Quarterly World Report JULY 2021
Ber m u da associat ion ch am pion s #BeEPIC cam paign
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WFC News Education news Research news World news and more!
3 PRESIDENT'S MESSAGE
Kn ow in g w h at w e st an d f or w ill h elp u s t o st an d ou t In life, our personalities are defined by our characters, the sum of our traits and quirks, our values and beliefs and the attitudes that make us unique individuals. How we are perceived has much to do with our behaviors, which in turn are the product of our life experiences, relationships and upbringing. Equally, in our practices as chiropractors, our standing in the community will be driven by how we are perceived, not just by our patients but by their friends and family members, health professional colleagues and wider society. Integrity, honesty and trustworthiness are at the heart of the success of all health professionals, with patients frequently ranking these attributes above those of clinical competence. In any organization, establishing a clear identity is fundamental to a successful strategy. This involves a need to articulate the values that underpin their work and ensuring that these values run through all levels of the business. Back in September 2019, the WFC first published its 20 Principles. A year later, in September 2020, they were revised and went from being a series of 20 statements to an expanded narrative about what it is that drives the WFC to do its work around the world. The 20 Principles set out what the WFC stands for. They encapsulate our vision, our mission, our attitudes and the behaviors that we feel are critical to supporting, empowering, promoting and advancing the profession. They are a guide to our actions, not a set of immutable laws. Only by knowing what we stand for can we expect to stand out. As we strive to grow the chiropractic profession around the world, our acceptance will be dependent upon establishing trust and ensuring not just that people understand what we stand for, but also see us living our principles in real life. It is actions, not words that count. As Benjamin Franklin once said: "Well done is better than well said."
Dr Carlos Ayres We encourage everyone to read the WFC 20 Principles. They speak to our values as an organization, our core beliefs and how we envision successful outcomes for chiropractic. They reflect our commitment to develop the profession for the benefit of patients and the public and to represent the interests of our national association members around the world. With the recent release of our position statement supporting globally accepted health practices, Principle #4 is particularly important: "We maintain that chiropractic extends beyond the care of patients to the promotion of better health and the well-being of our communities." As primary contact health professionals, we can all play a role in improving the quality of lives of our communities by supporting measures that positively impact both our patients and the wider public. Let's proudly fly the flag of chiropractic and be part of everyone's health care team. CA
4 WFC NEWS
New s f r om t h e Boar dr oom The WFC Board of Directors met on May 18, 2021. The Board welcomed three new directors: Dr Ryan Coster and Dr Glenn Guilderson from Canada and Dr Dana Lawrence from the United States. All three directors represent the North American region. The Board ratified position statements, approved at the previous Board meeting, in respect of the WFC's support of globally accepted health care practices and the substantiation of claims made by chiropractors. The Board received reports from each of its 7 world regions. Many of the reports focused on the impact of the COVID-19 pandemic and emerging variants. The Board ratified the appointment of Dr Kendrah da
Silva, of Midrand, South Africa as the WFC Vice-President. Dr John Maltby, Board member representing North America, was unanimously elected to the WFC Finance Committee. The Board considered the concerning issue of delinquent members, i.e. those members who had become inactive or were struggling to pay their dues. It was agreed that every effort should be made to support these members to bring them into good standing. The Board approved the strategy, proposed by the Executive Committee, of convening WFC Regional Forums as a means of maintaining communication in light of the inability to meet in person at assemblies or other meetings. Dr Dana Lawrence was
appointed as the Board Liaison to the Research Committee to fill the vacancy left by Dr Michele Maiers. The Board received reports from the respective Chairs of the Research Committee, Public Health Committee and the Disability and Rehabilitation Committee. An update on the progress of the virtual 2021 WFC Congress was received, including the scientific component. The Board received confirmation that the next WFC ACC Education Conference would be held November 2-5, 2022 at Logan University, USA. The Board was also advised that the 2023 Biennial Congress, to be held at Gold Coast, Australia, would be pushed back in light of the ongoing pandemic situation.
OUR PEOPLE WFC BOARD OF DIRECTORS
Carlos Ayres (President)
Latin American Region
Christine Goertz DC, PhD (Chair)
Kendrah Da Silva (Vice President)
Sidney Rubinstein DC, PhD (Vice Chair)
Kei Takeyachi (Secretary-Treasurer)
Eastern Mediterranean Region
North American Region
North American Region
North American Region
DISABILITY & REHABILITATION COMMITTEE
North American Region
Richard Nicol (Interim Chair)
North American Region
PUBLIC HEALTH COMMITTEE Claire Johnson DC, MS, PhD (Chair)
SECRETARIAT Richard Brown DC, LL.M (Secretary General) Khalid Salim (Finance & Administration Manager) Sarah Villarba (Administrative Assistant)
6 SECRETARY-GENERAL'S MESSAGE
Never u n der est im at e t h e pow er of com passion During the period of the COVID-19 pandemic, we have witnessed countless examples of kindness and compassion. The sense that we are all in this together has brought about national and international cameraderie that is often only seen during times of conflict. Neighbours have begun to speak to each other, differences have been set aside and communities and nations have been united by a common enemy in the form of an unforgiving, vicious, mutating virus. In health care, the elements of kindness and compassion have also been the focus of greater scrutiny. At our upcoming virtual WFC Biennial Congress, we are delighted to welcome back medical philosopher, Dr Jeremy Howick, who heads the Oxford Empathy Centre in the UK. He will be giving a presentation titled Kindness is a Blockbuster Drug, emphasizing the effect of compassion in health care and its impact on patient outcomes and patient satisfaction. As we navigate our way through professional and clinical practice, it is tempting to think that only intellect counts, that we can gain a superior status over our colleagues by knowing more facts and being cleverer than our peers. It is, of course, important that we arm ourselves with knowledge, read research papers and attend conferences to strengthen our position as evidence-based chiropractors.
these times, professional disagreements can spill over into unpleasant hostility, and compassion and empathy can be discarded. Debates can quickly become polarized and exchanges can descend into personal attacks. As human beings and as chiropractors, there will be few of us who do not recognize the power of kind words, a sympathetic touch of the hand or the offering of comfort to those in distress. During this pandemic, many of us have witnessed the grief and suffering of our patients and we mourn the loss of the millions of those who have lost their lives. These events, unprecedented in our lifetimes, call upon us all to be especially mindful of those with whom we interact, whether patients, families, carers, loved ones or colleagues. Let us all commit to kindness and empathy and pause for a moment if we are contemplating saying or writing something that is aggressive or unkind. Compassion must be the guide to our actions as we continue to steer our way through this strange period in our lives. RB
Yet, as we care for our patients and interact with our fellow professionals, these attributes may count for little if we disregard the essential attributes of kindness, compassion, empathy and friendship. It has been said that compassion means full immersion in the condition of being human. In challenging times, our tolerance is tested. We may have shorter fuses than when our lives are calm and settled. It is more difficult to keep our emotions in check and, when we disagree with others, tempers can become more easily frayed. At
Dr Richard Brown, WFC Secretary-General
7 WFC NEWS
CONTACTING THE WFC Wr it e t o u s: World Federation of Chiropractic 160 Eglinton Avenue East (Suite 601) Toronto, Ontario M4P 3B5, Canada Call u s:
WFC h olds pr ogr am of Region al For u m s t o h ear voices of m em ber s The WFC has commenced a series of Regional Forums engaging members, chiropractic federations and educational institutions. Traditionally, WFC members come together at a biennial Assembly, held in advance of the WFC Biennial Congress.
+1 416 484 9978 Em ail u s: General enquiries
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However, as a consequence of the COVID-19 pandemic and the consequent restrictions on international travel and meetings, it has not been possible to host in-person gatherings. With the next live Biennial Congress not being held until October 2023, it was felt that there was a need to bring members together in region-specific forums to enable the exchange of ideas, sharing of best practices, reports of activities and importantly, mutual support. The first of the Regional Forums was held in the WFC Africa region, with feedback reporting a resounding success. Thirteen African nations were represented, as well as the African Chiropractic Federation and leaders from the two African chiropractic educational programs. Members shared their experiences of managing the circumstances of the COVID-19 pandemic and notable successes in spite of the difficulties brought about by the pandemic in a continent that faces significant health system challenges. Members also discussed the potential for the expansion of chiropractic education into countries outside South Africa. WFC Africa director, Dr Kendrah da Silva, said, "The testimony of those who have succeeded (such as the recent registration of chiropractors in Uganda) encouraged those who are still knocking on doors. If there was a sense of despondence, it soon made way for a sense of hope. It was so refreshing to be able to engage with everyone at this level." The next Regional Forum will be held in the WFC Asia region later this month.
8 WFC NEWS
Ou t st an din g vir t u al 2021 WFC Con gr ess lin e-u p an n ou n ced The World Federation of Chiropractic (WFC) has announced the academic program for its upcoming virtual Biennial Congress - and it promises to be the most diverse line-up ever assembled at a WFC event. The Congress, which takes place September 23-25, 2021 is being held virtually as a result of ongoing international travel restrictions caused by the COVID-19 pandemic. The WFC has partnered with Parker Seminars to host its event using a state-of-the-art hosting platform, which is guaranteed to deliver an outstanding user experience. The entire three-day event will also be accessible on-demand to those registering for the Congress. 2021 marks the 30th anniversary of the WFC's Biennial Congress. Since its inaugural meeting in Toronto back in 1991, chiropractic has advanced around the globe. This year, our 16th Biennial Congress reflects an unprecedented time in our history. COVID-19 has impacted every aspect of our lives. It has presented challenges for clinicians, educators, students and scientists within the chiropractic profession. It has also acted as a catalyst for inspiration, innovation and opportunity. Our 2021 Biennial Congress will showcase the leading global advances in chiropractic. With contributors from around the globe, the theme of Chiropractic For A New Normal will showcase leading contemporary issues, with outstanding keynote speakers, stimulating panel discussions, groundbreaking research and inspirational subject specific content-experts. Plenary sessions will cover themes of patient-centeredness, interprofessionalism, collaboration, futurism, and adaptation to a new normal. Presenters have been drawn from each of the WFC's 7 world regions and 19 countries are represented by the speaker faculty. Besides a host of prominent chiropractic speakers
from the world of chiropractic, highlights in the program include: Dr Nakela Cook, Executive Director of PCORI; medical philosopher, Dr Jeremy Howick; Duke University's Director of MSK Research, Professor Steven George; and G-MUSC's Professor Andrew Briggs. The Congress also constitutes the largest international chiropractic scientific meeting, with researchers from around the world presenting original and published abstracts. For the first time, this Congress will also feature innovative digital poster sessions. The 2021 WFC Biennial Congress has something for every chiropractor across the entire spectrum of the profession. For more information and to register, visit wfccongress.org
9 WFC NEWS
Fir st Af r ican elect ed t o Execu t ive Com m it t ee The World Federation of Chiropractic (WFC) has appointed its first African representative to its Executive Committee. Dr. Kendrah da Silva has served on the WFC Board of Directors since 2019 and represents the African region. She was unanimously elected on May 18 at a meeting of the WFC Board of Directors, replacing outgoing WFC Vice-President, Dr Michele Maiers. Dr. Da Silva is a 1994 graduate of Technikon Natal (now Durban University of Technology). She runs a busy general chiropractic practice in Midrand, South Africa, balancing patient care with her work in chiropractic politics and education. Dr Da Silva is currently serving her third term as president of the Chiropractic Association of South Africa (CASA), the largest national chiropractic association on the continent. She became involved as a volunteer with CASA shortly after graduation and has been involved with CASA in some capacity for over a quarter of a century, including as a CASA Council Member since 2000. During her time with the association, Dr Da Silva has developed expertise in South African health coding systems and was a contributor to the WFC's submission to the global consultation on ICD-11. As an experienced leader, she represents a region that is no stranger to health care challenges, with many countries seriously under-served and a shortage of chiropractors to meet the need for spine care and disability prevention. She has been a key contributor to the South African Competition Commission's Health Market Enquiry, which is examining equity of provision within the private health care sector. On a national political level, Dr Da Silva has also represented the chiropractic profession in consultations around the implementation of the National Health Insurance scheme. As CASA President during the Covid-19 pandemic, she has been a vocal advocate of the national vaccine rollout across South Africa. Dr. Da Silva is a part-time lecturer on the chiropractic program at the University of Johannesburg, where she teaches clinical
Dr Kendrah da Silva was elected to the WFC Board by the African region
chiropractic to fifth year students. She serves as the Board Liaison on the WFC's Public Health Committee, where she brings experience of public health in Africa. She has been a leading voice in successive World Spine Days, inspiring activities to highlight the importance of spine health and disability prevention. Speaking on her appointment, Dr Da Silva said, "I am overwhelmed by the confidence that my fellow Board directors have placed in me. "This is an awesome opportunity to serve the chiropractic profession in a new capacity. As Vice-President, I'm looking forward to continuing to support WFC initiatives, including our #BeEPIC campaign and the WFC Principles, and further cement the progress the profession has made thus far." The WFC Board of Directors is made up of 13 representatives, nominated or elected from each of the WFC's seven world regions
10 WFC NEWS
WFC Boar d m em ber r ecogn ized w it h Au st r alian h on or A member of the Board of Directors of the World Federation of Chiropractic (WFC) has been recognized for his service to the chiropractic profession with a national honor. Dr Andrew Lawrence was announced as a recipient of the Medal of the Order of Australia (OAM) in the Queen's Birthday Honours List, published today. The Order of Australia, first instituted by Her Majesty the Queen in 1975, is the pre-eminent way Australians recognize achievements and service of their fellow citizens. Dr Lawrence joins a number of other Australian chiropractors who have been nationally recognized in this way. Initially trained as a pharmacist, Dr Lawrence qualified from Palmer College of Chiropractic in 1980 and has been in continuous private practice in Melbourne, Australia for 40 years. Dr Lawrence served a first term of office as president of the Australian Chiropractors Association (formerly the Chiropractors Association of Australia) between 1986 and 1990. He served two further terms as President, between 2001 and 2005 and between 2014 and 2018, when he presided over an historic restructuring of the association. Married with four children, Dr Lawrence has a particular interest in family chiropractic and health promotion. For 28 years, between 1990 and 2018,
Dr Andrew Lawrence OAM
he served as a part-time lecturer within the chiropractic faculty at the Royal Melbourne Institute of Technology. Commenting on the announcement, WFC Secretary-General Richard Brown said: "Andrew has served the chiropractic profession tirelessly over five decades and we are delighted to see his work recognized in this way. His leadership has been instrumental in advancing chiropractic in Australia and we are privileged to have him representing the Pacific region on the WFC Board."
