NSXNational Skills ExchangeSign in
Back to Framework

Therapists, All Other

SOC 29-1129.00Job Zone 5 · Extensive PreparationSibling-inferredv.26.05

Context coveredThis framework covers autonomous and supervised therapeutic practice spanning patient intake, neuromuscular and spinal assessment, manual adjustment, diagnosis, documentation, and organizational leadership within outpatient, specialty, and multi-provider healthcare settings at Job Zone 5 preparation level.

Sources:O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.SkillsCrosswalkSkillsCrosswalk — O*NET enrichment + adjacency index. Opens in new tab.
Emerging
Entry / Apprentice
  1. Patient medical histories — collect and record using standardized intake protocols under clinical supervisor guidance in an outpatient therapy setting.
  2. Neuromuscular and skeletal assessment findings — document using established chiropractic diagnostic frameworks while shadowing licensed practitioners.
  3. Active listening techniques — apply during initial patient interviews to gather relevant symptom information under direct clinical oversight.
  4. Health and medical history questionnaires — review and flag anomalies for supervisor review prior to patient consultations.
  5. Basic manual adjustment techniques — practice on supervised training models and demonstrate foundational spinal adjustment sequencing in a clinical lab environment.
  6. Diagnostic terminology from medicine and chiropractic domains — interpret correctly when reviewing patient intake documentation under practitioner direction.
  7. Electronic health record software — enter structured patient data accurately following clinic-specific documentation protocols.
  8. Problem sensitivity — identify observable deviations in patient posture and gait during supervised physical assessments and report findings to the supervising clinician.
  9. Oral comprehension — demonstrate by accurately restating patient-reported symptoms and concerns back to the supervising therapist for verification.
  10. Clinical observation skills — apply to distinguish normal from abnormal musculoskeletal presentations during structured supervised patient encounters.
Developing
Mid-level / Established
  1. Patient health and medical histories — obtain, synthesize, and record independently using comprehensive intake procedures in a routine outpatient therapy caseload.
  2. Neuromuscular and skeletal system functioning — evaluate using established chiropractic diagnostic systems with reduced oversight across a diverse patient panel.
  3. Manual spinal adjustments — perform a structured series on appropriate candidates using practiced technique protocols in a community clinic or private practice setting.
  4. Differential diagnoses — develop for common musculoskeletal complaints by integrating patient history, physical examination, and diagnostic criteria.
  5. Critical thinking — apply when evaluating conflicting clinical signs to select the most evidence-supported treatment approach for familiar patient presentations.
  6. Treatment progress — monitor by systematically reviewing patient response data across scheduled sessions and adjusting care plans within established clinical guidelines.
  7. Clinical documentation — produce clear, accurate written reports summarizing assessment findings, diagnoses, and treatment plans using office suite and medical software.
  8. Social perceptiveness — demonstrate by recognizing patient communication cues indicating discomfort or uncertainty and adapting explanations accordingly during consultations.
  9. Articulation adjustments beyond the spine — perform on peripheral joints using competency-verified techniques with peer or senior review available for non-routine cases.
  10. Patient education materials — develop and communicate using plain language to support adherence to therapeutic regimens in a structured outpatient environment.
Proficient
Senior / Expert IC
  1. Complex neuromuscular and skeletal system evaluations — conduct autonomously across a full patient spectrum, integrating chiropractic, biological, and psychological diagnostic frameworks.
  2. Non-routine health diagnoses — formulate by critically analyzing comprehensive medical histories, advanced diagnostic findings, and multisystem examination data without supervisor input.
  3. Full manual adjustment sequences for complex spinal and articular conditions — design and execute with precise technique calibration in high-acuity or specialty clinical environments.
  4. Judgment and decision making — exercise independently when determining contraindications to manual therapy and selecting alternative intervention pathways for at-risk patients.
  5. Inductive and deductive reasoning — apply simultaneously to recognize emerging clinical patterns and derive individualized diagnoses across unfamiliar or ambiguous patient presentations.
  6. Interdisciplinary care coordination — lead by communicating clinical findings and co-management plans clearly to physicians, physical therapists, and other healthcare practitioners.
  7. Clinical outcomes data — analyze systematically using medical and spreadsheet software to evaluate treatment efficacy and inform evidence-based practice refinements.
  8. Written clinical reports — author at a professional standard for medico-legal, insurance, and referral purposes, demonstrating mastery of English language and medical documentation conventions.
  9. Ethical and professional integrity — uphold consistently when navigating complex patient confidentiality, informed consent, and scope-of-practice decisions in autonomous practice.
  10. Patient psychological and social factors — assess and integrate into individualized treatment planning to address barriers to recovery within a biopsychosocial care model.
Advanced
Lead / Principal / Executive
  1. Clinical competency frameworks for therapeutic practice — design and implement across a multi-provider organization to standardize assessment and treatment quality at scale.
  2. Strategic diagnostic protocols — develop and refine institution-wide, drawing on advanced knowledge of medicine, biology, and chiropractic science to elevate system-level care standards.
  3. Mentorship and clinical supervision programs — establish for emerging and developing therapists, modeling expert diagnostic reasoning and manual technique within an academic or group practice setting.
  4. Organizational health outcomes — lead systematic improvement initiatives by analyzing aggregated patient data and directing evidence-based protocol updates across clinical teams.
  5. Interdisciplinary partnerships — cultivate at the executive or department-head level to integrate chiropractic and allied therapy services within broader healthcare delivery systems.
  6. Professional education curricula — author and deliver for graduate or continuing education audiences, translating complex neuromuscular science and clinical practice into rigorous instructional content.
  7. Policy and ethical standards — shape at the organizational or professional-association level by contributing expert judgment on scope-of-practice, patient safety, and clinical governance matters.
  8. Advanced technology adoption — direct the evaluation and integration of medical software, telehealth platforms, and electronic records systems to optimize clinical workflow and data integrity across a practice network.
  9. Research and scholarship — lead in the design and dissemination of clinical studies examining therapeutic intervention outcomes, contributing new knowledge to the field's evidence base.
  10. Organizational culture of patient-centered care — champion by modeling attention to detail, dependability, and integrity in all clinical and leadership decisions, setting the standard for the entire practitioner team.

