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Standards of medical practice
"Standards of Medical Practice" is an expression which refers to a legal basis for a physician determining what treatment he/she may prescribe.
The essential stand under most state laws, is simply:
"a physician is held to provide that standard of care, equal to that which a similar professional, in a similar community, with a similar level of training, would be expected to provide"
In general, in layman's terms, it means that if a Physician is not trained in the procedure, then s/he cannot prescribe it without incurring potential legal liability.
In practice, however, where Chiropractic is concerned, it is a wall, behind which the political medical establishment has traditionally hidden from the responsibility to learn about the benefits of Chiropractic. If they learn about us, then it becomes the standard. QED.
Practical use for political medicine
So, for example: even though the MD or DO, holds what is known as a plenary license, to practice all forms of medicine or surgery, and the DC holds a license that is traditionally considered to be a limited license; thus, even though theoretically, an MD can perform a Chiropractic adjustment if s/he WANTS to; and the DC is REQUIRED to refer a patient to an MD or DO if the situation warrants; the MD or DO can hide behind this "standard" since the average MD or DO is not EXPECTED to know about Chiropractic, but, as we said, the Chiropractor is EXPECTED to know when to send a patient to an MD.
Isn't that fair? To the practitioners of Chiropractic? to YOU, the patient!
Thus as long as the medical establishment can remain ignorant of Chiropractic education, qualifications, and practice parameters, they can claim that it's outside their sphere of the "standards of practice" and thus avoid referral.