chiropractors in a multidisciplinary healthcare settingiacpnews.com/ · curs, researchers say. the...
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December 2018 | The IACP News | Page 1
Prosperity Through UnityExceptional Care for Idahoans
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While chiropractors are integrating into multidisciplinary settings with increasing frequency, the perceptions of medical providers and patients to-ward adding chiropractors to existing healthcare teams is not well-under-stood.
A recently released study by Stacie A. Salsbury, Robert D. Vining, Donna Gosselin and Christine M. Goertz ex-plored the qualities preferred in a chiropractor by key stakeholders in a neurorehabilitation setting. The full study, called “Be good, communicate, and collaborate: a qualitative analysis
of stakeholder perspectives on add-ing a chiropractor to the multidisci-plinary rehabilitation team”, can be read here.
The authors wrote, “Sixty participants were interviewed in June 2015, in-cluding 48 staff members, 6 patients, 4 family members, and 2 community members. Our analysis generated a conceptual model of The Preferred Chiropractor for Multidisciplinary Rehabilitation Settings composed of 5 domains and 13 themes. The cen-tral domain, Patient-Centeredness, or the provision of healthcare that
A new method of analyzing images from CT scans can predict which patients are at risk of a heart attack years before it oc-curs, researchers say. The technology, developed by teams at Oxford University and institutions in Germany and the United States, uses algorithms to examine the fat surround-ing coronary arteries as it shows up on computed tomogra-phy (CT) heart scans. That fat gets altered when an artery becomes inflamed, serving as an early warning system for what one of the researchers believes could be up 30 percent of heart attacks.
“If you are able to identify inflammation in the arteries of the heart then you can say which arteries ... will cause heart attacks,” Oxford Professor of Cardiovascular Medicine, Ch-aralambos Antoniades, told Reuters.
“With the new technology that we have we can achieve this by analyzing simple CT scans.”
Chiropractors in a multidisciplinary healthcare setting
New technology provides early heart attack warning
December, 2018 The IACP News, Vol. 2, No. 12
is respectful, responsive, and inclu-sive of the patient’s values, prefer-ences, and needs, was mentioned in all interviews and linked to all other themes. The Professional Qualities domain highlighted clinical acumen, efficacious treatment, and being a safe practitioner. Interpersonal Quali-ties encouraged chiropractors to offer patients their comforting patience, familiar connections, and emotional intelligence. Interprofessional Quali-ties emphasized teamwork, resource-fulness, and openness to feedback as characteristics to enhance the chiro-
A monitor shows a three-dimensional image of a human heart at the Klaus-Tschira-Institute for Integrative Computational Cardiol-ogy, department of the Heidelberg University Hospital (Univer-sitaetsklinikum Heidelberg), in Heidelberg, Germany, August 14, 2018. REUTERS/Ralph Orlowski/File Photo
Page 2 | The IACP News | December 2018
I A C P
2018-2019 IACP Board of Directors
Dr. Thomas BenchVice President
Dr. Scott CrawfordPresident
Dr. Joan BurrowSecretary
2016-2017 IACP Board of Directors
Dr. Tom TessendorfDistrict 1
Dr. Grayson BlomDistrict 7
Dr. Devin ScoresbyDistrict 3
Dr. George FiegelDistrict 4
Dr. Craig ManningDistrict 5
Dr. Jeremai Hafer Treasurer
The mission of the Idaho Association of Chiropractic Physicians (IACP) is to act as the unified voice, leader and stalwart supporter of the individual licensed doctors of chiropractic and supporting associates who provide exceptional health care and wellness to the patients and communities of Idaho. In supporting our Idaho chiropractic physicians, the IACP will work diligently to protect, enhance and build opportunities for the chiropractic industry and increase public access to chiropractic care.
Idaho Association of Chiropractic Physicians13601 W McMillan Rd., Ste. 102-331, Boise, ID 83713
Phone: (208) 424-8344 • FAX (888) 399-5459
https://iacp.wildapricot.org • [email protected]
For advertising info, email C&S Publishing at: [email protected]
Dr. John Maltby IIDistrict 6
Dr. Michael HenzeDistrict 2
December 2018 | The IACP News | Page 3
In This Issue
President’s Corner: Happy holidays to everyone
New technologies provide early heart attack warning (continued)
What do your employee’s digital footprints say about your practice?
Chiropractors in a multidisciplinary healthcare setting (continued)
F4CP Supports drug-free pain management Seminar
Spinal cord injuries are a global health priority
Adverse drug events from antibiotics in children
The IACP Marketplace: Featured Businesses & Suppliers
IACP Membership Application
Office poster notice
This Month’s Poster: The drug-free approach to pain reduction
Classified Ads
ChiroHealth USA
Chiropractic News
Chiropractic College News
IACP News Display Advertising Rates and Sizes
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This table of contents is linked for your convenience. Just click on the page you want.
Page 4 | The IACP News | December 2018
President’s Corner
By Dr. Scott CrawfordIACP President
Last month, the IACP Board met in Boise for an in-person board meeting. We had a great discussion and it was very productive. We are focused on reinvigorating the district meeting process to keep our members in the loop, so please plan to engage in these meetings in 2019.
Another topic on which we are taking action is the role Chiropractors play in the opioid crisis. We plan to launch a statewide campaign using the latest research to educate the public, patients, and legislators on the benefits of using Chiropractic over prescription painkillers. Chiropractic not only serves as an alternative to opiates, but can also help patients lessen their dependence on painkillers as well.
Happy holidays to everyone!
Happy HolidaysThe IACP Board of Directors
and the staff wish you and yours a joyous holiday season and a
prosperous New Year.
Make sure to take time and enjoy your families this holiday season and have a Merry Christmas!
December 2018 | The IACP News | Page 5
Most heart attacks are caused by a build-up of plaque - a fatty deposit - inside the artery, which interrupts the flow of blood. Heart disease and stroke are the two biggest causes of death worldwide.
Currently, CT scans tell a doctor when an artery has already become narrowed by plaque. With the new technology, for which the researchers hope to gain regulatory approval on both sides of the Atlantic within a year, doctors will be able to say which arteries are at risk of narrowing.
“(We) can say ...your arteries are inflamed and a narrowing
Continued from front page
New technology provides early heart attack warningwill be developed five years down the line. So maybe you can start preventive measures to avoid this formation of the plaques,” Antoniades said.
“Although we have not estimated the exact number of heart attacks that we can prevent, we could potentially identify at least 20 or 30 percent of the people before they have (one),” Antoniades said. An Oxford University spin-off company is now developing a service to analyze CT scans from across the globe in around 24 hours.
The research was published in late August in medical journal The Lancet.
By Dr. Ray Foxworth, DC, FICCPresident and Founder, ChiroHealth USA
Social media is changing the way we communicate and the way we are perceived by the public. It can establish your personal brand in either a positive, or negative, light. When you have employees working for you, their personal brands also become a part of your clinic’s reputation within your community. What does their social media presence say about you and your business?
