Subluxation and CCE documents

[Guest guest]

Dear LIstserv mates,

Here's a piece of information that may help with the understanding of CCE goals. The word subluxation is not omitted from chiropractic standards and care. It's just that the educational standards include both theories in order to allow students the ability to understand the terms that are presented within the professions' diversity. The standards of an educational institution must give students a broad picture. I hope this explains a bit more.

Minga

There is a significant degree of misunderstanding among the rank and file practicing DC about accreditation standards, and what should or should not be included in them. Here are some points to relay back:

1. These are accreditation standards, not scope of practice, not statutory legal definitions. They govern the education of DCs but do not prescribe terminology. NOTHING precludes a DC from using the term “subluxationâ€. CCE doesn’t have that authority anyway.

2. The Standards are not based popularity contests or opinion polls—they are established to comply with CFR 34 Part 602, not with the ideologies of practicing DCs.

3. The term “subluxation’ remains as part of the required competencies (bold and highlight added):

CCE Policy 3 CCE Meta-Competencies & Guidelines (Effective 1/1/12)

The DCP is required to demonstrate that its students have achieved the mandatory meta-competencies and their required components and outcomes noted below. Within the constraints of the meta-competencies and evidence-informed assessment techniques, each DCP is free to determine its own method of meta-competency delivery and assessment. Ultimately, the DCP is accountable for the quality and quantity of its evidence of compliance with the meta-competencies and their required components and outcomes.

CCE Clinical Education Meta-Competencies

A graduate of a CCE accredited DCP is competent in the areas of:

META-COMPETENCY 1 - ASSESSMENT & DIAGNOSIS

REQUIRED COMPONENTS:

A. Compiling a case-appropriate history that involves a process focused on patients’ health status, including a history of any present illness, systems review, and review of past, family and psychosocial histories for the purpose of directing clinical decision-making.

B. Determining the need for and availability of external health records.

C. Performing case-appropriate physical examinations that include evaluations of body regions and organ systems, including the spine and any subluxation/neuro-biomechanical dysfunction, that assist the clinician in developing the clinical diagnosis(es).