AI-at-Work Competency Framework

Sources:Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab.Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab.WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab.
Subscriber feature

Authoritative source data identified for 998 occupations

How a worker at each mastery level uses, directs, and evaluates AI tools in this occupation. Each statement cites its evidence inline; click a citation chip to verify the source.

Emerging
  1. AI-assisted documentation drafting — uses an AI writing tool to generate initial templates for patient history intake forms and session notes, then reviews and edits every entry for clinical accuracy before filing.
Developing
  1. Research-supported treatment planning — queries an AI assistant to surface evidence-based intervention options relevant to a patient's presenting condition, then critically evaluates the findings against professional guidelines before incorporating them into a care plan Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
  2. Administrative time recapture — delegates repetitive documentation tasks such as session summaries and referral letters to an AI drafting tool, freeing session time for direct patient interaction where human perceptiveness is irreplaceable Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
Proficient
  1. Clinical reasoning retention — uses AI-generated differential summaries as a structured prompt for self-review during diagnostic reasoning, while keeping all final diagnostic judgments grounded in direct patient observation and hands-on assessment Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
  2. Patient history synthesis — directs an AI tool to cross-reference a patient's recorded medical history for patterns or contraindications, then validates every flagged item against chart source documents before acting on the output Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  3. Continuing-education acceleration — uses AI to rapidly summarize current literature on neuromusculoskeletal conditions or emerging manual therapy techniques, then applies critical reading skills to assess methodological quality before updating clinical practice Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
Advanced
  1. Human-AI workflow design — architects a practice-wide protocol that assigns AI tools to time-intensive clerical and research tasks while explicitly reserving active listening, physical examination, and therapeutic relationship functions for the clinician, and audits the protocol regularly for patient safety and ethical compliance Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab. Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
  2. AI output quality governance — evaluates the accuracy, bias risk, and clinical appropriateness of AI-generated patient-facing content and internal decision-support summaries, establishing peer-reviewed criteria for when AI outputs require full clinician rewrite versus light editing.
  3. Interdisciplinary AI integration — leads collaboration with referring physicians, billing staff, and health-information teams to align AI-assisted documentation standards across care settings, ensuring continuity and regulatory compliance without delegating clinical judgment to automated systems WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
Evidence pack
AEI usage
Task observations: 26
Augment share: 2.6%
Time saved: 94.4%
AI autonomy: 2.46
SAFI positioning
Top skill: Active Listening
Score: 42.2 / 100
Quadrant: Q2_ai_augmented
precision: exact
WEF cluster
Human-Technology Interaction
human_technology_interaction
Sources:Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab.Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab.WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab.

