Planning for the future Congratulations Class of 2016! Collaboration success Goodbye Scantrons
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From the Chair Congratulations to our newest graduates – the Class of 2016! It was one of the highlights of the year for me as Board Chair to shake the hand of each graduate as they crossed the Roy Thompson Hall platform at Convocation and set out on their path as a chiropractor. Following Convocation each year the Board of Governors holds its annual retreat. This year we were pleased to approve CMCC’s Strategic Plan framework. We were also pleased to receive a presentation by CMCC’s new auditors, BDO Canada, as we continue our fiduciary duties regarding financial matters. During the weekend a small but dedicated group of adult students known as “The Old Mill T’ai Chi Club” presented Dr. Wickes and the Board a plaque commemorating their donation to CMCC’s lecture hall seat naming campaign. Earlier in June, CMCC welcomed its alumni to Homecoming. The 50th anniversary class – the Class of ’66, were the honoured guests of the weekend. They were featured in a video about their time in the history of CMCC and the world, which was shown at the Anniversary Class Lunch. It is wonderful to interact with these trailblazers for our profession and to be reminded how much we owe to them. Seeing alumni in the halls of CMCC is always heartwarming. I hope you enjoy this issue of Primary Contact where you can learn about so many of the advancements that are taking place at CMCC. Our students are offering chiropractic care in developing countries and working at home to increase interprofessional education. Our graduates are expanding our profession’s reach both at home and abroad. Our use of technology in education continues to expand beyond the Simulation Laboratory and its Force Sensing Table Technology™, and beyond online learning, to advancing the quality of paperless examinations. All of these steps forward are thanks to our donors who have helped us create an amazing building and who continue to support us in filling it with the best students, faculty and staff, and providing them with the best tools to achieve all of our successes.
David Gryfe, DC, FRCCSS(C)
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Volume 54, Issue 3
02 From the President 04 CMCC signs MOU with SDU 05 CMCC at the Olympics 06 Alumni News 08 In the Community 09 Making a difference in Tanzania 10 Goodbye Scantrons: CMCC turns to e-exams
13 Bat Crackers 14 71st Convocation 16 Five lessons learned on the Dominican Republic Outreach Abroad
18 Thanks for all your care 19 Homecoming 2016 20 Is health care becoming more collaborative?
22 Taking their place in history 24 WCCS in Paris 26 Donations 27 In Memoriam
From the President “Our future lies not in competition, but in responsible, interdependent cooperation.” Joseph Rain
David Wickes, DC, MA
As we begin the new academic year at CMCC, work groups involving faculty, staff and students are engaged in developing our next multi-year strategic plan. The framework for this plan was approved by our Board of Governors in June and has six strategic themes. These consist of: Excellence in Teaching and Learning, Excellence in Support and Service for Students and Employees, Excellence in Clinical Care, Excellence in Collaboration and Communication, Excellence in Institutional Leadership and Management, and Excellence in Research, Scholarship and Innovation. To develop the detailed strategies for this plan, the six groups will be discussing and elaborating upon ideas, information and suggestions from campus focus groups, strategic planning sessions, student and employee
surveys, and surveys administered to our graduates. The final plan will drive CMCC’s progress over the next several years. As you will read about in the feature article on collaboration, we are proud of the interprofessional education (IPE) opportunities that our students have in their clinical training. I was recently reviewing a draft of the proposed new Accreditation Standards for the CCE-US and noted that there is finally inclusion of a meta-competency relating to IPE. I’m happy to say that CMCC is well ahead of the curve in this domain. We are also leading the way in collaborations with other institutions, as evidenced by our recent agreement with the University of Southern Denmark, as well as our existing agreements with the University of Toronto, University
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Education is the passport to the future, for tomorrow belongs to those who prepare for it today. Malcolm X
of Ontario Institute of Technology, and the University of Winnipeg. This August, we welcomed our incoming class of approximately 200 students, carefully selected from over 600 applicants. Our new video admissions platform has markedly improved our ability to provide all interviewees with a similar interview experience. This new technology enables the students to easily be interviewed without having to travel, and is well accepted by the digitally savvy students now applying to CMCC. Keeping ahead of the technology curve is always a formidable task and a key part of our upcoming strategic plan. Over this past year we significantly increased Wi-Fi coverage across campus, doubled our Internet bandwidth, replaced older audience response clickers with applications
for laptops, tablets and cell phones, and used the ExamSoft™ system to administer almost all firstyear tests via laptops or tablets in place of paper. Since last year, all students matriculating at CMCC are required to have either a laptop or tablet. CMCC continues to have a global impact. Our faculty won multiple awards for scientific presentations at this year’s Association of Chiropractic Colleges conference. UQTR and CMCC took a leadership role in organizing this October’s World Federation of Chiropractic education conference in Montréal and almost a dozen of our faculty members will be presenting papers and conducting workshops. In the spring, I attended the European Chiropractors Union annual convention and watched many of our Canadian colleagues and alumni make stellar presentations.
CMCC is a great institution and I’m looking forward to working with our students, employees, alumni and external partners in the coming year. The Annual General Meeting of the membership of CMCC will be held at 4:00 p.m. on Saturday, October 22, 2016 at the Delta Hotel, 475 Avenue du Président-Kennedy, Montréal, Québec. The agenda will include reports, the election of directors, and any such other business as may be desired and proper. For those members unable to attend, we have emailed a proxy to the address you have provided. You may also go to cmcc.ca/CMCCAGM to download a proxy.
CMCC signs Memorandum of Understanding with University of Southern Denmark CMCC signed an official memorandum of understanding with the University of Southern Denmark (SDU) Institute of Sports Science and Clinical Biomechanics on June 28, 2016. The memorandum formalizes an alliance that will provide opportunities to foster cooperative and rewarding relationships in areas of research and education. This cooperation extends to areas of collaboration and joint publication of scientific papers in musculoskeletal research; joint applications for funding of research; joint educational courses; graduate and undergraduate student mobility such as internships and study abroad; facilitation of common graduate student projects; adjunct appointments and exchanges for senior researchers; development of joint courses; exchange of faculty for teaching and observation.