When it comes to hiring someone to work in the clinic, it is not uncommon to review their resume, check their refer-ences, and for some, do a personality profile to make sure they are the right fit for the practice. As a business with face-to-face interactions, it has never been more important to review a candidate’s social media presence with the same scrutiny. In fact, according to a recent survey (CareerBuilder, 2018), 70% of employers use social media to screen candi-dates during the hiring process. Is this legal? According to Equal Opportunity Employment laws, as long as the candi-date is not being discriminated against due to race, religion, gender, or sexual preference, it’s completely legal to pass over a job candidate based on their presence on social me-dia.
Additionally, you should include a social media clause in your employee handbook. It should state that employees must uphold the values of the clinic and not tarnish its repu-tation. The most common online indiscretions include:
1. Scandalous photos or videos.
2. Making discriminatory comments.3. Complaining about current co-workers, patients, manag-ers, or the company.4. Bullying/Trolling.
Keep in mind that all of us have things in our past that we would love to forget, and that youthful indiscretions are part of becoming an adult. You and your team can ensure that those incidents don’t reflect negatively on you or your clinic by setting your social media accounts to private and/or not friending your patients or their families. Set the right tone by reminding everyone to think before they post because someone is always watching. Limit connections of patients to your clinic’s professional social media pages and focus on connecting with them personally in your office.
To learn more about practice success, register for our free weekly webinars at chirohealthusa.com/webinars.
Dr. Ray Foxworth is a certified Medical Compliance Specialist and President of ChiroHealthUSA. A practicing Chiropractor, he remains “in the trenches” facing challenges with billing, coding, documentation and compliance. He has served as president of the Mississippi Chiropractic Association, former Staff Chiropractor at the G.V. Sonny Montgomery VA Medi-cal Center and is a Fellow of the International College of Chi-ropractic. You can contact Dr. Foxworth at 1-888-719-9990, [email protected] or visit the ChiroHealthUSA web-site at www.chirohealthusa.com. Join us for a free webinar that will give you all the details about how a DMPO can help you practice with more peace of mind.
What do your employees’ digital footprints say about your practice?
Page 6 | The IACP News | December 2018
Continued from front page
practor’s ability to work within an interdisciplinary setting. Organizational Qualities, including personality fit, institu-tional compliance, and mission alignment were important attributes for working in a specific healthcare organization.”
Perceptions about the chiro-practic profession may differ considerably by stakeholder group. Lay people often report being receptive to seeing a chi-ropractor as a patient. And yet, lay opinions about chiropractic are characterized by skepti-cism, confusion, and distrust on one extreme to enthusias-tic affirmations about these providers on the other. Chiro-practic patients themselves of-ten report positive evaluations of the care received from chi-ropractors, noting satisfaction with the clinical information offered, concern shown toward patients, and these provid-ers’ confidence in treating back pain. Chiropractic patient perceptions of the treatment abilities of chiropractors are strongest for musculoskeletal conditions, including back pain, muscle and joint pain, and headaches, with varying levels of support for the effectiveness of chiropractic treat-ment for other health conditions.
In contrast, the literature on interactions between chiroprac-tors and other healthcare professionals often tells a story of fragmentation, disconnection, boundary skirmishes, and a general failure to communicate.
Primary care providers and medical specialists have recog-nized the competence of some chiropractors to treat some musculoskeletal problems in some patients, particularly those with low back pain. Medical and osteopathic physi-cians, physiotherapists, manual therapists, obstetricians and midwives, and other healthcare professionals often re-port minimal knowledge of the chiropractic profession or its treatments.
Further, some medical providers express concerns about the safety of spinal manipulation and voice skepticism over the efficacy of the therapeutic approaches used by chiroprac-tors. Healthcare providers and students often report having
Chiropractors in a multidisciplinary healthcare settinghad no firsthand encounters with a doctor of chiropractic, either personally as a chiropractic patient or professionally in a collegial relationship, which may lead to misperceptions about the treatments offered by chiropractors.
Nonetheless, many types of physicians describe negative attitudes towards chiropractic as a profession, at times based upon an experience reported by an individual patient. For example, orthopedic surgeons report concerns with the vari-ability in quality and approach between chiropractors, ques-tioned the ethics of some pro-viders and the use of ‘fringe’ treatments in some clinics, and commented on the inad-equacy of educational training and the sparse scientific basis of chiropractic treatments.
A commonality across these previous studies is the focus on public, patient, and provider perceptions about the chi-ropractic profession in general or as an abstraction, rather than within a specific healthcare context. Little is known about the perceptions that engaged stakeholders, or per-sons actively involved in the work of a healthcare organi-zation, might hold toward the addition of a chiropractor to that particular facility, such as a clinic, hospital, or long-term care setting.
To address this gap, our team conducted a multi-phased re-search project that supported and evaluated the introduc-tion of chiropractic services into a rehabilitation specialty hospital/skilled nursing facility in the United States. This multimodal project included a long-term, organizational case study designed to: 1) describe the perceptions of key stakeholders toward adding chiropractic care to the services provided to patients, and 2) evaluate how these perceptions change over the course of the multi-year project. The pur-pose of this qualitative analysis was to explore stakeholder perceptions of the qualities preferred in a chiropractor from the perspectives of patients, families, and interdisciplinary team members affiliated with this rehabilitation setting.
The study’s conclusion stated: “Our qualitative study pro-vides a description of the professional and personal quali-ties preferred in a chiropractor by patients, families, clinical
“Our findings provide an expanded view of the qualities
that chiropractors might bring to multidisciplinary
healthcare settings. Rather than labeling stakeholder
perceptions as good, bad or indifferent as in previous
studies, these results highlight specific attributes
chiropractors might cultivate to enhance the patient
outcomes and the experience of healthcare, influence
clinical decision-making and interprofessional
teamwork, and impact healthcare organizations.”
December 2018 | The IACP News | Page 7
staff, and other stakeholders in an in-patient, rehabilitation setting. Study participants supported the addition of a chi-ropractor to the multidisciplinary team who practiced in a safe, evidence-based, patient-centered manner. Interpro-fessional skills that enhanced teamwork, intrapersonal qual-ities to support patients’ emotional journeys through the re-habilitation process, and an organizational perspective that amplified the mission of the institution also were desired. Rather than labeling stakeholder perceptions as good, bad or indifferent as in previous studies, these results highlight specific attributes chiropractors might cultivate to enhance patient outcomes and their experience of healthcare, influ-ence clinical decision-making and interprofessional team-work, and impact healthcare organizations. Chiropractic education might emphasize the development of such quali-
ties in students who anticipate working in such collaborative care settings.”
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any me-dium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Com-mons license, and indicate if changes were made. The Cre-ative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
F4CP Supports National Academies of Sciences, Engineering and Medicine’s Nonpharmacological Pain Workshop
The Foundation for Chiropractic Progress (F4CP), a not-forprofit organization dedicated to raising awareness about the value of chiropractic care, hasannounced its sponsorship of a new workshop dedicated to drug-free pain management held by the National Academies of Sciences, Engineering and Medicine (NASEM).
“The Role of Nonpharmacological Approaches to Pain Management: A Workshop” will bring together key stakeholders from throughout healthcare and allied sciences to discuss evidence, treatments, policies and integrative health models for nonpharmacological pain management. The two-day event will take place at the National Academy of Sciences Build-ing in Washington, D.C., December 4-5, 2018.
