Monica Smith, DC, PhD
 

 
 

CURRICULUM VITAE (2/25/2004)

MONICA M. SMITH, DC, PhD
Associate Professor
Palmer Center for Chiropractic Research
Palmer Chiropractic University System
741 Brady Street
Davenport, IA 52803
Phone: (563) 884-5150
Fax: (563) 884-5227

Monica.smith@palmer.edu

EDUCATION

St. Louis University School of Public Health, St. Louis, Missouri
Ph.D. , Health Services Research (Minor focus - Public Policy/Economic Analysis) , 1998
Dissertation Title: "Cost, quality, and access as related to the delivery of chiropractic health care."
 
Logan College of Chiropractic, Chesterfield, Missouri
Doctor of Chiropractic, 1986
Bachelor of Science - Human Biology, 1984
Academy of Clinic Interns, Clinical Consultant in Geriatrics , 1986
 

EXPERIENCE

Palmer Center for Chiropractic Research (PCCR), Davenport, Iowa
Associate Professor, September 2001 to present
Assistant Professor, 1996 to 2001

Selected Current Project Sets at PCCR:

“MD and DC Chest Pain Focus Group Study” [self, PI; Intramural PCCR support]

"Analysis of DC and MD Primary Care Provider Interprofessional Relationships" [Greene, PI; Project funding NIH-NCCAM]

"Survey of chiropractic profession on behaviors, knowledge, and attitudes about guidelines and related professional issues" [self, PI; Project funding Council on Chiropractic Guidelines and Practice Parameters]

"Establishing a database of U.S. chiropractic healthcare workforce data for chiropractic health services research" [self, PI; Project funding HRSA BHPr, Center for Health Workforce Information and Analysis]

"The practice of chiropractic in federally-designated health professional shortage areas (self, PI)..

"Compilation of chiropractic/ complementary/ alternative healthcare data contained in large-scale public-use databases" (self, PI). (Compilation manual may be reviewed online at Internet address: http://w3.palmer.edu/carber/compilation/manualhome.asp)

"Delivery and utilization of chiropractic care within areas and to populations included in Indian Health Service (IHS) Act service provisions." (self, PI).

"International chiropractic practice, education, and training within the context of international health systems: The CEDRICS projects supported by World Federation of Chiropractic" (self as initiating PI, with international collaborations in development).

"Collection and analysis of data from Palmer’s Clinic Abroad Mission Program" (self, PI).

Teaching Assignments: Introduction to Research course (course director). Course develops skills of future clinical practitioners to critically appraise and apply the body of scientific and clinical research literature.

Department of Veterans Affairs
Health Services Research & Development, St. Louis VAMC, St. Louis, Missouri
Health Science Research Specialist, 1989 to 1996

Selected Projects of Record: Procurement, aggregation, linkage, and analysis of nationwide data from Bureau of Health Profession's Area Resource File (BhPr-ARF), National Center for Veterans Analysis and Statistics' Summary of Medical Programs, DVA Office of Academic Affairs, Boston Development Center, and DVA Austin Automation Center (Computerized Accounting for Local Management and Cost Distribution Reports (CALM,CDR), InPatient Treatment and Outpatient Care Files (PTF,OPC)) to study the effects of residency programs on costs and productivity in VAMCs. (Gillespie, Campbell, PIs); Analysis of St. Louis site data from DVA Cooperative Studies Project on Ambulatory Standards of Care to assess the complexity/severity of patients seen in the VAMC ambulatory clinic. (Internal report); Analysis of nationwide data from DVA Hypertension Screening and Treatment Programs to study risk factors, intervention mediators and outcomes of patients (Romeis, Perry, PIs).

Preliminary Analyses and Minor Projects: Analyses of sample size/ power requirements for local and multi-site studies responding to the 1995 DVA Nursing Initiative.; Preliminary analyses of DVA nationwide InPatient Treatment and Outpatient Care Files (PTF,OPC) data to explore the intensity and complexity of outpatient utilization of patients with substance abuse disorders. (Romeis, Price, PIs; Hall,Gillespie, PIs). Preliminary analyses of the characteristics and utilization of non-elderly nursing home patients, using National Medical Expenditure Survey (NMES) data. (Romeis,PI). Preliminary analysis of the health care utilization patterns of monozygote and dizygote twin pairs, using data from the Vietnam-era Twin Pairs Registry (Romeis,PI).Periodically conduct analyses of locally-supplied clinical and administrative data for purposes of quality improvement and for the study of outcomes, utilization, or planning clinical trials (e.g. Burke, PI; Hernandez, PI).