WoC r each es ar ou n d t h e globe The WFC's World of Chiropractic YouTube and Apple podcast series continues, with host Dr Rebekah Wilks reaching out to prominent leaders in the profession from each of the
WFC's 7 world regions. With 12 episodes of WoC now having been aired, guests have included Dr Paul Cheung from UAE, Dr Mufudzi Chihambakwe from
Botswana, Dr Daniel Côté from NBCE in the U.S. and the WFC President, Dr Carlos Ayres. The interviews shine a light on leadership and trends within the profession.
16th World Federation of Chiropractic Biennial Congress
Confirmed speakers include: - Dr. Nakela Cook - Executive Director, PCORI
- Prof. Steven George - Director of MSK Research, Duke University
- Dr. Jeremy Howick - Director, Oxford Empathy Programme, University of Oxford
Help us celebrate our 30th year of WFC Congresses by joining us at this outstanding virtual event. Hosted by our friends at Parker Seminars, this unmissable Congress features inspiring keynote addresses, stimulating debates, groundbreaking research and top subject experts from around the world. Register now!
- Dr. Shawn Thistle -
CEO, RRS Education
- Dr. Mufudzi Chihambakwe, - Director, Spine Health Africa
- Dr. Raul Carillo Rodriguez - National Director for Sport, Mexico
- Dr. Scott Haldeman - Chair, World Spine Care
*15 hours CE credits approved (Europe) *15 hours CE credit approved (South Africa) *CE United States & Canada applied for
EARLY BIRD DEADLINE JULY 31
12 WFC NEWS
WFC Boar d w elcom es 3 n ew dir ect or s Since the last issue of the Quarterly World Report, the WFC has welcomed three new directors to the Board, all from its North American region. Dr Ryan Cost er , of Moncton, New Brunswick, serves as the President of the New Brunswick Chiropractors' Association. A graduate of Macquarie University, Australia, Dr Coster received the Student of the Year Award and was a recipient of the Chiropractic Association of Australia's Academic Excellence Award. Dr Coster also has a Master of Business Administration (MBA) from Mid-Sweden University, Östersund, where he majored in organizational management. He is a strong advocate of evidence-based practice and has previously served on the Board of Chiropractic Australia. He has a particular interest in sports chiropractic and was previously a voting member of Sports Medicine Australia. Dr Glen n Gu ilder son , of Lower Sackville, Nova Scotia, is a 2001 graduate of Canadian Memorial Chiropractic College (CMCC), prior to which he completed his undergraduate Bachelors degree in biology at Dalhousie
University. He is the clinic director of a multidisciplinary center that integrates chiropractic, osteopathy, psychology, acupuncture and massage therapy. While at CMCC, Dr Guilderson served as president of the World Congress of Chiropractic Students (WCCS). He currently serves as Secretary of the Council of the Nova Scotia College of Chiropractors on the Board of the CCA. In his home town, he is an active member of his business community. Dr Dan a Law r en ce, of Dallas, Texas, U.S.A, serves as the Associate Provost of Education and Research at Parker University. Having begun his career at National University of Health Sciences, Dr Lawrence spent many years at Palmer College of Chiropractic. He is widely published, including a number of textbooks, and serves on over 20 editorial boards. He is the recipient of two Presidential Leadership Awards from the American Chiropractic Association. He has Masters degrees in medical education and bioethics and health policy. Right, from top: Dr Ryan Coster, Dr Glenn Guilderson and Dr Dana Lawrence.
13 WFC NEWS
WFC par t icipat es in WCCS An n u al M eet in g
Wor ld Healt h Assem bly h eld vir t u ally
Held virtually for the second successive year, the AGM of the World Congress of Chiropractic Students took place in June.
May usually sees the WFC taking a delegation to the World Health Assembly (WHA) in Geneva, but as a consequence of ongoing restrictions brought about by the pandemic, the meeting was , for a second year, held via a virtual
With a theme of "The Future Is You", the meeting attracted over 100 delegates, representing chiropractic institutions throughout the world. WFC Secretary-General, Richard Brown, delivered a keynote address entitled "Navigating the Future: the 20 Principles of the WFC", setting out the values that underscore the WFC and its mission of advancing awareness, utilization and integration of chiropractic internationally. WCCS (wccsworldwide.org) is an apolitical and inclusive international forum representing the global student chiropractic population.
The 74th World Health Assembly was held virtually
platform. The WFC, as a non-state actor in official relations, submitted a delegation. Against the backdrop of the pandemic, governments from around the world attended virtually. With a theme of "Ending this pandemic, preventing the next: building together a healthier, safer and fairer world", participants focused on how WHO and other stakeholders can better address the consequences for communities and health systems around the world. The opening of the WHA saw heads of state calling for greater solidarity and support for low- and middle-income countries to scale up vaccine coverage. Inequitable access to vaccines was criticized by successive speakers, repeating the message that 'no-one is safe until everyone is safe'. Director-General, Dr Tedros Ghebreyesus, paid tribute to the world's health and care workers. The WHA also focused on social determinants of health and global progress on addressing non-communicable diseases (NCDs).
14 WFC NEWS
WFC appoin t s n ew Resear ch Com m it t ee Vice-Ch air A leading researcher and epidemiologist from the Netherlands has been appointed as Vice-Chair of the World Federation of Chiropractic (WFC) Research Committee. Dr Sidney Rubinstein DC, PhD was appointed to the Research Committee in February 2021. His appointment as Vice-Chair fills a vacancy that had been open since Dr Christine Goertz became Chair of the Research Committee in September 2020. A graduate of Los Angeles College of Chiropractic (now Southern California University of Health Sciences), Sidney Rubinstein holds the position of associate professor at the Vrije Universiteit, Amsterdam and is a registered epidemiologist in the Netherlands. His research focuses on effectiveness and cost-effectiveness of interventions for musculoskeletal disorders. Dr Rubinstein is perhaps best known for his systematic reviews. These types of overviews represent the crucial link in the practice of evidence-based health care. In addition to these studies, he is also on the Associate Editorial Board of the former Cochrane Back and Neck Review Group (now part of the Cochrane MSK Review Group). Dr Rubinstein is listed amongst the top 30 researchers in the world in the areas of neck and low-back pain according to Expertscape.com Additionally, Dr Rubinstein supervises PhD, MSc and BSc students. Alongside his research work, Dr Rubinstein works concurrently in clinical practice.
WFC Research Committee Vice-Chair, Dr Sidney Rubinstein
The WFC Research Committee serves as a body of experts advising the Board of Directors on matters of science and research relevant to the practice of chiropractic national association members.
15 WFC NEWS
WFC Boar d appr oves n ew posit ion st at em en t s The World Federation of Chiropractic (WFC) has approved two new position statements related to public health. Approved in principle in February and ratified at its meeting in May, the WFC Board unanimously passed the statements, which emphasize the organization's support for globally-accepted scientific and public health practices and the need for claims made by chiropractors to be capable of substantiation. As a non-state actor (NSA) in official relations with the World Health Organization (WHO), the WFC collaborates with a number of departments and actively advocates for public health initiatives. In the first of its newly-published position statements, the WFC sets out its clear support for globally-accepted scientific and public health practices, especially those
of WHO. Including reference to its promotion of evidence-based practice, high standards of chiropractic education, patient, community and societal welfare, and public health, the WFC position statement aligns with the WFC Principles, notably Principle #11, which explicitly supports WHO initiatives related to diet and physical activity, healthy ageing, anti-tobacco, injury prevention and infectious disease prevention campaigns. Meanwhile, the WFC's position in relation to health claims aims to address statements made by chiropractors in their communications in relation to effectiveness, cure or prevention. Its publication of its position statement on claims made by chiropractors comes amidst a WHO Global Conference on Communicating Science during Health Emergencies, where international organizations issued a joint statement calling on Member States to mitigate the harm caused by misinformation and disinformation. This was followed by a cross-regional statement signed by 132 nations in relation to the COVID-19 infodemic. An infodemic is a proliferation of information, including false or misleading information, in digital or physical environments during a disease outbreak. Infodemics can cause confusion or risk-taking behaviors that can harm health and lead to mistrust in health authorities and an undermining of the public health response. Both position statements are accessible on the WFC website: -
Support of globally and scientifically healthcare practices by chiropractors: w f c.or g/ posn _ph Claims of effectiveness, cure or prevention made by chiropractors: w f c.or g/ posn _claim s
16 WFC NEWS
WFC lau n ch es M em ber su ppor t pr ogr am U.S.-based EMG specialist, Precision Biometrics/Myovision, has become the WFC's latest corporate partner after an initiative was launched to support small member associations with dues sponsorship. Precision Biometrics/Myovision (myovision.com), which manufactures the ScanVision and DynaROM products, is the first company to take part in the new initiative, sponsoring the Lebanese Chiropractic Association, whose president is Dr Haifa Abouassi. Lebanon has suffered significant
social and economic challenges in recent years, resulting in a drop in the value of its currency by a third since 2019. In 2020, a massive explosion in the Lebanese capital of Beirut, killed 200 people, injured more than 5000 and left 300,000 people homeless. The WFC Corporate Partner support program is the brainchild of WFC Board Member, Dr John Maltby. Secretary-General Richard Brown said, "Ongoing challenges related to the COVID-19 pandemic have compounded difficulties for
many of the WFC's smaller constituent members, many with single-digit memberships, who as pioneers in their countries work tirelessly to advance chiropractic within their communities. We hope that this initiative will attract sponsors who share our vision of a world where everyone can enjoy universal access to chiropractic so that populations can thrive and reach their full potential." For more information about the program, contact Richard Brown at email@example.com.
