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. 2021 Nov 3;29(1):44.
doi: 10.1186/s12998-021-00401-5.

Reframing a debate in chiropractic

Henry Pollard  1
Affiliations

Reframing a debate in chiropractic

Henry Pollard. Chiropr Man Therap. .

Erratum in

Abstract

The chiropractic profession is 125 years old and has evolved a culture beset with internal conflict. The internal ructions have been particularly noticeable during the last 20 years. The recent resignation of the entire World Federation of Chiropractic Research Committee has again focussed the conflicting views and goals of the "wellness" and "evidence" factions within the profession. These polarising viewpoints are worsening to the degree that there are calls for the profession to break into two separate entities. Key to the recognition of the differences within the profession is the recognition of title for particular sub populations of patients presenting to chiropractors. For many of the sub populations such as sport or paediatrics there has grown appropriate post professional specialist educational training sometimes leading to a protected title. However, this is not occurring in that group of practitioners that choose to focus on wellness care. A recommendation is made that wellness chiropractic be viewed as a post professional specialty program within chiropractic, as it is in medicine and elsewhere, and that recognition follow after appropriate post professional educational programs have been completed, as is customary in the other special interest groups. In order to do so, consensus will be required from all stakeholders within the profession on the level, scope and depth of such programs. Furthermore, it is possible that different jurisdictions around the world may require different post graduate educational levels based on local competitive, legal and professional circumstances. In such cases, transitioning to the higher level over a period of time may be undertaken. Recognition of the wellness specialty by the profession would allow for vertical integration with other healthcare providers as well as help bridge a gap between the entrepreneur and academic groups that would be responsible for creating these programs at tertiary education institutions. Finally, should these programs acquire evidence to underpin them, a process that would be taught within the programs, it is likely that recognition of an extended scope of practice would occur increasing the appeal of chiropractic to the public.

Keywords: Chiropractic; Competency; EBM; Education; Generalist; Licensure; Lifestyle medicine; Post graduate; Specialist; Student; Title; Training; Undergraduate; Wellness.

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Conflict of interest statement

The author is the Head of the Australasian Institute for Chiropractic Education (AICE). The Australasian Institute of Chiropractic Education was established in 2019 by the Australian Chiropractors Association (ACA) to promote advanced clinical competence and knowledge transfer through the establishment of credentialed advanced learning pathways.

Figures

Fig. 1
Fig. 1
The current view of general chiropractic
Fig. 2
Fig. 2
Advanced practice professional [93]
Fig. 3
Fig. 3
Generalists and specialists
See this image and copyright information in PMC

References

    1. Leboeuf-Yde C, Innes SI, Young KJ, Kawchuk GN, Hartvigsen J. Chiropractic, one big unhappy family: better together or apart? Chiropr Man Ther. 2019;27:4. doi: 10.1186/s12998-018-0221-z. - DOI - PMC - PubMed
    1. American Chiropractic Association House of Delegates . ACA wellness model. Arlington: American Chiropractic Association; 2001.
    1. Jamison JR. Wellness: defining the way ahead for chiropractic in Australia. Chiropr J Aust. 2007;37(1):2–6.
    1. Hawk C, Schneider M, Evans MW, Jr, Redwood D. Consensus process to develop a best-practice document on the role of chiropractic care in health promotion, disease prevention, and wellness. J Manip Physiol Ther. 2012;35(7):556–567. doi: 10.1016/j.jmpt.2012.05.002. - DOI - PubMed
    1. Jamison JR, Rupert RL. Maintenance care: towards a global description. J Can Chiropr Assoc. 2001;45(2):100–105.

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