Chiropractors' Association of Australia Chiropractic: healthy spine, healthier life

CJA Vol.27 Issue 4

Editorial: Valid Publication and Visibility
Mary Ann Chance and Rolf E. Peters

The Canadian Genealogy of Daniel David Palmer
Herbert J Vear

Clinical Uncertainty: An Australian Case Study
Jennifer R Jamison

DC vs ASMF
J. Keith Simpson

The Best Books for 1997 (plus One for the decade): A Chiropractor’s Reading List
Phillip Ebrall


ABSTRACTS

The Canadian Genealogy of Daniel David Palmer

Herbert J. Vear

The birthplace and circumstances surrounding Daniel David Palmer’s early life in Canada, including his education, have been the source of much controversy and error. In preparation for the 1995 Centennial celebrations, the Canadian Chiropractic History Association funded a preliminary geneological search to answer some of those questions. Because the results of that search were inconclusive, and confusing, the anticipated paper was never written. In response to an invitation to present D.D Palmer’s Canadian roots on the occasion of the 100th anniversary of the opening of the Palmer College of Chiropractic, a new and revised search for the birthplace was begun. Not only was new information about the Palmer family discovered, but the search was also successful in locating his elusive birthplace in Ontario, Canada. A combination of genealogical, census, and land-holding searches was successful in locating the family throughout their life in Canada.

Index Terms: MeSH: Chiropractic, History;History of Medicine, 19th Cent;Canada

Chirop J Aust 1997;27:138-46

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CLINICAL UNCERTAINTY: AN AUSTRALIAN CASE STUDY

Jennifer R. Jamison

A collective case study of Australian chiropractic practice was undertaken to determine how chiropractors cope with clinical uncertainty and maintain safe practice standards. Research Design: Twenty-one chiropractic practices were visited and 25 chiropractor-patient units explored. Purposive sampling of practitioners was undertaken within each participating practice. Data was gathered from each chiropractor-patient unit, consisting of one practitioner and usually five patients, by means of practitioner interview, patient questionnaire and interview and, in certain cases practice observation. Thematic analysis of the interviews was correlated with information derived from the patient questionnaires and validated by selective practice observation. Data was compared within and across chiropractor-patient units.
Results and Discussion: Chiropractors have a protocol, acceptable to patients and consistent with good clinical practice for dealing with clinical uncertainty. The successful implementation of this strategy in primary practice does, however, depend on the practitioner monitoring musculoskeletal as well as non-musculoskeletal criteria for referral. Chiropractors need to be particularly alert to the possibility that clinical uncertainty may arise from the placebo potency of chiropractic care masking the need to refer a patient for specific therapy.
Conclusion: Chiropractors participating in this study have a sound protocol for dealing with clinical uncertainty - provided this protocol is implemented with sufficient monitoring of potential referral criteria.

Index Terms: MeSH: Chiropractic; decision making; clinical competence;other:clinical uncertainty

Chirop J Aust 1997;27:147-52.

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DC vs ASMF

J. Keith Simpson

In 1990, the Australian Sports Medicine Federation(ASMF) reversed its decision granting full membership to DC, a registered chiropractor who held additional qualifications in physical education. ASMF is a federation of professionals with like interest in the "Health Care of Active People" which draws its membership from the "allied professions and encourages co-operation in order to promote the ideals of Sports Medicine." Drawing from documentary evidence, this paper follows the activities of first the United Chiropractors’ Association of Australasia and later the Chiropractors’ Association of Australia (CAA) to counter the overt reasons put forth by the ASMF for its continued position relegating chiropractors to Associate Membership status. Insight is gained from meeting notes obtained from the CAA Executive Director into the sub rosa reasons for the ASMF position, and an explanation for ASMF’s action is offered from Anderson’s model of the health care system.

Index Terms:MeSH: Chiropractic;Australia;Sports Medicine; Politics; Patients advocacy;Patient Care Team. Other: Marginalisation; Anti-Competitive Behaviour.

Chiropr J Aust 1997;27:153-7.

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THE BEST OF BOOKS FOR 1997 (PLUS ONE FOR THE DECADE): A CHIROPRACTOR'S READING LIST

Phillip Ebrall

Reviews are presented of a number of recently published books selectively sampled by the author as having relevance to the clinical practice of chiropractic. The review comments are prefaced by evidence-based commentary on aspects of the current general state of chiropractic as a profession. The conclusion is made that 1997 has been a very good publishing year for work of relevance and interest to the chiropractic profession in that the profession’s science base has been greatly reinforced. The onus is now plainly on the profession’s critics to be aware of and appreciate the strong body of evidence which underpins typical chiropractic practice. Further, the responsibility is on all members of the profession to keep up to date with the contemporary literature.

Index Terms: MeSH: Chiropractic; Australia;Book Reviews

Chiropr J Aust 1997: 27; 158-66.

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