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Only Chiropractors Who Are Also Licensed Acupuncturists May Provide Acupuncture Services to Their Patients

Pursuant to Education Law §6551, the scope of practice for the profession of chiropractic does not authorize the use or practice of acupuncture to treat diseases, disorders, or dysfunctions of the body. However, chiropractors who also licensed under Article 160 of the Education Law as an acupuncturist may offer such services under that license, but not as a chiropractor.

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Practice Alert: Use of Unlicensed Individuals

On behalf of the NY State Board for Chiropractic's Public Information Committee, we are disseminating the following Practice Alert:

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NYSCB Practice Alerts: Peripheral Neuropathy and Treating Concussions

On behalf of the NY State Board for Chiropractic's Public Information Committee, we are disseminating the following Practice Alerts: 1) "The Treating Peripheral Neuropathy" and 2) "Treating Concussion Practice Alerts" have been posted as #12 and #13 on the Chiropractic Practice Alert webpage in the links below:

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Weight Loss Management and Diet Counseling Services

Chiropractors licensed in New York State may provide nutritional advice within their chiropractic scope of practice as part of an overall treatment plan for a chiropractic patient. Under Education Law §6551(1), chiropractors licensed in New York State may detect and correct by manual or mechanical means structural imbalance, distortion, or subluxations in the human body for the purpose of removing nerve interference and the effects thereof, where such interference is the result of or related to distortion, misalignment or subluxation of or in the vertebral column.

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Using the Term functional medicine in chiropractic advertising

 There are various educational sources, both internet-based and non-internet-based, offering certificate and non-certificate programs in functional medicine for chiropractors. However, although segments of the functional medicine body of knowledge may be consistent with both a chiropractor’s training and portions of the chiropractic scope of practice, its overall patient treatment approach, as well as the term “medicine’ is not within the chiropractic scope of practice. Thus, chiropractors should refrain from using the term functional medicine in their advertising.

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Functional Medicine Courses are not acceptable for Continuing Education Purposes

There are various educational sources, both internet-based and non-internet based, offering continuing education courses in functional medicine for chiropractors. However, although segments of the functional medicine body of knowledge may be consistent with both a chiropractor’s training and portions of the chiropractic scope of practice, its overall patient treatment approach, as well as the term “medicine’ is not within the chiropractic scope of practice. Thus, functional medicine courses are not acceptable for satisfying your triennial registration requirement of 36 hours of continuing education.

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Record Keeping and Documentation

Health care professionals must maintain proper documentation that accurately reflects the evaluation and treatment of the patient, consistent with the appropriate levels of care. Clinical notes serve several important purposes including:

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Understanding Differences Between Professional Practice Entities and General Business Entities

Generally, licensed professionals may not set up a general business corporation (GBC) to provide professional services. Except where specifically authorized by law, a general business corporation may not:

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News From The NYS Board for Chiropractic regarding CPR/Basic Life Support (BLS) training, professional advertising cautions, and a newly appointed executive secretary.

CPR/BLS Training

Recently the New York State Board for Chiropractic has authorized CPR and Basic Life Support (BLS) courses to be eligible for continuing education credit for chiropractic licensure. With many insurance companies now requiring this for their participating providers, these hours can now be used toward CE credits in New York. A total of four hours of CPR/BLS training can be used during a three year registration period. As with all CE credits required in New York, the CPR/BLS credits must be offered through an approved sponsor. Approved sponsors are state or national chiropractic associations and chiropractic colleges that have credentialed the courses they are offering. If the course is being taught by another body, say for example the Red Cross, it must still be offered by an approved sponsor. The CPR and/or BLS course must be a "hands on course" and online versions will not be eligible for credits. As with any CE course, please check with the sponsor offering the course or with the New York State Board for Chiropractic office to be sure that the course has been approved. In the coming months the New York State Board for Chiropractic will be monitoring courses more closely for content and to make sure courses being offer have been approved.

Professional Advertising Caveat

With the slowdown in the economy, sometimes advertising can become very creative. Recently the use of internet coupons has been increasing. D.C.'s need to exercise caution when using any kind of coupon to promote their practice. When offering discounts to patients, be aware of the fact that generally, the discount has to be afforded to all patients and not just a segment of your patient population. Further, with internet coupons, issues of fee splitting and kick backs have been raised which could result in professional misconduct. Further information regarding this issue can be found on the State Board for Chiropractic website under the "practice alerts" tab at

New executive secretary appointed to the NYS State Board for Chiropractic

Finally, the board would like to welcome our new executive secretary, Dolores Cottrell-Carson,DDS, MSHA. Dr. Cottrell-Carson has previous experience with the State Education Department as she is also the executive secretary for the dental board and the optometry board. Prior to coming to the State Education Department, Dr. Cottrell-Carson was dental director of a community health center in Rochester, and has also worked in a private dental practice in addition to holding many other administrative positions.


Multidisciplinary Practices

The health care professions constantly evolve. A variety of forces, sometimes in competition with one another, continue to shape and reshape the methods, procedures and the manner in which health care is provided to the public.

