Doctor of Chiropractic Degree Curriculm
Pre-Chiropractic Education Requirements.. 90 semester hours.. 24 Pre-Med
BSC 5102 - Spinal Anatomy 22 hours
This course is an introduction to the structure and function of the human vertebral column. Topics include study of the osteology, arthrology, syndesmology and the neurovascular supply of the spine. The occipital, cervical, thoracic, lumbar, and sacral regions of the spine are studied in the laboratory. The nomenclature of a limited number of clinical problems of the spine is introduced in the laboratory through the study of human vertebral columns. The laboratory also includes a number of unique cadaveric prosections that offer an opportunity to study the anatomy of the different vertebral regions.
BSC 5103 - Gross Anatomy 110 hours
This is the first of three sequential courses in human gross anatomy (see BSC 5203 and BSC 5304). In this course, students study the normal regional anatomy of the back, upper extremity and lower extremity. Particular attention is paid to the anatomical relationship of bones, joints, muscles, blood vessels, and peripheral nerves in these regions. The anatomical and functional aspects of the autonomic nervous system are also introduced. Lectures emphasize the concepts, terminology, and information needed to appreciate the normal organization of the region under study. Lectures also prepare the student for laboratory dissection of the human cadaver. The dissection labs provide a unique opportunity to dissect, visualize, and explore the anatomical structures of each region and to witness the individual variations that exist from person to person.
BSC 5113 – Biochemistry -1 55 hours
Biochemistry is taught as a two-quarter sequence (with BSC 5214) and covers the structure and function, and metabolism of the major biomolecules. In each class, special significance is given to the connections between biochemistry and nutrition, physiology, and clinical lab diagnosis. This course focuses on the structure and general function of the four biomolecules; amino acids, nucleotides, carbohydrates, and lipids. A brief review of acid-base chemistry is followed by studying amino acids and general issues of protein structure. To understand how structure dictates function, students learn the general physiology of model proteins, and there is an investigation of the action of enzymes. Nucleic acids are studied in the context of their role in replication, transcription, and translation. The structure and function of major carbohydrates and lipids are also described. This course has an accompanying case discussion forum that parallels the lecture material.
BSC 5116 - Cell Biology 44 hours
This course provides the student with a basic understanding of normal cellular structure and function. The course is presented in modules framed around ten clinical correlations. Each clinical disorder is presented at the beginning of a module and is then followed by a discussion of the relevant general cellular principles. The module is completed by discussing the specific cell biological basis for the disorder. Four modules are framed around the cell membrane, and other modules deal with endoplasmic reticulum, Golgi apparatus, lysosome, mitochondrion, cytoskeleton, and nucleus. The laboratory sessions consist of an introduction to light microscopy, basic cells and structure, and electron micrographs of the lecture material.
CHR 5121 - Philosophy and Principles of Chiropractic 22 hours
This course presents a historical survey of the healing arts, with an emphasis on the history and philosophy of chiropractic from its inception to its current basis in evidence based practice. Chiropractic is defined and its unique role in the health-care delivery system is presented. In addition, Western States’ own contributions to the profession and its uniqueness are discussed.
CHR 5125 - Biomechanics/Palpation 1 Lecture 11 hours
This lecture course introduces the student to biomechanical and kinesiologic terms and concepts necessary for the development of observational and palpatory skills of the spine and extremities.
CHR 5136 - Biomechanics/Palpation 1 Laboratory 33 hours
This lab course introduces the student to the fundamental examination skills of observation and palpation and instructs the student in the identification of normal bony and soft tissue landmarks of the spine and extremities.
CLI 5142 - Clinical Topics -1 11 hours
The course begins the process of transforming students into future doctors. This transformation involves the understanding of professionalism, the doctor-patient relationship, ethics, personal and professional use of electronic media, tolerance of social, ethnic, religious or lifestyle differences, jurisprudence/HIPAA, communication/interpersonal skills, confrontational tolerance, touch and mindfulness.
RAD 5182 - Radiographic Anatomy-1 33 hours
This is the first in a series of three courses in the study of radiographic anatomy (see RAD 5283 and RAD 6184). Since plain film radiography is widely used in chiropractic practices, identification of key spinal and contiguous spinal structures seen on plain film radiography is the emphasis of this course. Basic anatomy of the spinal regions seen on computed tomography and magnetic resonance imaging is also studied. Lectures demonstrate the most important structures to identify on various imaging modalities. Lab sessions provide supervised radiograph and slide viewing with an opportunity to interact with the instructors.
BSC 5203 - Gross Anatomy II 77 hours
This course is the second in a series of three courses (with BSC 5103 and BSC 5304) that, together with the course in spinal anatomy (BSC 5102), examines in detail the gross anatomy of the human body. This course highlights the regional anatomy of the head and anterolateral neck. In lectures and dissection labs students learn the detailed anatomy of the muscles, nerves, bones, joints, vessels, organs of special sense, and visceral structures of the region. In lab all students will dissect human cadavers and study the anatomical variation in structures associated with the deep and superficial neck and head, including the cranial vault, oral and nasal cavities, pharynx, and larynx. The structural and functional features of the cranial nerves, the organization of the autonomic nervous system, and the innervation of the spine and paraspinal tissue are presented.
BSC 5214 - Biochemistry II 55 hours
This course is the second of a two-course sequence (with BSC 5113) in biochemistry. The focus of this course is intermediary metabolism. Topics regarding carbohydrate metabolism include glucose uptake subsequent to feeding, glycolysis, aerobic metabolism, the pentose shunt, gluconeogenesis, and glycogen metabolism. With respect to lipid metabolism, the mobilization and oxidation of fatty acids, ketone body formation, fatty acid synthesis, triglyceride synthesis, phospholipid synthesis, cholesterol synthesis, and lipid transport are studied. Regarding amino acid metabolism, emphasis is given to urea synthesis, catabolism of amino acid carbon skeletons, synthesis of non-essential amino acids, and abnormalities of amino acid metabolism. Nucleotide metabolism is summarized, and attention is given to purine catabolism and gout. As a final topic, special emphasis is paid to the biochemistry of vitamins. For each vitamin, its general function, coenzyme forms, role in specific pathways, and deficiency conditions are studied. This course has an accompanying case discussion forum with a special emphasis on topics related to clinical laboratory.
BSC 5217 - Histology 66 hours
In this course students will learn the microscopic anatomy of the following organ systems: integumentary, musculoskeletal, vascular, nervous, digestive, respiratory, lymphatic, urinary, and reproductive. Intervertebral and synovial joint histology is covered. Students learn the structure, 32 function, and location of each of the four basic tissue types (epithelium, connective tissue, muscle, nervous tissue) and how they each contribute to organ structure and function. Microscopic morphology, composition, organization, and resultant function are emphasized. In the associated labs students learn proper technique for using a microscope and thoroughly examine commercially prepared histological specimens from all relevant tissues and organs.
CHR 5222 - Philosophy and Principles of Chiropractic II 11 hours
This course explores the range and types of chiropractic practice options. Topics include the spectrum of chiropractic examination and treatment procedures, professional practice options, the safety and public perception of chiropractic, and the profession’s political and educational organizations, responsibilities, and agendas.
