Primary Contact Spring 2019

PRIMARY CONTACT

SPRING 2019

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Volume 57

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Issue No. 2

Thank you to Anishnawbe Health Toronto Tanzania Rehabilitation Initiative Building success in Alberta

A publication from the Canadian Memorial Chiropractic College for alumni, members and friends

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IN THIS ISSUE 03

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From the President

Tanzania Rehabilitation Initiative

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From the Chair

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Alumni News

CMCC thanks Anishnawbe Health Toronto for two decades of cultural exchange

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Dr. Megan Harris on building the Chiropractic Wellness Studio

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Passage: Dr. Doug Brown

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In Memoriam

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Donations

CMCC News

WFC Awards

The power of a good BackSwing

New Frontiers Research Award for Dr. Martha Funabashi

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Primary Contact - Spring 2019

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FROM THE PRESIDENT

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Focusing on our students through the ICEC Education Position Statement on campus to our students and employees, and then to our alumni, other stakeholders, strategic partners and the public. The feedback we have received has been strongly supportive, but because there has been some apparent misunderstanding of the intent of the Position Statement by some practitioners, I felt that I should use my message in this edition of Primary Contact to help fill in some of the details.

In March, CMCC announced that it had joined a dozen other chiropractic educational programs around the world in signing the International Clinical and Professional Chiropractic Education (ICEC) Position Statement.

This followed a several-year careful evaluation by the Board of Governors, a risk management analysis of the impact of the Position Statement, a faculty survey demonstrating overwhelming support of the Statement, and ultimately a unanimous decision by the Board of Governors in October 2018 to become a signatory.

We decided to make the public announcement following the March 2019 World Federation of Chiropractic/European Chiropractors’ Union international conference in Berlin at which many of the other signatories were present to allow for a formal signing ceremony.

Immediately upon my return from Berlin, we made the announcement

First and foremost, CMCC views the ICEC Education Position Statement’s primary audience to be students interested in applying to CMCC and subsequently investing four years of their lives and precious financial resources in our Doctor of Chiropractic degree program. Simply put, the focus of the Position Statement is on our students. It is critical that we seek to admit students to CMCC not simply on the basis of academic qualifications, but also on a close alignment of those students’ values and expectations with those of CMCC. By clarifying to prospective students what they will and will not receive at CMCC, we can attain a “best fit” between students and the institution. Our accrediting agency, CCE(Canada), and the Ontario Ministry of Training, Colleges and Universities, require us to represent our program accurately to prospective students.

We believe the Position Statement helps to differentiate CMCC from other programs in North America, thereby assisting students in making a decision as to where best to find the type of education

they are seeking. We aren’t trying to make a regulatory or scope of practice declaration for the Canadian profession, nor are we diminishing other educational programs that may differ from CMCC’s educational approach and model of care.

All the programs in North America are accredited and qualify students to sit for Board exams, but there are inherently strengths and weaknesses in any program.

CMCC’s educational program is quite different from those schools promoting a “neovitalistic” model, or those which do not value interprofessional clinical training, or perhaps don’t endorse contemporary public health practices such as vaccination.

We aren’t trying to criticize or disparage other schools or practitioners with different philosophies.

We want the profession, our future students, and our strategic partners to understand what CMCC values, teaches and promotes.

CMCC’s curriculum supports our model of care, focusing on chiropractic as a primary contact health care profession with expert knowledge in spinal and musculoskeletal health, emphasizing differential diagnosis, patient-centred care and research.

The Position Statement is very well aligned with our philosophy, our model of care, and our curriculum.

As such, there was no change necessary in our current practices when we became a signatory.

There are a few components of the Position Statement that may

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Primary Contact - Spring 2019

differ from what some alumni or practitioners value, resulting from either graduating decades ago with a different set of beliefs or based upon theories of practice that have since evolved or been replaced as new scientific information has emerged. I’ll provide a couple of examples below.

First, the Position Statement takes a critical stance against a “vitalistic construct” of subluxation. Both the terms “vitalism” and “subluxation” have widely varying definitions and uses, leading to emotional and, at times, heated debate, and much has been written on this subject by researchers and philosophers.

The Position Statement is not an attempt to resolve this dispute, but rather to highlight the responsibility of a contemporary chiropractic educational institution to teach to the available science.

Our faculty has long felt, and this is supported by recent systematic reviews of the literature, that there is insufficient high-quality evidence to support the concept of subluxation frequently leading to organ dysfunction and disease.

Similarly, there is a lack of evidence supporting the concept that the adjustment can be used to consistently prevent the development of disease. Obviously, there have been numerous anecdotal reports of intriguing changes in various clinical phenomena or disorders in patients receiving chiropractic manipulative care, but there is not a sufficient body of evidence that supports the inclusion of this approach to care within our core chiropractic degree curriculum.

The term “subluxation” is infrequently used at CMCC because of its shifting definitions and the

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historical association with DD and BJ Palmer’s writings and RW Stephenson’s principles that are often at odds with modern neurophysiologic concepts. If the term is used, it is most likely in the biomechanical sense, referring to a joint lesion or dysfunction caused by mechanical overload, and resulting in a variety of tissue insults, inflammation, neurophysiologic reactions, and changes in joint motion. In both the research and clinical application, it may be used to describe the site of manipulation.

The Position Statement doesn’t deny the use of the term, it just avoids the association with the vitalistic construct of subluxation as a vertebral displacement or dysfunction leading to interference with “life force” and formation of disease because there is presently a lack of supporting evidence to justify its inclusion in the curriculum.

There has been some debate over the use of the terms “musculoskeletal” (MSK) vs “neuro-musculoskeletal” (NMSK) and whether the former term is too limiting or de-emphasizes the importance of the nervous system. The Canadian Chiropractic Association primarily uses the MSK version in order to provide a consistent message to the public.

CMCC similarly most often refers to MSK rather than NMSK, however that should not be interpreted as ignoring the importance of the nervous system.

At CMCC, students learn to appreciate the body as a complex, dynamic interconnected web of structures and functions, with continuous interactions between the nervous system and the musculoskeletal system. From a scientific literature perspective,

searching the health care literature databases using the NMSK term yields only a tiny fraction of the number of publications compared to using the MSK term, illustrating that the NMSK term is not as widely used.

It should be noted that CMCC does not focus solely on a biomechanical, mechanistic model of care. One need only look at CMCC’s research efforts, as well as our core education curriculum that includes extensive training and assessment in the neurosciences, including neuroanatomy, neurophysiology, differential diagnosis, and case management, to appreciate the importance placed on the nervous system by CMCC. The Position Statement reinforces the value of providing a DC degree program that is rich in evidencebased practice concepts and principles, embraces innovative teaching methods, and promotes widely accepted preventative and public health measures. The latter includes vaccination, an area in which there has often been discord among health care practitioners outside of conventional medicine.

As an educational health care institution, we feel it is important that we unequivocally express the value of evidence-based contemporary public health practices, and we have taken a stance strongly supporting the World Health Organization’s efforts to reduce infectious and communicable diseases through vaccination. Post-secondary students in Ontario are not required to show proof of immunity but we want our students to be able to take advantage of learning experiences we have established in interprofessional health care settings, such as hospitals and

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community health centres, and many of those facilities require all workers and students to be immunized.

With students coming to CMCC from a variety of backgrounds and experiences with chiropractic, we also wanted to disclose to them what types of practice styles they would not likely encounter in our clinic system. For instance, we adhere to peer-reviewed diagnostic imaging guidelines and do not provide instruction in those chiropractic technique systems that rely upon x-rays for either the initial determination of the site for adjusting or for periodic monitoring of clinical progress.

We try to avoid the development of dependency upon any therapeutic intervention. We don’t condone the signing up of patients for protracted periods of time. We avoid “openbay” examination or treatment settings that compromise patient privacy, but we acknowledge that there are appropriate times when multiple patients may be within an open therapy area for rehabilitation or exercise applications. If students are expecting to find multiple adjusting tables in an open clinic area, they will be disappointed by coming to CMCC because we don’t provide care in that type of setting, nor do we place students in external clinics that use that approach.