“The Foundation for Chiropractic Progress is honored to support an event held by one of the most respected scientific and medical institutions in the world,” says Sherry McAllister, DC, executive vice president, F4CP. “The workshop’s topic is also at the very core of what doctors of chiropractic and our organization stand for: evidence-based, safe and effective drug-free clinical pathways to relieve acute, subacute and, as appropriate, chronic pain. As leaders in nonpharmacologi-cal pain management, doctors of chiropractic will have a lot to contribute to this discussion.”
Due to the nation’s opioid abuse epidemic and push toward nonpharmacological care for chronic pain, more education and training for health professionals is needed to encourage the adoption and appropriate use of evidence-based ap-proaches. In addition, addressing policy barriers, such as those related to reimbursement for these treatments, will be important to enable broader adoption and dissemination. As such, the NASEM’s Global Forum on Innovation in Health Professional Education, as well as its Forum on Neuroscience and Nervous System Disorders are leading the workshop, which is the first of its kind for the organization.
“With the country grappling with an opioid abuse epidemic, we are thankful to see more educational events like these where healthcare professionals can learn to help guide their patients toward drug-free pain management options, such as chiropractic care,” says Gerard W. Clum, DC, F4CP Representative. “We thank the National Academies of Sciences, Engineering and Medicine for holding this event and look forward to learning and sharing our knowledge with those in attendance.”About Foundation for Chiropractic Progress: A not-for-profit organization, the Foundation for Chiropractic Progress (F4CP) informs and educates the general public about the value of chiropractic care and its role in drug-free pain man-agement. For more informatio, visit www.f4cp.org.
Page 8 | The IACP News | December 2018
Traumatic brain injury (TBI) and spinal cord injury (SCI) are increasingly considered to be important global health priorities. These injuries not only cause health loss and disability for individuals and their families, but also represent a burden to health-care systems and economies through lost productivity and high health-care costs. Given that the injuries that lead to TBI and SCI are frequently preventable, there is also value in measuring the extent to which different causes of injury lead to TBI or SCI to help to understand the effect that injury-prevention programmes could have.
Many epidemiological studies have been limited by difficulties in comprehensively measuring the incidence of cross-injury sequelae such as TBI and SCI, and have instead focused on the incidence of the causes of injury, such as falls, road injuries, and interpersonal violence. As a result, few comprehensive epidemiological assessments have been done across all sources of injury, despite increasing dialogue about the long-term neuropsychological consequences of concussions in young people and professional athletes playing sports and about the risk of TBI from head trauma in bicycle crashes and other causes of injury.
Epidemiological studies that have focused specifically on
TBI and SCI without estimation of all potential causes of injury have identified substantial burdens, but are often limited by relying on locations where incidence data were available without adopting modelling strategies for estimation of the burden in locations where data were sparse. Epidemiological assessments have been done in low-income and low-middle-income countries but typically have been limited by poor availability of data. Few studies have reported age-standardised incidence rates, which would enable comparison between countries with different populations, and the studies that have reported such data showed that the incidence rates of TBI and SCI vary substantially between countries. These studies have not measured the relative disability caused by different injuries over time; such data are important because, whereas injuries such as fractures might be disabling only in the short term, conditions such as cognitive impairment from TBI or paraplegia from SCI can leave patients with lifelong health loss. In general, measurement of the burden of TBI and SCI in greater geographical and demographic detail—and over time—is of substantial value.
MethodsWe used results from the Global Burden of Diseases, Injuries,
A new study published in The Lancet reports on the global, regional, and national burden of traumatic brain injury and spinal cord injury, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016.
Spinal cord injuries a global health priority
December 2018 | The IACP News | Page 9
and Risk Factors (GBD) Study 2016 to measure the global, regional, and national burden of TBI and SCI by age and sex. We measured the incidence and prevalence of all causes of injury requiring medical care in inpatient and outpatient records, literature studies, and survey data. By use of clinical record data, we estimated the proportion of each cause of injury that required medical care that would result in TBI or SCI being considered as the nature of injury. We used literature studies to establish standardised mortality ratios and applied differential equations to convert incidence to prevalence of long-term disability. Finally, we applied GBD disability weights to calculate YLDs. We used a Bayesian meta-regression tool for epidemiological modelling, used cause-specific mortality rates for non-fatal estimation, and adjusted our results for disability experienced with comorbid conditions. We also analysed results on the basis of the Socio-demographic Index, a compound measure of income per capita, education, and fertility.
In this study, we used for the first time the GBD 2016 framework to report estimates of the global, regional, and national burden in terms of incidence, prevalence, and years of life lived with disability of TBI and SCI for 195 countries and territories. We have provided these estimates globally, by region, and by Socio-demographic Index quintiles in 2016, as well as the percentage change since 1990. We also provide estimates of the proportions of TBI and SCI caused by different causes of injury for each geographical region in 2016. Although epidemiological assessments that focus on particular populations have been done, no other studies of TBI or SCI have provided estimates in this level of detail for all countries derived from a standardised, systematic approach. We were able to measure uncertainty in our estimates by using the uncertainty propogation methods used throughout the GBD study.
FindingsIn 2016, there were 27·08 million (95% uncertainty interval [UI] 24·30–30·30 million) new cases of TBI and 0·93 million (0·78–1·16 million) new cases of SCI, with age-standardised incidence rates of 369 (331–412) per 100 000 population for TBI and 13 (11–16) per 100 000 for SCI. In 2016, the number of prevalent cases of TBI was 55·50 million (53·40–57·62 million) and of SCI was 27·04 million (24·98–30·15 million). From 1990 to 2016, the age-standardised prevalence of TBI increased by 8·4% (95% UI 7·7 to 9·2), whereas that of SCI did not change significantly (−0·2% [–2·1 to 2·7]). Age-standardised incidence rates increased by 3·6% (1·8 to 5·5) for TBI, but did not change significantly for SCI (−3·6% [–7·4 to 4·0]). TBI caused 8·1 million (95% UI 6·0–10·4 million)
YLDs and SCI caused 9·5 million (6·7–12·4 million) YLDs in 2016, corresponding to age-standardised rates of 111 (82–141) per 100 000 for TBI and 130 (90–170) per 100 000 for SCI. Falls and road injuries were the leading causes of new cases of TBI and SCI in most regions.
InterpretationTBI and SCI constitute a considerable portion of the global injury burden and are caused primarily by falls and road injuries. The increase in incidence of TBI over time might continue in view of increases in population density, population ageing, and increasing use of motor vehicles, motorcycles, and bicycles. The number of individuals living with SCI is expected to increase in view of population growth, which is concerning because of the specialised care that people with SCI can require. Our study was limited by data sparsity in some regions, and it will be important to invest greater resources in collection of data for TBI and SCI to improve the accuracy of future assessments.