CHR 5226 - Biomechanics/Palpation II Lecture 2 22 hours
This course is devoted to the study of the functional anatomy and kinematics of the spine. Other topics presented include an introduction to the biomechanics of gait and a discussion of cavitation principles.
CHR 5231 - Adjustive Psychomotor Skills 1 22 hours
This two-hour lab course is devoted to developing the foundation of body mechanics and spinal adjusting psychomotor skills that are central to the safe delivery of adjustive therapy. The course focuses on instruction in adjustive body mechanics, spinal and extremity muscle stretching and endurance training, proprioceptive training and adjustive pre-tension, and adjustive thrust (impulse) drills.
CHR 5234 - Biomechanics/Palpation II Laboratory 2 44 hours
This lab course instructs the student in the physical assessment of spinal joint structure and function. Joint assessment procedures of static palpation, motion palpation, end feel, joint play, postural assessment, and range of motion assessment are presented.
CSC 5244 - Information Mastery 1 11 hours
This course is designed to develop the search skills necessary to efficiently access health care literature and resources. Efficient search skills are a prerequisite to subsequent EIP courses and a skill that will be accessed frequently throughout the chiropractic program both in the classroom and during patient care.
RAD 5283 - Radiographic Anatomy II 22 hours
This course is the second in a series of three courses in the study of radiographic anatomy (see RAD 5182 and RAD 6184). The identification of structures of the upper and lower extremities seen on plain film radiography is the emphasis of this course; the cranium is also reviewed. Basic anatomy of the upper and lower extremities and the cranium seen on computed tomography and magnetic resonance imaging is also studied. Lectures demonstrate the most important structures to identify on various imaging modalities. Lab sessions provide supervised radiograph and slide viewing with an opportunity to interact with the instructors.
BSC 5302 - Neuroanatomy 88 hours
This course describes the detailed anatomy and functional features of macro- and micro-anatomical structures in the brain and spinal cord. Prerequisite information to this course material is presented in the histology and gross anatomy courses. In this course, students first learn the basic structural and organizational features of the spinal cord and brain. Students then consider the interactions of spinal cord and brain structures that comprise major sensory and motor functional pathway systems. In lecture and in lab, course material includes discussion of neurological deficits associated with disturbances of brain and spinal cord structures. In the lab, students study whole and dissected human brain specimens and stained sections of the human brainstem and spinal cord that display normal and diseased structure.
BSC 5304 - Gross Anatomy III 77 hours
This course completes the lecture and laboratory components of the gross anatomy series of courses (with BSC 5103 and BSC 5203). In this course, students study the normal regional anatomy of the thorax, abdomen, pelvis, and perineum, including discussions of the heart, lungs, digestive, urinary, endocrine, and reproductive systems. Particular attention is paid to the terminology, position, and relationship of these organs to each other in the body cavity, as well as their blood supply and innervation by the autonomic nervous system. In each case, the relationship of each organ to its vertebral level is discussed. The anatomical and clinical relationships of the bones, joints, muscles, blood vessels, and peripheral nerves of the body wall are also discussed. Each organ system includes special emphasis on the anatomy of referred pain, an important consideration in the field of chiropractic. The laboratory portion of this course continues the unique opportunity to dissect, visualize, and explore each of the four regions under study.
BSC 5309 - Physiology I 66 hours
General physiology is taught as a two-course sequence (with BSC 6109). This course addresses cardiovascular, respiratory, and renal physiology. Approximately 60% of the course consists of cardiovascular concepts including blood, hemodynamics, cardiac cycle, electrocardiography, blood pressure, central nervous control, peripheral vasculature, systemic circulation, capillary dynamics, and the lymphatic system. Approximately 20% of the course consists of respiratory concepts including ventilation, gas exchange, gas transport, and the control of respiration. The remaining 20% of the course covers renal concepts including glomerular filtration, tubular exchange mechanics, urine formation, body fluid balance, and micturition. Relevant pathological concepts are presented whenever possible. The weekly laboratory sessions consist of observations and experiments on humans; some activities include the use of digital physiological recording equipment to explore the cardiac cycle and the electrocardiogram. Additionally, the lab portion of the course serves as an introduction to the clinical skills of heart auscultation and arterial blood pressure measurement.
BSC 5314 - Human Development 33 hours
This lecture course explores the complex phenomena of human development. Emphasis is on the embryonic period (weeks 1-8) of development. The processes of gametogenesis, fertilization, implantation, embryogenesis, placentation, segmentation, and organogenesis are all discussed. The course provides an understanding of the development of adult body structures in relation to each other. Some general topics of interest include mechanisms for twin formation, heart and limb formation, gender determination, and influences affecting cellular differentiation. Detailed terminology regarding developmental processes and the timing of developmental stages are introduced. Discussions include congenital abnormalities and the factors that disrupt normal development.
CHR 5321 - Adjustive Technique I Lecture 22 hours
Adjustive Technique I Lecture is the first of a four-course sequence devoted to topics in spinal adjustive technique. This two-hour lecture course is designed to provide the student with an anatomical, biomechanical, and pathophysiologic basis for chiropractic adjustive therapy. It is structured to reinforce methods covered in adjustive technique lab sessions. Topics will include definition and classification of manual therapies, adjustive technique terminology, general and specific thoracic adjusting mechanics, adjusting contraindications/complications, adjustive therapy decision analysis, and adjustive treatment guidelines.
CHR 5323 - Philosophy and Principles of Chiropractic III 11 hours
This course is devoted to the presentation and discussion of the theories of spinal motion segment dysfunction/subluxation. Topics include philosophy and its relationship to chiropractic theory and practice, the concept of the manipulable lesion, theoretic effects and mechanisms of adjustive therapy, and definitions, diagnosis, theoretic etiology, pathophysiology and health effects of spinal subluxation/dysfunction syndromes.
CHR 5332 - Adjustive Technique I Laboratory 44 hours
Adjustive Technique I Lab is a four-hour course devoted to developing foundation adjustive skills and the development of the knowledge, physical exam, and psychomotor skills necessary to provide effective chiropractic adjustments of the spine, with a focus on the thoracic spine. Adjustive techniques include prone, supine, sitting and standing procedures.
BSC 6102 - Neurophysiology 66 hours
This companion course to BSC 5302 is a limited scope neuroscience course in two parts. The systems neuroscience component covers a select set of clinically relevant cognitive neuroscience topics, including distributed functions of Hebbian assemblies underlying perception, movement, language, emotion, memory, global brain states, and pain. The cellular neuroscience component covers limited topical areas in cellular neuroscience that complement the presentations of the systems neuroscience component, including cellular electrophysiology and synaptic (Hebbian) plasticity processes.
