Pediatric training and practice of Canadian chiropractic and naturopathic doctors: a 2004–2014 comparative study
Abstract Background To assess chiropractic (DC) and naturopathic doctors’ (ND) knowledge, attitudes, and behaviour with respect to the pediatric patients in their practice. Methods Cross-sectional surveys were developed in collaboration with DC and ND educators. Surveys were sent to randomly selecte...
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doaj-e065b6416f0b4c0b99eb9d0f5262bfaa2020-11-25T02:19:05ZengBMCBMC Complementary and Alternative Medicine1472-68822017-12-011711810.1186/s12906-017-2024-5Pediatric training and practice of Canadian chiropractic and naturopathic doctors: a 2004–2014 comparative studyAntony Porcino0Leslie Solomonian1Stephen Zylich2Brian Gluvic3Chantal Doucet4Sunita Vohra5Department of Pediatrics, CARE Program, Faculty of Medicine, University of AlbertaCanadian College of Naturopathic MedicineCanadian Memorial Chiropractic CollegeBoucher Institute of Naturopathic MedicineDépartement de Chiropratique, Université du Québec à Trois-RivièresDepartment of Pediatrics, CARE Program, Faculty of Medicine, University of AlbertaAbstract Background To assess chiropractic (DC) and naturopathic doctors’ (ND) knowledge, attitudes, and behaviour with respect to the pediatric patients in their practice. Methods Cross-sectional surveys were developed in collaboration with DC and ND educators. Surveys were sent to randomly selected DCs and NDs in Ontario, Canada in 2004, and a national online survey was conducted in 2014. Data were analyzed using descriptive statistics, t-tests, non-parametric tests, and linear regression. Results Response rates for DCs were n = 172 (34%) in 2004, n = 553 (15.5%) in 2014, and for NDs, n = 171 (36%) in 2004, n = 162 (7%) in 2014. In 2014, 366 (78.4%) of DCs and 83 (61%) of NDs saw one or more pediatric patients per week. Pediatric training was rated as inadequate by most respondents in both 2004 and 2014, with most respondents (n = 643, 89.9%) seeking post-graduate training by 2014. Respondents’ comfort in treating children and youth is based on experience and post-graduate training. Both DCs and NDs that see children and youth in their practices address a broad array of pediatric health concerns, from well child care and preventative health, to mild and serious illness. Conclusions Although the response rate in 2014 is low, the concerns identified a decade earlier remain. The majority of responding DCs and NDs see infants, children, and youth for a variety of health conditions and issues, but self-assess their undergraduate pediatric training as inadequate. We encourage augmented pediatric educational content be included as core curriculum for DCs and NDs and suggest collaboration with institutions/organizations with expertise in pediatric education to facilitate curriculum development, especially in areas that affect patient safety.http://link.springer.com/article/10.1186/s12906-017-2024-5PediatricsIntegrative medicineComplementary medicineSurveyNaturopathicChiropractic |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Antony Porcino Leslie Solomonian Stephen Zylich Brian Gluvic Chantal Doucet Sunita Vohra |
spellingShingle |
Antony Porcino Leslie Solomonian Stephen Zylich Brian Gluvic Chantal Doucet Sunita Vohra Pediatric training and practice of Canadian chiropractic and naturopathic doctors: a 2004–2014 comparative study BMC Complementary and Alternative Medicine Pediatrics Integrative medicine Complementary medicine Survey Naturopathic Chiropractic |
author_facet |
Antony Porcino Leslie Solomonian Stephen Zylich Brian Gluvic Chantal Doucet Sunita Vohra |
author_sort |
Antony Porcino |
title |
Pediatric training and practice of Canadian chiropractic and naturopathic doctors: a 2004–2014 comparative study |
title_short |
Pediatric training and practice of Canadian chiropractic and naturopathic doctors: a 2004–2014 comparative study |
title_full |
Pediatric training and practice of Canadian chiropractic and naturopathic doctors: a 2004–2014 comparative study |
title_fullStr |
Pediatric training and practice of Canadian chiropractic and naturopathic doctors: a 2004–2014 comparative study |
title_full_unstemmed |
Pediatric training and practice of Canadian chiropractic and naturopathic doctors: a 2004–2014 comparative study |
title_sort |
pediatric training and practice of canadian chiropractic and naturopathic doctors: a 2004–2014 comparative study |
publisher |
BMC |
series |
BMC Complementary and Alternative Medicine |
issn |
1472-6882 |
publishDate |
2017-12-01 |
description |
Abstract Background To assess chiropractic (DC) and naturopathic doctors’ (ND) knowledge, attitudes, and behaviour with respect to the pediatric patients in their practice. Methods Cross-sectional surveys were developed in collaboration with DC and ND educators. Surveys were sent to randomly selected DCs and NDs in Ontario, Canada in 2004, and a national online survey was conducted in 2014. Data were analyzed using descriptive statistics, t-tests, non-parametric tests, and linear regression. Results Response rates for DCs were n = 172 (34%) in 2004, n = 553 (15.5%) in 2014, and for NDs, n = 171 (36%) in 2004, n = 162 (7%) in 2014. In 2014, 366 (78.4%) of DCs and 83 (61%) of NDs saw one or more pediatric patients per week. Pediatric training was rated as inadequate by most respondents in both 2004 and 2014, with most respondents (n = 643, 89.9%) seeking post-graduate training by 2014. Respondents’ comfort in treating children and youth is based on experience and post-graduate training. Both DCs and NDs that see children and youth in their practices address a broad array of pediatric health concerns, from well child care and preventative health, to mild and serious illness. Conclusions Although the response rate in 2014 is low, the concerns identified a decade earlier remain. The majority of responding DCs and NDs see infants, children, and youth for a variety of health conditions and issues, but self-assess their undergraduate pediatric training as inadequate. We encourage augmented pediatric educational content be included as core curriculum for DCs and NDs and suggest collaboration with institutions/organizations with expertise in pediatric education to facilitate curriculum development, especially in areas that affect patient safety. |
topic |
Pediatrics Integrative medicine Complementary medicine Survey Naturopathic Chiropractic |
url |
http://link.springer.com/article/10.1186/s12906-017-2024-5 |
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