In Memoriam

Dr. Martin S. Brockway - NA ‘37

Dr. Steven A. Carpenter - NA ‘82

Dr. Donald Dale - LI ’54

Dr. Dorothy Hudgins-Settimi - CCC ’42

Dr. Kenneth E. Kinsley - NA ‘57

Dr. Harry W. Patten - LI ‘40

Dr. Ralph Ungerank - NA ‘58

Great press is being received on a follow-up study

conducted by NUHS researchers on chiropractors

serving as primary care providers in a managed

care network.

In the June 2004 issue of the Journal of Manipulative

and Physiological Therapeutics, Richard Sarnat, MD,

founder and president of Alternative Medicine

Integration (AMI), and James Winterstein, DC, NUHS

president, published a study entitled “Clinical and Cost

Outcomes of an Integrative Medicine IPA.” The new

2007 study, “Clinical Utilization and Cost Outcomes

from an Integrative Medicine Independent Physician

Association: An Additional 3-Year Update,” conducted

by Drs. Sarnat and Winterstein and Jerrilyn A.

Cambron, DC, MPH, PhD, NUHS associate professor

of research, validates the original study to the extent

that the authors believe the results warrant larger

randomized and controlled trials.

The following review of the study was written by NUHS

eighth trimester student Rachael Fabbi.

“In the May 2007 issue of the Journal of Manipulative and PhysiologicalTherapeutics, you will easily recognizeNUHS authors James Winterstein DC,DACBR, and Jerrilyn A. Cambron, DC,MPH, PhD, along with Richard Sarnat, MD.Their recently published article describesthe utilization and cost effectiveness ofcomplementary and alternative health careproviders functioning as primary carephysicians (PCPs) as compared to theirallopathic counterparts.

The purpose of this study was to comparethe findings from a similar four-year studyto current results. The main differencebetween the studies was that the latterstudy, in addition to chiropracticphysicians, also included allopathic and osteopathic doctors who practiced as “natural medicine doctors.” Theparticipating physicians were contracted byAlternative Medicine Integration’s (AMI)integrated medicine Independent Physicians

Association (IPA) of metropolitan Chicago.Three areas of interest where explored inthe current study:

(1) whether the observed correlation ofdecreased utilization remained consistentnow that enrollment has more than doubledand the IPA’s panel of PCPs includesnonchiropractic CAM-oriented medicaldoctors and osteopathic doctors (DOs);

(2) how the addition of nonchiropracticPCPs affects the demographics of theenrolled population; and

(3) whether there are any obviousdifferences in the utilization patterns ofenrolled members between the chiropracticPCPs and the nonchiropractic PCPs.

In the 2004 study, researchers found thatchiropractic PCPs participating in the AMI’sIPA managed care plan demonstrated lowercost and service utilization as compared totheir nonchiropractic counter parts. Thistrend was confirmed in the 2007 studywhere researchers correlated lower serviceutilization by chiropractic PCP patients.Authors attribute this to the “underlyingphilosophy of medical management andnot due to the differences in PCP educationor licensure.” Essentially, chiropractic PCPsare able to deliver these results due to howthey approach the patient and the patient’scurrent health status, as opposed to someshortcoming in their background.

Outreach is published by the Office ofCommunications of the National University of HealthSciences, 200 East Roosevelt Road, Lombard, IL60148-4583. It is distributed free to faculty, staff,students, alumni, friends, and other associates ofNational University of Health Sciences.

PublisherJames F. Winterstein, D.C.President

Editorial StaffMarie Olbrysh, Associate EditorTracy Litsey, Public Relations SpecialistRobert Hansen, Graphic DesignerVictoria Sweeney, Director of Communications

Vol. XXIII, No. 3 June/July 2007

©2007 National University of Health Sciences

June 22 - 24: Homecoming '07

“National - The Gold Standardof Patient Care”

HIV/AIDS: Update:Boundaries / Informed Consent

Understanding Key Mechanisms:Part I: Neurodegenerative DiseasesPart II: Prostatic DiseasePart III: Neuromuscular FacilitationPart IV: Neuromuscular Facilitation

Adjuncts to Rehabilitation: Kinesio-Taping of Select Conditions

Biomedical Acupuncture: Pain Control

Janda and Beyond: The Future of Rehabilitation

New Interventions in TX of Chronic Pain:Evidence Based Nutritional Interventions;Immune Dysfunctions & Chronic Infections;Clinical Integration, Patient Management, Case Reports

Pathologic Movement Patterns in Gait:Using Functional Chains to Diagnoseand Treat

Research As It Applies to Chiropractic Practice

Integrative Approach to ClinicalProblem Solving

Massage Therapy Program:Active Isolated Stretching

June 30 - July 1

CPR Certification / Recertificationfor Health Care ProvidersAmerican Heart Association BLSNUHS Campus / Lombard, Ill.

