Single specialty IPAs are largely motivated by protectionism and not by effort to improve the quality of care.
-- Jeff Goldsmith, PhD, sociologist, and president of Health Futures, Inc.
"The characteristics of a patient-centered paradigm agreed upon include self-healing, recognition of the patient as a unified whole, respect for the patient's values, beliefs, and dignity, involvement of the patient as a partner in health promotion, and a natural and conservative approach to evidence based care. Patient-centered research must reach beyond the randomized controlled trial, involving designs where clinicians apply their own patient-centered therapy in a 'real world' assessment."
Gatterman MI. A patient-centered paradigm: a model for chiropractic education and research. Journal of Alternative and Complementary Medicine Vol. 1, Number 4, 1995. pp. 371-386.
"Physicians and practitioners of alternative medicine must recognize that there are truths to be sought in other camps."
From "Alternative Medicine: The challenge of Nicht-Schulmedizin (or what is not taught in medical schools). Editorial. Journal of Rheumatology 1997;24:12.
While the chiropractic profession has been trying to overcome its internal divisions for years, the medical profession is just beginning to reveal deep rifts between the doctors in its profession. A good example is the following quote, published in the AMA News:
"But we are now succumbing to a sort of internal self-sabotage, where physicians demean other physicians, forgetting that the pluralism of practice is what made medicine great, where physicians resort to legislation to establish their credentials, and where physicians sue fellow physicians over procedure, patient infringements, and even practice modes."
-- James S. Todd, MD, executive vice president, AMA.
Many relevant diagnostic signs are not performed deliberately by the examiner or by the patient at the examiner’s direction. They are observed as the patient reacts to their condition. Fortin’s finger sign, Minor’s sign, and Vanzetti’s sign are three examples of this principle.
Spearheaded by burgeoning scientific and clinical research literature, psychedelics have reached a level of media coverage and popular interest that has not been seen for over half a century. By “psychedelics,” we are referring to the unique class of substances that includes psilocybin (the active compound found in so-called “magic mushrooms”), LSD, dimethyltryptamine (DMT), ayahuasca, 5-MeO-DMT, and mescaline – each of which occurs in the natural world (except for LSD, which is a semi-synthetic compound).
While working at the Lovelace Medical Center in Albuquerque, N.M., one of the primary care physicians stated that imaging every patient prior to receiving chiropractic was not medically necessary. It was at that point I reconsidered the need for the imaging of every patient to avoid malpractice.
