Australasian Institute of Chiropractic Education October 20… · INSTITUTE OF CHIROPRACTIC...

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Australasian Institute of Chiropractic Education

Australia’s Forefront Chiropractic News & Views Report

INTRODUCING AICE

October 2018 | Free For ACA Members

2 THE AUSTRALIAN CHIROPRACTOR OCTOBER 2018

chiropractors.asn.au/conference

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3 OCTOBER 2018 THE AUSTRALIAN CHIROPRACTOR

THIS MONTH'S ISSUEOctober 2018

RANDOM AUDITS OFADVERTISING COMPLIANCE 28 THE GILES MEDAL 2018:

PROF CHARLOTTE LEBOEUF-YDE 31HOW DO YOU ACHIEVE MORELOYAL RELATIONSHIPS? 26

NEW CAREMODEL 35 STAFF PROFILE:

STUTI VAIDYA 36NON-SPECIFIC LOW BACKPAIN IN EVERYDAY PRACTICE 32

20 SEXUAL HARRASMENT IN THE WORKPLACE 24INTRODUCING AICE: AUSTRALASIAN

INSTITUTE OF CHIROPRACTIC EDUCATION

ACA ANNUAL CONFERENCE COMES TO HOBART 17 WORLD CONGRESS OF

CHIROPRACTIC STUDENTS 18OUR SUPPORT, YOUR CONFIDENCE:UNVEILING THE NEW LOOK FOR ACA 14


October is always a big month for the Association with the ACA Annual Conference, World Spine Day and also the launch of the Interest Group membership year. This October we are also launching our new branding and the Australasian Institute of Chiropractic Education (AICE), both of which feature in this edition.

A lot of time goes into planning the ACA Annual Conference, as we ensure that every detail is carefully considered to ensure a smooth and enjoyable experience for each delegate. Debbie Kelly, our Events Coordinator, works on the conference year-round. Not only are many of the details for our 2019 conference locked in but Debbie has already began looking into 2020! I hope that you can join us in Hobart for what will be a great weekend.

World Spine Day is on 16 October and this year we are encouraging Australians to ‘love your spine’. In addition to the marketing toolkit we provided members in September, we are releasing a national media release, a blog post and a video. World Spine Day is a global initiative and I look forward to seeing how Australian chiropractors contribute to this campaign.

Since I joined the ACA staff three-and-a-half years ago, it has been great seeing Interest Groups develop and flourish. I personally see them as a great opportunity to further the chiropractic profession and also encourage greater collaboration amongst chiropractors. I encourage you to consider joining one of our eight interest groups.

Any clinic owners who have rebranded their business will know that it is both an exciting but also challenging experience. I’m an avid watcher of 'The Block' and liken the experience of our rebranding to a quicker-than-normal renovation. Firstly, there are the judges (the Board); secondly, there are the many rooms to deliver (our sub brands); and finally, there is the ultimate sale (connecting members and stakeholders with the new brand).

This month we also launch the AICE headed by Adjunct Professor Henry Pollard. Sitting down with Henry at his practice in southern Sydney, his experience and knowledge are immediately apparent. It is inspiring hearing him speak of this new framework for advanced learning pathways and it will be exciting to see AICE continue to take shape.

Editor'sNote

ARIEL TATE

Opinions or other material (including advertising) expressed within this publication are those of the contributor and do not necessarily reflect the opinion of nor the policy of the Australian Chiropractors Association (ACA) Limited, unless otherwise stated. Acceptance of advertising material in no way implies that it has the endorsement of the ACA or the Editor of The Australian Chiropractor. The Editor is under no obligation to print any material submitted for publication and has the

discretion to accept or reject such material without obligation to give reason.

The Australian Chiropractor is the official publication of the Australian Chiropractors Association and is published 11 times per year. All literary matter in the magazine is covered by copyright and must not be reproduced without written

permission. Not for distribution outside the chiropractic profession.

©2018 Australian Chiropractors Association

Editor-in-Chief Dr Matthew Fisher

Managing Editor Ariel [email protected]

Writer/Editor Julie [email protected]

Graphic Designer Matthew [email protected]

Advertising Coordinator Debbie [email protected]

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[email protected]

02 8844 0400

PO Box 255, Parramatta NSW 2124

www.chiropractors.asn.auABN 50 050 096 038

@AusChiros

Got something to share? If you have an article for submission or would like to write a

letter to the Editor, please contact us by the 10th of the month, prior to publication: [email protected]

Got something to advertise? If you wish to place a display or classified advertisement,

please contact us by the 15th of the month, prior to publication: [email protected]


hen considering whether you will involve yourself with a professional

representative body, most people ask two questions:

1) what immediate and long-term benefits will I receive; and

2) do I identify with the values of the professional body.

In an attempt to understand our world and how we fit in, people default to looking to what is the same and what is different from themselves. For as long as I have been a chiropractor (an increasingly long time), the camps have been divided between the subluxation-focused vitalists and the evidence-based mechanists.

While there may be extremes at both ends, I would contest that 80-90% of chiropractors appreciate that an evidence-based model is essential for our profession to thrive and for the patients and communities we serve to receive the best possible healthcare into the future. These same chiropractors, however, cannot dismiss a century of practitioner and patient observations that functional disorders of the spine have a broader effect on health and wellbeing beyond just back pain, neck pain and headaches.

Each and every one of us have our own philosophy and express this slightly differently in practice. The commonality required to build a strong ACA will not be founded on philosophy. Philosophy is a personal choice that determines the idiosyncrasies of your practice, it is not what should drive the peak body Association.

Instead, the ACA has a focus on professionalism in thought, action and outcome. The ACA is committed to the highest standards of patient-centred care. This is a banner all ethical chiropractors should feel comfortable standing behind.

Our discussions with government and other stakeholders are not about

FROM THE PRESIDENTDr Anthony Coxon

philosophy, nor is philosophy central in our marketing and communications. Professionalism and best outcomes for patients and our profession is our mantra.

We are committed to building the evidence-base to improve patient outcomes and ensure more Australians experience chiropractic care for their health and wellbeing.

RISK MANAGED OFFER (RMO)As I have said, there needs to be a financial benefit of membership. In the case of the ACA, the biggest financial gain is the Guild Insurance offer. Many ACA members renew their Guild liability insurance over the coming months. By being an ACA member, and by taking advantage of Guild’s online Risk Managed Offer (which is exclusive to ACA members), full-time practicing members can save over 30% from Guild’s standard rates. That’s over $1,000!

Keep an eye out for your Guild renewal notices which will be coming out in the next few weeks. Read the information carefully and complete the online Q&A to learn about risk mitigation strategies, while saving money at the same time.

POLICY ON SUBLUXATIONAs you may know, the ACA definition on subluxation is the same as that of the World Health Organisation and appears on our website.

On request from the ACA Board, Dr Barry Draper has compiled a discussion paper on subluxation that has recently been presented to the Board. It is our intention to seek advice from key members, academics and others on this issue, before making a final decision later in the year.

The ACA Board was very impressed with the thoughtful logic in Barry’s paper. Here is a brief section that I’ve included for your consideration:

I am of the view that what we cannot do is allow our daily practice

to be founded on a priori assumptions, uncritical clinical observations, untested biological plausibility, unyielding commitment to historical maxims and premature conclusions stemming from novel and unverified research studies.

I am of the view that what we must not do is dismiss the clinical observations made by patients and practitioners that functional disorders of the musculoskeletal system have a broader impact upon health beyond the initiation of localised musculoskeletal pain.

W

Our discussions with government and other stakeholders are not about philosophy, nor is philosophy central in our marketing and communications. Professionalism and best outcomes for patients AND OUR PROFESSION IS OUR MANTRA.


t the ACA Board meeting held on Friday 21 September, the Board and Chair of the PE

Committee received presentations on future directions for the ACA which follows on from what was explained to members in September. ACA will be engaging OPR (formerly known as Ogilvy PR) to work with us through a project team with considerable expertise in both public relations and government relations. To date, we have adopted a systematic reputation management approach to: 1. demonstrate that we are an

association that can be TRUSTED by members and the community;

2. drive brand DIFFERENTIATION and LOYALTY;

3. manage issues in a CONSISTENT and PROACTIVE way; and

4. increase and strengthen POSITIVE CONVERSATIONS with key stakeholders.

Our next steps are to adopt a strategic approach through a coordinated public relations strategy that will enable us to build on the above and to achieve our stated purpose that more Australians experience the care provided by chiropractors. This builds on our consumer survey in 2017 which showed that medical GPs, dentists and physiotherapists are each more highly associated with all reputational factors than chiropractors. Consumer insights also showed that providing good value for money and using scientific rigour are areas the chiropractic profession could improve on, as these are factors that are important for people when choosing a health professional. Importantly, once people have visited a chiropractor, they are also significantly more likely to think chiropractors have a good, or very good, reputation and are significantly more likely to recommend them to a friend or family member.

Ultimately, the biggest champions

FROM THE CEODr Matthew Fisher

A of the profession are the consumers of the care provided and this is what we are aiming to build upon. The ACA looks forward to working with OPR over the next 12 months to deliver the desired outcomes of: • increased utilisation of chiropractic

care with more Australians experiencing its benefits;

• business growth for the profession; Improved understanding and reputation of chiropractic care, promoting the profession within national law constraints and reducing uncertainty;

• improved understanding of the role chiropractic care plays within the broader healthcare system; and

• the growth of the ACA brand among members, the public, policy makers, regulators, third-party funders and detractors.

Be part of the future.

WORLD SPINE DAY - LOVE YOUR SPINETaking place on 16 October each year, World Spine Day has become a focus in raising awareness of back pain and other spinal issues. With health professionals, exercise and rehabilitation experts, public health advocates, schoolchildren and patients all taking part, #LoveYourSpine will be celebrated on every continent. With an estimated one billion people worldwide suffering from back pain, it affects all age groups, from children to the elderly. It is the biggest single cause of disability on the planet, with one in four adults estimated to suffer from back pain during their lives. Prevention is, therefore, key and this year’s World Spine Day will encourage people to take steps to be kind to their spines. Organised by the World Federation of Chiropractic (WFC) on behalf of the Global Alliance for Musculoskeletal Health, World Spine Day has over 500 official organisational supporters worldwide. ACA, as a member of WFC and the Alliance, are providing you

with a whole range of materials in preparation, plus we will be releasing a video and providing social media for you to share. Again, be connected and be part of the future.