Implications of all the available evidenceOur estimates suggest that TBI and SCI are severely disabling injuries. The global burden of TBI increased significantly between 1990 and 2016, whereas that of SCI has not changed significantly over time in terms of age-standardised incidence and prevalence. Age-standardised incidence and prevalence of TBI and SCI were high in central Europe, eastern Europe, and central Asia; the incidence and prevalence of SCI were high in North America and western Europe. Addressing the global burden of these conditions requires improved efforts to decrease the causes of SCI and TBI (eg, fall-prevention strategies, reducing alcohol overuse, and improving road safety, all of which could help to prevent injuries or decrease injury severity) and improved access to, and quality of, medical and social care (which could improve survival and reduce morbidity). People with TBI or SCI can have other medical conditions that require close supervision and might benefit from rehabilitation and medical care to reduce disability. Hence, although injury prevention efforts are key, health-care systems should also anticipate a growing burden from caring for people with TBI and SCI. These conditions could necessitate special focus within health-care systems, because they can be medically complex and burdensome for patients, clinicians, and families. In the future, development of improved methods for surveillance of TBI and SCI will be important, particularly in low-income settings, as will development of methods to identify patients with TBI who do not seek medical care.
Read the full Lancet article here.
Page 10 | The IACP News | December 2018
Adverse drug events from antibiotics in children
Research by: Maribeth C Lovegrove, Andrew I. Geller, Kath-erine E. Fleming-Dutra, Nadine Shehab, Mathew R. P. Sapi-ano and Daniel S. Budnitz. Published in the Journal of the Pediatric Infectious Diseases Society, August 2018. Read the full article here.
Antibiotics are among the most commonly prescribed medi-cations for children in the United States. In 2011, 889 anti-biotic prescriptions were dispensed from retail pharmacies for every 1,000 children aged ≤19 years, which accounts for nearly 74 million prescriptions.
Antibiotic use drives the development of antibiotic resis-tance, which is considered a major public health threat worldwide. Antibiotic use also carries the risk of harming individual patients. Antibiotic-related harms (which range from mild gastrointestinal disturbance to life-threatening anaphylactic reaction) are a common cause of outpatient clinic visits and are the leading cause of emergency depart-ment (ED) visits for adverse drug events (ADEs) among chil-dren in the United States
On the basis of 6,542 surveillance cases, an estimated 69,464 ED visits (95% confidence interval, 53488–85441) were made annually for antibiotic ADEs among children aged ≤19 years from 2011 to 2015, which accounts for 46.2% of ED visits for ADEs that results from systemic medication. Two-fifths (40.7%) of ED visits for antibiotic ADEs involved a child aged ≤2 years, and 86.1% involved an allergic reac-
tion. Amoxicillin was the most commonly implicated antibi-otic among children aged ≤9 years. When we accounted for dispensed prescriptions, the rates of ED visits for antibiotic ADEs declined with increasing age for all antibiotics except sulfamethoxazole-trimethoprim. Amoxicillin had the highest rate of ED visits for antibiotic ADEs among children aged ≤2 years, whereas sulfamethoxazole-trimethoprim resulted in the highest rate among children aged 10 to 19 years (29.9 and 24.2 ED visits per 10000 dispensed prescriptions, re-spectively).
Antibiotic ADEs lead to nearly 70,000 estimated ED visits among children each year in the United States and should be a key area of focus for outpatient pediatric medication safety efforts. Antibiotics are implicated in nearly half of all ED visits for ADEs attributed to a systemic medication among children of all ages and are implicated in nearly two-thirds of ED visits for all ADEs among the youngest children (aged ≤2 years). Including age and drug-specific adverse-event data in efforts to improve prescribing could help clinicians and par-ents/caregivers weigh the risks of antibiotic treatment and reduce unnecessary prescribing.
High numbers of ED visits for antibiotic ADEs among young-er children can be explained partially by the higher number of prescriptions of antibiotics given for younger children. Two-fifths (41%) of the estimated ED visits for a pediatric antibiotic ADEs involved a child aged ≤2 years, and the pop-ulation rate of ED visits for antibiotic ADEs is 4 times higher
December 2018 | The IACP News | Page 11
among children aged ≤2 years than among those aged 10 to 19 years (23.8 vs 5.2 ED visits per 10000 children, respec-tively). The antibiotic-prescribing rate has been reported to be nearly 2 times higher among children aged ≤2 years than among those aged 10 to 19 years (1287 vs 691 antibiotic prescriptions per 1000 children, respectively) [2]; however, 2-fold higher prescribing rates alone cannot account for a >4-fold higher population rate of ED visits for antibiotic ADEs among the youngest children.
49.1%) of all ED visits for ADEs from a systemic medication in this age group. Among children aged ≤2 years, antibiotics were implicated in nearly two-thirds (63.9% [95% CI, 60.0%–67.8%]) of the ED visits for ADEs from a systemic medication, whereas among children aged 10 to 19 years, an antibiotic was implicated in one-third (32.4% [95% CI, 29.7%–35.2%]) of the ED visits for ADEs. Just over one-half (53.7%) of ED visits for antibiotic ADEs involved girls, and 3.0% of the ED visits for antibiotic ADEs resulted in hospitalization.
Antibiotics are among the most commonly prescribed medications for children in the United States. In 2011, 889
antibiotic prescriptions were dispensed from retail pharmacies for every 1,000 children aged ≤19 years, which
accounts for nearly 74 million prescriptions. Antibiotic ADEs lead to nearly 70,000 estimated pediatric ED visits each
year in the United States. Antibiotics are implicated in nearly half of all ED visits for ADEs attributed to a systemic
medication among children of all ages and are implicated in nearly two-thirds of ED visits for all ADEs among the
youngest children (aged ≤2 years). Minimizing antibiotic overprescribing is important for reducing acute and clinically
significant harms to individual patients and for reducing the societal risk of antibiotic resistance.
Conclusion: Antibiotic ADEs lead to many ED visits, partic-ularly among young children. Communicating the risks of antibiotic ADEs could help reduce unnecessary prescribing. Prevention efforts could target pediatric patients who are at the greatest risk of harm.
Recent efforts to reduce antibiotic resistance have focused largely on reducing inappropriate prescribing, and national clinical guidelines have been updated accordingly. Although clinicians generally concur and are familiar with guideline recommendations, national data from 2010–2011 indicate that at least 29% of outpatient pediatric antibiotic prescrip-tions were unnecessary, and more were likely inappropri-ate in antibiotic selection, dosing, or duration of therapy. Continued inappropriate prescribing has been attributed to factors such as perceived parent/caregiver expectation for antibiotics and concern for parent/patient satisfaction. Long-term societal risks of antibiotic resistance in the com-munity are also not prioritized in clinicians’ prescribing deci-sions or in parent/patient considerations about treatment. Data on the short-term individual risks of antibiotic ADEs could help clinicians, as well as parents/caregivers, weigh the risks and benefits of antibiotic treatment.
Research Results: On the basis of 6542 surveillance cases, an estimated 69464 ED visits (95% CI, 53488–85441) were made annually in the United States for antibiotic ADEs among children aged ≤19 years from 2011 to 2015. ED vis-its for antibiotic ADEs accounted for 46.2% (95% CI, 43.2%–
Compared with ED visits for ADEs from another systemic medication, ED visits attributed to antibiotic ADEs more commonly involved children aged ≤2 years (40.7% [95% CI, 38.5%–42.8%] vs 19.7% [95% CI, 16.1%–23.3%], respective-ly) and more commonly involved an allergic reaction (86.1% [95% CI, 82.3%–89.8%] vs 25.7% [95% CI, 22.8%–28.5%], respectively). When we accounted for population, ED visits for antibiotic ADEs were found to disproportionately involve young children. The population rate of ED visits for antibi-otic ADEs was 4 times higher for children aged ≤2 years than for children aged 10 to 19 years (23.8 [95% CI, 17.8–29.8] vs 5.2 [95% CI, 4.0–6.4] ED visits per 10000 population, re-spectively).
