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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