脊骨疗法教育委员会的认证作用，是该专业从手工艺到专职医疗职业的旅程的一部分：评论。,Chiropractic & Manual Therapies

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脊骨疗法教育委员会的认证作用，是该专业从手工艺到专职医疗职业的旅程的一部分：评论。
Chiropractic & Manual Therapies ( IF 2.0 ) Pub Date : 2020-07-22 , DOI: 10.1186/s12998-020-00329-2
Stanley I Innes ₁ , Charlotte Leboeuf-Yde _{1,

2} , Bruce F Walker ₁

Affiliation

脊椎治疗师认为自己处于良好的位置，能够为脊柱疼痛带来的持续财务负担提供安全，有效和经济的护理。但是，在世界上许多地方，脊椎治疗师行业仍在努力争取成为主流的专职医疗保健提供者。有证据表明存在不受欢迎的脊椎治疗模式，部分原因是世界上一些认可的脊椎治疗计划。这表明有必要对国际脊骨疗法教育认证标准进行审查，这是脊骨疗法教育委员会（CCE）的职责。为此，我们回顾了有关脊椎按摩治疗系统的新兴证据，以发现问题并提出建议，以期通过改善毕业生结局和希望改善患者护理质量来增强专业认可度。本评论总结了该研究的结果。我们回顾了最近的有关CCE的角色和功能的相关研究，包括我们自己的研究，发现有足够的证据来确定可以至少部分地通过改善CCE的教育标准和流程来解决的关注领域。领域包括缺乏对诸如“脊椎按摩疗法”，“诊断”和“能力”等关键术语的定义，没有这些定义，就无法在详细的水平上达成共识，从而无法为毕业生的能力和标准制定适合的实践范围。此外，有证据表明，在某些情况下，为了使“大帐篷”方法能够实现多种多样的临床护理方法并存，可以避免采用这种详细程度。结合认为脊椎治疗学是“独特的”，高度重视并且被其他脊椎治疗师最好地理解的观点，说明了学生和从业者如何能够坚持“传统”思维。这对公共安全和患者护理质量有影响。如果脊椎护理要在全世界获得主流认可，那么它需要通过振兴的CCE认证标准和流程采用其他联盟医疗行业的标准和程序，并全心全意地接受科学，循证医学和以患者为中心的护理。有证据表明，在某些情况下，为了使“大帐篷”方法能够实现多种多样的临床护理方法共存，可以避免采用这种详细程度。结合认为脊椎治疗学是“独特的”，高度重视并且被其他脊椎治疗师最好地理解的观点，说明了学生和从业者如何能够坚持“传统”思维。这对公共安全和患者护理质量有影响。如果脊椎护理要在全世界获得主流认可，那么它需要通过振兴的CCE认证标准和流程采用其他联盟医疗行业的标准和程序，并全心全意地接受科学，循证医学和以患者为中心的护理。有证据表明，在某些情况下，为了使“大帐篷”方法能够实现多种多样的临床护理方法共存，可以避免采用这种详细程度。结合认为脊椎治疗学是“独特的”，高度重视并且被其他脊椎治疗师最好地理解的观点，说明了学生和从业者如何能够坚持“传统”思维。这对公共安全和患者护理质量有影响。如果脊椎护理要在全世界获得主流认可，那么它需要通过振兴的CCE认证标准和流程采用其他联盟医疗保健行业的标准和程序，并全心全意地接受科学，循证医学和以患者为中心的护理。结合认为脊椎按摩疗法是“独特的”，高度重视并且被其他脊椎按摩师最好地理解的观点，说明了学生和从业者如何能够坚持“传统”思维。这对公共安全和患者护理质量有影响。如果脊椎护理要在全世界获得主流认可，那么它需要通过振兴的CCE认证标准和流程采用其他联盟医疗保健行业的标准和程序，并全心全意地接受科学，循证医学和以患者为中心的护理。结合认为脊椎治疗学是“独特的”，高度重视并且被其他脊椎治疗师最好地理解的观点，说明了学生和从业者如何能够坚持“传统”思维。这对公共安全和患者护理质量有影响。如果脊椎护理要在全世界获得主流认可，那么它需要通过振兴的CCE认证标准和流程采用其他联盟医疗保健行业的标准和程序，并全心全意地接受科学，循证医学和以患者为中心的护理。

"点击查看英文标题和摘要"

The accreditation role of Councils on Chiropractic Education as part of the profession's journey from craft to allied health profession: a commentary.

Chiropractors see themselves as well positioned to provide safe, effective and economical care for the on-going financial burden that spinal pain imposes. However, in many places of the world, the chiropractic profession continues to find itself struggling to gain acceptance as a mainstream allied health care provider. There is evidence of the existence of undesirable chiropractic practice patterns and it is in part due to some of the world’s accredited chiropractic programs. This indicated a need for scrutiny of international chiropractic educational accreditation standards, which are the responsibility of Councils on Chiropractic Education (CCEs). To this end we reviewed an emerging body of evidence about the chiropractic educational system in order to identify issues and make recommendations that may enhance professional acceptance through improved graduate outcomes and hopefully the quality of patient care. This commentary summarises the findings of that research. We reviewed recent relevant studies, including our own, into the role and function of CCEs and found that there is sufficient evidence to identify areas of concern that could be addressed, at least in part, by improvements to CCEs’ educational standards and processes. Areas included a lack of definitions for key terms such as, ‘chiropractic’, ‘diagnosis’, and ‘competency’, without which there can be no common understanding at a detailed level to inform graduate competencies and standards for a matching scope of practice. Further, there is some evidence to suggest that in some cases this level of detail is avoided in order to enable a “big tent” approach that allows for a diversity of approaches to clinical care to co-exist. This combined with the held view that chiropractic is “unique”, highly valued, and best understood by other chiropractors, explains how students and practitioners can cling to ‘traditional’ thinking. This has implications for public safety and patient quality of care. If chiropractic care is to gain mainstream acceptance worldwide then it needs to adopt, through revitalised CCE accreditation standards and processes, those of other allied healthcare professions and wholeheartedly embrace science, evidence-based practice and patient centred care.

更新日期：2020-07-24

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