I respectfully oppose the amendment to chiropractic continuing education that removes the clinical component and mandates face-to-face delivery. Chiropractic is a hands-on, clinical profession; eliminating defined clinical/skills hours risks skill decay in assessment, adjusting technique, clinical decision-making, and risk recognition—concerns that are amplified for pediatric and prenatal populations. Public safety is best protected by competency-based CE with measurable outcomes (case exams, OSCE-style checklists, simulation check-offs) rather than by weakening the clinical requirement.

A blanket face-to-face mandate is unnecessarily restrictive and does not guarantee higher quality. It raises costs, disrupts care for solo and rural clinicians, and limits access for those with caregiving responsibilities or disabilities, while reducing resilience during weather or public-health emergencies. High-quality hybrid and online formats can deliver rigorous interaction, feedback, and proctored assessment. I urge the Board to retain a minimum number of clinical/skills hours each cycle and allow multiple delivery modalities that meet clear accreditation and assessment standards—focusing on outcomes, not venue.