Get in volved f or a ch an ce t o WIN! Here at the WFC, we want to hear how you have celebrated World Spine Day 2020 in your local community.
Pr of ession al associat ion s
Whether you're a WFC member national association, educational institution or independent chiropractor or clinic, tell us what you've done to make an impact on World Spine Day.
Edu cat ion al in st it u t ion s
We will be recognizing the best projects and activities, so be sure to take plenty of photographs when you share your stories with us.
Send in your competition entries by Novem ber 19, 2021 to w sdcom pet it ion @w f c.or g.
Information can be found on the WFC website at wfc.org.
First prize: US$600 Runner up: US$300
First prize: US$600 Runner up: US$300 Clin ic/ in dividu al pr act it ion er Best entry: US$500
Winners will be featured in the January 1, 2022 issue of the WFC Quarterly World Report.
19 COVER STORY
Ber m u dian ch ir opr act ic pr esiden t h ails valu e of collabor at ion Dr Lau r a Dow lin g is t h e Pr esiden t of t h e Ber m u da Ch ir opr act ic Associat ion . Sh e t ook som e t im e ou t of h er bu sy sch edu le t o be in t er view ed by t h e QWR an d sh ar e h er exper ien ce as a ch ir opr act or on t h e islan d. Like many chiropractors, Dr Laura Dowling did not plan at the outset of her career to join the profession. Having set her heart on a career in engineering or law, it was not until she was injured in a road traffic accident and sought care from a chiropractor that her career path changed. "After seeing a chiropractor, I just felt so much better," she explains. "I had more energy, my longstanding eczema cleared up and I was amazed that all this could be achieved without drugs or surgical procedures." Having the misfortune of a second car accident, she received treatment from a different health provider and realized that the impact of this care was quite different. She recognized at this point that chiropractic truly provided something separate and distinct from traditional health care. Growing up in New Jersey, Dr Dowling explains that her parents, both pastors, had a profound influence on her career and attitude to practice. She says, "My mother was a prison chaplain and was fearless. People respected her because she treated everyone with dignity, whether they were a millionaire or a member of a struggling family of multiple generations living under the same roof. As a young girl, I would tag along with my mother when she would visit
Dr Laura Dowling DC co-runs an interdisciplinary practice on the island of Bermuda. with her husband, Dr Henry Dowling MD
the inner city projects. She would treat every person with the same level of kindness and as a unique individual. I've tried to carry these values into my work as a chiropractor." Attracted by its philosophy, diversity and academic record, Dr Dowling chose Life University for her education, graduating in 1997. The emphasis on a positive approach to life and the value of compassion resonated with her. While at Life University, Dr Dowling met and subsequently married Henry, a Bermudian citizen who was undergoing medical training at Emory University. Following the birth of their second child, they moved back to Bermuda, where Dr Dowling has
20 COVER STORY
Ber m u dian ch ir opr act ic pr esiden t h ails valu e of collabor at ion (con t in u ed) practiced ever since. With her husband specializing in family-based medical care with a focus on internal medicine, pediatrics, pre-natal care and geriatrics, Dr Dowling teamed up with him in 2002 to establish Bermuda's first integrated health clinic. The clinic also provides rehabilitation, nutritional support, holistic pain management and counseling services. She is steadfast in her support for the value of interprofessional, collaborative care. "When you work interprofessionally, you have to be patient-centered," she says. "Collaborating with other health providers forces you to see the whole patient. No provider is an expert in everything, but by collaborating we can all play to our strengths for the patient's benefit." Dr Dowling is committed to taking a holistic approach to the care of her patients. Recognising her own scope and the limits of her expertise, she regularly refers her patients to colleagues and recognizes the value of shared decision-making. She comments, "My philosophy is that gaining an understanding of the individual patient before you is paramount. "So often we hear of care that gets patients in
and out in the shortest possible time. I believe we need to focus on our purpose as chiropractors. If you want to be in health care, you truly need to understand the person that you're treating." Dr Dowling stresses the value of ensuring balance in her life. As parents to 4 children, she and Dr Henry prioritize family life, ensuring that they are there for them whenver they are needed. Dr Dowling sums it up: "Taking good care of my children makes me a better chiropractor." Living on the island of Bermuda, a British Overseas Territory, is not a utopian experience for all. The cost of living is high and many inhabitants have to work more than one job to make ends meet. Stress and sedentary lifestyles impact physical and mental wellbeing. Dr Dowling observes that Bermuda's picturesque island landscape can sometimes mask real world problems, such as dysfunctional family life, financial hardship and poverty. Dr Dowling took over as President of the Bermuda Chiropractic Association in early 2020, having served as Vice-President for many years. "I think I was suckered into the job, " she laughs. "I certainly didn't see 2020 coming!" Despite the challenges of the COVID-19 pandemic, Dr Dowling has risen admirably to the task. Having grown the membership such that the island's 14-strong chiropractic health workforce are now all members of the Bermuda Chiropractic Association, she is focused on a range of areas of work.
Dr Dowling was an active supporter of World Spine Day 2020
While legislation for chiropractic was passed in the early 2000s, the Bermudian Government never established a chiropractic council and, with the support of the WFC, she is lobbying government to ensure that patients and the public are protected by appropriate regulation
21 COVER STORY
Ber m u dian ch ir opr act ic pr esiden t h ails valu e of collabor at ion (con t in u ed) and protection of title. Her experience in interprofessional collaboration paid off when she was able to both acquire PPE in the early stages of the pandemic and have chiropractors recognized as essential health workers. With the association's members servicing a population of approximately 60,000, Dr Dowling is looking at workforce development and hopes to see more chiropractors coming to Bermuda to practice. Conditions for chiropractors have improved under Dr
Dowling's leadership; they now have recognition and reimbursement for telehealth and greater continuing professional development opportunities. She continues to press for completion of the legislative framework, but with successive changes in government, this has proved to be a challenge. She has led her association in support of the World Spine Day initiatives and was an active participant in the 2020 WFC Assembly of Members. Under Dr Dowling's leadership, the association has established a
social media presence. Dr Dowling is committed to growing the profession and advocating for interprofessional collaboration, but at the same time does not wish to see chiropractic losing its traditional values and principles. As a true EPIC champion, Dr Laura Dowling is forging ahead in Bermuda. The WFC acknowledges with gratitude her work and leadership within the chiropractic profession. Dr Dowling was speaking to Richard Brown.
23 EDUCATION NEWS
Ch ir opr act ic edu cat ion br in gs in VR t ech n ology
Parker University will deliver VR simulattions during its teaching
Parker University has announced a new partnership and initiative to deliver clinical case simulations using virtual reality (VR) based on technology from SimX. These solutions will enhance both in-classroom and online learning, making it possible to conduct sophisticated, hands-on instruction that provides realistic learning experiences for students in clinical technique and related classes ? even during the pandemic as
students take courses online. The custom simulations created will initially focus on the examination of vitals, ranges of motion, orthopedic and neurological testing, differential diagnosis, and patient/practitioner positioning to promote confidence in Parker students through safe, repetitive practice of clinical reasoning and functional skills. Simulations will run on top-of-the-line, all-in-one
wireless VR headsets that cost drastically less than older wired models. ?We are pleased to be adding so quickly to our recently announced suite of advanced educational technology solutions for our students,? says Parker University President Dr. William E. Morgan. ?We are committed to maintaining our educational technology leadership for both online and in-classroom instruction."
24 EDUCATION NEWS
Ober st ein elect ed Ch air as ACC n am es n ew of f ier s Dr Ron Oberstein DC, FICA has been named as the new Chair of the Association of Chiropractic Colleges (ACC). Dr Oberstein, who serves as the President of Life Chiropractic College West, takes over from the University of Bridgeport's Dr Michael Ciolfi DC, MBA, EdD, who moves into the office of Immediate Past Chair. Dr David Wickes DC, MA, President of Canadian Memorial Chiropractic
David O'Bryon JD, CAE, continues to serve as President of the organization. Dr Oberstein has chaired a special NBCE task force for the ACC for the last two years and is the past secretary/treasurer of the organization. "The important work of the ACC to advance chiropractic education and advocate for colleges and student interests is paramount," said Dr Oberstein. "With the fast-paced changing landscape in higher education today, along with new pedagogies and technologies to serve today's modern learner, the ACC is in a great position to make positive changes within chiropractic education. Working with my fellow presidents, the first order of business is to set upcoming goals for the organization." ACC is comprised of accredited chiropractic educational programs in North America and affiliate member institutions worldwide.
Dr Ron Oberstein has been elected Chair of ACC
College, becomes Vice-Chair, while Dr Michael Mestan DC, EdD, President of Northeast College of Health Sciences (formerly New York Chiropractic College) was elected as ACC's Secretary-Treasurer.
ACC serves as the collective voice of chiropractic education. Through programs and services, the Association strengthens and promotes the chiropractic identity and mission of its member institutions so that all associated with chiropractic education can contribute to the world's health and wellness. Formed in 1994, the ACC holds an annual Research Agenda Conference focused on research training for chiropratic college faculty, students, practitioners and professional staff. The ACC also partners with the WFC to host a biennial Education Conference, which is attended by educational leaders from chiropractic institutions around the world. The next WFC ACC Education Conference will take place November 3-5, 2022 at Logan University, Chesterfield, Missouri, United States of America.
26 EDUCATION NEWS
En t ir e NBCE st af f h on or ed f or dist in gu ish ed ser vice
BCC accr edit ed f or m axim u m 8 year per iod
Following the close of the 2021 Annual Meeting, the Paul M. Tullio Award for Distinguished Service to the National Board of Chiropractic Examiners (NBCE) was awarded to the entire NBCE Staff for their dedication to public protection, the NBCE, and the chiropractic profession during a year of great uncertainty and the seemingly impossible challenge of safely administering all exams during 2020.
Barcelona College of Chiropractic (BCC) has been awarded full accreditation for the maximum period of 8 years by the European
At the onset of the COVID-19 pandemic in early 2020, the NBCE staff immediately took the necessary precautions to ensure the health and safety of the examinees and staff, including hundreds of test site administrators all over the country. Due to this persistent effort, all NBCE exam administrations were back on schedule with additional resources and precautions in place by the end of September 2020. To be considered for the Tullio Award the recipient must have distinguished themselves in the area of examination development, administration, analysis and/or scoring. The NBCE Board of Directors were unanimous in their decision to award such a dedicated staff with the Paul M. Tullio Award. Established in 1963 and headquartered in Greeley, Colorado, the NBCE is the international testing organization for the chiropractic profession, with the mission of ensuring professional competency through excellence in testing.
Dr Adrian Wenban, Principal of Barcelona College of Chiropractic
Council on Chiropractic Education (ECCE). In response to the results, BCC Principal Dr Wenban stated, ?BCC, through its innovative bilingual programme located in the heart of one of the Mediterranean region?s iconic cities, is now well positioned to help resolve the chronic supply shortage of chiropractors and thereby improve accessibility to its important philosophy, science, and art.? Upon completion of the site visit, the ECCE Evaluation Team members expressed thanks to the staff and students of the BCC for the professionalism, hospitality and courtesy afforded to its members during the three-day virtual visit.
