Development of Preliminary Integrated Health Care Clinical Competencies for United States Doctor of Chiropractic Programs: A Modified Delphi Consensus Process.

Autor:	Daniels CJ; Rehabilitation Care Services, VA Puget Sound Health Care System, Tacoma, WA, USA.; Rehabilitation Medicine, University of Washington, Seattle, WA, USA., Cupler ZA; Physical Medicine and Rehabilitation Services, Butler VA Health Care, Butler PA, USA.; Institute of Clinical Research Education, University of Pittsburgh, Pittsburgh, PA, USA., Napuli JG; Primary Care Services-Whole Health, VA St. Louis Health Care System, St. Louis, MO, USA.; College of Chiropractic, Logan University, Chesterfield, MO, USA., Walsh RW; Integrated Primary Care Service, VA Palo Alto Health Care System, Palo Alto, CA, USA.; Palmer College of Chiropractic, Palmer West College of Chiropractic, San Jose, CA, USA., Ziegler AL; Primary Care Services-Whole Health, VA St. Louis Health Care System, St. Louis, MO, USA.; College of Chiropractic, Logan University, Chesterfield, MO, USA., Meyer KW; Rehabilitation Care Services, VA Puget Sound Health Care System, Tacoma, WA, USA., Knieper MJ; Primary Care Services-Whole Health, VA St. Louis Health Care System, St. Louis, MO, USA.; College of Chiropractic, Logan University, Chesterfield, MO, USA., Walters SA; Library, Logan University, Chesterfield, MO, USA., Salsbury SA; Palmer Center for Chiropractic Research, Palmer College of Chiropractic, Davenport, IA, USA., Trager RJ; Connor Whole Health, University Hospitals, Cleveland, OH, USA.; Department of Family Medicine & Community Health, Case Western Reserve University, Cleveland, OH, USA., Gliedt JA; Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA., Young MD; Washington State Department of Labor and Industries, Olympia, WA, USA., Anderson KR; Spectra Community Health Center, Grand Forks, ND, USA., Kirk EJ; Aurora Health Care, Milwaukee, WI, USA.; Southern California University of Health Sciences, Whittier, CA, USA., Mooring SA; Northwestern University Health Sciences, Bloomington, MN, USA.; Athletic Medicine Department, University of Minnesota, Minneapolis, MN, USA., Battaglia PJ; Community-Based Clinical Education, University of Western States, Portland, OR, USA., Paris DJ; Physical Medicine and Rehabilitation, VA Northern California Health Care, Redding, CA, USA.; Mercy Medical Center Mt. Shasta, Mount Shasta, CA, USA., Brown AG; Center for Integrative Medicine, Henry Ford Health, Detroit, MI, USA., Goehl JM; Family Medicine, Dartmouth Health, Dartmouth, Lebanon, NH, USA.; Community and Family Medicine, Geisel School of Medicine, Dartmouth, Lebanon, NH, USA., Hawk C; Texas Chiropractic College, Pasadena, TX, USA.
Jazyk:	angličtina
Zdroj:	Global advances in integrative medicine and health [Glob Adv Integr Med Health] 2024 Aug 15; Vol. 13, pp. 27536130241275944. Date of Electronic Publication: 2024 Aug 15 (Print Publication: 2024).
DOI:	10.1177/27536130241275944
Abstrakt:	Background: There has been rapid growth of chiropractors pursuing career opportunities in both public and private hospitals and other integrated care settings. Chiropractors that prosper in integrated care settings deliver patient-centered care, focus on the institutional mission, understand and adhere to organizational rules, and are proficient in navigating complex systems. The Council on Chiropractic Education Accreditation Standards do not outline specific meta-competencies for integrated care clinical training. Objective: The purpose of this study was to develop preliminary integrated health care competencies for DC programs to guide the advancement of clinical chiropractic education. Methods: A systematic literature search was performed. Articles were screened for eligibility and extracted in duplicate. Domains and seed statements were generated from this literature, piloted at a conference workshop, and evaluated via a modified Delphi consensus process. Of 42 invited, 36 chiropractors participated as panelists. Public comment period yielded 20 comments, none resulting in substantive changes to the competencies. Results: Of 1718 citations, 23 articles met eligibility criteria. After 2 modified Delphi rounds, consensus was reached on all competency statements. A total of 78 competency statements were agreed upon, which encompassed 4 domains and 11 subdomains. The 4 domains were: 1) Collaboration, (2) Clinical Excellence, (3) Communication, and (4) Systems Administration. Conclusion: We identified 78 preliminary competencies appropriate for preparing DC students and early career chiropractors for clinical practice in integrated healthcare settings. Educational programs may consider these competencies for curricular design and reform to strengthen DC program graduates for integrated practice, advanced training, and employment. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.)
Databáze:	MEDLINE
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