Pathsmith Durable Skills Framework

Sources:Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Subscriber feature

Ten durable-skill domains mapped to four proficiency/role levels for each occupation. Each statement is aligned to the Pathsmith taxonomy, derived from trusted grounding data and mapped to occupation-specific O*NET tasks and skills.

1Communication12 statements
Emerging
  1. Patient intake narration — elicits basic symptom descriptions through structured questioning during initial clinical encounters Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Medical history documentation — records patient-reported complaints and health background using standardized intake forms O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Therapeutic explanation — conveys basic treatment procedures to patients using accessible, non-technical language Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Diagnostic interview — gathers comprehensive neuromusculoskeletal and health histories through targeted follow-up questioning that clarifies ambiguous patient reports Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Treatment rationale communication — explains chiropractic adjustment techniques and expected outcomes to patients and caregivers with increasing clarity and confidence O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Interdisciplinary written communication — produces referral letters and clinical notes that accurately convey diagnostic findings to other healthcare practitioners Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Active listening in clinical sessions — identifies subtle verbal and nonverbal cues from patients to refine diagnostic impressions and guide therapeutic interventions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Patient progress reporting — delivers clear verbal and written summaries of treatment outcomes to patients, families, and referring providers in standard clinical contexts Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Clinical documentation — authors precise SOAP notes and diagnostic reports that meet professional and regulatory standards consistently O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Cross-disciplinary communication leadership — translates complex neuromusculoskeletal findings into actionable language for multidisciplinary care teams, improving coordinated patient outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Patient education program development — designs and delivers structured health literacy content that empowers patient populations to engage in self-managed therapeutic care Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Mentored clinical communication — coaches emerging therapists on diagnostic interviewing techniques, active listening protocols, and professional documentation standards Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
2Leadership10 statements
Emerging
  1. Clinical initiative — takes ownership of assigned patient caseloads with minimal supervision, following established therapeutic protocols Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Peer contribution — shares observational findings from patient assessments with supervising clinicians to support team decision-making Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Care plan ownership — designs and implements individualized therapeutic plans for patients presenting with neuromusculoskeletal conditions, managing timelines and outcomes independently Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Clinical team contribution — guides support staff through patient preparation protocols and treatment room procedures, ensuring workflow continuity Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Patient advocacy leadership — takes decisive responsibility for patient welfare by escalating complex cases, coordinating referrals, and directing care pathways across provider networks Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Practice process leadership — identifies inefficiencies in clinical workflows and implements protocol improvements that enhance patient throughput and therapeutic consistency Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Supervisory guidance — provides structured mentorship to student interns or junior therapists during clinical rotations, modeling professional standards Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Clinical program leadership — establishes evidence-based therapeutic programs for specialized patient populations, driving measurable improvements in functional outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Organizational influence — leads departmental or practice-wide initiatives that shape therapeutic standards, staff development, and quality assurance processes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Professional community leadership — presents original clinical insights at professional conferences or contributes to field-wide standards bodies, advancing the therapeutic discipline Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
3Metacognition9 statements
Emerging
  1. Diagnostic self-monitoring — recognizes gaps in own clinical knowledge during patient assessments and flags cases for supervising clinician review Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Learning strategy awareness — identifies personal strengths and weaknesses in clinical skill acquisition by reflecting on supervised patient encounters Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Clinical reasoning reflection — evaluates the logic of own diagnostic conclusions after patient examinations, adjusting differential assessments based on emerging evidence Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Continuing education planning — identifies targeted knowledge gaps in areas such as neurology or musculoskeletal assessment and pursues structured professional development Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Treatment outcome evaluation — systematically reviews own patient caseload data to assess the accuracy of initial diagnoses and refine clinical decision-making frameworks Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Error analysis in clinical practice — identifies instances where diagnostic assumptions proved incorrect and implements corrective adjustments to assessment protocols Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Cognitive load management — monitors own attentional capacity during high-volume clinical days and applies deliberate strategies to maintain diagnostic accuracy Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Metacognitive mentorship — teaches junior therapists to examine their own reasoning processes during complex neuromusculoskeletal case reviews, building reflective clinical culture Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Systematic self-assessment — conducts structured retrospective analyses of own therapeutic outcomes over time, using findings to innovate personal clinical methodology Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
4Critical Thinking9 statements
Emerging