EDITOR OF THE CHIROPRACTIC JOURNAL OF AUSTRALIA (CJA)The ACA is pleased to announce that Dr Gregory F. Parkin-Smith, MTech(Chiro), MBBS, MSc, DrHC, CertEM has accepted the position as Journal Editor given the resignation of Dr Dana Lawrence, and will provide direction to the Journal over the next 12 months. Greg is dually registered as a chiropractor and medical practitioner and is an Adjunct Associate Professor at the School of Health Professions, Murdoch University. He has attained various other degrees and certificates with a Masters Degree in Clinical Neuroscience and Pain from University College London, a Master’s Degree in Evidence-Based Medicine from Oxford University, a Specialist Doctorate in Health Care from King’s College London, alongside professional certificates in sports injuries management (CCSP) and emergency medicine (CertEM). He has been involved in developing the Models of Care for the WA HealthCare Networks in Chronic Pain and Spinal Pain, also having been the past Co-Chair of the Pain Health Working Group of the Musculoskeletal Health Network in WA. Greg is currently a reviewer for four peer-reviewed journals (Pilot & Feasibility Studies; Journal of Pain Research; Archives Physical Medicine & Rehabilitation; and Journal of Manipulative & Physiological Therapeutics). He has published over 30 papers in data-base listed peer-reviewed journals, 17 of which were formal clinical trials. He is currently undertaking a Diploma in Practice Management & Leadership and is involved in the practice management of the medical practice in which

ACA ANNUAL

CONFERENCE

20-21

October

Hotel Grand

Chancellor

Hobart

WORLD

SPINE DAY

16 October

#LoveYourSpine


he works. We look forward to him exercising his capability as our Editor and continuing the development of the CJA.

PUBLICATIONS THAT ARE SHAPING THE FUTUREMembers will often see in our emails, or social media, various publications that may shape our future. The recent CSIRO Future of Health Report contained themed recommendations in improving the health of Australians. From ACA's perspective, the profession could have a role to play through the offering of high quality, non-surgical, drug-free spinal healthcare and lifestyle advice, given chiropractors help Australians lead and maintain healthy lives. The ACA recognises that the primary consideration of all chiropractors must be the wellbeing of consumers and the promotion of health in the community, and that this care is delivered in an integrated, professional and inclusive manner. The ACA supports patient-centred approaches to care that can lead

to improvements in safety, quality and cost effectiveness, as well as improvements in patient satisfaction. The ACA looks forward to being part of the future on behalf of Australians and in the end, this is to achieve our stated purpose of being.

ANNUAL CONFERENCE 2018Over 200 people are registered to attend our Annual Conference in Hobart which will focus on Positive Ageing. With a comprehensive and diverse program including an expanding research symposium, the conference is supported by an array of sponsors and exhibitors, promising to be a great event. I look forward to meeting you there.

Ultimately, the biggest champions of the profession are the consumers of the care provided and this is WHAT WE ARE AIMING TO BUILD UPON

ANNUAL REPORT 2016

ANNUAL REPORT 2017

ANNUAL REPORT 2018

MY HEALTH RECORD

TRANSITION TO PRACTICE

PHYSICAL ACTIVITY GUIDELINES

ACA Annual Conference 2018


POSITIVE AGEINGAugust 2018 | Free For ACA Members

Annual ReportOur 2018 Annual Report is now

available online. To view the report and previous CAA Annual Reports visit

chiropractors.asn.au/annualreport

The Australian Chiropractor

To view previous editions online visitchiropractors.asn.au/tac


GRADUATE CERTIFICATE INCLINICAL ULTRASOUNDBASIC SOFT TISSUE ULTRASOUND IMAGING CQUniversity Australia’s Graduate Certi� cate in Clinical Ultrasound (Basic Soft Tissue Ultrasound Imaging) provides chiropractors with an opportunity to extend their � eld of expertise to include the production and interpretation of diagnostic ultrasound images and studies.

This course allows you the � exibility to study online, with access to learning support. You will be able to complete the course in 6 months studying full time or 1 year part time.

Some units include a compulsory residential school to participate in ultrasound skill acquisition and image interpretation training.

As part of this course you will be required to complete the four units of study listed below:

» Science and Instrumentation of Ultrasound

» Fundamentals of Musculoskeletal Ultrasound

» Musculoskeletal Ultrasound (Lower Body)

» Musculoskeletal Ultrasound (Upper Body).

For other information including course details, costs and how to apply visit cqu.edu.au/clinicalultrasound.

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Post of the Month

@vidalovelifeSpring has definitely sprung!

Damian rocking the florals today#vidalovelife #chiropractic #sandringham #springtime #happyshirt @damiankristof

have just read Matthew Fisher’s most recent article in the September issue of The Australian

Chiropractor regarding CAA/ACA membership rates and inviting comment. I think the 43% rate quoted in the article is disappointing.

Much is made of “membership benefits” and the need to speak with one voice, but I have always felt strongly that those who are members are propping up the non-members. Who do the non-members think are representing them at government level; with the health funds; and with insurance companies, etc?

When canvassing non-members I reckon they should be encouraged to understand that this advocacy is paramount and that others are paying for it and their contribution is crucial. More members = more funds = more advocacy.

ANDREW MOULTON, VIC

I

LETTERS TO THE EDITORRegular Section

GRADUATE CERTIFICATE INCLINICAL ULTRASOUNDBASIC SOFT TISSUE ULTRASOUND IMAGING CQUniversity Australia’s Graduate Certi� cate in Clinical Ultrasound (Basic Soft Tissue Ultrasound Imaging) provides chiropractors with an opportunity to extend their � eld of expertise to include the production and interpretation of diagnostic ultrasound images and studies.

This course allows you the � exibility to study online, with access to learning support. You will be able to complete the course in 6 months studying full time or 1 year part time.

Some units include a compulsory residential school to participate in ultrasound skill acquisition and image interpretation training.

As part of this course you will be required to complete the four units of study listed below:

» Science and Instrumentation of Ultrasound

» Fundamentals of Musculoskeletal Ultrasound

» Musculoskeletal Ultrasound (Lower Body)

» Musculoskeletal Ultrasound (Upper Body).

For other information including course details, costs and how to apply visit cqu.edu.au/clinicalultrasound.

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STUDENT EVENING – MACKAY

ACA WELCOMES THE NEW QUEENSLAND HEALTH OMBUDSMAN

Students support athletes at the Bridge to Brisbane Event

The ACA Northern Region supports regular student learning events across the course of the year. These student organised and driven events, cover a plethora of subject matter, with the aim to allow students to come together to improve their understanding of both chiropractic and the healthcare space.

On 7 September students in Mackay held an evening with a multi-professional care theme, organised by WCCS

Mr Andrew Brown has been appointed as the new Health Ombudsman in Queensland. On Friday 31 August, Northern Regional Manager Linda Smith and Dr Andrew Vincent attended the Office of the Health

Ombudsman to welcome Mr Brown to his new role.

Mr Brown gave an update on the current activity of Health Ombudsman in Queensland. The Office of the Health Ombudsman (OHO) has successfully started to

clear the backlog of complaints in Queensland. Additionally, steps have been taken to improve communication and reporting standards with AHPRA.

It was heartening to be able to discuss chiropractic and be

available to answer any questions about the profession. The OHO has had minimal complaints relating to chiropractors, with ACA representatives affirming that chiropractic is a low-complaint profession.

Sixteen CQUniversity chiropractic students recently woke at 5:00am on a rainy morning to provide care to participants of the Sunday Mail Bridge to Brisbane event.

“Despite the rain, the students were kept busy for the entire morning of the Bridge to Brisbane event, treating more than 80 participants with a wide range of post-race niggles”, said CQUniversity chiropractic lecturer Dawn Dane.

“It was a great opportunity for students from all years to get out and meet the public. While the

NORTHERN NEWSQLD and NT

representative Lauren Hunter. To start the night Dr Jess Homes from Grays Chiropractic & Wellness in Ooralea Mackay, presented on SCENAR Therapy. Jess is a teacher of the SCENAR Therapy, and students enjoyed hearing first-hand how beneficial the tool is when helping patients with all sorts of ailments. Jess shared how she uses the SCENAR Therapy alongside chiropractic to give her patients the best care that she can.

The second presenter was Dr

queues were growing, the students worked together to create an efficient system ensuring everybody was seen and taken care of in a timely manner.

“This is an excellent example of how CQUniversity students are encouraged to use their developing skills and knowledge from an early stage to prepare them to be truly work-ready graduates.”

Nicole Urmston, now in her final year of study at CQUniversity reflected, “It was fantastic to meet so many people on the day of the Bridge to Brisbane event, and to work

Anne Jensen, who has been a locum chiropractor in Mackay at Little Sprouts Chiropractic for the past few months. Anne completed her PhD in muscle testing at Oxford University and spent the evening explaining her research and how that shaped her as a chiropractor and has also directed her towards future research possibilities.

Continuing with the theme of multiprofessional care, Dr Ieuan Rees from Buck and Todd Optometry explained what he does as a vision therapist and

how, through his work, he is able to help children with vision therapy. Ieuan shared how he has worked alongside chiropractors locally.

Lastly Dr Amy who graduated from CQU in Mackay in March this year ended the evening with a casual chat about what she has found to have helped her post-graduation, the challenges and highs, and a Q&A session rounded out the evening.

Thank you to all presenters for giving your time to the participating students.

along side students from all year levels and different stages in the program.”

Well done to the students and staff of CQUniversity for

being positive ambassadors for chiropractic, and for displaying dedication despite the rainy conditions and to use their skill to assist at this event.


WIC CONNECT, LEARN, UNWIND CPD PLANNING FOR WA

WESTERN WEEKLYWA

The new ACA Murdoch University Student Representative for 2019 is Ash Jones. Ash is currently a third year student and has worked as a chiropractic assistant for the last four years as well as being a full time mum of three well-adjusted children. “Having been a 'FIFO' family for many years, I have exceptional time management and organisation skills, allowing me to have a multifaceted approach to both living and learning,” says Ash.

Ash entered university as a mature age student after having many national and statewide leadership roles in various companies including JB Hi-Fi,

ANZ Australia and The Country Road group.

Ash is the current MoveIt! Secretary, involved in organising events, supporting the other MoveIt! board members as well as liaising with staff and students to create a cohesive and inclusive atmosphere on campus.

This year, Ash has also served as MoveIt! Vice President, undertaking a bigger role than previously, in being the main organiser of technique events, coordinating with both the existing ACA Student Representative Nadine Dick as well as the Murdoch WCCS Chapter to promote unity

New ACA Student Representative at Murdoch

Women in Chiropractic (WIC) in Western Australia hosted a successful gathering in Busselton in August. Attendees listened to Emma Pollard, the Goodnight Nurse share her thoughts and experience on work-life blend, before

stretching out for an hour's yoga practice with Kelly Blackman. Along the way there were plenty of laughs and sharing about the challenges and triumphs we all experience as we juggle our myriad of hats.

The Western Region want to hear from WA Members. What type of seminars, workshops or events do you want to see in your region? What techniques are being used in practice that require continual

training? What speakers do you want to bring to WA and why? All these questions and more.Help us plan for 2019 by emailing your suggestions to [email protected]

with respect to diversity among chiropractic students. Ash also represented Murdoch at the 40th Annual WCCS AGM in South Africa and was awarded Best New Delegate for the congress.

“I understand the ACA Student Representative role is important in connecting students to our premier professional Association and that attending meetings and the AGM is required. I would love the opportunity to work autonomously on behalf of the ACA and continue to inspire Murdoch students with great content and opportunities to enhance their learning,” says Ash.