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Performing Independent Chiropractic Examinations (ICEs)

There are a number of considerations of which you should be aware when performing independent chiropractic examinations (ICE):

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Advertising or Soliciting for Patients

In a competitive practice environment, violations in advertising or soliciting for patients are an increasing concern. While it is common practice for chiropractors to inform the public about the benefits of chiropractic care through media advertising and various promotional activities, you should be well informed about the appropriate use of promotional activities and materials in a professional practice. Generally, licensees must consider the manner in which information is presented to ensure it is not false, fraudulent, deceptive or misleading.

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Use of Internet Coupons

In the case of coupons, including Internet coupons, licensed professionals who advertise these discounts should be cautious. Generally speaking, discounts cannot be limited to one segment of your practice without offering the same discount to the rest of your practice. Additionally, the fee you pay for these advertising services may constitute fee splitting. The offering of improper discounts and/or the improper sharing of professional fees may subject a licensee to charges of professional misconduct.

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Sexual Misconduct

Sexual misconduct can be the basis of a charge of professional misconduct. Increasingly across many health professions, including chiropractic, patients are filing complaints alleging that licensees have engaged in some form of sexual misconduct. Since the primary techniques of chiropractic care are "hands-on" requiring the practitioner to be in close proximity to the patient's body, you should be aware of and anticipate situations that could be perceived as sexual misconduct, and take measures to prevent them.

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News from your State Board regarding spinal rehabilitation

The most recent meeting of The New York State Board for Chiropractic was October 2009 in NYC.

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News from your State Board regarding spinal decompression

The New York State Board for Chiropractic frequently receives requests for information regarding spinal decompression from practicing doctors and from the general public.These treatments can become expensive and often are not covered by insurance. Coding for these services can also be confusing. There were a series of articles recently authored by James Edwards, D.C and Cynthia Vaughn,D.C.,F.I.C.C. which were published in Dynamic Chiropractic from the middle of 2008 through March of 2009.These articles would be of interest for anyone considering decompression in their practice. These should not be considered a complete guide but rather a starting point.

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News from your State Board regarding certain types of advertising

Increasingly the New York State Board for Chiropractic has been receiving questions and concerns about certain types of advertising. The information provided in this brief article may help clarify some of the responsibilities we have as practitioners when we advertise.

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Chiropractic Care and Animals

New York State Education Law, section 6551(1) defines the practice of chiropractic as:

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NBCE HOSTS SIXTH ANNUAL STUDENT LEADERS LEADERSHIP FORUM Greeley, Colo.—The National Board of Chiropractic Examiners (NBCE) hosted 14 student leaders at the sixth annual student leadership forum on January 23, 2009. NBCE President Dr. Vernon Temple introduced students to an overview of the role of and the need for leaders to emerge at all professional levels in the chiropractic profession. Dr. Temple encouraged students to fill the important role of building unity and transparency within the chiropractic profession. He continued with a synopsis of the importance of trust, using important tenets from the book, At the Speed of Trust, which was given to each student at the end of their visit. Student leaders were given a complete overview and opportunities to ask questions concerning NBCE operations. Department overviews included: • Delphi studies, practice analysis, functions of test committees • Exams as a reflection of profession: Parts I and II reflect what is being taught; Parts III and IV reflect practice • Part III pilot testing • Part IV overview, including recent change in eligibility requirement • Test sites: security, role of TAs and ATAs, exam application processing, release of scores to state boards and examinee, test accommodations • International: worldwide growth, importance of standardized testing in helping profession gain worldwide credibility and acceptance, funding of chiropractic position at the World Health Organization • NBCE finances: budget development process, importance of forecasting future student enrollment, importance of restricted reserves, and funding agreement for the FCLB Attendees included: Student American Chiropractic Association (SACA) Officers: • Betsy Robinson, National Chair • Rachelle Mulford, National Vice Chair • Lance Cohen, National Legislative Chair • Daniel H. Bronstein, National Vice Legislative Chair American Black Chiropractic Association (ABCA) Representatives: • Micheala Edwards, National Student Representative • Norquita Johnson, Western Region Student Representative • Anthony Witherspoon, Southern Region Student Representative Student International Chiropractors Association (SICA) Representatives: • Clint Erickson, Congress Chair • Eva Sepulveda, Congress Vice-Chair • Stacy Land, Congress Secretary • Joanna Prokes, Congress Legislative Liaison World Congress of Chiropractic Students (WCCS) Representatives: • Ali Postles, Chair • Allison French, Regional Representative N. America West & Mexico • Sarah Hatherly, Regional Representative N. America East & Canada Headquartered in Greeley, Colo., the NBCE is the international testing organization for the chiropractic profession. Established in 1963, the NBCE develops, administers and scores legally defensible, standardized written and practical examinations for candidates seeking chiropractic licensure throughout the United States and in many foreign countries.

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The National Board of Chiropractic Examiners (NBCE) reports on the latest events at NBCE. The National Board of Chiropractic Examiners (NBCE) hosted a number of meetings including registrars from chiropractic colleges across the United States, and Part IV Examiners and Administrators Workshop. To view the full report click on the link below.

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