Gliedt Jordan A, Hawk Cheryl, Anderson Michelle, Ahmad Kashif, Bunn Dinah, Cambron Jerrilyn, Gleberzon Brian, Hart John, Kizhakkeveettil Anupama, Perle Stephen M, Ramcharan Michael, Sullivan Stephanie, Zhang Liang
Private Practice, 725 S. Dobson Rd, Suite 100, Chandler, AZ 85224 USA ; Logan University College of Chiropractic, 1851 Schoettler Rd, Chesterfield, MO 63017 USA.
Logan University College of Chiropractic, 1851 Schoettler Rd, Chesterfield, MO 63017 USA.
Chiropr Man Therap. 2015 Feb 2;23(1):4. doi: 10.1186/s12998-014-0048-1. eCollection 2015.
The literature pertaining to chiropractic students' opinions with respect to the desired future status of the chiropractic physician is limited and is an appropriate topic worthy of study. A previous pilot study was performed at a single chiropractic college. This current study is an expansion of this pilot project to collect data from chiropractic students enrolled in colleges throughout North America.
The purpose of this study is to investigate North American chiropractic students' opinions concerning professional identity, role and future.
A 23-item cross-sectional electronic questionnaire was developed. A total of 7,455 chiropractic students from 12 North American English-speaking chiropractic colleges were invited to complete the survey. Survey items encompassed demographics, evidence-based practice, chiropractic identity and setting, and scope of practice. Data were collected and descriptive statistical analysis was performed.
A total of 1,247 (16.7% response rate) questionnaires were electronically submitted. Most respondents agreed (34.8%) or strongly agreed (52.2%) that it is important for chiropractors to be educated in evidence-based practice. A majority agreed (35.6%) or strongly agreed (25.8%) the emphasis of chiropractic intervention is to eliminate vertebral subluxations/vertebral subluxation complexes. A large number of respondents (55.2%) were not in favor of expanding the scope of the chiropractic profession to include prescribing medications with appropriate advanced training. Most respondents estimated that chiropractors should be considered mainstream health care practitioners (69.1%). Several respondents (46.8%) think that chiropractic research should focus on the physiological mechanisms of chiropractic adjustments.
The chiropractic students in this study showed a preference for participating in mainstream health care, report an exposure to evidence-based practice, and desire to hold to traditional chiropractic theories and practices. The majority of students would like to see an emphasis on correction of vertebral subluxation, while a larger percent found it is important to learn about evidence-based practice. These two key points may seem contradictory, suggesting cognitive dissonance. Or perhaps some students want to hold on to traditional theory (e.g., subluxation-centered practice) while recognizing the need for further research to fully explore these theories. Further research on this topic is needed.
关于脊椎按摩疗法专业学生对脊椎按摩疗法医生未来期望地位的看法的文献有限，这是一个值得研究的恰当主题。之前在一所脊椎按摩疗法学院进行了一项试点研究。当前的这项研究是该试点项目的扩展，旨在收集北美各学院脊椎按摩疗法专业学生的数据。
本研究的目的是调查北美脊椎按摩疗法专业学生对职业身份、角色和未来的看法。
编制了一份包含23个项目的横断面电子问卷。邀请了来自北美12所英语授课的脊椎按摩疗法学院的7455名学生参与调查。调查项目包括人口统计学、循证医学实践、脊椎按摩疗法身份与执业环境以及执业范围。收集数据并进行描述性统计分析。
共收到1247份（回复率为16.7%）以电子方式提交的问卷。大多数受访者同意（34.8%）或强烈同意（52.2%）脊椎按摩疗法医生接受循证医学实践教育很重要。大多数人同意（35.6%）或强烈同意（25.8%）脊椎按摩疗法干预的重点是消除脊椎半脱位/脊椎半脱位复合体。大量受访者（55.2%）不赞成在经过适当的高级培训后扩大脊椎按摩疗法专业的执业范围以包括开药。大多数受访者估计脊椎按摩疗法医生应被视为主流医疗从业者（69.1%）。一些受访者（46.8%）认为脊椎按摩疗法研究应专注于脊椎按摩疗法调整的生理机制。
本研究中的脊椎按摩疗法专业学生表现出参与主流医疗的倾向，报告接触过循证医学实践，并希望坚持传统的脊椎按摩疗法理论和实践。大多数学生希望看到重点放在脊椎半脱位的矫正上，而更大比例的学生认为学习循证医学实践很重要。这两个关键点可能看似矛盾，表明存在认知失调。或者也许一些学生想坚持传统理论（例如，以半脱位为中心的实践），同时认识到需要进一步研究以充分探索这些理论。对此主题需要进一步研究。
