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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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Editorial Policy: Posts published in the ACA blog are screened by the ACA Editorial Review Board and ACA staff; however, neither ACA nor its contributors, officers and staff investigate, endorse, or approve any statements of fact or opinion, which are solely the responsibility of the authors and sources of information. They are published on the authority of the writer(s) over whose name they appear and are not to be regarded as expressing the views of ACA.

 

Overdue ‘Travel-to-Treat’ Bill Advances in Congress

On Sept. 6, 2018, the U.S. Senate unanimously passed H.R. 302, the “Sports Medicine Licensure Clarity Act of 2017.” The legislation, also referred to as “Travel to Treat,” would ensure that sports health professionals are covered by their malpractice insurance while traveling to another state with athletic teams. As lawmakers drafted this legislation, the American Chiropractic Association worked to ensure that doctors of chiropractic, along with other providers, were included in the bill’s final language.

Author: Jack Dusik
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Choosing Wisely: Separating Facts from Fears

It has been just over a year since many in the chiropractic profession first learned that the American Chiropractic Association (ACA) joined more than 80 medical specialty society partners to participate in an initiative that is sponsored by the American Board of Internal Medicine Foundation. This initiative’s mission is to “promote conversations between clinicians and patients by helping patients choose care that is supported by evidence, not duplicative of other tests or procedures already received, free from harm, and truly necessary.” It is called the Choosing Wisely campaign1 and it has generated more spirited discussion among doctors of chiropractic than I can recall since release of the Mercy Conference Proceedings in 1993.

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Article rating: 3.5

Engaging the Community Through Diversity in Research

An Introduction to Diverse Needs

While a chiropractic student, I traveled with a group of medical providers to a community in Ghana to provide supplies, assist with health screens in remote villages, and work in a local hospital within a variety of departments. During my time there, I interviewed different community members employed by the hospital or by non-governmental organizations working with the hospital about their perceived health burdens and openness to chiropractic. Unexpectedly, interviewees expressed that while they practiced a Western medicine model, there was some uncertainty on how much that body of knowledge applied to them since they felt so underrepresented in the studies that contributed to that knowledge. The patients and study participants described were rarely people that came from similar geography, cultures, and lifestyles or had physical characteristics they identified with. 

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Article rating: 5.0

Learn ACA: You Have a New and Better Choice for Online Continuing Education

When ACA decided to make some transitions last year, we were determined that this process would go deeper than just a new logo design and some brighter website colors. Today, we are committed to “living our values” by putting patients at the center of all our decisions, using the best available evidence and by collaborating with other healthcare providers. Adhering to best practices and having a positive attitude are also paramount. To this end, we are launching a new learning system, called Learn ACA, that will make it easier for chiropractors to access top-quality online education and their required continuing education units (CEUs).

Author: N. Ray Tuck
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Research Review: Chiropractic Care and Risk for Acute Lumbar Disc Herniation: a Population-based Self-controlled Case Series Study

The objective of this study was to compare the associations between primary care physician and chiropractic care in relation to acute lumbar disc herniation (LDH) with early surgery. The clinical picture of LDH in the early stages (i.e. the prodromal phase), in which low back pain progresses to radicular leg pain and possible neurologic signs, is often uncertain and can be a confusing time for both patients and clinicians. Thus, making a diagnosis of LDH during the early course of symptoms is often very difficult. The study's hypothesis was that chiropractic care could only be thought to increase the risk for acute LDH if the measured association between chiropractic visits and acute LDH exceeded the association between PCP visits and acute LDH.

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Article rating: 5.0

Summer Shaping Up to Be Time of Change in Health Policy

Proposal, Final Rule and Other Initiatives Aim to Reshape Medicare and Affordable Care Act

http://www.twitter.com/acaonthehillSummer is often a time in Washington where the business of government seems to slow down as everyone starts to look forward to the August recess and dreads the oncoming heat and humidity.  However, this year is a change from years past, as not only has Washington pretty much been spared oppressive temperatures, but the Senate has decided to stick around most of August and the Trump Administration has issued a proposal, and a final regulation, that could very well shape healthcare policy for years to come.

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Choosing Wisely: It’s About Communication, Not Coverage

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.

Author: N. Ray Tuck
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Article rating: 3.7

Higher Education Planning: 529 Plans, Funding Options and Career Paths

Going to college is a goal for many students graduating high school.  According to the U.S. Bureau of Labor Statistics, “In October 2017, 66.7 percent of 2017 high school graduates age 16 to 24 were enrolled in colleges or universities. Among persons age 20 to 29 who received a bachelor's degree in 2017, 77.6 percent were employed.” The full realization of how much college costs may only be fully grasped after receiving an acceptance letter. Unfortunately, unless financial planning starts years earlier, many students’ dreams may be dashed, or cumbersome borrowing could become a burden that follows them for years to come.

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Research Review: Manipulation and Mobilization for Treating Chronic Low Back Pain: a Systematic Review and Meta-analysis

Spinal manipulation and mobilization for the treatment of back and neck pain have been the topic of several systematic reviews, with some suggesting that the evidence in support of the view that spinal manipulative therapy is superior to other standard treatments for chronic low back pain is sparse. On the other hand, more recent systematic reviews have reported that spinal manipulation and mobilization are “viable” options for treating pain. Despite this degree of variability among studies, manipulation and mobilization are still considered to be effective treatments when compared with other therapies. The purpose of this systematic review was to unravel these differences and inconsistent findings. 

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Communicating Chiropractic: An Algorithm to Answer Difficult Questions

Although the culture of health care is shifting and complementary and alternative options are being implemented in hospital and primary care settings, many allopathic practitioners are not necessarily familiar with chiropractic. My biggest take-away from being exposed to interprofessional collaboration on a day-to-day basis in the VA is the need for chiropractors to prepare answers to questions regarding what chiropractic care is, common conditions seen, neurophysiological effects of treatment, and the incidence of adverse events.

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Article rating: 5.0
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