27 EDUCATION NEWS
NYCC becom es Nor t h east College of Healt h Scien ces New York Chiropractic College has announced that it is changing its name to Northeast College of Health Sciences. The new name ? approved by New York State on June 7, 2021 ? was chosen to best reflect the transforming scope of educational opportunities offered at the College and to support the evolving range of growing health
Logan Un iver sit y Par t n er s w it h Un iver sit y Hospit als Con n or In t egr at ive Healt h Net w or k Logan University in Chesterfield, Missouri, has announced a new partnership with University Hospitals (UH) Connor Integrative Health Network in Cleveland, Ohio. The partnership will allow Logan Doctor of Chiropractic students to rotate through the UH system, gaining valuable experience in an integrated health care environment. They will work with UH's integrated chiropractic team in the areas of pain management, sports medicine, and physical medicine and rehabilitation, while developing an understanding of their role as a vital component of a large health system.
care professions. Changing the College?s name has long been discussed. The charge to do so was formally addressed in the NYCC BLUEprint Strategic Plan 2018-2021, and in June 2019 the College?s Board of Trustees voted unanimously for a name change. Though the process was put on a short hold due to the COVID-19 pandemic, the College was granted authorization for the new name by New York State in June 2021. The new name reflects Northeast College of Health Sciences?focus on connecting students from a variety of academic backgrounds to a robust range of integrated health care programs.
Dr David Vincent
The partnership was established through Logan graduate David Vincent, Buoncore Family Endowed Director of Chiropractic Medicine at UH Connor Integrative Health Network. He was responsible for introducing chiropractic to the UH organization and has integrated chiropractic into a number of UH institutes.
29 EDUCATION NEWS
M alaysian ch ir opr act ic pr ogr am at IM U led by alu m n u s For the first time in its history, the International Medical University's (IMU) chiropractic program is being led by one of its alumni. Dr Yi Kai Wong has been appointed as IMU Chiropractic Programme DIrector. Dr Wong graduated from IMU in 2014 as part of the pioneer cohort of graduates and went on to complete his Masters in Public Health in 2019, also at IMU. Dr Wong is the immediate past president of the Association of Chiropractic Malaysia (ACM), stepping down earlier this year to focus on his work at IMU. He remains Vice-President of the ACM. Since graduating, Dr Wong has participated in the development of the chiropractic in Malaysia. As well as working with the ACM, he has engaged with the World Federation of Chiropractic and the Federation
Dr Yi Kai Wong, IMU Chiropractic Program Director
of Complementary Natural Medicine Association Malaysia. He has also been actively involved with the Traditional and Complementary Medicine Division at the Malaysian Ministry of Health. Prior to joining IMU in 2015, Dr Wong worked in two chiropractic centers within the Klang Valley. In addition to working as an academic within the university, Dr Wong will be continuing to practice as a chiropractor at IMU Healthcare. Dr Wong is committed to the provision of accessible, affordable and evidence-based chiropractic healthcare. The chiropractic program at IMU is accredited by the Council on Chiropractic Education Australasia (CCEA). Students have the opportunity to complete the full program at IMU or study in part at IMU and transfer to one of its partner universities at RMIT (Australia), AECC UK (UK) or the University of South Wales (UK).
30 EDUCATION NEWS
UCLan su spen ds plan s f or ch ir opr act ic pr ogr am lau n ch The UK's University of Central Lancashire (UCLan) has decided that it will not be proceeding with its planned chiropractic course at this time, citing the ongoing pandemic situation and associated financial restraints as the reasons. A spokesperson for the Society for Promoting Chiropractic Education (SPCE), which has been instrumental in setting up the program, said "We are naturally disappointed, but not surprised, as the effects of the pandemic have been deep in the university sector. However, we hope that UCLan will revisit this decision in the not-too-distant
future; we stand ready to work with them and support them, as and when they wish to do so." Dr. Ken Young, the Lead (designate) for Chiropractic at UCLan said: ?The possibility of taking it up again in future years has not been ruled out and, as the course was approved last September, we have a viable curriculum that could be implemented with minimal effort, should conditions prove more favourable at another time. ?The good news is that chiropractic will continue to have a place at UCLan. I will be transferring over to the research
team to keep working on the projects I initiated since the deferral of the course last year. I am excited at the prospect of contributing in this new role, and there are educational projects that I will be exploring as well. I will also continue the other professional roles I have taken on since returning to the UK. ?Thank you [to SPCE] for your support over the last 18 months in this unprecedented and challenging time. I look forward to continue working for the betterment of patients and students.?
Vick ie An n Palm er h on or ed f or ser vice t o ch ir opr act ic Vickie Anne Palmer has been awarded the Lee-Homewood Chiropractic Heritage Award by the Association for the History of Chiropractic during the Annual Conference on Chiropractic History. This award is given each year to an individual who has made a distinguished career contribution of lasting significance toward the advancement of chiropractic in the scientific and academic communities, and public acceptance of the profession.
She joined the Palmer College Board of Trustees in 1978 and was elected chairman in 1987. As Board chairman, she was instrumental in developing the concept of Palmer ?s multi-campus system, which today includes three campuses. In 2008, she officially concluded her 21-year tenure as chairman, though she continues to serve on the Board as as a member of the Executive Committee.
Vickie Ann Palmer
32 EDUCATION NEWS
M eek er st eps dow n as Palm er West Pr esiden t After almost 40 years of service to Palmer College of Chiropractic, Dr William (Bill) Meeker has retired from his role as President of Palmer 's West Campus in San Jose, California. "I know the Palmer College community joins me in congratulating Bill on his nearly four decades of impactful service to Palmer and the chiropractic profession," said Dennis Marchiori, Palmer College Chancellor and CEO.
"I'm very proud to have been a member of Palmer 's academic community for my entire professional career," says Dr Meeker. "My association with Palmer has energized my passions and has provided me with many pathways to serve the chiropractic profession. "Particularly important for me was being given the opportunity to establish and lead the Palmer Center for Chiropractic Research, and thereby enhance its significant role in the development of the science of chiropractic." During his tenure at Palmer College, Dr Meeker has served as a member of the National Advisory Council of the National Center for Complementary and Alternative Medicine at the National Institutes of Health, and the Governing Council of the American Public Health Association. Currently, he serves on the Boards of the Foundation for Chiropractic Progress (F4CP), World Spine Care, and the Academy of Integrative Health and Medicine, of which he is chair. He has previously serviced as the vice-chair of the Association of Chiropractic Colleges.
Dr WIlliam Meeker
Dr Meeker received his B.A. in political science from Wabash College in 1973, his Doctor of Chiropractic degree from Palmer West in 1982 and his Masters in Public Health from San Jose State University in 1988. After serving 12 years as Vice President for research at Palmer College and as director of the Palmer Center for Chiropractic Research at Palmer 's main campus in Davenport, Iowa, he was appointed president of Palmer West in 2007.
Dr Meeker serves on the editorial boards of the Spine Journal, the Journal of Manipulative and Physiological Therapeutics, Explore, the International Journal of Therapeutic Massage and Bodywork and others. In his 38 years in the profession, Dr Meeker has authored more than 60 peer reviewed papers, books and book chapters and has made more than 100 scientific and policy presentations to multidisciplinary audiences around the world. He was named a Fellow of the Palmer Academy of Chiropractic in 1995. The WFC recognizes Dr Meeker for his service to the chiropractic profession and wishes him health and happiness in his retirement.
33 EDUCATION NEWS
UWS gr adu at e h on or ed f or com m it m en t t o in t egr at ed car e Stephanie Halloran, DC, MS, has been named the University of Western States (UWS) 2020 Alumna of the Year. Following graduation from UWS, Dr Halloran moved to Indianapolis for a preceptorship at the Veterans Affairs (VA) Clinic. She then had the opportunity to work with Dr Anthony Lisi, chiropractic program director for the Veterans Health Administration. She moved to Connecticut for a residency as a postdoctoral fellow at Yale University working on a National Institutes of
Health (NIH)-funded study under Dr Lisi, Dr Christine Goertz and Dr Cindy Long. In the last year, Dr Halloran has accepted a full-time clinical position at the W.G. (Bill) Hefner VA Medical Center in North Carolina. ?Dr Stephanie Halloran exemplifies the characteristics and values that UWS endeavors to instill in its graduates? patient focus, best practices, curiosity, inclusiveness, professionalism and individualized whole-person
health,? said Dr Joseph Brimhall, UWS president. ?Her integrity and leadership is an inspiration to everyone who has the privilege of working with her.?
Dr Sarah Halloran
34 EDUCATION NEWS
Par ker Un iver sit y an n ou n ces cu t t in g edge t ech n ology Parker University has announced the introduction of state-of-the-art technology to support its in-class and distance learning education provision. The partnership includes working with Touch of Life Technologies (Toltech) to deploy their Sectra 65-inch instructor touch table, four Ideum Colossus 86-inch touch tables, Sectra Education Portal software, and VH Dissector software. The technoloogy makes it possible to conduct sophisticated, hands-on lab instruction that provides realistic learning experiences for students in anatomy and related classes. Built on real anatomy from the Visible Human Project®, the VH Dissector software provides the necessary reference atlas allowing students to visualize and interact with more than 2,000 structures in 3D and cross-sectional views.
Students using Sectra technology
The Sectra Education Portal brings clinical-grade imaging into the anatomical education environment. It quickly and directly imports Digital Imaging and Communications in Medicine (DICOM) studies for automatic display in 2D and 3D. Built-in presets allow instructors and students to instantly visualize air, skin, soft tissue, contrast-injected vasculature, bone, or surgical interventions. Views can be customized even further for unique
visualizations of CT and MRI datasets. The five touch tables offer a simple tactile interface that uses intuitive hand gestures, multiple touchpoints, and easy-to-share tools so groups can learn anatomy and explore clinical cases as a team. Students receive individualized licenses of both the VH Dissector and Sectra Education Portal at no additional cost to support ongoing study throughout the academic and clinical curriculum at Parker University and for use in preparation for national board examinations.
?When the pandemic hit, rather than retrench in the way many other institutions have, we saw the opportunity to make major investments to increase our already impressive use of education technology,? says Parker University President Dr. William E. Morgan. ?This allows us not only to offer our best-in-category chiropractic education to students newly taking courses online, but also to greatly enrich the content and student learning experience for those courses, both online and in the classroom. We have firmly established our leadership in the use of educational technology in chiropractic instruction, and we will continue with our aggressive pace of deploying such solutions."
35 RESEARCH NEWS
St r on g ch ir opr act ic con t r ibu t ion t o global M SK h ealt h paper Chiropractors have featured strongly in an influential new paper published in BMJGlobal. The paper, titled 'Health systems strengthening to arrest the global disability burden: empirical development of prioritised components for a global strategy for improving musculoskeletal health' developed a strategic framework that can now be used as a blueprint by global agencies, such as WHO and others, to guide countries in formulating responses to tackling the burden of musculoskeletal health impairment.
less prioritized and less developed. The project was developed by the Global Alliance for Musculoskeletal Health (G-MUSC) and led by Professor Andrew Briggs of Curtin University,
It is well known that musculoskeletal disorders are the leading contributor to the global burden of disability. Yet despite this knowledge and multiple calls for action, global-level guidance and a global level response has been lacking. The findings of this new paper are that a global strategic response to improve musculoskeletal health and provide guidance to countries is supported across many sectors. Individual countries can adapt the framework to suit local contexts; this may be particularly useful for low-income settings where systems strengthening responses for MSK health are
Professor Andrew Briggs
Perth, Australia. The 40-strong authorship of the final paper included 5 chiropractors: James Young, Deborah Kopansky-Giles, Jakob Lothe, Scott Haldeman and Richard Brown. The study involved three phases: phase one was a qualitative study; phase two was a policy scoping review; and phase three was an e-Delphi study. The research addressed key gaps in knowledge in that it was data-driven and featured a global community including people with lived experience. Ref. Briggs AM et al. Health systems strengthening to arrest the global disability burden: empiircal development of prioritised components for a global strategy for improving musculoskeletal health. BMJGlobal 6(6). Openly available at https://gh.bmj.com/content/6/6/e006045.
