Pediatric training and practice of Canadian chiropractic and naturopathic doctors: a 2004–2014 comparative study

Abstract Background To assess chiropractic (DC) and naturopathic doctors’ (ND) knowledge, attitudes, and behaviour with respect to the pediatric patients in their practice. Methods Cross-sectional surveys were developed in collaboration with DC and ND educators. Surveys were sent to randomly selecte...

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Main Authors: Antony Porcino, Leslie Solomonian, Stephen Zylich, Brian Gluvic, Chantal Doucet, Sunita Vohra
Format: Article
Language:English
Published: BMC 2017-12-01
Series:BMC Complementary and Alternative Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12906-017-2024-5
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author Antony Porcino
Leslie Solomonian
Stephen Zylich
Brian Gluvic
Chantal Doucet
Sunita Vohra
author_facet Antony Porcino
Leslie Solomonian
Stephen Zylich
Brian Gluvic
Chantal Doucet
Sunita Vohra
author_sort Antony Porcino
collection DOAJ
description Abstract Background To assess chiropractic (DC) and naturopathic doctors’ (ND) knowledge, attitudes, and behaviour with respect to the pediatric patients in their practice. Methods Cross-sectional surveys were developed in collaboration with DC and ND educators. Surveys were sent to randomly selected DCs and NDs in Ontario, Canada in 2004, and a national online survey was conducted in 2014. Data were analyzed using descriptive statistics, t-tests, non-parametric tests, and linear regression. Results Response rates for DCs were n = 172 (34%) in 2004, n = 553 (15.5%) in 2014, and for NDs, n = 171 (36%) in 2004, n = 162 (7%) in 2014. In 2014, 366 (78.4%) of DCs and 83 (61%) of NDs saw one or more pediatric patients per week. Pediatric training was rated as inadequate by most respondents in both 2004 and 2014, with most respondents (n = 643, 89.9%) seeking post-graduate training by 2014. Respondents’ comfort in treating children and youth is based on experience and post-graduate training. Both DCs and NDs that see children and youth in their practices address a broad array of pediatric health concerns, from well child care and preventative health, to mild and serious illness. Conclusions Although the response rate in 2014 is low, the concerns identified a decade earlier remain. The majority of responding DCs and NDs see infants, children, and youth for a variety of health conditions and issues, but self-assess their undergraduate pediatric training as inadequate. We encourage augmented pediatric educational content be included as core curriculum for DCs and NDs and suggest collaboration with institutions/organizations with expertise in pediatric education to facilitate curriculum development, especially in areas that affect patient safety.
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spelling doaj.art-e065b6416f0b4c0b99eb9d0f5262bfaa2022-12-21T22:47:35ZengBMCBMC Complementary and Alternative Medicine1472-68822017-12-011711810.1186/s12906-017-2024-5Pediatric training and practice of Canadian chiropractic and naturopathic doctors: a 2004–2014 comparative studyAntony Porcino0Leslie Solomonian1Stephen Zylich2Brian Gluvic3Chantal Doucet4Sunita Vohra5Department of Pediatrics, CARE Program, Faculty of Medicine, University of AlbertaCanadian College of Naturopathic MedicineCanadian Memorial Chiropractic CollegeBoucher Institute of Naturopathic MedicineDépartement de Chiropratique, Université du Québec à Trois-RivièresDepartment of Pediatrics, CARE Program, Faculty of Medicine, University of AlbertaAbstract Background To assess chiropractic (DC) and naturopathic doctors’ (ND) knowledge, attitudes, and behaviour with respect to the pediatric patients in their practice. Methods Cross-sectional surveys were developed in collaboration with DC and ND educators. Surveys were sent to randomly selected DCs and NDs in Ontario, Canada in 2004, and a national online survey was conducted in 2014. Data were analyzed using descriptive statistics, t-tests, non-parametric tests, and linear regression. Results Response rates for DCs were n = 172 (34%) in 2004, n = 553 (15.5%) in 2014, and for NDs, n = 171 (36%) in 2004, n = 162 (7%) in 2014. In 2014, 366 (78.4%) of DCs and 83 (61%) of NDs saw one or more pediatric patients per week. Pediatric training was rated as inadequate by most respondents in both 2004 and 2014, with most respondents (n = 643, 89.9%) seeking post-graduate training by 2014. Respondents’ comfort in treating children and youth is based on experience and post-graduate training. Both DCs and NDs that see children and youth in their practices address a broad array of pediatric health concerns, from well child care and preventative health, to mild and serious illness. Conclusions Although the response rate in 2014 is low, the concerns identified a decade earlier remain. The majority of responding DCs and NDs see infants, children, and youth for a variety of health conditions and issues, but self-assess their undergraduate pediatric training as inadequate. We encourage augmented pediatric educational content be included as core curriculum for DCs and NDs and suggest collaboration with institutions/organizations with expertise in pediatric education to facilitate curriculum development, especially in areas that affect patient safety.http://link.springer.com/article/10.1186/s12906-017-2024-5PediatricsIntegrative medicineComplementary medicineSurveyNaturopathicChiropractic
spellingShingle Antony Porcino
Leslie Solomonian
Stephen Zylich
Brian Gluvic
Chantal Doucet
Sunita Vohra
Pediatric training and practice of Canadian chiropractic and naturopathic doctors: a 2004–2014 comparative study
BMC Complementary and Alternative Medicine
Pediatrics
Integrative medicine
Complementary medicine
Survey
Naturopathic
Chiropractic
title Pediatric training and practice of Canadian chiropractic and naturopathic doctors: a 2004–2014 comparative study
title_full Pediatric training and practice of Canadian chiropractic and naturopathic doctors: a 2004–2014 comparative study
title_fullStr Pediatric training and practice of Canadian chiropractic and naturopathic doctors: a 2004–2014 comparative study
title_full_unstemmed Pediatric training and practice of Canadian chiropractic and naturopathic doctors: a 2004–2014 comparative study
title_short Pediatric training and practice of Canadian chiropractic and naturopathic doctors: a 2004–2014 comparative study
title_sort pediatric training and practice of canadian chiropractic and naturopathic doctors a 2004 2014 comparative study
topic Pediatrics
Integrative medicine
Complementary medicine
Survey
Naturopathic
Chiropractic
url http://link.springer.com/article/10.1186/s12906-017-2024-5
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