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PubMed · 4078504

The chiropractic doctor.

Abstract

Chiropractors as autonomous consulting professionals, acting as a portal of entry into the health care system, have a scope of practice which is diagnostically unlimited but therapeutically restricted. Chiropractic therapy is confined to natural means of intervention. Included in the health care responsibilities of primary contact practitioners is the requirement that they serve as a health relevant information source for their patients and clients. Chiropractors are achieving disease intervention by participating in the health education of their patients. Modern chiropractic doctors are teaching clinicians. In line with chiropractic philosophy, their perspective is holistic. In order to minimise intrusion upon the practice of their clinical expertise, health education tools are recommended and used by busy practitioners with a health promotion conscience.

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BibTeXRIS

J R Jamison. 1985. The chiropractic doctor.. https://pubmed.ncbi.nlm.nih.gov/4078504/

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An examination of musculoskeletal cognitive competency in chiropractic interns.

OBJECTIVE: This study investigates the cognitive competency of final-year chiropractic students in musculoskeletal medicine. METHODS: The face, content, and criterion validity of the Basic Clinical Examination (BCE) for musculoskeletal medicine were tested for use in chiropractic education. After validity testing, the BCE was administered in a cross-sectional design to all fourth year students (154) attending the Canadian Memorial Chiropractic College. RESULTS: Twenty percent (5 questions) of the BCE was deemed not relevant or outside of the scope of practice by criterion experts. One hundred twenty-three (80%) fourth year chiropractic interns participated in the cross-sectional study. Interns achieved a 51.2% passing rate (mean score, 73.2%; 95% confidence interval, 82%-71.8%) for the 25-item BCE, whereas the criterion experts achieved a 100% passing rate. For the modified 20-item BCE, the interns' mean score was 80.8%, whereas the criterion experts' mean score rose to 92.8%. CONCLUSIONS: Most final-year chiropractic interns at this college were [corrected] found to be competent in musculoskeletal medicine as assessed by the Basic Competency Examination. This is in contradiction to previous work with medical students, recent medical graduates, nonorthopedic staff physicians, osteopathic students, and physical therapy students. Chiropractic clinicians with postgraduate training showed considerably better results than chiropractic interns. Problems pertaining to the content validity (relevance and scope of practice for chiropractors) of the BCE need to be addressed.

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