Doctor of Chiropractic

Doctor of Chiropractic

Program

The following outline represents the comprehensive plan of study leading to the Doctor of Chiropractic degree. When deemed appropriate, the College may alter courses, the sequence of courses, course credits and courses offered to improve the curriculum as needed.

Schedule of Classes

Trimester 1:

Course Code
Name
Lecture
Lab
Hours
Credits
Sub-Total Credits
15
9
360
19.5

Trimester 2:

Course Code
Name
Lecture
Lab
Hours
Credits
Sub-Total Credits
21
9
450
25.5

Trimester 3:

Course Code
Name
Lecture
Lab
Hours
Credits
Sub-Total Credits
21
4
375
23

Trimester 4:

Course Code
Name
Lecture
Lab
Hours
Credits
Sub-Total Credits
21
9
450
25.5

Trimester 5:

Course Code
Name
Lecture
Lab
Hours
Credits
Sub-Total Credits
22
7
435
25.5

Trimester 6:

Course Code
Name
Lecture
Lab
Hours
Credits
Sub-Total Credits
16
12
420
22

Trimester 7:

Course Code
Name
Lecture
Lab
Hours
Credits
Sub-Total Credits
21
15
540
28.5

Trimester 8:

Course Code
Name
Lecture
Lab
Hours
Credits
Sub-Total Credits
11
21
526
21.5

Trimester 9:

Course Code
Name
Lecture
Lab
Hours
Credits
Sub-Total Credits
3
24
459
15

Trimester 10:

Course Code
Name
Lecture
Lab
Hours
Credits
Sub-Total Credits
3
28
465
17
Total Credits
223

