{"title":"Chiropractic Profession Attrition: A Narrative Review of Studies Over the Past 30 Years","authors":"Curtis Thor Rigney DC, MRes, Sandra Grace PhD, Joanne Bradbury PhD","doi":"10.1016/j.echu.2023.02.001","DOIUrl":"10.1016/j.echu.2023.02.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this review was to investigate and discuss the available literature regarding chiropractic<span> profession attrition.</span></p></div><div><h3>Methods</h3><p>For this narrative review, searches for peer-reviewed observational and experimental papers published from January 1991 to December 2021 were conducted in the following 5 databases: MEDLINE, CINAHL (Cumulative Index to Nursing and Allied Health Literature), AMED (Allied and Complementary Medicine<span> Database), Scopus<span>, and Web of Science. Keywords included “chiropractic,” “attrition,” and “burnout, professional.” Studies related to student or patient dropouts were excluded.</span></span></p></div><div><h3>Results</h3><p>Three of 108 identified papers met the inclusion criteria. Two studies that measured attrition rates reported between 4.5% and 27.8%. These ranges are limited to 1982 to 1991 graduates of Life College of Chiropractic West and individuals issued a California chiropractic license in 1991. The remaining study that investigated the attitudes of nonpracticing chiropractors proposed multifactorial causes leading to attrition. The 3 included studies used retrospective observational design.</p></div><div><h3>Conclusion</h3><p>The literature is limited, and factors linked to attrition or career mobility remain inconclusive. A better understanding of chiropractic profession attrition rates is needed to offer insights into the profession's practice environment, education, and professional outcomes. Accurate information on attrition may assist with workforce modeling and help prepare for the projected increase in musculoskeletal health care demand.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"30 ","pages":"Pages 9-15"},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10258235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9636100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paul Chesterton PhD, Faye Deane BSc, Daniel Moore BSc
{"title":"Implementing An External Student Placement Strategy Into an Undergraduate Chiropractic Curriculum in the United Kingdom: An Education Descriptive Report","authors":"Paul Chesterton PhD, Faye Deane BSc, Daniel Moore BSc","doi":"10.1016/j.echu.2023.01.001","DOIUrl":"10.1016/j.echu.2023.01.001","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this descriptive report is to describe the development and implementation of a placement strategy into an entry-level chiropractic course within the United Kingdom.</p></div><div><h3>Methods</h3><p>Placements are educational experiences during which students can observe or apply theory in real practice situations. For this study, the placement strategy was developed for the chiropractic program at Teesside University through an initial working group that generated its aims, objectives, and philosophy. Evaluation surveys were completed for each module containing placement hours. The median and interquartile range (IQR) were calculated for combined responses using a Likert scale (1 = strongly agree; 5 = strongly disagree). Students were allowed to provide comments.</p></div><div><h3>Results</h3><p>A total of 42 students participated. Placement hours were divided across all taught years (Academic Year 1: 11%; Year 2: 11%; Year 3: 26%; Year 4: 52%). Data were evaluated 2 years post-launch, with 40 students reporting to be satisfied overall with Year 1 (median 1, IQR 1-2) and Year 2 (1, IQR 1-2) placement modules. Participants perceived that placement experiences were applicable to the workplace and their future careers across modules in both Year 1 (1, IQR 1-2) and Year 2 (1, IQR 1-1.5) and that continuous feedback improved their clinical learning (Year 1 [1, IQR 1-2]; Year 2 [1, IQR 1-2]).</p></div><div><h3>Conclusion</h3><p>This report describes the strategy and student evaluation findings over its 2-year inception, exploring the principles of interprofessional learning, reflective practice, and authentic assessment. The strategy was implemented successfully following placement acquisition and auditing processes. Student feedback reported overall satisfaction with the strategy, which was associated with graduate-ready skills.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"30 ","pages":"Pages 1-8"},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10247877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9611248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Conatus Doctrine: A Rational Interpretation of Innate Intelligence","authors":"John T. Thornhill DC","doi":"10.1016/j.echu.2022.07.001","DOIUrl":"10.1016/j.echu.2022.07.001","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this article is to reinterpret metaphysical concepts found in chiropractic historic teachings by comparing these to the philosophical system of Baruch Spinoza.