BSC 6109 - Physiology II 55 hours
This course is the second of the two-quarter sequence (with BSC 5309) in general physiology. The endocrine system is investigated in detail. Hormones from the pituitary, thyroid, adrenals, pancreas, and gonads, as well as those associated with calcium regulation, are studied. For each endocrine gland the following topics are covered: review of pertinent anatomy and histology, general chemical structure of hormones, hormone biosynthesis, actions of hormones, mechanism of action at target sites, and regulation of secretion. Major endocrine disorders are presented as case studies, and students learn the relevant pathology, clinical presentation, and laboratory diagnosis of each disorder. Gastrointestinal physiology is also studied, including topics of neural control in the gut, basic behavior of smooth muscle, motility, secretions, digestion, and absorption of nutrients. Metabolic physiology is discussed with emphasis given to measurement of metabolic rate, factors affecting basal metabolic rate, contributions to overall calorie expenditure, overall balance of calorie intake and expenditure, and regulatory mechanisms associated with food intake. Temperature regulation is discussed, with coverage of heat loss mechanisms, hypothalamic control, heat loss/gain mechanisms in response to hot and cold environments, and fever.
BSC 6112 - Microbiology, Immunology and Public Health 66 hours
This course is an introduction to the basic principles of microbiology and public health. Structure, metabolism, genetics, and antibiotic therapy of prokaryotic microorganisms are covered with emphasis on gram positive and enteric bacteria. Students develop a practical understanding of the importance of pathogenic bacteria in clinical practice and public health. Lectures cover topics such as health concerns for travelers, meningitis, streptococcal sore throat, pneumonia, anaerobic infections, diphtheria, tetanus, and enteric infections. Laboratory exercises include cultivation and diagnostic procedures using live bacteria. There is a comprehensive introduction to the principles of immunology, including development of the immune system, immune injury, and the use of immunization in prevention of infectious diseases. The public health component of the course addresses the basic principles of public health, disease prevention, epidemiology, and international health. Students are asked to find and assess literature concerning public health issues. This exercise reinforces the principles of evidence based practice. The role of the Chiropractic Health Section of the American Public Health Association and its significance to the chiropractic profession is discussed.
BSC 6117 - General Pathology I 66 hours
This course is the first in a two-part series (with BSC 6218) to provide the student with an understanding of the key concepts and major themes of pathology (the study of disease), integrate these concepts with prior knowledge of anatomy and physiology, and prepare the student for the clinical phase of the chiropractic curriculum. The emphasis in this course is on the characteristics of cellular, tissue, and organ responses in disease. Topics of study include the gross and histological features of cell injury and necrosis, a review of metabolic, environmental, and degenerative conditions leading to tissue deposits of various substances, and the cellular and chemical features of acute and chronic inflammation. Characteristics of tissue regeneration and wound healing are reviewed. The etiology, pathogenesis, morphology, and functional aspects of benign and malignant neoplasms are examined. Disturbances of circulation including edema, hemorrhage, thrombosis, embolization, and infarction are described. Genetic disorders including chromosomal abnormalities and inborn errors of metabolism are explored. Disorders of the immune system are surveyed including 33 hypersensitivity reactions, autoimmune disease and immunological deficiencies. A review of pathologies related to environmental toxicity and nutritional diseases is included. Diseases of bone, joints, and muscle and major conditions affecting the organ systems are also reviewed. Topics include osteoporosis and osteomalacia, osteomyelitis and skeletal neoplasms. Structural and clinical features of arthritis (including osteo- and rheumatoid types) and diseases of muscle including the dystrophies and myasthenia gravis are described.
CHR 6122 - Adjustive Technique II Lecture 11 hours
Adjustive Technique II Lecture is a one-hour course devoted to the examination and treatment of pelvic manipulative disorders. It is designed to provide the student with an anatomical, biomechanical, and physiologic basis for the evaluation and adjustive management of pelvic subluxation/dysfunction syndromes.
CHR 6124 - Soft Tissue Therapies/Rehabilitation I 33 hours
This course, the first of a two-part sequence, is devoted to the examination and treatment of the soft tissues of the body. Lecture presents evidence-based rationale for each of the soft tissue therapies. Laboratory topics include massage techniques, trigger point therapy, cross-fiber therapy, and muscle stretching techniques, with application of accepted protocols.
CHR 6133 - Adjustive Technique II Laboratory 33 hours
Adjustive Technique II Lab is a three-hour course devoted to the development of the psychomotor skills necessary for examination and adjustive treatment of pelvic dysfunction. Adjustive techniques include side posture, prone, and drop table procedures. Pubic symphysis adjustments and pelvic blocking techniques are also presented. Additional time is scheduled to review and reinforce examination and adjusting psychomotor skills of the thoracic spine.
CLI 6143 - Clinic Topics II 11 hours
The purpose of the course is to teach students to take and appropriately chart a comprehensive patient history. Students will learn the legal requirements for charting, interviewing skills, clinical decision making, chief complaint history, review of systems, past health history, family health history, and personal and social history. By the end of this course students will be able to take and correctly chart a comprehensive patient history.
CSC 6178 - Evidence-Informed Practice 22 hours
This course provides an introduction to evidence-informed chiropractic practice and clinical thinking, focusing on the realm of therapy. The course offers the student a conceptual framework to aid upcoming clinical studies. Hands-on practice and application of key concepts will be used to encourage effective problem-solving strategies and future application of evidence-informed practice (EIP) in the clinical experience.
RAD 6184 - Radiographic Anatomy III 22 hours
This course is the last in a series of three courses in the study of radiographic anatomy (see RAD 5182 and RAD 5283). Identification of soft tissue structures of the head, neck, chest, abdomen, and pelvis seen on plain film radiography is the emphasis of this course. Basic anatomy of these regions seen on computed tomography and magnetic resonance imaging is also studied. Lab sessions provide supervised radiograph and slide viewing with an opportunity to interact with the instructors.
BSC 6203 - Nutrition 44 hours
In this course the student applies basic biochemical and physiological knowledge to understand the principles of nutritional science and to develop an appreciation of nutrition’s role in preventive and therapeutic health care. In reviewing the health issues surrounding each macronutrient and micronutrient, the student learns to assess dietary and other risk factors for diseases that may be preventable through nutritional intervention. Selected clinical applications in therapeutic nutrition are used to illustrate important concepts and to introduce the student to the practice of clinical nutrition. Term projects include practical experience in diet assessment and practice in locating and evaluating nutrition research from an evidence-based perspective.
BSC 6207 - Genetics 44 hours
Genetics is rapidly emerging as the interdisciplinary link between all fields in the life sciences. This course represents a survey of this huge subject with an eye toward linking basic biology and pathology to clinical chiropractic. Core topics include chromosomes, the karyotype, meiosis, mutation, gene expression, genetic disease, heredity (autosomal, X-linked, and multifactorial), populations, and genetic counseling. All subject matter is placed in the context of human disease. Students learn to take a genetic history as well as construct and evaluate family pedigrees. The course includes substantial coverage of disorders commonly seen by chiropractors with an emphasis on major social questions surrounding recent discoveries.
BSC 6213 - Clinical Microbiology and Public 77 hours
BSC 6218 - General Pathology II 44 hours
This course, a continuation of BSC 6117, emphasizes diseases of the organ systems. Major diseases of the cardiovascular and hematopoietic organs, such as arteriosclerosis, aneurysms, ischemic heart disease, anemia, lymphoma, leukemia, and multiple myeloma, are discussed. Diseases of the liver, gall bladder, and pancreas are discussed along with pathological conditions of the gastrointestinal tract, including ulcers, neoplasms, and inflammatory conditions. A number of diseases affecting the nervous system including senile dementia, Parkinson’s disease, multiple sclerosis, stroke, and peripheral neuropathies are explored. Conditions affecting the respiratory system, such as bronchitis, emphysema, and asthma are discussed. A variety of diseases involving the kidney and urinary tract as well as a host of pathologies of both male and female reproductive structures are presented. Endocrine diseases including pituitary, thyroid, parathyroid, adrenal, and pancreatic diseases are also reviewed. Overall, there is an increasing emphasis on developing an attitude and frame of mind conducive to success in the clinical phase of the chiropractic curriculum.