Kinesio Taping® Certification: Session IIPrerequisite: Session INUHS Campus / Lombard, Ill.

Occupational Heath Services I:• DOT Physical Examinations• Drug Specimen Collector CertificationNUHS Campus / Lombard, Ill.

July 7-8

Acupuncture 200-3 (Condition Based):Women’s IssuesNUHS Campus / Lombard, Ill.

X-ray Tech: Session 5 of 6NUHS Campus / Lombard, Ill.

July 14-15

Acupuncture 300-7: Electrical, Magnetic & Electromagnetic ForcesNUHS Campus / Lombard, Ill.

Clinical Orthopedics: Knee - Complex Clinical ConditionsNUHS Campus / Lombard, Ill.

Current Advances in Extremity TechniqueNUHS Campus / Lombard, Ill.

Electrodiagnosis EDX-6: EMG Waveforms - Normal & AbnormalNUHS Campus / Lombard, Ill.

July 21-22

CPR Certification / Recertificationfor Health Care ProvidersAmerican Heart Association BLSNUHS Campus / Lombard, Ill.

Rehabilitation 100-5: Clinical IntegrationNUHS Campus / Lombard, Ill.

July 28-29

Occupational Heath Services II:• Breath Alcohol Technician Certification• Drug Specimen Collector Instructor CertificationNUHS Campus / Lombard, Ill.

X-ray Tech: Session 6 of 6NUHS Campus / Lombard, Ill.

August 4-5

Acupuncture 200-4: Pediatric ConditionsNUHS Campus / Lombard, Ill.

Clinical Orthopedics: Hip/Pelvis 1 –Common & Complex ConditionsNUHS Campus / Lombard, Ill.

Electrodiagnosis EDX-7: EMG, NCV, Late ResponsesNUHS Campus / Lombard, Ill.

August 11-12

Acupuncture 300-8: Program Review & Final ExamNUHS Campus / Lombard, Ill.

Thursday, August 16

NUHS GraduationsBS/MT @ 10 a.m.First Professional @ 1 p.m.

August 25-26

X-ray & MRI Anatomy: A systematic approach to understanding a patient’s studiesNUHS Campus / Lombard, Ill.

Note: Dates and times are subject to change;programs are cancelled periodically orrescheduled. Please refer to the NUHS websitewww.nuhs.edu under ‘continuing education’ forthe most accurate information.

For location and registrationinformation, contact:

Dr. Jonathan Soltys Postgraduate Dean200 E. Roosevelt Road Lombard, IL 60148-4583630-889-6622 or 630-889-6620Fax: 630-889-6482jsoltys@nuhs.edu

4 — OUTREACH June-July 2007

Non-Profit Org.U.S. Postage

PaidWheeling, IL

Permit No. 268

8.5M/607

When I was inchiropractic college inthe mid-‘60s, therewere about 25,000practicing chiropractors.They were scatteredthroughout most of the states, but notpracticing legally inLouisiana, Massachusetts

and Mississippi. Also, no new DCs wereallowed in New York because the NewYork Board of Regents recognized nochiropractic colleges.

Most insurance companies did notreimburse for chiropractic care. In fact, ifone did, it was probably by accidentrather than intent. There was no Medicarefor chiropractic patients. The averageoffice call was between $4 and $7, andthat was, of course, a global fee. Ifpatients could not pay, they were usuallycared for anyway.

Lawyers did not know much about us andwere not interested in finding out about usbecause no one sued chiropractors, andwhen it came to personal injury — whatlittle there was — it was simply a matter oftrying to get people well as quickly andcompletely as possible.

Chiropractic physicians of that time didnot have nearly as much money and didnot have as much in the way of materialthings, but there were some things theydid seem to have in abundance, amongwhich were determination, commitmentto the profession, and willingness to servethe profession. I think we had a muchgreater percentage of chiropracticphysicians who were willing to give uppersonal time for the sake of theprofession. They also gave financial

...see Our ND Colleagues on page 2

VOL. XXIII, NO. 3

Our ND ColleaguesTeach Us A Lesson

James F. Winterstein, DCNUHS President

Postgraduate Courses for June - August

Updated Study of DCs as PCPs Verifies Cost Savings, Satisfaction

June-July 2007

Dr. Jerrilyn Cambron Dr. Richard Sarnat

...see Updated Study on page 3

Refer a Prospective Student!YOU are our most vital recruiting tool. If you know someone who is interested in one of our academicprograms, refer them to us! Call the Office of Admissions at 800-826-6285, e-mailadmissions@nuhs.edu, or send their names to Office of Admissions, NUHS, 200 E. Roosevelt Road,Lombard, IL 60148. Thank YOU!