The ACA congratulates Ash on her appointment and looks forward to working with her

during her two year term. We would also like to thank the highly dedicated and wonderful 2018 representative Nadine Dick who is in her final year at Murdoch and looks forward to joining the chiropractic profession.

The chiropractic experience with advertising complaints was discussed. While statutory complaints are passed to AHPRA, the Ombudsman noted the work that had been done by the Association to improve members understanding and activity in this

area.Common complaints in

healthcare were discussed, with the Ombudsman providing some key educational areas for the Association to utilise to help prevent practitioners from being subject to future claims.

Some of these areas included boundary issues, communication, appropriate consent and maintaining robust patient records.

Possible legislative changes to the Health Ombudsman Act were discussed, with ACA

representatives encouraged by the common-sense approach being undertaken. We look forward to a continuing and productive relationship with the OHO for the benefit of ACA members in Queensland.


CAANSW AGM AND SEMINAR 2018

Adjusting our Future

On Saturday 15 September the Eastern Region held the 'Caring for our Baby Boomers' Seminar, followed by the final CAANSW Annual General Meeting. Both events were well received with 33 attending the seminar and 39 attending the AGM.

Caring for our Baby BoomersFor the first session of the program we were fortunate to have Associate Professor Kate O’Loughlin, Dr Johanne Brady and Professor Lindy Clemson from the University of Sydney, presenting on their specialised areas for caring for the baby boomer generation. Delegates found all three presentations informative and engaging.

The second and third sessions were presented by one of our own, Dr Taylor Harrison. Taylor

The appointment of Professor Simon French to the Macquarie University Department of Chiropractic as Professor of Musculoskeletal Disorders signifies a new era for chiropractic research in Australia. To mark the occasion, the Chiropractic Alumni recently held a gala cocktail party 'Adjusting Our Future', with a 1920s and 30s theme to launch the Macquarie Chiropractic Alumni Research Fund (MtCaRF) – a fund specially purposed to support chiropractic researchers at Macquarie University. The event called upon all those who understand the importance of research to build the evidence

EASTERN ENQUIRERNSW and ACT

has dedicated his life to helping the over 60s. He is driven to not only help the senior population but encourage other health practitioners to focus on doing more for this group.

Here's what some of the delegates had to say:

“Amazing! Great communication and can’t wait to practice these new skills.”

“Good take home messages – good differentiation for practice expansion.”

“Taylor Harrison’s presentation

was very appropriate for increasing care to a greater community as well as the ageing population.”

CAANSW AGMThe final CAANSW AGM was held from 3:00pm on Saturday 15 September. It was wonderful to see members who would not normally attend, turn up for this final meeting. All Board members past and present were acknowledged and congratulated for their contributions to CAANSW.

base for the future of the profession.

In launching the fund, Professor French stated “At the Macquarie Department of Chiropractic we have a research vision to improve the musculoskeletal health of the community. We want to undertake research that will advance knowledge in musculoskeletal health, improve clinical practice, inform healthcare policy, and improve health outcomes of the community. In order to achieve this vision, we need funding to support researchers, and our academics to conduct high quality research. With the right support, I strongly believe we can create a world-leading

research group to undertake critical work that will inform the quality of chiropractic practice for years to come. In order to survive the increasingly competitive academic research environment, our profession must increase our research productivity.”

ACA President Dr Anthony Coxon attended and helped kick-start the MtCaRF with a financial contribution from ACA. “Attending the Macquarie Alumni celebration was a great opportunity to network with NSW chiropractors and appreciate Macquarie’s deep commitment to furthering the chiropractic profession through research, a passion shared by the ACA. The ACA commitment aspires to the highest standards of patient-centred care. This is something

we can all align with,” Dr Coxon commented.

Support and donations to the MtCaRF are welcomed and encouraged at thechiropracticalumni.org.au/research

Drinks followed the AGM where members could mingle and reminisce and also look forward to the future of ACA. Dr John de Voy was especially recognised for his contribution to both the profession and Association.


HIDDEN LEADERSHIPMany women in our profession possess hidden leadership qualities without even knowing it. Our original preface in starting the WIC group was to encourage more women into leadership roles at ACA to better represent our female colleagues. This has become a major topic of discussion at our WIC gatherings.

One of the main obstacles for women putting themselves forward for leadership positions is they feel time poor and would find it challenging to attend meetings and seminars or even have time to connect with others.

However, ‘hidden leaders’ thrive. From helping someone get to a place they couldn’t on

their own or simply not waiting for problems to arise, we take the initiative to understand the current situation and envision a better future, a better now. Women develop a vision, know where they want to go and start walking. This is leadership, leadership is nurturing. Very often we stand in front, beside and behind those who are leading in order to help them shine. We invite you to join in our discussions through our national Facebook page and share your voice.

The recent WIC NSW social gathering in Manly was a great success. It brought together a diverse mix of local and broader Sydney women, new graduates and those with decades of

experience. Discussions moved from the value of previous educational sessions with WIC prior to graduation, helping graduates visualise what life in practice might be like and the importance of having someone to turn to regarding daily practice, including financial planning as well as how to manage a practice whilst parenting.

Many WIC members were unable to attend due to family commitments and last minute emergencies, but we look forward to new faces at our next gathering in Inner West Sydney or another location near you.

For upcoming events, to get more involved or to find your local WIC Facebook page visit chiropractors.asn.au/wic

Women in Chiropractic Connecting the ACA Southern Region

‘EARLY LIFE SPAN’ SEMINAR

CAASA AGM

On 29 August, Women in Chiropractic (WIC) held its first Southern Region online forum. The idea behind holding an online forum was to provide the opportunity for all our members across SA, Tasmania and Victoria to join the conversation about WIC’s objectives and how we are planning to achieve them in our region.

On the night, Drs Katie Moss and Paula Stacey-Thomas outlined what WIC has achieved up until now, the resources

that are currently available and then looked towards the future for how WIC and its resources can best support all members and find ways to connect with women across the region.

We would love to hear from you, so if you have a great idea for a new resource or event, need to know where to get some extra support or would like to join the WIC Southern Region committee contact Jacqui Powell via [email protected]

SOUTHERN STARVIC, SA and TAS

CAA SA members joined the SA Board at its recent Annual General Meeting and received an update on how the Board will be proceeding to finalise its transfer of assets to the ACA. SA members are reminded that they will be asked to attend another member meeting once the Board has finalised all the necessary paperwork to progress to the final stage of this process.

The Board thanks members for their patience and involvement to date. Dr Stefano, ACA Public Engagement Committee Chair (PEC) was also recently in Sydney explaining some of the future projects for the PEC on how they will be working towards more engagement with the public to promote chiropractic.

In August we supported our RMIT 5th year students by providing a free Early Life Span

seminar. Covering topics such as common paediatric orthopaedic conditions, educational and

employment opportunities in chiropractic paediatrics and how to perform a neurological examination in an infant & toddler. We sincerely thank Dr

Neil Davies, Dr Rachael Cripps and Dr Jason d’Hotman DeVilliers for giving up their time to educate the next generation of chiropractors.


he renaming of the Chiropractors’ Association of Australia (CAA) to the Australian

Chiropractors Association (ACA) provided the opportunity to rebrand the Association, with the intent of creating a brand for the ACA that resonates with members, connects with stakeholders and reaches out to former and future members.

The CAA brand, affectionately known as the 'safe hands', was introduced in 1990 when the Australian Chiropractors’ Association and the United Chiropractor's Association merged. Then Executive Director, Dr John Sweaney, said in 1990 "The establishment of this new professional Association provided the ideal opportunity to assess the profession’s strengths and weaknesses, to consider a new image and to design a comprehensive strategic plan for the future."

LEADERSHIP ASSOCIATION

ARIEL TATE

Since 1990, the CAA brand has remained largely the same, with some minor revamps over the years. Now with the restructuring of the CAA into the ACA, the new ACA Board was in agreement that it was again the ideal opportunity to consider a new image for the future.

TDESIGN VALUE

STRATEGYTRUST

LOGOIDENTITY

MARKETINGADVERTISING

BRAND

BRANDING - MUCH MORE THAN JUST A LOGOAt its core, ‘branding’ is the perception of the company by the market. Branding goes much further than a logo, involving all aspects of the customer experience, from the writing tone to colours used, from social media engagement to the way a phone call is answered. A strong brand and brand strategy, in partnership with a strategic plan, is essential for:• recognition in the market;• differentiation from competitors; • setting the expectation for the

customer experience; and• creating a ‘flag’ for members and

employees to rally around.

There are a number of considerations for any rebranding exercise, including the additional considerations unique to our Association and the context surrounding the restructure. Some

UNVEILING THE NEW LOOK FOR ACA

Our Support Your Confidence


ASSOCIATION LEADERSHIP

of the important considerations of rebranding the CAA to the ACA included:• brand equity with members;• negative brand equity with many

non-members; • financial costs for the Association;• timeline of the process;• relevance for the chiropractic

profession;• suitability for the Australian

healthcare industry; and• brand architecture for the

Association.

THE REBRANDING PROCESSAfter careful consideration of the various options in proceeding with the rebranding, Messy Design were engaged to facilitate our rebranding. The first step in the process was a brand strategy workshop with key members of staff and Vice President Dr John de Voy as a Board representative.

The Brand Strategy Workshop involved an analysis of the current CAA branding, a review of our audience and key stakeholders, discussions around our core offerings and the industry landscape, and development of our brand personality

and a ‘big idea’ to frame the new branding.

Following the workshop, I presented the two branding concepts Messy had developed to the Board at their August meeting. The Board overwhelmingly were in favour of the ‘revolution’ approach. Messy made some amendments based on the Board’s feedback and the final branding was approved at their September meeting.

THE 'BIG IDEA’ AND NEW IDENTITYA ‘big idea’ is a company’s reason for being, articulating a point of difference in a one-line sales pitch. Examples of these are Apple’s ‘think different’, Target’s ‘expect more, pay less’ or eBay’s ‘the world’s online marketplace’. The brand strategy workshop was what Messy used to help create a big idea for our new Association, laying the foundation for the new branding.

Our big idea is ‘our support, your confidence’, speaking of the the Association’s interaction with members and also members’ interaction with their patients. Support is offered by ACA to members and members support healthier spines. Confidence is provided to chiropractors to keep practicing and to patients in knowing that they are in safe hands.

Now, as the Australian Chiropractors Association, our purpose is the same but our identity is contemporary, confident and cutting-edge. This new look represents our ethos of putting chiropractors and the chiropractic profession front and centre…at the heart of everything we do.

“It’s much more than just a logo,” says President Dr Anthony Coxon. “It’s really a flag we feel represents the broad thought of chiropractic within this country.”

2009-2018

1990-2009

Before 1990

THE ESTABLISHMENT OF THIS NEW PROFESSIONAL ASSOCIATION PROVIDED

THE IDEAL OPPORTUNITY TO ASSESS THE PROFESSION’S

STRENGTHS AND WEAKNESSES, TO CONSIDER

A NEW IMAGE AND TO DESIGN A COMPREHENSIVE STRATEGIC PLAN FOR THE

FUTURE.

