Michelle L. Chambers-Lewis DC, Beth Carleo DC, Daniel Jason Qualls DC
{"title":"Creation and Administration of a Chiropractic Program Practical Classroom Preparticipation Screening Aimed to Prevent Student Injuries: A Descriptive Report","authors":"Michelle L. Chambers-Lewis DC, Beth Carleo DC, Daniel Jason Qualls DC","doi":"10.1016/j.echu.2024.02.001","DOIUrl":"https://doi.org/10.1016/j.echu.2024.02.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this descriptive report is to describe the development of a preparticipation risk assessment screening process for incoming students prior to participation in practical labs.</p></div><div><h3>Methods</h3><p>A committee at the Palmer College of Chiropractic, Florida met to discuss a health history questionnaire, physical examination process, and course of action to have second-year students use their current knowledge to screen incoming students for possible clinical considerations of practice lab participation. The aim was to identify potential risk factors that may require application modification associated with performing and receiving adjustments and other hands-on lab activities within the curriculum. The preparticipation screening process, focused on general health and curriculum referenced chiropractic clinical considerations, and was created as an expansion of the existing informed consent procedures to screen incoming students prior to participating in palpation, technique, physical examination, and open adjusting labs in the chiropractic program. Any clinical considerations identified during the screening were referred to be fully evaluated by a third-year clinic intern and faculty-licensed chiropractor to maintain classroom safety standards for the students. Referred students were restricted from full classroom lab participation until recommendations from the clinic or outside licensed healthcare providers managing their concerns were received.</p></div><div><h3>Results</h3><p>The program was implemented in April 2022. Eight out of the 48 students evaluated in the first group and 12 of the 81 in the second group had possible clinical considerations to participation and were referred appropriately for a full evaluation. In the third group, 35 out of 146 students with suspected clinical considerations to participation were identified. Of the 55 students referred out, all students are now actively participating in classroom activities. Fifteen have been cleared to return to classroom participation with no restrictions and the remaining 40 students have been released for participation with patient-specific restrictions as directed by their managing health care providers.</p></div><div><h3>Conclusion</h3><p>The preparticipation screening process was implemented as all incoming students since the inception of the process have been screened, referred for evaluation when deemed appropriate, and cleared to participate in labs either with or without restrictions. This process has also demonstrated the possibility of identifying multiple clinical considerations for safe curricular participation while participating in doctor-patient simulated classroom activities. This process may be helpful for new students to recognize the patient history and examination procedures as an important aspect of a patient encounter prior to receiving treatment.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"31 ","pages":"Pages 1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140195567","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 , Mustafa Agaoglu DC , Lyndon Amorin-Woods BAppSci(Chiro), MPH , Richard Brown DC, LLM , David Byfield DC, MPhil , Gerard W. Clum DC , Waleska Crespo MHSA, DrPH , Kendrah L. Da Silva MDipTech(Chiro) , Dawn Dane MSc(Chiro), EdD , Clinton J. Daniels DC, MS , Micheala Edwards DC , William K. Foshee DC , Christine Goertz DC, PhD , Charles Henderson DC, PhD , Roger Hynes DC , Valerie Johnson DC , Lisa Killinger DC , Karen Konarski-Hart DC, MS , Deborah Kopansky-Giles DC, MSc , Kenneth J. Young DC, MAppSc, PhD
{"title":"Chiropractic Day 2023: A Report and Qualitative Analysis of How Thought Leaders Celebrate the Present and Envision the Future of Chiropractic","authors":"Claire D. Johnson DC, MSEd, PhD , Bart N. Green DC, MSEd, PhD , Mustafa Agaoglu DC , Lyndon Amorin-Woods BAppSci(Chiro), MPH , Richard Brown DC, LLM , David Byfield DC, MPhil , Gerard W. Clum DC , Waleska Crespo MHSA, DrPH , Kendrah L. Da Silva MDipTech(Chiro) , Dawn Dane MSc(Chiro), EdD , Clinton J. Daniels DC, MS , Micheala Edwards DC , William K. Foshee DC , Christine Goertz DC, PhD , Charles Henderson DC, PhD , Roger Hynes DC , Valerie Johnson DC , Lisa Killinger DC , Karen Konarski-Hart DC, MS , Deborah Kopansky-Giles DC, MSc , Kenneth J. Young DC, MAppSc, PhD","doi":"10.1016/j.echu.2023.08.001","DOIUrl":"10.1016/j.echu.2023.08.001","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to (1) collect and analyze statements about how to celebrate chiropractic in the present and roles that chiropractors may fulfill in the future, (2) identify if there was congruence among the themes between present and future statements, and (3) offer a model about the chiropractic profession that captures its complex relationships that encompass its interactions within microsystem, mesosystem, exosystem, and macrosystem levels.