by clicking the arrows at the side of the page, or by using the toolbar.
by clicking anywhere on the page.
by dragging the page around when zoomed in.
by clicking anywhere on the page when zoomed in.
web sites or send emails by clicking on hyperlinks.
Email this page to a friend
Search this issue
Index - jump to page or section
Archive - view past issues
Chiropractic Journal of Australia : December 2011
Chiropractic Journal of Australia Volume 41 Number 4 December 2011 155 To the Editors RE: Chiropractic Journal of Australia, September 2011 issue I just fnished reading the latest CJA. All I can say is that this issue is destined to become a chiropractic philosophical opus. Please allow me a short review as I see it. The CJA begins with an editorial "Ash Clouds and Silver Linings" that addresses the current media issues and worries projected to our clinicians. The author pulls no punches on revealing the intent of the AMA sponsored "Jelly Bean Lady" and her vitriolic accusations including the reaction of some of our defensive, insecure and misinformed colleagues who used this opportunity to push their own agenda. The editorial also included a progress update of where the profession is heading and a challenge to go with it, in effect, literally pulling these colleagues out of the hole that the AMA had dug for them. How generous and collegiate of the editors. The next paper by Haneline, "A Primer on Evidence Based Practice for Chiropractors" illustrated the illusion that a chiropractic graduate degree provides all the knowledge one needs to address all patient problems. He announces that this knowledge may be inadequate and encourages clinicians to increase their exposure to evidence based learning. This is an old, often repeated topic that arises in our journals. Haneline adds a useful method of implementing a study discipline to this topic. Richards adds to the momentum of this paper with his discussion of "Aligning Lifelong Learning and Continuing Professional Development with the Techniques practised by Chiropractors." Richards references the Australian context of the evidence based practice learning environment. Ebrall's commentary, "Subluxation, What's in a Name" wraps the topic up in his usual succinct style by endorsing Haneline's paper and explaining Sackett's full perspective of the evidence based practice concept that he designed with the most important comment that "randomised, controlled clinical trials are not its driving force and issuing the challenge for more discussion of chiropractic philosophy." The book reviews seemed appropriate for the theme of this issue. It is not often that you get two perspectives of the same book in one journal as you did with Sinnott's book. The case reports were interesting but in my 38 years of practice, I have yet to come across such rare cases. Given the demographics of the authors, this would tend to support my comment of "rarity". Much more useful to the reality of the chiropractor working on the "coal face" is the cutting edge paper by Rome and McKibben: "Towards Defining Unclassified Letter to the Editors Symptoms: Eclectic Conditions Presenting in Two Chiropractic Clinics." Now this is the heart of everyday chiropractic care. I could relate to just about every sentence of this paper. The authors have argued their point well. Especially in the face of years of subluxation degradation by so many of those who don't understand what we do and why, as was well illustrated by Ebrall in his editorial. The authors have redefned the patient dilemma of trying to explain their problems and the chiropractor's dilemma of trying to understand them with an expanded classifcation of symptoms and "dys ease." This is the situation that we confront every day in practice. This insightful explanation of the subluxation paradigm they have presented has added SIGNIFICANTLY to the literature explaining the unique entity of the vertebral subluxation complex and the NEED for chiropractic care. Just as, it would seem, the last media nails were seen to be driven into the “chiropractic coffn” by our detractors, the authors have resurrected the profession like the phoenix rising. I look forward to more of their work. Thank you, editors, for all the work you put into the journal. Donald McDowall, DC, MAppSc, DIBAK, FACC To the Editors: Re: Richards D. Aligning Lifelong learning and Continuing Professional Development with techniques practiced by Chiropractors. Chiropractic Journal of Australia. September 2011; 41:95-8. Dr Richards raises an important point regarding the student education in techniques commonly sought out and used in the profession. If quality control and competent accreditation standards is a desired goal of the chiropractic profession, then incorporating the teaching of these techniques into the educational institutions is vital. I agree that claiming to practise a technique requires more than knowing a few relevant procedures. But there are many practitioners who do qualify with competency standards. While I am not personally certifed in every chiropractic technique, I am confident that most of the certification processes of many postgraduate techniques satisfy the competency based assessment and accreditation standards set by the institutions. My background is in Sacro Occipital Technic (SOT), starting as a student of the technique and then as an educator. Whilst the SOT educational series carries formal continuing development points, important for registration requirements, currently competency is not comprehensively assessed unless certifcation is attempted. But those certifed in the technique, as with Activator Methods and probably other techniques, are practicing at a level above the competency level required by the Institutions. The certifcation process is
CJA March 2012