“We are proud to reach this agreement with our colleagues at SDU,” commented CMCC President Dr. David Wickes. “Such agreements at an international level not only increase our capacity, they promote a cross-cultural knowledge sharing that ultimately enhances joint initiatives. We look forward to developing such projects and opportunities.” Dr. Jan Hartvigsen, Professor and Head of the Research Unit for Clinical Biomechanics at the Faculty of Health Sciences, University of Southern Denmark as well as Senior Researcher at the Nordic Institute of Chiropractic and Clinical Biomechanics, is delighted that CMCC and SDU have signed this important memorandum. “We have a global network of collaborators in musculoskeletal research, and with CMCC’s strong commitment to research and
evidence-based advancement in chiropractic, this is a perfect partnership. It will increase opportunities for high-level research as well as student exchange on both sides of the Atlantic,” remarked Professor Hartvigsen. Dr. Silvano Mior, CMCC Vice President Research and External Relations, has spearheaded this as well as many other such initiatives that continue to define new models of partnership and knowledge sharing between academic institutions and between chiropractors and other health scientists. “Agreements such as this promote international dialogue and enable collaboration, reducing barriers to care for patients. We look forward to advancing collaboration within research and increasing learning opportunities for students,” added Mior.
CMCC at the 2016 Olympics in Rio
While the world watched Rio during the Summer Olympics, members of the CMCC community were with Team Canada, participating. Dr. Mohsen Kazemi (Class of ‘96), Coordinator of CMCC’s Sport Sciences Graduate Program and Dr. Josh Binstock (Class of ’09) were part of the historical games, Kazemi as team doctor and Binstock as a participant, representing Team Canada in Beach Volleyball. Dr. Kazemi treating TaeKwonDo Kazemi is no stranger to international competition, having captured medals and championships competing in TaeKwonDo Poomsae. In Rio this year he served as Team Doctor for Canada's TaeKwonDo team, which competed on August 19 and 20 at the Carioca Arena 3 indoor stadium in Barra da Tijuca, in the west zone of Rio de Janeiro. Dr. Binstock competing in Beach Volleyball Binstock represented Canada in men's Beach Volleyball in Brazil with fellow teammate Sam Schachter. The tandem did not advance beyond the preliminary round but made the country proud fighting through every game and opponent they faced. Congratulations to both Kazemi and Binstock on their accomplishments and for representing Canada with pride! FALL 2016
Dr. Jamie Laws inducted into the CATA Hall of Fame
Head Trainer at McMaster University in 1973, he developed courses in athletic injury management. In 1976, he was also acting Head Athletic Therapist at York University. In 1979, he became the first athletic therapist in Canada to become a chiropractor and was appointed chiropractor for the Toronto Argonauts Football Club, a position he held for nearly 20 years.
Dr. Laws with Dr. Melissa Corso (Class of ‘16)
Congratulations to Dr. James (Jamie) Laws (Class of ‘79), inducted into the Canadian Athletic Therapist Association (CATA) Hall of Fame at their 50th conference in Vancouver this year. A three time veteran athletic therapist/ chiropractor at the Olympic Games (Montreal, Calgary and Seoul), Laws has also treated at the Pan Am Games, the Paralympics and countless other elite games, while taking responsibility for a number of firsts in the field of athletic therapy. He was the first student assistant athletic trainer at York University and the first lab assistant in athletic training when York introduced its academic credit course in the subject in 1972. During his time as
A Fellow of the Royal College of Chiropractic Sports Sciences (Canada) since 1981, Laws was president from 1981 – 84. He was a founding member of the Acupuncture Council of Ontario (1995) as well as the Ontario Sports Therapists Association (OSTA), predecessor of the Ontario Athletic Therapists Association. Highly active in CATA, he was secretary treasurer from 197577 and chaired the constitution committee in 1976 when the organization changed its name from the Canadian Athletic Trainers' Association and became officially known as the Canadian Athletic Therapists Association (CATA). At this time, CATA revised its function to become a national licensing and regulatory body as well as an advocacy and professional organization. Deeply committed to the organization, Laws served on the editorial board of the CATA Journal, the Certification and Education Committee, the Ethics Committee, was Chair of the Financial Advisory Committee and of a special Presidential Advisory Committee. Laws taught at CMCC from
1975 to 1987, during which time he received his diploma in chiropractic and went on to receive a Sports Fellowship. He developed and initiated a 30 hour certificate course in athletic injury management for Year IV students and chiropractors in 1975. He is principal author of “Chiropractic Treatment of the Lower Limb,” and former councillor for the College of Chiropractors of Ontario (2005-14). In 2004, Laws became a Fellow of McLaughlin College at York University and today remains active in private practice while continuing to volunteer for a number of sports events and participate in many CMCC-related activities. Congratulations Dr. Laws, for your commitment to athletes and to the development of athletic therapy programs in Canada. Practical insight through professionalism Dr. Stuart Kinsinger, Coordinator, Chiropractic Principles and Practice for Year III, oversees the material and manner in which chiropractic students are exposed to professionalism and health care ethics. Kinsinger was recently at the Academy for Professionalism in Health Care’s 4th annual conference, a forum for the presentation and discussion of professional ethics and how to create cultures of professionalism among health care providers. He noted that within the academic community teaching
professionalism, there is a fairly recent culture of inclusion of the chiropractic community. It has really been just over the last decade that the ‘other’ health professions (outside of allopathic medicine, etc.) have become active in this academic domain. It has been medical educators and scholars who have done almost all of the writing.