For decades, CMCC has promoted an evidence-based approach to care and has heavily invested in research as a means to continue to build new knowledge in our field. Our research program is as strong as ever. Our annual operating budget allocates a higher proportion for research than any other chiropractic

program in North America and our research productivity is second to none. We conduct basic science studies in neurophysiology, mechanotransduction, mechanisms of pain and inflammation, spinal manipulation, biomechanics, and clinical outcomes.

authority and professional credibility go hand in hand with sound educational practices and innovative research, leading to highly competent graduates becoming valued members of interprofessional health care teams.

Our Life Sciences research area is currently studying nervous system and immunologic responses to manipulation and has just appointed a post-doctoral fellow to add strength to this department. At the 2019 WFC Berlin conference, a number of CMCC researchers and faculty members were singled out for awards, including Drs. Côté, Kopansky-Giles, Mior, HoggJohnson, Ammendolia, Wang and Corso. Research is part of the fabric of CMCC – it’s in our DNA - and is the key to moving our profession forward.

No other health care profession incorporates the degree and quality of training in manipulation that we do, but we risk being displaced by less capable practitioners in the health care system if we are seen as lacking focus and identity, if our doctors resort to unsubstantiated treatment methods or business practices, or if we undermine public health practices. The burden on the health care system by people with musculoskeletal disorders and disabilities is huge, but our qualifications and ability to manage the majority of these conditions are great. This is the target that CMCC has set and the Position Statement establishes what people can expect from CMCC graduates. We believe there is very strong support for this from chiropractors and the public and the opportunity for the chiropractic profession to take the lead in the conservative management of MSK disorders is ours to seize.

Our curriculum must constantly evolve, and we will consistently challenge concepts and practices that are poorly supported by scientific evidence or are based on theories that are biologically implausible. Much in clinical practice is based on dogma because clinical decision-making and case management must continue even when research lags behind. CMCC is prepared to challenge dogma and practices that are founded primarily on beliefs and which have become invalidated by emerging science. We are also prepared to alter our curriculum and practices in the future if and when new high-quality evidence is presented. Similarly, we can expect the ICEC Position Statement to change over time.

This is a critical time for the chiropractic profession in Canada and around the world. Cultural

On CMCC’s website you will find links to the full Position Statement as well as background information and answers to frequently asked questions. I encourage you to take the time to read through these materials in depth at http://bit.ly/ ICECPositionStatement.

David Wickes, DC, MA

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FROM THE CHAIR effort was unanimously approved at our October 2018 meeting.

This has allowed us to make our educational position clear regarding the alignment of our curriculum, research efforts and model of care with our continued emphasis upon evidence-based and patient-centred care.

Spring has finally arrived and with it CMCC has hosted the Semi-Annual Board Meeting and Education Session, and the Backs in Motion 10 Km Run and 5 Km Run and Walk in Toronto. At the meeting, we heard once again of the advancements that continue to be made at CMCC to keep the institution at the forefront of chiropractic education, research and patient care. Our education session included a review of our governance responsibilities and the global chiropractic landscape.

We were blessed with spectacular weather to kick off our Backs in Motion event. It was a wonderful morning of exercise, camaraderie and fundraising support for CMCC. This period indeed has been a busy and fruitful time for CMCC as it became a signatory to the International Chiropractic Education Collaboration Clinical and Professional Chiropractic Education Position Statement, joining 12 institutions around the world. The Board of Governors has given considerable thought and deliberation to this issue over the past several years, and the final decision to move forward into joining this collaborative

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We were very pleased that in May CMCC was able to hold a Celebration of Life for Dr. Doug Brown while the Board was in Toronto. Dr. Brown has been an enduring participant in much of what CMCC has accomplished. His Board Member Emeritus position capped his amazing leadership in fundraising through the annual runs, alumni dinners, the Capital Campaign and as President of the Governors’ Club. Doug has left a legacy of historical papers highlighting both the challenges and successes of CMCC and the chiropractic profession as well as individual chiropractors whose stories comprise the history of the profession itself. We shall miss him.

Coming up on the Board schedule is the Executive Meeting that will take place at the Symposium at Homecoming - May 31 and June 1. We are pleased that the Symposium is offered this year at the time of Homecoming. It provides a great opportunity for a wider audience to attend our biennial Research Symposium.

The Symposium allows the homecoming participants to hear from international researchers and clinicians and gain cutting edge knowledge that can be applied toward patient care.

The Symposium also presents a wonderful opportunity for

our participants to mingle with leading researchers and clinicians as part of the social activities.

Our final spring Board gathering will be Convocation where we are witness to the Class of 2019 celebrating the successful completion of their chiropractic education. It is very satisfying to participate in welcoming these newest chiropractors to our profession. Following Convocation the Board will attend our annual retreat where NCMIC will provide a session to help us strengthen our leadership skills and where we plan for the continuing fulfillment of CMCC’s strategic plan.

I look forward to seeing many of our alumni, members, partners and the CMCC community at these exciting upcoming events.

Lastly, I end with a quote:

“Give your hands to serve, and your hearts to love.”

Mother Teresa Thank you for your service to patients, community, CMCC and the chiropractic profession as a whole. Together we can make a lasting impact.

Rahim Karim, DC MBA FCCPOR(C) CHE To contact any member of the Board, please email board@cmcc.ca.

Alumni News

Congratulations to Dr. Deltoff, recipient of the VII Queen Maria Cristina International Research Award

Dr. Marshall Deltoff (Class of ’83), DACBR, FCCR(C), a radiology instructor at Barcelona College of Chiropractic, was recently awarded the VII Queen Maria Cristina International Research Award.

Congratulations to Dr. Eric Ethridge (Class of ‘11)

Deltoff’s winning paper, One Profession – but not one Oath; a new survey revisiting the Chiropractic Oaths, studied and analyzed the various oaths used at the 45 chiropractic colleges worldwide, and proposed the composition of a singular universal chiropractic oath.

Reverend Father Marceliano Arranz Rodrigo (left) presents the award certificate to Dr. Marshall Deltoff (centre). Also attending the presentation is Dr. Ricardo Fujikawa, Director, Madrid Chiropractic College.

The award was presented to Dr. Deltoff at the sponsoring institution, the Real Centro Universitario Escorial Maria Cristina, in San Lorenzo de El Escorial, Spain, by Reverend Father Marceliano Arranz Rodrigo, Order of San Augustín, Rector of the Royal College of Higher Studies and Director RCU Escorial - María Cristina. The university is also the site of the Madrid Chiropractic College.

Some of you may recall his amazing singing voice and talent for country music. This fall, Sarnia, ON native Ethridge was signed to Ole Music’s Red Dot label in a deal that included acquisition of his self-titled EP which debuted at number one on the iTunes Country charts and was streamed over three million times in the first six weeks of its release.

"Happiness starts with you – not your relationships, not with your job, not with your money, but with you. " Unknown

Primary Contact - Spring 2019

CMCC NEWS This winter, CMCC signed two additional memoranda of understanding to increase opportunities for knowledge exchange and collaborative research opportunities Collaborating with IFEC

Dr. David Wickes with Dr. Olivier Lanlo, President IFEC

In January, CMCC signed a Memorandum of Understanding (MOU) with IFEC, the Institut Franco-Européen de Chiropraxie, formalizing a five year partnership between the institutions to collaborate on research, to develop joint courses and exchange staff for teaching and research.

The MOU is also intended to create new opportunities for graduate and undergraduate student

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mobility, such as articulation agreements, pathways, internships, and fellowships. Dr. Silvano Mior, CMCC’s Director, Research Partnerships and Health Policy led the CMCC team in finalizing the Memorandum.

IFEC provides a chiropractic Master’s-level diploma recognised by the French Ministries of Health and Higher Education. IFEC is also accredited by the ECCE (European Council on Chiropractic Education).