  1. Differential diagnosis initiation — applies foundational chiropractic diagnostic criteria to distinguish common neuromusculoskeletal presentations from contraindicated conditions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Evidence interpretation — reads and summarizes clinical research articles relevant to patient conditions encountered during supervised practice Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Diagnostic reasoning — evaluates competing hypotheses for patient-presenting complaints by systematically weighing physical examination findings, health history, and imaging data Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Treatment decision analysis — assesses risks and benefits of specific spinal adjustment techniques relative to individual patient profiles and contraindication indicators Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Complex case analysis — integrates neuromusculoskeletal examination findings, patient history, and functional assessment data to produce evidence-supported diagnostic conclusions in ambiguous clinical scenarios Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Clinical judgment under pressure — makes sound therapeutic decisions in time-sensitive patient encounters, balancing diagnostic certainty with patient safety imperatives Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Assumption identification — recognizes and challenges implicit clinical assumptions in own and colleagues' diagnostic reasoning before committing to treatment plans Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Evidence synthesis leadership — critically appraises bodies of clinical literature to update practice protocols, identify gaps in current therapeutic approaches, and contribute to evidence-based guidelines Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Diagnostic training design — develops case-based critical thinking curricula for clinical trainees that simulate complex neuromusculoskeletal presentations requiring multi-factor reasoning Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
5Collaboration9 statements
Emerging
  1. Interdisciplinary awareness — participates in case discussions with supervising clinicians, contributing observational findings while deferring to senior clinical judgment Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Referral coordination support — assists with the logistical aspects of patient referrals to physicians, physical therapists, or specialists under clinician direction O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Multidisciplinary case coordination — collaborates with physicians, physical therapists, and other healthcare providers to align therapeutic plans for patients with complex neuromusculoskeletal needs Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Team-based care planning — contributes chiropractic diagnostic insights to shared care team discussions, integrating perspectives from multiple disciplines to optimize patient outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Co-treatment collaboration — coordinates concurrent therapeutic interventions with other practitioners treating the same patient, managing communication and care sequencing to avoid contraindications Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Diverse patient population navigation — adapts collaborative communication and treatment approaches for patients from varied cultural, linguistic, and socioeconomic backgrounds Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Staff team cohesion — fosters productive working relationships with clinical support staff, ensuring shared accountability for patient care quality across the therapeutic team Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Collaborative care model leadership — architects integrated care frameworks that formalize collaboration protocols among therapists, physicians, and allied health professionals for complex patient cohorts Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Interprofessional education facilitation — leads joint training sessions that build mutual understanding of therapeutic roles and strengthen collaborative practice across healthcare disciplines Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
6Character9 statements
Emerging
  1. Patient confidentiality adherence — maintains strict compliance with HIPAA and clinical privacy standards in all documentation and communication practices Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Professional boundary awareness — recognizes and respects appropriate therapeutic relationship boundaries in patient interactions during supervised clinical practice Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Informed consent practice — ensures patients receive complete, accurate explanations of diagnostic procedures and treatment interventions before proceeding, upholding autonomy and transparency Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Accountability in clinical error — acknowledges and reports clinical mistakes or near-misses to supervisors promptly, contributing to patient safety culture Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Ethical decision-making in complex cases — navigates situations involving conflicting patient interests, insurance pressures, or diagnostic uncertainty with transparent reasoning and patient-centered integrity Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Professional conduct consistency — models punctuality, respectful communication, and evidence-based practice in all patient and colleague interactions across varied clinical contexts Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Scope of practice integrity — declines to perform or recommend treatments outside established therapeutic competence, referring patients appropriately when indicated Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Ethics leadership — advises clinical teams on the resolution of complex professional ethics dilemmas, drawing on established standards and principled reasoning Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Culture of accountability — establishes and sustains a clinical environment where integrity, transparency, and patient-first decision-making are embedded in team norms and workflows Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
7Creativity9 statements
Emerging
  1. Adaptive technique application — modifies standard manual adjustment approaches for patients with unusual anatomical presentations under clinical supervision Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Patient engagement innovation — experiments with varied communication strategies to improve patient understanding and comfort during therapeutic explanations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Individualized care plan design — constructs novel combinations of therapeutic modalities tailored to the unique functional profiles and goals of individual patients Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Problem-solving for treatment barriers — generates alternative intervention strategies when standard protocols are contraindicated or ineffective for a specific patient presentation Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Innovative therapeutic sequencing — develops original treatment progressions that integrate neuromusculoskeletal adjustment, rehabilitative exercise, and lifestyle modification into cohesive, personalized care pathways Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Clinical challenge reframing — approaches diagnostically ambiguous or treatment-resistant cases by generating and testing unconventional hypotheses grounded in anatomical and physiological reasoning Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Patient education creativity — designs engaging, accessible health education materials that translate complex spinal and musculoskeletal concepts for diverse patient literacy levels Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Therapeutic methodology innovation — develops and validates novel clinical techniques or assessment frameworks that advance the evidence base for specialized therapeutic practice Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Program design creativity — architects original patient wellness or injury prevention programs that creatively integrate therapeutic expertise with behavioral health and lifestyle science Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
