems. Differing schools of thought in health care, even factions, are not unique to the chiropractic profession.…”

Section: Divergent Identity Formationmentioning

confidence: 99%

“…Open identity dissension by the profession within the public view is often expressed in the form of beliefs6, 54 rather than its core competencies, which are the currency of professional identity 37 . The consequence is reservation with respect to utilization.…”

Section: Consumer Cognitive Dissonancementioning

confidence: 99%

See 2 more Smart Citations

Core and Complementary Chiropractic: Lowering Barriers to Patient Utilization of Services

Triano

McGregor

2016

Journal of Chiropractic Humanities

Self Cite

View full text Add to dashboard Cite

ObjectiveThe use of chiropractic services has stalled while interest in accessing manipulation services is rising. The purpose of this paper is to consider this dilemma in the context of the dynamics of professional socialization, surveys of public attitudes, and a potential strategic action.DiscussionThis is a reflection work grounded in the literature on professional socialization and the attitudes held regarding chiropractic in modern society, to include its members, and in original data on training programs. Data were interpreted on the background of the authors’ cross-cultural experiences spanning patient care, research, education, and interprofessional collaboration. Recommendation on a strategic action to counter barriers in patient referrals was synthesized. Professional socialization is the process by which society enables professional privilege. Illustration of typical and divergent professional socialization models emerged that explain cognitive dissonance toward the profession. Questions of trust are commensurate with the experiences during patient encounters rather than with a common identity for the profession. Diversity among encounters perpetuates the uncertainty that affects referral sources. Commonality as an anchor for consistent professional identity and socialization through the content of core chiropractic, defined by training and practice, offers a means to offset uncertainty. Complementary chiropractic, analogous to complementary medicine, provides an outlet under professional socialization for the interests to explore additional methods of care.ConclusionThe practice workplace is an effective lever for altering barriers to the use of services. Clarifying rhetoric through conceptualization of core and complementary practices simplifies the socialization dynamic. Further, it takes advantage of accepted cultural semantics in meaningful analogy while continuing to empower practical diversity in care delivery in response to evolving scientific evidence.

show abstract

Section: Divergent Identity Formationmentioning

confidence: 99%

Section: Divergent Identity Formationmentioning

confidence: 99%

See 1 more Smart Citation

Core and Complementary Chiropractic: Lowering Barriers to Patient Utilization of Services

Triano

McGregor

2016

Journal of Chiropractic Humanities

Self Cite

View full text Add to dashboard Cite

show abstract

“…This vitalist/subluxation construct is known to often underpin unsubstantiated claims in patient brochures [30], wellness practice based on “vitalism” tenets [31] and anti-immunization views [32]. Based on this position it can be argued that the presence of words such as “subluxation” and “vitalism” in accreditation documentation could be considered a “red flag” for inappropriate standards and be contrary to evidence-based practice.…”

Section: Introductionmentioning

confidence: 99%

“…Variable international practitioner profiles have been seen in chiropractic populations [32, 33]. A group of practitioners in Canada were shown to have anti-vaccination beliefs, higher levels of X-ray usage, to be less likely to receive or make referral to or receive referrals from general practitioners, and to utilize specific treatment types, some of which were considered unsuitable [33].…”

Section: Introductionmentioning

confidence: 99%

How comprehensively is evidence-based practice represented in councils on chiropractic education (CCE) educational standards: a systematic audit

2016

View full text Add to dashboard Cite

BackgroundThe incorporation of evidence-based practice (EBP) is widely recognised as a necessary process for entry-level health professional training. Accreditation documents reflect the practice standards of health professions. No previous study has assessed the extent to which EBP has been taken up by chiropractic regulatory/licencing authorities, known as Councils on Chiropractic Education (CCEs), around the world. The purposes of this study were to examine CCEs’ educational standards for signs of a positive and negative approach to EBP as indicated by the prevalence and use of the words evidence, research, subluxation and vitalism, and to make recommendations if significant deficiencies were found.MethodWe undertook a systematic audit of the educational standard documents of the various CCEs. CCEs were selected on the basis of the World Health Organisation. Two investigators identified the occurrences of terms explicitly related to EBP: evidence, evidence-based, research, subluxation and vitalism. This information was tabulated for comparative purposes. The date of the study was March 2016.ResultsOccurrences of the term evidence, as it related to EBP, was highest in the CCE-Europe (n = 6), followed by CCE-Australia (n = 2), and CCE-USA (n = 1). None were found in the CCE-International or CCE-Canada documents. The term research appeared most frequently in the CCE-Europe documents (n = 43), followed by CCE-USA (n-32), CCE-Australia (n = 29), CCE-Canada (n = 9) and CCE-International (n = 8). The term subluxation was found only once (CCE-USA) and vitalism did not appear in any educational standard documents.ConclusionsAccreditation bodies are powerfully positioned to act as a driver for education providers to give greater priority to embedding EBP into entry-level programs and shaping future directions within the profession. Terminology relating explicitly to EBP appears to be lacking in the educational standard documentation of CCEs. Therefore, future revisions of accreditation standards should address lack of terminology.

show abstract

Moving towards a contemporary chiropractic professional identity

Glucina

Krägeloh

Farvid

et al. 2020

Complementary Therapies in Clinical Practice

View full text Add to dashboard Cite

Relationship Between Chiropractic Teaching Institutions and Practice Characteristics Among Canadian Doctors of Chiropractic: A Random Sample Survey

Cited by 39 publications

References 44 publications

Core and Complementary Chiropractic: Lowering Barriers to Patient Utilization of Services

Core and Complementary Chiropractic: Lowering Barriers to Patient Utilization of Services

How comprehensively is evidence-based practice represented in councils on chiropractic education (CCE) educational standards: a systematic audit

Moving towards a contemporary chiropractic professional identity

Contact Info

Product

Resources

About