Clinical Compass

Clinical Compass The Clinical Compass (CCGPP) exists to translate existing knowledge into effective, evidence - based chiropractic practice.

The Clinical Compass is powered by the Council on Chiropractic Guidelines and Practice Parameters (CCGPP). Our mission is to gather and evaluate existing evidence-based practice information; to facilitate the development of new information where existing evidence is lacking; and to distribute and assist in implementation of evidence-based practice information that is relevant to the chiropractic profession.

💰 What does the evidence say about student loan debt in the chiropractic profession?A recent survey of 1,455 U.S. chirop...
06/01/2026

💰 What does the evidence say about student loan debt in the chiropractic profession?

A recent survey of 1,455 U.S. chiropractors explored educational debt, income, loan relief opportunities, and perceptions of the value of chiropractic education.

Key findings:
📊 Median student loan debt at graduation: $185,000
📈 Median current student loan debt: $240,000
💵 Median gross income: $76,000
❓ 87% reported being ineligible or unsure if they qualified for loan relief programs
📉 More than half disagreed that their chiropractic education provided a positive financial return on investment
🔄 65% reported they would not choose a chiropractic career again

While many respondents reported positive non-financial benefits from their training and careers, the findings highlight ongoing challenges related to educational debt and professional sustainability.

These results raise important questions for educators, institutions, professional organizations, and policymakers:
• How can the profession better address educational debt?
• What strategies may improve financial sustainability for future chiropractors?
• How can we preserve the value of chiropractic education while improving accessibility?

Evidence-informed conversations about the future of the profession are essential.

Read the study: https://pubmed.ncbi.nlm.nih.gov/41973683/

What defines quality care in chiropractic—and can we actually measure it?This national survey of U.S. chiropractors expl...
05/25/2026

What defines quality care in chiropractic—and can we actually measure it?

This national survey of U.S. chiropractors explored both the importance and feasibility of implementing quality measures in real-world practice.

Key takeaways:
✔️ Strong agreement across the profession on what matters most
✔️ Patient safety leads the way (with measures like documenting adverse events ranking highest)
✔️ Quality care isn’t just a concept—it’s measurable and implementable

As healthcare continues to evolve, chiropractic is stepping further into accountability, standardization, and evidence-informed practice.

Read it here: https://pubmed.ncbi.nlm.nih.gov/41904489/

Healthcare costs in the U.S. have surpassed $5 trillion—and a significant portion is tied to inefficiencies and low-valu...
05/18/2026

Healthcare costs in the U.S. have surpassed $5 trillion—and a significant portion is tied to inefficiencies and low-value care.

This article highlights how states like Oregon and Washington are addressing this through evidence-based policy and something equally important: including complementary and integrative health providers (like chiropractors) in coverage decision-making.

Why does this matter?
✔️ More diverse clinical perspectives
✔️ Greater emphasis on prevention and whole-person care
✔️ Smarter, more cost-effective healthcare decisions

Representation at the policy level shapes access to care.

Read it here: https://doi.org/10.1177/27683605261436283

We Need Your Input! Clinical Compass is updating our 2017 best practices for the chiropractic management of older adults...
05/14/2026

We Need Your Input!

Clinical Compass is updating our 2017 best practices for the chiropractic management of older adults. Part of the process is to get public comments to incorporate into the recommendations.

We have just completed an extensive Delphi panel consensus process with a multidisciplinary panel of health care professionals. This works represents of a significant expansion of guidance for clinicians, students, educators, advocacy groups, and policy makers.

The public comment period ends on June 13th, 2026. Please follow this link to provide feedback: www.clinicalcompasscpg.com

What if maintenance care wasn’t for everyone—but exactly right for the right patient?This RCT is putting that idea to th...
05/11/2026

What if maintenance care wasn’t for everyone—but exactly right for the right patient?

This RCT is putting that idea to the test using the MAINTAIN instrument—a clinical tool designed to identify which patients with recurrent spinal pain benefit most from ongoing care.

Moving toward:
➡️ Stratified, personalized treatment
➡️ Better outcomes with fewer unnecessary visits
➡️ Real-world implementation in practice

This is where chiropractic care continues to evolve.