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“My objective in teaching this subject stems from a desire to position the chiropractic profession as an integral part of the health care team and demonstrate that the work being done on advancing the scholarship in the area of professionalism belongs, in one sense, to all of us. It really is our duty as academics and practitioners to pass it on to our upcoming graduates,”says Kinsinger. “It is not all that hard. As chiropractors, we are readily able to ‘join in’ simply by showing up, rolling up our sleeves and contributing to the literature. I am the first DC to have presented both orally and with a poster at the American Society for Bioethics and Humanities and the Academy for Professionalism in Health Care.”
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For chiropractors who are not engaged in academic work, articles on professionalism often offer practical insight into care. For those who want to go a step further, the next step would be to attend a conference such as the Association of Chiropractic Colleges, which features ethics and professionalism content, or the Academy for Professional Health Care.
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In the Community Making Friends for Life Accompanying riders as part of the Wellness Crew for the Toronto People with Aids (PWA) Friends for Life Bike Rally has become a favourite outreach for CMCC interns. This year, CMCC returned as a major sponsor of the event, participating in events which began earlier in the year and led to the trip in July. It was a life-altering experience for interns and supervising clinicians, Drs. Janet D’Arcy and Paul Mastragostino. Year IV students – Samantha Bauer, Lindsay Barker, Donald Littlewood, Carly Mattison, Laura Thompson, Curtis Turner and David Zanet participated on the six-day, 660 km ride from Toronto to Montreal, accompanying cyclists by vehicle, as part of the Rally’s Wellness Crew. The Crew also included a medical doctor, nurses and paramedics, and a group of registered massage therapists. “Never was there one point where I wanted a day to be over,” said Littlewood. He recommends that any students interested in taking part in this outreach in Year IV should look into it ahead of time. “We all met with Toronto PWA after we were named to this outreach but you can go before and meet with them, do your
own research. You can even volunteer with the rally itself outside the outreach team doing first aid. If this sounds like something you're interested in, get involved now. It's a great way to help a great community.” The CMCC team followed over 300 riders and crew members for the Rally in a van with their equipment and supplies and set up for treatment during lunch breaks and at camp at the end of each day. Each treatment session lasted 30 minutes and included patient history, physical examination, treatment and a report of findings. Littlewood and team mate Lindsay Barker agreed that watching the riders arrive in Montreal was the highlight of the week. "Since we were involved in the training rides, we knew some of these riders from as far back as June,” says Littlewood. “It was incredible to watch everyone, not just our patients, but everyone that took on this challenge, cross the finish line." PWA announced that the Bike Rally raised over $1 million this year to support people living with HIV/AIDS, and over $15 million across the 18-year history of the event. CMCC Clinician Janet D’Arcy was recognized as one of the top crew fundraisers, raising $1,445.
Making a difference in Tanzania recognized how meaningful it is to volunteer, and that she wanted to do more. She views her upcoming time in Tanzania as a once in a lifetime chance. “As a primary health care provider in a small village in Tanzania, I will have the chance to help the community and also to challenge myself as a practitioner.” “I am most looking forward to seeing the impact that chiropractic can have on people of diverse circumstances.” Mayberry will join the clinics in the fall.
Drs. Rosanna Cheng, Ian Vana and Kayla Mayberry
New graduates Drs. Rosanna Cheng, Ian Vana and Kayla Mayberry signed on to work with Global Peace Network (GPN) clinics in the Mwanza region of Tanzania, Africa, where GPN runs the Kanyama Village Dispensary and a rehabilitation clinic on the grounds of the Magu District Hospital. Through the summer in Tanzania, Cheng and Vana drew on experience they gained during CMCC’s Outreach Abroad in the Dominican, where interns treated numerous patients in rural areas of the Republic in a series of temporary clinics set up to accommodate the underserved population. According to Cheng, “Travelling to different places around the world has been the greatest eye-opener. Some of these places have had a huge impact on me and have inspired me to volunteer. I have seen those less fortunate, but with very physically demanding jobs. I want to be able to assist, and am happy that
I found chiropractic and hope that I can use my skills to provide care for these individuals.“ When she returns in the fall, Cheng hopes to open a clinic in Mississauga and to continue on a part-time basis, to serve those who do not have easy access to health care. Her desire to help in part stems from her experience during her clinical internships in which she treated many underserved people in the inner city and was moved by their plight. This will be Mayberry’s first international volunteer experience. “Having the opportunity to travel to an underdeveloped country and to help those in need is something I had always planned to do after graduation. And finding an opportunity that I could do this with chiropractic is serendipitous,” she says. Mayberry has a history of volunteering with Habitat for Humanity, where she says she
Dr. Ian Vana also participated in CMCC’s Outreach Abroad to the Dominican Republic and says he was attracted by the opportunity to travel to Tanzania with GPN because of his own goals “to strive beyond personal ambitions and to help as many people as possible regardless of financial or geographic barriers.” When he returns from Africa, it will be to Edmonton or the surrounding area, where he hopes to be part of a multidisciplinary clinic. “After being fortunate enough to intern at Anishnawbe Health Toronto and St. Michael’s Hospital, I saw how different professions could play off one another, allowing for optimal patient care. I have always believed that the most effective patient care comes from diverse professionals working together and bringing their strengths forward for the good of the patient.” You can learn more about the work these graduates are doing and support GPN’s good work through globalpeacenetwork.ca or visit its Facebook page at GPN Global Peace Network.
