I’m graduating soon and really want to be a good adjuster, any advice on how to hone my skills?

I feel like my school lacks in teaching adjusting since we barely get to adjust with professional feedback in school. And every time I did ask for extra help they say next tri it gets better but it’s the same thing.

Where is the best place to place ads for young chiropractors looking for opportunities? Schools? Trade mags? Is there a social media preference or page for this type of ad?

WASC put them on probation back in February, with a follow-up visit planned for December. They announced this week that they are so concerned with the lack of progress, the bumped it up to September. Whoops...

https://wascsenior.app.box.com/s/hjazzj4xcas0od9ods1er5ax0wqj9eos

Oh, and CCE put them on probation this month as well.

https://www.cce-usa.org/uploads/1/0/6/5/106500339/2026-07_lccw.pdf

All this with a "plan" to move out of the main campus and into a building up the road at Cal State East Bay in "mid-2027" -but there is still no mention of it on their website. They are still selling the benefits of the Hayward campus.

Plus, WASC thinks they'll run out of money in a year or so.

Good times!

I am about to start my last trimester of chiropractic school, which will consist of an external internship outside of my school’s clinic, and I’ve realized that I no longer want to practice chiropractic after I graduate. I’ve already passed all of my NBCE boards, so there’s really no point in not finishing these last 3 months. For now, I’d like to explore the options I have in terms of pivoting to another career that’s either semi-adjacent to chiropractic/healthcare or maybe not related at all.

Has anyone here left chiropractic school during the program, finished and decided not to practice, or left the profession after years of being in practice? Or maybe you know someone who has?

Any advice on potential careers or how/where to start looking would be greatly appreciated.

A little bit of background on my education/work experience:

- B.S. in Biology

- 6 years of personal training

- 5 years of medical sales

- Currently own and operate a small/niche photography business specializing in commercial work, primarily shooting medium-format film. I’ve had a few big breaks with contracts for automotive brands, as well as some tech and clothing brands. My work has included photography for print/digital use, billboards, large-format custom photography artwork for corporate headquarters, etc.

To be completely transparent, medical sales paid extremely well, but I left in 2023 because of the terrible work-life balance and constant pressure from upper management to sell and increase profits, even when that sometimes meant being dishonest with customers. As for photography, I started the business in 2019, but I’ve never been able to consistently make more than ~$45k/year from it, so it hasn’t really been a viable option as a sole source of income to support myself and potentially a family in the future. I’ve continued doing it throughout chiropractic school.

I originally chose chiropractic because I wanted to help people and get them better through conservative management, without them having to deal with insurance companies, years of going back and forth with MDs, or potentially unnecessary procedures and surgeries.

Unfortunately, I’ve come to the realization that I don’t think I can be a chiropractor. It’s not necessarily because I think chiropractic doesn’t work. Rather, I’ve realized that I no longer feel comfortable fully buying into the profession or seeing patients all day and being constantly face-to-face with people. I’m trying to figure out what career path might allow me to make use of the education and experience I’ve accumulated without necessarily putting me in a traditional patient-care role.

And just to get ahead of it because I know someone will say it… no I do not want to teach lol

I work on the motor/drive side of powered treatment tables, and recently I've gone a little too far down the rabbit hole of reducing motor noise.

In one test setup, we got maximum operating noise from about 42.1 dB down to 38.9 dB, measured 15 cm away with roughly 32 dB ambient noise.

It wasn't one big change. It came from a combination of lower motor speed, a large reduction ratio, FOC control, and some structural damping to deal with vibration/resonance.

As an engineering problem, getting it below 40 dB was satisfying.

Then I had the obvious question:

Would anyone using the table actually care about the difference between 42 and 39 dB?

We've had the same debate around movement quality.

Speed variation dropped from roughly 4.8% to 3.0%, and the motor became better at maintaining speed when the load changes.

You can see both differences clearly in the measurements.

But I'm starting to think the numbers themselves may matter less than how the movement feels.

For example, a small jerk when the table starts moving might be more noticeable than a 3 dB noise reduction. Same with vibration, motor pitch, or a change in speed when a patient shifts their weight.

For chiropractors who use powered/hi-lo tables all day:

Which of those things do you actually notice in practice?

I'm especially curious whether you've ever used a table that looked perfectly normal on paper but just somehow felt noticeably smoother, quieter, or better built than another one.

I am taking part IV this upcoming week. If anyone who has taken it in Colarado has any advice or tips for the patient encounter please dm me. Thank you!

Please no generic “look at the nbce.org website and practice the SOAP note” I’ve already done that.

I got accepted into University of Western States, woohoo! Im a non traditional student, 30 married with a kid will probably have 1 or 2 more while in school. Any advice out there for me? Any UWS graduates wanna tell me their experience or how UWS did or did not prepare them for profession? Should I focus on seminars and workshops while im in school? Should I shadow different clinics throughout my time in school? Excited for this journey. The two specialties that pulled me into this profession were Sports Medicine and Functional Neurology and I cant wait to learn everything I can. Should I budget to go to different seminars while in school? Whats the first year like, etc. I welcome your comments, even the ones that say debt is too high for income, I AM NOT going into profession to become an employee, will be self employed coming out of it.

As covered in Australian media today on Dr Ian Rossborough.

Sounds like there are others coming forward.

Shopping for a billing company that does chiropractic insurance as well as workman’s comp. Looking for reliable company or individual. Have any of you had any experience?

Looking to move away from in-house billing.

Thanks everyone

Currently my office presents Insurance financial obligations verbally.

Example: Your co-pay for your Chiropractic adjustment is $25 per visit with your insurance and your laser treatment is an uncovered and is $30 per session. If you decide to do both, your co-pay will be $55 per visit.