St. Louis University School of Medicine,
Division of Internal Medicine, Department of Geriatrics, St. Louis, Missouri
Research Programmer/Analyst, 1991 to 1996

Selected Projects: Analysis of National Health and Nutrition Epidemiological Survey (NHANES) data to develop a multivariate nutritional risk measure for noninstitutionalized elders. (Miller, PI); Analysis of data from the Missouri Gateway Geriatric Education Center Survey of Home Care Agencies to identify and describe cultural/ethnic issues in caregiving for older adults. (Szwabo, Hopper, PIs). Analysis of data from a 2-site acute inpatient rehabilitation hospital survey to study attitudes of staff toward the use of physical restraints. (McCulla, PI). 

Minor Projects: Create computerized data entry form for transcribing geriatric screening survey hardcopy data into electronic form. (Brunworth, Miller, PIs). Provide statistical support on project assessing the impact of educational content on burnout, morale and job satisfaction of caregivers in nursing homes.(Szwabo, PI).

St. Louis University School of Public Health, St. Louis, Missouri
Research Assistant , Research Programmer/Analyst, periodically 1988 to 1996

Sample Tasks or Selected Project(s): Conduct survey follow-up and statistical analysis of health care administrator survey data (J. Heil). Data procurement, management and analysis of large-scale national survey data and documentation, such as that from National Medical Expenditure Survey (NMES), Health Interview Survey (HIS), Medicare Current Beneficiary Survey (MCBS), and Area Resource File(ARF) (Romeis, Gillespie).

Nashville Chiropractic Health Center & Pain Clinic, Nashville, Illinois. Private Practice, 1987
 

OTHER: Service and Leadership, Teaching, Consulting, Professional Memberships, and Related Experience

Peer Reviewer, Journals:
Health Services Research journal, 2003.
American Journal of Public Health, 2002.
Medical Care journal, 2000-2003.
Journal of Rural Health, 2001.
Journal of Manipulative and Physiological Therapeutics (JMPT), 1995-2003.
Journal of the Neuromusculoskeletal System (JNMS), 1995-2003.

Ad hoc Reviewer for Evidence report on cost of headache, prepared by Center for Health Policy Research & Education at Duke University under contract with Agency for Health Care Policy and Research (AHCPR), 1997.

Guest Editor of theme issue of Journal of Neuromusculoskeletal System (JNMS) on topic of “Chest Pain” (Vol. 8, No.3).

Associate Editor of Journal of the Neuromusculoskeletal System, 1993-present.

Peer reviewer, Funding Agencies: Scientific Review Committee, Awards and Grants Program, Foundation for Chiropractic Education and Research, Arlington, VA, 1991-present. Ad hoc Reviewer for Alberta Children’s Hospital Foundation, Calgary Regional Health Authority (March 2001).

Peer reviewer, Conferences: American Public Health Association Chiropractic Health Care section (1997-present, annually); Association of Chiropractic Colleges (1997-present, annually).

Leadership and Professional Memberships: American Public Health Association Chiropractic Health Care section (Service Appreciation Awards for Leadership 1999, 2000, 2001, 2002; Distinguished Service Award for Leadership 2002). Member APHA since 1995. Member AcademyHealth (formerly AHSR) since 1995. Member international Health Economics Assoc (iHEA) since 2001. Member World Federation of Chiropractic (WFC) since 2001.

Alumnus Adjunct Faculty - Logan College of Chiropractic, 1995-present.

Teaching Assistant – St. Louis University School of Public Health, 1988 to 1996.

Jointly organized and conducted the following events: A skills development seminar on application of rational decision theory, St.Louis University, 1989; The 1989 Health Care Ethics Symposium, The 1988 Health Care Issues Colloquium , Logan College of Chiropractic.

