Abstract
The chiropractic profession is 125 years old and has evolved a culture beset with internal conflict. The internal ructions have been particularly noticeable during the last 20 years. These polarising viewpoints are worsening to the degree that there are calls for the profession to break into two separate entities. Key to the recognition of the differences within the profession is the recognition of title for particular sub populations of patients presenting to chiropractors. For many of the sub populations such as sport or paediatrics there has grown appropriate post professional specialist educational training sometimes leading to a protected title. However, this is not occurring in that group of practitioners that choose to focus on wellness care. A recommendation is made that wellness chiropractic be viewed as a post professional specialty program within chiropractic, as it is in medicine and elsewhere, and that recognition follow after appropriate post professional educational programs have been completed, as is customary in the other special interest groups. In order to do so, consensus will be required from all stakeholders within the profession on the level, scope and depth of such programs. Furthermore, it is possible that different jurisdictions around the world may require different post graduate educational levels based on local competitive, legal and professional circumstances. In such cases, transitioning to the higher level over a period of time may be undertaken. Recognition of the wellness specialty by the profession would allow for vertical integration with other healthcare providers as well as help bridge a gap between the entrepreneur and academic groups that would be responsible for creating these programs at tertiary education institutions. Finally, should these programs acquire evidence to underpin them, a process that would be taught within the programs, it is likely that recognition of an extended scope of practice would occur increasing the appeal of chiropractic to the public.
Highlights
The wellness traditional model of chiropractic care and those who represent it are a part of the total scope of care provided by chiropractors
It will discuss the training of graduate and post graduate generalist and specialist training programs in chiropractic
Wellness versus evidence: a false premise Years of stagnation in the management of specialist chiropractic practitioners and their post professional education has contributed to the development of a strong schism within an increasingly binary profession, locked within a downward spiral
Summary
The wellness traditional model of chiropractic care and those who represent it are a part of the total scope of care provided by chiropractors. Wellness versus evidence: a false premise Years of stagnation in the management of specialist chiropractic practitioners and their post professional education has contributed to the development of a strong schism within an increasingly binary profession, locked within a downward spiral. In a near vacuum of tertiary post professional diploma/ degree educational offerings in “wellness” by chiropractic institutions have developed tethered programs between some association and entrepreneurial groups of the profession [65].
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