Goodbye Scantrons: CMCC turns to e-exams By Christopher Ilogho Exams are a difficult, often onerous but a crucial part of every student learning experience. Mentally and physically demanding, they represent the last gruelling phase before promotion to the next level, or in some cases, a dreaded supplemental exam. Many of you may recall the hours leading up to exams â€“ finding a quiet spot to review materials one last time â€“ using every second to check facts, recall definitions, and ensure concepts and principles are understood or at least remembered. Perhaps those moments came on the heels of sleepless nights and
long hours of assimilating seemingly endless information. Once in the examination room, the rubber hit the road and knowledge of the intricacies of anatomy, pathology, biomechanics, etc., streamed out from you to measure just how well you integrated that knowledge and how well you met or did not meet the learning objectives of the curriculum, as translated through the questions on the page. When it was all done, the wait began. You waited while faculty assessed hundreds of examination papers, double-checked Scantrons, and even discarded some questions
that upon review were no longer relevant or valid or did not fully reflect their intent. Deeper behind the scenes, committees and faculty members periodically evaluated the examinations themselves to weigh their success in measuring student knowledge in meeting educational requirements and competencies set by CMCC in compliance with accreditation requirements. Improving the process As much as the examination process is hard on the student, it is also laborious on any institution and may not always reflect the objectives set by a
Drs. Ian Fraser and Kim Ross with ExamSoft™ Implementation Consultant, Aubrey Kintop at the 2016 ExamSoft Conference in Dallas, Texas
program or individual instructor. As a process to reduce part of the burden of the exams for both student and instructors, CMCC piloted an electronic examination system known as ExamSoft™ to potentially integrate into its learning environment. The solution was initially investigated for its ability to measure competency based standards, an increasingly important yardstick for self regulation. Since its launch in 2015, numerous other advantages have come to light in what has proven to be a smooth introduction process managed by Dr. Ian Fraser, Director of Education, Year II and Year I Director of Education, Dr. Kim Ross. The new electronic exam delivery solution has many benefits for students including the ability to provide instant results. It can also ensure that questions are up to date (through a more efficient process of editing the questions in a comprehensive data bank) and that the exams themselves measure course outcomes and feed those back into the curriculum. Additionally, the errors encountered in Scantrons are eliminated. ExamSoft™ also allows students, faculty and
administration to immediately identify areas where all students had difficulty and reinforce or adapt the curriculum in those areas. The pilot program ExamSoft™ is designed to support the entire testing process, including exam creation, administration, delivery, scoring, and analysis. To begin CMCC’s initiation into the use of this tool, Dr. Ross first entered and tagged all questions for the Year I exams. “The tagging,” explained Ross, “enables CMCC to label each question according to course outcomes, CCEB outcomes, topics for each course and the instructor who authored the question. In addition one can tag the level of Bloom’s taxonomy to which the question belongs (i.e., Does it represent knowledge, application or synthesis?). Bloom's hence acts as an important barometer of the depth of learning. The tags allow faculty to view results as real time data and determine if students are grasping all of the material and where weaknesses are identified, and to improve the manner in which the content is delivered. According to Dr. Fraser, everyone
really came together and supported the success of the ExamSoft™ pilot. “We learned that New York Chiropractic College had been exploring the use of ExamSoft™ by importing exam Scantron results and then using the program's analysis capabilities. They were very helpful and we learned from their experience following a visit to their college. After very careful planning and a lot of internal cooperation, we conducted three Modular 1 exams using Examsoft™, but also had the students fill out Scantrons as a backup. During this pilot stage, not a single Scantron was needed to obtain a student’s grade. Scantron backup was not used for the remaining 11 exams written using Examsoft™. "We have a few spare Ipads in case anyone’s computer runs into problems with the software, but so far these occasional problems have been few in number.” The software, once activated, essentially takes temporary command of the function of the computer, ensuring no other programs are accessible during the duration of the exam. Once the student has electronically submitted the exam, results are obtained and control of the computer is returned. The success of the software pilot has led to plans for a continued rollout of the new solution. Each new cohort of students will have the experience of the upper year students to guide them and the original cohort will continue to be examined with the system through to Year III. “The next challenge,” says Fraser, “will be to develop the evaluation guidelines (rubric) for laboratory tests and for physical tests and to input them into the software.” The advantages One surprisingly advantageous transition was in radiology. Dr. Constance Columbus, Chair and FALL 2016
12 Year I and II Course Coordinator, faculty of radiology, had some initial concerns with the image quality and size as it would appear on the individual screens and the ability for students to respond to questions requiring a written answer. “With a little flexibility in our approach, we split the exam sections into two – allowing students to participate in short written answer format for one part and to use their computers for the multiple choice section,”says Columbus. “CMCC students taking exams that require imagery analysis can now comfortably view screen images on their iPads and laptops directly in front of themselves without having to strain their eyes to see images on the screen at the front of the lecture halls or having to switch seats with other students in the front rows, as they did in the past during radiology exams. Additionally,” says Columbus, “ExamSoft™ allows the students flexibility in the amount of time spent on each question, rather than it being predetermined based on the need for each student to view a shared image.” Reduced waste “We have also made a real contribution to reducing our environmental footprint as well as cost. For each conventional 15 page exam provided to a cohort of students, about 3,000 pieces of paper are used, along with about 200 Scantrons,” says Fraser. “If you consider the number of exams written each year, you can easily imagine the savings generated through e-exams.” Ease of use and instant feedback ExamSoft™ is easy and intuitive to use and it requires minimal training. It also brings a new dimension to the assessment of student performance. Students receive instant feedback based on their performance and can see where they can improve so that even the
CLOSE THE LOOP ON ASSESSME Curricular Tuning
Improved Assmts & Pedagogy
FACULTY FEEDBACK Detailed Analysis
Coaching & Remediation
STUDENT FEEDBACK Personal Performance Feedback
Exam studen instruc techni improv experi gather given of pur asses areas and te drive s institu
WANT TO LEARN MORE? TAKE Students piloting ExamSoft™ at CMCC
best students see the areas in which they can improve. Student feedback has been largely positive, given the ease of use of the software and its ability to provide quick results. A sheet of paper is provided for those who prefer paper or like to work out answers on paper, which is handed in following the exam.
Feeding back to the curriculum Real time feedback on an individual and group level lets faculty know immediately where the curriculum may need reinforcement or conversely, may confirm areas of strength.
