Review of Clinical Utility of Routine Spinal Radiographs

The College of Chiropractors of BC has made a commitment to the public, registrants and other key stakeholders to be open and transparent when it comes to policy, scope of practice, bylaw or other changes that could potentially affect the regulation of chiropractic in our province. We want to be sure that everyone knows what is being considered, and why.

In fact, the Board recently adopted a process for policy development that reinforces the evidence-informed nature of how decisions are made, including consideration of the latest research and, if appropriate, a period of public consultation.

The College is in the process of analysing the use of routine and repeat spinal radiography, such as X-rays, and anticipates amendments to the Professional Conduct Handbook as a result. The research to support this review is available here: “The clinical utility of routine spinal radiographs by chiropractors: a rapid review of the literature.” This research was conducted by Ontario Tech University at the request of the CCBC.

CCBC strongly encourages chiropractors to review this research and consider how it may apply to their day-to-day practices.

The College is following the process referenced above for policy development which will include a period of consultation, anticipated in late summer of 2020. The details surrounding the upcoming consultation will be communicated widely to ensure that all stakeholders, including patients and the public, have the opportunity to contribute.

We appreciate the desire for the public and registrants to have a voice in policy development. By fostering respectful dialogue, our goal is to establish appropriate regulations which enhance protection of the public.

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