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How can chiropractic become a respected mainstream profession? The example of podiatry

机译：脊医如何才能成为备受推崇的主流职业？足病学的例子

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Background The chiropractic profession has succeeded to remain in existence for over 110 years despite the fact that many other professions which had their start at around the same time as chiropractic have disappeared. Despite chiropractic's longevity, the profession has not succeeded in establishing cultural authority and respect within mainstream society, and its market share is dwindling. In the meantime, the podiatric medical profession, during approximately the same time period, has been far more successful in developing itself into a respected profession that is well integrated into mainstream health care and society. Objective To present a perspective on the current state of the chiropractic profession and to make recommendations as to how the profession can look to the podiatric medical profession as a model for how a non-allopathic healthcare profession can establish mainstream integration and cultural authority. Discussion There are several key areas in which the podiatric medical profession has succeeded and in which the chiropractic profession has not. The authors contend that it is in these key areas that changes must be made in order for our profession to overcome its shrinking market share and its present low status amongst healthcare professions. These areas include public health, education, identity and professionalism. Conclusion The chiropractic profession has great promise in terms of its potential contribution to society and the potential for its members to realize the benefits that come from being involved in a mainstream, respected and highly utilized professional group. However, there are several changes that must be made within the profession if it is going to fulfill this promise. Several lessons can be learned from the podiatric medical profession in this effort.
机译：背景脊椎治疗专业已经成功存在了110多年，尽管事实上许多其他与脊椎治疗同时开始的专业已经消失了。尽管整脊疗法具有悠久的历史，但该专业尚未成功在主流社会中建立文化权威和尊重，其市场份额正在减少。同时，在大约同一时期，足病医学专业已经成功地发展成为受人尊敬的专业，并已很好地融入主流医疗保健和社会。目的介绍脊椎治疗专业的现状，并就该专业如何看待足病医学专业提出建议，以作为无病疗法医疗专业如何建立主流整合和文化权威的典范。讨论足病医学界在一些关键领域取得了成功，而脊骨医学界则没有。作者认为，正是在这些关键领域中，我们才能做出改变，以使我们的行业克服其不断缩小的市场份额和在医疗保健行业中目前的低地位。这些领域包括公共卫生，教育，身份和专业精神。结论脊椎治疗学界对社会的潜在贡献以及其成员从参与主流，受人尊敬和高度利用的专业团体中获得收益的潜力方面具有广阔的前景。但是，要实现这一承诺，必须在行业内进行一些更改。可以从足病医学界学到一些经验教训。

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