Next steps The faculty and administration at CMCC envision electronic examinations as the norm as the technology is rolled out across Year II and III and rubrics are developed for practical physical exams. Their commitment to developing new ways of assessing and also of incorporating contemporary learn.examsoft.com teaching methods is supported by CMCC President Dr. David Wickes who committed to facilitate the integration of contemporary course design and delivery and to seek effective measures of program strength and to routinely use the data to improve the curriculum.
CMCC's inaugural Bat Crackers softball tournament
Swing, batter, batter, batter, swing! CMCC was pleased to host the Bat Crackers softball tournament at Milliken Mills Park in Markham, Ontario on Sunday, August 28, 2016.
Congratulations to: •
Team Green Sox for winning the championship
Participants had the opportunity for an activity-filled day on the field as a player or to cheer on their favourite team from the beer garden.
The Humber Family Wreckers for winning Best Sportsmanship
Dr. Justin Young, voted Most Valuable Player
A special thank you to our sponsors: The Orthotic Group, Ontario Chiropractic Association and Canadian Chiropractor and to each of our volunteers who made the event possible!
The Green Sox all received tickets to the Red Sox vs. Blue Jays in Toronto, September 11, generously donated by The Co-operators Group Insurance.
71st Convocation CMCC ‘s 71st convocation was held June 17 at Roy Thomson Hall in Toronto, Ontario. This was the first year the CMCC ceremony was held in this spacious, elegant venue, a Toronto landmark, home of the Toronto Symphony Orchestra and a big part of the inspiration for the celebratory feeling of the day. In addressing the graduating Class of 2016, convocation speaker Dr. Richard Brown, Secretary General of the World Federation of Chiropractic, spoke about
the diversity that makes Canada great and drew a comparison to chiropractic, suggesting that graduates embrace the diversity within the profession and continue to do the valuable work that chiropractic can do to provide relief to patients, and in so doing, to the overburdened health system. He also managed to leverage the musical history of the venue to recall his own days as a musical performer, garnering laughs as he
shared the band name of “Audible Release,” with back- up singers “the Facets.” Class valedictorian, Dr. Richard Magder, captivated classmates and the audience with self-deprecating humour, enough recollections to embarrass his classmates and seal their camaraderie for a long time, while reminding everyone to live life well and stay on path. Congratulations to a truly special group, the Class of 2016.
Five lessons learned on the Dominican Republic Outreach Abroad By Drs. Karlie Sikura and Sara Brand (Class of '16)
In April 2016, a team of 13 Year IV interns alongside clinicians Drs. Pat Tavares and Les Wiltshire, travelled to rural Dominican Republic for CMCCâ€™s Outreach Abroad. Equipped with portable tables, reflex hammers, blood pressure cuffs, and very little grasp of the Spanish language. We began a journey that would ultimately become a once-ina-lifetime learning experience; one that would leave each intern with an abundance of clinical knowledge, as well as a profound sense of accomplishment. Of the hundreds
of lessons that we learned on this outreach, the following five stand out as the most important: Lesson #1 As chiropractors, there is something we can do for everyone. The majority of the patients we encountered in the Dominican Republic suffered from a number of comorbidities. This outreach reinforced the concept of treating the person and not solely the condition. It turned out that there was something we could
do to enhance the lives of each patient that stepped foot into our temporary clinics regardless of their comorbidities. Whether we were able to provide temporary relief from pain that had plagued a patient for years, provide education on proper lifting mechanics, or provide reassurance that their pain was mechanical in nature, each patient walked away having gained something of value from our interaction. Even in spite of dealing with various comorbidities, we learned that
“…there was something we could do to enhance the lives of each patient…” the small changes we were able to impart made a big difference in an individual’s life. Lesson #2 Our hands are our most valuable tools. Not only did this experience enhance our diagnostic skills as chiropractors, it allowed us to realize what we are capable of accomplishing with our most useful tool - our hands. In the Dominican, it is not uncommon for electricity to shut down unpredictably several times throughout the day. So, even if we had access to the modalities commonly used in clinical practice, there would be no guarantee that we would have access to the electricity to turn them on. Our hands very quickly became our most valued and trusted tools. It followed that we were able to provide our patients with effective and comprehensive treatments through soft tissue therapies, mobilizations, and spinal manipulative therapy. Most patients noted immediate relief from their aches and pains, despite having no previous exposure to chiropractic care.
Lesson #3 We are extremely fortunate to live in Canada. We often take for granted our ability to have regular medical checkups and access to basic healthcare, but the people of Dominican Republic are often not as fortunate. Many preventable ailments progress for years without detection or treatment, which exposed the interns to cases with the serious and oftentimes debilitating complications that can arise when there are patient barriers to care. The outreach impressed upon us a deep appreciation of the health care system we have in Canada and reinstated our duty to maintain its integrity. Lesson #4 Our role in referring to other health care providers is valuable beyond belief. Arguably one of the most valuable roles we played in the Dominican was serving as a means of screening and potential referral to other medical professionals. When we determined that conditions or
symptoms were outside of our scope of practice, we gained experience in knowing when and where to send these patients. Since regular checkups are not always available in the Dominican Republic, we often were the first health care practitioners to suspect these conditions. It quickly became apparent that the screening, detection, and appropriate referral of conditions outside our scope of practice is paramount to proper patient management. Lesson #5 Finally, a little bit of compassion goes a long way. Although the language barrier was immense, our compassion for our patients required no translation. This compassion was always met with the most endearing gratitude from our patients. This very special, very human connection between doctor and patient not only strengthened our personal drive to be the best doctors of chiropractic but also motivated us to push ourselves beyond our own limits in doing so.