Institutional Service / Committee Work (Palmer College) – Search committee for Dean of Academic Affairs (2003); Assoc Prof Promotion Committee (2003); Academic Affairs Policy Committee (2002,2003); Benefits Committee (2002,2003); Asst Prof Promotion Committee (2000,2001); Institution-wide Promotion Task Force (2000-2001); Student Ethics Board (1999-current); Reviewer for TFM Faculty Scholarship Award (1998-current); Year One Curriculum Integration Group (1999-2000); Palmer Database Management Target Assessment Group (1996-1997: conducted preliminary needs analysis and technology assessment, final report and recommendations delivered to Palmer Board of Trustees June 1997).

Research Consultant: Department of Veterans Affairs, Health Services Research & Development, Special Projects Office, Perry Point, Maryland. Chiropractic Services Pilot Program (1990).

Awarded Foundation for Chiropractic Education & Research (FCER) Research Fellowship, 1987, 1988, 1989.

Nominated to Doctoral Consortium Health Care Administration Division of Academy of Management, 1988.
 

PUBLICATIONS OR IN PRESS

Smith M, Long C, Henderson C, Marchiori D, Hawk C, Meeker W, Killinger L: “Report on the development, implementation, and evaluation of an evidence-based skills course: A lesson in incremental curricular change.” Journal of Chiropractic Education (in press).

Smith M, Wells K, Ellerbrock, M: “Diagnosis of chest pain in the chiropractic practice setting: An evidence-based review.” Chiropractic Journal of Australia (in press).

Smith M, Carber L: “Chiropractic healthcare in Health Professional Shortage Areas (HPSAs) of the U.S.” American Journal of Public Health, Vol. 92, No. 12, Dec 2002:2001-2009.

Smith M, Carber L: “A compilation of chiropractic & complementary/alternative (CAM) data from public-use national surveys: Report on a health services research resource for the chiropractic and CAM scientific community.” Journal of Manipulative and Physiological Therapeutics, Vol. 25, No. 9, Nov/Dec 2002:573-578 .

Smith M, Greene BR, Meeker W: “The CAM movement and the integration of quality health care: The case of chiropractic.” Journal of Ambulatory Care Management, Vol. 25, No. 2, April 2002:1-16.

Smith M, Gromala T: “The role of subluxation in delivering quality chiropractic healthcare.” Topics in Clinical Chiropractic (TiCC), Vol. 8, No.1, 2001:29-33.

Gromala T, Smith M: “How can subluxation-based chiropractic practice integrate into outcomes-based health care systems?” TiCC, Vol. 8, No. 1, 2001:34-39.

Smith M, Ellerbrock M, Khorshid K, Handley S: “Retrospective study of chest pain cases presenting to a chiropractic teaching clinic: A preliminary feasibility study”. Journal Neuromuscloskeletal System (JNMS), Vol 8, No 3, Fall/Winter 2000:67-75.

Smith M, DeBono V: “Retrospective records review to study chest pain prevalence and clinical management of chest pain cases in a chiropractic teaching clinic setting: Further exploration of feasibility”. JNMS, Vol 8, No 3, Fall/Winter 2000:76-83.

Smith M: “Invited Editorial” (as guest editor of JNMS Chest Pain Issue). JNMS, Vol 8, No 3, Fall/Winter 2000 (pp v-vi).

Smith M, Parry A: “The practice of chiropractic in health professional shortage areas in Missouri.” JNMS, Vol 6, No 1, 1998 (pp 17-23).

Smith M, Stano M: “Costs and recurrences of chiropractic and medical episodes of low-back care.” Journal of Manipulative and Physiological Therapeutics (JMPT), Vol 20, No 1, January 1997 (pp 5-12).

Stano M, Smith M: "Relative costs and outcomes of chiropractic versus medically-initiated episodes of low-back care." Medical Care, Vol 34, No 3, March 1996 (pp 191-204).

Perry HM, Gillespie KN, Romeis JC, Smith MM, Virgo KS, Carmody SE, Sambhi MP: "Effects of stroke belt residence, screening blood pressures, and personal history risk factors on all-cause mortality among hypertensive veterans." Journal of Hypertension, Vol 12, No 3, 1994 (pp 315-321).

As Commission Member/Contributing Author: "Guidelines for chiropractic quality assurance and standards of practice: Proceedings of a consensus conference commissioned by the Congress of Chiropractic State Associations." ASPEN, 1993.

