{"schemaVersion":"1.0","exportedAt":"2026-05-15T12:39:42.131Z","occupation":{"soc":"29-1249.00","title":"Surgeons, All Other","group":"Healthcare Practitioners & Technical","sector":"62","jobZone":null,"jobZoneInferred":false},"framework":{"version":"v.26.05","description":"","contextCovered":"This framework covers chiropractic and related surgical/manual-medicine practice contexts including patient intake, neuromusculoskeletal diagnosis, spinal adjustment, clinical documentation, and interdisciplinary care coordination in outpatient and group practice settings.","levels":{"emerging":{"label":"Emerging","statements":["Patient medical histories — collect and record under direct supervision using standardized intake forms in a clinical setting.","Neuromusculoskeletal assessment terminology — recognize and apply when documenting findings under clinician guidance.","Chiropractic diagnostic protocols — follow established steps to observe and evaluate basic spinal alignment under supervision.","Patient health and medical history questionnaires — administer and organize using office suite software in an entry-level clinical role.","Active listening techniques — apply during supervised patient interviews to capture reported symptoms accurately.","Electronic health record (EHR) software — enter patient data and update basic medical records under direct oversight.","Spinal anatomy and basic biology — identify key structures and relate them to common musculoskeletal complaints during orientation training.","Clinical reading comprehension — interpret procedure guidelines and treatment protocols under clinician direction in a supervised practice setting.","Patient communication basics — relay simple health information clearly and respectfully under practitioner supervision.","Manual adjustment safety principles — demonstrate awareness of contraindications and patient positioning during observed clinical demonstrations."]},"developing":{"label":"Developing","statements":["Patient health histories — review, question, and synthesize with reduced oversight to identify relevant patterns in a routine outpatient clinic.","Neuromusculoskeletal system functioning — evaluate using chiropractic diagnostic systems with growing independence across common case presentations.","Spinal and articular adjustments — perform a structured series of manual techniques on routine cases following established clinical protocols.","Diagnostic reasoning — apply critical thinking to differentiate common musculoskeletal conditions based on history, observation, and physical examination findings.","Patient progress monitoring — track treatment responses over successive visits using medical software and document outcomes systematically.","Written clinical documentation — compose accurate SOAP notes and patient correspondence using word processing software in a chiropractic office.","Social perceptiveness — recognize patient emotional state and comfort level during examination and adjust communication style accordingly.","Referral and coordination protocols — identify cases requiring additional evaluation and initiate referrals following practice guidelines.","Anatomy and physiology knowledge — apply understanding of biological systems to explain diagnoses and treatment plans to patients in plain language.","Office technology suite — manage appointment records, generate reports, and maintain scheduling using integrated practice management software."]},"proficient":{"label":"Proficient","statements":["Complex neuromusculoskeletal evaluations — conduct autonomously using advanced chiropractic diagnostic systems across a full range of routine and non-routine presentations.","Comprehensive patient histories — obtain, critically analyze, and synthesize across multiple visits to inform individualized treatment plans without supervisory input.","Manual spinal and articular adjustment sequences — execute with precision and clinical judgment across diverse patient populations including those with comorbidities.","Differential diagnosis — apply deductive and inductive reasoning to distinguish musculoskeletal, neurological, and referred-pain conditions in a busy outpatient practice.","Treatment outcome evaluation — monitor and interpret patient progress data using medical software to adjust care plans proactively.","Patient education and counseling — deliver clear, evidence-informed guidance on posture, ergonomics, and rehabilitation exercises tailored to individual patient needs.","Clinical writing — author detailed case reports, referral letters, and insurance documentation meeting professional and regulatory standards.","Integrity and judgment in care decisions — exercise independent ethical decision-making when navigating sensitive diagnoses or treatment disagreements.","Interdisciplinary collaboration — coordinate care with physicians, physical therapists, and specialists using electronic communication tools and shared records.","Psychology and behavior awareness — recognize psychosocial factors influencing patient recovery and incorporate counseling-informed communication into clinical practice."]},"advanced":{"label":"Advanced","statements":["Clinical practice standards — establish and refine diagnostic and treatment protocols for neuromusculoskeletal care across an entire chiropractic organization or group practice.","Practitioner development — mentor and evaluate emerging and developing clinicians in spinal assessment, adjustment technique, and patient history-taking skills.","Organizational quality assurance — design and lead systematic monitoring programs using medical and administrative software to measure and improve patient outcomes practice-wide.","Strategic patient care models — direct the development of evidence-based treatment frameworks that integrate chiropractic, counseling, and interdisciplinary approaches.","Professional judgment standards — set the ethical and clinical decision-making expectations for the practice, modeling cautiousness and integrity in complex or high-risk cases.","Clinical education leadership — develop training curricula and continuing education programs that build staff competency across all O*NET knowledge domains relevant to the practice.","Health information systems governance — oversee implementation and optimization of EHR and practice management platforms to ensure documentation accuracy and regulatory compliance.","Community and professional advocacy — represent the practice in professional associations, contributing to policy discussions on scope of practice and chiropractic standards.","Complex case consultation — lead multidisciplinary case conferences for patients with refractory or atypical neuromusculoskeletal conditions, synthesizing input across specialties.","Practice innovation and growth — identify emerging chiropractic diagnostic technologies and therapeutic modalities, guiding adoption decisions aligned with patient safety and organizational goals."]}}},"sources":{"onet":"v30.2 (CC BY 4.0)","crosswalk":"https://skillscrosswalk.com","generator":"LER.me"},"attribution":"© EBSCOed"}