Chiropractic Competencies DRAFT

  1. Practice patient-centered and relationship-based care.
    • Recognize the value of relationship-centered care as a tool to facilitate healing.
    • Demonstrate respect and understanding for patients' interpretations of health, wellness, disease, and illness that are based upon their cultural beliefs and practices.
    • Demonstrate the ability to reflect on elements of patient encounters, including personal bias and belief, to facilitate understanding of relationship-centered care.
  2. Obtain a comprehensive health history which includes mind-body-spirit, nutrition, and the use of conventional, complementary and integrative therapies and disciplines.
    • Demonstrate an ability to obtain a comprehensive and problem focused patient-centered history utilizing a biopsychosocial approach that inclusive of an accurate lifestyle history, nutritional history, spiritual history, and inquiry of previous treatments, therapies and practices.
  3. Collaborate with individuals and families to develop a personalized plan of care to promote health and well-being which incorporates integrative approaches including lifestyle counseling and the use of mind-body strategies.
    • Respect the values and attitudes of patients through collaboration in developing and carrying out a management plan to enhance and optimize health, including lifestyle coaching, nutritional counseling, health indicators screening, disease prevention and specific treatments using appropriate modalities and therapies as indicated, and integrating other disciplines as necessary.
  4. Demonstrate skills in utilizing the evidence as it pertains to integrative healthcare.
    • Understand the evidence base for the relationships among structure, function, health and disease and the following factors: emotion, stress, nutrition, physical activity, social support, spirituality, mind-body practices, sleep, and environment.
    • Evaluate the strengths and limitations of evidence-informed health care as it applies to the health care disciplines and modalities, and their integration and translation into patient care.
    • Understand the role of empirical evidence in informing knowledge and principles of practice and appropriately implement evidence-informed resources at the point of patient care.
    • Identify valid and reliable resources on health care disciplines, modalities and approaches.
  5. Demonstrate knowledge about the major conventional, complementary and integrative health professions.
    • Understand national and state standards related to training, licensing, credentialing, and reimbursement of community healthcare practitioners.
    • Demonstrate understanding of licensed healthcare disciplines and their modalities and therapies, including their history, theory, proposed mechanisms, safety/efficacy profile, contraindications, prevalence, and patterns of use.
  6. Facilitate behavior change in individuals, families and communities.
    • Facilitate health behavior changes in patients, using techniques such as motivational interviewing or appreciative inquiry, and in communities, through public education and outreach.
  7. Work effectively as a member of an interprofessional team.
    • Demonstrate respect for peers, staff, consultants, and practitioners who share in the care of patients.
    • Collaborate with community practitioners and other healthcare providers in the care of patients, while understanding legal implications and appropriate documentation issues.
  8. Engage in personal behaviors and self-care practices that promote optimal health and wellbeing.
    • Understand importance of self-care practices to improve personal health, maintain work-life equilibrium, and serve as a role model for patients, staff, and colleagues.
  9. Incorporate integrative healthcare into community settings and into the healthcare system at large.
    • Understand different reimbursement systems and their impact on patient access to integrated healthcare services.
    • Identify strategies for facilitating access to integrated services for all patients, including low-income populations.
    • Understand the principles of designing a healthcare setting that reflects a healing environment.
  10. Incorporate ethical standards of practice into all interactions with individuals, organizations and communities.
      • Professionals comply with the law and exhibit ethical behavior.
      1. Applying knowledge of ethical principles and boundaries.
      2. Applying knowledge of health care law.
      3. Applying knowledge of expected professional conduct.
      1. Maintenance of appropriate physical, communication (verbal and non-verbal) and emotional boundaries with patients.
      2. Maintenance of professional conduct with patients, peers, staff, and faculty in accordance with established policies.
      3. Compliance with the ethical and legal dimensions of clinical practice.
      4. Generation of patient records and diagnostic and billing codes in compliance with federal and state law.

Competency Development

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