In addition, the college developed the first chiropractic consultation in a French University hospital and in accordance with its strong research ethos, IFEC developed a research team of 16 researchers and numerous collaborations with national and international universities. For more information visit www.ifec.net

Collaborating with IHPME In February, CMCC announced a new partnership with the University of Toronto’s Institute of Health Policy Management and Evaluation (IHPME) to foster greater collaboration and promote educational research among the students and faculty of CMCC’s

Clinical Sciences Graduate Studies Chiropractic Residency Program and those of IHPME. As the largest graduate unit situated within the Dalla Lana School of Public Health at the University of Toronto, IHPME is committed to providing an integrative space where students, faculty, health care researchers, partners and providers can empower one another to transform the way we think, lead and act in our efforts to reshape the health care system.

Together with the CMCC, a leader in evidence-based chiropractic education and research, this collaborative relationship will help to further discussions and address shared issues of integrated care, health promotion and health care system performance within Ontario.

The Dalla Lana School of Public Health at the University of Toronto

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Top left: Dr. Richard Brown, Dr. Deborah Kopansky-Giles, Mr. David Chapman-Smith and Dr. Laurie Tassell Top right: Dr. Richard Brown, Dr. Pierre Côté and Mr. David Chapman-Smith Bottom left: Dr. Simon Wang; Bottom middle: Dr. Sil Mior; Bottom right: Dr. Martha Funabashi Photo credit: Øistein Holm Haagensen

WFC AWARDS Several members of CMCC’s community were honoured at the World Federation of Chiropractic (WFC) Conference in Berlin this past March.

Congratulations to Drs. Pierre Côté and Deborah Kopansky-Giles, each of whom received the prestigious David Chapman-Smith Honor Award at the World Federation of Chiropractic Conference in Berlin.

The award recognizes exceptional and distinguished services which have advanced the international growth and acceptance of the chiropractic profession.

Dr. Silvano Mior received the first place WFC IBCE Overall Poster Award for his poster entitled, The Association Between Patient Expectation and Improved Walking Distance in Patients Receiving Nonsurgical Care for Lumbar Spinal Stenosis. Dr. Sheilah Hogg-Johnson was co-author on this project.

Dr. Simon Wang received the third place WFC IBCE Overall Poster Award for his poster entitled, The Effects of Standing-Biased Desks on Student Pain, Engagement and Fatigue. Hogg-Johnson was also co-author on this project.

Dr. Melissa Corso (Class of ’16) received the FICS (Federation Internationale de Chiropratique du Sport) Student Scientific Award for her work concerning the effect of spinal manipulation on ball velocity during an instepkick using former varsity soccer players.

Dr. Martha Funabashi shared the honour as a co-author on a study with Dr. Diana de Carvalho (Class of ’06) of Memorial University, that received the NCMIC JMPT award, as well as the Regional Poster Award for Asia, received

by Arnold Wong of Hong Kong Polytechnic University.

Drs. Funabashi, Mior, HoggJohnson and Côté were also coauthors on projects presented at the conference by other institutions, again highlighting the benefits and value of collaboration.

Congratulations to Dr. Ayla Azad on her recent appointment to the WFC board of directors. On behalf of CMCC she presented on the topic of Values and Preferences: the many faces of individualized care.

During the conference, Dr. Wickes hosted a dinner for CMCC alumni and members who came from around the world. CMCC often hosts small events during conferences, especially outside of Ontario, to engage and update alumni. The WFC Conference provided a special opportunity as several faculty also traveled to the conference and were able to participate, creating a memorable evening.

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THE POWER OF A GOOD BACKSWING and Chris was raised in Ancaster, Ontario. Chris and I play in a yearly golf tournament together with a number of our classmates and other professionals. That tournament, The Chesney, has been going for almost 10 years now.

BackSwing's winning foursome with Dr. Rocco Guerriero, Chair of the BackSwing Committee and Dr. David Wickes. Photo from left to right: Dr. Chris Taylor, Dr. Tyson Joseph, Dr. Rocco Guerriero, Dr. Dave Piche, Dr. David Wickes and Mr. Marc Lira

Dr. Dave Piche (Class of ‘07) has been part of the winning foursome at CMCC’s BackSwing Golf Tournament for the past three years. We tracked him down just as he was awaiting the birth of the newest addition of his family, Baby Molly, who arrived May 8! We asked him about the foursome – how they got together and how they keep winning.

Q: Your foursome is comprised of you, Tyson Joseph (Class of ’97), Chris Taylor (Class of ’07) and Mr. Marc Lira. What was it that brought you all together?

A: I've been playing in the CMCC tourney with a bunch of my classmates since we were all in school together from 2003-2007. It became an annual event for us to look forward to every year, and a good excuse to play golf all day and escape the intensity of chiro school.

Dr. Chris Taylor was a good friend and classmate of mine and was

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always on our tournament team in the early days. Once I graduated and purchased into my current clinic group, we needed an excuse to get back into the tourney and get out of our offices for the day.

Dr. Tyson Joseph (Class of '97), my business partner, is an avid golfer so it quickly became evident that we could utilize the tourney to give back to our alma mater and get together to discuss work and our future aspirations for the clinics.

Once we had three guaranteed players I turned to the best man at my wedding and a friend I grew up with, Marc Lira. Marc is originally from Windsor but living in Toronto working as the Director, Business Operations, Toronto Marlies Hockey Club. Marc and I have been golfing together for 25 plus years.

Q: Do you golf together regularly?

And are you from the same area?

A: Tyson, Marc and myself all were born and raised in Windsor, Ontario

Q: What draws you to BackSwing?

A: I've always been very proud of my school and the education I received so in addition to giving back through the membership program Tyson and I felt it was a great way to support the school's research initiatives while making time for some golf.

Not getting to Toronto as often as I did before I started my family, this was also a great way to connect with all my Toronto area colleagues.

Q: What is your winning strategy?

A: I was only able to win the tournament once while we were in school so to be able to win three years in a row has been fantastic. All of us have come from athletic backgrounds, excelling in different sports, but the combo of the four of us and how our games complement each other seems to be a winning formula. Lira is by far the best golfer, having played at the collegiate level before pursuing professional hockey in Europe, however, Chris, Tyson and myself seem to pick up the slack at the appropriate times to keep our streak alive.

We'd love to see this event continue to grow and become the marquee event for CMCC fundraising.

Hopefully more past graduates will take notice and try and dethrone the 3x champs!!

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DR. MARTHA FUNABASHI Awarded New Frontiers Research Fund Award highly innovative projects that defy current research paradigms, propose a unique scientific direction, bring disciplines together beyond the traditional disciplinary approaches, and/or use different perspectives to solve existing problems.

Congratulations to CMCC Researcher Dr. Martha Funabashi who received a New Frontiers Research Fund Award, a TriCouncil grant (CIHR, NSERC and SSHRC together) specifically for early career researchers to conduct high-risk high-reward research with an interdisciplinary and international team.

“The award of this grant signals a recognition of the importance of chiropractic research within a broad scientific milieu,” says Vice President, Academic, Dr. Christine BradaricBaus, “I am excited to see this support of Dr. Funabashi’s important research, which will further clarify the safety of spinal manipulation for patients with disc herniation.”

quality evidence regarding SMT’s safety for lumbar disc herniation patients, significantly contributing to the evidencebased management of lumbar disc herniation.

Funabashi was originally trained as a physiotherapist, and subsequently earned a master’s degree in neuroscience and a PhD in Rehabilitation Sciences. Her research will focus on the effects of spinal manipulation therapy on intervertebral discs and is entitled: Spinal manipulation therapy causes lumbar disc herniation: myth or fact? She will be working with Dr. Dhara

The New Frontiers in Research Fund enables researchers to work together to solve the world’s most pressing issues.

Funabashi’s research proposal won the award through the Exploration stream, one of three streams that comprise the New Frontiers in Research Fund, an initiative that enables researchers to work together to solve the world’s most pressing issues. It seeks to inspire

Low back pain is currently the lead cause of disabilities worldwide. Spinal manipulative therapy (SMT) is a popular option for people with low back pain with increasing scientific evidence supporting its effectiveness for these patients, which includes patients with lumbar disc herniation. This study seeks to provide high-

Amin a mechanical engineer with a PhD in biomedical engineering, Dr. John Costi, a mechanical engineer with a PhD in biomechanics and Dr. Greg Kawchuk, a chiropractor with a PhD in bioengineering. Amin and Costi are at Flinders University in Adelaide, Australia and Kawchuk is at the University of Alberta, in Edmonton.