CHR 6223 - Adjustive Technique III Lecture 11 hours
Adjustive Technique III Lecture is a one-hour course devoted to the examination and treatment of lumbar manipulative disorders. The course provides an anatomical, biomechanical, and pathophysiologic basis for chiropractic manipulative therapy of the lumbar spine. It is designed to complement presentations covered in lumbar technique laboratory sessions. Topics include functional anatomy, biomechanics, evaluation, terminology, adjustive mechanics, complications/contraindications, and adjustive therapy guidelines and decision-making relative to the lumbar spine.
CHR 6224 - Philosophy and Principles of Chiropractic IV 11 hours
This course focuses on various neurological models for spinal joint dysfunction and manipulation. A variety of mechanisms are presented related to the instigation of local and radiating pain, adverse neurological effects in the musculoskeletal system as well as the controversy regarding clinically significant visceral effects.
CHR 6227 - Biomechanics/Palpation III 22 hours
This course covers the biomechanical properties of muscles, nerves, and connective tissue and tissue injury and repair. Topics include stress-strain curves, length-tension relationships, hysteresis, types of loads and forces, and the response of various types of tissue. Additional emphasis is placed on the pathobiomechanics of low back and whiplash injuries.
CHR 6234 - Adjustive Technique III Laboratory 33 hours
Adjustive Technique III Lab is a three-hour course devoted to the examination and treatment of lumbar subluxation/dysfunction syndromes. The laboratory sessions are devoted to the development of the knowledge, physical exam, and psychomotor skills necessary for effective chiropractic adjustments of the lumbar spine. Adjustive techniques include side posture, prone, and drop table procedures. Additional time is scheduled to review and reinforce examination and adjusting psychomotor skills of the pelvis and thoracic spine.
CLI 6262 - Physical Diagnosis I Lecture 44 hours
This course is the first in a two-part series (see CLI 6363) on the procedures and protocols associated with conducting a systematic physical examination. Emphasis is placed on integration of knowledge previously acquired in the basic sciences curriculum, the need to critically assess the patient’s history and risk factors, the correlation between pathophysiologic changes and resultant clinical findings, the significance of these findings, and the prioritization of the patient’s health care needs. The course includes discussion on the assessment and evaluation of the vital signs, vascular system, thorax, lungs, abdomen, lymphatic system, thyroid gland, and ears.
CLI 6263 - Physical Diagnosis I Laboratory 22 hours
This course is the first in a two-part series (see CLI 6364) introducing the systematic examination and evaluation of the human body. Laboratory sessions provide instruction in the performance of various protocols and procedures associated with a routine physical examination. Students learn and demonstrate proficiency in the use of the stethoscope and sphygmomanometer in the evaluation of the vital signs, the arterial system, and the lungs and heart exam. Students also learn and demonstrate proficiency in the abdominal exam and the examination of the lymphatic system and thyroid gland.
CSC 6270 - Patient/Practice Management I 22 hours
This is the first of a five-course series. This course explores development of doctor-patient trust and cooperation as achieved in initial conversations and interactions. It clarifies the legal and fiduciary requirements of the physician as well as identifies strategies and priorities in communication with patients under a variety of situations that realistically happen in practice. Students reinforce skills in taking patient histories and develop basic skills in performing report of findings, PARQ conference and informed consent procedures. Students use best practices strategies to better reach and impact patients, facilitating patient satisfaction & compliance with care. Last, this course provides counsel and advice to students on how to manage conflict in the doctor patient dynamic, including, but not limited to delivering bad news, managing cultural diversity, alcohol abuse/dependence screening, intimate partner violence screening, and sexual boundary issues in practice.
CSC 6275 - Dermatology and Infectious Disease 22 hours
This course is an introduction to common skin disorders frequently encountered in a chiropractic office. The structure, function, and immune reactions of skin are reviewed. Students acquire basic information necessary for differential diagnosis and treatment of common skin diseases. Benign, pre-malignant, and malignant tumors are covered, including squamous and basal cell carcinomas and malignant melanoma. Other topics include vascular lesions, birthmarks, and inherited diseases such as psoriasis and pemphigus. Differential diagnosis of eczema and dermatitis comprise a major portion of this course. Other common conditions include acne, bacterial and superficial fungal infections, connective tissue disease, and nail disorders. Students learn to provide conservative treatment and counseling to patients with a variety of skin diseases.
CSC 6277 - Evidence-Informed Practice II 22 hours
The course is a continuation of Evidence-Informed Practice I focusing on the realms of diagnosis, harm and prognosis. This course offers the student a conceptual framework to support upcoming clinical studies. Hands-on practice and application of key concepts will be used to encourage effective problem-solving strategies and future application of evidence-informed practice in the clinical experience.
CHR 6322 - Neuromusculoskeletal Diagnosis and Treatment I Lecture - 66 hours
NMS I Lecture introduces the diagnostic and therapeutic knowledge necessary for the management of lesions, defects, or disorders of the neuromusculoskeletal system. Discussion of mechanical, congenital, or traumatic and neuromusculoskeletal disorders affecting the spine and its adjacent soft tissue are emphasized.
CHR 6324 - Adjustive Technique IV Lecture 11 hours
This one-hour lecture course is devoted to topics in spinal adjustive technique. The course provides an anatomical, biomechanical, and pathophysiological basis for cervical and thoraco-cervical manipulative therapy. It is meant to complement presentations covered in cervical adjustive technique laboratory sessions. Topics include biomechanics, selected conditions and treatment, evaluation, and adjustive mechanics. Specific focus is given to the topics of spinal manipulation and vertebrobasilar complications.
CHR 6325 - Neuromusculoskeletal Diagnosis and Treatment I Laboratory 22 - hours
NMS I Lab introduces the diagnostic and therapeutic skills necessary for the management of lesions, defects, or disorders of the neuromusculoskeletal system. The skills of examination and management of mechanical, congenital, or traumatic and neuromusculoskeletal disorders affecting the spine and its adjacent soft tissue are emphasized.
CHR 6329 - Biomechanics/Palpation IV Lecture 22 hours
Biomechanics/Palpation IV Lecture is a lecture course devoted to the study of functional anatomy and kinematics of the extremities. Laboratory sessions instruct the student in the examination of the extremities with special emphasis on neuromusculoskeletal evaluation and measurement.
CHR 6331 - Biomechanics/Palpation IV Laboratory 22 hours
Biomechanics/Palpation IV Lab is a lab course devoted to the study of functional anatomy and kinematics of the extremities. Laboratory sessions instruct the student in the examination of the extremities with special emphasis on neuromusculoskeletal evaluation and measurement.