Smith MM: "Chiropractic research: The ethics." JMPT, Vol 15, No 8, Oct 1992 (pp 536-541).

Virgo KS, Virgo JM, Romeis JC, Smith MM: "A comparison of Canadian and U.S. health care systems." Brock Review, Vol 1, No 1, 1992 (pp 29-51).

Smith MM: "Who will pay the physicians? Society struggles with health care costs." ACA Journal of Chiropractic, April 1988 (pp 39 42).
 

MANUSCRIPTS UNDER REVIEW OR IN QUEUE

 

MANUSCRIPTS CURRENTLY IN PREPARATION

“Enhancing the chiropractic clinical training experience: Description of patients in a teaching clinic in Fiji.”

“Recommendations for a chiropractic health services research agenda: Follow-up report from the HSR working group convened at the 5th annual Chiropractic Research Agenda Conference (RAC5).”

“Creating an accurate database of the chiropractic healthcare workforce for use in health services research.”

“An evidence-based interactive seminar approach to guiding clinician decision-making for ordering diagnostic radiographs in a chiropractic teaching clinic.”
 

TECHNICAL REPORTS

Smith M, Carber L. Assessment of current supply and distribution of the chiropractic workforce”. Report produced under contract to HRSA BHPr, Gov’t Order No. 01-0556(p). Sept 24, 2002. Project produced an electronic database of numbers of numbers of chiropractors per county, for inclusion in the HRSA BHPr Area Resource File.

Smith M, Carber L. A compilation of chiropractic and complementary/alternative data contained in large-scale public-use databases. Manual produced under grant from Foundation for Chiropractic Education and Research. July 2000.
 

INTERNET PUBLICATIONS

The Immunization Information Resource website provided as a public service by the Chiropractic Health Care section of the American Public Health Association. Website address: http://www.chiroweb.com/vaccinfo/

A compilation of chiropractic & complementary/alternative healthcare data contained in large-scale public-use databases.
Website address: http://w3.palmer.edu/carber/compilation/manualhome.asp
 

PRESENTATIONS at SCIENTIFIC and HEALTH POLICY MEETINGS

Smith M. “Multidisciplinary preventive guidelines: Relevance for developing professional standards of care for chiropractic best practices”. American Public Health Association (APHA) Annual Meeting (Nov 2003) Platform presentation.

Smith M. “Guidelines and trends in chiropractic practice.” American College of Chiropractic Consultants and Council on Forensic Sciences Annual Fall Conference (Sept 2003) Invited lecture.

Smith M. “Chiropractic healthcare workforce in underserved areas”. International Health Economics Assoc (iHEA) Annual Meeting (July 2003) Poster presentation.

Smith M, Carber L. “Survey of U.S. chiropractors.” World Federation of Chiropractic (WFC) Biennial Congress (May 2003) Platform presentation.

Smith M, Carber L, Doerrfeld M, Gindhart J, Ruda T. “Information technology in the chiropractic office.” World Federation of Chiropractic (WFC) Biennial Congress (May 2003) Poster presentation. American Public Health Association (APHA) Annual Meeting (Nov 2002), Platform presentation.

Smith M, Carber L. “Survey of chiropractors in US Health Profession Shortage Areas (HPSAs). Association of Chiropractic Colleges Research Agenda Conference (ACC/RAC) Annual Conference (March 2003) Platform presentation.

Smith M as invited panelist for session “Education for Evidence-Based Practice: Issues and Strategies”. A panel discussion at ACC/RAC Annual Conference (March 2003).

Hurwitz E, Smith M, Colley F, Perillo M, Haas M, Hawk, C. “Project report on the Immunization Information Website: A Resource for Chiropractors and Patients”. Association of Chiropractic Colleges Research Agenda Conference (ACC/RAC) Annual Conference (March 2003) Platform presentation.

Smith M, Long C, Henderson C, Marchiori D, Hawk C, Meeker W, Killinger L, Bleecker J, Paris J, Stout R.: “Report on an innovative strategy for teaching evidence-based skills to DC students.” Association of Chiropractic Colleges (ACC/RAC) Annual Conference (March 2002) Platform presentation. American Public Health Association (APHA) Annual Meeting (Oct 2001), Platform presentation. World Federation of Chiropractic (WFC) Biennial Congress (May 2001), Poster presentation.

