Health promotion and prevention practice in chiropractic teaching clinics: A continuing study to find out if reviewing patient files reflect advice on health promotion

Healthy People 2010 discussed and recommended the use health promotion to reduce risky behaviors that are associated with mortality and morbidity in large populations. Public health initiatives and strategies have been formulated to increase global awareness regarding wellness concepts. The chiropractic profession has for many years discussed wellness in its principles. In 2007 the Council on Chiropractic Education (CCE) began requiring health promotion and wellness be instituted in all CCE accredited chiropractic colleges in the United States. Although studies have discussed the good intentions of chiropractic interns to practice health promotion, few studies have been conducted to actually support these claims in an educational clinical setting. One of these studies was conducted by Ndetan and colleagues at two chiropractic teaching clinics between 2009 and 2010. This current study will replicate the above study conducted by Ndetan and colleagues and will add to the body of knowledge regarding the use of health promotion in chiropractic teaching clinics. The purpose of the study will be to identify how often chiropractic interns recommend health promotion to patients. Next, the study will list how often interns explain to patients the importance of lifestyle changes related to red flags identified while taking a history. Finally, the study will evaluate the efforts of the faculty clinicians in their role in advising interns regarding the importance of advising patients. This study will be conducted at Palmer College of Chiropractic Florida campus with the hope to extend it to other Chiropractic teaching institutions in the United States.