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the Council on Chiropractic Practice for its efforts in developing and distributing the guidelines. 10

In May 1999 the CCP Guidelines were ratified by the Manitoba Chiropractors Association and in 2000 the CCP Guidelines were officially recognized by the College of Chiropractors of Alberta and the Chiropractic Awareness Council of Ontario also adopted the Guidelines. 6,11,12

Other licensing boards and professional associations in other countries have adopted or endorsed the guidelines including the Israeli Doctors of Chiropractic (IDOC) and the Chiropractors Association of Ireland. 13,14

In addition to the broad acceptance of the document, the guidelines themselves were also reviewed and subsequently incorporated into a separate guidelines document published by the International Chiropractors Association titled: Recommended Clinical Protocols and Guidelines for the Practice of Chiropractic. 15

The Council on Chiropractic Practice has been working with the World Health Organization as that entity develops international guidelines for the practice of chiropractic. As part of that effort the CCP worked with the World Chiropractic Alliance and the World Health Organization to develop a document titled: Guidelines on Training and Safety in Chiropractic. 16

Inclusion in the National Guideline Clearinghouse

Following publication of the CCP Guidelines the document was submitted to the National Guideline Clearinghouse for consideration for inclusion. The NGC is sponsored by the U.S. Agency for Health Care Research & Quality and is in partnership with the American Medical Association and the American Association of Health Plans. Its mission is as follows:

The NGC mission is to provide physicians, nurses, and other health professionals, health care providers, health plans, integrated delivery systems, purchasers and others an accessible mechanism for obtaining objective, detailed information on clinical practice guidelines and to further their dissemination, implementation and use. 17

The AHRQ contracts with ECRI, a nonprofit health services research agency, to perform the technical work for the NGC. ECRI is an international nonprofit health services research agency and a Collaborating Center of the World Health Organization.

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_________________________________________________________ Council on Chiropractic Practice Clinical Practice Guideline Number 1 Vertebral Subluxation in Chiropractic Practice – 2003 Update & Revision

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