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TANZANIA REHABILITATION INITIATIVE Creating a sustainable model of rehabilitative care for those most vulnerable

Patients at Kanyama Village Dispensary

Dr. Brian Budgell, Director of CMCC’s Life Sciences Laboratory, is known for his research in neurophysiology and language. In fact, his book entitled Writing a Biomedical Research Paper – a Guide to Structure and Style, is in use in several universities in Japan and has been translated into Chinese for use in a growing number of their universities.

His other passion is in building health care infrastructure in Tanzania through, Pos+Abilities, a program operated by the Canadian charity, Global Peace Network. The charity began as an effort to rescue abandoned ‘street kids’ and get them into school, but soon found

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itself responding to community requests to branch into food security and health care.

Through Pos+Abilities, and beginning more than a decade ago, many children were given the opportunity to finish their education before the Tanzanian government ensured children had access at least to elementary education.

When the government introduced funding through to the end of middle school, says Budgell, Pos+Abilities partnered with the Africa School Assistance Project (ASAP) , to ensure that girls, especially those interested in health care, would be given an opportunity to continue

their education through senior high school and into college.

In terms of its health care initiatives, several CMCC students have traveled to work at the organization’s clinics in Magu District Hospital and Kanyama Village Dispensary. “Visit the website,” says Budgell, “you may see a few familiar faces.”

The Tanzania Rehabilitation Initiative Today Pos+Abilities is partnering with several children’s charities in Tanzania to focus on providing rehabilitation to vulnerable children and their families. In collaboration with Villages of

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Drs. Ian Vana (Class of '16) and Rosanna Cheng (Class of '16) pour over a menu at a local diner Dr. Kevin Tse (Class of '15) outside Kenyama Village Clinic

Hope, SOS Children’s Villages, local governments and the Tanzania Home Economics Association, Pos+Abilities recruits volunteers, mainly chiropractors and physiotherapists, to provide direct patient care at its partners’ clinics, including the two clinics the charity built at Kanyama Village and at Magu District Hospital, which are staffed year around by local government health care employees.

“Given the levels of poverty and the lack of infrastructure,” says Budgell, “the average Tanzanian goes their entire life without seeing a licensed health care professional. Therefore an important part of the group’s work has been referring and even physically transporting patients to referral hospitals for specialty care. Perhaps most importantly, however, in terms of sustainability, Pos+Abilities and its partners are initiating the first post-graduate educational program in rehabilitation for clinical officers in Tanzania. We are above all, interested in sustainability and self-sufficiency.

We want to be able to leave one day, and leave these areas in the good hands of local citizens who have been trained to very high standards to carry on this very necessary work.”

Pos+Abilities and its partners are initiating the first post-graduate educational program in rehabilitation for clinical officers in Tanzania.

“As campaigns against malaria, HIV/AIDS and tuberculosis are showing great success, chronic musculoskeletal disorders have emerged as the single greatest health burden on the East African economies. Injuries which occur regularly in a subsistence farming culture, are often left unattended when relatively small interventions could make the difference between disability and a normal life. Take it a step further and imagine a subsistence farmer struggling to earn a living with an untreated fracture or dislocation. The great majority of children with disabilities never attend school and so are robbed of their futures. It is also the disabled children who are more likely to be abandoned and end up on the street or in orphanages” The trust established with local governments enabled Pos+Abilities to

license the country’s first chiropractor in 2013, and ensures Canadian graduates can be licensed readily in Tanzania. Thanks to successful fundraising, the group is also able to offer a one year paid position to a seasoned clinician to manage volunteers year round; and, says Budgell, with the new partnerships, the group can extend their reach into a greater number of areas by making use of existing facilities.

“It’s hard work, but the rewards are incredible,” he says. “Helping a single individual can lift an entire family out of poverty or keep a family together.”

Volunteers stay at a tourist grade accommodation says Budgell, and despite the rural location, can still find western food at the local grocery store.

On down time, trips to the Serengeti plains can be arranged. Visit www.

Posabilities.org for more information on the work this group is doing.

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Save the date CMCC 75 ANNIVERSARY WEEKEND TH

June 5-6 2020 www.cmcc.ca/cmcc75

Primary Contact - Spring 2019

CMCC THANKS ANISHNAWBE HEALTH TORONTO FOR TWO DECADES OF CULTURAL EXCHANGE conditions. “At Anishnawbe, we all practice a holistic, comprehensive approach to health care,” said Goldin in a 2000 interview. Treatment addresses the mind, body, spirit and emotions of the patients in a way that encourages and upholds the traditional roots, pride and values of the Canadian Aboriginal community.”

CMCC’s agreement with Anishnawbe Health Toronto (AHT) drew to a close this spring, as the centre begins to prepare a transition to a new location.

“It has been a very constructive relationship for over 20 years,” says Dr. Tony Tibbles, Dean, Clinics. “An opportunity for students to understand the health issues within the community and how health is involved in the broader concept of community.”

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CMCC’s clinic at Anishnawbe Health Toronto was one of the first of the current satellite clinics offering CMCC interns an experience outside of the campus environment. Dr. Jarrod Goldin was key in developing the relationship with AHT. He became CMCC’s youngest clinician, initially supervising just two interns when the clinic opened in 1996.

Anishnawbe was an internship like no other, providing a cultural learning experience in addition to the opportunity to treat more complex

Patients would often bring family members with them, to put chiropractic into the context of traditional medicine, and care was guided by medicine people, Elders, herbalists and traditional healers. CMCC interns provided care as directed, as well as providing primary contact care. (Primary Contact, 1997).

Reflecting on the experience today, Goldin recalls the privileges extended to the chiropractic group at AHT:

“Through Anishnawbe, about 200 non-first nations members got to have authentic sweat lodge experiences when we would be invited to properties all over Ontario for ceremonies. They were invited to bring their partners or spouses because sweat lodge experiences can be so profound. Women in the pod also participated in full moon

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ceremonies, where they were invited around the fire for communion.

There were shaking tent ceremonies as well,” says Goldin.1 Goldin’s respect for the staff and population at Anishnawbe was reciprocated when his father died and AHT held an Honourfest for him, reflecting the esteem which the community held for him and his efforts on their behalf.

Dr. Cynthia Chan (Class of ‘97) was one of the first to intern at AHT. She recalls her experience:

“I completed my regular clinic requirements at the CMCC campus clinic and was fortunate enough to intern at Anishnawbe for my last four months of my clinic rotation. It was a tremendous experience for me — even 22 years after graduating, I am still benefiting from the wisdom gained from the Anishnawbe people.

"The elders taught me how to respect my moon cycle and how important it is to be on one’s healing path in order to help heal others. I feel extremely lucky to have learned this lesson early on in my chiropractic career: it helped me prioritize self-care and avoid burning out.

"The patients taught me about the essential connection of how physical, chemical and emotional stress affect the body. In particular I gained valuable experience on how childhood emotional/physical abuse manifested in adult pain syndromes.

"I didn’t have many family members watch treatments nor I did I participate in any traditional ceremonies outside of the clinic.

However, I still felt extremely welcomed by the elders and patients during my time at Anishnawbe.

Thank you to Dr. Jarrod Goldin for helping spearhead this amazing external clinic.”

Dr. Alykhan Shariff (Class of ‘00), remembers his internship at Anishnawbe with Goldin: It was an honour to be part of it,” he says. “It was the toughest internship to get into as only a select few of us were chosen. It was more than a medical centre, but an area where the regime was different. It was a healing centre and we were able to participate.”

“In working with Dr. Goldin, we had the freedom to develop ourselves.

He allowed that, and working hand in hand with the healers was a treat.

It was a chance to understand the Anishnawbe culture and learn how they experience their lives.

“We were busy. So busy, we could rarely top up our parking and we got tickets. There was no time to get to the meters in between patients. When it came to treatment, entire families came in. We had a chance to see all kinds of issues – physical, emotional, spiritual. It served as a guide to becoming a better practitioner. It was very down to earth, but at the same time, eclectic.”