37 RESEARCH NEWS
M ost sever ely af f ect ed colick y in f an t s ben ef it m ost f r om m an u al t h er apy, r epor t s n ew st u dy Infantile colic has been defined as crying for more than 3 hours a day, at least 3 days a week for the past 2 weeks with otherwise normal development. Despite years of study, the pathophysiology of excess crying remains unclear. Increasing knowledge, however, does suggest that children with colic do not form a single group but are thought to be several subgroups with different aetiologies such that no single treatment benefits all sufferers.
greater effect on the outcome number of hours of crying. The authors therefore concluded that the most severely affected babies have the greatest prospect of benefiting from chiropractic care. A need for further work in this area was identified. Reference:  Holm LV, Vach W, Jarbøl DE, Christensen HW, Søndergaard J, Hestbæk L. Identifying potential treatment effect modifiers of the effectiveness of chiropractic care to infants with colic through prespecified secondary analyses of a randomised controlled trial. Chiropr Man Therap. 2021 Apr 19;29(1):16.
This study followed on from a previous investigation, which showed a large variation in the effect of chiropractic care for infantile colic. The study design involved 185 Danish subjects aged 2-14 weeks and identified fifteen baseline variable and 6 general variables as potential effect modifiers. None of the subjects had experienced previous chiropractic care and were experiencing normal weight gain. Treatment involved 4 treatments over a two-week period. None of the variables were identified as being useful in identifying colicky infants with a potentially larger gain from chiropractic care. The results confirmed a diverse response to chiropractic care for babies with excessive crying. However, a greater number of crying hours at baseline and younger age were associated with a
The study involved 185 babies ages 2 - 14 weeks
WORLDSPINEDAY2021 HAVEYOUSTARTEDPLANNINGYET? worldspine.day.org
38 RESEARCH NEWS
Reassu r an ce can be ben ef icial, say Dan ish r esear ch er s Using data from the ChiCo cohort, Gitte Simonsen, Alice Kongsted and Tue Secher Jensen have studied the association between communication during chiropractic treatment for back pain and the outcome of the treatment. The study examined four aspects of the therapist?s communication during the consultation: the clinician?s cognitive reassurance; relationship building where the clinician shows empathy and
interest in the patient; generic reassurance where the clinician reassured the patient that there were no grounds for concern; information gathering where the clinician listens to the patients and summarises the back pain. The four aspects of the therapist?s communication were assessed by the patients after the consultation.
improve. The study included data from 2056 patients from Danish chiropractic clinics. Read more about the study in the scientific article here: https://bit.ly/3oJ3xUw
The study revealed that patients who perceived communication as reassuring were more likely to
Jan Har t vigsen in WHO exper t gr ou p on ch r on ic back pain A leading Danish researcher and chiropractor has been appointed to a WHO working group focusing on low back pain.
Malaysia, India, Benin, Belgium, South Korea, South Africa, Egypt, Canada, Switzerland, France, Pakistan, China and the UK.
Professor Jan Hartvigsen has been appointed to the WHO Back Pain Guideline Development Group (GDG), which features some of the world's leading spine researchers.
The geographical inclusion of the GDG reflects a desire to ensure that guidelines are based on universal scientific documentation, an understanding of local experience and tradition in the individual countries, and a commitment to make them applicable worldwide.
Tasked with advising governments all over the world on the treatment of chronic back pain, the researchers will examine the latest knowledge and draw up official guidelines for treatment of the world's leading cause of years lived with disability. A large task lies ahead of the expert group. In many countries, back pain is the most frequent reason for people seeing a doctor, a chiropractor or a physiotherapist. Globally, back pain affects more than 600 million people every day and leads to poverty and social inequality. The WHO Back Pain Guideline Group consists of an elite team of 25 researchers. As well as Professor Hartvigsen, from Denmark, participants are from Germany, Israel, USA, Peru, Australia, Nigeria,
Professor Jan Hartvigsen
[Photo credit: NadiaAamand13]
39 RESEARCH NEWS
M ar ia Cr ist in a Aw ar d w in n er s an n ou n ced Winners of the Maria Cristina research award have been announced.
evidence of efficacy and directions for further verification.
An ambitious project to improve the accuracy of the Prone Hypermobility Test was attempted by a group of chiropractors but got left in the to-do pile for several years.
With this milestone completed, Dr. Gryfe suggested that the paper be submitted to the Real Centro Universitario in Madrid, Spain for the VIII María Cristina research award.
The lead author, Dr. Gordon Lawson approached Dr. David Gryfe for help in finishing the paper.
Some translation of the paper into Spanish.was completed by Mrs Catherine Gryfe-Seeley.
With further editing and statistical analysis a definitive conclusion was reached, with
The paper was granted the top award, the prestigious VIII María Cristina Award, which attracted a ?3500 prize.
Dr David Gryfe and Dr Gordon Lawson
All of the money was donated to three chiropractic charities: the Canadian Memorial Chiropractic College, World Spine Care and the Foundation for the Royal College of Chiropractic Sports Sciences Canada.
New st u dy r eveals t h e best aspect s of bein g a ch ir opr act or A study published in April in the Journal of Canadian Chiropractic has revealed that chiropractors most value their ability to reduce people's pain and improve their quality of life. The study sought to find out what were the most and least attractive elements of being a chiropractor. An anonymous survey, conducted in 2019 and sent to members of Chiropractic Australia and the Canada-based Evidence-Based Chiropractors Facebook group, drew responses from 369 chiropractors (55% male), and found that respondents considered that the best aspects of being a chiropractor are that chiropractors can reduce pain, help move or build strength, flexibility, and power in patients. In addition, chiropractors 'being trained to
diagnose' and 'being able to transform people's quality of life' were highly scored. Job satisfaction overall was rated as high (median score of 9/10). The two lowest ranked statements demonstrate there may be a negative perception of the chiropractic profession amongst other health professionals and the public. The authors recommended that evidence-based information and research should be more accessible to the public and that to change some perceptions of the public, chiropractors need to be more involved in public health initiatives. Reference:  Beynon AM, Walker BF. The best aspects of being a chiropractor. JCan Chiropr Assoc. 2021 Apr;65(1):59-65. PMID: 34035541; PMCID: PMC8128334. Free full text available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8128334/
For 2021, the WFC brings its Biennial Congress directly to your home or office. With inspiring keynote speakers, outstanding debate, groundbreaking research and stimulating workshops, this virtual world congress presents an unmissable opportunity.
41 RESEARCH NEWS
BCA r esear ch pr om pt s call f or in cr ease ph ysical act ivit y New con su m er r esear ch f r om t h e Br it ish Ch ir opr act ic Associat ion (BCA) r eveals t h at 52% of people acr oss t h e UK ar e plan n in g t o u se digit al f it n ess solu t ion s t o st ay f it an d h ealt h y as lock dow n r est r ict ion s lif t . Conducted with OnePoll, the research explored the step change in the habits and routines of 5000 people across the UK regarding their physical health and wellbeing, beyond the immediate effects of the pandemic. The survey-based study revealed that 52% of people across the UK are planning to use digital fitness solutions, such as online home exercise videos, health and wellbeing apps and virtual personal trainers to stay fit and healthy as lockdown restrictions lift, with 44% seeking to improve their overall energy levels. With more than half of people across the UK turning to digital fitness resources, the BCA launched its virtual Manual for Movement that aims to share guidance on how to self-direct independent workouts using digital fitness resources, to prevent any aches and pains from getting between the public and their post-lockdown goals. The BCA encourages chiropractors to share the Manual for Movement on social media and tag the Association on Instagram, Twitter or Facebook. Catherine Quinn, President of the BCA, said: ?Social distancing and anxiety around returning to shared spaces may keep us out of gyms and fitness classes for a while longer, so it?s encouraging that so many people are planning to either pick up or continue exercise routines at home. But, of course, it?s important that new or advanced routines are taken on safely and sensibly to avoid any home injuries?.
42 WORLD NEWS
ACA Con t in u es t h e Figh t t o M oder n ize M edicar e?s Ch ir opr act ic Cover age The U.S House of Representatives reintroduced The Chiropractic Medicare Coverage Modernization Act (H.R. 2654) in the 117th Congress on April 19, 2021. The bill would increase Medicare coverage of chiropractic services provided by doctors of chiropractic to the full extent of their state licensure. This would ensure that seniors and other Medicare beneficiaries have access to all Medicare-covered services that DCs are licensed to provide, which represents a broad-based, non-drug approach to pain management. Originally introduced in 2019, this bipartisan legislation gained traction in the last congressional session, picking
up over 90 cosponsors. The text of the bill remains the same and it continues to gather support. Thanks to the tireless advocacy of ACA members and other supporters, H.R. 2654 has already gained 60 cosponsors as of June 10. Support for the bill was significantly bolstered on May 6, when chiropractic advocates from across the country entered the halls of Congress virtually for ACA?s Advocacy Day. About 350 doctors of chiropractic and students attended 315 virtual meetings with members of the House, urging support for H.R. 2654 with data and anecdotes about patients who have benefitted from chiropractic care. Medicare serves more than 55 million Americans, so the
benefits of this bill are far-reaching. Medicare currently limits the services that doctors of chiropractic are allowed to provide or order for their patients, a limitation that has existed for decades with no basis in science or policy. This lack of coverage means that Medicare patients must pay their chiropractors out of pocket or opt for another provider to access covered services. H.R. 2654 would give Medicare recipients access to all services under Medicare that chiropractors are licensed to provide. For more information about H.R. 2654, visitwww.HR2654.org. This site features FAQs and resources for practitioners and patients.
Have you considered becoming an individual supporter of the WFC? - Our Individual Supporters are committed to supporting the vision, mission and principles of the World Federation of Chiropractic. - From as little as US$180, you can be a named Individual Supporter, knowing that your contribution is helping to advance chiropractic around the world. - Register as an Individual Supporter today!
44 WORLD NEWS
M alaysian ch ir opr act or s aid COVID-19 vaccin e r ollou t The President of the Association of Chiropractic Malaysia (ACM) has praised the actions of his members during the COVID-19 pandemic. ?Considering the circumstances, chiropractors, in general, have adapted, minimizing risks while optimizing care to both maintain service and business sustainability. "I have been impressed and encouraged by the professionalism of the vast majority of fellow chiropractic colleagues during what is an unprecedented time for most of us. They have shown compliance with changing local governmental regulations, abided by national and WHO recommendations, and have continued to express concern for patient and staff safety. "Many chiropractors observed also adopted innovative strategies to maintain connectivity with patients and have continued to provide care through collaborative and integrated approaches,? he commented.
