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Protected titles and chiropractors

Blue Wode

Graduate Poster
Joined
Feb 17, 2006
Messages
1,306
Ben Goldacre has an interesting article in today’s Guardian.

On reading an article ‘Yes We Can Cure ADHD’ in the Daily Mail last week, apparently written by “neurologist Dr Robin Pauc”, he decided to check out Dr Pauc’s credentials. (Dr Pauc has written a book suggesting that learning difficulties - including Dyslexia, ADD, Dyspraxia and Tourette’s syndrome - as we understand them, don’t exist).

He discovered that Dr Pauc wasn’t registered with the GMC, but was a doctor of chiropractic who specialises in the treatment of developmental disorders in children.

The fact that he was a chiropractor didn’t appear anywhere in the article despite the General Chiropractic Council’s code of practice requiring that chiropractors ensure that they make it clear that by using the title of ‘doctor’ they are registered chiropractors and not registered medical practitioners. (The code or practice also states that chiropractors “must not make claims to being a specialist or expert in a field of chiropractic although chiropractors may indicate that their practice is wholly or mainly devoted to particular types of care”.)

It turns out that although ‘chiropractor’ is a protected title, anyone can call themselves a doctor or a neurologist because they aren’t protected titles.

Apparently Dr Pauc denied having written the Daily Mail article and to ever having claimed to be anything other than a “chiropractic neurologist”.

http://www.guardian.co.uk/life/badscience/story/0,,1758975,00.html

Interestingly, Dr Pauc’s website states his only qualifications as being a Diplomate of the American Chiropractic Neurology Board and an Assistant Professor of Clinical Neurology at the Carrick Institute for Post-Graduate Studies, Cape Canaveral, USA.

http://www.tinsleyhouseclinic.co.uk/about-us.htm

Does anyone know how legitimate these qualifications are and would his treatment of dyslexia, dyspraxia, ADD, ADHD, OCD and Tourette's Syndrome come within the scope of practice for chiropractic?
 
It appears in the USA that such titles are indeed that - titular. Literally, you can just start using it in reference to yourself without having to justify it. A bit like "Dr." Dre, I guess. Although...Doctor Zep...has a nice ring to it...hmmmm...

However in other places, the convention seems to be somewhat more strict. The title "Doctor" is only allowed by those who have earned the title, either by mans of a suitably recognised degree, or by being a doctor of a medical practice. False representation of degrees and titles is viewed exceedingly dimly, if not considered illegal and thus prosecutable.

As to the legitimacy of chiropractic as treatment for those conditions, so far the evidence for efficacy for its treatment of ANY condition beyond plain "therapeutic massage" relief is overwhelmingly to the negative. In fact, more than negative - it is a distinct danger to the patient; people have been killed by chiropractors. So to continue to make claims of efficacy in these conditions is plain and simple quackery.

From there, it is a matter of how each country defines and deals with medical quackery as a crime. In Pakistan, for example, they have a government sub-department devoted to various forms of quackery - not to eradicating it but to promoting it! You will need to see you local legal people to sort that out.
 
Just an aside, yes, Chiros have been "specializing" in things like neurology, orthopaedics, dentistry...
It's sickening that they do that, in my opinion.
It's even more sickening when they can't admit they're just chiros and they fail to inform others that they are not in fact MD's but are simply chiros who decided they wanted an area of expertise.


It's funny how the words "report you to the Bureau of Fraud and Abuse" gets a jolt out of them, too.
 
Welcome to the wonderful world of Chiroquacktic, you have noticed that there appears to be a fraud at work here, the intentional act statement or representation that is not in itself false, and yet it causes you to believe something that is false.This is examplified by a DC (doctor of Chiropractic) calling themselves "doctor" or (my favorite) "physician" when in fact DC's are NOT trained in medicine, are not licensed in medicine and are not qualified to treat or diagnose medical conditions at all, in any state in the US,Canada or Europe. Yet as a group they will work hard to cause you to believe they ,DC's, have the same quals as an MD. They want you to think this, DONT. for a primer, try reading up on the quackier these rascals have been up to for years, a good place to start is here, then try CHIROTALK- The Skeptical Chiropractic Discussion (google will get you there). Chiroquacks would like nothing more for you and others to think that chiroquacks are the equal of or the superior to, MD's. They are not. Enjoy your education.
 
Could I specialize in homeopathic chiropractic? I'd never touch anyone, just make imperceptible gestures toward the places where a "real" -- erm, I mean a "traditional" chiropractor would do all that crude, brute-force subluxation adjusting and... stuff.
 
Homeopathic chiropractic...isn't that EFT?
Or that Reiki stuff. You're supposed to just think about adjusting the spine.

Edited to add: In line with the original post, I suspect it's the letters after someone's name that are the important regulated bits.
 
Good points. *ponder* Y'know, on the whole I'm not sure I want to regulate my bits... it's a tough trade-off.