ROLLING OUT THE NEW BRANDWhile we have now launched the ACA’s master brand, there is still a lot more to roll out. Members will soon be provided with the new ‘ACA member’ logo and will receive the decal in the member kit being posted in October.

One of the benefits of this rebranding is to bring all of the groups, services and initiatives into alignment. Many of our sub-brands lacked any connection with the master brand and created what is known as a ‘house of brands’. The new branding takes into consideration all of our sub-brands and means that the master brand is kept across the board.

Like any rebranding, there will be a transition period as the new brand is rolled out. We are excited for how this new brand will solidify this new season for our Association.

BRAND

VISION

BIG IDEA

VALUES

PERSONALITY

2018-ONWARDS

4

3

2

BRAND PERSONALITY

PROFESSIONAL

INSPIRING

RESPECTED

1LEADER

OUR NEW COLOUR PALETTE


BC_1081_TAChiro_UM_Rnge_Ad_A4_050918_D1.indd 1 6/09/2018 11:42 AM


ur premier event, the ACA Annual Conference, is just around the corner! Delegates will gather in

the Apple Isle to catch up on the latest research, learn from distinguished speakers and network - all in one weekend!

Held 20-21 October, the theme for this year's conference is ‘Positive Ageing’, endeavouring to equip chiropractors as primary healthcare practitioners to care for Australia’s ageing population. The Conference weekend offers a great mix of social and scholary activities, with the flexibility for you to explore your surroundings.

WELCOME TO THE APPLE ISLEHome to just 500,000 people, the island of Tasmania is as intimate as it is beautiful. Drive anywhere in the island state and you can go from beach-lined coasts to World Heritage-listed mountain areas in just a few hours. Along the way you'll pass welcoming farm-gate producers, cellar doors and restaurants specialising in local produce so fresh it's the envy of the culinary world.

Hobart offers a contrasting blend of heritage, scenery and culture, with world class activities and attractions nearby. Nestled amongst the foothills of Mt Wellington, Hobart combines

heritage charm with a modern lifestyle in a setting of exceptional beauty. It's no wonder Lonely Planet has called Hobart one of the top ten spots to visit in the world right now.

COME ALONG EARLY FOR OUR PRE-CONFERENCE SESSIONIf you arrive in Hobart early, we invite you to attend our Pre-Conference Session. Keynote speaker Dr Tim Maggs will be speaking on the cause and cure for the opioid crisis. This session will cover what key factors are causing the opioid crisis, how chiropractic can play a part in the solution and look at the atlas operating system.

Held from 2:00pm - 5:00pm Friday 19 October at the Hotel Grand Chancellor Hobart, this additional session is free and also counts towards your formal learning activity (FLA) hours. The Pre-Conference session is proudly sponsored by Foot Levelers.

HAVE YOUR SAY AT THE ACA AGM Members and delegates are invited to join us for the ACA Annual General Meeting (AGM), held from 7:30pm on Friday 19 October at the Hotel Grand Chancellor Hobart. Join us from 6.00pm for welcome drinks in the exhibition area. This is a great chance to catch up with colleagues.

Our AGM is a great opportunity to

O

ACA ANNUAL CONFERENCE LEADERSHIP

ACA Annual Conference comes to Hobart

BC_1081_TAChiro_UM_Rnge_Ad_A4_050918_D1.indd 1 6/09/2018 11:42 AM

ARIEL TATE

catch up on the latest developments in the Association, including an update on the new Australasian Institute of Chiropractic Education (AICE). This is also an opportunity to celebrate the achievements of the last year and bestow awards. At the AGM we will also be celebrating our new branding!

LET YOUR HAIR DOWN AT THE ASSOCIATION DINNERThis year's Association Dinner will be held at the Willie Smith's Apple Shed, combining a casual country feel with modern design. A large rustic barn surrounded by green pastures and old wooden outbuildings, Willie Smith’s Apple Shed is the home of Willie Smith’s Cider.

To keep with the theme of the rustic venue, be sure to dress country. Don't be afraid to pull out your favourite checked shirt and cowboy boots! Buses have been organised to transport guests to and from the Hotel Grand Chancellor Hobart and the Apple Shed.

NOT TOO LATE TO REGISTERTogether, we can create a healthier future for all Australians. We hope that you will join us in celebrating positive ageing this October in Hobart. For more information on the program, speakers, Hobart, or to register visit chiropractors.asn.au/conference

DOWNLOAD THE ‘ACA CONF’ APPAll the conference information in your hands! Use this handy app to access your conference pass, venue floor plan, conference timetable, information about speakers, list of exhibitors and important event updates. Simply search ‘ACA Conf’ in the App Store or Google Play.

App Graphics ProofApp Graphics Proof

App Graphics ProofApp Graphics Proof


ALEXANDER JAROMINEK, FRASER MCCLYMONT, JAMES DOOGAN AND CLARE HALPIN

he World Congress of Chiropractic Students (WCCS) revolves around

chiropractic students working together and respecting one another, despite diversity in practice and belief. The WCCS has

sent representatives to the World Healthcare Student Symposium, World Health Assembly, European Chiropractic Union and more. As an organisation, WCCS aims to further progress the profession whilst increasing global recognition.

MACQUARIE UNIVERSITY Alexander Jarominek (President), Kelsey Hardy (Vice-President) and Maddison Davis (Treasurer) from Macquarie University attended the Annual General Meeting of the WCCS, hosted by the University of Johannesburg (UJ), taking place at the Capital West Hotel in Sandton, Johannesburg South Africa.

The seven-day assembly welcomed over 100 chiropractic students from over 25 higher education bodies across the globe, presenting proposals on a broad range of topics. Guest speakers included Dr Chris Yelverton, Head of Chiropractic at UJ, Dr Kendrah Da Silva, President of the Chiropractic Association of South Africa (CASA), Dr Simon Lawson, President of Chirosport South Africa and Dr Luke Schmidt, former WCCS President.

Issues discussed ranged from global health and its equal distribution, through to prominent

issues such as Non-Communicable Diseases (NCDs). The discussions proved challenging and insightful and it was interesting to listen to the diverse perspectives held within the field.

Macquarie University was well-represented throughout the course of the event. We were able to have a direct say in the discussions, contribute new ideas and also join committees dedicated to improving WCCS, keeping education up to date and help students reach out to those in need. For instance, Alexander Jerominek has remained in his role as Global Marketing Committee member. We are also very proud of Maddison Davis’ presentation as Co-Convenor for next year’s AGM held in Brisbane.

We are very enthusiastic and hopeful to send more students to the assembly and share this magnificent and enriching experience.

LEADERSHIP STUDENTS

The World Congress of Chiropractic Students (WCCS)

T


CQUNIVERSITYThe CQU delegation was made up of Fraser McClymont, Lauren Hunter, Connor Stuart, April Kimber, Lauren Ashley and Henry Jackson. Every student and school brought a unique take on chiropractic, further enhancing the learning and understanding of the profession as a whole.

CQU delegates participated in a wide range of congress activities and discussions related to public health and policy, as well as discussing a potential global social media campaign. Another topic of notability was the potential proposal to restructure the Board of Directors within the WCCS, aimed at bringing further unity, structure and purpose to the organisation.

Discussion of the WCCS representation at the World Health Assembly in Geneva

RMIT UNIVERSITY The RMIT delegation, made up of Chloe Anderson, Clare Halpin and Janae Keil, made the most of the experience, participating in discussion topics, workshops, proposal discussions, committees and stepping into leadership roles. Clare Halpin was elected the new Western Pacific Region Coordinator and Janae Keil was elected onto the Standard Operating Policies and Procedures

(SOPPs) Committee.We would not have had such

a successful AGM without the support of the ACA. It enabled us to send a cohesive, strong delegation that has come back inspired and motivated to tackle the next year. The excitement and passion the RMIT chapter has for chiropractic is exciting to see and we are privileged to be co-hosting the 41st AGM next year in Brisbane.

STUDENTS LEADERSHIP

was also a highlight, as was the discussion pertaining to future plans to expand the visibility and purpose of chiropractic within the public health sector.

Overall, our delegation found the 2018 WCCS to be a great success. We were able to positively showcase our

University’s philosophy and diversity to students around the world. Furthermore, our head delegate, Fraser McClymont, was elected to the WCCS Board of Directors and chosen to be the Vice President of the WCCS. Participation at the AGM would not have been successful without

the support of the ACA, and we thank the organisation for all it has done for the WCCS; its generosity has enabled students to extend beyond the periphery of the field, in turn bringing back key information and an infectious passion.

MURDOCH UNIVERSITYThis year the Murdoch delegation was made up of three members: James Doogan, Olivia Carroll and Ash Jones. The delegation worked tirelessly to make the most out of the limited time, with their immense efforts proving highly fruitful. Ash Jones received the ‘Best New Delegate’ title and James Doogan was elected to Head of Financial Affairs and Sponsorships.

From PhD discussions to career progressions within large chiropractic sporting organisations, the Congress allowed for a wide breadth of

topics to be covered by the diverse range of keynote speakers.

This year has seen a large shift in the WCCS’ status as an NGO within the World Health Organisation (WHO). A large part of this AGM was devoted to expressing and implementing goals and objectives regarding this change. It has also seen members of the WCCS attend the World Health Assembly (WHA) where intentions to make a bigger impact in the public health sector were expressed, a truly a positive initiative for the organisation and the profession as a whole.


LEADERSHIP AICE

DANIELLE JACOBS

AUSTRALASIAN INSTITUTE OF CHIROPRACTIC EDUCATION

INTRODUCING

AICE


AICE LEADERSHIP

ith over 32 years as a practicing chiropractor, Adjunct Professor

Henry Pollard’s bookshelves weigh heavy with numerous publications, representative of his passion and lifelong commitment to the field.

Entering the profession as a graduate chiropractor over three decades ago, Adj Prof Pollard’s career has been diverse and colourful, providing him in-depth exposure across a variety of sectors. Moreover, he has remained true to his values, pursuing professional education and development at every opportunity. This has not only seen him become a renowned chiropractor, but also a reputable source of knowledge within, and outside of, the chiropractic community.

In fact, it is his ongoing dedication to professional development that has led him full-circle, as he spearheads the movement for Australian-based, postgraduate learning. Taking place through ACA, the Australasian Institute of Chiropractic Education (AICE) has moved from idea to inception, with the intention of filling the prominent gap in Australian-based advanced chiropractic learning.

“AICE’s goal is to establish advanced learning pathways for the profession. I think that the profession has advanced to the point where we have a general chiropractor that can see children, sportspeople, neurological patients, geriatric patients and all sorts of other pain patients. But we really don’t have, within the profession here in Australia, a way to recognise advanced learning within those groups,” he highlighted.