In an estimated 95.9% (95% CI, 95.0%–96.7%) of the pediat-ric ED visits for antibiotic ADEs, a single class of oral antibiot-ics was implicated; few visits (2.2%) involved 2 antibiotics from different classes. Only 1.9% of the ED visits for antibi-otic ADEs were attributed to only an injectable antibiotic. Oral penicillins alone were implicated in an estimated 38680 (95% CI, 30311–47048) ED visits annually, which account-ed for 55.7% of the ED visits for antibiotic ADEs. The next most frequently implicated classes were oral cephalospo-rins (11.9%) and sulfonamides (11.1%) alone. Overall, oral sulfonamides and clindamycin resulted in the highest rates of ED visits for antibiotic ADEs after we accounted for esti-mates of prescriptions from retail pharmacies (18.0 and 16.6 ED visits per 10000 dispensed prescriptions, respectively).
Page 12 | The IACP News | December 2018
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ChiroHealthUSA is one of the simplest and easiest solutions to counter potentially illegal dual-fee schedules and improper time-of-service discounts offered by doctors in an effort to make care more affordable for patients. The great news is that when your state association partners with ChiroHealthUSA — as IACP does — not only do you and your patients benefit, but the entire profession wins through our donation to IACP.
1-888-719-9990 www.chirohealthusa.com [email protected]
Only $29 a month
December 2018 | The IACP News | Page 13
Page 14 | The IACP News | December 2018
OfficePosters
We have created FREE printable PDFs of the The drug-free approach to pain reduction
poster on the following page, and the following posters are available online:
Get up and move!STRETCHING for better joint healthFive keys to a longer, healthier life
Reduce Your Back Pain By Dropping A Few PoundsBoost Your Energy!
Were you pain free this morning when you got out of bed?Benefits of eating apples
Tips for keeping your New Year’s ResolutionsSkipping breakfast may hurt your heart health
A high-sugar diet makes halethy people sick - fast7 simple steps to a longer, healthier life
The secret weapon for lower blood pressure
Please feel free to print out and post up any or all of the flyers. Or, make them available as handouts to your patients.
They are available on the website, www.IACPnews.com in an easy to print format.
Each has the following tagline:
This healthy living information is provided byyour Doctor of Chiropractic and the
Idaho Association of Chiropractic Physicians (IACP) .
December 2018 | The IACP News | Page 15
This healthy living information is provided byyour Doctor of Chiropractic and the
Idaho Association of Chiropractic Physicians (IACP) .
The opioid epidemic continues to rise in America, and a 2017 report from the National Initiative for the Care of the Elderly suggests the crisis now affects more older adults. Chronic pain in this country is commonly treated by prescription opioids. We have more than quadrupled our death rate from overdose which parallels the prescription rate.
A main reason for the growing addiction to pain medicine is the ease with which it is often prescribed, according to Dr. Robert Jamison, a professor of anesthesia and psychiatry with Harvard-affiliated Brigham and Women’s Hospital.
“Primary care doctors often don’t have much time to go over the various options available that may help relieve a person’s specific pain, and it’s easier and faster to write a prescription,” he says. “Also, doctors don’t always know enough about other therapies to feel confident enough to suggest them.”
Research has documented drug-free and effective evidence-based treatments.
“The American College of Physicians Clinical Practice Guideline recommends that for acute, subacute, or chronic low back pain, physicians and patients initially utilize spinal manipulation and delay pharmacologic management.”
The Bone & Joint Decade Task Force reported, “Evidence suggests that manual therapy and exercise are more effective than alternative strategies for patients with neck pain.”
The Spine Journal recommends chiropractic care for back pain, “manipulation provides greater short-term reductions in self-reported disability and pain compared with usual medical care. 94% of the manipulation group achieved greater than 30% reduction in pain compared with 69% of usual medical care.”
See your chiropractor before taking addictive medications. The rate of opioid use was lower for recipients of chiropractic services (19%) as compared to non-recipients (35%). The likelihood of filling a prescription for opioids was 55% lower in the chiropractic recipient cohort. Average annual per-person charges for opioid prescription fills were 78% lower for recipients of chiropractic services as compared to non-recipients. Average per person charges for clinical services for low back pain were also significantly lower for recipients of chiropractic services. (Avg. $1,513 for chiropractic management vs. $6,766 for medical management).
The drug-free approach to pain reduction
Page 16 | The IACP News | December 2018
Classified Ads
Do you have something to sell, share or advertise with your fellow practitioners? List in the IACP Classified Ads. Ads will be published online and in this magazine for two consecutive months.
Click here to submitting your classified ad.
For lease: I have a chiropractic/PT/massage space in SE Boise for sublease (or possibly lease if someone would prefer). Total sq footage is 1571 which could be subdivided if a smaller space is preferred. The office is totally furnished with a front desk, tables and computers. Lots of options are available to interested parties. Address is 404 E Parkcenter Blvd, Ste 170, Boise, ID 83706. Please contact Ryan Weed, DC (208-488-8511 or [email protected]) for more details.
For sale: Physical therapy equipment - huge savings. Retail at 15,000 Selling for 1,500 Our fitness equipment has all been designed using hydraulics, providing an enormous benefit over simple weights. When lifting weights, one’s arms or legs push in only one direction - against gravity. With hydraulic circuit training equipment, pressure is applied in both directions, providing for a much more effective resistance training...so that users get more out of a 30-minute workout than they would lifting weights. For over 40-years hydraulic exercise equipment, has been used in:• Professional Athletic Training Centers for sports performance training to produce explosive POWER• Physical Therapy and Hospital Facilities for gently rehabilitation of the injured• Chiropractic Clinics for gentle re-strengthening of opposing muscles• Nursing Homes and Long-term Care Facilities for better quality of life• Weight Loss Centers for quick and easy fat reductionContact: Cassie Roeder, Corporate TrainerHealthy Habits Medical Business Consultants(208) [email protected]
For sale: Chiropractic/Naturopathy/Acupuncture - Eagle, ID - 17 year established practice (NUHS Alumni 1978) Diversified, flexion distraction, physiotherapy, functional medicine. Low overhead, shared space. $139,000 Collections, cash practice & minimal insurance. This office is located in lovely downtown Eagle. Great community, family oriented, wonderful place to raise a family. We are 6 miles from beautiful downtown Boise, Idaho and the fastest growing state in the US. Please visit www.drsassadeck.com
PROFIT$ AHEADyou can’t sell your products or services if people
don’t know about them! Reach the Idaho chiropractic profession right here for pennies a day. Call for details:
Steve at C&S Publishing916-729-5432 [email protected]
December 2018 | The IACP News | Page 17
Chiropractic News
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Another reason to enjoy that morning cup
Coffee is one of the mostly widely consumed beverages on the planet, and it’s also among the most widely studied. While it can cause problems for some people (such as heartburn, tremor, or palpitations), it’s a source of pleasure and enjoyment for millions. In addition, coffee has been linked with a number of health benefits, ranging from reductions in type 2 diabetes and liver cancer to greater longevity. According to the latest research, it appears that you can add the possible prevention of rosacea to the list.
