From TBCE: Advertising, Scope and Proper Use of Credentials
Written by Editor   
Sunday, February 19, 2017 03:57 PM

News Bite:  The role of the Texas Board of Chiropractic Examiners (TBCE) is to enforce the chiropractic statute and rules and to protect the public. One area where potential violations and risk of misleading the public is website and other advertising.  Learn of potential pitfalls.


The role of the Texas Board of Chiropractic Examiners (TBCE) is to enforce the chiropractic statute and rules and to protect the public. One area where potential violations and risk of misleading the public is website and other advertising. Specific issues are advertising treatment that is outside the scope of practice or misleading, and the  improper use of credentialing.

Texas statute and TBCE board rules define and interpret what a licensed chiropractor is allowed to do in Texas. Many chiropractors are trained to provide far more services than a Texas license actually permits.  Training alone, however, does not drive scope. Even specialty board training does not change one’s scope of practice.  Scope of Practice can only be changed by legislative action. For example, Texas Chiropractors cannot treat diseases or disorders, such as: diabetes, hypothyroidism, infertility, schizophrenia, Parkinson’s, colic, diarrhea, asthma or constipation. If you are advertising that you can treat such conditions you are violating Texas scope of practice and subject to disciplinary action by the TBCE. The Texas Medical Board could also file a potential cease and desist action for practicing medicine without a license.

Similarly, Acupuncture performed by a doctor of chiropractic (D.C.) in Texas is limited to scope of practice, which includes the adjunctive treatment of the subluxation complex or the biomechanics of the spine and musculoskeletal system. Advertising Acupuncture services should be limited to scope. It is also important that you indicate your acupuncture credentials in your advertising.  
In Texas, chiropractic scope is limited to the "human body." Thus, training and certification in animal chiropractic does not allow you to hang up an animal chiropractic shingle and call yourself an animal chiropractor. Rather, all animal care is regulated by the Texas Board of Veterinary Medicine. Any chiropractic treatment of animals must be supervised and referred by a Doctor of Veterinary Medicine (DVM). When performing animal chiropractic or other forms of musculoskeletal manipulation (MSM) on an animal in Texas, you cannot use your D.C. credentials or use the title "doctor." You are essentially working under the DVM’s license as a contractor.
 
It is also important to understand that if you identify yourself as having specialty certification in Texas you must also identify the specialty board authorizing that certification. For example, a board certified chiropractic orthopedist (DABCO) must identify which board awarded the certification (e.g. American Board of Chiropractic Orthopedists). 
Two professional organizations have recognized specialty councils: International Chiropractors Association (ICA) and American Chiropractic Association (ACA). A recent article in the Texas Journal of Chiropractic, Summer 2016, addresses these specialty councils and credentialing.
Being awarded a certificate of attainment by a testing or regulatory board does not make a licensee board certified.  Board certification is awarded by authorized specialty boards after a program of advanced training, usually 3-5 years, advancement to candidacy and board testing.  Successful passing of the board exams allows one to use specialty board designations, such as:  DACO, DABCO, DACBR, DABCI, etc. 
The National Board of Chiropractic Examiners (NBCE) is a testing organization and does not award board certification. Likewise, the TBCE is a licensing and regulatory agency and does not award board certification.  Additionally, stating one is a “Diplomate” of the NBCE or the TBCE is inaccurate.  In fact, in 1982 the NBCE stopped using the Diplomate designation due to this confusion and instead, began issuing a certificate of attainment.  The NBCE website cautions that use of the Diplomate of the NBCE is a violation subject to state sanctions and may result in legal action for improper use.  If one were licensed before 1983, the NBCE recommends using the following holds NBCE Diplomate Certificate 19XX.”  This is the designation for passing parts I and II of the National Board Exams used before 1983. 
The licensed D.C. is ultimately responsible for their website content. Violations can lead to board actions up to and including: letter of education, cease and desist, administrative fine, mandatory additional training or examination, suspension and revocation. 

If you have questions regarding your advertising or website, please contact Scott Parker (512) 305-6708 in our Compliance Department, or Courtney Ebeier, General Counsel: courtney@tbce.state.tx.us.


Source:  TBCE Email