The National COVID-19 Immunization Program (NIP) was implemented in February 2021 with the hope to mitigate this pandemic. In October 2020, Special Vaccine Supply Access Guarantee Committee (JKJAV) was formed. Bilateral and multilateral negotiations were conducted with vaccine manufacturing countries. By December 2020 the Ministry of Health, Malaysia (MoH) announced that Malaysia had gained access to vaccines for more than 80% of Malaysia?s population. The vaccines available and approved by Drug Control Authority (DCA) are from the United States (Pfizer), United Kingdom (AstraZeneca) and China (Sinovac). Vaccine distribution has been strategized according to 3 phases; Phase 1: frontliners and COVID-19 responders; Phase 2: senior citizens
Virtually all chiropractors in Malaysia have been vaccinated
aged 60 and above, and immune-compromised individuals; Phase 3: the rest of the population aged 18 and above. Chiropractors were scheduled in Phase 1 under the same sphere as frontliners. Chiropractic is declared as an essential service in the country by the Traditional and Complementary (T&CM) Division, at the Malaysian Ministy of Health. The vaccine priority igiven to Phase 1 was to ensure the optimum operation in combating COVID-19. The vaccination for Phase 2 kicked off in mid April 2021. The ACM played a vital role in the vaccine registration for chiropractors and their assistants. A survey was conducted in February by the ACM with the main goal of obtaining feedback from chiropractors regarding their views on the immunization program, and if chiropractors should be included in the first phase of the program. Approximately 85% of those ACM members who participated are in support of the vaccination program, with hopes it would significantly reduce the number of daily infected cases. Almost all chiropractors registered for the vaccine have received their vaccines and digital certificate.
45 WORLD NEWS
AFC leader st eps dow n af t er 15 year s as pr esiden t After 15 years as president of the French Chiropractic Association (AFC), Dr Philippe Fleuriau has stepped down, leaving a legacy of achievement. Having graduated from the Franco-European Institute of Chiropractic in 1989, Philippe Fleuriau joined the AFC, the French Chiropractic Association, in 1990. He held the positions of secretary, and treasurer, before his election as president in 2006. In 2002, the year that chiropractic achieved legal recognition, Dr Fleuriau was encouraged to oversee political issues. It was later incorporated into the French public health code. Under his tenure as president, the profession experienced a succession of significant advances. Dr Fleuriau served on the General Council of the European Chiropractors' Union. He participated in developing the CEN standard for chiropractic. With the World Federation of Chiropractic, he organised the 2001 Congress in Paris. He has also been active with specialist chiropractic organisations such as the International Federation of Sports Chiropractic, with whose support he created France?s own sports chiropractic council, the Conseil Français de Chiropraxie du Sport, becoming its first president. He has been involved with the International Chiropractic Pediatric Association, and with organisations working towards multidisciplinary care, like Eurospine. At the international level, during his term as president of the AFC, the association contributed to funding the International Research Chair in Neuromusculoskeletal Health at the Université du Québec à Trois-Rivières. Despite handing over his presidential seat to the newly elected Dr Audrey Yargui, he has signed up for a final term as an AFC board member.
Dr Philippe Fleuriau
The diversity of Dr Fleuriau's commitment to the chiropractic community is naturally reflected in his own practice. In his clinic, he sees a range of family patients who benefit from his experience and skills in pediatric chiropractic. He is passionate about caring for amateur or professional athletes. In addition to his role as president of the AFC and the care he provides to his patients, Philippe is also involved in many sports competitions. At the intersection of his practice and his representative roles with associations, Dr Fleuriau is also regularly called upon by France?s national health authority as an expert. He has contributed to recommendations for good practice in the management of neck pain. Outside of chiropractic, between 2009 and 2016 Dr Fleuriau served as an assessor at the Caen juvenile court. Latterly, Dr Fleuriau has trained as an expert witness against a background of increasing litigation in the health sector. Renowned as a visionary in French chiropractic, the profession honors his work and thanks him for his service.
46 WORLD NEWS
Au dr ey Yar gu i elect ed pr esiden t of t h e Associat ion Fr an çaise de Ch ir opr axie (AFC) Audrey Yargui, a chiropractor from Suresnes, near Paris, has been elected President of Association Française de Chiropraxie (AFC), the WFC Member for France. Dr Yargui takes over the office of President from longstanding incumbant, Dr Philippe Fleuriau,
in a number of areas, including representing the profession within France's Union of Liberal Arts Professions (UNAPL), where, despite chiropractic being one of the smallest professions represented, it had its voice heard through her strong advocacy, particularly in the area of financing of professional training. Within her private practice, Audrey has a specialist interest in sports chiropractic, and has specialized in the application of photobiomodulation, or low level laser therapy. She is committed to interprofessional collaboration and works with a number of other health disciplines, including physiotherapists, dentists, gynaecologists and psychologists. She also works in the Quality of Working Life (QWL) initiative and works as a movement and posture expert for QWL consulting firms.
Dr Audrey Yargui
who has stepped down after 15 years in the role. Dr Yargui, who has served as Vice-President of the AFC, is a 2006 graduate of the Franco-European Institute of Chiropractic (IFEC) and has served on the AFC Board since 2011. She has previously served as Chair of the French Chiropractic Sports Council (CFCS), stepping down earlier this year after four years in charge. She continues to sit on the Board of FICS, the international sports chiropractic federation. Having led efforts to support World Spine Day in France, Dr Yargui demonstrated strong leadership
Speaking on her appointment, Dr Yargui commented, "I am honoured to be appointed president of the Association Française de Chiropraxie (AFC). With the support of Philippe Fleuriau, whom I am succeeding, I have been preparing for this role for several years. I am therefore happy and proud that the association?s board of directors has placed its trust in me. As president, I will continue to work tirelessly for chiropractors to enforce our legal recognition, in order to gain new rights. The state of our recognition has its limits, as the Covid crisis has shown. At times we are essential enough to warrant special dispensation for a journey, at others we are not sufficiently essential to be entitled to childcare." The WFC congratulates Dr Yargui on her appointment and wishes her every success as the leader of one of Europe's largest member associations.
48 WORLD NEWS
BCA u n der t ak es m ajor r eposit ion in g exer cise Throughout its 95 years, the British Chiropractic Association (BCA) has taken the lead in both establishing chiropractic and shaping the profession in the UK. The Association?s direction has always been driven by the needs of the profession with a view to the future; always for the benefit of its practitioners and their patients. After changes to the senior leadership team two years ago, the Association is now at the point where establishing a new strategic position will be paramount in moving forward in its development. This project will help the BCA to explain who
they are, what they represent and the character and motivation of their members. On completion of this strategic repositioning, the BCA expects to be able to articulate its new position to help to engage its stakeholders, including chiropractic patients, in a clearer and more precise understanding of who chiropractors are and how they fit into the world of musculoskeletal (MSK) health. The Association expects this to be a major stepping stone in the development of the profession. BCA CEO, Tom Mullarkey MBE, said: ?This repositioning project is not just about definitions; it?s
about existentialism, identity, belonging, coherence, clarity and, ideally, inspiration. These shared ideals and values will illuminate the tremendous potential of chiropractic and make others want some of it?.
Tom Mullarkey MBE, CEO, British Chiropractic Association
CDAHK Ch air n am ed as leadin g case r epor t au t h or Dr Eric Chu, Chair of the Chiropractic Doctors Association of Hong Kong (CDAHK) has been named as a leading published author in
a bibliometrics review of published chiropractic case reports in the journal Chiropractic and Manual Therapies (Trager RJand Dusek AJ, 2021). Dr Chu, who as well as chairing the CDAHK also serves on the Board of the Open University Nursing School, has published over 30 case reports, and has featured in the BMJEditors Choice and Oxford Key Case Reports.
Dr Eric Chu, Chair, Chiropractic Doctors Association of Hong Kong
Topics covered by Dr Chu's case reports include case presentations and reports of clinical outcomes on
depression, nocturnal enuresis, atlantoaxial subluxation, cancer pain, post-polio syndrome, dermoatomyositis and myaesthenia gravis. Dr Chu has collaborated with a number of leading institutions in Hong Kong, including Hong Kong University Medical School, the Chinese University of Hong Kong Medical School and the University of Mississippi Medica Center. CDAHK has pledged to promote the WFC's #BeEPIC campaign and endorses the principles to its members.
49 WORLD NEWS
NCM IC an n ou n ces ch ir opr act ic r ecipien t s of pr est igiou s Har var d an d Yale Fellow sh ips NCMIC is pleased to announce the recipients of two Ivy League, chiropractic fellowships? the first of their kind? funded by the NCMIC Foundation. Sar ah Gr ah am , DC, a graduate of Cleveland University Kansas City, has been chosen for the Innovations in Musculoskeletal Pain Administration, Analytics, and Care Training (IMPAACT) post-doctoral fellowship at Yale University. Dr. Graham will begin her fellowship in August and will enroll in the Master of Public Health at the Yale School of Public Health. The IMPAACT fellowship provides advanced training in health care policy, administration and informatics related to the management of musculoskeletal pain disorders. The program aims to develop chiropractors into leaders in the analysis and administration of health care system programs related to musculoskeletal pain disorders with a focus on innovative nonpharmacological approaches. The goal of the fellowship is to prepare graduates for future careers in health care policy and/or administration.
Dr Wren Burton
Wr en Bu r t on , DC, a graduate of Palmer College of Chiropractic-West Campus, San Jose, California, has been chosen for the Osher Center for Integrative Medicine Chiropractic Research Fellowship at Harvard Medical School and Brigham and Women?s Hospital. Dr. Burton begins her fellowship in July and will enroll in the Master of Public Health program at the Harvard T.H. Chan School of Public Health. The Osher Center fellowship advances chiropractic research through cultivating and mentoring an exceptional candidate focused on the development of research skills to support a career as an independent researcher in clinical musculoskeletal health or pain management research. Secondary opportunities will also be provided for advanced clinical training within a multi-disciplinary academic medical clinic. Both fellowships are being funded by NCMIC?s non-profit entity, the NCMIC Foundation, a 501(c)(3) organization.
Dr Sarah Graham
51 WORLD NEWS
ICA n am es 2021 Ch ir opr act or of t h e Year
NCM IC f or gives alm ost $5m of COVID-19 loan s
The International Chiropractors Association has named Dr Deed Harrison as its 2021 Chiropractor of the Year.
WFC Platinum Corporate Partner, NCMIC recently announced that 99% of the 338 Paycheck Protection Program (PPP) loans it provided to chiropractors in the first round of lending have been forgiven - nearly double the national average.
Dr Harrison, a 1996 graduate of Life Chiropractic College West, has published over 100 peer
?PPP loans are another way we were able to serve the chiropractic community in its time of need,? said Tony Dickinson, President, NCMIC Finance Corporation. ?The fact that 99% of those loans were forgiven is huge. In many instances, it?s going to be the reason many chiropractors are able to move forward without debt after the pandemic.? According to the U.S. Small Business Administration (SBA), of the 5.2 million PPP loans it awarded nationwide, the average rate of forgiveness was near 52% as of April 2021.
Dr Deed Harrison, 2021 ICA Chiropractor of the Year
reviewed papers and four textbooks, specializing in the area of chiropractic rehabilitation. He is the President of Chiropractic Biophysics Technique and Seminars and CBP Nonprofit Inc, a spinal research foundation. Dr. Harrison is a member to the International Society for the Study of the Lumbar Spine (ISSLS). The ICA Chiropractor of the Year Award was created by ICA?s Founder Dr. BJ Palmer in 1950 and is presented annually to one exceptional individual who has distinguished themselves throughout their career through extraordinary service to the ICA and the chiropractic profession.
The Paycheck Protection Program (PPP), part of the Coronavirus Aid, Relief and Economic Security (CARES) Act, was designed to provide relief for small businesses working to keep their doors open and their employees paid during the COVID-19 pandemic. ?I was just hoping to pay the rent and my expenses,? said Jacalyn Buettner, a DC living and practicing in San Francisco, California. ?As it turned out, it helped me supplement my income so I didn?t have to borrow money, even for my living expenses. I kept my practice open and was able to live off all that income.? ?Taking care of our own is exactly what we do and why we?re here,? said Wayne Wolfson, DC and President, NCMIC. ?We?re grateful for the opportunity to have been able to be of assistance during trying times and we will continue to be here for the chiropractic profession in the future.?
