At the American Chiropractic Association's House of Delegates meeting, held during the National Chiropractic Leadership Conference in Washington, D.C., state delegates voted to postpone ratification of the ACA's "Choosing Wisely" recommendations, new pledge, and new mission and value statement, while also requiring that the Board of Governors interact with the HOD to a larger extent regarding these and other ACA policies and bylaws:
We would like to direct the new BOG to create a plan and report to the HOD by May 1, 2018, to form regional quarterly phone conferences between the BOG and the HOD members in that region.
We move to postpone ratification [of] Choosing Wisely, the pledge, and the mission and value statement until the next quarterly HOD meeting and direct the BOG to incorporate the appropriate findings from the deliberative session.
We move to direct the BOG to create a standing rule for consideration at the next HOD meeting that the 10-day minimum for policy review applies to emergency proposals and that there is a 30-day review for non-emergency proposals.
We move to direct the BOG to develop ongoing training and education for all members of the HOD on all bylaws and standing rules of the ACA.
While motion #2 is the most specific with regard to the ACA's recent actions regarding "Choosing Wisely," the new pledge, and new mission and value statement, the motions all appear designed to allow for greater deliberation and transparency – with a priority on delegate input – prior to the Board of Governors making policy, procedural or other decisions that impact delegates and the overall ACA membership.
The ACA's self-professed "rebranding" in recent months has proven controversial, particularly its "Choosing Wisely" recommendations regarding X-ray utilization and its pledge. The ACA commented on the "Choosing Wisely" initiative and the motion approved by delegates at the end of a press release reporting on this year's BOG elections, noting that the House of Delegates "expressed its support for the association's participation in this important initiative and also voted on a motion to review the recommendations":
"Delegates held a deliberative discussion about important issues affecting the profession, including ACA's recommendations as part of the Choosing Wisely campaign, an initiative of the American Board of Internal Medicine Foundation (ABIMF). The HOD expressed its support for the association's participation in this important initiative and also voted on a motion to review the recommendations as part of the Choosing Wisely campaign's regular annual review process that will occur in June. ABIMF encourages all partner associations and societies to do an annual review of their recommendations to ensure their continued accuracy. ACA collected feedback from HOD members during the annual meeting, and additional feedback will be considered during the HOD's quarterly call in May. ACA will take these comments into consideration as it conducts its annual review in June."
When sports chiropractors first appeared at the Olympic Games in the 1980s, it was alongside individual athletes who had experienced the benefits of chiropractic care in their training and recovery processes at home. Fast forward to Paris 2024, where chiropractic care was available in the polyclinic for all athletes, and the attitude has now evolved to recognize that “every athlete deserves access to sports chiropractic."
It is estimated that 61% of patients with CTS avoid taking surgical options due to postoperative complications and costly surgical procedures. Chiropractic care offers a comprehensive and effective treatment for carpal tunnel syndrome, addressing the condition from multiple angles. Recent studies also have unveiled a game-changing adjunct to chiropractic treatments for CTS: nerve flossing.
Some doctors thrive in a personality-based clinic and have a loyal following no matter what services or equipment they offer, but for most chiropractic offices who are trying to grow and expand, new equipment purchases help us stay relevant and continue to service our client base in the best, most up-to-date manner possible. So, regarding equipment purchasing: should you lease, get a bank loan, or pay cash?