</p></div><div><h3>Discussion</h3><p>Universal intelligence and innate intelligence are components of the historic and traditional philosophy of chiropractic. These concepts have offered a unique clinical perspective at the cost of committing to an a priori assumption that some see as untenable. The meaning of universal and innate intelligence may be reinterpreted through an understanding of life and health as offered by the <em>conatus</em> doctrine of Baruch Spinoza. The conatus doctrine defines within a formal system the striving and endurance of living beings to remain in unique forms. The reinterpretation offered in this article provides a rationally defensible concept closely tied to contemporary definitions of vitalism, which see life as potentiality striving against inertia and entropy. In its striving, life manifests itself by originating meaning out of information.</p></div><div><h3>Conclusion</h3><p>Though the product of early-modern rationalism, Spinoza's conatus doctrine offers a contemporary interpretation of an aspect of living beings congruent with established notions within the philosophy of chiropractic. Concepts in Spinoza's work that concern substance and monism offer clarifying perspectives on concepts in the philosophy of chiropractic that may help resolve conflicts concerning spiritualism and naturalism.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"29 ","pages":"Pages 25-36"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9360057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Claire D. Johnson DC, MSEd, PhD , Bart N. Green DC, MSEd, PhD , Richard A. Brown LLM, DC , Ana Facchinato DC, MHS , Stephen A. Foster DC , Martha A. Kaeser DC, MEd , Randy L. Swenson MHPE, DC , Michael J. Tunning DC, MS, ATC
{"title":"A Brief Review of Chiropractic Educational Programs and Recommendations for Celebrating Education on Chiropractic Day","authors":"Claire D. Johnson DC, MSEd, PhD , Bart N. Green DC, MSEd, PhD , Richard A. Brown LLM, DC , Ana Facchinato DC, MHS , Stephen A. Foster DC , Martha A. Kaeser DC, MEd , Randy L. Swenson MHPE, DC , Michael J. Tunning DC, MS, ATC","doi":"10.1016/j.echu.2022.09.001","DOIUrl":"10.1016/j.echu.2022.09.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this article is to provide an overview of the growth of chiropractic education globally and a chronological list of current training programs. Another purpose is to provide exemplars of enduring programs and offer suggestions for how chiropractic practitioners may celebrate education on Chiropractic Day, which is September 18.</p></div><div><h3>Discussion</h3><p>Chiropractic education has transformed considerably over the past 125 years, and there are now 52 programs globally. We consider the 5 longest-existing chiropractic programs and propose hypotheses for what may have contributed to their durability. In addition, we offer ideas and opportunities for how chiropractic practitioners may focus on chiropractic education when celebrating the founding of the profession.</p></div><div><h3>Conclusion</h3><p>Since its inception, chiropractic education has expanded around the world and continues to develop. Recognized accreditation agencies and testing organizations are ensuring that standards of education are established and maintained internationally. With innovation, international collaboration, and a commitment to continuous professional development, the future of chiropractic education is bright. We urge chiropractic practitioners from all over the world to celebrate these accomplishments on Chiropractic Day.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"29 ","pages":"Pages 44-54"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9667151/pdf/main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9448217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Depression, Anxiety, and Stress Among Chiropractors in South Africa During the Early COVID-19 Pandemic","authors":"Dirkie Maria Landman MTechChiro, BRad, Amisha Sewpersadh MTechChiro, Cynthia Peterson RN, DC, MMedEd","doi":"10.1016/j.echu.2022.08.001","DOIUrl":"10.1016/j.echu.2022.08.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to assess the self-reported depression, anxiety, and stress responses of chiropractors in South Africa during the first year of the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>This was an explorative cross-sectional survey. The survey was distributed to 884 chiropractors through the membership databases of the Chiropractic Association of South Africa and the Allied Health Professions Council of South Africa from July 9, 2020, until August 4, 2020. The study was conducted through Google Forms and included the Depression, Anxiety, and Stress Scale questionnaire. Data were analyzed using the Kolmogorov-Smirnov and Shapiro-Wilk tests and comparatively using the Mann-Whitney <em>U</em> and Kruskal-Wallis tests.