Adj Prof Pollard’s involvement in AICE transpired some 18 months ago through initial discussions with peers about the future of chiropractic. He was subsequently engaged by the ACA to do a whitepaper to understand the feasibility and demand for establishing AICE. Through his detailed research, Adj Prof Pollard was able to understand, and further define, the requisite structure for AICE, looking toward global exemplars in the field in his quest for a best-fit model for Australia. Fast-forward little over a year, post board approval, and he is

W in the establishment phase, helping develop AICE for an estimated 2019 phase one rollout.

With a large constituent of advanced learning taking place within the United States and overseas, the move is eagerly awaited by Australian practitioners. It is with respect and appreciation that Dr Pollard recognises international advanced learning models such as those presented in England and the US, emulating and adapting their frameworks to cater to the unique needs of practitioners on home soil.

“We decided that the best model would be using the Royal College of Chiropractic model from England and then use the advanced learning pathways of the Australian Physiotherapy Association here in Australia… Both of these groups have been in existence for 20 to 30 years, they’re well established in their own areas, in their own jurisdictions, and that’s important,” he asserted.

Adj Prof Pollard will continue to have a pivotal role in the college, ensuring the continued quality and integrity through the provision of strict standards. In doing so he will not only serve the best interests of practitioners, but also the greater public. It is the aim of the AICE that the different Clinical Interest Groups (CIGs) are recognised by other healthcare professionals as well as within the sector itself, he suggested.

So, what makes Adj Prof Pollard fit for the position? Not only is he a well-versed chiropractor with extensive industry experience and knowledge spanning over three decades, he is currently professor at the University of Central Queensland, part of his 25 years of cumulative teaching experience. Furthermore, he has an extensive relationship as an Independent Chiropractic Consultant with the WorkCover Authority of NSW, now SIRA, spanning over 15 years. Moreover, Adj Prof Pollard is an astute and dedicated academic; he has published and researched over 130 peer reviewed papers, in addition to 12 postgraduate completions.

Adj Prof Pollard anticipates a bright future for the field, asserting that AICE will help refocus the lens,


LEADERSHIP AICE

Fellow of SIG

Member of SIG

Minimum 2 years practice

Trainee

Member

Fellow

Graduatechiropractor

Minimum 5 yearspractice

Experiential pathway Academic pathway(Masters by coursework)

2 year training program

Final practical examinations2 Oral examinations (or equivalent)

giving clarity towards how health professionals and the greater public perceive the profession and its offering. He asserts that AICE will aid in distinguishing the different facets of chiropractic as well as defining and measuring the skills and knowledge of special interest practitioners.

Furthermore, it will also help categorise the general chiropractor from the special focus chiropractor. “Those that choose to focus on a particular subgroup of the overall population will be recognised as appropriately skilled in order to do that,” he affirms.

Anticipating the recognition that will come from educational, research and competency-based standards, Adj Prof Pollard insists that the public can look forward to seeing highly educated chiropractors at the forefront of newer special interest group areas such as: Clinical Neuro, Sport, Paediatrics, Pain and others. It is with positivity that he awaits the forthcoming developments; “it will essentially broaden the scope of practice as well as promote best practice,” he added.

AICE will essentially make special interest chiropractors, and their relevant qualifications, immediately

distinguishable, placing them at forefront of their fields and allowing them to attain their protected title in due course. Adj Prof Pollard suggests that this will not only make them discernable at peer level, but it will also help patients distinguish their expertise. This in turn, will facilitate appropriate patient decisions and care, which is clearly the ultimate goal.

The pathway for special interest

chiropractors will proceed from trainee, member, through to fellow, with each stage having increasing requirements within the clinical, research and mentorship components. Furthermore, these stages will be predetermined, adhering to set standards across the Faculties, maintaining the uniformity that underpins AICE. Adj Prof Pollard maintains that the AICE will provide pathways that are clinically focused; “whilst everything will be underpinned by appropriate education, we are not going to lose sight of the fact that this is about clinicians for patients,” he maintains with the utmost clarity.

Adj Prof Pollard looks forward to the uptake increasing after the rollout; he is also ambitious for the future outlook of advanced learning. “At this point in ten years’ time I would like to see a Master’s degree program in at least one university and in each discipline or faculty, basically providing the Australian-based educational content that would be assessed by AICE,” he said keenly.

It is apparent that AICE will have a multitude of positive benefits. Adj Prof Pollard also anticipates the influence AICE will have over the perception of chiropractic amongst the community. “I believe that this venture has the real potential to improve various factors about the way chiropractic is perceived in the public eye,” he added. AICE has potential to educate the public about the additional, less recognised offerings of chiropractic, creating greater awareness of the scope of the profession with the aim of attracting a broader cross section of people to chiropractic services.

Adj Prof Pollard also acknowledged the positive benefit of AICE pathways to students contemplating chiropractic as a career. He affirms that this goes hand in hand with the recognition and division of the subgroups of the population: “I think that by having more groups that are recognised, more students will want to become a chiropractor,” he added.

We look forward to the rollout of the college and the offering it will provide the profession. Furthermore, we look forward to its ability to create more focused and quality care for Australian patients.

chiropractors.asn.au/interest-groups

NEUROSCIENCE

PAEDIATRICS

NUTRITION

PAIN MANAGEMENT

WORKPLACE HEALTH & SAFETY

INDIGENOUS, RURAL & REMOTE

SPORTS

WOMEN IN CHIROPRACTIC

Interest Groups

Engage and share knowledge with like-minded professionals in niche interest groups.

Join or renew your Interest Group membership today!


AICE LEADERSHIP

chiropractors.asn.au/interest-groups

NEUROSCIENCE

PAEDIATRICS

NUTRITION

PAIN MANAGEMENT

WORKPLACE HEALTH & SAFETY

INDIGENOUS, RURAL & REMOTE

SPORTS

WOMEN IN CHIROPRACTIC

Interest Groups

Engage and share knowledge with like-minded professionals in niche interest groups.

Join or renew your Interest Group membership today!


MEMBER SERVICE HR SERVICE

n 2018, high profile cases of sexual harassment in the news or on social media have been increasingly prominent. What

we must accept however, is that sexual harassment is not just a 'concept' that exists in alternate realities. Indeed, harassment and more specifically workplace sexual harassment is an issue that we must all be aware of and ready to respond to if it was to occur.

The Australian Human Rights Commission (AHRC) recently announced it would be conducting a 12-month investigation into sexual harassment in the workplace. Considering this, the Chiropractors' HR Service will deconstruct the issue, informing members of their obligations regarding workplace sexual harassment, including how to prevent sexual harassment, and how to respond if it occurs in their practice.

THE ISSUEThe AHRC defines sexual harassment as any unwelcome conduct of a sexual nature that a reasonable person

IJACK BYRNES

would anticipate to be offensive, humiliating or intimidating. Examples of sexual harassment include sexually suggestive comments or jokes, intrusive questions, unwelcome physical contact and sexually explicit communication via phone, text, email or social media.

Figures from a 2012 study conducted by the AHRC concluded that one in four women, and one in six men had been sexually harassed at work. While these numbers may surprise a few, they should also reinforce the fact that workplace sexual harassment is not something that we can just choose to ignore.

THE LAWIn addition to the potentially severe emotional and financial impact it can have on its victims, sexual harassment is explicitly outlawed under the Sex Discrimination Act 1984. Given the potential risk to the health and safety of those who encounter sexual harassment at work, there may also be legal implications under the applicable

WHS (OHS) legislation. If, as a result of making a sexual harassment claim that same employee was treated adversely, they could also make a claim for Adverse Action under the Fair Work Act 2009.

PREVENTATIVE MEASURESEveryone in the workplace has an obligation to prevent sexual harassment from occurring. While this responsibility doesn’t evade employees, employers in particular should consider the following; 1. Have a clear workplace policy on

sexual harassment: This policy should define sexual harassment, outline the process involved once a complaint is made, and notify workers of the consequences of breaching the policy (including disciplinary action).

2. Train all staff on this policy: A policy is only useful if people know it exists. Once the policy is developed, hold a training session with all staff to outline the key components of the policy.

Sexual Harassment in the Workplace


HR SERVICE MEMBER SERVICE

3. Review your workplace culture: Sexual harassment can only thrive when the culture allows it. Practice directors, managers and senior staff have a responsibility to lead by example in ensuring harassment has no place in their practice.

RESPONDING TO AN ALLEGATION OF SEXUAL HARASSMENTIf an employee makes a sexual harassment complaint it must be addressed immediately. Without delay the complaint must be thoroughly investigated. If you feel as though you do not have the capacity or resources to conduct the investigation yourself, contact the Chiropractors HR Service.

Otherwise, consider the following: • Interview the complainant.

Determine what happened, when, the background and who else might be aware of the incident.

• Interview the accused. Have a third person present and allow the accused to choose that person. Tell the accused what the accusation has been and make sure the nature

of the claim is understood. Again, identify the facts of the incident.

• Interview all key witnesses. Discretion is insufficient reason not to interview someone. Be aware that third parties often tend to take sides, so isolate and document facts rather than opinions.

• Mediate a meeting between the complainant and the accused if such a meeting would not be too traumatic or sensitive. This can clarify percept¬ions, reveal management's concern, and often resolve the incident.

• Make an objective decision. The final decision must be based on facts, not personal attitudes or relationships. Weigh up the evidence. Objectivity is essential.

If the allegations are substantiated, the employer will have to consider what action to take to appropriately address the misconduct, this may include termination of the employee’s employment. In some cases, you may need to seek legal advice if serious disciplinary action, such as

Disclaimer: The material contained in this publication is general comment and is not intended as advice on any particular matter. No reader should act or fail to act on the basis of any material contained herein. The material contained in this publication should not be relied on as a substitute for legal or professional advice on any particular matter. Wentworth Advantage Pty Ltd, expressly disclaim all and any liability to any persons whatsoever in respect of anything done or omitted to be done by any such person in reliance whether in whole or in part upon any of the contents of this publication. Without limiting the generality of this disclaimer, no author or editor shall have any responsibility for any other author or editor. For further information please contact Wentworth Advantage Pty Ltd. © Wentworth Advantage Pty Ltd 2018

termination, is warranted or if an employee threatens legal action.

Regardless of whether an incident of sexual harassment is reported by the victim or a witness to the incident, this needs to be treated as serious and appropriately managed by the employer.

CHIROPRACTORS' HR SERVICETo discuss your workplace matter, contact the Chiropractors’ HR Service on (02) 8448 3211 between 8:30 am and 5:30pm AEST Monday to Friday. Alternatively, email your workplace enquiry to [email protected], or browse the online HR resources at www.chiropractors.asn.au/hrservice


uality relationships are key to your success. Ideally you want relationships based on mutual respect, where

there is a sense of loyalty displayed by both parties.

When you have loyalty, you have relationships with people that give you support, a quality and loyal patient base that refers others, team members that help drive your vision and a more fun and a genuine practice that meets your needs personally and professionally. So how do you achieve more loyal relationships?

Q

How do you Achieve more Loyal Relationships? MEGAN WALKER

PUBLIC ENGAGEMENT MARKETING

CHOOSE YOUR INNER CIRCLE WISELYNot everybody you meet will be a candidate for a lasting, close relationship and some need to be avoided, but patients who are respectful and have a clinical need that can be benefited by your treatment are worth spending extra time with.