CHR 6336 - Adjustive Technique IV Laboratory 55 hours
This five-hour lab course is devoted to the development of adjustive technique skills as applied to the cervical spine. It provides the opportunity for the practical application of palpation, examination, identification of dysfunction, and treatment of the occiput, cervical, and thoraco-cervical spine. Adjustive techniques are presented in the supine, prone, and sitting patient positions, along with selected drop table procedures.
CHR 6337 - Adjustive Technique V Introduction: Extremity Joint Play 33 hours
This three-hour course is devoted to the development of the knowledge, physical exam, and psychomotor palpation skills necessary for effective chiropractic joint play evaluation of the upper and lower extremities.
CLI 6343 - Clinical Topics III 11 hours
This course introduces students to topics related to routine patient care and introduction to the requirements of patient charting. Learning exercises emphasize development of patient management plans, clinical thinking relating to charting and the documentation of patient evaluation, management and treatment. Students will complete a sample case project for use in CLI 7157.
CLI 6363 - Physical Diagnosis II – Lecture 44 hours
This course is the second in a two-part series (see CLI 6262) on the procedures and protocols associated with conducting a systematic physical examination. Emphasis is placed on integration of knowledge previously acquired in the basic sciences curriculum, the need to critically assess the patient’s history and risk factors, the correlation between pathophysiologic changes and resultant clinical findings, the significance of these findings, and the prioritization of the patient’s health care needs. The course includes discussion on the assessment and evaluation of the visual system, the components and clinical application of the neurological exam, and the evaluation of the dizzy or vertiginous patient.
CLI 6364 - Physical Diagnosis II – Laboratory 22 hours
In this, the second part of a two-part series (see CLI 6263), students continue learning physical examination protocols and procedures with associated treatment procedures. Students learn and demonstrate proficiency in performing routine examination of the eyes, ears, nose, mouth, throat, sinuses, the cranial nerves, and specific tests for assessing dizziness. Additionally, students learn to appropriately perform the following treatment procedures: ear irrigation, nasal specific, endonasal, Argyrol sinus treatment, and Epley’s maneuver.
CSC 6367 - Clinical Laboratory 55 hours
This course introduces clinical laboratory procedures, including hematology, blood chemistry, urinalysis, and serology. Students learn the appropriate use of clinical laboratory tests as screening and/or diagnostic tools and the differences between and significance of “normal” and “abnormal” laboratory values. Students learn to understand the importance of the sensitivity and specificity of various laboratory tests in explaining why a particular laboratory value falls outside the normal reference range. In the corresponding laboratory sessions, students learn “universal precautions,” risks associated with exposure to blood borne pathogens, and proper procedures for collecting blood and other specimens, and perform simple laboratory procedures that can be utilized as in-office tests.
RAD 6386 - Radiographic Technique I 55 hours
This is the first in a series of three courses in the study of radiographic technique (see RAD 7187 and RAD 7288). Since the majority of chiropractic physicians own and operate radiographic equipment in their offices, the skills acquired in these classes are essential for proper use and application within their clinical practices. Radiographic Technique I emphasizes radiation physics, x-ray production, radiobiology, radiation safety, exposure principles, and film processing. Students learn to assess film quality.
CHR 7123 - Neuromusculoskeletal Diagnosis and Treatment II Lecture – 33 hours
NMS II Lecture is devoted to the examination, diagnosis, and management of lower extremity conditions, which may be mechanical, congenital, degenerative, or traumatic in nature.
CHR 7126 - Neuromusculoskeletal Diagnosis and Treatment II Lab -11 hours
NMS II Lab is devoted to the development of the skills of examination, diagnosis, and management of lower extremity conditions, which may be mechanical, congenital, degenerative, or traumatic in nature.
CHR 7127 - Taping and Splinting I - 11 hours
This is a practical hands-on laboratory course intended to provide the chiropractic student with the basic knowledge and skills to appropriately select and apply necessary support and protection with athletic tape, elastic wraps, plaster splints, and OTC braces when treating common neuromusculoskeletal injuries and other common conditions of the lower extremity.
CHR 7137 - Adjustive Technique V Advanced - 22 hours
This two-hour course is devoted to the development of the knowledge, physical exam, and psychomotor adjustive skills necessary for effective chiropractic adjustments of upper and lower extremities.
CHR 7138 - Adjustive Technique VI - 33 hours
Adjustive technique VI is a three-hour review course designed to integrate and reinforce biomechanical assessment and adjustive technique skills covered in previous adjustive technique courses.
CLI 7158 - Clinical Internship I - 22 hours
This course is the first of a six-course series of Clinic Internship. The class consists of lab and clinic experiences. Lab exercises will provide simulations and direct experience in aspects of patient evaluation and recordkeeping. Students will also provide chiropractic treatments to fellow classmates in the Campus Health Center. Students enrolled in Clinical Internship 1 are encouraged to continue their regular care in the Campus Health Center as prescribed by their attending physician. An integral part of this lab class will be developing skill in assessing for and providing chiropractic care, learning how to conduct an office visit in an efficient manner, developing comfort with the provider role, communication with patients, as well as learning to correctly document findings and care provided to patients. Students will also perform a re-evaluation on a simulated patient case and incorporate those findings into a management plan.
CLI 7159 - Clinic Phase I - 44 hours
The purpose of the course is to support the knowledge and skills required to deliver care in the Clinical Internship series. The first half of the lecture portion is designed to review effective history taking and physical examination procedures as they apply to performing a comprehensive general physical and health promotion interview. Students are introduced to basic clinic documentation and the processes of working through a differential diagnosis, management plan, and prognosis. The second half of the lecture portion introduces clinical reasoning strategies for diagnosing and assessing musculoskeletal conditions as well as building evidenced-informed practice and critical thinking skills.
CHR 7162 - Chiropractic Physiological Therapeutics I - 55 hours
This course introduces students to the adjunctive physiological therapeutic modalities available to the chiropractic physician. These modalities employ the use of heat, cold, water, electricity, light, and traction. The basic physics and physiological principles governing each modality are discussed, as well as indications, contraindications, and rationales for their application. The corresponding hands-on lab training develops proficiency in operating therapeutic equipment. Particular attention is given to understanding and application of the following: thermotherapy (hot packs, paraffin baths, heating pads, heat wraps, patches, infrared lamps, diathermy, ultrasound, etc.), cryotherapy (cold packs, ice massage, vapocoolants, etc.), hydrotherapy (whirlpool baths, contrast baths, sitz baths, hot and cold extremity baths, etc.), electrotherapy (low volt galvanism, high volt pulsed direct current, low volt alternating current, TENS, microcurrent, interferential current, Russian Stimulation, etc.), phototherapy (ultraviolet, low level laser therapy, etc.), and mechanotherapy (traction and gait appliances). Students learn which modality is most appropriate for particular disorders and conditions.
CSC 7163 - Cardiorespiratory Diagnosis and Treatment - 33 hours
This course discusses common cardiorespiratory pathologies, their etiologies, clinical presentations, and associated risk factors. It reinforces previously acquired knowledge of cardiopulmonary anatomy and physiology so that abnormalities within these systems and the associated manifestations may be better understood and evaluated in relationship to the health care needs of the patient. Students will recognize the need for an adequate history, be familiar with signs and symptoms of common cardiorespiratory pathologies, and relate these clinical presentations to associated body systems. Students will understand associated risk factors and be able to assess a patient’s general cardiorespiratory health status. Case management of those conditions amenable to conservative care is discussed, as are the indications for appropriate referral.
