Friday, June 12, 2009

Chiro-school year one... almost done

It is here.  The final stretch.  Year one is coming to an end and 11 finals are looming.  Yikes!  It is time to get serious about what I don't understand and take steps to etch the material into my long term memory.  The process of getting prepared like this takes a lot of study time and a ton of caffeine (and EtOH at night).  I think the week will fly by and we'll look back and giggle about the nervous tension created by note packets.  Since when did note packets become so scary?

Thinking back to all the academic obstacles created by our first year professors, there is an element of pride that I feel for getting through it all.  Our class is getting to know each other better and we are forming a mutual respect for one another.  Minus those who cheat, of course.  
We are the next generation of chiropractors destined to follow in the footsteps of our predecessors.   Many of us are finding that the public has a negative view of our profession due to a group of religious fanatics known as straight chiropractors.  Their efforts have kept our profession, the ethical side that is, from obtaining a place in modern medicine or placement within the traditional university setting.  I personally want people to respect me as a health care provider.  It is a vigorous path to gain licensure as a DC and due to the past and present folks who lack the ability to practice with ethical, scientifically based ideologies, we future DC's will have to redefine the profession to EVERYONE we come into contact with.  What an awful burden.  Our advice will be questioned by our patients and potential patients because they are skeptical in our training and personal belief systems.  We will fight our pseudo-scientific counterparts during our careers and there will be times when we will want to bail out of the mess.  I often question whether to stay in this and fight.   

Since I started chiropractic school I have been asked for health advice.  Mainly musculoskeletal advice.  I explain things the best I can and suggest they see a chiropractor if I think their problem could be alleviated.  Too often I learn that the person decides not to go because they are afraid of what they are getting into.   Why is there such mistrust in this profession?  We all know the answer to that.  

More than likely I will continue forward in this program and become a chiropractor.  I tell myself it is worth it by looking at what I personally believe people need in their life.  We will have a lot to offer to our patients and clients surpassing many in the health care market.  At times, I wonder if the profession of counseling or psychology has had similar societal woes.  The stigma of going into the "shrink" to get mental health prevents many people from entering this area of health care.  

As a profession, we need to look at what health means, what it consists of.  Perhaps we need to form a different profession altogether.  Branch away from the ACA and ICA and create something that is monitored enough to build trust in society.  Our country needs prevention more than anything else (as far as health goes).  How do we future DC's overcome the negative public perception of chiropractic and also keep the name "chiropractor"?  Should we open chiropractic clinics or should we open gyms with chiropractic displayed as "conservative primary care or conservative orthopedic care"or "non-surgical musculoskeletal orthopedic care".  It is up to us to market our practices based on what we can do as specialists.  Sort of like orthopedic surgeons do (i.e., The Orthopedic Surgery Center of Idaho).  Why not display something like, "The Center for Non-Surgical Musculoskeletal Care". Chiropractic has A LOT of baggage and in my opinion, I feel we should think otherwise as to whether we use the name in the future.  

We are medical students.  How do we gain respect from the public and our medical counterparts in this competitive health care market?  Respect is gained through hard work and ethical values, of which, I believe many students possess in our class.  When we get out and we find that the public doesn't seem to trust us, we will be tempted to buy into the role that people expect us to play, which is straight chiropractic.  It is sort of like a person who has had alcohol problems in the past and is expected to get drunk every time they drink.  Instead of having "a" beer, they consume beer until they get drunk because that is expected of them.  People know they do this, so they use it as an excuse to be a drunk - they have fulfilled a role and it gives them an identity.  Chiropractors have the same problem.  We will be sent out into the world to fulfill a role created by ourselves.  We will be expected to be a certain way when we finish our education at WSCC.  The question then becomes, does the public view chiropractic as we do or as WSCC has been advocating?  Food for thought.

Thanks again for taking the time to read another essay.  

Have a good day


2 comments:

  1. Dr. Nate:

    Congratulations on completing year one. It brings me back to such wonderful times. I started at NYCC in 1993. That means I just finished my 13th year in practice. We did not have such open forums of discussion,such as blogs. I am concerned about the fear you have and that it is being aired out so publicly. The negativity and low esteem that has plagued Chiropractic more recently is perpetuated by a lack of cohesiveness in our "young" profession.

    Since when does it matter if we are accepted, as long as we accept us. Meaning; DD Palmer aimed for something separate and distinct with Chiropractic. He never asked medicine to "accept" us. We are doing that. Maybe they/medicine do not want us, maybe acupuncture and massage is more their bag because it is more complimentary, who knows. Maybe medicine wants us when medical routes do not work. I won't try to understand my place in medicine, because I do not have a place in a medical model. Your reasoning as to why the public views us negatively is very short sighted in my opinion and that's ok, because at least you are discussing it. It is my passion and what I am and do every second- Here is what you cited:"Many of us are finding that the public has a negative view of our profession due to a group of religious fanatics known as straight chiropractors."

    Religion and straight-- strong words. My biggest problem with this discussion is the fact that we talk outside the "family" so to speak without having it worked out internally as a profession. BJ said: Stand for something or fall for everything."

    Is Harrison's spinal model or Pettibon's model- scientific and mechanically sound. Should we all just be ART specialists? Should we be PT's or MT's? Most of the current academic institutions are not exposing the students to a well rounded approach to Chiropractic and as a result the Chiropractic is being lost.

    We must always first seek to understand.

    My Chiropractic school education was heavily based in the sciences and as a result I knew quite a bit about a musculoskeletal based approaches to pain management using Chiropractic. The care was heavily focused in a treatment based or therapeutic based setting. Looking for when Chiropractic was not indicated,or indicated- when to refer out. As a result I rocked the boards, part 4 etc as most NYCC students did in my era. Yet where I really got my Chiropractic education was out here from the best of the best.
    Nate, I ask that you do not anchor to one Philosophy and one science and one art. That you seek out more than the limited education you are receiving. Get more, be more and do more.

    Chiropractic is so much more than when people have pain. Please do not forget what is running through the spine and skull.

    Are we getting so lost that we forget this amazing fact. If you need science to understand this, that is fine. But remember one thing- why does medicine not accept us? Yet they opened the door to the Osteopaths so fast? is it because maybe they know what we do works? I mean really works?

    Dr. Craig Fishel

    Public Relations Chairman
    NY Chiropractic Council
    drfishel@thewellnesscenterofny.com

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  2. Dr. Fishel,

    Thank you for your thoughtful and thought provoking words. My intent with this blog is to create conversation about the issues surrounding the profession. With that, I sincerely appreciate all you have shared.

    When you say it really works. What do you mean? I guess I am trying hard to understand where manipulation/mobilization fits into the overall realm of a persons health beyond freedom from musculoskeletal restrictions/adhesions etcetera. I suppose if one were to have a biomechanically sound structure there would be less chance or risk of injury from living an active life. Knowing the benefits of living an active life outweighs any adjustment, in my opinion, as far as wellness goes.

    My argument in regards to the education I am receiving is that there is little if any focus on prevention in our curriculum. It seems as if we are being taught to be doctors with a focus on treating disease with a conservative approach versus learning to prevent it altogether. That being said, I do think regular adjustments will prevent many unneeded orthopedic surgeries and unneeded deaths caused by going under the knife. Beyond that, I haven't seen or heard of any other reason for the adjustment. If you can elaborate on this that would be very helpful.

    I want to say thanks again for all you shared. Many students from school read this blog weekly and it is intended to have a positive effect, not a negative one. If we do not discuss these topics how will we ever figure out our role as future chiropractors?

    All my best,

    Nate Spangler

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