Journal of Chiropractic Education最新文献_第5页

Awareness of LGBTQ+ health disparities: A survey study of complementary integrative health providers. 对LGBTQ+健康差异的认识：一项针对互补综合健康提供者的调查研究。

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Journal of Chiropractic Education Pub Date : 2023-10-01 DOI: 10.7899/JCE-22-2

Kara D Burnham, Suzanne D Lady, Cecelia Martin

{"title":"Awareness of LGBTQ+ health disparities: A survey study of complementary integrative health providers.","authors":"Kara D Burnham, Suzanne D Lady, Cecelia Martin","doi":"10.7899/JCE-22-2","DOIUrl":"10.7899/JCE-22-2","url":null,"abstract":"Objective: The purpose of this study was to survey awareness of lesbian, gay, bisexual, transgender, queer/questioning, plus health disparities among complementary integrative health providers; chiropractors, naturopaths, acupuncturists, and massage therapists and secondly, examine how providers' sexual and gender identity correlated with that awareness.Methods: An electronic survey was designed, which included demographic questions as well as closed-ended and Likert response items to measure provider awareness of LGBTQ+ patients and the health disparities they experience. Kruskal-Wallis H tests with pairwise comparisons were used to evaluate the differences between defined groups and their awareness of health disparities of LGBTQ+ adults and youth.Results: The survey showed that most complementary integrative health care providers agreed that LGBTQ+ individuals experience discrimination and health disparities. However, providers are unaware of the specific disparities experienced in this population, including increased risk of substance abuse and mental health issues. Pairwise comparison tests demonstrated that providers that identify as a part of the LGBTQ+ community are often more aware of disparities than their heterosexual cisgender counterparts.Conclusion: Complementary integrative health care providers demonstrated some general awareness of LGBTQ+ health disparities yet most providers lacked awareness of specific disparities that pose major health risks for this community. Cultural competency training specific to LGBTQ+ individuals is lacking and may explain some of the findings in this study. This suggests that education is needed, both in professional educational programs and in the health care community by way of conferences, webinars, and other opportunities.","PeriodicalId":44516,"journal":{"name":"Journal of Chiropractic Education","volume":" ","pages":"124-136"},"PeriodicalIF":0.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11095652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9833858","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}

引用次数: 0

Differences in history-taking skills between male and female chiropractic student interns. 男性和女性脊骨神经医学实习生的历史记录技能差异。

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Journal of Chiropractic Education Pub Date : 2023-10-01 DOI: 10.7899/JCE-22-11

Michael Sheppard, Stephanie Johnson, Victor Quiroz, John Ward

{"title":"Differences in history-taking skills between male and female chiropractic student interns.","authors":"Michael Sheppard, Stephanie Johnson, Victor Quiroz, John Ward","doi":"10.7899/JCE-22-11","DOIUrl":"10.7899/JCE-22-11","url":null,"abstract":"Objective: The purpose of this study was to determine if there was a difference in history-taking skills between male and female chiropractic student interns.Methods: This study included 2040 patient histories collected by student interns over a 3-year period. Students were assessed by chiropractic college clinicians on reasoning (ability to derive clinically relevant information using a mnemonic for taking a history), communication, and professionalism using a modified Dreyfus model scoring system on a 1-4 scale (1 = novice, 4 = proficient). Ordinal dependent variables were scores for reasoning, communication, and professionalism. The categorical independent variable was sex of the student intern (male or female). A Mann-Whitney U test was used to compare for differences in nonparametric dependent variables by the sex of the students.Results: The Mann-Whitney U test revealed that communication scores were greater for female chiropractic interns compared with male chiropractic interns (p < .001, with a small effect size (r = -.08). There was no statistically significant effect for sex on reasoning (p = .263) or professionalism (p = .098).Conclusion: Female chiropractic student interns scored higher than male interns on communication skills during a history-taking patient encounter. This supports the trend seen among female medical school students and physicians that women score higher than men on communication-related assessments.","PeriodicalId":44516,"journal":{"name":"Journal of Chiropractic Education","volume":" ","pages":"151-156"},"PeriodicalIF":0.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11095650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10132570","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}

引用次数: 0

Integrated clinical opportunities for training offered through US doctor of chiropractic programs. 通过美国脊骨神经医学博士项目提供的综合临床培训机会。

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Journal of Chiropractic Education Pub Date : 2023-10-01 DOI: 10.7899/JCE-22-18

Kevin W Meyer, Omar Y Al-Ryati, Zachary A Cupler, Gina M Bonavito-Larragoite, Clinton J Daniels