CSC 7164 - Narrative Report Writing - 11 hours
This course prepares students to write orthopedic and neurologic reports, to document procedures necessary to be in compliance with state law, and to communicate efficiently and effectively. Students review the basics of good technical writing and build on material previously presented in the student clinic. They learn to write the various required reports that document treatment decisions. They study the best options for communication with other health care professionals, third-party payers, attorneys, and consulting physicians. Particular emphasis is given to creating comprehensive orthopedic and neurologic reports, regional narrative reports, and written progress reports. Students create reports appropriate for specific situations or audiences, such as worker’s compensation injury, personal injury, or auto accident injury.
CSC 7167 - Clinical Pathology - 33 hours
In this sequel to CSC 6367 Clinical Laboratory, students learn to synthesize clinical data in reaching a diagnostic conclusion. Students utilize detailed knowledge of common clinical laboratory procedures to diagnose, confirm clinical impressions, screen for disease, estimate prognosis, evaluate therapeutic progress, and relate laboratory findings to pathophysiological processes. They identify appropriate laboratory procedures for specific clinical situations and determine when an abnormal laboratory result is clinically significant. Students determine a differential diagnosis based upon laboratory findings in conjunction with associated historical facts and physical findings. Students must demonstrate knowledge of specific diseases/disorders, including etiology, pathophysiology, epidemiology, clinical and radiological features, routine and special laboratory findings, current therapeutic approaches, and appropriate referral protocols when indicated.
CSC 7171 - Patient/Practice Management I - 22 hours
This is the first of a four course series, designed to help prepare chiropractic students for private practice as a small business. This first course examines the fundamentals and complexities involved in effective patient communication and management. Along with interviewing skills learned in Clin Phase 1 (emphasis on the chief complaint) particular emphasis is given to developing interviewing skills for patients and to establish appropriate and effective doctor-patient relationships. Students learn the importance of building successful, mutually beneficial relationships within the context of the demands of the patient, society, the chiropractic profession, and the doctor. Corresponding mandatory, video recorded lab exercises provide an opportunity to demonstrate proficiency in conducting comprehensive patient interviews and reports of findings. Videos of each student’s performances are reviewed to identify weaknesses and strategies for improvement.
CSC 7172 - Patient/Practice Management II - 11 hours
This course focuses on the knowledge and skills necessary to bill patients and third party payers for services performed utilizing ethical, legal and efficient strategies. Students learn billing codes and procedural requirements underpinning use of those codes. Students demonstrate ability to appropriately apply various coding modifiers and demonstrate ability to justify coding and billing through appropriate health record for all billing codes. Students will also develop skills at performing billing and coding for a variety of chiropractic and primary care services that are within the scope of chiropractic in Oregon
CSC 7175 - Emergency Care 1 credits 11 hours
This course prepares chiropractors to respond to traumatic injuries and sudden severe illness in non-clinical settings. Each student is instructed and examined in basic life support and cardiopulmonary resuscitation for certification through the American Heart Association. Good Samaritan Laws, consciousness assessment, poisoning, cardiac emergencies, near drowning, burns, etc. are covered.
RAD 7187 - Radiographic Technique II - 22 hours
This course is the second in a series of three courses in the study of radiographic technique (see RAD 6386 and RAD 7288). Proper anatomical positioning is presented. Imaging of the cervical, thoracic, and lumbar spinal regions is emphasized. Positioning for chest and bony thorax is also covered. Principles of physics used in radiography are reviewed and discussed. The student will demonstrate skill in radiographic positioning technique and patient protection from ionizing radiation in the performance of mock radiographic exams.
RAD 7192 - Bone Pathology I - 33 hours
This is the first in a series of five courses covering the clinical application of diagnostic imaging modalities and interpretation. Knowledge and reasoning skills necessary for accurate interpretation and selection of diagnostic imaging modalities within clinical practice are emphasized in this series (see RAD 7293, RAD 7394, RAD 8199, and RAD 8295). Bone Pathology I is an introduction to a systematic approach to the radiographic interpretation and case management of normal variants, congenital anomalies, common miscellaneous acquired conditions, fractures, and dislocations.
CSC 8172 - Patient/Practice Management II - 22 hours
This second of a four-part series addresses the complexities of opening a successful chiropractic practice. The course continues the exploration of the developing role of the doctor of chiropractic in practice, examining practice options from solo practitioner to multi-disciplinary group practices. Particular attention is given to matching an office design to specific practice goals. Students learn to create a financial proposal or business prospectus. The advantages and disadvantages of leasing and/or purchasing are discussed. Students become familiar with a variety of billing procedure options from traditional peg-board systems to custom designed computer software programs. Legal considerations and ethical issues associated with marketing a professional practice are examined.
CLI 7208 - Clinical Residency II - 66 hours
The clinical internship course series provides students with increasing opportunities to apply, integrate, and refine the knowledge, skills and behaviors necessary to become confident, competent, and caring primary care chiropractic physicians. Occurring within a patient care setting, interns apply best evidence, critical thinking, effective procedures, and professional integrity in the delivery of patient-centered care. Interns are mentored and supervised by attending physicians who facilitate patient care and clinical education while ensuring quality patient care. At this early point in the clinical internship course series, interns are closely supervised by attending physicians and limited to active involvement in less complicated cases.
CLI 7209 - Clinic Phase II - 44 hours
This course builds upon Clinic Phase I in the areas of effective history taking, physical examination, diagnosis and management planning, and evidence-informed practice skills. The overall goals of this course include increasing expertise in the realm of targeted exam skills, improving speed and efficiency in doing a clinical work up of a regional complaint (with a special emphasis on the spine), and improving overall clinical decision making. Additionally, there is special focus on clinical problem solving, increasing the breadth and depth of knowledge regarding selected spinal conditions and synthesizing pre-appraised literature for a clinical problem. Utilizing simulated patients, the lab portion is designed to promote the student’s ability to perform a variety of regional exams and synthesize clues from the history, physical, and ancillary studies into a diagnosis and management plan. Areas of emphasis include EENT, heart/lung, abdominal and thoracic exams. The complete regional cervical and lumbar exam flows are revisited in addition to the introduction of the “focused” examination.
CHR 7224 - Neuromusculoskeletal Diagnosis and Treatment III Lecture - 33
NMS III Lecture is devoted to the examination, diagnosis, and management of upper extremity conditions, which may be mechanical, congenital, degenerative, or traumatic in nature.
CHR 7227 - Soft Tissue Therapies/Rehabilitation II - 33 hours
This is the second of a two-course sequence devoted to treatment and rehabilitation of the soft tissues of the body. Topics include lumbar stabilization protocols, pain centralization protocols (based on McKenzie), muscle energy techniques, joint mobilization, distraction/decompression protocols (based on Cox), key movement patterns and sensory motor training.