</p></div><div><h3>Results</h3><p>The response rate was 17%. The chiropractor scores for depression, anxiety, and stress were within the normal range (7.35, 5.42, and 11.58, respectively). Female chiropractors under the age of 40 years old were found to be affected to a greater degree than the other participants in this study (9.87, 7.56, and 14.14).</p></div><div><h3>Conclusion</h3><p>Self-reported levels for stress, anxiety, and depression among chiropractors in South Africa were found to be within normal limits during the initial phase of the COVID-19 pandemic.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"29 ","pages":"Pages 37-43"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9526351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33492827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrew MacMillan MO(st), Jerry Draper-Rodi DProf(Ost), Oliver Thomson PhD, DO, Steven Vogel DO
{"title":"Letter to the Editor Regarding Castagna et al 2021","authors":"Andrew MacMillan MO(st), Jerry Draper-Rodi DProf(Ost), Oliver Thomson PhD, DO, Steven Vogel DO","doi":"10.1016/j.echu.2022.04.002","DOIUrl":"10.1016/j.echu.2022.04.002","url":null,"abstract":"","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"29 ","pages":"Page 24"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9217853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cynthia K. Peterson RN, DC, MMedEd , Kristi Randhawa MPH , Lynn Shaw OT, PhD , Michael Shobbrook MChiro , Jean Moss DC, MBA , Lenore V. Edmunds BA, Med , Drew Potter DC , Stefen Pallister DC , Mark Webster DC, MSc
{"title":"The Councils on Chiropractic Education International Mapping Project: Comparison of Member Organizations’ Educational Standards to the Councils on Chiropractic Education International Framework Document","authors":"Cynthia K. Peterson RN, DC, MMedEd , Kristi Randhawa MPH , Lynn Shaw OT, PhD , Michael Shobbrook MChiro , Jean Moss DC, MBA , Lenore V. Edmunds BA, Med , Drew Potter DC , Stefen Pallister DC , Mark Webster DC, MSc","doi":"10.1016/j.echu.2022.05.001","DOIUrl":"10.1016/j.echu.2022.05.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this project was to investigate how well each member agency's standards complied with the Councils on Chiropractic Education International (CCEI) framework standards.</p></div><div><h3>Methods</h3><p>Each of the CCEI member agencies were provided with a mapping template that was approved by all representatives. A representative from each agency independently mapped their agency's standards to the CCEI framework standards using the template document. Discrepancies were explored and discussed among members. Member agencies discussed with their constituents the omissions and areas that did not comply or adequately match the CCEI document. Changes or additions to member agency standards were made, and updated versions of the mapping were agreed by all CCEI representatives.</p></div><div><h3>Results</h3><p>There were 12 sections containing 30 standards within the CCEI framework standards. The Council of Chiropractic Education Australasia and Council on Chiropractic Education Canada reported relevant standards for all 30 CCEI standards. The European Council on Chiropractic Education had 29 of 30 relevant standards, with no direct standard for service. The products that were created were an executive summary of our findings and a detailed map showing similarities for each of the member agencies.</p></div><div><h3>Conclusion</h3><p>This mapping project demonstrated the similarities of the CCEI member agency standards and that these standards focused on outcomes-based chiropractic education. This quality improvement project resulted in useful dialogue among the member agencies during this project, which clarified areas of difference.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"29 ","pages":"Pages 1-6"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10542506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The John A. Sweaney Lecture: Virtual, September 2021, Given by Dr Michele Maiers. A Time to Lead: Reflections During a Pandemic","authors":"Michele J. Maiers DC, MPH, PhD","doi":"10.1016/j.echu.2022.05.002","DOIUrl":"10.1016/j.echu.2022.05.002","url":null,"abstract":"<div><p>The following is The John A. Sweaney Lecture delivered by Dr Michele Maiers at the biannual Congress of the World Federation of Chiropractic that was held virtually on September 25, 2021.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"29 ","pages":"Pages 7-14"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9117850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}