The Conference on Chiropractic Research is an event that will highlight the importance of
incorporating research into your practice. The Foundation for Chiropractic
Education and Research (FCER) is presenting the conference, which takes
place September 15–16 in Chicago. Among the conference’s events
is a presentation titled “Chiropractic Clinical Compass—CCGPP
Best Practices Project.” The project by the Council on Chiropractic
Guidelines and Practice Parameters (CCGPP) has caused a lively debate about
evidence-based practices.
The CCGPP documents contain available research about
how to best treat patients, and includes a grading of the effectiveness of
the various pieces of research. The Congress of Chiropractic State
Associations (COCSA) formed CCGPP in 1995 with the assistance of various
chiropractic associations. The document’s phased release began this
past May with the Low Back draft, which was a culmination of more than 3
years of collaborative work and a review of thousands of scientific
articles.
The chiropractic profession, however, is far from
unanimous in its support of the document. The World Chiropractic Alliance,
the International Chiropractors Association, the Wisconsin Chiropractic
Association, and the Michigan Chiropractic Association have come out
against the initial Low Back draft. Among their concerns is that the
medical profession and the insurance industry participated in the creation
of the document, and that the insurance industry might use the document as
ammunition to deny chiropractic insurance claims in the future if DCs do
not follow the guidelines precisely.
With the lively debate in mind, we decided to give
both sides a chance to air their views on our pages. Turn to page 18 of
this issue for a pro-and-con discussion of the matter. Our thanks go out to
the discussion participants—CCGPP Chair Wayne Whalen, DC, DACAN; and
Michigan Chiropractic Association President Sam Caruso, DC, for their
valuable insights.
The argument against the CCGPP draft definitely has
merit. Many of you became chiropractors because you wanted to practice
health care independent of the medical profession and its allegiance to the
pharmaceutical companies. I can see why it might offend some of you to have
the medical profession involved in the creation of the document.
But I feel that COCSA’s initiative in undertaking
this project is so admirable, that the project should be supported. Even
though the document might be far from perfect, anything that helps the
profession unite is worth the effort. When all of the factions of
chiropractic come together, a more positive message goes out to the public.
This will help encourage more members of the public to see chiropractic as
a necessary part of their preventive care.
The debate is a healthy one, literally, for
chiropractic. The passionate arguments show that both sides care deeply
about their profession and their patients’ well-being. Whichever side
you are on, get involved and actively support either the CCGPP or the
groups that oppose the initiative.