Choosing A Chiropractic Career

Chiropractors, (aka Doctors of Chiropractic, Chiropractic Physicians, or DC's) diagnose and treat patients whose health problems are associated with the body's muscular, nervous, and skeletal systems, especially the spine. DC's believe that interference with these systems impairs the body's normal functions and lowers its resistance to disease. They also hold that vertebral dysfunction alters many important body functions by affecting the nervous system and that skeletal imbalance through joint dysfunction, especially in the spine, can cause dis-ease.

The chiropractic approach to health care is holistic, stressing the patient's overall health and wellness. It recognizes that many factors affect health, including exercise, diet, rest, environment, and heredity. DC's provide natural, drugless, nonsurgical health treatments and rely on the body's inherent recuperative abilities. They also recommend changes in lifestyle-in eating, exercise, and sleeping habits, for example-to their patients. When appropriate, DC's consult with and refer patients to other health practitioners.

Like other health practitioners, DC's follow a standard routine to secure the information they need for diagnosis and treatment. They take the patient's medical history; conduct physical, neurological, and orthopedic examinations; and may order laboratory tests. X-rays and other diagnostic images are important tools because of the chiropractor's emphasis on the spine and its proper function. DC's also employ a postural and spinal analysis common to chiropractic diagnosis.

In cases in which difficulties can be traced to the involvement of musculoskeletal structures, chiropractors manually adjust the spinal column. Some DC's use adjunctive therapies (i.e. ultrasound, massage, acupuncture, heat). They also may apply supports such as straps, tapes, and braces. DC's counsel patients about wellness concepts such as nutrition, exercise, changes in lifestyle, and stress management, but do not prescribe drugs or perform surgery.

Some DC's specialize in sports injuries, neurology, orthopedics, pediatrics, nutrition, internal disorders, or diagnostic imaging.

Many chiropractors are solo or group practitioners who also have the administrative responsibilities of running a practice. In larger offices, DC's delegate these tasks to office managers and chiropractic assistants. Chiropractors in private practice are responsible for developing a patient base, hiring employees, and keeping records.

All States and the District of Columbia regulate the practice of chiropractic and grant licenses to chiropractors who meet the educational and examination requirements established by the State. Chiropractors can practice only in States where they are licensed. Some States have agreements permitting chiropractors licensed in one State to obtain a license in another without further examination, provided that their educational, examination, and practice credentials meet State specifications.

Most State boards require at least 2 years of undergraduate education; an increasing number are requiring a 4-year bachelor's degree. All boards require the completion of a 4-year program at an accredited chiropractic college leading to the Doctor of Chiropractic degree.

For licensure, most State boards recognize either all or part of the four-part test administered by the National Board of Chiropractic Examiners. State examinations may supplement the National Board tests, depending on State requirements. All States except New Jersey require the completion of a specified number of hours of continuing education each year in order to maintain licensure. Chiropractic associations and accredited chiropractic programs and institutions offer continuing education programs.

In 2005, 15 chiropractic programs and 2 chiropractic institutions in the United States were accredited by the Council on Chiropractic Education. Applicants are required to have at least 90 semester hours of undergraduate study leading toward a bachelor's degree, including courses in English, the social sciences or humanities, organic and inorganic chemistry, biology, physics, and psychology. Many applicants have a bachelor's degree, which may eventually become the minimum entry requirement. Several chiropractic colleges offer prechiropractic study, as well as a bachelor's degree program. Recognition of prechiropractic education offered by chiropractic colleges varies among the State boards.

Chiropractic programs require a minimum of 4,200 hours of combined classroom, laboratory, and clinical experience. During the first 2 years, most chiropractic programs emphasize classroom and laboratory work in basic science subjects such as anatomy, physiology, public health, microbiology, pathology, and biochemistry. The last 2 years stress courses in manipulation and spinal adjustment and provide clinical experience in physical and laboratory diagnosis, neurology, orthopedics, geriatrics, physiotherap

Job prospects are expected to be good for persons who enter the practice of chiropractic. Employment of chiropractors is expected to grow faster than average for all occupations through the year 2014 as consumer demand for alternative health care grows. Because chiropractors emphasize the importance of healthy lifestyles and do not prescribe drugs or perform surgery, chiropractic care is appealing to many health-conscious Americans. Chiropractic treatment of the back, neck, extremities, and joints has become more accepted as a result of research and changing attitudes about alternative, noninvasive health care practices. The rapidly expanding older population, with its increased likelihood of mechanical and structural problems, also will increase demand for chiropractors.

Demand for chiropractic treatment, however, is related as well to the ability of patients to pay, either directly or through health insurance. Although more insurance plans now cover chiropractic services, the extent of such coverage varies among plans. Increasingly, chiropractors must educate communities about the benefits of chiropractic care in order to establish a successful practice.

In this occupation, replacement needs arise almost entirely from retirements. Chiropractors usually remain in the occupation until they retire; few transfer to other occupations. Establishing a new practice will be easiest in areas with a low concentration of chiropractors.

Median annual earnings of salaried chiropractors were $69,910 in May 2004. The middle 50 percent earned between $46,710 and $118,280 a year.

In 2005, the mean salary for chiropractors was $104,363, according to a survey conducted by Chiropractic Economics magazine.

In chiropractic, as in other types of independent practice, earnings are relatively low in the beginning and increase as the practice grows. Geographic location and the characteristics and qualifications of the practitioner also may influence earnings. Self-employed chiropractors must provide their own health insurance and retirement.