At times, Shariff explained, healers would come in, and as an intern, he was able to sit and learn from them,

so as well as the clinical experience, he was witness to the diversity that the AHT enabled.

In addition to his experience at AHT, Shariff participated in a sweat lodge and was invited to ask a question at a shaking tent ceremony. It was an experience that stayed with him, and from which meaning continued to unfold over time.

"One of the most important lessons I took from the experience,” says Shariff, “was my sense of the culture of the Anishnawbe, and that life is a journey.”

Clinician transition Dr. Matthew Barrigar

When Goldin returned to Campus Clinic in 2008, Dr. Matthew Barrigar moved to AHT, where he remained until recently, moving to CMCC’s newly opened clinic at Rexdale Community Health Centre.

An experienced clinician who had worked in private practice in Ottawa and in the Donwood Institute in Toronto, (now part of CAMH), Barrigar had worked with people managing trauma and comorbidities.

Though he saw it in private practice and at the Donwood, he recognized that those seeking care at AHT are a deeply traumatized population.

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the opportunity of using her skills as a chiropractor and specifically, treating an indigenous population, she says the experience exceeded her expectations. “It was a fulfilling experience and I soaked up as much as I could. I learned from Dr. Barrigar and Dr. Engel, my peers, the staff and the patients.” Her patients, she says, taught her so much and helped her learn about her own indigenous roots.

Drs. Nida Modi (Class of ’03) and Jonathon Honey (Class of ’03), shown here as interns, with Clinician Dr. Jarrod Goldin, alongside AHT staff in 2003.

As such, he prepared his interns to approach the patients as individuals with their own histories, but also to be mindful that they (the patients) also shared the history of a group that has been discriminated against and which has reason to be mistrustful of paradigms or establishments outside of their own culture.

“I helped the interns understand a model of cultural awareness that involved the interns recognizing that those around them may be different, that the difference is okay and that it may mean that the intern had to learn something in order to make the interaction work, and that underneath it all, we are all people. For people with education and advantage, this understanding and exchange can lead them into an advocacy model.”

Speaking with Barrigar, his respect and compassion for the people who have been his patients is clear, as is his identification as an advocate for their needs and fair treatment in the context of their larger sociocultural predicament.

On a very practical level, Barrigar encouraged the interns to ask their patients about trauma in a straightforward manner. An understanding before beginning

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treatment would facilitate a better outcome. “I was also open and upfront about burnout and compassion fatigue due to the ongoing trauma that this population is exposed to,” he says.

During his time at AHT, Barrigar was invited to work with the fire keeper who would tend the fire for the sweat lodge. A precise, ritual procedure, the type of sweat determines the number of stones, and the fire is built during the day in advance of the sweat lodge. Cedar, one of the four sacred medicines of the indigenous people east of the Rockies, is boiled in the water, used to create the steam. Of the other medicines, tobacco, sweet grass and sage, tobacco is used as a gift to the fire. A practical way to remove toxins is in this way, contextualized into a holistic experience that includes ritual, tradition and a spiritual component.

Dr. Ashley Wincikaby

For Dr. Ashley Wincikaby (Class of ‘19 ),2 the promise of interning at Anishnawbe drew her to CMCC above any other chiropractic institutions. Of Ojibwe ancestry herself, interning at the indigenous health centre was a way of coming home.

After many years of anticipating

“We don’t learn that much about indigenous peoples in school, so this taught me a lot about my culture.”

As she was treating patients and developing strong relationships with them, she was also able see the traditional healer herself, and was honoured to receive her spirit name and colours.

The role of the traditional healer is varied. Wincikaby explained that the healer counsels, but offers a deeper dimension of healing through the ability to communicate with spirit, restoring a dimension of life from which some of the community has become disenfranchised.

She also liked the philosophy behind the Circle of Care model of health that includes spiritual, mental, physical and emotional wellbeing and the fact that in this model, there is no break in the circle and that one can enter it at any point.

Her internship at Anishnawbe was healing, she says. Many of her experiences were challenging as she would meet patients whose experiences resonated with her on a personal level. Working with her patients with diabetes, for example, recalled her great grandfather’s struggles with the disease which left him requiring a foot amputation.

“I had to prevail,” she says, “work though the difficulty as those things arose, and learn.” What she will take going forward, she says, is that she will learn more about diabetes and

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crucial foot care, and is hoping to take further training to be of service to those she can help in future.

With the closure of the chiropractic clinic at AHT in April, Barrigar and his group of interns moved to Rexdale Community Health Centre (CHC). Some of the patients at Anishnawbe have transferred to CMCC’s chiropractic clinic at Sherbourne Health Centre, located nearby. Wincikaby’s second rotation was at Sherbourne, where she was pleased to welcome three patients from Anishnawbe who returned to her when the chiropractic interns transitioned from AHT to Rexdale CHC.

Dr. Glenn Engel

Dr. Glenn Engel joined Barrigar at Anishnawbe as a resource clinician and says that through his orientation at AHT, he learned more about the history of indigenous people than he had ever known.

Engel believes from a clinical perspective, the internship provided an opportunity for interns to deal with complexities and comorbidities that increased their awareness and growth as clinicians. From a personal perspective he says, “I left a lot of friends behind,” acknowledging the “excellent collegiality” among all service providers and staff members at AHT.

CMCC’s clinical landscape today

Looking at the clinical opportunities today, CMCC has six additional satellite clinics and one more opening later this summer east of Toronto to provide interns with a breadth of choices and to continue to support communities in Ontario. As we say goodbye to the rich experience provided by AHT, another door has opened.

Rexdale CHC

CMCC’s Clinic at Rexdale, which

opened April 1, 2019, follows closely the practice model at Sherbourne Health Centre, providing a similar level of complex patient care in a disadvantaged community setting.

The Rexdale Community Health Centre is unique in that it provides community programs and advocacy for the North Etobicoke region, offering services in three separate locations in addition to a range of health services.

Patient care is provided at the site on Dixon Road, with frequent outreaches being made to the other two. CMCC’s clinic at Rexdale CHC will operate out of embedded clinical space, some of which is shared with medical physicians, a physiotherapist, and a nurse practitioner. At the time of writing, the new clinic has barely opened its doors and already has 75 referral patients.

The catchment area for the Rexdale CHC is multicultural and diverse.

The area is one of growth for new residents to Canada and the Centre is a busy hub for these individuals who attend for both health issues and concerns as well as for social service assistance.

Such a clinic offers CMCC interns a clinic experience in an achievable model of co-located collaboration within a community, which is a model for many graduates who intend to practice outside a major city.

According to Barrigar, signs in the centre represent seven different languages and are written in four different alphabets. He is adapting to many different languages and cultural differences and has adapted the trauma questionnaire used in AHT so that it can be used within the broader context of language and culture at Rexdale CHC, acknowledging that difficulties and trauma can be the catalysts for immigration.

Final group of interns with Dr. Matthew Barrigar Top to bottom: Ryan Phillipson, Jared Barrieau, Erin Cougle, Dr. Matthew Barrigar, Robyn Deck and Justine Watson, all graduates as of June 20, 2019.

The CMCC Clinic at Rexdale will add to the diverse range of opportunities and practice models otherwise available to CMCC interns, including, CMCC’s Clinic at Sherbourne Health Centre, CMCC’s Clinic at South Riverdale Community Health Centre, CMCC’s Clinic at St. John’s Rehab – Sunnybrook Hospital, Bronte Harbour Chiropractic Clinic in Oakville, the group within the Academic Family Health Centre at St. Michael’s Hospital in downtown Toronto as well as the specialized care group at Aptus Treatment Centre.

Footnote: 1 Less commonly known than the sweat lodge, the shaking tent ceremony is one led by an Indigenous traditional healer and is used as a means to seek spiritual guidance or physical healing, often in a time of crisis.

As of June 20, 2019, when she crosses the stage at CMCC’s 74th Convocation and she transitions from student to Doctor of Chiropractic.

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We are pleased to announce the launch of our new CE Website, CEconnect With it you will find convenient browsing features, flexible navigation and a user friendly design.

Ready to explore learning?

Visit us at ce.cmcc.ca.