Prerequisite and Corequisite Requirements

Course
PrerequisitesCorequisites

TRIMESTER 1

Spinal Anatomy  
Histology  
Gross Anatomy and Embryology I Lecture Must be concurrently enrolled in, or have previously passed, Gross Anatomy and Embryology I Lab
Gross Anatomy and Embryology I Lab Must be concurrently enrolled in, or have previously passed, Gross Anatomy and Embryology I Lecture
Palpation I  
Foundations of Biochemistry  
Chiropractic Principles I  
Trimester 2
Basic Communication & History Taking SkillsSpinal Anatomy; Gross Anatomy and Embryology I Lecture; Gross Anatomy and Embryology I Lab 
Physiology IHistology 
Fundamentals of MetabolismFoundations of Biochemistry 
General PathologyHistology 
Gross Anatomy and Embryology II LectureGross Anatomy and Embryology I Lab; Gross Anatomy and Embryology I LectureMust be concurrently enrolled in, or have previously passed, Gross Anatomy and Embryology II Lab
Gross Anatomy and Embryology II LabGross Anatomy and Embryology I Lab; Gross Anatomy and Embryology I LectureMust be concurrently enrolled in, or have previously passed, Gross Anatomy and Embryology II Lecture
Palpation II LecturePalpation IMust be concurrently enrolled in, or previously passed, Palpation II Lab.
Palpation II LabPalpation IMust be concurrently enrolled in, or previously passed, Palpation II Lecture.
Spinal BiomechanicsSpinal Anatomy 
Introduction to Chiropractic Research  
Trimester 3
Physiology IIPhysiology I 
Human Neuroanatomy LectureGross Anatomy and Embryology II Lab; Gross Anatomy and Embryology II Lecture; Spinal AnatomyMust be concurrently enrolled in, or have previously passed, Human Neuroanatomy Lab
Human Neuroanatomy LabGross Anatomy and Embryology II Lab; Gross Anatomy and Embryology II Lecture; Spinal AnatomyMust be concurrently enrolled in, or have previously passed, Human Neuroanatomy Lecture
Lower Extremity BiomechanicsGross Anatomy and Embryology I Lab; Gross Anatomy and Embryology I Lecture 
Principles of Microbiology  
Physics Principles of Diagnostic ImagingCompletion of all Tri 1-2 courses 
Chiropractic Manipulative Therapy I LecturePalpation II Lecture; Palpation II Lab; Spinal BiomechanicsMust be concurrently enrolled in, or previously passed Chiropractic Manipulative Therapy I Lab
Chiropractic Manipulative Therapy I LabPalpation II Lecture; Palpation II Lab; Spinal BiomechanicsMust be concurrently enrolled in, or previously passed Chiropractic Manipulative Therapy I Lecture
Systems Pathology IGeneral PathologyPhysiology II
Trimester 4
Advanced Communication and History Taking SkillsBasic Communication & History Taking Skills 
DermatologyPrinciples of Microbiology 
Introduction to Imaging InterpretationPhysics Principles of Diagnostic Imaging 
Nutrition IPhysiology II; Fundamentals of Metabolism 
Physical Examination and DiagnosisPhysiology IISystems Pathology II
Chiropractic Manipulative Therapy IILower Extremity Biomechanics; Chiropractic Manipulative Therapy I Lecture; Chiropractic Manipulative Therapy I Lab
Systems Pathology IIPhysiology I; General Pathology; Systems Pathology I 
Upper Extremity BiomechanicsGross Anatomy and Embryology II Lab; Gross Anatomy and Embryology II Lecture 
Physiology IIIPhysiology I; Physiology II 
Trimester 5
Clinical PsychologyAdvanced Communication and History Taking Skills 
Health Promotion in Clinical PracticePrinciples of Microbiology 
Imaging Interpretation IIntroduction to Imaging Interpretation 
Orthopedics IAdvanced Communication and History Taking Skills; Lower Extremity Biomechanics; Physical Examination and Diagnosis; Upper Extremity Biomechanics
Chiropractic Manipulative Therapy IIIChiropractic Manipulative Therapy II; Upper Extremity Biomechanics 
Toxicology/PharmacologyPhysiology III 
Fundamentals of Clinical ReasoningPhysical Examination and DiagnosisOrthopedics I
Women's and Children's HealthPhysical Examination and Diagnosis 
Trimester 6
Clinical NeurologyHuman Neuroanatomy Lab; Human Neuroanatomy Lecture 
Chiropractic Principles IICompletion of all Tri 1-5 courses 
Introduction to Chiropractic Business Practices Passive Modalities & Therapeutics
Nutrition IINutrition I; Toxicology/Pharmacology 
Orthopedics IIOrthopedics I 
Passive Modalities & TherapeuticsOrthopedics I 
Chiropractic Manipulative Therapy IVChiropractic Manipulative Therapy III 
Soft Tissue MobilizationCompletion of all Tri 1-4 courses 
Emergency ProceduresPhysical Examination and Diagnosis; Toxicology/Pharmacology 
Trimester 7
Chiropractic Principles IIIChiropractic Principles II 
X-Ray PositioningCompletion of all Tri 1-4 courses 
Internal DiagnosisPhysical Examination & Diagnosis; Systems Pathology IIClinical Lab Diagnosis
Case ManagementOrthopedics II; Passive Modalities & TherapeuticsRehabilitation and Active Care
Chiropractic Clinical Clerkship I*Completion of all Tri 1-6 courses; Statutory Required Immunizations; Must have taken or be registered to take NBCE Part I 
Clinical Lab DiagnosisNutrition II 
Imaging Interpretation IIImaging Interpretation I 
Chiropractic Business PracticesIntroduction to Chiropractic Business PracticesChiropractic Clinical Clerkship I
Rehabilitation and Active CareOrthopedics II; Passive Modalities & Therapeutics 
Senior Adult Health & WellnessCompletion of all Tri 1-6 courses 
Trimester 8
Advanced Chiropractic Business PracticesChiropractic Business PracticesChiropractic Clinical Clerkship II
Chiropractic Clinical Clerkship II *Completion of all Tri 1-7 courses; Entry immediately following completion of Clinic I 
Differential Diagnosis and Management Chiropractic Clinical Clerkship II
Health Care EthicsCompletion of all Tri 1-4 courses 
Principles of Evidence-Based PracticeCompletion of all Tri 1-7 courses 
Trimester 9
Chiropractic Clinical Clerkship III *Completion of all Tri 1-8 courses; Chiropractic Clinical Clerkship II 
Trimester 10
Chiropractic Clinical Clerkship IVCompletion of all Tri 1-9 courses; Chiropractic Clinical Clerkship III 
Electives
ActivatorSuccessful completion of Chiropractic Manipulative Therapy I 
Introduction to Spanish Conversations for the Chiropractic Practitioner Must be concurrently enrolled in, or previously passed Chiropractic Clinical Clerkship II, III, or IV

*All students must sit for the NBCE Part II examination as a requirement to earn the Doctor of Chiropractic degree.

Graduation Requirements for the Doctor of Chiropractic Degree

It is the student’s responsibility to keep informed about courses and credits earned and those still needed for completion of the degree program.
The Doctor of Chiropractic degree is conferred upon those who have fulfilled each of the following requirements:
  1. Satisfactory completion of all courses and clinic requirements within seven consecutive calendar years from the time of matriculation to the DCP with a minimum cumulative GPA of 2.0.
  2. Completion of all courses in the Texas Chiropractic College curriculum (or their equivalent) with completion of over one-third of the total credits required for graduation, inclusive of Clinic Clerkship I, II, III, and IV MUST be completed in residence at TCC.
  3. Fulfillment of the clinical internship requirements.
  4. Both quantitative and qualitative requirements reflect standards set forth by both the College and the Council on Chiropractic Education.
  5. All students must sit for all six sections of NBCE II prior to graduation.
  6. Submission of the Campus and Intern Clearance Forms to the Registrar’s Office.
  7. Freedom from all indebtedness and other obligations to the College.