{"title":"Integrated clinical opportunities for training offered through US doctor of chiropractic programs.","authors":"Kevin W Meyer, Omar Y Al-Ryati, Zachary A Cupler, Gina M Bonavito-Larragoite, Clinton J Daniels","doi":"10.7899/JCE-22-18","DOIUrl":"10.7899/JCE-22-18","url":null,"abstract":"Objective: The primary objective of this study was to assess, summarize, and compare the current integrated clinical learning opportunities offered for students who matriculated in US doctor of chiropractic programs (DCPs).Methods: Two authors independently searched all accredited DCP handbooks and websites for clinical training opportunities within integrated settings. The 2 data sets were compared with any discrepancies resolved through discussion. We extracted data for preceptorships, clerkships, and/or rotations within the Department of Defense, Federally Qualified Health Centers, multi-/inter-/transdisciplinary clinics, private/public hospitals, and the Veterans Health Administration. Following data extraction, officials from each DCP were contacted with a request to verify the collected data.Results: Of the 17 DCPs reviewed, all but 3 offered at least 1 integrated clinical experience, while 41 integrated clinical opportunities were the most offered by a single DCP. There was an average of 9.8 (median 4.0) opportunities per school and an average of 2.5 (median 2.0) clinical setting types. Over half (56%) of all integrated clinical opportunities were within the Veterans Health Administration, followed by multidisciplinary clinic sites (25%).Conclusion: This work presents preliminary descriptive information of the integrated clinical training opportunities available through DCPs.","PeriodicalId":44516,"journal":{"name":"Journal of Chiropractic Education","volume":" ","pages":"90-97"},"PeriodicalIF":0.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11095651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9534202","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}

引用次数: 0

Assessment of professionalism in a chiropractic college: A design and implementation of a rubric. 脊骨神经医学院的专业评估：一个准则的设计和实施。

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Journal of Chiropractic Education Pub Date : 2023-10-01 DOI: 10.7899/JCE-22-21

Jeana L Voorhies

{"title":"Assessment of professionalism in a chiropractic college: A design and implementation of a rubric.","authors":"Jeana L Voorhies","doi":"10.7899/JCE-22-21","DOIUrl":"10.7899/JCE-22-21","url":null,"abstract":"Objective: To describe the design, implementation, and revision of a rubric used in assessing professionalism that was in alignment with Council on Chiropractic Education meta-competency 5 (professional ethics and jurisprudence, curricular objective C: Expected professional conduct).Methods: The rubric was designed using a grading scale from 0 to 5 by which students needed to meet all criteria to earn full points for each defined dimension of professionalism. A comments section allowed for explanation of deductions and/or comments on exceptional behavior. Comments on professionalism were collected in a log during the trimester and used to populate the rubric. After initial use, the rubric was revised to incorporate criteria that had not initially been included and to allow for greater point deductions for multiple/repeat infractions or egregious behavior. Feedback from other faculty members was also gathered during in-service presentations of the rubric and taken into consideration. Professionalism score was 10% of the course grade.Results: From 2016 to 2020, the average professionalism grade changed from 95.6% to 98.9%. A review of the frequency distributions of average professionalism grades in a calendar year showed that some students were earning grades between 70% and 79%. Only achieving 70% to 75% of the professionalism grade affected the final course grade by 2.5% to 3.0%.Conclusion: In training chiropractic students on expected behaviors related to professionalism, a rubric assessment of professionalism guided communications between the clinical educator and students to discuss professionalism and remediate unprofessional behaviors. A rubric defining expected classroom behaviors aligns with educational best practices to use assessment methods to develop professionalism in health care students.","PeriodicalId":44516,"journal":{"name":"Journal of Chiropractic Education","volume":" ","pages":"162-170"},"PeriodicalIF":0.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11095644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10653450","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}

引用次数: 0

Keeping It Real: Practice Relevant Education. Chiropractic Educators Research Forum (CERF), June 24, 2023. 保持真实：实践相关教育。脊医教育工作者研究论坛（CERF），2023年6月24日。

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Journal of Chiropractic Education Pub Date : 2023-10-01 DOI: 10.7899/JCE-23-24

引用次数: 0

Interactions between the sex of the clinician grader and the sex of the chiropractic student intern on spinal manipulation assessment grade. 脊椎手法评定等级中临床医生评分者的性别和脊骨神经医学实习生的性别之间的相互作用。

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Journal of Chiropractic Education Pub Date : 2023-10-01 DOI: 10.7899/JCE-22-12

