It’s been one year since the American Chiropractic Association released its Choosing Wisely list, which features recommendations designed to help patients start conversations with their chiropractors about appropriate care. In an era of evidence-based care and shared decision making, patients need this type of information to have meaningful discussions with their doctors that lead to better care and, ultimately, better outcomes.

Ethics and evidence-based practice are "inextricably" linked, according to Charles A Simpson, DC, DABCO, a presenter at the 2018 National Chiropractic Leadership Conference (NCLC). Over his 40-plus year career in chiropractic and through his work as a health care workforce regulator, Dr. Simpson has witnessed ethical highs and lows among health care providers of all types. His experience has left him with keen insights into how to run a practice ethically as well as successfully.