Abstracts of poster presentations/Abstracts of innovations presentations

André Bussières, Greg Stewart, Fadi Al Zoubi, Philip Decina, Martin Descarreaux, Jill Hayden, Brenda Hendrickson, Cesar Hincapié, Isabelle Pagé, Steven Passmore, John Srbely, Maja Stupar, Joel Weisberg, Joseph OrnelasObjective: To develop a clinical practice guideline on the management of Neck Pain-Associated Disorders (NAD) and Whiplash-Associated Disorders (WAD). Methods: Pertinent systematic reviews on 6 topic areas (education, multimodal care, exercise, work disability, manual therapy, passive modalities) were assessed using AMSTAR and data extracted from admissible randomized controlled trials. We incorporated risk of bias scores in GRADE. Evidence profiles were used to summarize judgments of the evidence quality, detail relative and absolute effects, and link recommendations to the supporting evidence. The guideline panel considered the balance of desirable and undesirable consequences. Consensus was achieved using a modified Delphi. The guideline was peer reviewed. Results: For recent-onset (0–3 months) neck pain, we suggest offering multimodal care; manipulation or mobilization; range of motion home exercise, pain/anti-inflammatory medication, or multimodal manual therapy (for grades I–II NAD); supervised graded strengthening exercise (grade III NAD); and multimodal care (grade III WAD). For persistent (over 3 months) neck pain, we suggest offering multimodal care or stress self-management, manipulation with soft tissue therapy, high dose massage, supervised group exercise, supervised yoga, supervised strengthening exercises or home exercises (grades I–II NAD), multimodal care, and/or practitioner's advice (grades I–III NAD), and supervised exercise with advice or advice alone (grades I–II WAD). For workers with persistent neck and shoulder pain, evidence supports mixed supervised and unsupervised high-intensity strength training or advice alone (grades I–III NAD). Conclusions: A multimodal approach including manual therapy, self-management advice, and exercise, is an effective treatment strategy for recent-onset and persistent neck pain. (This is a conference presentation abstract and not a full work that has been published.)B. Kim Humphreys, Cynthia PetersonObjective: As a result of the revised Swiss Medical Law in 2007, Chiropractic became one of the 5 medical professions and required an educational program be established within a Swiss university medical school. In September 2008, the first cohort of chiropractic students began their studies at the University of Zürich, Faculty of Medicine. The new program required the integration of chiropractic courses within the 6-year medical curriculum. This presentation will reflect on the strengths and challenges of the current 6-year Master of Chiropractic curricular model from the perspective of two recent accreditations. Methods: The self-study and international expert reports from the Swiss Government accreditation in 2014 and the European Council on Chiropractic Education accreditation in 2016 provided an opportunity to reflect on the strengths, challenges, and opportunities of the Master of Chiropractic Medicine program at the University of Zürich. Results: Strengths of the curricular model included bright and motivated students due to the difficult medical entrance examination, depth and breadth of human and clinical sciences, clinical rotations with patient contact, integration of chiropractic and medical clinical sciences, breaking down barriers and building bridges with medical students and professors. The challenges include the heavy curricular load and developing a strong chiropractic identity within the early years of the program. Conclusions: The M Chiro Med curricular model provides a unique opportunity for the interprofessional integration of chiropractic within a medical curriculum. Although some challenges have been encountered the outcomes and opportunities outweigh the disadvantages, especially in terms of building bridges and breaking down barriers. (This is a conference presentation abstract and not a full work that has been published.)Stuart KinsingerObjective: There is emerging evidence that an essential part of defining and advocating for the highest standards of professionalism includes digital and online communication as part of a professional's persona. Educators and regulators share a duty to incorporate this aspect of communication into the principles of professionalism by setting out what duties and expectations professionals have and in teaching learners aspects of risk management on the prudent use of social media. Methods: This presentation provides an overview of the current state of the literature this past decade on health care professionals' use and misuse of social media. All of the major health profession trade organizations, such as the American and Canadian medical and chiropractic associations, have published guidelines for members. Much congruity is seen in the literature, including respecting professional colleagues, maintaining confidentiality, respecting personal and professional boundaries, and avoiding any reference to unprofessional conduct. Results: Case examples are provided of professionals' misuse of social media with far reaching sequelae. Inappropriate student's communication may be of significance as was observed in the Dalhousie University's Department of Dentistry. 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