CURRICULUM VITAE (2/12/2002)

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

smith_m@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:

"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)

"Establishing a database of U.S. chiropractic healthcare workforce data for chiropractic health services research" (self, PI)

"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 Palmerís Clinic Abroad Mission Program" (self, PI).

Current 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). 

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
 

RELATED EXPERIENCE

Invited Reviewer ñ Medical Care journal, 2000-2001.

Invited Reviewer ñ Journal of Rural Health, 2001.

Ad hoc Reviewer ñ 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.

Ad hoc Reviewer ñ Alberta Childrenís Hospital Foundation, Calgary Regional Health Authority (March 2001)

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

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

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

Member - Scientific Review Committee, Awards and Grants Program, Foundation for Chiropractic Education and Research, Arlington, VA, 1991-present.

Teaching Assistant - SLU 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 and The 1988 Health Care Issues Colloquium , Logan College of Chiropractic.
 

PUBLICATIONS OR IN PRESS

Smith M, Greene BR, Meeker W: "The CAM movement and the integration of quality health care: The case of chiropractic." Invited submission in press at Journal of Ambulatory Care Management (2002 25(2), 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.

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

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

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." Accepted for publication Journal of Manipulative and Physiological Therapeutics.

Smith M, Carber L: "Chiropractic healthcare in Health Professional Shortage Areas (HPSAs) of the U.S." Under review.

McCulla Sr MM, Katz BM, Smith MM: "Attitudes of staff in an inpatient rehabilitation setting toward use of physical restraints." Under review.
 

MANUSCRIPTS CURRENTLY IN PREPARATION

"Implementation and evaluation of an innovative approach to developing critical appraisal and critical thinking skills in chiropractic students."

"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."
 

PRESENTATIONS at SCIENTIFIC and HEALTH POLICY MEETINGS

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

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.

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." Accepted for presentation Association of Chiropractic Colleges (ACC) Annual Conference (March 2002) platform. American Public Health Association (APHA) Annual Meeting (Oct 2001), Platform. World Federation of Chiropractic (WFC) Biennial Congress (May 2001), Poster.

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

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.

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 .

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) 16^th 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) 16^th 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 studentsí 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 ñ 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." Ongoing Project with Multiple Presentations to Separate and Diverse Audiences: 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 MM, Stano M: "Relative costs and outcomes of chiropractic versus medically-initiated episodes of low-back care." Ongoing Project with Multiple Presentations to Separate and Diverse Audiences: 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 Affairsí 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.
 

HONORS