8Growth Mindset9 statements
Emerging
  1. Clinical feedback receptivity — actively incorporates supervisory feedback on diagnostic technique and patient interaction into subsequent clinical practice sessions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Challenge embracement — approaches unfamiliar patient presentations as learning opportunities rather than performance threats during early clinical training Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Setback recovery in clinical practice — responds to diagnostic errors or treatment non-responses by analyzing contributing factors and adjusting clinical strategies constructively Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Continuing education pursuit — seeks out advanced training in emerging therapeutic techniques, specialized populations, or diagnostic technologies beyond minimum licensure requirements Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Evidence-based practice adaptation — consistently updates clinical approaches in response to new research findings, professional guidelines, and patient outcome data Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Peer learning engagement — participates in case consultation, peer review, and professional learning communities to broaden diagnostic and therapeutic competency Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Mastery orientation — frames complex and chronic patient cases as opportunities for deepening clinical expertise rather than as burdens or failures Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Growth culture cultivation — establishes learning-oriented norms within clinical teams by modeling reflective practice, celebrating incremental improvement, and normalizing productive failure Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Professional development mentorship — guides junior therapists in constructing long-term career learning plans, fostering sustained growth mindset throughout the therapeutic profession Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
9Mindfulness9 statements
Emerging
  1. Present-moment clinical attention — maintains focused awareness during patient examinations, limiting distraction to accurately observe neuromuscular signs and patient-reported cues Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Emotional regulation awareness — recognizes own stress or frustration responses during challenging patient interactions and applies basic grounding techniques to maintain composure Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Intentional diagnostic observation — applies deliberate, systematic attention to physical examination findings rather than defaulting to pattern-matching assumptions during patient assessments Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Therapeutic presence — sustains empathetic, non-distracted engagement with patients throughout treatment sessions, enhancing therapeutic alliance and patient trust Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Attentional regulation under caseload pressure — maintains consistent diagnostic accuracy and patient-centered focus across high-volume clinical days through practiced attentional management strategies Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Emotionally regulated clinical response — manages own emotional reactions to patient distress, treatment frustration, or complex ethical situations with intentional composure and measured response Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Somatic awareness in manual therapy — brings heightened proprioceptive mindfulness to the execution of spinal and articular adjustments, optimizing technique precision and patient safety Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Mindful clinical culture leadership — integrates mindfulness-based practice principles into team supervision and clinical workflows, improving collective attentional quality and reducing diagnostic error rates Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Patient mindfulness integration — incorporates mindfulness-based therapeutic components into patient care plans where evidence supports their role in pain management and functional recovery Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
10Fortitude9 statements
Emerging
  1. Diagnostic persistence — continues methodical examination of complex or ambiguous patient presentations despite initial inconclusive findings, under clinical supervision Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Professional uncertainty tolerance — functions effectively within the inherent diagnostic uncertainty of early clinical practice without excessive anxiety or avoidance Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Treatment-resistant case perseverance — maintains consistent therapeutic effort and creative problem-solving with patients whose conditions show slow or partial response to intervention Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Adverse outcome resilience — processes difficult patient outcomes, treatment failures, or clinical criticism constructively and returns to clinical practice with sustained commitment Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Sustained professional commitment — delivers high-quality therapeutic care consistently across extended caseloads, including patients with chronic, complex, or emotionally demanding conditions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Courageous clinical communication — delivers difficult diagnostic findings or treatment limitation disclosures to patients and families with directness, compassion, and professional steadiness Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Ethical fortitude — maintains evidence-based and patient-centered clinical positions under pressure from external stakeholders, insurance entities, or institutional constraints Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Resilience modeling — demonstrates sustained professional courage and perseverance through systemic challenges, serving as a stabilizing presence for clinical teams during institutional stress or adversity Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Adversity-informed leadership — draws on personal and professional experiences of clinical difficulty to mentor emerging therapists in developing resilience, ethical courage, and long-term career fortitude Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Sources:Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Show O*NET source anchors38 anchors · skillscrosswalk.com

