The advent of the COVID-19 pandemic hit the profession suddenly and hard. Chiropractic practices were forced almost overnight into uncharted territories making practice viability uncertain even today. Chiropractic education was forced to change from nearly 100% face-to-face instruction to nearly 100% distance learning within a few weeks. The shock of the changes necessary to respond to the COVID-19 pandemic is resonating throughout all levels of the profession, requiring new ways of doing clinical business and new ways of educating Doctors of Chiropractic. The implications of these changes remains to be seen, but some trends are starting to become apparent.