Recommendations Towards a Model Jurisprudence, Ethics and Business Management Curriculum for Chiropractic Students

<b>Background</b><br/>Many in the profession argue chiropractic is well positioned to assume a joint leadership role in <br/>the back pain ecosystem. Despite inherent advantages, however, chiropractic continues to be <br/>beset with challenges that undermine its cultural authority in this area of healthcare. These <br/>challenges are amplified by several studies that reveal underdeveloped and non-standardized <br/>jurisprudence, ethics and business management (JEB) curricula in chiropractic education, <br/>thought to contribute to a lack of preparedness to enter private practice. This educational void is <br/>often filled by some role models and practice management groups advocating financial success <br/>through ethically dubious practice behaviors. <br/><br/>These ethically dubious practice activities can contribute to the public's perception of the <br/>profession's untrustworthiness and lack of honesty, further undermining its cultural authority. As <br/>described in this portfolio, this may contribute to stagnant utilization rates, lower income <br/>compared to other doctor-credentialed professions, limited third-party payer coverage and <br/>reluctance by other potential partners in the back pain ecosystem to work collaboratively with <br/>chiropractors.<br/><br/><b>Research Purpose and Aims</b><br/>This portfolio has two purposes. The first is to present evidence that the current jurisprudence, <br/>ethics and business management (JEB) curricula offered by chiropractic educational programs <br/>(CEPs) are not currently robust enough to meet the overall educational needs of students. The <br/>second purpose is to provide recommendations toward a model JEB curriculum for chiropractic <br/>students, particularly in Canada and the United States.<br/><br/>The aim of this portfolio is to address the gaps (or deficiencies) in JEB education identified in<br/>surveys and interviews of chiropractic students, new graduates, practicing chiropractors and <br/>chiropractors who have left the profession. Several articles, predominately published in the <br/>Canadian and American peer-reviewed, indexed literature, have identified these gaps in <br/>chiropractic education as contributing factors to the challenges and obstacles facing many <br/>practicing chiropractors and aspects of the chiropractic profession. It is therefore posited that a <br/>model JEB chiropractic curriculum may partially mitigate current challenges and obstacles and <br/>their ramifications.<br/><br/><b>Research Design</b><br/>Recommendations toward a model JEB curriculum for chiropractic students have been <br/>developed by combining: (i) a qualitative and quantitative description and critical analysis of <br/>three original projects; (ii) a carefully curated review of the JEB literature both within and outside <br/>of chiropractic and; (iii) studies I have previously published germane to these topics. How many <br/>of the challenges facing the profession can be overcome by adopting the proposed model JEB <br/>curriculum is explored.<br/><br/><b>Methods</b><br/>Three original projects were undertaken for this portfolio. The findings from those projects, along <br/>with my previously published studies, were evaluated through the lens of the curated literature <br/>investigating JEB education currently offered to chiropractic students. The current state of the <br/>chiropractic profession, in terms of advantages, challenges and proposed solutions were also <br/>considered.<br/><br/><b>Results</b><br/>A three block scaffolded educational model framework for jurisprudence, ethics and business <br/>management courses is proposed, along with recommendations for course structure, optimal <br/>delivery methods, assessment strategies and topics. <br/><br/><b>Conclusions</b><br/>Recommendations toward a model JEB curriculum for chiropractic students are presented. <br/>These recommendations include options for course structure, delivery methods, assessment <br/>strategies and topical outlines, organized into scaffolded educational blocks. <br/>

Name dc:type.qualificationname

Doctoral Thesis

Level dc:type.qualificationlevel

Student thesis

Year dc:date.issued

2025

Author dc:creator

• Gleberzon, Brian Joshua

Advisors dc:contributor.advisor

• McCarthy, Peter
• Dolan, Gina

• Chiropractic
• jurisprudence
• ethics
• business management
• model curriculum

Language dc:language

eng

Identifier

oai:pure.atira.dk:studenttheses/c4c3b0c5-25cc-46be-b300-d41f9e39e07f

OAI identifier oai:identifier

oai:pure.atira.dk:studenttheses/c4c3b0c5-25cc-46be-b300-d41f9e39e07f