An exploration into factors resulting in career change by qualified chiropractors within the eThekwini Municipality

Abstract

Chiropractic in South Africa faces different and greater challenges when compared to chiropractic in other parts of the world because chiropractic is a form of complementary and alternative medicine which is isolated within the healthcare system of South Africa. Chiropractors are burdened by the lack of acceptance and recognition both publicly and professionally. This results in financial challenges thereby impacting negatively on income and the ability to maintain a practice. Furthermore, the perceptions of chiropractors’ are altered after failing to find success in active practice. These factors result in career dissatisfaction. Consequently, they pursue alternate careers to satisfy their personal and professional needs. While many studies have explored career satisfaction among practicing chiropractors, the factors influencing career change by qualified chiropractors have been minimally explored. Aim of the study The aim of the research study was to explore and discuss the factors resulting in career change by qualified chiropractors within the eThekwini municipality. Methodology A qualitative, explorative, descriptive and contextual design was employed to guide the study. A structured interview guide was used to conduct in-depth interviews with 10 non-practicing chiropractors within the eThekwini municipality. The main research questions for this study were “Why are you not a practicing chiropractor?”, “Do you have other professional qualifications?”, “What do you think are the benefits of being in this career as opposed to practicing as a chiropractor?” and “Do you wish to practice as a chiropractor in the future?” Thematic analysis was used to analyse the data of this study The main themes that emerged from the study were the challenges of private practice, perceptions of the chiropractic programme and choosing alternate careers over chiropractic. The participants of this study expressed financial challenges in private practice, a lack of recognition of the profession and the time invested into private practice left no time for family responsibilities. The participants explained that the chiropractic programme and research component is a tedious process with minimal rewards post-qualification. Furthermore, the participants experienced greater benefits and rewards in alternate careers. Conclusion The findings that emerged from this study indicate that chiropractors are faced with numerous challenges post-qualification. Therefore, it is necessary for the DUT chiropractic faculty and staff to actively engage with chiropractic candidates and chiropractic students and vice versa (Leach 2004). Such engagement will adequately equip the students with a better understanding and knowledge of the programme to assist in their success post-qualification.