Pediatric training and practice of Canadian chiropractic and naturopathic doctors: A 2004-2014 comparative study


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Porcino, A., Solomonian, L., Zylich, S., Gluvic, B., Doucet, C. et Vohra, S. (2017). Pediatric training and practice of Canadian chiropractic and naturopathic doctors: A 2004-2014 comparative study. BMC Complementary and Alternative Medicine, 17 (1). ISSN 1472-6882 DOI 10.1186/s12906-017-2024-5

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To assess chiropractic (DC) and naturopathic doctors' (ND) knowledge, attitudes, and behaviour with respect to the pediatric patients in their practice.

Cross-sectional surveys were developed in collaboration with DC and ND educators. Surveys were sent to randomly selected DCs and NDs in Ontario, Canada in 2004, and a national online survey was conducted in 2014. Data were analyzed using descriptive statistics, t-tests, non-parametric tests, and linear regression.

Response rates for DCs were n=172 (34%) in 2004, n=553 (15.5%) in 2014, and for NDs, n=171 (36%) in 2004, n=162 (7%) in 2014. In 2014, 366 (78.4%) of DCs and 83 (61%) of NDs saw one or more pediatric patients per week. Pediatric training was rated as inadequate by most respondents in both 2004 and 2014, with most respondents (n=643, 89.9%) seeking post-graduate training by 2014. Respondents' comfort in treating children and youth is based on experience and post-graduate training. Both DCs and NDs that see children and youth in their practices address a broad array of pediatric health concerns, from well child care and preventative health, to mild and serious illness.

Although the response rate in 2014 is low, the concerns identified a decade earlier remain. The majority of responding DCs and NDs see infants, children, and youth for a variety of health conditions and issues, but self-assess their undergraduate pediatric training as inadequate. We encourage augmented pediatric educational content be included as core curriculum for DCs and NDs and suggest collaboration with institutions/organizations with expertise in pediatric education to facilitate curriculum development, especially in areas that affect patient safety.

Type de document: Article
Mots-clés libres: Pediatrics Integrative medicine Complementary medicine Survey Naturopathic Chiropractic
Date de dépôt: 14 août 2023 14:20
Dernière modification: 14 août 2023 14:22
Version du document déposé: Version officielle de l'éditeur

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