Michael Sheppard, Stephanie Johnson, Victor Quiroz, John Ward

{"title":"Interactions between the sex of the clinician grader and the sex of the chiropractic student intern on spinal manipulation assessment grade.","authors":"Michael Sheppard, Stephanie Johnson, Victor Quiroz, John Ward","doi":"10.7899/JCE-22-12","DOIUrl":"10.7899/JCE-22-12","url":null,"abstract":"Objective: The purpose of this project was to determine if there was any relationship between the sex of the clinician grader and the sex of the chiropractic student intern on student spinal manipulation assessment grades.Methods: Twelve thousand six hundred and thirty-one supervised patient adjustments by student interns were analyzed over a 3-year data collection window. Student interns were assessed by multiple male and female clinicians in a teaching clinic using a modified Dreyfus model scoring system on a 1-4 scale (1 = novice, 4 = proficient). A Mann-Whitney U test was used to compare the relationship between grader sex and student grade as well as student sex and student grade.Results: Sex of the grader had a statistically significant effect on spinal manipulation assessment grade, p < .001, with male clinician graders assigning average scores of 2.81 ± 0.39 (mean ± SD) and female clinician graders scores of 3.01 ± 0.52, r = .18. Sex of the student had a statistically significant but negligible (r = .08) effect on spinal manipulation assessment grade, p < .001, with male students averaging slightly higher scores (2.93 ± 0.47) than females (2.86 ± 0.44) on the modified Dreyfus scale.Conclusion: Male clinicians tended to assign lower grades on spinal manipulation assessments than female clinicians. Male students on average received slightly higher scores than female students on spinal manipulation assessments.","PeriodicalId":44516,"journal":{"name":"Journal of Chiropractic Education","volume":" ","pages":"157-161"},"PeriodicalIF":0.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11095654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10132575","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}

引用次数: 0

Association of pain neurophysiology knowledge and application amongst UK chiropractic students: A cross-sectional study. 英国脊骨神经医学学生疼痛神经生理学知识与应用的关联：一项横断面研究。

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Journal of Chiropractic Education Pub Date : 2023-10-01 DOI: 10.7899/JCE-22-27

Kajsa Nordbo, Philip Dewhurst

{"title":"Association of pain neurophysiology knowledge and application amongst UK chiropractic students: A cross-sectional study.","authors":"Kajsa Nordbo, Philip Dewhurst","doi":"10.7899/JCE-22-27","DOIUrl":"10.7899/JCE-22-27","url":null,"abstract":"Objective: To investigate if chiropractic placement students in the United Kingdom are aware of current pain evidence and how they relate this to the management of chronic pain patients. Moreover, to gain an understanding of how this can lead to improved pain education planning and engagement in the future.Methods: The revised Neurophysiology of Pain Questionnaire and the researchers' own questionnaire were administered online to chiropractic placement students. The aggregated total number of correct responses and the individual mean scores were calculated. Statistical analysis included tests of normality and difference using the Kolmogorov-Smirnov, Mann-Whitney U, Kruskal-Wallis, and Χ2 tests.Results: There was an overall response rate of 21.6% (n = 50). The mean score achieved on the revised neurophysiology of pain questionnaire was 37.8%. A significant difference between individual mean scores on the revised Neurophysiology of Pain Questionnaire was observed between male and female participants. No differences in mean score were observed between age, number of chronic pain patients seen, and previous qualifications. For the study-specific questionnaire, statistically significant differences were found in mean score for previous qualifications, number of patients seen, and sex.Conclusion: Chiropractic placement students in the United Kingdom appear to have a lower level of pain knowledge than other health care professionals and education institutions may wish to consider how to best address this within their curricula.","PeriodicalId":44516,"journal":{"name":"Journal of Chiropractic Education","volume":" ","pages":"82-89"},"PeriodicalIF":0.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11095656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10288511","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}

引用次数: 0

Assessment of forces during side-posture adjustment with the use of a table-embedded force plate: Reference values for education. 使用嵌入力板的桌子评估侧面姿势调整过程中的力：教育参考值。

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Journal of Chiropractic Education Pub Date : 2023-10-01 DOI: 10.7899/JCE-22-13

Brent S Russell, Edward F Owens, Ronald S Hosek, Lydia L Dever, Michael T Weiner

{"title":"Assessment of forces during side-posture adjustment with the use of a table-embedded force plate: Reference values for education.","authors":"Brent S Russell, Edward F Owens, Ronald S Hosek, Lydia L Dever, Michael T Weiner","doi":"10.7899/JCE-22-13","DOIUrl":"10.7899/JCE-22-13","url":null,"abstract":"Objective: Force-sensing treatment tables are becoming more commonly used by chiropractic educational institutions. However, when a table-embedded force platform is the sole measurement method, there is little information available about what force-time values instructors and students should expect for side-posture spinal manipulative thrusts. The purpose of this report is to provide force-time values recorded with such a system during side-posture manipulation with human recipients.Methods: Student volunteers were examined by and received lumbar or pelvic side-posture manipulation from experienced chiropractors who were diplomates of the Gonstead Clinical Studies Society. Forces were recorded using proprietary software of a Bertec force platform; force and time data were analyzed with a custom-programmed software tool in Excel.Results: Seven doctors of chiropractic performed 24 thrusts on 23 student recipients. Preload forces, averaging 69.7 N, and thrust loading duration, averaging 167 milliseconds, were similar to previous studies of side-posture manipulation. Peak loads were higher than previous studies, averaging 1010.9 N. Other variables included prethrust liftoff force, times from thrust onset to peak force and peak load to resolution of thrust, and average rates of force loading and unloading.Conclusion: The values we found will be used for reference at our institution and may be useful to instructors at other chiropractic educational institutions, in the teaching of lumbar side-posture manipulation. A caveat is that the values of this study reflect multiple sources of applied force, not solely the force applied directly to the spine.","PeriodicalId":44516,"journal":{"name":"Journal of Chiropractic Education","volume":" ","pages":"73-81"},"PeriodicalIF":0.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11095653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10653448","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}

