Chiropractors, like many other healthcare professionals, often find themselves donning multiple hats. Not only are they responsible for patient care, but a significant number of them also end up managing or owning their own practices.

This dual role raises an important question: Should chiropractic colleges also bear the responsibility of teaching students about running a small business? Here’s a look at the arguments for and against this proposition.

The Case For Chiropractic Colleges Teaching Business Management

  1. Real-world Preparedness:
    • Business Matters: Preparing chiropractors for clinical excellence is crucial. However, once they’re in practice, they’ll face myriad challenges unrelated to patient care, such as employee management, marketing, and billing. By integrating business courses, students are provided with a toolkit to address these challenges head-on.
    • Career Longevity: Understanding the nuances of running a business can also enhance career longevity, allowing practitioners to make informed decisions that secure the financial stability of their practice.
  2. Mitigating Financial Strain:
    • Initial Challenges: New chiropractic graduates often grapple with student loans. Coupled with the potential loans to start a practice, understanding financial management becomes essential to navigate these initial challenging years.
    • Avoiding Common Pitfalls: Many new chiropractors lack knowledge about basic financial concepts, leading to avoidable mistakes. Educating students on topics like cash flow management, budgeting, and risk assessment can prevent these common pitfalls.
  3. Holistic Development:
    • Enhanced Decision Making: By understanding both the clinical and business aspects, chiropractors can make decisions that benefit the patient and ensure the clinic’s sustainability.
    • Interdisciplinary Learning: Exposure to business concepts can foster interdisciplinary collaboration, enabling chiropractors to work efficiently with administrative staff and other non-clinical personnel.
  4. Building Patient Trust:
    • Perception of Professionalism: A clinic that’s efficiently run, with timely appointments, accurate billing, and clear communication, enhances the patient’s perception of professionalism.
    • Quality of Care: Efficient business practices mean the chiropractor can spend more time focusing on patient care rather than being bogged down by administrative tasks.

The Case Against Chiropractic Colleges Teaching Business Management

  1. Overburdening the Curriculum:
    • Focus Dilution: There’s a risk that adding non-clinical subjects might detract from the core purpose of these colleges: to produce exceptional chiropractors. Balancing the curriculum to ensure clinical excellence remains paramount is essential.
    • Time Constraints: There are only so many hours in a semester (or trimester). Adding business courses might mean reducing hours spent on clinical subjects, which are crucial for a chiropractor’s primary role.
  2. Availability of External Resources:
    • Tailored Programs: Numerous MBA programs, workshops, and online coaching programs are tailored for healthcare professionals. These might offer deeper insights into business than a general course in a chiropractic college.
    • Flexibility: With online courses gaining prominence, chiropractors can learn at their own pace and choose modules that are directly relevant to their unique business challenges.
  3. Diverse Career Paths:
    • Not One-size-fits-all: Mandating business courses assumes a one-size-fits-all career trajectory. However, many chiropractors might join larger organizations where business acumen is less critical.
    • Relevance: For those venturing into research, academia, or policy-making, business courses might not hold the same relevance and can be seen as an unnecessary addition.
  4. Expertise Concerns:
    • Quality Assurance: Chiropractic colleges excel in teaching chiropractic care. But can they ensure the same level of excellence when teaching business? Quality assurance is a genuine concern.
    • Resource Allocation: Hiring experienced business educators and developing a robust curriculum requires significant resources. This can strain the limited resources of educational institutions, potentially leading to increased tuition fees or reduced funding for clinical subjects.


There’s no denying that running a chiropractic practice requires a blend of clinical skills and business acumen. The extent to which chiropractic colleges are responsible for offering business courses is debatable.

However, given the high percentage of chiropractors who are going to own and operate their own practice and the importance of entrepreneurial skills for those chiropractors, it makes sense for chiropractic colleges to at least offer elective courses or provide access to clubs that are focused on business management.

This way, students who are inclined towards entrepreneurship can get a head start, while chiropractic students who are disinterested in owning their own practice are not burdened by unnecessary coursework.

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Jerry Kennedy
Jerry Kennedy

Chiropractor, Christian, husband, father, chiropractic meme wizard, podcast host, and founder of Rocket Chiro