Your login credentials remain the same.

The College of Chiropractic Sciences and Canadian Memorial Chiropractic College invite you to:

A Clinical Update on Cervical Degenerative Disc Disease and Myelopathy September 28, 2019 at CMCC

Medico-Legal Case for Specialists and Field Practitioners The case of a chiropractor who allegedly caused a cervical myelopathy while treating a patient with a cervical radiculopathy will be presented.

Help decide along with our expert panel if the chiropractic management provided met current standards of care and if such treatment caused the myelopathy.

Are you prepared?

• Greater chances of an aging population presenting with degenerative cervical myelopathy.

• Effects of cervical spine manipulation on the progression of myelopathy. Does it help or harm the condition?

• Recognizing early findings of cervical radiculopathy or myelopathy and conservative management using the best current evidence.

7.5 CE HOURS REGISTER Online at ce.cmcc.ca Course ID 63736 Division of Continuing Education Canadian Memorial Chiropractic College 6100 Leslie Street, Toronto, ON Canada M2H 3J1 e: ce@cmcc.ca | t: 416 482 2340 x191

Primary Contact - Spring 2019

DR. MEGAN HARRIS ON BUILDING THE CHIROPRACTIC WELLNESS STUDIO IN EDMONTON, AB

When Ontario-born Dr. Megan Harris graduated from CMCC in 2003, she went straight to Edmonton, AB to practice. Her husband, Trevor, serves in the Canadian Armed Forces and was stationed in Edmonton at the time of her graduation. Harris spent the first five years of practice as an associate, focussing on developing her clinical skills and learning how to build solid patient relationships.

To attract patients, she drew on the

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marketing skills she learned during her first business venture, a First Aid company that she had established with her sister, Mailie, while they were pursuing their undergraduate degrees at the University of Guelph.

In 2008, Mailie, also a CMCC graduate, joined Megan to open The Chiropractic Wellness Studio.

Chiropractic in Alberta

“There are many advantages to being here,” says Harris, “none of which I knew when I first arrived.

“Alberta chiropractors have access to advanced diagnostic tools in the province,” she says, “so we can order X-rays, bone scans, CT scans, MRIs and MSK ultrasounds without going through a medical doctor and we can refer directly to specialists.

Additionally,” says Harris, “the Alberta Chiropractic Association is really active in advocating for chiropractors.”

Building the practice

Starting out in a tiny 600 square

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to patient management. Harris often refers patients to other care providers when they identify that the patient would do well with a combination of treatments. In making referrals to complimentary health care providers including massage therapists, acupuncturists and physiotherapists, the partners have created solid relationships and have gained in referrals to their clinic.

The Chiropractic Wellness Studio uses stylized renditions of its chiropractors in its branding.

foot studio inside World Health Gym in Northeast Edmonton, the sisters grew their business through community outreach, by joining a Running Room Ltd. Program, offering expertise in injury prevention and biomechanics to various running classes. “We also offered presentations on health and safety at local businesses. Rather than handing out business cards, we provided informational handouts with exercises specific to our target audience. Many people are initially intimidated by chiropractic, but we found on that an educational approach coupled with providing something of value as a take away really worked well.”

Early on, Harris decided that a unique and recognizable brand would be really important to the short and long term success of her business. She intentionally avoided the ubiquitous spine symbol commonly used in the chiropractic community, opting instead for a flower, which she has adapted and used to distinguish individual chiropractors in the practice.

In line with this different approach, she avoided the use of the spine in her presentations to the public and has been well received.

Growing

The Harris sisters were joined in

their practice by two more CMCC alumni – Drs. Dawn Burt (Class of ’12) joined directly after graduation and Dr. Sheena Clifton, (Class of ’12), joined in 2015, moving from Fort Saskatchewan. Today both doctors are co-owners of the practice. In 2016 and 2018, Dr. Hanna Brace (Palmer ‘15) and Jessica Martin (UWS ‘17) also joined the practice as chiropractic associates. Martin worked at the clinic during her undergraduate degree, and returned as a chiropractor.

By 2017, it was clear the expanding team could make use of a bigger space – and they found it in a 4,000 square foot area in a building down the street. When the move came, the business expanded from a staff of five to one of 27 and included RMTs, chiropodists and fascial therapists.

“We had fun designing the space. I wanted to make the office look like a home, so that it was comfortable.

I put a fireplace in each of the rooms and used natural elements as accents. The nicest compliment I got was from a child who told me he liked my living room!”

An innovative, collaborative approach

The team regularly makes referrals to other health care providers as needed, subscribing to a collaborative, integrative approach

“I support many types of care and often refer out if I feel a patient would benefit from a therapy we don’t offer. For example, when a new team of physiotherapists opened up down the street, I referred to them. It was the way we began our relationship with them.”

Even within the group, the dynamic is very collaborative, she says.

“Patients have the option to see one chiropractor or can consult with all of us. If one of us isn’t available on a given day, a patient can elect to see someone who is and benefit from that individual’s skills or expertise.” Mailie Harris has a professional cheerleading background and treats a variety of recreational and professional athletes. Burt is certified in Functional Dry Needling and Brace and Martin are certified in The Webster Technique.

Their collaborative care model keeps them very busy, so much that they are currently seeking another associate to join them at their practice at 13812 40 St. NW in Edmonton. “The new practice has almost reached full capacity in the 15 months since we relocated,” says Harris.

Next steps include expanding the business model to additional locations in Alberta and then across Canada. For more information, visit them online at www.

Feelbetteredmonton.com.

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Primary Contact - Spring 2019

Do you have any video footage from either of CMCC’s former locations at 1900 Bayview or 252 Bloor Street?

Please let us know.

You can reach us at communications@ cmcc.ca

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PASSAGE Dr. Doug Brown has been a friend to CMCC and to chiropractic since he entered the college doors on Bloor Street in 1951, and a great many of us here have had the pleasure of working with him.

This Passage was written with contributions from his friends at CMCC.

Canadian accrediting agency, and was instrumental in raising funds for CMCC. Through alumni dinners, the Capital Campaign for the new building at 6100 Leslie, and as a founding member and president of the Governors’ Club for 18 years, he helped to raise funds to support CMCC in realizing its vision of owning a building large enough to house its expanding needs.

Dr. Doug Brown was a chiropractor whose service to the profession and dedication to chronicling and memorializing the accomplishments and ordeals of chiropractors, leaders, institutions and organization was remarkable. A 1955 graduate of Canadian Memorial Chiropractic College and in full time practice until 2004, Brown served as a faculty member, a member, chair and then member emeritus of the CMCC Board of Governors, and president of the Canadian Chiropractic Historical Association.

He began volunteering early in his career, adopting what he called “an attitude of gratitude” and said that giving back had changed his life.

A recipient of numerous awards, he played an integral part in establishing the profession’s first

In addition to his advocacy work, there are few individuals as prolific as Brown in capturing and recording the early years of the development of chiropractic, which he did through meticulous research and dedication to keeping its history alive.

His service to the profession through work with his patients, and the leadership positions he so thoughtfully fulfilled, undoubtedly fed his perspective; just as his many friendships, keen intellect and curiosity opened up avenues of discovery which led to the rich body of work he has left for us.

Much of his work can be found in the archives of the JCCA and were published in an anthology by CMCC as a gift of thanks to Brown, in May 2018.

In the words of his friends, Allan Freedman and Dr. Ron Brady: It is hard to find the words to describe the passion that Doug had for all he cared about; Bruna, his wife of nearly 58 years, his

children, his grandchildren, his great grandchildren, his home, his friends, his fellow chiropractors, his profession and CMCC. It manifested through his deeds and his commitment.

He lived with dignity, never loud, overbearing or gregarious. His use of the English language was exact and never included inappropriate language. The only sure thing that an audience could expect from Doug when he had a microphone in his hand was a story about his beloved Bruna, which would almost always result in a laugh from the audience and a groan from Bruna.

One can scarcely walk down a hallway of CMCC at 6100 Leslie Street, just as at 1900 Bayview Avenue, without coming across a recognition plaque with his name on it or that of the Governors’ Club. Nor did he make all the sacrifices, with the support of his family, for personal recognition.