CHR 7228 - Neuromusculoskeletal Diagnosis and Treatment III Laboratory 11 hours
NMS III Lab is devoted to the development of the skills of examination, diagnosis, and management of upper extremity conditions, which may be mechanical, congenital, degenerative, or traumatic in nature.
CHR 7229 - Taping and Splinting II - 11 hours
CSC 7264 - Gastroenterology Diagnosis and Treatment - 33 hours
Common gastroenteric pathologies, their etiologies, symptomatology, and associated risk factors are covered. Students learn the signs, symptoms, and clinical manifestations associated with abnormal changes in gastrointestinal anatomy and physiology. Emphasis is placed on the incidence, prevalence, etiology, natural history, progression, clinical presentation, and differential diagnosis of selected conditions. Case management of those conditions amenable to conservative care is discussed, as are the indications for appropriate referral. Previously acquired knowledge of anatomy, physiology, public health parameters, history, physical exam findings, laboratory and radiologic evaluation, clinical decision-making, and clinical nutrition is integrated.
CHR 7265 - Chiropractic Physiological Therapeutics - 55 hours
The emphasis of this course is on the principles and application of therapeutic exercise and rehabilitation of the locomotor system. A biopsychosocial model is presented in an effort to identify functional pathology and the consequences of deconditioning syndrome. Students learn how to perform a functional capacity evaluation for baseline assessment and outcomes assessment using goniometry, inclinometry, muscle length testing, muscle strength and endurance testing, key movement pattern testing, respiratory assessment, stability assessment, balance assessment, coordination assessment, and postural analysis. The student will learn the indications, contraindications, and application of specific exercise protocols for the purpose of improving range-of-motion, flexibility, strength, endurance, power, coordination, stability, aerobic conditioning, muscle balance, relaxation, proprioception, posture, gait, and functional locomotor control.
CSC 7271 - Clinical Nutrition and Botanicals I - 44 hours
This course helps the student understand the role of diet modification and nutritional and botanical supplementation in the management of commonly encountered health disorders. The course begins by introducing the science underlying the use of botanical therapies and reviewing several basic therapeutic programs that use diet and lifestyle changes as well as supplementation with micronutrients, botanicals, or nutraceuticals. Subsequently, a body systems approach is used to present specific nutritional therapies for a variety of cardiovascular, musculoskeletal, psychoneurological, respiratory, and endocrine/metabolic disorders, including nutritional anemias. Additionally, cancer prevention and sports nutrition will be addressed. Discussions revolve around issues and controversies in current nutritional science. Assignments allow students to practice diet assessment, diet prescription, and the use of electronic resources for investigating scientific evidence for the efficacy and safety of nutritional and botanical interventions.
RAD 7288 - Radiographic Technique III - 22 hours
This course is the last of the series in the study of radiographic technique (see RAD 6386 and RAD 7187). This course covers the proper anatomical positioning required to demonstrate the upper and lower extremities and pelvis. Positioning for plain film abdomen radiography is also covered. The student will demonstrate skill in radiographic positioning, technique, and patient protection from radiation in the performance of exams of the upper and lower extremities and pelvis. Students will perform mock radiographic exams on their peers.
RAD 7293 - Bone Pathology II - 44 hours
CLI 7305 - Clinical Residency III - 110 hours
The clinical internship course series provides students with increasing opportunities to apply, integrate, and refine the knowledge, skills and behaviors necessary to become confident, competent, and caring primary care chiropractic physicians. Occurring within a patient care setting, interns apply best evidence, critical thinking, effective procedures, and professional integrity in the delivery of patient-centered care. At this point in the clinical internship course series, interns continue to be closely supervised by their attending physician, treating similar cases as in clinical internship II, but the hours engaged in patient care are increased. Completion of the Year 3 Clinical Skills Assessment exams occurs concurrently with enrollment in this course.
CLI 7306 - Clinic Phase III - 44 hours
Building on the two previous Clinic Phase courses, this course continues the development of knowledge and skills in the domains of hands-on history and physical assessment, clinical decision making, diagnostic synthesis and management decisions, both for neuromusculoskeletal and visceral complaints. Emphasis is placed on the selection of evaluation procedures, clinical problem solving, practice following the critical pathway to properly focus patient evaluation, selecting management strategies, and further refinement of basic clinical and verbal/documentation skills. Utilizing standardized patients, the lab portion is designed to continue the student’s ability to perform focused examinations of the shoulder, wrist, knee and ankle as well as refinement of the cervical and lumbar focused exams. Additionally, students will be given the experience of a walk-in trauma and an acute low back pain case.
CSC 7324 - Clinical Neurology - 55 hours
This course covers neurological diseases and disorders with a focus on the central nervous system. The presented conditions are differentiated by their history, signs, and symptoms, and x-ray and laboratory findings. Special attention is placed on conditions commonly encountered or amenable to chiropractic care.
CHR 7327 - Adjustive Technique VII Lecture - 11 hours
This course reviews and refines the integrated manipulative procedures and management of common disorders of the thoracic spine, anterior chest wall, and upper extremity. There is also integration of philosophy and principles of the subluxation complex.
CHR 7338 - Adjustive Technique VII - 22 hours
This course reviews and refines adjusting skills utilized in the management of thoracic, rib, and other upper extremity disorders. Soft tissue techniques and mobilizations are also reviewed and refined. Case scenarios are presented to discuss management and problem-solving skills.
CSC 7365 - Genitourinary Survey - 55 hours
This course surveys the female and male reproductive and urinary systems focusing on the most common conditions seen in a general practice. GU Survey includes practical experience during three evening lab sessions where students perform gynecological, urological, and proctological examinations on live patient simulators. This course prepares the student for clinical evaluation of normal and abnormal presentations of the genitourinary system, including a basic review of anatomy, reproductive pathophysiology, diagnostic testing, and basic conventional and CAM treatments of genitourinary diseases. Lecture, guest speakers, case studies, class participation, and audiovisual aids prepare the student with pertinent history taking skills, clinical decision making, basic care and management skills as well as appropriate referral recommendations.
CSC 7366 - Jurisprudence and Ethics - 22 hours
This course systematically reviews the legal and ethical considerations that relate to the practice of chiropractic. It provides students with an understanding of basic principles of law and ethical conduct, focusing on the rights, privileges, and obligations of practitioners of the healing arts as well as those of the patient and public. Rules of evidence, licensure laws, civil and criminal malpractice, informed consent, negligence, expert witness testimony, and other legal aspects of chiropractic practice are covered. Guest lecturers present common standards of professional and ethical conduct and moral judgment. Students learn to recognize potential legal risks and how best to avoid litigious pitfalls
CSC 7372 - Clinical Nutrition and Botanicals II - 11 hours
This course continues to address the role of diet modification and nutritional and botanical supplementation in the management of commonly encountered health disorders. Disorders of the gastrointestinal, genitourinary, and gynecological systems will be covered.
CSC 7375 - Introduction to Pharmacology - 33 hours
This course provides an introduction to the fundamental principles of pharmacology and toxicology. Students learn about common adverse side effects and other complications associated with drug use. Chiropractors are allowed to recommend over-the-counter drugs (OTCs) in most states and Canadian provinces. The course covers non-prescriptive drugs used to manage musculoskeletal complaints as well as allergies and gastrointestinal, respiratory, and skin disorders. Assignments expose students to the use of electronic resources for investigating issues of efficacy, safety, and drug interactions.