52 WORLD NEWS
Japan ese Associat ion of Ch ir opr act or s elect s n ew Pr esiden t Dr Shimon Takayanagi has been elected as the new president of the Japanese Association of Chiropractors (JAC). Dr Takayanagi was named at the JAC Annual Meeting, replacing Dr Kei Takeyachi, who has been in office since 2013 and represents the WFC Asia region on the WFC Board of Directors. Dr Takayanagi studied wood science and technology at University of Shizuoka before enrolling into the RMIT University Chiropractic Unit (Japan), qualifying in 2011 and opening a private clinic in Toyohashi. He has been serving on the JAC board of directors since 2013. Married with two sons, Dr Takayanagi mountain climbing, fishing and futsal. He aims to provide regular continuing education seminars to JAC members to maintain their knowledge and skills during the ongoing pandemic. In April, JAC?s ?COVID-19 Prevention and Control Guidelines for Chiropractic Offices? were approved by the Ministry of Health, Labour and Welfare (MHLW) and the Ministry of Economy, Trade and Industry (METI) published on the professional guidelines website provided by the Office for Novel Coronavirus Disease Control, Cabinet Secretariat, Government of Japan.
Dr Shimon Takayanagi is the new President fo the JAC
Leadin g polit ician n am ed ch air of Japan Ch ir opr act ic Regist er Mr Shigeru Ishiba, a leading politician, was appointed as the new Chair of the Japan Chiropractic Register (JCR). The JCR is a voluntary register for chiropractors in Japan whose training is in accordance with WHO guidelines. Mr Ishiba has held a number of government positions including the secretary-general of the Liberal Democratic Party, the Minister of Defense, the Minister of Agriculture, Forestry and Fisheries, the Minister of State for the National Strategic Special Zones and so on. (From left) Kei Takeyachi (JAC Past President), Yoshihiro Murakami (VIce-Chair, JCR), Shigero Ishiba (JCR Chair) and Masao Akamatsu (Hon President, JAC)
The JCR submits its register annually to the Ministry of Health, Labour and Welfare as a means of promoting high standards of education and regulation for the protection and safety of the public.
54 WORLD NEWS
Australian flying chiropractor serves rural communities Access to essential services such as chiropractic care, can be quite challenging for rural and remote communities. Cairns chiropractor Dr Nathan Bridge has been flying in and out of rural communities to provide chiropractic care across the last decade. With a deep desire to help people and serve the community through healthcare, Nathan was drawn to the chiropractic profession by the immediate impact chiropractic care had on
the body. He was also impressed by the chiropractors he visited and how passionate they remained several decades into their career. ?I wanted to be part of a profession where you could be in practice for 30 years and still really love what you are doing, where your patients are excited to come to your clinic, grateful and satisfied with the care you are giving them,? Nathan reflects. From a young age, Nathan had an interest in flying but it was his
Dr Nathan Bridge is a member of the Australian Chiropractors Association
vision for servicing rural communities that finally led him to get his pilot?s license and buy his own plane. ?Everyone deserves access to chiropractic care and those areas in northern Australia shouldn?t be any exception.? It?s easy to underestimate how large Queensland is, with some patients driving up to eight hours to receive care at one of Nathan?s rural stations. ?People who live remotely often have physical jobs and these
55 WORLD NEWS
Australian flying chiropractor serving rural communities (continued)
Or egon ch ir opr act or s collabor at e t o ach ieve w in f or pat ien t s
people take a day out of their life to travel to see us, and they?re so grateful for what we do and how we support their bodies to continue to do what they need to do.?
The Oregon Chiropractic Association has collaborated with a range of other healthcare professional associations to pass legislation addressing confusion and delays many patients have experienced when attempting to obtain pre-authorization for medical procedures.
Nathan has proudly been a member of the Australian Chiropractors Association since 2003, greatly valuing all of the features that membership provides. ?The ACA provides a voice for chiropractors and I think it?s really important to be part of an Association that represents chiropractic.? For Nathan, being an everyday hero is as simple and being involved in your community and being excellent in what you do. A big advocate for mentoring, Nathan encourages younger chiropractors to find a mentor in order to be masterful in all aspects of practice, whether diagnosis, technique or communication. ?Being masterful in everything you do helps you be an everyday hero because you get to help people as well as you can.? [Credit: Australian Chiropractors Association]
This new Oregon law will reduce the administrative burden, reducing costs and reducing patient waiting times. It will also improve transparency and navigation through the administrative process by ensuring all chiropractic offices and their patients receive a clear reason for any denied requests and requires insurance companies to provide notification of any changes to utilization management within a reasonable period. This patient-centered legislation is the result of several healthcare professions and foundations working together for the good of our patients. These groups include the Oregon Chiropractic Association, the Oregon Medical Association, Oregon Association of Naturopathic Physicians, Osteopathic Physicians and Surgeons of Oregon, Oregon Nurses Association, Oregon Physical Therapy Association, Oregon Association of Acupuncturists and many others.
Oregon is one of the U.S.'s westernmost states, locate on the Pacific coast.
56 WORLD NEWS
Ugan da ach ieves ch ir opr act ic st at u t or y r egist r at ion Two decades of perseverence has paid off for the chiropractors of Uganda, who have finally been recognized by the Allied Health Professions Council (AHPC) of Uganda. President of the Chiropractic Association of Uganda (CAU), Dr Charles Sebwana, confirmed that both legislation and pre-registration assessments for Uganda's 5 chiropractors had taken place at the end of June 2021 at the Mulago hospital in Uganda's capital city, Kampala. Chiropractic services are provided at the Mulago Hospital and at other locations throughout Uganda.
Deputy Registrar of the AHPC, Mr Mpima Kibirango, the AHPC Registrar witnessed the ceremony as Guest of Honour. In line with many regulatory frameworks around the world, it was announced that the four Councils regulating medicine and dentistry, nurses and midwives, pharmacy and the allied health professions will be merged into one body within the next two years.
Speaking after the event, Dr Sebwana said, "Public utilization of chiropractic services is on the increase. The next step is to establish chiropractic education. We are grateful to both the WFC and African Chiropractic Federation for their support." Dr Charles Sebwana is the President of the Chiropractic Association of Uganda.
Assessment of competence were conducted by Dr Isaac Mwaka, a professor of orthopedics at Makerere University and Dr Lisa Tillery, an overseas chiropractor currently volunteering in Uganda, who served as a technical panelist. Other panelist included officials from the AHPC. The event of finalizing legislation and opening the chiropractic register was undertaken by the
58 WORLD NEWS
Wh y do ch ir opr act or s w an t t o give u p t h eir au t on om y t o be r egu lat ed? Don n a Coh en , Execu t ive Dir ect or , In t er n at ion al Ch ir opr act ic Regu lat or y Societ y Some chiropractors view regulation as a guarantee of title protection: to be able to practice legally and to call oneself a chiropractor and restrict others from using that title. Some want regulation as access to payment by national health plans or reimbursement for diagnostic imaging. For others, the need for regulation becomes apparent when association members confront a single case of a chiropractor operating outside of practice standards that are taken for granted Complaints range from sexual impropriety to fraud to promising cures unfounded by science or even anecdotal literature. Ethical association members quickly see that each bad actor makes a dent in the reputation of the profession as a whole. A few visionary leaders are able to foresee the importance of planting a regulatory tree today. One association president explained why he has fought so hard to lay the foundation for
regulation in his country, where there are only five chiropractors. ?One day there will be 100, and then 500. And it?s easier to build a system when you only have to get a handful of people to understand it than hundreds.? Regulation simply for the use of the title ?chiropractor ? is not enough. Comprehensive rules oversee the qualifications to secure and maintain the right to practice. They also address encumbering or removing the practice privilege, as well as reinstatement. As each aspect of the legislation is considered, it brings to mind a multitude of other questions. Naturally, proper education will be required. But who decides what that is? Who supervises the educational process? Who accredits the accreditors? How can we ensure that both the system that educates doctors and the actual graduates are qualified? What is the role of education obtained prior to enrolling on the chiropractic program? How important are
For m or e in f or m at ion abou t t h e ICRS, visit
ch ir or egu lat ion .or g
examinations? Who selects the subject matter to be tested? What formats really measure capability, not just knowledge? How is fairness determined? What does ?good character ? mean? How are past infractions measured when assessing a current candidate for licensure? There is a power differential inherent in being a healthcare professional. Are there ways to identify whether an individual can be trusted with the patient?s greater-than-ordinary vulnerability? Is fluency in the native language necessary? How about citizenship requirements and/or work permit status? Even more basic in these times of identity theft, how can we be certain the applicants are who they say they are, and that the credentials have not been altered? These are just a few of the issues that those who seek regulation must explore as they develop detailed language to regulate who can be awarded the privilege and responsibility of practice.
59 WORLD NEWS
New Ch air f or ICA as of f icer s an n ou n ced: Selin a Sigaf oose-Jack son elect ed t o lead Boar d During the 95th Annual Conference of the International Chiropractors Association (ICA), the association?s Board of Directors elected its officers for 2021-2022. Dr. Selina Sigafoose-Jackson was elected unanimously to serve as the Board Chair. This marks the first time that a woman has been elected to the top Board position of the ICA. In another first, Dr. Amit ?Jimmy? Nanda was elected Vice-Chair, becoming the first member from outside the U.S. to serve as officer in the ICA. Following the election Dr Sigafoose-Jackson stated, ?I am pleased to accept the position as Board Chair of the International Chiropractors Association. "As a second-generation chiropractor, I have lived and loved chiropractic my entire life. Our association faces some very significant challenges in a post-Covid climate. "I am committed to working with my ICA board colleagues, and our members and staff leadership to build a stronger and more
Dr Selina Sigafoose-Jackson is the first woman to have been elected to the top Board position of the ICA.
influential organization across the states and the world.? Dr. Sigafoose-Jackson, as the Chair of the ICA Board is the chief elected volunteer officer of the ICA and serves as the chief spokesperson of the board. Among her responsibilities is to lead the board as it develops strategic priorities for the organization. ICA?s Executive Director/CEO, Ms. Beth Clay stated, ?It will be my pleasure to work with this new team of officers of the Board of Directors as we set our sites on increasing the capacity of the ICA to deliver on its Mission to protect and promote chiropractic worldwide as a separate and distinct non-drug health profession. There has never been a better (or more urgent) time to join the ICA!?
61 BOOK REVIEW
F4CP Ch ir opr act ic Com m er cial t o Air M u lt iple Tim es Du r in g t h e Tok yo Su m m er Olym pics by Sherry McAllister, DC, President, Foundation for Chiropractic Progress
This summer will be one for the books for the chiropractic profession! The highly anticipated :30 second chiropractic TV commercial, developed by the Foundation for Chiropractic Progress (F4CP), is expected to air FIVE TIMES during the Summer Olympics, July 26-30. Special thanks to the National Board of Chiropractic Examiners (NBCE) for generously covering the cost of the five premier placements. The commercial, which is expected to reach 204M+ individuals, will aim to educate consumers about chiropractic, while also inspiring others to pursue a career in chiropractic. To watch the commercial, visit w w w.f 4cp.or g/ olym pics In addition to the commercial, the F4CP has created a comprehensive campaign, Optimizing Performance with Chiropractic Care. The campaign features 18 professional athletes touting their positive experience with chiropractic in 18x24 color posters and video testimonials. Both campaign resources are great to share with your own audiences to help raise awareness about the benefits of chiropractic care. The campaign would not be complete without a final poster, Elevate Your Career, Health and Future with Chiropractic,featuring Dr. Erica Witter-Davis, past Olympian turned doctor of chiropractic and the STAR of the Foundation's :30 secon d Olym pic TV com m er cial.