He did what he did purely because he believed in the chiropractic profession and particularly, in CMCC. Many have and many will continue to benefit from his dedication.

We are thankful for all that he has done and the rich personal relationships we had with him.

Thank you Doug, Bruna and the Brown family.

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Primary Contact - Spring 2019

IN MEMORIAM The winter of 2018-2019 was an exceptional year in that we lost many of our treasured alumni. Many were pioneers and some left us far too soon. We thank them all for their contributions and send our best to their loved ones.

Dr. Anthony Andronyk Class of ’59

Dr. Pieter Brouwer Class of ’54

Dr. Roland Bryans Class of ’82

Dr. Mario Campese Class of ’74

Dr. William Carson Class of '51

Dr. John Cowherd Class of ’76

Dr. Richard (Rick) Elder Class of ’66

Dr. Luc Gagnon Class of ’69

Dr. Rodman Gleeson Class of ’66

Dr. Barry Hunt Class of ’52

Dr. Daniel Komesch Class of ’50

Dr. Darren Edward Kachuba Class of ’60

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Dr. Donald A. Lindsay Class of ’74

Dr. Judy Rosenberg Ben-Israel Class of ’80

Dr. Ernest Meindersma Class of ’54

Dr. Jean-Marie Royère Class of ’69

Dr. Avedis Oukayan Class of ’96

Dr. Donald W. Rogers Class of ’79

Dr. John A. Sweaney Class of ’68

Dr. Flemming Vilholm Class of ’64

CMCC is grateful to its supporters who have thought to include a donation to CMCC in recognition of the passing of their loved one.

Memorial cards are available through Donation Services at 416 482 2340 ext. 194.

Dr. Richard Uzwenko Class of ’79

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DONATIONS The donations listed here were received and processed between January 1, 2019 and May 31, 2019 for: Research Chair, Awards and Scholarships, Backs in Motion, Gifts in Kind, In Memoriam and general donations. We extend our sincere appreciation to those who have made gifts to CMCC. If you have a correction to this list or would like more information about making a donation, please call Donation Services at 416 482 2340 ext. 194.

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Primary Contact - Spring 2019

Mrs. Regina Lehman Dr. Jacques Lemay Dr. Brian D. LeMoel Dr. Georges Lepage Dr. Pierre Levesque Mme Joanne Levis Ms. Donna Lewis Dr. Michelle C. Liberty Dr. David N. Linford Mr. Scott & Ms. Kim Lint Dr. Dennis Liu Mr. Garth Livingston Dr. Gerald Lopez Genna Luchenski Mrs. Betty Luck Dr. James D. Lunney Ms. Nicole Lunsted Lixian Luo Dr. Bradley D. Luther Dr. Kristine A. Lyons Dr. Kate MacAdam Dr. Lee MacAllister Dr. Ward D. MacDonald Dr. David G. MacKenzie Jan MacKenzie Mr. Ian MacKichan Mr. Greg MacMullin Ms. Isabella Madill Dr. Peter G. Magee Mr. Anthony Magistrale Dr. Kevin G. Mahoney Mr. Wayne Mak Dr. Katie Malone Dr. Sandra J. Malpass Mrs. Gloria Mandris Mr. Ryan Mann Ms. Julia Mansner Ms. Debbie Manz Dr. Denis Marcotte Mr. Richard Marcotte Bourke Marrison Ms. Bonny Marshall Dr. Allan G. Martin Diane Martin Kristina Martin Ms. Norma Martin Dre Natalie Masse Mr. Gerald Masters Marie Mattby Dr. Karin L. Mattern Mrs. Gale May Dr. Kevin I. McAllister Mrs. Mari McAndrews Mr. Peter McAteer Ms. Margaret McCallen

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Dr. Dorothea McCallum Mr. Raymond McCaughan Mrs. Patti McCleary Dr. Jason D. McDonald Dr. Joanna McGowan Ms. Karen McGregor Dr. Marion McGregor Valerie McIntosh Ms. Marilyn McIntyre Dr. Kevin D. McKenzie Ms. Tina McKeown Ms. Mildred McNarland Dr. Cecil G. McQuoid MediSeen Inc. Mr. Mike Megaffin Inez Meleca Emma Menna Dr. Jean-Philippe Mercier Dr. Richard Mercier Mr. Serge Mercier Dr. Rob J. Merrick Dr. Wesley Michaud Mrs. Bev Michie Lisa Mierins Ms. Kelsey Mikush Dr. Donald B. Millar Ms. Marlene Miller Dr. Robert B. Miller Dr. Darrin T. Milne Dr. Patrick D. Milroy Dr. Silvano A. Mior Kolleen Mitchell Dr. Haroon Mohsini Mr. Fred Mondesire Mrs. Angie Mora Ms. Lois Morris Ms. Patti Morris Frances Morrison Dr. Jean A. Moss Dr. Rick Mozell Dr. John P. Mrozek Peter Mulyk Mr. Kent Murnaghan Ms. Katherine Murray Paulette Mysko Mrs. Laura Nagy Dr. Luigi Nalli Ms. Christine Naspa Dr. John A. Neal Ms. Rhonda Nelson Shelby Nestator Mr. Manfred Netzel Ms. Christina Neudorf New Brunswick Chiropractors' Association

Mrs. Barbara Newbigging Sirichay Ngakhan Dr. David A. Noad Russell Norman Dr. Douglas Norsworthy Dr. J. Todd Norton Dr. Virginia U. Nsitem Dr. Grant O'Neill Ms. Leann Oakley Dr. Gerald Olin Dr. Irene Oliviero Dr. David E. Osiowy Dr. Christopher A. Oswald Dr. Kerry A. Ottenbreit Jason Ou Dr. Annie Ouellet Alain Ouimet Dr. Catherine Owens Max P Karen Packer Dr. Peter A. Pain Lori Pankratz Ms. Val Parayeski Dr. Andre P. Paris Dr. Mary-Irene Parker Ms. Smantha Parsons Mr. Grant Paton Dr. Sean E. J. Payne Dr. Cosma Pecora Christine Pedersen Dr. L. David Peeace Mr. Ed Perrett Mr. Jason Perrett Dr. Mark C. Perrett Dre Denise Perron Dr. Adriano Persi Ms. Marie Peterou Ms. Dorothea Phair Dr. Indira Pillay-Rego Ms. Nathalie Plourde Dr. Richard Plourde Ms. Colleen Pollreis Ms. Lori Ponzi Dr. Douglas L. Pooley Ms. Sheryn Posen Dr. R. Andrew Potter Jonathan Pottini Dr. Karen E. A. Proctor Ms. Kathy Prowse Dr. Jairus J. Quesnele Dr. Shelley Quinlan Alan Quinn Dr. Moez H. Rajwani Mr. Raymond Ramdayal Amanda Ramsay

Kit Ramsay Dr. Dianne L. Randall Johanne Recoskie Sharon Recoskie Reginos Pizza (Baska Pizza Paskarn Nagalingan) Dr. Paul M. Rego Dr. Jeffrey W. Reihl Dr. Marcel Reux Dr. Laurence G. Reynolds Royon Reynolds Dr. Marty V. Richter Riddle Room Inc. Mrs. Patti Riley Dr. Caroline A. Rioux Mr. Gregory Roberts Mrs. Jane Rocher Rock Tape, Inc. Mr. Richard Roell Mrs. Barbara Rose Dr. Adrian Rossi Dr. Michael R. Rostotski Dr. Roger Roy Royal College of Chiropractic Sports Sciences Canada Ms. Kathy Russett Dr. Gordon F. Rust Ms. Susan Rutherford Dr. Rowena Ryan Landis Sather Mr. Martin Satller Ms. Jody Schappert Mr. Doug Schettler Ms. Beverley Schindel Dr. Antonio Schirru Dr. I. Lawrence Schledewitz Dr. Murray E. Schneider Ellen & David Schram Dr. Brian Schroeder Mrs. Bernadette Schultz Dr. Brian D. Schut Ms. Nicole Schwartz Ms. Faye Scott Dr. Ryan C. Scott Dr. Stacey Scott Dr. Gerard Scott-Herridge Dr. Darren J. Scraper Dr. Brian Seaman Mr. Chris Seidemann Ms. Raheela Shaikh Dr. Wade R. Shalagan Ms. Frances Share Ms. Lorie Shekter-Wolfson Dr. Jeffrey R. Sheppard Mrs. Heather Shon