Smith M, Carber L, Curry L, Krakos G. “Development of a standardized health outcomes instrument for use with global populations.” American Public Health Association (APHA) Annual Meeting (Oct 2001), Platform presentation.

Smith M, Manral D, Foss J, Carber L: “ International health and health systems data for secondary analyses: Availability via internet.” American Public Health Association (APHA) Annual Meeting (Oct 2001), Poster presentation.

Smith M, Carber L, Chapman-Smith D, Sloane-Seale G: “WFC/CEDRICS Project: On transitioning the WFC Country Report to on-line data collection.” World Federation of Chiropractic (WFC) Biennial Congress (May 2001), Invited lecture.

Smith M, Carber L: “Report on a health services research resource for the chiropractic scientific community: The “Compilation Manual”. World Federation of Chiropractic (WFC) Biennial Congress (May 2001), Poster presentation.

Smith M: “On reconciling subluxation-based chiropractic practice to outcomes-based health care systems: A review of the health services research literature.” Foundation for Advancement of Chiropractic Tenets and Science/International Chiropractors Association (FACTS/ICA 2000 Symposium) (Nov 2000) Platform presentation.

Smith M, Curry L, Carber L, Krakos G, Phongphua C: “Service-learning in chiropractic: Description of patients at an outreach teaching clinic serving Native Americans.” American Public Health Association (APHA) Annual Meeting (Nov 2000) Platform presentation .

Smith M: “Ongoing surveys of chiropractic practices in primary care shortage areas and Native American areas: Report of findings and methodological issues.” International Conference of Spinal Manipulation (ICSM 2000) (Sept 2000) Platform.

Smith M, Carber L, Curry L: “Development of a standardized health outcomes instrument for use with global populations.” World Federation of Public Health Associations (WFPHA 2000) (Sept 2000) Platform.

Smith M presenting for Curry L, Smith M, Phongphua C, Krakos G: “Palmer Clinic Abroad Program: Improving access to care and enhancing clinical training.” World Federation of Public Health Associations (WFPHA 2000) (Sept 2000) Platform.

Smith M presenting for Krakos G, Smith M, Curry L: “Models for coordinating non-medical health care delivery to global populations: Organizational case study.” World Federation of Public Health Associations (WFPHA 2000) (Sept 2000) Platform.

Smith M, Lancaster B, Fitzpatrick J: “Chiropractic healthcare in Native communities.” National Indian Health Board Annual Conference (NIHB 2000) (Aug 2000) Platform.

Khorshid K, Smith M, Handley S, Ellerbrock M: “Retrospective study of chest pain cases presenting to a chiropractic teaching clinic: A feasibility study.” Association of Chiropractic Colleges (ACC) Annual Conference (March 2000) Platform.

Smith M, Ellerbrock M: “Presentation of chest pain in medical and chiropractic ambulatory settings: An annotated review of the current literature on prevalence, etiology, diagnosis, management, and professional standards of care.” Association of Chiropractic Colleges (ACC) Annual Conference (March 2000) Poster.

Smith M, Carber L: “Creating an accurate database of the chiropractic healthcare workforce for use in health services research.” Association of Chiropractic Colleges (ACC) Annual Conference (March 2000) Poster.

Smith M, Carber L, Morschhauser S: “Establishing a database of U.S. chiropractic health manpower data: Furthering the development of research infrastructure.” Association for Health Services Research (AHSR) 16th Annual Meeting (June 1999) Poster.

Marchiori D, Smith M, McLean I: “An evidence-based interactive seminar approach to guiding clinician decision-making for ordering diagnostic radiographs in a chiropractic teaching clinic.” World Federation of Chiropractic (WFC) Biennial Congress (May 1999) Platform. Association for Health Services Research (AHSR) 16th Annual Meeting (June 1999) Poster.

Smith M, Wiese G, Phongphua C: “Chiropractic educational institutions and practices within the context of health care systems and policies.” World Federation of Chiropractic (WFC) Biennial Congress (May 1999), Platform.

Smith M, Phongphua C, Krakos G, Curry L: “Enhancing the chiropractic clinical training experience: Description of patients in a teaching clinic in Fiji.” World Federation of Chiropractic (WFC) Biennial Congress (May 1999) Poster. American Public Health Association (APHA) Annual Meeting (Nov 1999) Platform.