If you ar e n ot alr eady a m em ber of t h e Fou n dat ion , you can r eview t h e ben ef it s an d/ or join h er e w w w.f 4cp.or g/ pack age t o access t h e m at er ial m en t ion ed above. This is going to be an incredibly historic year for chiropractic on a global level and we can?t wait to see where this journey brings the profession!
f 4cp.or g
62 WORLD NEWS
Wor ld Spin e Car e: u pdat e World Spine Care is a global charity on a mission to improve lives in underserved communities. We aim to create a world in which everyone has access to the highest quality spine care possible. Despite the challenges of a global pandemic and being unable to provide patient care, World Spine Care (WSC) has managed to accomplish some great things in the first half of 2021. We are grateful for the encouragement from our supporters who make it all possible. Volu n t eer s n eeded in Dom in ican Repu blic We are preparing to re-open the Moca, Dominican Republic clinic ? but we need volunteers to provide care to patients. Applications remain open for Clinic Supervisor and Associate Volunteer positions with flexible start dates in 2021. Contact Kait Graham or learn more here. New peer -r eview ed pu blicat ion on dist an ce m an agem en t of spin e pain A new paper from WSC and the Global Spine Care Initiative was recently published in the journal JMIR Public Health and Surveillance. The article, titled ?Distance Management of Spinal Disorders During the COVID-19 Pandemic and Beyond: Evidence-Based Patient and Clinician Guides From the Global Spine Care Initiative?, describes the process that the authors underwent to develop the guides for Managing Neck and Back Pain in the Time of COVID-19 released last year. It also discusses the strategies for evidence-based management of spinal pain via telehealth or when direct access to healthcare providers is not available. Th e Eu r opean Spin e Ride 2021 is a Go! World Spine Care Europe once again embarked on a trans-continental cycling tour. This year, the aim
was to raise £10,000 to support the work of the MGM Clinic in Navi Mumbai, India. The thrilling 5-day ride took cyclists over 400 miles along the southern coast of England from June 23rd?27th, ending at the Marble Arch in London?where the first spine ride began 6 years ago. Led by WSCE president, Adam Wilkey, 7 riders were able to view some of the most beautiful scenery in the U.K. This year, we also created a virtual spine ride. Participants from around the world raised funds for spine care while staying active?whether on the bike, treadmill, or just walking their neighborhood ? all without having to travel. Abou t Wor ld Spin e Car e World Spine Care (WSC) is a multinational not-for-profit, charitable organization. It is a collection of three healthcare-focused charitable entities registered in Canada, the United States, and the United Kingdom. World Spine Care was founded in 2008 by Scott Haldeman MD, PhD, DC, a leading figure in the assessment and treatment of spinal conditions. It was launched to fill the profound gap in the evidence-based treatment of musculoskeletal and especially spinal conditions found in under-serviced areas around the world. Entrenching sustainable clinics in the communities in which we work is a fundamental principle of World Spine Care. While developing a model of care for spinal conditions is a primary focus of World Spine Care, it is equally important to WSC that our clinics are embedded in the local health care system, creating not only a sustainable model of care, but also one that can be expanded throughout the country, with full cooperation of the host government. w or ldspin ecar e.or g/ t ak e-act ion / don at e/
63 WORLD NEWS
Th e Gif t s We Have To Give, by M u f u dzi Ch u h am bak w e Who are your skills for? As a professional You have acquired something of significant valuable And you are equipped to solve problems,
World Spine Care's Mufudzi Chihambakwe and the late Dr Shannon Bloch
Spent years to gain mastery Overcome numerous challenges And now you have a capacity to create change in the world with dexterityUltimately what you now possess is a gift. Something to offer Something with which to craft the world in a particular way. This gift of yours... Who is it for? Who are you seeking to serve With that wonderful gift in your hands?
I met Dr. Shannon Bloch in May 2018 at a World Spine Care (WSC) conference in Gaborone, Botswana about one week before my graduation from chiropractic school. Our shared interest in the work WSC was doing for underserved communities had caused our paths to meet. She had crossed the Atlantic and I had had a much shorter journey across the border from South Africa. She had come to Botswana to be a volunteer, giving up months of income to serve communities that had little access to spine care in two villages in Botswana, namely Mahalapye and Shoshong. Shannon had been to Africa before, when she had volunteered in South Africa at a hospital in Cape Town a few years prior and she?d planned that this trip to Botswana would not be her last visit to this part of the world. Soon after my graduation I moved to Botswana where Shannon had already spent time in the WSC house and clinics. She had the right kind of temperament for the job - a steady commitment to the work and yet an openness to the inevitable change of plans that would come up regularly. During that time, my practicing license was not in place for me to practice in Botswana, so I assumed a
supporting role for Shannon who saw all the patients while I did paperwork and helped run the rest of the clinic. Even though she carried the majority of the weight of the clinical work, and had more experience than I did, she was always gracious and often included me in her clinical process. After 3 months o f working together we?d become a pretty well-oiled machine. Shannon left Botswana in July 2018. Her plan had always been to return to Botswana with her family and to continue to support the work in providing spine care to the underserved in Botswana. However, just under a year later, she passed on suddenly, leaving us all in shock. She was only 26. Shannon?s family has committed to honoring Shannon?s memory by establishing Giving Back Health Abroad, a charity devoted to providing spine care to underserved communities in Botswana. In April 2021, they established a new spine care clinic in Gaborone, Botswana located within an existing government clinic providing spine care to the local community. This is the kind of work that Shannon had thrown herself wholeheartedly into and now it is my privilege to be able to continue this work in her honor. Shannon knew that as a chiropractor, she had a gift in her hands, something valuable to share with the world. And she chose to share that gift with the people for whom the burden of spinal disease is the greatest. Our hope is that we can continue this work to share this same gift and inspire others to do the same.
64 BOOK REVIEW
Book Review : Ch ir opr act ic Odyssey (Leon ar d J. Faye) There are few chiropractors alive in the world today whose career has spanned 8 decades. There are fewer still who can claim the diversity of career of Dr Leonard Faye, who has chronicled his experiences in his new book, Chiropractic Odyssey. This autobiographical text describes Dr Faye's fascinating career and his work in Canada, the United Kingdom and the United States, not to mention the many hundreds of seminars conducted around the world.
Dr Faye gives a frank account of his experiences and observations on the chiropractic profession, his encounters with Dr Henri Gillet and his subsequent founding of the Motion Palpation Institute. Peppered with 'Clinical Gems' the book also contains Dr Faye's many theories from his time in practice. This book is an unmissable read for students of chiropractic history and anyone with an interest in the develoment of the chiropractic profession over the past 60 years.
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Canadian Chiropractic Protective Assn ?
Dynamic Chiropractic Magazine ? USA
Human Touch ? USA
ChiroFusion LLC ? USA
International Board of Chiropractic Examiners ? USA
ChiroHealthUSA ? USA
NCMIC - USA
Chiropractic Diplomatic Corps - Philippines International Medical University, Chiropractic
Palmer College of Chiropractic ? USA
Program ? Malaysia
Parker University ? USA
New York Chiropractic College ? USA
DIAM OND CORPORATE PARTNERS
New Zealand Chiropractic Board - New Zealand The Royal College of Chiropractors ? UK
Canadian Memorial Chiropractic College ? Canada
University of Bridgeport - College of Chiropractic ? USA
Foot Levelers ? USA University of Western States ? USA National Board of Chiropractic Examiners ? USA The American Chiropractor ? USA
GOLD CORPORATE PARTNERS
BRONZE CORPORATE PARTNERS Alberta College & Association of Chiropractors ? Canada
THANK YOU TO OUR CORPORATE AND EDUCATIONAL PARTNERS FOR THEIR GENEROSITY AND SUPPORT
BRONZE CORPORATE PARTNERS (ct d) Belgian Chiropractors' Union ? Belgium College of Chiropractic Sciences ? Canada Elite Chiropractic Tables ? Canada Federation of Canadian Chiropractic ? Canada Four Star Industries Pte Ltd -- Singapore Japanese Association of Chiropractors ? Japan KCS Association - Japan
Kiropraktorernes Videnscenter (formerly NIKKB) ? Denmark Madrid College of Chiropractic-RCU ? Spain National University of Health Sciences ? USA Nutri-West ? USA Precision Biometrics, Inc. / MyoVision - USA Rocketee - Taiwan Sommeil Terre Pte Ltd - Singapore Southern California University of Health Sciences ? USAThumper Massager ? Canada
THANK YOU TO OUR INDIVIDUAL SUPPORTERS FOR THEIR GENEROSITY AND SUPPORT
PLATINUM INDIVIDUAL SUPPORTER (US$2000) William E. Morgan, DC ? USA
INDIVIDUAL SILVER SUPPORTERS (US$500) Kuwaoka Toshifumi, Mr ? Japan Whitman Larry, DC ? Australia
INDIVIDUAL DIAM OND SUPPORTER (US$1000)
BRONZE INDIVIDUAL SUPPORTERS (US$180)
Morelli Ricardo, DC ? USA
Adra Tarek, DC ? USA
INDIVIDUAL GOLD SUPPORTER (US$750)
Aldrich Bruce, DC ? USA
Eric Chun Pu Chu, DC, MHA, PhD (Hon) ? Hong
Anmolsingh Dinesh, DC ? Trinidad & Tobago
Kong Haldeman Scott, DC, MD, PhD ? USA
Anderson Kris, DC ? USA Anosov Oleg, DC - USA Aymon Michel, DC ? Switzerland
THANK YOU TO OUR INDIVIDUAL SUPPORTERS FOR THEIR GENEROSITY AND SUPPORT
BRONZE INDIVIDUAL SUPPORTERS (ct d) Bisiacchi Debra, DC - USA Borges Sira, DC, MD ? Brazil Brackenbury Wade, DC ? Vietnam Carey Paul, DC ? Canada Carter Catherine, DC ? Canada
Kopansky-Giles Deborah, DC - Canada Lepien Rose, DC ? USA Ling Kok Keng, DC ? Singapore Lothe Lise, DC ? Norway McNabb Brent, DC ? USA Moss Jean, DC, MBA ? Canada Napuli Jason, DC, MBA - USA
Chapman-Smith David, Mr.? Canada
Papadopoulos Stathis, DC ? Cyprus
Craig Stuart and Leonie, DC ? New Zealand
Pick Jacqueline, DC ? USA
Culbert Gregory M., DC ? USA
Raven Tim, DC - Norway
Donato Phillip, DC ? Australia
Sosna Janet Ruth, DC ? Singapore
El Sangak Hussein, DC, MD ? USA
Staerker Paul, DC - Australia
El Sangak Omar, DC, MD ? Egypt
Stewart Gregory, DC ? Canada
Engelbrecht Reg, DC ? South Africa
Takeyachi Kei, DC ? Japan
Errington Timothy, DC ? Singapore
Tao Cliff, DC, DACBR ? USA
Faye Leonard, DC ? USA Fong Anthony Wai Yuen, DC - Indonesia Green Bart, DC ? USA Greenwood Dean, DC ? Canada Heese Glen, DC ? USA Johannessen Espen, DC ? Norway Johnson Claire, DC ? USA Kil Vivian, DC - Netherlands
Taylor Michael K, DC ? USA Truuvaart Gerly, DC ? Estonia Tuck Nathaniel, DC ? USA Vallone Sharon, DC, DICCP ? USA Vaughan Bruce, DC ? Hong Kong SAR Wiles Michael, DC ? USA Williams John, DC ? Italy Wolfson Wayne, DC - USA