Q&A with Program Presenter Dr. Linda Wheatland Smith
Linda Wheatland Smith, DC, who has practiced for 38 years and owns an integrated clinic, has managed very severe cases of low back pain, leg pain, disc ruptures, and radiculopathy over her career. She has studied how the medical model has failed the low back pain patient, and what chiropractic has to offer this patient, including acupuncture, massage therapy, chiropractic care, and rehabilitation. She will present "Mechanics and Management of Acute Recurrent Low Back Pain” at this year’s virtual Engage 2021 conference on Saturday, Feb. 6 (1 CE available). ACA Blogs asks Dr. Smith what doctors can expect.
Since this is the first year for VA Puget Sound to have a chiropractic resident, we have been doing a lot of trailblazing. My VA is split into two locations: Seattle and Tacoma. The Tacoma location has two well-established chiropractors, while the main hospital in Seattle has none. So, when I’m on rotation in Seattle, I am frequently met with curiosity and a lot of questions; commonly I am told that I am the only chiropractor many providers have ever met. I knew that Neurosurgery had been hesitant to even open the door for communication between our departments, let alone take me on rotation for an entire month, but after some reassurance from my attending, it was decided.
Contemporary practice principles in hospitals and health systems have become much more comprehensive and incorporate population health management principles, coordination of care, collaborative care, application of standardized care pathways, and attention to the social determinants of health. According to Engage 2020 presenter David BenEliyahu, DC, chiropractors should adopt these principles in their practices, as they foster not only better outcomes but also integration and collaboration with our medical colleagues.
Dr. Eric Roseen Embarks on Research Supported by a 5-Year $802,000 NIH Career Development Award
In the wake of the national opioid crisis in the United States, primary care clinics are beginning to recognize the importance of non-pharmacologic care for patients with common musculoskeletal conditions such as low back pain. Integrating chiropractic care into healthcare clinics is an important step toward offering these more holistic approaches to pain management. However, clinics in lower-income neighborhoods often face financial and other barriers to offering this type of care. ACA member Eric Roseen, DC, MSc, is embarking on a research study to find new approaches to creating patient access.
As an institution that serves more than 9 million veterans nationwide, the Veterans Health Administration provides a unique environment for patient care with both the patient and provider experience being quite distinct when compared to other healthcare settings. However, one constant no matter what the setting may be is that the patient, and in this case the veteran, should remain at the center of clinical decision making. In my short time as a VA resident, I have discovered that the first step in maintaining a veteran-centered approach to care is preparation.
Christine Goertz, DC, PhD will be joining Duke Health’s Department of Orthopaedic Surgery in October 2019 as a professor and director of system development and coordination for spine health. As the American Chiropractic Association’s (ACA) senior scientific advisor, she has served as a trusted counselor to ACA leadership in respect to research affecting the association’s legislative, regulatory and payment policy initiatives. She also serves as the chair of ACA’s Committee on Quality Assurance and Accountability.
For the past year, Drs. Vivian Ly, Danielle Aslan and Jamie Zeman have shared insights and experiences from their chiropractic residencies in the Veterans Administration (VA) healthcare system. This summer, all three are moving on to the next chapter of their careers, but not without some important revelations about patient care, the roll of evidence, and more garnered during their unique educational experiences.
While preparing for graduation, many chiropractic students are carefully considering the next steps in their career. No matter your goals, clinical experience is the key to finding a great job, according to Logan University student Kaelyn Mead. As an intern in the Walter Reed National Military Medical Center Chiropractic Services Program in Bethesda, Maryland, she is one of several chiropractic students immersed in the clinical care of members of the military and veterans, learning firsthand how integrated care enhances not only patient outcomes, but also the providers who serve them.
I’ve thoroughly enjoyed my experience as a chiropractic resident in the Veterans Administration (VA) health care system and look forward to going to work every day. From the first six months, I have grown in confidence in my clinical skills, experienced and learned from a variety of specialties, and have been encouraged to pursue scholarly and research activities. I often receive questions about the VA chiropractic residency, so I'm sharing the most frequently asked questions and answers based on my experience as a resident at VA Connecticut Healthcare System.
Chronic pain is the No. 1 cause of American adults seeking integrated care in this country. In 2016, an estimated 20.4 percent of U.S. adults (50 million) had chronic pain and 8 percent of U.S. adults (19.6 million) had high-impact chronic pain, with higher prevalence associated with advancing age. The Veterans Health Administration is taking a new approach to this not so new problem: a holistic view including both physical and emotional well-being. The Whole Health initiative focuses not on what is the matter with the patient, but rather what matters to the patient.