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Dr. Sanam Shorey Dr. Michael D. Sider Mr. Ed Silzer Dawn Simpson Dr. Lisa Simpson McQuarrie Dr. Vincent Sinclair Dr. Rudra D. Singh Dr. Norman L. Skjonsberg Dr. Paul Slaney Ms. Holly Sloboda Sandy Slowski Louise Smigelsky Mrs. Laurie Smit Mrs. Brenda Smith Dr. Lawrence D. Smith Mr. Rick Smith Ms. Susan Smith Mr. John Snesar Dr. Judith Snider Sokoloff Lawyers Mr. Eric Solomon Ms. Kathleen Sorenson Dr. Marissa R. Sparrow Dr. Keli Spencer Dr. Louis Sportelli Mr. Douglas Spracklin Mr. Kenneth L. Spracklin Dr. W. Lloyd Stackhouse Dr. William P. Stackhouse Stagevision Inc. Dr. David J. Starmer Dr. Douglas C. Starodub Sheila Steger Dr. Igor Steiman Dr. Scott E. Stevenson Mr. George Stewart Dr. Gregory B. Stewart Dr. Ronald G. Stoley Dr. Beat O. Stoller Ms. Elsie Storozynsky Mr. Brad Straus Dr. Catherine M. Straus Terry Straus Dr. Arden P. Strudwick Dr. Kent J. Stuber Dr. Mark Studin Ms. Violet Styba Dr. Cynthia A. Styles Dr. Andrew Sulatycki Dr. Thomas S. Summers Sweet Creations Mr. Glenn Switzer Dr. Zoltan T. Szaraz Kin Chun Tam Mrs. Tina Tarling

Mr. Taylan Tatli Dr. Carlos A. P. Tavares Dr. Patricia A. Tavares Dr. John A. M. Taylor Dr. Shane H. Taylor Mr. Richard Teece Ms. Helen Teetaert Ms. Suzanne Teoli Dr. Cecile A. Thackeray The Benevity Community Impact Fund The Co-operators Group Insurance The Orthotic Group The Talent Company Dr. Kirsten M. Thomas Dr. Richard R. Thompson Dr. Anthony Tibbles Dr. Filipe Tiburcio Justin Tokarchuk Marciano Tomassini Ms. Wendy Topping Mr. Zoltan Toth Dr. Diane Travis-Phillipson Dr. Astrid Trim Dr. Taylor R. Tuff Dr. Natalia Tukhareli Dr. Jeffrey R. Tuling Mr. James Turner Dr. Paul D. Uchikata Ms. Marg Van Buskirk Marnix Van Gemert Dr. Daniel K. Vandervoort Dr. John W. Vargo Dr. Marcia Veitch Ms. Olena Veryha Dr. Michael Vilkas Linda Vincent Mr. Tony Viola Niro Viv Alina Vocila Mrs. Natascha Voll Dr. Ernie Von Schilling Ms. Pauline Voss Dr. Darrell J. Wade Ms. Lynn Wallis Ms. Donna Walsh Mengqi Wang Dr. Simon Wang Ms. Christina Warren Ms. Susan Warren Waterloo Regional Chiropractic Society Mr. Bruce Watson Mr. Mike Watson

Mrs. Perlan Waxman Mrs. Karin and Mr. Gerald Weisberg Ms. Arlene Welcher Wellesley Therapeutics Inc. Dr. Philip Wells Dr. Patrick J. Welsh Ms. Elaine Welter Dr. David I. West Dr. Kathy Wickens Dr. David Wickes Brooks Wickett Ms. Angela Wilhelm Dr. Darin Willar Mr. Berni Williams Gaynel Williams Dr. Matt G. R. Williams Wendy Williams Dr. William M. Williams Lillian Wilson Dr. N. Scott C. Wilson Windsor Walk-In Chiropractic Clinic Mr. Richard Wine Ms. Kari Winemaker Dr. Robert M. & Mrs. Anne Wingfield Dr. Michael Witherall Mr. Ernest Wolkin Ms. Lilly Wong Ms. Phyllis Woodrow Brad Woods Dr. P. Gregory Woolfrey Claudette Woolfson Dr. Dean J. Wright Dr. Deborah S. Wright Dr. Lori-Anne Yarrow Mr. John Yealland York-Peel Chiropractic Society Jim & Donna Young Dr. Cary T. Yurkiw Dr. Tim Zafiris Hajrush Zendeli Ms. Louise Zimm Ms. Collette Zimmerman Dr. Robert J. Zimmerman Mr. Claudio Zulian Dr. Stephen A. Zylich

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Primary Contact - Spring 2019

THANK YOU TO THOSE WHO ARE HELPING CMCC TO MAKE STRIDES IN CHIROPRACTIC RESEARCH!

Spring 2019 Volume 57 / Issue 2 Primary Contact is published three times a year by the Division of Marketing and Communications at CMCC. Your opinions, comments, and input are important to us. Do you have suggestions for topics we can cover?

Phone: 416 482 2340 ext. 217 Fax: 416 482 3629 communications@cmcc.ca Other frequently requested email addresses: admissions@cmcc.ca alumni@cmcc.ca board@cmcc.ca development@cmcc.ca govclub@cmcc.ca membership@cmcc.ca president@cmcc.ca Executive Editor: Shannon Clark Contributing Editors/Writers: Mara Bartolucci Margaret McCallen

Here are just two of the many projects that are advancing research for the chiropractic profession Physiological Effect of Chiropractic Adjustments Researchers at CMCC are investigating how spinal adjustments may affect the various autonomic outputs, such as heart rate, as well as measuring changes to the pro-inflammatory substances accompanying back pain. Many practitioners have seen interesting results from chiropractic adjustments. CMCC researchers are begining to investigate this area.

Health Policy and Outcome Based Research Research in this area is vital for discussions with insurance companies and government agencies. Research outcomes will help practicing chiropractors directly and will enhance the reputation of the profession.

How you can contribute to this impactful research and save money on your taxes: • Purchase a life insurance policy in CMCC’s name • Transfer marketable securities in kind to CMCC • Make a pledge commitment and pay in monthly installments.

Contact Dr. Peter Kim, Director Development and Clinic Advancement at 416 482 2340 ext. 184 or pkim@cmcc.ca to learn more.

Art Director: Dora Kussulas Photography: istockphoto.com Dora Kussulas Chris Vassalos CMCC Media Services Øistein Holm Haagensen Associate Vice President, Institutional Advancement & Communications: Mara Bartolucci Director, Alumni Relations: David Coleman Director, Development and Clinic Advancement: Dr. Peter Kim

CMCC does not necessarily endorse or approve advertisements published in Primary Contact. Opinions of individual authors do not necessarily reflect the views of CMCC. Publications Mail Agreement Number: 40062432 Change of address and undeliverable copies should be sent to: CMCC Alumni Relations Office 6100 Leslie Street Toronto, ON M2H 3J1 cmcc.ca Twitter @cmccnews Facebook.com/cmccnews

CMCC MEMBERSHIP & BENEFITS 2019–20 Stand out and make a difference!

Renew or become a member today! Your support benefits our students‌. and you!

Our extensive benefits program provides significant savings in patient care, online resources, continuing education as well as home and personal products and services.

Register online at www.cmcc.ca /membership or contact us at 416 482 2340 ext. 146 or membership@cmcc.ca

CMCC’s 15th annual golf tournament fundraiser

BackSwing ‘19 Thursday, September 12, 2019 Bayview Golf & Country Club, Thornhill, Ontario Register at www.cmcc.ca/BackSwing on or before August 30 to receive the early bird rate.

Featuring a 2 hour CE lecture From Crash to Care Presented by Dr. Moez Rajwani

For more information, visit the event website or contact Special Events at events@cmcc.ca or 416 482 2340 ext. 200

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