Meffy Ellis, P.U., C.B.W., O.B.A.F.G.K.M., D.Ho.Ch.
 
You may all now refer to me as "Dr. Testicle-Smasher."

I specialize in homeopaths and chiropractors.
 
Could I specialize in homeopathic chiropractic? I'd never touch anyone, just make imperceptible gestures toward the places where a "real" -- erm, I mean a "traditional" chiropractor would do all that crude, brute-force subluxation adjusting and... stuff.

Actually, this is already a chiropractic technique, "Network Spinal Analysis." Generally, the quack lightly touches a spot on your back and then waits for you to twitch. This is supposed to be the "leading edge" of chiropractic; more conventional chiros call it "the fringe."

Take a look: http://www.belifeful.com/aboutus.html
 
Thank you for all your interesting replies.

As to the legitimacy of chiropractic as treatment for those conditions, so far the evidence for efficacy for its treatment of ANY condition beyond plain "therapeutic massage" relief is overwhelmingly to the negative. In fact, more than negative - it is a distinct danger to the patient; people have been killed by chiropractors. So to continue to make claims of efficacy in these conditions is plain and simple quackery.

Just as I thought. It’s simply further evidence that the regulators are failing to set proper standards. Instead of tightening things up, they seem to be more interested in expanding their professional scope (and numbers) by allowing things slide – something that a quick search for “subluxations” on Google’s UK pages would appear to confirm. It pulls up lots of dubious chiropractic sites, including this one which makes the following claims:

What do Chiropractors treat?
Chiropractors locate and correct spinal or cranial subluxations, thus affecting neurological function which could help with : Allergies, mental disorders, ear infections, asthma, bowel dysfunction, hiatial hernia, incontinence, dyslexia, dyspraxia, learning disability, multiple sclerosis, Parkinson's disease, depression, loss of libido, eczema, lack of confidence, diabetes, circulation problems, visual acquity, sport injuries and so on. Chiropractors also treat neck pain, back pain and headache too.

http://www.thehouseofgoodhealth.co.uk/aboutchiro.php

And this is a profession that wants to be taken seriously by the NHS?
 
Actually, this is already a chiropractic technique
Gah. No matter how flaky a belief or practice I come up with, someone's already done it. And far too often, they were serious. *eeeep*
 
Actually, this is already a chiropractic technique, "Network Spinal Analysis." Generally, the quack lightly touches a spot on your back and then waits for you to twitch. This is supposed to be the "leading edge" of chiropractic; more conventional chiros call it "the fringe."

You ever actually FEEL your faith in humanity slip? There's a little thud in the back of your stomach that is somehow connected with the front right of your brain. You process and process a sentence, first in misunderstanding, then in disbelief, then in vain hopes of detecting sarcasm. Alas, no. The poor, long suffering optimist in my mind reels in pain, comforted in dumb horror by the pragmatist. Even the pessimist is a bit taken aback.
 
The poor, long suffering optimist in my mind reels in pain, comforted in dumb horror by the pragmatist. Even the pessimist is a bit taken aback.

Did you check out the link I gave? Here's a sample:

In 1987, she took a three and a half year sabbatical from her busy Brookline practice to travel as a research volunteer to the Far East to introduce Chiropractic in South Korea and Beijing, China. While in Asia, she was exposed to the eastern philosophies of healing. Beyond oriental medicine and acupuncture, working with Qi Gong masters, Filipino psychic surgeons, Javanese and Sumatran shamans and traditional Thai healers brought much insight to her own work and the healing process. Further ongoing self study in the science of mind-body healing allows her to bring a unique perspective and understanding to her practice... Dr. Heather sits on the board of governors for the World Chiropractic Alliance representing Vermont and is a faculty member of the American Consumer Education Foundation.

I actually had to take a handicapped client here, twice a week. Finally, I managed to transfer him to a more conventional chiroprator on the excuse the new one was closer to home.

I know, I know. My client's family was hooked on chiropractic, though, and the wife and I needed to eat. At least I managed to get some of the woo out of the woo woo.

 
Someone has put in a complaint against 'Dr' Pauc to the General Chiropractic Council. Hearing is on 8 to 11 February 2010.

Summary:
An allegation of unacceptable professional conduct with particulars has been referred to the PCC for consideration. The particulars of the allegation against the respondent relate to:

- Failure to behave honestly when promoting his practice and himself as a chiropractor
- Failure to ensure that the covers for each of his books made clear that he is a doctor of chiropractic and not a registered medical practitioner
- Claimed to be an expert in a field of child neurology and/or a specialist treating developmental disorders for children
- Inaccurate and misleading statements published on his website, and on the covers of his books, regarding professional positions he did not, in fact, hold e.g. Assistant Professor
 
Ben Goldacre has an interesting article in today’s Guardian.