Ask them “what is important to you?”, “how can I help you today?”, “do you have any concerns”, “is there anything else on your mind?” and take the time to listen to the person’s answers.

Make notes on the person’s file about key points and remember to

WHEN YOU HAVE LOYALTY, YOU HAVE RELATIONSHIPS WITH PEOPLE THAT GIVE

YOU SUPPORT, A QUALITY AND LOYAL PATIENT BASE THAT REFERS OTHERS,

TEAM MEMBERS THAT HELP DRIVE YOUR VISION AND A MORE FUN AND A GENUINE

PRACTICE THAT MEETS YOUR NEEDS PERSONALLY AND PROFESSIONALLY.


MARKETING PUBLIC ENGAGEMENT

patients into loyal ones who happily talk about you to their friends and family – creating natural referrals and increased growth for your business.

ASK AN EXPERTWe asked successful chiropractic clinic owner, Dr Paula Stacey-Thomas from the Chiropractic Domain in South Australia, about her thoughts on keeping patients long-term and turning regular patients into loyal patients.

Q1. DR PAULA, HOW HAVE YOU MAINTAINED LOYAL PATIENTS OVER 20 YEARS?

ANSWER:By developing genuine and personalised relationships with patients. I remember being told by a mentor to be careful to be friendly but not too personal with patients. However, I’m not sure I always follow this. Patients start to share things with you as they trust you. It’s good to allow patients some air-time while keeping them focussed on the issue you are there to work on. You can redirect patients to other professionals who can help them if needed. There is a bit of counselling involved in our work and when patients trust you they send others to you as well.

Q2: DR PAULA, WHAT ADVICE WOULD YOU GIVE FOR NEW CHIROPRACTORS STARTING OUT?

ANSWER:It is a different world compared with 22 years ago when I started out – there are a lot more regulations and restrictions on advertising for one. There’s also a lot more red tape. So the task is to stay within your obligations while not giving up your ideal of why you became a chiropractor in the first place.

Also, seek help from mentors. Don’t be afraid to speak to others who have had more experience than you especially if they have had adverse experiences as you will often learn more.

Q3: DR PAULA, HOW DO YOU MOVE A REGULAR PATIENT TO A LOYAL PATIENT?

ANSWER:It comes down to your personal connection with them and the kind of supportive team you have administratively as well. Our mantra is to provide an exceptional level of chiropractic care and this involves all interactions across the practice.

Patients may also come and go but it is important to make people feel safe to return. Treat every person like they could become that loyal patient even if they only engage in a limited way.

We have an archive letter if we haven’t seen people for a while and we try and track their story as to why they haven’t returned. We use wording along the lines of “we hope we served you in the way you wanted and if you feel you need some help again in the future we would be happy to serve you again.”

Patient communication strategy isn’t just about the people in front of you, it is also about the people who haven’t been for a while. However if people ask to leave, then let them go with love. This makes room for new people to move into the position of a loyal patient.

Q4: WHAT ARE THE BENEFITS OF HAVING LOYAL PATIENTS?

ANSWER:Two angles come to mind. The first benefit is that loyal patients reinforce your enjoyment of why you do what you do. We’re all getting old together, we’re just at different starting points. Your work becomes a big part of your definition of yourself and who you are.

Returning patients are also important so we don’t rely on new patients only. It is how your base builds over the years to create reliability of business income. You have to serve people properly first though in order to be able to deserve that … ie. you need to step outside your four clinic walls sometimes and engage / serve your local community too.

check in with them on these points when you see them again.

SHOW YOU CAREIf you haven’t seen some of your long-term patients for a while, ring them and ask how they are doing. Genuinely call to see how they are and not chase them for a booking.

LOOK FOR WAYS TO ADD VALUECan you support your patient’s local sporting team, can you sponsor them in a charity challenge, can you provide massage services at the local school fete? What are the ways you can say “yes” to your patients that will help them and help promote your practice in genuine ways?

KEEP IN TOUCHIf you see something relevant in the local paper, drop your patient an email about it. Send your patients a monthly newsletter with useful tips to help them to maintain their health. Send a hand-written birthday card to your key patients. Look for ways to stay in touch that are kind and genuine and keep you top of mind within your professional boundaries.

Another great tip is to ring each new patient within 24 hours of visiting your practice to thank them for coming in and to ask them for their feedback. This action will be remembered for a long term.

Don’t overdo it though … only make contact when you can add value and ideally no more than once per month.

TAILOR YOUR APPROACHIt is the little things that count. Look for things that your patient does or prefers when they visit you. “Let me get you that extra cushion, I remember last time you preferred XYZ” … and always use the patient’s name in the conversation. Give them your undivided attention for the time you are with them. Keep your promises and remember not to rush the client or the process, even if you are swamped. While they are in front of you, they are your number one and only priority.

TRUST OVER TIMEAll of these activities and actions will build trust over time and turn your


ADVOCACY POLICY

Random Audits ofAdvertising Compliance

he Australian Health Practitioner Regulation Agency (AHPRA) has written to the Australian

Chiropractors Association (ACA) to inform us that chiropractors and dental practitioners renewing registration in 2018 will be asked to declare that, if they advertise, their advertising meets National Law advertising requirements as part of a pilot audit to check compliance.

Random audits of advertising compliance will advance a risk-based approach to enforcing the National Law’s advertising requirements and facilitate compliance by all registered health practitioners who advertise their services.

AHPRA’s Regulatory Operations Executive Director, Kym Ayscough,

said the audit for advertising compliance would provide opportunities to extend the current action under the Advertising compliance and enforcement strategy launched in April 2017.

“This pilot audit has been modelled on the well established approach to auditing compliance with core registration standards and will potentially improve compliance with advertising obligations across the entire registrant population, not just those who have received an advertising complaint,” Ms Ayscough said.

“The National Law enables a National Board to require any other reasonable information to be included with a renewal application, therefore allowing Boards to request a declaration about advertising compliance at

T

BERNARD RUPASINGHE


POLICY ADVOCACY

in the past 12 months will not be included in the audit sample.

Ms Ayscough said the audit would not delay a decision on the application for renewal.

“The audit will be carried out by AHPRA’s Advertising Compliance Team from January 2019 and will involve a random sample of chiropractors and dental practitioners who renewed their registration in 2018,” she said.

“One of the audit’s main objectives is to analyse the rate of advertising compliance for those health practitioners who advertise and who have not been the subject of an advertising complaint in the past 12 months.”

Other objectives of the audit are:• to inform the evaluation of the

compliance and enforcement strategy;

• establish the rate of advertising compliance within the profession; and

• address any non-compliance with advertising obligations identified in the audit.

A pilot audit report addressing the above objectives and including data analysis and recommendations will be prepared for the 15 National Boards to consider the pilot outcomes and implications for future compliance work.

MORE INFORMATIONFor information about your advertising obligations see the advertising resources page at www.ahpra.gov.au/Publications/Advertising-resources.aspx.

ACA members can also log into the members section of the ACA website to access our Advertising Compliance Hub at chiropractors.asn.au/advertisinghub. These resources will help you understand your obligations when advertising chiropractic services and help ensure the claims you make in your advertising comply with National Law.

KEY POINTS

Chiropractors and dental practitioners renewing registration in 2018 will be asked to declare that their advertising complies with National Law and advertising guidelines

A pilot audit to check compliance with advertising requirements be will be carried out from January to May next year

The audit will analyse the rate of advertising compliance for practitioners who advertise and who have not been the subject of an advertising complaint in the past 12 months

National Boards will consider the pilot outcomes and implications for future compliance work for all 15 registered professions

renewal,” she said.“The audit will provide opportunites

to become more proactive in preventing non-compliant advertising by registered health practitioners.”

When applying to renew their registration, chiropractors and dental practitioners will be required to complete a declaration in response to the following statement:

I confirm that if I advertise my services or my business as a <chiropractor/dental practitioner> that advertising complies with section 133 of the National Law and the board’s advertising guidelines as it:• is not false, misleading or deceptive

or likely to be misleading or deceptive;

• does not offer a gift, discount or other inducement without stating the terms and conditions of the offer;

• does not use testimonials or purported testimonials about the service or business;

• does not create an unreasonable expectation of beneficial treatment; and

• does not directly or indirectly encourage the indiscriminate or unnecessary use of my services.

This wording reminds practitioners of their obligations when advertising their services.

Practitioners who are renewing non-practising registration and those who have contacted AHPRA in response to a complaint about their advertising


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he Giles Medal for Outstanding Research in Health Science was first awarded in 2017 in

recognition of excellence in healthcare research. The award is made to an individual who has an outstanding and sustained track record in research that is of relevance to the practice of chiropractic. The Medal is named in honour of Dr Lynton Giles, the first chiropractor in Australia to complete a PhD in a health science discipline, and who then made an exceptional contribution to our understanding of the significance of the spine in healthcare through his basic and clinical science research concerning the spine. This recognition is intended to provide incentive for all those who aspire to excellence in healthcare research.

The ACA is pleased to announce that Professor Charlotte Leboeuf-Yde has been awarded the Giles Medal in 2018. Professor Leboeuf-Yde is a Professor in Clinical Biomechanics at the Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark. She commenced her research career at the Nordic Institute for Chiropractic and Clinical Biomechanics, Odense, Denmark in 1991 after completing her Master of Public Health at the University of Adelaide, Australia.

Professor Leboeuf-Yde then completed her PhD in Epidemiology at the University of Southern Denmark’s Medical School.

Since commencing her research career Professor Leboeuf-Yde has published more than 174 papers in internationally recognised scientific peer reviewed journals. As of 13 May, 2018 her work has been cited on more than 4,600 occasions. Notable are 20 publications in the internationally renowned journals including Spine, five papers published in the European Spine Journal and 16 papers published in the journal BMC Musculoskeletal Disorders. She has also published over 35 papers in the Journal of Manipulative and Physiological Therapeutics and 34 papers in the journal Chiropractic and Manual Therapy.

Professor Leboeuf-Yde’s work has focused on musculoskeletal disorders from a public health and epidemiological perspective. In particular, she has undertaken investigations concerning causes and prevention of back pain. These multi-disciplinary collaborations reflect the regard with which she is held as a clinical researcher concerning musculoskeletal clinical problems. Further evidence of her esteem as a healthcare researcher are her roles as Senior Researcher and then

Director of The Medical Research Unit Ringkøbing, Denmark and appointments as Visiting Professor at Université Paris Sud, Paris, France and Adjunct Professor at Murdoch University, Perth, Australia where she currently holds appointment as Distinguished Collaborator. Professor Leboeuf-Yde has supervised 26 PhD students including students undertaking their research at institutes in England, The Netherlands, Sweden, France and Australia. She has been a member of the Research Council of the World Federation of Chiropractic, a Scientific Adviser to the Swedish Health Directorate (“Social-Styrelsen”) and Expert Member of the Swedish Health Department. In addition, she has served as a referee for several international scientific peer reviewed journals including Spine, is currently Consultant to the Editorial Board of BMC Musculoskeletal Disorders and is Senior Advisor to the journal Chiropractic and Manual Therapy.

