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July - August 2012 (PDF Version) - New York Chiropractic College

July - August 2012 (PDF Version) - New York Chiropractic College

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tive therapy in patients at ‘high risk’ for poor prognosis.<br />

Doors Swinging Open<br />

Dougherty is just one of several chiropractors<br />

throughout the U.S. who are helping to train a new<br />

generation of chiropractic interns in a demanding<br />

multidisciplinary setting. There are currently 17<br />

VA facilities affiliated with 11 chiropractic colleges.<br />

NYCC associates with the Bath, Buffalo, Canandaigua,<br />

and Rochester VAs, as well as with Bethesda Naval<br />

Hospital and the Miami, Fla., VA Medical Center.<br />

Cross-disciplinary relationships were facilitated<br />

when NYCC students began their rotations through<br />

the physical medicine department thus allowing each<br />

discipline to become more familiar with one other.<br />

The medical staff was optimistic from the start. “I<br />

was blessed with an open-minded medical staff. The<br />

key factors were being in the right place at the right<br />

time and having scientific evidence to substantiate<br />

the role of a chiropractor in the VA healthcare system,”<br />

explained Dougherty.<br />

Dr. Dougherty feels chiropractic has shown itself<br />

to be an important member of the healthcare team.<br />

Currently chair of the Canandaigua VAMC Pain<br />

Oversight Committee, Dougherty evaluates patients<br />

and presents their cases to a multidisciplinary team - acupuncture, psychology,<br />

primary care, pain medicine, pharmacy - for discussion regarding<br />

what is best for the patient. It may or may not include chiropractic.<br />

At times, the best intervention is sending the patient back to work or<br />

giving him a worthy activity to do.<br />

Prospects<br />

<strong>Chiropractic</strong>’s growth in the VA system has not slowed, and prospects<br />

look bright. Asked about the likelihood of further integration and<br />

chiropractic residency programs, Dougherty responded, “I think that<br />

both of these are important steps. We will be starting with our first resident<br />

in the VA in the next couple of weeks.”<br />

While growth within the VA system may be encouraging, progress<br />

elsewhere is sometimes less so. Under Tricare (the Department of Defense’s<br />

health care program), active-duty service members must still obtain<br />

referrals from their primary care physician for chiropractic care, and<br />

family members and retirees are denied chiropractic coverage.<br />

The House of Representatives Committee on Armed Services reports<br />

that “the Department of Defense has provided high-quality chiropractic<br />

health care services to Active Duty military personnel at military<br />

treatment facilities throughout the world.” The committee will look to<br />

identify any disparities in pay and job classifications that may negatively<br />

impact chiropractors.<br />

Through continued involvement at all levels, chiropractic is becoming<br />

increasingly available to the brave men and women who serve our<br />

country.<br />

Through continued involvement at all levels, chiropractic is<br />

becoming increasingly available to the brave men and women<br />

who serve our country.<br />

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