In reviewing Dr. Foley’s proposal, along with the recent state-level changes that already cut CE hours in half and removed Type 2 hours, I want to share my perspective for the BOM’s consideration.
First, I support the reduction of overall hours, but I strongly believe chiropractors should be required to maintain some hands-on CE. Chiropractic is, at its core, a hands-on profession. Patients deserve providers who are continually sharpening their skills for both effectiveness and safety.
I urge the Board to remove the word “clinical” as it applies only to chiropractic CE at this time. Singling out our profession in this way, when our healthcare peers are not held to the same language, creates an unnecessary burden. I understand the BOM is tasked with reducing burdens on providers, and I support that mission.
Here’s the reality: chiropractic adjustments can’t be refined alone in an office or through a computer screen. There is a touch, an art, and a nuance that requires live feedback and peer-to-peer interaction. Without in-person training, many doctors would essentially stop developing the day they graduate. That’s not only shortsighted, it’s risky.
That’s why I propose requiring 15 in-person CE hours every two years. This can be completed in just one day per year. One day is not an undue burden, and if it feels like one, those are likely the doctors who need it the most and more importantly, so do their patients.
Being a licensed chiropractor is a privilege that carries responsibility. Regulations shouldn’t bend toward maximum convenience for doctors if it risks patient safety. Protecting the public is the BOM’s primary role, and I believe this balanced approach honors that mission.
Thank you for your time and for considering this perspective.