</p></div><div><h3>Methods</h3><p>For this qualitative analysis, we used pattern and grounded theory approaches. A purposive sample of thought leaders in the chiropractic profession were invited to answer the following 2 open-ended questions: (1) envision the chiropractor of the future, and (2) recommendations on how to celebrate chiropractic. Information was collected during April 2023 using Survey Monkey. The information was entered into a spreadsheet and analyzed for topic clusters, which resulted in matching concepts with social-ecological themes. The themes between the responses to the 2 questions were analyzed for congruence. We used the Standards for Reporting Qualitative Research to report our findings.</p></div><div><h3>Results</h3><p>Of the 54 experts invited, 32 (59%) participated. Authors represented 7 countries and have a median of 32 years of chiropractic experience, with a range of 5 to 51 years. Nineteen major topics in the future statements and 23 major topics in statements about celebrating chiropractic were combined in a model. The topics were presented using the 4 levels of the social-ecological framework. Individual (microsystem): chiropractors are competent, well-educated experts in spine and musculoskeletal care who apply evidence-based practices, which is a combination of the best available evidence, clinical expertise, and patient values. Interpersonal relationships (mesosystem): chiropractors serve the best interests of their patients, provide person-centered care, embrace diversity, equity, and inclusion, consider specific health needs and the health of the whole person. Community (exosystem): chiropractors provide care within integrated health care environments and in private practices, serve the best interests of the public through participation in their communities, participate through multidisciplinary collaboration with and within the health care system, and work together as a profession with a strong professional identity. Societal (macrosystem): chiropractors contribute to the greater good of society and participate on a global level in policy, leadership, and research. There was concordance between both the future envisioning statements and the present celebration recommendations, which suggest logical validity based on the congruence of these concepts.</p></div><div><h3>Conclusion</h3><p>A sample of independent views, including the perceptions from a broad range of chiropractic thought leaders from various backgrounds, philosophies, diversity ch","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"30 ","pages":"Pages 23-45"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239518","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":"2023-12-01","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":"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":"2023-12-01","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}
Yi Kai Wong BSc Chiro, MSc PH , Michael Thomas Haneline DC, MPH , Kok Leong Tan MBBCh, BAO, LRCP&S (Ire), MPH
{"title":"Public Awareness of the Traditional and Complementary Medicine Act Governing Chiropractic in Malaysia: A Survey of Adults in Klang Valley","authors":"Yi Kai Wong BSc Chiro, MSc PH , Michael Thomas Haneline DC, MPH , Kok Leong Tan MBBCh, BAO, LRCP&S (Ire), MPH","doi":"10.1016/j.echu.2023.08.002","DOIUrl":"10.1016/j.echu.2023.08.002","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to assess the level of awareness of the traditional and complementary medicine law governing chiropractic among adults in Klang Valley, Malaysia.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted of patients attending the following 4 health care services: medicine, dentistry, pharmacy, and chiropractic. The study ran from July to November 2018. Data were collected through self-administered questionnaires and reported using descriptive statistics. Variables included demographic characteristics and awareness of the Traditional and Complementary Medicine Act 2016 (Act 775).</p></div><div><h3>Results</h3><p>We obtained 440 responses, 186 (42.3%) from men and 254 (57.7%) from women, with ages ranging from 18 to 81 years. The majority of respondents (97.3%) were Malaysian from the non-Malay ethnic group. Almost half (47.5%) of the respondents had a bachelor's degree. The awareness of the traditional and complementary medicine law governing chiropractic was low (4.8%). Binary logistic regression revealed marital status as the only significant predictor of awareness of the Traditional and Complementary Medicine Act, with married individuals showing higher awareness (adjusted odds ratio: 2.77; 95% CI, 1.38-5.58).</p></div><div><h3>Conclusion</h3><p>For this sample of adults, the awareness of the Traditional and Complementary Medicine Act 2016 governing chiropractic was found to be low. As the regulation of chiropractic is still new in Malaysia and other Asian countries, efforts are needed to increase public awareness to ensure the safety and quality of chiropractic services.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"30 ","pages":"Pages 16-22"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10562678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215358","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}
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":"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}
{"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}