Thanks for all your care “Thank you for your professional suggestions, advice and expertise. My physical mobility has greatly improved and my family and some friends have observed that I now appear pain free…standing straighter. Last visit to the track, I achieved 20 laps fast lap walking backwards! Best wishes to you, as you continue these next few months approaching graduation. Fortunate are those patients who will be under your chiropractic care in the future.” Ann, CMCC clinic patient A reminder of how much patients appreciate the good care at our clinics, a grateful patient leaves a note for intern Michelle Cruikshank, now a new graduate, for treatment that has improved her back pain and mobility. “I feel a responsibility to help the interns, to encourage them and help them where I can,” says Ann. “My mobility has greatly improved with treatment. Chiropractic," she says, "has really gotten to the root of the problem.” In an interesting side note, as a teenager, Ann had been a patient of Dr. Herbert Lee. Eventually, as he prepared for retirement, he referred her to CMCC’s Campus Clinic, at that time on Bayview. Running into him at CMCC’s Bayview Campus Clinic 10 years later, she recalled that he remembered her previous injury and different conditions he had treated with in her family with remarkable detail. Looking around the CMCC campus today, Ann says that Lee’s vision has lived on.” He was a pioneer and he knew what was required and he made it happen. He brought a little something extra to his practice and his patients.”
Did you know?
Dr. Herbert Lee was one of the founders of CMCC. In 1943, Lee was appointed to the steering committee for “a new Canadian chiropractic college,” which became CMCC. He delivered the first lecture at CMCC’s first campus on Bloor Street, at its second campus on Bayview Avenue, and attended the first day festivities at its third campus on Leslie Street. Lee remained an important and prominent member of CMCC Faculty, retiring in 1976. He continued to guest lecture at CMCC through 2009, maintaining astounding vigor well into his 90s. He lived until 2013, passing away at age 101.
Homecoming 2016 was held on June 3 & 4 at CMCC Thank you to everyone who participated in our event. We hope you had a wonderful time! Congratulations to the classes of '51, '56, '61, '66, '71, '76, '81, '86, '91, '96, '01, '06, '11 and '15. This year’s Homecoming was a special celebration of the Class of ’66, in recognition of the 50th anniversary of their graduation from CMCC. This class included members representing not only many regions of Canada, but different parts of the world from as far away as Belgium, Holland, Scotland, South Africa and the United States. Congratulations to all the members of the Class of '66 and all other participating classes who have maintained CMCC’s legacy and inspired thousands of alumni who practice across Canada and all over the world.The Class of '66 was also the Backs in Motions top Fundraiser Challenge Winner. Please save the date for Homecoming 2017: June 2 & 3, 2017. We will be celebrating the classes of '52, '57, '62, '67, '72, '77, '82, '87, '92, '97, '02, '07, '12 and '16. Non-anniversary class members are also invited to participate in the festivities!
Is health care becoming more collaborative? This past spring, CMCC congratulated its colleagues and staff at St. Michael's Hospital’s Academic Family Health Team (AFHT) for their recognition by the World Health Organization (WHO) for ongoing work enhancing primary care delivery in Toronto’s inner-city community. In partnership with the hospital, CMCC has offered chiropractic services to patients in the Department of Family and Community Medicine at St. Michael's Hospital (SMH) in Toronto since 2004. Today, CMCC interns and clinicians are part of a comprehensive program that includes specialists in income support, chiropractic, psychology, acupuncture services, a legal literacy program and a committee
dedicated to addressing the key determinants of health. The chiropractic work within the hospital has made a significant contribution to the design and development of the health team model. Drs. Deborah Kopansky-Giles and Igor Steiman have been with the chiropractic team since 2004, dividing their time between treatment, program evaluation and research and education. They were joined last year by Dr. Chadwick Chung. Kopansky-Giles is a Professor in the Department of Graduate Education and Research at CMCC and a clinician-scientist at St. Michael’s Department of Family and Community Medicine. Over
the past two years, she has been involved with the WHO’s Framework on Integrated Peoplecentred Health Services, a global initiative to promote countries to adopt universal health care, integrated care models and patient-centredness as core principles for health reform. Kopanksy-Giles was in attendance in Geneva for the World Health Assembly, and the launch of the framework, which recognized the model of care developed at St. Michael’s AFHT. “The World Health Organization’s recognition of the team at SMH, and the response from the chiropractic community revealed the degree to which the communities are embracing interprofessional care, “says
Kopansky-Giles. “One of the many innovative features of the integrated care model at the AFHT identified by the WHO is its capacity to foster learning. Up to 300 learners from diverse educational streams and academic programs are involved in primary care education in a given year. Where possible, learners from different health professional training programs are blended while on rotation in the department.” As interprofessional education (IPE) has been demonstrated to promote collaborative competency of health professionals and to enhance teambased care, this is a priority for our program. St. Michael’s Hospitals’ AFHT offers several IPE modules on an ongoing basis to both preand post-license learners. “IPE research has demonstrated that when students learn common curriculum together their understanding about each other’s roles and their attitudes about each other’s contribution to patient care improve considerably. Clinicians on the team promote a nonhierarchical team structure and students benefit from the modeling of this behaviour in day-to-day clinical practice. Both teachers and learners have consistently evaluated these IPE programs as excellent and have greatly valued these educational experiences,” says Kopansky-Giles. Building a circle of trust Dr. Silvano Mior, CMCC Vice President of Research and External Relations, plays a leading role in the development of the kinds of collaborative relationships at an educational level that tend to foster collaboration later in practice. “People tend to develop a circle of trust,” says Mior. “The more
trust is developed among diverse professionals, the more we are at the table as a profession. It’s a matter of creating and nurturing trust which helps expand the network. It’s one thing for one MD and one DC to collaborate, but it’s another when we are able to expand the understanding beyond a personal level to a professional, collaborative and consultative exchange.” In 2012, he facilitated an articulation agreement with the University of Ontario Institute of Technology and in 2014, an agreement with the University of Winnipeg, both of which allow select students to earn an undergraduate degree and a chiropractic degree within seven years instead of eight. Also in 2014, Mior oversaw a Memorandum of Understanding (MOU) for knowledge exchange and collaboration between CMCC and the University of Toronto and with Hong Kong Baptist University. This spring, CMCC signed another MOU with the University of Southern Denmark (SDU) Institute of Sports Science and Clinical Biomechanics. “These Memoranda represent an acknowledgment that there is a basis for future collaboration that enable us to explore educational and research opportunities. They also allow us to have a global reach that facilitates the sharing of mutually beneficial interests and to expand experiences for our faculty and students.” According to Mior, focus on the patient creates a unified purpose that facilitates and advances relationships. A focus on the shared outcome and quality of the work can overcome barriers – the professional silos and biases – that stem from unfamiliarity and misunderstanding.
