ACA Guidelines What You Should Know

So when it comes to looking at who's leading, right ... first of all, I think I personally had an issue with the fact that us as a profession, we're adopCng somebody else's guidelines. If we're going to lead in spine care, and we're going to be the profession that is out at the forefront, so when somebody has a spinal condiCon, they consult a chiropractor, we have to lead. So I was sort of taken aback that one of our organizaCons would just adopt somebody else's guidelines. And I know that that happens in different circles and I understand that we're sort of all progressing together. But when it comes to a method of training, neurosurgery, orthopedic surgery, anaesthesiology, pediatrics and medicine would never adopt somebody else's guidelines, they would through a consensus pracCce or process, figure out what the profession wants globally and that's what they would come out with. So that was the first thing. The second thing was, again, not looking at another chiropracCc board, such as the Board of Orthopedics, or pediatrics or whatever else we have internally, none of those discussions were ever met. We went outside the profession to adopt somebody else's. Those internal medicine docs, I know them. I know family medicine docs, I teach them. And what they're looking for is structural anatomical pathology, which from a professional liability perspecCve, is a very important part of care. So there's screening procedures that we go through and I understand that there's criteria of whether or not we would image someone. But there's also the mechanical component. So when we as a profession, regardless of the organizaCon, the public sees us as a unified profession, okay? And when we adopt guidelines that are from an internal medicine perspecCve that have no training on spine, and even the training that they have is limited to just anatomy, that's a concern. And I think that part of the reason I wanted to be here today, was for us to get this informaCon out, so as a profession ... maybe it's these things that bring us together to start the talk about how we can serve all of our doctors so that ulCmately we can serve paCents beMer. ParCcularly those that are on opioids and not gehng beMer, because there's no need for surgery, there's no need for any other anatomical intervenCon. What about the biomechanical subluxaCon mechanical component? Yeah, Bill, that was great because I was going to get in to another piece in your arCcle that you put together, and you actually already hit on some of those points. My concern, is yes, I think we can all say the public's safety and best interest is always going to be number one. Let's at least hope for our profession and as well as just us individually. But in addiCon to that, my concern is obviously in any addiConal risk and any addiConal exposure. Now, I find a liMle bit interesCng what Mark talked about a liMle earlier that as a profession, we've gone from a full spine model to piece, piece, piece. And there's so many doctors coming, graduaCng, and coming out of school in this day and age that don't even take x-rays to begin with. So these guidelines, they don't have any care or any opinion. But, you know, I'm with you, that you just can't see everything.

Dr. Hoffman:

Chiropractor Malpractice Insurance - ACA X-ray Guidelines Part 2 Dr. M...

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