Student’s Name

Address

City State Zip

Phone Program of Interest

Referred by Dr.

OUTREACH June-July 2007 — 32 — OUTREACH June-July 2007

support, and I think on a percentage basis,probably in greater abundance than isexperienced today.

The efforts of the chiropractic physiciansof the time were fruitful, and before long,due to unceasing efforts of the likes ofDrs. Hidde, Wolf, Janse, Haynes and Fay,CCE became recognized by the UnitedStates Office of Education. That was awatershed event!

But during the many long years, Dr.Hidde, for example enrolled in law schoolwhile maintaining a full time practice, justso he could better interact with thebureaucrats at USOE. He did not need a law degree for his personal success. His chiropractic practice was excellent, but he made the commitment for the profession.

There were others who made similarcommitments. Who can forget the years oflong hours spent by Drs. Janse and Fay inpursuit of accreditation and increasededucational standards? I rememberclearly the time when the New York Boardof Regents visited National in 1970 andwe failed their visit. Dr. Janse called ustogether and said, “Gentlemen (we hadno female faculty at the time), I will closethe doors of this institution before I allowus to fail again.” In 1972, the New YorkBoard of Regents returned and we passed, and for the first time in decades,chiropractic physicians who graduatedfrom National could apply for licensure in New York.

It did not take long before Medicare,inadequate though it has been andcontinues to be, was a fact of life. Mostinsurance companies began to reimbursefor chiropractic care. We even developeda small but valiant research cadre andbegan to obtain federal money forscientific research.

With all of these successes, it seems,came diminished determination,commitment and willingness to serve theprofession. With some notableexceptions, such as the Wilk vs. AMA suit,our profession began to take the easyroad. Schools began to grow significantlyand graduates were turned out inabundance, especially by some schools.Some graduates at least, had a goodeducation, but I think many did not havethe “fire in the belly” of their professionalancestors. Money became a big driver andthe profession languished.

Our naturopathic colleagues of todayremind me of us in those mid-‘60s days inour profession. Students who matriculatein National’s Naturopathic Medicineprogram must come with a baccalaureatein hand. They must complete four years ofnaturopathic medical school with thetotal number of hours slightly exceedingthose of the DC program. They arephysicians in the true sense of the word.

They have licensure in 14 jurisdictions in this country and some in Canada. Their numbers are small with around4,000 licensed naturopathic physicians,and they are afflicted with a significantnumber of people who have takenanything from a weekend course to a correspondence course who callthemselves “naturopaths.”

These naturopathic colleagues — theeducated ones — have something else,too. They have determination,commitment to their profession andwillingness to serve their profession.

Here in Illinois, there are about 40naturopathic physicians who work invarious situations. Some of them havereceived their DC degree from Nationaland are in practice. Some work inintegrated allopathic settings and some inmultidisciplinary practices. Several workin the academic side of the profession andhead our naturopathic medicine programor teach in it.

This little group of naturopathicphysicians formed the IllinoisNaturopathic Physician Association andhas supported a lobbyist for the purposeof getting a naturopathic medical statutein this state. Each of these people commitsmoney to the effort and each commitstime — significant time. They have a “firein their bellies,” and it is for their

profession. They have set aside theirpersonal wants and wishes for the sake offurthering their profession, because theybelieve that what they have to offer isvalid and valuable and necessary.

We can learn from them. On the Internet,through the various lists with which Icommunicate, I know that the daily issuefor many chiropractic physicians is thirdparty reimbursement. There is a neverending stream of negative talk about howpoorly chiropractic care is reimbursedand how much less is being made todaythan was being made some years ago, butin all of that, I see no consistent personalsacrifice toward the goal of change for theprofession. People don't even belong totheir associations. Back when we had25,000 DCs, 18,000 of them weremembers of the ACA. See what I meanabout percentages?

How does this change? It can only changeone way. Every one of us must make apersonal goal to re-commit to ourprofession. We must commit money to theeffort. We must commit time to the effort.And like our current naturopathiccolleagues, we must make a few sacrificesfor our profession.

Being part of the chiropractic profession isa privilege granted by the public. Yes, weare educated, but that would be useless ifwe were not privileged to practice. If wewant this privilege to continue, we mustrenew our commitments to the professionor just kiss it goodbye while we watch ourdetermined, committed and willingnaturopathic colleagues come into theirown. They will make it and that is a goodthing. The question is, will we?

We better! We have much more to offerthe public than we are recognized for, butthat is our own fault. We have taken theeasy road too often, in my opinion. If youlove helping people gain and maintainoptimal health, then stop for a momentand simply decide to recommit yourself tothe future of the chiropractic profession.Our patients need us, and ournaturopathic and oriental medicinecolleagues are looking toward us for thekind of professional leadership weprovided in the ‘60s. Are we up to it?