The survey says A recent CCA survey of members asked chiropractors in active clinical practice to describe their principal practice. Compared to 2007, there was a 5% increase in the proportion of these active chiropractors now working in a multidisciplinary practice, and a 4% decline in the number of sole practitioners.
Taking their place in history CMCC body donation program memorial
Opened in 1844 with its accompanying cathedral, St. James Cemetery in Toronto, Ontario is the oldest cemetery in Toronto still in operation. At the time, its location at Bloor and Parliament was still far from the city centre, south of Queen Street, where most of the cityâ€™s 18,000 people lived. For 172 years, the city has transformed around the land. Houses and farmland have made way for condos and highways, and horse drawn buggies have long since been traded in. Inside the grounds, however, the peace and calm and old world charm of the Anglican cemetery remain. It is the final resting place for famous Fathers of Confederation, famous city founders, business leaders, politicians and historical figures. Recent names include former Toronto Mayor, Rob Ford, politician Jack Layton, and Ontario Minister of Finance Jim Flaherty.
Hannah Grier Coome is the only well-known woman noted, but she also happens to be an Anglican Saint. Resting in their good company now are the individuals who have donated their bodies to chiropractic education and research. Their generous gift is one of knowledge and an invaluable contribution to the education of tomorrowâ€™s chiropractors. Each year, in June, CMCC holds a ceremony of remembrance inside the historic chapel of St. James the Less, a building recognized in the 90s as a national heritage site. The interior has deep set, stunning gothic stained glass windows and a heavy-timbered, pitched roof fortified with buttresses. In the small chapel, the architecture is brought to a personal scale and the effect is mesmerizing and
beautifully appropriate to honour the lives of the body donation program donors. This year, families and friends of the donors/deceased, together with CMCC, faculty, staff and students, participated in a touching ceremony of songs and testimonials to the importance of the gift these individuals made through the body donation program. Students spoke of the impact the donors had made on their education, faculty expressed their gratitude, and The Reverend Canon Allan Budzin acknowledged each person to be honoured this year. Following the ceremony in the chapel, those present were invited graveside to offer flowers and share a moment of gratitude and contemplation for the people and lives commemorated that day.
Considering Acupuncture? Learn from the best through CMCC Continuing Education Gain practical experience and more on the fundamentals of acupuncture, sports injury and acute chronic pain management. Fall and Winter programs available.* Program Info: ce.cmcc.ca Inquiries: firstname.lastname@example.org or 416 482 2340 ext. 191
*Special pricing for CMCC members
WCCS: International students exchanging ideas and unifying chiropractic By Dominique Harmath, Marc Bijman, Shadi Fattahi and Casey Baker
Who we are The World Congress of Chiropractic Students (WCCS) meets annually to discuss issues related to the chiropractic profession. As an organization, our objective is to exchange ideas and perspectives in a respectful way; to unify the chiropractic community from within; and to encourage interprofessional collaboration
within the health care community to maximize chiropracticâ€™s contribution to global health. With 25 international member schools, WCCS is a diverse group who, through collaboration, envisions global change in the acceptance and utilization of chiropractic. WCCS works to support this change through addressing existing education
legislation and health care policies around the world. What we do Each year, member chapters are responsible for implementing approved proposals within their respective school and community. Before each annual congress, delegates are selected from member schools to bring forward
“Our events (offer) an opportunity for students to broaden their...perspectives on chiropractic practices and policies around the world.”
their proposals addressing important issues in their region, such as the need for regulation, the importance of research, and the value of collaboration. 2016 Congress in Paris The 2016 World Congress of Chiropractic Students was hosted by the Institut Franco-Européen de Chiropraxie (IFEC) in Paris, France this past April. CMCC’s WCCS representatives participated in several discussions regarding the European-South African Education Collaboration position statement outlining clinical and professional chiropractic education and discussions of how to encourage interprofessional collaboration. The statement was: Chiropractic education should be reinforced by biological theories and peer-reviewed research while acknowledging the value of clinical experience, shared decision making and a patient-centred approach to care. The IFEC invited special guest speakers including Drs. Martin Cook, Jean Paul Pianta and Sebastian Fluentes. Dr. Cook discussed the Australian Spinal Research Foundation, presented on current spinal research and
spoke about how the Foundation hopes their research will contribute to greater utilization of chiropractic. CMCC representation CMCC sent a delegation of five dedicated students to represent the institution and evidencebased patient care. The delegation presented progress reports on two resolutions for which we are responsible: the Needs Assessment and the Consensus Statement Pilot Project.
goals as a chapter is to represent CMCC in an informed and professional manner. Throughout the upcoming 2016-17 school year, we will conclude the Needs Assessment and the Consensus Statement, both of which will have a significant impact on the WCCS and help to achieve balance within the organization.
The objective of the Consensus Statement is to pilot/establish the use of the Delphi Technique — a consensus building model for groups — to enable all WCCS member schools to reach agreements regarding health care topics and issues.
Within CMCC, the student representatives will continue to act as ambassadors for students to connect with the global chiropractic community. Our events will not only involve fundraising, but are also an opportunity for students to broaden their knowledge and perspectives on chiropractic practices and policies around the world. Activities will include inviting guest speakers from the World Federation of Chiropractic, information sessions on practicing abroad, an orientation week social event as well as an intramural event. We are excited for the upcoming year and look forward to continuing our efforts in the advancement of the chiropractic profession.
