Comparing the old to the new: A comparison of similarities and differences of the accreditation standards of the chiropractic council on education-international from 2010 to 2016

Published on Dec 1, 2018in Chiropractic & Manual Therapies
· DOI :10.1186/s12998-018-0196-9
Stanley I. Innes5
Estimated H-index: 5
(Murdoch University),
Charlotte Leboeuf-Yde Dc Mph40
Estimated H-index: 40
,
Bruce F. Walker22
Estimated H-index: 22
(Murdoch University)
Abstract
Background Chiropractic programs are accredited and monitored by regional Councils on Chiropractic Education (CCE). The CCE-International has historically been a federation of regional CCEs charged with harmonising world standards to produce quality chiropractic educational programs. The standards for accreditation periodically undergo revision. We conducted a comparison of the CCE-International 2016 Accreditation Standards with the previous version, looking for similarities and differences, expecting to see some improvements. Method The CCE-International current (2016) and previous versions (2010) were located and downloaded. Word counts were conducted for words thought to reflect content and differences between standards. These were tabulated to identify similarities and differences. Interpretation was made independently followed by discussion between two researchers. Results The 2016 standards were nearly 3 times larger than the previous standards. The 2016 standards were created by mapping and selection of common themes from member CCEs’ accreditation standards and not through an evidence-based approach to the development and trialling of accreditation standards before implementation. In 2010 chiropractors were expected to provide attention to the relationship between the structural and neurological aspects of the body in health and disease. In 2016 they should manage mechanical disorders of the musculoskeletal system. Many similarities between the old and the new standards were found. Additions in 2016 included a hybrid model of accreditation founded on outcomes-based assessment of education and quality improvement. Both include comprehensive competencies for a broader role in public health. Omissions included minimal faculty qualifications and the requirement that students should be able to critically appraise scientific and clinical knowledge. Another omission was the requirement for chiropractic programs to be part of a not-for-profit educational entity. There was no mention of evidence-based practice in either standards but the word ‘evidence-informed’ appeared once in the 2016 standards. Conclusions Some positive changes have taken place, such as having bravely moved towards the musculoskeletal model, but on the negative side, the requirement to produce graduates skilled at dealing with scientific texts has been removed. A more robust development approach including better transparency is needed before implementation of CCE standards and evidence-based concepts should be integrated in the programs. The CCE-International should consider the creation of a recognition of excellence in educational programs and not merely propose minimal standards.
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References52
Published on Jan 1, 2007in European Food and Feed Law Review
Judith van Erp6
Estimated H-index: 6
(Erasmus University Rotterdam)
textabstractDisclosure of inspection results not only contributes to consumer empowerment, but also affect company compliance. Disclosure stimulates compliance because fear of bad publicity serves as a deterrent for violations. However, excessively stigmatic disclosure can become counter-productive and lead to defiance. To help draw the balance between a deterrent and stigmatising approach, this article introduces a framework for the analysis of disclosure regimes. To illustrate, the framework i...
4 Citations
Published on Sep 1, 2015in Academic Medicine 4.80
James P. Bagian26
Estimated H-index: 26
In the past 15 years, there has been growing recognition that improving patient safety must be more systems based and sophisticated than the traditional approach of simply telling health care providers to "be more careful." Drawing from his own experience, the author discusses barriers to systems-based patient safety initiatives and emphasizes the importance of overcoming those barriers. Physicians may be slow to adopt standardized patient safety initiatives because of a resistance to standardiz...
5 Citations Source Cite
Published on Mar 1, 2013in Health Information Management Journal 1.39
David Greenfield24
Estimated H-index: 24
(University of New South Wales),
Marjorie Pawsey14
Estimated H-index: 14
(University of New South Wales)
+ 1 AuthorsJeffrey Braithwaite43
Estimated H-index: 43
(University of New South Wales)
Accreditation of health organisations, occurring in over 70 countries, is predicated upon the reliability of survey teams' judgements, but we do not know the extent to which survey teams are reliable. T o contribute evidence to this issue, we investigated the reliability of two survey teams simultaneously assessing an organisation. T he setting was a large A ustralian teaching hospital, and data were derived from interviews, observations and survey documents. Participants were from four groups: ...