Read it here: https://pubmed.ncbi.nlm.nih.gov/41664083/

Big congratulations to Dr. Clint Daniels on being honored as a Fellow of the American College of Chiropractors (FACC)👏Th...
05/05/2026

Big congratulations to Dr. Clint Daniels on being honored as a Fellow of the American College of Chiropractors (FACC)👏

This is a well-deserved recognition of his leadership, commitment to the profession, and dedication to advancing evidence-informed chiropractic care. Honors like this reflect not just individual achievement, but a lasting impact on patients, colleagues, and the future of our field.

Celebrated at the Northeast College of Health Sciences graduation ceremony alongside fellow recipients Lindsay Rae, Chad Buohl, Peter Ferraro, and Karyn Phillips—an incredible group contributing to the profession in meaningful ways.

And a special shoutout to those who helped make the recognition possible, including Zachary Cupler for the nomination.

👏 Congratulations again, Dr. Daniels—this one is well earned.

Recruiting for real-world clinical trials is no small task—especially within large, integrated systems like the VA.This ...
05/04/2026

Recruiting for real-world clinical trials is no small task—especially within large, integrated systems like the VA.

This recent publication on the VERDICT trial (Veterans Response to Dosage in Chiropractic Therapy) takes a closer look at what actually works when it comes to engaging veterans with chronic low back pain in research 👇

📊 Key takeaways:
• Existing clinical referrals were the most efficient recruitment strategy
• Email outreach improved response times compared to postal-only methods
• Multifaceted approaches helped improve diversity and engagement
• System limitations (like clinic capacity) still play a major role in enrollment

What this study highlights is something we see every day in practice: access, communication, and system design matter. Research doesn’t just live in journals—it depends on real people, real workflows, and real-world barriers.

Studies like this help bridge the gap between clinical research and implementation, ultimately improving how we deliver care to complex populations like veterans with chronic low back pain.

👏 Shoutout to the authors for advancing pragmatic research and helping us better understand how to bring evidence into action.

Read it here: https://pubmed.ncbi.nlm.nih.gov/41857686/

“Their work not only advances patient outcomes, but also elevates professional standards and ensures that chiropractic r...
05/01/2026

“Their work not only advances patient outcomes, but also elevates professional standards and ensures that chiropractic remains firmly anchored in science.” — James Demetrious

We’re proud to highlight Dr. Demetrious, Founder and CEO of PostGradDC.

His leadership and vision have played a pivotal role in advancing evidence-informed chiropractic care—supporting clinicians in bridging the gap between research and real-world practice. Through continued dedication to education, research, and clinical application, voices like his help move the profession forward in meaningful, measurable ways.

Thank you, Dr. Demetrious, for your commitment to elevating standards and strengthening the future of chiropractic.

Learn more about Clinical Compass and its mission to support evidence-based care.

New research presented at the ACCRAC Conference 2026 👇Spinal manipulation may offer comparable (or slightly greater) ben...
04/28/2026

New research presented at the ACCRAC Conference 2026 👇

Spinal manipulation may offer comparable (or slightly greater) benefits for chronic spinal conditions in older adults—especially for neck pain and lumbar spinal stenosis.

👏 Presented by Joel Stevans, Morgan Price, Clint Daniels, and Alec Schielke

Women’s health is a critical—and evolving—area of clinical practice, and this latest publication helps move the professi...
04/27/2026

Women’s health is a critical—and evolving—area of clinical practice, and this latest publication helps move the profession forward in a meaningful way.

“Women’s Health and Chiropractic: Educational Audit and Development of Core Competencies” outlines a comprehensive framework of 62 core competencies across 10 domains, developed through international collaboration and Delphi consensus.

💡 Why this matters:
This work goes beyond traditional reproductive health to emphasize a lifespan approach to women’s health, recognizing factors like aging, social determinants, and whole-person care. It provides a roadmap for improving both chiropractic education and clinical practice.

👏 A special shoutout to Katherine Pohlman, a member of the Clinical Compass Scientific Commission, for her contributions to advancing evidence-informed care in this space.

🔎 This is an important step toward ensuring chiropractors are equipped with the knowledge and skills to better serve women at every stage of life.

Read it here: https://pubmed.ncbi.nlm.nih.gov/41819600/

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