Professor Leboeuf-Yde has clearly undertaken research of the highest international standard that has focused on the ‘improvement of the efficacy of the treatment and management of patients’ and is ‘research of relevance to healthcare and the practice of chiropractic’, which are both primary attributes required of a Giles Medal recipient.

TDR MATTHEW FISHER

THE GILES MEDALThe Giles Medal for Research Excellence has been established by the ACA as its most prestigious international award for scientific research. The medal itself has been designed by an internationally renowned sculptor and medal artist to reflect the esteem of the award.

The Giles Medal 2018PROF CHARLOTTE LEBOEUF-YDE


RESEARCH PHD SCHOLARSHIP REPORT

ccording to the 2015 Global Burden of Disease (GBD) Study, low back pain represents the main

cause of disability worldwide.1 Low back pain is described as a painful sensation in the region between the 12th rib and gluteal folds.2 Low back pain without any signs of an obvious nociceptive source, such as serious pathology, cancer, infection, fracture or cauda equine, is termed ‘non-specific low back pain’ (NSLBP)3, 4 and is the most common diagnosed condition. People with NSLBP follow a trajectory of continuing or fluctuating pain in the low to moderate intensity category.5 Approximately 30% of individuals do not improve at this trajectory and continue to experience pain 3-months (67%; 95%CI 50-83) and 12-months (65%; 54-75) post back pain episode.6, 7 NSLBP is a complex issue that is still marginally understood and is poorly managed by traditional biomedical approaches.

Studies, however, suggest that

A more effective methods of treatment may be provided by a holistic biopsychosocial approach, which addresses a broad range of physical and psychosocial comorbidities that biomedical approaches fail to manage effectively. A shift has occurred in the way NSLBP has been viewed from a pathological disease requiring a cure to a broader manifestation of pain managed as a biopsychosocial illness. The validity of the biopsychosocial approach is endorsed by international clinical guidelines for the treatment of NSLBP.8-10

Research suggests that psychosocial factors such as poor self-efficacy for physical activity, greater disability, pain ratings11, distress and depressive moods12 are independent predictors of long-term NSLBP. Self-efficacy, in particular, is a very important factor in the management of NSLBP. It is defined as “a belief about what one can do under different sets of conditions with whatever skills one possesses”13 and is a similar construct to self-

REFERENCES:1. Hoy, D., et al., The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Annals of the Rheumatic Diseases, 2014. 73(6): p. 968-74.

2. Dionne, C.E., et al., A consensus approach toward the standardization of back pain definitions for use in prevalence studies. Spine, 2008. 33(1): p. 95-103.

3. Chou, R., et al., Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine, 2007. 147(7): p. 478-91.

4. Maher C, U.M., Buchbinder R. , Non-specific low back pain. Lancet, 2016. 6736:1e12.

5. Kongsted, A., et al., What have we learned from ten years of trajectory research in low back pain? BMC musculoskeletal disorders, 2016. 17(1): p. 220.

6. Costa, L.d.C.M., et al., The prognosis of acute and persistent low-back pain: a meta-analysis. Canadian Medical Association Journal, 2012. 184(11): p. E613-E624.

7. Itz, C., et al., Clinical course of non‐specific low back pain: A systematic review of prospective cohort studies set in primary care. European Journal of Pain, 2013. 17(1): p. 5-15.

DR JOHN PETROZZI

STUDIES, HOWEVER, SUGGEST THAT MORE EFFECTIVE METHODS

OF TREATMENT MAY BE PROVIDED

BY A HOLISTIC BIOPSYCHOSOCIAL APPROACH, WHICH

ADDRESSES A BROAD RANGE OF PHYSICAL AND PSYCHOSOCIAL

COMORBIDITIES THAT BIOMEDICAL

APPROACHES FAIL TO MANAGE EFFECTIVELY.

Non-Specific Low Back Pain in Everyday Practice


PHD SCHOLARSHIP REPORT RESEARCH

esteem. In the context of NSLBP, self-efficacy is defined as one’s perceived belief in their ability to perform a particular physical task despite their current pain condition which has been shown to be a predictive factor of chronic NSLBP.

In the context of clinical care for chronic NSLBP, the biopsychosocial approach is a challenge for manual therapy clinicians such as chiropractors14, physiotherapists15 and osteopaths to apply. Treatment preference is given to biomedically targeted intervention aimed at reducing pain and disability with nil to minimal focused attention given to the psychosocial aspects.

Current best practice primary manual therapy care is delivered as a package of care called multimodal manual therapy. This package includes spinal manipulative therapy and mobilisation, stretching and muscle massage along with advice to remain active, education and reassurance for symptom management and general or

manual therapy, exercise and medical care. Adults with mild to moderate depressive symptoms have shown to improve with cognitive behavioural therapy.

The aim of CBT within the biopsychosocial model is to identify, challenge and reframe maladaptive beliefs and behaviours that are associated with pain and disability in people with chronic NSLBP. This is achieved through pain education, goal setting and learning effective problem solving and pain management strategies. These strategies include activity pacing, daily planning, and confronting avoidance behaviours with the aim of improving mood, resilience and self-efficacy. CBT has been shown to improve measures of self-efficacy in people with ongoing NSLBP.19, 20

The role of CBT should not be overlooked in the prevention of long term disability in future new episodes of back pain, by helping patients improve psychological resilience, problem solving capacity and coping strategies. However, as previously mentioned the uptake of the biopsychosocial model by manual therapy practitioners is low. This is partly due to a lack of practitioner training in the biopsychosocial model21 as well as limited knowledge in understanding which resource to prescribe during a practitioner-patient interaction. Furthermore, access to CBT for patients may be limited, due in part to high cost, difficulties in accessibility of psychological treatments traditionally delivered face-to-face for patients with mobility limitations or unwilling to see a psychologist due to negative stigma of psychological services. As a result it is often difficult in primary manual therapy practice to lead patients into the care of a CBT-trained psychologist to co-manage the depressive psychosocial co-morbidities that are associated with the chronic NSLBP at the primary care level.

However, any effort by clinicians to invite psychosocial conversations into the consultation room are of great benefit. This article will be followed by a more practical system of talking about psychosocial risk factors in everyday practice with patients.

8. Qaseem, A., et al., Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the american college of physicians. Annals of Internal Medicine, 2017.

9. Savigny, P., et al., Early management of persistent non-specific low back pain: summary of NICE guidance. BMJ, 2009. 338: p. b1805.

10. Airaksinen, O., et al., European guidelines for the management of chronic nonspecific low back pain. European Spine Journal, 2006. 15 Suppl 2: p. S192-300.

11. Rasmussen-Barr, E., et al., Factors predicting clinical outcome 12 and 36 months after an exercise intervention for recurrent low-back pain. Disability & Rehabilitation, 2012. 34(2): p. 136-44.

12. Pincus, T., et al., A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine, 2002. 27(5): p. E109-E120.

13. Bandura, A., Self-efficacy: The exercise of control. 1997: Macmillan.

14. French, S.D., et al., Who uses Australian chiropractic services? Chiropractic & Manual Therapies, 2013. 21(1): p. 31.

15. Dagenais, S., J. Caro, and S. Haldeman, A systematic review of low back pain cost of illness studies in the United States and internationally. Spine Journal: Official Journal of the North American Spine Society, 2008. 8(1): p. 8-20.

16. Walker, B.F., et al., A Cochrane review of combined chiropractic interventions for low-back pain. Spine, 2011. 36(3): p. 230-42.

17. Rubinstein, S.M., et al., Spinal manipulative therapy for chronic low-back pain: an update of a Cochrane review. Spine (Phila Pa 1976), 2011. 36(13): p. E825-46.

18. Hay, E.M., et al., A randomised clinical trial of subgrouping and targeted treatment for low back pain compared with best current care. The STarT Back Trial Study Protocol. BMC Musculoskeletal Disorders, 2008. 9: p. 58.

19. Arnstein, P.M., Self efficacy as a mediator of pain-related disability in different samples of chronic pain patients. Disability and Rehabilitation, 2000(22): p. 794-801.

20. Ehde, D.M., T.M. Dillworth, and J.A. Turner, Cognitive-behavioral therapy for individuals with chronic pain: efficacy, innovations, and directions for research. American Psychologist, 2014. 69(2): p. 153-166.

21. Hill, J.C. and J.M. Fritz, Psychosocial influences on low back pain, disability, and response to treatment. Physical Therapy, 2011. 91(5): p. 712-21.

THE AIM OF CBT WITHIN THE BIOPSYCHOSOCIAL MODEL IS TO IDENTIFY,

CHALLENGE AND REFRAME MALADAPTIVE

BELIEFS AND BEHAVIOURS THAT ARE ASSOCIATED WITH PAIN

AND DISABILITY IN PEOPLE WITH CHRONIC

NSLBP.

specific exercise rehabilitation.10, 16, 17 There is evidence that multimodal manual therapy is effective for short term improvement in pain and disability for people with chronic NSLBP. A person non-responsive to multimodal manual therapy progresses to consultation with a medical specialist and/or cognitive behavioural therapy (CBT) focused psychologist to address both physical and psychosocial comorbid depressive symptoms.

Researchers have concluded that a more effective way of managing NSLBP is to stratify people according to physical and psychosocial risk factors of chronicity. Stratified care uses risk prediction methods to categorise people with low back pain into different levels of poor outcomes,18 with aim to individualise the amount and type of care received. The low risk category is recommended self-care advice, reassurance and medication as needed. The medium risk group is treated with conservative multimodal manual therapies in combination with the same advice given to the low risk group. The high-risk group receives a more enhanced package of care which consists of a psychosocial therapy, such as CBT along with multimodal


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e are facing a health crisis. According to a study recently published in the

Lancet Medical Journal, low back pain has become a global epidemic. The American Academy of Orthopedic Surgeons states that one in two adults in the United States are affected by musculoskeletal conditions. Many of these patients are being prescribed pain killers, including opioids, to relieve their pain but do not address the problem. With 115 people dying a day due to opioid overdose,1 there is a great need for a drug-free, holistic approach to care by doctors who are skilled in biomechanics.

Doctors who are currently seeing most of these patients have little or no training in biomechanics, pain, and pain management. They are prescribing pain killers as their first approach to treatment. In 2009, a study found that opioids were prescribed to 60% of patients who visited the emergency room due to low back pain.2 Dr Marc Seigel recently wrote that medical students have been notoriously undereducated when it comes to pain and pain management and they have over-prescribed opioids, which has contributed to the opioid crisis today.

One only has to read the news to learn about the destruction the opioid crisis is having in our communities. 115 people die a day because of an opioid overdose.1 In 2015 alone, more than 33,000 Americans died because of an opioid overdose, according to drugabuse.gov. In most cases, their addiction started with being prescribed opioids by a medical professional to relieve their pain symptoms.