Rosacea is probably something you’ve seen plenty of times and didn’t know what it was It’s that pink or red discoloration on the cheeks some people have, especially fair-haired women. Sometimes there are small bumps that may look a bit like acne. If you look closely (after asking nicely for permission, of course), you’ll see tiny blood vessels just under the surface of the skin. In more severe cases it may involve the chin, forehead, nose, ears, and other skin surfaces. It may affect the eyes, eyelids, and cause thickening of the skin over the nose.
Rosacea affects more than 14 million people in the US, including some celebrities, such as Bill Clinton and the late Diana, Princess of Wales. And while it’s not dangerous, it can have a significant cosmetic impact. Caffeine, sun exposure, spicy foods, and hormonal factors are thought to be able to trigger rosacea’s development or make it worse
once present. Yet, a new study challenges the connection between caffeine and rosacea. That study analyzed health data from surveys provided to nearly 83,000 women over more than a decade and found that:
• Those drinking four or more cups of coffee per day were significantly less likely to report a diagnosis of rosacea than those who drank little or no coffee.• Those drinking less than four cups of coffee each day were also less likely to have rosacea, though the protective effect was smaller.
• Caffeine intake from other foods or beverages (such as chocolate or tea) had no impact on the likelihood of developing rosacea.
Why is this important? These results of this study are more than just interesting observations. If other research can confirm the findings, it could lead to a better understanding of why rosacea develops in some people and not in others. Because inflammation driven by the immune system is thought to play an important role in rosacea, insights into the development of this disease could extend to advances in other autoimmune disorders. Finally, many people with rosacea (or a family history of the disease) who like coffee may avoid it because of the widespread notion that coffee will make it worse. The findings of this study suggest that’s not true.
Soups That Heal Immune-boosting broth recipe to the rescue
’Tis the season for sneezing, and this nutrient-rich soup tastes a whole lot better than anything you’ll find in your medicine cabinet. Even if you’re washing your hands, running from the sneezers, and taking advantage of long, dark nights to get extra sleep, it can still happen: the tickle in your throat turns into an ache, your husky voice becomes a cough, and the fatigue you powered through yesterday (oops) knocks you absolutely flat today.
At the first sign of a sniffle, or even in the middle of a full-blown viral attack, do not underestimate the power of a serious soup to put you back on the road to healing.
Page 18 | The IACP News | December 2018
Continued from last page
Chiropractic News
What’s a serious soup? A soup made from scratch with ingredients that are not just delicious and soothing, but really pack a nutritious wallop.
“Soups are an excellent choice during cold and flu season, but not just because they can warm you up. They’re great vehicles for immune-boosting garlic, ginger, and herbs and spices. Soups can also keep you hydrated during the cold months,” says registered dietician Lizzie Streit, adjunct professor at Northwestern Health and Sciences University and blogger at It’s A Veg World After All.
Read the full article and get the recipe from Minneapolis.St.Paul Magazine’s.
New study results released on neck and back pain
A new study on preferred ways of addressing neck or back pain in the U.S. was released today by Gallup and Davenport, Iowa-based Palmer College of Chiropractic. In the fourth installment of Gallup and Palmer’s annual report new findings on Americans’ preferences for neck or back pain care, patient experiences with health-care providers and the prevalence of various methods for addressing this type of pain in the United States are revealed.
Among the key findings:
• Americans are open to an all-of-the-above approach to address neck and back pain. Sixty-seven percent of Americans suffering from neck or back pain would want to see a professional who treats neck or back pain using a variety of methods including prescription medication or surgery. Still, 79% of U.S. adults would prefer to try to address their neck or back pain using methods other than prescription medication first.
• Many neck or back pain patients use self-care techniques – non-drug therapies such as superficial heat (77%), yoga (72%) and cold packs (60%). However, many also use non-drug therapies that require a health-care professional for care, such as massage (53%), spinal adjustment (47%) and physical therapy (42%).
• Americans’ reasons for visiting different practitioners vary. Among those who’d seen an M.D. most often for recent neck or back pain, the top reasons were insurance coverage (38%), trust (30%), habit (26%) and effectiveness (23%). For physical therapists, it’s safety (50%), insurance coverage (47%) and effectiveness (42%). For chiropractors, it’s safety (54%), trust (53%) and effectiveness (52%).
• Among frequently visited practitioners, sufferers of neck or back pain report a high level of care. Roughly nine out of 10 adults who saw a chiropractor most often for significant neck or back pain in the last 12 months say their chiropractor often listens (93%), provides convenient, quick access to care (93%), demonstrates care/compassion (91%) and explains things well (88%). Similar percentages exist for physical therapists.
• Adults who saw a medical doctor most often for neck or back pain are less likely to say their health care provider did these things – although majorities still do. Seventy-two percent say their medical doctor listens, 67% say their medical doctor explains things well, and 66% say they demonstrate care/compassion.
Click here to read the new report in its entirety.
December 2018 | The IACP News | Page 19
Study questions the validity of the upright Gillet test for sacroiliac motion
The Journal of the Canadian Chiropractic Association recently published research done by Robert Cooperstein, MA, DC and Felisha Truong, BSc on the Gillet test. According to the authors, the purpose of the study was to quantify the extent to which apparent movements of the posterior superior iliac spine and sacral base areas Gillet sacroiliac motion testing were related to (a) degree of hip flexion and (b) the examiner’s palpatory pressure.
“A preliminary exploratory study quantified relative PSIS/S2 displacements in 10 sacroiliac joints among 5 asymptomatic subjects at 10° increments of hip flexion from 0–90°. A comprehensive follow-up asymptomatic study quantified PSIS/S2 displacements at 0° vs. 30° vs. 90° hip flexion, and for light vs. firm pressure at 30° hip flexion. Displacements measured in pixels on digital photographs were transformed to mm. Mean differences for the various test conditions were evaluated for statistical significance using paired t-testing and Wilcoxon signed rank test.”
The reported results were: “With light pressure, the left PSIS moved caudal for hip flexion ≤30° during right-legged stance, whereas the right PSIS moved cephalad relative to the sacral base. For hip flexion =90°, both PSISs moved cephalad. The use of firm palpatory pressure abolished the initial caudal movement of the left PSIS, as well as differences in the amount of cephalad PSIS movement at 30° vs. 90° hip flexion. The results are consistent with there being left-right differences in gluteus medius and biceps femoris activation among asymptomatic individuals that result in different balancing strategies during one-legged stance. This may create the appearance of relative PSIS/SB displacement, even though the results of Gillet testing can be wholly or partially explained by pelvic obliquity owing to muscle function asymmetry. This study questions the validity of the upright Gillet test for sacroiliac motion.”
More information on this study can be found here.
