Ethics helps to provide a framework of how clinical intentions, effectiveness and efficacy can be made known to others.
Ethics of Chiropractic (Professionalism and Safety)
The Royal College of Chiropractors looks to improve the professionalism of chiropractors of which Lee has been a Fellow for more than a decade.
When a group of people profess to be able to provide to society a helpful service (say help body discomfort through the use of my hands), this group might be called a profession. How a profession goes about professing their service to the general public ought to meet certain social norms and help a social need. The individual ethical chiropractor would profess their outcomes in demonstration of their ability to meet an identified social need. When these ethics are developed showing patient welfare is placed first, then public trust can ensue as to the motives behind the professional service(s) of a particular group of people such as Chiropractors. Public trust also comes from knowing the service is safe. The General Chiropractic Council (GCC) have a Duty to protect the public ahead of incidents through development of the profession. Lee has been a Registered Chiropractor with the GCC since 2001.
Ethics in Chiropractic (Practise style / type / technique / philosophy)
When a chiropractor engages with applied ethics they do not present what they would endorse, rather, they present an examination of basic moral, philosophical and political theories/principles to philosophically explain a way of MSK service delivery. A mixture of philosophical categorisation and analytical reasoning (outcomes) that precedes careful thinking and good decision making can create a practise technique rationale that can be relatable to the granular level eg an individual patient. ‘Ethics in’ precedes an evidence base.
Ethics for Chiropractic (Advocacy)
The NHS and Local Authority (council) have an obligation to identify social health needs and to provide a service to meet those needs e.g. adequate and accessible MSK services for local people. Ethical Chiropractors for Chiropractic would provide Track Records to demonstrate the ongoing benefits of their professional / clinical services in meeting an identified social need.