chiropractic problems, solution
Leaders perplexed about 'disconnect' between DCs and
reality of threats
strategic planning meeting by executive directors of the
Council on Chiropractic Practice (CCP) in mid January 2006
covered a lot of ground. Beginning with a general overview
of the crisis facing subluxation‑centered chiropractic and
its practitioners, it moved on to other issues, including
the "disconnect between subluxation stakeholders such as the
colleges, technique developers, professional policy makers
problems we discussed were among the most important facing
the profession today," stated CCP board member Veronica
Gutierrez, DC. "The issues are incredibly complex and
finding viable solutions is absolutely necessary if we are
to preserve the integrity and identity of chiropractic."
addition to Dr. Gutierrez, the meeting was attended by CCP
President Christopher Kent, DC, Vice President Matthew
McCoy, DC, and Treasurer Terry A. Rondberg, DC. Noted
chiropractic researcher Robert Blanks, PhD facilitated the
meeting, which was held in St. Louis.
item on the agenda was a review of recent events shaping the
practice of subluxation‑based chiropractic worldwide. While
recent surveys indicate that the vast majority in
chiropractic feel that correction of vertebral subluxation
is central to their practice and professional identity, most
are passive and seem unaware of the growing threat to their
profession. They spurn membership in any professional
association, are reluctant to finance or otherwise support
efforts to safeguard chiropractors' rights, tune out news
about existing or potential problems, and seem unconcerned
about the direction the profession is taking.
time for stakeholders in the future of chiropractic to
become involved," Gutierrez emphasized. "We need their time,
talent, and monetary support. I see a glorious future for
the chiropractic profession if DCs will become more involved
in shaping it."
executives worked to identify chiropractic "stakeholders"
and understand the reasons for what they termed the
"disconnect" between their obvious love of the profession
and their willingness to face reality about the threats
formulated an initial plan to engage field doctors in the
effort to protect the right of their patients to receive
subluxation‑directed care, as well as to protect the right
of chiropractors to provide such care.
"Chiropractors do not proactively support the things they
need to get them out of trouble until they are actually
in trouble ‑‑ then the phone starts ringing," Dr. McCoy
noted. "We need to educate them that this strategy will not
work in the coming health care environment and political
the weekend meeting was spent planning the next revision and
update of the CCP's "Clinical Practice Guideline Number 1:
Vertebral Subluxation in Chiropractic Practice," scheduled
for completion by August of 2008. The CCP Guidelines were
first published in 1998 and revised in 2003.
of an increased emphasis on research and evidence‑based
care, the CCP recruited Dr. Blanks to oversee the revision
honored to be part of this historic effort," Blanks said.
"Evidence‑based guidelines are an absolute must for all
health care professions and can have a far ranging and
powerful impact on the advancement of a profession."
their initial publication, the CCP Guidelines have won
widespread support both within and outside of the
chiropractic profession, in contrast to the highly
controversial and widely rejected "Mercy" guidelines.
Council on Chiropractic Guidelines and Practice Parameters (CCGPP)
"best practices" document, being developed by many of the
same individuals involved in the Mercy guidelines, have
already provoked controversy. Many chiropractic leaders have
expressed grave concerns about the CCGPP effort to regulate
the profession through its latest guidelines.
were serious flaws in the way the Mercy guidelines document
was developed as well as its conclusions," Dr. Rondberg
pointed out. "The guidelines became the key weapon used by
the insurance industry to limit chiropractors to 10‑12
visits for low back pain type complaints. We have seen no
evidence that the new incarnation of Mercy, the CCGPP, will
be any better for the profession or the public it serves."
meeting of the Council on Chiropractic Practice will be held
in Washington, DC on May 7, 2006, following the May 5‑6
World Chiropractic Alliance International Summit. In keeping
with its tradition of open deliberations, invitations have
been sent out to all interested parties, including
chiropractic leaders, technique developers, researchers, and
information about the CCP, including a discussion of the
differences between CCP and CCGPP guidelines, visit www.ccp‑guidelines.org.