New House bill would expand Medicare coverage of chiropractic services
Legislation to expand Medicare coverage of services provided by chiropractors within the scope of their license has been introduced in the U.S. House of Representatives.
The bill, H.R. 7157, introduced on Nov. 16 by Rep. Erik Paulsen (R-Minn.), would allow Medicare beneficiaries to access the chiropractic profession’s broad-based, non-
drug approach to pain management, which includes manual manipulation of the spine and extremities, joint mobilization, soft-tissue massage techniques, physiological therapies, exercise instruction and activity advice. Access to non-drug approaches to pain management in Medicare as well as private health care plans has become increasingly important in the wake of the nationwide opioid crisis. The bill adds no new services; it only allows access to those current Medicare benefits that chiropractors are licensed to provide.
Since 1972, the year chiropractic was first made available in the Medicare program, until today, Medicare beneficiaries have been covered for only one chiropractic service—manual manipulation of the spine—forcing them to access additional medically necessary care from other types of providers or to pay out of pocket for the services from their chiropractor. This has created financial and logistical burdens for many seniors. Chiropractors are the only physician-level providers in the Medicare program whose services are restricted in this manner.
Senate bill to expand chiropractic access
A bill has been introduced in the U.S. Senate that would expand access to chiropractic services to military retirees as well as members of the National Guard and Reserve through the Department of Defense TRICARE health program.
The legislation, “The Chiropractic Health Parity for Military Beneficiaries Act” (S. 3620), introduced by Sen. Tammy Baldwin (D-Wis.) and Sen. Jerry Moran (R-Kan.), would not only enable those who currently receive chiropractic care to continue their treatment, but would also establish, in the wake of the nationwide opioid crisis, an important non-drug option for pain management in the TRICARE program.
“Chiropractors have become valued members of the military healthcare team. Their non-drug, non-addictive and noninvasive approach to pain management is particularly relevant today for military personnel who wish to avoid the risk of addiction from prescription opioid pain medications,” said ACA President N. Ray Tuck, Jr., DC.
Chiropractic services were first made available to active-duty military personnel following the enactment in 2000 of legislation creating a permanent chiropractic benefit within the Department of Defense health care system. As part of the benefit’s pilot program, before full implementation, retirees were also granted access to chiropractic services on a space-available basis. The benefit was valued within the TRICARE community at the time.
Page 20 | The IACP News | December 2018
Chiropractic College News
CUKC student receives Standard Process Scholarship
Cleveland University-Kansas City (CUKC) has announced that Whit-ney Haase, a student in the Doctor of Chiropractic (D.C.) degree pro-gram at the University, has been named the recipient of the Standard Process Scholarship. Haase was re-cently presented the scholarship check by Dr. Carl S. Cleve-land III, CUKC president. The award recognizes a doctor of chiropractic student who has made positive contributions in the classroom and beyond.
To be considered for the scholarship, a student must have a cumulative GPA of at least 3.0, and they must have at least one trimester remaining at CUKC. Applicants were required to submit a list of their contributions to the chiropractic profession, the community and the University, along with an essay answering the question: “Why are you studying to become a practitioner, and how will whole food nutrition be a catalyst for changing patient’s lives?”
Haase, a native of Omaha, Neb., was honored to be chosen to receive the award.
“I am so grateful to be selected for this scholarship,” Haase said. “Because of Standard Process’ generosity with this award, I will be able to attend three extremely valuable seminars before graduation, which will help me to continue building my clinical expertise. These experiences will pro-vide me with increased knowledge of human function and allow me to provide the best evidence-informed care to my current and future patients.”
Haase became aware of chiropractic when her long-time curiosity about body movement became intertwined with her athletic endeavors. During her time at CUKC, Haase has become more aware of the long-term impact that nutrition can have on our bodies. That awareness is what fueled her interest in the award.
“I have been interested in biomechanics and orthopedics for as long as I can remember, but I was first exposed to chiro-practic when I was trying to recover from high school track
injuries,” Haase said. “It wasn’t until fall of my senior year of college when I shadowed a local chiropractor that I knew it was the career I wanted to pursue.”
D’Youville Health Professions Hub aided by Catholic Health Securing $5.07 million
Catholic Health has obtained $5,070,000 from Community Partners of Western New York (CPWNY) to support the de-velopment of D’Youville College’s Health Professions Hub.
Last month, leaders from D’Youville and the Catholic Health announced plans to collaborate on the 50,000 square-foot clinical training center, featuring unique and innovative learning environments for students, those seeking retrain-ing and certification, and offering families in the College’s West Side neighborhood greater access to high-quality pri-mary care services.
“We are grateful to Catholic Health for helping the Hub be-come a reality,” said D’Youville President Lorrie Clemo, PhD. “With Catholic Health’s assistance, D’Youville is well on the way to helping build healthy, thriving communities in West-ern New York. The Community Partners funding, the larg-est in our college’s history, puts us beyond halfway to our goal of the initial funds necessary to make The Hub a reality within only a few months. With such strong early support, it shows us how vital The Hub project truly is to our region.”
“The Hub project along with other D’Youville initiatives will serve as an education ecosystem for high school, undergrad-uate and graduate students, with learning opportunities ranging from certification programs to associate, bachelors, and advanced degrees, it’ll truly change not only the face of education but change lives,” said President Clemo.
“D’Youville’s goal is to train future health professionals at a campus where interdisciplinary learning can take place in 24/7 environments. This unique setting will test and explore collaborative education and virtual training models, as well as innovative technologies, equipping students with the skills and knowledge to be change agents, delivering and improving healthcare in Western New York and beyond.”
“When I first learned about D’Youville’s plans to create a Health Professions Hub, I knew it would be a perfect fit for
December 2018 | The IACP News | Page 21
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our system and Community Partners of Western New York,” said Mark Sullivan, President & CEO of Catholic Health. “Together, our three organizations are focused on improv-ing healthcare delivery for underserved populations, while growing a stronger workforce to meet the demand for skilled health professionals in our community. We are pleased we could secure this funding to move this vital project forward.”
As part of the Health Professions Hub, Catholic Health will offer professional staffing and resources to operate a com-munity health center that will provide patient-centered primary care services to area families. Along with expand-ing access to care within the surrounding community, the center will also offer students and paraprofessionals with unique clinical training opportunities to develop or enhance their skills.
Other highlights of The Hub include a simulation center and workforce development programs to meet the needs of area healthcare employers. The Hub will offer education models with an emphasis on team learning, assure health professions students can function as part of an integrated team focused on high-quality, patient-centered care.
Construction of the Health Professionals Hub on D’Youville College’s Buffalo campus is expected to begin next summer, with completion set for the fall of 2020.
Logan’s College of Chiropractic establishes Preceptorship Program with the Medical College
of Wisconsin
Logan’s College of Chiropractic has entered into an affiliation agreement to establish a preceptorship program with The Medical College of Wisconsin (MCW) Department of Neu-rosurgery. Under the direction of Jeff King, DC, MS, 2011 graduate of Logan University, who serves as an assistant professor at MCW, Logan student interns will receive clini-cal training in a high-quality patient care delivery system. The goal of the preceptorship program is to enhance patient care, education and research opportunities for both institu-tions.
