Orthospinology Certification


DoctorsReviewingThe Society of Chiropractic Orthospinology is a non-profit organization that trains doctors in the Orthospinology Procedure that is based on the work of John F. Grostic, D.C.

Orthospinology instruction and training are provided through four seminars/workshops:

  • Basic I
  • Basic II
  • Advanced Workshop
  • Annual Symposium

The textbook for all training is Orthospinology Procedures: An Evidence-Based Approach to Spinal Care by Eriksen and Rochester, published by Wolters Kluwer Health/Lippincott Williams & Wilkins.

Certification Process

Pre-Certification Requirements

A Doctor of Chiropractic degree and completion of all Orthospinology classes are required prior to submittal of radiographs for certification.

Certification Fees

A testing fee of $450 is required for all doctors who wish to apply for certification as an Advanced Graduate of Orthospinology. Click here if you would like to submit your testing fee payment.

Certification Process Details

A Doctor of Chiropractic can simultaneously submit five consecutive new patient cases of radiographs (or digital images, preferably .dcm format) that conform to the Orthospinology Procedure requirements. The Doctor is responsible for the application of all information taught in the classes and published in the textbook.

The reviewer, an Advanced Graduate of Orthospinology, will grade the radiographs based on strict criteria created using information from all classes and the textbook. Point values are assigned to each step, and the reviewer may award all, some, or none of the points for each criterion. A total score for each case is calculated along with a cumulative score (the sum of points awarded for each of five cases). Each case has 1,140 points available with a cumulative five-case score of 5,700 points. A score of 80% or greater (≥ 4,560 points) is required on the cumulative score to pass the examination.

Should the Doctor not pass on the first attempt, a subsequent re-test fee of $50.00 is required.

An oral examination may be administered at the reviewer's discretion regarding any information from the classes and/or textbook, including pre and post radiographic reasoning. This may be done in person, by phone, Skype, GoToMeeting, or any other convenient form of communication.

The certification process is rigorous and any Doctor who has successfully completed this level of proficiency should be respected as a fully-certified Advanced Graduate Orthospinology practitioner.