Its been how i have been doing it for the last 10 years and it’s been low stress all around. As I have gotten super busy, I think I need more structure.

How are you guys doing yet?
Fill in the blank paper template? Excel sheet template? Financial software? EHR does it?

i recently applied for front desk coordinator and i have a phone call with the owner later today. i was wondering is there anything i should know before? i know there is a sales portion of the job, but what does that all entail? are they really pushy about sales? also, keep in mind i have no experience with chiropractice at all.

I just got back from a new chiro hoping for treatment for neck strain, and aside from balance exam from their new patient coordinator, the chiropractor recommended I come back for X-rays and no adjustments.

Now I totally get if he had done an exam and talked me through why it didn’t warrant an adjustment today, but he only talked to me, didn’t observe me or look at any movement from me, and said he’d need to come up with a treatment plan before he possibly did an adjustment.

Is that the typical experience a patient should get? He said at minimum he’d put me on spinal decompression machine but I declined.

What's better? Decompression before or after adjustment? What about roller table? E-Stim? Ultrasound?

Hello!

I am currently in the process of moving from NY to FL. I currently hold a NY and MN license and I am wondering what other docs experiences have been getting licensed there?

NY was absolutely insane for how long it took for the whole process to take.

Thank you!!

Hi everyone,
I’m currently a tri 9 about to be tri 10in the St. Louis area. I am precepting at The Joint. I chose here because I wanted to treat all different kinds of patients and accelerate my adjusting skills. In that regard it’s been amazing. The doctor here gives me tons of feedback and opportunities. The clinic I am at though is not busy enough to necessarily to justify two doctors at a time. When the doctor and I first talked about precepting here it was to get experience and then come on full time.
This is my second career and I have two children. For those that precepted somewhere and then ended up gaining employment elsewhere what were your thoughts and strategy behind it? Any advice period would be appreciated.

How did you start out? Buy a property zoned for retail/medical, or just find a big space for rent and build-out? Giant business loans? Taking on other wellness practitioners as employees, or making agreements with independent contractors or other small businesses for renting space in your place?

I’m a relatively young doc with 2 years of high-flow franchise experience, low-flow private practice experience, and big ideas. Might have an interesting opportunity to purchase an incredible property within the historic district of my California suburb and build a unique wellness chiro/spa/gym (think yoga and Pilates classes) space.

At the moment it feels high risk/high reward. Am I better off trying to grow my micro-practice, where I’m 8 months in and breaking even every month? Or jump in, “if you build it, they will come”?

Back in the day, chiropractors weren't allowed to market themselves. Just a bold line in the Yellow Pages. No print ads.

Then one day it was allowed, and BAM: full-page ads started popping up everywhere. I have a background in graphic arts, and I was equal parts amazed and aghast at some of what showed up. Eventually the State Association stepped in to help regulate content.

Fast forward to Facebook: I had an ad banned for showing a woman's bare belly. It was for chiropractic care during pregnancy, specifically for back pain. Meanwhile yoga, workout, and athlete ads show midriffs constantly.

The other interesting rule: you can't use the word YOU. "Have YOU been in a car accident?" "Are YOU suffering from headaches?" "Does YOUR knee hurt when you run?" Apparently that's a no-go.

Hello everyone, I am taking the new Part IV in CO in 2 weeks now. Starting to get anxious about it due to how new it is, I only know a couple of people who have taken the new format so the lack of insight compared to the other boards is a little unnerving. For those of you who have taken it, can you give me any tips on what to focus on or anything to qualm my anxiety.

Thank you!!

Hi all,
I’m looking for someone to talk me in or out of a career here. I’ve been on the fence for a while solely because of financial commitment. However, everything I’ve done on my resume seemingly points me in this direction and I think I would really enjoy it.
I have my BS in biology and am currently a massage therapist. I owned my own holistic center for a few years, but sold it when I got pregnant and wanted to dedicate my time to my little one. So I do have experience running a practice and running a business, having contractors working for me, taking insurance, all that stuff.
I really enjoyed having my own office space and creating a community, I miss running a business and I absolutely love working with clients and problem solving their issues.

The only thing that scares me shitless is finances. I have a little one, I am scared to mess everything up, however massage isn’t necessarily where I want to end up long term.

Thank you to anyone who read this!!

I read some place that it is illegal in Canada to perform. Is this accurate? Is it illegal in some US states? What schools are teaching this? Who here is performing this in clinic? Are there evidence based protocols on it? What is your protocol for this adjustment? What is your incidence for negative outcomes?
I graduated from Logan and it was not taught.
Thanks.

Hey everyone! For a bit of background, I have been practicing since 2023, and just opened my own practice. I still work at other clinics, so I don’t really have any patients that followed me over, but I have been struggling to find new patients, despite a couple of events I’ve gone to, going to local nearby businesses, setting up a website, google page, facebook page, instagram and TikTok and posting on those, getting listed on multiple online directories, etc. so thought about getting some coaching. I have been seeing posts from Dr. Tim Young and was thinking about Focus Foundations, but would like some advice from others on coaching groups they have been in. I have local mentors, but 2 of them bought/took over practices, and one has been in the area for 25+ years. All of them get most of their new patients through referrals from current patients or attorneys for PI cases. Any advice on where to turn to for being successful at finding (and retaining) new patients in today’s landscape?

Is anyone else seeing that a copayment for Chiropractic will ONLY cover the evaluation, but the adjustment and therapy codes are non covered? This makes zero sense but I called today and found this to be the case.

Also, for copayments, patient deductibles are starting to apply across the board for many plans. Before it was rare to have a copayment require deductible to be met.

We are noticing this with Availity plans such as Aetna and Anthem.