The future As a respected member school in the WCCS organization, one of our
For more information on the WCCS, visit our website at www.wccsworldwide.org
The Needs Assessment proposal is a large scale quality assessment of the WCCS that the CMCC Chapter is conducting to gain a better understanding of how to increase the number of member schools involved and improve member satisfaction.
Donations The donations listed here were received and processed between May 1, 2016 and August 31, 2016. 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.
Dr. Jean A. Moss
Mrs. Barbara Newbigging
Mrs. Brenda Smith
Dr. Stefan Bell
Dr. Marty V. Richter
Ms. Sally Smith
Dr. Condren R. Berry
Mrs. Brenda Smith
Dr. Guy Sovak
Dr. Cameron Borody
Mrs. Doreen Soloduka
Dr. Keith L. Burchill
The College of Chiropractic Sciences
Dr. David Wickes
The Orthotic Group
In Memoriam Donations
Dr. W. Mark deGruchy Dr. Paul G. Georgopoulos Dr. Katie Hammerschmidt Dr. Richard T. Hawthorne Dr. John N. Huy Dr. Jan J. Kempe Dr. Susanne Langdon Dr. Kevin J. Leizer Dr. Mark G. Libitka Dr. Charles Listro Dr. Ernest A. Morin and Mrs. Maureen E. Butler Morin Dr. Elmer E. Raabe
General Donations & Gifts in Kind Dr. David E. Abbott Dr. Carlo Ammendolia
Grice Chiropractic Professional Corporation Breathe Chiropractic Dr. Brian Baizley
Ms. Mara Bartolucci
Dr. & Mrs. Douglas M. Brown
Dr. Jenny M. Bekeschus
Dr. William M. Dronyk
Dr. Lee W. Brotherston
Dr. A. Ronald Elford
Ms. Daisy Chen
Dr. Adrian & Mrs. Ruth Grice
Ms. Geraldine Chen Ms. Shannon Clark
Dr. Martin B. Gurvey
Dr. Brian B. Croft
Mrs. Eileen Hugli
Dr. A. Ronald Elford Charitable Foundation
Dr. Larry G. Kozuback Dr. Sandra J. Malpass
Dr. Paul C. Gilmore
Dr. Jean A. Moss
HoMedics Group Canada
Mrs. Doreen Soloduka
Dr. Jack B. Lanskail
Dr. Igor Steiman
Dr. Scott Wilson, Physiomed
Ms. Meghan McFadden
Dr. David I. West
Dr. Silvano A. Mior
Dr. Kathy Wickens
Awards and Scholarships
Mrs. Barbara Newbigging
Dr. Leslie J. Wiltshire
Annex Publishing & Printing Inc.
Mr. Fred (Fariborz) Rajabi
Ms. Margaret McCallen
Mr. Gregory Roberts
Mr. Nicholas S. Tantalo Dr. Gary R. Taylor Texas Chiropractic College The Co-operators Group Insurance Dr. Darrell J. Wade
Richmond Country Club
Michael Dyzsuk (Class of â€™52)
Leonard A Hardman (Class of â€™67)
Richard George Hyma (Class of '55)
Daniel Harris Wilson Palmer Class of '84 Strong CMCC supporter. Served the profession on the Manitoba Chiropractic Association and Canadian Chiropractic Association Boards.
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.
Help us celebrate and support CMCC on Giving Tuesday â€“ November 29th! GivingTuesday is a global day of annual giving happening the Tuesday following BlackFriday and CyberMonday. It is a day for giving back!
Fall 2016 Volume 54 / Issue 3 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 email@example.com
Other frequently requested email addresses: firstname.lastname@example.org email@example.com firstname.lastname@example.org email@example.com firstname.lastname@example.org email@example.com Executive Editor: Shannon Clark Contributing Editors/Writers: Mara Bartolucci Christopher Ilogho Margaret McCallen Michael Radoslav Art Director: Dora Kussulas Photography: Jay Bowes Ward Hails istockphoto.com Director, Marketing and Communications: Mara Bartolucci Director, Alumni Relations: David Coleman
As you consider your own giving plans â€“ why not pay tribute to a mentor, classmate or fellow chiropractor who made a difference in your life? Encourage your fellow chiropractors to network and join you in supporting future generations of chiropractors. Please 'like' us on Facebook and donate at cmcc.ca/givingtuesday. To learn more about other ways to donate, please contact 416 482 2340 ext. 270 or visit our website cmcc.ca/donors
CMCC does not necessarily endorse or approve advertisements published in Primary Contact. Opinions of individual authors do not necessarily reflect the views of CMCC administration. Publications Mail Agreement Number: 40062432 Change of address and undeliverable copies should be sent to: CMCC Alumni Affairs Office 6100 Leslie Street, Toronto, ON M2H 3J1 cmcc.ca Twitter @cmccnews Facebook.com/cmccnews
Everything you're looking for all in one place at the CMCC Supply Centre & Bookstore, in store and online.
Visit our new online store at
CMCC Supply Centre & Bookstore 6100 Leslie Street Toronto, Ontario, M2H 3J1 Toll Free: 1 800 268 8940 firstname.lastname@example.org
Practice OpportUnity ‘17 Wednesday, February 15, 2017 CMCC — CCPA Hall
12:00 p.m. – 4:00 p.m.
Are you looking to... • Sell your practice? • Explore new employment prospects? • Find an associate, locum or fill another practice need? • Learn about products and services available to you? Registration is now open for Practice OpportUnity ’17. Meet and interact with CMCC students and industry professionals including associated business vendors. For exhibitor or display information, or to register as an attendee: Web: www.cmcc.ca/PracticeOpportUnity Phone: 416 482 2340/1 800 669 2959 ext. 200 Email: email@example.com Please contact firstname.lastname@example.org for more information on the opportunities available.
Published on Oct 17, 2016