Phongphua C, Smith M, Krakos G, Curry L: “Evaluative survey of chiropractic students’ perceptions and experiences in an international cross-cultural clinical training program.” World Federation of Chiropractic (WFC) Biennial Congress (May 1999) Poster.

Smith M, Wiese G, Phongphua C, Meeker B, Krakos G, Curry L, Peterson D: “International health policies, health care systems and health services research: The case for supporting a Centralized Electronic Data Repository for International Chiropractic Studies (C.E.D.R.I.C.S.).” World Federation of Chiropractic (WFC) Biennial Congress (May 1999) Poster.

Smith M, Hawk C, Goertz C, Jansen R: “The practice of chiropractic in health professional shortage areas.” Association for Health Services Research (AHSR) Annual Meeting (June 1998), Poster. International Conference on Spinal Manipulation (1998), Poster. American Public Health Association (APHA) Annual Meeting (Nov 1998), Platform.

Hawk C, Meeker W, Henderson C, Long C, Marchiori D, Smith M: “Establishment of a chiropractic clinical research residency program.” Association of Chiropractic Colleges (ACC) Annual Conference, March 12-14, 1998, Las Vegas, NV. Abstract published in Conference Proceedings: Journal of Chiropractic Education, Vol 11, No 4, March 1998 (p 161).

Smith M, Parry A: “The practice of chiropractic in federally-designated health professional shortage areas (HPSAs) in Missouri.” International Conference on Health Policy Research (cosponsored by American Statistical Association, American Public Health Association, Society for Medical Decision Making), Dec 1997, Washington, DC; American Public Health Association (APHA) Annual Meeting – Community Health Planning and Policy Development Section, Nov 9-13, 1997, Indianapolis, IN; Chiropractic Research Agenda Conference (RAC II), June 19-22, 1997, Alexandria, VA; Association for Health Services Research (AHSR) Annual Meeting, June 15-17, 1997, Chicago, IL; World Federation of Chiropractic (WFC) Congress, June 6-8, 1997, Tokyo, Japan.

Woodfield C, Dickholtz M, Smith M, Wallace H: “A comparison of outcome and process measures to determine the effectiveness of an upper-cervical chiropractic correction.” Association for Health Services Research (AHSR) Annual Meeting, June 15-17, 1997, Chicago, IL; World Federation of Chiropractic (WFC) Congress, June 6-8, 1997, Tokyo, Japan; First Annual Chicago Health Services Research Symposium, Jan 30-31, 1997, Northwestern University, Chicago, IL.

Smith M, Stano M: "Relative costs and outcomes of chiropractic versus medically-initiated episodes of low-back care." Sigma Xi Research Honors Society, Feb 4, 1997, Palmer College of Chiropractic, Davenport, IA; International Conference on Spinal Manipulation (ICSM), October 17-19, 1996, Bournemouth, England; National Workshop to Develop the Chiropractic Research Agenda (RAC I), July 12-14, 1996, Washington, D.C.; Association for Health Services Research (AHSR) Annual Meeting, June 4-6, 1995, Chicago, IL; Department of Veterans Affairs’ Annual Research Day, July 6, 1995, St. Louis, MO.

Perry HM, Romeis JC, Virgo KS, Smith MM, Carmody S: "Compliance, control, and mortality among hypertension screening and treatment program clinics." DVA HSR&D Annual Meeting, April 24-25, 1991, Arlington, VA, poster.

Romeis JC, Perry HM, Gillespie KN, Smith MM, Virgo KS: "Preliminary analysis of pre-treatment predictors of survival among veterans from Hypertension Screening and Treatment Programs (HSTP)." 1991 Annual Meeting of Gerontological Society of America. November 25, 1991, platform.

Smith MM: "Regulating research Building and applying the scientific body of knowledge." 1989 Health Care Ethics Symposium, Logan College of Chiropractic, Chesterfield, MO, platform.

Smith MM: "Interdisciplinary health services research Considerations of research direction, and implications for chiropractic." 1988 Health Care Issues Colloquium, Logan College of Chiropractic, Chesterfield, MO, platform.
 

 

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