Prevalence of nonmusculoskeletal versus musculoskeletal cases in a chiropractic student clinic

Prevalence of nonmusculoskeletal versus musculoskeletal cases in a chiropractic student clinic
Bruce R. HodgesDC, MSJerrilyn A. CambronDC, PhDRachel M. KleinDCDana M. MadiganBS

Bruce Hodges is an associate professor, Jerrilyn Cambron is a professor, Rachel Klein is a research assistant, and Dana Madigan is a research assistant, all at National University of Health Sciences. Address correspondence to Bruce Hodges, National University of Health Sciences, 200 E. Roosevelt Rd. Lombard, IL 60148; .

This article was received August 9, 2012, revised November 28, 2012, and accepted December 12, 2012.

Objective: We sought to identify the percentage of nonmusculoskeletal and musculoskeletal conditions treated by interns in the National University of Health Sciences (NUHS) Student Clinic compared to chiropractic and allopathic health care professionals.

Methods: The information gathered was taken from the charts of patients treated in the fall trimester, dated September 12, 2011 through December 9, 2011. The data collected included ICD-9 codes for the conditions treated, the number of patient visits, age, and gender, and was evaluated using Microsoft Excel.

Results: Over half of the 113 eligible patients were women with a mean patient age of 28 years, an average of three treated diagnoses, and a mean of seven treatments. Those treated only for musculoskeletal conditions totaled 52% of the patients; 48% of the patients were treated for nonmusculoskeletal conditions, or musculoskeletal plus nonmusculoskeletal conditions.

Conclusion: The NUHS Student Clinic interns are treating a greater percentage of nonmusculoskeletal conditions and a lesser percentage of musculoskeletal conditions than practicing chiropractic physicians. The student interns also treat a lesser percentage of nonmusculoskeletal and a greater percentage of musculoskeletal conditions than allopathic practitioners. This comparison would suggest that NUHS is nearing its institutional goal of training its student interns as primary care practitioners.

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