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Casper Glissmann Nim
Syddansk Universitet
Corresponding Author
ORCiD: https://orcid.org/0000-0001-5845-2622
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Background We investigated whether a university-based educational system would overrule the strong link (odds ratios >20) between chiropractic conservatism and the inability to recognize non-indications to chiropractic treatment that had been shown to exist in a previous study of a private chiropractic college. We i) sought to define the clinical decision profile of the students in a university-based course embedded in a medical school, and ii) investigated whether students’ clinical judgment was affected by their conservatism score determined from a ten item questionnaire and collapsed into four categories.
Methods In a cross-sectional survey, 3 rd to 5 th year chiropractic students, attending the University of Southern Denmark and recently graduated interns were categorized into four levels of conservatism, which were cross-tabulated with the ability to answer appropriately on 9 cases concerning i) contra-indications, ii) non-indications and iii) indications to chiropractic treatment. Data were analyzed using logistic regression.
Results In all, 146 participants (76%) completed the survey, of which 70% belonged in the two lowest conservatism groups with three outliers (group 4). Their ability to answer correctly to the clinical cases was generally acceptable. The level of conservatism (categories 1-3) was moderately (but not statistically significantly) associated with an inability to recognize non -indications to treatment (odds ratios ~3.5). Three outliers (category 4), however, answered inappropriately on the majority of the 9 clinical cases.
Conclusions The Danish students’ clinical acumen in correctly judging the appropriateness of spinal manipulation in the clinical cases was fairly similar to that shown in the previous survey on chiropractic students attending a private college. Contrary to the findings at the private college, the level of conservatism did not have a strong association with the inability to recognize non-indications. Although a university-based education does not immunize its students against chiropractic conservatism, it does appear to attenuate its consequences on their clinical judgment.
Keywords
Chiropractic students, Chiropractic Conservatism, Spinal subluxation, Spinal adjustments, Contra-indication, Non-indication, Indication, Education, Survey
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research
Casper Glissmann Nim
Syddansk Universitet
Corresponding Author
ORCiD: https://orcid.org/0000-0001-5845-2622
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
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History
CURRENT STATUS: Posted
Version 1
Posted 13 Apr, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Integrative & Complementary Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background We investigated whether a university-based educational system would overrule the strong link (odds ratios >20) between chiropractic conservatism and the inability to recognize non-indications to chiropractic treatment that had been shown to exist in a previous study of a private chiropractic college. We i) sought to define the clinical decision profile of the students in a university-based course embedded in a medical school, and ii) investigated whether students’ clinical judgment was affected by their conservatism score determined from a ten item questionnaire and collapsed into four categories.
Methods In a cross-sectional survey, 3 rd to 5 th year chiropractic students, attending the University of Southern Denmark and recently graduated interns were categorized into four levels of conservatism, which were cross-tabulated with the ability to answer appropriately on 9 cases concerning i) contra-indications, ii) non-indications and iii) indications to chiropractic treatment. Data were analyzed using logistic regression.
Results In all, 146 participants (76%) completed the survey, of which 70% belonged in the two lowest conservatism groups with three outliers (group 4). Their ability to answer correctly to the clinical cases was generally acceptable. The level of conservatism (categories 1-3) was moderately (but not statistically significantly) associated with an inability to recognize non -indications to treatment (odds ratios ~3.5). Three outliers (category 4), however, answered inappropriately on the majority of the 9 clinical cases.
Conclusions The Danish students’ clinical acumen in correctly judging the appropriateness of spinal manipulation in the clinical cases was fairly similar to that shown in the previous survey on chiropractic students attending a private college. Contrary to the findings at the private college, the level of conservatism did not have a strong association with the inability to recognize non-indications. Although a university-based education does not immunize its students against chiropractic conservatism, it does appear to attenuate its consequences on their clinical judgment.
Figure 1
Figure 2
Figure 3
This is a list of supplementary files associated with this preprint. Click to download.
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