Education and CompetencyThe Profile of Chiropractic in Switzerland

ChiroSuisse The Swiss Chiropractic Association

EducationLocomotive system – Spine – Nervous system

Chiropractic

Where medicine andManual skills merge

Art Manual Skills

ScienceUniversity trained medical person

PhilosophyRecognizing the intricaterelationship between the spineand the nervous system

The Foundation

Chiropractic at the University of Zurich

Undergraduate education program (UGEP)

• Chiropractic curriculum at the medical faculty of the University of Zurich, Switzerland (since 2008)

• First cohort entered PGE in August 2014

Postgraduate education program (PGE / GEP)Continued professional development (CPD)

• Under the auspices of the governmentaccredited Swiss Academy for Chiropractic (SAC)

Prerequisites for the Chiropractic Program

Requirements• Federal maturity diploma• Passed entrance

examination of medicine

Students• 20 seats per annum

at the University of ZurichStudents from all partsof Switzerland

The Pathway of Chiropractic Education

Year 1-4: Core Curriculum Medicine andChiropractic SubjectsCore curriculum medicineLectures and clinical courses

Envelope curriculum chiropracticBetween 2 and 7 hours per weekLectures and clinical courses

Year 5: The clinical Armamentarium

Consolidation of the manual skills

• Chiropractic diagnosis• Medical diagnosis• Clinical biomechanics• Chiropractic techniques• Imaging procedures• Rehabilitation procedures• Physiotherapeutic procedures

Year 6: Clinical Training

Interdisciplinary hospital rotation

• 5-months hospital rotation in(ortho/rheuma/neuro/internal)

• 5-months clinical training in thepoliclinic of chiropractic medicine

• Case management assessment withsenior clinicians and radiologists

• Federal examination forchiropractors

Year 7-9: Postgraduate Education

Following the federal examination

• 2-3 years PGE residency program in a chiropractic office / mentorship

• 1 day per week GEP at the SwissAcademy for Chiropractic

• Writing of scientific papers• Honeing the manual skills• Advancing radiology competences• Professional politics and legal aspects

After Completion of all Requirements

• Federal Diploma for Chiropractors with PGE• Working as an independant Chiropractor• Personal responsibility & accountability

Life Long Learning - CPD

• 80 hours per annum• Self study• Quality circles• Annual ChiroSuisse CE Convention• International Conventions (ECU, WFC)

The CPD requirements are beeingmonitored by the Swiss Academy

A highly attractive Profession

• Combining medical knowledge and manual skills

• Patient centered care

• Immediate benefit of care often achievable

• Fascinating interdisciplinary collaboration

• Attractive, stand-alone chiropractic program

• Independant practice after 8-9 years

Spine Care Specialist

Primary contact for the patientChiropractor as physician

Medical assessmentMedical diagnosisManual treatmentSpinal health

Quality assuranceDifferential diagnosisPatient safety

The Competency Profile A positioning paper for the health care market

Our Qualifications

Since 1964 Reimbursement by mandatory basic insurance model

Since 2007 Chiropractic regulated in the federal law of medicalprofessions

ChiroSuisse 280 members entitled to exercise their professionindependently with personal responsibility

UGEP Chiropractic program at the medical faculty of theUniversity of Zurich (B Med; M Chiro Med)

PGEP / GEP Swiss Academy for Chiropractic accredited by thefederal government

CE / CPD Life long learning

Integration / Network

Professional associationsEurope European Chiropractic UnionWorld World Federation of ChiropracticChiroSuisse as benchmark for other countries

Stakeholders in the health care systemCollaboration with the federal office of health, the other medicalprofessions, insurers and members of the parliament

The Foundation of Chiropractic

Unique Selling Proposition (USP)

Art Excellent manual skills

Science University trained medical person

Philosophy Recognizing the intricate relationship between thespine and the nervous system

Spine Care Specialist

Manual skill competence

Six years undergraduate education

Three years PGE / GEP

Life long learning / CE/ CPD

The Patient

Statistics:High incidence of back pain in the population

The Costs

Statistics:Frequent hospitalization amounts to enormous costs

The Challenges in the Health Care Field

• Taking into account the demographic trends• New health care models emerging• Adapting the job profile of the physician

Patient centered care

Identifying & recognizing increased patient expectations & needsRecognizing polymorbidity in the aging patient

Health Care in Switzerland:Political Agenda 2020

Gesundheit 2020.Die gesundheitspolitischen Prioritäten des Bundesrates.

Ein nachhaltiges Gesundheits-system für die Schweiz. Roadmap der Akademie der Wissenschaften Schweiz.

Market-Orientation

Professional competencies are pivotal

Constant development of competencies are paramount

Savegarding our future

Knowledge and Competence

Our Armamentarium for the Future

KnowledgeThe ability to fill our backpack with many ingredients

CompetenceThe team work ability to process these ingredients into a delicious meal

The Competencies – the Ability to Act

The Goal

Staying fit

For an ever changing

Health care market

The Benchmark Profile of a Chiropractor

In collaboration with Dr. med.Christoph A. Pfister (MD)

Competence center for human medicine („competenzia“)

• Job profile of a Chiropractor – vision 2030

• Competence profile using the KODE® system

• Development and ranking of the core competencies

• Comparison to competency profile of the GP

Internal Process

Competency workshops conducted in different parts ofSwitzerland

LARGE intra-professional unity ☺

Key Competencies for Human MedicineKey Competencies for Chiropractic

Fachwissen – Fachübergreifende Kenntnisse – Normativ-ethische Einstellung (Wertehaltung) – Glaubwürdigkeit und AuthentizitätSelbstmanagement – Entscheidungsfähigkeit – Lernbereitschaft –Ganzheitliches Denken – Zuverlässigkeit – Ergebnisorientiertes (evidenz-orientiertes) Handeln – Integrationsfähigkeit –Problemlösungsfähigkeit – Analytische Fähigkeiten – Teamfähigkeit –Beratungsfähigkeit – Beurteilungsvermögen – Kommunikationsfähigkeit– Kooperationsfähigkeit

LARGE Accordance

Competence Analysis – The Results

Personal competency

Social competency, Activitycompetency

Expert knowledge, competency

Key Competencies of Chiropractic

Communication

Expert knowledge

Comparison of CompetenciesChiropractor GP

Implementation of the Competency Profile in the Profession

• PGE / GEP• Advancement of competencies for employees• Integration into the entrance examination to the University

Constant development of professional competencies

Job Profile

Primary contact for the patientChiropractor as physician

Medical assessment and treatmentMedical diagnosisManual treatmentSpinal health

Quality assuranceDifferential diagnosisPatient safety

The Chiropractor – a reliable Partner

Being a part of the modern health care system• YES to integrated health care models• YES to interdisciplinary collaboration• YES to the accountability as primary health care physician

Safe patient centered care• YES to the responsibility and the lead in patient care• YES to quality and safety