引用次数: 0

Developing spinal manipulation psychomotor skills competency: A systematic review of teaching methods. 培养脊柱操作心理运动技能能力：教学方法的系统综述。

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Journal of Chiropractic Education Pub Date : 2023-10-01 DOI: 10.7899/JCE-22-10

Eleanor de Kock, Christopher Yelverton, Cornelius Myburgh

{"title":"Developing spinal manipulation psychomotor skills competency: A systematic review of teaching methods.","authors":"Eleanor de Kock, Christopher Yelverton, Cornelius Myburgh","doi":"10.7899/JCE-22-10","DOIUrl":"10.7899/JCE-22-10","url":null,"abstract":"Objective: To update the state of the art regarding the acquisition of spinal high-velocity low-amplitude psychomotor skills competency among chiropractors and chiropractic students.Methods: Available electronic articles from 5 databases, published between June 2015 and August 2020, were obtained. Eligible studies underwent methodological quality assessments using the Joanna Briggs Institute Critical Appraisal Checklists and Cochrane Collaboration's Risk of Bias Tools.Results: Fourteen critically appraised studies were identified, including 10 cohort studies and 4 randomized controlled trials. There was no literature excluded due to high risk of bias. The type of augmented devices included a mannequin on a force platform, a computer-connected device, a human analogue mannequin, and a 3-dimensional electrogoniometer with an instrumented spatial linkage.Conclusion: The use of augmented feedback devices such as human analogue mannequins with force-sensing table technology and computer-connected devices is potentially beneficial in the chiropractic curricula and may facilitate student learning and improvement of spinal manipulation. More studies are required to determine whether psychomotor skill aids translate directly into raised competency levels in novice clinicians.","PeriodicalId":44516,"journal":{"name":"Journal of Chiropractic Education","volume":" ","pages":"116-123"},"PeriodicalIF":0.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11095646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10653452","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}

引用次数: 0

Measuring the Quality of the OSCE in a Chiropractic Programme: A Review of Metrics and Recommendations. 在脊椎按摩方案中衡量欧安组织的质量：指标和建议审查。

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Journal of Chiropractic Education Pub Date : 2023-09-29 DOI: 10.7899/JCE-22-29

Alice E Cade, Nimrod Meuller

{"title":"Measuring the Quality of the OSCE in a Chiropractic Programme: A Review of Metrics and Recommendations.","authors":"Alice E Cade, Nimrod Meuller","doi":"10.7899/JCE-22-29","DOIUrl":"10.7899/JCE-22-29","url":null,"abstract":"Objectives: The Objective Structured Clinical Examination (OSCE) is a commonly used assessment of clinical skill, and ensuring the quality and reliability in OSCEs is a complex, and on-going process. This paper discusses scoring schemas and reviews checklists and global rating scales (GRS) for marking. Also detailed are post-examination quality assurance metrics tailored to smaller cohorts, with an illustrative dataset.Methods: A deidentified OSCE dataset, from stations with both a checklist and GRS, of 24 examinees from a 2021 cohort was assessed using the following metrics: Cut-scores or pass-rates, number-of-failures, R2, inter-grade discrimination, and between-group-variation. The results were used to inform a set of implementable recommendations to improve future OSCEs.Results: For most stations the calculated cut-score calculated was higher than the traditional pass of 50% (58.9.8-68.4%). Number-of-failures were low for traditional pass rates and cuts-scores (0.00-16.7%), excepting Lab Analysis where number-of-failures was 50.0%. R2 values ranged from 0.67-0.97, but proportion of total variance was high (67.3-95.9). These data suggest there were potential missed teaching concepts, that station marking was open to examiner interpretation, and there were inconsistencies in examiner marking.Recommendations included increasing checklist detail and using a weighted marking scale, separating some stations into dichotomous and key-feature checklists, using GRSs specific to each station, and reviewing all future OSCEs with the metrics described to guide refinements.Conclusions: The analysis used revealed several potential issues with the OSCE assessment. These findings informed recommendations to improve the quality of future examinations.","PeriodicalId":44516,"journal":{"name":"Journal of Chiropractic Education","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11097219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152573","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}

引用次数: 0