CSC 7376 - Patient/Pratice Management - 11 hours
This course focuses on how to ethically, professionally and effectively market and position a chiropractic practice. This course will reinforce understanding of the legal requirements and restrictions of advertising in health care. Students will also learn best practices in various forms of advertising, including print, vendor fairs, website, social media and interpersonal marketing strategies. Students will create mock promotional materials for their future practice.
RAD 7394 - Bone Pathology III -22 hours
This is the third in the series of courses covering the clinical application of diagnostic imaging modalities and interpretation (see RAD
RAD 7192, RAD 7293, RAD 8199, and RAD 8295). This course covers the radiological manifestations, clinical and laboratory presentations, and management of osteochondroses, skeletal dysplasias, nutritional, metabolic, endocrine, and hematological conditions affecting the skeletal system. Students review special imaging procedures, such as computed tomography, magnetic resonance imaging, bone scan, discography, and myelography. Cases utilizing these modalities are presented. Appropriate indications and contraindications are reviewed with an emphasis on appropriate imaging decisions.
CSC 8273 - Patient/Practice Management III -22 hours
CSC 8178 - Minor Surgery Lab Elective - 11 hours
This is the elective companion lab to CSC 8167 Minor Surgery/Proctology. Successful completion of both lecture and lab are required for chiropractic licensure in the state of Oregon. This hands-on lab provides practical experience in acquiring those skills necessary in minor surgical services. Students practice establishing sterile fields for the surgical instruments, the doctor, and the patient and practice appropriate infiltration techniques associated with the administration of local anesthetics. Appropriate suturing techniques are given special attention.
CHR 8225 - Philosophy and Principles of Chiropractic V - 22 hours
This course presents an advanced review, expansion and correlation of the clinical features of joint dysfunction/ subluxation syndromes, including causes, biomechanical and neurological effects, and treatment. Chiropractic management of common spinal conditions is reviewed and expanded, with emphasis on case-based problem solving and critical thinking. Current trends in chiropractic practice and managed care are surveyed.
CHR 8230 - Adjustive Technique IX - 22 hours
This course refines and integrates diagnosis, manipulation, and general chiropractic management of common disorders of the lumbar spine, pelvis, and extremities. Case scenarios are emphasized to assist diagnosis, comprehensive management, and patient communication.
CHR 8240 - Adjustive Technique X - 22 hours
Adjustive Technique X consists of a series of selected topics with demonstration of the manipulative procedures used for special problem cases or presentations followed by hands-on workshop.
CLI 8258 - Clinical Internship V - 275 hours
The clinical internship course series provides students with increasing opportunities to apply, integrate, and refine the knowledge, skills and behaviors necessary to become confident, competent, and caring primary care chiropractic physicians. Occurring within a patient care setting, interns apply best evidence, critical thinking, effective procedures, and professional integrity in the delivery of patient-centered care. Interns continue to gain autonomy yet remain under the mentorship and guidance of supervising attending physicians. Interns become increasingly responsible for the management of complex and challenging cases and conditions. Completion of the Year 4 Clinical Skills Assessment exams occurs concurrently with enrollment in this course.
CSC 8266 - Clinical Pediatrics - 33 hours
This course focuses on the normal growth and development of children and the most common issues in their health care. Students become familiar with developmental milestones and learn to identify individuals who are not developing within normal expectations. Particular attention is given to conducting a well child examination, identifying the most common childhood illnesses, and assessing and managing orthopedic conditions. Students learn how to communicate effectively and respectfully with children and how to identify risk factors, signs, and symptoms of child abuse and the laws regarding reporting of suspected abuse. Problems that can be managed with conservative chiropractic care and those that require appropriate referral are differentiated.
CSC 8267 - Clinical Geriatrics - 22 hours
This course provides an understanding of the unique characteristics of the elderly patient and explores the effects of aging and chronic degenerative processes. Students become familiar with the evaluation and conservative management of geriatric disorders, focusing on the normal physiologic changes associated with aging and normal variants in geriatric physical examination findings. Danger signals associated with lifethreatening disorders are investigated, along with utilization of appropriate decision-making strategies for proper care of the patient. Tests and screening evaluations are investigated to determine those that best identify declining health related functions. Intervention options that restore and maintain the quality of life are discussed. Specific attention is given to nutritional inadequacies, deconditioning, gait and balance disorders, mental dysfunction, hearing and vision impairment, and medication-related problems.
CSC 8268 - Clinical Psychology - 33 hours
This course is a survey of clinical psychology as pertinent to chiropractic practice. Students will attain proficiency in subject areas requisite for successful performance on the licensing examination for chiropractic physicians, acquire interpersonal skills as they relate to patient interviewing and gain basic understanding of behavioral principles and their application in various forms of psychotherapy. Instructional time is sectioned into three formats: 1. an interactive, participatory lecture/discussion, 2. learning and practicing clinical skills relevant to interviewing and supporting a patient while screening and detecting likely psychopathology, and 3. case presentations and discussion relevant to the day’s topics. Students will identify and discuss (without compromising confidentiality) at least 2 patients that have shown some evidence of psychopathology or behavioral problems.
CSC 8270 - Patient/Pratice Management V - 11 hours
This course explores the variety of possible entry points into practice, identifying benefits, liabilities, and areas of potential challenge. This course will also describe the landscape of how to evaluate the quality of practice options, including associateship as an employee or independent contractor, or as a practice owner through purchase of an existing practice or starting de novo. Examples of favorable and unfavorable employment agreements, leases, practice valuation assessments and other details will be discussed. This course will ensure an informed decision when considering a various practice options.
CSC 8280 - Evidence Informed Practice IV - 11 hours
This course is the second of two one-hour journal club format courses designed to practice the application and refinement of evidenced-informed practice (EIP) skills first introduced in Information Mastery, EIP I and EIP II. These skills include accessing clinical research evidence, critical appraisal of relevant primary studies and pre-appraised reviews on diagnosis, treatment, harm (risk), and prognosis. Interpretation and assessment of study results, and application to patient care is integrated with clinical experience and patient preference.
RAD 8295 - Bone Pathology IV - 22 hours
This is the last in a series of five courses covering the clinical application of diagnostic imaging modalities and interpretation (see RAD 7192, RAD 7293, RAD 7394, and RAD 8199). Diagnostic radiology is an integral part of chiropractic practice. This course provides the student with a review of all topics previously covered in the radiology courses. A review of the minimal diagnostic series and supplemental radiographic views are included for each area of the body. This review course near the end of the formal chiropractic education better prepares students for the realities of practice.
CSC 8374 - Patient/Practice Management IV -11 hours
This course, the last of a four-part series, is structured in a practical, distance-learning format. Students in their final term, whether working at the on-campus clinic or participating in a Community Based Internship or preceptorship in another state, apply the business and marketing skills introduced in PPM II and III. Specific task-oriented assignments are designed to help them meet some of the initial demands of entering practice.
CLI 8359 - Clinical Residency VI - 275 hours
(standard of curriculum for chiropractic degree: Western States Chiropractic College, U.S.A.)