15 Citations Source Cite
Published on Jan 1, 1994
John W. Creswell35
Estimated H-index: 35
Preface Purpose Audience Format Outline of Chapters 1. PRELIMINARY CONSIDERATIONS Ch 1. A Framework for Design Three Elements of Inquiry Alternative Knowledge Claims Strategies of Inquiry Research Methods Three Approaches to Research Criteria for Selecting an Approach Personal Experiences Audience Summary Writing Exercises Additional Readings Ch 2. Review of the Literature Identifying a Topic A Researchable Topic Purpose of the Literature Review Literature Reviews in Qualitative, Quantitative, a...
31k Citations
Published on Nov 1, 2015in Pain Medicine 2.78
Heather Tick3
Estimated H-index: 3
(University of Washington),
Sheila W. Chauvin1
Estimated H-index: 1
+ 1 AuthorsAviad Haramati20
Estimated H-index: 20
(Georgetown University)
Objective The objective was to develop a set of core competencies for graduating primary care physicians in integrative pain care (IPC), using the Accreditation Council for Graduate Medical Education (ACGME) domains. These competencies build on previous work in competencies for integrative medicine, interprofessional education, and pain medicine and are proposed for inclusion in residency training. Methods A task force was formed to include representation from various professionals who are invol...
6 Citations Source Cite
David Greenfield24
Estimated H-index: 24
(University of New South Wales),
Reece Hinchcliff14
Estimated H-index: 14
(University of New South Wales)
+ 5 AuthorsJeffrey Braithwaite43
Estimated H-index: 43
(University of New South Wales)
Summary The study aim was to investigate the understandings and concerns of stakeholders regarding the evolution of health service accreditation programs in Australia. Stakeholder representatives from programs in the primary, acute and aged care sectors participated in semi-structured interviews. Across 2011–12 there were 47 group and individual interviews involving 258 participants. Interviews lasted, on average, 1 h, and were digitally recorded and transcribed. Transcriptions were analysed usi...
4 Citations Source Cite
Published on Nov 1, 2013in Health Policy 2.29
David Greenfield24
Estimated H-index: 24
(University of New South Wales),
Reece Hinchcliff14
Estimated H-index: 14
(University of New South Wales)
+ 2 AuthorsJeffrey Braithwaite43
Estimated H-index: 43
(University of New South Wales)
Public disclosure is increasingly a requirement of accrediting agencies and governments. There are few published empirical evaluations of disclosure interventions that inform evidence-based implementation or policy. This study investigated the practices associated with the public disclosure of healthcare accreditation information, in addition to multi-stakeholder perceptions of key challenges and opportunities for improvement. We conducted a mixed methods study comprising analysis of disclosure ...
5 Citations Source Cite
Aaron A. Puhl6
Estimated H-index: 6
,
Christine J. Reinhart5
Estimated H-index: 5
+ 2 AuthorsH. Stephen Injeyan11
Estimated H-index: 11
(Canadian Memorial Chiropractic College)
Abstract Objective The objectives of this study were to determine if faction membership among Canadian doctors of chiropractic (DCs) is associated with differences in educational program characteristics among English-speaking Canadian and United States chiropractic colleges and to determine if those differences are expressed in terms of surveyed attitudes and behaviors regarding treatment efficacy, radiographic imaging, vaccinations, and interprofessional referrals. This study also aims to ident...
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Published on Dec 1, 2015in Health Expectations 2.17
David Greenfield24
Estimated H-index: 24
(University of New South Wales),
Reece Hinchcliff14
Estimated H-index: 14
(University of New South Wales)
+ 6 AuthorsJeffrey Braithwaite43
Estimated H-index: 43
(University of New South Wales)
Background Agencies promoting national health-care accreditation reform to improve the quality of care and safety of patients are largely working without specific blueprints that can increase the likelihood of success. Objective This study investigated the development and implementation of the Australian Health Service Safety and Quality Accreditation Scheme and National Safety and Quality Health Service Standards (the Scheme), their expected benefits, and challenges and facilitators to implemen...
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Published on Dec 1, 2014in BMC Health Services Research 1.84
David Greenfield24
Estimated H-index: 24
(University of New South Wales),
Mike Civil1
Estimated H-index: 1
(Royal Australian College of General Practitioners)
+ 4 AuthorsJeffrey Braithwaite43
Estimated H-index: 43
(University of New South Wales)
Background The study objective was to identify and describe the process, resources and expertise required for the revision of accreditation standards, and report outcomes arising from such activities.
2 Citations Source Cite
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