NSXNational Skills ExchangeSign in
Back to Framework

Healthcare Diagnosing or Treating Practitioners, All Other

SOC 29-1299.00Job Zone 5 · Extensive PreparationSibling-inferredv.26.05

Context coveredThis framework covers the full clinical scope of healthcare diagnosing and treating practitioners (including chiropractic and allied specialties) operating in outpatient, integrated, institutional, and leadership contexts at Job Zone 5 preparation levels.

Emerging
Entry / Apprentice
  1. Patient medical historiescollect and record using standardized intake forms under supervising practitioner guidance in a clinical setting.
  2. Neuromusculoskeletal assessment protocolsapply foundational chiropractic diagnostic frameworks under direct oversight during initial patient evaluations.
  3. Patient health complaintsobserve and document using structured questioning techniques while shadowing experienced clinicians.
  4. Spinal anatomy and biomechanicsidentify key structures and articulations by referencing clinical resources during supervised patient encounters.
  5. Active listening skillsdemonstrate during patient intake interviews to ensure accurate symptom capture in a supervised outpatient clinic.
  6. Chiropractic adjustment techniquesperform basic manual procedures on practice models or under close practitioner supervision in a clinical training environment.
  7. Medical software platformsenter and retrieve patient records using electronic health record systems with guidance from clinical staff.
  8. Diagnostic findingsdocument in written clinical notes using approved terminology under review by a licensed supervising practitioner.
  9. Health and safety protocolsfollow established infection-control and patient-safety procedures in compliance with clinic standards.
  10. Foundational biology and physiology knowledgeapply to recognize normal versus abnormal musculoskeletal presentations during supervised patient assessments.
Developing
Mid-level / Established
  1. Patient health historiesobtain independently and synthesize into coherent clinical summaries for routine cases in an outpatient chiropractic practice.
  2. Neuromusculoskeletal system functionevaluate using established chiropractic diagnostic criteria with reduced oversight across a standard patient caseload.
  3. Differential diagnosesformulate for common musculoskeletal conditions by integrating patient history, observation, and physical examination findings in a clinical setting.
  4. Spinal and articular adjustmentsperform a practiced series of manual techniques on diverse patient populations following evidence-based treatment protocols.
  5. Patient communicationconvey diagnostic findings and treatment rationale clearly to patients with varying health literacy levels in a solo practice environment.
  6. Clinical progress noteswrite and maintain accurate, compliant documentation using electronic medical record software across daily patient encounters.
  7. Social perceptivenessapply during patient interactions to detect non-verbal cues that inform modifications to treatment plans in a routine clinical context.
  8. Referral decisionsexercise sound professional judgment when patient presentations exceed chiropractic scope, coordinating with other healthcare providers.
  9. Treatment outcomesmonitor across scheduled follow-up visits to assess patient response and adjust care plans within established clinical guidelines.
  10. Office suite and medical software toolsutilize proficiently to manage scheduling, correspondence, and patient data in a small to mid-size clinic.
Proficient
Senior / Expert IC
  1. Complex neuromusculoskeletal conditionsdiagnose autonomously by integrating advanced chiropractic evaluation systems, imaging interpretation, and clinical reasoning across a full patient population.
  2. Comprehensive patient health historiesreview and critically analyze to uncover underlying systemic factors influencing musculoskeletal dysfunction in a high-volume or specialty practice.
  3. Non-routine spinal and articular casesmanage independently by selecting and applying advanced manual adjustment protocols tailored to individual patient pathophysiology.
  4. Clinical decision-makingexercise under conditions of diagnostic ambiguity, synthesizing deductive and inductive reasoning to determine optimal treatment pathways.
  5. Multidisciplinary care coordinationlead for complex patients requiring collaboration with physicians, physical therapists, and mental health providers across integrated health systems.
  6. Patient outcomes dataanalyze systematically using clinical software and spreadsheet tools to evaluate practice effectiveness and inform evidence-based treatment refinements.
  7. Critical appraisal of clinical literatureperform to incorporate current research findings into diagnostic and therapeutic protocols within a professional practice environment.
  8. Psychological and psychosocial factorsassess for their contribution to chronic pain presentations, integrating counseling principles into holistic patient management.
  9. Patient education resourcesdevelop and deliver, translating complex diagnostic information into accessible guidance that supports long-term self-management.
  10. Ethical and legal standardsuphold rigorously in all documentation, informed-consent processes, and scope-of-practice decisions throughout autonomous clinical practice.
Advanced
Lead / Principal / Executive
  1. Clinical competency frameworksdesign and implement for healthcare diagnosing and treating practitioners across an organization, institution, or professional association.
  2. Diagnostic and treatment standardsestablish at the organizational or regional level by synthesizing current evidence, regulatory requirements, and community health needs.
  3. Emerging chiropractic and integrative health researchchampion and translate into institutional policy, shaping scope-of-practice evolution within healthcare systems.
  4. Mentorship and clinical education programslead for graduate-level students and early-career practitioners, cultivating advanced diagnostic and manual therapy skills across training cohorts.
  5. Interprofessional care modelsarchitect within hospital systems, accountable-care organizations, or large group practices to optimize patient outcomes across the care continuum.
  6. Quality improvement initiativesdirect using outcomes monitoring, data analytics, and process redesign to elevate clinical performance across a multi-provider practice or health network.
  7. Healthcare policy advocacyrepresent the practitioner community before regulatory bodies, shaping licensure standards and scope-of-practice legislation at the state or national level.
  8. Organizational strategyguide for practice growth, technology adoption, and workforce development in alignment with evolving patient population needs and healthcare market dynamics.
  9. Research and scholarshiplead as principal investigator or senior collaborator, generating original evidence that advances diagnostic methodology or treatment efficacy in the field.
  10. Ethical leadershipmodel and enforce the highest standards of patient integrity, professional conduct, and interdisciplinary respect throughout an organization or professional body.

AI-at-Work Competency Framework

A 4-level framework describing how a worker at each mastery level uses, directs, and evaluates AI tools in this occupation. Each statement cites its evidence inline. Subscribe for $19.99/mo to read the full framework — or sign in if you have a subscription.

  1. Emerging
  2. Developing
  3. Proficient
  4. Advanced
Monthly subscription · Stripe-hosted · unlocks AI-at-Work and Pathsmith Durable Skills across the full library

Ten durable-skill domains mapped to four proficiency levels for this occupation. Subscribe to unlock the full Pathsmith Durable Skills Framework across all 1,016 occupations.

Monthly subscription · Stripe-hosted · unlocks AI-at-Work and Pathsmith Durable Skills across the full library
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
Acupressurist · Acupuncturist · Aurist · Cardiologist · Cardiovascular Disease Specialist · Clinical Fellow · Colon Therapist · Corrective and Manual Arts Therapist · Corrective Therapist · County Health Officer · Diagnostician · 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
51.330051.330151.330351.330451.330551.330651.339951.340151.349951.370151.370251.370351.370451.3799

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.