Updated Study ...from page 1

National’s April Commencement Ceremonies

Researchers found there to be a dramaticshift in demographics of the 2007 studywhen compared to the 2004 one. In thefirst report, children comprised only 12%of the patient population. This lowpercentage was attributed to the IPA’smedical management policy of purposelyexcluding children from the HMOenrollment. This policy restriction wasenacted because of the limitations in thescope of practice of chiropractic PCPs, forexample, their inability to performprocedures such as vaccinations.

The current study showed a markedincrease in childhood enrollment at 56%. This was accredited to the changesin PCP scope of practice via the inclusion of allopathic and osteopathicphysicians. Furthermore, this increase in the childhood demographic wascompounded by the latter’s specialization

in home births, “natural medical” childcare, and their ability to perform specialprocedures such as vaccinations.

There were several differences in serviceutilization between the two groups ofPCPs reported. The chiropractic PCPs ofthe 2004 study and the PCPs of thefollow-up study, which includedallopathic and osteopathic physicians,demonstrated higher levels of “wellnesscare” as compared to their conventionalmedical management PCP counterparts.However, the former also showed a lowerpercentage of active disease patients,which is attributed to their greater overall percentage of “wellness patients” and their nonpharmacological scope of practice.

The main difference reported between thechiropractic and nonchiropractic “naturalmedicine” PCPs was the use of referral.The nonchiropractic “natural medicine”practitioners successfully managed 90%

of their patients without the use ofreferral. Conversely, the chiropractic PCPsmanaged 60% of their patients, againattributed to their nonpharmacologicalscope. However, CAM recipients of bothtypes of practitioners reported higherdegrees of satisfaction when weighedagainst conventional practitioners.

In conclusion, the lower clinicalutilization and cost outcomes by CAMparticipants provides auxiliary validationto the efficacy of CAM as a form of healthcare. Furthermore, in this time ofgrowing health disparity, theimplications for the effectiveness of CAMhealth care are also encouraging.Although these findings may seemevident to those who currently embraceCAM, as this body of research expands,chiropractic PCPs will be furtheraccepted in the eyes of conventionalhealth care and mainstream medicine,which is thought to be good for the CAMprofessions as a whole.

Keith Charlton, DC., an outstanding leader ofthe chiropractic profession in Australia,addressed the April 2007 graduates of theCollege of Professional Studies on April 21.

A 1975 National graduate, Dr. Charlton,referred back to the education that“endowed me with a comprehensiveknowledge of aspects of general medicine,which still serves me well today.”

He compared his hobby of sailing with theprofession of chiropractic. “You use your witand natural environment to travel — silent,graceful, with natural efficiency and minimalintrusion — sailor and the elements workingtogether, sort of like chiropractic care.”

Dr. Charlton told the graduates, “It's the set of

your sail that determines how you go andwhere you arrive, and you particularly,depart this shore very well equipped.”

Follow the motto of National, Esse QuamVideri, he added. "Become — be rather thanseem to be. This might mean stepping outfrom the crowd, but you can be leaders.”

After his address, Dr. Charlton was named afellow of the International College ofChiropractors, in honor of the continuoushigh caliber of his body of work.

Valedictorian of the April 2007 class wasRebecca Malkowski. Salutatorian was Laura Barrows.

Bachelor of Science Graduates

Nine students earned their bachelor of sciencedegree at National’s second undergraduatebaccalaureate ceremony on April 21.

Sharing the role of valedictorian were Ashley

Burkman and Anim Forjindam.

Ashley, who will be entering National’sdoctor of naturopathy program, credited theschool with giving her a strong foundation tobuild upon and the confidence to move onto the next step in her life. Anim paid special tribute to the NUHS faculty for being not justteachers, but mentors and friends.

Massage Therapy Graduates

Nine NUHS students earned their certificatein massage therapy at the April 21 ceremony.Nicole Redemske served as valedictorianand Barbara Mitchell was salutatorian.

Nicole, who also completed the ChiropracticAssistant program, recalled the students senseof accomplishment and pride they felt whenthey walked into the clinic as interns for the firsttime — the same sense of accomplishmentand pride they feel now as graduates.

They have a “fire in theirbellies,” and it is for theirprofession. They have setaside their personal wantsand wishes for the sake offurthering their profession,because they believe thatwhat they have to offer isvalid and valuable andnecessary.

Updated Study ...from page 1

L to r, Dr. Daniel Driscoll, dean of students, presentsDr. Keith Charlton and his wife Vicky with a plaquenaming him as a fellow of the International Collegeof Chiropractors.

Behold the turtle. He onlymakes progress when hesticks his neck out.

James Bryant Conant