Chiropractic is a low risk profession with an enviable safety record, a result of evidence-based care that avoids invasive procedures and medications where possible and delivered by five year university educated healthcare professionals. While many doctors mask pain symptoms with pills, we

have the skills to treat the problem and improve the patient’s quality of life without ever prescribing a drug in the process. Chiropractic care is the primary answer to the musculoskeletal health crisis, including the opioid crisis, in our communities today. However, it is going to take a new model of care. One that focuses on caring for the musculoskeletal health of the whole body from the feet up and not just where the patient feels pain.

Most chiropractors see patients who are experiencing an acute condition such as low back pain. As a profession, we focus on relieving the patient’s pain often without understanding the patient’s musculoskeletal condition. As soon as the patient’s pain goes away, they stop scheduling appointments for treatment. The problem is that while their pain might be gone, often, the cause of their pain is not.

I see patients who are experiencing low back pain in my practice. If I just focused on treating where they are experiencing pain, in most cases, I would never address the problem. By looking at the whole body, many times I find that their low back pain is a result of imbalances in their feet. Armed with this information, I can work towards not just relieving their pain but correcting the problem and preventing future issues by prescribing custom orthotics. By looking at the whole body I am able to deliver better patient outcomes.

To care for the whole body, we must evaluate and determine the cause of pain versus just relieving the pain. As a profession, we must utilise digital foot scans, x-rays, and MRIs to get an accurate picture of the patient’s musculoskeletal health and an understanding of imbalances and overloading. Seeing the visual evidence and showing proof to the patient produces an understanding of what is causing the pain and what is needed to “fix” it. Seeing is believing. Being able to visually show

and educate patients on how their musculoskeletal condition and overall health has improved under your care is critically important.

We need to help our communities change their thinking with regards to who their primary care physician is for their musculoskeletal health. Our communities need to know that the best care to not only relieve their pain but care for the health of their whole body is treatment from a biomechanics practitioner, their local chiropractor.

Every chiropractor needs to become an Ambassador of this message and be willing to educate their communities. We need to educate the public that we are not just here to relieve their pain, but to care for and support the health of their whole body. This is one of the reasons why I am a part of Foot Levelers Practice Xcelerator, an event where we teach chiropractors how to implement this holistic approach to care as a musculoskeletal practitioner in their community. Armed with this message and this new model of care, working together, we can be the answer for the health crisis going on in Australia today and be the primary doctors for musculoskeletal health in our communities.

WDR TIM MAGGS

New Model of Care

ACA ANNUAL CONFERENCE RESEARCH

REFERENCES:1. Al-Muslim, A. & Whalen, J. (2017, Dec 1). “FDA Approves Monthly Injection for Opioid Addiction.” Retrieved from http://www.wsj.com

2. Fox, M. (2018, March 18). “Low Back Pain the Top Cause of Disability, Gets Wrong Treatments.” Retrieved from http://nbcnews.com

PLATINUM SPONSOR

Dr Tim Maggs is the Director of Sports Biomechanics for Christian Brothers Academy in Albany, NY and is a keynote speaker at the ACA Annual Conference 2018 this October in Hobart.


GOVERNANCE STAFF PROFILE

Interest Group Support Officer

f you are a member of one of our clinical or special interest groups, you are likely to have had the pleasure of dealing

with Stuti Vaidya, our Interest Group Support Officer. Stuti has been with the Association for just over two years and provides administrational support for our eight interest groups and is the point of contact between the groups and the Association.

Prior to joining the Association in August 2016, Stuti worked for well-respected orthodontist Dr Derek Mahony. Stuti held a number of roles during her time working for Dr Mahony at Full Face Orthodontics, including Medical Typist and Publications Assistant. Her last role was Course Coordinator, where she set up courses assisting dentists in becoming orthodontists.

Originally from India, Stuti had limited knowledge of the chiropractic profession when she moved to Australia in 2007. The first chiropractor she met was Dr Carlo Rinaudo who spoke at one of Dr Mahony’s courses that Stuti had organised. Stuti would again work with Carlo a few years later as Chair of ACA’s Neuroscience Clinical Interest

Stuti Vaidya

ARIEL TATE

I Group.Before moving to Australia, Stuti

was working as a student counsellor and assisted students enrolling into overseas courses in the United States and Canada. It was during this time that she felt the desire to move to Australia and complete her Masters of Professional Accounting.

Stuti lives with her husband and seven-year-old daughter in their newly-built home in Western Sydney. She loves a good story, whether reading novels or watching movies, listening to music and cooking up a storm, particularly Indian curries.

In her role as Interest Group Support Officer, Stuti is passionate about helping the interest groups achieve their goals.

“When I first started in my role I wrote a list of dreams for the interest groups and so far over 90% of that list has been achieved,” she said.

Stuti is looking forward to seeing the groups evolve and develop further. She sees interest groups as a great opportunity to represent the chiropractic profession as a key part of the healthcare sector, across each of the interest areas.


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© Lovatts Puzzles

1. Pertaining to the nervous system6. Commonly called the tailbone, it’s the union of four small bones at the end of 8 across8. The triangular bone at the base of the spine9. The twelve thoracic vertebrae may be referred to as ... vertebrae11. Throw out13. Football hoodlums14. Mosquito-borne virus infection, ... River fever

16. Song of praise17. Also known as exostosis, an abnormal outgrowth may be known as a bone ...19. Ear-splitting20. Lying horizontal on the back with the face upward22. Keenness of vision23. Drain through tube24. The application of mechanical laws to living structures such as the human body

Answers to crossword on page 39

1. Where the cervical vertebrae are located2. Documents3. Visual representations4. A decrease in the size of a normally developed tissue or organ5. Surgical insert7. Skeleton photo (1-3)10. Yoga’s ... position

12. Pertaining to the forehead15. Brain activation signals16. Tight corner, ... bend17. The body’s organs and processes that protect it from illness and infection, the immune ...18. Massages21. Extremities

ACROSS

DOWN

■ ■■■

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DATE LOCATION EVENT NAME EVENT PROVIDER CONTACT DETAILS FLA

12-14 Melbourne Inspiral Kids - Dynamic Development Module 1 Inspiral www.inspiralproduct.com 16

12-14 Switzerland DNS A Course DNS Australia Michael Heller www.dnsaustralia.com TBC

13-14 Sydney Evidence-Based Chiropractic Clinical Protocols The Wellness Practice www.thewellnesspractice.com 12.5

13-14 Melbourne ABC™ Live Seminar ABC Australasia [email protected] 12.5

19-20 Sydney Applied Kinesiology Module 3 - Peripheral Correction Intl Col. of Applied Kinesiology icaka.org.au/2018-Cert-Sydney 10

20-21 Hobart ACA Annual Conference 2018 ACA caaannualconference.com.au TBC

Online Online Neural Organization Technique Online Study Neural Organization Technique www.notaustralasia.org 12.5

9-11 Melbourne Inspiral Kids - Dynamic Development Module 2 Inspiral www.inspiralproduct.com 16

10 Melbourne Pain & Pregnancy with Elizabeth Howard Bower Bird CPD www.bowerbirdcpd.com 5

10 Tweed Heads Best Practice - Student Placements in Private Clinics Moore Clinical Education Specialists [email protected] 7

16 Gold Coast SOTO Certification Exams SOTO Australasia www.soto.net.au/events NA

17-18 Gold Coast SOTO Annual Convention - Afferentate and Integrate SOTO Australasia www.soto.net.au/events 12.5

Online Online Neural Organization Technique Online Study Neural Organization Technique www.notaustralasia.org 12.5

25 Wellington NZ Managing the Cervicogenic Patient Brain Hub Academia www.brainhubacademia.com.au 7.5

30-1 Sydney Applied Kinesiology Module 4 - Cranial Faults Intl Col. of Applied Kinesiology icaka.org.au/2018-Cert-Sydney 10

22-24 Brisbane ICAK (International) A Brave New World ICAK (Australasia) www.icakbrisbane2019.com/ TBC

OCTOBER 2018

NOVEMBER 2018

MARCH 2019

Disclaimer: ACA is recognised by the Chiropractic Board of Australia to assess programs for formal learning hours. Inclusion on this list is as an information source only and does not indicate, expressly or impliedly, that the ACA endorses the products, services or techniques offered.

LATNORF

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© Lovatts Puzzles

CROSSWORD ANSWERS

CALENDARRegular Section

CLASSIFIEDSRegular Section

CLASSIFIEDS NOW ONLINEClassified advertisements are now primarily housed on a new dedicated page on our website, with those advertising having the additional option to place their advertisement in the TAC. This exciting change means that the classifieds will be easier to view, are able to be updated more regularly and open up more space for content in the TAC. Please visit chiropractors.asn.au/advertising to place a classified advertisement.

chiropractors.asn.au/classifieds

PRACTICE WANTED TO BUY

WANTED TO BUY: existing clinic in Adelaide and surrounding suburbs. Manual adjusting treatment method is preferred. Contact [email protected] or phone 0498 444 695


VISIT YOUR LOCAL STORE: 1300 722 718 | VISIT US ONLINE: SLEEPYS.COM.AUAUBURN • CANBERRA • CARINDALE • CARSELDINE • CHERMSIDE • FORTITUDE VALLEY • GEPPS CROSS

HOBART • HOMEBUSH • IPSWICH • KAWANA WATERS • KOTARA • LAUNCESTON • MACGREGOR • MAROOCHYDORE MILE END • OXLEY • PROSPECT • RICHMOND • ROCKHAMPTON • TOOWOOMBA • TOWNSVILLE • TUGGERAH

A P R E M I U M S L E E P E X P E R I E N C E T O H E L P Y O U F U L F I L Y O U R P O T E N T I A L

C H I R O P R AC T I C

At Sleepy’s we are confident in our ability and passionate about supporting your client’s recovery and improvement. Our aim is to share the power of an amazing night’s sleep with the broader community. Any factors that could potentially be hindering your client’s sleep quality, our trained sleep consultants can pin point, to help guide them to find their perfect mattress.

Our curated selection of mattresses is made up of Australian made products that add value to quality of your client’s sleep. The Chiro Aspect, our newest addition to the Chiro range, has been made for those who wish to experience temperature neutral sleep. The use of graphene-infused memory foam

conforms to the contours of the body to provide outstanding pressure relief. In combination with Gel Visco and 5 zone pocket spring, the Chiro Aspect delivers immense support and the feeling of weightlessness while sleeping. With a beautiful quilted top panel this collection has a feeling of opulent luxury to provide the best night’s sleep.

As the only mattress retailer with a range of mattresses tested and endorsed by the CAA, at Sleepy’s we understand the importance of sleep. The key to a happier, more energised and fulfilling life is an amazing night’s sleep. Reach out to your local Sleepy’s store manager today and reclaim your amazing!

C O L L E C T I O N

S L E E P Y ’ S E X C L U S I V E

C H I R O A S P E C T D E L U X E

Australasian Institute of Chiropractic Education October 20… · INSTITUTE OF CHIROPRACTIC...

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