O*NET enrichment · skillscrosswalk.com

Suggest an O*NET correction

Source anchors that ground each statement

Related titles
Animal Assisted Therapist · Animal Therapist · Aromatherapist · Auriculotherapist · Aviation Medicine Specialist · Chemical Dependency Therapist · Child Life Therapist · Clinical Fellow · Colon Therapist · Corrective and Manual Arts Therapist · Corrective Therapist · Doctor
RAPIDS apprenticeships
—
O*NET skills
Active ListeningCritical ThinkingReading ComprehensionSpeakingSocial PerceptivenessMonitoringJudgment and Decision MakingWriting
Knowledge domains
Medicine and DentistryCustomer and Personal ServiceEnglish LanguageBiologyPsychologyEducation and TrainingTherapy and CounselingComputers and Electronics
Abilities
Oral ComprehensionProblem SensitivityOral ExpressionWritten ComprehensionDeductive ReasoningInductive Reasoning
Work styles
Attention to DetailDependabilityCautiousnessIntegrityCooperationSelf-Control
Technology
Spreadsheet softwareOffice suite softwareElectronic mail softwareWord processing softwareMedical softwareWeb page creation and editing software
Tasks · seed anchors for statements
  1. Evaluate the functioning of the neuromuscularskeletal system and the spine using systems of chiropractic diagn
  2. Diagnose health problems by reviewing patients' health and medical histories, questioning, observing, and exam
  3. Perform a series of manual adjustments to the spine or other articulations of the body to correct the musculos
  4. Obtain and record patients' medical histories.
CIP education codes
51.230051.230151.230251.230551.231351.231551.231651.231751.239951.3601

Sources: O*NET v30.2 (CC BY 4.0), SkillsCrosswalk.com, LER.me, Anthropic Economic Index, SAFI (Jadhav & Danve, 2026), WEF Skills Taxonomy 2021, Pathsmith Durable Skills Framework. © 2026 EBSCOed.