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Healthcare Practitioners and Technical Workers, All Other

SOC 29-9099.00Job Zone 5 · Extensive PreparationSibling-inferredv.26.05

Context coveredThis framework covers the full spectrum of chiropractic and advanced healthcare practitioner practice — from supervised clinical entry through autonomous diagnosis, manual treatment, and organizational leadership — within outpatient, integrated health, and academic 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 health and medical histories — collect and record systematically using established intake protocols in a supervised clinical setting.
  2. Neuromusculoskeletal assessment findings — document accurately using standardized chiropractic diagnostic forms under direct clinician supervision.
  3. Patient-reported symptoms — interpret and summarize through structured active listening during initial consultations in a clinical environment.
  4. Spinal anatomy and biomechanical principles — apply foundational knowledge when observing and assisting with chiropractic examinations under supervision.
  5. Diagnostic observations — organize and enter into electronic medical software following clinic data-entry standards with oversight from a supervising practitioner.
  6. Basic manual adjustment techniques — demonstrate on supervised practice cases following established chiropractic protocols in a credentialed training clinic.
  7. Medical terminology and clinical reading materials — comprehend and apply when reviewing patient records and differential diagnoses under senior practitioner guidance.
  8. Patient communication — conduct using clear spoken language and professional demeanor during supervised intake interviews in a healthcare practice setting.
  9. Contraindications and red-flag indicators — identify by applying introductory clinical reasoning frameworks during patient screening with supervisory review.
  10. Office suite and word processing software — use to prepare clinical documentation and correspondence in accordance with practice administrative standards.
Developing
Mid-level / Established
  1. Neuromusculoskeletal system functioning — evaluate routinely using chiropractic diagnostic systems with reduced oversight across a diverse outpatient caseload.
  2. Patient medical histories — obtain, synthesize, and record independently, recognizing clinically significant patterns that inform differential diagnosis in general practice.
  3. Spinal and articular adjustments — perform a structured series of manual techniques with appropriate force calibration for common musculoskeletal presentations in a clinical setting.
  4. Health problem diagnoses — formulate by integrating patient history, physical observation, and examination findings for routine cases in a community healthcare environment.
  5. Clinical judgment — apply to triage and prioritize patient concerns, adapting established protocols when presentations deviate modestly from typical patterns.
  6. Patient education materials — compose using clear, accurate written language tailored to varying health literacy levels for distribution in a chiropractic practice.
  7. Social and behavioral cues — perceive and factor into treatment planning by applying social perceptiveness skills during patient interactions in a clinical setting.
  8. Electronic medical software — utilize to track patient progress, update records, and generate treatment summaries in compliance with clinic documentation standards.
  9. Interdisciplinary referrals — initiate and document when examination findings indicate conditions beyond chiropractic scope, coordinating care within a multidisciplinary health system.
  10. Outcomes monitoring — conduct by reviewing patient response data across treatment episodes and adjusting care plans accordingly in an established practice environment.
Proficient
Senior / Expert IC
  1. Complex neuromusculoskeletal conditions — diagnose autonomously by applying advanced chiropractic diagnostic systems and integrating multimodal examination data across a full-scope clinical practice.
  2. Non-routine patient presentations — manage independently through nuanced clinical reasoning, drawing on inductive and deductive analysis to resolve diagnostic ambiguity in specialized care settings.
  3. Full spinal and articular adjustment sequences — execute with precision across diverse patient populations, adapting manual techniques to age, pathology, and comorbidity profiles in autonomous practice.
  4. Comprehensive patient medical histories — review and critically analyze to identify longitudinal health trends and inform evidence-based chiropractic treatment planning.
  5. Critical appraisal of clinical literature — perform to integrate current research findings into diagnostic and therapeutic decision-making within an advanced healthcare practice.
  6. Patient risk stratification — conduct by synthesizing physical, psychological, and lifestyle factors using structured clinical frameworks in high-acuity outpatient environments.
  7. Interdisciplinary care coordination — lead by communicating clinical findings and recommendations authoritatively to physicians, specialists, and allied health professionals in integrated health systems.
  8. Clinical documentation and reporting — produce to professional publication standards using medical and word processing software, ensuring accuracy, completeness, and regulatory compliance.
  9. Monitoring and reassessment protocols — design and implement to objectively measure treatment efficacy and detect adverse trends across complex, long-term patient cases.
  10. Ethical and professional standards — uphold with consistent integrity and attention to detail when navigating ambiguous clinical, legal, and patient-privacy situations in autonomous practice.
Advanced
Lead / Principal / Executive
  1. Chiropractic diagnostic and treatment frameworks — develop and refine at the organizational level, establishing evidence-based clinical standards adopted across a multi-provider healthcare practice or institution.
  2. Clinical education programs — design and lead to advance the competency of emerging and developing practitioners through mentorship, case supervision, and structured curriculum in academic or training settings.
  3. Strategic practice direction — set by synthesizing healthcare trends, regulatory developments, and patient population data to guide organizational growth and service-delivery innovation.
  4. Complex systemic health assessments — conduct as a subject-matter authority, integrating advanced knowledge of medicine, biology, and psychology to resolve highest-acuity diagnostic challenges.
  5. Research and quality-improvement initiatives — lead by designing outcome-measurement studies and translating findings into policy-level changes that elevate care standards across the profession.
  6. Interprofessional collaboration — champion at the executive level, establishing formal referral networks and integrated care pathways with medical, surgical, and behavioral health organizations.
  7. Practitioner performance and development — evaluate and direct using data-driven feedback systems, fostering a culture of continuous improvement and professional accountability across clinical teams.
  8. Patient safety and risk-management policies — author and implement organization-wide, applying advanced cautiousness and dependability standards to minimize adverse events and liability exposure.
  9. Health technology adoption — oversee by evaluating, selecting, and integrating medical software, electronic health record systems, and digital communication platforms to optimize clinical workflow at scale.
  10. Professional and community advocacy — lead by representing the discipline in public forums, regulatory bodies, and professional associations, shaping healthcare policy that expands equitable access to chiropractic care.

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.

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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.
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Show O*NET source anchors38 anchors · skillscrosswalk.com

O*NET enrichment · skillscrosswalk.com

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Source anchors that ground each statement

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RAPIDS apprenticeships
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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
51.071151.320151.330251.3702

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.