As a practicing chiropractor, I see the value in CEUs to help ensure that we are keeping up to date on the most relevant data and practices for our profession and craft. Most of us are doing this, however, without gaining CEU data just because we need to ensure we are up to date for insurances, billing and coding compliance, and ethically, it's the right and best thing to do. 

With that being said, the proposed amendment to make 24/30 CEUs "in-person" is not something that I support. As a provider who spends much of their time outside of practice traveling to conferences to disseminate her own research and policy work, other state's CEUs do not always qualify for Virginia specifically. The requirement for making the CEUs "in-person" fails to articulate if these requirements need to be within the state boundaries, which I believe is the primary goal of many of my colleagues who are petitioning for this support. Keeping the CEUs in-person likely means chiropractors in the state will be more willing to attend the state-chiropractic organization's events, which leaves the organization to gain financially from this requirement. As a member of the state association, it's important to acknowledge this to avoid biases. Other in-person conferences that are outside of the state of Virginia will likely require additional administrative work to submit for such approval for CEU requirements with this new change, and instead will prioritize the state-ran conferences for proximity bias rather than what is the best quality or most-relevant for chiropractors within the state. 

We also are in a moment where CEUs are quite accessible online. If this proposal were placed in the 1990s or early 2000s, when it was difficulty to obtain CEUs online or there was greater question of quality, this proposal may be more appropriate. However, without clear data indicating if online or in-person educational experiences provide greater value than the other, it cannot be said if it is better to have CEUs on line or in person. Instead, it's more logical to allow for physicians to have the choice to exercise their professional judgement  on what courses will help them best in clinical practice, and improve on their own skills with the CEUs that best suit their needs, in the educational format that works best for them. 

Compared to other states, I encourage you to look further at the following link which provides details by state of CEU requirements: https://fclb.org/chiropractic-licensing-boards.php
https://chiropracticfuture.org/resources/road-to-practice/

All in all, I oppose the "in-person" recommendation for 24/30 hours.