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Foundation Statement Regarding Tiering of the Profession


A Masters Degree in Advanced Clinical Practice is being promulgated within the profession which purports to give chiropractors a broader immersion in clinical studies including pharmacology. It is reported that the National Board of Chiropractic Examiners is planning to develop a certification exam for an expanded practice chiropractic physician, New Mexico has recently added such an advanced practice designation to their statute and the American Chiropractic Association has recently voted to endorse such efforts.   


The Foundation for Vertebral Subluxation has serious concerns about the development of designations to chiropractic credentials through additional degrees or otherwise which denote a superiority to licensed doctors of chiropractic and amount to defacto tiering of the profession. Beyond the simple uncollegiality of such designations there may be serious legal, ethical, regulatory and accreditation implications for such designations.


Beyond the connotation of superiority and the tiering that arises out of such designations, the push to include pharmaceuticals into the scope of chiropractic practice is the most serious issue facing the profession. Chiropractic is not the practice of medicine and is in fact a distinct and separate profession that enhances the ability of the body to heal without the use of drugs and surgery.


The Foundation urges all chiropractors, chiropractic associations and organizations to join together and oppose these actions.