The ACA blog provides readers with information to help them advance their knowledge, achieve their professional goals and strive for excellence, while also creating a greater sense of community among chiropractors nationwide through online engagement and information-sharing with their colleagues.

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VA’s Chiropractic Residents Share Experiences and Insights: New Blog Series

Part of a series on the chiropractic residency program in the VA health care system

The Department of Veterans Affairs (VA) chiropractic residency program reached an historic milestone in 2016 when each of the five sites received accreditation from the Council on Chiropractic Education (CCE)—they are the first U.S. chiropractic residency programs to be awarded this distinction. The programs were also successful in many VA performance metrics, including recruitment of high-quality applicants, 100 percent graduation rates, high degree of graduate placement in VA and/or other hospital settings, and high satisfaction across multiple stakeholders. Consequently, in early 2017 VA transitioned the chiropractic residency pilot into a standing residency program. Two residents of the program will share their experiences through a new ACA blog post series. 
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Choosing Wisely X-ray Recommendations Reflect Evolving Evidence, Accepted Standards

The first ACA Choosing Wisely® recommendation states: In the absence of red flags, do not obtain spinal imaging (X-rays) for patients with acute low-back pain during the six weeks after the onset of pain. Some doctors of chiropractic may be surprised that ACA included this recommendation. There are many DCs who are committed to delivery of high-quality patient care that currently take or order X-rays on a majority of their patients because they believe that X-rays are a necessary component of the examination process. There are a number of reasons why this is the case.

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11 Reasons Why Performance Measurement Matters to the Chiropractic Profession

Long before many of us can remember, there were only two people sitting in the chiropractic treatment room – the patient and the doctor. Gradually, the state licensing boards starting showing up. They were joined by the insurance industry. Then health policy makers like Medicare and Medicaid. Followed by more members of the insurance industry. Then scientists made an appearance, talking about evidence-based clinical practice. Now this already very crowded room may become even more crowded if we open the door to the ever-loudly-knocking performance measurers. We have had time to get at least somewhat used to the state and national boards, insurers, policy makers and even the scientists, to some extent. But what is performance measurement and how might it be beneficial to the practice of chiropractic?  
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Women in Chiropractic: Viewers Questions Answered

*Member-Exclusive Content* ACA’s first Facebook Live discussion, “Women in Chiropractic,” has been viewed by more than 5,000 people to date. The discussion explored the opportunities and challenges that women encounter in the chiropractic profession and celebrated the unique approach and perspectives that they bring to patient care. Viewers were invited to submit questions during the broadcast, and following are answers from moderator Christine Goertz, DC, and featured guests Sarah Potthoff, DC, and Keita Vanterpool, DC.

To read more, log into MyACA

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Enhancing a Biopsychosocial Approach

Part of the Evidence in Action series by the Palmer Center for Chiropractic Research

The concept of caring for the whole patient is not new. As early as the 5th century BC, Hippocrates described the importance of attending to the person behind the disease rather than the disease itself. He described psychological, social and physical elements that variously combine and contribute to a person’s health. Assessing and addressing all three components (biological, psychological and social conditions) contributing to health is called a biopsychosocial approach.

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Publication Bias and Outcome Switching: Threats to Evidence Assessment

Publication bias is a growing problem in evidence-based practice. In the hierarchy of evidence, systematic reviews and meta-analyses lie at the top of the evidence pyramid because they are regarded as the most rigorous form of evidence for possible clinical decision-making. But publication bias can color the results of those reviews and meta-analyses in ways not easily seen nor understood. 

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Interpreting “Quality” and “Strength” in a Practice Guideline

Part of the Evidence in Action series by the Palmer Center for Chiropractic Research

The American College of Physicians (ACP) recently released a clinical practice guideline for noninvasive treatments for low back pain. The goal of this guideline is to inform care decisions by systematically evaluating and summarizing available scientific evidence for treating acute, subacute and chronic low back pain. Many treatments used by doctors of chiropractic, such as spinal manipulation, superficial heat, acupuncture, motor control exercise and low level laser are included as recommended first-line treatments.

 

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“Soy Doctor Bryan”

For those of you who don’t speak Spanish, I will translate; Hello!  My name is Bryan Kent, I am a volunteer doctor for World Spine Care in the Dominican Republic!  Over the past week, I have had the humbling experience of treating spine pain, among other chief complaints, for the people of the Dominican Republic.  

Author: Bryan Kent
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Taking an Evidence-Based Approach to Patient Care

By now you are no doubt familiar with the concept of evidence-based clinical practice (EBCP). But what does that really mean for the doctor of chiropractic? How does one actually implement the “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of an individual patient” when that individual patient is on the adjusting table? It is not that easy, for a number of reasons. 
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Upcoming Webinar: The Treatment of Whiplash Associated Disorders: A Clinical Practice Guideline

Representatives of ACA and the Canadian Chiropractic Guideline Initiative together will present a free webinar on guidelines for whiplash-associated disorders on June 20 at 9 pm ET. Presenters Dr. Andre Bussieres, Dr. Joel Weisberg and Dr. Michele Maiers take a moment to share why the  topic is relevant to your practice…and why you won’t want to miss this information-packed webinar.

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