On reading an article ‘Yes We Can Cure ADHD’ in the Daily Mail last week, apparently written by “neurologist Dr Robin Pauc”, he decided to check out Dr Pauc’s credentials. (Dr Pauc has written a book suggesting that learning difficulties - including Dyslexia, ADD, Dyspraxia and Tourette’s syndrome - as we understand them, don’t exist).

He discovered that Dr Pauc wasn’t registered with the GMC, but was a doctor of chiropractic who specialises in the treatment of developmental disorders in children.

The fact that he was a chiropractor didn’t appear anywhere in the article despite the General Chiropractic Council’s code of practice requiring that chiropractors ensure that they make it clear that by using the title of ‘doctor’ they are registered chiropractors and not registered medical practitioners. (The code or practice also states that chiropractors “must not make claims to being a specialist or expert in a field of chiropractic although chiropractors may indicate that their practice is wholly or mainly devoted to particular types of care”.)

It turns out that although ‘chiropractor’ is a protected title, anyone can call themselves a doctor or a neurologist because they aren’t protected titles.

Apparently Dr Pauc denied having written the Daily Mail article and to ever having claimed to be anything other than a “chiropractic neurologist”.

http://www.guardian.co.uk/life/badscience/story/0,,1758975,00.html

Interestingly, Dr Pauc’s website states his only qualifications as being a Diplomate of the American Chiropractic Neurology Board and an Assistant Professor of Clinical Neurology at the Carrick Institute for Post-Graduate Studies, Cape Canaveral, USA.

http://www.tinsleyhouseclinic.co.uk/about-us.htm

Does anyone know how legitimate these qualifications are and would his treatment of dyslexia, dyspraxia, ADD, ADHD, OCD and Tourette's Syndrome come within the scope of practice for chiropractic?


It's taken nearly four years, but the UK General Chiropractic Council has finally caught up with the above chiropractor:
ALLEGATION REFERRED TO THE PROFESSIONAL CONDUCT COMMITTEE OF THE GENERAL CHIROPRACTIC COUNCIL

Name of Respondent: Robin Anthony Pauc
Address of Respondent: Tinsley House Clinic Ltd
_____________________________________________________
THE ALLEGATION:
That being a registered chiropractor you are guilty of unacceptable
professional conduct.
_____________________________________________________
PARTICULARS OF THE ALLEGATION:

1. You are the author of the following books (“the Books”):
(a) “Is That My Child?”, published by Virgin Books Limited in 2006 Great Britain;
(b) “The Learning Disability Myth”, published by Virgin Books Limited in 2006 USA;
(c) “The Brain Food Plan”, published by Virgin Books Limited in 2007 Great Britain;
(d) “Could It Be You?”, published by Virgin Books Limited in 2008 Great Britain;

2.
(a) On the front cover of 1(a) and 1(b) it states that you are “Assistant Professor, The Carrick Institute, Cape Canaveral”;
(b) You did not hold this or any other position with The Carrick Institute, Cape
Canaveral (“CICC”) at the time of publication of the books referred to in 2a;
(c) On the inside cover of 1(d) it states that you were awarded a professorship at the CICC;
(d) The statement at 2(c) gives the misleading impression that you were awarded a professorial chair, which was never the case;
(e) In around October 2008, your website for the Tinsley House Clinic stated that you were “an Assistant Professor of Clinical Neurology at the Carrick Institute for PostGraduate Studies, Cape Canaveral”;
(f) You did not hold the position referred to at 2(e) or any other position with The Carrick Institute, Cape Canaveral, in around October 2008;
(g) The statements referred to at sub-paragraphs 2(a), 2(c) and 2(e) were therefore each inaccurate and misleading;
(h) You failed to ensure the inaccurate and misleading information about you was not published and/or contained on your website;

3.
(a) On the front cover of each of the Books, you are referred to as “Dr Robin Pauc”, and on the back cover of 1(a) and 1(b) as “Dr Robin Pauc, an expert in child neurology” and on the back cover of 1(c) and 1(d) as “Dr Robin Pauc”;
(b) These references to you are liable to mislead members of the public into believing that you are a registered medical practitioner, when you are not;
(c) You failed to ensure that the contents of the covers for each of the Books made clear that you are a doctor of chiropractic and not a registered medical practitioner;

4. You have claimed to be an expert in the field of child neurology and/or a specialist treating developmental disorders for children in that:
(a) You have allowed your publishers to refer to you as “an expert in child neurology”
on the back cover of the Books referred to at 1(a) and (b);
(b) In around October 2008, it stated on your website for the Tinsley House Clinic that you were “an Assistant Professor of Clinical Neurology at the Carrick Institute”;

5. You have failed to behave honestly in promoting your practice and yourself as a chiropractor in relation to the matters set out in paragraphs 2 - 4 above;

6. For the reasons set out in Particulars 2 – 5, you have acted in a manner which may undermine public confidence in the chiropractic profession and/or bring the profession into disrepute.
__________________________________________________
Dated: 26 August 2009


Don't know when the hearing is to be held.

ETA: I see zeno2712 has beaten me to it!
 
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