Evidence map›Paper›PMID 42174612›Full record

ReviewChiropractic & manual therapies2026

Modern teaching for clinical education involving manual therapy: a 6-pillar approach.

Kenneth J Young, Roger Kerry, Cecilia Bergström, Sylwia Borowicz, Lisa J Cary, Chad Cook, James Coughlan, David W Evans, Vasileios Georgopoulos, Nathan Hutting and 9 more

Abstract readReview
In one paragraph

Review in Chiropractic & manual therapies, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Kenneth J YoungVictoria University, Melbourne, Australia. ken.young@vu.edu.au.ORCID http://orcid.org/0000-0001-8837-7977
Roger KerrySchool of Health Sciences, Queens Medical Centre, University of Nottingham, Nottingham, UK.
Cecilia BergströmUnit of Obstetrics and Gynecology, Department of Clinical Sciences, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0003-0566-0457
Sylwia BorowiczVictoria University, Melbourne, Australia.
Lisa J CaryPolytechnic Institute Australia, Geelong, VIC, 3220, Australia.ORCID http://orcid.org/0000-0001-6340-8618
Chad CookDepartment of Orthopaedics, Duke University, Durham, NC, USA.
James CoughlanSchool of Health Sciences, Queens Medical Centre, University of Nottingham, Nottingham, UK.
David W EvansSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.ORCID http://orcid.org/0000-0002-9073-5558
Vasileios GeorgopoulosInjury, Recovery and Inflammation Sciences, School of Medicine, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0002-7195-4018
Nathan HuttingDepartment of Occupation and Health, School of Organization and Development, HAN University of Applied Sciences, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-6164-6265
Edward LeeSchool of Health Sciences, Queens Medical Centre, University of Nottingham, Nottingham, UK.
Anna Maria MazzieriCentre for Pain Research, Health Sciences University, Bournemouth, UK.ORCID http://orcid.org/0009-0000-6439-3809
Chris McCarthyDepartment of Health Professions, Manchester Metropolitan University, Manchester, UK.
Daniel MooreSchool of Health and Life Sciences, Teesside University, Middlesbrough, England, UK.ORCID http://orcid.org/0000-0003-2824-1239
Firas MouradDepartment of Health, LUNEX University of Applied Sciences, 50, Avenue du Parc des Sports, 4671, Differdange, Luxembourg.ORCID http://orcid.org/0000-0002-8981-2085
Colette RidehalghSchool of Life Course and Population Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
Clarice TangCollege of Sport, Health and Engineering, Victoria University, Melbourne, Australia.
Nicholas TripodiCollege of Science, Health and Engineering and Institute for Health and Sport, Victoria University, Melbourne, Australia.
Steven VogelCentre for Osteopathic Research and Leadership (CORaL), UCO School of Osteopathy, Health Sciences University, London, UK.ORCID http://orcid.org/0000-0002-8597-575X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMusculoskeletal (MSK) conditions remain a leading source of global disability, and manual therapy (MT) features in multimodal guideline concordant care; however, teaching in clinical programs that involve MT often remains technique-centric and insufficiently aligned with contemporary, person-centred teaching and practice. The present paper synthesizes literature and recent professional discourse to advance an educational framework that operationalizes modern clinical teaching across professions.

objectiveTo present a review-informed, consensus-driven, student centred framework for clinical education involving MT, designed to cultivate safe, effective, culturally responsive, and evidence-based graduates.

methodsElements supporting a positive, student-centred learning experience were developed inductively by the lead author, then a narrative review of the literature was conducted on the elements, or pillars as they were designated. This was followed by iterative process to refine and further develop the ideas with a group of international educators, clinicians, and researchers across multiple professions. Consensus was achievedon the core elements of a modern clinical education framework.

resultsThe framework is anchored in basic sciences and clinical skills, and articulated through six teachable pillars: self-awareness, communication, cultural respect, epistemic humility, intellectual curiosity, and professional identity, delivered via high engagement, student-centred teaching. It provides practical curriculum guidance (crossyear learning outcomes, assessment strategies, and implementation vignettes) to embed person-centred communication, bias mitigation, cultural safety, evidence-based practice competencies, lifestyle medicine integration, and interprofessional collaboration. Together, the six pillars offer a novel approach to student-centred learning.

conclusionsA six-pillar, multi-profession approach offers actionable guidance for modern clinical education involving MT and supports the development of graduates prepared for contemporary MSK care: technically competent, evidence-based communicators who are culturally responsive and collaborative across healthcare teams.

Indexed as

ChiropracticMusculoskeletal ManipulationsClinical CompetenceCurriculumHumansTeachingAxiologyChiropracticCommunication skillsCultural safetyEpistemologyEvidence‑based practiceManual therapy educationOsteopathyPhysiotherapyProfessional identitySoft‑tissue therapyStudent-centred learning

Identifiers

PMID42174612
PMCPMC13371229

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.