“We are very excited to expand the number of schools par-ticipating in our preceptorship program,” said Dr. King. “Our hope is that by offering this transdisciplinary educational opportunity we can encourage students to have an interest in reaching across professions to provide the best possible care for their patients during their clinical careers.”
During 2018, Logan placed approximately 165 student in-terns in preceptorship programs with organizations, institu-
tions and private practices around the world. Preceptorships at MCW will start in May 2019 wherein eligible students will go through a selection process.
Chair of Logan’s Department of Radiology Norman Kettner, DC, DACBR, FICC said Dr. King will bring awareness of pa-tient-centered and cost-effective chiropractic care delivered in a multidisciplinary clinical environment, where he daily interacts across a range of specialties and disciplines. “This clinical environment is what the future is likely to reveal: chi-ropractic physicians directly integrated into the health care system,” he said.
Life Chiropractic College West India Mission
Life Chiropractic College West is proud to be a part of a ground-breaking initiative to expand the experience of chi-ropractic in India. India is an ancient land steeped in tradi-tion and deeply connected to a rich and vibrant history. The people of India are well-versed in eastern philosophy and very receptive to the vitalistic message of chiropractic.
The entire country of India has 1.2 billion people and only 10 full-time practicing chiropractors. The people under-stand and are clamoring for our unique and effective form of health care. We are uniquely positioned to not only provide excellent chiropractic care but to also mentor and shape the understanding and experience of vitalistic, subluxation-based chiropractic care in India.
For this project, Life West has teamed up with the India As-sociation of Chiropractic Doctors (IACD) and the Sant Niran-kari Mission. The Sant Nirankari Mission provides a major spiritual retreat twice every year (in November and Janu-ary) which draws over 1.5 million people to a temporary city over a three day period. The scale of service is nearly un-imaginable. It takes 60,000 volunteers to staff each event. The chiropractic tent has grown exponentially with each service trip and needs many more experienced and caring chiropractors to help us provide care. We need your help.
We welcome experienced chiropractors to join us in this unprecedented chiropractic mission experience. You will be working alongside chiropractic students as we provide care for thousands of people daily. The level of gratitude and ap-preciation you will receive from the patients will be unlike anything you have ever experienced.
Registered and approved doctors will have accommodations and transportation arranged for them in country. You will only need to take care of your visa, your flights and your
Page 22 | The IACP News | December 2018
Chiropractic College News
Continued from last page
adjusting table; if you choose to bring one.
Students MUST be enrolled in an accredited chiropractic col-lege and must be eligible to adjust out-patients in the school clinic in order to apply.
Insurance: It is recommended that you purchase travel and health care insurance to cover yourself during this trip.
Registration fee: All attendees are required to pay a $200 registration fee that will help fund the shirts, supplies and a temporary DC license needed as we serve.
More information available online or you may direct any questions to [email protected]
LIFE Leadership Weekend January 17-19, 2019
LIFE Leadership Weekend is an event for future Doctor of Chiropractic students. Future chiropractic students are in-troduced to LIFE’s extraordinary educational experience by mingling with current students, faculty and staff, hearing from dynamic speakers, engaging in leadership training and touring downtown Atlanta. You will interact with practicing chiropractors and learn if Chiropractic is the profession for you.Stay the weekend! This event is offered four times a year in January, April, July and October. This two-day event is MUCH more than a Campus Tour. It is a LIFE Experience!
This is the premier event and spaces can fill up fast, so check your schedule and register for a LIFE Leadership Weekend today.
Student research article named honorable mention in NDNR scholarship competition
Jocelyn Faydenko, a student in naturo-pathic and chiropractic medicine pro-grams, recently received an honorable mention as part of a scholarship com-petition hosted by NDNR. The Annual NDNR Student Writer’s Scholarship in-volves student submissions of research reviews or case studies completed un-der the supervision of faculty.
Co-authored with Dr. Smith, Faydenko’s article discussed us-ing cardiac biomarkers as a clinical tool. The biomarkers or tests can predict cardiovascular risks in the short term, even very short-term versus possible decades of risk.
The research is part of a small clinical trial Faydenko is con-ducting with Dr. Smith at the NUHS Whole Health Centers in collaboration with the Cleveland HeartLab, Inc. of the Cleve-land Clinic. The research will investigate the use of inflam-matory biomarker testing for determining cardiovascular health.
To read the full NDNR research article, click here.
Minga Guerrero, DC named2018 UWS Alumna of the Year
Dr. Minga Guerrero, 1984 graduate of University of Western States (UWS), has been selected the 2018 UWS Alumna of the Year. Over the span of her profes-sional career, Dr. Guerrero has been a reliable and principled ally of the chiro-practic profession with service on nu-merous boards and committees includ-ing president of the Oregon Board of Chiropractic Examiners (OBCE), district delegate to the Fed-eration of Chiropractic Licensing Boards (FCLB), and trustee for University of Western States. Dr. Guerrero has been a mentor for younger doctors, taught chiropractic assistants and served as a UWS faculty member.
“Dr. Guerrero embodies all the best qualities of a chiro-practic physician: compassion and skill, dedication to her patients and her profession, and a commitment to provid-ing the highest possible quality chiropractic care,” said UWS President Dr. Joseph Brimhall. “We are proud to honor her as the 2018 UWS Alumna of the Year.”
“This award means so much to me because University of Western States is my home,” said Dr. Guerrero. “I feel like UWS is my family. This school gave so much to me and I truly feel blessed to be able to pay it forward and help mentor the next generation. I am so hopeful for all the current students and students to come because I just know that they will con-tinue on the tradition of loving this profession.”
December 2018 | The IACP News | Page 23
Don’t let the sands of procrastination and inactivity keep you from moving down the road to success!
Reach out today and get your display advertis
ement in this
well-read publication. As the official newsletter of th
e Idaho
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growing and active Idaho chiropractic market.
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Page 24 | The IACP News | December 2018
The Idaho Association of Chiropractic PhysiciansThe IACP News
Display Advertising Policy, Rates and Information
The Idaho Association of Chiropractic Physician’s IACP News is a full-color digital newsletter, published monthly and distributed to member doctors of chiropractic across Idaho as well as out-of-state members and student members.
Advertising deadlineArtwork is needed by the 15th of any month for publication in the following month’s newsletter. The IACP News is published the last week of every month.
Ad Sizes and RatesIACP reserves the right to determine position and placement of all advertising. Special positioning may be purchased for an additional 20% if space is available. Inside Cover and Back Cover are charged additional 20% for special positioning. 15% off these rates for IACP Members.
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Format: The IACP News is produced in a state-of-the-art digital format. It can be opened and viewed online from both the IACP website at https://iacp.wildapricot.org/ and also from the publication site: www.IACPnews.com. The publication site has both current and back issues of The IACP News. Questions about the digital format, the website, or display advertising should be directed to Steve at C&S Publishing, (916) 729-5432.
Acceptance of Advertising: Publisher reserves the right to refuse any advertisement with or without reason or explanation including any ad that, in the opinion of IACP, is unethical, makes extravagant claims, misrepresents, is unfair or harmful to other advertisers; violates postal, anti-trust or U.S. currency regulations; or is deemed inconsistent with the objectives of the IACP.