Report by the COCSA
Representatives from chiropractic's major organizations met in St. Louis for three days in April 2000 to explore common goals and seek a shared vision of chiropractic's future. The meeting was guided by the facilitation of well-known health care futurist Clement Bezold,PhD, who facilitated open and frank discussions.
The conference was part of an effort by the Congress of Chiropractic State Associations (COCSA) called "Project Leadership." The goal of the program is to "open lines of communications and foster unity between chiropractic organizations so that the profession can develop a shared vision."
Phase I of the conference took place at the 1998 COCSA convention in Atlanta where leaders of chiropractic's national organizations met with leaders of chiropractic state associations to discuss the future of the profession. Two messages predominated: the lack of a shared vision for the profession, and that despite the differences between the various chiropractic groups, all were working toward the same goal - the advancement of the profession.
At COCSA's 1999 meeting, the national chiropractic organizations again lent support to a unified vision. Each was asked to share with state association leadership their top three priority projects and discuss how these projects speak to a shared vision.
Having had two years of warm-up, the St. Louis meeting was the place to get down to the tasks at hand. Throughout the meeting, many issues were discussed. Positions were questioned and defended with a level of professional respect that never wavered. A number of participants noted that their opinions about some of the other leaders improved during the process.
The first sign of success was the unanimous endorsement of the Position on Chiropractic developed by the Association of Chiropractic Colleges (ACC) as the shared vision for the chiropractic profession. This established the basis of understanding and agreement on such issues as: the chiropractic paradigm, the subluxation; and chiropractic scope and chiropractic practice (please see the complete Chiropractic Paradigm and Chiropractic Scope and Practice on the ACC's website: www.chirocolleges.org).
The second hurdle would prove more challenging: to establish meaningful goals. But the leaders proved up to the task. Again, the discussion was open and direct. The opinions expressed reflected those of the entire profession and were thoroughly discussed and debated. Ultimately, three goals were developed and embraced:
Once the meeting ended, the representatives were given the task of taking the vision and newly developed goals back to their respective organizations. Each organization considered the vision and goals carefully. Ultimately, each organization was able to support the spirit of the goals, although some organizations had reservations regarding the specifics.
The next conference is scheduled for May 2001. This will be the meeting where the hard work begins. Together, we will:
COCSA Leadership Conference Participants
American Chiropractic Association
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.
