Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 18862
  Title Chiropractic education in a federally funded geriatric education center [poster presentation; the Association of Chiropractic Colleges' Thirteenth Annual Conference, 2006]
URL
Journal J Chiropr Educ. 2006 Spring;20(1):61-62
Author(s)
Subject(s)
Peer Review Yes
Publication Type Meeting Abstract
Abstract/Notes Purpose: It is estimated that 11-15% of older adults in the United States utilize chiropractic services; mostly for musculoskeletal complaints. The number of older adults seeking chiropractic care is expected to rise as the baby boomers age. It is therefore imperative that the chiropractors of the future be trained in the special needs of the older adult. It is also imperative that the chiropractor of the future be trained to function in an integrated environment. Gerontologic competencies of practicing chiropractors and chiropractic educators can be enhanced through an integrated training model. In continuing with the tradition of excellence of the Geriatric Education Centers (GEC), chiropractic is now part of this federally funded multidisciplinary training program to meet the needs of the older adults.

Rationale:Integration of allopathic medicine and chiropractic across group practices and organized delivery systems in general holds promise for creating a quality-focused and efficient health care system. This system will be better equipped to deliver accessible, comprehensive and coordinated care. There is a need to train the future chiropractic physicians in the special needs of the older adult. In the Iowa 65+ study utilization of chiropractic services in older adults with back pain reached 70% in certain regions. Chiropractic also is integrating into the mainstream of health care in many locations. A University-based long-term care hospital became the site of the first integrative chiropractic clinic in a long-term care facility in January of 2002. It was started as a part-time experimental clinic and is now a full-time clinic and is actively involved in teaching chiropractic students and medical interns and residents. The chiropractic project involves the creation of a geriatric elective course and also integration of geriatric education throughout the chiropractic program. Prior to this there were no specific geriatric educational programs aimed at training chiropractors in traditional medical centers or training chiropractors to function in an integrated environment.

Methods:Chiropractic education in the GEC currently involves practical “hands on” training as well as participation in didactic programs. The practical training includes participation in evaluation and treatment of frail elderly in a long-term care hospital as well as ambulatory community dwelling older adults. The students also participate in practical rotations through a multidisciplinary geriatric assessment clinic, involving diverse professions, including medicine, neuropsychology, social work and nursing. The students also participate in rotations in hospital-based physical therapy, occupational therapy, speech therapy as well as an outpatient exercise center. These rotations allow the students to gain important skills in the evaluation and treatment of older adults. The didactic programs the students participate in include a geriatrics journal club, geriatric medical grand rounds and a core curriculum of geriatrics lectures.

Future programs: The future programs for the GEC will involve the creation of a standardized geriatric curriculum that will be developed at the sponsoring institution and then will be disseminated to other chiropractic colleges through a GEC-sponsored seminar. The development process will utilize modified Delphi technique to identify and prioritize the major themes for the education of chiropractors in regards to the special concerns of older adults. The curriculum will then be tested and reassessed at the end of one year. The ultimate goal will be the creation of a standardized geriatric curriculum.

Conclusion: Chiropractic education has been successfully integrated into a University affiliated long-term care facility. This integrated clinic and its sponsoring chiropractic educational institution have now successfully achieved funding to not only train current chiropractic students in an integrated setting, but also to create a standardized curriculum for utilization at other chiropractic institutions.

This abstract is reproduced with the permission of the publisher.

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