Doctor of Chiropractic Program Instructional Organization

There are four departments that contribute instruction to the Doctor of Chiropractic Program.

  1. Department of Basic Sciences
  2. Department of Chiropractic Sciences
  3. Department of Clinical Sciences
  4. Department of Clinics 

Clinic Experiences

Students begin their clinical training in trimester seven in the Clinical Chiropractic Clerkship I (CCC I) course located in Moody Health Center, where they are taught and evaluated in examination, diagnosis and treatment procedures appropriate to the practice of chiropractic. Students enter CCC II in the eighth trimester after completing all prerequisite courses in the first seven trimesters of the curriculum in Good Academic Standing and successfully completing CCC I and the clinic proficiency and entrance examination (CSCE I and CSCE II). The student is expected to continue the development of skills necessary for total patient management including consultation, neurological and orthopedic diagnosis, clinical laboratory diagnosis, diagnostic imaging, adjusting technique and application of adjunctive therapy as indicated. Student are given clinical competency assessment throughout their internship to determine areas of strength and weakness. Completion of a clinic exit examination (CSCE IV) with a passing score will be required for graduation. Requirements for the completion of clinic are described in the clinic manual and CCC syllabi.

Required Immunizations

The Texas Department of Health (Rule 97.64) requires that all persons enrolled in health-related courses in institutions of higher education must have been immunized or submit an affidavit for exclusion, prior to direct patient contact, against:

  • Tetanus-Diphtheria Vaccine
  • Measles, Mumps, and Rubella Vaccines
  • Hepatitis B Vaccine
  • Varicella Vaccine

These immunization requirements must be satisfied before students are allowed in student, outpatient clinic or clinical rotations all of which include direct patient contact. Full information on rule 97.64 is available from the Registrar’s Office.

Students Performing Manipulations

Unsupervised application of any treatment including an HVLA (high velocity, low amplitude) thrust by a student is not allowed under any circumstance. Students may only deliver the application of any treatment including an HVLA thrust if supervised, in person, by a full time or adjunct DC faculty in settings specifically identified by the college for that purpose, or by a licensed DC who has been officially authorized to supervise students through the regular curriculum of TCC.

Any consultation with licensed TCC personnel outside of the MHC regarding a specific patient is only allowed with the direct consent of the Attending Clinician assigned to the case. Interns may NOT seek consultations with non-MHC personnel of their own accord. After approved consultation, interns must report any recommendations from the consultant back to the Attending Clinician who, in turn, makes the final judgement as to the safety, effectiveness and appropriateness of the suggested management regimen.

External Rotation Programs

Externship IX

  • Allows Clinic III intern to spend a maximum of 4 weeks with approved AFP doctor.
  • Minimum 27 hours per week once minimum requirements are met and approved.
  • Attendance is mandatory and monitored.
  • This program allows intern to assist the program doctor in limited tasks excluding manipulation.

Externship X

  • Allows Clinic IV intern to spend a minimum of a 2 weeks with approved AFP doctor.
  • Intern must have taken National Boards Parts I & II.
  • Minimum 31 hours per week program once clinic credits are complete.
  • Attendance is mandatory and monitored.
  • This program allows intern to assist the program doctor in limited tasks excluding manipulation.

Preceptorship

  • Allows Clinic IV intern to spend up to twelve weeks with a specific approved field doctor.
  • Intern must have taken National Boards Parts I & II.
  • Program contains a minimum of 31 hours per week.
  • Attendance is mandatory and monitored.
  • Program includes all aspects of patient care, including manipulation under direct supervision.

All students must sit for the NBCE Part II examination as a requirement to earn the Doctor of Chiropractic degree.

* Detailed information about these programs can be obtained from the Clinic Chief of Staff.

Interprofessional Education Rotations Program

The Texas Chiropractic College Interprofessional Education Rotations Program has been in existence since 1985. We pride ourselves in training future Doctors of Chiropractic to be an integral part of a health care delivery team. This valuable and challenging program allows qualified senior interns to observe medical health care professionals in learning allopathic/osteopathic approaches to patient care. The rotations are designed to promote communication between the medical professional and the chiropractic student intern. The program allows for the exchange of information on diagnosis, treatment, and research, while encouraging an appropriate basis for referrals between the professions. TCC student interns have the option to rotate through various Houston area doctors’ offices specializing in orthopedic surgery, neurosurgery, sports medicine, rheumatology, pain management, family medicine, and others. The student intern then has the opportunity to observe the doctor in a hospital surgery setting. This educational program is an enlightening experience for chiropractic student interns and medical doctors alike. There is a specific application process for interns enrolled in CCC III and CCC IV for participation in these programs. Applicants should discuss with the Chief Academic Officer or the Clinic Chief of Staff for additional details of these programs.

Community Outreach Program

Interns are required to complete 8 community outreach hours during CCCII-IV. For details of this requirement, refer to the Clinic Handbook.